Founded 25 years ago and still based in Louisville, ResCare employs 25,000 people
nationwide and plans to be a $1 billion company in the year 2000.
Youve probably seen the headlines: "ResCare to acquire"" or
"Geary sees more growth." You might have noticed that ResCare ranked second
overall in The Lane Reports 1999 "Blue Chip 50," ahead of many more
familiar Kentucky companies.
You may remember that president and CEO Ron Geary was once the Commonwealths
secretary of state under Governor John Y. Brown Jr. But do you know that ResCare has
25,000 employees nationwide or that it plans to be a $1 billion company within one year?
ResCare, founded 25 years ago and still based in Louisville, is in the human-services
business, operating through two distinct divisions.
The
Division for Persons with Disabilities helps those with developmental and other
disabilities, including mental retardation and acquired brain injuries. It maintains
supported living and employment programs, community group homes and some permanent
facilities.
The Division for Youth Services offers educational training and treatment programs for
at-risk and troubled youth through two judicially-based programs and operating contacts
with federal Job Corps Centers. Overall, the company now serves about 26,000 persons in 32
states, plus Canada, the District of Columbia and Puerto Rico.
So why is this relatively unknown company -- perhaps modest or unassuming would be
better terms -- succeeding when so many others in similar situations are doing so badly?
First, ResCare is only modest and unassuming in the sense that it eschews flamboyance
or hyperbole. It is no secret that ResCare is proud of its accomplishments. It is the
number one provider nationwide in its field and it believes it sets the industry standards
for excellence and integrity. It provides its services with a remarkably low ration of
centralized operating costs. And, it has exceeded analyst earnings predictions for 25
consecutive quarters.
Second, ResCare has achieved this position due to a strong sense of mission and
continuity among its directors and employees.
"We really are dedicated to Building Lives and Reaching Potential (the
new corporate motto)," Nel Taylor, the vice president for communications, told The
Lane Report in an interview.
Third, the companys strategy of growth through acquisition, first enunciated by
Geary when he was recruited to become president 10 years ago, has worked because ResCare
is in a rapidly expanding but highly fractioned market. With its acquisition in June of
PeopleServe, its largest competitor, ResCare still only commands about four percent of the
market for contractor-provided human services.
Lastly,
ResCare receives payment for its services through the Department of Labor for its Job
Corps contacts and through the states via Medicaid for its human services. Consequently,
it has avoided the financial distresses that have affected so many other apparently
similar companies dependent on Medicare reimbursements.
"I know people will think were all the same," Taylor explained.
"But we are funded primarily by Medicaid and we are in a very, very different
business" from, for example, Vencor or Humana.
The company, founded by James R. Fournear and Dr. Spiros B. Mitsos, was based upon the
principle of "Respect and Care". It still is, according to Taylor, perhaps
because both founders are still actively involved with the board. (Another long-time board
member, Bruce Lunsford, co-founder of Vencor and still chairman of Ventas, was associated
with Geary in Governor Browns cabinet.)
"Our goal is to be the industry standard of care, to be the best while exceeding
all requirements," Taylor said. "We want to help all our clients reach their
highest potential in the least restrictive environment possible."
One means is through economies of scale. As the largest provider, ResCare can afford to
devote resources to quality assurance and training that smaller providers cannot afford.
For example, three different teams analyze potential acquisitions, not only for financial
gain but also for areas of quality improvement. The company reinvests 86 percent of its
earnings in itself and its employees. And, as Taylor pointed out proudly, it operates its
headquarters and centralized management functions on only four percent of its revenues,
"while the goal for good not-for-profits is 25 percent."
Economies of scale are also reflected in its growth-by-acquisition strategy. By merging
with PeopleServe, ResCare not only brought its annual revenues up to $800 million but it
added more than 4,000 new clients and expanded into 12 states where ResCare originally
wasnt operating or only working through limited facilities.
Furthermore, ResCare has also acquired management as it has acquired other providers.
Its philosophy is to leave local managers in place whenever possible and to absorb
officers into its structure. The result, according to local financial analysts, is that
ResCare has not allowed its growth to overwhelm its capacity to manage growth.
"It is a very non-egotistic strategy," an unaffiliated company spokesperson
told The Lane Report on the condition of anonymity, stressing that by absorbing its
competition ResCare is also potentially reducing its future acquisitions costs by
eliminating other bidders.
Finally, ResCare has set the corporate goal of becoming the "acquirer of
choice," meaning that smaller providers seek merger with the acknowledged leader. The
company now is evaluating possible mergers with almost 300 providers and should announce
several by the end of the year, Taylor said. Although PeopleServe, with $200 million in
revenues itself, dwarfs the typical acquisition, Geary told Louisvilles Business
First that the process was comfortable.
"Were going to be able to transition this before the end of the year
satisfactorily," Geary said, adding that with ResCare now having more than $800
million in revenues, it wont "stumble" if it makes a mistake when buying a
company with $5 million in revenue.
To finance this activity ResCare relies upon an excellent, consistent cash flow and its
earned creditworthiness. The company has a largely unencumbered $200 million line of
credit through a 13-bank consortium that will expand to $400 million if ResCare can
convert $109 million in outstanding convertible notes into stock. That move, from debt to
equity, is in progress and should be completed by the target date of November 2000, Taylor
confirmed, about the time when ResCare expects to announce it has achieved $1 billion in
revenues.
If ResCare is doing so much right, what is the company doing wrong?
Taylor candidly pointed to one contributing concern -- personnel turnover. Although it
maintains a remarkable ratio of nearly one employee for every client, ResCare faces the
issue of "compassion fatigue" that affects the human services industry, where
turnover often exceeds 75 percent among caregivers.
"We do somewhat better," she said, because "we try to present a
realistic portrayal of what each job requires."
Still, an internal task force on job stabilization is working to address the issue.
"If we can retain (our caregivers) for three months, we can retain them for two
years or longer," far exceeding again the industry standards.
Finally, like all public companies, ResCare itself is vulnerable to a takeover.
Takeovers, or attempts to prevent them, caused real grief for Columbia/HCA, Humana and
Vencor, among others. What can ResCare do to protect itself and its culture?
Taylor stressed that ResCares business system of relatively low margins and few
assets discourages most acquirers -- that and the fact that 72 percent of the stock is
held by institutions. But more than anything, Taylor said ResCares board is
confident that the company will continue to prosper and grow because "we provide
excellent value to our shareholders, our clients and our employees."
"This company has a sense of history and commitment," Taylor explained.
"We want our corporate performance to validate the needs of our clients and our
staff. We want to create a secure and confident environment for both. We really are
do-gooders."
Robert Carter is associate editor of The Lane Report.