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Renal Care Group Announces Second Quarter Results

NASHVILLE, Tenn.--(BUSINESS WIRE)--Aug. 2, 2005--Renal Care Group, Inc. (NYSE:RCI) today announced that its non-GAAP diluted net income per share was $0.49 for the quarter ended June 30, 2005, which excludes the effect of transaction costs incurred in connection with Fresenius Medical Care AG's acquisition of the Company. Renal Care Group's GAAP diluted net income per share for the quarter was $0.40, which includes the effect of these transaction-related costs.

Gary A. Brukardt, Renal Care Group's president and chief executive officer, commented, "We are pleased to report solid financial results for the quarter that reflect the continued strength of our operations. We are continuing the process of completing the transaction with Fresenius Medical Care that we announced on May 3, 2005. We are responding to the Federal Trade Commission's request for additional information, and our Special Meeting of Shareholders to vote on the merger agreement is scheduled for August 24, 2005. We expect that the transaction will close in the fourth quarter of this year."

For the three months ended June 30, 2005, Renal Care Group's net revenue increased 12.8% to $384.3 million compared with net revenue of $340.9 million for the same period in 2004. During the second quarter of 2005, the Company recorded an after-tax charge of $6.4 million, or $0.09 per diluted share, related to transaction costs incurred by the Company in connection with Fresenius Medical Care AG's acquisition of the Company. Due largely to that charge, GAAP net income for the second quarter of 2005 decreased $1.0 million, or 3.3%, to $28.2 million compared with net income of $29.2 million in the second quarter of 2004. GAAP diluted net income per share for the second quarter of 2005 decreased 4.8% to $0.40 compared with diluted net income per share of $0.42 in the same quarter of 2004. Excluding the effect of the transaction-related costs, non-GAAP net income for the quarter increased $5.4 million, or 18.5%, to $34.6 million, or $0.49 per diluted share.

For the six months ended June 30, 2005, Renal Care Group's net revenues increased 22.5% to $757.8 million compared with net revenues of $618.9 million for the same period in 2004. GAAP net income for the first half of 2005 rose 4.4% to $61.8 million compared with GAAP net income of $59.3 million in the first half of 2004. GAAP diluted net income per share for the six months ended June 30, 2005, increased 4.8% to $0.88 compared with GAAP diluted net income per share of $0.84 in the same period of 2004.

GAAP results for the six months ended June 30, 2005, give effect to the after-tax charge of $0.09 per diluted share related to transaction costs associated with the Company's sale to Fresenius Medical Care AG. Excluding the effect of these costs, non-GAAP net income for the six months ended June 30, 2005, was $68.2 million, or $0.97 per diluted share. GAAP results for the six months ended June 30, 2004, also give effect to resolutions of contractual issues with payors that were unusual in amount and timing, which favorably impacted earnings per share by $0.04 per diluted share. Excluding the effect of these resolutions, non-GAAP net income for the six months ended June 30, 2004, was $56.4 million, or $0.80 per diluted share.

Renal Care Group has decided to present the non-GAAP information in this press release to give investors a means of comparing the Company's normalized operational performance for the first half of 2005 with its normalized operational performance in the same period in 2004, before the impact of the transaction costs and the resolutions of the payor contract issues. A reconciliation between the non-GAAP results and the Company's GAAP results accompanies this press release.

Renal Care Group will hold a conference call to discuss this press release on Wednesday, August 3, 2005, at 11:00 a.m. Eastern Time. A listen-only simulcast of the conference call to discuss this press release will be available online at the Company's website at www.renalcaregroup.com.

Renal Care Group, Inc. is a specialized dialysis services company that provides care to patients with kidney disease. The Company serves over 31,900 patients at more than 450 outpatient dialysis facilities in addition to providing acute dialysis services at more than 210 hospitals. Over 9,200 associates provide services across the Company's 34-state network. More information about Renal Care Group, Inc. may be found at www.renalcaregroup.com.

Certain statements in this press release, particularly those of Mr. Brukardt constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements, which are usually preceded by words like expect, plan, intend, believe, will and the like, include statements that necessarily depend on future events. These forward-looking statements reflect management's expectations and are based upon currently available information. These forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of Renal Care Group to differ materially from those expressed in or implied by the forward-looking statements, including risks related to: the conditions to completion of our transaction with Fresenius Medical Care; the dependence of our profits on the services we provide to a small number of patients who have private insurance; risks related to the drug Epogen (EPO); changes in the Medicare and Medicaid programs; changes in the health care delivery, financing or reimbursement systems; compliance with health care and other applicable laws; and the integration of acquired companies. These and other factors affecting the Company are discussed in more detail in Renal Care Group's reports filed with the Securities and Exchange Commission, including without limitation Renal Care Group's annual report on Form 10-K for the year ended December 31, 2004, and any quarterly reports on Form 10-Q filed after that annual report. Copies of these filings are available from Renal Care Group upon request.

RENAL CARE GROUP, INC.
Unaudited Condensed Consolidated Income Statements
(in thousands, except per share data)

                           Three Months Ended      Six Months Ended
                                 June30,                June30,
                           -------------------- ---------------------
                             2005       2004      2005        2004
                           --------- ---------- --------- -----------
Net revenue                $384,329  $ 340,854  $757,838  $  618,882

Operating costs and
 expenses:
   Patient care costs       254,854    229,849   501,433     409,221
   General and
    administrative
    expenses                 36,061     27,341    66,692      50,017
   Provision for doubtful
    accounts                  8,947      8,049    17,150      15,159
   Depreciation and
    amortization             17,775     14,900    34,562      27,063
                           --------- ---------- --------- -----------
      Total operating
       costs
       and expenses         317,637    280,139   619,837     501,460

Income from operations       66,692     60,715   138,001     117,422

Interest expense, net         7,981      5,765    15,242       6,730
                           --------- ---------- --------- -----------
Income before minority
 interest and income taxes   58,711     54,950   122,759     110,692

Minority interest             9,132      7,690    18,494      14,904
                           --------- ---------- --------- -----------
Income before income taxes   49,579     47,260   104,265      95,788

Provision for income taxes   21,362     18,077    42,416      36,518
                           --------- ---------- --------- -----------

Net income                 $ 28,217  $  29,183  $ 61,849  $   59,270
                           ========= ========== ========= ===========
Diluted net income per
 share                     $   0.40  $    0.42  $   0.88  $     0.84
                           ========= ========== ========= ===========
Diluted weighted average
 shares outstanding          70,780     69,227    70,571      70,225
                           ========= ========== ========= ===========


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

                                               June 30,    December
                                                 2005      31, 2004
                                              (unaudited)
ASSETS:                                       ----------- -----------
Current assets:
  Cash and cash equivalents                   $   12,642  $   17,931
  Accounts receivable, net                       288,681     275,373
  Other current assets                            97,715      79,780
                                              ----------- -----------
     Total current assets                        399,038     373,084

Property, plant and equipment, net               350,918     316,532
Goodwill, intangible assets and other assets,
 net                                             854,428     739,364
                                              ----------- -----------

     TOTAL ASSETS                             $1,604,384  $1,428,980
                                              =========== ===========

LIABILITIES AND STOCKHOLDERS' EQUITY:
Total current liabilities                     $  261,240  $  243,905
Long-term debt, net of current portion           563,885     479,645
Other long-term liabilities                      121,232     113,309
                                              ----------- -----------
     Total liabilities                           946,357     836,859
                                              ----------- -----------
Stockholders' equity:
  Common stock, $0.01 par value, 150,000
   shares authorized,
     82,868 and 82,317 shares issued,
      respectively                                   829         823
  Treasury stock, 14,766 and 14,514 shares,
   respectively                                 (381,635)   (372,249)
  Additional paid-in capital                     424,422     411,888
  Retained earnings                              613,712     551,863
  Accumulated other comprehensive income
   (loss), net of tax                                699        (204)
                                              ----------- -----------

     Total stockholders' equity                  658,027     592,121
                                              ----------- -----------

     TOTAL LIABILITIES AND
        STOCKHOLDERS' EQUITY                  $1,604,384  $1,428,980
                                              =========== ===========


RENAL CARE GROUP, INC.
Unaudited Condensed Consolidated Statements of Cash Flows
 (in thousands)

                                                  Six Months Ended
                                                      June 30,
                                              -----------------------
                                                  2005        2004
                                              ----------- -----------

Operating Activities:
  Net income                                  $   61,849  $   59,270
  Adjustments to reconcile net income to
    net cash provided by operating
     activities:
       Depreciation and amortization              34,562      27,063
       Loss on sale of property and equipment        197         564
       Distributions to minority shareholders    (13,316)     (9,906)
       Income applicable to minority interest     18,494      14,904
       Deferred income taxes                       1,147       7,889
       Changes in operating assets and
        liabilities,
         net of effects from acquisitions         (9,964)    (18,605)
                                              ----------- -----------
            Net cash provided by operating
             activities                           92,969      81,179
                                              ----------- -----------

Investing Activities:
  Purchases of property and equipment            (47,087)    (45,031)
  Cash paid for acquisitions, net of cash
   acquired                                     (144,170)   (230,746)
  Change in other assets                           2,540      (5,299)
                                              ----------- -----------
            Net cash used in investing
             activities                         (188,717)   (281,076)
                                              ----------- -----------

Financing Activities:
  Net proceeds from issuance of long-term
   debt                                          100,000     325,000
  Payments on long-term debt                     (10,157)     (4,063)
  Net borrowings (payments) under line of
   credit and capital leases                       1,532      (2,101)
  Net proceeds from issuance of common stock       8,470      12,793
  Repurchase of treasury shares                   (9,386)   (137,845)
                                              ----------- -----------
            Net cash provided by financing
             activities                           90,459     193,784
                                              ----------- -----------

Decrease in cash and cash equivalents             (5,289)     (6,113)

Cash and cash equivalents at beginning of
 period                                           17,931      50,295
                                              ----------- -----------
Cash and cash equivalents at end of period    $   12,642  $   44,182
                                              =========== ===========


RENAL CARE GROUP, INC.
Supplemental GAAP to Non-GAAP Reconciliation
 (unaudited, in thousands, except per share data)

                                           Three Months Ended
                                              June 30, 2005
                                    ---------------------------------
                                     GAAP(1)  Difference  Non-GAAP(2)
                                    --------- ----------- -----------
Net revenue                         $384,329  $        -  $  384,329

Operating costs and expenses:
  Patient care costs                 254,854           -     254,854
  General and administrative
   expenses                           36,061      (6,700)     29,361
  Provision for doubtful accounts      8,947           -       8,947
  Depreciation and amortization       17,775           -      17,775
                                    --------- ----------- -----------
     Total operating costs and
      expenses                       317,637      (6,700)    310,937

Income from operations                66,692       6,700      73,392
Interest expense, net                  7,981           -       7,981
                                    --------- ----------- -----------

Income before minority interest and
 income taxes                         58,711       6,700      65,411
Minority interest                      9,132           -       9,132
                                    --------- ----------- -----------

Income before income taxes            49,579       6,700      56,279
Provision for income taxes            21,362         339      21,701
                                    --------- ----------- -----------

Net income                          $ 28,217  $    6,361  $   34,578
                                    ========= =========== ===========

Diluted net income per share        $   0.40  $     0.09  $     0.49
                                    ========= =========== ===========

Weighted average shares outstanding   70,780      70,780      70,780
                                    ========= =========== ===========

(1) Reported operating results in accordance with accounting
    principles generally accepted in the United States(GAAP).
(2) Non-GAAP amounts exclude transaction costs associated with the
    Company's sale to Fresenius Medical Care AG recorded in the second
    quarter of 2005 and the related tax effect.


RENAL CARE GROUP, INC.
Supplemental GAAP to Non-GAAP Reconciliation
 (unaudited, in thousands, except per share data)

                                             Six Months Ended
                                              June 30, 2005
                                    ---------------------------------
                                     GAAP(3)   Difference  Non-GAAP(4)
                                    --------- ----------- -----------
Net revenue                         $757,838  $        -  $   757,838

Operating costs and expenses:
  Patient care costs                 501,433           -      501,433
  General and administrative
   expenses                           66,692      (6,700)      59,992
  Provision for doubtful accounts     17,150           -       17,150
  Depreciation and amortization       34,562           -       34,562
                                    --------- ----------- -----------
     Total operating costs and
      expenses                       619,837      (6,700)     613,137

Income from operations               138,001       6,700      144,701
Interest expense, net                 15,242           -       15,242
                                    --------- ----------- -----------

Income before minority interest and
 income taxes                        122,759       6,700      129,459
Minority interest                     18,494           -       18,494
                                    --------- ----------- -----------

Income before income taxes           104,265       6,700      110,965
Provision for income taxes            42,416         339       42,755
                                    --------- ----------- -----------
Net income                          $ 61,849  $    6,361  $    68,210
                                    ========= =========== ===========

Diluted net income per share        $   0.88  $     0.09  $      0.97
                                    ========= =========== ===========

Weighted average shares outstanding   70,571      70,571       70,571
                                    ========= =========== ===========

(3) Reported operating results in accordance with accounting
    principles generally accepted in the United States (GAAP).
(4) Non-GAAP amounts exclude transaction costs associated with the
    Company's sale to Fresenius Medical Care AG recorded in the second
    quarter of 2005 and the related tax effect.


RENAL CARE GROUP, INC.
Supplemental GAAP to Non-GAAP Reconciliation
 (unaudited, in thousands, except per share data)

                                            Six Months Ended
                                              June 30, 2004
                                    ---------------------------------
                                     GAAP(5)   Difference  Non-GAAP(6)
                                    --------- ----------- -----------
Net revenue                         $618,882  $   (4,700) $  614,182

Operating costs and expenses:
  Patient care costs                 409,221           -     409,221
  General and administrative
   expenses                           50,017           -      50,017
  Provision for doubtful accounts     15,159           -      15,159
  Depreciation and amortization       27,063           -      27,063
                                    --------- ----------- -----------
     Total operating costs and
      expenses                       501,460           -     501,460

Income from operations               117,422      (4,700)    112,722
Interest expense, net                  6,730           -       6,730
                                    --------- ----------- -----------

Income before minority interest and
 income taxes                        110,692      (4,700)    105,992
Minority interest                     14,904           -      14,904
                                    --------- ----------- -----------

Income before income taxes            95,788      (4,700)     91,088
Provision for income taxes            36,518      (1,786)     34,732
                                    --------- ----------- -----------

Net income                          $ 59,270  $   (2,914) $   56,356
                                    ========= =========== ===========

Diluted net income per share        $   0.84  $    (0.04) $     0.80
                                    ========= =========== ===========

Weighted average shares outstanding   70,225      70,225      70,225
                                    ========= =========== ===========

(5) Reported operating results in accordance with accounting
    principles generally accepted in the United States (GAAP).
(6) Non-GAAP amounts exclude resolutions of payor contract issues
    recorded in the first quarter of 2004 that were unusual in amount
    and timing and the related tax effect.


                       RENAL CARE GROUP, INC.
  Supplemental Operating Data and Reconciliation of Net Income to
                              EBITDA(1)
       (unaudited, dollars in thousands, except operating data)

                        Three Months Ended       Six Months Ended
                             June 30,                June 30,
                      ----------------------- -----------------------
                          2005        2004        2005        2004
                      ----------- ----------- ----------- -----------
Operating Data:
Patients                  31,949      28,748      31,949      28,748
Treatments             1,198,595   1,095,250   2,344,828   1,955,499
Same-market treatment
 growth                      2.5%        3.7%        2.7%        3.6%
Same-market revenue
 growth                      5.6%        7.0%        5.8%        7.6%
Patient revenue per
 treatment            $      320  $      311  $      322  $      316

Reconciliation of Net
 Income to EBITDA(1):
Net income            $   28,217  $   29,183  $   61,849  $   59,270
Depreciation and
 amortization             17,775      14,900      34,562      27,063
Interest expense, net      7,981       5,765      15,242       6,730
Minority interest          9,132       7,690      18,494      14,904
Provision for income
 taxes                    21,362      18,077      42,416      36,518
                      ----------- ----------- ----------- -----------
EBITDA(1)             $   84,467  $   75,615  $  172,563  $  144,485
                      =========== =========== =========== ===========

(1) The Company defines EBITDA as net earnings or loss before minority
    interest, interest expense (net), provision for income taxes,
    depreciation and amortization and all non-cash charges. The
    Company includes EBITDA because it generally considers EBITDA to
    be a good indicator of the Company's ability to generate cash flow
    in order to fund liabilities and reinvest in the Company and its
    business. EBITDA is not a measurement of financial performance
    under GAAP and should not be considered a substitute for net
    income or loss as a measure of performance, or to cash flow as a
    measure of liquidity.

Contact:

Terry Proveaux
Director of Investor Relations
615-345-5577
www.renalcaregroup.com

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