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): May 14, 2003 ---------- KINDRED HEALTHCARE, INC. (Exact name of registrant as specified in its charter) Delaware 001-14057 61-1323993 (State or other jurisdiction (Commission File (IRS Employer of incorporation or organization) Number) Identification No.) 680 South Fourth Street Louisville, Kentucky (Address of principal executive offices) 40202-2412 (Zip Code) Registrant's telephone number, including area code: (502) 596-7300 Not Applicable (Former name or former address, if changed since last report) Item 9. Regulation FD Disclosure. On May 14, 2003, the Company issued a press release announcing its financial results for the first quarter ended March 31, 2003. The press release, dated May 14, 2003, is attached as Annex A to this Item 9. On May 14, 2003, the Company also included the press release on its website at www.kindredhealthcare.com. Annex A is incorporated herein by reference and has been furnished, not filed. 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 hereto duly authorized. KINDRED HEALTHCARE, INC. Date: May 14, 2003 By: /s/ Richard A. Lechleiter ------------------------------------------- Richard A. Lechleiter Senior Vice President, Chief Financial Officer and Treasurer Annex A [Kindred Logo appears here] Contact: Richard A. Lechleiter Senior Vice President, Chief Financial Officer and Treasurer (502) 596-7734 KINDRED HEALTHCARE ANNOUNCES FIRST QUARTER RESULTS ---------- Company announces definitive agreement with Ventas to purchase nursing centers in Florida and Texas LOUISVILLE, Ky. (May 14, 2003) - Kindred Healthcare, Inc. (the "Company") (NASDAQ: KIND) today announced its operating results for the first quarter ended March 31, 2003. The Company also announced a definitive agreement with Ventas, Inc. ("Ventas") (NYSE:VTR) to purchase 15 nursing centers in Florida and one nursing center in Texas currently owned by Ventas and operated by the Company. First Quarter Results Revenues for the quarter rose 6% to $863 million compared to $811 million in the year-earlier period. The Company reported a net loss for the current quarter of $13 million or $0.76 per diluted share compared to net income of $18 million or $0.95 per diluted share in the first quarter last year. Operating results for the first quarter of 2003 were adversely affected by reductions in nursing center Medicare reimbursement and increases in professional liability costs. As previously disclosed, certain Medicare reimbursements to the Company's nursing centers expired on October 1, 2002, reducing operating income by approximately $15 million in the first quarter of 2003 compared to the first quarter of 2002. Costs related to professional liability risks aggregated $54 million in the first quarter of 2003 compared to $16 million in the first quarter last year, of which approximately $47 million and $13 million, respectively, related to the Company's nursing center business. Professional liability costs recorded in the fourth quarter of 2002 aggregated $37 million, of which approximately $33 million were charged to the Company's nursing center business. The results of the Company's regular quarterly independent actuarial valuation indicated that the increase in nursing center professional liability costs from fourth quarter 2002 levels primarily reflected an increase in claims activity in the first quarter in certain states other than Florida. Approximately $8 million of the first quarter 2003 nursing center provision for loss related to changes in estimates of prior year costs. Professional liability costs in the first quarter of 2003 related to the Company's Florida nursing center operations approximated $22 million. Pretax losses for these facilities totaled $19 million in the first quarter of 2003. The Company believes that the increases in professional liability costs are expected to continue in the foreseeable future. In addition, the expiration of certain Medicare funding on October 1, 2002 will continue to reduce materially the Company's nursing center operating income. As previously disclosed in its 2002 Form 10-K, the Company designated its pharmacy operations as a separate operating division effective January 1, 2003. Business segment disclosures for prior periods have been reclassified to conform with the new presentation. Cash and cash equivalents totaled $100 million at March 31, 2003 compared to $244 million at December 31, 2002. As previously announced, the Company funded approximately $63 million into its limited purpose insurance subsidiary on March 31, 2003 in satisfaction of its 2002 professional liability funding requirements. Operating cash flows in the first quarter of 2003 reflected a $53 million increase in accounts receivable. Medicare and private receivables in the Company's hospitals increased by approximately $27 million and $12 million, respectively, in the first quarter, while slower Medicaid payments to the Company's nursing centers accounted for approximately $9 million of the increase. Collections of accounts receivable are expected to improve in the second quarter of 2003, primarily through normal Medicare settlements and lump-sum payments based on recently filed annual hospital cost reports. The Company was in compliance with the covenants related to its revolving credit facility and senior secured notes at March 31, 2003. Long-term debt at March 31, 2003 aggregated $162 million, relatively unchanged from December 31, 2002. There were no outstanding borrowings under the Company's revolving credit facility at March 31, 2003. Due to uncertainties associated with professional liability costs and government reimbursement, the Company does not intend to issue any earnings guidance for fiscal 2003 at this time. Transaction with Ventas The Company also announced that it has entered into an agreement to purchase 15 Florida nursing centers and one Texas nursing center (the "Facilities") that it leases from Ventas. In the proposed transaction, the Company will pay approximately $60 million to purchase the Facilities and $4 million in lease termination fees. In addition, the Company has agreed to certain amendments to its master leases with Ventas to: (1) pay incremental rent in varying amounts generally over seven years, the net present value of which will approximate $44 million using a discount rate of 11%, (2) provide that all annual rent escalators under the master leases will be in cash at all times, and (3) expand certain cooperation and information sharing provisions of the master leases. The current annual rent of approximately $9 million on the Facilities to be purchased will terminate on the closing of the proposed transaction. For accounting purposes, the $44 million present value rent obligation to Ventas will be recorded by the Company as long-term debt upon consummation of the proposed transaction. The Company expects to record a loss on the proposed transaction equal to the difference between the present value of the total consideration paid to Ventas and the estimated fair value of the assets acquired. The estimation of the fair value of the assets acquired and related loss will be determined in conjunction with the Company's ongoing divestiture negotiations with third parties. The Company expects to finance its obligations at closing through the use of existing cash. The consummation of the proposed transaction is subject to several material conditions, including, but not limited to, the receipt of required approvals from the Company's lenders. The Company has agreed to provide a $5 million deposit to Ventas that is subject to forfeiture if, among other things, the Company cannot obtain lender approval by June 25, 2003 or close the transaction by June 30, 2003. The deposit would be refundable to the Company in the event of a breach by Ventas. Florida Nursing Center Divestiture As previously announced, the Company intends to divest its 18 Florida nursing centers. The Company is currently engaged in discussions with interested third parties to divest the 15 facilities to be purchased from Ventas, two owned facilities and one facility currently leased from another landlord. Texas Nursing Center Divestiture The Company currently operates two leased nursing centers in Texas, one of which is leased from Ventas. Upon completion of the proposed purchase of the Ventas nursing center, the Company intends to divest the facility. The Company has recently entered into an agreement with the landlord of the other Texas nursing center to terminate the lease effective June 30, 2003. As a result of increased professional liability costs in Texas, these two nursing centers reported pretax losses of approximately $4 million for the year ended December 31, 2002 and $2 million in the first quarter of 2003. Ongoing Efforts to Enhance Shareholder Value Edward L. Kuntz, Chairman and Chief Executive Officer of Kindred, noted the Company's continuing efforts to restructure its nursing center operations. "The successful completion of our Florida and Texas nursing center divestiture plans will have a significant positive impact on our operating results going forward. We are proceeding expeditiously to complete these transactions as soon as possible. While there are other nursing center operational and professional liability issues in other states, I am encouraged that the recent agreement with Ventas will lead to our continued discussions of these issues. In addition, the Company plans to consider various other strategic alternatives for each of its businesses that may lead to enhanced shareholder value." Forward-Looking Statements This press release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements regarding the Company's expected future financial position, results of operations, cash flows, financing plans, business strategy, budgets, capital expenditures, competitive positions, growth opportunities, plans and objectives of management and statements containing the words such as "anticipate," "approximate," "believe," "plan," "estimate," "expect," "project," "could," "should," "will," "intend," "may" and other similar expressions, are forward-looking statements. Such forward-looking statements are inherently uncertain, and stockholders and other potential investors must recognize that actual results may differ materially from the Company's expectations as a result of a variety of factors, including, without limitation, those discussed below. Such forward-looking statements are based on management's current expectations and include known and unknown risks, uncertainties and other factors, many of which the Company is unable to predict or control, that may cause the Company's actual results or performance to differ materially from any future results or performance expressed or implied by such forward-looking statements. These statements involve risks, uncertainties and other factors discussed below and detailed from time to time in the Company's filings with the Securities and Exchange Commission. Factors that may affect the Company's plans or results include, without limitation, (a) the Company's ability to operate pursuant to the terms of its debt obligations and its master lease agreements with Ventas; (b) the Company's ability to meet its rental and debt service obligations; (c) adverse developments with respect to the Company's results of operations or liquidity; (d) the Company's ability to attract and retain key executives and other healthcare personnel; (e) increased operating costs due to shortages in qualified nurses and other healthcare personnel; (f) the effects of healthcare reform and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry; (g) changes in the reimbursement rates or methods of payment from third party payors, including the Medicare and Medicaid programs and the new prospective payment system for long-term acute care hospitals; (h) national and regional economic conditions, including their effect on the availability and cost of labor, materials and other services; (i) the Company's ability to control costs, particularly labor and employee benefit costs; (j) the Company's ability to comply with the terms of its Corporate Integrity Agreement; (k) the Company's ability to integrate operations of acquired facilities; (l) the increase in the costs of defending and insuring against professional liability claims and the Company's ability to predict the estimated costs related to such claims; and (m) the Company's ability to successfully reduce (by divestiture or otherwise) its exposure to professional liability claims in the state of Florida and other states. Many of these factors are beyond the Company's control. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance. The Company disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments. Kindred Healthcare, Inc. is a national provider of long-term healthcare services primarily operating nursing centers, hospitals and institutional pharmacies. KINDRED HEALTHCARE, INC. Financial Summary (Unaudited) (In thousands, except per share amounts) Three months ended March 31, ------------------- 2003 2002 -------- -------- Revenues $863,078 $811,244 Net income (loss) $(13,124) $ 18,178 Earnings (loss) per common share: Basic $ (0.76) $ 1.05 Diluted $ (0.76) $ 0.95 Shares used in computing earnings (loss) per common share: Basic 17,377 17,308 Diluted 17,377 19,074 KINDRED HEALTHCARE, INC. Condensed Consolidated Statement of Operations (Unaudited) (In thousands, except per share amounts) Three months ended March 31, ------------------- 2003 2002 -------- -------- Revenues $863,078 $811,244 -------- -------- Salaries, wages and benefits 501,312 467,401 Supplies 110,095 101,314 Rent 68,392 65,611 Other operating expenses 180,509 127,297 Depreciation 20,083 16,696 Interest expense 2,888 3,732 Investment income (1,638) (1,880) -------- -------- 881,641 780,171 -------- -------- Income (loss) before income taxes (18,563) 31,073 Provision (benefit) for income taxes (5,439) 12,895 -------- -------- Net income (loss) $(13,124) $ 18,178 ======== ======== Earnings (loss) per common share: Basic $ (0.76) $ 1.05 Diluted $ (0.76) $ 0.95 Shares used in computing earnings (loss) per common share: Basic 17,377 17,308 Diluted 17,377 19,074 KINDRED HEALTHCARE, INC. Condensed Consolidated Balance Sheet (Unaudited) (In thousands, except per share amounts) March 31, December 31, 2003 2002 ---------- ------------ ASSETS Current assets: Cash and cash equivalents $ 100,173 $ 244,070 Cash-restricted 8,000 7,908 Insurance subsidiary investments 209,379 130,415 Accounts receivable less allowance for loss 467,240 420,611 Inventories 30,491 30,460 Other 91,425 86,852 ---------- ---------- 906,708 920,316 Property and equipment 622,830 611,944 Accumulated depreciation (135,479) (115,373) ---------- ---------- 487,351 496,571 Goodwill 88,658 88,259 Other 168,162 139,032 ---------- ---------- $1,650,879 $1,644,178 ========== ========== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 120,700 $ 124,466 Salaries, wages and other compensation 206,470 220,124 Due to third party payors 28,728 25,177 Other accrued liabilities 164,378 150,020 Income taxes 56,613 62,111 Long-term debt due within one year 162 258 ---------- ---------- 577,051 582,156 Long-term debt 161,992 162,008 Professional liability risks 234,073 211,771 Deferred credits and other liabilities 58,153 56,615 Stockholders' equity: Common stock, $0.25 par value; authorized 175,000 shares - March 31 and December 31; issued 17,649 shares - March 31 and December 31 4,412 4,412 Capital in excess of par value 547,569 547,609 Deferred compensation (5,674) (6,967) Accumulated other comprehensive income 313 460 Retained earnings 72,990 86,114 ---------- ---------- 619,610 631,628 ---------- ---------- $1,650,879 $1,644,178 ========== ========== KINDRED HEALTHCARE, INC. Condensed Consolidated Statement of Cash Flows (Unaudited) (In thousands) Three months ended March 31, -------------------- 2003 2002 --------- -------- Cash flows from operating activities: Net income (loss) $ (13,124) $ 18,178 Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Depreciation 20,083 16,696 Amortization of deferred compensation costs 1,253 2,586 Provision for doubtful accounts 6,288 4,284 Other 506 55 Change in operating assets and liabilities: Accounts receivable (53,316) 599 Inventories and other assets (6,387) (16,991) Accounts payable (2,998) 15,527 Income taxes (5,457) 4,307 Due to third party payors 3,551 (7,404) Other accrued liabilities 28,330 (2,678) --------- -------- Net cash provided by (used in) operating activities before reorganization items (21,271) 35,159 Payment of reorganization items (395) (2,462) --------- -------- Net cash provided by (used in) operating activities (21,666) 32,697 --------- -------- Cash flows from investing activities: Purchase of property and equipment (10,565) (9,868) Net change in insurance subsidiary investments (99,973) 908 Net change in other investments (4,685) 756 Other (333) 159 --------- -------- Net cash used in investing activities (115,556) (8,045) --------- -------- Cash flows from financing activities: Repayment of long-term debt (112) (101) Payment of deferred financing costs (1,596) -- Other (4,967) (4,494) --------- -------- Net cash used in financing activities (6,675) (4,595) --------- -------- Change in cash and cash equivalents (143,897) 20,057 Cash and cash equivalents at beginning of period 244,070 190,799 --------- -------- Cash and cash equivalents at end of period $ 100,173 $210,856 ========= ======== KINDRED HEALTHCARE, INC. Condensed Business Segment Data (Unaudited) (In thousands) Three months ended March 31, -------------------- 2003 2002(a) -------- --------- Revenues: Health services division: Nursing centers $460,559 $461,887 Rehabilitation services 8,502 7,830 -------- -------- 469,061 469,717 Hospital division: Hospitals 340,855 296,442 Ancillary services 1,759 1,870 -------- --------- 342,614 298,312 Pharmacy division 68,828 59,178 -------- --------- 880,503 827,207 Elimination of pharmacy charges to Company nursing centers (b) (17,425) (15,963) -------- --------- $863,078 $811,244 ======== ======== Net income (loss): Operating income (loss): Health services division: Nursing centers $ 24,055 $ 82,727 Rehabilitation services (959) (66) -------- --------- 23,096 82,661 Hospital division: Hospitals 70,304 59,574(c) Ancillary services 180 135 -------- --------- 70,484 59,709 Pharmacy division 6,902 5,537 Corporate overhead (29,320) (32,675)(d) -------- --------- Operating income 71,162 115,232 Rent (68,392) (65,611) Depreciation (20,083) (16,696) Interest, net (1,250) (1,852) -------- --------- Income (loss) before income taxes (18,563) 31,073 Provision (benefit) for income taxes (5,439) 12,895 -------- --------- $(13,124) $ 18,178 ======== ========= ---------- (a) Certain prior year amounts have been reclassified to conform with the current year presentation. (b) As previously disclosed in the Company's 2002 Form 10-K, new intercompany pharmacy pricing arrangements with Company-operated nursing centers became effective on January 1, 2003. (c) Includes $1.5 million of insurance proceeds. (d) Includes $1.5 million of severance costs. KINDRED HEALTHCARE, INC. Condensed Business Segment Data (Continued) (Unaudited) (In thousands) Three months ended March 31, ------------------ 2003 2002(a) ------- ------- Rent: Health services division: Nursing centers $43,129 $41,276 Rehabilitation services 69 24 ------- ------- 43,198 41,300 Hospital division: Hospitals 24,204 23,336 Ancillary services 201 225 ------- ------- 24,405 23,561 Pharmacy division 725 717 Corporate 64 33 ------- ------- $68,392 $65,611 ======= ======= Depreciation: Health services division: Nursing centers $ 6,927 $ 6,076 Rehabilitation services 16 9 ------- ------- 6,943 6,085 Hospital division: Hospitals 7,255 6,361 Ancillary services 119 146 ------- ------- 7,374 6,507 Pharmacy division 531 397 Corporate 5,235 3,707 ------- ------- $20,083 $16,696 ======= ======= Capital expenditures, excluding acquisitions: Health services division $ 3,273 $ 2,116 Hospital division 2,822 3,316 Pharmacy division 616 396 Corporate: Information systems 3,207 3,330 Other 647 710 ------- ------- $10,565 $ 9,868 ======= ======= ---------- (a) Certain prior year amounts have been reclassified to conform with the current year presentation. KINDRED HEALTHCARE, INC. Condensed Business Segment Data (Continued) (Unaudited) Three months ended March 31, ----------------------- 2003 2002 ---------- ---------- Nursing Center Data: End of period data: Number of nursing centers: Owned or leased 278 280 Managed 7 14 ---------- ---------- 285 294 ========== ========== Number of licensed beds: Owned or leased 36,549 36,615 Managed 803 1,417 ---------- ---------- 37,352 38,032 ========== ========== Revenue mix %: Medicare 33 34 Medicaid 48 46 Private and other 19 20 Patient days (excludes managed facilities): Medicare 448,291 439,715 Medicaid 1,875,858 1,883,679 Private and other 462,782 502,996 ---------- ---------- 2,786,931 2,826,390 ========== ========== Revenues per patient day: Medicare $ 337 $ 358 Medicaid 119 114 Private and other 187 179 Weighted average 165 163 Average daily census 30,966 31,404 Occupancy % 84.4 85.0 Hospital Data: End of period data: Number of hospitals 65 57 Number of licensed beds 5,408 4,961 Revenue mix %: Medicare 60 58 Medicaid 8 10 Private and other 32 32 Patient days: Medicare 222,919 196,057 Medicaid 32,266 33,864 Private and other 58,369 58,437 ---------- ---------- 313,554 288,358 ========== ========== Revenues per patient day: Medicare $ 918 $ 880 Medicaid 825 880 Private and other 1,877 1,609 Weighted average 1,087 1,028 Average daily census 3,484 3,204 Occupancy % 67.3 67.6 Pharmacy Data: Number of customer licensed beds at end of period: Company-operated 29,804 30,471 Non-affiliated 28,365 25,695 ---------- ---------- 58,169 56,166 ========== ==========