Kindred Healthcare
Encyclopedia
Kindred Healthcare Incorporated is a healthcare services company that through its subsidiaries operates hospitals, nursing centers, and contract rehabilitation services across the United States. Kindred is the largest diversified post-acute healthcare provider in the U.S.

The company was founded in 1985 as Vencor, Inc. The current name was adopted on April 20, 2001 following its emergence from Chapter 11
Chapter 11, Title 11, United States Code
Chapter 11 is a chapter of the United States Bankruptcy Code, which permits reorganization under the bankruptcy laws of the United States. Chapter 11 bankruptcy is available to every business, whether organized as a corporation or sole proprietorship, and to individuals, although it is most...

 bankruptcy. The company's fortunes improved largely post-reorganization. Kindred is a Fortune 500
Fortune 500
The Fortune 500 is an annual list compiled and published by Fortune magazine that ranks the top 500 U.S. closely held and public corporations as ranked by their gross revenue after adjustments made by Fortune to exclude the impact of excise taxes companies collect. The list includes publicly and...

 company, and was ranked as 477 in 2010.

At the close of 2010, 696 facilities were being run and operated by Kindred, including long-term acute care (LTACH) hospitals, Skilled Nursing Facilities, and rehabilitation services. Its headquarters and support center is located in Louisville, Kentucky
Louisville, Kentucky
Louisville is the largest city in the U.S. state of Kentucky, and the county seat of Jefferson County. Since 2003, the city's borders have been coterminous with those of the county because of a city-county merger. The city's population at the 2010 census was 741,096...

.

Mission statement

Kindred Healthcare's mission statement is as follows:

Divisions

Kindred currently operates three separate divisions: the Hospital
Hospital
A hospital is a health care institution providing patient treatment by specialized staff and equipment. Hospitals often, but not always, provide for inpatient care or longer-term patient stays....

 division, the Nursing Center
Nursing home
A nursing home, convalescent home, skilled nursing unit , care home, rest home, or old people's home provides a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living...

 division, and RehabCare. A former fourth division, Kindred Pharmacy
Pharmacy
Pharmacy is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs...

 Services (KPS), was spun off in a merger with AmerisourceBergen
AmerisourceBergen
AmerisourceBergen Corporation is a Chesterbrook, PA based Drug Wholesale company that was formed by the merger of Bergen Brunswig and AmeriSource in 2001...

, resulting in the creation of PharMerica
PharMerica
PharMerica is a publicly-traded Fortune 1000 company formed in January 2007 from the merger of Kindred Healthcare's pharmacy business with a subsidiary of AmerisourceBergen...

.

Hospital Division

Kindred Healthcare currently operates 89 hospitals in 24 states. All Kindred hospitals are long-term acute care service providers (LTACs).

Common services provided by Kindred Healthcare hospitals include:
  • Pulmonary
    Lung
    The lung is the essential respiration organ in many air-breathing animals, including most tetrapods, a few fish and a few snails. In mammals and the more complex life forms, the two lungs are located near the backbone on either side of the heart...

     services (ventilator management and weaning, tracheostomy
    Tracheotomy
    Among the oldest described surgical procedures, tracheotomy consists of making an incision on the anterior aspect of the neck and opening a direct airway through an incision in the trachea...

     management, etc.)
  • Critical care services (for such conditions as multi-system failure, heart failure, shock, or pre- or post- transplant
    Organ transplant
    Organ transplantation is the moving of an organ from one body to another or from a donor site on the patient's own body, for the purpose of replacing the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be...

     care)
  • IV
    Intravenous therapy
    Intravenous therapy or IV therapy is the infusion of liquid substances directly into a vein. The word intravenous simply means "within a vein". Therapies administered intravenously are often called specialty pharmaceuticals...

     antibiotic
    Antibiotic
    An antibacterial is a compound or substance that kills or slows down the growth of bacteria.The term is often used synonymously with the term antibiotic; today, however, with increased knowledge of the causative agents of various infectious diseases, antibiotic has come to denote a broader range of...

     care (for infections such as septicemia
    Sepsis
    Sepsis is a potentially deadly medical condition that is characterized by a whole-body inflammatory state and the presence of a known or suspected infection. The body may develop this inflammatory response by the immune system to microbes in the blood, urine, lungs, skin, or other tissues...

     and soft tissue
    Soft tissue
    In anatomy, the term soft tissue refers to tissues that connect, support, or surround other structures and organs of the body, not being bone. Soft tissue includes tendons, ligaments, fascia, skin, fibrous tissues, fat, and synovial membranes , and muscles, nerves and blood vessels .It is sometimes...

     infections)
  • Wound
    Wound
    A wound is a type of injury in which skin is torn, cut or punctured , or where blunt force trauma causes a contusion . In pathology, it specifically refers to a sharp injury which damages the dermis of the skin.-Open:...

     care services (management of complex wounds, including diabetic
    Diabetes mellitus
    Diabetes mellitus, often simply referred to as diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced...

     and decubitus ulcers
    Bedsore
    Bedsores, more properly known as pressure ulcers or decubitus ulcers, are lesions caused by many factors—such as unrelieved pressure, friction, humidity, shearing forces, temperature, age, continence, and medication—to any part of the body, especially portions over bony or cartilaginous areas such...

    )
  • Rehab
    Physical medicine and rehabilitation
    Physical medicine and rehabilitation , physiatry or rehabilitation medicine, is a branch of medicine that aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. A physician having completed training in this field is referred to as a...

     services for medically complex patients including orthopedic, cardiac
    Human heart
    The human heart is a muscular organ that provides a continuous blood circulation through the cardiac cycle and is one of the most vital organs in the human body...

     and pulmonary
    Human lung
    The human lungs are the organs of respiration in humans. Humans have two lungs, with the left being divided into two lobes and the right into three lobes. Together, the lungs contain approximately of airways and 300 to 500 million alveoli, having a total surface area of about in...

     rehab
  • Sub-acute and outpatient programs (rehabilitation
    Physical medicine and rehabilitation
    Physical medicine and rehabilitation , physiatry or rehabilitation medicine, is a branch of medicine that aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. A physician having completed training in this field is referred to as a...

    , surgery
    Surgery
    Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...

    , comprehensive wound treatment including hyperbaric oxygen therapy)


Kindred operates both freestanding hospitals and hospital-in-hospitals. As of December 31, 2010, Kindred ran 72 frestanding hospitals. Along with traditional freestanding hospitals, Kindred operates 17 hospital-in-hospitals (HIH). An HIH operates in a "host hospital", where it provides LTAC services to patients it receives from the short-term acute care units.

The Hospital Division had revenues of $2.0 billion in 2010, making Kindred the largest network of LTAC hospitals in the United States. Leading the Hospital Division is Executive vice president Jeffrey P. Winter.

Every Kindred hospital is reviewed by internal quality auditors for compliance
Compliance (regulation)
In general, compliance means conforming to a rule, such as a specification, policy, standard or law. Regulatory compliance describes the goal that corporations or public agencies aspire to in their efforts to ensure that personnel are aware of and take steps to comply with relevant laws and...

 with the standards of the Joint Commission.

Nursing Center Division

The Nursing Center Division (NCD) of Kindred Healthcare operates nursing and rehabilitation centers
Nursing home
A nursing home, convalescent home, skilled nursing unit , care home, rest home, or old people's home provides a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living...

 and assisted living
Assisted living
Assisted living residences or assisted living facilities provide supervision or assistance with activities of daily living ; coordination of services by outside health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being.Assistance may...

 facilities. Like most nursing homes, Kindred's centers care for both short-term residents (focus on rehabilitation
Physical medicine and rehabilitation
Physical medicine and rehabilitation , physiatry or rehabilitation medicine, is a branch of medicine that aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. A physician having completed training in this field is referred to as a...

) and long-term residents (often with multiple medical, cognitive, or emotional problems). As of 2010, Kindred operated 226 nursing and rehabilitation centers and seven assisted living facilities in 28 states. In October of 2011 Kindred reorganized its NCD from three regions to two regions and from 23 districts to 13.

The Nursing Center Division had $2.2 billion in revenues in 2010, making them the third largest nursing center
Nursing home
A nursing home, convalescent home, skilled nursing unit , care home, rest home, or old people's home provides a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living...

 operator in the United States. The division is headed by Executive vice president Lane M. Bowen.

Common services provided by NCD nursing and rehabilitation centers include:
  • IV therapy
    Intravenous therapy
    Intravenous therapy or IV therapy is the infusion of liquid substances directly into a vein. The word intravenous simply means "within a vein". Therapies administered intravenously are often called specialty pharmaceuticals...

     for infections and total parenteral nutrition
    Total parenteral nutrition
    Parenteral nutrition is feeding a person intravenously, bypassing the usual process of eating and digestion. The person receives nutritional formulae that contain nutrients such as glucose, amino acids, lipids and added vitamins and dietary minerals...

     (TPN)
  • Non-invasive mechanical ventilation
    Mechanical ventilation
    In medicine, mechanical ventilation is a method to mechanically assist or replace spontaneous breathing. This may involve a machine called a ventilator or the breathing may be assisted by a physician, respiratory therapist or other suitable person compressing a bag or set of bellows...

     (C-PAP/BI-PAP)
  • Tracheostomy care and removal
  • Feeding tube
    Feeding tube
    A feeding tube is a medical device used to provide nutrition to patients who cannot obtain nutrition by swallowing. The state of being fed by a feeding tube is called gavage, enteral feeding or tube feeding...

    s
  • Comprehensive wound care
  • Inpatient and outpatient physical
    Physical therapy
    Physical therapy , often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention,and rehabilitation...

    , occupational
    Occupational therapy
    Occupational therapy is a discipline that aims to promote health by enabling people to perform meaningful and purposeful activities. Occupational therapists work with individuals who suffer from a mentally, physically, developmentally, and/or emotionally disabling condition by utilizing treatments...

    , and speech-language therapy
    Speech and language pathology
    Speech-Language Pathology specializes in communication disorders.The main components of speech production include: phonation, the process of sound production; resonance, opening and closing of the vocal folds; intonation, the variation of pitch; and voice, including aeromechanical components of...

  • Hospice care
    Palliative care
    Palliative care is a specialized area of healthcare that focuses on relieving and preventing the suffering of patients...

  • Assisted living
    Assisted living
    Assisted living residences or assisted living facilities provide supervision or assistance with activities of daily living ; coordination of services by outside health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being.Assistance may...



In 2010, 32 of Kindred Healthcare's nursing and rehabilitation centers received the American Health Care Association's Quality Award.

RehabCare

In June 2011, Kindred acquired RehabCare. As part of the transaction, Kindred combined its rehabilitation division, known as Peoplefirst Rehabilitation, and RehabCare. The combined division is called RehabCare.

Kindred's Rehabilitation division serves Kindred sites in addition to non-Kindred facilities. The rehab units in Kindred hospitals and nursing center
Nursing home
A nursing home, convalescent home, skilled nursing unit , care home, rest home, or old people's home provides a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living...

s are staffed and managed by RehabCare. Peoplefirst Rehabilitation was established as a separate division in 2004. In 2010, it generated revenues of $505 million. This division is headed by Christopher M. Bird.

HomeCare and Hospice

Through a combination of owned, managed and preferred providers, Peoplefirst HomeCare and Hospice will assist the patient and family in identifying the most appropriate care level in a variety of settings including skilled nursing facilities, home and other residential settings.

Peoplefirst HomeCare and Hospice's first site opened in the spring of 2008.

Kindred Support Center

The support center (formally known as "Corporate") for all Kindred facilities is located at company headquarters in Louisville, Kentucky
Louisville, Kentucky
Louisville is the largest city in the U.S. state of Kentucky, and the county seat of Jefferson County. Since 2003, the city's borders have been coterminous with those of the county because of a city-county merger. The city's population at the 2010 census was 741,096...

. The staff of about 1000 employees is headed by Executive Vice President, CAO
Chief administrative officer
A chief administrative officer is responsible for administrative management of private, public or governmental corporations. The CAO is one of the highest ranking members of an organization, managing daily operations and usually reporting directly to the chief executive officer. In some companies,...

 and CIO
Chief information officer
Chief information officer , or information technology director, is a job title commonly given to the most senior executive in an enterprise responsible for the information technology and computer systems that support enterprise goals...

 Richard Chapman.

Data Center

Part of the Support Center's Information Systems
Information systems
Information Systems is an academic/professional discipline bridging the business field and the well-defined computer science field that is evolving toward a new scientific area of study...

 department includes Kindred Healthcare's data center
Data center
A data center is a facility used to house computer systems and associated components, such as telecommunications and storage systems...

.

In September 2008, Kindred Healthcare was listed as No. 48 in the InformationWeek
InformationWeek
InformationWeek is a weekly print magazine, an online site with corresponding face-to-face and virtual events, and research. It is headquartered in San Francisco, California and was first published in 1979 by CMP Media, later called CMP Technology. On February 29, 2008, CMP Technology was...

 500. Its Information Systems department has made this list nine years in a row.

Awards and recognition

In 2011, the Kindred Support Center was named one of the http://www.bestplacestoworkky.com/Top 25 Best Places to Work in Kentucky
Kentucky
The Commonwealth of Kentucky is a state located in the East Central United States of America. As classified by the United States Census Bureau, Kentucky is a Southern state, more specifically in the East South Central region. Kentucky is one of four U.S. states constituted as a commonwealth...

] among large-sized companies for the fifth year in a row. It was presented to Kindred by the Kentucky Society for Human Resource Management State Council and the Kentucky Chamber of Commerce
Chamber of commerce
A chamber of commerce is a form of business network, e.g., a local organization of businesses whose goal is to further the interests of businesses. Business owners in towns and cities form these local societies to advocate on behalf of the business community...

.The selection was based on an assessment of the company's employee policies and procedures, as well as the results of an internal employ ee survey.

In 2011, Kindred ranked 4th among Health Care: Medical Facilities in Fortune magazine's list of most admired companies.
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