Skilled Healthcare Group Reports Fourth Quarter 2013 Adjusted EPS Of $0.06

Feb 10, 2014, 16:44 ET from Skilled Healthcare Group, Inc.

FOOTHILL RANCH, Calif., Feb. 10, 2014 /PRNewswire/ -- Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three and twelve-month periods ended December 31, 2013.

"I'm excited to begin my first new year at Skilled Healthcare Group, and proud to be part of an outstanding team of caregivers and employees," said Robert Fish, Chief Executive Officer of Skilled Healthcare Group. "Since joining the Company two months ago, I've learned the real strengths within our platform and firmly believe that we can return to our past levels of operational success. In the coming year, we intend to execute on a broad-based, strategic plan that recognizes these strengths - our people, our care capabilities, and our provider and payor relationships foremost among them - and addresses our weaknesses and risks. I look forward to the months ahead."

Fourth Quarter 2013 Results

Continuing Operations

Revenue for the quarter ended December 31, 2013 was $208.3 million, a decrease of 3.3% when compared to $215.5 million in the fourth quarter of 2012. Skilled mix1 increased 10 basis points to 21.3% in the fourth quarter of 2013 from 21.2% in the fourth quarter of 2012. Occupancy declined 70 basis points to 82.2% in the fourth quarter of 2013 from 82.9% in the fourth quarter of 2012. Quality mix2 in the fourth quarter of 2013 decreased 210 basis points to 66.6%, compared to 68.7% in the prior year period.

Adjusted EBITDA3 was $15.8 million, or 7.6% of revenue, for the quarter ended December 31, 2013, a decrease of 33.9% compared to $23.9 million, or 11.1% of revenue, in the same period a year ago.  Adjusted EBITDAR3 was $20.5 million, or 9.8% of revenue, for the quarter ended December 31, 2013, a decrease of 28.3% compared to $28.6 million, or 13.3% of revenue, for the quarter ended December 31, 2012.

Net loss for the quarter ended December 31, 2013 totaled $3.0 million, as compared to net income of $5.7 million for the fourth quarter of 2012. Adjusted net income4 for the quarter ended December 31, 2013 totaled $2.1 million, a decrease of 65.6% compared to adjusted net income of $6.1 million for the fourth quarter of 2012. Adjusted net income excludes certain items as described in the Reconciliation of Income (Loss) From Continuing Operations Before Provision (Benefit) for Income Taxes to Adjusted Net Income table at the end of this press release.

Net loss per share was $0.08 for the quarter ended December 31, 2013, as compared to net income per diluted share of $0.15 for the same period in 2012. Adjusted net income per diluted share was $0.06 for the quarter ended December 31, 2013, a decrease of 62.5% compared to adjusted net income per diluted share of $0.16 for the quarter ended December 31, 2012.

Long-Term Care Services Segment Revenue for our long-term care services segment in the quarter ended December 31, 2013 was $162.8 million, an increase of $0.8 million, or 0.5%, as compared to $162.0 million for the same period a year ago. Revenue for this segment represented 78.2% of total revenue in the fourth quarter of 2013, compared to 75.2% of total revenue in the fourth quarter of 2012.

Therapy Services Segment Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $23.1 million for the quarter ended December 31, 2013, a decrease of $2.6 million, or 10.1%, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 11.1% of total revenue in the fourth quarter of 2013, compared to 11.9% of total revenue in the fourth quarter of 2012.

Hospice and Home Health Services Segment Revenue for Signature Hospice and Home Health, our hospice and home health services segment, was $22.4 million in the fourth quarter of 2013, a decrease of $5.3 million, or 19.1%, compared to $27.7 million in the fourth quarter of 2012. Average daily hospice census decreased 15.4% to 1,167 for the fourth quarter of 2013, from 1,379 for the fourth quarter of 2012. Results for the fourth quarter of 2013 were negatively affected by hospice cap reserves of $2.2 million as compared to $0.8 million in the fourth quarter of 2012.

Full Year 2013 Results

Continuing Operations

Revenue for the twelve months ended December 31, 2013 was $842.3 million, a decrease of 1.8% when compared to $857.9 million in the twelve months ended December 31, 2012. Skilled mix decreased 20 basis points to 21.8% for the twelve months of 2013 as compared to 22.0% for the same period a year ago. Occupancy declined 80 basis points to 82.2% in the twelve months of 2013 from 83.0% in the twelve months of 2012. Quality mix for the twelve months of 2013 decreased 120 basis points to 68.4%, compared to 69.6% in the prior year period.

Adjusted EBITDA was $69.5 million, or 8.3% of revenue, for the twelve months ended December 31, 2013, a decrease of 31.3% compared to $101.1 million, or 11.8% of revenue, for the same period a year ago.  Adjusted EBITDAR3 was $88.3 million, or 10.5% of revenue, for the twelve months of 2013, a decrease of 25.9% compared to $119.1 million, or 13.9% of revenue, for the twelve months of 2012.

Net loss for the twelve months ended December 31, 2013 totaled $10.5 million, as compared to a net income of $21.6 million for the same period in 2012. Adjusted net income decreased 55.4% to $12.0 million for the twelve months ended December 31, 2013 from adjusted net income of $26.9 million for the twelve months of 2012.

Net loss per share was $0.28 for the twelve months ended December 31, 2013, as compared to net income per diluted share of $0.58 for the same period in 2012. Adjusted net income per diluted share was $0.32 for the twelve months of 2013, a decrease of 55.6% compared to adjusted net income per diluted share of $0.72 for the twelve months ended December 31, 2012.

Long-Term Care Services Segment Revenue for our long-term care services segment in the twelve months ended December 31, 2013 was $641.3 million, a decrease of $5.5 million, or 0.9%, as compared to $646.8 million for the same period a year ago. Revenue for this segment increased to 76.1% of total revenue in the twelve months of 2013, as compared to 75.4% for the same period in 2012.

Therapy Services Segment Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $102.2 million for the twelve months ended December 31, 2013, an decrease of $2.2 million, or 2.1%, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 12.1% of total revenue in the twelve months of 2013, compared to 12.2% of total revenue in the same period of 2012.

Hospice and Home Health Services Segment Revenue for Signature Hospice and Home Health, our hospice and home health services segment, was $98.8 million in the twelve months of 2013, a decrease of $7.9 million, or 7.4%, compared to $106.7 million in the twelve months of 2012. Average daily hospice census decreased 9.7% to 1,262 for the twelve months ended December 31, 2013, from 1,397 for the twelve months ended December 31, 2012. Results for the twelve months ended December 31, 2013 were negatively affected by hospice cap reserves of $5.6 million recorded in 2013 as compared to $4.1 million recorded in 2012.

Discontinued Operations

The long-term care services segment disposed of two skilled nursing facilities on December 1, 2013.  These two facilities had revenue of $2.7 million in the fourth quarter of 2013 and $13.7 million for the twelve months ended December 31, 2013, which is not shown as revenue on the condensed consolidated statement of operations. The combined operating loss for the two skilled nursing facilities was $0.2 million in the fourth quarter of 2013 and $1.3 million for the twelve months ended December 31, 2013. The loss on the disposal of assets for these two facilities was $5.7 million for the quarter and year ended December 31, 2013. The combined loss for these two facilities, net of tax, was $3.6 million in the fourth quarter of 2013 and $4.3 million for the year ended December 31, 2013.

Guidance

Skilled Healthcare Group will not be providing earnings guidance for 2014.  However, the Company expects that its 2014 Adjusted EBITDA will improve from 2013 and that it will be in compliance with its debt covenants throughout 2014.

Conference Call A conference call and webcast will be held tomorrow, Tuesday, February 11th, at 9:00 a.m. Pacific Time (12:00 noon Eastern Time) to discuss Skilled Healthcare Group's fourth quarter and full year 2013 financial results.

To participate in the call, interested parties may dial (800) 847-9525 and reference conference 18746000. Alternatively, interested parties may access the call in listen-only mode at www.skilledhealthcaregroup.com. A replay of the conference call will be available after 12:00 noon Pacific Time at www.skilledhealthcaregroup.com.

About Skilled Healthcare Group, Inc. Skilled Healthcare Group, Inc., based in Foothill Ranch, California, is a holding company with subsidiary healthcare services companies, which in the aggregate had trailing twelve month revenue of approximately $842 million and approximately 15,000 employees as of December 31, 2013. Skilled Healthcare Group and its wholly-owned companies, collectively referred to as the "Company," operate long-term care facilities and provide a wide range of post-acute care services, with a strategic emphasis on sub-acute specialty health care. The Company operates long-term care facilities in California, Iowa, Kansas, Missouri, Nebraska, Nevada, New Mexico and Texas, including 72 skilled nursing facilities that offer sub-acute care and rehabilitative and specialty health skilled nursing care, and 22 assisted living facilities that provide room and board and social services. In addition, the Company provides physical, occupational and speech therapy in Company-operated facilities and unaffiliated facilities. Furthermore, the Company provides hospice and home health care in Arizona, California, Idaho, Montana, New Mexico and Nevada. The Company leases 5 skilled nursing facilities in California to an unaffiliated third party operator. More information about Skilled Healthcare is available at www.skilledhealthcaregroup.com.

Footnotes

(1)  Skilled mix represents the number of Medicare and non-Medicaid managed care patient days at our affiliated skilled nursing facilities divided by the total number of patient days at our affiliated skilled nursing facilities for any given period.

(2)  Quality mix represents non-Medicaid revenue as a percentage of total revenue.

(3)  EBITDA is net income before depreciation, amortization and interest expense (net of interest income) and the provision for income taxes. EBITDAR is EBITDA excluding facility rent expense. Adjusted earnings before interest, taxes, depreciation and amortization, or Adjusted EBITDA, reflects the non-GAAP adjustments to net income that are reflected in the Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDAR in this press release.

(4)  Adjusted net income per diluted share and adjusted net income each reflect the non-GAAP adjustments to income before provision for income taxes that are reflected in the Reconciliation of Income Before Provision for Income Taxes to Adjusted Net Income table in this press release. 

Forward-Looking Statements This release includes "forward-looking statements." You can identify these statements by the fact that they do not relate strictly to historical or current facts. These statements contain words such as "may," "will," "project," "might," "expect," "believe," "anticipate," "intend," "could," "would," "estimate," "continue" or "pursue," or the negative or other variations thereof or comparable terminology. They include statements about Skilled Healthcare's expectations for 2014 adjusted EBITDA, debt covenant compliance, future operational success and execution on its strategic plan. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release.

Investors are cautioned that forward-looking statements are not guarantees of future performance or results and involve risks and uncertainties that cannot be predicted or quantified and, consequently, the actual performance of Skilled Healthcare may differ materially from that expressed or implied by such forward-looking statements.

Additionally, the Company faces a number of other risks and uncertainties, including, but not limited to, the factors described in Skilled Healthcare's Annual Report on Form 10-K for the year ended December 31, 2013 filed with the Securities and Exchange Commission (including the sections entitled "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" contained therein) and in our subsequent reports on Form 10-Q and Form 8-K.

Any forward-looking statements are made only as of the date of this release. Skilled Healthcare disclaims any obligation to update the forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements.

 

Skilled Healthcare Group, Inc.

Condensed Consolidated Statements of Operations

(In thousands, except per share data)

Three Months Ended December 31,

Year Ended December 31,

2013

2012

2013

2012

Revenue:

(Unaudited)

(Audited)

Net patient service revenue

$

207,491

$

214,698

$

839,150

$

854,839

Lease facility revenue

787

769

3,122

3,060

208,278

215,467

842,272

857,899

Expenses:

Cost of services (exclusive of rent cost of revenue and depreciation and amortization shown below)

181,707

181,685

731,870

716,506

Rent cost of revenue

4,668

4,635

18,828

17,941

General and administrative

6,837

5,701

26,619

24,249

Change in fair value of contingent consideration

(1,620)

102

(3,702)

817

Depreciation and amortization

6,071

5,930

23,771

23,641

Impairment of long-lived assets

19,000

Loss on disposal of assets

64

361

197,727

198,053

816,747

783,154

Other (expenses) income:

Interest expense

(8,105)

(8,884)

(34,258)

(37,760)

Interest income

48

110

335

512

Other (expense) income, net

2

(52)

188

(32)

Equity in earnings of joint venture

480

526

1,949

1,948

Debt modification/retirement costs

(1,308)

(2,828)

(4,126)

Total other (expenses) income, net

(8,883)

(8,300)

(34,614)

(39,458)

Income (loss) from continuing operations before provision (benefit) for income taxes

1,668

9,114

(9,089)

35,287

Provision (benefit) for income taxes

1,035

3,202

(2,905)

12,896

Income (loss) from continuing operations

633

5,912

(6,184)

22,391

(Loss) from discontinued operations, net of tax

(3,635)

(217)

(4,300)

(794)

Net (loss) income

$

(3,002)

$

5,695

$

(10,484)

$

21,597

(Loss) earnings per share, basic:

Earnings (loss) per common share from continuing operations

$

0.02

$

0.16

$

(0.17)

$

0.60

Loss per common share from discontinued operations

(0.10)

(0.01)

(0.11)

(0.02)

(Loss) earnings per share

$

(0.08)

$

0.15

$

(0.28)

$

0.58

(Loss) earnings per share, diluted:

Earnings (loss) per common share from continuing operations

$

0.02

$

0.16

$

(0.17)

$

0.60

Loss per common share from discontinued operations

(0.10)

(0.01)

(0.11)

(0.02)

(Loss) earnings per share

$

(0.08)

$

0.15

$

(0.28)

$

0.58

Weighted-average common shares outstanding, basic

37,431

37,437

37,533

37,389

Weighted-average common shares outstanding, diluted

37,431

37,543

37,533

37,589

 

Skilled Healthcare Group, Inc.

Condensed Consolidated Balance Sheet and Cash Flow Data

(In thousands)

(Audited)

December 31,

2013

2012

Balance Sheet Data:

ASSETS

Cash and cash equivalents

$

4,177

$

2,003

Accounts receivable, less allowance for doubtful accounts of $16,665 and $15,646 at December 31, 2013 and December 31, 2012, respectively

107,215

107,245

Other current assets

31,025

29,577

Property and equipment and leased facility assets, net

351,238

380,658

Goodwill

69,065

85,609

Other assets

80,696

77,544

Total assets

$

643,416

$

682,636

LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities less current portion of long-term debt

$

90,158

$

90,965

Other long-term liabilities

41,901

42,873

Long-term debt

419,125

448,967

Stockholders' equity

92,232

99,831

Total liabilities and stockholders' equity

$

643,416

$

682,636

Year Ended December 31,

2013

2012

Cash Flows Data:

Net cash provided by operating activities

$

47,921

$

42,676

Net cash used in investing activities

(493)

(19,525)

Net cash used in financing activities

(45,254)

(37,165)

Increase (decrease) in cash and cash equivalents

2,174

(14,014)

Cash and cash equivalents at beginning of period

2,003

16,017

Cash and cash equivalents at end of period

$

4,177

$

2,003

 

Skilled Healthcare Group, Inc.

Consolidated Key Performance Indicators

(Unaudited)

The following table summarizes our key performance indicators, along with other statistics, for each of the dates or periods indicated

Continuing Operations

Three Months Ended December 31,

Twelve Months Ended December 31,

2013

2012

2013

2012

Occupancy statistics (skilled nursing facilities):

Available beds in service at end of period

8,587

8,595

8,587

8,595

Available patient days

790,128

790,802

3,136,805

3,145,738

Actual patient days

649,237

655,360

2,578,563

2,611,025

Occupancy percentage

82.2

%

82.9

%

82.2

%

83.0

%

Average daily number of patients

7,057

7,124

7,065

7,134

Hospice average daily census

1,167

1,379

1,262

1,397

Home health episodic-based admissions

2,103

2,174

8,432

8,341

Home health episodic-based recertifications

497

472

1,942

1,624

EBITDA (in thousands)

$

12,161

$

23,601

$

44,305

$

95,382

Adjusted EBITDA (in thousands)

$

15,821

$

23,920

$

69,493

$

101,119

Adjusted EBITDA margin

7.6

%

11.1

%

8.3

%

11.8

%

Adjusted EBITDAR (in thousands)

$

20,489

$

28,555

$

88,321

$

119,060

Adjusted EBITDAR margin

9.8

%

13.3

%

10.5

%

13.9

%

Revenue per patient day (skilled nursing facilities prior to intercompany eliminations):

LTC only Medicare (Part A)

$

524

$

520

$

520

$

513

Medicare blended rate (Part A & B)

574

578

570

574

Managed care (Part A)

400

380

393

383

Managed care blended rate (Part A & B)

408

391

402

392

Medicaid

168

164

164

160

Private and other

172

173

172

172

Weighted-average for all

$

239

$

236

$

237

$

236

Patient days by payor (skilled nursing facilities):

Medicare

75,270

79,604

308,516

339,557

Managed care

62,705

58,872

252,092

233,981

Total skilled mix days

137,975

138,476

560,608

573,538

Private pay and other

103,713

107,148

414,020

421,146

Medicaid

407,549

409,736

1,603,935

1,616,341

Total days

649,237

655,360

2,578,563

2,611,025

Patient days as a percentage of total patient days (skilled nursing facilities):

Medicare

11.6

%

12.1

%

12.0

%

13.0

%

Managed care

9.7

9.1

9.8

9.0

Skilled Mix

21.3

21.2

21.8

22.0

Private pay and other

16.0

16.3

16.1

16.1

Medicaid

62.7

62.5

62.1

61.9

Total

100.0

%

100.0

%

100.0

%

100.0

%

Revenue from (total company):

Medicare

29.7

%

32.7

%

30.9

%

33.6

%

Managed care, private pay, and other

36.9

36.0

37.5

36.0

Quality mix

66.6

68.7

68.4

69.6

Medicaid

33.4

31.3

31.6

30.4

Total

100.0

%

100.0

%

100.0

%

100.0

%

 

Skilled Healthcare Group, Inc.

Facility Ownership

(Unaudited)

As of December 31,

2013

2012

Facilities:

Skilled nursing facilities operated:

Owned

51

52

Leased

21

22

Total skilled nursing facilities operated

72

74

Total licensed beds

8,967

9,181

Skilled nursing facilities leased to unaffiliated third party operator

5

5

Assisted living facilities

Owned

21

21

Leased

1

1

Total assisted living facilities

22

22

Total licensed beds

1,212

1,228

Total facilities

99

101

Available bed in service (SNF only)

8,587

8,809

Percentage owned facilities

77.8

%

77.2

%

 

Skilled Healthcare Group, Inc.

Reconciliation of Net (Loss) Income to EBITDA, EBITDAR, Adjusted EBITDA, and Adjusted EBITDAR

(In thousands)

(Unaudited)

Three Months Ended December 31,

Year Ended December 31,

2013

2012

2013

2012

Net (loss) income

$

(3,002)

$

5,695

$

(10,484)

$

21,597

Interest expense, net of interest income

8,057

8,774

33,923

37,248

Provision (benefit) for income taxes

1,035

3,202

(2,905)

12,896

Depreciation and amortization expense

6,071

5,930

23,771

23,641

EBITDA

12,161

23,601

44,305

95,382

Rent cost of revenue

4,668

4,635

18,828

17,941

EBITDAR

16,829

28,236

63,133

113,323

EBITDA

12,161

23,601

44,305

95,382

Change in fair value of contingent consideration

(1,620)

102

(3,702)

817

Organization restructure costs

337

2,343

Debt modification/retirement costs

1,308

2,828

4,126

Impairment of long-lived assets

19,000

Closure of California home health agency

419

       Loss on discontinued operations, net of tax

3,635

217

4,300

794

Adjusted EBITDA

15,821

23,920

69,493

101,119

Rent cost of revenue

4,668

4,635

18,828

17,941

Adjusted EBITDAR

$

20,489

$

28,555

$

88,321

$

119,060

 

Skilled Healthcare Group, Inc.

Reconciliation of Income (Loss) From Continuing Operations Before Provision (Benefit) for Income Taxes to Adjusted Net Income

(In thousands, except per share data)

(Unaudited)

Three Months Ended December 31,

Year Ended December 31,

2013

2012

2013

2012

Income (loss) from continuing operations before provision (benefit) for income taxes

$

1,668

$

9,114

$

(9,089)

$

35,287

Debt modification/retirement costs

1,308

2,828

4,126

Legal expense for non-routine matters

722

634

2,837

1,226

Organization restructure costs

337

2,343

Impairment of long lived assets

19,000

Closure of California home health agency

419

IT outsourcing evaluation costs

110

514

Double bond interest expense for bond

1,192

Adjusted income before provision for income taxes

4,035

9,858

18,338

42,345

Adjusted provision for income taxes

1,953

3,723

7,792

15,465

California Enterprise Zone tax credit valuation allowance

(1,500)

Adjusted net income from continuing operations

$

2,082

$

6,135

$

12,046

$

26,880

Weighted-average common shares outstanding, diluted

37,793

37,543

37,964

37,589

Adjusted net income per share, diluted

0.06

0.16

0.32

0.72

Effective tax rate

48.4

%

37.8

%

34.3

%

36.5

%

 

We believe that a report of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides consistency in our financial reporting and provides a basis for the comparison of results of core business operations between our current, past and future periods. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are primary indicators management uses for planning and forecasting in future periods, including trending and analyzing the core operating performance of our business from period-to-period without the effect of expenses, revenues and gains (losses) that are unrelated to the day-to-day performance of our consolidated and segmented business but are required to reported in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP"). We also use adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to benchmark the performance of our consolidated and segmented business against expected results, analyzing year-over-year trends as described below and to compare our operating performance to that of our competitors.

Management uses adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to assess the performance of our core business operations, to prepare operating budgets and to measure our performance against those budgets on a consolidated and segment level. Segment management uses these metrics to measure performance on a business unit by business unit basis. We typically use adjusted net income per share, Adjusted EBITDA and Adjusted EBITDAR for these purposes on a consolidated basis as the adjustments to adjusted net income per share, EBITDA and EBITDAR are not generally allocable to any individual business unit and we typically use EBITDA and EBITDAR to compare the operating performance of each skilled nursing and assisted living facility, as well as to assess the performance of our operating segments. EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are useful in this regard because they do not include such costs as interest expense (net of interest income), income taxes, depreciation and amortization expense, rent cost of revenue (in the case of EBITDAR and Adjusted EBITDAR) and special charges, which may vary from business unit to business unit and period-to-period depending upon various factors, including the method used to finance the business, the amount of debt that we have determined to incur, whether a facility is owned or leased, the date of acquisition of a facility or business, the original purchase price of a facility or business unit or the tax law of the state in which a business unit operates. These types of charges are dependent on factors unrelated to the underlying business unit performance. As a result, we believe that the use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides a meaningful and consistent comparison of our underlying business units between periods by eliminating certain items required by U.S. GAAP which have little or no significance to their day-to-day operations.

The use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures has certain limitations. Our presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR or other non-GAAP financial measures may be different from the presentation used by other companies and therefore comparability may be limited. Depreciation and amortization expense, interest expense, income taxes and other items have been and will be incurred and are not reflected in the presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA or Adjusted EBITDAR. Each of these items should also be considered in the overall evaluation of our results. Additionally, adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR do not consider capital expenditures and other investing activities and should not be considered as a measure of our liquidity. We compensate for these limitations by providing the relevant disclosure of our depreciation and amortization, interest and income taxes, capital expenditures and other items both in our reconciliations to the U.S. GAAP financial measures and in our consolidated financial statements, all of which should be considered when evaluating our performance.

Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and certain other non-GAAP financial measures are used in addition to and in conjunction with results presented in accordance with U.S. GAAP. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures should not be considered as an alternative to net income, operating income, or any other operating performance measure prescribed by U.S. GAAP, nor should these measures be relied upon to the exclusion of U.S. GAAP financial measures. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures reflect additional ways of viewing our operations that we believe, when viewed with our U.S. GAAP results and the reconciliations to the corresponding U.S. GAAP financial measures, provide a more complete understanding of factors and trends affecting our business than could be obtained absent this disclosure. You are strongly encouraged to review our financial information in its entirety and not to rely on any single financial measure.

Investor Contact: Skilled Healthcare Group, Inc. Chris Felfe (949) 282-5800

SOURCE Skilled Healthcare Group, Inc.



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