Form 10-Q
Table of Contents

 

 

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 March 31, 2013

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: 001-14057

 

 

KINDRED HEALTHCARE, INC.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   61-1323993
(State or other jurisdiction of
incorporation or organization)
 

(I.R.S. Employer

Identification No.)

680 South Fourth Street

Louisville, KY

  40202-2412
(Address of principal executive offices)   (Zip Code)

(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 by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer   x    Accelerated filer   ¨
Non-accelerated filer   ¨    Smaller reporting company   ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x

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 April 30, 2013

Common stock, $0.25 par value   54,037,557 shares

 

 

 


Table of Contents

KINDRED HEALTHCARE, INC.

FORM 10-Q

INDEX

 

           Page  
PART I.    FINANCIAL INFORMATION   
Item 1.    Financial Statements (Unaudited):   
  

Condensed Consolidated Statement of Operations – for the three months ended March 31,  2013 and 2012

     3   
  

Condensed Consolidated Statement of Comprehensive Income – for the three months ended March  31, 2013 and 2012

     4   
  

Condensed Consolidated Balance Sheet – March 31, 2013 and December 31, 2012

     5   
  

Condensed Consolidated Statement of Cash Flows – for the three months ended March 31,  2013 and 2012

     6   
  

Notes to Condensed Consolidated Financial Statements

     7   
Item 2.   

Management’s Discussion and Analysis of Financial Condition and Results of Operations

     34   
Item 3.   

Quantitative and Qualitative Disclosures About Market Risk

     61   
Item 4.   

Controls and Procedures

     62   
PART II.    OTHER INFORMATION   
Item 1.    Legal Proceedings      63   
Item 2.    Unregistered Sales of Equity Securities and Use of Proceeds      63   
Item 6.    Exhibits      63   

 

2


Table of Contents

KINDRED HEALTHCARE, INC.

CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended
March 31,
 
     2013     2012  

Revenues

   $ 1,554,908      $ 1,537,931   
  

 

 

   

 

 

 

Salaries, wages and benefits

     943,773        921,359   

Supplies

     105,808        108,533   

Rent

     105,978        104,313   

Other operating expenses

     305,503        296,365   

Other income

     (993     (3,143

Impairment charges

     436        848   

Depreciation and amortization

     51,196        46,986   

Interest expense

     28,174        26,578   

Investment income

     (91     (288
  

 

 

   

 

 

 
     1,539,784        1,501,551   
  

 

 

   

 

 

 

Income from continuing operations before income taxes

     15,124        36,380   

Provision for income taxes

     5,620        14,765   
  

 

 

   

 

 

 

Income from continuing operations

     9,504        21,615   

Discontinued operations, net of income taxes:

    

Loss from operations

     (4,787     (1,803

Loss on divestiture of operations

     (1,244     (1,170
  

 

 

   

 

 

 

Loss from discontinued operations

     (6,031     (2,973
  

 

 

   

 

 

 

Net income

     3,473        18,642   

Earnings attributable to noncontrolling interests

     (416     (451
  

 

 

   

 

 

 

Income attributable to Kindred

   $ 3,057      $ 18,191   
  

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

    

Income from continuing operations

   $ 9,088      $ 21,164   

Loss from discontinued operations

     (6,031     (2,973
  

 

 

   

 

 

 

Net income

   $ 3,057      $ 18,191   
  

 

 

   

 

 

 

Earnings per common share:

    

Basic:

    

Income from continuing operations

   $ 0.17      $ 0.40   

Discontinued operations:

    

Loss from operations

     (0.09     (0.03

Loss on divestiture of operations

     (0.02     (0.02
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.11     (0.05
  

 

 

   

 

 

 

Net income

   $ 0.06      $ 0.35   
  

 

 

   

 

 

 

Diluted:

    

Income from continuing operations

   $ 0.17      $ 0.40   

Discontinued operations:

    

Loss from operations

     (0.09     (0.03

Loss on divestiture of operations

     (0.02     (0.02
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.11     (0.05
  

 

 

   

 

 

 

Net income

   $ 0.06      $ 0.35   
  

 

 

   

 

 

 

Shares used in computing earnings per common share:

    

Basic

     52,062        51,603   

Diluted

     52,083        51,638   

See accompanying notes.

 

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Table of Contents

KINDRED HEALTHCARE, INC.

CONDENSED CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands)

 

     Three months ended
March 31,
 
     2013     2012  

Net income

   $ 3,473      $ 18,642   

Other comprehensive income:

    

Available-for-sale securities (Note 8):

    

Change in unrealized investment gains

     1,613        1,202   

Reclassification of (gains) losses realized in net income

     119        (77
  

 

 

   

 

 

 

Net change

     1,732        1,125   

Interest rate swaps (Note 1):

    

Change in unrealized gains (losses)

     844        (131

Reclassification of (gains) losses realized in net income, net of payments

     (5     201   
  

 

 

   

 

 

 

Net change

     839        70   

Income tax benefit related to items of other comprehensive income

     (937     (420
  

 

 

   

 

 

 

Other comprehensive income

     1,634        775   
  

 

 

   

 

 

 

Comprehensive income

     5,107        19,417   

Earnings attributable to noncontrolling interests

     (416     (451
  

 

 

   

 

 

 

Comprehensive income attributable to Kindred

   $ 4,691      $ 18,966   
  

 

 

   

 

 

 

See accompanying notes.

 

4


Table of Contents

KINDRED HEALTHCARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEET

(Unaudited)

(In thousands, except per share amounts)

 

     March 31,
2013
    December 31,
2012
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 42,664      $ 50,007   

Cash—restricted

     5,263        5,197   

Insurance subsidiary investments

     91,057        86,168   

Accounts receivable less allowance for loss of $32,656 – March 31, 2013 and $23,959 – December 31, 2012

     1,094,750        1,038,605   

Inventories

     32,057        32,021   

Deferred tax assets

     11,366        12,663   

Income taxes

     1,835        13,573   

Other

     39,781        35,532   
  

 

 

   

 

 

 
     1,318,773        1,273,766   

Property and equipment

     2,202,083        2,226,903   

Accumulated depreciation

     (1,088,591     (1,083,777
  

 

 

   

 

 

 
     1,113,492        1,143,126   

Goodwill

     1,041,266        1,041,266   

Intangible assets less accumulated amortization of $40,601 – March 31, 2013 and $34,854 – December 31, 2012

     434,020        439,767   

Assets held for sale

     2,793        4,131   

Insurance subsidiary investments

     146,985        116,424   

Other

     220,330        219,466   
  

 

 

   

 

 

 

Total assets

   $ 4,277,659      $ 4,237,946   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 193,263      $ 210,668   

Salaries, wages and other compensation

     390,701        389,009   

Due to third party payors

     34,392        35,420   

Professional liability risks

     67,859        54,088   

Other accrued liabilities

     152,241        137,204   

Long-term debt due within one year

     8,363        8,942   
  

 

 

   

 

 

 
     846,819        835,331   

Long-term debt

     1,671,279        1,648,706   

Professional liability risks

     240,070        236,630   

Deferred tax liabilities

     10,588        9,764   

Deferred credits and other liabilities

     213,570        214,671   

Commitments and contingencies (Note 9)

    

Equity:

    

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 54,047 shares – March 31, 2013 and 53,280 shares – December 31, 2012

     13,512        13,320   

Capital in excess of par value

     1,143,950        1,145,922   

Accumulated other comprehensive loss

     (248     (1,882

Retained earnings

     101,509        98,799   
  

 

 

   

 

 

 
     1,258,723        1,256,159   

Noncontrolling interests

     36,610        36,685   
  

 

 

   

 

 

 

Total equity

     1,295,333        1,292,844   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 4,277,659      $ 4,237,946   
  

 

 

   

 

 

 

See accompanying notes.

 

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KINDRED HEALTHCARE, INC.

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

(Unaudited)

(In thousands)

 

     Three months ended
March 31,
 
     2013     2012  

Cash flows from operating activities:

    

Net income

   $ 3,473      $ 18,642   

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

    

Depreciation and amortization

     52,954        48,690   

Amortization of stock-based compensation costs

     2,248        1,802   

Amortization of deferred financing costs

     2,613        2,357   

Provision for doubtful accounts

     11,266        7,496   

Deferred income taxes

     (344     (3,662

Impairment charges

     436        867   

Loss on divestiture of discontinued operations

     1,244        1,170   

Other

     420        277   

Change in operating assets and liabilities:

    

Accounts receivable

     (67,411     (57,197

Inventories and other assets

     (8,147     (15,905

Accounts payable

     (15,790     (9,550

Income taxes

     12,170        31,242   

Due to third party payors

     (1,028     (8,976

Other accrued liabilities

     30,729        (20,678
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     24,833        (3,425
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Routine capital expenditures

     (22,370     (22,106

Development capital expenditures

     (2,388     (10,622

Acquisitions, net of cash acquired

     —          (50,448

Acquisition deposit

     —          (16,866

Sale of assets

     5,060        1,110   

Purchase of insurance subsidiary investments

     (10,836     (13,773

Sale of insurance subsidiary investments

     10,002        14,006   

Net change in insurance subsidiary cash and cash equivalents

     (33,096     (13,123

Change in other investments

     319        269   

Other

     (144     (749
  

 

 

   

 

 

 

Net cash used in investing activities

     (53,453     (112,302
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Proceeds from borrowings under revolving credit

     483,500        515,400   

Repayment of borrowings under revolving credit

     (459,200     (397,000

Repayment of other long-term debt

     (2,666     (2,666

Payment of deferred financing costs

     (202     (43

Distribution made to noncontrolling interests

     (491     (1,388

Issuance of common stock

     4        —     

Other

     332        —     
  

 

 

   

 

 

 

Net cash provided by financing activities

     21,277        114,303   
  

 

 

   

 

 

 

Change in cash and cash equivalents

     (7,343     (1,424

Cash and cash equivalents at beginning of period

     50,007        41,561   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 42,664      $ 40,137   
  

 

 

   

 

 

 

Supplemental information:

    

Interest payments

   $ 13,092      $ 12,108   

Income tax refunds

     9,631        13,956   

See accompanying notes.

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

NOTE 1 – BASIS OF PRESENTATION

Business

Kindred Healthcare, Inc. is a healthcare services company that through its subsidiaries operates transitional care (“TC”) hospitals, inpatient rehabilitation hospitals (“IRFs”), nursing centers, assisted living facilities, a contract rehabilitation services business and a home health and hospice business across the United States (collectively, the “Company” or “Kindred”). At March 31, 2013, the Company’s hospital division operated 116 TC hospitals (licensed as long-term acute care (“LTAC”) hospitals under the Medicare program) and six IRFs in 26 states. The Company’s nursing center division operated 204 nursing centers and six assisted living facilities in 26 states. The Company’s rehabilitation division provided rehabilitation services primarily in hospitals and long-term care settings. The Company’s home health and hospice division provided home health, hospice and private duty services from 101 locations in ten states.

In recent years, the Company has completed several transactions related to the divestiture of unprofitable hospitals and nursing centers to improve its future operating results. For accounting purposes, the operating results of these businesses and the losses associated with these transactions have been classified as discontinued operations in the accompanying unaudited condensed consolidated statement of operations for all periods presented. Assets held for sale at March 31, 2013 have been measured at the lower of carrying value or estimated fair value less costs of disposal and have been classified as held for sale in the accompanying unaudited condensed consolidated balance sheet. See Note 3 for a summary of discontinued operations.

Recently issued accounting requirements

In February 2013, the Financial Accounting Standards Board (the “FASB”) amended its authoritative guidance issued in December 2011 related to the deferral of the requirement to present reclassification adjustments out of accumulated other comprehensive income in both the statement in which net income is presented and the statement in which other comprehensive income is presented. The amended provisions require an entity to provide information about the amounts reclassified out of accumulated other comprehensive income by component. In addition, an entity is required to present, either on the face of the statement where net income is presented or in the notes, significant amounts reclassified out of accumulated other comprehensive income by the respective line items of net income but only if the amount reclassified is required under United States generally accepted accounting principles to be reclassified to net income in its entirety in the same reporting period. For all other amounts, an entity is required to cross-reference to other disclosures that provide additional details about these amounts. All other requirements of the original June 2011 update were not impacted by the amendment which became effective for all interim and annual reporting periods beginning after December 15, 2012. The adoption of the guidance did not have a material impact on the Company’s business, financial position, results of operations or liquidity.

 

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KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 1 – BASIS OF PRESENTATION (Continued)

 

Equity

The following table sets forth the changes in equity attributable to noncontrolling interests and equity attributable to Kindred stockholders for the three months ended March 31, 2013 and 2012 (in thousands):

 

For the three months ended March 31, 2013:

   Redeemable
noncontrolling
interests
    Amounts
attributable to
Kindred
stockholders
    Nonredeemable
noncontrolling
interests
    Total
equity
 

Balance at December 31, 2012

   $ —        $ 1,256,159      $ 36,685      $ 1,292,844   

Comprehensive income:

        

Net income

     —          3,057        416        3,473   

Other comprehensive income

     —          1,634        —          1,634   
  

 

 

   

 

 

   

 

 

   

 

 

 
     —          4,691        416        5,107   

Issuance of common stock in connection with employee benefit plans

     —          4        —          4   

Shares tendered by employees for statutory tax withholdings upon issuance of common stock

     —          (2,810     —          (2,810

Income tax provision in connection with the issuance of common stock under employee benefit plans

     —          (1,569     —          (1,569

Stock-based compensation amortization

     —          2,248        —          2,248   

Distribution made to noncontrolling interests

     —          —          (491     (491
  

 

 

   

 

 

   

 

 

   

 

 

 

Balance at March 31, 2013

   $ —        $ 1,258,723      $ 36,610      $ 1,295,333   
  

 

 

   

 

 

   

 

 

   

 

 

 
 

For the three months ended March 31, 2012:

                        

Balance at December 31, 2011

   $ 9,704      $ 1,288,921      $ 31,620      $ 1,320,541   

Comprehensive income:

        

Net income

     155        18,191        296        18,487   

Other comprehensive income

     —          775        —          775   
  

 

 

   

 

 

   

 

 

   

 

 

 
     155        18,966        296        19,262   

Shares tendered by employees for statutory tax withholdings upon issuance of common stock

     —          (1,796     —          (1,796

Income tax provision in connection with the issuance of common stock under employee benefit plans

     —          (2,082     —          (2,082

Stock-based compensation amortization

     —          1,802        —          1,802   

Distribution made to noncontrolling interests

     (327     —          (1,061     (1,061
  

 

 

   

 

 

   

 

 

   

 

 

 

Balance at March 31, 2012

   $ 9,532      $ 1,305,811      $ 30,855      $ 1,336,666   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

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KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 1 – BASIS OF PRESENTATION (Continued)

 

Derivative financial instruments

In December 2011, the Company entered into two interest rate swap agreements to hedge its floating interest rate on an aggregate of $225 million of outstanding senior secured term loan facility debt (the “Term Loan Facility”) entered into in June 2011. The interest rate swaps have an effective date of January 9, 2012, and expire on January 11, 2016. The Company is required to make payments based upon a fixed interest rate of 1.8925% calculated on the notional amount of $225 million. In exchange, the Company will receive interest on $225 million at a variable interest rate that is based upon the three-month London Interbank Offered Rate (“LIBOR”), subject to a minimum rate of 1.5%. The Company determined the interest rate swaps continue to be effective cash flow hedges at March 31, 2013. The fair value of the interest rate swaps recorded in other accrued liabilities was $1.8 million and $2.6 million at March 31, 2013 and December 31, 2012, respectively.

Other information

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions for Form 10-Q of Regulation S-X and 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 financial statements should be read in conjunction with the audited consolidated financial statements of the Company for the year ended December 31, 2012 filed with the Securities and Exchange Commission (the “SEC”) on Form 10-K. The accompanying condensed consolidated balance sheet at December 31, 2012 was derived from audited consolidated financial statements, but does not include all disclosures required by generally accepted accounting principles.

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the Company’s customary accounting practices. Management believes that financial information included herein reflects all adjustments necessary for a fair presentation of interim results and, except as otherwise disclosed, all such adjustments are of a normal and recurring nature.

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles and include amounts based upon the estimates and judgments of management. Actual amounts may differ from those estimates.

Reclassifications

Certain prior period amounts have been reclassified to conform with the current period presentation.

NOTE 2 – ACQUISITION

In March 2012, the Company acquired the real estate of a previously leased hospital for $50.4 million. Annual rent associated with the hospital aggregated $4.1 million. The fair value of the asset acquired was measured using discounted cash flow methodologies which are considered Level 3 inputs (as described in Note 10).

The purchase price of this hospital resulted from negotiations with the landlord that were based upon both the historical and expected future cash flows of the hospital and real estate values. This acquisition was financed through operating cash flows and borrowings under the Company’s revolving credit facility.

 

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KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 3 – DISCONTINUED OPERATIONS

In accordance with the authoritative guidance for the impairment or disposal of long-lived assets, the divestitures of unprofitable businesses discussed in Note 1 have been accounted for as discontinued operations. Accordingly, the results of operations of these businesses for all periods presented and the losses associated with these transactions have been classified as discontinued operations, net of income taxes, in the accompanying unaudited condensed consolidated statement of operations. At March 31, 2013, the Company held for sale one hospital.

On April 27, 2012, the Company announced that it would not renew seven renewal bundles containing 54 nursing centers (the “Expiring Facilities”) under operating leases with Ventas, Inc. (“Ventas”) that expire on April 30, 2013. The Expiring Facilities contain 6,140 licensed nursing center beds and generated revenues of approximately $475 million for the year ended December 31, 2012. The current annual rent for these facilities approximates $57 million. The Company has also entered into an agreement with Ventas to provide Ventas with more flexibility to accelerate the transfer of the Expiring Facilities, as well as to extend the term of the leases as necessary to facilitate these transfers. The Company may be required to pay for additional capital obligations for the Expiring Facilities under the master lease agreements with Ventas. The Company transferred the operations of 19 of the 54 nursing centers to new operators during the three months ended March 31, 2013. The Company reclassified the results of operations and losses associated with the 19 divestitures to discontinued operations, net of income taxes, for all periods presented. The Company will continue to operate the remaining 35 Expiring Facilities and include the Expiring Facilities in its results from continuing operations through the expiration of the lease term, and for such additional time period as required to transfer operations to new operators. When the Company terminates its operations of the remaining Expiring Facilities, these facilities will be reclassified to discontinued operations.

A summary of discontinued operations follows (in thousands):

 

     Three months ended
March 31,
 
     2013     2012  

Revenues

   $ 28,505      $ 46,733   
  

 

 

   

 

 

 

Salaries, wages and benefits

     15,612        23,845   

Supplies

     1,713        2,762   

Rent

     3,670        5,384   

Other operating expenses

     13,530        15,966   

Other expense

     108        —     

Impairment charges

     —          19   

Depreciation

     1,758        1,704   

Interest expense

     2        —     

Investment income

     (8     (4
  

 

 

   

 

 

 
     36,385        49,676   
  

 

 

   

 

 

 

Loss from operations before income taxes

     (7,880     (2,943

Income tax benefit

     (3,093     (1,140
  

 

 

   

 

 

 

Loss from operations

     (4,787     (1,803

Loss on divestiture operations

     (1,244     (1,170
  

 

 

   

 

 

 

Loss from discontinued operations

   $ (6,031   $ (2,973
  

 

 

   

 

 

 

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 3 – DISCONTINUED OPERATIONS (Continued)

 

The following table sets forth certain discontinued operating data by business segment (in thousands):

 

     Three months ended
March 31,
 
     2013     2012  

Revenues:

    

Hospital division

   $ (56   $ 3,785   

Nursing center division

     28,561        42,948   
  

 

 

   

 

 

 
   $ 28,505      $ 46,733   
  

 

 

   

 

 

 

Operating income (loss):

    

Hospital division

   $ (673   $ (1,746

Nursing center division

     (1,785     5,887   
  

 

 

   

 

 

 
   $ (2,458   $ 4,141   
  

 

 

   

 

 

 

Rent:

    

Hospital division

   $ 16      $ 375   

Nursing center division

     3,654        5,009   
  

 

 

   

 

 

 
   $ 3,670      $ 5,384   
  

 

 

   

 

 

 

Depreciation:

    

Hospital division

   $ 4      $ 257   

Nursing center division

     1,754        1,447   
  

 

 

   

 

 

 
   $ 1,758      $ 1,704   
  

 

 

   

 

 

 

A summary of the net assets held for sale follows (in thousands):

 

     March 31,
2013
    December 31,
2012
 

Long-term assets:

    

Property and equipment, net

   $ 2,793      $ 4,126   

Other

     —          5   
  

 

 

   

 

 

 
     2,793        4,131   

Current liabilities (included in other accrued liabilities)

     (29     —     
  

 

 

   

 

 

 
   $ 2,764      $ 4,131   
  

 

 

   

 

 

 

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 4 – 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, Medicare Advantage and other third party payors.

A summary of revenues by payor type follows (in thousands):

 

     Three months ended
March 31,
 
     2013     2012  

Medicare

   $ 675,050      $ 665,509   

Medicaid

     243,281        246,216   

Medicare Advantage

     116,880        111,508   

Other

     602,639        598,113   
  

 

 

   

 

 

 
     1,637,850        1,621,346   

Eliminations

     (82,942     (83,415
  

 

 

   

 

 

 
   $ 1,554,908      $ 1,537,931   
  

 

 

   

 

 

 

NOTE 5 – EARNINGS PER SHARE

Earnings per common share are based upon the weighted average number of common shares outstanding during the respective periods. The diluted calculation of earnings per common share includes the dilutive effect of stock options. The Company follows the provisions of the authoritative guidance for determining whether instruments granted in share-based payment transactions are participating securities, which requires that unvested restricted stock that entitles the holder to receive nonforfeitable dividends before vesting be included as a participating security in the basic and diluted earnings per common share calculation pursuant to the two-class method.

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 5 – EARNINGS PER SHARE (Continued)

 

A computation of earnings per common share follows (in thousands, except per share amounts):

 

     Three months ended March 31,  
     2013     2012  
     Basic     Diluted     Basic     Diluted  

Earnings:

        

Amounts attributable to Kindred stockholders:

        

Income from continuing operations:

        

As reported in Statement of Operations

   $ 9,088      $ 9,088      $ 21,164      $ 21,164   

Allocation to participating unvested restricted stockholders

     (256     (256     (289     (289
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 8,832      $ 8,832      $ 20,875      $ 20,875   
  

 

 

   

 

 

   

 

 

   

 

 

 

Discontinued operations, net of income taxes:

        

Loss from operations:

        

As reported in Statement of Operations

   $ (4,787   $ (4,787   $ (1,803   $ (1,803

Allocation to participating unvested restricted stockholders

     135        135        25        25   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (4,652   $ (4,652   $ (1,778   $ (1,778
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss on divestiture of operations:

        

As reported in Statement of Operations

   $ (1,244   $ (1,244   $ (1,170   $ (1,170

Allocation to participating unvested restricted stockholders

     35        35        16        16   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (1,209   $ (1,209   $ (1,154   $ (1,154
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations:

        

As reported in Statement of Operations

   $ (6,031   $ (6,031   $ (2,973   $ (2,973

Allocation to participating unvested restricted stockholders

     170        170        41        41   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (5,861   $ (5,861   $ (2,932   $ (2,932
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income:

        

As reported in Statement of Operations

   $ 3,057      $ 3,057      $ 18,191      $ 18,191   

Allocation to participating unvested restricted stockholders

     (86     (86     (248     (248
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 2,971      $ 2,971      $ 17,943      $ 17,943   
  

 

 

   

 

 

   

 

 

   

 

 

 

Shares used in the computation:

        

Weighted average shares outstanding–basic computation

     52,062        52,062        51,603        51,603   
  

 

 

     

 

 

   

Dilutive effect of employee stock options

       21          35   
    

 

 

     

 

 

 

Adjusted weighted average shares outstanding–diluted computation

       52,083          51,638   
    

 

 

     

 

 

 

Earnings per common share:

        

Income from continuing operations

   $ 0.17      $ 0.17      $ 0.40      $ 0.40   

Discontinued operations:

        

Loss from operations

     (0.09     (0.09     (0.03     (0.03

Loss on divestiture of operations

     (0.02     (0.02     (0.02     (0.02
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

     (0.11     (0.11     (0.05     (0.05
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

   $ 0.06      $ 0.06      $ 0.35      $ 0.35   
  

 

 

   

 

 

   

 

 

   

 

 

 

Number of antidilutive stock options excluded from shares used in the diluted earnings per common share computation

       1,274          2,562   

 

 

13


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 6 – BUSINESS SEGMENT DATA

The Company is organized into four operating divisions: the hospital division, the nursing center division, the rehabilitation division and the home health and hospice division. Based upon the authoritative guidance for business segments, the operating divisions represent five reportable operating segments, including (1) hospitals, (2) nursing centers, (3) skilled nursing rehabilitation services, (4) hospital rehabilitation services and (5) home health and hospice services. These reportable operating segments are consistent with information used by the Company’s President and Chief Operating Officer to assess performance and allocate resources. The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies. Prior period segment information has been reclassified to conform with the current period presentation.

For segment purposes, the Company defines operating income as earnings before interest, income taxes, depreciation, amortization and rent. Segment operating income reported for each of the Company’s operating segments excludes impairment charges, transaction costs and the allocation of corporate overhead.

On January 1, 2013, the Company transferred the operations of its hospital-based sub-acute unit business from the hospital division to the nursing center division. Historical amounts have been reclassified to conform with the current period presentation.

Segment operating income for the three months ended March 31, 2013 included one-time bonus costs paid to approximately 50,000 employees who do not participate in the Company’s incentive compensation program of $25.9 million (hospital division – $8.8 million, nursing center division – $9.7 million, rehabilitation division – $6.3 million (skilled nursing rehabilitation services – $5.0 million and hospital rehabilitation services – $1.3 million), home health and hospice division – $0.8 million and corporate – $0.3 million).

Segment operating income for the hospital division for the three months ended March 31, 2013 also included employee retention costs of $0.3 million incurred in connection with the planned divestiture of 17 non-strategic facilities.

Segment operating income for the nursing center division for the three months ended March 31, 2013 also included employee retention costs of $0.4 million incurred in connection with the nonrenewal of 54 nursing centers leased from Ventas.

Segment operating income for the hospital division for the three months ended March 31, 2012 included severance costs of $2.0 million and other costs of $0.1 million incurred in connection with the closing of a regional office.

 

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KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 6 – BUSINESS SEGMENT DATA (Continued)

 

The following table sets forth certain data by business segment (in thousands):

 

     Three months ended
March 31,
 
     2013     2012  

Revenues:

    

Hospital division

   $ 748,214      $ 749,383   

Nursing center division

     502,703        512,148   

Rehabilitation division:

    

Skilled nursing rehabilitation services

     260,789        257,014   

Hospital rehabilitation services

     74,523        74,369   
  

 

 

   

 

 

 
     335,312        331,383   

Home health and hospice division

     51,621        28,432   
  

 

 

   

 

 

 
     1,637,850        1,621,346   

Eliminations:

    

Skilled nursing rehabilitation services

     (52,889     (53,612

Hospital rehabilitation services

     (27,994     (28,161

Nursing centers

     (2,059     (1,642
  

 

 

   

 

 

 
     (82,942     (83,415
  

 

 

   

 

 

 
   $ 1,554,908      $ 1,537,931   
  

 

 

   

 

 

 

Income from continuing operations:

    

Operating income (loss):

    

Hospital division

   $ 161,819      $ 161,826   

Nursing center division

     51,178        63,906   

Rehabilitation division:

    

Skilled nursing rehabilitation services

     15,278        14,323   

Hospital rehabilitation services

     18,132        16,116   
  

 

 

   

 

 

 
     33,410        30,439   

Home health and hospice division

     2,786        2,341   

Corporate:

    

Overhead

     (45,582     (42,728

Insurance subsidiary

     (509     (482
  

 

 

   

 

 

 
     (46,091     (43,210

Impairment charges

     (436     (848

Transaction costs

     (2,285     (485
  

 

 

   

 

 

 

Operating income

     200,381        213,969   

Rent

     (105,978     (104,313

Depreciation and amortization

     (51,196     (46,986

Interest, net

     (28,083     (26,290
  

 

 

   

 

 

 

Income from continuing operations before income taxes

     15,124        36,380   

Provision for income taxes

     5,620        14,765   
  

 

 

   

 

 

 
   $ 9,504      $ 21,615   
  

 

 

   

 

 

 

 

15


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 6 – BUSINESS SEGMENT DATA (Continued)

 

 

     Three months ended
March 31,
 
     2013      2012  

Rent:

     

Hospital division

   $ 53,148       $ 53,151   

Nursing center division

     49,766         48,451   

Rehabilitation division:

     

Skilled nursing rehabilitation services

     1,235         1,440   

Hospital rehabilitation services

     17         78   
  

 

 

    

 

 

 
     1,252         1,518   

Home health and hospice division

     1,186         615   

Corporate

     626         578   
  

 

 

    

 

 

 
   $ 105,978       $ 104,313   
  

 

 

    

 

 

 

Depreciation and amortization:

     

Hospital division

   $ 23,941       $ 22,346   

Nursing center division

     12,720         11,262   

Rehabilitation division:

     

Skilled nursing rehabilitation services

     3,112         2,660   

Hospital rehabilitation services

     2,331         2,324   
  

 

 

    

 

 

 
     5,443         4,984   

Home health and hospice division

     1,526         898   

Corporate

     7,566         7,496   
  

 

 

    

 

 

 
   $ 51,196       $ 46,986   
  

 

 

    

 

 

 

Capital expenditures, excluding acquisitions (including discontinued operations):

     

Hospital division:

     

Routine

   $ 10,271       $ 10,345   

Development

     2,388         9,949   
  

 

 

    

 

 

 
     12,659         20,294   

Nursing center division:

     

Routine

     5,819         4,229   

Development

     —           673   
  

 

 

    

 

 

 
     5,819         4,902   

Rehabilitation division:

     

Skilled nursing rehabilitation services:

     

Routine

     605         326   

Development

     —           —     
  

 

 

    

 

 

 
     605         326   

Hospital rehabilitation services:

     

Routine

     32         46   

Development

     —           —     
  

 

 

    

 

 

 
     32         46   

Home health and hospice division:

     

Routine

     195         124   

Development

     —           —     
  

 

 

    

 

 

 
     195         124   

Corporate:

     

Routine:

     

Information systems

     5,289         6,864   

Other

     159         172   
  

 

 

    

 

 

 
   $ 24,758       $ 32,728   
  

 

 

    

 

 

 

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 6 – BUSINESS SEGMENT DATA (Continued)

 

     March 31,
2013
     December 31,
2012
 

Assets at end of period:

     

Hospital division

   $ 2,148,491       $ 2,129,303   

Nursing center division

     619,505         626,016   

Rehabilitation division:

     

Skilled nursing rehabilitation services

     354,590         336,445   

Hospital rehabilitation services

     338,874         340,668   
  

 

 

    

 

 

 
     693,464         677,113   

Home health and hospice division

     204,457         202,156   

Corporate

     611,742         603,358   
  

 

 

    

 

 

 
   $ 4,277,659       $ 4,237,946   
  

 

 

    

 

 

 

Goodwill:

     

Hospital division

   $ 747,065       $ 747,065   

Rehabilitation division:

     

Skilled nursing rehabilitation services

     —           —     

Hospital rehabilitation services

     168,019         168,019   
  

 

 

    

 

 

 
     168,019         168,019   

Home health and hospice division

     126,182         126,182   
  

 

 

    

 

 

 
   $ 1,041,266       $ 1,041,266   
  

 

 

    

 

 

 

NOTE 7 – INSURANCE RISKS

The Company insures a substantial portion of its professional liability risks and workers compensation risks through its wholly owned limited purpose insurance subsidiary. Provisions for loss for these risks are based upon management’s best available information including actuarially determined estimates.

The allowance for professional liability risks includes an estimate of the expected cost to settle reported claims and an amount, based upon past experiences, for losses incurred but not reported. These liabilities are necessarily based upon estimates and, while management believes that the provision for loss is adequate, the ultimate liability may be in excess of, or less than, the amounts recorded. To the extent that expected ultimate claims costs vary from historical provisions for loss, future earnings will be charged or credited.

The provision for loss for insurance risks, including the cost of coverage maintained with unaffiliated commercial insurance carriers, follows (in thousands):

 

     Three months ended
March 31,
 
     2013      2012  

Professional liability:

     

Continuing operations

   $ 21,605       $ 17,951   

Discontinued operations

     3,860         798   

Workers compensation:

     

Continuing operations

   $ 14,894       $ 14,319   

Discontinued operations

     578         652   

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 7 – INSURANCE RISKS (Continued)

 

A summary of the assets and liabilities related to insurance risks included in the accompanying unaudited condensed consolidated balance sheet follows (in thousands):

 

     March 31, 2013      December 31, 2012  
     Professional
liability
     Workers
compensation
     Total      Professional
liability
     Workers
compensation
     Total  

Assets:

                 

Current:

                 

Insurance subsidiary investments

   $ 55,196       $ 35,861       $ 91,057       $ 53,133       $ 33,035       $ 86,168   

Reinsurance recoverables

     4,116         —           4,116         5,382         —           5,382   

Other

     —           150         150         —           150         150   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     59,312         36,011         95,323         58,515         33,185         91,700   

Non-current:

                 

Insurance subsidiary investments

     71,685         75,300         146,985         46,546         69,878         116,424   

Reinsurance and other recoverables

     63,741         73,965         137,706         58,025         76,794         134,819   

Deposits

     4,238         1,574         5,812         3,977         1,574         5,551   

Other

     —           40         40         —           40         40   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     139,664         150,879         290,543         108,548         148,286         256,834   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ 198,976       $ 186,890       $ 385,866       $ 167,063       $ 181,471       $ 348,534   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Liabilities:

                 

Allowance for insurance risks:

                 

Current

   $ 67,859       $ 39,978       $ 107,837       $ 54,088       $ 37,096       $ 91,184   

Non-current

     240,070         154,742         394,812         236,630         156,265         392,895   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ 307,929       $ 194,720       $ 502,649       $ 290,718       $ 193,361       $ 484,079   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Provisions for loss for professional liability risks retained by the Company’s limited purpose insurance subsidiary have been discounted based upon actuarial estimates of claim payment patterns using a discount rate of 1% to 5% depending upon the policy year. The discount rate was 1% for the 2013 and 2012 policy years. The discount rates are based upon the risk free interest rate for the respective year. Amounts equal to the discounted loss provision are funded annually. The Company does not fund the portion of professional liability risks related to estimated claims that have been incurred but not reported. Accordingly, these liabilities are not discounted. If the Company did not discount any of the allowances for professional liability risks, these balances would have approximated $310.6 million at March 31, 2013 and $293.3 million at December 31, 2012.

Provisions for loss for workers compensation risks retained by the Company’s limited purpose insurance subsidiary are not discounted and amounts equal to the loss provision are funded annually.

NOTE 8 – INSURANCE SUBSIDIARY INVESTMENTS

The Company maintains investments, consisting principally of cash and cash equivalents, debt securities, equities and certificates of deposit for the payment of claims and expenses related to professional liability and workers compensation risks. These investments have been categorized as available-for-sale and are reported at fair value.

 

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Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 8 – INSURANCE SUBSIDIARY INVESTMENTS (Continued)

 

The cost for equities, amortized cost for debt securities and estimated fair value of the Company’s insurance subsidiary investments follows (in thousands):

 

     March 31, 2013      December 31, 2012  
    
Cost
     Unrealized
gains
     Unrealized
losses
    Fair
value
    
Cost
     Unrealized
gains
     Unrealized
losses
    Fair
value
 

Cash and cash equivalents (a)

   $ 173,258       $ —         $ —        $ 173,258       $ 140,162       $ —         $ —        $ 140,162   

Debt securities:

                     

Debt securities issued by U.S. government agencies

     19,919         74         (1     19,992         16,624         89         —          16,713   

Corporate bonds

     19,538         85         (20     19,603         21,352         118         (16     21,454   

U.S. Treasury notes

     5,666         3         —          5,669         6,131         3         —          6,134   
  

 

 

    

 

 

    

 

 

   

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     45,123         162         (21     45,264         44,107         210         (16     44,301   

Equities by industry:

                     

Consumer

     2,171         986         —          3,157         2,171         599         (15     2,755   

Industrials

     2,039         532         (27     2,544         2,039         331         (53     2,317   

Healthcare

     1,474         429         —          1,903         1,474         179         (14     1,639   

Technology

     1,482         374         —          1,856         1,482         268         (70     1,680   

Financial services

     1,419         466         (61     1,824         1,419         284         (86     1,617   

Other

     2,411         1,041         (70     3,382         2,554         706         (243     3,017   
  

 

 

    

 

 

    

 

 

   

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     10,996         3,828         (158     14,666         11,139         2,367         (481     13,025   

Certificates of deposit

     4,850         4         —          4,854         5,101         3         —          5,104   
  

 

 

    

 

 

    

 

 

   

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
   $ 234,227       $ 3,994       $ (179   $ 238,042       $ 200,509       $ 2,580       $ (497   $ 202,592   
  

 

 

    

 

 

    

 

 

   

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

 

(a) Includes $3.1 million and $3.7 million of money market funds at March 31, 2013 and December 31, 2012, respectively.

The Company’s investment policy governing insurance subsidiary investments precludes the investment portfolio managers from selling any security at a loss without prior authorization from the Company. The investment managers also limit the exposure to any one issue, issuer or type of investment. The Company intends, and has the ability, to hold insurance subsidiary investments for a long duration without the necessity of selling securities to fund the underwriting needs of its insurance subsidiary. This ability to hold securities allows sufficient time for recovery of temporary declines in the market value of equity securities and the par value of debt securities as of their stated maturity date.

The Company considered the severity and duration of its unrealized losses at March 31, 2013 and recognized a $0.1 million pretax-other-than-temporary impairment in the first quarter of 2013 for various investments held in its insurance subsidiary investment portfolio. The Company considered the severity and duration of its unrealized losses at March 31, 2012 for various investments held in its insurance subsidiary investment portfolio and determined that these unrealized losses were temporary and did not record any impairment losses related to these investments.

As a result of deterioration in professional liability and workers compensation underwriting results of the Company’s limited purpose insurance subsidiary in 2012 and 2011, the Company made capital contributions of $14.2 million and $8.6 million during the three months ended March 31, 2013 and 2012, respectively, to its limited purpose insurance subsidiary. These transactions were completed in accordance with applicable regulations. Neither capital contribution had any impact on earnings.

 

19


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 9 – CONTINGENCIES

Management continually evaluates contingencies based upon the best available information. In addition, allowances for losses are provided currently for disputed items that have continuing significance, such as certain third party reimbursements and deductions that continue to be claimed in current cost reports and tax returns.

Management believes that allowances for losses have been provided to the extent necessary and that its assessment of contingencies is reasonable.

Principal contingencies are described below:

Revenues—Certain third party payments are subject to examination by agencies administering the various reimbursement programs. The Company is contesting certain issues raised in audits of prior year cost reports.

Professional liability risks—The Company has provided for losses for professional liability risks based upon management’s best available information including actuarially determined estimates. Ultimate claims costs may differ from the provisions for loss. See Note 7.

Income taxes—The Company is subject to various federal and state income tax audits in the ordinary course of business. Such audits could result in increased tax payments, interest and penalties.

Litigation—The Company is a party to various legal actions (some of which are not insured), and regulatory and other governmental audits and investigations in the ordinary course of business. The Company cannot predict the ultimate outcome of pending litigation and regulatory and other governmental audits and investigations. These matters could potentially subject the Company to sanctions, damages, recoupments, fines and other penalties. The U.S. Department of Justice (the “DOJ”), the Centers for Medicare and Medicaid Services (“CMS”) or other federal and state enforcement and regulatory agencies may conduct additional investigations related to the Company’s businesses in the future which may, either individually or in the aggregate, have a material adverse effect on the Company’s business, financial position, results of operations and liquidity. See Note 12.

Other indemnifications—In the ordinary course of business, the Company enters into contracts containing standard indemnification provisions and indemnifications specific to a transaction, such as a disposal of an operating facility. These indemnifications may cover claims related to employment-related matters, governmental regulations, environmental issues and tax matters, as well as patient, third party payor, supplier and contractual relationships. Obligations under these indemnities generally are initiated by a breach of the terms of a contract or by a third party claim or event.

 

20


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 10 – FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS

The Company follows the provisions of the authoritative guidance for fair value measurements, which addresses how companies should measure fair value when they are required to use a fair value measure for recognition or disclosure purposes under generally accepted accounting principles.

Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The guidance related to fair value measures establishes a fair value hierarchy that requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The guidance describes three levels of inputs that may be used to measure fair value:

 

Level 1    Quoted prices in active markets for identical assets or liabilities. Level 1 assets and liabilities include debt and equity securities and derivative contracts that are traded in an active exchange market, as well as certain U.S. Treasury, other U.S. Government and agency asset backed debt securities that are highly liquid and are actively traded in over-the-counter markets.
Level 2    Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, and other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3    Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Level 3 assets and liabilities include financial instruments whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair value requires significant management judgment or estimation.

 

21


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 10 – FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

 

The Company’s assets and liabilities measured at fair value on a recurring and non-recurring basis and any associated losses are summarized below (in thousands):

 

     Fair value measurements      Assets/liabilities
at fair value
    Total
losses
 
     Level 1      Level 2     Level 3       

March 31, 2013:

            

Recurring:

            

Assets:

            

Available-for-sale debt securities:

            

Debt securities issued by U.S. government agencies

   $ —         $ 19,992      $ —         $ 19,992      $ —     

Corporate bonds

     —           19,603        —           19,603        —     

U.S. Treasury notes

     5,669         —          —           5,669        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
     5,669         39,595        —           45,264        —     

Available-for-sale equity securities

     14,666         —          —           14,666        —     

Money market funds

     6,527         —          —           6,527        —     

Certificates of deposit

     —           4,854        —           4,854        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Total available-for-sale investments

     26,862         44,449        —           71,311        —     

Deposits held in money market funds

     347         4,238        —           4,585        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
   $ 27,209       $ 48,687      $ —         $ 75,896      $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Liabilities:

            

Interest rate swaps

   $ —        $ (1,804   $ —         $ (1,804   $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Non-recurring:

            

Assets:

            

Hospital available for sale

   $ —         $ —        $ 3,250       $ 3,250      $ (1,250

Property and equipment

     —           —          29         29        (436
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
   $ —         $ —        $ 3,279       $ 3,279      $ (1,686
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Liabilities

   $ —        $ —       $ —         $ —        $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

December 31, 2012:

            

Recurring:

            

Assets:

            

Available-for-sale debt securities:

            

Debt securities issued by U.S. government agencies

   $ —         $ 16,713      $ —         $ 16,713      $ —     

Corporate bonds

     —           21,454        —           21,454        —     

U.S. Treasury notes

     6,134         —          —           6,134        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
     6,134         38,167        —           44,301        —     

Available-for-sale equity securities

     13,025         —          —           13,025        —     

Money market funds

     7,438         —          —           7,438        —     

Certificates of deposit

     —           5,104        —           5,104        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Total available-for-sale investments

     26,597         43,271        —           69,868        —     

Deposits held in money market funds

     347         3,978        —           4,325        —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
   $ 26,944       $ 47,249      $ —         $ 74,193      $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Liabilities:

            

Interest rate swaps

   $ —         $ (2,649   $ —         $ (2,649   $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Non-recurring:

            

Assets:

            

Hospital available for sale

   $ —         $ —        $ 105       $ 105      $ (569

Property and equipment

     —           —          286         286        (3,630

Goodwill—skilled nursing rehabilitation services

     —           —          —           —          (107,899

Intangible assets—Medicare license

     —           —          —           —          (2,530
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 
   $ —         $ —        $ 391       $ 391      $ (114,628
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

Liabilities

   $ —         $ —        $ —         $ —        $ —     
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

 

 

22


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 10 – FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

 

Recurring measurements

The Company’s available-for-sale investments held by its limited purpose insurance subsidiary consist of debt securities, equities, money market funds and certificates of deposit. These available-for-sale investments and the insurance subsidiary’s cash and cash equivalents of $170.2 million as of March 31, 2013 and $136.5 million as of December 31, 2012, classified as insurance subsidiary investments, are maintained for the payment of claims and expenses related to professional liability and workers compensation risks.

The Company also has available-for-sale investments totaling $3.4 million as of March 31, 2013 and $3.7 million as of December 31, 2012 related to a deferred compensation plan that is maintained for certain of the Company’s current and former employees.

The fair value of actively traded debt and equity securities and money market funds are based upon quoted market prices and are generally classified as Level 1. The fair value of inactively traded debt securities and certificates of deposit are based upon either quoted market prices of similar securities or observable inputs such as interest rates using either a market or income valuation approach and are generally classified as Level 2. The Company’s investment advisors obtain and review pricing for each security. The Company is responsible for the determination of fair value and as such the Company reviews the pricing information from its advisors in determining reasonable estimates of fair value. Based upon the Company’s internal review procedures, there were no adjustments to the prices during the three months ended March 31, 2013 or March 31, 2012.

The Company’s deposits held in money market funds consist primarily of cash and cash equivalents held for general corporate purposes.

The fair value of the derivative liability associated with the interest rate swaps is estimated using industry-standard valuation models, which are Level 2 measurements. Such models project future cash flows and discount the future amounts to a present value using market-based observable inputs, including interest rate curves.

The following table presents the carrying amounts and estimated fair values of the Company’s financial instruments. The carrying value is equal to fair value for financial instruments that are based upon quoted market prices or current market rates. The Company’s long-term debt is based upon Level 2 inputs.

 

 

     March 31, 2013      December 31, 2012  

(In thousands)

   Carrying
value
     Fair
value
     Carrying
value
     Fair
value
 

Cash and cash equivalents

   $ 42,664       $ 42,664       $ 50,007       $ 50,007   

Cash–restricted

     5,263         5,263         5,197         5,197   

Insurance subsidiary investments

     238,042         238,042         202,592         202,592   

Tax refund escrow investments

     207         207         207         207   

Long-term debt, including amounts due within one year (excluding capital lease obligations totaling $26,000 and $0.6 million at March 31, 2013 and December 31, 2012, respectively)

     1,679,616         1,687,614         1,657,039         1,630,649   

 

23


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 10 – FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

 

Non-recurring measurements

In the first quarter of 2013, the Company reduced the fair value of a hospital held for sale based upon a pending offer, which resulted in a pretax loss of $1.3 million recorded in discontinued operations. The primary reason for the reduction was to compensate for certain real estate restrictions associated with the property. The fair value of the asset was measured using a Level 3 input of the pending offer.

CMS issued final rules which, among other things, significantly reduced Medicare payments to nursing centers and changed the reimbursement for the provision for group rehabilitation therapy services to Medicare beneficiaries beginning October 1, 2011 (the “2011 CMS Rules”). The Company recorded pretax impairment charges aggregating $0.4 million in the first quarter of 2013 for property and equipment expenditures in the nursing center asset groups that were determined to be impaired by the 2011 CMS Rules. These charges reflected the amount by which the carrying value of certain assets exceeded their estimated fair value. The fair value of property and equipment was measured using Level 3 inputs such as replacement costs factoring in depreciation, economic obsolesce and inflation trends.

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION

The accompanying unaudited condensed consolidating financial information has been prepared and presented pursuant to SEC Regulation S-X, Rule 3-10, “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered.” The Company’s private placement of $550 million of senior notes due 2019 (the “Notes”) issued on June 1, 2011 are fully and unconditionally guaranteed, subject to certain customary release provisions, by substantially all of the Company’s domestic 100% owned subsidiaries. The equity method has been used with respect to the parent company’s investment in subsidiaries.

 

24


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)

 

The following unaudited condensed consolidating financial data present the financial position of the parent company/issuer, the guarantor subsidiaries and the non-guarantor subsidiaries as of March 31, 2013 and December 31, 2012, and the respective results of operations and cash flows for the three months ended March 31, 2013 and March 31, 2012.

Condensed Consolidating Statement of Operations and Comprehensive Income (Loss)

 

     Three months ended March 31, 2013  

(In thousands)

   Parent
company/
issuer
    Guarantor
subsidiaries
    Non-guarantor
subsidiaries
    Consolidating
and
eliminating
adjustments
    Consolidated  

Revenues

   $ —        $ 1,455,428      $ 128,501      $ (29,021   $ 1,554,908   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     3        898,450        45,320        —          943,773   

Supplies

     —          96,965        8,843        —          105,808   

Rent

     —          97,950        8,028        —          105,978   

Other operating expenses

     —          282,144        52,380        (29,021     305,503   

Other income

     —          (993     —          —          (993

Impairment charges

     —          436        —          —          436   

Depreciation and amortization

     —          48,082        3,114        —          51,196   

Management fees

     —          (3,059     3,059        —          —     

Intercompany interest (income) expense from affiliates

     (26,874     23,218        3,656        —          —     

Interest expense (income)

     27,033        (3,955     5,096        —          28,174   

Investment income

     —          (42     (49     —          (91

Equity in net income of consolidating affiliates

     (3,126     —          —          3,126        —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (2,964     1,439,196        129,447        (25,895     1,539,784   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     2,964        16,232        (946     (3,126     15,124   

Provision (benefit) for income taxes

     (93     5,587        126        —          5,620   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     3,057        10,645        (1,072     (3,126     9,504   

Discontinued operations, net of income taxes:

          

Loss from operations

     —          (4,787     —          —          (4,787

Loss on divestiture of operations

     —          (1,244     —          —          (1,244
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

     —          (6,031     —          —          (6,031
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     3,057        4,614        (1,072     (3,126     3,473   

Earnings attributable to noncontrolling interests

     —          —          (416     —          (416
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

   $ 3,057      $ 4,614      $ (1,488   $ (3,126   $ 3,057   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

   $ 4,691      $ 4,614      $ 54      $ (4,252   $ 5,107   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income (loss) attributable to Kindred

   $ 4,691      $ 4,614      $ (362   $ (4,252   $ 4,691   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

25


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)

 

Condensed Consolidating Statement of Operations and Comprehensive Income (Loss) (Continued)

 

     Three months ended March 31, 2012  

(In thousands)

   Parent
company/
issuer
    Guarantor
subsidiaries
    Non-guarantor
subsidiaries
    Consolidating
and
eliminating
adjustments
    Consolidated  

Revenues

   $ —        $ 1,436,195      $ 126,848      $ (25,112   $ 1,537,931   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     69        877,470        43,820        —          921,359   

Supplies

     —          98,536        9,997        —          108,533   

Rent

     —          96,400        7,913        —          104,313   

Other operating expenses

     3        271,560        49,914        (25,112     296,365   

Other income

     —          (3,143     —          —          (3,143

Impairment charges

     —          848        —          —          848   

Depreciation and amortization

     —          43,605        3,381        —          46,986   

Management fees

     —          (3,348     3,348        —          —     

Intercompany interest (income) expense from affiliates

     (27,907     24,277        3,630        —          —     

Interest expense (income)

     26,293        (4,762     5,047        —          26,578   

Investment income

     —          (23     (265     —          (288

Equity in net income of consolidating affiliates

     (17,218     —          —          17,218        —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (18,760     1,401,420        126,785        (7,894     1,501,551   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     18,760        34,775        63        (17,218     36,380   

Provision for income taxes

     569        14,089        107        —          14,765   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     18,191        20,686        (44     (17,218     21,615   

Discontinued operations, net of income taxes:

          

Loss from operations

     —          (1,803     —          —          (1,803

Loss on divestiture of operations

     —          (1,170     —          —          (1,170
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

     —          (2,973     —          —          (2,973
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     18,191        17,713        (44     (17,218     18,642   

Earnings attributable to noncontrolling interests

     —          —          (451     —          (451
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

   $ 18,191      $ 17,713      $ (495   $ (17,218   $ 18,191   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

   $ 18,966      $ 17,713      $ 688      $ (17,950   $ 19,417   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to Kindred

   $ 18,966      $ 17,713      $ 237      $ (17,950   $ 18,966   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

26


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)

 

Condensed Consolidating Balance Sheet

 

     As of March 31, 2013  

(In thousands)

   Parent
company/
issuer
     Guarantor
subsidiaries
     Non-guarantor
subsidiaries
     Consolidating
and
eliminating
adjustments
    Consolidated  
ASSETS              

Current assets:

             

Cash and cash equivalents

   $ —         $ 31,989       $ 10,675       $ —        $ 42,664   

Cash—restricted

     —           5,263         —           —          5,263   

Insurance subsidiary investments

     —           —           91,057         —          91,057   

Accounts receivable, net

     —           991,184         103,566         —          1,094,750   

Inventories

     —           29,035         3,022         —          32,057   

Deferred tax assets

     —           11,366         —           —          11,366   

Income taxes

     —           1,425         410         —          1,835   

Other

     —           36,484         3,297         —          39,781   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     —           1,106,746         212,027         —          1,318,773   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Property and equipment, net

     —           1,062,014         51,478         —          1,113,492   

Goodwill

     —           771,533         269,733         —          1,041,266   

Intangible assets, net

     —           411,345         22,675         —          434,020   

Assets held for sale

     —           2,793         —           —          2,793   

Insurance subsidiary investments

     —           —           146,985         —          146,985   

Investment in subsidiaries

     225,800         —           —           (225,800     —     

Intercompany

     2,691,072         —           —           (2,691,072     —     

Deferred tax assets

     —           —           13,326         (13,326     —     

Other

     44,958         103,310         72,062         —          220,330   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
   $ 2,961,830       $ 3,457,741       $ 788,286       $ (2,930,198   $ 4,277,659   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
LIABILITIES AND EQUITY              

Current liabilities:

             

Accounts payable

   $ 49       $ 179,025       $ 14,189       $ —        $ 193,263   

Salaries, wages and other compensation

     —           344,850         45,851         —          390,701   

Due to third party payors

     —           34,392         —           —          34,392   

Professional liability risks

     —           15,289         52,570         —          67,859   

Other accrued liabilities

     28,004         116,081         8,156         —          152,241   

Long-term debt due within one year

     8,000         105         258         —          8,363   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     36,053         689,742         121,024         —          846,819   

Long-term debt

     1,667,054         330         3,895         —          1,671,279   

Intercompany

     —           2,348,784         342,288         (2,691,072     —     

Professional liability risks

     —           62,376         177,694         —          240,070   

Deferred tax liabilities

     —           23,914         —           (13,326     10,588   

Deferred credits and other liabilities

     —           140,014         73,556         —          213,570   

Commitments and contingencies

             

Equity:

             

Stockholders’ equity

     1,258,723         192,581         33,219         (225,800     1,258,723   

Noncontrolling interests

     —           —           36,610         —          36,610   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     1,258,723         192,581         69,829         (225,800     1,295,333   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
   $ 2,961,830       $ 3,457,741       $ 788,286       $ (2,930,198   $ 4,277,659   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

 

27


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)

 

Condensed Consolidating Balance Sheet (Continued)

 

     As of December 31, 2012  

(In thousands)

   Parent
company/
issuer
     Guarantor
subsidiaries
     Non-guarantor
subsidiaries
     Consolidating
and
eliminating
adjustments
    Consolidated  
ASSETS              

Current assets:

             

Cash and cash equivalents

   $ —         $ 37,370       $ 12,637       $ —        $ 50,007   

Cash—restricted

     —           5,197         —           —          5,197   

Insurance subsidiary investments

     —           —           86,168         —          86,168   

Accounts receivable, net

     —           940,524         98,081         —          1,038,605   

Inventories

     —           29,023         2,998         —          32,021   

Deferred tax assets

     —           12,663         —           —          12,663   

Income taxes

     —           13,187         386         —          13,573   

Other

     —           15,118         20,414         —          35,532   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     —           1,053,082         220,684         —          1,273,766   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Property and equipment, net

     —           1,090,523         52,603         —          1,143,126   

Goodwill

     —           771,533         269,733         —          1,041,266   

Intangible assets, net

     —           417,092         22,675         —          439,767   

Assets held for sale

     —           4,131         —           —          4,131   

Insurance subsidiary investments

     —           —           116,424         —          116,424   

Investment in subsidiaries

     221,799         —           —           (221,799     —     

Intercompany

     2,655,242         —           —           (2,655,242     —     

Deferred tax assets

     1,040         —           13,932         (14,972     —     

Other

     47,364         108,143         63,959         —          219,466   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
   $ 2,925,445       $ 3,444,504       $ 760,010       $ (2,892,013   $ 4,237,946   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
LIABILITIES AND EQUITY              

Current liabilities:

             

Accounts payable

   $ 168       $ 195,268       $ 15,232       $ —        $ 210,668   

Salaries, wages and other compensation

     —           345,223         43,786         —          389,009   

Due to third party payors

     —           35,420         —           —          35,420   

Professional liability risks

     —           3,623         50,465         —          54,088   

Other accrued liabilities

     16,724         111,113         9,367         —          137,204   

Long-term debt due within one year

     8,000         102         840         —          8,942   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     24,892         690,749         119,690         —          835,331   

Long-term debt

     1,644,394         358         3,954         —          1,648,706   

Intercompany

     —           2,328,711         326,531         (2,655,242     —     

Professional liability risks

     —           68,116         168,514         —          236,630   

Deferred tax liabilities

     —           24,736         —           (14,972     9,764   

Deferred credits and other liabilities

     —           143,722         70,949         —          214,671   

Commitments and contingencies

             

Equity:

             

Stockholders’ equity

     1,256,159         188,112         33,687         (221,799     1,256,159   

Noncontrolling interests

     —           —           36,685         —          36,685   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
     1,256,159         188,112         70,372         (221,799     1,292,844   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
   $ 2,925,445       $ 3,444,504       $ 760,010       $ (2,892,013   $ 4,237,946   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

 

28


Table of Contents

KINDRED HEALTHCARE, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

 

NOTE 11 – CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)

 

Condensed Consolidating Statement of Cash Flows

 

     Three months ended March 31, 2013  

(In thousands)

   Parent
company/
issuer
    Guarantor
subsidiaries
    Non-guarantor
subsidiaries
    Consolidating
and
eliminating
adjustments
    Consolidated  

Net cash provided by operating activities

   $ 11,229      $ 7,981      $ 5,623      $ —        $ 24,833   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

          

Routine capital expenditures

     —          (20,142     (2,228     —          (22,370

Development capital expenditures

     —          (2,222     (166     —          (2,388

Sale of assets

     —          5,060        —          —          5,060   

Purchase of insurance subsidiary investments

     —          —          (10,836     —          (10,836

Sale of insurance subsidiary investments

     —          —          10,002        —          10,002   

Net change in insurance subsidiary cash and cash equivalents

     —          —          (33,096     —          (33,096

Change in other investments

     —          319        —          —          319   

Capital contribution to insurance subsidiary

     —          (14,220     —          14,220        —     

Other

     —          (144     —          —          (144
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     —          (31,349     (36,324     14,220        (53,453
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

          

Proceeds from borrowings under revolving credit

     483,500        —          —          —          483,500   

Repayment of borrowings under revolving credit

     (459,200     —          —          —          (459,200

Repayment of other long-term debt

     (2,000     (25     (641     —          (2,666

Payment of deferred financing costs

     (202     —          —          —          (202

Distribution made to noncontrolling interests

     —          —          (491     —          (491

Issuance of common stock

     4        —          —          —          4   

Capital contribution to insurance subsidiary

     —          —          14,220        (14,220  

Other

     —          332        —          —          332   

Change in intercompany accounts

     (33,331     17,680        15,651        —          —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (11,229     17,987        28,739        (14,220     21,277   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

     —          (5,381     (1,962     —          (7,343