Delaware | 001-33757 | 33-0861263 | ||||
(State or other jurisdiction of incorporation) | (Commission File Number) | (IRS Employer Identification No.) | ||||
27101 Puerta Real, Suite 450, Mission Viejo, CA | 92691 | |||||
(Address of principal executive offices) | (Zip Code) |
o | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |
o | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |
o | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |
o | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Exhibit No. | Description | |
99.1 | Press Release of the Company dated May 1, 2013 |
Dated: May 6, 2013 | THE ENSIGN GROUP, INC. | |||
By: | /s/ Suzanne D. Snapper | |||
Suzanne D. Snapper | ||||
Chief Financial Officer | ||||
Exhibit No. | Description | |
99.1 | Press Release of the Company dated May 1, 2013 |
▪ | Adjusted earnings per share climbed 6.6% to $0.65 per share for the quarter; |
▪ | Same-store skilled revenue mix grew by 124 basis points to 53.4% of revenues in the quarter; |
▪ | Adjusted net income was up 10.1% to $14.5 million for the quarter; |
▪ | Adjusted consolidated EBITDAR was $37.0 million, an increase of 7.6% over the prior year quarter; and |
▪ | Consolidated revenues were up 8.0% to a record $218.2 million in the quarter. |
▪ | The newly-developed Sloan's Lake Rehabilitation and Care Center, a 41-bed all-private/Medicare skilled nursing facility located just West of downtown Denver, Colorado; |
▪ | Legacy Rehab & Living Center, a skilled nursing facility located in Amarillo, Texas with 147 operational beds; |
▪ | San Marcos Rehab & Healthcare Center, a 129-bed skilled nursing facility located in San Marcos, Texas; |
▪ | Courtyard Rehab & Healthcare Center, a 56-bed skilled nursing facility located in Victoria, Texas; |
▪ | La Villa Rehab & Healthcare Center, a 152-bed skilled nursing facility located in San Marcos, Texas; |
▪ | Redmond Care & Rehabilitation Center, a 110-bed skilled nursing facility located in Redmond, Washington; |
▪ | Omaha Nursing & Rehabilitation Center, a 70-bed skilled nursing facility located in Omaha, Nebraska; |
▪ | Redmond Heights Senior Living, a 90-unit assisted living and memory care facility located in Redmond, Washington; |
▪ | Emblem Hospice, a well-regarded hospice agency located in the greater Phoenix market's burgeoning East Valley area; |
▪ | Vesper Hospice, a small but respected hospice agency located in the Pasadena, California market; |
▪ | Symbol Healthcare, a home health agency located in the Tacoma, Washington market; |
▪ | Elite Home Health and Hospice, a home health agency and a separate hospice agency, both located in the Clarkston, Washington market; |
▪ | Custom Home Health, a licensed non-operating home health agency in the Dallas, Texas market that will be added to Ensign's existing Custom Hospice business in that market; and |
▪ | Two new Immediate Clinic urgent care clinics located in the greater Seattle, Washington market. |
Three Months Ended March 31, 2013 | ||||||||||
As Reported | Non-GAAP Adj. | As Adjusted | ||||||||
Revenue | $ | 218,201 | (773 | ) | (6) (7) | $ | 217,428 | |||
Expense: | ||||||||||
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) | 176,061 | (3,281 | ) | (1)(2)(6)(7) | 172,780 | |||||
U.S. Government inquiry settlement | 33,000 | (33,000 | ) | (3) | — | |||||
Facility rent—cost of services | 3,314 | (255 | ) | (4)(6) | 3,059 | |||||
General and administrative expense | 8,848 | (807 | ) | (5) | 8,041 | |||||
Depreciation and amortization | 7,732 | (265 | ) | (6)(8) | 7,467 | |||||
Total expenses | 228,955 | (37,608 | ) | 191,347 | ||||||
(Loss) income from operations | (10,754 | ) | 36,835 | 26,081 | ||||||
Other income (expense): | ||||||||||
Interest expense | (3,115 | ) | (3,115 | ) | ||||||
Interest income | 93 | 93 | ||||||||
Other expense, net | (3,022 | ) | (3,022 | ) | ||||||
(Loss) income before provision for income taxes | (13,776 | ) | 36,835 | 23,059 | ||||||
Tax Effect on Non-GAAP Adjustments | 14,181 | (9) | ||||||||
Tax True-up for Effective Tax Rate | (2,290 | ) | (10) | |||||||
(Benefit) provision for income taxes | (3,013 | ) | 11,891 | 8,878 | ||||||
(Loss) income from continuing operations | (10,763 | ) | 24,944 | 14,181 | ||||||
Loss from discontinued operations, net of income tax benefit | (1,748 | ) | (1,748 | ) | ||||||
Net (loss) income | (12,511 | ) | 24,944 | 12,433 | ||||||
Less: net loss attributable to noncontrolling interests | (364 | ) | (364 | ) | ||||||
Net (loss) income attributable to The Ensign Group, Inc. | $ | (12,147 | ) | 24,944 | $ | 12,797 | ||||
Attributable to The Ensign Group, Inc. | ||||||||||
Net (loss) income attributable to The Ensign Group, Inc. | (12,147 | ) | 24,944 | 12,797 | ||||||
Loss from discontinued operations, net of income tax benefit | (1,748 | ) | (1,748 | ) | ||||||
(Loss) income from continuing operations attributable to The Ensign Group, Inc. | $ | (10,399 | ) | 24,944 | $ | 14,545 | ||||
Net (loss) income per share: | ||||||||||
Basic: | ||||||||||
Net (loss) income attributable to The Ensign Group, Inc. | (0.56 | ) | 0.59 | |||||||
Loss from discontinued operations, net of income tax benefit | (0.08 | ) | (0.08 | ) | ||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | (0.48 | ) | $ | 0.67 | |||||
Diluted: | ||||||||||
Net (loss) income attributable to The Ensign Group, Inc. | (0.56 | ) | 0.58 | |||||||
Loss from discontinued operations, net of income tax benefit | (0.08 | ) | (0.07 | ) | ||||||
(Loss) income from continuing operations attributable to The Ensign Group, Inc. | $ | (0.48 | ) | $ | 0.65 | |||||
Weighted average common shares outstanding: | ||||||||||
Basic | 21,768 | — | 21,768 | |||||||
Diluted | 21,768 | 442 | (11) | 22,210 | ||||||
Three Months Ended March 31, 2012 | ||||||||||
As Reported | Non-GAAP Adj. | As Adjusted | ||||||||
Revenue | $ | 202,040 | $ | 202,040 | ||||||
Expense: | ||||||||||
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) | 160,627 | (315 | ) | (1)(2) | 160,312 | |||||
Facility rent—cost of services | 3,320 | (171 | ) | (3) | 3,149 | |||||
General and administrative expense | 7,697 | (256 | ) | (4) | 7,441 | |||||
Depreciation and amortization | 6,914 | (184 | ) | (5) | 6,730 | |||||
Total expenses | 178,558 | (926 | ) | 177,632 | ||||||
Income from operations | 23,482 | 926 | 24,408 | |||||||
Other income (expense): | ||||||||||
Interest expense | (2,925 | ) | (2,925 | ) | ||||||
Interest income | 51 | 51 | ||||||||
Other expense, net | (2,874 | ) | (2,874 | ) | ||||||
Income before provision for income taxes | 20,608 | 926 | 21,534 | |||||||
Tax impact of non-GAAP adjustments | 361 | (6) | ||||||||
Tax true-up for effective tax rate | 323 | (7) | ||||||||
Provision for income taxes | 7,714 | 684 | 8,398 | |||||||
Income from continuing operations | 12,894 | 242 | 13,136 | |||||||
Loss from discontinued operations, net of income tax benefit | (66 | ) | (66 | ) | ||||||
Net income | 12,828 | 242 | 13,070 | |||||||
Less: net loss attributable to noncontrolling interests | (76 | ) | (76 | ) | ||||||
Net income attributable to The Ensign Group, Inc. | $ | 12,904 | 242 | $ | 13,146 | |||||
Attributable to The Ensign Group, Inc. | ||||||||||
Net income attributable to The Ensign Group, Inc. | 12,904 | 242 | 13,146 | |||||||
Loss from discontinued operations, net of income tax benefit | (66 | ) | (66 | ) | ||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 12,970 | 242 | $ | 13,212 | |||||
Net income per share | ||||||||||
Basic: | ||||||||||
Net income attributable to The Ensign Group, Inc. | 0.61 | 0.62 | ||||||||
Loss from discontinued operations, net of income tax benefit | — | — | ||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.61 | $ | 0.62 | ||||||
Diluted: | ||||||||||
Net income attributable to The Ensign Group, Inc. | 0.59 | 0.60 | ||||||||
Loss from discontinued operations, net of income tax benefit | (0.01 | ) | (0.01 | ) | ||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.60 | $ | 0.61 | ||||||
Weighted average common shares outstanding: | ||||||||||
Basic | 21,251 | 21,251 | ||||||||
Diluted | 21,796 | 21,796 | ||||||||
Three Months Ended June 30, 2012 | Six Months Ended June 30, 2012 | ||||||||||||||||||||
As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | ||||||||||||||||
Revenue | $ | 203,919 | $ | 203,919 | $ | 405,959 | $ | 405,959 | |||||||||||||
Expense: | |||||||||||||||||||||
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) | 162,085 | (2,696 | ) | (1)(3)(7) | 159,389 | 322,712 | (3,011 | ) | (1)(2)(3)(7) | 319,701 | |||||||||||
Facility rent—cost of services | 3,355 | (181 | ) | (4)(7) | 3,174 | 6,675 | (352 | ) | (4)(7) | 6,323 | |||||||||||
General and administrative expense | 8,137 | (593 | ) | (5) | 7,544 | 15,834 | (848 | ) | (5) | 14,986 | |||||||||||
Depreciation and amortization | 7,010 | (123 | ) | (6) | 6,887 | 13,924 | (307 | ) | (6) | 13,617 | |||||||||||
Total expenses | 180,587 | (3,593 | ) | 176,994 | 359,145 | (4,518 | ) | 354,627 | |||||||||||||
Income from operations | 23,332 | 3,593 | 26,925 | 46,814 | 4,518 | 51,332 | |||||||||||||||
Other income (expense): | |||||||||||||||||||||
Interest expense | (3,114 | ) | (3,114 | ) | (6,039 | ) | (6,039 | ) | |||||||||||||
Interest income | 52 | 52 | 103 | 103 | |||||||||||||||||
Other expense, net | (3,062 | ) | (3,062 | ) | (5,936 | ) | (5,936 | ) | |||||||||||||
Income before provision for income taxes | 20,270 | 3,593 | 23,863 | 40,878 | 4,518 | 45,396 | |||||||||||||||
Tax impact of non-GAAP adjustments | 1,401 | (8) | 1,762 | (8) | |||||||||||||||||
Tax true-up for effective tax rate | 34 | (9) | 356 | (9) | |||||||||||||||||
Provision for income taxes | 7,872 | 1,435 | 9,307 | 15,586 | 2,118 | 17,704 | |||||||||||||||
Income from continuing operations | 12,398 | 2,158 | 14,556 | 25,292 | 2,400 | 27,692 | |||||||||||||||
Loss from discontinued operations, net of income tax benefit | (119 | ) | (119 | ) | (185 | ) | (185 | ) | |||||||||||||
Net income | 12,279 | 2,158 | 14,437 | 25,107 | 2,400 | 27,507 | |||||||||||||||
Less: net loss attributable to noncontrolling interests | (177 | ) | 34 | (143 | ) | (253 | ) | 34 | (219 | ) | |||||||||||
Net income attributable to The Ensign Group, Inc. | $ | 12,456 | 2,124 | $ | 14,580 | $ | 25,360 | 2,366 | $ | 27,726 | |||||||||||
Attributable to The Ensign Group, Inc. | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 12,456 | 2,124 | 14,580 | 25,360 | 2,366 | 27,726 | |||||||||||||||
Loss from discontinued operations, net of income tax benefit | (119 | ) | (119 | ) | (185 | ) | (185 | ) | |||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 12,575 | 2,124 | $ | 14,699 | $ | 25,545 | 2,366 | $ | 27,911 | |||||||||||
Net income per share | |||||||||||||||||||||
Basic: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.58 | 0.68 | 1.19 | 1.30 | |||||||||||||||||
Loss from discontinued operations, net of income tax benefit | (0.01 | ) | (0.01 | ) | (0.01 | ) | (0.01 | ) | |||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.59 | $ | 0.69 | $ | 1.20 | $ | 1.31 | |||||||||||||
Diluted: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.57 | 0.67 | 1.16 | 1.27 | |||||||||||||||||
Loss from discontinued operations, net of income tax benefit | — | — | (0.01 | ) | (0.01 | ) | |||||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.57 | $ | 0.67 | $ | 1.17 | $ | 1.28 | |||||||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||
Basic | 21,368 | 21,368 | 21,309 | 21,309 | |||||||||||||||||
Diluted | 21,886 | 21,886 | 21,841 | 21,841 | |||||||||||||||||
(1) | Represents acquisition-related costs of $46 and $120 for the three and six months ended June 30, 2012, respectively. |
(2) | Represents costs of $241 incurred in the first quarter to recognize income tax credits which contributed to the decrease in the Company's effective tax rate. |
(3) | Represents the settlement of a class action lawsuit regarding minimum staffing requirements in the state of California of $2,596 during the three months ended June 30, 2012. |
(4) | Represents straight-line rent amortization for a facility which the Company has begun construction activities, but had not commenced operations of a skilled nursing facility as of June 30, 2012. |
(5) | Represents legal costs incurred in connection with the ongoing investigation into the billing and reimbursement processes of some of our subsidiaries being conducted by the Department of Justice (DOJ). |
(6) | Represents amortization costs related to patient base intangible assets acquired. Patient base intangible assets are amortized over a period of four to eight months, depending on the classification of the patients and the level of occupancy in a new acquisition on the acquisition date. |
(7) | Represents costs incurred at urgent care centers which had not begun operations as of June 30, 2012. |
(8) | Represents the tax impact of non-GAAP adjustments noted in (1) - (7) at a normalized rate of 39.0%. |
(9) | In 2011 and 2010, the Company's effective tax rate was 38.3% and 39.3%, respectively. Therefore, this represents an adjustment to the provision for income taxes to normalize our current quarter effective rate to 39.0%. |
Three Months Ended September 30, 2012 | Nine Months Ended September 30, 2012 | ||||||||||||||||||||
As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | ||||||||||||||||
Revenue | $ | 206,691 | $ | 206,691 | $ | 612,650 | $ | 612,650 | |||||||||||||
Expense: | |||||||||||||||||||||
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) | 164,579 | (553 | ) | (1)(2)(7) | 164,026 | 487,291 | (3,565 | ) | (1)(2)(3)(7) | 483,726 | |||||||||||
Facility rent—cost of services | 3,359 | (236 | ) | (4)(7) | 3,123 | 10,034 | (588 | ) | (4)(7) | 9,446 | |||||||||||
General and administrative expense | 8,099 | (593 | ) | (5)(7) | 7,506 | 23,933 | (1,441 | ) | (5)(7) | 22,492 | |||||||||||
Depreciation and amortization | 7,147 | (144 | ) | (6)(7) | 7,003 | 21,071 | (450 | ) | (6)(7) | 20,621 | |||||||||||
Total expenses | 183,184 | (1,526 | ) | 181,658 | 542,329 | (6,044 | ) | 536,285 | |||||||||||||
Income from operations | 23,507 | 1,526 | 25,033 | 70,321 | 6,044 | 76,365 | |||||||||||||||
Other income (expense): | |||||||||||||||||||||
Interest expense | (3,092 | ) | (3,092 | ) | (9,131 | ) | (9,131 | ) | |||||||||||||
Interest income | 69 | 69 | 172 | 172 | |||||||||||||||||
Other expense, net | (3,023 | ) | (3,023 | ) | (8,959 | ) | (8,959 | ) | |||||||||||||
Income before provision for income taxes | 20,484 | 1,526 | 22,010 | 61,362 | 6,044 | 67,406 | |||||||||||||||
Tax impact of non-GAAP adjustments | 595 | (8) | 2,357 | (8) | |||||||||||||||||
Tax true-up for effective tax rate | 461 | (9) | 817 | (9) | |||||||||||||||||
Provision for income taxes | 7,528 | 1,056 | 8,584 | 23,114 | 3,174 | 26,288 | |||||||||||||||
Income from continuing operations | 12,956 | 470 | 13,426 | 38,248 | 2,870 | 41,118 | |||||||||||||||
Income (loss) from discontinued operations, net of income tax | 80 | 80 | (105 | ) | (105 | ) | |||||||||||||||
Net income | 13,036 | 470 | 13,506 | 38,143 | 2,870 | 41,013 | |||||||||||||||
Less: net loss attributable to noncontrolling interests | (258 | ) | 94 | (164 | ) | (511 | ) | 128 | (383 | ) | |||||||||||
Net income attributable to The Ensign Group, Inc. | $ | 13,294 | 376 | $ | 13,670 | $ | 38,654 | 2,742 | $ | 41,396 | |||||||||||
Attributable to The Ensign Group, Inc. | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 13,294 | 376 | 13,670 | 38,654 | 2,742 | 41,396 | |||||||||||||||
Income (loss) from discontinued operations, net of income tax | 80 | 80 | (105 | ) | (105 | ) | |||||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 13,214 | 376 | $ | 13,590 | $ | 38,759 | 2,742 | $ | 41,501 | |||||||||||
Net income per share | |||||||||||||||||||||
Basic: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.62 | 0.64 | 1.81 | 1.94 | |||||||||||||||||
Income (loss) from discontinued operations, net of income tax | 0.01 | 0.01 | — | — | |||||||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.61 | $ | 0.63 | $ | 1.81 | $ | 1.94 | |||||||||||||
Diluted: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.60 | 0.62 | 1.77 | 1.89 | |||||||||||||||||
Income (loss) from discontinued operations, net of income tax benefit | — | — | — | (0.01 | ) | ||||||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.60 | $ | 0.62 | $ | 1.77 | $ | 1.90 | |||||||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||
Basic | 21,488 | 21,488 | 21,369 | 21,369 | |||||||||||||||||
Diluted | 22,010 | 22,010 | 21,899 | 21,899 | |||||||||||||||||
(1) | Represents acquisition-related costs of $110 and $230 for the three and nine months ended September 30, 2012, respectively. |
(2) | Represents costs of $197 and $439 for the three and nine months ended September 30, 2012, respectively, incurred to recognized income tax credits which contributed to the decrease in the Company's effective tax rate. |
(3) | Represents the settlement of a class action lawsuit regarding minimum staffing requirements in the state of California of $2,596 during the three months ended June 30, 2012. |
(4) | Represents straight-line rent amortization for a facility which the Company has begun construction activities, but had not commenced operations of a skilled nursing facility as of September 30, 2012. |
(5) | Represents legal costs incurred in connection with the ongoing investigation into the billing and reimbursement processes of some of our subsidiaries being conducted by the Department of Justice (DOJ). |
(6) | Represents amortization costs related to patient base intangible assets acquired. Patient base intangible assets are amortized over a period of four to eight months, depending on the classification of the patients and the level of occupancy in a new acquisition on the acquisition date. |
(7) | Represents costs incurred at urgent care centers which had not begun operations as of September 30, 2012. |
(8) | Represents the tax impact of non-GAAP adjustments noted in (1) - (7) at a normalized rate of 39.0%. |
(9) | In 2011 and 2010, the Company's effective tax rate was 38.3% and 39.3%, respectively. Therefore, this represents an adjustment to the provision for income taxes to normalize our current quarter effective rate to 39.0%. |
Three Months Ended December 31, 2012 | Year Ended December 31, 2012 | ||||||||||||||||||||
As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | As Reported Including Discontinued Operations | Non-GAAP Adj. | As Adjusted | ||||||||||||||||
Revenue | $ | 210,505 | (79 | ) | (9) | $ | 210,426 | $ | 823,155 | (79 | ) | (9) | $ | 823,076 | |||||||
Expense: | |||||||||||||||||||||
Cost of services (exclusive of facility rent, general and administrative and depreciation and amortization expense shown separately below) | 169,133 | (3,077 | ) | (1)(2)(5)(9) | 166,056 | 656,424 | (6,641 | ) | (1)(2)(3)(5)(9) | 649,783 | |||||||||||
Charges related to U.S. Government inquiry | 15,000 | (15,000 | ) | (4) | — | 15,000 | (15,000 | ) | (4) | ||||||||||||
Facility rent—cost of services | 3,247 | (272 | ) | (6)(9) | 2,975 | 13,281 | (860 | ) | (6)(9) | 12,421 | |||||||||||
General and administrative expense | 7,886 | (503 | ) | (7) | 7,383 | 31,819 | (1,945 | ) | (7) | 29,874 | |||||||||||
Depreciation and amortization | 7,287 | (50 | ) | (8)(9) | 7,237 | 28,358 | (501 | ) | (8)(9) | 27,857 | |||||||||||
Total expenses | 202,553 | (18,902 | ) | 183,651 | 744,882 | (24,947 | ) | 719,935 | |||||||||||||
Income from operations | 7,952 | 18,823 | 26,775 | 78,273 | 24,868 | 103,141 | |||||||||||||||
Other income (expense): | |||||||||||||||||||||
Interest expense | (3,098 | ) | (3,098 | ) | (12,229 | ) | (12,229 | ) | |||||||||||||
Interest income | 83 | 83 | 255 | 255 | |||||||||||||||||
Other expense, net | (3,015 | ) | (3,015 | ) | (11,974 | ) | (11,974 | ) | |||||||||||||
Income before provision for income taxes | 4,937 | 18,823 | 23,760 | 66,299 | 24,868 | 91,167 | |||||||||||||||
Tax impact of non-GAAP adjustments | 7,134 | (10) | 9,425 | (10) | |||||||||||||||||
Tax true-up for effective tax rate | (149 | ) | (11) | ||||||||||||||||||
Provision for income taxes | 2,020 | 6,985 | 9,005 | 25,134 | 9,425 | 34,559 | |||||||||||||||
Income from continuing operations | 2,917 | 11,838 | 14,755 | 41,165 | 15,443 | 56,608 | |||||||||||||||
Loss from discontinued operations, net of income tax benefit | (1,252 | ) | (1,252 | ) | (1,357 | ) | (1,357 | ) | |||||||||||||
Net income | 1,665 | 11,838 | 13,503 | 39,808 | 15,443 | 55,251 | |||||||||||||||
Less: net loss attributable to noncontrolling interests | (272 | ) | 226 | (46 | ) | (783 | ) | 354 | (429 | ) | |||||||||||
Net income attributable to The Ensign Group, Inc. | $ | 1,937 | 11,612 | $ | 13,549 | $ | 40,591 | 15,089 | $ | 55,680 | |||||||||||
Attributable to The Ensign Group, Inc. | |||||||||||||||||||||
Net (loss) income attributable to The Ensign Group, Inc. | 1,937 | 11,612 | 13,549 | 40,591 | 15,089 | 55,680 | |||||||||||||||
Loss from discontinued operations, net of income tax benefit | (1,252 | ) | (1,252 | ) | (1,357 | ) | (1,357 | ) | |||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 3,189 | 11,612 | $ | 14,801 | $ | 41,948 | 15,089 | $ | 57,037 | |||||||||||
Net income per share | |||||||||||||||||||||
Basic: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.09 | 0.63 | 1.89 | 2.60 | |||||||||||||||||
Loss from discontinued operations, net of income tax benefit | (0.06 | ) | (0.06 | ) | (0.07 | ) | (0.06 | ) | |||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.15 | $ | 0.69 | $ | 1.96 | $ | 2.66 | |||||||||||||
Diluted: | |||||||||||||||||||||
Net income attributable to The Ensign Group, Inc. | 0.09 | 0.61 | 1.85 | 2.54 | |||||||||||||||||
Loss from discontinued operations, net of income tax benefit | (0.05 | ) | (0.06 | ) | (0.06 | ) | (0.06 | ) | |||||||||||||
Income from continuing operations attributable to The Ensign Group, Inc. | $ | 0.14 | $ | 0.67 | $ | 1.91 | $ | 2.60 | |||||||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||
Basic | 21,605 | 21,605 | 21,429 | 21,429 | |||||||||||||||||
Diluted | 22,075 | 22,075 | 21,942 | 21,942 | |||||||||||||||||
(1) | Represents acquisition-related costs of $20 and $250 for the three and twelve months ended December 31, 2012, respectively. |
(2) | Represents costs of $152 and $591 for the three and twelve months ended December 31, 2012, respectively, incurred to recognize income tax credits which contributed to the decrease in the Company's effective tax rate. |
(3) | Represents the settlement of a class action lawsuit regarding minimum staffing requirements in the state of California of $2,596 during the period ended June 30, 2012. |
(4) | Represents the Company's estimated liability related to its efforts to achieve a global, company-wide resolution of any claims connected to the U.S. Department of Justice (DOJ) investigation. |
(5) | Represents impairment charges of $2,225 recorded at our urgent care franchising operations, which we attribute to a decline in the estimated fair value of redeemable noncontrolling interests. |
(6) | Represents straight-line rent amortization for a facility which the Company has begun construction activities, but had not commenced operations of a skilled nursing facility as of December 31, 2012. |
(7) | Represents legal costs incurred in connection with the ongoing investigation into the billing and reimbursement processes of some of our subsidiaries being conducted by the Department of Justice (DOJ). |
(8) | Represents amortization costs related to patient base intangible assets acquired. Patient base intangible assets are amortized over a period of four to eight months, depending on the classification of the patients and the level of occupancy in a new acquisition on the acquisition date. |
(9) | Represents revenues and expenses incurred at newly opened urgent care centers. |
(10) | Represents the tax impact of non-GAAP adjustments noted in (1) - (9) above in our effective tax rate of 37.9%. |
(11) | Represents an adjustment to the provision for income taxes to our effective tax rate of 37.9%. |
Three Months Ended March 31, | |||||||
2013 | 2012 | ||||||
Consolidated Statements of Income Data: | |||||||
Net (loss) income | $ | (12,511 | ) | $ | 12,828 | ||
Net loss attributable to noncontrolling interests | 364 | 76 | |||||
Loss from discontinued operations | 1,748 | 66 | |||||
Interest expense, net | 3,022 | 2,874 | |||||
(Benefit) provision for income taxes | (3,013 | ) | 7,714 | ||||
Depreciation and amortization | 7,732 | 6,914 | |||||
EBITDA | $ | (2,658 | ) | $ | 30,472 | ||
Facility rent—cost of services | 3,314 | 3,320 | |||||
EBITDAR | $ | 656 | $ | 33,792 | |||
EBITDA | $ | (2,658 | ) | $ | 30,472 | ||
Adjustments to EBITDA: | |||||||
Charge related to the U.S. Government inquiry(a) | 33,000 | — | |||||
Legal costs(b) | 807 | 256 | |||||
Urgent care center losses(c) | 914 | — | |||||
Losses at skilled nursing facility not at full operation(d) | 1,466 | ||||||
Acquisition related costs(e) | 79 | 74 | |||||
Costs incurred to recognize income tax credits(f) | 49 | 241 | |||||
Rent related to non-core business items above(g) | 255 | 171 | |||||
Adjusted EBITDA | $ | 33,912 | $ | 31,214 | |||
Facility rent—cost of services | 3,314 | 3,320 | |||||
Less: rent related to non-core business items above(g) | (255 | ) | (171 | ) | |||
Adjusted EBITDAR | $ | 36,971 | $ | 34,363 | |||
March 31, | December 31, | ||||||
2013 | 2012 | ||||||
Assets | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 42,536 | $ | 40,685 | |||
Accounts receivable — less allowance for doubtful accounts of $14,285 and $13,811 at March 31, 2013 and December 31, 2012, respectively | 98,285 | 94,187 | |||||
Investments — current | 3,371 | 5,195 | |||||
Prepaid income taxes | 8,400 | 3,787 | |||||
Prepaid expenses and other current assets | 8,424 | 8,606 | |||||
Deferred tax asset — current | 13,370 | 14,871 | |||||
Assets held for sale — current | 422 | 268 | |||||
Total current assets | 174,808 | 167,599 | |||||
Property and equipment, net | 450,695 | 447,855 | |||||
Insurance subsidiary deposits and investments | 18,943 | 17,315 | |||||
Escrow deposits | 7,843 | 4,635 | |||||
Deferred tax asset | 3,753 | 2,234 | |||||
Restricted and other assets | 9,687 | 8,640 | |||||
Intangible assets, net | 6,037 | 6,115 | |||||
Long-term assets held for sale | 8,471 | 11,324 | |||||
Goodwill | 23,523 | 21,557 | |||||
Other indefinite-lived intangibles | 7,740 | 3,588 | |||||
Total assets | $ | 711,500 | $ | 690,862 | |||
Liabilities and equity | |||||||
Current liabilities: | |||||||
Accounts payable | $ | 23,206 | $ | 26,069 | |||
Accrued charge related to U.S. Government inquiry | 48,000 | 15,000 | |||||
Accrued wages and related liabilities | 33,942 | 35,847 | |||||
Accrued self-insurance liabilities — current | 16,769 | 16,034 | |||||
Liabilities held for sale — current | 875 | 339 | |||||
Other accrued liabilities | 23,932 | 20,871 | |||||
Current maturities of long-term debt | 7,242 | 7,187 | |||||
Total current liabilities | 153,966 | 121,347 | |||||
Long-term debt — less current maturities | 198,687 | 200,505 | |||||
Accrued self-insurance liabilities — less current portion | 36,121 | 34,849 | |||||
Fair value of interest rate swap | 2,597 | 2,866 | |||||
Long-term liabilities held for sale | — | 130 | |||||
Deferred rent and other long-term liabilities | 3,213 | 3,281 | |||||
Total equity | 316,916 | 327,884 | |||||
Total liabilities and equity | $ | 711,500 | $ | 690,862 |
Three Months Ended March 31, | |||||||
2013 | 2012 | ||||||
Net cash provided by operating activities | $ | 21,682 | $ | 5,318 | |||
Net cash used in investing activities | (19,145 | ) | (18,321 | ) | |||
Net cash provided by financing activities | (686 | ) | 16,037 | ||||
Net increase (decrease) in cash and cash equivalents | 1,851 | 3,034 | |||||
Cash and cash equivalents beginning of period | 40,685 | 29,584 | |||||
Cash and cash equivalents end of period | $ | 42,536 | $ | 32,618 |
Three Months Ended March 31, | ||||||||||||||
2013 | 2012 | |||||||||||||
(Dollars in thousands) | Change | % Change | ||||||||||||
Total Facility Results: | ||||||||||||||
Revenue | $ | 218,201 | $ | 202,040 | $ | 16,161 | 8.0 | % | ||||||
Number of facilities at period end | 110 | 104 | 6 | 5.8 | % | |||||||||
Actual patient days | 860,265 | 851,511 | 8,754 | 1.0 | % | |||||||||
Occupancy percentage — Operational beds | 77.8 | % | 79.8 | % | (2.0 | )% | ||||||||
Skilled mix by nursing days | 27.7 | % | 26.3 | % | 1.4 | % | ||||||||
Skilled mix by nursing revenue | 51.5 | % | 50.5 | % | 1.0 | % |
Three Months Ended March 31, | ||||||||||||||
2013 | 2012 | |||||||||||||
(Dollars in thousands) | Change | % Change | ||||||||||||
Same Facility Results(1): | ||||||||||||||
Revenue | $ | 170,731 | $ | 167,451 | $ | 3,280 | 2.0 | % | ||||||
Number of facilities at period end | 77 | 77 | — | — | % | |||||||||
Actual patient days | 647,189 | 659,173 | (11,984 | ) | (1.8 | )% | ||||||||
Occupancy percentage — Operational beds | 80.9 | % | 81.7 | % | (0.8 | )% | ||||||||
Skilled mix by nursing days | 29.2 | % | 27.8 | % | 1.4 | % | ||||||||
Skilled mix by nursing revenue | 53.4 | % | 52.1 | % | 1.3 | % |
Three Months Ended March 31, | ||||||||||||||
2013 | 2012 | |||||||||||||
(Dollars in thousands) | Change | % Change | ||||||||||||
Transitioning Facility Results(2): | ||||||||||||||
Revenue | $ | 34,745 | $ | 33,459 | $ | 1,286 | 3.8 | % | ||||||
Number of facilities at period end | 25 | 25 | — | — | % | |||||||||
Actual patient days | 177,417 | 184,354 | (6,937 | ) | (3.8 | )% | ||||||||
Occupancy percentage — Operational beds | 73.3 | % | 75.4 | % | (2.1 | )% | ||||||||
Skilled mix by nursing days | 21.3 | % | 18.2 | % | 3.1 | % | ||||||||
Skilled mix by nursing revenue | 43.4 | % | 40.2 | % | 3.2 | % |
Three Months Ended March 31, | |||||||||||||
2013 | 2012 | ||||||||||||
(Dollars in thousands) | Change | % Change | |||||||||||
Recently Acquired Facility Results(3): | |||||||||||||
Revenue | $ | 12,725 | $ | 1,130 | $ | 11,595 | NM | ||||||
Number of facilities at period end | 8 | 2 | 6 | NM | |||||||||
Actual patient days | 35,659 | 7,984 | 27,675 | NM | |||||||||
Occupancy percentage — Operational beds | 55.9 | % | 51.6 | % | NM | ||||||||
Skilled mix by nursing days | 18.0 | % | 8.4 | % | NM | ||||||||
Skilled mix by nursing revenue | 34.0 | % | 12.0 | % | NM |
(1) | Same Facility results represent all facilities purchased prior to January 1, 2010. |
(2) | Transitioning Facility results represents all facilities purchased from January 1, 2010 to December 31, 2011. |
(3) | Recently Acquired Facility (or “Acquisitions”) results represent all facilities purchased on or subsequent to January 1, 2012. |
Three Months Ended March 31, | ||||||||||||||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | % | ||||||||||||||||||||||||||||||
2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | Change | ||||||||||||||||||||||||||
Skilled Nursing Average Daily Revenue Rates: | ||||||||||||||||||||||||||||||||||
Medicare | $ | 569.58 | $ | 551.26 | $ | 471.13 | $ | 477.10 | $ | 441.08 | $ | 323.24 | $ | 549.03 | $ | 540.27 | 1.6 | % | ||||||||||||||||
Managed care | 393.73 | 370.17 | 387.75 | 421.39 | 418.36 | — | 393.52 | 372.48 | 5.6 | % | ||||||||||||||||||||||||
Other skilled | 472.07 | 568.42 | 710.27 | 562.28 | — | — | 475.99 | 568.27 | (16.2 | )% | ||||||||||||||||||||||||
Total skilled revenue | 494.69 | 486.75 | 461.02 | 470.01 | 439.74 | 323.24 | 489.73 | 484.89 | 1.0 | % | ||||||||||||||||||||||||
Medicaid | 176.72 | 168.37 | 157.52 | 151.10 | 193.30 | 225.83 | 175.10 | 166.28 | 5.3 | % | ||||||||||||||||||||||||
Private and other payors | 188.76 | 194.16 | 172.51 | 162.73 | 154.16 | 186.31 | 182.57 | 183.57 | (0.5 | )% | ||||||||||||||||||||||||
Total skilled nursing revenue | $ | 270.89 | $ | 259.44 | $ | 226.41 | $ | 212.39 | $ | 232.79 | $ | 226.77 | $ | 263.19 | $ | 252.29 | 4.3 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | ||||||||||||||||
Percentage of Skilled Nursing Revenue: | |||||||||||||||||||||||
Medicare | 32.4 | % | 34.0 | % | 36.6 | % | 34.3 | % | 32.1 | % | 12.0 | % | 32.9 | % | 34.0 | % | |||||||
Managed care | 15.7 | 14.3 | 5.9 | 5.3 | 1.9 | — | 14.0 | 13.2 | |||||||||||||||
Other skilled | 5.3 | 3.8 | 0.9 | 0.6 | — | — | 4.6 | 3.3 | |||||||||||||||
Skilled mix | 53.4 | 52.1 | 43.4 | 40.2 | 34.0 | 12.0 | 51.5 | 50.5 | |||||||||||||||
Private and other payors | 7.2 | 7.6 | 21.5 | 22.3 | 8.1 | 15.1 | 9.1 | 9.5 | |||||||||||||||
Quality mix | 60.6 | 59.7 | 64.9 | 62.5 | 42.1 | 27.1 | 60.6 | 60.0 | |||||||||||||||
Medicaid | 39.4 | 40.3 | 35.1 | 37.5 | 57.9 | 72.9 | 39.4 | 40.0 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | ||||||||||||||||
Percentage of Skilled Nursing Days: | |||||||||||||||||||||||
Medicare | 15.4 | % | 16.0 | % | 17.6 | % | 15.3 | % | 16.9 | % | 8.4 | % | 15.8 | % | 15.9 | % | |||||||
Managed care | 10.8 | 10.1 | 3.4 | 2.7 | 1.1 | — | 9.4 | 8.9 | |||||||||||||||
Other skilled | 3.0 | 1.7 | 0.3 | 0.2 | — | — | 2.5 | 1.5 | |||||||||||||||
Skilled mix | 29.2 | 27.8 | 21.3 | 18.2 | 18.0 | 8.4 | 27.7 | 26.3 | |||||||||||||||
Private and other payors | 10.4 | 10.1 | 28.3 | 29.1 | 12.2 | 18.4 | 13.0 | 13.0 | |||||||||||||||
Quality mix | 39.6 | 37.9 | 49.6 | 47.3 | 30.2 | 26.8 | 40.7 | 39.3 | |||||||||||||||
Medicaid | 60.4 | 62.1 | 50.4 | 52.7 | 69.8 | 73.2 | 59.3 | 60.7 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
Three Months Ended March 31, | ||||||||||||||
2013 | 2012 | |||||||||||||
$ | % | $ | % | |||||||||||
(Dollars in thousands) | ||||||||||||||
Revenue: | ||||||||||||||
Medicaid | $ | 76,510 | 35.0 | % | $ | 73,583 | 36.4 | % | ||||||
Medicare | 73,928 | 33.9 | 69,794 | 34.6 | ||||||||||
Medicaid-skilled | 8,472 | 3.9 | 5,861 | 2.9 | ||||||||||
Total | 158,910 | 72.8 | 149,238 | 73.9 | ||||||||||
Managed Care | 29,186 | 13.4 | 25,692 | 12.7 | ||||||||||
Private and Other(1) | 30,105 | 13.8 | 27,110 | 13.4 | ||||||||||
Total revenue | $ | 218,201 | 100.0 | % | $ | 202,040 | 100.0 | % | ||||||
(1) Private and other payors includes revenue from urgent care centers and other ancillary businesses. |