Lincare Holdings Inc. Announces Third Quarter and First Nine Months 2009 Financial Results

October 19, 2009 4:30 PM EDT

CLEARWATER, Fla., Oct. 19 /PRNewswire-FirstCall/ -- Lincare Holdings Inc. (Nasdaq: LNCR) today announced financial results for the three and nine months ended September 30, 2009.

For the quarter ended September 30, 2009, net revenues were $392.6 million, compared with net revenues of $405.7 million for the third quarter of 2008. Net income for the quarter ended September 30, 2009, was $36.0 million, compared with net income of $53.3 million for the third quarter of 2008. Diluted earnings per share were $0.53 for the quarter ended September 30, 2009, compared with $0.73 diluted earnings per share for the comparable prior year period.

Revenues for the nine months ended September 30, 2009, were $1.145 billion, compared with net revenues of $1.249 billion for the comparable period in 2008. Net income for the nine months ended September 30, 2009, was $95.5 million, compared with net income of $171.7 million for the first nine months of 2008. Diluted earnings per share were $1.38 for the nine months ended September 30, 2009, compared with $2.28 diluted earnings per share for the comparable period last year.

The reported results include the following items:

    --  The Company's financial results for the three and nine months ended
        September 30, 2009 were impacted by dramatic reductions in Medicare
        reimbursement for the Company's primary product lines resulting from the
        implementation on January 1, 2009 of previously enacted legislation. 
        The legislation included reductions in Medicare payment amounts of 9.5%
        for certain items of durable medical equipment, including oxygen,
        additional regulated Medicare price reductions for stationary oxygen
        equipment of another 2.3% (for a total reduction of 11.8%) and the
        implementation of a new reimbursement methodology for oxygen equipment
        from continuous monthly payment for as long as the equipment is in use
        by a Medicare beneficiary to a capped rental arrangement whereby payment
        for oxygen equipment may not extend beyond a period of continuous use of
        36 months.  In addition, the results for the first nine months of 2009
        reflect lower reimbursement for certain respiratory medications covered
        by Medicare.  The Company estimates that these changes reduced net
        revenues in the three and nine months ended September 30, 2009 by
        approximately $62.6 million and $213.5 million, respectively.

John P. Byrnes, Lincare's Chief Executive Officer, said, "We are pleased with Lincare's operating and financial performance in the first nine months of 2009. As our competitors struggle to deal with the severe financial consequences of the Medicare price cuts implemented this year, we continue to focus on meeting the needs of our customers in order to improve their quality of life and to help them manage their disease at home while contributing to improved quality of life and lower overall health care expenditures."

Lincare generated $254.5 million of cash from operating activities during the first nine months of 2009 and invested $84.5 million in net capital expenditures. As of September 30, 2009, total debt outstanding was $477.0 million, cash and investments were $151.3 million and common shares outstanding were 68,036,749.

Lincare, headquartered in Clearwater, Florida, is one of the nation's largest providers of respiratory therapy and other services to patients in the home. The Company provides services and equipment to more than 700,000 customers in 48 states through 1,056 local centers.

Statements in this release concerning future results, performance or expectations are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. All forward-looking statements included in this document are based upon information available to Lincare as of the date hereof and Lincare assumes no obligation to update any such forward-looking statements. These statements involve known and unknown risks, uncertainties and other factors that may cause Lincare's actual results, levels of activity, performance or achievements to be materially different from any results, levels of activity, performance or achievements expressed or implied by any forward-looking statements. In some cases, forward-looking statements that involve risks and uncertainties contain terminology such as "may," "will," "should," "could," "expects," "intends," "plans," "anticipates," "believes," "estimates," "predicts," "potential," or "continue" or variations of these terms or other comparable terminology.

Key factors that have an impact on Lincare's ability to attain any estimates contained in this release include potential reductions in reimbursement rates by government and other third party payors, changes in reimbursement policies, the demand for Lincare's products and services, the availability of appropriate acquisition candidates and Lincare's ability to successfully complete and integrate acquisitions, efficient operation of Lincare's existing and future operating facilities, regulation and/or regulatory action affecting Lincare or its business, economic and competitive conditions, access to borrowed and/or equity capital on favorable terms and other risks described in the filings of Lincare with the Securities and Exchange Commission.

In developing its forward-looking statements, Lincare has made certain assumptions relating to reimbursement rates and policies, internal growth and acquisitions and the outcome of various legal and regulatory proceedings. If the assumptions used by Lincare differ materially from what actually occurs, then actual results could vary significantly from the performance projected in the forward-looking statements. Lincare is under no duty to update any of the forward-looking statements after the date of this release.

The new Medicare oxygen regulations are complex and represent a fundamental change in the payment approach to oxygen. The assumptions used by the Company to develop its preliminary estimates of the financial impact of the oxygen capped rental regulations are highly dependent upon a number of variables, including, (i) the number of Medicare oxygen customers reaching 36 months of continuous service, (ii) the number of customers receiving reimbursable oxygen contents beyond the 36-month rental period, (iii) the ultimate duration of therapy for customers on service beyond 36 months, (iv) the incidence of customers with equipment deemed to be beyond its useful life that may be eligible for new equipment and therefore a new rental episode, (v) payment amounts and coverage guidelines established by the Centers for Medicare and Medicaid Services to reimburse suppliers for maintenance of capped oxygen equipment, and (vi) the extent to which other government and private payors attempt to adopt new oxygen payment rules similar to those now in effect by Medicare. These estimates are subject to change as more information becomes available to the Company and the Company assumes no obligation to update these estimates after the date of this release.


                                  LINCARE HOLDINGS INC.
                                    Financial Summary
                                       (Unaudited)
                      (In thousands, except share and per share data)

                                             For the three months ended
                                             --------------------------
                                           September 30,   September 30,
                                              2009             2008
                                              ----             ----
                                                          (As adjusted)(1)
    Net revenues                            $392,644         $405,677
                                            --------         --------
    Cost and expenses:
      Costs of goods and services            109,810           94,969
      Operating expenses                      98,440          100,508
      Selling, general and administrative
       expenses                               82,090           82,165
      Bad debt expense                         5,890            6,085
      Depreciation and amortization
       expense                                30,303           29,015
                                              ------           ------
             Operating income                 66,111           92,935

    Interest expense, net                      8,613            8,042
                                               -----            -----

              Income before income taxes      57,498           84,893

    Income taxes                              21,470           31,614
                                              ------           ------

              Net income                     $36,028          $53,279
                                             =======          =======

    Basic earnings per common share            $0.54            $0.73
                                               =====            =====

    Diluted earnings per common share          $0.53            $0.73
                                               =====            =====

    Weighted average number of common
     shares outstanding                   66,987,026       73,005,817
                                          ==========       ==========

    Weighted average number of common
      shares and common share
      equivalents outstanding             67,584,757       73,434,927
                                          ==========       ==========


                                             For the nine months ended
                                             -------------------------
                                           September 30,   September 30,
                                              2009             2008
                                              ----             ----
                                                         (As adjusted)(1)

    Net revenues                          $1,144,677       $1,249,488
                                          ----------       ----------
    Cost and expenses:
      Costs of goods and services            317,874          302,362
      Operating expenses                     292,282          294,442
      Selling, general and administrative
       expenses                              247,360          243,708
      Bad debt expense                        17,170           18,742
      Depreciation and amortization
       expense                                89,353           88,618
                                              ------           ------
             Operating income                180,638          301,616

    Interest expense, net                     25,368           25,715
                                              ------           ------

              Income before income taxes     155,270          275,901

    Income taxes                              59,785          104,250
                                              ------          -------

              Net income                     $95,485         $171,651
                                             =======         ========

    Basic earnings per common share            $1.39            $2.35
                                               =====            =====

    Diluted earnings per common share          $1.38            $2.28
                                               =====            =====

    Weighted average number of common
     shares outstanding                   68,902,125       72,902,841
                                          ==========       ==========

    Weighted average number of common
      shares and common share
      equivalents outstanding             69,313,318       76,345,503
                                          ==========       ==========

    (1) As adjusted for adoption of FASB ASC Topic 470-20.



                                   LINCARE HOLDINGS INC.
                                Selected Balance Sheet Data
                                       (Unaudited)
                                     (In thousands)

                                   September 30,     December 31,
                                       2009             2008
                                       ----             ----
                                                   (As adjusted)(1)

      Cash and Investments           $151,318         $133,051

      Accounts Receivable, Net        169,159          176,797

      Current Assets                  356,959          287,122

      Total Assets                  1,953,433        1,938,809

      Current Liabilities             166,344          167,742

      Total Debt                      477,001          460,947

      Stockholders' Equity            994,663        1,028,326


      (1) As adjusted for adoption of FASB ASC Topic 470-20.

SOURCE Lincare Holdings Inc.


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