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)
Registrants 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 issuers classes of common stock as of the latest practicable date.
| Class | Outstanding at August 9, 2002 |
| Common Stock, $.01 par value | 48,454,396 |
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. |
Managements 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
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.
1
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.
2
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.
3
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 Groups 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 Companys 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.
4
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 Groups results of operations in 2002 because Renal Care Groups contract with Amgen includes price protection for the calendar year 2002. Renal Care Group and Amgen have agreed in principle that the Companys 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 Companys 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 Companys 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:
5
| 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 Companys 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 | |||