- ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 1997 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO . COMMISSION FILE NUMBER 1-10989 VENCOR, INC. (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER) DELAWARE 61-1055020 (STATE OR OTHER JURISDICTION OF (I.R.S. EMPLOYER INCORPORATION OR ORGANIZATION) IDENTIFICATION NO.) 400 WEST MARKET STREET LOUISVILLE, KY 40202 (ADDRESS OF PRINCIPAL EXECUTIVE (ZIP CODE) OFFICES) (502) 596-7300 (REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. CLASS OF COMMON STOCK OUTSTANDING AT SEPTEMBER 30, 1997 ---------------------------- --------------------------------- Common stock, $.25 par value 69,745,314 shares - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 1 of 21 VENCOR, INC. FORM 10-Q INDEX PAGE ---- PART I. FINANCIAL INFORMATION Item 1. Financial Statements: Condensed Consolidated Statement of Income -- for the quarter and nine months ended September 30, 1997 and 1996.............. 3 Condensed Consolidated Balance Sheet -- September 30, 1997 and December 31, 1996.............................................. 4 Condensed Consolidated Statement of Cash Flows -- for the nine months ended September 30, 1997 and 1996.................................... 5 Notes to Condensed Consolidated Financial Statements............ 6 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations.......................................... 11 Item 3. Quantitative and Qualitative Disclosure About Market Risk....... 20 PART II. OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K................................ 20 2 VENCOR, INC. CONDENSED CONSOLIDATED STATEMENT OF INCOME FOR THE QUARTER AND NINE MONTHS ENDED SEPTEMBER 30, 1997 AND 1996 (UNAUDITED) (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) QUARTER NINE MONTHS ------------------ ---------------------- 1997 1996 1997 1996 -------- -------- ---------- ---------- Revenues.......................... $844,740 $650,551 $2,303,731 $1,911,442 -------- -------- ---------- ---------- Salaries, wages and benefits...... 479,962 372,524 1,326,341 1,111,547 Supplies.......................... 81,148 64,967 224,509 191,150 Rent.............................. 23,954 19,681 64,685 57,950 Other operating expenses.......... 131,977 105,275 360,698 300,227 Depreciation and amortization..... 33,385 24,787 87,236 74,426 Interest expense.................. 34,773 11,884 66,107 36,505 Investment income................. (1,759) (3,132) (5,072) (10,010) -------- -------- ---------- ---------- 783,440 595,986 2,124,504 1,761,795 -------- -------- ---------- ---------- Income from operations before income taxes..................... 61,300 54,565 179,227 149,647 Provision for income taxes........ 24,398 21,007 71,333 57,614 -------- -------- ---------- ---------- Income from operations............ 36,902 33,558 107,894 92,033 Extraordinary loss on extinguishment of debt, net of income tax benefit........ (346) - (4,195) - -------- -------- ---------- ---------- Net income..................... $ 36,556 $ 33,558 $ 103,699 $ 92,033 ======== ======== ========== ========== Earnings per common and common equivalent share: Primary: Income from operations.......... $ 0.52 $ 0.48 $ 1.52 $ 1.30 Extraordinary loss on extinguishment of debt......... (0.01) - (0.06) - -------- -------- ---------- ---------- Net income..................... $ 0.51 $ 0.48 $ 1.46 $ 1.30 ======== ======== ========== ========== Fully diluted: Income from operations.......... $ 0.52 $ 0.48 $ 1.52 $ 1.30 Extraordinary loss on extinguishment of debt......... (0.01) - (0.06) - -------- -------- ---------- ---------- Net income..................... $ 0.51 $ 0.48 $ 1.46 $ 1.30 ======== ======== ========== ========== Shares used in computing earnings per common and common equivalent share: Primary.......................... 71,266 70,028 70,857 70,800 Fully diluted.................... 71,277 70,028 71,043 70,800 See accompanying notes. 3 VENCOR, INC. CONDENSED CONSOLIDATED BALANCE SHEET (UNAUDITED) (IN THOUSANDS, EXCEPT SHARE AMOUNTS) SEPTEMBER 30, DECEMBER 31, 1997 1996 ------------- ------------ ASSETS Current assets: Cash and cash equivalents.......................... $ 73,995 $ 112,466 Accounts and notes receivable less allowance for loss of $46,850 -- September 30 and $23,915 -- December 31................................................ 664,857 420,758 Inventories........................................ 35,731 24,939 Income taxes....................................... 103,363 67,808 Other.............................................. 50,408 35,162 ---------- ---------- 928,354 661,133 Property and equipment, at cost..................... 1,910,212 1,609,770 Accumulated depreciation............................ (459,616) (416,608) ---------- ---------- 1,450,596 1,193,162 Intangible assets less accumulated amortization of $31,895 -- September 30 and $25,218 -- December 31......................... 720,040 31,608 Investments in affiliates........................... 175,915 7,965 Other............................................... 73,302 74,988 ---------- ---------- $3,348,207 $1,968,856 ========== ========== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable................................... $ 109,801 $ 103,518 Salaries, wages and other compensation............. 150,570 111,366 Other accrued liabilities.......................... 140,244 71,434 Long-term debt due within one year................. 27,385 54,692 ---------- ---------- 428,000 341,010 Long-term debt...................................... 1,890,279 710,507 Deferred credits and other liabilities.............. 77,969 84,053 Minority interest in equity of consolidated entities........................................... 3,048 36,195 Stockholders' equity: Common stock, $.25 par value; authorized 180,000 shares; issued 73,168 shares -- September 30 and 72,615 shares -- December 31............................ 18,292 18,154 Capital in excess of par value..................... 757,671 713,527 Retained earnings.................................. 254,569 150,870 ---------- ---------- 1,030,532 882,551 Common treasury stock; 3,423 shares -- September 30 and 3,730 shares -- December 31....................... (81,621) (85,460) ---------- ---------- 948,911 797,091 ---------- ---------- $3,348,207 $1,968,856 ========== ========== See accompanying notes. 4 VENCOR, INC. CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE NINE MONTHS ENDED SEPTEMBER 30, 1997 AND 1996 (UNAUDITED) (IN THOUSANDS) 1997 1996 ---------- ---------- Cash flows from operating activities: Net income............................................ $ 103,699 $ 92,033 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization........................ 87,236 74,426 Extraordinary loss on extinguishment of debt......... 6,829 - Deferred income taxes................................ 14,028 651 Other................................................ (11,461) 8,809 Changes in operating assets and liabilities: Accounts and notes receivable....................... (86,020) (40,364) Inventories and other assets........................ (3,462) 2,020 Accounts payable.................................... (10,395) 14,634 Income taxes........................................ 48,209 44,019 Other accrued liabilities........................... 9,552 (30,823) ---------- ---------- Net cash provided by operating activities.......... 158,215 165,405 ---------- ---------- Cash flows from investing activities: Purchase of property and equipment.................... (202,145) (85,437) Acquisition of TheraTx, Incorporated.................. (357,149) - Acquisition of Transitional Hospitals Corporation..... (607,871) - Acquisition of other healthcare businesses and previously leased facilities......................... (36,630) (26,236) Sale of assets........................................ 44,613 9,103 Collection of notes receivable........................ 3,428 54,589 Net change in investments............................. (4,595) (445) Other................................................. (17,023) (1,590) ---------- ---------- Net cash used in investing activities.............. (1,177,372) (50,016) ---------- ---------- Cash flows from financing activities: Net change in borrowings under revolving lines of credit............................................... 388,500 1,000 Issuance of long-term debt............................ 734,630 7,865 Repayment of long-term debt........................... (129,444) (24,377) Payment of deferred financing costs................... (21,425) (1,816) Public offering of common stock....................... - 53,089 Issuances of common stock............................. 8,631 1,379 Repurchase of common stock............................ - (43,681) Other................................................. (206) (46) ---------- ---------- Net cash provided by (used in) financing activities........................................ 980,686 (6,587) ---------- ---------- Change in cash and cash equivalents.................... (38,471) 108,802 Cash and cash equivalents at beginning of period....... 112,466 35,182 ---------- ---------- Cash and cash equivalents at end of period............. $ 73,995 $ 143,984 ========== ========== Supplemental information: Interest payments..................................... $ 50,499 $ 38,692 Income tax payments................................... 10,940 23,553 See accompanying notes. 5 VENCOR, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) NOTE 1 -- REPORTING ENTITY Vencor, Inc. ("Vencor" or the "Company") operates an integrated network of healthcare services in 46 states primarily focused on the needs of the elderly. At September 30, 1997, Vencor operated 60 long-term acute care hospitals (5,302 licensed beds), 310 nursing centers (40,608 licensed beds), a contract services business ("Vencare") which provides respiratory and rehabilitation therapies, medical services and pharmacy management services to nursing centers and other healthcare providers, and through its affiliate, Atria Communities, Inc. ("Atria"), 37 assisted and independent living communities with 3,890 units. On March 21, 1997, Vencor completed the acquisition of TheraTx, Incorporated ("TheraTx"), a provider of rehabilitation and respiratory therapy management services and operator of nursing centers (the "TheraTx Merger"), pursuant to a cash tender offer. See Note 5. On June 24, 1997, Vencor acquired substantially all of the outstanding common stock of Transitional Hospitals Corporation ("Transitional"), an operator of 19 long-term acute care hospitals, pursuant to a cash tender offer. Vencor completed the merger of its wholly owned subsidiary with and into Transitional on August 26, 1997 (the "Transitional Merger"). See Note 6. NOTE 2 -- BASIS OF PRESENTATION The TheraTx Merger and Transitional Merger have been accounted for by the purchase method, which requires that the accounts of acquired entities be included with those of Vencor since the acquisition of a controlling interest. Accordingly, the accompanying condensed consolidated financial statements include the operations of TheraTx and Transitional since March 21, 1997 and June 24, 1997, respectively. In July 1997, Atria issued 6.9 million shares of its common stock in a public offering (the "Atria Offering"). Atria intends to use the net proceeds from the Atria Offering, approximately $91 million, to finance the development and acquisition of assisted living communities and for general corporate purposes. The Company now owns approximately 43% of the outstanding common stock of Atria. Accordingly, the operations of Atria, which were consolidated with those of the Company prior to the Atria Offering, have been accounted for under the equity method since July 1, 1997. The accompanying condensed consolidated financial statements do not include all of the disclosures normally required by generally accepted accounting principles or those normally required in annual reports on Form 10-K. Accordingly, these statements should be read in conjunction with the audited consolidated financial statements of Vencor for the year ended December 31, 1996 filed with the Securities and Exchange Commission on Form 10-K. The accompanying condensed consolidated financial statements have been prepared in accordance with Vencor's customary accounting practices and have not been audited. Management believes that the financial information included herein reflects all adjustments necessary for a fair presentation of interim results and that all such adjustments are of a normal and recurring nature. Certain prior year amounts have been reclassified to conform with the current year presentation. 6 VENCOR, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (UNAUDITED) NOTE 3 -- REVENUES Revenues are recorded based upon estimated amounts due from patients and third-party payors for healthcare services provided, including anticipated settlements under reimbursement agreements with Medicare, Medicaid and other third-party payors. A summary of revenues by payor type follows (dollars in thousands): QUARTER NINE MONTHS ------------------ ---------------------- 1997 1996 1997 1996 -------- -------- ---------- ---------- Medicare...................... $304,291 $206,270 $ 783,558 $ 607,753 Medicaid...................... 216,942 212,978 623,316 611,835 Private and other............. 341,890 243,080 945,782 723,034 -------- -------- ---------- ---------- 863,123 662,328 2,352,656 1,942,622 Elimination................... (18,383) (11,777) (48,925) (31,180) -------- -------- ---------- ---------- $844,740 $650,551 $2,303,731 $1,911,442 ======== ======== ========== ========== NOTE 4 -- EARNINGS PER SHARE The computation of earnings per common and common equivalent share is based upon the weighted average number of common shares outstanding adjusted for the dilutive effect of common stock equivalents consisting primarily of stock options. In February 1997, the Financial Accounting Standards Board issued Statement No. 128 "Earnings Per Share," which will require Vencor to change the current method of computing earnings per common share and restate all prior periods. Statement No. 128 is required to be adopted on December 31, 1997 and requires, among other things, that the calculation of primary earnings per common share exclude the dilutive effect of common stock options. The change in the calculation method is not expected to have a material impact on previously reported earnings per common share. NOTE 5 -- THERATX MERGER On March 21, 1997, the TheraTx Merger was consummated following a cash tender offer in which Vencor paid $17.10 for each outstanding share of TheraTx common stock. A summary of the TheraTx Merger follows (dollars in thousands): Fair value of assets acquired................................... $627,789 Fair value of liabilities assumed............................... 255,725 -------- Net assets acquired........................................... 372,064 Cash received from acquired entity.............................. (14,915) -------- Net cash paid................................................. $357,149 ======== The purchase price paid in excess of the fair value of identifiable net assets acquired (to be amortized over 40 years by the straight-line method) aggregated $312 million. 7 VENCOR, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (UNAUDITED) NOTE 6 -- TRANSITIONAL MERGER On June 24, 1997, Vencor acquired approximately 95% of the outstanding shares of common stock of Transitional through a cash tender offer in which Vencor paid $16.00 per common share. Vencor completed the merger of its wholly owned subsidiary with and into Transitional on August 26, 1997. A summary of the Transitional Merger follows (dollars in thousands): Fair value of assets acquired................................... $710,114 Fair value of liabilities assumed............................... 49,369 -------- Net assets acquired........................................... 660,745 Cash received from acquired entity.............................. (52,874) -------- Net cash paid................................................. $607,871 ======== The purchase price paid in excess of the fair value of identifiable net assets acquired (to be amortized over 40 years by the straight-line method) aggregated $335 million. NOTE 7 -- PRO FORMA INFORMATION The pro forma effect of the TheraTx Merger and Transitional Merger assuming that the transactions occurred on January 1, 1996 follows (dollars in thousands, except per share amounts): NINE MONTHS ENDED SEPTEMBER 30, --------------------- 1997 1996 ---------- ---------- Revenues........................................... $2,552,001 $2,589,385 Income from operations............................. 71,212 115,167 Net income......................................... 67,017 115,167 Earnings per common and common equivalent share: Primary: Income from operations........................... $ 1.01 $ 1.63 Net income....................................... 0.95 1.63 Fully diluted: Income from operations........................... $ 1.00 $ 1.63 Net income....................................... 0.94 1.63 For both periods presented, pro forma financial data have been derived by combining the financial results of Vencor and TheraTx (based upon nine month reporting periods ending on September 30) and Transitional (based upon nine month reporting periods ending on August 31). Pro forma income from operations for 1997 includes costs incurred by both TheraTx and Transitional in connection with the acquisitions which reduced net income by $29.7 million. Pro forma income from operations for 1996 include a gain on the sale of Transitional's United Kingdom psychiatric hospitals aggregating $33 million. 8 VENCOR, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (UNAUDITED) NOTE 8 -- LONG-TERM DEBT In connection with the TheraTx Merger, Vencor entered into a new five-year bank credit facility (the "Vencor Credit Facility") aggregating $1.75 billion on March 31, 1997, replacing a $1.0 billion bank credit facility. On June 24, 1997, the Vencor Credit Facility was amended to increase the amount of the credit to $2.0 billion. Interest is payable, depending on certain leverage ratios and the period of borrowing, at rates up to either (i) the prime rate plus 1/2% or the daily federal funds rate plus 1%, (ii) LIBOR plus 1 1/8% or (iii) the bank certificate of deposit rate plus 1 1/4%. The Vencor Credit Facility is collateralized by the capital stock of certain subsidiaries and intercompany borrowings and contains covenants which require, among other things, maintenance of certain financial ratios and limit amounts of additional debt and repurchases of common stock. Outstanding borrowings under the Vencor Credit Facility approximated $1.1 billion at September 30, 1997. On July 21, 1997, Vencor completed the private placement of $750 million aggregate principal amount of 8 5/8% Senior Subordinated Notes due 2007 (the "Notes"). The Notes were issued at 99.575% of face value and are not callable by the Company until 2002. The net proceeds of the offering were used to reduce outstanding borrowings under the Vencor Credit Facility. In connection with the issuance of the Notes, the Company initiated an offer on October 8, 1997 to exchange the Notes for publicly registered Notes having identical terms and conditions. In connection with the TheraTx Merger and the Transitional Merger, Vencor refinanced a substantial portion of its long-term debt. These transactions resulted in after-tax losses of $2.3 million, $1.6 million and $346,000 in the first, second and third quarters of 1997, respectively. The Company entered into certain interest rate swap agreements in the fourth quarter of 1995 to eliminate the impact of changes in interest rates on $400 million of floating rate debt outstanding. The agreements expire in varying amounts through April 1998 and provide for fixed rates at 5.7% plus 3/8% to 1 1/8%. In addition, the Company entered into interest rate swap agreements in May 1997 on $300 million of floating rate debt. These agreements expire in $100 million increments in May 1999, November 1999 and May 2000, and provide for fixed rates at 6.4% plus 3/8% to 1 1/8%. The fair values of the swap agreements are not recognized in the condensed consolidated financial statements. NOTE 9 -- LITIGATION The Company's subsidiary, American X-Rays, Inc. ("AXR"), is the defendant in a qui tam lawsuit which was filed in the United States District Court for the Eastern District of Arkansas and served on the Company on July 7, 1997. The United States Department of Justice intervened in the suit which was brought under the Federal Civil False Claims Act. AXR provides portable X-ray services to nursing facilities (including those operated by the Company) and other healthcare providers. The Company acquired an interest in AXR when The Hillhaven Corporation was merged into the Company in September 1995 and purchased the remaining interest in AXR in February 1996. The suit alleges that AXR submitted false claims to the Medicare and Medicaid programs. In conjunction with the qui tam action, the United States Attorney's office for the Eastern District of Arkansas also is conducting a criminal investigation into the allegations contained in the qui tam complaint. The Company is cooperating fully in the investigation. On June 19, 1997, a class action lawsuit was filed in the United States District Court for the District of Nevada on behalf of a class consisting of all persons who sold shares of Transitional during the period from February 26, 1997 through May 4, 1997, inclusive. The complaint alleges that Transitional purchased shares of 9 VENCOR, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (UNAUDITED) NOTE 9 -- LITIGATION (CONTINUED) its common stock from members of the investing public after it had received a written offer to acquire all of Transitional's common stock and without making the required disclosure that such an offer had been made. The complaint further alleges that defendants disclosed that there were "expressions of interest" in acquiring Transitional when, in fact, at that time, the negotiations had reached an advanced stage with actual firm offers at substantial premiums to the trading price of Transitional's stock having been made which were actively being considered by Transitional's Board of Directors. The complaint asserts claims pursuant to Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended, and common law principles of negligent misrepresentation and names as defendants Transitional as well as certain former senior executives and directors of Transitional. The Company is vigorously defending this action. On June 6, 1997, Transitional announced that it had been advised that it is a target of a grand jury investigation being conducted by the United States Attorney's Office for the District of Massachusetts arising from activities of Transitional's formerly owned dialysis business. The investigation involves an alleged illegal arrangement in the form of a partnership which existed from June 1987 to June 1992 between Damon Corporation and Transitional. Transitional spun off its dialysis business, now called Vivra Incorporated, on September 1, 1989. The Company is cooperating fully in the investigation. NOTE 10 -- ASSET DISPOSITIONS On September 15, 1997, Vencor announced that Behavioral Healthcare Corporation ("BHC") had entered into a definitive agreement to merge with a subsidiary of Charter Behavioral Health Systems ("CBHS"). Vencor acquired a 61% ownership interest in BHC as part of the Transitional Merger. Vencor's proceeds from the transaction, expected to approximate $140 million, will be used to reduce outstanding borrowings. Under the terms of the agreement, CBHS will acquire all of the issued and outstanding capital stock of BHC for cash. This transaction, which is subject to acceptable financing, due diligence by CBHS and certain regulatory approvals, is expected to close during the fourth quarter of 1997. On September 30, and October 1, 1997, Vencor completed the sale of certain non-strategic assets acquired in connection with the TheraTx Merger. Proceeds from these transactions of approximately $40 million were used to reduce outstanding borrowings in October 1997. For accounting purposes, no gain or loss will be recorded as a result of these dispositions. The underlying valuation of the Company's investment in such assets, which will be determined from the dispositions, will be adjusted by the purchase method of accounting applied in connection with the respective acquisition. NOTE 11 -- SUBSEQUENT EVENT On October 23, 1997, the Board of Directors authorized the repurchase of up to 3,000,000 shares of Vencor common stock. 10 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS BACKGROUND INFORMATION Vencor is one of the nation's largest providers of healthcare services focused primarily on the needs of the elderly. At September 30, 1997, Vencor operated 60 long-term acute care hospitals (5,302 licensed beds), 310 nursing centers (40,608 licensed beds) and Vencare contract services which provided respiratory and rehabilitation therapies, medical services and pharmacy management services under approximately 4,160 contracts to nursing centers and other healthcare providers. The Company also operated 37 assisted and independent living communities with 3,890 units through its Atria affiliate. On March 21, 1997, the TheraTx Merger was completed. TheraTx primarily provided rehabilitation and respiratory therapy management services and operated 26 nursing centers with annualized revenues approximating $425 million. See Note 5 of the Notes to Condensed Consolidated Financial Statements. On June 24, 1997, Vencor acquired a controlling interest in Transitional and, on August 26, 1997, completed the Transitional Merger. Transitional primarily operated 19 long-term acute care hospitals with annualized revenues approximating $350 million. See Note 6 of the Notes to Condensed Consolidated Financial Statements. In July 1997, the Atria Offering was completed. The Company now owns approximately 43% of the outstanding common stock of Atria. Accordingly, the operations of Atria, which were consolidated with those of the Company prior to the Atria Offering, have been accounted for under the equity method since July 1, 1997. RESULTS OF OPERATIONS A summary of revenues follows (dollars in thousands): QUARTER NINE MONTHS ------------------ % ---------------------- % 1997 1996 CHANGE 1997 1996 CHANGE -------- -------- ------ ---------- ---------- ------ Hospitals............... $233,993 $144,228 62.2 $ 554,687 $ 412,887 34.3 Nursing centers......... 445,943 409,258 9.0 1,282,521 1,195,883 7.2 Vencare................. 183,187 95,804 91.2 484,249 295,366 63.9 Atria................... - 13,038 31,199 38,486 -------- -------- ---------- ---------- 863,123 662,328 30.3 2,352,656 1,942,622 21.1 Elimination............. (18,383) (11,777) (48,925) (31,180) -------- -------- ---------- ---------- $844,740 $650,551 29.8 $2,303,731 $1,911,442 20.5 ======== ======== ========== ========== Hospital revenue increases in both the third quarter and nine months ended September 30, 1997 resulted primarily from an increase in patient days, improved patient mix and, in the third quarter of 1997, the effect of the Transitional Merger. Revenues and patient days attributable to the Transitional Merger were $65 million and 64,900, respectively. Hospital patient days rose 52% in the third quarter to 219,244 and 24% in the nine month period to 542,424, compared to 144,220 and 438,548 for the respective periods last year. Non-Medicaid patient days (for which payment rates are generally higher than Medicaid) increased 65% in the third quarter to 194,905 from 117,940 last year and 30% for the nine month period to 473,210 from 364,218. Medicaid patient days declined 7% in both the third quarter and nine month period to 24,339 and 69,214 from 26,280 and 74,330, respectively. During the fourth quarter of 1996, the Company entered into an agreement to sell 34 underperforming or non-strategic nursing centers. At September 30, 1997, 28 of these centers had been sold; the remainder are expected to be sold pending certain regulatory approvals. In connection with the TheraTx Merger, Vencor acquired 26 nursing centers on March 21, 1997. Excluding the effect of sales and acquisitions, nursing center revenues increased 4% in both the third quarter and nine month period, while patient days declined 2% in both the third quarter and nine month period compared to last year. The increase in same-store nursing center revenues resulted primarily from price increases. 11 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) RESULTS OF OPERATIONS (CONTINUED) Excluding the effect of sales and acquisitions, nursing center revenue growth was adversely impacted by a 5% and 6% decline in private patient days in the third quarter and first nine months of 1997, respectively. In an effort to attract increased volumes of Medicare and private pay patients, the Company is implementing a plan to expend approximately $200 million by the end of 1998 to improve existing facilities and expand the range of services provided to accommodate higher acuity patients. Vencare revenues for the third quarter and nine months ended September 30, 1997 include approximately $68 million and $143 million, respectively, related to contract rehabilitation therapy and certain other ancillary service businesses acquired as part of the TheraTx Merger. Excluding the TheraTx Merger, Vencare revenues grew 19% in the third quarter and 17% for the nine months primarily as a result of growth in volume of ancillary services provided per contract. Vencare ancillary service contracts in effect at September 30, 1997 totaled 4,160 compared to 4,150 at September 30, 1996. During 1997, the Company terminated approximately 700 contracts which did not meet certain growth criteria and eliminated approximately 670 contracts by combining previously separate pharmacy, enteral and infusion therapy contracts. These transactions did not materially impact Vencare operating results. Pharmacy revenues (included in Vencare operations) declined 1% to $42 million in the third quarter of 1997 from $43 million in the same period last year and 3% in the nine month period to $127 million from $130 million. The decline was primarily attributable to the effects of the restructuring of the institutional pharmacy business initiated in the fourth quarter of 1996 and the sale of the retail pharmacy outlets in January 1997. Third quarter 1997 income from operations totaled $36.9 million ($0.52 per fully diluted share), up 10% from $33.6 million ($0.48 per fully diluted share) for the same period in 1996. For the nine month period, income from operations rose 17% to $107.9 million from $92.0 million in 1996. The increase in both periods was primarily attributable to growth in hospital and Vencare operations and the continuing effect of merger synergies achieved in 1996 in connection with the acquisition of The Hillhaven Corporation. The earnings growth rate in the third quarter of 1997 was less than those reported for the first two quarters of 1997 primarily due to the dilution associated with the Transitional Merger and the issuance of the Notes in July 1997, the proceeds from which were used to repay bank debt averaging 6 3/4%. On October 22, 1997, in connection with the third quarter earnings release, the Company also announced that it expects fourth quarter earnings to approximate $0.40 to $0.45 per share. Excluding the effect of non-recurring charges, the Company reported earnings per share of $0.51 in the fourth quarter of 1996. The downward revision in the earnings estimate is based primarily on management's recently completed analysis of the Balanced Budget Act of 1997 (the "Budget Act") and the expected impact of such legislation on both its business and the long-term healthcare industry in general. As the long-term care industry transitions to the new Medicare prospective payment system (scheduled to be implemented on July 1, 1998), management believes that the volume of ancillary services provided per patient day to nursing center patients could decline and that sales of new contracts are likely to slow from historical levels. Accordingly, management expects that revenue growth rates in its Vencare contract services business may moderate, which could result in declining operating margins in the short term. In addition, in an effort to more rapidly execute its integrated network strategy, the Company expects to accelerate expenditures for marketing its full-service Vencare ancillary service products and implementing its clinical and financial information systems beyond previously anticipated levels. Costs associated with these actions are expected to negatively impact earnings for the remainder of this year and into 1998. See "Healthcare Legislation." 12 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) LIQUIDITY Cash provided by operations totaled $158.2 million for the first nine months of 1997 compared to $165.4 million for the same period of 1996. Despite growth in operating income, cash flows of 1997 were adversely impacted by growth in accounts receivable. Days of revenues in accounts receivable increased to 69 at September 30, 1997 compared to 54 at December 31, 1996. Growth in accounts receivable was primarily related to (i) growth in rehabilitation contracts resulting from the TheraTx Merger (collection periods for which typically require in excess of three months), (ii) delays associated with the conversion of Transitional hospital financial systems and (iii) timing of Medicare lump sum advances. Management has initiated certain procedures to reduce accounts receivable days from current levels. In connection with the TheraTx Merger, Vencor entered into the $1.75 billion Vencor Credit Facility, replacing a $1.0 billion bank credit facility. On June 24, 1997, the Vencor Credit Facility was amended to increase the amount of the credit to $2.0 billion. At September 30, 1997, available borrowings under the Vencor Credit Facility approximated $855 million. As discussed in Note 8 of the Notes to Condensed Consolidated Financial Statements, Vencor completed a $750 million private placement of long-term debt on July 21, 1997. The net proceeds of the offering were used to reduce outstanding borrowings under the Vencor Credit Facility. Working capital totaled $500.4 million at September 30, 1997 compared to $320.1 million at December 31, 1996. Management believes that cash flows from operations and amounts available under the Vencor Credit Facility are sufficient to meet the Company's future expected liquidity needs. At September 30, 1997, the Company's ratio of debt to debt and equity totaled 67%. As discussed in Note 11 of the Notes to Condensed Consolidated Financial Statements, the Board of Directors authorized the repurchase of up to 3,000,000 shares of Vencor common stock. The Company expects to finance the repurchase from available borrowings under the Vencor Credit Facility. Proceeds from the sale of certain non-strategic assets acquired from TheraTx and Transitional will be used to repay long-term debt. See Note 10 of the Notes to Condensed Consolidated Financial Statements. CAPITAL RESOURCES Excluding acquisitions, capital expenditures totaled $202.1 million for the first nine months of 1997 (including $23 million related to Atria) compared to $85.4 million for the same period of 1996. Planned capital expenditures in 1997 (excluding amounts for acquisitions) related to hospitals, nursing centers and Vencare are expected to approximate $230 million and include significant expenditures related to nursing center improvements. Management believes that its capital expenditure program is adequate to expand, improve and equip existing facilities. At September 30, 1997, the estimated cost to complete and equip construction in progress approximated $75 million. During 1997, Vencor expended approximately $357 million and $608 million in connection with the TheraTx Merger and the Transitional Merger, respectively. These acquisitions were financed primarily through the issuance of long-term debt. See Notes 5 and 6 of the Notes to Condensed Consolidated Financial Statements for a discussion of these acquisitions. Vencor also expended $36.6 million for the acquisition of new and previously leased facilities in the first nine months of 1997 compared to $26.2 million in the same period in 1996. Subject to certain limitations related to management's plans to reduce long-term debt discussed above, the Company intends to acquire additional hospitals, nursing centers and ancillary service businesses in the future. Capital expenditures were financed primarily through internally generated funds and, in 1997, from proceeds from the issuance of the Notes and borrowings under the Vencor Credit Facility. Vencor intends to finance a substantial portion of its capital expenditures with internally generated funds and long-term debt. Sources of capital include available borrowings under the Vencor Credit Facility, public or private debt and equity. 13 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) HEALTHCARE LEGISLATION The Budget Act, enacted in August 1997, contains extensive changes to the Medicare and Medicaid programs intended to reduce payments under those programs by $115 billion and $13 billion, respectively, over the next five years. Under the Budget Act, annual growth rates for Medicare were reduced from over 10% to approximately 7.5% for the next five years based on specific program baseline projections from the last five years. Virtually all spending reductions will come from providers and changes in program components. The Budget Act affects reimbursement systems for each of the Company's operating units. The Budget Act will reduce payments to many of the Company's facilities, including, but not limited to, payments made to the Company's hospitals, by reducing incentive payments pursuant to the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), reducing allowable costs for capital expenditures and bad debts and reducing payments for services to patients transferred from a prospective payment system hospital. The Budget Act also requires the establishment of a prospective payment system for nursing centers for cost reporting periods beginning on or after July 1, 1998. During the first three years, the per diem rates for nursing centers will be based on a blend of facility-specific costs and Federal costs. Thereafter, the per diem rates will be based solely on Federal costs. The rates for such services have not been established or published. The prospective payment system also will cover ancillary services provided to nursing center patients under the Company's Vencare contract services business. The Budget Act also requires the establishment of an interim prospective payment system for home health services for cost reporting periods beginning on or after October 1, 1997. The interim system will establish per visit limits and per beneficiary annual limits. A permanent prospective payment system for home health services will be established by October 1, 1999. In March 1997, the Health Care Financing Administration ("HCFA") issued a proposed rule to change Medicare reimbursement guidelines for therapy services provided by the Company (including the rehabilitation contract therapy business acquired as part of the TheraTx Merger). Under the proposed rule, HCFA would revise the current salary equivalency guidelines for speech and occupational therapy services. The proposed guidelines are based on a blend of data from wage rates for hospitals and nursing facilities, and include salary, fringe benefit and expense factors. Rates are defined by specific geographic market areas, based upon a modified version of the hospital wage index. HCFA is considering comments but has not issued a final rule at this time. The Company cannot predict when the final regulation will be issued or if changes will be made to the proposed guidelines. There also continue to be state legislative proposals that would impose more limitations on government and private payments to providers of healthcare services such as the Company. Many states have enacted or are considering enacting measures that are designed to reduce their Medicaid expenditures and to make certain changes to private healthcare insurance. Some states also are considering regulatory changes that include a moratorium on the designation of additional long-term care hospitals and changes in Medicaid reimbursement system for long-term care hospitals. There are also a number of legislative proposals including cost caps and the establishment of Medicaid prospective payment systems for nursing centers. Moreover, by repealing the Boren Amendment, the Budget Act eases the restrictions on the states' ability to reduce their Medicaid reimbursement levels. There can be no assurance that the Budget Act, proposed salary equivalency rates, future healthcare legislation or other changes in the administration or interpretation of governmental healthcare programs will not have a material adverse effect on the Company's financial condition, results of operations or liquidity. Medicare revenues as a percentage of total revenues were 33% and 31% for the nine months ended September 30, 1997 and 1996, respectively, while Medicaid percentages of revenues approximated 27% and 31% for the respective periods. 14 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) OTHER INFORMATION On June 11, 1997, the Company announced that it had entered into a strategic alliance with CNA Financial Corporation ("CNA") to develop and market a long- term care insurance product. Under this arrangement, CNA will offer a long- term care insurance product which features as a benefit certain discounts for services provided by members of the Company's network of long-term care providers. Members of this network will act as preferred providers of care to covered insureds. CNA will be responsible for underwriting, marketing and distributing the product through its national distribution network and will provide administrative insurance product support. The Company will reinsure 50% of the risk through a newly formed wholly owned insurance company and will provide utilization review services. Management believes that the alliance with CNA will not have a material impact on the Company's liquidity, financial position or results of operations in 1997. Various lawsuits and claims arising in the ordinary course of business are pending against Vencor. Resolution of litigation and other loss contingencies is not expected to have a material adverse effect on Vencor's liquidity, financial position or results of operations. See Note 9 of the Notes to Condensed Consolidated Financial Statements. The Vencor Credit Facility contains customary covenants which require, among other things, maintenance of certain financial ratios and limit amounts of additional debt and repurchases of common stock. Vencor was in compliance with all such covenants at September 30, 1997. As discussed in Note 4 of the Notes to Condensed Consolidated Financial Statements, on December 31, 1997, Vencor will be required to change the method of computing earnings per common share on a retroactive basis. The change in calculation method is not expected to have a material impact on previously reported earnings per common share. Disclosures set forth in this Item 2 include forward-looking statements. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance. Numerous factors exist which, in some cases have affected, and in the future could cause results to differ materially from these expectations. These statements involve risks and uncertainties concerning the implementation and interpretation of the healthcare reform legislation and other factors as detailed from time to time in the Company's filings with the Securities and Exchange Commission, including its Current Report on Form 8-K dated October 21, 1997. 15 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) CONDENSED CONSOLIDATED STATEMENT OF INCOME (UNAUDITED) (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) 1997 QUARTERS ---------------------------- NINE FIRST SECOND THIRD MONTHS -------- -------- -------- ---------- Revenues............................ $680,696 $778,295 $844,740 $2,303,731 -------- -------- -------- ---------- Salaries, wages and benefits........ 396,573 449,806 479,962 1,326,341 Supplies............................ 66,033 77,328 81,148 224,509 Rent................................ 18,948 21,783 23,954 64,685 Other operating expenses............ 109,786 118,935 131,977 360,698 Depreciation and amortization....... 24,372 29,479 33,385 87,236 Interest expense.................... 10,660 20,674 34,773 66,107 Investment income................... (1,567) (1,746) (1,759) (5,072) -------- -------- -------- ---------- 624,805 716,259 783,440 2,124,504 -------- -------- -------- ---------- Income from operations before income taxes.............................. 55,891 62,036 61,300 179,227 Provision for income taxes.......... 21,909 25,026 24,398 71,333 -------- -------- -------- ---------- Income from operations.............. 33,982 37,010 36,902 107,894 Extraordinary loss on extinguishment of debt, net of income tax benefit.......... (2,259) (1,590) (346) (4,195) -------- -------- -------- ---------- Net income....................... $ 31,723 $ 35,420 $ 36,556 $ 103,699 ======== ======== ======== ========== Earnings per common and common equivalent share: Primary: Income from operations............ $ 0.48 $ 0.52 $ 0.52 $ 1.52 Extraordinary loss on extinguishment of debt........... (0.03) (0.02) (0.01) (0.06) -------- -------- -------- ---------- Net income....................... $ 0.45 $ 0.50 $ 0.51 $ 1.46 ======== ======== ======== ========== Fully diluted: Income from operations............ $ 0.48 $ 0.52 $ 0.52 $ 1.52 Extraordinary loss on extinguishment of debt........... (0.03) (0.02) (0.01) (0.06) -------- -------- -------- ---------- Net income....................... $ 0.45 $ 0.50 $ 0.51 $ 1.46 ======== ======== ======== ========== Shares used in computing earnings per common and common equivalent share: Primary............................ 70,207 71,016 71,266 70,857 Fully diluted...................... 70,621 71,144 71,277 71,043 16 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS (UNAUDITED) (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) 1996 QUARTERS -------------------------------------- FIRST SECOND THIRD FOURTH YEAR -------- -------- -------- -------- ---------- Revenues................ $626,337 $634,554 $650,551 $666,341 $2,577,783 -------- -------- -------- -------- ---------- Salaries, wages and benefits............... 372,318 366,705 372,524 379,391 1,490,938 Supplies (a)............ 62,108 64,075 64,967 70,471 261,621 Rent.................... 19,167 19,102 19,681 19,845 77,795 Other operating expenses (a).................... 94,155 100,797 105,275 105,570 405,797 Depreciation and amortization........... 24,793 24,846 24,787 25,107 99,533 Interest expense........ 12,480 12,141 11,884 9,417 45,922 Investment income....... (3,578) (3,300) (3,132) (2,193) (12,203) Non-recurring transactions........... - - - 125,200 125,200 -------- -------- -------- -------- ---------- 581,443 584,366 595,986 732,808 2,494,603 -------- -------- -------- -------- ---------- Income (loss) from operations before income taxes........... 44,894 50,188 54,565 (66,467) 83,180 Provision for income taxes.................. 17,284 19,323 21,007 (22,439) 35,175 -------- -------- -------- -------- ---------- Net income (loss)..... $ 27,610 $ 30,865 $ 33,558 $(44,028) $ 48,005 ======== ======== ======== ======== ========== Earnings (loss) per common and common equivalent share: Primary................ $ 0.39 $ 0.43 $ 0.48 $ (0.64) $ 0.68 Fully diluted.......... $ 0.39 $ 0.43 $ 0.48 $ (0.64) $ 0.68 Shares used in computing earnings (loss) per common and common equivalent share: Primary................ 71,455 71,373 70,028 68,874 (b) 70,702 Fully diluted.......... 71,455 71,373 70,028 68,874 (b) 70,702 - -------- (a) Certain prior year amounts have been reclassified to conform with the current year presentation. (b) Excludes the dilutive effect of common stock equivalents. 17 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) OPERATING DATA (UNAUDITED) 1997 QUARTERS ---------------------------------- NINE FIRST SECOND THIRD MONTHS ---------- ---------- ---------- ---------- REVENUES (IN THOUSANDS): Hospitals....................... $ 154,900 $ 165,794 $ 233,993 $ 554,687 Nursing centers................. 404,253 432,325 445,943 1,282,521 Vencare......................... 119,046 182,016 183,187 484,249 Atria........................... 14,217 16,982 - 31,199 ---------- ---------- ---------- ---------- 692,416 797,117 863,123 2,352,656 Elimination..................... (11,720) (18,822) (18,383) (48,925) ---------- ---------- ---------- ---------- $ 680,696 $ 778,295 $ 844,740 $2,303,731 ========== ========== ========== ========== HOSPITAL DATA: End of period data: Number of hospitals............ 38 58 60 Number of licensed beds........ 3,325 5,107 5,302 Revenue mix %: Medicare....................... 64 61 65 63 Medicaid....................... 10 9 8 9 Private and other.............. 26 30 27 28 Patient days: Medicare....................... 106,646 107,799 152,640 367,085 Medicaid....................... 21,705 23,170 24,339 69,214 Private and other.............. 31,502 32,358 42,265 106,125 ---------- ---------- ---------- ---------- 159,853 163,327 219,244 542,424 ========== ========== ========== ========== NURSING CENTER DATA: End of period data: Number of nursing centers...... 314 311 310 Number of licensed beds........ 40,942 40,869 40,608 Revenue mix %: Medicare....................... 32 32 33 32 Medicaid....................... 43 42 42 43 Private and other.............. 25 26 25 25 Patient days: Medicare....................... 406,642 417,336 400,798 1,224,776 Medicaid....................... 1,962,287 2,039,999 2,078,236 6,080,522 Private and other.............. 663,575 734,593 729,289 2,127,457 ---------- ---------- ---------- ---------- 3,032,504 3,191,928 3,208,323 9,432,755 ========== ========== ========== ========== ANCILLARY SERVICES DATA: End of period data: Number of Vencare contracts.... 4,946 4,524 4,160 18 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) OPERATING DATA (CONTINUED) (UNAUDITED) 1996 QUARTERS ------------------------------------------ FIRST SECOND THIRD FOURTH YEAR --------- --------- --------- --------- ---------- REVENUES (IN THOUSANDS): Hospitals............... $ 130,047 $ 138,612 $ 144,228 $ 138,381 $ 551,268 Nursing centers (a)..... 392,983 393,642 409,258 419,258 1,615,141 Vencare (a)............. 98,937 100,625 95,804 103,702 399,068 Atria................... 12,611 12,837 13,038 13,360 51,846 --------- --------- --------- --------- ---------- 634,578 645,716 662,328 674,701 2,617,323 Elimination............. (8,241) (11,162) (11,777) (8,360) (39,540) --------- --------- --------- --------- ---------- $ 626,337 $ 634,554 $ 650,551 $ 666,341 $2,577,783 ========= ========= ========= ========= ========== HOSPITAL DATA: End of period data: Number of hospitals.... 36 37 37 38 Number of licensed beds.................. 3,225 3,265 3,265 3,325 Revenue mix %: Medicare............... 57 60 58 62 59 Medicaid............... 13 12 14 10 12 Private and other...... 30 28 28 28 29 Patient days: Medicare............... 94,087 95,680 90,224 95,137 375,128 Medicaid............... 24,152 23,898 26,280 23,191 97,521 Private and other...... 27,776 28,735 27,716 29,268 113,495 --------- --------- --------- --------- ---------- 146,015 148,313 144,220 147,596 586,144 ========= ========= ========= ========= ========== NURSING CENTER DATA: End of period data: Number of nursing centers............... 311 310 313 313 Number of licensed beds.................. 39,510 39,378 39,640 39,619 Revenue mix %: Medicare............... 30 30 29 30 30 Medicaid............... 44 44 45 45 44 Private and other...... 26 26 26 25 26 Patient days: Medicare............... 405,049 396,568 383,458 377,570 1,562,645 Medicaid............... 2,011,158 2,012,524 2,082,664 2,085,104 8,191,450 Private and other...... 711,313 698,389 705,783 697,183 2,812,668 --------- --------- --------- --------- ---------- 3,127,520 3,107,481 3,171,905 3,159,857 12,566,763 ========= ========= ========= ========= ========== ANCILLARY SERVICES DATA: End of period data: Number of Vencare contracts (b)......... 4,244 4,295 4,150 4,346 - -------- (a) Certain prior year amounts have been reclassified to conform with the current year presentation. (b) Restated to reflect the integration of the institutional pharmacy business into Vencare in the fourth quarter of 1996. 19 ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK Not applicable. PART II. OTHER INFORMATION ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (A) EXHIBITS 4.1 Form of 8 5/8% Senior Subordinated Notes due 2007. Exhibit 4.1 to the Current Report on Form 8-K of the Company dated July 21, 1997 (Comm. File No. 1-10989) is hereby incorporated by reference. 4.2 Indenture dated as of July 21, 1997 between the Company and The Bank of New York, as Trustee. Exhibit 4.2 to the Current Report on Form 8-K of the Company dated July 21, 1997 (Comm. File No. 1- 10989) is hereby incorporated by reference. 10.1 Registration Rights Agreement dated as of July 21, 1997 by and among the Company, J.P. Morgan Securities, Inc., NationsBanc Capital Markets, Inc., Goldman, Sachs & Co. and Merrill Lynch, Pierce, Fenner & Smith, Inc. Exhibit 99.1 to the Current Report on Form 8-K of the Company dated July 21, 1997 (Comm. File No. 1-10989) is hereby incorporated by reference. 11 Statement Re: Computation of earnings per common and common equivalent share for the quarter and nine months ended September 30, 1997 and 1996. 27 Financial Data Schedule (included only in filing submitted under the Electronic Data Gathering, Analysis and Retrieval system). (B) REPORTS ON FORM 8-K: The Company filed on July 3, 1997 a Current Report on Form 8-K dated June 19, 1997 reporting the completion of the tender offer for Transitional Hospitals Corporation. The Company also filed on August 11, 1997 a Current Report on Form 8-K/A dated June 19, 1997 which included pro forma financial statements relating to the acquisition of Transitional Hospitals Corporation. In addition, the Company filed on July 31, 1997 a Current Report on Form 8-K dated July 21, 1997 reporting the completion of the private placement of $750 million aggregate principal amount of its 8 5/8% Senior Subordinated Notes due 2007. 20 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. VENCOR, INC. /s/ W. BRUCE LUNSFORD Date: October 23, 1997 ________________________________ - ---------------------- W. Bruce Lunsford Chairman of the Board, President and Chief Executive Officer /s/ W. EARL REED, III Date: October 23, 1997 ________________________________ - ---------------------- W. Earl Reed, III Executive Vice President and Chief Financial Officer (Principal Financial Officer) 21