EX-99.1 2 exhibit991q22014.htm EXHIBIT 99.1 Exhibit 99.1 Q2 2014

Exhibit 99.1
AdCare Health Systems Reports Second Quarter 2014 Results
Company Endeavors to Transition to a Facilities Holding Company

ATLANTA, GA, August 11, 2014-AdCare Health Systems, Inc. (NYSE MKT: ADK), (NYSE MKT: ADK.PRA) a recognized provider of senior living and healthcare facility management, today reported results for the second quarter ended June 30, 2014.

Business and Financial Highlights
Board of Directors approved a strategic plan to transition the Company’s business from owning and operating healthcare properties to owning and leasing healthcare properties, effectively creating a facilities holding company. Signed agreement to sublease skilled nursing and rehabilitation facility located in south Georgia to a local nursing home operator effective July 1, 2014.
Revenues reflecting the historical business model as an owner and operator of skilled nursing facilities were $55.7 million, up 1.6% compared with $54.9 million in the second quarter of 2013.
Adjusted EBITDAR from continuing operations was $5.4 million, up 12.9% compared with $4.8 million in the second quarter of 2013 (see “Use of Non-GAAP Financial Information” below for the definition of Adjusted EBITDAR from continuing operations and its reconciliation to GAAP net loss).
Net loss attributable to AdCare common shareholders of $3.3 million compared with net loss of $7.0 million in the second quarter of 2013.
Board of Directors declared a quarterly cash dividend payment of $0.68 per share on the Company's 10.875% Series A Preferred Stock which was paid on June 30, 2014 to holders of record at the close of business on June 20, 2014.
“Our strategic vision is to establish AdCare Health as a healthcare property holding and leasing company, with the objective of stabilizing free cash flow and returning us to profitability,” stated David Tenwick, AdCare’s Chairman and Interim Chief Executive Officer. “Subsequent to the end of the second quarter, we took a significant step towards this vision as the Board of Directors approved management’s plan to execute a series of leasing transactions which will transition our currently owned and operated healthcare facilities, principally skilled nursing facilities, to third party operators and sub-lease our existing leased facilities.”

Mr. Tenwick continued, “By setting out our strategic plan to exit the day-to-day management of our healthcare facilities, we established a clear goal to return cash to the shareholders in the near-term and provide additional return on investment down the road. After our transition to a facilities holding company is completed, then we expect a more expeditious return to profitability and lower working capital requirements resulting in the generation of positive free cash flow. We believe that this, in turn, will enable us to return cash to shareholders through an increasing quarterly dividend, while setting the stage for the pursuit of other strategic alternatives at improved valuations.”



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Second Quarter and Six Month 2014 Summary of Financial Results
The results below do not reflect any significant changes in the business model and primarily are related to the historical business model of owning and operating healthcare facilities.

Revenues in the second quarter of 2014 were $55.7 million, up 1.6% from $54.9 million in the second quarter of 2013. Revenues for the first six months of 2014 increased by 1% to $110.7 million from $109.5 million in 2013.

The net loss attributable to AdCare common shareholders in the second quarter of 2014 totaled $3.3 million, or $(0.19) per basic and diluted share, compared with a net loss of $7.0 million, or $(0.47) per basic and diluted share, in the second quarter of 2013. Several non-recurring and non-operational expenses impacted the net loss for both periods, including salary retirement and continuation costs of $1.3 million in the second quarter of 2014, and a $1.9 million non-cash derivative loss and $848,000 in non-recurring expense related to the audit committee’s investigation in the second quarter of 2013. For the first six months of 2014, the net loss attributable to AdCare common stockholders was $6.3 million, or $(0.36) per basic and diluted share, compared with a net loss of $9.9 million, or $(0.67) per basic and diluted share, in 2013.

Quarterly Adjusted EBITDAR from continuing operations in the second quarter of 2014 totaled $5.4 million compared with $4.8 million in the second quarter of 2013. Adjusted EBITDAR from continuing operations for the first six months of 2014 totaled $10.8 million compared to $8.8 million for the first six months of 2013 (see “Use of Non-GAAP Financial Information” below for the definition of Adjusted EBITDAR from continuing operations, a non-GAAP financial measure, as well as an important discussion about the use of this measure and its reconciliation to GAAP net loss, the most directly comparable GAAP financial measure).

“Though our reported results reflect meaningful progress to improve Adjusted EBITDAR for continuing operations, we are focused on accelerating the creation of shareholder value by transitioning to the new operating model,” commented Ron Fleming, AdCare’s chief financial officer. “We subleased, effective July 1, 2014, a skilled nursing and rehabilitation facility in the South Georgia region as the first step in this transition, which we expect to improve our financial position and reduce our execution risk going forward. We believe our progress in the quarter, including the stabilization of our cost of services and reduced general and administrative expenses, will help us execute this transition.”

Cash and cash equivalents at June 30, 2014 totaled $11.1 million, as compared with $19.4 million at December 31, 2013. Total debt outstanding at June 30, 2014 totaled $153.2 million (which includes $5.2 million in liabilities of disposal group held for sale and $6.0 million in liabilities of variable interest entity held for sale), as compared with $160.3 million at December 31, 2013 (which includes $6.0 million in liabilities of variable interest entity held for sale).


About AdCare Health Systems
AdCare Health Systems, Inc. (NYSE MKT: ADK) (NYSE MKT: ADK.PRA) is a recognized provider of senior living and healthcare facility management. Since the Company's inception in 1988, it has owned and managed long-term care facilities and retirement communities, and has sought to provide the highest quality of healthcare services to the elderly through its operating subsidiaries, including a broad range of skilled nursing and sub-acute care services. The Company has implemented a strategic plan pursuant to which, through a series of leasing transactions, it will transition from an owner and

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operator of healthcare facilities to a healthcare property holding and leasing company. For more information about AdCare, visit www.adcarehealth.com.

Important Cautions Regarding Forward-Looking Statements
Statements contained in this press release that are not historical facts may be forward-looking statements within the meaning of federal law. Such statements can be identified by the use of forward-looking terminology, such as "believes," "expects," "plans," "intends," "anticipates" and variations of such words or similar expressions, but their absence does not mean that the statement is not forward-looking. Statements in this announcement that are forward-looking include, but are not limited to: (i) statements regarding the strategic plan to transition the Company to a facilities holding company; (ii) statements regarding expense reductions, profitability, free cash flow and improved valuations; (iii) statements regarding anticipated dividend payments and shareholder returns; (iv) statements regarding financial and operational improvements; and (v) statements regarding the outlook for financial metrics. Such forward-looking statements reflect management's beliefs and assumptions and are based upon information currently available to management and involve known and unknown risks, results, performance or achievements of AdCare, which may differ materially from those expressed or implied in such statements. Such factors are identified in the public filings made by AdCare with the Securities and Exchange Commission and include, among others, AdCare's ability to secure lines of credit and/or an acquisition credit facility, AdCare’s ability to refinance its current debt on more favorable terms, AdCare’s ability to expand its borrowing arrangement with certain existing lenders, AdCare’s ability to raise equity capital, AdCare’s ability to improve operating results, changes in the health care industry because of political and economic influences, changes in regulations governing the health care industry, changes in reimbursement levels including those under the Medicare and Medicaid programs and changes in the competitive marketplace. There is no assurance that such factors or other factors will not affect the accuracy of such forward-looking statements. Except where required by law, AdCare undertakes no obligation to revise or update any forward-looking statements to reflect events or circumstances after the date of this press release.

In addition, each facility mentioned in this press release is operated by a separate, wholly owned, independent operating subsidiary that has its own management, employees and assets.
References to the consolidated Company and its assets and activities, as well as the use of terms such as “we,” “us,” “our,” and similar verbiage, is not meant to imply that AdCare Health Systems, Inc. has direct operating assets, employees or revenue or that any of the facilities, the home health business or other related businesses are operated by the same entity.

Use of Non-GAAP Financial Information
Beginning with the reporting of results for the first quarter of 2011, the Company began to report the measures of Adjusted EBITDA from continuing operations and Adjusted EBITDAR from continuing operations. These are measures of operating performance that are not calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). The Company defines: (i) “Adjusted EBITDA from continuing operations” as net income (loss) from continuing operations before interest expense, income tax expense, depreciation and amortization (including amortization of non-cash stock-based compensation), acquisition costs (net of gains), loss on extinguishment of debt, derivative loss or gain, and other non-routine adjustments; and (ii) “Adjusted EBITDAR from continuing operations” as net income (loss) from continuing operations before interest expense, income tax expense, depreciation and amortization (including amortization of non-cash stock-based compensation), acquisition costs (net of gains), loss on extinguishment of debt, derivative loss or gain, rent, and other non-routine adjustments.


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Adjusted EBITDA from continuing operations and Adjusted EBITDAR from continuing operations should not be considered in isolation or as a substitute for net income, income from operations or cash flows provided by, or used in, operations as determined in accordance with GAAP. Adjusted EBITDA from continuing operations and Adjusted EBITDAR from continuing operations are used by management to focus on operating performance and management without mixing in items of income and expense that relate to the financing and capitalization of the business, fixed rent or lease payments of facilities, derivative loss or gain, and certain acquisition related charges and other non-routine adjustments.

The Company believes these measures are useful to investors in evaluating the Company’s performance, results of operations and financial position for the following reasons:

They are helpful in identifying trends in the Company’s day-to-day performance because the items excluded have little or no significance to the Company’s day-to-day operations;
They provide an assessment of controllable expenses and afford management the ability to make decisions which are expected to facilitate meeting current financial goals as well as achieve optimal financial performance; and
They provide data that assists management to determine whether or not adjustments to current spending decisions are needed.
AdCare believes that the use of these measures provides a meaningful and consistent comparison of the Company’s underlying business between periods by eliminating certain items required by GAAP, which have little or no significance in the Company’s day-to-day operations.

Company Contacts                Investor Relations
Ronald W. Fleming, CFO            Brett Maas, Managing Partner
AdCare Health Systems, Inc.            Hayden IR
Tel (678) 869-5116                Tel (646) 536-7331
info@adcarehealth.com            brett@haydenir.com




















Page 4



ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in 000’s, except per share data)
(Unaudited)
 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2014
 
2013
 
2014
 
2013
Revenues:
 
 

 
 

 
 

 
 

Patient care revenues
 
 $ 55,425

 
 $ 54,361

 
 $ 109,875

 
 $ 108,531

Management revenues
 
 304

 
 498

 
 786

 
 1,008

Total revenues
 
 55,729

 
 54,859

 
 110,661

 
 109,539

 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

Cost of services (exclusive of facility rent, depreciation and amortization)
 
 46,364

 
 45,851

 
 91,815

 
 91,857

General and administrative expense
 
 4,179

 
 4,505

 
 8,740

 
 9,433

Audit committee investigation expense
 

 
 848

 

 
 1,982

Facility rent expense
 
 1,751

 
 1,758

 
 3,510

 
 3,495

Depreciation and amortization
 
 1,954

 
 1,778

 
 3,810

 
 3,500

Salary retirement and continuation costs
 
 1,282

 
 149

 
 1,282

 
 149

Total expenses
 
 55,530

 
 54,889

 
 109,157

 
 110,416

Income (Loss) from Operations
 
 199

 
 (30)

 
 1,504

 
 (877)

 
 
 
 
 
 
 
 
 
Other Income (Expense):
 
 

 
 

 
 

 
 

Interest expense, net
 
 (2,650)

 
 (3,087)

 
 (5,273)

 
 (6,256)

Acquisition costs, net of gains
 

 
 (487)

 

 
 (577)

Derivative (loss) gain
 

 
 (1,947)

 

 
 189

Loss on extinguishment of debt
 

 
 (25)

 
 (583)

 
 (27)

Loss on disposal of assets
 

 
 (4)

 

 
 (4)

Other expense
 
 (84)

 

 
 (191)

 

Total other expense, net
 
 (2,734)

 
 (5,550)

 
 (6,047)

 
 (6,675)

 
 
 
 
 
 
 
 
 
Loss from Continuing Operations Before Income Taxes
 
 (2,535)

 
 (5,580)

 
 (4,543)

 
 (7,552)

Income tax expense
 

 

 
 (8)

 
 (78)

Loss from Continuing Operations
 
 (2,535)

 
 (5,580)

 
 (4,551)

 
 (7,630)

 
 
 
 
 
 
 
 
 
Loss from Discontinued Operations, Net of Tax
 
 (260)

 
 (1,365)

 
 (767)

 
 (2,065)

Net Loss
 
 (2,795)

 
 (6,945)

 
 (5,318)

 
 (9,695)

 
 
 
 
 
 
 
 
 
Net Loss Attributable to Noncontrolling Interests
 
 157

 
 241

 
 330

 
 433

Net Loss Attributable to AdCare Health Systems, Inc.
 
 (2,638)

 
 (6,704)

 
 (4,988)

 
 (9,262)

 
 
 
 
 
 
 
 
 
Preferred stock dividend
 
 (646)

 
 (306)

 
 (1,292)

 
 (612)

Net Loss Attributable to AdCare Health Systems, Inc. Common Stockholders
 
 $ (3,284)

 
 $ (7,010)

 
 $ (6,280)

 
 $ (9,874)

 
 
 
 
 
 
 
 
 
Net loss per Common Share attributable to AdCare Health Systems, Inc.
 
 

 
 

 
 

 
 

Common Stockholders -
 
 

 
 

 
 

 
 

Basic:
 
 

 
 

 
 

 
 

Continuing Operations
 
 $ (0.18)

 
 $ (0.38)

 
 $ (0.32)

 
 $ (0.53)

Discontinued Operations
 
 (0.01)

 
 (0.09)

 
 (0.04)

 
 (0.14)

 
 
 $ (0.19)

 
 $ (0.47)

 
 $ (0.36)

 
 $ (0.67)

 
 
 
 
 
 
 
 
 
Diluted:
 
 

 
 

 
 

 
 

Continuing Operations
 
 $ (0.18)

 
 $ (0.38)

 
 $ (0.32)

 
 $ (0.53)

Discontinued Operations
 
 (0.01)

 
 (0.09)

 
 (0.04)

 
 (0.14)

 
 
 $ (0.19)

 
 $ (0.47)

 
 $ (0.36)

 
 $ (0.67)

 
 
 
 
 
 
 
 
 
Weighted Average Common Shares Outstanding:
 
 

 
 

 
 

 
 

Basic
 
 17,221

 
 14,766

 
 17,220

 
 14,725

Diluted
 
 17,221

 
 14,766

 
 17,220

 
 14,725



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ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(Amounts in 000’s)
 
 
June 30, 2014
 
December 31, 2013
 
 
(Unaudited)
 
 
ASSETS
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
 
 $ 11,147

 
 $ 19,374

Restricted cash and investments
 
 207

 
 3,801

Accounts receivable, net of allowance of $5,684 and $4,989
 
 26,913

 
 23,598

Prepaid expenses and other
 
 3,622

 
 483

Assets of disposal group held for use
 

 
 5,135

Assets of disposal group held for sale
 
 6,818

 
 400

Assets of variable interest entity held for sale
 
 5,894

 
 5,945

Total current assets
 
 54,601

 
 58,736

 
 
 
 
 
Restricted cash and investments
 
 6,988

 
 11,606

Property and equipment, net
 
 137,529

 
 138,233

Intangible assets - bed licenses
 
 2,471

 
 2,471

Intangible assets - lease rights, net
 
 4,466

 
 4,889

Goodwill
 
 4,224

 
 4,224

Lease deposits
 
 1,697

 
 1,715

Deferred loan costs, net
 
 4,197

 
 4,542

Other assets
 
 13

 
 12

Total assets
 
 $ 216,186

 
 $ 226,428

 
 
 
 
 
LIABILITIES AND EQUITY
 
 
 
 
 
 
 
 
 
Current liabilities:
 
 
 
 
Current portion of notes payable and other debt
 
 $ 31,344

 
 $ 12,027

Current portion of convertible debt, net of discounts
 
 10,500

 
 11,389

Revolving credit facilities and lines of credit
 
 2,625

 
 2,738

Accounts payable
 
 19,933

 
 23,783

Accrued expenses
 
 13,703

 
 13,264

Liabilities of disposal group held for sale
 
 5,197

 

Liabilities of variable interest entity held for sale
 
 5,953

 
 6,034

Total current liabilities
 
 89,255

 
 69,235

 
 
 
 
 
Notes payable and other debt, net of current portion:
 
 
 
 
Senior debt, net of discounts
 
 77,495

 
 107,858

Bonds, net of discounts
 
 7,003

 
 6,996

Revolving credit facilities
 
 5,613

 
 5,765

Convertible debt
 
 7,500

 
 7,500

Other liabilities
 
 1,809

 
 1,589

Deferred tax liability
 
 191

 
 191

Total liabilities
 
 188,866

 
 199,134

 
 
 
 
 
Commitments and contingency
 
 
 
 
 
 
 
 
 
Preferred stock, no par value; 5,000 shares authorized; 950 shares issued and outstanding, redemption amount $23,750 at both June 30, 2014 and December 31, 2013, respectively
 
 20,392

 
 20,442

 
 
 
 
 
Stockholders’ equity:
 
 
 
 
Common stock and additional paid-in capital, no par value; 55,000 shares authorized; 17,513 and 16,016 issued and outstanding at June 30, 2014 and December 31, 2013, respectively
 
 55,056

 
 48,370

Accumulated deficit
 
 (46,164)

 
 (39,884)

Total stockholders’ equity
 
 8,892

 
 8,486

Noncontrolling interest in subsidiary
 
 (1,964)

 
 (1,634)

Total equity
 
 6,928

 
 6,852

Total liabilities and equity
 
 $ 216,186

 
 $ 226,428



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ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
TRAILING FIVE QUARTERS
(Amounts in 000’s)
(Unaudited)


 
 
For Three Months Ended
 
 
6/30/2013
 
9/30/2013
 
12/31/2013
 
3/31/2014
 
6/30/2014
Revenues:
 
 
 
 
 
 
 
 
 
 
Patient care revenues
 
$54,361

 
$53,733
 
$53,949

 
$54,450

 
$55,425

Management revenue
 
498

 
521
 
568

 
482

 
304

Total revenues
 
54,859

 
54,254
 
54,517

 
54,932

 
55,729

Expenses:
 
 
 
 
 
 
 
 
 
 
Cost of services (exclusive of facility rent, depreciation and amortization)
 
45,851

 
44,427
 
44,576

 
45,450

 
46,364

General and administrative expenses
 
4,505

 
4,583
 
5,016

 
4,560

 
4,179

Audit committee investigation expense
 
848

 
302
 
102

 

 

Facility rent expense
 
1,758

 
1,761
 
1,772

 
1,759

 
1,751

Depreciation and amortization
 
1,778

 
1,796
 
2,465

 
1,857

 
1,954

Salary retirement and continuation costs
 
149

 
5
 

 

 
1,282

Total expenses
 
54,889

 
52,874
 
53,931

 
53,626

 
55,530

(Loss) Income from Operations
 
(30)

 
1,380
 
586

 
1,306

 
199

 
 
 
 
 
 
 
 
 
 
 
Other Income (Expense):
 
 
 
 
 
 
 
 
 
 
Interest expense, net
 
(3,087)

 
(3,204)
 
(2,891)

 
(2,622)

 
(2,650)

Acquisition costs, net of gains
 
(487)

 
(33)
 
45

 

 

Derivative (loss) gain
 
(1,947)

 
1,989
 
829

 

 

Loss on extinguishment of debt
 
(25)

 
(6)
 
(77)

 
(583)

 

Loss on disposal of assets
 
(4)

 
(5)
 

 

 

Other income (expense)
 

 
15
 
(321)

 
(108)

 
(84)

Total other expense, net
 
(5,550)

 
(1,244)
 
(2,415)

 
(3,313)

 
(2,734)

 
 
 
 
 
 
 
 
 
 
 
(Loss) Income from Continuing Operations Before Income Taxes
 
(5,580)

 
136
 
(1,829)

 
(2,007)

 
(2,535)

Income tax (expense) benefit
 

 
54
 
(118)

 
(8)

 

(Loss) Income from Continuing Operations
 
(5,580)

 
190
 
(1,947)

 
(2,015)

 
(2,535)

Loss from Discontinued Operations, Net of Tax
 
(1,365)

 
(603)
 
(1,308)

 
(508)

 
(260)

Net Loss
 
(6,945)

 
(413)
 
(3,255)

 
(2,523)

 
(2,795)

Net Loss Attributable to Noncontrolling Interest
 
241

 
195
 
168

 
173

 
157

Net Loss Attributable to AdCare Health Systems, Inc.
 
(6,704)

 
(218)
 
(3,087)

 
(2,350)

 
(2,638)

Preferred stock dividend
 
(306)

 
(306)
 
(646)

 
(646)

 
(646)

Net Loss Attributable to AdCare Health Systems, Inc. Common Stockholders
 
($7,010)

 
($524)
 
($3,733)

 
($2,996)

 
($3,284)

 
 
 
 
 
 
 
 
 
 
 












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ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
RECONCILIATION OF NET LOSS TO ADJUSTED EBITDA FROM CONTINUING OPERATIONS AND
ADJUSTED EBITDAR FROM CONTINUING OPERATIONS
(Amounts in 000’s)
(Unaudited)


 
 
For Three Months Ended
 
 
 
 
 
 
 
 
 
 
 
 
 
6/30/2013
 
9/30/2013
 
12/31/2013
 
3/31/2014
 
6/30/2014
 
 
 
 
 
 
 
 
 
 
 
Net Loss
 
($6,945)

 
($413)

 
($3,255)

 
($2,523)

 
($2,795)

Impact of discontinued operations
 
1,365

 
603

 
1,308

 
507

 
260

Net (loss) income from continuing operations
 
(5,580)

 
190

 
(1,947)

 
(2,016
)
 
(2,535)

Interest expense, net
 
3,087

 
3,204

 
2,891

 
2,623

 
2,650

Income tax (benefit) expense
 

 
(54)

 
118

 
8

 

Amortization of stock-based compensation
 
291

 
186

 
360

 
513

 
226

Depreciation and amortization
 
1,778

 
1,796

 
2,465

 
1,856

 
1,954

Acquisition costs, net of gains
 
487

 
33

 
(45)

 

 

Derivative loss (gain)
 
1,947

 
(1,989)

 
(829)

 

 

Loss on extinguishment of debt
 
25

 
6

 
77

 
583

 

Loss on disposal of assets
 
4

 
5

 

 

 

Audit committee investigation expense
 
848

 
302

 
102

 

 

Reincorporation - Georgia
 

 

 
91

 

 

Salary retirement and continuation costs
 
149

 
5

 

 

 
1,282

Other (income) expense
 

 
(15)

 
321

 
107

 
84

Adjusted EBITDA from continuing operations
 
3,036

 
3,669

 
3,604

 
3,674

 
3,661

Facility rent expense
 
1,758

 
1,761

 
1,772

 
1,759

 
1,751

Adjusted EBITDAR from continuing operations
 
$4,794

 
$5,430

 
$5,376

 
$
5,433

 
$5,412

 
 
 
 
 
 
 
 
 
 
 


Page 8



ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
SUPPLEMENTARY SCHEDULES
(Unaudited)
 
 2013
 2014
End of Period Data
 Q1
Q2
  6 Mo YTD
 Q3
 9 Mo YTD
 Q4
 12 Mo YTD
 Q1
Q2
  6 Mo YTD
 
 
 
 
 
 
 
 
 
 
 
Number of Facilities
 
 
 
 
 
 
 
 
 
 
SNF
 
 
 
 
 
 
 
 
 
 
   Owned
23
23
23
23
23
23
23
23
23
23
   Leased
9
9
9
9
9
9
9
9
9
9
   Managed
10
10
10
10
10
10
10
3
3
3
ALF
 
 
 
 
 
 
 
 
 
 
   Owned
2
2
2
2
2
2
2
2
2
2
IL
 
 
 
 
 
 
 
 
 
 
   Managed
1
1
1
1
1
1
1
1
1
1
Total
45
45
45
45
45
45
45
38
38
38
 
 
 
 
 
 
 
 
 
 
 
Number of Operational Beds
 
 
 
 
 
 
 
 
 
 
SNF
 
 
 
 
 
 
 
 
 
 
   Owned
2,458
2,458
2,458
2,458
2,458
2,458
2,458
2,458
2,458
2,458
   Leased
1,090
1,090
1,090
1,090
1,090
1,090
1,090
1,090
1,090
1,090
   Managed
813
813
813
813
813
813
813
510
510
510
ALF
 
 
 
 
 
 
 
 
 
 
   Owned
112
112
112
112
112
112
112
112
112
112
IL
 
 
 
 
 
 
 
 
 
 
   Managed
83
83
83
83
83
83
83
83
83
83
Total at Period End
4,556
4,556
4,556
4,556
4,556
4,556
4,556
4,253
4,253
4,253
Total Weighted Average (d)
3,660
3,660
3,660
3,660
3,660
3,660
3,660
3,660
3,660
3,660
 
 
 
 
 
 
 
 
 
 
 
SNF + ALF % Owned
70.2%
70.2%
70.2%
70.2%
70.2%
70.2%
70.2%
70.2%
70.2%
70.2%
SNF + ALF % Leased
29.8%
29.8%
29.8%
29.8%
29.8%
29.8%
29.8%
29.8%
29.8%
29.8%
 
 
 
 
 
 
 
 
 
 
 
Revenue Mix % (b)
 
 
 
 
 
 
 
 
 
 
   Skilled (c)
32.8%
31.9%
32.3%
29.3%
31.3%
29.1%
30.8%
31.8%
32.7%
32.3%
   Medicaid
51.9%
53.0%
52.5%
53.5%
52.8%
53.1%
52.9%
52.2%
51.7%
52.0%
   Private + Other
15.3%
15.1%
15.2%
17.2%
15.9%
17.8%
16.3%
16.0%
15.6%
15.7%
Total
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
 
 
 
 
 
 
 
 
 
 
 
Patient Days (b)
 
 
 
 
 
 
 
 
 
 
   Skilled (c)
40,263
39,716
79,979
35,406
115,385
35,005
150,390
38,147
39,779
77,926
   Medicaid
174,003
179,659
353,662
182,886
536,548
179,693
716,241
177,323
179,030
356,353
   Private + Other
40,073
39,507
79,580
42,381
121,961
46,152
168,113
40,852
42,214
83,066
Total
254,339
258,882
513,221
260,673
773,894
260,850
1,034,744
256,322
261,023
517,345
 
 
 
 
 
 
 
 
 
 
 
Patient Day Mix % (a)
 
 
 
 
 
 
 
 
 
 
   Skilled (c)
16.4%
15.9%
16.1%
14.1%
15.4%
13.9%
15.0%
15.4%
15.9%
15.7%
   Medicaid
70.2%
71.1%
70.7%
71.8%
71.1%
70.8%
71.0%
71.0%
70.5%
70.7%
   Private + Other
13.4%
13.0%
13.2%
14.1%
13.5%
15.3%
14.0%
13.6%
13.6%
13.6%
Total
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
100.0%
 
 
 
 
 
 
 
 
 
 
 
Revenue Rates Per Patient Day (a)
 
 
 
 
 
 
 
 
 
 
   Skilled (c)
$441.07
$436.10
$438.61
$444.21
$440.33
$448.93
$442.33
$453.82
$456.19
$455.03
   Medicaid
$162.30
$160.96
$161.62
$157.97
$160.38
$160.00
$160.28
$161.12
$160.95
$161.04
   Private + Other
$177.30
$176.11
$176.72
$176.89
$176.78
$177.66
$177.02
$181.17
$177.84
$179.49
Weighted Average Total
$217.57
$214.58
$216.06
$210.46
$214.17
$211.55
$213.51
$217.45
$217.73
$217.59
 
 
 
 
 
 
 
 
 
 
 
Average Daily Census (b)
 
 
 
 
 
 
 
 
 
 
   Skilled (c)
447
436
442
385
423
380
412
424
437
431
   Medicaid
1,933
1,974
1,954
1,988
1,965
1,953
1,962
1,970
1,967
1,969
   Private + Other
446
435
439
460
447
502
461
454
464
458
Total Average Daily Census
2,826
2,845
2,835
2,833
2,835
2,835
2,835
2,848
2,868
2,858
 
 
 
 
 
 
 
 
 
 
 
Occupancy (b)
77.2%
77.7%
77.5%
77.4%
77.5%
77.5%
77.5%
77.8%
78.4%
78.1%
 
 
 
 
 
 
 
 
 
 
 
(in thousands)
 
 
 
 
 
 
 
 
 
 
Total Revenue (b)
$54,680
$54,859
$109,539
$54,254
$163,793
$54,517
$218,310
$54,932
$55,729
$110,661
Adjusted EBITDAR (b)
$4,006
$4,794
$8,800
$5,430
$14,229
$5,376
$19,605
$5,433
$5,412
$10,845
Adjusted EBITDA (b)
$2,269
$3,036
$5,305
$3,668
$8,973
$3,605
$12,577
$3,674
$3,661
$7,335
 
 
 
 
 
 
 
 
 
 
 
(a) Skilled nursing only - excludes managed facilities
 
 
 
 
 
 
(b) AdCare consolidated incorporating discontinued operations
 
 
 
 
 
 
(c) Skilled is defined as Medicare A + Managed Care RUGS
(d) Consists of weighted average beds of SNF + ALF owned and leased facilities
 
 
 
 
 


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