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UNITED STATES


SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Form 10-Q

 

   

   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE

   

                            SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended September 30, 2003

     

Commission file number 001-09913

 

KINETIC CONCEPTS, INC.

(Exact name of registrant as specified in its charter)


Texas

74-1891727

(State of Incorporation)

(I.R.S. Employer Identification No.)



8023 Vantage Drive
San Antonio, Texas 78230
Telephone Number: (210) 524-9000
(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)




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 ___   No X

 

Indicate by check mark whether the registrant is an accelerated filer (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.

 

Common Stock:   41,263,018 shares as of November 10, 2003

TABLE OF CONTENTS



PART I - FINANCIAL INFORMATION

ITEM 1.     FINANCIAL STATEMENTS

                   Condensed Consolidated Balance Sheets

                   Condensed Consolidated Statements of Operations

                   Condensed Consolidated Statements of Cash Flows

                   Notes to Condensed Consolidated Financial Statements 

ITEM 2.     MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS                     OF OPERATIONS

ITEM 3.     QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

ITEM 4.     CONTROLS AND PROCEDURES



PART II - OTHER INFORMATION

ITEM 1.     LEGAL PROCEEDINGS

ITEM 2.     CHANGES IN SECURITIES AND USE OF PROCEEDS

ITEM 4.     SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

ITEM 6.     EXHIBITS AND REPORTS ON FORM 8-K

SIGNATURES

CERTIFICATIONS

Table of Contents

KINETIC CONCEPTS, INC.


INDEX

 

Page No.

PART I.

FINANCIAL INFORMATION

 4

Item 1.

Financial Statements

 4

Condensed Consolidated Balance Sheets

 4

Condensed Consolidated Statements of Operations

 5

Condensed Consolidated Statements of Cash Flows

 6

Notes to Condensed Consolidated Financial Statements

 7

     Parent Company Balance Sheet, September 30, 2003

21

     Parent Company Balance Sheet, December 31, 2002

22

     Parent Company Statement of Operations, three months ended September 30, 2003

23

     Parent Company Statement of Operations, three months ended September 30, 2002

24

     Parent Company Statement of Operations, nine months ended September 30, 2003

25

     Parent Company Statement of Operations, nine months ended September 30, 2002

26

     Parent Company Statement of Cash Flows, nine months ended September 30, 2003

27

     Parent Company Statement of Cash Flows, nine months ended September 30, 2002

28

Item 2.

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

30

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

58

Item 4.

Controls and Procedures

60

PART II.

OTHER INFORMATION

60

Item 1.

Legal Proceedings

60

Item 2.

Changes in Securities and Use of Proceeds

60

Item 4.

Submission of Matters to a Vote of Security Holders

61

Item 6.

Exhibits and Reports on Form 8-K

62

SIGNATURES

64

CERTIFICATIONS

65

Table of Contents

PART I - FINANCIAL INFORMATION

ITEM 1.     FINANCIAL STATEMENTS

KINETIC CONCEPTS, INC. AND SUBSIDIARIES

Condensed Consolidated Balance Sheets

(in thousands)

September 30,

December 31,

      2003      

       2002      

(unaudited) 

Assets:

Current assets:

   Cash and cash equivalents

$   41,128 

$   54,485 

   Accounts receivable, net

170,639 

152,896 

   Accounts receivable - other

175,000 

   Inventories, net

31,026 

37,934 

   Prepaid expenses and other current assets

16,428 

9,760 

_______ 

_______ 

          Total current assets

259,221 

430,075 

_______ 

_______ 

Net property, plant and equipment

131,172 

105,549 

Loan issuance costs, less accumulated amortization

    of $525 in 2003 and $11,949 in 2002

19,385 

5,911 

Goodwill

48,796 

46,357 

Other assets, less accumulated amortization of

    $7,332 in 2003 and $6,840 in 2002

30,263 

30,167 

_______ 

_______ 

$ 488,837 

$ 618,059 

_______ 

_______ 

Liabilities and Shareholders' Deficit:

Current liabilities:

   Accounts payable

$   13,843 

$   11,156 

   Accrued expenses

92,789 

61,556 

   Current installments of long-term debt

4,950 

30,550 

   Current installments of capital lease obligations

115 

157 

   Derivative financial instruments

1,341 

   Income taxes payable

14,615 

   Current deferred income taxes

66,838 

_______ 

_______ 

          Total current liabilities

111,697 

186,213 

_______ 

_______ 

Long-term debt, net of current installments

679,300 

491,300 

Capital lease obligations, net of current installments

12 

95 

Derivative financial instruments

4,601 

Deferred income taxes, net

8,234 

9,501 

Deferred gain, sale of headquarters facility

9,241 

10,023 

Other noncurrent liabilities

213 

1,363 

_______ 

_______ 

813,298 

698,495 

Preferred stock, issued and outstanding 264 in 2003

255,655 

Shareholders' equity (deficit):

   Common stock; issued and outstanding 41,166 in 2003 and 70,928 in 2002

41 

71 

   Deferred compensation

(451)

   Retained deficit

(580,240)

(76,216)

   Accumulated other comprehensive income (loss)

534 

(4,291)

_______ 

_______ 

          Shareholders' deficit

(580,116)

(80,436)

_______ 

_______ 

$ 488,837 

$ 618,059 

_______ 

_______ 

See accompanying notes to condensed consolidated financial statements.

 

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KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of
Operations
(in thousands, except per share data)
(unaudited)

Three months ended  

Nine months ended    

September 30,       

September 30,      

   2003   

    2002   

     2003   

     2002   

Revenue:

   Rental and service

$ 151,159 

$ 116,051 

$ 421,455 

$ 325,061 

   Sales and other

46,883 

34,836 

126,467 

90,714 

_______ 

_______ 

_______ 

_______ 

         Total revenue

198,042 

150,887 

547,922 

415,775 

_______ 

_______ 

_______ 

_______ 

Rental expenses

92,518 

70,272 

259,808 

199,326 

Cost of goods sold

18,052 

15,263 

46,410 

36,632 

_______ 

_______ 

_______ 

_______ 

         Gross profit

87,472 

65,352 

241,704 

179,817 

Selling, general and administrative expenses

48,701 

38,954 

134,096 

102,717 

Recapitalization expenses

69,955 

69,955 

_______ 

_______ 

_______ 

_______ 

         Operating earnings (loss)

(31,184)

26,398 

37,653 

77,100 

Interest income

186 

169 

933 

278 

Interest expense

(25,334)

(10,185)

(41,562)

(30,877)

Foreign currency gain (loss)

1,527 

(395)

5,683 

2,053 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Earnings (loss) before income taxes (benefit)

(54,805)

 

15,987 

 

2,707 

 

48,554 

               

Income taxes (benefit)

(20,552)

 

6,884 

 

1,015 

 

19,422 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Net earnings (loss)

$  (34,253)

 

$     9,103 

 

$    1,692 

 

$   29,132 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

Less: Preferred stock dividends

(3,427)

 

 

(3,427)

 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Net earnings (loss) to common shareholders

$  (37,680)

 

$     9,103 

 

$   (1,735)

 

$   29,132 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Basic earnings (loss) per common share

$      (0.74)

 

$       0.13 

 

$    (0.03)

 

$       0.41 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Diluted earnings (loss) per common share

$      (0.74)

 

$       0.12 

 

$    (0.03)

 

$       0.38 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

         Average common shares:

             

             Basic (weighted average

             

             outstanding shares)

51,139 

 

70,928 

 

64,398 

 

70,927 

_______ 

 

_______ 

 

_______ 

 

_______ 

             Diluted (weighted average

             

             outstanding shares)

51,139 

 

77,664 

 

64,398 

 

77,674 

 

_______ 

 

_______ 

 

_______ 

 

_______ 

               

See accompanying notes to condensed consolidated financial statements.

 

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KINETIC CONCEPTS, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

Nine months ended September 30,

 

    2003   

 

  2002  

Cash flows from operating activities:

   Net earnings

$   1,692 

$  29,132 

   Adjustments to reconcile net earnings to net cash provided by operating activities:

         Depreciation

32,228 

24,176 

         Amortization

2,263 

2,883 

         Provision for uncollectible accounts receivable

5,132 

6,946 

         Amortization of deferred gain on sale of headquarters facility

(782)

(171)

         Write-off of deferred loan issuance costs

5,233 

         Non-cash accrual of recapitalization expenses

8,907 

         Non-cash amortization of stock award to directors

92 

         Change in assets and liabilities net of effects from purchase of subsidiaries and recapitalization expenses

               Increase in accounts receivable, net

(21,638)

(22,973)

               Decrease in other accounts receivable

175,000 

               Decrease in inventories

7,397 

1,351 

               Increase in prepaid expenses and other current assets

(6,662)

(7,972)

               Increase in accounts payable

2,824 

884 

               Increase in accrued expenses

22,910 

8,475 

               Increase (decrease) in income taxes payable

(14,615)

3,510 

               Decrease in current deferred income taxes

(66,838)

               Decrease (increase) in deferred income taxes, net

      (126)

     6,604 

                  Net cash provided by operating activities

153,017 

 52,845 

_______ 

_______ 

Cash flows from investing activities:

   Additions to property, plant and equipment

(56,649)

(43,842)

   Decrease in inventory to be converted into equipment for short-term rental

800 

2,400 

   Dispositions of property, plant and equipment

1,590 

2,598 

   Proceeds from sale of headquarters facility

17,924 

   Business acquisitions, net of cash acquired

(2,224)

(3,596)

   Increase in other assets

      (351)

      (842)

                  Net cash used by investing activities

(56,834)

(25,358)

_______ 

_______ 

Cash flows from financing activities:

   Proceeds from (repayment of) notes payable, long term, capital lease and other obligations

(116,100)

16,700 

   Proceeds from exercise of stock options

903 

   Recapitalization:

      Payoff of long term debt and bonds

(408,226)

      Proceeds from issuance of new debt and bonds

685,000 

      Proceeds from issuance of preferred stock, net

258,017 

      Purchase of common stock

(509,597)

         - 

      Debt and preferred stock issuance costs

  (20,729)

           - 

                  Net cash provided (used) by financing activities

(110,732)

16,708 

_______ 

_______ 

Effect of exchange rate changes on cash and cash equivalents

    1,192 

      513 

Net increase (decrease) in cash and cash equivalents

(13,357)

44,708 

Cash and cash equivalents, beginning of period

  54,485 

       199 

Cash and cash equivalents, end of period

$  41,128 

$  44,907 

Cash paid during the nine months for:

   Interest

$  34,657 

(1)

$  24,508 

   Income taxes

$  83,812 

(2)

$  12,603 

    (1) Includes $11.1 million of expenses related to the recapitalization, including $9.6 million related to redemption premium

         and approximately $1.5 million related to early redemption consent fees on our 9 5/8% Senior Subordinated Notes

    (2) Includes $66.8 million of income taxes paid related to the Hillenbrand antitrust settlement.

See accompanying notes to condensed consolidated financial statements.

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KINETIC CONCEPTS, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

(1)     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(a)     Basis of Presentation

      The unaudited condensed consolidated financial statements presented herein include the accounts of Kinetic Concepts, Inc., together with our consolidated subsidiaries ("KCI"). The unaudited condensed consolidated financial statements appearing in this quarterly report on Form 10-Q should be read in conjunction with the financial statements and notes thereto included in KCI's latest annual report on Form 10-K. The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information necessary for a fair presentation of results of operations, financial position and cash flows in conformity with accounting principles generally accepted in the United States. Operating results from interim pe riods are not necessarily indicative of results that may be expected for the fiscal year as a whole. In our opinion, the consolidated financial statements reflect all adjustments considered necessary for a fair presentation of our results for the periods presented. Certain reclassifications of amounts related to the prior year have been made to conform with the 2003 presentation, including, but not limited to, the reclassification of shipping and handling costs billed to customers from rental expense to other revenue.

(b)     Stock Options

      We use the intrinsic value method to account for our stock option plans. In the first nine months of 2003 and 2002, compensation costs of approximately $43.9 million and $567,000 respectively, net of estimated taxes, have been recognized in the financial statements related to our plans. Compensation costs for 2003 include $42.2 million of expenses, net of taxes, related to the recapitalization. If the compensation cost for our stock-based employee compensation plan had been determined based upon a fair value method consistent with Statement of Financial Accounting Standards No. 123 ("SFAS 123"), "Accounting for Stock-Based Compensation," our net earnings to common shareholders and earnings per share would have been adjusted to the pro forma amounts indicated below. For purposes of pro forma disclosures, the estimated fair value of the options is recognized as an expense over the options' respective vesting periods. Our pro forma calculations are as follows (dollars in thousands, except for earnings per share information):

Three months ended
September 30
         

Nine months ended
September 30,
       

  2003   

   2002   

   2003    

   2002   

Net earnings (loss) to common shareholders

   as reported

$ (37,680)

$     9,103 

$   (1,735)

$  29,132 

Pro forma net earnings:

   Net earnings (loss) to common

      shareholders as reported

$ (37,680)

$     9,103 

$  (1,735)

$  29,132 

   Compensation charge under intrinsic method

42,209 

243 

43,855 

567 

   Compensation expense under fair value method

(3,957)

(359)

(4,732)

(1,093)

______ 

______ 

______ 

______ 

Pro forma net earnings

$        572 

$     8,987 

$ 37,388 

$  28,606 

______ 

______ 

______ 

______ 

Earnings (loss) per share as reported

   Basic earnings (loss) per common share

$     (0.74)

$       0.13 

$    (0.03)

$     0.41 

   Diluted earnings (loss) per common share

$     (0.74)

$       0.12 

$    (0.03)

$     0.38 

Pro forma earnings per share

   Basic earnings per common share

$      0.01 

$       0.13 

$     0.58 

$     0.40 

   Diluted earnings per common share

$      0.01 

$       0.12 

$     0.51 

$     0.37 

 

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      We are not required to apply, and have not applied, the method of accounting prescribed by SFAS 123 to stock options granted prior to January 1, 1995. Moreover, the pro forma compensation cost reflected above may not be representative of future expense.

(c)     Self-Insurance

     We established the KCI employee benefit trust as a self-insurer for certain risks related to our U.S. employee health plan and certain other benefits. We retain various levels of loss related to certain of our benefits including all short-term disability claims and losses under our Texas Employee Injury Plan up to $500,000 per occurrence. Our health, group life and accidental death and dismemberment plan along with our long-term disability plan are all fully insured. We fund the benefit trust based on the value of expected future payments, including claims incurred but not reported. The liability for retained losses is determined actuarially. These liabilities are not discounted.

(d)     Other New Accounting Pronouncements

      In January 2003, the Financial Accounting Standards Board ("FASB") issued Interpretation No. 46, or ("FIN 46"), "Consolidation of Variable Interest Entities." This interpretation is now effective for fiscal years or interim periods ending after December 15, 2003. FIN 46 addresses accounting for, and disclosure of, variable interest entities. FIN 46 requires the disclosure of the nature, purpose and exposure of any loss related to our involvement with variable interest entities. We adopted the provisions of FIN 46 for post-January 31, 2003 variable interest entities during the first quarter of 2003 and it did not have a significant effect on our financial position or results of operations. We continue to evaluate the potential effects of the consolidation provisions of FIN 46 that will be adopted during the fourth quarter of 2003.

      Specifically, we are evaluating the consolidation provisions of FIN 46 on our beneficial ownership of two Grantor Trusts, which we acquired in December 1996 and December 1994. The assets held by each Trust consist of a McDonnell Douglas DC-10 aircraft and three engines. In connection with the acquisitions, KCI paid cash of $7.2 million and $7.6 million, respectively. At the date of acquisition, the Trusts held debt of $48.4 million and $51.8 million, respectively, which is non-recourse to KCI. The aircraft are leased to the Federal Express Corporation through June 2012 and January 2012, respectively. Federal Express pays monthly rent to a third party who, in turn, pays the entire amount to the holders of the non-recourse indebtedness, which is secured by the aircraft. The holder's recourse in event of a default is limited to the Trusts assets.

      In April 2003, the FASB issued Statement of Financial Accounting Standards No. 149, or ("SFAS 149"), "Amendment of Statement 133 on Derivative Instruments and Hedging Activities." This statement amends SFAS 133 to provide clarification on the financial accounting and reporting of derivative instruments and hedging activities and requires contracts with similar characteristics to be accounted for on a comparable basis. We do not expect the adoption of SFAS 149, which will be effective for contracts entered into or modified after September 30, 2003, to have a material effect on our financial condition or results of operations.

      On May 15, 2003, the FASB issued SFAS 150, "Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity." The statement established standards for classifying and measuring as liabilities certain financial instruments that embody obligations of the issuer and have characteristics of both liabilities and equity. SFAS 150 must be applied immediately to instruments entered into or modified after May 31, 2003. We have applied the terms of SFAS 150 to the convertible preferred stock issued as a part of the recapitalization and determined that it should be classified as equity and will be reported in the mezzanine section of our balance sheet. All dividends paid or accrued on the preferred stock will be reported as dividends in the Condensed Consolidated Statements of Operations.

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(e)     Other Significant Accounting Policies

      For further information, see Note 1 to the consolidated financial statements included in KCI's Annual Report on Form 10-K for the year ended December 31, 2002.

 

(2)     RECAPITALIZATION

      Issuance of 7 3/8% Senior Subordinated Notes. On August 11, 2003, we issued and sold an aggregate of $205.0 million principal amount of our 7 3/8% Senior Subordinated Notes due 2013. Our obligations under the notes are fully and unconditionally guaranteed, jointly and severally, on a senior subordinated basis, by most of our direct and indirect domestic subsidiaries. (See Note 5.)

      New Senior Credit Facility. Concurrently with the issuance and sale of the notes, we entered into a new senior credit facility. The senior credit facility consists of a $480.0 million seven-year term loan facility and an undrawn $100.0 million six-year revolving credit facility. Initially, we borrowed $480.0 million under the new term loan facility. We used $208.2 million of the proceeds from borrowings under the new credit facility to repay all amounts then outstanding under our previously existing senior credit facility. Borrowings under the new senior credit facility are secured by a first priority security interest in substantially all of our existing and hereafter acquired assets, including substantially all of the capital stock or membership interests of all of our subsidiaries that are guarantors under the new credit facility and 65% of the capital stock or membership interests of certain of our foreign subsidiaries. (See Note 5.)

      Issuance of Preferred Stock. Concurrently with the issuance and sale of the notes, we also issued and sold $263.8 million of our Series A Convertible Participating Preferred Stock, par value $.001 per share. (See Note 6.)

      Redemption of 9 5/8% Senior Subordinated Notes. As of August 11, 2003, we had outstanding $200.0 million in 9 5/8% Senior Subordinated Notes due 2007. On that date, we notified holders of the notes that, pursuant to their terms, we would redeem all such outstanding notes for a purchase price of 104.813% of their principal amount plus accrued but unpaid interest to the date of redemption. The redemption was completed on August 14, 2003. In addition, we paid approximately $1.5 million in early redemption consent fees related to these notes. (See Note 5.)

      Share Repurchase. On August 11, 2003, we commenced a tender offer to purchase for cash up to $589.8 million of our common stock and vested stock options at a price equivalent to $17.00 per share of common stock. Upon closing, we purchased and retired 30.0 million shares of outstanding common stock for $17.00 per share. We also settled for cash 4.7 million vested stock options at a price equivalent to $17.00 per share of common stock. In the first quarter of 2004, we may offer to repurchase additional shares and vested stock options in an amount equal to the sum of the following:

     - the net after-tax proceeds of the $75.0 million Hillenbrand antitrust settlement that we expect to receive in
        January 2004;
     - the remaining tax benefits to KCI, not previously paid out, related to the recapitalization in an amount not to
        exceed $40.0 million; and

     - the cash received from the exercise of employee stock options as part of the share repurchase.

      The issuance and sale of the 7 3/8% Senior Subordinated Notes due 2013 and the preferred stock, the repayment of our old senior credit facility with proceeds from the new senior credit facility, the redemption of our 9 5/8% senior subordinated notes due 2007 and the share repurchase are referred to herein collectively as the "recapitalization."

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      The following sets forth the sources and uses of funds in connection with the recapitalization (dollars in millions):

 

Amount      

Source of Funds:

 

Gross proceeds from the sale of the 7 3/8% Senior Subordinated Notes Due 2013

$      205.0      

Borrowings under the new senior credit facility

480.0      

Gross proceeds from the sale of convertible preferred stock

263.8      

Proceeds from Hillenbrand antitrust settlement (net of taxes)

46.9      

Tax benefits realized from transaction fees and expenses

32.3      

Cash on hand

53.4      

 

______      

      Total

$   1,081.4      

 

______      

Use of Funds:

 

Redemption of 9 5/8% Senior Subordinated Notes Due 2007(1)

$      211.1      

Repayment of debt under the old senior credit facility

208.2      

Share repurchase (2)

634.0      

Transaction fees and expenses for the recapitalization

28.1      

 

______      

      Total

$   1,081.4      

 

______      

        (1) Includes early redemption premium of 4.813% of the aggregate principal amount pursuant to the terms of the 9 5/8%
               Senior Subordinated Notes due 2007, in addition to the payment of approximately $1.5 million in early redemption
               consent fees related to amending these notes.

        (2) Includes anticipated share repurchase discussed above

      Our September 30, 2003 three-month and nine-month results reflect the impact of the recapitalization including a charge to earnings of $86.3 million, before tax benefits related to the recapitalization of $32.3 million. The charge to earnings, pretax, included a $67.5 million charge to compensation expense for the repurchase, or cash settlement, of vested options, together with $11.1 million in expenses for the payment of a consent fee and an early redemption premium related to the redemption of the 9 5/8% Senior Subordinated Notes due 2007. Additionally, we wrote off debt issuance costs related to our old senior credit facility and the 9 5/8% Senior Subordinated Notes due 2007 totaling approximately $5.2 million, pretax. The remaining expenses of approximately $2.5 million, pretax, were related to miscellaneous fees and expenses associated with the share repurchase. Both the premium paid on the redemption of our 9 5/8% Senior Subordinated Notes and the write-off of commitment fees on unused credit facilities were charged to interest expense. Financing costs of approximately $19.8 million have been deferred and will be amortized over the lives of the debt facilities. Direct and incremental costs related to the issuance of the preferred stock of approximately $950,000 have been deferred and will be amortized over 12 years unless the preferred stock is previously converted or redeemed. (See Note 6.)

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(3)      ACCOUNTS RECEIVABLE COMPONENTS

      Accounts receivable consist of the following (dollars in thousands):

September 30, 

December 31,

2003         

2002     

Trade accounts receivable:

   Facilities / dealers

$ 108,790   

$    91,756   

   Third party payers:

      Medicare / Medicaid

33,308   

31,721   

      Managed care, insurance and other

60,648   

53,229   

_______   

_______   

202,746   

176,706   

Medicare V.A.C. receivables prior to

   October 1, 2000

13,682   

14,351   

Employee and other receivables

1,993   

2,410   

_______   

_______   

218,421   

193,467   

Less:  Allowance for doubtful accounts

(34,100)  

(26,220)   

          Allowance for Medicare V.A.C. receivables

             prior to October 1, 2000         

(13,682)  

(14,351)