EX-99.1 2 exhibit991q32014.htm EXHIBIT Exhibit 99.1 Q3 2014

Exhibit 99.1
AdCare Health Systems Reports Third Quarter 2014 Results
Company Makes Progress in Transition to a Facilities Holding Company;
14 of 37 Facilities Leased, Pending Approval

ATLANTA, GA, November 13, 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 third quarter ended September 30, 2014. The Company also provided an update on its transition to a healthcare facilities holding and leasing company.

Business and Financial Highlights
Since the Board approved the strategic plan to transition the Company’s business from an owner and operator of healthcare facilities to a healthcare facilities holding and leasing company, the Company has entered into agreements to lease or sublease 14 of its healthcare facilities.
Of these 14 health care facilities, six of them are closed transactions.
The Company expects to     close on another three healthcare facilities that are pending regulatory approval by December 2014.
The remaining five healthcare facilities are expected to close sometime in the first quarter of 2015 when financing approval is obtained from the U.S. Department of Housing and Urban Development (“HUD”).
Management currently expects the remaining 23 facilities to be leased or subleased, subject to approval from landlord, lenders, regulators, and/or HUD, by the end of the first quarter of 2015.
Revenues reflecting the historical business model as an owner and operator of skilled nursing facilities were $57.1 million, up 6.4% compared with $53.6 million in the third quarter of 2013.
Adjusted EBITDAR from continuing operations was $6.5 million, up 20.2% compared with $5.4 million in the third 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).
Inclusive of a $1.5 million non-recurring charge, net loss attributable to AdCare common shareholders was $4.0 million compared with net loss of $0.5 million in the third quarter of 2013.
On October 10, 2014, William “Bill” McBride III, a veteran of the REIT industry, was named as Chief Executive Officer and President and as a member of the Board of Directors.
“I have been with AdCare for approximately one month, and everything I have seen thus far demonstrates that we are on the right path to maximize shareholder value,” commented Mr. McBride. “I made the decision to join AdCare after carefully reviewing the strategy the Board put together. I am fully behind

Page 1



this strategy and believe it represents a realistic path for creating shareholder value. We have made good progress thus far, and expect to have lease agreements in place for the remaining 23 properties by the end of March 2015, many of which will be subject to various third-party approvals from lenders, state regulators, and HUD. We are moving aggressively to secure these approvals, but we have limited control over the pace at which these approvals are granted. None of this changes the view of management or the Board about the strategy, but it will impact the speed at which we can implement this strategic transition.”
“Once we have closed on a sufficient number of facilities, the Board is committed to move expeditiously to begin returning cash to shareholders in the form of a dividend on the common stock,” added Mr. McBride. “We are moving as quickly as we can to reach this point, given the external approval requirements. As we progress in our efforts to identify and sign lease agreements and secure the necessary approvals, we will update shareholders on our expectations for the timing and amount of a dividend on the common stock.”
Third Quarter and Nine Month 2014 Summary of Financial Results
The results below do not reflect any significant changes in the business model and are primarily related to the historical business model of owning and operating healthcare facilities.
Revenues in the third quarter of 2014 were $57.1 million, up 6.4% from $53.6 million in the third quarter of 2013. Revenues for the first nine months of 2014 increased by 2.7% to $166.4 million from $162.0 million in 2013.
Quarterly Adjusted EBITDAR from continuing operations in the third quarter of 2014 totaled $6.5 million compared with $5.4 million in the third quarter of 2013. Adjusted EBITDAR from continuing operations for the first nine months of 2014 totaled $17.3 million compared to $14.3 million for the first nine 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).
“I am encouraged by the professionalism of the AdCare team, delivering operational improvements during a period of transition,” added Mr. McBride. “During the quarter, we continued to reduce our fixed costs as part of the transition. Cost reduction will continue to be an important part of this strategic transition, moving at a measured pace to ensure we maintain the highest standards of patient care.”
The net loss attributable to AdCare common shareholders in the third quarter of 2014 totaled $4.0 million, or $(0.22) per basic and diluted share, compared with a net loss of $0.5 million, or $(0.03) per basic and diluted share, in the third quarter of 2013. Several non-recurring and non-operational expenses impacted the net loss for both periods, including salary retirement and continuation costs of $1.5 million in the third quarter of 2014, and a $2.0 million non-cash derivative gain and $0.3 million in non-recurring expense related to the audit committee’s investigation in the third quarter of 2013. For the first nine months of 2014, the net loss attributable to AdCare common stockholders was $10.3 million, or $(0.59) per basic and diluted share, compared with a net loss of $10.4 million, or $(0.70) per basic and diluted share, in 2013.

Page 2



Cash and cash equivalents at September 30, 2014 totaled $12.9 million, as compared with $19.4 million at December 31, 2013. Restricted cash and investments at September 30, 2014 totaled $8.7 million, as compared with $15.4 million at December 31, 2013. Total debt outstanding at September 30, 2014 totaled $151.3 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 health care 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 operator of healthcare facilities to a healthcare facilities 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 healthcare facilities holding and leasing company; (ii) statements regarding anticipated timing for obtaining third-party approvals from lenders, regulators and HUD for the lease or sublease of our healthcare facilities; (iii) statements regarding management’s expectations with respect to the timing of leasing or subleasing our remaining healthcare facilities; (iv) statements regarding anticipated dividend payments returning cash to shareholders; (v) statements regarding financial and operational improvements; and (vi) 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.

Page 3



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.
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.

Page 4



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 Contact                Investor Relations
Bill McBride, CEO                Brett Maas, Managing Partner
AdCare Health Systems, Inc.            Hayden IR
Tel (404) 781-2884                Tel (646) 536-7331    
bill.mcbride@adcarehealth.com        brett@haydenir.com


Page 5



ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(Amounts in 000’s)
 
 
 
 
 
 
 
September 30,
 2014
 
December 31, 
 2013
 
 
(Unaudited)
 
 
ASSETS
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
 
$
12,867

 
$
19,374

Restricted cash and investments
 
921

 
3,801

Accounts receivable, net of allowance of $6,202 and $4,989
 
25,771

 
23,598

Prepaid expenses and other
 
2,198

 
483

Assets of disposal group held for use
 

 
5,135

Assets of disposal group held for sale
 
7,045

 
400

Assets of variable interest entity held for sale
 
5,894

 
5,945

Total current assets
 
54,696

 
58,736

 
 
 
 
 
Restricted cash and investments
 
7,773

 
11,606

Property and equipment, net
 
136,572

 
138,233

Intangible assets - bed licenses
 
2,471

 
2,471

Intangible assets - lease rights, net
 
4,254

 
4,889

Goodwill
 
4,224

 
4,224

Lease deposits
 
1,832

 
1,715

Deferred loan costs, net
 
3,948

 
4,542

Other assets
 
93

 
12

Total assets
 
$
215,863

 
$
226,428

 
 
 
 
 
LIABILITIES AND EQUITY
 
 
 
 
 
 
 
 
 
Current liabilities:
 
 
 
 
Current portion of notes payable and other debt
 
$
24,249

 
$
12,027

Current portion of convertible debt, net of discounts
 
14,000

 
11,389

Revolving credit facilities and lines of credit
 
6,894

 
2,738

Accounts payable
 
17,729

 
23,783

Accrued expenses
 
15,644

 
13,264

Liabilities of disposal group held for sale
 
5,197

 

Liabilities of variable interest entity held for sale
 
5,954

 
6,034

Total current liabilities
 
89,667

 
69,235

 
 
 
 
 
Notes payable and other debt, net of current portion:
 
 
 
 
Senior debt, net of discounts
 
86,832

 
107,858

Bonds, net of discounts
 
7,007

 
6,996

Revolving credit facilities
 
1,121

 
5,765

Convertible debt
 

 
7,500

Other liabilities
 
1,916

 
1,589

Deferred tax liability
 

 
191

Total liabilities
 
186,543

 
199,134

 
 
 
 
 
Commitments and contingencies
 
 
 
 
 
 
 
 
 
Preferred stock, no par value; 5,000 shares authorized; 950 shares issued and outstanding, redemption amount 23,750 at both September 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; 18,811 and 16,016 issued and outstanding at September 30, 2014 and December 31, 2013, respectively
 
61,251

 
48,370

Accumulated deficit
 
(50,141
)
 
(39,884
)
Total stockholders’ equity
 
11,110

 
8,486

Noncontrolling interest in subsidiary
 
(2,182
)
 
(1,634
)
Total equity
 
8,928

 
6,852

Total liabilities and equity
 
$
215,863

 
$
226,428


Page 6



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

 
 

 
 

 
 

Patient care revenues
 
$
56,637

 
$
53,126

 
$
165,196

 
$
160,471

Management revenues
 
354

 
521

 
1,140

 
1,529

Rental revenues
 
88

 

 
88

 

Total revenues
 
57,079

 
53,647

 
166,424

 
162,000

 
 
 
 
 
 
 
 
 
Expenses:
 
 

 
 

 
 

 
 

Cost of services (exclusive of facility rent, depreciation and amortization)
 
47,198

 
43,802

 
137,743

 
134,392

General and administrative expense
 
3,578

 
4,583

 
12,318

 
14,016

Audit committee investigation expense
 

 
302

 

 
2,284

Facility rent expense
 
1,695

 
1,702

 
5,085

 
5,077

Depreciation and amortization
 
1,906

 
1,779

 
5,716

 
5,245

Salary retirement and continuation costs
 
1,489

 
5

 
2,771

 
154

Total expenses
 
55,866

 
52,173

 
163,633

 
161,168

Income from Operations
 
1,213

 
1,474

 
2,791

 
832

 
 
 
 
 
 
 
 
 
Other Income (Expense):
 
 
 
 
 
 
 
 
Interest expense, net
 
(2,644
)
 
(3,204
)
 
(7,916
)
 
(9,459
)
Acquisition costs, net of gains
 
(8
)
 
(33
)
 
(8
)
 
(610
)
Derivative gain
 

 
1,989

 

 
2,178

Loss on extinguishment of debt
 
(1,220
)
 
(6
)
 
(1,803
)
 
(33
)
Loss on disposal of assets
 

 
(6
)
 

 
(10
)
Other (expense) income
 
(444
)
 
15

 
(636
)
 
15

Total other expense, net
 
(4,316
)
 
(1,245
)
 
(10,363
)
 
(7,919
)
 
 
 
 
 
 
 
 
 
(Loss) Income from Continuing Operations Before Income Taxes
 
(3,103
)
 
229

 
(7,572
)
 
(7,087
)
Income tax benefit (expense)
 
244

 
54

 
236

 
(24
)
(Loss) Income from Continuing Operations
 
(2,859
)
 
283

 
(7,336
)
 
(7,111
)
 
 
 
 
 
 
 
 
 
Loss from Discontinued Operations, Net of Tax
 
(690
)
 
(696
)
 
(1,531
)
 
(2,998
)
Net Loss
 
(3,549
)
 
(413
)
 
(8,867
)
 
(10,109
)
 
 
 
 
 
 
 
 
 
Net Loss Attributable to Noncontrolling Interests
 
218

 
195

 
548

 
629

Net Loss Attributable to AdCare Health Systems, Inc.
 
(3,331
)
 
(218
)
 
(8,319
)
 
(9,480
)
 
 
 
 
 
 
 
 
 
Preferred stock dividend
 
(646
)
 
(306
)
 
(1,938
)
 
(918
)
Net Loss Attributable to AdCare Health Systems, Inc. Common Stockholders
 
$
(3,977
)
 
$
(524
)
 
$
(10,257
)
 
$
(10,398
)
 
 
 
 
 
 
 
 
 
Net loss per Common Share attributable to AdCare Health Systems, Inc.
 
 

 
 

 
 

 
 

Common Stockholders -
 
 

 
 

 
 

 
 

Basic:
 
 

 
 

 
 

 
 

Continuing Operations
 
$
(0.18
)
 
$
0.01

 
$
(0.50
)
 
$
(0.50
)
Discontinued Operations
 
(0.04
)
 
(0.04
)
 
(0.09
)
 
(0.20
)
 
 
$
(0.22
)
 
$
(0.03
)
 
$
(0.59
)
 
$
(0.70
)
 
 
 
 
 
 
 
 
 
Diluted:
 
 
 
 
 
 
 
 
Continuing Operations
 
$
(0.18
)
 
$
0.01

 
$
(0.50
)
 
$
(0.50
)
Discontinued Operations
 
(0.04
)
 
(0.04
)
 
(0.09
)
 
(0.20
)
 
 
$
(0.22
)
 
$
(0.03
)
 
$
(0.59
)
 
$
(0.70
)
 
 
 
 
 
 
 
 
 
Weighted Average Common Shares Outstanding:
 
 
 
 
 
 
 
 
Basic
 
18,134

 
14,962

 
17,539

 
14,805

Diluted
 
18,134

 
14,962

 
17,539

 
14,805


Page 7



ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
TRAILING FIVE QUARTERS
(Amounts in 000's)
(Unaudited)
 
 
 
For Three Months Ended
 
 
 
9/30/2013
 
12/31/2013
 
3/31/2014
 
6/30/2014
 
9/30/2014
Revenues:
 
 
 
 
 
 
 
 
 
 
Patient care revenues
 
$
53,126

 
$
53,239

 
$
53,797

 
$
54,762

 
$
56,637

Management revenues
 
521

 
568

 
482

 
304

 
354

Rental revenues
 

 

 

 

 
88

Total revenues
 
53,647

 
53,807

 
54,279

 
55,066

 
57,079

Expenses:
 
 
 
 
 
 
 
 
 
 
Cost of services (exclusive of facility rent, depreciation and amortization)
 
43,802

 
43,925

 
44,821

 
45,724

 
47,198

General and administrative expenses
 
4,583

 
5,016

 
4,561

 
4,179

 
3,578

Audit committee investigation expense
 
302

 
102

 

 

 

Facility rent expense
 
1,702

 
1,712

 
1,698

 
1,692

 
1,695

Depreciation and amortization
 
1,779

 
1,946

 
1,856

 
1,954

 
1,906

Salary retirement and continuation costs
 
5

 

 

 
1,282

 
1,489

Total expenses
 
52,173

 
52,701

 
52,936

 
54,831

 
55,866

Income from Operations
 
1,474

 
1,106

 
1,343

 
235

 
1,213

 
 
 
 
 
 
 
 
 
 
 
Other Income (Expense):
 
 
 
 
 
 
 
 
 
 
Interest expense, net
 
(3,204
)
 
(2,891
)
 
(2,622
)
 
(2,650
)
 
(2,644
)
Acquisition costs, net of gains
 
(33
)
 
45

 

 

 
(8
)
Derivative gain
 
1,989

 
829

 

 

 

Loss on extinguishment of debt
 
(6
)
 
(77
)
 
(583
)
 

 
(1,220
)
Loss on disposal of assets
 
(6
)
 

 

 

 

Other income (expense)
 
15

 
(321
)
 
(109
)
 
(83
)
 
(444
)
Total other expense, net
 
(1,245
)
 
(2,415
)
 
(3,314
)
 
(2,733
)
 
(4,316
)
 
 
 
 
 
 
 
 
 
 
 
(Loss) Income from Continuing Operations Before Income Taxes
 
229

 
(1,309
)
 
(1,971
)
 
(2,498
)
 
(3,103
)
Income tax benefit (expense)
 
54

 
(118
)
 
(8
)
 

 
244

Income (Loss) from Continuing Operations
 
283

 
(1,427
)
 
(1,979
)
 
(2,498
)
 
(2,859
)
Loss from Discontinued Operations, Net of Tax
 
(696
)
 
(1,828
)
 
(544
)
 
(297
)
 
(690
)
Net Loss
 
(413
)
 
(3,255
)
 
(2,523
)
 
(2,795
)
 
(3,549
)
Net Loss Attributable to Noncontrolling Interest
 
195

 
168

 
173

 
157

 
218

Net Loss Attributable to AdCare Health Systems, Inc.
 
(218
)
 
(3,087
)
 
(2,350
)
 
(2,638
)
 
(3,331
)
Preferred stock dividend
 
(306
)
 
(646
)
 
(646
)
 
(646
)
 
(646
)
Net Loss Attributable to AdCare Health Systems, Inc. Common Stockholders
 
$
(524
)
 
$
(3,733
)
 
$
(2,996
)
 
$
(3,284
)
 
$
(3,977
)








Page 8





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
 
 
 
9/30/2013
 
12/31/2013
 
3/31/2014
 
6/30/2014
 
9/30/2014
 
 
 
 
 
 
 
 
 
 
 
Net Loss
 
$
(413
)
 
$
(3,255
)
 
$
(2,523
)
 
$
(2,795
)
 
$
(3,549
)
Impact of discontinued operations
 
696

 
1,828

 
544

 
297

 
690

Net (loss) income from continuing operations (Per GAAP)
 
283

 
(1,427
)
 
(1,979
)
 
(2,498
)
 
(2,859
)
Add back:
 
 
 
 
 
 
 
 
 
 
Interest expense, net
 
3,204

 
2,891

 
2,622

 
2,650

 
2,644

Income tax (benefit) expense
 
(54
)
 
118

 
8

 

 
(244
)
Amortization of stock-based compensation
 
186

 
360

 
513

 
226

 
244

Depreciation and amortization
 
1,779

 
1,946

 
1,856

 
1,954

 
1,906

Acquisition costs, net of gain
 
33

 
(45
)
 

 

 
8

Loss on extinguishment of debt
 
6

 
77

 
583

 

 
1,220

Derivative gain
 
(1,989
)
 
(829
)
 

 

 

Loss on disposal of assets
 
6

 

 

 

 

Audit committee investigation expense
 
302

 
102

 

 

 

   Reincorporation - Georgia
 

 
91

 

 

 

Salary retirement and continuation costs
 
5

 

 

 
1,282

 
1,489

Other (income) expenses
 
(15
)
 
321

 
109

 
83

 
444

Adjusted EBITDA from continuing operations
 
3,746

 
3,605

 
3,712

 
3,697

 
4,852

Facility rent expense
 
1,702

 
1,712

 
1,698

 
1,692

 
1,695

Adjusted EBITDAR from continuing operations
 
$
5,448

 
$
5,317

 
$
5,410

 
$
5,389

 
$
6,547

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


























Page 9






ADCARE HEALTH SYSTEMS, INC. AND SUBSIDIARIES
SUPPLEMENTARY SCHEDULES
(Unaudited)
 
2013
2014
End of Period Data
 Q1
Q2
 Q3
 9 Mo. YTD
 Q4
 Q1
Q2
 Q3
 9 Mo. YTD
 
 
 
 
 
 
 
 
 
 
Number of Facilities
 
 
 
 
 
 
 
 
 
SNF
 
 
 
 
 
 
 
 
 
   Owned
23
23
23
23
23
23
23
23
23
   Leased
8
8
8
8
8
8
8
8
8
   Managed
10
10
10
10
10
3
3
3
3
ALF
 
 
 
 
 
 
 
 
 
   Owned
2
2
2
2
2
2
2
2
2
IL
 
 
 
 
 
 
 
 
 
   Managed
1
1
1
1
1
1
1
1
1
Total
44
44
44
44
44
37
37
37
37
 
 
 
 
 
 
 
 
 
 
Number of Operational Beds
 
 
 
 
 
 
 
 
 
SNF
 
 
 
 
 
 
 
 
 
   Owned
2,458
2,458
2,458
2,458
2,458
2,458
2,458
2,458
2,458
   Leased
1,038
1,038
1,038
1,038
1,038
1,038
1,038
1,038
1,038
   Managed
813
813
813
813
813
510
510
510
510
ALF
 
 
 
 
 
 
 
 
 
   Owned
112
112
112
112
112
112
112
112
112
IL
 
 
 
 
 
 
 
 
 
   Managed
83
83
83
83
83
83
83
83
83
Total at Period End
4,504
4,504
4,504
4,504
4,504
4,201
4,201
4,201
4,201
Total Weighted Average (d)
3,608
3,608
3,608
3,608
3,608
3,608
3,608
3,608
3,608
 
 
 
 
 
 
 
 
 
 
SNF + ALF % Owned
71.2%
71.2%
71.2%
71.2%
71.2%
71.2%
71.2%
71.2%
71.2%
SNF + ALF % Leased
28.8%
28.8%
28.8%
28.8%
28.8%
28.8%
28.8%
28.8%
28.8%
 
 
 
 
 
 
 
 
 
 
Revenue Mix % (b)
 
 
 
 
 
 
 
 
 
   Skilled (c)
32.8%
32.0%
29.4%
31.4%
29.1%
31.8%
32.8%
31.7%
32.1%
   Medicaid
51.9%
52.8%
53.4%
52.7%
53.1%
52.1%
51.6%
51.8%
51.8%
   Private + Other
15.3%
15.2%
17.2%
15.9%
17.8%
16.1%
15.6%
16.5%
16.1%
Total
100%
100%
100%
100%
100%
100%
100%
100%
100%
 
 
 
 
 
 
 
 
 
 
Patient Days (b)
 
 
 
 
 
 
 
 
 
   Skilled (c)
39,717
39,400
35,119
114,236
34,416
37,632
39,375
39,387
116,394
   Medicaid
171,584
177,100
179,990
528,674
177,154
174,512
176,155
181,017
531,684
   Private + Other
39,697
39,279
42,203
121,179
45,625
40,535
41,849
44,312
126,696
Total
250,998
255,779
257,312
764,089
257,195
252,679
257,379
264,716
774,774
 
 
 
 
 
 
 
 
 
 
Patient Day Mix % (a)
 
 
 
 
 
 
 
 
 
   Skilled (c)
16.4%
16.0%
14.1%
15.5%
13.9%
15.5%
15.9%
15.4%
15.6%
   Medicaid
70.1%
71.0%
71.6%
70.9%
70.8%
70.9%
70.4%
70.2%
70.5%
   Private + Other
13.5%
13.0%
14.3%
13.6%
15.3%
13.6%
13.7%
14.4%
13.9%
Total
100%
100%
100%
100%
100%
100%
100%
100%
100%
 
 
 
 
 
 
 
 
 
 
Revenue Rates Per Patient Day (a)
 
 
 
 
 
 
 
 
 
   Skilled (c)
$441.73
$436.66
$444.47
$440.82
$449.55
$454.85
$456.80
$455.22
$455.64
   Medicaid
$162.53
$161.22
$158.14
$160.60
$160.28
$161.34
$161.26
$162.84
$161.83
   Private + Other
$177.58
$176.28
$177.01
$176.96
$178.01
$181.43
$178.10
$177.96
$179.12
Weighted Average Total
$217.89
$215.11
$210.86
$214.59
$211.81
$218.02
$218.25
$219.15
$218.49
 
 
 
 
 
 
 
 
 
 
Average Daily Census (b)
 
 
 
 
 
 
 
 
 
   Skilled (c)
441
433
382
418
374
418
433
428
426
   Medicaid
1,906
1,946
1,956
1,937
1,926
1,939
1,936
1,968
1,948
   Private + Other
442
432
459
444
496
451
459
481
464
Total Average Daily Census
2,789
2,811
2,797
2,799
2,796
2,808
2,828
2,877
2,838
 
 
 
 
 
 
 
 
 
 
Occupancy (b)
77.3%
77.9%
77.5%
77.6%
77.5%
77.8%
78.4%
79.7%
78.7%
 
 
 
 
 
 
 
 
 
 
(in thousands)
 
 
 
 
 
 
 
 
 
Total Revenue (b)
$54,030
$54,323
$53,647
$162,000
$53,807
$54,279
$55,066
$57,079
$166,424
Adjusted EBITDAR (b)
$3,993
$4,888
$5,448
$14,329
$5,317
$5,410
$5,389
$6,547
$17,346
Adjusted EBITDA (b)
$2,316
$3,190
$3,746
$9,252
$3,605
$3,712
$3,697
$4,852
$12,261
 
 
 
 
 
 
 
 
 
 
(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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