Consolidated Revenues of $1.48 Billion, GAAP
Loss from Continuing Operations of $18 Million(1),
GAAP Diluted Loss Per Share from Continuing Operations of
$0.33(1), EBITDAR of $141 Million(2)
and EBITDA of $66 Million(3) in the Third
Quarter
Results Reflect After-Tax Costs of $19
Million Primarily Related to Restructuring Charges of $11 Million
and a Non-Cash Deferred Tax Asset Valuation Allowance of $7
Million
GAAP and Core Results Include Negative
Pretax Earnings Impact of $16 Million from Hurricanes and $3
Million from LTAC Hospital Closures and Diluted EPS Impact of $0.11
from Hurricanes and $0.02 from LTAC Closures
Core EBITDAR of $157
Million(4), Core EBITDA of $84 Million(4)
and Core Diluted Loss Per Share from Continuing Operations of
$0.11(4) in the Third Quarter
Third Quarter GAAP Operating Cash Flows of
$8 Million(4), Core Operating Cash Flows of $30
Million(4) and Core Free Cash Flows of $3
Million(4)
Company Generated $281 Million of Cash
Primarily from Restructuring Certain Funding Mechanisms for
Insurance Programs;Proceeds Utilized to Reduce Financial
Leverage(5)
Company Updates Outlook for 2018
Kindred Healthcare, Inc. (“Kindred” or the “Company”) (NYSE:KND)
today announced its operating results for the third quarter ended
September 30, 2017.
Benjamin A. Breier, President and Chief Executive Officer of the
Company, commented, “We are pleased to report third quarter results
ahead of expectations. We made good progress during the quarter on
each of our ongoing key initiatives, including our plan to fully
exit the skilled nursing facility business and our continuing
efforts to mitigate the impact of long-term acute care (“LTAC”)
patient criteria. The third quarter also presented unexpected
challenges for our business, including two major hurricanes that
impacted Florida and Houston, Texas. Thanks to the talented and
dedicated teammates across our organization, Kindred delivered
solid operating results, when adjusted for the one-time impact of
Hurricanes Irma and Harvey (the “Hurricanes”) and LTAC closure
costs incurred during the quarter. The GAAP and Core pretax
earnings impact of the Hurricanes for the quarter was $16 million,
which primarily affected both Segment adjusted operating income and
Core EBITDAR of the Hospital and Kindred at Home Divisions by
approximately $10 million and $5 million, respectively.”
In addressing recent Home Health regulatory activity, Mr. Breier
commented, “We are pleased the Centers for Medicare and Medicaid
Services (“CMS”) decided last week not to finalize the proposed
Home Health Groupings Model in order to further engage stakeholders
in developing a system that shifts the focus from volume of
services to a more patient-centered model. We commend CMS for
considering the unanimous voice of patient advocates, the home
health provider community, and bipartisan Congressional leaders and
for continuing an open dialogue with stakeholders regarding system
design. Kindred looks forward to ongoing engagement and
collaboration with CMS and Congress to develop a reformed model
that strikes the right balance in promoting high quality home
healthcare in a fiscally responsible manner.”
________ (1) Results reflect after-tax costs of $19.4 million or
$0.22 per diluted share related to restructuring, deferred tax
asset valuation allowance, litigation and the favorable settlement
of a RehabCare collection litigation. (2) Results reflect pretax
costs of $16.1 million related to restructuring, litigation and the
favorable settlement of a RehabCare collection litigation. As used
herein, “EBITDAR” means earnings before interest, income taxes,
depreciation, amortization and total rent. See reconciliation of
generally accepted accounting principles (“GAAP”) results to
non-GAAP results beginning on page 15. The Company will not provide
consolidated EBITDAR in future earnings releases. (3) Results
reflect pretax costs of $18.3 million related to restructuring,
litigation and the favorable settlement of a RehabCare collection
litigation. As used herein, “EBITDA” means earnings before
interest, income taxes, depreciation and amortization. See
reconciliation of GAAP results to non-GAAP results beginning on
page 15. (4) See reconciliation of GAAP results to non-GAAP results
beginning on page 15. During the first quarter of 2017, the Company
revised its definition of “core” non-GAAP measures. See “Non-GAAP
Measures” beginning on page 15 for a discussion regarding the
revised definitions. For comparability, core results for 2016 were
revised to conform to the current year presentation. (5) This
amount includes a $30 million distribution the Company received
from its wholly owned captive insurance subsidiary in the third
quarter of 2017, with the majority of proceeds and corresponding
leverage reduction completed in October 2017. For further
information on this distribution and subsequent insurance
restructuring, see page 4.
Mr. Breier continued, “Regarding the skilled nursing facility
business, we have completed the sale and transition of operations
to new operators for 68 of the 89 skilled nursing facilities and
four of the seven assisted living facilities. We expect that nearly
all of the remaining facilities and operations will be divested by
the end of 2017. Importantly, our RehabCare business has executed
agreements with many of the new operators, resulting in the
continuation of services to 45 sites of service; this is in line
with expectations for our 2018 Outlook, and we anticipate signing
additional contracts for a portion of the facilities yet to
transition. We continue to believe that the sale of our skilled
nursing facility business will significantly enhance shareholder
value, enable us to sharpen our focus on higher margin and faster
growing businesses, and further advance our efforts to transform
Kindred.”
Mr. Breier added, “The success of our ongoing LTAC patient
criteria mitigation strategy resulted in our Hospital Division
delivering operating results that were largely in line with
expectations. LTAC compliant revenue increased to 89% from 88% in
the second quarter. Managed care and commercial volumes increased
5.1% for the third quarter of 2017 on a same-hospital basis as
compared to the prior year period.”
Mr. Breier concluded, “Kindred’s Hospital Division continued to
execute on its portfolio optimization initiative by closing five
LTAC hospitals since the end of last quarter, including one that
will be converted to an inpatient rehabilitation facility (“IRF”)
joint venture. We expect to further optimize our LTAC portfolio
with additional closures, consolidations and IRF conversions over
the coming quarters.”
All financial and statistical information included in this
earnings release reflects the continuing operations of the
Company’s businesses for all periods presented unless otherwise
indicated. As previously disclosed, while the operating results,
direct overhead, losses associated with the skilled nursing
facility business divestiture and elimination of intercompany
profits for certain applicable RehabCare contracts are classified
as discontinued operations, they do not include any allocations of
indirect overhead related to the skilled nursing facility business.
In the third quarter of 2017, the Company reclassified from
discontinued operations to continuing operations for all periods
presented historical intercompany profits from certain RehabCare
contracts that were retained with new operators of divested skilled
nursing facilities. The impact of the retained contracts to third
quarter 2017 loss from continuing operations before income taxes,
Core EBITDAR and Core EBITDA was $2.0 million.
Based on recent discussions with the staff of the Securities and
Exchange Commission (the “SEC”), and consistent with similar
actions by other companies, the Company will discontinue the use of
consolidated EBITDAR as a performance measure and replace it with
consolidated EBITDA when reporting its historical results and 2018
Outlook beginning in the fourth quarter of 2017. In order to assist
investors with the transition, the Company is presenting in this
earnings release both historical consolidated EBITDAR and EBITDA as
well as its 2018 Outlook for these measures. The Company will not
provide consolidated EBITDAR in future earnings releases. The
Company will continue to report Segment adjusted operating income
(loss), which is the performance measure used by the Company’s
chief operating decision makers in accordance with “Accounting
Standard Codification 280 – Segment Reporting,” and Core EBITDAR by
segment.(1)
Third Quarter Consolidated Results(1):
- Consolidated revenues were $1.48
billion, a 5.5% year-over-year decrease, primarily attributable to
the impact of the transition to LTAC patient criteria and the sale
or closure of 21 LTAC hospitals since the third quarter of 2016.
GAAP loss from continuing operations was $18.4 million compared to
a loss of $649.2 million in the same period a year ago. The
reduction in the loss was primarily due to a $359.1 million
decrease in the deferred tax asset valuation allowance,
a $243.8 million decrease in impairment charges and a $39.1
million decrease related to restructuring charges, all partially
offset by the impact of the Hurricanes, LTAC patient criteria and
the sale or closure of the 21 LTAC hospitals noted above. Core
EBITDAR declined to $156.9 million compared to $185.6 million and
Core EBITDA declined to $83.9 million compared to $109.0
million in the same period of 2016, both primarily due to the
impact of the Hurricanes, LTAC patient criteria and the sale or
closure of the 21 LTAC hospitals noted above.
- GAAP operating cash flows were $8.5
million compared to $36.4 million for the same period a year ago.
Core operating cash flows were $29.8 million compared to $29.5
million for the same period a year ago. Core free cash flows were
$3.3 million compared to $2.9 million in the same period a
year ago. GAAP operating cash flows declined
________ (1) See reconciliation of GAAP results to non-GAAP results
beginning on page 15. The Company defines Segment adjusted
operating income (loss) as EBITDAR for each of the Company’s
operating segments, excluding litigation contingency expense,
impairment charges, restructuring charges, transaction costs and
the allocation of support center overhead. During the first quarter
of 2017, the Company revised its definition of “core” non-GAAP
measures. See “Non-GAAP Measures” beginning on page 15 for a
discussion regarding the revised definitions. For comparability,
core results for 2016 were revised to conform to the current year
presentation.
Third Quarter Consolidated
Results(1)(Continued):
compared to the prior year period due to severance, retention
and transactions costs associated with the skilled nursing facility
business divestiture, approximately $20 million from temporary
billing delays and $16 million decline in operating results both
associated with the Hurricanes. Core operating cash flows and Core
free cash flows increased slightly compared to the prior year
period despite the temporary billing delays and operating declines
from the Hurricanes.
- GAAP diluted loss per share from
continuing operations was $0.33 as compared to GAAP diluted loss
per share from continuing operations of $7.58 a year ago. Both GAAP
and Core diluted loss per share include a $0.11 per diluted share
negative impact from the Hurricanes. The reduction in the GAAP
diluted loss per share was primarily due to a decrease in deferred
tax asset valuation allowance, impairment charges and restructuring
charges, partially offset by the impact of the Hurricanes, LTAC
patient criteria and the sale or closure of the 21 LTAC hospitals
noted above. Core diluted loss per share from continuing operations
was $0.11, as compared to Core diluted earnings per share (“EPS”)
of $0.05 for the same period last year. Besides the impact of the
Hurricanes, the decline in Core diluted EPS was primarily
attributable to LTAC patient criteria.
Third Quarter Segment Results(1)(2)(3):
Our Kindred at Home Division recorded third quarter revenues
that increased 0.6% over the prior year period to
$642.1 million. The Hurricanes negatively impacted division
revenue by $4.7 million and Segment adjusted operating income by
$4.8 million. On a same-store basis, home health admissions
increased 0.9% while same-store hospice admissions declined 4.3%
over the prior year period. Segment adjusted operating income and
Core EBITDAR both decreased 4.9% to $101.2 million for the third
quarter of 2017 as compared to the prior year period as a result of
the Hurricanes and patient mix shift in home health from Medicare
to managed care and commercial patients. Home health direct labor
costs per visit declined 3.7% and hospice direct labor costs per
patient day declined 0.6% in the third quarter of 2017 both as
compared to the third quarter of 2016.
Kindred’s Hospital Division third quarter revenues declined
14.6% to $503.1 million from $588.9 million in the prior year
period primarily due to the elimination of approximately $70
million of revenue related to the sale or closure of 21 LTAC
hospitals since the third quarter of 2016, the impact of LTAC
patient criteria and a 5.2% decline in same-hospital admissions
compared to last year. The Hurricanes negatively impacted division
revenue by $2.8 million and Segment adjusted operating income by
$9.9 million. For the third quarter of 2017, approximately 89% (92%
excluding Texas LTAC hospitals) of same- hospital revenue came from
LTAC compliant patients, which include all patients except Medicare
site neutral patients, an increase from approximately 88% (92%
excluding Texas LTAC hospitals) in the second quarter of 2017.
Same-hospital managed care and commercial volumes increased 5.1% in
the third quarter of 2017 compared to the prior year period.
Segment adjusted operating income and Core EBITDAR for the third
quarter both declined to $61.5 million compared to $83.9 million
for both Segment adjusted operating income and Core EBITDAR a year
ago. The declines were primarily due to the impact of LTAC patient
criteria, the Hurricanes, increases in labor and other costs and
the elimination of approximately $4 million of Segment adjusted
operating income and Core EBITDAR related to the sale or closure of
the 21 LTAC hospitals noted above.
Kindred Rehabilitation Services third quarter revenues declined
by 2.1% to $352.7 million as compared to $360.3 million in the
prior year period, primarily due to operating fewer sites of
service in RehabCare. The Hurricanes negatively impacted division
revenue by $0.6 million and Segment adjusted operating income by
$1.1 million. Segment adjusted operating income increased to $56.8
million as compared to $56.5 million in the prior year period. Core
EBITDAR decreased to $54.5 million as compared to $56.5
million in the prior year period. The Kindred Hospital
Rehabilitation Services (“KHRS”) segment achieved revenue growth of
2.0% to $173.6 million from $170.3 million a year ago due primarily
to IRF revenues increasing 6.2% to $96.7 million as compared
to $91.0 million in the prior year primarily due to IRF development
and a 3.7% increase in revenue per discharge. KHRS Segment adjusted
operating income and Core EBITDAR both declined to $49.2 million, a
decrease of 1.2% compared to the same period a year ago, primarily
as a result of contract losses from closed affiliated LTAC
hospitals and the Hurricanes. The IRFs contributed $32.8 million to
KHRS Segment adjusted operating income, a 3.6% increase over prior
year, including a $0.4 million impact from the Hurricanes.
RehabCare revenues declined 5.7% to $179.1 million for the
third quarter of 2017, primarily due to operating fewer sites of
service. RehabCare Segment adjusted operating income increased to
$7.6 million
________
(1) See reconciliation of GAAP results to non-GAAP results
beginning on page 15. During the first quarter of 2017, the Company
revised its definition of “core” non-GAAP measures. See “Non-GAAP
Measures” beginning on page 15 for a discussion regarding the
revised definitions. For comparability, core results for 2016 were
revised to conform to the current year presentation. (2) See
same-hospital and full segment data on pages 10 through 14. (3) For
each of the Company’s segments, Segment adjusted operating income
(loss) is a measure of performance used by the Company’s chief
operating decision makers in accordance with “Accounting Standard
Codification 280 – Segment Reporting.” The Company defines Segment
adjusted operating income (loss) as EBITDAR for each of the
Company’s operating segments, excluding litigation contingency
expense, impairment charges, restructuring charges, transaction
costs, and the allocation of support center overhead.
Third Quarter Segment
Results(1)(Continued):
compared to $6.7 million in the prior year period, primarily due
to the favorable settlement of collection litigation. RehabCare
Core EBITDAR declined 20.2% to $5.4 million, primarily due to
operating fewer sites of service and wage rate pressure.
Discontinued Operations – Loss on Divestiture of Skilled
Nursing Facility Business
During the third quarter of 2017, the Company recorded $51.3
million of pretax charges related to the planned divestiture of its
skilled nursing facility business, including a loss of $17.9
million related to certain skilled nursing facilities subject to
sale- leaseback accounting provisions, $2.7 million of lease
termination costs, $23.8 million of transaction costs and $6.9
million of retention costs.
Insurance Program Distributions and Restructuring
In the third quarter of 2017, as a result of improved
underwriting results from the Company’s wholly owned captive
insurance subsidiary, Cornerstone Insurance Company
(“Cornerstone”), the Company received a distribution of $30 million
(the “September Distribution”). The September Distribution was used
to repay a portion of the Company’s outstanding $900 million
asset-based loan revolving credit facility (“ABL”), which had $156
million outstanding as of September 30, 2017, and did not have any
impact on earnings or operating cash flows in the third quarter of
2017.
In October, in connection with the review of its insurance
programs as part of the skilled nursing facility business exit, the
Company restructured the funding mechanisms and certain other
elements of its insurance programs. With respect to its workers
compensation program, approximately $115 million of restricted cash
collateral deposits were replaced with letters of credit and
approximately $21 million of other cash deposits were released. In
addition, certain funding mechanisms associated with the Company’s
professional liability insurance and reinsurance agreements were
modified such that approximately $106 million of cash deposits
maintained at Cornerstone and $4 million of other cash deposits
were released to the parent company. In both cases, no changes were
made to the financial risk transfer aspects of the Company’s
insurance arrangements with third parties. Also in October, as a
result of further improvement in Cornerstone’s underwriting
results, the Company received an additional distribution of $5
million from Cornerstone (the “October Distribution”). In
aggregate, the approximately $281 million generated from the
October insurance restructuring, the September Distribution and the
October Distribution was used to repay in its entirety the
Company’s ABL balance and to increase cash reserves. The Company
expects that there will be additional cash savings from these
activities over the duration of the fourth quarter that will offset
approximately $11 million of estimated costs in the same period
associated with the insurance restructuring.
Mr. Breier commented, “The successful restructuring of our
insurance program allowed us to deliver in a significant and
immediate way on our commitment to reduce our leverage. The $281
million of liberated funds represents more than half of our 2018
Outlook for EBITDA and nearly two years of projected core free cash
flows. We intend to continue to explore other initiatives to
delever by reducing our funded debt and growing EBITDA.”
2018 Outlook(2)
All forward-looking non-GAAP financial measures used to provide
the “2018 Outlook” are provided only on a non- GAAP basis. This is
due to the inherent difficulty of forecasting the timing or amount
of items that would be included in the most directly comparable
forward-looking GAAP financial measures. As a result,
reconciliation of the forward-looking non-GAAP financial measures
to GAAP financial measures is not available without unreasonable
effort and the Company is unable to assess the probable
significance of the unavailable information.
The Company’s 2018 Outlook does not take into account the effect
of any reimbursement changes, any further acquisitions or
divestitures, and any further issuances or repurchases of common
stock.
________
(1) See reconciliation of GAAP results to non-GAAP results
beginning on page 15. During the first quarter of 2017, the Company
revised its definition of “core” non-GAAP measures. See “Non-GAAP
Measures” beginning on page 15 for a discussion regarding the
revised definitions. For comparability, core results for 2016 were
revised to conform to the current year presentation. (2) See
Forward-Looking Statements beginning on page 15.
2018 Outlook(1)(Continued):
Stephen D. Farber, Executive Vice President and Chief Financial
Officer of Kindred, commented, “As we have previously discussed,
given the complexity and uncertain timing of several items over the
remainder of the year, the Company is not providing a 2017 outlook
but is instead focusing investors on its 2018 Outlook, which
reflects the Company’s successful restructuring and repositioning
activities in 2017. We are also expanding our 2018 Outlook to
incorporate ranges for key items with this release.”
For the 2018 Outlook, Kindred anticipates:
- Annual revenues of $6.2 billion, with a
range of $6.1 billion to $6.3 billion;
- Core EBITDAR of $815 million, with a
range of $800 million to $830 million(2);
- Core EBITDA of $515 million, with a
range of $500 million to $530 million; and
- Core diluted EPS from continuing
operations of $0.75, with a range of $0.65 to $0.85.
In determining these items, Kindred utilized the following 2018
estimates:
- Total rent expense of approximately
$295 million to $300 million;
- Depreciation and amortization expense
of approximately $100 million;
- Interest expense of approximately $235
million to $240 million, including $17 million of amortization of
deferred financing fees;
- Noncontrolling interest expense of
approximately $45 million to $50 million;
- An effective book tax rate of
approximately 35%;
- Weighted average shares outstanding of
approximately 90.0 million;
- Routine capital expenditures of
approximately $60 million; and
- Available tax net operating loss
(“NOLs”) as of January 1, 2018 of $550 million to $600
million.
Cash Flow(1)
Mr. Farber commented, “We expect the fourth quarter of 2017 to
be our strongest core operating cash flow quarter of the year, and
expect to end the year with excellent liquidity, leaving no
outstanding borrowings under our $900 million ABL and a large
unrestricted cash balance. In addition to the previously discussed
successful efforts this year to restructure the Company’s funding
of its insurance programs, we expect 2018 Core free cash flows from
continuing operations plus tax-related cash flows from utilizing
Kindred’s NOL carry forwards to approximate $175 million at the
midpoint of an estimated range. We intend to apply this cash flow
primarily to repay debt and expect our adjusted debt(3) to
EBITDAR(4) leverage to approximate 5.5x by the end of 2018.”
Conference Call
As previously announced, investors and the general public may
access a live webcast of the third quarter 2017 conference call
through a link on the Company’s website at
http://investors.kindredhealthcare.com. The conference call will be
held on November 7 at 9:00 a.m. (Eastern Time).
A telephone replay of the conference call will become available
at approximately 12:00 p.m. on November 7 by dialing (719)
457-0820, access code: 2677758. The phone replay will be available
through November 17 and the online replay will be available through
December 7.
Forward-Looking Statements and Non-GAAP
Reconciliations
See page 15 for important disclosures regarding the Company’s
forward-looking statements and the non-GAAP financial
reconciliations that follow.
________
(1) See Forward-Looking Statements beginning on page 15. (2) As
previously discussed, after this earnings release, the Company will
not provide consolidated EBITDAR in future earnings releases,
including a 2018 Outlook for Core EBITDAR. (3) Adjusted debt
includes current and long-term debt plus annual total rent expense
multiplied by six less cash. (4) The Company will not provide
consolidated EBITDAR in future earnings releases and will replace
adjusted debt to EBITDAR leverage with debt to EBITDA leverage
which excludes total rent expense multiplied by six in the
numerator and includes total rent expense in the denominator.
About Kindred Healthcare
Kindred Healthcare, Inc., a top-105 private employer in the
United States, is a FORTUNE 500 healthcare services company based
in Louisville, Kentucky with annual revenues of approximately $6.1
billion(1). At September 30, 2017, Kindred’s continuing operations,
through its subsidiaries, had approximately 86,400 employees
providing healthcare services in 2,475 locations in 45 states,
including 77 LTAC hospitals, 19 inpatient rehabilitation hospitals,
16 sub-acute units, 609 Kindred at Home home health, hospice and
non-medical home care sites of service, 101 inpatient
rehabilitation units (hospital-based) and contract rehabilitation
service businesses which served 1,653 non-affiliated sites of
service. Ranked as one of Fortune magazine’s Most Admired
Healthcare Companies for eight years, Kindred’s mission is to
promote healing, provide hope, preserve dignity and produce value
for each patient, resident, family member, customer, employee and
shareholder we serve. For more information, go to
www.kindredhealthcare.com. You can also follow us on Twitter and
Facebook.
________
(1) Revenues from continuing operations for the last twelve months
ended September 30, 2017.
KINDRED HEALTHCARE, INC. Condensed
Consolidated Statement of Operations (Unaudited) (In
thousands, except per share amounts)
Three months
ended Nine months ended September 30,
September 30, 2017 2016 2017
2016 Revenues
$ 1,477,141 $
1,563,276
$ 4,550,841 $ 4,774,813
Salaries, wages and benefits
830,558 867,611
2,504,074 2,546,031 Supplies
73,344 85,469
231,229 263,679 Building rent
64,422 66,946
193,939 199,956 Equipment rent
8,537 9,911
26,285 31,280 Other operating expenses
155,949
167,453
496,934 500,787 General and administrative expenses
258,834 262,051
800,493 848,945 Other income
(638 ) (341 )
(2,895 ) (2,679 )
Litigation contingency expense
4,000 -
4,000 2,840
Impairment charges
- 297,276
136,303 311,195
Restructuring charges
16,500 81,463
31,556 84,213
Depreciation and amortization
24,808 32,995
80,279
99,747 Interest expense
61,146 59,856
181,275 175,398
Investment income
(705 ) (1,797 )
(3,442 ) (2,519 )
1,496,755 1,928,893
4,680,030 5,058,873 Loss from
continuing operations before income taxes
(19,614 )
(365,617 )
(129,189 ) (284,060 ) Provision (benefit)
for income taxes
(1,225 ) 283,630
(15,107 ) 314,106 Loss
from continuing operations
(18,389 ) (649,247 )
(114,082 ) (598,166 ) Discontinued operations, net of
income taxes: Loss from operations
(13,612 ) (22,060
)
(1,871 ) (10,489 ) Gain (loss) on divestiture of
operations
(49,663 ) -
(349,868 ) 179 Loss from discontinued
operations
(63,275 ) (22,060 )
(351,739 ) (10,310 ) Net loss
(81,664
) (671,307 )
(465,821 ) (608,476 ) Earnings
attributable to noncontrolling interests: Continuing operations
(10,960 ) (9,574 )
(32,234 ) (26,272 )
Discontinued operations
(3,162 ) (4,732
)
(12,597 ) (14,075 )
(14,122 ) (14,306 )
(44,831
) (40,347 ) Loss attributable to Kindred
$
(95,786 ) $ (685,613 )
$ (510,652
) $ (648,823 ) Amounts attributable to Kindred
stockholders: Loss from continuing operations
$
(29,349 ) $ (658,821 )
$ (146,316
) $ (624,438 ) Loss from discontinued operations
(66,437 ) (26,792 )
(364,336
) (24,385 ) Net loss
$ (95,786 )
$ (685,613 )
$ (510,652 ) $ (648,823 )
Loss per common share: Basic: Loss from continuing operations
$ (0.33 ) $ (7.58 )
$ (1.67
) $ (7.20 ) Discontinued operations: Loss from operations
(0.19 ) (0.31 )
(0.17 ) (0.28 ) Gain
(loss) on divestiture of operations
(0.57 )
-
(4.00 ) - Loss
from discontinued operations
(0.76 )
(0.31 )
(4.17 ) (0.28 ) Net loss
$ (1.09 ) $ (7.89 )
$ (5.84
) $ (7.48 ) Diluted: Loss from continuing operations
$ (0.33 ) $ (7.58 )
$ (1.67
) $ (7.20 ) Discontinued operations: Loss from operations
(0.19 ) (0.31 )
(0.17 ) (0.28 ) Gain
(loss) on divestiture of operations
(0.57 )
-
(4.00 ) - Loss
from discontinued operations
(0.76 )
(0.31 )
(4.17 ) (0.28 ) Net loss
$ (1.09 ) $ (7.89 )
$ (5.84
) $ (7.48 ) Shares used in computing loss per common
share: Basic
87,597 86,869
87,398 86,766 Diluted
87,597 86,869
87,398 86,766 Cash dividends
declared and paid per common share
$ - $ 0.12
$ 0.12 $ 0.36
KINDRED HEALTHCARE, INC. Condensed Consolidated Balance
Sheet (Unaudited) (In thousands, except per share
amounts)
September 30, December 31,
2017 2016 ASSETS Current assets: Cash and cash
equivalents
$ 130,364 $ 137,061 Insurance subsidiary
investments
98,079 108,966 Accounts receivable less
allowance for loss
1,218,200 1,172,078 Inventories
21,491 22,438 Income taxes
4,983 10,067 Assets held
for sale
79,051 289,450 Other
66,463
63,693
1,618,631 1,803,753 Property and
equipment
1,686,504 1,531,598 Accumulated depreciation
(956,644 ) (912,978 )
729,860
618,620 Goodwill
2,424,831 2,427,074 Intangible
assets less accumulated amortization
612,277 770,108
Insurance subsidiary investments
184,417 204,929 Other
301,735 288,240 Total assets
$ 5,871,751 $ 6,112,724
LIABILITIES
AND EQUITY Current liabilities: Accounts payable
$
176,353 $ 203,925 Salaries, wages and other compensation
370,213 397,486 Due to third party payors
48,791
41,320 Professional liability risks
55,668 65,284 Accrued
lease termination fees
109,113 5,224 Other accrued
liabilities
264,957 264,512 Long-term debt due within one
year
18,247 27,977
1,043,342 1,005,728 Long-term debt
3,302,936
3,215,062 Professional liability risks
315,322 295,311
Deferred tax liabilities
182,065 201,808 Deferred credits
and other liabilities
497,436 353,294 Equity:
Stockholders' equity:
Common stock, $0.25 par value; authorized
175,000 shares; issued 86,980 shares - September 30, 2017 and
85,166 shares - December 31, 2016
21,745 21,291 Capital in excess of par value
1,710,480 1,710,231 Accumulated other comprehensive income
2,929 1,573 Accumulated deficit
(1,431,196
) (920,544 )
303,958 812,551 Noncontrolling
interests
226,692 228,970 Total
equity
530,650 1,041,521 Total
liabilities and equity
$ 5,871,751 $ 6,112,724
KINDRED HEALTHCARE, INC. Condensed Consolidated Statement
of Cash Flows (Unaudited) (In thousands)
Three
months ended Nine months ended September 30,
September 30, 2017 2016 2017
2016 Cash flows from operating activities: Net loss
$
(81,664 ) $ (671,307 )
$ (465,821
) $ (608,476 )
Adjustments to reconcile net loss to net
cash provided by operating activities:
Depreciation expense
22,696 34,914
79,001 103,306
Amortization of intangible assets
2,889 5,468
11,909
18,251 Amortization of stock-based compensation costs
5,329
3,015
13,316 13,058 Amortization of deferred financing costs
4,363 3,987
12,847 11,262 Payment of capitalized
lender fees related to debt amendment
- (42 )
(5,403
) (7,375 ) Provision for doubtful accounts
10,327
10,009
57,511 30,955 Deferred income taxes
(3,788
) 279,172
(19,608 ) 308,470 Impairment charges
- 324,289
137,572 338,208 (Gain) loss on divestiture
of discontinued operations
49,663 -
349,868 (179 )
Other
9,299 6,303
16,111 7,262 Change in operating
assets and liabilities: Accounts receivable
(3,976 )
(42,832 )
(103,199 ) (143,953 ) Inventories and other
assets
(6,999 ) 11,871
(9,517 ) (3,522
) Accounts payable
(3,903 ) 11,995
(26,213
) 24,451 Income taxes
2,369 1,615
6,718 2,468
Due to third party payors
20,614 24,809
7,471 20,317
Other accrued liabilities
(18,738 )
33,101
(54,051 ) (73,268 ) Net
cash provided by operating activities
8,481
36,367
8,512 41,235
Cash flows from investing activities: Routine capital
expenditures
(16,463 ) (21,873 )
(45,800
) (68,703 ) Development capital expenditures
(6,415
) (8,386 )
(17,711 ) (27,112 ) Acquisitions,
net of cash acquired
- (49,329 )
(6,650 )
(77,040 ) Acquisition deposits
- -
- 18,489 Sale of
assets
5,494 3,739
5,494 4,962 Purchase of insurance
subsidiary investments
(18,047 ) (22,427 )
(108,655 ) (75,422 ) Sale of insurance subsidiary
investments
50,087 31,875
117,863 78,478 Net change
in insurance subsidiary cash and cash equivalents
(10,053
) (14,680 )
23,472 8,479 Net change in other
investments
5,088 51
4,844 (33,347 ) Other
(81 ) (150 )
(35 )
(1,277 ) Net cash provided by (used in) investing activities
9,610 (81,180 )
(27,178 )
(172,493 ) Cash flows from financing activities:
Proceeds from borrowings under revolving credit
426,700
489,200
1,214,300 1,267,200 Repayment of borrowings under
revolving credit
(427,300 ) (388,100 )
(1,120,600 ) (1,215,800 ) Proceeds from issuance of
term loan, net of discount
- -
- 198,100 Proceeds
from other long-term debt
- -
- 750 Repayment of term
loan
(3,508 ) (3,508 )
(10,525 )
(10,019 ) Repayment of other long-term debt
(217 )
(276 )
(840 ) (826 ) Payment of deferred financing
costs
(170 ) (50 )
(299 ) (342 )
Issuance of common stock in connection with employee benefit plans
- -
32 - Payment of dividend for mandatory redeemable
preferred stock
(3,120 ) (2,904 )
(9,195
) (8,558 ) Dividends paid
- (10,224 )
(10,228
) (30,517 ) Contributions made by noncontrolling interests
- 4,993
113 11,261 Distributions to noncontrolling
interests
(10,071 ) (4,694 )
(48,372 )
(35,240 ) Purchase of noncontrolling interests
- -
-
(1,000 ) Payroll tax payments for equity awards issuance
(88 ) (250 )
(2,417 )
(3,079 ) Net cash provided by (used in) financing activities
(17,774 ) 84,187
11,969 171,930 Change in cash and cash
equivalents
317 39,374
(6,697 ) 40,672 Cash
and cash equivalents at beginning of period
130,047
100,056
137,061
98,758 Cash and cash equivalents at end of period
$
130,364 $ 139,430
$ 130,364
$ 139,430
KINDRED HEALTHCARE,
INC. Condensed Consolidated and Business Segment Data
(Unaudited) (In thousands, except per share amounts)
Third quarter 2016 Quarters 2017 Quarters %
change v. First Second Third Fourth
First Second Third prior year
Condensed consolidated statement of operations data: GAAP
presentation: Revenues $ 1,603,272 $ 1,608,265 $ 1,563,276 $
1,514,365 $ 1,538,682 $ 1,535,018 $ 1,477,141 (5.5 ) Operating
expenses 1,403,467 1,390,562 1,760,982 1,353,386 1,364,751
1,498,396 1,338,547 (24.0 ) Building rent 65,985 67,025 66,946
64,350 64,656 64,861 64,422 (3.8 ) Equipment rent 10,158 11,211
9,911 8,649 8,887 8,861 8,537 (13.9 ) Depreciation and amortization
33,554 33,198 32,995 32,072 29,820 25,651 24,808 (24.8 ) Interest,
net 57,253 57,567 58,059
58,625 58,819 58,573
60,441 4.1
Income (loss) from continuing operations
before income taxes
32,855 48,702 (365,617 ) (2,717 ) 11,749 (121,324 ) (19,614 ) (94.6
) Provision (benefit) for income taxes 11,462
19,014 283,630 156 2,234
(16,116 ) (1,225 ) (100.4 ) Income (loss) from
continuing operations 21,393 29,688 (649,247 ) (2,873 ) 9,515
(105,208 ) (18,389 ) (97.2 ) Noncontrolling interests (7,851
) (8,847 ) (9,574 ) (8,575 ) (10,483 )
(10,791 ) (10,960 ) 14.5 Net income (loss)
attributable to Kindred $ 13,542 $ 20,841 $ (658,821
) $ (11,448 ) $ (968 ) $ (115,999 ) $ (29,349 ) (95.5 )
Diluted EPS $ 0.15 $ 0.23 $ (7.58 ) $ (0.13 ) $ (0.01 ) $ (1.33 ) $
(0.33 ) (95.6 ) Diluted shares 87,249 87,500 86,869 86,904 87,085
87,506 87,597 0.8
Core presentation (a): EBITDAR $
211,898 $ 231,064 $ 185,571 $ 180,429 $ 184,411 $ 201,002 $ 156,851
(15.5 ) Building rent 65,985 67,025 66,674 64,350 64,656 64,861
64,422 (3.4 ) Equipment rent 10,158 11,211 9,911 8,649 8,887 8,861
8,537 (13.9 ) EBITDA 135,755 152,828 108,986 107,430 110,868
127,280 83,892 (23.0 ) Provision (benefit) for income taxes 15,728
20,898 3,953 1,946 9,089 13,013 (2,329 ) n/m Noncontrolling
interests (7,851 ) (9,863 ) (9,862 ) (8,575 ) (10,483 ) (11,111 )
(10,960 ) 11.1 Net income (loss) attributable to Kindred 21,369
31,302 4,117 6,212 2,657 18,932 (9,988 ) n/m Core diluted
EPS $ 0.24 $ 0.35 $ 0.05 $ 0.07 $ 0.03 $ 0.21 $ (0.11 ) n/m Diluted
shares 87,249 87,500 87,529 87,641 87,744 88,165 87,597 0.1
Revenues by segment: Kindred at Home: Home health $ 430,035
$ 438,556 $ 449,958 $ 444,073 $ 450,831 $ 459,176 $ 453,684 0.8
Hospice 176,426 185,641 188,575
186,161 179,378 185,281
188,414 (0.1 ) 606,461 624,197 638,533 630,234
630,209 644,457 642,098 0.6 Hospital division 654,098 645,406
588,943 545,864 556,646 540,809 503,138 (14.6 ) Kindred
Rehabilitation Services: Kindred Hospital Rehabilitation Services
167,045 171,095 170,308 171,352 178,115 178,439 173,638 2.0
RehabCare 201,081 193,060
189,972 189,332 197,318
193,902 179,095 (5.7 ) 368,126
364,155 360,280 360,684
375,433 372,341 352,733
(2.1 ) 1,628,685 1,633,758 1,587,756 1,536,782 1,562,288 1,557,607
1,497,969 (5.7 ) Eliminations (25,413 ) (25,493 )
(24,480 ) (22,417 ) (23,606 ) (22,589 )
(20,828 ) (14.9 ) $ 1,603,272 $ 1,608,265 $
1,563,276 $ 1,514,365 $ 1,538,682 $ 1,535,018
$ 1,477,141 (5.5 )
__________
(a)
See reconciliation of GAAP results to
non-GAAP results beginning on page 15. During the first quarter of
2017, the Company revised its definitions of “core” non-GAAP
measures. See “Non-GAAP Measures” beginning on page 15 for a
discussion regarding the revised definitions. For comparability,
core results for 2016 were revised to conform to the current year
presentation.
n/m = not meaningful.
KINDRED
HEALTHCARE, INC. Condensed Consolidated and Business Segment
Data (Continued) (Unaudited) (In thousands, except
statistics)
Third quarter 2016 Quarters
2017 Quarters % change v. First Second
Third Fourth First Second Third
prior year Segment adjusted operating income (loss):
Kindred at Home: Home health $ 66,941 $ 76,030 $ 75,073 $ 61,487 $
63,750 $ 76,592 $ 66,431 (11.5 ) Hospice 24,866
31,329 31,326 28,805
27,581 32,784 34,761 11.0
91,807 107,359 106,399 90,292 91,331 109,376 101,192 (4.9 )
Hospital division 136,416 127,510 83,940 93,778 93,438 91,580
61,455 (26.8 ) Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 48,119 50,729 49,759 49,728 51,760 53,422
49,151 (1.2 ) RehabCare 8,820 10,254
6,740 3,421 7,896
(14,305 ) 7,619 13.0 56,939 60,983 56,499 53,149
59,656 39,117 56,770 0.5
Core EBITDAR by segment (a):
Kindred at Home: Home health $ 65,803 $ 75,859 $ 75,073 $ 61,185 $
63,750 $ 75,797 $ 66,431 (11.5 ) Hospice 24,866
31,329 31,326 27,668
27,581 32,784 34,761 11.0
90,669 107,188 106,399 88,853 91,331 108,581 101,192 (4.9 )
Hospital division 136,416 127,510 83,940 93,148 93,438 90,572
61,455 (26.8 ) Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 48,119 50,729 49,759 49,728 51,760 53,422
49,151 (1.2 ) RehabCare 8,820 10,254
6,740 3,421 7,896
10,999 5,376 (20.2 ) 56,939 60,983 56,499
53,149 59,656 64,421 54,527 (3.5 ) Support center expenses (71,159
) (64,265 ) (59,535 ) (54,334 ) (60,014 ) (62,572 ) (60,323 ) 1.3
Litigation contingency expense (885 ) (180 ) - - - - - Transaction
costs (82 ) (172 ) (1,732 ) (387 )
- - - $ 211,898 $
231,064 $ 185,571 $ 180,429 $ 184,411 $
201,002 $ 156,851 (15.5 )
Segment adjusted
operating income (loss) margin: Kindred at Home: Home health
15.6 17.3 16.7 13.8 14.1 16.7 14.6 (2.1 ) Hospice 14.1 16.9 16.6
15.5 15.4 17.7 18.4 1.8 Kindred at Home 15.1 17.2 16.7 14.3 14.5
17.0 15.8 (0.9 ) Hospital division 20.9 19.8 14.3 17.2 16.8 16.9
12.2 (2.1 ) Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 28.8 29.6 29.2 29.0 29.1 29.9 28.3 (0.9 )
RehabCare 4.4 5.3 3.5 1.8 4.0 (7.4 ) 4.3 0.8 Kindred Rehabilitation
Services 15.5 16.7 15.7 14.7 15.9 10.5 16.1 0.4
Core
EBITDAR margin by segment (a): Kindred at Home: Home health
15.3 17.3 16.7 13.8 14.1 16.5 14.6 (2.1 ) Hospice 14.1 16.9 16.6
14.9 15.4 17.7 18.4 1.8 Kindred at Home 15.0 17.2 16.7 14.1 14.5
16.8 15.8 (0.9 ) Hospital division 20.9 19.8 14.3 17.1 16.8 16.7
12.2 (2.1 ) Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 28.8 29.6 29.2 29.0 29.1 29.9 28.3 (0.9 )
RehabCare 4.4 5.3 3.5 1.8 4.0 5.7 3.0 (0.5 ) Kindred Rehabilitation
Services 15.5 16.7 15.7 14.7 15.9 17.3 15.5 (0.2 ) Consolidated
13.2 14.4 11.9 11.9 12.0 13.1 10.6 (1.3 )
__________
(a)
See reconciliation of GAAP results to
non-GAAP results beginning on page 15. During the first quarter of
2017, the Company revised its definitions of “core” non-GAAP
measures. See “Non-GAAP Measures” beginning on page 15 for a
discussion regarding the revised definitions. For comparability,
core results for 2016 were revised to conform to the current year
presentation.
KINDRED HEALTHCARE, INC. Condensed
Business Segment Data (Unaudited) Third
quarter 2016 Quarters 2017 Quarters % change
v. First Second Third Fourth
First Second Third prior year
Kindred at Home: Home Health: Sites of service (at end of
period) 384 384 395 390 379 377 376 Revenue mix %: Medicare 79.8
79.3 78.1 77.9 76.7 75.7 74.0 Medicaid 2.1 2.1 2.5 1.9 1.7 1.7 1.7
Commercial and other 8.4 8.2 8.6 10.6 11.5 11.4 12.7 Commercial
paid at episodic rates 9.7 10.4 10.8 9.6 10.1 11.2 11.6 Episodic
revenues ($ 000s) $ 325,821 $ 332,193 $ 332,562 $ 323,398 $ 326,881
$ 334,420 $ 320,279 (3.7 ) Total admissions 88,696 87,084 86,761
87,148 94,510 89,018 87,156 0.5 Same-store total admissions 87,394
85,922 85,511 86,056 93,922 88,300 86,312 0.9 Total episodic
admissions 71,426 70,212 69,219 67,501 73,270 69,657 67,790 (2.1 )
Same-store total episodic admissions 70,416 69,317 68,285 66,784
72,911 69,207 67,191 (1.6 ) Medicare episodic admissions 62,011
60,730 59,823 59,540 62,404 58,575 56,772 (5.1 ) Total episodes
113,887 113,278 113,256 111,164 114,964 113,579 111,488 (1.6 )
Episodes per admission 1.59 1.61 1.64 1.65 1.57 1.63 1.64 - Revenue
per episode $ 2,861 $ 2,933 $ 2,936 $ 2,909 $ 2,843 $ 2,944 $ 2,873
(2.1 ) Hospice: Sites of service (at end of period) 177 177 185 183
180 177 178 Admissions 13,234 13,149 12,916 12,660 13,649 12,561
12,236 (5.3 ) Same-store admissions 12,761 12,743 12,541 12,362
13,332 12,363 11,997 (4.3 ) Average length of stay 92 91 98 100 96
94 97 (1.0 ) Patient days 1,183,908 1,238,584 1,277,125 1,246,152
1,193,061 1,215,619 1,239,094 (3.0 ) Average daily census 13,010
13,611 13,882 13,545 13,256 13,358 13,468 (3.0 ) Revenue per
patient day $ 149 $ 150 $ 148 $ 149 $ 150 $ 152 $ 152 2.7
Community Care and other revenues
(included in Home Health business segment) ($ 000s)
$ 66,305 $ 68,229 $ 75,978 $ 74,875 $ 74,095 $ 74,222 $ 79,720 4.9
Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services: Freestanding IRFs: End of period data:
Number of IRFs 19 19 19 19 19 19 19 Number of licensed beds 969 969
969 995 995 995 995 Discharges (a) 4,448 4,646 4,644 4,671 4,775
4,766 4,755 2.4 Same-hospital discharges (a) 4,295 4,535 4,546
4,538 4,393 4,517 4,477 (1.5 ) Occupancy % (a) 70.6 70.6 68.8 66.5
71.4 70.0 68.8 - Average length of stay (a) 13.2 12.9 12.7 12.6
12.8 12.8 12.7 - Revenue per discharge (a) $ 19,731 $ 19,318 $
19,599 $ 19,486 $ 20,097 $ 20,620 $ 20,329 3.7 Contract services:
Sites of service (at end of period): Inpatient rehabilitation units
104 105 104 102 101 102 101 LTAC hospitals 119 121 120 119 119 116
110 Sub-acute units 7 7 7 5 7 6 6 Outpatient units 139
138 139 132 129 121 123
369 371 370 358 356 345
340 Revenue per site $ 211,417 $ 215,798 $ 210,810 $
220,733 $ 227,100 $ 228,534 $ 222,504 5.5 RehabCare: Sites
of service (at end of period) 1,767 1,759 1,754 1,718 1,703 1,734
1,624 Revenue per site $ 113,798 $ 109,756 $ 108,308 $ 110,204 $
115,865 $ 111,823 $ 110,281 1.8
__________
(a) Excludes non-consolidating IRF.
KINDRED HEALTHCARE, INC. Condensed Business Segment Data
(Continued) (Unaudited) Third quarter
2016 Quarters 2017 Quarters % change v.
First Second Third Fourth First
Second Third prior year
Hospitals (excluding sub-acute units
and skilled nursing facility):
End of period data: Number of transitional care hospitals 95 97 94
82 82 81 77 Number of licensed beds 7,089 7,067 6,890 6,107 6,107
6,041 5,797 Revenues (000s) $ 643,299 $ 633,695 $ 575,323 $ 530,746
$ 540,280 $ 525,458 $ 487,012 (15.3 ) Revenue mix %: Medicare 57.8
55.5 54.6 53.5 52.8 50.3 50.6 Medicaid 4.2 4.2 4.0 4.5 3.9 5.0 4.3
Medicare Advantage 11.5 12.0 12.1 11.0 12.2 12.3 12.3 Medicaid
Managed 5.6 6.3 7.3 8.0 9.1 9.1 10.1 Commercial insurance and other
20.9 22.0 22.0 23.0 22.0 23.3 22.7 Patient criteria data:
Revenues: Compliant patients 88.5 % 86.0 % 88.3 % 89.1 % Site
neutral 11.5 % 14.0 % 11.7 % 10.9 % Revenues per patient
day: Compliant patients $ 1,853 $ 1,816 $ 1,806 $ 1,799 Site
neutral 926 1,041 1,053 1,067 Total 1,662 1,645 1,667 1,674
Admissions: Medicare 8,919 8,253 7,861 7,351 7,529 6,743 6,073
(22.7 ) Medicaid 463 386 375 336 354 381 362 (3.5 ) Medicare
Advantage 1,453 1,382 1,327 1,210 1,354 1,239 1,197 (9.8 ) Medicaid
Managed 733 768 861 787 851 903 861 - Commercial insurance and
other 1,871 1,807 1,727 1,488
1,614 1,608 1,483 (14.1 )
13,439 12,596 12,151 11,172
11,702 10,874 9,976 (17.9
) Patient days: Medicare 229,004 219,013 202,482 186,290 187,738
173,916 158,083 (21.9 ) Medicaid 21,134 19,409 16,781 12,181 13,334
13,333 13,429 (20.0 ) Medicare Advantage 45,760 47,697 43,241
37,526 41,020 40,555 38,338 (11.3 ) Medicaid Managed 25,341 27,267
28,534 29,275 32,713 32,635 31,249 9.5 Commercial insurance and
other 62,769 63,009 59,856 54,148
53,695 54,809 49,895
(16.6 ) 384,008 376,395 350,894
319,420 328,500 315,248
290,994 (17.1 ) Average length of stay: Medicare 25.7 26.5
25.8 25.3 24.9 25.8 26.0 0.8 Medicaid 45.6 50.3 44.7 36.3 37.7 35.0
37.1 (17.0 ) Medicare Advantage 31.5 34.5 32.6 31.0 30.3 32.7 32.0
(1.8 ) Medicaid Managed 34.6 35.5 33.1 37.2 38.4 36.1 36.3 9.7
Commercial insurance and other 33.5 34.9 34.7 36.4 33.3 34.1 33.6
(3.2 ) Weighted average 28.6 29.9 28.9 28.6 28.1 29.0 29.2 1.0
Revenues per admission: Medicare $ 41,717 $ 42,579 $ 39,945 $
38,602 $ 37,867 $ 39,219 $ 40,577 1.6 Medicaid 57,928 69,797 61,338
70,333 60,091 69,304 57,365 (6.5 ) Medicare Advantage 51,080 55,105
52,363 48,387 48,555 51,958 50,301 (3.9 ) Medicaid Managed 49,287
51,696 48,631 54,238 57,736 53,159 57,172 17.6 Commercial insurance
and other 71,651 77,193 73,515 82,066 73,750 76,007 74,435 1.3
Weighted average 47,868 50,309 47,348 47,507 46,170 48,322 48,818
3.1 Revenues per patient day: Medicare $ 1,625 $ 1,605 $ 1,551 $
1,523 $ 1,519 $ 1,521 $ 1,559 0.5 Medicaid 1,269 1,388 1,371 1,940
1,595 1,980 1,546 12.8 Medicare Advantage 1,622 1,597 1,607 1,560
1,603 1,587 1,571 (2.2 ) Medicaid Managed 1,426 1,456 1,467 1,458
1,502 1,471 1,575 7.4 Commercial insurance and other 2,136 2,214
2,121 2,255 2,217 2,230 2,212 4.3 Weighted average 1,675 1,684
1,640 1,662 1,645 1,667 1,674 2.1 Medicare case mix index
(discharged patients only) 1.163 1.179 1.172 1.153 1.172 1.171
1.180 0.7 Average daily census 4,220 4,136 3,814 3,472 3,650 3,464
3,163 (17.1 ) Occupancy % 68.0 67.5 61.6 64.1 67.6 64.3 59.9 (2.8 )
KINDRED HEALTHCARE, INC. Condensed
Business Segment Data (Continued) (Unaudited)
Third quarter 2016 Quarters 2017 Quarters %
change v. First Second Third Fourth
First Second Third prior year
Same-hospital data (a): End of period data: Number of
transitional care hospitals 74 74 77 77 74 74 77 Number of licensed
beds 5,680 5,680 5,797 5,797 5,680 5,680 5,797 Revenues (000s) $
545,731 $ 540,907 $ 502,208 $ 514,762 $ 515,148 $ 502,007 $ 482,149
(4.0 ) Revenue mix %: Medicare 58.0 55.2 53.9 53.1 52.0 50.2 50.6
Medicaid 3.8 3.9 3.6 4.5 4.2 5.2 4.3 Medicare Advantage 11.2 11.7
12.3 11.0 12.1 11.9 12.4 Medicaid Managed 5.9 6.8 7.9 8.3 9.4 9.4
10.1 Commercial insurance and other 21.1 22.4 22.3 23.1 22.3 23.3
22.6 Patient criteria data: Revenues: Compliant patients
88.7 % 86.0 % 88.5 % 89.1 % Site neutral 11.3 % 14.0 % 11.5 % 10.9
% Revenues per patient day: Compliant patients $ 1,860 $
1,827 $ 1,811 $ 1,799 Site neutral 924 1,049 1,060 1,067 Total
1,669 1,656 1,674 1,673 Admissions: Medicare 7,524 6,946
6,758 7,023 7,045 6,408 6,018 (10.9 ) Medicaid 391 334 333 328 351
377 361 8.4 Medicare Advantage 1,178 1,101 1,140 1,160 1,274 1,150
1,190 4.4 Medicaid Managed 629 694 783 784 830 865 851 8.7
Commercial insurance and other 1,500 1,467
1,415 1,416 1,507 1,507
1,468 3.7 11,222 10,542 10,429
10,711 11,007 10,307
9,888 (5.2 ) Patient days: Medicare 193,263 184,241
173,863 178,719 175,712 165,065 156,412 (10.0 ) Medicaid 14,382
13,304 11,631 11,923 13,580 13,180 13,433 15.5 Medicare Advantage
37,161 39,474 38,245 36,329 38,640 37,685 38,098 (0.4 ) Medicaid
Managed 22,332 24,736 26,552 29,216 32,097 31,858 30,816 16.1
Commercial insurance and other 51,709 52,030
51,043 52,162 51,097 52,033
49,402 (3.2 ) 318,847 313,785
301,334 308,349 311,126
299,821 288,161 (4.4 ) Average length of stay:
Medicare 25.7 26.5 25.7 25.4 24.9 25.8 26.0 1.2 Medicaid 36.8 39.8
34.9 36.4 38.7 35.0 37.2 6.6 Medicare Advantage 31.5 35.9 33.5 31.3
30.3 32.8 32.0 (4.5 ) Medicaid Managed 35.5 35.6 33.9 37.3 38.7
36.8 36.2 6.8 Commercial insurance and other 34.5 35.5 36.1 36.8
33.9 34.5 33.7 (6.6 ) Weighted average 28.4 29.8 28.9 28.8 28.3
29.1 29.1 0.7 Revenues per admission: Medicare $ 42,061 $ 43,021 $
40,020 $ 38,946 $ 38,018 $ 39,353 $ 40,513 1.2 Medicaid 52,717
63,223 54,880 70,959 61,618 68,915 57,689 5.1 Medicare Advantage
51,952 57,600 54,398 48,889 48,906 52,111 50,241 (7.6 ) Medicaid
Managed 51,560 52,725 50,360 54,345 58,187 54,199 57,158 13.5
Commercial insurance and other 76,679 82,451 79,176 83,792 76,366
77,666 74,312 (6.1 ) Weighted average 48,630 51,310 48,155 48,059
46,802 48,705 48,761 1.3 Revenues per patient day: Medicare $ 1,638
$ 1,622 $ 1,556 $ 1,530 $ 1,524 $ 1,528 $ 1,559 0.2 Medicaid 1,433
1,587 1,571 1,952 1,593 1,971 1,550 (1.3 ) Medicare Advantage 1,647
1,607 1,621 1,561 1,612 1,590 1,569 (3.2 ) Medicaid Managed 1,452
1,479 1,485 1,458 1,505 1,472 1,578 6.3 Commercial insurance and
other 2,224 2,325 2,195 2,275 2,252 2,249 2,208 0.6 Weighted
average 1,712 1,724 1,667 1,669 1,656 1,674 1,673 0.4
Average daily census 3,504 3,448 3,275 3,352 3,457 3,295 3,132 (4.4
)
__________
(a)
All historical statistics have been
adjusted to present the ongoing hospital division portfolio
excluding three hospitals acquired during the second quarter of
2016. See reconciliation of same-hospital revenues to reported
hospital revenues on page 19.
Forward-Looking Statements
This earnings release includes forward-looking statements within
the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of
1934, as amended. These forward-looking statements include, but are
not limited to, all statements regarding the Company’s ability to
exit the skilled nursing facility business and the expected timing
of such exit, including the receipt of all required regulatory
approvals and the satisfaction of the closing conditions for the
transaction, as well as the Company’s ability to realize the
anticipated benefits, sale proceeds, cost savings and strategic
gains from this transaction, all statements regarding the Company’s
expected future financial position, results of operations, cash
flows, dividends, financing plans, business strategy, budgets,
capital expenditures, competitive positions, growth opportunities,
plans and objectives of management, government investigations,
regulatory matters, and statements containing words such as
“anticipate,” “approximate,” “believe,” “plan,” “estimate,”
“expect,” “project,” “could,” “would,” “should,” “will,” “intend,”
“hope,” “may,” “potential,” “upside,” and other similar
expressions. Statements in this earnings release concerning the
Company’s business outlook or future economic performance,
anticipated profitability, revenues, expenses, dividends or other
financial items, and product or services line growth, and expected
outcome of government investigations and other regulatory matters,
together with other statements that are not historical facts, are
forward-looking statements that are estimates reflecting the best
judgment of the Company based upon currently available
information.
Such forward-looking statements are inherently uncertain, and
stockholders and other potential investors must recognize that
actual results may differ materially from the Company’s
expectations as a result of a variety of factors. Such
forward-looking statements are based upon management’s current
expectations and include known and unknown risks, uncertainties and
other factors, many of which the Company is unable to predict or
control, that may cause the Company’s actual results, performance,
or plans to differ materially from any future results, performance
or plans expressed or implied by such forward-looking statements.
These statements involve risks, uncertainties, and other factors
detailed from time to time in the Company’s Annual Report on Form
10-K, Quarterly Reports on Form 10-Q and Current Reports on Form
8-K filed with the SEC.
Many of these factors are beyond the Company’s control. The
Company cautions investors that any forward-looking statements made
by the Company are not guarantees of future performance. The
Company disclaims any obligation to update any such factors or to
announce publicly the results of any revisions to any of the
forward-looking statements to reflect future events or
developments.
Non-GAAP Measures
In addition to the results provided in accordance with GAAP, the
Company has provided information in this earnings release using
certain non-GAAP measures. The use of these non-GAAP measures is
not intended to replace the presentation of the Company’s financial
results in accordance with GAAP. Reconciliations of these non-GAAP
measures to the most directly comparable GAAP measures are included
in the following pages of this earnings release.
During the first quarter of 2017, the Company revised its
definitions of “core” non-GAAP measures. As revised, the Company’s
core non-GAAP measures, including core net income (loss)
attributable to Kindred, core EBITDAR, core EBITDA, core diluted
EPS, core operating cash flows and core free cash flows, no longer
exclude (1) transaction, integration, research and development, and
litigation contingency expenses that are not individually material,
(2) non-restructuring related facility closing charges, and (3)
non-executive or non-restructuring related severance, retirement
and retention costs. For comparability, “core” results for 2016
were revised to conform to the current year presentation.
EBITDAR: The Company defines EBITDAR as earnings before
interest, income taxes, depreciation, amortization and total rent,
and believes that the presentation of EBITDAR is useful to
investors because creditors, securities analysts and investors use
EBITDAR to compare the performance of companies in the healthcare
industry before consideration of the capital structure of fixed
assets and financing costs, which can vary significantly among
companies.
For each of the Company’s segments, Segment adjusted operating
income (loss) is a measure of performance used by the Company’s
chief operating decision makers in accordance with “Accounting
Standard Codification 280 − Segment Reporting.” In this context,
the Company defines Segment adjusted operating income (loss) as
EBITDAR for each of the Company’s operating segments, excluding
litigation contingency expense, impairment charges, restructuring
charges, transaction costs, and the allocation of support center
overhead.
EBITDA: The Company defines EBITDA as earnings before interest,
income taxes, depreciation, and amortization, and believes that the
presentation of EBITDA is useful to investors because creditors,
securities analysts and investors use EBITDA to compare the
performance and valuation of companies in the healthcare industry
before consideration of non-cash depreciation and amortization
expense, and financing costs, which can vary significantly among
companies.
Non-GAAP Measures (Continued)
Core Operating Results: The Company calculates core operating
results, including core net income (loss) attributable to Kindred,
core EBITDAR, core EBITDA, and core diluted EPS, by excluding
charges related to impairments, business interruption settlements,
restructuring charges, debt amendment costs, executive or
restructuring-related severance, retirement and retention costs,
restructuring-related facility closing charges, deferred tax asset
valuation allowance, and material transaction, integration,
litigation, and research and development costs. The Company
believes that the presentation of core operating results provides
additional information to investors to facilitate the comparison
between periods by excluding certain charges that are not
representative of its ongoing operations due to the materiality and
nature of the charges. The Company’s management uses core net
income (loss) attributable to Kindred, core EBITDAR, core EBITDA,
and core diluted EPS as measures of operational performance that
are meaningful to investors, and for the measurement of internal
incentive compensation goals, in addition to other measures. The
Company uses these measures to assess the relative performance and
attainment of internal incentive compensation goals of its
operating divisions, as well as the employees that operate these
businesses. In addition, the Company believes these measures are
important, because securities analysts and investors use these
measures to compare the Company’s performance to other companies in
the healthcare industry.
Same-Hospital Revenues: The same-hospital revenues are
calculated by excluding from the Company’s Hospital Division
revenues the results from four hospitals that closed during the
third quarter of 2017, one hospital that closed during the second
quarter of 2017, three hospitals acquired in 2016, 15 hospitals
sold in 2016, and three hospitals that closed during 2016. The
Company believes the presentation of same-hospital revenues
provides investors, equity analysts and others with useful
information regarding the performance of the Company’s hospital
operations that are comparable for the periods presented.
For EBITDAR, core net income (loss) attributable to Kindred,
core EBITDAR, and core EBITDA, the Company believes that income
(loss) from continuing operations is the most comparable GAAP
measure. For core diluted EPS, the Company believes that GAAP
diluted earnings (loss) per share from continuing operations is the
most comparable GAAP measure. Readers of the Company’s financial
information should consider income (loss) from continuing
operations and diluted earnings (loss) per share from continuing
operations as important measures of the Company’s financial
performance, because they provide the most complete measures of its
performance. For same-hospital revenues, the Company believes that
reported hospital segment revenues is the most comparable GAAP
measure. Readers of the Company’s financial information should
consider reported hospital segment revenues as an important measure
of the Company’s Hospital Division financial performance because it
provides the most complete measure of its revenue performance.
Operating results presented on a core basis, as well as a
same-hospital basis, should be considered in addition to, not as a
substitute for, or superior to, financial measures based upon GAAP
as an indicator of operating performance.
Also in this earnings release, the Company provides the
financial measures of operating cash flows and free cash flows
excluding certain items, which the Company refers to as core
operating cash flows and core free cash flows, respectively.
Core Operating Cash Flows: The Company defines core operating
cash flows as operating cash flows excluding payments related to
business interruption settlements, restructuring charges, debt
amendment costs, executive or restructuring-related severance,
retirement and retention costs, restructuring-related facility
closing charges, and material transaction, integration, litigation,
and research and development costs, net of income tax benefits. The
Company believes that core operating cash flows provide important
information to investors for comparability to other companies that
use similar measures. Management uses core operating cash flows to
evaluate consolidated operating performance and in making decisions
related to acquisitions, development capital expenditures,
dividends, long-term debt repayments and other uses.
Core Free Cash Flows: The Company defines core free cash flows
as operating cash flows excluding payments related to business
interruption settlements, restructuring charges, debt amendment
costs, executive or restructuring-related severance, retirement and
retention costs, restructuring-related facility closing charges,
and material transaction, integration, litigation, and research and
development costs, net of income tax benefits but including routine
capital expenditures and distributions to noncontrolling interests.
The Company believes that core free cash flows provide important
information to investors for comparability to other companies that
use similar measures. Management uses core free cash flows in
making decisions related to acquisitions, development capital
expenditures, dividends, long-term debt repayments and other
uses.
The Company recognizes that core operating cash flows and core
free cash flows are non-GAAP measures and are not intended to
replace the presentation of the Company’s cash flows in accordance
with GAAP. For core operating cash flows and core free cash flows,
the Company believes net cash flows provided by operating
activities is the most comparable GAAP measure. Readers of the
Company’s financial information should consider net cash flows
provided by operating activities as an important measure because it
provides the most complete measure of cash provided by operating
activities. Core operating cash flows and core free cash flows
should be considered in addition to, not as a substitute for, or
superior to, financial measures based upon GAAP as an indicator of
the Company’s cash flows provided by operating activities.
KINDRED HEALTHCARE, INC. Reconciliation of GAAP
Results to Non-GAAP Measures (Unaudited) (In thousands,
except per share amounts and statistics)
In addition to the results provided in accordance
with GAAP, the Company has provided information in this earnings
release to compute certain non-GAAP measures for the three months
ended September 30, 2017 and 2016, and for the nine months ended
September 30, 2017 and 2016, before certain charges or on a core
basis. The charges that were excluded from core operating results
are denoted in the tables below.
The income tax benefit associated with the
excluded charges, including the deferred tax valuation allowance
for the three months and nine months ended September 30, 2017, was
calculated using an effective income tax rate of 6.0% and 72.9% for
the three months ended September 30, 2017 and 2016, respectively,
and 18.1% and 66.9% for the nine months ended September 30, 2017
and 2016, respectively. The difference in the effective income tax
rate compared to the same prior year period is primarily
attributable to the change in the amount of deferred tax valuation
allowance and, for 2016, the composition of charges that are
non-deductible for income tax purposes, including the impairment
charges.
Three months ended Nine months ended
September 30, September 30, 2017 2016
2017 2016 Reconciliation of income (loss) from
continuing operations before charges: As reported: Loss from
continuing operations attributable to Kindred ($29,349 ) ($658,821
) ($146,316 ) ($624,438 ) Diluted loss per common share from
continuing operations ($0.33 ) ($7.58 ) ($1.67 ) ($7.20 ) Weighted
average diluted shares outstanding 87,597 86,869 87,398 86,766
Detail of charges: Restructuring charges: Facility/branch
divestitures and closings ($8,723 ) ($20,212 ) ($16,925 ) ($19,794
) Retention and severance costs (5,652 ) (2,109 ) (8,667 ) (3,479 )
Transaction costs - (492 ) -
(1,577 ) (14,375 ) (22,813 ) (25,592 ) (24,850 ) Lease termination
costs (charged to rent restructuring charges) (2,125 ) (58,650 )
(5,964 ) (59,363 ) Impairment charges - (297,276 ) (136,303
) (311,195 ) RehabCare collection litigation 2,243 - (23,061 ) -
Research and development - (3,288 ) - (7,227 ) Litigation
contingency expense (4,000 ) - (4,000 ) (1,775 ) Business
interruption settlements - - 1,803 1,309 Debt amendment fees not
capitalized - - - (1,103 ) Gentiva transaction costs: Professional
and consulting fees - (1,464 ) - (3,831 ) Severance and retention -
214 - (696 ) Lease termination (charged to building rent expense) -
(272 ) - (272 ) (18,257 )
(383,549 ) (193,117 ) (409,003 ) Income tax benefit 6,303 86,793
75,111 92,943 Deferred tax valuation allowance (7,407 )
(366,470 ) (40,231 ) (366,470 ) Charges net of income
taxes (19,361 ) (663,226 ) (158,237 ) (682,530 ) Noncontrolling
interests - 288 320 1,304
(19,361 ) (662,938 ) (157,917 ) (681,226 ) Allocation to
participating unvested restricted stockholders - -
- - Available to common
stockholders ($19,361 ) ($662,938 ) ($157,917 )
($681,226 ) Diluted loss per common share related to
charges ($0.22 ) ($7.63 ) ($1.81 ) ($7.85 ) Weighted average
diluted shares outstanding 87,597 86,869 87,398 86,766 Core:
Income (loss) from continuing operations attributable to Kindred
before charges ($9,988 ) $ 4,117 $ 11,601 $ 56,788 Diluted earnings
(loss) per common share from continuing operations before charges
(a) ($0.11 ) $ 0.05 $ 0.13 $ 0.64
Weighted average diluted shares
outstanding used to compute earnings (loss) per common share from
continuing operations before charges
87,597 87,529 88,057 87,426 Reconciliation of effective
income tax rate before charges: Effective income tax rate before
charges 171.6 % 22.0 % 30.9 % 32.5 % Impact of charges on effective
income tax rate -165.4 % 55.6 % -19.2 % 78.1 %
Reported effective income tax rate 6.2 % 77.6 % 11.7
% 110.6 %
__________
(a) For purposes of computing diluted earnings (loss) per common
share before charges, income (loss) from continuing operations
before charges was reduced by $0.1 million for the three months
ended September 30, 2016, and by $0.3 million and $1.2 million for
the nine months ended September 30, 2017 and 2016, respectively,
for the allocation of income to participating unvested restricted
stockholders.
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands) In
addition to the results provided in accordance with GAAP, the
Company has provided information in this earnings release to
compute certain non-GAAP measures for the quarters of 2016 and
2017, before certain charges or on a core basis. The charges that
were excluded from core operating results are denoted in the table
below.
2016 Quarters 2017 Quarters
First Second Third Fourth First
Second Third
Reconciliation of income (loss) from
continuing operations before charges:
As reported:
Income (loss) from continuing operations
attributable to Kindred
$ 13,542 $ 20,841 ($658,821 ) ($11,448 ) ($968 ) ($115,999 )
($29,349 ) Depreciation and amortization 33,554 33,198 32,995
32,072 29,820 25,651 24,808 Interest, net 57,253 57,567 58,059
58,625 58,819 58,573 60,441 Provision (benefit) for income taxes
11,462 19,014 283,630 156 2,234 (16,116 ) (1,225 ) Noncontrolling
interest 7,851 8,847 9,574
8,575 10,483 10,791
10,960 EBITDA 123,662 139,467 (274,563 )
87,980 100,388 (37,100 ) 65,635 Building rent 65,985 67,025 66,946
64,350 64,656 64,861 64,422 Equipment rent 10,158 11,211 9,911
8,649 8,887 8,861 8,537 Restructuring charges - rent 251
462 58,650 2,029
1,905 1,934 2,125 EBITDAR
200,056 218,165 (139,056 ) 163,008 175,836 38,556 140,719
Detail of charges: Restructuring charges: Facility/branch
divestitures and closings 341 (759 ) 20,212 3,745 5,360 2,842 8,723
Retention and severance costs 924 446 2,109 5,302 2,741 274 5,652
Transaction costs 436 649 492
837 - - -
1,701 336 22,813 9,884 8,101 3,116 14,375 Impairment charges
7,788 6,131 297,276 3,534 474 135,829 - RehabCare collection
litigation - - - - - 25,304 (2,243 ) Research and development 863
3,076 3,288 4,293 - - - Litigation contingency expense 1,025 750 -
- - - 4,000 Business interruption settlements (1,138 ) (171 ) -
(2,069 ) - (1,803 ) - Debt amendment fees not capitalized - 1,103 -
- - - - Gentiva transaction costs: Professional and consulting fees
1,048 1,319 1,464 1,779 - - - Severance and retention 555
355 (214 ) - -
- - 11,842
12,899 324,627 17,421
8,575 162,446 16,132 Core
EBITDAR 211,898 231,064 185,571 180,429 184,411 201,002 156,851
Less: Building rent (65,985 ) (67,025 ) (66,946 ) (64,350 ) (64,656
) (64,861 ) (64,422 ) Equipment rent (10,158 ) (11,211 ) (9,911 )
(8,649 ) (8,887 ) (8,861 ) (8,537 ) Lease termination (charged to
building rent) - - 272
- - - -
Core EBITDA $ 135,755 $ 152,828 $ 108,986 $
107,430 $ 110,868 $ 127,280 $ 83,892
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands) A
reconciliation of revenues for home health for each historical
period follows:
Third quarter 2016 Quarters 2017
Quarters % change v. First Second
Third Fourth First Second Third
prior year Home health $ 363,730 $ 370,327 $ 373,980 $
369,198 $ 376,736 $ 384,954 $ 373,964 - Community care and other
66,305 68,229 75,978
74,875 74,095 74,222
79,720 4.9 Reported home health revenues $ 430,035
$ 438,556 $ 449,958 $ 444,073 $ 450,831
$ 459,176 $ 453,684 0.8 A
reconciliation of revenues for the Hospital Division for each
historical period follows:
Third quarter 2016
Quarters 2017 Quarters % change v. First
Second Third Fourth First Second
Third prior year Transitional care hospitals $
643,299 $ 633,695 $ 575,323 $ 530,746 $ 540,280 $ 525,458 $ 487,012
(15.3 )
Sub-acute units and one skilled nursing
facility
10,799 11,711 13,620
15,118 16,366 15,351
16,126 Reported hospital division revenues $ 654,098
$ 645,406 $ 588,943 $ 545,864 $ 556,646
$ 540,809 $ 503,138 (14.6 ) A
reconciliation of reported hospital revenues to same-hospital
revenues for each historical period follows:
Third quarter
2016 Quarters 2017 Quarters % change v.
First Second Third Fourth First
Second Third prior year Transitional care
hospitals $ 643,299 $ 633,695 $ 575,323 $ 530,746 $ 540,280 $
525,458 $ 487,012 (15.3 ) Hospitals acquired during 2016 (a) -
(2,217 ) - - (9,724 ) (10,164 ) - Hospitals sold during 2016 (b)
(71,941 ) (64,084 ) (47,098 ) 732 449 (623 ) (168 ) Hospitals
closed during 2017 (c) (17,356 ) (17,623 ) (17,109 ) (16,533 )
(15,825 ) (13,221 ) (4,607 ) Hospitals closed during 2016 (d)
(8,271 ) (8,864 ) (8,908 ) (183 )
(32 ) 557 (88 ) Same-hospital revenues
$ 545,731 $ 540,907 $ 502,208 $ 514,762
$ 515,148 $ 502,007 $ 482,149 (4.0 )
__________
(a) Three hospitals acquired during the
second quarter of 2016.
(b) Three hospitals sold during the second
quarter of 2016 and 12 hospitals sold during the fourth quarter of
2016.
(c) One hospital closed during the second
quarter of 2017 and four hospitals closed during the third quarter
of 2017.
(d) Three hospitals closed during the
third quarter of 2016.
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands, except per share
amounts)
Three months ended September 30, 2017
Charges Deferred RehabCare tax
Before As collection Litigation
Restructuring valuation charges
reported litigation contingency charges
allowance Total ("core") (a) Income (loss)
from continuing operations: Segment adjusted operating income:
Kindred at Home: Home health $ 66,431 $ - $ - $ - $ - $ - $ 66,431
Hospice 34,761 - - -
- - 34,761 101,192
- - - - -
101,192 Hospital division 61,455 - - -
- - 61,455 Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 49,151 - - - - - 49,151 RehabCare
7,619 (2,243 ) - - -
(2,243 ) 5,376 56,770
(2,243 ) - - - (2,243 )
54,527 Support center expenses (60,323 ) - - - - -
(60,323 ) Litigation contingency expense (4,000 ) - 4,000 - - 4,000
- Restructuring charges (14,375 ) - - 14,375 - 14,375 - Building
rent (64,422 ) - - - - - (64,422 ) Equipment rent (8,537 ) - - - -
- (8,537 ) Restructuring charges - rent (2,125 ) - - 2,125 - 2,125
- Depreciation and amortization (24,808 ) - - - - - (24,808 )
Interest, net (60,441 ) - - -
- - (60,441 )
Loss from continuing operations before
income taxes
(19,614
)
(2,243 ) 4,000 16,500 - 18,257 (1,357 ) Income tax benefit
(1,225 ) (883 ) 1,574 5,612 (7,407 )
(1,104 ) (2,329 ) (18,389 ) $ (1,360 ) $ 2,426 $
10,888 $ 7,407 $ 19,361 972 Noncontrolling interests
(10,960 ) (10,960 ) Loss attributable to Kindred $
(29,349 ) $ (9,988 ) Diluted loss per common share $ (0.33 )
$ (0.11 )
Diluted shares used in computing loss per
common share
87,597 87,597
Three months ended September 30, 2016
Charges Gentiva Deferred transaction
tax Before As Impairment Research
and Restructuring and valuation
charges reported charges development
charges integration allowance Total
("core") (a) Income (loss) from continuing
operations: Segment adjusted operating income: Kindred at Home:
Home health $ 75,073 $ - $ - $ - $ - $ - $ - $ 75,073 Hospice
31,326 - - - -
- - 31,326
106,399 - - - -
- - 106,399
Hospital division 83,940 - - - - - - 83,940 Kindred
Rehabilitation Services: Kindred Hospital Rehabilitation Services
49,759 - - - - - - 49,759 RehabCare 6,740 -
- - - - -
6,740 56,499 -
- - - - -
56,499 Support center expenses (62,823 ) -
3,288 - - - 3,288 (59,535 ) Impairment charges (297,276 ) 297,276 -
- - - 297,276 - Restructuring charges (22,813 ) - - 22,813 - -
22,813 - Transaction costs (2,982 ) - - - 1,250 - 1,250 (1,732 )
Building rent (66,946 ) - - - 272 - 272 (66,674 ) Equipment rent
(9,911 ) - - - - - - (9,911 ) Restructuring charges - rent (58,650
) - - 58,650 - - 58,650 - Depreciation and amortization (32,995 ) -
- - - - - (32,995 ) Interest, net (58,059 ) -
- - - - -
(58,059 )
Income (loss) from continuing operations
before income taxes
(365,617 ) 297,276 3,288 81,463 1,522 - 383,549 17,932 Provision
for income taxes 283,630 53,509
1,268 31,429 587 (366,470 )
(279,677 ) 3,953 (649,247 ) 243,767 2,020 50,034 935
366,470 663,226 13,979 Noncontrolling interests (9,574 )
(288 ) - - - -
(288 ) (9,862 ) Income (loss) attributable to Kindred
$ (658,821 ) $ 243,479 $ 2,020 $ 50,034 $ 935 $
366,470 $ 662,938 $ 4,117 Diluted
earnings (loss) per common share $ (7.58 ) $ 0.05
Diluted shares used in computing earnings
(loss) per common share
86,869 87,529
__________
(a)
During the first quarter of 2017, the
Company revised its definitions of “core” non-GAAP measures. See
“Non-GAAP Measures” beginning on page 15 for a discussion regarding
the revised definitions. For comparability, core results for 2016
were revised to conform to the current year presentation.
KINDRED HEALTHCARE,
INC. Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands, except per share
amounts)
Nine months ended September 30, 2017
Charges Deferred Business RehabCare
tax Before As interruption
collection Litigation Impairment
Restructuring valuation charges
reported settlements litigation
contingency charges charges allowance
Total ("core") (a) Income (loss) from continuing
operations: Segment adjusted operating income (loss): Kindred
at Home: Home health $ 206,773 $ (795 ) $ - $ - $ - $ - $ - $ (795
) $ 205,978 Hospice 95,126 - -
- - - - -
95,126 301,899 (795 )
- - - - -
(795 ) 301,104 Hospital division
246,473 (1,008 ) - - - - - (1,008 ) 245,465 Kindred
Rehabilitation Services: Kindred Hospital Rehabilitation Services
154,333 - - - - - - - 154,333 RehabCare 1,210
- 23,061 - - -
- 23,061 24,271
155,543 - 23,061 -
- - - 23,061
178,604 Support center expenses (182,909 ) - - - - -
- - (182,909 ) Litigation contingency expense (4,000 ) 4,000 4,000
- Impairment charges (136,303 ) - - - 136,303 - - 136,303 -
Restructuring charges (25,592 ) - - - - 25,592 - 25,592 - Building
rent (193,939 ) - - - - - - - (193,939 ) Equipment rent (26,285 ) -
- - - - - - (26,285 ) Restructuring charges - rent (5,964 ) - - - -
5,964 - 5,964 - Depreciation and amortization (80,279 ) - - - - - -
- (80,279 ) Interest, net (177,833 ) -
- - - - - -
(177,833 )
Income (loss) from continuing operations
before income taxes
(129,189
)
(1,803 ) 23,061 4,000 136,303 31,556 - 193,117 63,928 Provision
(benefit) for income taxes (15,107 ) (709 )
9,074 1,574 53,635 11,537
(40,231 ) 34,880 19,773 (114,082 )
(1,094 ) 13,987 2,426 82,668 20,019 40,231 158,237 44,155
Noncontrolling interests (32,234 ) -
(320 ) - - - -
(320 ) (32,554 ) Income (loss) attributable to Kindred $
(146,316 ) $ (1,094 ) $ 13,667 $ 2,426 $ 82,668 $
20,019 $ 40,231 $ 157,917 $ 11,601
Diluted earnings (loss) per common share $ (1.67 ) $ 0.13
Diluted shares used in computing earnings
(loss) per common share
87,398 88,057
Nine months ended September 30, 2016
Charges Gentiva Deferred Business
transaction tax Before As
interruption Litigation Impairment Research
and Debt Restructuring and
valuation charges reported settlements
contingency charges development
amendment charges integration allowance
Total ("core") (a) Income from continuing
operations: Segment adjusted operating income: Kindred at Home:
Home health $ 218,044 $ (1,309 ) $ - $ - $ - $ - $ - $ - $ - $
(1,309 ) $ 216,735 Hospice 87,521 -
- - - - -
- - - 87,521
305,565 (1,309 ) -
- - - - - -
(1,309 ) 304,256 Hospital
division 347,866 - - - - - - - - - 347,866 Kindred
Rehabilitation Services: Kindred Hospital Rehabilitation Services
148,607 - - - - - - - - - 148,607 RehabCare 25,814
- - - - -
- - - -
25,814 174,421 - -
- - - - -
- - 174,421
Support center expenses (203,289 ) - - - 7,227 1,103 - - - 8,330
(194,959 ) Litigation contingency expense (2,840 ) - 1,775 - - - -
- - 1,775 (1,065 ) Impairment charges (311,195 ) - - 311,195 - - -
- - 311,195 - Restructuring charges (24,850 ) - - - - - 24,850 - -
24,850 - Transaction costs (6,513 ) - - - - - - 4,527 - 4,527
(1,986 ) Building rent (199,956 ) - - - - - - 272 - 272 (199,684 )
Equipment rent (31,280 ) - - - - - - - - - (31,280 ) Restructuring
charges - rent (59,363 ) - - - - - 59,363 - - 59,363 - Depreciation
and amortization (99,747 ) - - - - - - - - - (99,747 ) Interest,
net (172,879 ) - - -
- - - - -
- (172,879 )
Income from continuing operations before
income taxes
(284,060 ) (1,309 ) 1,775 311,195 7,227 1,103 84,213 4,799 -
409,003 124,943 Provision for income taxes 314,106
(512 ) (381 ) 55,762 2,827
431 32,939 1,877 (366,470
) (273,527 ) 40,579 (598,166 ) (797 ) 2,156
255,433 4,400 672 51,274 2,922 366,470 682,530 84,364
Noncontrolling interests (26,272 ) - -
(1,304 ) - - - -
- (1,304 ) (27,576 ) Income
attributable to Kindred $ (624,438 ) $ (797 ) $ 2,156 $
254,129 $ 4,400 $ 672 $ 51,274 $ 2,922 $
366,470 $ 681,226 $ 56,788 Diluted
earnings per common share $ (7.20 ) $ 0.64
Diluted shares used in computing earnings
per common share
86,766 87,426
__________
(a)
During the first quarter of 2017, the
Company revised its definitions of “core” non-GAAP measures. See
“Non-GAAP Measures” beginning on page 15 for a discussion regarding
the revised definitions. For comparability, core results for 2016
were revised to conform to the current year presentation.
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands, except per share
amounts)
Three months ended March 31, 2017
Charges Deferred tax Before As
Impairment Restructuring valuation
charges reported charges charges
allowance Total ("core") (a) Income from
continuing operations: Segment adjusted operating income:
Kindred at Home: Home health $ 63,750 $ - $ - $ - $ - $ 63,750
Hospice 27,581 - - -
- 27,581 91,331 -
- - - 91,331
Hospital division 93,438 - - - - 93,438 Kindred
Rehabilitation Services: Kindred Hospital Rehabilitation Services
51,760 - - - - 51,760 RehabCare 7,896 -
- - - 7,896 59,656
- - - -
59,656 Support center expenses (60,014 ) - - - -
(60,014 ) Impairment charges (474 ) 474 - - 474 - Restructuring
charges (8,101 ) - 8,101 - 8,101 - Building rent (64,656 ) - - - -
(64,656 ) Equipment rent (8,887 ) - - - - (8,887 ) Restructuring
charges - rent (1,905 ) - 1,905 - 1,905 - Depreciation and
amortization (29,820 ) - - - - (29,820 ) Interest, net
(58,819 ) - - - -
(58,819 )
Income from continuing operations before
income taxes
11,749
474 10,006 - 10,480 22,229 Provision for income taxes 2,234
187 3,937 2,731
6,855 9,089 9,515 $ 287 $ 6,069 $ (2,731 ) $
3,625 13,140 Noncontrolling interests (10,483 )
(10,483 ) Income (loss) attributable to Kindred $ (968 ) $ 2,657
Diluted earnings (loss) per common share $ (0.01 ) $
0.03
Diluted shares used in computing earnings
(loss) per common share
87,085 87,744
Three months ended March 31, 2016
Charges Gentiva Business transaction
Before As interruption Litigation
Impairment Research and Restructuring
and charges reported settlements
contingency charges development charges
integration Total ("core") (a) Income from
continuing operations: Segment adjusted operating income:
Kindred at Home: Home health $ 66,941 $ (1,138 ) $ - $ - $ - $ - $
- $ (1,138 ) $ 65,803 Hospice 24,866 -
- - - - - -
24,866 91,807 (1,138 )
- - - - -
(1,138 ) 90,669 Hospital division 136,416 - -
- - - - - 136,416 Kindred Rehabilitation Services: Kindred
Hospital Rehabilitation Services 48,119 - - - - - - - 48,119
RehabCare 8,820 - - -
- - - -
8,820 56,939 - - -
- - - -
56,939 Support center expenses (72,022 ) - - - 863 -
- 863 (71,159 ) Litigation contingency expense (1,910 ) - 1,025 - -
- - 1,025 (885 ) Impairment charges (7,788 ) - - 7,788 - - - 7,788
- Restructuring charges (1,701 ) - - - - 1,701 - 1,701 -
Transaction costs (1,685 ) - - - - - 1,603 1,603 (82 ) Building
rent (65,985 ) - - - - - - - (65,985 ) Equipment rent (10,158 ) - -
- - - - - (10,158 ) Restructuring charges - rent (251 ) - - - - 251
- 251 - Depreciation and amortization (33,554 ) - - - - - - -
(33,554 ) Interest, net (57,253 ) - -
- - - - -
(57,253 )
Income from continuing operations before
income taxes
32,855 (1,138 ) 1,025 7,788 863 1,952 1,603 12,093 44,948 Provision
for income taxes 11,462 (401 ) 362
2,747 304 689 565
4,266 15,728 21,393 $ (737 ) $ 663 $ 5,041
$ 559 $ 1,263 $ 1,038 $ 7,827 29,220
Noncontrolling interests (7,851 ) (7,851 ) Income
attributable to Kindred $ 13,542 $ 21,369
Diluted earnings per common share $ 0.15 $ 0.24
Diluted shares used in computing earnings
per common share
87,249 87,249
__________
(a)
During the first quarter of 2017, the
Company revised its definitions of “core” non-GAAP measures. See
“Non-GAAP Measures” beginning on page 15 for a discussion regarding
the revised definitions. For comparability, core results for 2016
were revised to conform to the current year presentation.
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands, except per share
amounts)
Three months ended June 30, 2017
Charges Deferred Business RehabCare
tax Before As interruption
collection Impairment Restructuring
valuation charges reported settlements
litigation charges charges allowance
Total ("core") (a) Income (loss) from continuing
operations: Segment adjusted operating income (loss): Kindred
at Home: Home health $ 76,592 $ (795 ) $ - $ - $ - $ - $ (795 ) $
75,797 Hospice 32,784 - -
- - - -
32,784 109,376 (795 ) -
- - - (795 )
108,581 Hospital division 91,580 (1,008 ) - - - -
(1,008 ) 90,572 Kindred Rehabilitation Services: Kindred
Hospital Rehabilitation Services 53,422 - - - - - - 53,422
RehabCare (14,305 ) - 25,304
- - - 25,304
10,999 39,117 -
25,304 - - -
25,304 64,421 Support center expenses
(62,572 ) - - - - - - (62,572 ) Impairment charges (135,829 ) - -
135,829 - - 135,829 - Restructuring charges (3,116 ) - - - 3,116 -
3,116 - Building rent (64,861 ) - - - - - - (64,861 ) Equipment
rent (8,861 ) - - - - - - (8,861 ) Restructuring charges - rent
(1,934 ) - - - 1,934 - 1,934 - Depreciation and amortization
(25,651 ) - - - - - - (25,651 ) Interest, net (58,573 )
- - - - -
- (58,573 )
Income (loss) from continuing operations
before income taxes
(121,324
)
(1,803 ) 25,304 135,829 5,050 - 164,380 43,056 Provision (benefit)
for income taxes (16,116 ) (709 ) 9,957
53,449 1,987 (35,555 ) 29,129
13,013 (105,208 ) (1,094 ) 15,347 82,380 3,063
35,555 135,251 30,043 Noncontrolling interests (10,791 )
- (320 ) - - -
(320 ) (11,111 ) Income (loss) attributable to
Kindred $ (115,999 ) $ (1,094 ) $ 15,027 $ 82,380 $
3,063 $ 35,555 $ 134,931 $ 18,932
Diluted earnings (loss) per common share $ (1.33 ) $ 0.21
Diluted shares used in computing earnings
(loss) per common share
87,506 88,165
Three months ended June 30, 2016
Charges Gentiva Business transaction
Before As interruption Litigation
Impairment Research and Debt
Restructuring and charges reported
settlements contingency charges
development amendment charges
integration Total ("core") (a) Income from
continuing operations: Segment adjusted operating income:
Kindred at Home: Home health $ 76,030 $ (171 ) $ - $ - $ - $ - $ -
$ - $ (171 ) $ 75,859 Hospice 31,329 -
- - - - -
- - 31,329
107,359 (171 ) - -
- - - - (171 )
107,188 Hospital division 127,510 - - - - - -
- - 127,510 Kindred Rehabilitation Services: Kindred
Hospital Rehabilitation Services 50,729 - - - - - - - - 50,729
RehabCare 10,254 - -
- - - - -
- 10,254 60,983
- - - - -
- - -
60,983 Support center expenses (68,444 ) - - - 3,076
1,103 - - 4,179 (64,265 ) Litigation contingency expense (930 ) -
750 - - - - - 750 (180 ) Impairment charges (6,131 ) - - 6,131 - -
- - 6,131 - Restructuring charges (336 ) - - - - - 336 - 336 -
Transaction costs (1,846 ) - - - - - - 1,674 1,674 (172 ) Building
rent (67,025 ) - - - - - - - - (67,025 ) Equipment rent (11,211 ) -
- - - - - - - (11,211 ) Restructuring charges - rent (462 ) - - - -
- 462 - 462 - Depreciation and amortization (33,198 ) - - - - - - -
- (33,198 ) Interest, net (57,567 ) - -
- - - -
- - (57,567 )
Income from continuing operations before
income taxes
48,702 (171 ) 750 6,131 3,076 1,103 798 1,674 13,361 62,063
Provision for income taxes 19,014 (129 )
(1,511 ) (2,962 ) 2,324 833
2,064 1,265 1,884
20,898 29,688 (42 ) 2,261 9,093 752 270 (1,266 ) 409 11,477
41,165 Noncontrolling interests (8,847 ) -
- (1,016 ) - - -
- (1,016 ) (9,863 ) Income
attributable to Kindred $ 20,841 $ (42 ) $ 2,261 $
8,077 $ 752 $ 270 $ (1,266 ) $ 409 $ 10,461
$ 31,302 Diluted earnings per common share $
0.23 $ 0.35
Diluted shares used in computing earnings
per common share
87,500 87,500
___________
(a)
During the first quarter of 2017, the
Company revised its definitions of “core” non-GAAP measures. See
“Non-GAAP Measures” beginning on page 15 for a discussion regarding
the revised definitions. For comparability, core results for 2016
were revised to conform to the current year presentation.
KINDRED HEALTHCARE, INC.
Reconciliation of GAAP Results to Non-GAAP Measures
(Continued) (Unaudited) (In thousands, except per share
amounts)
Three months ended December 31, 2016
Charges Gentiva Deferred Business
transaction tax Before As
interruption Impairment Research and
Restructuring and valuation charges
reported settlements charges
development charges integration
allowance Total ("core") (a) Income (loss)
from continuing operations: Segment adjusted operating income:
Kindred at Home: Home health $ 61,487 $ (302 ) $ - $ - $ - $ - $ -
$ (302 ) $ 61,185 Hospice 28,805 (1,137 )
- - - -
- (1,137 ) 27,668 90,292
(1,439 ) - - -
- - (1,439 )
88,853 Hospital division 93,778 (630 ) - - - - - (630
) 93,148 Kindred Rehabilitation Services: Kindred Hospital
Rehabilitation Services 49,728 - - - - - - - 49,728 RehabCare
3,421 - - -
- - - -
3,421 53,149 - -
- - - -
- 53,149 Support center
expenses (58,627 ) - - 4,293 - - - 4,293 (54,334 ) Impairment
charges (3,534 ) - 3,534 - - - - 3,534 - Restructuring charges
(9,884 ) - - - 9,884 - - 9,884 - Transaction costs (2,166 ) - - - -
1,779 - 1,779 (387 ) Building rent (64,350 ) - - - - - - - (64,350
) Equipment rent (8,649 ) - - - - - - - (8,649 ) Restructuring
charges - rent (2,029 ) - - - 2,029 - - 2,029 - Depreciation and
amortization (32,072 ) - - - - - - - (32,072 ) Interest, net
(58,625 ) - - - -
- - -
(58,625 )
Income (loss) from continuing operations
before income taxes
(2,717
)
(2,069 ) 3,534 4,293 11,913 1,779 - 19,450 16,733 Provision for
income taxes 156 (2,574 ) 4,396
5,341 14,819 1,810
(22,002 ) 1,790 1,946 (2,873 ) $ 505
$ (862 ) $ (1,048 ) $ (2,906 ) $ (31 ) $ 22,002 $
17,660 14,787 Noncontrolling interests (8,575 )
(8,575 ) Income (loss) attributable to Kindred $ (11,448 ) $
6,212 Diluted earnings (loss) per common share $
(0.13 ) $ 0.07
Diluted shares used in computing earnings
(loss) per common share
86,904 87,641
__________
(a)
During the first quarter of 2017, the
Company revised its definitions of “core” non-GAAP measures. See
“Non-GAAP Measures” beginning on page 15 for a discussion regarding
the revised definitions. For comparability, core results for 2016
were revised to conform to the current year presentation.
KINDRED
HEALTHCARE, INC. Reconciliation of GAAP Results to Non-GAAP
Measures (Continued) (Unaudited) (In thousands)
Three months ended Nine months ended
September 30, September 30, 2017 2016
2017 2016
Reconciliation of net cash flows provided
by operating activities to core operating cash flows and core free
cash flows:
Net cash flows provided by operating activities
$
8,481 $ 36,367
$ 8,512 $ 41,235 Adjustments to
remove certain payments (including payments made for discontinued
operations) included in net cash flows provided by operating
activities: Transaction, severance, research and development, and
retention
27,102 7,025
36,319 17,958 Business
interruption settlements
- -
(3,796 ) (1,309 )
Lease termination fees - restructuring
1,898 -
5,931
3,500 Capitalized lender fees related to debt amendment
- 42
5,403 7,375 Other debt refinancing costs (expensed)
-
291
- 917 Litigation
3,307 3,074
12,593 132,643
32,307 10,432
56,450
161,084 Net cash flows provided by operating
activities excluding certain items before income tax benefit of
certain payments
40,788 46,799
64,962 202,319 Benefit
of reduced income tax payments resulting from certain payments (a)
(10,978 ) (17,295 )
(14,574 ) (45,519 )
Net cash flows provided by operating activities excluding
certain items (core operating cash flows)
29,810 29,504
50,388 156,800 Less routine
capital expenditures
(16,463 ) (21,873 )
(45,800 ) (68,703 ) Less distributions to
noncontrolling interests
(10,071 )
(4,694 )
(48,372 ) (35,240 ) Free cash
flows excluding certain items (core free cash flows)
$
3,276 $ 2,937
($43,784 )
$ 52,857
__________
(a)
The Company has estimated that it will not
pay federal and state income taxes (where state unitary or
consolidated tax returns are allowed) in 2017 due to anticipated
loss associated with the sale of the Company's skilled nursing
facility business. In 2016, the Company did not pay these taxes as
a result of a consolidated taxable loss. These cash savings in both
years are recognized in GAAP cash flows and offer additional
sources of cash when evaluating the Company's cash flow generating
capability before certain payments. Combining the Company's October
2017 insurance restructuring activities with the completion of the
sale of the skilled nursing facility business, the Company
anticipates it will have approximately $550 million to $600 million
of net operating losses that should offset approximately 90% of
core book tax estimates until exhausted.
View source
version on businesswire.com: http://www.businesswire.com/news/home/20171106006447/en/
Kindred Healthcare, Inc.Todd Flowers, 502-596-6569Investor
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