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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-Q

     
(Mark One)    
[x]   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
     
    For the Quarterly Period Ended June 30, 2002
     
    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 No. 0-27640

RENAL CARE GROUP, INC.

(Exact name of registrant as specified in its charter)

     
Delaware
(State or other jurisdiction of
incorporation or organization)
  62-1622383
(I.R.S. Employer Identification No.)

2525 West End Avenue, Suite 600, Nashville, Tennessee 37203
(Address of principal executive offices) (Zip code)
Registrant’s telephone number, including area code: (615) 345-5500

     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 the number of shares outstanding of each of the issuer’s classes of common stock as of the latest practicable date.

   
Class Outstanding at August 9, 2002
Common Stock, $.01 par value 48,454,396

 


TABLE OF CONTENTS

PART I - FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
Condensed Consolidated Balance Sheets
Condensed Consolidated Income Statements
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
RISK FACTORS
PART II - OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
Second Amended and Restated Loan Agreement
Loan Agreement dated as of July 1, 2002
Section 906 Certification of the CEO and CFO


Table of Contents

RENAL CARE GROUP, INC.

INDEX

                 
            Page No.
           
PART I
 
FINANCIAL INFORMATION
       
Item 1.
 
Financial Statements
       
       
Condensed Consolidated Balance Sheets December 31, 2001 and June 30, 2002 (unaudited)
    1  
       
Condensed Consolidated Income Statements — (unaudited) For the three months and six months ended June 30, 2001 and 2002
    2  
       
Condensed Consolidated Statements of Cash Flows — (unaudited) For the six months ended June 30, 2001 and 2002
    3  
       
Notes to Condensed Consolidated Financial Statements — (unaudited)
    4  
Item 2.
 
Management’s Discussion and Analysis of Financial Condition And Results of Operations
    9  
       
Risk Factors
    13  
PART II
 
OTHER INFORMATION
       
Item 1.
 
Legal Proceedings
    20  
Item 4.
 
Submission of Matters to a Vote of Security Holders
    21  
Item 6.
 
Exhibits and Reports on Form 8-K
    21  

Note: Item 3 of Part I, and Items 2, 3 and 5 of Part II are omitted because they are not applicable

 


Table of Contents

PART I — FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

RENAL CARE GROUP, INC.
Condensed Consolidated Balance Sheets
(
in thousands, except per share data)

                       
          December 31,   June 30,
          2001   2002
         
 
                  (unaudited)
ASSETS
               
Current assets:
               
 
Cash and cash equivalents
  $ 27,423     $ 40,218  
 
Accounts receivable, net
    127,056       146,286  
 
Inventories
    16,292       15,013  
 
Prepaid expenses and other current assets
    18,584       15,559  
 
Income taxes receivable
    7,058        
 
Deferred income taxes
    16,894       16,894  
 
   
     
 
Total current assets
    213,307       233,970  
Property, plant and equipment, net
    175,925       189,713  
Goodwill
    243,530       261,558  
Intangible assets, net
    10,365       11,806  
Other assets
    7,922       6,487  
 
   
     
 
Total assets
  $ 651,049     $ 703,534  
 
   
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
 
Accounts payable
  $ 28,198     $ 24,772  
 
Income taxes payable
          7,567  
 
Current portion of long-term debt
    726       212  
 
Other current liabilities
    80,336       87,827  
 
   
     
 
Total current liabilities
    109,260       120,378  
Long-term debt, net of current portion
    3,776       2,754  
Deferred income taxes
    12,728       12,728  
Minority interest
    15,034       24,522  
 
   
     
 
Total liabilities
    140,798       160,382  
 
   
     
 
Commitments and contingencies
               
Stockholders’ equity:
               
 
Preferred stock, $0.01 par value, 10,000 shares authorized, none issued
           
 
Common stock, $0.01 par value, 90,000 shares authorized, 49,597 and 50,068 shares issued at December 31, 2001 and June 30, 2002, respectively
    496       501  
 
Treasury stock, 100 and 800 shares of common stock at December 31, 2001 and June 30, 2002, respectively
    (3,059 )     (25,282 )
 
Additional paid-in capital
    277,300       288,284  
 
Retained earnings
    235,514       279,649  
 
   
     
 
Total stockholders’ equity
    510,251       543,152  
 
   
     
 
Total liabilities and stockholders’ equity
  $ 651,049     $ 703,534  
 
   
     
 

See accompanying notes to condensed consolidated financial statements.

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RENAL CARE GROUP, INC.
Condensed Consolidated Income Statements

(in thousands, except per share data)
(unaudited)

                                   
      Three Months Ended   Six Months Ended
      June 30,   June 30,
      2001   2002   2001   2002
     
 
 
 
Net revenue
  $ 183,455     $ 222,169     $ 358,233     $ 428,847  
Operating costs and expenses:
                               
 
Patient care costs
    118,803       145,750       232,131       280,462  
 
General and administrative expenses
    15,778       18,787       30,781       36,347  
 
Provision for doubtful accounts
    4,870       5,736       9,670       11,220  
 
Depreciation and amortization
    9,296       9,933       18,148       19,295  
 
   
     
     
     
 
Total operating costs and expenses
    148,747       180,206       290,730       347,324  
 
   
     
     
     
 
Income from operations
    34,708       41,963       67,503       81,523  
Interest expense, net
    1,274       138       2,273       311  
 
   
     
     
     
 
Income before minority interest and income taxes
    33,434       41,825       65,230       81,212  
Minority interest
    3,722       5,307       6,852       10,017  
 
   
     
     
     
 
Income before income taxes
    29,712       36,518       58,378       71,195  
Provision for income taxes
    11,351       13,876       22,303       27,060  
 
   
     
     
     
 
Net income
  $ 18,361     $ 22,642     $ 36,075     $ 44,135  
 
   
     
     
     
 
Net income per share:
                               
 
Basic
  $ 0.39     $ 0.46     $ 0.76     $ 0.89  
 
   
     
     
     
 
 
Diluted
  $ 0.37     $ 0.44     $ 0.72     $ 0.86  
 
   
     
     
     
 
Weighted average shares outstanding:
                               
 
Basic
    47,598       49,474       47,428       49,450  
 
   
     
     
     
 
 
Diluted
    50,046       51,369       49,828       51,296  
 
   
     
     
     
 

See accompanying notes to condensed consolidated financial statements.

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RENAL CARE GROUP, INC.
Condensed Consolidated Statements Of Cash Flows

(in thousands)
(unaudited)

                     
        Six Months Ended
        June 30,
        2001   2002
       
 
OPERATING ACTIVITIES
               
Net income
  $ 36,075     $ 44,135  
Adjustments to reconcile net income to net cash provided by operating activities:
               
 
Depreciation and amortization
    18,148       19,295  
 
Distributions to minority shareholders
    (7,157 )     (3,425 )
 
Income applicable to minority interest
    6,852       10,017  
 
Changes in operating assets and liabilities net of effects from acquisitions
    (1,046 )     6,669  
 
   
     
 
   
Net cash provided by operating activities
    52,872       76,691  
INVESTING ACTIVITIES
               
Purchases of property and equipment
    (26,204 )     (30,250 )
Cash paid for acquisitions, net of cash acquired
    (6,241 )     (18,932 )
Change in other assets
    (2,535 )     (2,190 )
 
   
     
 
   
Net cash used in investing activities
    (34,980 )     (51,372 )
FINANCING ACTIVITIES
               
Net payments of debt
    (34,166 )     (1,536 )
Net proceeds from issuance of common stock
    18,563       8,339  
Investment by joint venture partner
          2,896  
Repurchase of treasury shares
          (22,223 )
 
   
     
 
   
Net cash used in financing activities
    (15,603 )     (12,524 )
 
   
     
 
Increase in cash and cash equivalents
    2,289       12,795  
Cash and cash equivalents at beginning of period
    29,902       27,423  
 
   
     
 
Cash and cash equivalents at end of period
  $ 32,191     $ 40,218  
 
   
     
 

See accompanying notes to condensed consolidated financial statements.

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RENAL CARE GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
FOR THE SIX MONTHS ENDED
JUNE 30, 2002

(in thousands, except per share data)
(unaudited)

1. Basis of Presentation

Overview

     Renal Care Group, Inc. (“Renal Care Group” or the “Company”) provides dialysis services to patients with chronic kidney failure, also known as end-stage renal disease (“ESRD”). As of June 30, 2002, the Company provided dialysis and ancillary services to approximately 19,700 patients through more than 250 outpatient dialysis centers in 26 states, in addition to providing acute dialysis services in more than 120 hospitals.

     Renal Care Group’s net revenue has been derived primarily from the following sources:

    outpatient hemodialysis services;
 
    ancillary services associated with dialysis, primarily the administration of erythropoietin (also known as Epogen® or EPO) and other drugs;
 
    home dialysis services;
 
    inpatient hemodialysis services provided to acute care hospitals and skilled nursing facilities;
 
    laboratory services; and
 
    management contracts with hospital-based and medical university dialysis programs.

     Patients with end-stage renal disease typically receive three dialysis treatments each week, with reimbursement for services provided primarily by the Medicare ESRD program based on rates established by the Centers for Medicare & Medicaid Services (“CMS”). For the six months ended June 30, 2002, approximately 57% of the Company’s net revenue was derived from reimbursement under the Medicare and Medicaid programs. Medicare reimbursement is subject to rate and other legislative changes by Congress and periodic changes in regulations, including changes that may reduce payments under the ESRD program. Effective January 1, 2001, Congress increased the Medicare composite rate by 1.2%. An additional increase of 1.2% took effect April 1, 2001. The April 1, 2001 increase included an adjustment factor that made that 1.2% increase effective for all of 2001. Accordingly, the net result of the 1.2% increases on January 1, 2001 and April 1, 2001, plus the April adjustment factor, was an effective increase of 2.4% for calendar year 2001. Neither Congress nor CMS approved an increase in the composite rate for 2002.

     The Medicare composite rate applies to a designated group of outpatient dialysis services, including the dialysis treatment, supplies used for such treatment, certain laboratory tests and medications, and most of the home dialysis services provided by Renal Care Group. Certain other services, laboratory tests, and drugs are eligible for separate reimbursement under Medicare and are not part of the composite rate, including specific drugs such as EPO and some physician-ordered tests provided to dialysis patients.

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     For patients with private health insurance, dialysis is typically reimbursed at rates higher than Medicare during the first 30 months of treatment. After that period Medicare becomes the primary payor. Reimbursement for dialysis services provided pursuant to a hospital contract is negotiated with the individual hospital and generally is higher on a per treatment equivalent basis than the Medicare composite rate. Because dialysis is a life-sustaining therapy used to treat a chronic disease, utilization is predictable and is not subject to seasonal fluctuations.

     Renal Care Group derives a significant portion of its net revenue and net income from the administration of EPO. EPO is manufactured by a single company, Amgen Inc. In April 2002, Amgen implemented its third wholesale price increase of 3.9% in as many years. This increase will not affect Renal Care Group’s results of operations in 2002 because Renal Care Group’s contract with Amgen includes price protection for the calendar year 2002. Renal Care Group and Amgen have agreed in principle that the Company’s current pricing formula will remain substantially in effect for 2003. As a result, the Company believes, although it can give no assurances, that it will be able to mitigate a substantial portion of the 2002 price increase in 2003. This agreement in principle is conditioned on negotiating and signing a final written amendment to the contract between the Company and Amgen.

Interim Financial Statements

     In the opinion of management, the information contained in this quarterly report on Form 10-Q reflects all adjustments necessary to make the results of operations for the interim periods a fair representation of such operations. All such adjustments are of a normal recurring nature. Operating results for interim periods are not necessarily indicative of results that may be expected for the year as a whole. The Company suggests that persons read these financial statements in conjunction with the consolidated financial statements and the related notes thereto included in the Company’s Form 10-K, as filed with the SEC on March 29, 2002.

2. Reclassifications

     Certain prior period balances have been reclassified to conform to the current period presentation. These reclassifications had no effect on the net results of operations as previously reported.

3. Goodwill and Intangible Assets (in thousands, except per share data)

     On January 1, 2002, the Company adopted SFAS No. 142, Goodwill and Other Intangible Assets, which addresses the financial accounting and reporting standards for the acquisition of intangible assets and for goodwill and other intangible assets after the acquisition. This accounting standard requires that goodwill be disclosed separately from other intangible assets in the balance sheet and that goodwill no longer be amortized; instead, goodwill will be tested for impairment on a periodic basis. The provisions of this accounting standard also required the Company to complete a transitional impairment test within six months of the Company’s adoption of this standard, with any impairments identified treated as a cumulative effect of a change in accounting principle. The Company has completed its transitional impairment test and no impairments were identified.

     In accordance with SFAS No. 142, the Company discontinued the amortization of goodwill effective January 1, 2002. A reconciliation of previously reported net income and earnings per share to the pro forma amounts adjusted for the exclusion of goodwill amortization net of the related income tax effect follows:

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    Three Months Ended   Six Months Ended
    June 30,   June 30,
    2001   2002   2001   2002
   
 
 
 
Reported net income
  $ 18,361     $ 22,642     $ 36,075     $ 44,135  
Add: goodwill amortization, net of tax
    1,031             1,894        
 
   
     
     
     
 
Pro forma adjusted net income
  $ 19,392     $ 22,642     $ 37,969     $ 44,135  
 
   
     
     
     
 
Reported basic earnings per share
  $ 0.39     $ 0.46     $ 0.76     $ 0.89  
Add: goodwill amortization, net of tax
    .02             .04        
 
   
     
     
     
 
Pro forma adjusted basic earnings per share
  $ 0.41     $ 0.46     $ 0.80     $ 0.89  
 
   
     
     
     
 
Reported diluted earnings per share
  $ 0.37     $ 0.44     $ 0.72     $ 0.86  
Add: goodwill amortization, net of tax
    .02             .04        
 
   
     
     
     
 
Pro forma adjusted diluted earnings per share
  $ 0.39     $ 0.44     $ 0.76     $ 0.86  
 
   
     
     
     
 

     Changes in the carrying amount of goodwill for the six months ended June 30, 2002, are as follows:

         
Balance as of December 31, 2001
  $ 243,530  
Goodwill acquired during the period
    18,028  
 
   
 
Balance as of June 30, 2002
  $ 261,558  
 
   
 

     The Company’s separately identifiable intangible assets, which consist of noncompete agreements and acute dialysis services agreements are as follows:

                 
    December 31,   June 30,
    2001   2002
   
 
Carrying amount
  $ 16,090     $ 18,385  
Accumulated amortization
    (5,725 )     (6,579 )
 
   
     
 
Net
  $ 10,365     $ 11,806  
 
   
     
 

     Separately identifiable intangible assets are being amortized over their useful lives, ranging from four to ten years. Amortization expense for the six months ended June 30, 2002 was approximately $854. Estimated amortization expense for each of the five succeeding fiscal years is as follows:

         
Year ending December 31,   Amount

 
2002
  $ 2,001  
2003
    2,102