Filed pursuant to Rule 425 under the Securities Act of 1933 and
deemed filed pursuant to Rule 14a-6 of the Securities Exchange Act of 1934
Filer: Kindred Healthcare, Inc.
(Commission File No. 001-14057)
Subject Company: Gentiva Health Services, Inc.
(Commission File No. 001-15669)
J.P. Morgan Annual Healthcare Conference January 2015 |
Forward-Looking Statements This presentation 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, statements regarding the proposed business combination transaction between Kindred Healthcare, Inc. (“Kindred” or the “Company”) and Gentiva Health Services, Inc. (“Gentiva”) (including financing of the proposed transaction and the benefits, results, effects and timing of a transaction), all statements regarding Kindred’s (and Kindred’s and Gentiva’s combined) 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, and statements containing the words such as “anticipate,” “approximate,” “believe,” “plan,” “estimate,” “expect,” “project,” “could,” “would,” “should,” “will,” “intend,” “may,” “potential,” “upside,” and other similar expressions. Statements in this presentation concerning the business outlook or future economic performance, anticipated profitability, revenues, expenses, dividends or other financial items, and product or services line growth of Kindred (and the combined businesses of Kindred and Gentiva), together with other statements that are not historical facts, are forward-looking statements that are estimates reflecting the best judgment of Kindred 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 Kindred’s expectations as a result of a variety of factors, including, without limitation, those discussed below. Such forward-looking statements are based upon management’s current expectations and include known and unknown risks, uncertainties and other factors, many of which Kindred is unable to predict or control, that may cause Kindred’s actual results, performance or plans with respect to Gentiva 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 discussed below and detailed from time to time in Kindred’s filings with the Securities and Exchange Commission (the “SEC”). Risks and uncertainties related to the proposed merger include, but are not limited to, the risk that Gentiva’s stockholders do not approve the merger, potential adverse reactions or changes to business relationships resulting from the announcement or completion of the merger, uncertainties as to the timing of the merger, adverse on Kindred’s stock price resulting from the announcement or completion of the merger, competitive responses to the announcement or completion of the merger, the risk that healthcare regulatory, licensure or other approvals and financing required for the consummation of the merger are not obtained or are obtained subject to terms and conditions that are not anticipated, costs and difficulties related to the integration of Gentiva’s businesses and operations with Kindred’s businesses and operations, the inability to obtain, or delays in obtaining, cost savings and synergies from the merger, uncertainties as to whether the completion of the merger or any transaction will have the accretive effect on Kindred’s earnings or cash flows that it expects, unexpected costs, liabilities, charges or expenses resulting from the merger, litigation relating to the merger, the inability to retain key personnel, and any changes in general economic and/or industry- specific conditions. In addition to the factors set forth above, other factors that may affect Kindred’s plans, results or stock price are set forth in Kindred’s Annual Report on Form 10-K and in its reports on Forms 10-Q and 8-K. Many of these factors are beyond Kindred’s control. Kindred cautions investors that any forward-looking statements made by Kindred are not guarantees of future performance. Kindred disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments. Kindred has provided information in this presentation to compute certain non-GAAP measurements for specified periods. A reconciliation of the non-GAAP measurements to the GAAP measurements is included in this presentation and on Kindred’s website at www.kindredhealthcare.com under the heading “investors.” Additional Information This presentation does not constitute an offer to sell or the solicitation of an offer to buy any securities or a solicitation of any vote or approval. This presentation may be deemed to be solicitation material in respect of the proposed merger between Kindred and Gentiva. In connection with the proposed merger, Kindred has filed with the SEC a registration statement on Form S-4 (File No. 333-200454), including Amendment No. 1 thereto, that contains a definitive proxy statement of Gentiva that also constitutes a prospectus of Kindred. The registration statement was declared effective by the SEC on December 18, 2014, and Kindred and Gentiva commenced mailing the definitive proxy statement/prospectus to Gentiva stockholders on December 22, 2014. SHAREHOLDERS OF GENTIVA ARE URGED TO READ ALL RELEVANT DOCUMENTS FILED WITH THE SEC, INCLUDING THE DEFINITIVE PROXY STATEMENT/PROSPECTUS, BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT THE PROPOSED MERGER. Investors and security holders are able to obtain copies of the definitive proxy statement/prospectus as well as other filings containing information about Kindred and Gentiva, without charge, at the SEC’s website, http://www.sec.gov. Those documents, as well as Kindred’s other public filings with the SEC, may be obtained without charge at Kindred’s website at www.kindredhealthcare.com. Participants in Solicitation Kindred, Gentiva and their respective directors and executive officers may be deemed to be participants in the solicitation of proxies from the holders of Gentiva common stock in respect of the proposed merger. Information about the directors and executive officers of Kindred is set forth in the proxy statement for Kindred’s 2014 Annual Meeting of Shareholders, which was filed with the SEC on April 3, 2014. Information about the directors and executive officers of Gentiva is set forth in the proxy statement for Gentiva’s 2014 Annual Meeting of Shareholders, which was filed with the SEC on March 25, 2014. Investors may obtain additional information regarding the interest of such participants by reading the definitive proxy statement/prospectus regarding the proposed merger using the contact information above. 2 |
Kindred Healthcare Delivering on Quality, Value and Innovation In Patient Care 3 |
Kindred Healthcare is one of the Leading Providers of Rehabilitation Services and Post-Acute Care in the United States 4 Our Mission 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. Our Management Philosophy Kindred’s management philosophy is to focus on our people, on quality and customer service and our business results will follow. 105,200 1,100,000 2,880 47 Kindred will be Dedicated teammates taking care of over Patients and residents in locations in States Information above includes Kindred, Gentiva and Centerre Healthcare Corporation (“Centerre”). |
Kindred with Gentiva and Centerre Creates Multiple Platforms for Growth $2.5 billion Revenues (3) • 97 Transitional Care Hospitals (4) • 7,145 licensed beds (4) • 5 Inpatient Rehabilitation Hospitals with 215 licensed beds (4) $2.3 billion Combined Revenues (5) • 694 sites of service in 41 states (4) • 154 in Kindred’s Integrated Care Markets (4) • 38,900 caregivers serving 127,300 patients on a daily basis (4) $1.5 billion Revenues (6) • 2,275 sites of service served through 20,338 therapists (4) • Including 113 hospital-based acute rehabilitation units (4) • Includes Centerre’s 11 operating locations, ~$200 million of revenue and 1,600 employees $1.1 billion Revenues (3) • 48 Transitional Care Centers (Sub-Acute facilities licensed as SNFs) (4) • 12 Hospital-Based Sub-Acute Units (4) • 13 Nursing and Rehabilitation Centers (with Transitional Care Units) (4) • 38 Skilled Nursing Centers (Traditional SNFs) (4) * *Combined with Gentiva (4) #1 Operator of Transitional Care Hospitals (1) #1 Operator of Home Health and Hospice (1) #1 Operator of Rehabilitation Services (1) #8 Operator of Sub-Acute & Skilled Nursing Facilities (2) 5 (1) Ranking based on revenues. (2) Ranking from Provider magazine June 20, 2014 issue. (3) Revenues for the twelve months ended September 30, 2014 (divisional revenues before intercompany eliminations). (4) As of September 30, 2014. Gentiva caregivers approximate 34,000 as of December 31, 2014. (5) Includes Kindred at Home and Gentiva revenues for the twelve months ended September 30, 2014. (6) Kindred revenues for RehabCare for the twelve months ended September 30,2014 plus Centerre’s 2014estimated revenue. |
Kindred’s National Presence and Integrated Care Market Penetration • Kindred’s 23 current and targeted Integrated Care Markets are among the top 30 MSAs in the United States • Significant patient opportunity for improved care transitions and choice – provides revenue synergies from referrals across the combined care delivery platform Source: Kindred and Gentiva filings and investor presentations. Note : As of September 30, 2014. 6 Transitional Care Hospitals (97) Inpatient Rehabilitation Hospitals (16) Nursing and Rehabilitation Centers (99) Kindred at Home Locations (152) Hospital-Based Inpatient Rehabilitation Units (102) RehabCare External Customers (1,899) National and Regional Support Centers Gentiva Locations (493) Integrated Care Markets (23) National presence across 47 states |
… and More Quickly… (Reducing Average Length-of-Stay) (2) Sending More Patients Home… (1) Kindred Healthcare Delivering on Quality, Value and Innovation in Patient Care Delivery … Reducing Rehospitalizations (2) • 56% of our Nursing Center patients go home after 32 days • 70% of our Hospital patients go home or to a Lower Level of Care after 27 days Reduced the total average length of stay • by 10.3% in our Hospitals • by 11% in our Nursing Centers Kindred Hospitals reduced rehospitalization rates by 14% Kindred Nursing Centers have reduced rehospitalization rates by 15% (1) Kindred 2013 Results. (2) Kindred Same-store Comparison 2009 to 2013. 7 Market-leading care outcomes position us well for future reimbursement characterized by bundled payments, pay-for-performance, gain sharing, at-risk contracts and capitated population health arrangements. Outperforming National Quality Benchmarks Kindred Hospitals, Nursing Centers, and Home Health and Hospice continue to improve on quality indicators and beat industry benchmarks |
CONTINUE THE CARE Tremendous Opportunities Exist to Better Manage Patient Care for Patients Discharged From Acute Care Hospitals Intensity of Service Lower Higher Medicare Patients’ Use of Post-Acute Services Throughout an “Episode of Care” Patients’ first site of discharge after acute care hospital stay Patients’ use of site during a 90 day episode SHORT-TERM ACUTE CARE HOSPITALS LONG-TERM ACUTE CARE HOSPITALS INPATIENT REHAB SKILLED NURSING FACILITIES OUTPATIENT REHAB HOME HEALTH CARE 37% 2% 10% 11% 41% 52% 9% 21% 2% 61% 8 There are 47.6 (1) million Medicare beneficiaries and 9,100 are added to the program each day. More than 35% (2) of these patients need post-acute care following a discharge from an acute care hospital. (1) Source: RTI, 2009: Examining Post-Acute Care Relationships in an Integrated Hospital System. (2) Source: Kaiser Family Foundation, 2011 statehealthfacts.org and AARP 2011 projections. |
9 Demand for Post-Acute Care Services Strong Increasing Demand for Integrated and Coordinated Post-Acute Care Services Expanding Role for Home-Based Services Care Management Across a Post-Acute Episode of Care is Highly Valued to Support Emerging Payment Models Fee for Service (FFS) Managed Care FFS Hospitals Health Systems Other PAC providers 9 Current Approximate Payor Mix Potential Future Payor Mix Managed Care Payment Policy and Market Trends that are Influencing Kindred’s Strategy Kindred is poised to benefit from these trends because of our unique combination of care management capabilities and diversified PAC sites of service on the ground ACOs, bundle holders |
Kindred’s Continue The Care Strategy is at the Forefront of Healthcare Delivery System Reform 10 Helping to shape the evolution of the American Healthcare Delivery System by improving patient outcomes, smoothing care transitions, lowering costs and transitioning patients home at the highest level of wellness |
11 A Transformed Kindred |
Leadership Among Premium Healthcare Service Providers 2014 Wall Street Consensus Revenue (5) ($ in billions) Post-Acute Providers Alternate Site Providers (7) $7.3 $5.5 $3.8 $3.1 $2.4 $6.4 $12.7 $4.4 OCR IPCM DVA EVHC AMSG SCAI The Acquisitions of Gentiva and Centerre Further Strengthens Kindred’s Ability To Serve Patients Across the Full Continuum of Care ($ in millions) Kindred (2) Gentiva (2) Centerre Combined States (1) 47 40 8 47 Locations (1) 2,376 493 11 2,880 Employees (1) 62,600 41,000 1,600 105,200 Revenue $5.1 billion $2.0 billion $199 million (3) $7.3 billion EBITDAR $697 million $232 million $48 million (3) $1,047 million (4) $1.2 $2.8 $1.6 (1) As of September 30, 2014. Gentiva employee count is approximately 41,000 as of December 31, 2014. (2) Per Kindred 2014 guidance as provided on November 5, 2014 and 2014 current average analyst consensus estimates for Gentiva. (3) Estimated 2014 revenue and earnings before interest, taxes, depreciation, amortization and rent (or “EBITDAR”), prior to deducting $14 million of minority interest expense owned by Centerre’s hospital partners, see Appendix. (4) Combined EBITDAR includes full run rate of cost synergies of $70 million expected to be achieved in two years post closing. (5) FactSet consensus estimates as of November 13, 2014. (6) Combined 2014 revenues of Kindred (based on November 5, 2014 guidance), Gentiva (based on analyst consensus) and Centerre (based on internal estimates). (7) Twelve months ended as of June 30, 2014 and pro forma for Skilled Healthcare merger. (6) 12 |
Nursing 47% Hospital 42% Rehab 11% Kindred at Home 31% Rehab 20% (1) Kindred revenues and earnings before interest, taxes, depreciation and amortization (or “EBITDA”) as reported in the respective 2010 and 2012 Form 10-K. See Appendix. (2) Represents adjusted EBITDA margin as reconciled in the Appendix. (3) Includes combined results for the twelve months ended September 30, 2014 for Centerre, Gentiva and Kindred, see Appendix. Combined EBITDA run rate of cost synergies of $70 million expected to be achieved two years post closing. (4) Revenues before intercompany eliminations. Kindred has Significantly Diversified its Service Offerings and Transformed its Business Mix Yesterday Today 2010 (1) Kindred at Home 0% Nursing 21% Hospital 48% Rehab 25% LTM 9/30/2014 Kindred at Home 6% Combined Kindred (3) 13 Tomorrow Community Care 3% Home Health 18% Hospice 10% Hospital 34% Nursing 15% SRS 14% HRS 6% $7.2 8.6% Combined 2014 (2)(3) $4.4 5.0% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% $0.0 $1.0 $2.0 $3.0 $4.0 $5.0 $6.0 $7.0 2010 (1) $6.2 5.1% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% $0.0 $1.0 $2.0 $3.0 $4.0 $5.0 $6.0 $7.0 2012 (1) $5.0 7.1% $0.0 $1.0 $2.0 $3.0 $4.0 $5.0 $6.0 $7.0 LTM 9/30/2014 (2) EBITDA Margin Revenue |
14 Legislative and Financial Overview |
Reimbursement Outlook Overview and Context This year, like every year, Congress is considering changes to Medicare to help pay for the cost of avoiding steep cuts to physician payments (SGR/“Doc Fix”). There are several key considerations this year. Key Considerations • Only half of Kindred’s revenue is directly affected by SGR outcome • Policymakers recognize that post-acute providers have contributed to Medicare deficit reduction disproportionately to Medicare spending for post-acute care and did not benefit from Affordable Care Act expanded coverage • Policymakers prefer “reform-oriented” changes to reduce spending versus cuts Readmission penalties for all post-acute care providers Rate equalization/site neutrality Medicare 49.7% ($3.6b) Commercial 37.8% ($2.7b) Medicare Advantage, Managed Care and Managed Medicaid Medicaid 12.5% ($0.9b) Revenue by Payor Mix (1) Approximately half of Kindred’s total revenue is Medicare (1) Revenues before intercompany eliminations for both Kindred and Gentiva for the twelve months ended September 20, 2014. 15 |
Overview of Key Payment Provisions in LTAC Criteria Legislation • Definition of Patients Eligible for LTAC Rate – Patients are eligible for payment under the current LTAC PPS if they meet either one of two criteria: patients admitted from an acute care hospital with 3 or more days in an acute care hospital Intensive Care Unit (ICU); or patients receiving “prolonged mechanical ventilation” (greater than 96 hours) in the LTAC hospital – Many new patients today who do not use LTAC services will qualify under the new criteria. These patients are high acuity, have extended stays in acute care hospitals and are at high risk for re-hospitalization. • Definition of Patients Eligible for “Site Neutral” Rate – Other medically complex patients may still be admitted to LTACs and receive a “site neutral” rate that is either at LTAC cost or at a per diem rate “comparable” to payments made to acute care hospitals under the IPPS payment system (and capped at the IPPS rate) – The length of stay for these patients and Medicare Advantage patients will not count towards the 25-day LOS requirement • Effective Date and Phase-In – Effective date: Two-year Phase-in of criteria begins after October 1, 2015, linked to each LTAC’s cost-reporting period – All Kindred LTACs have cost-reporting periods that begin September 1 of each year; phase-in of new criteria would not begin for Kindred LTACs until September 1, 2016, and will not be fully effective until September 2018 – During phase-in, cases receiving “site neutral” rate get paid 50% based on current LTAC rate and 50% based on the “site neutral” rate 16 The new criteria would not become fully effective until September 1, 2018 for Kindred LTACS |
2014 2015 2016 2017 2018 Oct. 1 July 1 Oct. 1 July 1 Oct. 1 July 1 Oct. 1 July 1 Oct. 1 July 1 1. Patient Criteria Effective Date (depending on cost report date) 2. Patient Criteria effective date for Kindred LTACs – Phase-in begins 3. Site Neutral IPPS Equivalent Rate: • 50/50 Blend • Full Site Neutral Rate 4. 25-Day Length of Stay does not count for site neutral and Medicare Advantage cases 5. 25% Rule Relief for LTACs certified as of 10/1/2004 6. Moratorium 7. “50%” Compliance Test 2020 LTAC Legislation Effective Dates, Phase-in and Timeline for Kindred Hospitals January 1, 2014 April 1, 2015 September 1, 2016 September 1, 2016 September 1, 2018 17 October 1, 2015 September 1, 2016 |
Kindred Has Delivered Attractive Financial Performances 18 EBITDAR Margin: 12.7% 14.0% 13.6% 13.7% Share Price & Dividends Despite sequential years of significant reimbursement cuts and a wholesale restructuring of the Company’s business and capital structure, the Company has delivered on its promise to its patients, customers, teammates and shareholders! Revenue ($ billions) EBITDAR ($ millions) 14.4% (1)(2) (3) (3) (4) (4) $529 $679 $658 $697 $1,047 2011 2012 2013 2014 2014 Combined 12/31/2011 12/31/2012 12/31/2013 12/31/2014 $4.2 $4.8 $7.3 2011 2012 2013 2014 2014 Combined $4.9 $5.1 (1) Before certain disclosed items as reconciled in the Appendix. (2) Reimbursement cuts totaled $70 million. (3) Reflects midpoint of Company’s November 5, 2014 earnings guidance. (4) Assumes Centerre and Gentiva acquired on January 1, 2014 and combined with Kindred. Amount for Gentiva is based upon current analyst consensus estimates. Centerre amounts are 2014 estimates, as reconciled in Appendix. In addition, combined EBITDAR includes full run rate cost synergies of $70 million expected to be achieved two years post closing. (1) (1) |
(1) Kindred growth calculations based upon 2014 earnings guidance provided on November 5, 2014 compared to the current average analyst consensus estimate for 2015. (2) Combined growth calculation represents Kindred, Gentiva and Centerre. For Gentiva, 2014 and 2015 revenues are derived from current average analyst consensus estimates, including $60 million of annual run rate revenue synergies. Centerre amounts based upon internal projections. (3) Represents adjusted EBITDA as reconciled in the Appendix. (4) Based upon mid point of 2014 guidance for Kindred as of November 5, 2014. (5) Combined to include Kindred, Gentiva and Centerre. Kindred EBITDA is mid point of 2014 earnings guidance as of November 5, 2014, Gentiva is based upon current average analyst consensus estimates and includes EBITDA impact of full run rate of cost synergies of $70 million expected to be achieved two years post closing, and Centerre is based upon internal projections. See the Appendix. Kindred has Successfully Shifted its Business to Faster Growing Businesses, Improving Margins, Profitability and Operating Cash Flows Improves Margin and Profitability Enhances Growth Profile 2014 – 2015 Revenue Growth 19 EBITDA Margin (5) 2.9% 4.4% 0.0% 2.0% 4.0% 6.0% Kindred (1) Combined (2) 6.1% 7.4% 9.1% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% Kindred 2011 Kindred 2014 Combined 2014 (3) (4) |
Deleveraging Profile 20 Long-Term Goal Estimated At Closing (4) Goal Two Years Post Closing (5) <5.0x Mid-4x Range ~5.5x Declining Rent Burden as a % of 2014 Revenue Adjusted Debt to EBITDAR (3) (1) Based upon midpoint of guidance for Kindred as of November 5, 2014, see Appendix. (2) Based upon Kindred, Gentiva and Centerre combined revenues and rent expense based upon guidance and assuming Centerre and Gentiva were acquired January 1, 2014. (3) Estimated Adjusted Debt to EBITDAR is computed by dividing a numerator comprised of combined long-term debt at closing plus estimated combined annual rent expense multiplied by six, less unrestricted cash, by a denominator comprised of full-year estimated EBITDAR. Our ability to achieve our goals is subject to uncertainties; see Forward-Looking Statements on slide 2 of this presentation. (4) Assumes half of full run-rate of expected cost synergies, or $35 million. (5) Assumes full run-rate of cost synergies, or $70 million, expected to be achieved two years post closing. Pro forma adjusted net leverage expected to be in the mid-5x range at Gentiva closing with a goal of delevering to below 5.0x two years post closing |
Investment Rationale Kindred Is Poised to Help Shape the Future of Care for the Aging Population in America • Kindred Is Uniquely Positioned To Succeed in a Fee-For- Service World While Preparing for A Fee-For-Value World • Continue The Care Competitive Advantage – Kindred is the only post-acute provider today with the full continuum in place to successfully manage an entire episode of care and achieve the CMS triple aim • Transformational Growth • Strong Growth and Margin Profile • Substantial Operating Cash Flows and Deleveraging Profile • Experienced Management Team 21 |
Q & A 22 |
J.P. Morgan Annual Healthcare Conference January 2015 |
Appendix 24 |
25 Explanation of Non-GAAP Measures In addition to the results provided in accordance with generally accepted accounting principles (“GAAP”), Kindred Healthcare, Inc. (“Kindred” or the "Company") has provided information in this presentation to compute certain non-GAAP measurements for the three and twelve months ended September 30 2014, and the for the twelve months ended December 31, 2013, 2012 and 2011. A reconciliation of the non- GAAP measurements to the GAAP measurements is included in this presentation. This presentation also includes financial measures referred to as operating income, or earnings before interest, income taxes, depreciation, amortization and rent (“EBITDAR”), and earnings before interest, income taxes, depreciation and amortization ("EBITDA"). The Company's management uses EBITDAR or EBITDA as meaningful measures of operational performance in addition to other measures. The Company uses EBITDAR or EBITDA to assess the relative performance of its operating divisions as well as the employees that operate these businesses. In addition, the Company believes these measurements are important because securities analysts and investors use these measurements to compare the Company's performance to other companies in the healthcare industry. The Company believes that income (loss) from continuing operations is the most comparable GAAP measure. Readers of the Company's financial information should consider income (loss) from continuing operations as an important measure of the Company's financial performance because it provides the most complete measure of its performance. EBITDAR or EBITDA 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. A reconciliation of Adjusted EBITDAR or Adjusted EBITDA to income (loss) from continuing operations is included in this presentation and exclude the effects of certain charges listed herein. We believe that the presentation of these measurements included in this presentation provides useful information to investors with which to analyze Kindred’s and Gentiva’s operating trends and performance. Further, we believe these measurements facilitate company-to-company operating performance comparisons by backing out potential differences caused by variations in capital structures, taxation and the age and depreciation of property and equipment, which may vary for different companies for reasons unrelated to operating performance. In addition, we believe that these measurements are frequently used by securities analysts, investors and other interested parties in their evaluation of companies. |
Reconciliation of Kindred Earnings Guidance (a) Continuing Operations ($ in millions, except per share amounts) 26 As of November 5, 2014 Low High Revenues 5,100 $ 5,100 $ Operating income (EBITDAR) 692 $ 702 $ Rent 322 322 EBITDA 370 380 Depreciation and amortization 157 157 Interest, net 92 92 Income from continuing operations before income taxes 121 131 Provision for income taxes 44 48 Income from continuing operations 77 83 Earnings attributable to noncontrolling interests (18) (18) Income from continuing operations attributable to the Company 59 65 Allocation to participating unvested restricted stockholders (2) (2) Available to common stockholders 57 $ 63 $ Earnings per diluted share 0.98 $ 1.08 $ Shares used in computing earnings per diluted share 58.3 58.3 (a) The earnings guidance excludes the effect of reimbursement changes, debt refinancing costs, severance, retirement, retention and restructuring costs, customer bankruptcy costs, litigation costs, transaction costs, any further acquisitions or divestitures, any impairment charges, any further issuances of common stock, debt or mandatory convertible equity securities in conjunction with the Gentiva transaction and any repurchases of common stock. |
27 Reconciliation of Kindred Non-GAAP Measures ($ in thousands) 2014 Quarters Nine months ended Twelve months ended First Second Third Fourth First Second Third Sept. 30, 2014 Sept. 30, 2014 Revenues: Hospital division $657,814 $606,604 $594,154 $606,988 $646,458 $632,156 $609,452 $1,888,066 $2,495,054 Nursing center division 270,205 264,847 265,696 270,080 277,902 280,255 279,561 837,718 1,107,798 Rehabilitation division: Skilled nursing rehabilitation services 258,750 249,647 245,330 243,280 254,255 253,989 247,042 755,286 998,566 Hospital rehabilitation services 74,523 69,777 68,296 74,017 73,964 75,324 74,808 224,096 298,113 Care management division 51,621 53,039 53,801 66,466 87,704 87,986 86,186 261,876 328,342 Eliminations (53,479) (52,884) (51,832) (51,155) (53,541) (53,746) (53,736) (161,023) (212,178) Totals $1,259,434 $1,191,030 $1,175,445 $1,209,676 $1,286,742 $1,275,964 $1,243,313 $3,806,019 $5,015,695 Income (loss) from continuing operations: Operating income (loss): Hospital division $147,493 $129,366 $112,483 $126,788 $145,395 $132,878 $121,744 $400,017 $526,805 Nursing center division 29,145 36,018 31,505 35,585 38,471 36,880 36,179 111,530 147,115 Rehabilitation division: Skilled nursing rehabilitation services 13,239 21,623 (7,209) 14,260 18,328 19,982 17,552 55,862 70,122 Hospital rehabilitation services 18,132 19,573 18,215 18,005 19,820 20,084 18,273 58,177 76,182 Care management division 2,786 3,961 1,085 2,131 4,697 7,065 6,789 18,551 20,682 Corporate: Overhead (45,585) (43,196) (39,157) (48,557) (44,050) (48,365) (45,173) (137,588) (186,145) Insurance subsidiary (509) (384) (482) (539) (406) (443) (637) (1,486) (2,025) (46,094) (43,580) (39,639) (49,096) (44,456) (48,808) (45,810) (139,074) (188,170) Impairment charges (187) (438) (441) (76,127) - - - - (76,127) Transaction costs (944) (108) (613) (447) (683) (4,496) (4,114) (9,293) (9,740) Operating income (EBITDAR) 163,570 166,415 115,386 71,099 181,572 163,585 150,613 495,770 566,869 Rent (76,519) (77,324) (76,762) (80,921) (81,048) (80,209) (80,192) (241,449) (322,370) EBITDA 87,051 89,091 38,624 (9,822) 100,524 83,376 70,421 254,321 244,499 Depreciation and amortization (41,598) (38,554) (36,507) (37,547) (39,337) (39,442) (39,023) (117,802) (155,349) Interest, net (28,074) (27,600) (24,389) (23,900) (25,616) (78,081) (22,173) (125,870) (149,770) Income (loss) from continuing operations before income taxes 17,379 22,937 (22,272) (71,269) 35,571 (34,147) 9,225 10,649 (60,620) Provision (benefit) for income taxes 6,505 9,208 (6,510) (20,522) 13,585 (13,082) 3,079 3,582 (16,940) Income (loss) from continuing operations $10,874 $13,729 ($15,762) ($50,747) $21,986 ($21,065) $6,146 $7,067 ($43,680) 2013 Quarters |
28 Reconciliation of Kindred Non-GAAP Measures (continued) ($ in thousands) 2010 2011 2012 Revenues 4,359,697 $ 5,521,763 $ 6,181,291 $ Operating income (EBITDAR) 574,623 581,364 743,630 Rent (357,372) (399,257) (428,979) EBITDA 217,251 182,107 314,651 Depreciation and amortization (121,552) (165,594) (201,068) Interest, net (5,845) (79,888) (106,842) Income (loss) from continuing operations before income taxes 89,854 (63,375) 6,741 Provision (benefit) for income taxes 33,708 (7,104) 39,112 Income (loss) from continuing operations 56,146 $ (56,271) $ (32,371) $ * All amounts are as originally reported on each respective Form 10-K. |
Reconciliation of Kindred Non-GAAP Measures (continued) 29 (in thousands) 2013 2012 2011 2014 2013 Consolidated operating data: Revenues: Hospital division $ 2,465,560 $ 2,543,829 $ 2,227,048 $ 1,888,066 $ 1,858,572 $ 2,495,054 Nursing center division 1,070,828 1,071,512 1,085,268 837,718 800,748 1,107,798 Rehabilitation division: Skilled nursing rehabilitation services 997,007 1,007,335 766,973 755,286 753,727 998,566 Hospital rehabilitation services 286,613 293,580 200,824 224,096 212,596 298,113 Care management division 224,927 143,340 60,736 261,876 158,461 328,342 Eliminations (209,350) (203,454) (180,741) (161,023) (158,195) (212,178) Totals $ 4,835,585 $ 4,856,142 $ 4,160,108 $ 3,806,019 $ 3,625,909 $ 5,015,695 Income (loss) from continuing operations: Operating income (loss): Hospital division $ 516,130 $ 555,333 $ 452,978 $ 400,017 $ 389,342 $ 526,805 Nursing center division 132,253 136,923 150,028 111,530 96,668 147,115 Rehabilitation division: Skilled nursing rehabilitation services 41,913 72,293 54,678 55,862 27,653 70,122 Hospital rehabilitation services 73,925 69,745 43,731 58,177 55,920 76,182 Care management division 9,963 13,708 3,103 18,551 7,832 20,682 Corporate: Overhead (176,495) (179,063) (174,800) (137,588) (127,938) (186,145) Insurance subsidiary (1,914) (2,127) (2,306) (1,486) (1,375) (2,025) Impairment charges (77,193) (108,953) (73,554) - (1,066) (76,127) Transaction costs (2,112) (2,231) (50,706) (9,293) (1,665) (9,740) Operating income (EBITDAR) 516,470 555,628 403,152 495,770 445,371 566,869 Rent (311,526) (303,564) (276,540) (241,449) (230,605) (322,370) EBITDA 204,944 252,064 126,612 254,321 214,766 244,499 Depreciation and amortization (154,206) (160,066) (126,905) (117,802) (116,659) (155,349) Interest, net (103,963) (106,839) (79,854) (125,870) (80,063) (149,770) Income (loss) from continuing operations before income taxes (53,225) (14,841) (80,147) 10,649 18,044 (60,620) Provision (benefit) for income taxes (11,319) 30,642 (13,604) 3,582 9,203 (16,940) Income (loss) from continuing operations (41,906) (45,483) (66,543) 7,067 8,841 (43,680) (Earnings) loss attributable to noncontrolling interests (3,890) (1,382) 81 (13,729) (1,424) (16,195) Income (loss) from continuing operations attributable to Kindred $ (45,796) $ (46,865) $ (66,462) $ (6,662) $ 7,417 $ (59,875) Twelve months ended September 30, 2014 Year ended December 31, Nine months ended September 30, |
(in thousands) 2013 2012 2011 2014 2013 $ $ $ Depreciation and amortization 154,206 160,066 126,905 117,802 116,659 155,349 Interest, net 103,963 106,839 79,854 125,870 80,063 149,770 Provision (benefit) for income taxes (11,319) 30,642 (13,604) 3,582 9,203 (16,940) Kindred EBITDA 204,944 252,064 126,612 254,321 214,766 244,499 Impairment charges 76,082 107,899 73,554 - - 76,082 Litigation costs 30,850 5,000 - 4,600 23,850 11,600 One-time bonus costs 19,842 - - - 19,842 - Facility closing costs 6,542 - 1,490 - 6,043 499 Customer bankruptcy costs - - - 1,857 - 1,857 Severance, retirement and other restructuring costs 6,016 8,730 16,769 6,636 2,353 10,299 Lease cancellation charges - 1,691 1,819 247 - 247 Transaction costs 2,112 2,231 33,937 9,293 1,665 9,740 Kindred Adjusted EBITDA $ 346,388 $ 377,615 $ 254,181 $ 276,954 $ 268,519 354,823 Gentiva Adjusted EBITDA 163,347 $ Estimated cost savings in year one 35,000 $ Kindred EBITDA $ 204,944 $ 252,064 $ 126,612 $ 254,321 $ 214,766 $ 244,499 Rent expense 311,526 303,564 276,540 241,449 230,605 322,370 Kindred EBITDAR $ 516,470 $ 555,628 $ 403,152 $ 495,770 $ 445,371 $ 566,869 Kindred Adjusted EBITDA $ 346,388 $ 377,615 $ 254,181 $ 276,954 $ 268,519 $ 354,823 Rent expense, less lease cancellation charges 311,526 301,873 274,721 241,202 230,605 322,123 Kindred Adjusted EBITDAR $ 657,914 $ 679,488 $ 528,902 $ 518,156 $ 499,124 676,946 Gentiva Adjusted EBITDAR 208,068 $ Estimated cost savings in year one 35,000 $ (43,680) Twelve months ended September 30, 2014 (66,543) $ 8,841 Income (loss) from continuing operations (41,906) $ (45,483) Year ended December 31, Nine months ended September 30, $ 7,067 Kindred Acquisition Adjusted EBITDA 518,170 885,014 Kindred Acquisition Adjusted EBITDA - pro forma with cost savings 553,170 Kindred Acquisition Adjusted EBITDAR - pro forma with cost savings 920,014 Kindred Acquisition Adjusted EBITDAR Reconciliation of Kindred Non-GAAP Measures (continued) 30 |
Gentiva Reconciliation of Non-GAAP Measures 31 (in thousands) 2013 2014 2013 Consolidated statement of income data: Home Health $ 965,848 $ 793,467 $ 706,141 $ 1,053,174 Hospice 715,190 519,073 534,366 699,897 Community Care 45,606 171,011 - 216,617 Net Revenue $ 1,726,644 $ 1,483,551 $ 1,240,507 $ 1,969,688 Cost of services sold 942,180 811,077 660,998 1,092,259 Gross profit 784,464 672,474 579,509 877,429 Selling, general and administrative expenses (706,227) (567,722) (483,243) (790,706) Goodwill and other long-lived asset impairment (612,380) - (210,672) (401,708) Interest income 2,704 1,899 2,066 2,537 Interest expense and other (113,088) (75,805) (68,849) (120,044) Income (loss) from continuing operations before income taxes and equity in net (loss) earnings of CareCentrix Holdings, Inc. (644,527) 30,846 (181,189) (432,492) Income tax (expense) benefit 39,953 (12,499) (2,827) 30,281 Equity in net (loss) earnings of CareCentrix Holdings, Inc. - (490) - (490) Net income (loss) from continuing operations (604,574) 17,857 (184,016) (402,701) Net income attributable to noncontrolling interests (487) (170) (425) (232) $ $ Twelve months ended September 30, 2014 (402,933) Net income (loss) from continuing operations attributable to Gentiva shareholders (605,061) Year ended December 31, Nine months ended September 30, $ (184,441) $ 17,687 |
Gentiva Reconciliation of Non-GAAP Measures (continued) 32 (in thousands) 2013 2014 2013 $ $ Interest, net 110,384 73,906 66,783 117,507 Depreciation and amortization 24,621 21,207 14,541 31,287 Gentiva EBITDA (509,522) 125,959 (99,865) (283,698) Impairment charges 612,380 - 210,672 Cost savings initiatives and other restructuring costs 8,742 4,317 262 Acquisition, merger and integration costs 18,797 8,466 2,322 24,941 Impact of closed locations 4,565 3,034 - 7,599 Gentiva Adjusted EBITDA $ 134,962 $ 141,776 $ 113,391 $ 163,347 Gentiva EBITDA $ (509,522) $ 125,959 $ (99,865) $ (283,698) Rent expense 43,370 33,467 30,584 46,253 Gentiva EBITDAR $ (466,152) $ 159,426 $ (69,281) $ (237,445) Gentiva Adjusted EBITDA $ 134,962 $ 141,776 $ 113,391 $ 163,347 Rent expense, excluding certain charges 42,351 32,954 30,584 44,721 Gentiva Adjusted EBITDAR $ 177,313 $ 174,730 $ 143,975 $ 208,068 401,708 12,797 $ 30,846 $ (181,189) Nine months ended September 30, Income (loss) from continuing operations before income taxes and equity in net (loss) earnings of CareCentrix Holdings, Inc. (644,527) Twelve months ended September 30, 2014 (432,492) Year ended December 31, |
33 Centerre Reconciliation of Non-GAAP Measures ($ In Thousands) Twelve months ended Sept. 30, 2014 Estimated 2014 Revenues $183,438 $198,513 Operating income (EBITDAR) $48,797 $48,337 Rent 18,030 20,199 EBITDA 30,767 28,138 Depreciation and amortization 3,177 3,060 Interest, net 582 500 Income from continuing operations before income taxes 27,008 24,578 Provision for income taxes 4,848 4,300 Income from continuing operations 22,160 20,278 Earnings attributable to noncontrolling interests (14,937) (13,871) Income from continuing operations attributable to Centerre $7,223 $6,407 |
J.P. Morgan Annual Healthcare Conference January 2015 |