FORM 10-Q |
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SECURITIES AND EXCHANGE COMMISSION |
WASHINGTON, D.C. 20549 |
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Quarterly Report Under Section 13 of 15(d) |
of the Securities Exchange Act of 1934 |
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For quarter ended March 31, 2002 | Commission file number 333-37185 |
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NATIONAL HEALTHCARE CORPORATION |
(Exact name of registrant as specified in its Charter) |
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Delaware | 52-2057472 |
(State or other jurisdiction of | (I.R.S. Employer |
incorporate or organization | Identification No.) |
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100 Vine Street | |
Murfreesboro, TN | 37130 |
(Address of principal | (Zip Code) |
executive offices) | |
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Registrant's telephone number, including area code (615) 890-2020 |
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Indicate by check mark whether the registrant |
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(1) Has filed all reports required to be filed by Section 13 or 15(d), of the Securities Exchange |
Act of 1934 during the preceding 12 months. |
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Yes x | No |
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(2) Has been subject to such filing requirements for the past 90 days. |
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Yes x | No |
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11,517,907 shares were outstanding as of April 30, 2002. |
PART I. FINANCIAL INFORMATION |
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Item 1. Financial Statements. | | |
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NATIONAL HEALTHCARE CORPORATION |
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INTERIM CONDENSED CONSOLIDATED STATEMENTS OF INCOME |
(Unaudited) |
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| Three Months Ended |
| March 31 |
| 2002 | 2001 |
| (in thousands, except share |
| and per share amounts) |
REVENUES: | | |
Net patient revenues | $ 100,292 | $ 88,700 |
Other revenues | 10,934 | 10,552 |
Net revenues | 111,226 | 99,252 |
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COSTS AND EXPENSES: | | |
Salaries, wages and benefits | 59,926 | 54,629 |
Other operating | 29,073 | 25,492 |
Rent | 10,394 | 10,497 |
Write-off of note receivable | 2,760 | --- |
Depreciation and amortization | 3,005 | 3,167 |
Interest | 926 | 1,540 |
Total costs and expenses | 106,084 | 95,325 |
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INCOME BEFORE INCOME TAXES | 5,142 | 3,927 |
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INCOME TAX PROVISION | (2,055) | (1,538) |
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NET INCOME | $ 3,087 | $ 2,389 |
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EARNINGS PER SHARE: | | |
Basic | $ .27 | $ .21 |
Diluted | $ .26 | $ 21 |
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WEIGHTED AVERAGE SHARES OUTSTANDING: | | |
Basic | 11,505,070 | 11,217,224 |
Diluted | 11,941,902 | 11,607,793 |
The accompanying notes to interim condensed consolidated financial statements are an integral part of these statements.
NATIONAL HEALTHCARE CORPORATION |
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INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS |
(in thousands) |
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ASSETS |
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| March 31 | December 31 |
| 2002 | 2001 |
| (Unaudited) | |
CURRENT ASSETS: | | |
Cash and cash equivalents | $ 41,196 | $ 42,198 |
Cash held by trustees | 9,703 | 8,921 |
Marketable securities | 46,551 | 45,424 |
Accounts receivable, less allowance for | | |
doubtful accounts of $7,943 and $7,703 | 41,246 | 39,123 |
Notes receivable | 393 | 398 |
Notes receivable from ESOP | 5,357 | 5,357 |
Inventory at lower of cost (first-in, | | |
first-out method) or market | 4,532 | 4,343 |
Deferred income taxes | 1,436 | 2,132 |
Prepaid expenses and other assets | 2,023 | 892 |
Total current assets | 152,437 | 148,788 |
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PROPERTY AND EQUIPMENT: | | |
Property and equipment, at cost | 169,404 | 166,423 |
Less accumulated depreciation and amortization | (86,143) | (83,076) |
Net property and equipment: | 83,261 | 83,347 |
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OTHER ASSETS: | | |
Bond reserve funds, mortgage replacement reserves | | |
and other deposits | 68 | 88 |
Unamortized financing costs | 541 | 587 |
Notes receivable | 20,187 | 22,938 |
Notes receivable from National | 11,966 | 9,964 |
Notes receivable from ESOP | 12,500 | 12,500 |
Deferred income taxes | 10,694 | 10,337 |
Minority equity investments and other | 4,580 | 4,554 |
Total other assets | 60,536 | 60,968 |
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| $296,234 | $293,103 |
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The accompanying notes to interim condensed consolidated financial statements are an integral part |
of these consolidated balance sheets. |
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The interim condensed balance sheet at December 31, 2001 is taken from the audited financial |
statements at that date. |
NATIONAL HEALTHCARE CORPORATION |
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INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS |
(in thousands, except share and per share amounts) |
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LIABILITIES AND SHAREOWNERS' EQUITY |
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| March 31 | December 31 |
| 2002 | 2001 |
| (Unaudited) | |
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CURRENT LIABILITIES: | | |
Current portion of long-term debt | $ 13,623 | $ 13,482 |
Trade accounts payable | 7,008 | 7,190 |
Accrued payroll | 23,843 | 31,154 |
Amount due to third-party payors | 29,938 | 29,712 |
Accrued risk reserves | 26,867 | 22,528 |
Accrued interest | 412 | 204 |
Other current liabilities | 10,172 | 8,698 |
Total current liabilities | 111,863 | 112,968 |
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LONG-TERM DEBT, LESS CURRENT PORTION | 36,413 | 40,029 |
DEBT SERVICED BY OTHER PARTIES, LESS CURRENT PORTION | 2,100 | 2,146 |
OTHER NONCURRENT LIABILITIES | 11,619 | 11,619 |
DEFERRED LEASE CREDIT | 7,641 | 7,841 |
MINORITY INTERESTS IN CONSOLIDATED SUBSIDIARIES | 764 | 728 |
DEFERRED INCOME | 21,546 | 21,694 |
COMMITMENTS, CONTINGENCIES AND GUARANTEES | | |
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SHAREOWNERS' EQUITY: | | |
Preferred stock, $.01 par value; 10,000,000 shares | | |
authorized; none issued or outstanding | --- | --- |
Common stock, $.01 par value; 30,000,000 shares | | |
authorized; 11,517,857 and 11,245,735 shares, | | |
respectively, issued and outstanding | 115 | 114 |
Capital in excess of par value, less notes receivable | 70,168 | 66,114 |
Retained earnings | 28,489 | 25,402 |
Unrealized gains on securities | 5,516 | 4,448 |
Total shareowners' equity | 104,288 | 96,078 |
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| $296,234 | $293,103 |
The accompanying notes to interim condensed consolidated financial statements are in integral part of these consolidated balance sheets.
The interim condensed balance sheet at December 31, 2001 is taken from the audited financial statements at that date.
NATIONAL HEALTHCARE CORPORATION |
INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS |
(Unaudited) |
| Three Months Ended |
March 31 |
| 2002 | 2001 |
CASH FLOWS PROVIDED BY (USED IN) OPERATING ACTIVITIES: | (in thousands) |
Net income | $ 3,087 | $ 2,389 |
Adjustments to reconcile net income to net cash provided by operating activities: | | |
Depreciation | 2,934 | 2,934 |
Write-off of note receivable | 2,760 | --- |
Provision for doubtful accounts receivable | 240 | (452) |
Amortization of intangibles and deferred charges | 72 | 153 |
Amortization of deferred income | (142) | (151) |
Equity in earnings of unconsolidated investments | (145) | (62) |
Amortization of deferred lease credit | (199) | (199) |
Distributions from unconsolidated investments | 95 | 8 |
Change in fair value of purchased call options` | --- | (417) |
Deferred income taxes | (377) | (367) |
Changes in assets and liabilities: | | |
Accounts receivable | (2,363) | (1,594) |
Inventory | (189) | 38 |
Prepaid expenses and other assets | (1,131) | 908 |
Accounts payable | (182) | (4,216) |
Accrued payroll | (7,311) | (10,421) |
Amounts due to third party payors | 226 | (853) |
Accrued interest | 208 | 428 |
Other current liabilities and accrued reserves | 5,813 | 4,172 |
Entrance fee deposits | (7) | 410 |
Net cash provided by (used in) operating activities | 3,389 | (7,292) |
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CASH FLOWS PROVIDED BY (USED IN) INVESTING ACTIVITIES: | | |
Additions to and acquisitions of property and equipment, net | (2,848) | (874) |
Investment in notes receivable | (51) | (78) |
Collection of notes receivable | 47 | 2,073 |
Sale of marketable securities | 657 | 1,691 |
Net cash provided by (used in) investing activities | (2,195) | 2,812 |
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CASH FLOWS PROVIDED BY (USED IN) FINANCING ACTIVITIES: | | |
Increase in cash held by trustee | (782) | (2,973) |
Increase (decrease) in minority interests in subsidiaries | 36 | (4) |
Decrease in bond reserve funds, mortgage replacement reserves | | |
and other deposits | 20 | 9 |
Issuance of common shares | 295 | 160 |
Collection of receivables | 3,760 | --- |
Payments on debt | (5,523) | (1,140) |
Increase in financing costs | (2) | (77) |
Net cash used in financing activities | (2,196) | (4,025) |
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NET DECREASE IN CASH AND CASH EQUIVALENTS | (1,002) | (8,505) |
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD | 42,198 | 10,011 |
CASH AND CASH EQUIVALENTS, END OF PERIOD | $ 41,196 | $ 1,506 |
Supplemental Information: | | |
Cash payments for interest expense | $ 718 | $ 1,365 |
NATIONAL HEALTHCARE CORPORATION |
Interim Condensed Consolidated Statements of Shareowners' Equity |
(in thousands, except share amounts) |
(unaudited) |
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| | Receivables | | | Unrealized | Total Share- |
| Common Stock | from Sale | Paid in | Retained | Gains (Losses) | owners' |
| Shares | Amount | of Shares | Capital | Earnings | on Securities | Equity |
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Balance at 12/31/01 | 11,476,956 | $114 | $ (4,995) | $71,109 | $25,402 | $4,448 | $ 96,078 |
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Net income | --- | --- | --- | --- | 3,087 | --- | 3,087 |
Unrealized gains on securities | --- | --- | --- | --- | --- | 1,068 | 1,068 |
Total Comprehensive Income | | | | | | | 4,155 |
Shares sold | 40,901 | 1 | --- | 294 | --- | --- | 295 |
Collection of receivables | --- | --- | 3,760 | --- | --- | --- | 3,760 |
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Balance at 3/31/02 | 11,517,857 | $115 | $ (1,235) | $71,403 | $28,489 | $ 5,516 | $104,288 |
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Balance at 12/31/00 | 11,245,735 | $112 | $(5,036) | $69,513 | $ 12,202 | $(7,257) | $ 69,534 |
Net income | --- | --- | --- | --- | 2,389 | --- | 2,389 |
Unrealized gains on securities | --- | --- | --- | --- | --- | 5,044 | 5,044 |
Total Comprehensive Income | | | | | | | 7,433 |
Shares sold | 31,193 | --- | --- | 160 | --- | --- | 160 |
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Balance at 3/31/01 | 11,276,928 | $112 | $ (5,036) | $69,673 | $14,591 | $(2,213) | $ 77,127 |
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The accompanying notes to interim condensed consolidated financial statements are an integral part of these consolidated statements.
Note 1 - CONSOLIDATED FINANCIAL STATEMENTS:
The unaudited financial statements to which these notes are attached include, in our opinion, all adjustments which are necessary to fairly present the financial position, results of operations and cash flows of National HealthCare Corporation ("NHC" or the "Company"). We assume that users of these interim financial statements have read or have access to the audited December 31, 2001 financial statements and Management's Discussion and Analysis of Financial Condition and Results of Operations and that the adequacy of additional disclosure needed for a fair presentation, except in regard to material contingencies, may be determined in that context. Accordingly, footnotes and other disclosures which would substantially duplicate the disclosure contained in our most recent annual report to stockholders have been omitted. This interim financial information is not necessarily indicative of the results that may be expected for a full year for a variety of reasons. Our audited December 31, 2001 financial statements are available at our web site: www.nhccare.com.
Note 2 - OTHER REVENUES:
| Three Months Ended |
| March 31 |
| 2002 | 2001 |
| (in thousands) |
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Revenues from management, accounting & financial services | $ 6,656 | $6,202 |
Guarantee fees | 53 | 55 |
Advisory fees from NHI and NHR | 656 | 809 |
Dividends and other realized gains on securities | 935 | 956 |
Equity in earnings of unconsolidated investments | 145 | 74 |
Interest income | 1,298 | 1,079 |
Rental income | 902 | 671 |
Change in fair value of purchased call options | --- | 417 |
Other | 289 | 289 |
| $10,934 | $10,552 |
Revenues from management, accounting and financial services include management and accounting fees and revenues from other services provided to managed and other long-term health care centers. "Other" revenues include non-healthcare related earnings.
Note 3 - GUARANTEES AND CONTINGENCIES:
Guarantees and Related Events
In addition to our primary debt obligations, which are included in our consolidated financial statements, we have guaranteed the debt obligations of certain other entities. Those guarantees, which are not included as debt obligations in our consolidated financial statements, total $39,595,000 at March 31, 2002 and include $24,027,000 of debt of managed and other long-term health care centers and $15,568,000 of debt of National Health Corporation ("National") and the National Health Corporation Employee Stock Ownership Plan ("ESOP").
The $24,027,000 of guarantees of debt of managed and other long-term health care centers relates to first mortgage debt obligations of five long-term health care centers to which we provide management or accounting services. We have agreed to guarantee these obligations in order to obtain management or accounting services agreements. For this service, we charge an annual guarantee fee of 1% to 2% of the outstanding principal balance guaranteed, which fee is in addition to our management or accounting services fee. All of this guaranteed indebtedness is secured by first mortgages, pledges of personal property, accounts receivable, marketable securities and, in certain instances, the personal guarantees of the owners of the facilities.
The $15,568,000 of guarantees of debt of National and the ESOP relates to senior secured notes held by financial institutions. The total outstanding balance of National and the ESOP's obligations under these senior secured notes is $25,108,000. Of this obligation, $9,540,000 has been included in our debt obligations because we owe National this amount. The remaining $15,568,000, which is not included in our debt obligations because we are not a direct obligor, is due from NHI to National and from National to the ESOP. Additionally, under the amended terms of these note agreements, the lending institutions have the right to put to use the entire outstanding balance of this debt on March 31, 2005. Upon exercise of this put option by the lending institutions, we would be obligated to purchase the then outstanding balance of these senior secured notes, which is estimated to be approximately $15,116,000.
Our long-term debt also includes a bank credit facility (balance of $9,500,000 at March 31, 2002) that matures in November 2002. We currently expect to either retire or refinance that debt when due.
National Short Term Liquidity Demand: Through a guarantee agreement, our senior secured notes have cross-default provisions with other debt of National and the ESOP. Although we currently believe that National and the ESOP are in compliance with the terms of their debt agreements, under the terms of one of their debt obligations to a financial institution (total balance of $12,984,000 at March 31, 2002),the financial institution has the right to put the entire outstanding balance of the debt to National on September 30, 2002. We have been orally advised that the financial institution will extend the "put" date until March 31, 2005; however, if that extension does not materialize or if the lending institution does exercise that put option and National is unable to purchase or refinance the entire outstanding balance of the debt, National's debt along with a substantial portion of NHC's debt would be in default, which would have a material adverse effect on NHC's financial position and cash flows.
Note 4 - NEW ACCOUNTING PRONOUNCEMENTS:
In July 2001, the FASB issued Statement of Financial Accounting Standards No. 141, "Business Combinations" ("SFAS 141") and Statement of Financial Accounting Standards No. 142, "Goodwill and Other Intangible Assets" ("SFAS 142"). SFAS 141 supersedes Accounting Principles Board ("APB") Opinion No. 16, "Business Combinations" and requires all business combinations to be accounted for using the purchase method of accounting. In addition, SFAS 141 requires that identifiable intangible assets be recognized apart from goodwill based on meeting certain criteria. SFAS 142 supersedes APB Opinion No. 17, "Intangible Assets" and addresses how intangible assets and goodwill should be accounted for upon and after their acquisition. Specifically, goodwill and intangible assets with indefinite useful lives will not be amortized but will be subject to impairment tests based on their fair value. We have adopted SFAS 141 and 142 on January 1, 2002. The adoption of these pronouncements did not have a material effect on its consolidated financial position, results of operations or cash flows.
During August 2001, the FASB issued Statement of Financial Accounting Standards No. 144, "Accounting for the Impairment or Disposal of Long-Lived Assets" ("SFAS 144"). SFAS 144 is effective for fiscal years beginning after December 15, 2001 and supersedes certain existing accounting literature, which literature NHC currently uses to evaluate the recoverability of its real estate properties. NHC adopted the provisions of SFAS 144 effective January 1, 2002. The adoption of SFAS 144 did not have a material effect on our financial position, results of operations or cash flows.
Note 5 - LEGAL PROCEEDINGS:
General Liability Lawsuits
The entire long term care industry has seen a dramatic increase in personal injury/wrongful death claims based on alleged negligence by nursing homes and their employees in providing care to residents. As of March 31, 2002, we and/or our managed centers are currently defendants in 119 such claims covering 1996 through 2001. Seventy-eight of these claims are filed in Florida and 41 in all other states. We terminated long-term care center operations in Florida effective September 30, 2000.
During the current fiscal year insurance coverage for incidents occurring in all providers owned, leased or managed by us was maintained through a self-funded captive insurance company which is a Cayman Island corporation qualified as a U.S. subsidiary of ours. The coverage provided through the self-funded captive insurance company includes a primary policy with first dollar coverage. The Company has also obtained an umbrella policy that provides coverage in excess of the primary policy.
The 1999 through 2001 policies we purchased contain a per incident deductible. The 1999 policy has an aggregate limit on our potential deductible obligations. The 2000 and 2001 policies also contain a per incident deductible, however, there is no aggregate limit on our potential deductible obligations.
We use actuaries to estimate our exposures for claims obligations (for both asserted and unasserted claims) related to deductibles and exposures in excess of coverage limits, and we maintain reserves for these obligations. It is possible that claims against us could exceed our coverage limits and our reserves, which would have a material adverse effect on our financial position, results of operations and cash flows.
Note 6. NOTES RECEIVABLE
We have various notes receivable totaling $22,534,000, primarily from long-term health care centers to which we provide management or accounting services. During the three months ended March 31, 2002, we wrote-off a $2,760,000 note receivable due from a 120-bed long-term health care center in Missouri that we manage. As a result of the lack of increase in reimbursement rates, the cash flows of this center have declined and the center has not made a principal payment on this note since December 31, 2001. Based on an analysis consistent with the provisions of Statement of Financial Accounting Standards No. 114, "Accounting by Creditors for Impairment of A Loan - an Amendment of FASB Statements No. 5 and 15", we concluded that the write-off of $2,760,000 was required. We continue to monitor closely our other notes receivable from centers to which we provide management or accounting services.
Item 2.Management's Discussion and Analysis of Financial Condition and Results of Operations
Overview
National HealthCare Corporation ("NHC" or the "Company") operates or manages 85 long-term health care centers with 11,048 beds in 12 states. We provide nursing care as well as ancillary therapy services to patients in a variety of settings including long-term care nursing centers (85), subacute care units (9), Alzheimer's care units (6), homecare programs (33), assisted living centers (21) and independent living centers (7). In addition, we provide accounting and financial services to owners of 33 long-term health care centers and investment advisory services to National Health Investors, Inc. ("NHI") and National Health Realty, Inc. ("NHR").
Critical Accounting Policies
In December 2001, the SEC requested all registrants list their three to five most "critical accounting policies" in MD&A. The SEC indicated that a "critical accounting policy" is one which is both important to the portrayal of the Company's financial condition and results and requires management's most difficult, subjective or complex judgements, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. In our Form 10-K annual report for the fiscal year ended December 31, 2001, we identified in MD&A the following critical accounting policies as fitting this definition.
1) Revenue Recognition - third party payors
2) Accrued risk revenues
3) Revenue recognition of uncertain collections
4) Revenue recognition - mortgage interest
5) Potential recognition of deferred income
6) Tax contingencies.
Please refer to MD&A in the 2001 Form 10-K for a more complete discussion of these policies. There are no additional critical accounting policies identified in the first quarter of 2002.
Results of Operations
Three Months Ended March 31, 2002 Compared to Three Months Ended March 31, 2001.
Results for the three month period ended March 31, 2002 include a 12.1% increase compared to the same period in 2001 in net revenues and a 29.2% increase in net income.
The increase in revenues is primarily due to improved Medicare, Medicaid and private pay rates and improved census.
Revenues from management or accounting and financial services fees, which are included in the Statements of Income in Other Revenues, increased $.5 million or 7.3% in 2002 from $6.2 million in 2001 to $6.7 million in 2002. The increase is primarily due to the recognition of management fees and accounting and financial fees which have been paid in 2002 but which were not being earned in the prior year. During the three months ended March 31, 2002, NHC provided financial and accounting services for 33 facilities as compared to 31facilities during the three months ended March 31, 2001.
Total costs and expenses for the 2002 first quarter increased $10.8 million or 13.3% to $106.1 million from $95.3 million. Salaries, wages and benefits, the largest operating costs of this service company, increased $5.3 million or 9.7% to $59.9 million from $54.6 million. Other operating expenses increased $3.7 million or 14.0% to $29.1 million for the 2002 period compared to $25.4 million in the 2001 period. Rent decreased $.1 million or .9% to $10.4 million from $10.5 million. Depreciation and amortization decreased 5.1% to $3.0 million. Interest costs decreased $.6 million to $.9 million. Increases in salaries, wages and benefits are due primarily to increased bonus and benefit programs compared to the quarter a year ago. The increases result both from inflationary increases and from changes in the benefit programs.
Increases in other operating costs and expenses are due to inflationary increases and higher occupancies in assisted living and independent living services. Expenses this year included a loss of $2,760,000 for the write-off of a note receivable.
This note receivable is due from a 120-bed long-term health care center in Missouri that we manage. During the three months ended March 31, 2002, as a result of the lack of increase in reimbursement rates, the cash flows of this center declined and the center has not made a principal payment on this note since December 31, 2001. Based on an analysis consistent with the provisions of Statement of Financial Accounting Standards No. 114, "Accounting by Creditors for Impairment of A Loan - an Amendment of FASB Statements No. 5 and 15", we concluded that the write-offs of $1,760,000 was required. We continue to monitor closely our other notes receivable from centers to which we provide management or accounting services.
The total census at owned and leased centers for the quarter averaged 93.21% compared to an average of 93.26% for the same quarter a year ago.
Liquidity and Capital Resources
Net cash provided by operating activities during the first three months of 2002 totaled $3.4 million compared to $7.3 million used in operating activities in the prior year period. The increase in cash generated from operating activities is due primarily to increases in net income, and change in working capital.
Cash flows used in investing activities during the first three months of 2002 totaled $2.2 million compared to $2.8 million provided by investing activities in the same period in 2001. Cash used for additions to property and investment in notes receivable totaled $2.9 million in 2002 compared to $1.0 million in 2001. Cash provided by sales of marketable securities totaled $.7 million compared to $1.7 million in 2001. Collections of notes receivable generated $.1 million in 2002 compared to $2.1 million in 2001.
Cash used in financing activities totaled $2.2 million in the first three months of 2002 compared to $4.0 million for the same period in 2001. Cash used for payments of debt totaled $5.5 million and increases in cash held by trustees totaled $.8 million offset in part by $3.8 million collects of notes receivable in 2002. In the prior year, cash flows used totaled $1.1 million for payments on debt and $3.0 million for increase in cash held by trustee.
Reduction of Long-Term Debt
At March 31, 2002, our ratio of long-term debt to total capitalization (total debt plus deferred income plus shareholders equity) is 29.3%.
Our current cash on hand, marketable securities, short-term notes receivable, operating cash flows and, as needed, our borrowing capacity are expected to be adequate to finance any scheduled debt reductions plus our operating requirements and growth and development plans for 2002 and into 2003.
Guarantees and Contingencies
In addition to our primary debt obligations, which are included in our consolidated financial statements, we have guaranteed the debt obligations of certain other entities. Those guarantees, which are not included as debt obligations in our consolidated financial statements, total $39,595,000 at March 31, 2001 and include $24,027,000 of debt of managed and other long-term health care centers and $15,568,000 of debt of National and the ESOP.
The $24,027,000 of guarantees of debt of managed and other long-term health care centers relates to first mortgage debt obligations of five long-term health care centers to which we provide management or accounting services. We have agreed to guarantee these obligations in order to obtain management or accounting services agreements. For this service, we charge an annual guarantee fee of 1% to 2% of the outstanding principal balance guaranteed, which fee is in addition to our management or accounting services fee. All of this guaranteed indebtedness is secured by first mortgages, pledges of personal property, accounts receivable, marketable securities and, in certain instances, the personal guarantees of the owners of the facilities.
The $15,568,000 of guarantees of debt of National and the ESOP relates to senior secured notes held by financial institutions. The total outstanding balance of National and the ESOP's obligations under these senior secured notes is $25,108,000. Of this obligation, $9,540,000 has been included in our debt obligations because we owe National this amount. The remaining $15,568,000, which is not included in our debt obligations because we are not a direct obligor, is due from NHI to National and from National to the ESOP. Additionally, under the amended terms of one of these note agreements and an oral extension currently being documented in the other, the lending institutions have the right to put to use the entire outstanding balance of this debt on March 31, 2005. Upon exercise of this put option by the lending institutions, we would be obligated to purchase the then outstanding balance of these senior secured notes, which is estimated to be approximately $15,116,000.
Our long-term debt also includes a bank credit facility (total balance of $9,500,000 at March 31, 2002) that matures in November 2002. We currently expect to either retire or refinance that debt when due.
National Short Term Liquidity Demand: Through a guarantee agreement, our senior secured notes have cross-default provisions with other debt of National and the ESOP. Although we currently believe that National and the ESOP are in compliance with the terms of their debt agreements, under the terms of one of their debt obligations to a financial institution (total balance of $12,984,000 at March 31, 2002),the financial institution has the right to put the entire outstanding balance of the debt to National on September 30, 2002. We have been orally advised that the financial institution will extend the "put" date until March 31, 2005; however, if that extension does not materialize or if the lending institution does exercise that put option and National is unable to purchase or refinance the entire outstanding balance of the debt, National's debt along with a substantial portion of NHC's debt would be in default, which would have a material adverse effect on NHC's financial position and cash flows.
New Accounting Pronouncements
In July 2001, the FASB issued Statement of Financial Accounting Standards No. 141, "Business Combinations" ("SFAS 141") and Statement of Financial Accounting Standards No. 142, "Goodwill and Other Intangible Assets" ("SFAS 142"). SFAS 141 supersedes Accounting Principles Board ("APB") Opinion No. 16, "Business Combinations" and requires all business combinations to be accounted for using the purchase method of accounting. In addition, SFAS 141 requires that identifiable intangible assets be recognized apart from goodwill based on meeting certain criteria. SFAS 142 supersedes APB Opinion No. 17, "Intangible Assets" and addresses how intangible assets and goodwill should be accounted for upon and after their acquisition. Specifically, goodwill and intangible assets with indefinite useful lives will not be amortized but will be subject to impairment tests based on their fair value. We have adopted SFAS 141 and 142 on January 1, 2002. The adoption of these pronouncements did not have a material effect on its consolidated financial position, results of operations or cash flows.
During August 2001, the FASB issued Statement of Financial Accounting Standards No. 144, "Accounting for the Impairment or Disposal of Long-Lived Assets" ("SFAS 144"). SFAS 144 is effective for fiscal years beginning after December 15, 2001 and supersedes certain existing accounting literature, which literature NHC currently uses to evaluate the recoverability of its real estate properties. NHC adopted the provisions of SFAS 144 effective January 1, 2002. The adoption of SFAS 144 did not have a material effect on our financial position, results of operations or cash flows.
Litigation
The entire long term care industry has seen a dramatic increase in personal injury/wrongful death claims based on alleged negligence by nursing homes and their employees in providing care to residents. As of March 31, 2002, we and/or our managed centers are currently defendants in 119 such claims covering 1996 through 2001. Seventy-eight of these claims are filed in Florida and 41 in all other states. We terminated long-term care center operations in Florida effective September 30, 2000.
During the current fiscal year, insurance coverage for incidents occurring in all providers owned, leased or managed by us was maintained through a self-funded captive insurance company which is a Cayman Island corporation qualified as a U.S. subsidiary of ours. The coverage provided through the self-funded captive insurance company includes a primary policy with first dollar coverage. The Company has also obtained an umbrella policy that provides coverage in excess of the primary policy.
The 1999 through 2001 policies we purchased contain a per incident deductible. The 1999 policy has an aggregate limit on our potential deductible obligations. The 2000 and 2001 policies also contain a per incident deductible, however, there is no aggregate limit on our potential deductible obligations.
Forward-Looking Statements
References throughout this document to the Company include National HealthCare Corporation and its wholly-owned subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Quarterly Report on Form 10-Q has been written in the first person. In this document, the words "we", "our", "ours" and "us" refer only to National HealthCare Corporation and its wholly-owned subsidiaries and not any other person.
This Quarterly Report on Form 10-Q and other information we provide from time to time, contains certain "forward-looking" statements as that term is defined by the Private Securities Litigation Reform Act of 1995. All statements regarding our expected future financial position, results of operations or cash flows, continued performance improvements, ability to service and refinance our debt obligations, ability to finance growth opportunities, ability to control our patient care liability costs, ability to respond to changes in government regulations, ability to execute our three-year strategic plan, and similar statements including, without limitations, those containing words such as "believes", anticipates", "expects", "intends", "estimates", "plans", and other similar expressions are forward-looking statements.
Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the following factors:
- national and local economic conditions, including their effect on the availability and cost of labor, utilities and materials;
- the effect of government regulations and changes in regulations governing the healthcare industry, including our compliance with such regulations;
- changes in Medicare and Medicaid payment levels and methodologies and the application of such methodologies by the government and its fiscal intermediaries;
- liabilities and other claims asserted against us, including patient care liabilities, as well as the resolution of current litigation (see "Note 5: Legal Proceedings);
- the ability of third parties for whom we have guaranteed debt to refinance certain short term debt obligations;
- the ability to attract and retain qualified personnel;
- the availability and terms of capital to fund acquisitions and capital improvements;
- the competitive environment in which we operate;
- the ability to maintain and increase census levels; and
- demographic changes.
See the notes to the quarterly financial statement, and "Item 1. Business" as is found in our 2001 Annual Report on Form 10-K for a discussion of various governmental regulations and other operating factors relating to the healthcare industry and the risk factors inherent in them. This may be found on our web side at www.nhccare.com. You should carefully consider these risks before making any investment in the Company. These risks and uncertainties are not the only ones facing us. There may be additional risks that we do not presently know of or that we currently deem immaterial. If any of the risks actually occur, our business, financial condition or results of operations could be materially adversely affected. In that case, the trading price of our shares of stock could decline, and you may lose all or part of your investment. Given these risks and uncertainties, we can give no assurances that these forward-looking statements will, in fact, transpire and, therefore, caution investors not to place undue reliance on them.
Item 3.Quantitative and Qualitative Information About Market Risk
Interest Rate Risk--
Our cash and cash equivalents consist of highly liquid investments with a maturity of less than three months. As a result of the short-term nature of our cash instruments, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. Approximately $32.3 million of our notes receivable bear interest at fixed interest rates. As the interest rates on these notes receivable are fixed, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. Approximately $18.1 million of our notes receivable bear interest at variable rates (generally at prime plus 2%). Because the interest rates of these instruments are variable, a hypothetical 10% change in interest rates would result in a related increase or decrease in annual interest income of approximately $107,000. As of March 31, 2002, $27.2 million of our long-term debt and debt serviced by other parties bear interest at fixed interest rates. Because the interest rates of these instruments are fixed, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. The remaining $24.9 million of our long-term debt and debt serviced by other parties bear interest at variable rates. Because the interest rates of these instruments are variable, a hypothetical 10% change in interest rates would result in a related increase or decrease in annual interest expense of approximately $119,000.
Equity Price Risk--
We consider our investments in marketable securities as "available for sale" securities and unrealized gains and losses are recorded in stockholders' equity in accordance with Statement of Financial Accounting Standards No. 115. The investments in marketable securities are recorded at their fair market value based on quoted market prices. Thus, there is exposure to equity price risk, which is the potential change in fair value due to a change in quoted market price. Hypothetically, a 10% change in quoted market prices would result in a related 10% change in the fair value of our investments in marketable securities.
PART II. OTHER INFORMATIONItem 1.Legal Proceedings.
For a discussion of prior, current and pending litigation of material significance to NHC, please see Note 5 of this Form 10-Q.
Item 2.Changes in Securities. Not applicable
Item 3.Defaults Upon Senior Securities. None
Item 4.Submission of Matters to Vote of Security Holders.
(a) The annual meeting of the shareholders was held on April 16, 2002.
(b) Matters voted upon at the meeting are as follows:
PROPOSAL NO. 1: Election of W. Andrew Adams and Ernest G. Burgess, III to serve as directors for terms of three years or until their successors have been fully elected and qualified.
Nominee | Voting For | Withholding Authority | Percent for |
W. Andrew Adams | 9,879,859 | 39,074 | 99.60% |
Ernest G. Burgess, III | 9,888,213 | 30,720 | 99.69% |
PROPOSAL NO. 2: Approve and ratify the NHC "Executive Officer Performance Based Compensation Plan".
Voting For | Voting Against | Abstaining | Percent For |
8,796,262 | 104,533 | 27,284 | 88.68% |
PROPOSAL NO. 3. Ratify the implementation of the 2002 Stock Option Plan Pursuant to which 1,250,000 shares will be available to grant for stock options, employee stock purchase plan needs and physician stock purchase plan needs.
Voting For | Voting Against | Abstaining | Percent For |
7,456,995 | 1,454,866 | 16,217 | 75.18% |
PROPOSAL NO. 4. Amend the Articles of Incorporation to reduce the minimum number of directors from six to five.
Voting For | Voting Against | Abstaining | Percent For |
9,876,239 | 30,829 | 11,865 | 99.57% |
PROPOSAL NO. 5. Ratify the appointment of Arthur Andersen LLP as the Company's independent accountants for the fiscal year 2002.
Voting For | Voting Against | Abstaining | Percent For |
9,666,884 | 204,803 | 47,246 | 97.50% |
Item 5.Other Information. None
Item 6.Exhibits and Reports on Form 8-K.
(a) List of exhibits - None required
(b) Reports on Form 8-K. None
SIGNATURES
Pursuant to the requirements of the Security Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
| NATIONAL HEALTHCARE CORPORATION |
(Registrant) |
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Date May 10, 2002 | /s/ Richard F. LaRoche, Jr. |
| Richard F. LaRoche, Jr. |
| Secretary |
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Date May 10, 2002 | /s/ Donald K. Daniel |
| Donald K. Daniel |
| Vice President and Controller |
| Principal Accounting Officer |