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Skilled Healthcare Group Reports First Quarter 2011 EPS of $0.32


News provided by

Skilled Healthcare Group, Inc.

May 03, 2011, 04:30 ET

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FOOTHILL RANCH, Calif., May 3, 2011 /PRNewswire/ -- Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three-month period ended March 31, 2011.

"We are proud of the outstanding performance of our skilled nursing and therapy companies' professional staff as they continue to refine the implementation of MDS 3.0 and RUGS IV. In addition, the teams at our Signature Hospice and Home Care (Signature) companies also continue to demonstrate excellence in patient service while improving operating performance through the successful integration of our legacy hospice business and assets acquired in May 2010 into a cohesive new platform for the Company," noted Boyd Hendrickson, Chairman and Chief Executive Officer of Skilled Healthcare Group, Inc.

Mr. Hendrickson continued, "We are excited to welcome The Rehabilitation Center of Omaha to the Skilled Healthcare family after acquiring the leasehold interest on April 1.  Other recent events include the transfer of operations of five Northern California skilled nursing facilities effective April 1 as well as the expansion of Signature's home health operations into Southern California in March."

Discussion of Results

Consolidated revenue for the quarter ended March 31, 2011 was $222.6 million, an increase of 17.6% when compared to consolidated revenue of $189.3 million in the first quarter of 2010.  Skilled Mix(1) increased 150 basis points to 24.5% in the first quarter of 2011 from 23.0% in the first quarter of 2010.  Quality mix(2) in the first quarter of 2011 increased 430 basis points to 71.2%, compared to 66.9% in the prior year period.  The transfer of operations of the five Northern California skilled nursing facilities resulted in approximately $0.8 million of non-recurring charges during the quarter.

Adjusted EBITDA(3) was $36.8 million, or 16.5% of consolidated revenue, for the quarter ended March 31, 2011, an increase of nearly 34% compared to $27.5 million, or 14.5 percent of revenue, in the same period a year ago.  Adjusted EBITDAR(4) was $41.4 million, or 18.6% of consolidated revenue, for the quarter ended March 31, 2011, up 29% compared to $32.1 million, or 16.9% of consolidated revenue, for the quarter ended March 31, 2010.

Adjusted net income(5) for the quarter ended March 31, 2011, which excludes the non-recurring items described in the Adjusted Net Income and Adjusted Earnings per Share Reconciliation Table below, totaled $12.8 million, up 44% compared to the net income for the first quarter of 2010. Net income for the three-months ended March 31, 2011, including the non-recurring items, was $11.8 million, or $0.32 per diluted share, up 33% as compared to net income of $8.9 million, or $0.24 per diluted share, in the same period of 2010.

Adjusted earnings per diluted share, excluding the non-recurring items described in the reconciliation tables below, were $0.34 for the quarter ended March 31, 2011, up 42% compared to $0.24 for the same period in 2010.  

Long-Term Care Services Segment Results

Revenue for our long-term care services segment in the quarter ended March 31, 2011, was $182.3 million, an increase of $13.1 million, or 7.7%, compared to the same period a year ago.  Revenue for this segment represented approximately 82% of consolidated revenue in the first quarter of 2011, compared to approximately 89% in the first quarter of 2010.

Therapy Services Segment Results

Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $22.2 million for the quarter ended March 31, 2011, an increase of $5.2 million compared to the same period a year ago. Third-party rehabilitation therapy accounted for approximately 10% of our consolidated revenue in the first quarter of 2011, compared to approximately 9% in the first quarter of 2010.

Hospice and Home Health Care Services Segment Results

Revenue for Signature Hospice and Home Health Care, our hospice and home health care services segment, was $18.1 million in the first quarter of 2011, compared to $3.1 million in the first quarter of 2010. Signature's consolidated revenue represented approximately 8.1% of our consolidated revenue in the first quarter of 2011, compared to 1.6% in the first quarter of 2010.  The acquisition of nine hospice and home care companies in May 2010 was primarily responsible for the year-over-year increase in revenue.  We recently expanded our home health footprint by acquiring a Southern California home health company's assets in March 2011 and expect to accept our first home health patients in that region in May 2011. We also expanded our Montana Hospice company's operations into the Helena area in April 2011.

2011 Guidance

Skilled Healthcare Group, Inc. is revising its previously announced revenue guidance as a result of the April 2011 transfer of operations of five skilled nursing facilities in Northern California, and is reiterating its EBITDA(6), EBITDAR(6) and earnings per share guidance for 2011. Skilled Healthcare now expects consolidated revenue to be between $857 million and $877 million, EBITDAR to be in the range of $156.2 million to $163.5 million, EBITDA to be in the range of $137.2 million to $144.5 million and net income per common share to be between $1.22 and $1.32. This guidance assumes the following:

  • No change in fiscal 2012 Medicaid rates. Fiscal 2011 rates include a net increase of 2% in California which was effective August 2010, a decrease of 1% in Texas effective February 2011 and a decrease of 10% in Nevada effective February 2011.
  • 2011 capital expenditures of approximately $20 million.
  • Average interest rate on outstanding debt of approximately 8%.
  • An effective tax rate of 39%.
  • No additional acquisitions, developments or divestitures.
  • The leasing of five skilled nursing facilities in Northern California to a 3rd party operator.

Conference Call

A conference call and webcast will be held tomorrow, Wednesday, May 4, at 9:00 a.m. Pacific Time (12:00 p.m. Eastern Time) to discuss Skilled Healthcare Group's consolidated financial results for the first quarter of 2011 and its outlook for the future.

To participate in the call, interested parties may dial (800) 847-9525 within the U.S. and (706) 679-8970 internationally and reference passcode 60453533.  Alternatively, interested parties may access the call in listen-only mode via Skilled Healthcare Group's Web site - www.skilledhealthcaregroup.com.  A replay of the conference call will be available after 12:00 p.m. Pacific Time on May 4, 2011 via Skilled Healthcare Group's Web site or by dialing (800) 642-1687 within the U.S. and (706) 645-9291 internationally and referencing passcode 60453533.  The replay will be available through May 11, 2011.

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 $855 million and approximately 14,600 employees as of March 31, 2011. 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 74 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, Nevada, Montana and New Mexico. The Company leases 5 skilled nursing facilities in California to a third party operator. References made in this release to "Skilled Healthcare," "the Company," "we," "us" and "our" refer to Skilled Healthcare Group, Inc. and each of its wholly-owned companies. More information about Skilled Healthcare is available at its Web site -- www.skilledhealthcaregroup.com.

Footnotes

(1)

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

(2)

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

(3)

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 tables of this press release.  

(4)

Adjusted EBITDAR is Adjusted EBITDA excluding facility rent expense as reflected in the reconciliation tables of this press release.

(5)

Adjusted net income reflects the non-GAAP adjustments to net income that are reflected in the reconciliation table of this press release.

(6)

EBITDA is net income before depreciation, amortization and interest expense (net of interest income) and the provision for (benefit from) income taxes.  EBITDAR is EBITDA excluding facility rent expense.

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. In particular, they include the guidance for 2011 full year consolidated revenue, EBITDAR, EBITDA and earnings per common share and our expectations regarding when we will admit our first home health patients in Southern California. 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. Such risks and uncertainties include, but are not limited to, the factors described in Skilled Healthcare's Annual Report on Form 10-K for the year ended December 31, 2010 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
March 31,


2011


2010





Revenue

$ 222,578


$ 189,319

Expenses:




Cost of services (exclusive of rent cost of revenue and




depreciation and amortization shown below)

175,461


151,705

Rent cost of revenue

4,570


4,581

General and administrative

6,893


6,351

Depreciation and amortization

6,145


5,944


193,069


168,581





Other income (expenses):




Interest expense

(9,946)


(7,284)

Interest income

175


228

Other expense

(324)


(4)

Equity in earnings of joint venture

554


797

Total other expenses, net

(9,541)


(6,263)

Income before provision for income taxes

19,968


14,475

Provision for income taxes

8,124


5,594

Net income

$   11,844


$     8,881





Earnings per share, basic:




Earnings per share

$       0.32


$       0.24

Earnings per share, diluted:




Earnings per share

$       0.32


$       0.24





Weighted-average common shares outstanding, basic

37,079


36,962

Weighted-average common shares outstanding, diluted

37,326


37,037

Skilled Healthcare Group, Inc.

Condensed Consolidated Balance Sheet and Cash Flow Data

(In thousands)

(Unaudited)






March 31, 2011


December 31, 2010

    Balance Sheet Data:




    ASSETS

    Cash and cash equivalents

$                  940


$             4,192

    Other current assets

146,715


144,633

    Property and equipment, net

383,429


387,322

    Other assets

410,027


408,143

    Total assets

$           941,111


$         944,290





    LIABILITIES AND STOCKHOLDERS’ EQUITY




    Current liabilities less current portion of long-term debt

$             82,623


$           90,298

    Current portion of long-term debt and capital leases

6,689


5,742

    Other long-term liabilities

60,300


56,449

    Long-term debt and capital leases, less current portion

501,430


514,221

    Stockholders’ equity

290,069


277,580

    Total liabilities and stockholders’ equity

$           941,111


$         944,290






Three Months Ended March 31,


2011


2010

Cash Flows from Continuing Operations




Net cash provided by operating activities

$11,875


$18,138

Net cash used in investing activities

(2,517)


(9,698)

Net cash used in  financing activities

(12,610)


(9,861)

Increase in cash and equivalents

(3,252)


(1,421)

Cash and cash equivalents at beginning of period

4,192


3,528

Cash and cash equivalents at end of period

$     940


$  2,107

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:  





Three Months Ended
March 31,



2011


2010


Occupancy statistics (skilled nursing





facilities):





Available beds in service at end of period  

9,179


9,242


Available patient days

824,753


832,518


Actual patient days

690,808


697,541


Occupancy percentage

83.8

%

83.8

%

Skilled mix

24.5

%

23.0

%

Average daily number of patients

7,676


7,751







Hospice average daily census

992


217


Home health episodic-based admissions

978


-


Home health episodic-based recertifications

149


-







EBITDA (in thousands)

$35,884


$27,475


Adjusted EBITDA (in thousands)

$36,801


$27,475


Adjusted EBITDA margin

16.5

%

14.5

%

Adjusted EBITDAR (in thousands)

$41,371


$32,056


Adjusted EBITDAR margin

18.6

%

16.9

%






Revenue per patient day (skilled nursing





facilities prior to intercompany eliminations)





LTC only Medicare (Part A)

$     577


$     497


Medicare blended rate (Part A & B)

630


557


Managed care

391


380


Medicaid

153


149


Private and other

175


170


Weighted-average for all

$     254


$     234







Revenue from (total company):





Medicare

39.6

%

34.8

%

Managed care, private pay, and other

31.6


32.1


Quality mix

71.2


66.9


Medicaid

28.8


33.1


Total

100.0

%

100.0

%

Skilled Healthcare Group, Inc.

Facility Ownership






As of March 31,


2011


2010

Facilities:





Skilled nursing facilities (at end of period):






Owned


57



54

Leased


21



24

Total skilled nursing facilities


78



78

Total licensed beds


9,564



9,704

Assisted living facilities (at end of period):






Owned


20



20

Leased


2



2

Total assisted living facilities


22



22

Total licensed beds


1,264



1,250

Total facilities (at end of period)


100



100

Percentage owned facilities (at end of period)


77.0 %



74.0 %

Skilled Healthcare Group, Inc.

Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted

EBITDAR

(In thousands, unaudited)




Three Months Ended March 31,


2011


2010





Net Income

$ 11,844


$   8,881

Interest expense, net of interest income

9,771


7,056

Provision for income taxes

8,124


5,594

Depreciation and amortization expense

6,145


5,944

EBITDA

35,884


27,475

Disposal of asset

290


-

Transaction cost

242


-

Exit costs related to Northern California divestiture

385


-

Adjusted EBITDA

36,801


27,475

Rent cost of revenue

4,570


4,581

Adjusted EBITDAR

$ 41,371


$ 32,056

Skilled Healthcare Group, Inc.

Adjusted Earnings Reconciliation

(in thousands, except per share data)

(unaudited)




Three Months Ended
March 31, 2011

Income from continuing operations

$                            19,968

Disposal of assets

290

Transaction cost

242

Exit costs related to Northern California divestiture

385

Adjusted income from continuing operations before provision for income taxes

20,885

Provision for income taxes

8,500

Add back tax credit valuation allowance related to Northern California divestiture

(388)

Adjusted net income (5)

$                            12,773



Weighted-average common shares outstanding, basic

37,079

Weighted-average common shares outstanding, diluted

37,326

Adjusted net income per share, diluted

$                                0.34

Effective tax rate

40.7%

Skilled Healthcare Group, Inc.

Reconciliation of Forecasted Net Income to Forecasted EBITDA and Forecasted

EBITDAR

Year Ending December 31, 2011

(in millions, except per share data)



Outlook


Low

High

Net income

$    45.3

$    49.0

Interest expense, net of interest income and other

37.2

38.2

Provision for income taxes

29.2

31.1

Depreciation and amortization expense

25.5

26.2

EBITDA

137.2

144.5

Rent cost of revenue

19.0

19.0

EBITDAR

$    156.2

$    163.5


Diluted earnings per share (assumes 37.2 million shares outstanding)

$    1.22

$    1.32


We believe that a report of 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.  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 U.S. GAAP, expenses, revenues and gains (losses) that are unrelated to the day-to-day performance of our business.  We also use EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to benchmark the performance of our 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 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 facility-by-facility level.  We typically use Adjusted EBITDA and Adjusted EBITDAR for these purposes on a consolidated basis as the adjustments to 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 EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides a meaningful and consistent comparison of our underlying businesses and facilities between periods by eliminating certain items required by U.S. GAAP which have little or no significance to their day-to-day operations.

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

SOURCE Skilled Healthcare Group, Inc.

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