Filed pursuant to Rule 425 under the Securities Act of 1933 and deemed filed
pursuant to Rule 14a-12 under the Securities Exchange Act of 1934
Filing Person: Kindred Healthcare, Inc.
Commission File No.: 001-14057
Subject Company: RehabCare Group, Inc.
Commission File No.: 001-14655
FINAL TRANSCRIPT
Feb 08, 2011 / 03:30PM GMT, KND - Kindred Healthcare Company Update |
C O R P O R A T E P A R T I C I P A N T S
Susan Moss
Kindred Healthcare, Inc. - VP, Communications
Paul Diaz
Kindred Healthcare, Inc. - President & CEO
P R E S E N T A T I O N
Susan Moss - Kindred Healthcare, Inc. - VP, Communications
Welcome to the Kindred Healthcare webcast.
This webcast includes forward-looking statements as defined in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, which involves a number of risks and uncertainties. Such forward-looking statements are based upon managements current expectations and include known and unknown risks, uncertainties and other factors, many of which Kindred is able to predict or control that may cause the Companys actual results or performance to differ materially from any future results or performance expressed or implied by such forward-looking statements. Kindred cautions participants that any forward-looking information is not a guarantee of future performance and that actual results could differ materially from those contained in the forward-looking information. Kindred directs you to the forward-looking statements contained in the joint press release issued by Kindred and RehabCare this morning. Additional information regarding forward-looking statements is included in the slides accompanying this presentation. Please review page two of the slide presentation for additional information on forward-looking statements and other important information, including where you can find more information on the directors and executive officers of Kindred and RehabCare.
This communication does not constitute an offer to sell or a solicitation of an offer to buy any securities or solicitation of any vote or approval. In connection with the proposed acquisition of RehabCare, Kindred will file with the Securities and Exchange Commission a registration statement on Form S-4 that will include a joint proxy statement of Kindred and RehabCare and also constitutes a prospectus of Kindred. Kindred and RehabCare will mail the definitive proxy statement/prospectus to their respective stockholders. You should review those materials carefully as they will include important information regarding the merger, including information about Kindred and RehabCare, their respective directors, executive officers and certain other members of management and employees who may be deemed to be participants in the solicitation of proxies in favor of the proposed merger.
I would now like to turn to webcast over to Paul Diaz, CEO of Kindred Healthcare.
Paul Diaz - Kindred Healthcare, Inc. - President & CEO
Thank you, Susan. That was fun. Well, good morning, everyone. Im going to bow to my age and failing eyesight, point you to these forward-looking statements that Susan so eloquently got us through.
I have spent the last 25 years trying to not be a lawyer, and they will not let me out. But anyway, great to be with you all this morning to talk about where we are as a company, to welcome our colleagues at RehabCare that might be joining us today, and those new to Kindred Healthcare to share some exciting news about the Company, our progress and the new journey that we are starting with our teammates at RehabCare.
So, first, a little bit of an update on Kindred and where we are as a company and kind of what we stand for.
Mission is important to us. Values are important to us. We are a company that, as you know, and for those joining us care for very, very frail, very, very sick patients, and many days, most often we are the people that families and their patients depend upon most.
So when we talk about our mission and our shared values to promote healing and provide hope and create value for our patients, our residents and our shareholders, we take those things seriously, and we talk about them in the context of everything we do.
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Our management philosophy really embodies those principles and those values, and its pretty straightforward. We focus on taking care of our people. Because if we take care of our people, we can focus on quality and customer service, and if we do those two things, we grow by developing the best reputation for care and being the most trusted and respected provider in all of our sites of service and all the communities we serve.
We then try to bring a disciplined and balanced approach to our business, and we talk about our key success factors. We will talk about those in a few minutes. For those, again, new to the company, we are the largest provider of postacute services. We operate the largest provider of long-term acute care hospitals, of nursing and rehabilitation centers. We do that with over 58,000 dedicated employees across the United States, and we are excited to have the RehabCare team as part of our family.
We are the largest operator of long-term acute care hospitals, the second or third largest operator of nursing and rehabilitation centers depending on how you do the math. And Peoplefirst Rehab has been a fun competitor of RehabCares contract rehab business for many years, and theres a lot of joint shared values and mutual respect between the organizations and a lot of opportunities as we talk about bringing the two organizations together.
I think one of the things that Im proud about is when outsiders recognize the promise the progress that you have made as a company and the reputation that you have developed. And for the last two years, we have been proud that Fortune magazine, our colleagues and analysts and competitors have voted us among the most admired healthcare companies in the world the last two years. And that is something I think that we continue to build from.
So how do we think about creating value for our patients, and how do we think about that and the opportunity that we have to continue to care, which we will talk about? Well, really there are sort of three key tenets to what we think about and the opportunities that we have. First, to consistently provide superior clinical outcomes and quality care to our patients in increasingly a patient-centered way. Thinking about our care planning process, thinking about even the opportunities under our new MDS 3.0 system, and our nursing home business to bring patient-centered care to how we approach care every day to our patients and residents and to do that in a very disciplined and transparent way. And we will talk about our quality report in a few minutes that I think, again, is a source of pride and accomplishment in our organization.
One of the other opportunities we have is to reduce length of stay and to continue to focus on getting our patients home as quickly as possible, returning them to their lives, supporting recovery, but doing it in a way that also is mindful of avoidable re-hospitalizations and the opportunities that we have to work with other providers our short-term acute care hospital partners, our physicians and, as we will talk about later, where we are discharging increasingly patients to other settings and the opportunity to do that in a way that maintains their health and well-being and return to family.
So when we think about our operations and for, again, our new colleagues at RehabCare Group, we have really focused on a core set of operating principles over the years we call our key success factors, and they go back to those values that I spoke to before. If we take care of our people, that if we focus on quality and customer service, we are going to grow because we are going to have the best reputation for care in the communities that we serve.
We are also challenged to be efficient, though. Every year we talk about the changes in reimbursement systems, and even as we look forward today and our support of healthcare reform and the reimbursement cuts embedded in the healthcare reform bill, we are going to be challenged to tighten our belts. And this opportunity that we will talk about later to bring RehabCare and Kindred do afford us the opportunities to reduce costs but not at the bedside and reduce costs in a way that we can be good stewards to our shareholders as well.
We talk about managing our capital wisely. That needs to matter to nurses on the nursing station, the therapists in our rehab departments, as well as our folks in dietary and housekeeping. Because if we dont collect our receivables, we are not able to make sure that were paying competitive wage rates, that we are investing in our buildings, that we are investing in information technology and doing those other things that we all want to see happen. And when we talk about these key success factors, these core things, in terms of performance improvement and organizational excellence, it is hard every day. I know we are constantly challenged with census. We are constantly challenged with making sure that we are managing our costs every day, with meeting the challenging needs of our patients and families. But we always need to be thinking about how we can learn from each other and do better each day in every side of service that we are in. And that is really what our balanced scorecards and key success factors are about.
So let me turn now to a brief Company update because there is a lot of exciting things to talk about in terms of the Company. First, as many of you hopefully had the opportunity to read and this mornings everybodys business, we announced an opportunity to merge and really join with our colleagues, our future colleagues, at RehabCare to form what we believe will be the premier postacute company and, quite frankly, I think the
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Feb 08, 2011 / 03:30PM GMT, KND - Kindred Healthcare Company Update |
greatest healthcare company in the United States in the years to come. That cares for some of the sickest patients in America with the goal of returning them home and returning them to their families and their lives.
It is important to know that both companies finished our fourth-quarter and our 2010 operations with very good clinical and financial results, really creating a tremendous amount of momentum going into this proposed merger, as well as a strong foundation for us to build and grow from.
And when I talk about end of the year results, I would be remiss not to talk about our quality and social responsibility report, my one prop for the day. This is available on our website, again, for our new friends and our new colleagues, and I urge you to take a look at it. This years quality and social responsibility report really yet again showed for the fourth year in a row that we have continued to make progress on our key quality indicators, we continue to make progress on our people goals of reducing turnover, improving retention, getting people home faster, and doing it in a way that shows better [FRM] scores, as well as lower re-hospitalization rates and other key indicators. So a great deal of source of pride and accomplishment for our Company.
And for those of you that know me and we have worked together for these last nine years know that report is as important as the report that we send to shareholders every year. And my challenge to you and my challenge to our new colleagues at RehabCare group is to see if we can continue to build on that success in 2011 and improve upon those clinical outcomes as we think about this combination.
So turning to that, this really puts our company, our combined company, in a leading position in very, very attractive businesses, and a leading position in many of the markets we serve, and this combination is about growth. This combination is about bringing the best of our folks together, and we will talk about the leadership teams in a few minutes and the opportunities for our patients, as well as our shareholders in the context of that.
So there are really three things I want you to think about as we begin to talk about the merger with RehabCare Group. The opportunity to improve the lives and be part of improving the health care delivery system. This is about bringing thousands of doctors and our dedicated therapists and nurses and other caregivers together with a shared promise and delivering on the shared promise of the two companies to provide hope, promote recovery and help our patients regain their lives as we work with others in reforming healthcare to improve care co-ordination and return people home.
Secondly, the strategic opportunity for us, our shareholders and for your professional development in terms of the exciting opportunities that we see to add inpatient rehab facility services to our continuing services, to add to our cluster markets in terms of the services that RehabCare offers and their clinical expertise, and together with our growing homecare and hospice business to really begin to think about expanding our services for us to continue the care for our residents through an entire episode of care on their journey home.
Next and thirdly, it is about growth for our shareholders and growth for us because that creates opportunities for everyone. And this opportunity will together create the largest postacute company in one of the largest health service companies in America with over $6 billion of revenues and providing services through 75,000 dedicated employees in over 46 states.
So lets talk about the merger for a few minutes. These slides are available for everyone today or for your questions and for discussions later.
Its a tremendous opportunity certainly for our shareholders, but for the shareholders of RehabCare as well in terms of the consideration of $35 for share. There are significant synergies to be accomplished. I would tell you that these synergies, the $40 million of synergies that we are talking about, are away from the bedside. Very little is going to change in our sites of service. Very little is going to change in the near term for the millions of patients and caregiver interactions that we have, other than the opportunities we think over the long term to give you better tools to care for our residents and patients. We expect to close the transaction at the end of June, and we have the full support and financing commitments of JPMorgan, Morgan Stanley and Citigroup to accomplish the merger.
So let me spend a few minutes talking about RehabCare, the team and a company that we have really admired and grown to respect over many years. RehabCare has been one of the leaders, if not the leader, in providing rehab services across the United States for more than 30 years. We are very excited to have Pat Henry lead our combined skilled nursing rehab business who under Chris Birds leadership and together with Mary Pat Welc who will run our hospital rehab services business will run a $1.3 billion rehab company. It will be the largest rehab business in America.
And large really is not that important to you all that Im speaking to today, but I promise you that this is going to be about making sure that all of our therapists have the tools necessary and the education necessary to advance your personal development goals and the goals of our patients and residents.
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We are also very excited that Brock Hardaway has agreed to join and lead our new Southwest region of our hospital division, and our LTAC business, which will be almost $3 billion, approaching $3 billion in revenues and a great opportunity for Brock, his team in Houston to be part of our long-term acute care hospital business.
The Company overview, I will spare you to go through it in detail, but really what I want you to think about and focus on is together with RehabCare, we will offer a much broader and deeper array of postacute services that our patients critically need in many, many markets.
And so what you can see is expansion of services into inpatient rehab facilities. RehabCare has now access to our skilled nursing facility services, as well as our growing homecare and hospice, really begin to set the stage for managing patients through an entire continuum of care.
The map is important and the geography is important because we do and we are able to cover a much broader marketplace and enhance our cluster market strategy. But, as I have mentioned often in our orientations and we talk a lot about the opportunities to grow and deploy capital in our cluster markets, I want to, again, reaffirm my promise to everyone both in RehabCare and at Kindred, even if you are not in one of these circles, you are still going to be loved and supported by everybody in the support center and this management team. Because the future is not just about our cluster markets, even though that is part of our strategy. When we think about educational opportunities, investment in your buildings and your hospitals and your nursing rehab centers and your rehab gyms, investments in training and IT, that is going to touch everybody on this map whether you are in one of our cluster markets or not.
So lets talk about a fun slide in terms of our competitors for a moment, in terms of what this combination affords in terms of the leading businesses and attractive businesses. And, again, being big is helpful. It makes you efficient. It brings opportunities, but being best is really what we are going to be focused on. But we will be the number one operator of long-term acute care hospitals, and we believe that over the years we have earned the reputation of being the best there. And we think that with our RehabCare partners, we are going to continue to build on that tradition and that legacy.
We will be the largest operator of inpatient rehab facilities in the United States as well. Predominately hospital-based units, but Mary Pat and I are very excited about the opportunities, along with Chris and his team to expand our earth business both in the hospital, short-term acute care hospital setting, our acute rehab units, but also our pipeline of freestanding inpatient rehab facilities. We will be the third largest operator of nursing and rehabilitation centers, continue to be led under Lane Bowen, who for many years has navigated tremendous quality improvements, and now with the help of Pat Henry and others continue to expand our rehab capabilities and other clinical skills in our centers. And under Pat Henrys leadership, along with Gail and Chris continue to build really the premier contract rehab provider in the United States.
So the next slide tells you a little bit about the numbers. I will not spend too much time on it. But, again, what it tells you is our rehab company led by Chris Bird, by Pat, by Mary Pat, Gail and Mary Van de Kamp on the clinical side sorry, Mary as well as Katie on the financial side, will be a force to be reckoned with both clinically, operationally and financially. So we are really excited about bringing the Peoplefirst and the RehabCare Group team together.
And similarly in our LTAC business, bringing Brock and his team together with our team and the opportunities that our patients and shareholders have to bring our hospital businesses together.
Let me turn my attention to a little bit of a complicated slide. I dont think I will need my glasses for this, but I do want you to spend some time on this one. Because this really goes to the core of our care management strategy and our Continue the Care opportunity.
When we think about this is a cool slide, so Im going to spend some time on it. When we think about the need for postacute care, 35% of all patients leaving acute care hospitals this is principally Medicare beneficiaries need some kind of postacute care. But what folks dont realize is that most of these patients often need care in multiple settings.
And so what the bottom part of the slide starts to tell you is that for our long-term acute care hospital discharges, 56% of our long-term acute care patients need continued care in a different setting. 35% of them need continued care in a nursing and rehabilitation center. 16% go home with home care services, and 5% need continued rehabilitation in an intensive inpatient rehab facility service. This is what Continue the Care is about and the opportunity we have over the next decade to better manage those care transitions and make sure that we can complete the course of treatment and recovery.
Similarly, inpatient rehab facilities discharge 46% of their patients to homecare and 13% of their patients to skilled nursing facilities. So the investors this morning talked about this as revenue synergies. I want to talk to you about it from a caregiver perspective about our opportunity to Continue the Care and make sure that we get people home and keep people home by better coordinating our services through this.
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And financially, in terms of savings costs to the system, similarly 31% of our skilled nursing and rehab patients are going home with homecare, and more than 50% of those patients are going home in less than 30 days. That is part of our value proposition.
But I mentioned before and this is an important statistic that is not on this page it is I think important for policymakers and for all of us, 15% of all Medicare beneficiaries have five or more chronic conditions. These are the patients that you are caring for everyday that have COPD, congestive heart failure, diabetes five or more chronic conditions. That is really the sweet spot of the kinds of patients that RehabCare and Kindred together can care for and will care for, and these patients consume 25% of all the healthcare spending. That is a great opportunity for us to do well by those patients and do well by the healthcare system.
So that sets the backdrop, if you will, for our circle of opportunity and our Continue the Care model in this changing landscape. So I often talk about our constant challenge to meet intensity of patient need with the intensity of our services. And what you can see from this next chart is that from an acute care hospital to home, the combination of Kindred and RehabCare really offer a full continuum of postacute services that over the next 10 years we hope to bring to all the communities we serve for the benefit of our patients and for the opportunities that our shareholders and I think that you will enjoy professionally as well.
Im going to wrap up with just a couple of things and then really focus a little time on some of the questions that I think many of you may have on your minds. This last slide really talks about the growth prospects for our shareholders, the strategic opportunities, and I will let you read it for yourself. But the service offering, diversification, the position that we have in all of these different services, the opportunity to improve our financial profile, our margins, to reduce our debt quickly as we enter into this transaction. For those of you that have been my partners for the last nine years know that it has been a very steep climb in terms of getting the company back to very sound financial footing. And I promise you that this transaction does not in any way jeopardize us in terms of the amount of debt that we are going to take on. We are in a very good position to integrate our two organizations in a conservative way and be able to reduce the debt very quickly as we see ourselves going through the integration in terms of our financial soundness.
So I want to take a second, get a drink of water thank you for your patience and spend a little time talking about really the goals of this combination in my mind that I want you to think about. I want you to think about from now until closing and beyond.
You know, the first thing that we all have to do is stay focused because patient care is our priority. We need to ensure patient safety and quality of care is interrupted today, tomorrow, for the 60,000 patients whose care we are entrusted with each day.
We do share with our colleagues at RehabCare a base of shared values, and we need to ensure everyones focus and engagement and the trust that has been developed over the years in both organizations with the 75,000 colleagues that we will have when we get through this process.
Third, we need to work hard and fast to combine our operations so that we can stay focused. So that we can transition our back-office operations in a way that our operators are able to stay focused on our operations in the field, caring for our patients, running our businesses, continuing to achieve our agreed to business goals, and creating a foundation for organizational growth and system improvement and performance improvement in the years to come.
Commitment to transparency and communication. We are not always going to get it right through this process, but we are going to keep to our shared values, we are going to keep everyone informed, and were going to be as transparent and honest and direct with folks as possible as we work through the transaction and how it impacts individuals particularly. And we are going to communicate as quickly as possible the impact on every individual person, including those affected by the transaction in terms of the retention bonus and severance opportunities available.
Lastly, I want to say that it is a shared responsibility for all of us to stay focused today through this transition closing and beyond with the first four goals in mind. And while we have a paramount responsibility to our patients and to each other, we also have an obligation and fiduciary responsibility to our shareholders to support this transition and affect the cost savings and the combination for the benefit of our customers and our patients as quickly as possible.
So, with that, I wanted to take a few seconds to address maybe some questions that might be still left after all that in some folks minds. And certainly over the weeks to come, we are going to answer more of your questions as quickly as possible.
So first, why the decision to keep and adopt the RehabCare name with respect to our combined business operations?
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Well, I think while Peoplefirst has developed a great reputation for care and a great reputation among our folks, the RehabCare name is synonymous with quality and has a 30-year track record and a name that I think, quite frankly, represents a core opportunity that we have throughout the Company to make rehab a central part of what we are doing. So I think, quite honestly, it just better reflects what we want to do in terms of our combined rehab opportunity and also embraces the legacy that is RehabCare in our new organization.
What does our new organization look like in terms of structure? Thats a probably important question. I have mentioned in the rehab division that Chris Bird will be the President of the combined rehab operations, along with Katie Gilchrist and Mary Van de Kamp leading on the financial and clinical side. But we are very excited to announce that Pat Henry will run the combined skilled nursing rehab services and along with Gail and the other team continue to serve our customers. That Mary Pat Welc will continue to operate the combined hospital rehab businesses, and we are very excited about that. And, as I said, a great growth opportunity that Mary Pat and I share and Chris share in terms of the opportunity to grow our hospital rehab business. And that in our hospital division that Brock Hardaway, along with many of his team members in Houston, have agreed to join Kindred as our new Executive Vice President of the newly formed Southwest region of our hospital division.
So a lot of growth and a lot of opportunity and, quite frankly, a lot more that will not change in terms of our day-to-day operations as we work through this transition.
So I have sort of said this before indirectly, so I want to say it very directly. What changes will our patients notice? I think with your support none in the short-term.
In the long term, I think there are going to be great opportunities to share best practices in terms of clinical operations, to take advantage of the great strength that Kindred has in terms of information technology in our enterprise capabilities, and bring the innovation that RehabCare has done in terms of the deployment of handheld technology and other technologies in the rehab area that we can all share in all of our sites and service. So that is something that we are very excited about.
When will the transaction be consummated? That is probably something thats going to be in everybodys mind. As I said, probably no later than June 30, we hope, but hopefully sooner in the second quarter. And both from a legal operation in business and clinical perspective, I cannot tell you how important it is for us to stay focused on our individual operations for our colleagues at RehabCare, for everyone at Kindred Healthcare, independently to continue to focus on your patients and your operations until we consummate bringing the two companies together.
With that, I want to thank you for your time today. I want to thank you for your dedication every day to the patients that we are entrusted with, and I want to reach into my reservoir of trust that I think that I have earned with many of you over the years and I hope to earn with many of you in the years to come, that I do think that this is a great opportunity for our patients, a great opportunity for both the shareholders of RehabCare and Kindred, and a great opportunity over the long term to create a lot of value for everyone listening here today.
Thank you, again.
Additional Information About this Transaction
In connection with the proposed transaction with RehabCare Group, Inc. (RehabCare), Kindred Healthcare, Inc. (Kindred) will file with the Securities and Exchange Commission (the SEC) a Registration Statement on Form S-4 that will include a joint proxy statement of Kindred and RehabCare that also constitutes a prospectus of Kindred. Kindred and RehabCare will mail the definitive proxy statement/prospectus to their respective stockholders. WE URGE INVESTORS AND SECURITY HOLDERS TO READ THE JOINT PROXY STATEMENT/PROSPECTUS REGARDING THE PROPOSED TRANSACTION WHEN IT BECOMES AVAILABLE BECAUSE IT WILL CONTAIN IMPORTANT INFORMATION. You may obtain a free copy of the joint proxy statement/prospectus (when available) and other related documents filed by Kindred and RehabCare with the SEC at the SECs website at www.sec.gov. The joint proxy statement/prospectus (when available) and the other documents filed by Kindred and RehabCare with the SEC may also be obtained for free by accessing Kindreds website at www.kindredhealthcare.com and clicking on the Investors link and then clicking on the link for SEC Filings or by accessing RehabCares website at www.rehabcare.com and clicking on the Investor Information link and then clicking on the link for SEC Filings.
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Participants in this Transaction
Kindred, RehabCare and their respective directors, executive officers and certain other members of management and employees may be soliciting proxies from their respective stockholders in favor of the proposed transaction. Information regarding the persons who may, under the rules of the SEC, be considered participants in the solicitation of stockholders in connection with the proposed transaction will be set forth in the joint proxy statement/prospectus when it is filed with the SEC. You can find information about Kindreds executive officers and directors in Kindreds definitive proxy statement filed with the SEC on April 1, 2010. You can find information about RehabCares executive officers and directors in its definitive proxy statement filed with the SEC on March 23, 2010. You can obtain free copies of these documents from Kindred or RehabCare, respectively, using the contact information above.
Forward-Looking Statements
Information set forth herein contains forward-looking statements, which involve a number of risks and uncertainties. Kindred and RehabCare caution readers that any forward-looking information is not a guarantee of future performance and that actual results could differ materially from those contained in the forward-looking information. Such forward-looking statements include, but are not limited to, statements about the benefits of the business combination transaction involving Kindred and RehabCare, including future financial and operating results, the combined companys plans, objectives, expectations and intentions and other statements that are not historical facts.
The following factors, among others, could cause actual results to differ from those set forth in the forward-looking statements: (a) the receipt of all required licensure and regulatory approvals and the satisfaction of the closing conditions to the acquisition of RehabCare by Kindred, including approval of the pending transaction by the shareholders of the respective companies, and Kindreds ability to complete the required financing as contemplated by the financing commitment; (b) Kindreds ability to integrate the operations of the acquired hospitals and rehabilitation services operations and realize the anticipated revenues, economies of scale, cost synergies and productivity gains in connection with the RehabCare acquisition and any other acquisitions that may be undertaken during 2011, as and when planned, including the potential for unanticipated issues, expenses and liabilities associated with those acquisitions and the risk that RehabCare fails to meet its expected financial and operating targets; (c) the potential for diversion of management time and resources in seeking to complete the RehabCare acquisition and integrate its operations; (d) the potential failure to retain key employees of RehabCare; (e) the impact of Kindreds significantly increased levels of indebtedness as a result of the RehabCare acquisition on Kindreds funding costs, operating flexibility and ability to fund ongoing operations with additional borrowings, particularly in light of ongoing volatility in the credit and capital markets; (f) the potential for dilution to Kindred stockholders as a result of the RehabCare acquisition; and (g) the ability of the Company to operate pursuant to the terms of its debt obligations, including Kindreds obligations under financings undertaken to complete the RehabCare acquisition, and the ability of Kindred to operate pursuant to its master lease agreements with Ventas, Inc. (NYSE:VTR). Additional factors that may affect future results are contained in Kindreds and RehabCares filings with the SEC, which are available at the SECs web site at www.sec.gov. Many of these factors are beyond the control of Kindred or RehabCare. Kindred and RehabCare disclaim any obligation to update and revise statements contained in these materials based on new information or otherwise.
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D I S C L A I M E R
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1
All Hands Employee
Presentation
February 8, 2011
Filed pursuant to Rule 425 under the Securities Act of 1933 and deemed filed
pursuant to Rule 14a-12 under the Securities Exchange Act of 1934
Filing Person: Kindred Healthcare, Inc.
Commission File No.: 001-14057
Subject Company: RehabCare Group, Inc.
Commission File No.: 001-14655 |
2
FORWARD-LOOKING STATEMENTS
Additional Information About this Transaction
In connection with the proposed transaction with RehabCare Group, Inc.
(RehabCare), Kindred Healthcare, Inc. (Kindred) will file with the Securities and
Exchange Commission (the SEC) a Registration Statement on Form S-4
that will include a joint proxy statement of Kindred and RehabCare that also
constitutes a prospectus of Kindred. Kindred and RehabCare will
mail the definitive proxy statement/prospectus to their respective
stockholders. We urge investors and security holders to read the joint
proxy statement/prospectus regarding the proposed transaction when it becomes available because it will contain
important information. You may obtain a free copy of the joint proxy
statement/prospectus (when available) and other related documents filed by Kindred and
RehabCare
with
the
SEC
at
the
SECs
website
at
www.sec.gov.
The
joint
proxy
statement/prospectus
(when
available)
and
the
other
documents
filed
by
Kindred and RehabCare with the SEC may also be obtained for free
by accessing Kindreds website at www.kindredhealthcare.com and clicking on
the Investors
link and then clicking on the link for SEC Filings
or by accessing RehabCares website at www.rehabcare.com and clicking on the
Investor Information
link and then clicking on the link for SEC Filings.
Participants in this Transaction
Kindred, RehabCare and their respective directors, executive officers and certain
other members of management and employees may be soliciting proxies from
their respective stockholders in favor of the proposed transaction.
Information regarding the persons who may, under the rules of the SEC, be considered
participants in the solicitation of stockholders in connection with the proposed
transaction will be set forth in the joint proxy statement/prospectus when it is filed
with the SEC. You can find information about Kindreds executive
officers and directors in Kindreds definitive proxy statement filed with the SEC on April 1,
2010. You can find information about RehabCares executive officers and
directors in its definitive proxy statement filed with the SEC on March 23, 2010. You
can obtain free copies of these documents from Kindred or RehabCare, respectively,
using the contact information above. Forward-Looking Statements
Information set forth in this presentation contains forward-looking statements,
which involve a number of risks and uncertainties. Kindred and RehabCare
caution
readers
that
any
forward-looking
information
is
not
a
guarantee
of
future
performance
and
that
actual
results
could
differ
materially
from
those
contained
in the forward-looking information. Such forward-looking statements
include, but are not limited to, statements about the benefits of the business combination
transaction involving Kindred and RehabCare, including future financial and
operating results, the combined companys plans, objectives, expectations and
intentions and other statements that are not historical facts.
The following factors, among others, could cause actual results to differ from
those set forth in the forward-looking statements: (a) the receipt of all required
licensure and regulatory approvals and the satisfaction of the closing conditions
to the acquisition of RehabCare by Kindred, including approval of the pending
transaction by the shareholders of the respective companies, and
Kindreds ability to complete the required financing as contemplated by the
financing commitment; (b) Kindreds ability to integrate the operations
of the acquired hospitals and rehabilitation services operations and realize the anticipated revenues,
economies of scale, cost synergies and productivity gains in connection with the
RehabCare acquisition and any other acquisitions that may be undertaken
during 2011, as and when planned, including the potential for unanticipated issues,
expenses and liabilities associated with those acquisitions and the risk that
RehabCare fails to meet its expected financial and operating targets; (c) the
potential for diversion of management time and resources in seeking to complete
the RehabCare acquisition and integrate its operations; (d) the potential failure
to retain key employees of RehabCare; (e) the impact of Kindreds significantly
increased levels of indebtedness as a result of the RehabCare acquisition on
Kindreds funding costs, operating flexibility and ability to fund ongoing operations
with
additional
borrowings,
particularly
in
light
of
ongoing
volatility
in
the
credit
and
capital
markets;
(f)
the
potential
for
dilution
to
Kindred
stockholders
as
a
result of the RehabCare acquisition; and (g) the ability of the Company to operate
pursuant to the terms of its debt obligations, including Kindreds obligations
under financings undertaken to complete the RehabCare acquisition, and the ability
of Kindred to operate pursuant to its master lease agreements with Ventas,
Inc. (NYSE:VTR). Additional factors that may affect future results are
contained in Kindreds and RehabCares filings with the SEC, which are available at the
SECs
web
site
at
www.sec.gov.
Many
of
these
factors
are
beyond
the
control
of
Kindred
or
RehabCare.
Kindred
and
RehabCare
disclaim
any
obligation
to
update and revise statements contained in these materials based on new information
or otherwise. |
3
About Kindred Healthcare |
4
is to promote healing, provide hope,
preserve dignity and produce value
for each patient, resident, family member,
customer, employee and shareholder
we serve.
Kindred Healthcares
Mission |
KINDREDS MANAGEMENT PHILOSOPHY
Driven by a Commitment
to Our Mission and
Values
Taking Care of
Our People
Focus on Quality and
Customer Service
Disciplined and
Balanced
Approach to Our
Key Success
Factors
5 |
6
696
(3)
sites of service,
315
facilities
in
40
states
56,800
(3)
dedicated
employees,
making Kindred
a top-200 private
employer in
the U.S.
(5)
32,000
(4)
patients and
residents
per day
$4.4 billion
(2)
consolidated
revenues
LARGEST DIVERSIFIED POST-ACUTE
PROVIDER IN THE UNITED STATES
(1)
(1) Ranking based on revenues.
(2) Revenues for the twelve months ended December 31, 2010.
(3) As of December 31, 2010.
(4) As of September 30, 2010.
(5) Ranking provided by TMP, Inc. |
7
$2.0
billion
revenues
(1)
HOSPITAL
Long-term Acute Care Hospitals
Largest
operator
in
U.S.
(2)
89 hospitals with
6,887
licensed
beds
(3)
$2.2
billion
revenues
(1)
Second largest nursing
center
operator
in
U.S.
(2)
226 nursing centers with
27,442
licensed
beds
(3)
7 assisted living residences
with
463
licensed
beds
(3)
NURSING CENTER
Nursing and Rehabilitation Centers
$505
million
revenues
(1)
Second largest contract therapy
company
in
U.S.
(2)
381 external locations served through
5,900 therapists and
10,600
total
employees
(3)
REHABILITATION
Peoplefirst
Rehabilitation
Services
(1)
Revenues for the twelve months ended December 31, 2010 (divisional revenues
before intercompany eliminations). (2)
Ranking based on revenues.
(3)
As of December 31, 2010.
THREE MARKET LEADING BUSINESSES,
POSITIONED FOR GROWTH IN A RAPIDLY CHANGING
HEALTHCARE SERVICES ENVIRONMENT |
8 |
9
Provide superior clinical outcomes and quality care with an
approach which is patient-centered, disciplined and transparent
Lower cost by reducing lengths of stay in acute care hospitals and
transition patients home at the highest possible level of function
Reduce re-hospitalization through our integrated and
interdisciplinary care management teams and protocols
KINDREDS VALUE
PROPOSITION AND OUR CONTINUE THE CARE
CAMPAIGN |
10
Take Care of
our People
Take Care of
our Patients
and
Customers
Grow
Be Efficient
Manage our
Capital Wisely
Organizational
Excellence
Through
Performance
Improvement
KEY
SUCCESS
FACTORS
Performance Improvement in our
Core Operations |
11
Company Update |
12
Company Update
Kindred and RehabCare have announced a transaction whereby Kindred will acquire
RehabCare for ~$35/share
Both Companies reported strong Q4 and 2010 clinical and financial results and share
a high
degree
of
confidence
and
visibility
in
their
business
plans
and
estimates
for
2011
The combined Company will have an industry leading position in attractive
post-acute business segments and growing local markets
Kindred
will
be
well
positioned
for
future
growth
in
a
changing
healthcare
landscape
with
the expansion of the combined service offerings
The transaction substantially enhances Kindreds growth and margin
profile The proposed transaction is highly accretive to Kindreds
earnings and cash flows and generates strong operating cash flows providing
the ability to delever quickly to below current leverage levels
|
13
Overview of Merger with
RehabCare Group |
14
~$35
/
share
total
($26
/
share
in
cash;
~$9
/
share
in
Kindred
stock)
(1)
$1.3 billion total consideration, including assumption of net debt
Transaction Overview
Consideration
Accretion
Synergies
Kindred and RehabCare have announced a transaction whereby Kindred
will acquire RehabCare for ~$35/share
Transaction
Substantially accretive to Kindreds earnings and operating cash flows
$40 million in identified annual cost and operating synergies
Full run-rate achieved within two years ($25MM achieved first year)
Excluding one time costs
Committed financing from J.P. Morgan, Morgan Stanley and Citigroup
Financing
Expected Close
On or about June 30, 2011
1)
Based on a fixed exchange ratio. |
Skilled Nursing Rehab Services (SRS)
Hospital Rehab Services (HRS)
Program Management Services
Hospital Division
$516
$180
$653
2010E Revenue ($ MM)
39%
13%
48%
% Total Revenue
$43
$35
$88
2010E EBITDA ($MM)
Manages 1,131 skilled nursing facility
(SNF) programs in 42 states
Therapy services includes physical and
occupational therapy and
speech/language pathology skilled nursing
facilities
Significant same store revenue and
margin growth since completion of
Symphony integration in 2007
Focused on implementing next generation
of point-of-care technology and web-
based therapy management system
Paid by clients on negotiated per diem
rate or negotiated fee schedule based on
type of service rendered
Manages inpatient rehabilitation
facilities (IRFs) in 106 ARU hospitals
for patients with various diagnoses
including stroke, orthopedic conditions,
arthritis, spinal cord and traumatic brain
injuries
Manages 31 hospital-based and
satellite outpatient therapy programs
that complement hospitals
occupational medicine initiatives and
allow therapy to be continued for
patients discharged from IRFs
Entered rehabilitation and long-term
acute care hospital business in 2005
when the Company acquired assets
of MeadowBrook Healthcare
In November 2009, RehabCare
acquired Triumph HealthCare,
which operated 20 LTACHs, more
than doubling the size of hospital
segment
35 hospitals include
-
23 free-standing LTACHs
-
6 HIH LTACHs
-
4 free-standing IRFs
-
2 HIH IRFs / ARUs
Description
% Margin
8%
19%
13%
Total
$1,349
100%
$166
12%
RehabCare Overview |
16
Combined Company Overview
(1)
(2)
(3)
Post-Acute Continuum of Care
LTAC
IRF / ARU
SNF
Contract
Rehab
ALF
Hospice
Home Health
Metrics
Kindred
Kindred + RehabCare
Focus
SNF, LTAC and Contract Rehab
SNF, LTAC and Contract Rehab
Scale
States
Facilities
Beds
2010 Revenue (Pro Forma)
2010 EBITDA (Pro Forma)
40
315
34,103
$4,517MM
(1)
$254MM
(1)
RehabCare
Contract Rehab and LTAC
42
34
1,788
$1,329MM
$164MM
46
469
34,103
$5,846MM
(1)
$444MM
(1)(2)
Business
Mix:
Revenue
(10)
(3)
Payor
Mix (09)
Business Mix: EBITDA (10)
(3)
Contract Rehab
SNF
LTAC
Contract Rehab
SNF
LTAC
Medicaid
Medicare
Commercial
LTAC
SRS
HRS
LTAC
Contract
Rehab
HRS
Medicaid
2%
Medicare
Commercial
LTAC
SNF
HRS
Contract Rehab
LTAC
SNF
HRS
Contract Rehab
Commercial
Medicaid
Medicare
Kindred
RehabCare
Kindred + RehabCare
Together Kindred and RehabCare
will be the premier leader in the post-acute market
51%
20%
29%
17%
9%
56%
19%
44%
36%
3%
17%
69%
29%
52%
27%
21%
39%
48%
14%
47%
24%
29%
29%
13%
58%
47%
42%
11%
Includes the full year benefit of all of the acquisitions Kindred has closed in 2010 ($157MM Revenue
and $37MM EBITDA benefit). RehabCare 2010 results do not include the results of discontinued operations (inpatient rehabilitation facility in Miami).
Figures may not add due to rounding.
Includes $25MM of run rate synergies.
Revenue excludes the effect of Kindred intercompany eliminations. Pro forma EBITDA assumes
Kindred intercompany eliminations are applied on a pro-rata basis across pre-elimination Kindred segment EBITDA.
|
17
RehabCare
and Kindred Combined Presence
Kindred Nursing Centers
RehabCare
Hospitals
Acute Rehabilitation Units
Source:
Company
website
(1)
Circles represent cluster strategy markets.
Enhances
Kindreds
cluster
strategy
(1)
Existing Cluster Market
Potential New Cluster Market
Kindred Hospitals |
18
12
6
15
18
19
111
118
0
20
40
60
80
100
120
140
229
222
300
200
108
1,650
1,000
900
471
450
342
471
700
700
1,428
0
500
1,000
1,500
2,000
Leading Position in Attractive Growing
Businesses
(1) Includes 22 HB SNFs.
(2) Includes 1,112 facilities from RehabCare and 538 facilities from Kindred.
Multiple earnings streams, multiple avenues for growth
PF Kindred
13
10
97
121
Freestanding
Hospital Based
Number of Facilities
Third Party
Affiliated
Number of Facilities
(1)
#1 Operator of Hospital Based and Freestanding IRFs
#3 Operator of Skilled Nursing and Rehab Centers
#1 Skilled Nursing Contract Rehab Manager
#1 Operator of Long-Term Acute Care Hospitals
207
324
277
227
223
0
50
100
150
200
250
300
350
115
3
6
94
8
8
7
5
2
0
20
40
60
80
100
120
140
(2) |
19
Revenue
(1)
Kindred Healthcare
NA
NA
505
1,973
2,188
4,360
RehabCare
516
180
696
633
0
1,329
Total
NA
NA
1,201
2,607
2,188
5,689
EBITDAR
(1)
Kindred Healthcare
NA
NA
52
357
303
575
RehabCare
45
35
80
157
0
237
Total
NA
NA
132
515
303
876
% Margin
NA
NA
11.0%
19.7%
13.8%
15.4%
EBITDA
(1)
Kindred Healthcare
NA
NA
46
204
105
217
RehabCare
45
35
80
84
0
164
Total
NA
NA
126
288
105
381
% Margin
NA
NA
10.5%
11.1%
4.8%
6.7%
(+) Synergies
25
Pro Forma EBITDA
406
Diversified Services Offerings
(1)
Segment figures do not sum to totals due to eliminations / corporate expenses.
Figures as of 12/31/2010. RehabCare figures do not include discontinued operations (Miami IRF).
Kindred gains significant scale in both the Skilled Nursing and Hospital Rehab
Businesses and adds to Kindreds LTAC business
Hospitals
Rehabilitation Services
Nursing
Total
Nursing Home
Based
Hospital Based
Total
2010 Pro forma
$MM
(1) |
20
Rapidly Changing Post-Acute Market
Multiple Patient Discharge Destinations
(1) RTI, 2009: Examining Post-Acute Care Relationships in an Integrated Hospital
System (1) |
21
Well Positioned to Take Advantage of
Changing Healthcare Landscape
Patient Illness Severity
Home
Adult Day
Care
Home Health
Care
Assisted
Living
Skilled
Nursing
Facilities
In-Patient
Rehab
LTACS
Freestanding / HIH
SAU
Hospice
Homecare
and Hospice
TRANS
CARE
ICU
Acute Care
Hospitals
Homecare
and Hospice
TCC
&
TCU
Uniquely Positioned For Bundled Or Episodic Payment Environment
Outpatient
Rehab
Continue The Care
|
22
Strong operating cash
flows and ability to
delever
Management intends to delever, but is comfortable at expected leverage levels and
has successfully operated business at higher levels in the past
Enhanced operating cash flow provides the ability to significantly delever over
time Strong track record of successfully growing operating cash flow in
highly regulated environment Well diversified service
offering
Diversified across four critical segments in the post-acute continuum with
leadership positions in each segment
RehabCare adds IRF and ARU capabilities to Kindred's already strong set of
capabilities Decreased reimbursement risk profile via diversified revenue
across multiple segments and payors Leading position in
attractive growing
businesses
Largest provider of post-acute services in US with broadest service offering
across post-acute continuum Multiple avenues for growth, multiple
earnings streams Long-term growth prospects
supported
by
strong
demographic
trends
and
significant
increase
in
the
incidence of chronic diseases
Enhances growth and
margin profile
Enhanced
margins
throughout
income
statement;
accelerated
growth
prospects
Scale economies and related combination synergies help to accelerate operating
profit and earnings growth of combined company
Declining rent and fixed
charge burden
Rent
expense
declines
as
a
%
of
revenues;
Routine
CapEx
declines
as
a
%
of
revenues
Book
value
of
PP&E
is
approximately
$1.0Bn
Significant
operating
cash
flow
generated
by
assets
that
are
unencumbered by leases
Transaction enhances Kindreds cluster market strategy
Best-positioned to compete in a potentially bundled payment environment given
broad service capabilities
Kindred can deliver the right care at the right site at the right time
Well positioned to take
advantage of changing
healthcare landscape
Significant accretion
Significantly accretive to EPS & operating cash flow / share
Transaction Enhances Growth Prospects, is EPS
& FCF Accretive and Strengthens Credit Profile |
23
Goals for the Merger of Kindred Healthcare &
RehabCare
Group
1.
Patient Care priority.
Ensure that patient safety and quality of care are uninterrupted and
improved upon for the nearly 60,000 patients and residents we care for each
day. 2.
Shared
values.
Ensure
that
the
focus
and
engagement
and
institutional
trusts
that
both
organizations currently enjoy with our 75,000 colleagues is maintained through the
process. 3.
Combining
our
operations.
Advance
at
the
fastest
pace
possible
the
transition
of
back
office
operations and systems to enable our operators in the field to continue to have the
support they need to care for their patients, to run their businesses and
continue to achieve our business goals while creating an organizational and
system foundation for future growth. 4.
Commitment
to
transparency
and
communication.
In
keeping
with
our
shared
values,
be
as
transparent, honest and direct with the folks impacted by the transaction, and
communicate as quickly as possible the impact of the merger on each person,
including if applicable, their retention bonus and severance
opportunities. 5.
Shared responsibility.
With numbers 1-4 in mind, be fiduciaries of our shareholders to support the
cost saving synergies available in this combination.
|