-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VF1CzgjH86xJjIx4XKKJrmgWruovZt3rc/7S1/tBZsZnBffp8CZbvvIMPUzJ/ELZ 1aXrsQHibUjH6XXuH/SCgQ== 0000812191-07-000057.txt : 20071031 0000812191-07-000057.hdr.sgml : 20071030 20071031154833 ACCESSION NUMBER: 0000812191-07-000057 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20071031 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Regulation FD Disclosure ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20071031 DATE AS OF CHANGE: 20071031 FILER: COMPANY DATA: COMPANY CONFORMED NAME: REHABCARE GROUP INC CENTRAL INDEX KEY: 0000812191 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 510265872 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-14655 FILM NUMBER: 071202777 BUSINESS ADDRESS: STREET 1: 7733 FORSYTH BLVD 23RD FLR STREET 2: SUITE 2300 CITY: ST LOUIS STATE: MO ZIP: 63105 BUSINESS PHONE: 3148637422 MAIL ADDRESS: STREET 1: 7733 FORSYTH BLVD 23RD FLR STREET 2: SUITE 2300 CITY: ST. LOUIS STATE: MO ZIP: 63105 FORMER COMPANY: FORMER CONFORMED NAME: REHABCARE CORP DATE OF NAME CHANGE: 19940218 8-K 1 eightk3q07cover.htm RHB 3Q07 COVER

UNITED STATES

 

SECURITIES AND EXCHANGE COMMISSION

 

Washington, D.C. 20549

 

_______________________

 

 

FORM 8-K

 

CURRENT REPORT

 

PURSUANT TO SECTION 13 OR 15(d) OF

THE SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of earliest event reported): October 31, 2007

 

 

REHABCARE GROUP, INC.

(Exact name of registrant as specified in its charter)

 

 

Delaware

0-19294

51-0265872

(State or other jurisdiction

(Commission File Number)

(I.R.S. Employer

of incorporation)

 

Identification No.)

 

 

7733 Forsyth Boulevard

 

 

Suite 2300

 

 

St. Louis, Missouri

63105

 

(Address of principal executive offices)

(Zip Code)

 

(314) 863-7422

(Company’s telephone number, including area code)

 

Not applicable

(Former name or former address if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions.

o

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

o

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

o

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 

 

 

Item 2.02

 

Results of Operations and Financial Condition

 

 

 

 

 

 

 

The information in Exhibit 99.1 is incorporated herein by reference.

 

 

 

 

 

Item 7.01

 

Regulation FD Disclosure

 

 

 

 

 

 

 

The information in Exhibit 99.2 is incorporated herein by reference.

 

 

 

 

 

Item 9.01

 

Financial Statements and Exhibits

 

 

 

 

 

(d)

 

Exhibits

 

 

 

 

 

 

 

The following exhibits are furnished pursuant to Item 2.02 and 7.01 hereof and should not be deemed to be “filed” under the Securities Exchange Act of 1934:

 

 

 

 

 

 

99.1

Press release dated October 31, 2007, announcing our third quarter revenues and results of operations.

 

 

 

 

 

 

99.2

The script for a conference call held by the registrant on October 31, 2007

 

 

 

 

 

 

 

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 hereunto duly authorized.

 

Dated: October 31, 2007

 

 

REHABCARE GROUP, INC.

 

 

 

 

By: /s/

Jay W. Shreiner

 

Jay W. Shreiner

 

Senior Vice President and

 

Chief Financial Officer

 

 

EXHIBIT INDEX

 

 

Exhibit No.

 

Description

99.1

 

Press release dated October 31, 2007, announcing our third quarter revenues and results of operations.

 

 

 

99.2

 

The script for a conference call held by the registrant on October 31, 2007

 

 

 

 

 

 

EX-99 2 eightk3q07script.htm RHB 3Q07 SCRIPT EX99.2

Exhibit 99.2

 

REHABCARE CONFERENCE CALL SCRIPT

October 31, 2007

INTRODUCTION BY CONFERENCE OPERATOR

INTRODUCTION OF MANAGEMENT BY FINANCIAL DYNAMICS

This conference call contains forward-looking statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from forecasted results. These risks and uncertainties may include but are not limited to, our ability to consummate acquisitions and other partnering relationships at reasonable valuations; our ability to integrate acquisitions and partnering relationships within the expected timeframes and to achieve the revenue, cost savings and earnings levels from such acquisitions and relationships at or above the levels projected; our ability to comply with the terms of our borrowing agreements; changes in governmental reimbursement rates and other regulations or policies affecting reimbursement for the services provided by us to clients and/or patients; the operational, administrative and financial effect of our compliance with other governmental regulations and applicable licensing and certification requirements; our ability to attract new client relationships or to retain and grow existing client relationships through expansion of our service offerings and the development of alternative product offerings; the future financial results of any unconsolidated affiliates; our ability to attract and the additional costs of attracting and retaining administrative, operational and professional employees; shortages of qualified therapists and other healthcare personnel; significant increases in health, workers compensation and professional and general liability costs; litigation risks of our past and future business,

 

1

including our ability to predict the ultimate costs and liabilities or the disruption of our operations; competitive and regulatory effects on pricing and margins; our ability to effectively respond to fluctuations in our census levels and number of patient visits; the adequacy and effectiveness of our information systems; natural disasters and other unexpected events which could severely damage or interrupt our systems and operations; changes in federal and state income tax laws and regulations, the effectiveness of our tax planning strategies and the sustainability of our tax positions; and general and economic conditions, including efforts by governmental reimbursement programs, insurers, healthcare providers and others to contain healthcare costs.

 

JOHN SHORT

INTRODUCTION AND WELCOME

Good morning and thank you for joining us today. I’m John Short, President and CEO of the Company. With me are my executive management staff including our Chief Financial Officer, Jay Shreiner.

 

On balance, we are pleased with the development of our business in the third quarter. We saw yet another period of sequential improvement in our Contract Therapy operating margins which began in the latter part of the first quarter and has been sustained in the second and third quarters.

 

Within HRS, we also saw improvement in both our Inpatient and Outpatient operating earnings despite continued declines in the number of units and declines in 75% Rule impacted discharges.

 

In our Freestanding Hospital segment, we experienced some growing pains during the quarter as performance was impacted

 

2

by start-up costs, increases in estimated contractual adjustments at one facility and a shift in payor mix at another.

 

Overall, we achieved operating earnings of $8.2 million for the quarter or $0.22 per diluted share. These are the highest operating earnings and EPS totals in the last eight quarters.

 

I’ll give you some highlights of the quarter as they pertain to our operating segments.

 

Contract Therapy (CT)

We are extremely proud of the progress that our Contract Therapy business has made in the last fifteen months, integrating an acquired business that significantly expanded our number of clinicians, operating revenues and facilities.

 

Operating earnings improved $2.1 million sequentially to $3.2 million. The cumulative improvement in quarterly operating earnings for the past six months was nearly $5.4 million. The division’s operating margin for the third quarter stands at 3.2 percent which reflects significant progress toward our goal of 4.5 percent to 5.5 percent operating earnings margin during 2008.

 

While we remain focused on improving our CT margins, we are turning our attention to stabilizing and growing our number of CT locations and expect to return to net additions in our contract therapy portfolio beginning in 2008.

 

Hospital Rehabilitation Services

We continue to successfully manage our staff utilization and

 

3

operating expenses which enabled us to achieve a 270 basis point sequential improvement in the division’s operating margin as operating earnings increased from $5.4 million in the second quarter to $6.3 million in the third quarter despite lower revenue quarter to quarter. Our outpatient business also saw continued improvement in operations to support these results.

 

In the third quarter, our same store 75% Rule qualifying admissions increased by 1.1 percent compared to the second quarter of 2007 while total same store admissions declined by 1.0 percent sequentially. Same store admissions year-to-date ending third quarter versus the same time period in 2006 include a 13.1 percent increase in non-Medicare volume.

 

On average, our units are currently operating at a 64.9% compliance level with 41 units having entered their 65% compliance level on July 1. We expect to be fully compliant in all of our ARUs by the end of their respective 65% compliance periods.

 

We have increased our focus to support the Hospital Rehabilitation Services businesses through a number of initiatives:

 

 

At the beginning of the second quarter we rolled out a new initiative in collaboration with Gallup Consulting to improve the process for selection and training of new field managers in HRS. To date it has resulted in the hiring of 15 new program managers. Operating results in the units managed by Gallup-selected candidates have shown significant improvement in revenue and contribution over the prior six months performance.

 

4

 

Early testing of new products is under way. Our first short stay rehab unit has met our performance expectations and offers an alternative for patients that are negatively impacted by the 75% Rule in certain markets. In addition, we are also testing a more comprehensive service offering that includes nursing, case management, coding, denials, and LTACH management.

 

In late September we signed a new three year agreement with Premier, Inc. Premier is the largest Healthcare Provider alliance in the country with over 1,700 hospitals plus thousands of SNFs and other care providers. In addition, we renewed our relationship with VHA, which represents over 1,200 hospitals for an additional three years. Both of these relationships will give us a new or expanded channel to introduce our current and future product offerings.

 

Freestanding Hospital Division

Our Freestanding Hospital division saw operating revenue and earnings decline sequentially for the third quarter compared to the second quarter of 2007. Several adjustments in both quarters significantly masked normalized operating performance. However, in addition to these adjustments, the division experienced lower revenues and earnings due to case management challenges and isolated payor mix issues, as well as start-up costs at its Austin, Texas joint venture in the amount of $0.7 million.

 

Last quarter, I discussed steps that we had taken to turn around one of our hospitals which had underperformed in the second quarter. We took aggressive action by changing management, rebuilding referral relationships, right-sizing the staff and more closely monitoring expected reimbursement. This hospital has responded very well to these actions and

 

5

has significantly improved its operations during the third quarter.

 

Rehab hospitals within the division, which the Company managed to an average 75% Rule compliance level of 63.7% during the quarter, are expected to be fully compliant at the end of their respective compliance periods.

 

As our Freestanding Hospitals division continues to grow, we are accelerating our investment in leadership, process standardization and information systems across the division, in order to build a solid infrastructure for more consistent operating performance in this division.

 

The division continues active development of five joint venture projects. We announced one additional joint venture during the third quarter. We reached an agreement with Landmark Health Systems, Inc. of Rhode Island to jointly operate the Rehab Hospital of Rhode Island and to develop a long-term acute care hospital subject to certificate of need approval. The acquisition of the rehab hospital is subject to review by the state’s Department of Health and Attorney General. We expect to begin operation of the facility during the second quarter of 2008.

 

The first phase of our 20-bed rehabilitation hospital joint venture with the Seton Family of Hospitals in Austin, Texas opened August 21. We are still awaiting the state survey necessary to receive a Medicare provider number. This process may take longer than we have experienced in the past. The second phase of this project will include the development of a long-term acute care hospital and expansion of the rehabilitation hospital.

 

Our LTACH in North Kansas City and the joint venture with St.

 

6

Luke’s Hospital in St. Louis are proceeding as scheduled. North Kansas City is currently under construction and will open during the first quarter of 2008. Groundbreaking ceremonies for the St. Luke’s joint venture occurred on October 24 with an opening planned for late 2008.

 

Our planned 50-bed LTACH joint venture with Methodist Medical Center in Peoria, Illinois, which received CON approval, is subject to the completion of the definitive agreements. Construction will begin in the first quarter of 2008 with an expected opening date of first quarter 2009.

 

Our last project is the planned development of an LTACH with our existing rehabilitation hospital partner in Kokomo, Indiana which should open in the second half of 2008.

 

We have several letters of intent and additional opportunities under review, some of which involve acquisitions of existing facilities.

 

Legislative and Regulatory Update

While the Medicare provisions in the Children’s Health and Medicare Protection Act of 2007 (CHAMP Act) were removed from a stand-alone State’s Children’s Health Insurance Program (SCHIP) bill, it remains to be seen what action the Senate will take on these provisions by the end of the year. These provisions included a freeze of the 75% Rule at 60%, an extension of the Part B therapy cap exception process, refinement of LTACH payments and an increase in the physician fee schedule. RehabCare is actively working with Congressional offices, trade groups and industry peers to encourage the Senate to finish work on the Medicare issues by December 31, 2007.

 

7

 

 

Impact of the 75% Rule on Inpatient Rehabilitation Facilities’ Patient Outcomes and Medicare Expenditures

 

RehabCare and others in our industry have asserted that the rules imposed on inpatient rehabilitation facilities (IRFs) are arbitrary and not based on achieving the best patient outcomes at the lowest possible cost. To begin building a body of knowledge around the best treatment locations for certain patients, we recently completed a study documenting the impact of the 75% Rule for IRFs. The study compared the Medicare expenditures and outcomes of patients in the 25% category treated in our IRFs compared to those treated in our skilled nursing facility (SNF) therapy programs. The study group consisted of 124,000 patients treated in our programs from January 2006 through August 2007. Some of the study’s findings include:

 

81 percent of IRF patients were discharged to a home environment compared with 37 percent of SNF patients;

 

Average length of stay was 10.4 days in an IRF and 34.9 days in a SNF;

 

Based on average length of stay, the average SNF payment was approximately $13,855 per stay while the average payment per IRF discharge was $12,981, or 6.7 percent less, and

 

52 percent of SNF patients went on to other Medicare-funded settings upon discharge compared with 17 percent of IRF patients.

The report is being circulated among members of Congress and healthcare associations in an effort to win support for a legislative freeze on implementation of the 75% Rule. The

 

8

complete study document is available at www.rehabcare.com/75percentstudy.

 

Part B Therapy Caps

Without further intervention by Congress, the current Part B Therapy Cap auto-exception procedure is scheduled to lapse on December 31, 2007. As a response to the potential therapy cap implementation, we have completed a review of our data and identified the conditions most frequently treated and reimbursed under Medicare Part B. Using this information, a care mapping process that will tie treatment plan to cost of care is in development and will be completed by December 1. These care maps will allow clinicians to plan treatment and manage cost within the financial constraints of the cap dollars ensuring that patients will not exhaust their limited benefits on one treatment episode early in the year.

 

Physician Fee Schedule

Used as the charge basis for Medicare Part B therapy services, the physician fee schedule faces a 9.9 percent scheduled reduction beginning January 2008 without intervention by Congress. CMS, by regulation, has proposed similar, though smaller, decreases in the physician fee schedule over the last several years. Congress has passed legislation each year to reverse these decreases.

 

Market Basket Rates of Increase

Effective October 1, 2007, payment rates increased 3.2 percent and 3.3 percent in inpatient rehab and skilled nursing facilities, respectively.

 

Local Coverage Determinations by Medicare Fiscal Intermediaries and Recovery Audit Contractors

 

9

Over the last two years, we have seen an increase in the number of denied claims within our acute rehab units and Hospitals as a result of medical necessity determination by both fiscal intermediaries and, more recently, by the Recovery Audit Contractors, or RACs.

 

In regards to Local Coverage Determination, a recent AHA and FAH study shows that nationally, over 63 percent of all denied claims are overturned and repaid to providers. RehabCare continues to exceed the national average with a 90.5 percent overturn rate.

 

In regard to the RACs, CMS has issued a “pause” in these audits in the state of California until the end of October while a review of PRG Schultz is conducted. In addition, as a result of issues which arose in the California RACs, the rollouts of the RACs in Massachusetts, South Carolina and Arizona will exclude the “27% bounty for denied claims”. CMS has issued a request for proposal for contractors to implement its RAC program in all 50 states beginning in March 2008.

 

Talent Acquisition with the Academic Community

 

In order to place RehabCare in a preferred position for recruiting therapists, we have initiated two programs with academic institutions in markets that we believe will elevate our visibility with graduating students and enhance our ability to attract the best talent.

 

We were pleased to announce this quarter that RehabCare in conjunction with the University of Missouri, is supporting the development of physical therapist assistant and occupational therapy assistant programs at community colleges in rural locations throughout the state of Missouri. 

 

10

 

We are also partnering with the University of Kansas to provide an endowed professorship. The RehabCare professor will work to provide a geriatric curriculum that supports appropriately trained therapists for RehabCare programs.  The professor will also serve as a conduit for research between RehabCare and the University as well as provide significant visibility for RehabCare with students and the national academic community.

 

The launch of these two initiatives will influence the availability of therapists throughout the region.  This is the largest commitment to date by RehabCare to partner and support the academic community.

 

I’ll now turn the call over to Jay Shreiner, who will review our financial results for the quarter.

 

Thank you, John,

 

Consolidated Results

 

Consolidated net revenues for the third quarter of 2007 of $172.9 million declined 4.5 percent compared to $181.1 million in the second quarter of 2007.

 

Consolidated net earnings in the third quarter more than doubled sequentially to $3.9 million, or $0.22 per share on a fully diluted basis, compared to $0.09 in the previous quarter. In the third quarter last year, revenues were $183.2 million and net earnings were $2.3 million, or $0.13 per fully diluted share. As John said earlier, this is the best performance we have generated in the past two years and demonstrates the success of the actions we have been taking.

 

11

Consolidated net earnings for the second quarter included a $4.9 million pre-tax impairment charge, or $0.17 per fully diluted share after tax, to write down the value of an intangible asset related to the Louisiana Specialty Hospital’s statutory exemption from the 25% Rule for LTACH’s.

 

Contract Therapy (CT)

Net revenues for the Contract Therapy division were $98.3 million, a decrease from the second quarter of $2.0 million, or 2.0 percent. This decline was driven by a 2.3 percent reduction in the average number of locations operated during the quarter, partially offset by increased revenue per location.

 

The division’s operating earnings of $3.2 million in the third quarter of 2007 compared to $1.1 million, sequentially and to a loss of $2.2 million in the first quarter of this year. This $2.1 million sequential improvement in earnings resulted from the operating efficiencies and reductions in expenses as previously discussed.

 

During the third quarter, 55 programs closed. Of those closures, 27 were the result of self operation or external competition with the remaining 28 primarily the result of low profitability or non-payment.

 

Thirty new client sites were opened in the third quarter. Backlog in this division was up to 20 compared to 15 in the prior quarter.

 

Hospital Rehabilitation Services

Third quarter HRS revenues were $40.3 million, a decline of 3.6 percent on a sequential basis, primarily resulting from fewer net operating units, but partially offset by higher

 

12

inpatient revenue per location and per discharge.

 

Operating earnings for the division were $6.3 million, an increase of $0.9 million, or 16.6 percent, from the $5.4 million of operating earnings in the second quarter primarily resulting from reduced division general and administrative expenses and improved operating performance of our outpatient business.

 

The division finished the quarter with 154 programs, as a result of ten closures and three openings. ARUs at quarter-end totaled 108 down from 110, as three ARUs opened and five ARU’s closed. The five remaining closures were two subacute units and three outpatient units. One of the closures was for non-payment and nine chose to self-operate. The majority of those that chose to self-operate were underperforming units. The division’s backlog was four at the end of the quarter, all of which are ARUs; one is scheduled to open in December 2007 and three in 2008.

 

Freestanding Hospitals

Operating revenues in the Freestanding Hospital division declined 9.6 percent sequentially, or $2.6 million, to $24.4 million in the third quarter from $27.0 million in the second quarter as a result of several items. During the third quarter, the division recorded $1.4 million of additional contractual allowances, principally at one of its facilities. In the prior quarter, the division recognized a net $0.9 million reduction in contractual allowances primarily related to prior year cost report reserves. These adjustments, which total $2.3 million, account for the vast majority of the $2.6 million sequential revenue decline.

 

The division reported an operating loss of $1.6 million in the third quarter compared to operating earnings of $1.8

 

13

million in the prior quarter, excluding a $4.9 million pre-tax impairment charge on a Louisiana Specialty Hospital intangible asset recognized in the second quarter. In addition to the swing in operating revenues resulting from contractual adjustments which I previously mentioned, the division was impacted by case management challenges, isolated payor mix issues and $0.7 million in start-up costs at its Austin, Texas joint venture.

 

Balance Sheet

For the nine months ended September 30, 2007, we generated cash from operations of $30.9 million and paid down $20.0 million in long-term debt. We spent approximately $6.5 million for capital expenditures, including $4.2 million in the Company’s Freestanding Hospitals division, primarily on developing our Seton joint venture in Austin, Texas, and adding a high observation unit in one of our LTACHs. The remaining $2.3 million of capital expenditures were principally related to information systems. Days sales outstanding were 78.4 at September 30 compared to 74.9 at June 30, 2007, and 77.9 at December 31, 2006.

 

At September 30, we had approximately $14.2 million in cash and cash equivalents compared to $9.4 million at December 31, 2006. We had $94.6 million in outstanding debt under our revolving credit facility with a weighted average interest rate of approximately 7.0 percent. Total debt outstanding at September 30, 2007 was $100.6 million compared to $120.6 million at December 31, 2006. We anticipate our interest rate spread on our revolving credit facility will decline to 150 basis points above LIBOR during the fourth quarter.

 

Now I will turn the call back over to John.

 

JOHN SHORT

 

14

Thank you, Jay.

 

Closing Remarks

As you can see from our results, we are pleased with the direction of the Company, in particular by the progress in our Contract Therapy operations, and the operating expense management in our Hospital Rehabilitation Services division. We obviously have some work to do at our Freestanding Hospital division to improve its business processes and technology and prepare it for further growth. We’re confident that the fundamentals of this business remain sound and support our continued investment in its future.

 

With the disruption from our Symphony acquisition behind us, we move forward with a continued focus on improving margins, developing our Freestanding operations, reducing our debt and dealing with the numerous reimbursement challenges that we face.

 

I want to take the opportunity to thank Tom Davis for his ten years of important service to the Company, first in the Hospital Rehabilitation division and more recently in Business Development and the Freestanding Hospital division. His leadership and contacts in the healthcare industry provided the catalyst for the development of our newest division, a division which forms the foundation of our future growth. We wish Tom all the best as he embarks upon a new career direction; we will miss him.

 

As we celebrate our 25th year of operation, let me thank everyone who has helped us reach this important milestone, especially our more than 16,000 colleagues, who continue to focus on our most important mission – providing quality care to help people regain their lives. Thank you for your

 

15

continued support and we look forward to sharing our future successes with you.

 

With that, I would like to have our operator open the call for questions.

 

To be read following Questions and Answers

As a reminder, this conference call is being webcast live on our web site, www.rehabcare.com and will be available for replay beginning at 1:00 PM Eastern time today.

 

16

 

 

EX-99 3 eightk3q07release.htm RHB 3Q07 RELEASE EX99.1

Exhibit 99.1

 


 

 

CONTACT: RehabCare Group, Inc.

 

Jay W. Shreiner

 

Chief Financial Officer

 

Betty Cammarata, Dir-Investor Relations

 

Press: David Totaro, Senior Vice

 

President, Corporate Marketing &

 

Communications

 

(314) 863-7422 or

 

Financial Dynamics

 

Gordon McCoun/Theresa Kelleher

 

(212) 850-5600

 

FOR IMMEDIATE RELEASE

Wednesday, October 31, 2007

 

REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

 

 

Consolidated net earnings improve $1.6 million year-over-year to $3.9 million, or $0.22 per diluted share

 

Contract Therapy improves operating earnings $2.1 million sequentially, achieving 3.2 percent operating earnings margin

 

Freestanding Hospitals’ performance impacted by start-up costs, increases in estimated contractual adjustments at one facility, and a shift in payor mix at another

 

Total debt reduced $28.7 million over the past four quarters

 

ST. LOUIS, MO, October 31, 2007--RehabCare Group, Inc. (NYSE:RHB) today reported financial results for the quarter and nine months ended September 30, 2007. Comparative results for the quarter follow.

 

 

Quarter Ended

 

Nine Months Ended

Amounts in millions, except per share data

September 30,

 

September 30,

 

 

2007

 

 

2006

 

 

 

2007

 

 

2006

 

Consolidated Operating Revenues

$

172.9

 

$

183.2

 

 

$

538.0

 

$

432.5

 

Consolidated Operating Earnings (a)

 

8.2

 

 

6.3

 

 

 

18.0

 

 

16.3

 

Consolidated Net Earnings (a)(b)

 

3.9

 

 

2.3

 

 

 

7.6

 

 

5.2

 

Consolidated Diluted Earnings per Share

 

0.22

 

 

0.13

 

 

 

0.43

 

 

0.30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contract Therapy Operating Revenues

 

98.3

 

 

107.7

 

 

 

301.4

 

 

228.2

 

Contract Therapy Operating Earnings (Loss)

 

3.2

 

 

(0.7

)

 

 

2.1

 

 

(1.3

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HRS Inpatient Operating Revenues

 

29.5

 

 

32.5

 

 

 

92.2

 

 

98.8

 

HRS Outpatient Operating Revenues

 

10.8

 

 

11.8

 

 

 

33.1

 

 

37.2

 

HRS Operating Revenues

 

40.3

 

 

44.3

 

 

 

125.3

 

 

136.0

 

HRS Operating Earnings

 

6.3

 

 

6.1

 

 

 

16.9

 

 

16.4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Freestanding Hospitals Operating Revenues

 

24.4

 

 

21.4

 

 

 

77.4

 

 

53.4

 

Freestanding Hospitals Operating Earnings (Loss)(a)

 

(1.6

)

 

0.4

 

 

 

(2.9

)

 

0.6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Healthcare Services Operating Revenues

 

10.2

 

 

10.0

 

 

 

34.5

 

 

15.3

 

Other Healthcare Services Operating Earnings

 

0.4

 

 

0.4

 

 

 

1.9

 

 

0.4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Equity in Net Income (Loss) of Affiliates (b)

 

0.1

 

 

(0.1

)

 

 

0.2

 

 

(3.0

)

 

 

(a)

Includes a pretax impairment charge on a Louisiana Specialty Hospital intangible asset of $4.9 million, or $0.17 per diluted share after tax, in the nine months ended September 30, 2007.

 

(b)

Includes an after tax loss on RehabCare’s equity investment in InteliStaf of $2.8 million, or $0.16 per diluted share after tax, in the nine months ended September 30, 2006.

REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 2

 

“Increases in consolidated operating earnings and earnings per share, driven by sequential improvement in operating margins in the Contract Therapy (CT) division, headlined our quarter,” said John H. Short, Ph.D., president and chief executive officer. “We are well on our way to our forecasted recovery in CT operations as unit productivity and profitability improve.

“As we anticipated, the Hospital Rehabilitation Services (HRS) division continues to be impacted by the 75% Rule, which transitioned to the 65% compliance level on July 1. Despite persistent regulatory pressures and a decline in revenue as a result of fewer units, the division was able to improve operating earnings and margins through continued focus on controlling costs. Furthermore, our outpatient segment was able to grow same store revenue and operating earnings. We look forward to a rollout of several new product offerings over the next several quarters, which should put us in a better position to resume growth.”

Dr. Short continued, “In our Freestanding Hospitals division, we did not anticipate the increases in estimated contractual adjustments at one facility, and shift in payor mix at another. These factors, coupled with start-up costs for our new facility in Austin, Texas, impeded this division’s ability to perform to expectation.”

 

Financial Overview of Third Quarter

Operating revenues for the third quarter of 2007 were $172.9 million compared to $183.2 million from the year-ago quarter, a decrease of $10.3 million, or 5.6 percent. The decline was primarily due to a decrease in the average number of units operated in both the Contract Therapy division and in the Hospital Rehabilitation Services division.

Consolidated net earnings were $3.9 million in the third quarter of 2007 compared to $2.3 million in the third quarter of 2006. Earnings per share on a fully diluted basis for the third quarter of 2007 were $0.22 compared to $0.13 for the same period last year.

The Contract Therapy division’s operating revenues for the third quarter of 2007 decreased 8.7 percent to $98.3 million, compared to $107.7 million in the year ago quarter. A 13.2 percent reduction in the average number of locations was partially offset by same store revenue growth of 5.4 percent. At September 30, 2007, the division operated 1,085 locations compared to 1,253 locations at September 30, 2006. The Company continues to exit locations that do not have prospects for meeting its targets for profitability. The pipeline for new client locations, however, is growing and current backlog of new openings stands at 20 units.

The division’s operating earnings for the quarter were $3.2 million compared to an operating loss of $0.7 million in the prior year quarter and operating earnings of $1.1 million in the prior quarter. The $3.9 million year-over-year improvement and $2.1 million sequential improvement in

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 3

 

operating earnings were primarily due to increased same store revenues, improved productivity, and better leverage in selling, general and administrative costs through the reduction of duplicative costs added through the Symphony acquisition.

The Hospital Rehabilitation Services division’s third quarter operating revenues decreased 9.1 percent to $40.3 million, compared to $44.3 million in the year ago quarter. At September 30, 2007, HRS operated 154 programs compared to 173 at September 30, 2006. During this period, acute rehab units (ARUs) decreased from 117 to 108. The division had one ARU signing in the third quarter, which will open in December of this year. The current ARU backlog stands at four facilities.

Inpatient operating revenues declined 9.2 percent year-over-year primarily as a result of a 9.1 percent decline in average units operated. Same store 75% Rule qualifying admissions were flat compared to the third quarter of 2006. The average 75% Rule compliance level for Inpatient in the third quarter was 64.9 percent. Outpatient operating revenues declined 8.9 percent, as a result of an 11.7 percent year-over-year decline in average units operated, partially offset by an increase in same store revenue of 2.5 percent.

Despite a decline in operating revenues, the division increased its operating earnings by $0.2 million to $6.3 million in the current quarter reflecting continued success in managing operating, general and administrative expenses.

Net revenues in the Freestanding Hospitals division for the third quarter of 2007 increased 14.1 percent to $24.4 million, compared to $21.4 million in the year ago quarter. The division operates a total of nine hospitals, six of which are rehabilitation hospitals and three long term acute care hospitals. The Company’s ninth hospital, an inpatient rehabilitation hospital in Austin, Texas, admitted its first patient in August of 2007, and is in the process of being certified by Medicare. The increase in revenues in 2007 reflects the October 2006 opening of a freestanding rehabilitation hospital in Amarillo, Texas and same store revenue growth of $0.1 million or 0.6 percent.

The operating loss for the third quarter of 2007 was $1.6 million compared to operating earnings of $0.4 million in the prior year quarter. This decline reflects additional contractual adjustments and increased general, administrative, depreciation and amortization expenses for the division. The division incurred estimated start-up costs of approximately $0.7 million and $0.9 million during the quarters ended September 30, 2007 and 2006, respectively. The start-up costs in 2007 relate to the Austin, Texas joint venture.

Rehab hospitals within the division, which the Company managed to an average 75% Rule compliance level of 63.7 percent during the quarter, are

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 4

 

expected to be fully compliant at the end of their respective compliance periods. Year-over-year same store compliant admissions increased 22.4 percent for the quarter.

 

Balance Sheet

For the nine months ended September 30, 2007, the Company generated cash from operations of $30.9 million; paid down $20.0 million in long-term debt; and spent $6.5 million for capital expenditures, including $4.2 million in the Company’s Freestanding Hospitals division, primarily on developing a joint venture in Austin, Texas and adding a high observation unit in one of its LTACHs. The remaining $2.3 million of capital expenditures was principally related to information systems. Days sales outstanding were 78.4 at September 30, 2007 compared to 77.9 at December 31, 2006.

At September 30, the Company had approximately $14.2 million in cash and cash equivalents compared to $9.4 million at December 31, 2006. The Company had $94.6 million in outstanding debt under its revolving credit facility with a weighted average interest rate of approximately 7.0 percent. Total debt outstanding was $100.6 million at September 30, 2007 compared to $120.6 million at December 31, 2006.

Legislative Update

 

The Medicare provisions in the Children’s Health and Medicare Protection Act of 2007 (CHAMP Act) were removed from a stand-alone State’s Children’s Health Insurance Program (SCHIP) bill. It remains to be seen what action the Senate will take on these provisions by the end of the year. These provisions included a freeze of the 75% Rule at 60%, an extension of the Part B therapy cap exception process, refinement of LTACH payments and an increase in the physician fee schedule. RehabCare is actively working with Congressional offices, trade groups and industry peers to encourage the Senate to finish work on the Medicare issues by December 31, 2007.

A recent internal review of Company data from January 2006 through August 2007 of IRF and similar SNF patients, covering 124,000 patients, concluded that continued implementation of the 75% Rule is denying increasing numbers of appropriate patients access to more cost-effective IRF care, where they are more likely to be discharged to home. The study has been shared with Congressional members and staff, the Centers for Medicare and Medicaid Services, professional associations and trade groups and can be viewed at http://www.rehabcare.com/75percentstudy.

 

Outlook

The Company will not be providing revenue and earnings per share guidance, but anticipates:

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 5

 

 

The Contract Therapy division will achieve quarterly sequential improvement in operating earnings, achieving operating earnings margins of 4.5 to 5.5 percent during 2008;

 

The number of ARUs in the Hospital Rehabilitation Services division will continue to experience modest declines in units in the fourth quarter. Same store discharges will remain relatively flat until implementation of the 75% Rule is clarified legislatively; and

 

Within the Freestanding Hospitals division, EBITDA margins will be negatively impacted by start-up costs associated with new hospitals in Austin and North Kansas City and investments in support services as the division prepares for additional growth. The group of hospitals that have been in operation for more than one year will return to 17-19 percent EBITDA margins before corporate overhead in 2008.

Conclusion

Dr. Short concluded, “We continue to progress toward our targeted profitability in our CT segment as expected. At the same time, operating margins in HRS, in spite of regulatory pressures and uncertainties are trending positively. I am very pleased with our colleagues’ ability to manage in a challenging environment. As our Freestanding Hospitals division continues to grow, we are accelerating our investment in leadership, process standardization and information systems across the division, in order to build a solid infrastructure for future success.”

 

About RehabCare Group

Established in 1982 and headquartered in St. Louis, MO, RehabCare (www.rehabcare.com) is a leading provider of rehabilitation program management services in partnership with nearly 1,250 hospitals and skilled nursing facilities in 43 states and the District of Columbia. The Company also operates freestanding rehabilitation hospitals and long-term acute care hospitals across the country. RehabCare is pleased to be included in the Russell 2000 and Standard and Poor’s Small Cap 600 Indices.

A listen-only simulcast of RehabCare’s third quarter conference call will be available on the Company’s web site at www.rehabcare.com, under For Our Investors, Webcasts, and online at www.earnings.com, beginning at 10:00 Eastern time today. An online replay will be available until November 21, 2007. A telephonic replay of the call will be available beginning at approximately 1:00 P.M. Eastern time today and ending at midnight on November 21, 2007. The dial-in number for the replay is (630) 652-3041 and the access code is 19200812.

This press release contains forward-looking statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve known and unknown

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 6

 

risks and uncertainties that may cause our actual results in future periods to differ materially from forecasted results. These risks and uncertainties may include but are not limited to, our ability to consummate acquisitions and other partnering relationships at reasonable valuations; our ability to integrate acquisitions and partnering relationships within the expected timeframes and to achieve the revenue, cost savings and earnings levels from such acquisitions and relationships at or above the levels projected; our ability to comply with the terms of our borrowing agreements; changes in governmental reimbursement rates and other regulations or policies affecting reimbursement for the services provided by us to clients and/or patients; the operational, administrative and financial effect of our compliance with other governmental regulations and applicable licensing and certification requirements; our ability to attract new client relationships or to retain and grow existing client relationships through expansion of our service offerings and the development of alternative product offerings; the future financial results of any unconsolidated affiliates; our ability to attract and the additional costs of attracting and retaining administrative, operational and professional employees; shortages of qualified therapists and other healthcare personnel; significant increases in health, workers compensation and professional and general liability costs; litigation risks of our past and future business, including our ability to predict the ultimate costs and liabilities or the disruption of our operations; competitive and regulatory effects on pricing and margins; our ability to effectively respond to fluctuations in our census levels and number of patient visits; the adequacy and effectiveness of our information systems; natural disasters and other unexpected events which could severely damage or interrupt our systems and operations; changes in federal and state income tax laws and regulations, the effectiveness of our tax planning strategies and the sustainability of our tax positions; and general and economic conditions, including efforts by governmental reimbursement programs, insurers, healthcare providers and others to contain healthcare costs.

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 7

 

 

 

I. Condensed Consolidated Statements of Earnings

(Unaudited; amounts in thousands, except per share data)

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

 

2007

 

 

2006

 

 

 

2007

 

 

2006

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating revenues

 

$

172,943

 

$

183,162

 

 

$

538,039

 

$

432,546

 

Costs & expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating

 

 

140,526

 

 

149,240

 

 

 

438,439

 

 

347,554

 

Selling, general & administrative:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Divisions

 

 

10,761

 

 

12,207

 

 

 

34,170

 

 

31,053

 

Corporate

 

 

9,334

 

 

10,904

 

 

 

29,894

 

 

27,533

 

Impairment of intangible asset

 

 

-

 

 

 

 

 

4,906

 

 

 

Depreciation & amortization

 

 

4,134

 

 

4,485

 

 

 

12,659

 

 

10,346

 

Restructuring

 

 

 

 

 

 

 

 

 

(191

)

Total costs & expenses

 

 

164,755

 

 

176,836

 

 

 

520,068

 

 

416,295

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating earnings, net

 

 

8,188

 

 

6,326

 

 

 

17,971

 

 

16,251

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest income

 

 

38

 

 

73

 

 

 

780

 

 

417

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

 

(2,077

)

 

(2,472

)

 

 

(6,653

)

 

(3,037

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other income (expense), net

 

 

18

 

 

(25

)

 

 

(43

)

 

(51

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings before income taxes, equity in net income (loss) of affiliates and minority interests

 

 

6,167

 

 

3,902

 

 

 

12,055

 

 

13,580

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income taxes

 

 

(2,467

)

 

(1,541

)

 

 

(4,822

)

 

(5,364

)

Equity in net income (loss) of affiliates

 

 

79

 

 

(69

)

 

 

168

 

 

(3,012

)

Minority interests

 

 

131

 

 

10

 

 

 

157

 

 

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net earnings

 

$

3,910

 

$

2,302

 

 

$

7,558

 

$

5,217

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share

 

$

0.22

 

$

0.13

 

 

$

0.43

 

$

0.30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average diluted shares

 

 

17,443

 

 

17,296

 

 

 

17,381

 

 

17,231

 

 

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 8

 

II. Condensed Consolidated Balance Sheets

(Amounts in thousands)

 

 

 

 

 

 

 

Unaudited

 

 

 

 

September 30,

 

December 31,

 

 

2007

 

2006

Assets

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

14,203

 

 

$

9,430

 

Accounts receivable, net

 

 

147,196

 

 

 

153,688

 

Deferred tax assets

 

 

16,518

 

 

 

6,065

 

Other current assets

 

 

6,613

 

 

 

8,932

 

Total current assets

 

 

184,530

 

 

 

178,115

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

29,315

 

 

 

31,833

 

Excess of cost over net assets acquired, net

 

 

168,729

 

 

 

167,440

 

Intangible assets

 

 

29,015

 

 

 

36,950

 

Investment in unconsolidated affiliate

 

 

4,582

 

 

 

3,295

 

Other assets

 

 

9,160

 

 

 

10,663

 

 

 

$

425,331

 

 

$

428,296

 

Liabilities & Stockholders’ Equity

 

 

 

 

 

 

 

 

Current portion of long-term debt

 

$

20,600

 

 

$

5,559

 

Payables & accruals

 

 

79,704

 

 

 

86,574

 

Total current liabilities

 

 

100,304

 

 

 

92,133

 

 

 

 

 

 

 

 

 

 

Long-term debt, less current portion

 

 

80,000

 

 

 

115,000

 

Other non-current liabilities

 

 

9,117

 

 

 

10,298

 

Minority interest

 

 

768

 

 

 

86

 

Stockholders’ equity

 

 

235,142

 

 

 

210,779

 

 

 

$

425,331

 

 

$

428,296

 

 

 

 

 

 

 

 

 

 

 

III. Condensed Consolidated Statements of Cash Flows

(Unaudited; amounts in thousands)

 

Nine Months Ended

 

September 30,

 

2007

 

2006

 

 

 

 

 

 

 

 

Net cash provided by operating activities

$

30,854

 

 

$

4,044

 

Net cash used in investing activities

 

(7,904

)

 

 

(145,339

)

Net cash (used in) provided by financing activities

 

(18,177

)

 

 

121,364

 

 

 

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

4,773

 

 

 

(19,931

)

Cash and cash equivalents at beginning of period

 

9,430

 

 

 

28,103

 

Cash and cash equivalents at end of period

$

14,203

 

 

$

8,172

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplemental information:

 

 

 

 

 

 

 

Additions to property and equipment

$

(6,463

)

 

$

(9,659

)

 

 

 

 

 

 

 

 

 

 

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REHABCARE REPORTS THIRD QUARTER 2007 RESULTS

Page 9

 

IV. Operating Statistics

(Unaudited; dollars in thousands)

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

September 30,

 

September 30,

 

 

2007

 

 

2006

 

 

 

2007

 

 

2006

 

Contract Therapy

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating revenues

$

98,274

 

$

107,690

 

 

$

301,381

 

$

228,181

 

Operating expenses

 

81,713

 

 

91,256

 

 

 

256,151

 

 

193,177

 

Division SG&A

 

5,575

 

 

6,870

 

 

 

17,630

 

 

15,662

 

Corporate SG&A

 

5,796

 

 

7,820

 

 

 

19,271

 

 

15,929

 

Depreciation and amortization

 

2,035

 

 

2,408

 

 

 

6,276

 

 

4,708

 

Operating earnings (loss)

$

3,155

 

$

(664

)

 

$

2,053

 

$

(1,295

)

Operating earnings margin

 

3.2

%

 

-0.6

%

 

 

0.7

%

 

-0.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average number of locations

 

1,106

 

 

1,274

 

 

 

1,140

 

 

940

 

End of period number of locations

 

1,085

 

 

1,253

 

 

 

1,085

 

 

1,253

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospital Rehabilitation Services (HRS)

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating revenues

 

 

 

 

 

 

 

 

 

 

 

 

 

Acute

$

26,899

 

$

30,145

 

 

$

84,484

 

$

91,571

 

Subacute

 

2,613

 

 

2,372

 

 

 

7,709

 

 

7,179

 

Total Inpatient

$

29,512

 

$

32,517

 

 

$

92,193

 

$

98,750

 

Outpatient

 

10,774

 

 

11,821

 

 

 

33,150

 

 

37,232

 

Total HRS

$

40,286

 

$

44,338

 

 

$

125,343

 

$

135,982

 

Operating expenses

 

27,980

 

 

31,350

 

 

 

88,812

 

 

96,336

 

Division SG&A

 

3,028

 

 

3,768

 

 

 

10,443

 

 

11,643

 

Corporate SG&A

 

2,038

 

 

1,925

 

 

 

6,032

 

 

8,134

 

Depreciation and amortization

 

931

 

 

1,160

 

 

 

3,155

 

 

3,511

 

Operating earnings

$

6,309

 

$

6,135

 

 

$

16,901

 

$

16,358

 

Operating earnings margin

 

15.7

%

 

13.8

%

 

 

13.5

%

 

12.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average number of programs

 

 

 

 

 

 

 

 

 

 

 

 

 

Acute

 

109

 

 

119

 

 

 

112

 

 

120

 

Subacute

 

15

 

 

17

 

 

 

16

 

 

17

 

Total Inpatient

 

124

 

 

136

 

 

 

128

 

 

137

 

Outpatient

 

35

 

 

40

 

 

 

35

 

 

42

 

Total HRS

 

159

 

 

176

 

 

 

163

 

 

179

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

End of period number of programs

 

 

 

 

 

 

 

 

 

 

 

 

 

Acute

 

108

 

 

117

 

 

 

108

 

 

117

 

Subacute

 

14

 

 

18

 

 

 

14

 

 

18

 

Total Inpatient

 

122

 

 

135

 

 

 

122

 

 

135

 

Outpatient

 

32

 

 

38

 

 

 

32

 

 

38

 

Total HRS

 

154

 

 

173

 

 

 

154

 

 

173

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acute patient days

 

126,608

 

 

141,381

 

 

 

393,855

 

 

425,694

 

Subacute patient days

 

34,672

 

 

32,295

 

 

 

101,085

 

 

103,016

 

Total patient days

 

161,280

 

 

173,676

 

 

 

494,940

 

 

528,710

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acute discharges

 

10,173

 

 

11,546

 

 

 

32,052

 

 

34,824

 

Subacute discharges

 

754

 

 

690

 

 

 

2,429

 

 

2,191

 

Total discharges

 

10,927

 

 

12,236

 

 

 

34,481

 

 

37,015

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outpatient visits

 

250,933

 

 

272,800

 

 

 

777,439

 

 

864,006

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Freestanding Hospitals

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating revenues

$

24,422

 

$

21,396

 

 

$

77,449

 

$

53,429

 

Operating expenses

 

23,164

 

 

19,000

 

 

 

67,287

 

 

46,454

 

Division SG&A

 

747

 

 

389

 

 

 

1,946

 

 

1,501

 

Corporate SG&A

 

1,112

 

 

782

 

 

 

3,336

 

 

2,886

 

Depreciation and amortization

 

1,042

 

 

787

 

 

 

2,855

 

 

1,970

 

Impairment of intangible asset

 

-

 

 

-

 

 

 

4,906

 

 

-

 

Operating earnings (loss)

$

(1,643

)

$

438

 

 

$

(2,881

)

$

618

 

Operating earnings margin

 

-6.7

%

 

2.0

%

 

 

-3.7

%

 

1.2

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

End of period number of facilities

 

9

 

 

7

 

 

 

9

 

 

7

 

Patient days

 

23,984

 

 

19,723

 

 

 

70,295

 

 

47,950

 

Discharges

 

1,446

 

 

1,091

 

 

 

4,207

 

 

2,636

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-END-

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