LHCG » Topics » Year Ended December 31, 2005 Compared to Year Ended December 31, 2004

This excerpt taken from the LHCG 10-K filed Mar 31, 2006.
Year Ended December 31, 2005 Compared to Year Ended December 31, 2004
 
Net Service Revenue
 
Net service revenue for the year ended December 31, 2005 was $162.5 million, an increase of $39.5 million, or 32.1%, from $123.0 million in 2004. This increase is net of an approximate $500,000 loss in revenue from Hurricanes Katrina and Rita, which was primarily concentrated in our Home-Based Services segment. For the years ended December 31, 2005 and 2004, 85.1% and 84.6%, respectively, of our net service revenue was derived from Medicare.
 
Home-Based Services.  Net service revenue for the year ended December 31, 2005 was $107.4 million, an increase of $22.9 million, or 27.1%, from $84.5 million for the year ended December 31, 2004. The increase in net service revenue resulted in part from a 9.3% increase in total admissions from 15,968 in the year ended December 31, 2004 to 17,461 in the year ended December 31, 2005. Improvements in case mix and payor mix and an increase in therapy utilization within our home health episodes also contributed to the increase. Approximately $5.8 million of this increase was attributable to net service revenue generated from acquisition or internal development activity during 2004. An additional $7.4 million increase in net service revenue was attributable to acquisition or internal development activity during 2005. The remaining increase of approximately $9.7 million reflects our internal growth. The increases are net of an approximate $500,000 loss in revenue due to Hurricanes Katrina and Rita. Collectively, these hurricanes accounted for an approximate temporary decrease in our census of 1,400. We are currently at or above pre-storm census in all of our locations except for our New Orleans location.
 
Facility-Based Services.  Net service revenue for the year ended December 31, 2005 was $55.2 million, an increase of $16.7 million, or 43.4%, from $38.5 million for the year ended December 31, 2004. The increase in net service revenue resulted in part from a 24.8% increase in the aggregate number of licensed beds at our long-term acute care hospitals and inpatient rehabilitation facilities from 137 beds at December 31, 2004 to 171 beds at December 31, 2005. Additionally, patient days increased 39.5% from 32,023 in the year


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ended December 31, 2004 to 44,685 in the year ended December 31, 2005. Approximately $14.6 million of this increase was attributable to net service revenue generated from acquisition activity during 2004. An additional $900,000 increase in net service revenue was attributable to acquisition or internal development activity during 2005. The remaining increase of approximately $1.2 million reflects our internal growth.
 
Cost of Service Revenue
 
Cost of service revenue for the year ended December 31, 2005 was $88.3 million, an increase of $25.1 million, or 39.7%, from $63.2 million for the year ended December 31, 2004. Cost of service revenue represented approximately 54.3% and 51.4% of our net service revenue for the years ended December 31, 2005 and 2004, respectively.
 
Home-Based Services.  Cost of service revenue for the year ended December 31, 2005 was $52.6 million, an increase of $11.3 million, or 27.4%, from $41.3 million for the year ended December 31, 2004. Approximately $8.9 million of this increase resulted from an increase in salaries and benefits, of which $2.5 million was incurred as a result of acquisition or development activity during 2004. The increase in salaries and benefits expense due to internal growth accounted for approximately $1.6 million of the increase in this category. The remaining increase in salaries and benefits expense was attributable to 2005 acquisitions of $4.8 million. Supplies and services expense and transportation expense contributed $1.1 million and $1.3 million, respectively, to the increase in cost of service revenue. Cost of service revenue for the year ended December 31, 2005 represented 49.0% of our net service revenue compared to 48.8% during the year ended December 31, 2004.
 
Facility-Based Services.  Cost of service revenue for the year ended December 31, 2005 was $35.7 million, an increase of $13.7 million, or 62.3%, from $22.0 million for the year ended December 31, 2004. Approximately $9.1 million of this increase resulted from an increase in salaries and benefits. Of this increase in salaries and benefits, $6.8 million was incurred as a result of acquisition and internal development activity during 2004 and $300,000 from acquisition and internal development activity in 2005. The increase in salaries and benefits expense from internal growth within our facility-based services segment amounted to $2.0 million. Supplies and services expense contributed approximately $4.9 million of the increase in cost of service revenue which was offset by a $300,000 decrease in transportation expense. Cost of service revenue for the year ended December 31, 2005 represented 64.7% of our net service revenue compared to 57.1% during the year ended December 31, 2004.
 
General and Administrative Expenses
 
General and administrative expenses for the year ended December 31, 2005 were $49.9 million, an increase of $12.0 million, or 31.7%, from $37.9 million for the year ended December 31, 2004.
 
Home-Based Services.  General and administrative expenses for the year ended December 31, 2005 were $34.7 million, an increase of $8.5 million, or 32.4%, from $26.2 million for the year ended December 31, 2004. Approximately $2.2 million of this increase was attributable to acquisition or internal development activity during 2004. Internal growth accounted for approximately $3.4 million and the remaining $2.9 million of the increase in general and administrative expense was due to acquisition and internal development activity during the 2005 period. Included in these increases is an increase to bad debt expense of $1.2 million to provide for receivables that aged during our billing system conversion.
 
Facility-Based Services.  General and administrative expenses for the year ended December 31, 2005 were $15.1 million, an increase of $3.4 million, or 29.1%, from $11.7 million for the year ended December 31, 2004. The majority, or $4.7 million, of the increase was attributable to the increased acquisition and internal development activity during the 2004 period. Acquisition and internal development activity during the 2005 period accounted for $500,000 of the increase. These increases were offset by a decrease in internal growth of $1.8 million due to cost cutting measures.


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Equity-Based Compensation Expense
 
Equity-based compensation expense for the year ended December 31, 2005 was $3.9 million, an increase of approximately $2.1 million from $1.8 million for the year ended December 31, 2004. This increase was related to the mark-to-market valuation adjustment for the KEEP Units in conjunction with the initial public offering. Of the $3.9 million expense we incurred in the year ended December 31, 2005, approximately $565,000 was attributable to cost of service revenue and $3.3 million attributable to general and administrative expenses.
 
Income Tax Expense
 
The effective tax rates for the years ended December 31, 2005 and 2004 were 34.7% and 38.3%, respectively. The effective tax rate for the year ended December 31, 2005 decreased due to the Company recording an income tax benefit of $342,000 related to a $900,000 equity-based compensation charge stemming from shares issued by one of the Company’s principal shareholders to an officer of the Company in 2001. At the time, the Company did not believe it would be able to deduct the equity-based compensation charge for income tax purposes. In conjunction with the initial public offering, the Company determined that it would be able to deduct the $900,000 equity-based compensation charge and as a result, has recognized an income tax benefit associated with that charge of $342,000.
 
Minority Interest and Cooperative Endeavor Allocations
 
The minority interest and cooperative endeavor allocations expense for the year ended December 31, 2005 was $4.5 million, an increase of $500,000, compared to $4.0 million for the year ended December 31, 2004. Minority interest and cooperative endeavor expense varies depending on the operations of each joint venture.
 
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