Press Release Dialysis Corporation of America Reports Fourth Quarter and Year Ended December 31, 2008 Results Linthicum, Maryland, Thursday, March 5, 2009 - Dialysis Corporation of America (NASDAQ-DCAI) announced its financial results for the fourth quarter and year ended December 31, 2008. * Year end patient census approximated 2,000 including the patients at a Maryland dialysis center acquired December 31, 2008. * Operating revenues for the fourth quarter of 2008 were $23.7 million compared to $20.0 million for the same period last year, an 18% increase. * Operating income was $2.2 million for the fourth quarter of 2008 compared to $1.6 million for the same period last year. * Net income for the quarter was $858,000 or $0.09 per basic and diluted share compared to $1.0 million or $0.11 per basic and diluted share for the same period last year. * Operating revenues for 2008 were $86.8 million compared to $74.5 million for 2007, a 17% increase. * Operating income was $6.2 million for 2008 compared to $5.8 million for 2007. * Net income for 2008 was $2.8 million or $0.30 per basic and diluted share compared to $3.1 million or $0.32 per basic and diluted share for 2007. Items impacting comparability between 2007 and 2008 include: * 2007 included tax benefits of $325,000 relating to the prior year's net operating losses that resulted in a lower effective tax rate for 2007 than for 2008. * Minority interest expense increased in 2008 by approximately $330,000 compared with 2007, primarily due to certain large minority owned facilities experiencing substantially better operating results in 2008. * Pre-tax costs associated with opening new centers were $641,000 for 2008 compared to $608,000 for 2007. * Non-cash stock compensation expense was $221,000 for 2008 compared to $217,000 for 2007. Stephen Everett, President and Chief Executive Officer, commented, "2008 was both a strategic and financial success for DCA. In these extremely difficult economic times, it is comforting to be part of both a company and industry that are more resilient than most. Our company is in very good financial shape and continues to grow and evolve in an ever changing regulatory and clinical environment. It is especially heartening to witness our talented group of caregivers continue to provide unparalleled quality clinical service to the patients who entrust us with their lives." Significant markers and noteworthy items for 2008 include: * Key clinical metrics continued to show advances throughout the year, which were the results of outstanding clinical care by our caregivers, and a heightened focus on preparing for anticipated "pay for performance" initiatives in conjunction with the 2011 reimbursement bundling under Medicare. * We experienced a slight increase in commercial contracting over prior years, yet sustained an expected 6% increase in revenue per treatment, year over year. * Our continued focus and enhancement on billing and collection functions resulted in a decrease in accounts receivable days outstanding (DSO) by 9 days in 2008. * We completed our largest acquisition to date, which was a Maryland dialysis center serving in excess of 145 patients. The transaction was completed at the end of the year. * In spite of the trying global economic conditions, we successfully completed an enhanced revolving line of credit with KeyBank National Association totaling $25,000,000, with favorable terms. * The installation and use of our new Clinical Information System began and remains on schedule for company wide deployment. This new system is expected to assist in recording and reporting clinical results in an increasingly regulated industry, while providing improved efficiencies at the operating levels. Dialysis Corporation of America will be hosting a conference call in conjunction with its earnings release for the fourth quarter and fiscal year ended December 31, 2008. The conference call will be held on Friday, March 6, 2009 at 10:00 a.m. EST. The call is accessible either by dialing 1-866- 238-0826 (enter attendee code: 1330728), or by simulcast on the internet at http://www.startconference.com, using conference ID 2135668. Participants may be asked to provide the title of the conference call, which is "Dialysis Corporation of America Fiscal Year 2008 Earnings." A replay of the conference call will be available on the company's website, www.dialysiscorporation.com, for a period of thirty days following the conference call. Dialysis Corporation of America owns and operates freestanding kidney hemodialysis centers located in Georgia, Maryland, New Jersey, Ohio, Pennsylvania, South Carolina, and Virginia, and provides in-hospital dialysis services on a contract basis to certain hospitals located in the those states. The company provides patients with their choice of a full range of quality in-center, acute or at-home hemodialysis services. This release contains forward-looking statements that are subject to risks and uncertainties that could affect the business and prospects of the company and cause actual results and plans to differ materially from those anticipated. Those factors include, but are not limited to, increases in interest rates, the possible need for and availability of additional financing, the company's satisfying the covenants and conditions of its credit facility, certain delays beyond the company's control with respect to future business events, the highly competitive environment in the establishment and operation of dialysis centers, the ability to develop or acquire additional dialysis facilities, whether patient bases of the company's dialysis facilities can mature to provide profitability, the extensive regulation of dialysis operations, government rate determination for Medicare reimbursement, pricing pressure from private payors, and other risks detailed in the company's filings with the SEC, particularly as described in the company's annual report on Form 10-K for the fiscal year ended December 31, 2007. The historical results contained in this press release are not necessarily indicative of future performance of the company. Other Dialysis Corporation of America press releases, corporate profile, corporate governance materials, quarterly and current reports, and other filings with the Securities and Exchange Commission are available on Dialysis Corporation of America's internet home page: http://www.dialysiscorporation.com. CONTACT: For additional information, you may contact Dialysis Corporation of America, 1302 Concourse Drive, Suite 204, Linthicum, MD 21090; Telephone Number (410) 694-0500; Attention: Investor Relations. - more - DIALYSIS CORPORATION OF AMERICA AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME 2008 2007 2006 ---- ---- ---- (Unaudited) Operating revenues: Sales: Medical services revenue $85,675,687 $73,170,573 $61,138,963 Product sales 1,161,206 1,077,988 891,242 ----------- ----------- ----------- Total sales revenues 86,836,893 74,248,561 62,030,205 Other income --- 286,174 430,033 ----------- ----------- ----------- 86,836,893 74,534,735 62,460,238 ----------- ----------- ----------- Cost and expenses: Cost of sales revenues: Cost of medical services 51,452,299 44,248,309 36,968,682 Cost of product sales 659,766 598,086 549,590 ----------- ----------- ----------- Total cost of sales revenues 52,112,065 44,846,395 37,518,272 Selling, general and administrative expenses Corporate 10,586,797 7,917,038 6,460,309 Facility 12,851,367 11,423,072 8,988,078 ----------- ----------- ----------- Total 23,438,164 19,340,110 15,448,387 Stock compensation expense 221,166 217,474 275,438 Depreciation and amortization 2,783,826 2,619,049 2,319,070 Provision for doubtful accounts 2,088,248 1,665,120 1,198,995 ----------- ----------- ----------- 80,643,469 68,688,148 56,760,162 ----------- ----------- ----------- Operating income 6,193,424 5,846,587 5,700,076 Other (expense) income, net (48,605) (39,637) 100,968 ----------- ----------- ----------- Income before income taxes, minority and other equity interests and equity in affiliate earnings 6,144,819 5,806,950 5,801,044 Income tax provision 1,862,479 1,614,892 2,085,874 ----------- ----------- ----------- Income before minority and other equity interests and equity in affiliate earnings 4,282,340 4,192,058 3,715,170 Minority and other equity interests in income of consolidated subsidiaries (1,438,225) (1,105,736) (919,739) Equity in affiliate earnings --- --- 253,765 ----------- ----------- ----------- Net income $ 2,844,115 $ 3,086,322 $ 3,049,196 =========== =========== =========== Earning per share: Basic $.30 $.32 $.32 Diluted $.30 $.32 $.32 ==== ==== ==== Weighted average shares outstanding: Basic 9,579,837 9,572,893 9,484,926 ========= ========= ========= Diluted 9,613,866 9,607,672 9,575,733 ========= ========= ========= DIALYSIS CORPORATION OF AMERICA AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS December 31, December 31, 2008 2007 ----------- ------------ (Unaudited) Assets Current assets: Cash and cash equivalents $ 6,543,000 $ 2,447,820 Accounts receivable, net 21,493,780 20,159,926 Inventories, net 2,918,578 2,006,661 Deferred income tax asset 1,185,000 998,000 Other current assets 2,978,049 3,313,406 ----------- ----------- Total current assets 35,118,407 28,925,813 ----------- ----------- Property and equipment 32,987,475 28,766,423 Less accumulated depreciation and amortization 14,452,018 12,264,029 ----------- ----------- 18,535,457 16,502,394 ----------- ----------- Goodwill 16,492,401 8,576,893 Other assets 932,930 841,092 ----------- ----------- Total other assets 17,425,331 9,417,985 ----------- ----------- $71,079,195 $54,846,192 =========== =========== Liabilities and Stockholders' Equity Current liabilities: Accounts payable and accrued expenses $14,717,692 $10,224,199 Income taxes payable 60,470 33,297 Current portion of long-term debt 74,000 56,000 ----------- ----------- Total current liabilities 14,852,162 10,313,496 Deferred income taxes 1,275,000 574,000 Long-term debt, less current portion 14,275,798 7,009,419 ----------- ----------- Total liabilities 30,402,960 17,896,915 ----------- ----------- Minority interest in subsidiaries 5,412,208 4,942,797 Commitments and Contingencies Stockholders' equity: Common stock 95,797 95,736 Additional paid-in capital 16,001,153 15,587,782 Retained earnings 19,167,077 16,322,962 ----------- ----------- Total stockholders' equity 35,264,027 32,006,480 ----------- ----------- $71,079,195 $54,846,192 =========== =========== DIALYSIS CORPORATION OF AMERICA AND SUBSIDIARIES SUPPLEMENTAL OPERATING DATA Year Ended December 31, Year-to-year ----------------------- Change % 2008 2007 ------------ Operating data: Treatments: Consolidated 272,452 241,189 13.0% Managed --- 11,137 (100.0)% ------- ------- Total treatments 272,452 252,326 8.0% Patient revenue per treatment $314.46 $303.37 3.7 % Same center growth data: Same center treatment growth 5% 6% Same center revenue per treatment change 4% 1% Same center patient revenue growth 9% 7% Quarter-to- Quarter Ended December 31, Quarter ------------------------ Change % 2008 2007 ------------ Operating data: Treatments: Consolidated 70,276 62,817 11.9% Managed --- 2,847 (100.0)% ------- ------- Total treatments 70,276 65,664 7.0% Patient revenue per treatment $332.62 $312.59 6.4% Same center growth data: Same center treatment growth 4% (4)% Same center revenue per treatment change 6% 10% Same center patient revenue growth 10% 5% Key clinical metrics: Treatment adequacy (% of pts with Kt/V greater than 1.2) 97.32% 95.38% Anemia management (% of pts with Hgb greater than 11) 82.06% 78.74% Venous access (% of pts with AVF) 56.06% 52.98% - end -