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 | |
Press Release of the Company dated February 6, 2019 |
Dated: February 12, 2019 | THE ENSIGN GROUP, INC. | |||
By: | /s/ Suzanne D. Snapper | |||
Suzanne D. Snapper | ||||
Chief Financial Officer | ||||
Exhibit No. | Description | |
Press Release of the Company dated February 6, 2019 |
▪ | GAAP earnings per share for the year was $1.70, an increase of 120.8% over the prior year, and adjusted earnings per share was $1.88, up 34.3% over the prior year(1)(2); |
▪ | GAAP earnings per share for the fourth quarter was $0.48, an increase of 128.6% from the prior year quarter, and adjusted earnings per share was $0.54, an increase of 35.0% over the prior year quarter(1)(2); |
▪ | Consolidated GAAP Net Income for the year was $92.4 million, an increase of 128.2% over the prior year, and consolidated adjusted Net Income for the year was $102.1 million, an increase of 38.3% over the prior year (1)(2); |
▪ | Consolidated GAAP Net Income for the fourth quarter was $26.4 million, an increase of 135.2% from the prior year quarter, and adjusted Net Income was $29.4 million, an increase of 39.5% from the prior year quarter(1)(2); |
▪ | Total Transitional and Skilled Services segment income was $190.9 million for the year, an increase of 36.1% over the prior year, and was $55.2 million for the quarter, an increase of 38.2% over the prior year quarter and 19% sequentially over the third quarter; |
▪ | Same store skilled services occupancy was 78.8%, an increase of 63 basis points over the prior year, and transitioning skilled services occupancy was 75.0%, an increase of 296 basis points over the prior year; |
▪ | Total Home Health and Hospice Services segment revenue for the year was up 20.0% over the prior year to $170.9 million and segment income for the year was up 32.5% over the prior year to $26.1 million(3); and |
▪ | Total Assisted Living Services segment revenue for the year was up 11.1% over the prior year to $151.8 million and adjusted EBITDAR for the year was up 9.1% over the prior year to $52.8 million. |
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2018 | 2018 adjusted to reflect prior revenue guidance | 2017 | 2018 | 2018 adjusted to reflect prior revenue guidance | 2017 | ||||||||||||||||||
Revenue | |||||||||||||||||||||||
Service revenue | $ | 497,313 | $ | 504,387 | $ | 451,869 | $ | 1,888,862 | $ | 1,921,672 | $ | 1,712,670 | |||||||||||
Assisted and independent living revenue | 40,462 | 40,462 | 35,836 | 151,797 | 151,797 | 136,647 | |||||||||||||||||
Total revenue | 537,775 | 544,849 | 487,705 | 2,040,659 | 2,073,469 | 1,849,317 | |||||||||||||||||
Expense | |||||||||||||||||||||||
Cost of services | 427,574 | 434,648 | 393,727 | 1,627,672 | 1,660,482 | 1,497,703 | |||||||||||||||||
(Return of unclaimed class action settlement)/charges related to class action lawsuit | — | — | — | (1,664 | ) | (1,664 | ) | 11,000 | |||||||||||||||
(Gains) losses related to divestitures | — | — | (410 | ) | — | — | 2,321 | ||||||||||||||||
Rent—cost of services | 35,339 | 35,339 | 33,652 | 138,512 | 138,512 | 131,919 | |||||||||||||||||
General and administrative expense | 28,216 | 28,216 | 22,833 | 100,307 | 100,307 | 80,617 | |||||||||||||||||
Depreciation and amortization | 12,199 | 12,199 | 11,760 | 47,344 | 47,344 | 44,472 | |||||||||||||||||
Total expenses | 503,328 | 510,402 | 461,562 | 1,912,171 | 1,944,981 | 1,768,032 | |||||||||||||||||
Income from operations | 34,447 | 34,447 | 26,143 | 128,488 | 128,488 | 81,285 | |||||||||||||||||
Other income (expense): | |||||||||||||||||||||||
Interest expense | (3,711 | ) | (3,711 | ) | (3,599 | ) | (15,182 | ) | (15,182 | ) | (13,616 | ) | |||||||||||
Interest income | 586 | 586 | 636 | 2,063 | 2,063 | 1,609 | |||||||||||||||||
Other expense, net | (3,125 | ) | (3,125 | ) | (2,963 | ) | (13,119 | ) | (13,119 | ) | (12,007 | ) | |||||||||||
Income before provision for income taxes | 31,322 | 31,322 | 23,180 | 115,369 | 115,369 | 69,278 | |||||||||||||||||
Provision for income taxes | 4,763 | 4,763 | 11,958 | 22,841 | 22,841 | 28,445 | |||||||||||||||||
Net income | 26,559 | 26,559 | 11,222 | 92,528 | 92,528 | 40,833 | |||||||||||||||||
Less: net income attributable to noncontrolling interests | 199 | 199 | 16 | 164 | 164 | 358 | |||||||||||||||||
Net income attributable to The Ensign Group, Inc. | $ | 26,360 | $ | 26,360 | $ | 11,206 | $ | 92,364 | $ | 92,364 | $ | 40,475 | |||||||||||
Net income per share attributable to The Ensign Group, Inc.: | |||||||||||||||||||||||
Basic | $ | 0.50 | $ | 0.50 | $ | 0.22 | $ | 1.78 | $ | 1.78 | $ | 0.79 | |||||||||||
Diluted | $ | 0.48 | $ | 0.48 | $ | 0.21 | $ | 1.70 | $ | 1.70 | $ | 0.77 | |||||||||||
Weighted average common shares outstanding: | |||||||||||||||||||||||
Basic | 52,449 | 52,449 | 51,250 | 52,016 | 52,016 | 50,932 | |||||||||||||||||
Diluted | 54,967 | 54,967 | 53,176 | 54,397 | 54,397 | 52,829 | |||||||||||||||||
December 31, | |||||||
2018 | 2017 | ||||||
Assets | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 31,083 | $ | 42,337 | |||
Accounts receivable—less allowance for doubtful accounts of $2,886 and $43,961 at December 31, 2018 and 2017, respectively | 276,099 | 265,068 | |||||
Investments—current | 8,682 | 13,092 | |||||
Prepaid income taxes | 6,219 | 19,447 | |||||
Prepaid expenses and other current assets | 24,130 | 28,132 | |||||
Assets held for sale - current | 1,859 | — | |||||
Total current assets | 348,072 | 368,076 | |||||
Property and equipment, net | 618,874 | 537,084 | |||||
Insurance subsidiary deposits and investments | 36,168 | 28,685 | |||||
Escrow deposits | 7,271 | 228 | |||||
Deferred tax assets | 11,650 | 12,745 | |||||
Restricted and other assets | 20,844 | 16,501 | |||||
Intangible assets, net | 31,000 | 32,803 | |||||
Goodwill | 80,477 | 81,062 | |||||
Other indefinite-lived intangibles | 27,602 | 25,249 | |||||
Total assets | $ | 1,181,958 | $ | 1,102,433 | |||
Liabilities and equity | |||||||
Current liabilities: | |||||||
Accounts payable | $ | 44,236 | $ | 39,043 | |||
Accrued wages and related liabilities | 119,656 | 90,508 | |||||
Accrued self-insurance liabilities—current | 25,446 | 22,516 | |||||
Other accrued liabilities | 69,784 | 63,815 | |||||
Current maturities of long-term debt | 10,105 | 9,939 | |||||
Total current liabilities | 269,227 | 225,821 | |||||
Long-term debt—less current maturities | 233,135 | 302,990 | |||||
Accrued self-insurance liabilities—less current portion | 54,605 | 50,220 | |||||
Deferred rent and other long-term liabilities | 11,234 | 11,268 | |||||
Deferred gain related to sale-leaseback | 11,417 | 12,075 | |||||
Total equity | 602,340 | 500,059 | |||||
Total liabilities and equity | $ | 1,181,958 | $ | 1,102,433 |
Year Ended December 31, | |||||||
2018 | 2017 | ||||||
Net cash provided by operating activities | 210,302 | 72,952 | |||||
Net cash used in investing activities | (151,211 | ) | (106,593 | ) | |||
Net cash (used in)/provided by financing activities | (70,345 | ) | 18,272 | ||||
Net decrease in cash and cash equivalents | (11,254 | ) | (15,369 | ) | |||
Cash and cash equivalents beginning of period | 42,337 | 57,706 | |||||
Cash and cash equivalents end of period | $ | 31,083 | $ | 42,337 |
THE ENSIGN GROUP, INC. | ||||||||||
REVENUE BY SEGMENT |
Three Months Ended December 31, | ||||||||||||||||||||||
2018 (As Reported) | 2018 adjusted to reflect prior revenue guidance | 2017 | ||||||||||||||||||||
$ | % | $ | % | $ | % | |||||||||||||||||
(Dollars in thousands) | ||||||||||||||||||||||
Transitional and skilled services | $ | 441,714 | 82.1 | % | $ | 448,518 | 82.3 | % | $ | 403,533 | 82.7 | % | ||||||||||
Assisted and independent living services | 40,462 | 7.5 | % | 40,462 | 7.4 | % | 35,836 | 7.4 | ||||||||||||||
Home health and hospice services: | ||||||||||||||||||||||
Home health | 22,614 | 4.2 | 22,882 | 4.2 | % | 20,048 | 4.1 | |||||||||||||||
Hospice | 21,579 | 4.0 | 21,581 | 4.0 | % | 19,636 | 4.0 | |||||||||||||||
Total home health and hospice services | 44,193 | 8.2 | 44,463 | 8.2 | 39,684 | 8.1 | % | |||||||||||||||
All other (1) | 11,406 | 2.2 | 11,406 | 2.1 | % | 8,652 | 1.8 | |||||||||||||||
Total revenue | $ | 537,775 | 100.0 | % | $ | 544,849 | 100.0 | % | $ | 487,705 | 100.0 | % | ||||||||||
(1) Includes revenue from services generated in our other ancillary services. |
Year Ended December 31, | |||||||||||||||||||||
2018 (As Reported) | 2018 adjusted to reflect prior revenue guidance | 2017 | |||||||||||||||||||
$ | % | $ | % | $ | % | ||||||||||||||||
(Dollars in thousands) | |||||||||||||||||||||
Transitional and skilled services | $ | 1,679,012 | 82.3 | % | $ | 1,709,988 | 82.5 | % | $ | 1,545,210 | 83.6 | % | |||||||||
Assisted and independent living services | 151,797 | 7.4 | % | 151,797 | 7.3 | 136,646 | 7.4 | ||||||||||||||
Home health and hospice services: | |||||||||||||||||||||
Home health | 86,379 | 4.2 | % | 87,728 | 4.2 | 73,045 | 3.9 | ||||||||||||||
Hospice | 82,658 | 4.1 | % | 83,143 | 4.0 | 69,358 | 3.8 | ||||||||||||||
Total home health and hospice services | 169,037 | 8.3 | 170,871 | 8.2 | 142,403 | 7.7 | |||||||||||||||
All other (1) | 40,813 | 2.0 | % | 40,813 | 2.0 | 25,058 | 1.3 | ||||||||||||||
Total revenue | $ | 2,040,659 | 100.0 | % | $ | 2,073,469 | 100.0 | % | $ | 1,849,317 | 100.0 | % | |||||||||
(1) Includes revenue from services generated by our other ancillary services. |
THE ENSIGN GROUP, INC. | ||||||||||
SELECT PERFORMANCE INDICATORS | ||||||||||
(Unaudited) |
Three Months Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Total Facility Results: | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 441,714 | $ | 403,533 | $ | 38,181 | 9.5 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 448,518 | 403,533 | 44,985 | 11.1 | % | |||||||||
Number of facilities at period end | 164 | 160 | 4 | 2.5 | % | |||||||||
Number of campuses at period end* | 24 | 21 | 3 | 14.3 | % | |||||||||
Actual patient days | 1,393,783 | 1,315,247 | 78,536 | 6.0 | % | |||||||||
Occupancy percentage — Operational beds | 77.9 | % | 76.2 | % | 1.7 | % | ||||||||
Skilled mix by nursing days | 28.6 | % | 29.1 | % | (0.5 | )% | ||||||||
Skilled mix by nursing revenue | 48.1 | % | 49.3 | % | (1.2 | )% |
Three Months Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Same Facility Results(1): | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 297,587 | $ | 281,245 | $ | 16,342 | 5.8 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 302,130 | 281,245 | 20,885 | 7.4 | % | |||||||||
Number of facilities at period end | 108 | 108 | — | — | ||||||||||
Number of campuses at period end* | 11 | 11 | — | — | ||||||||||
Actual patient days | 891,520 | 878,417 | 13,103 | 1.5 | % | |||||||||
Occupancy percentage — Operational beds | 79.3 | % | 78.4 | % | 0.9 | % | ||||||||
Skilled mix by nursing days | 30.4 | % | 30.0 | % | 0.4 | % | ||||||||
Skilled mix by nursing revenue | 50.3 | % | 50.4 | % | (0.1 | )% |
Three Months Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Transitioning Facility Results(2): | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 102,084 | $ | 98,565 | $ | 3,519 | 3.6 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 103,746 | 98,565 | 5,181 | 5.3 | % | |||||||||
Number of facilities at period end | 40 | 40 | — | — | ||||||||||
Number of campuses at period end* | 9 | 9 | — | — | ||||||||||
Actual patient days | 361,477 | 352,451 | 9,026 | 2.6 | % | |||||||||
Occupancy percentage — Operational beds | 75.6 | % | 73.5 | % | 2.1 | % | ||||||||
Skilled mix by nursing days | 27.0 | % | 29.1 | % | (2.1 | )% | ||||||||
Skilled mix by nursing revenue | 46.0 | % | 49.4 | % | (3.4 | )% |
Three Months Ended December 31, | |||||||||||||
2018 | 2017 | Change | % Change | ||||||||||
(Dollars in thousands) | |||||||||||||
Recently Acquired Facility Results(3): | |||||||||||||
Transitional and skilled revenue (as reported) | $ | 42,043 | $ | 23,723 | $ | 18,320 | NM | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 42,642 | 23,723 | 18,919 | NM | |||||||||
Number of facilities at period end | 16 | 12 | 4 | NM | |||||||||
Number of campuses at period end* | 4 | 1 | 3 | NM | |||||||||
Actual patient days | 140,786 | 84,379 | 56,407 | NM | |||||||||
Occupancy percentage — Operational beds | 75.0 | % | 67.4 | % | NM | ||||||||
Skilled mix by nursing days | 21.8 | % | 20.3 | % | NM | ||||||||
Skilled mix by nursing revenue | 37.0 | % | 36.1 | % | NM |
(1) | Same Facility results represent all facilities purchased prior to January 1, 2015. |
(2) | Transitioning Facility results represents all facilities purchased from January 1, 2015 to December 31, 2016. |
(3) | Recently Acquired Facility (Acquisitions) results represent all facilities purchased on or subsequent to January 1, 2017. |
Year Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Total Facility Results: | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 1,679,012 | $ | 1,545,210 | $ | 133,802 | 8.7 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 1,709,988 | 1,545,210 | 164,778 | 10.7 | % | |||||||||
Number of facilities at period end | 164 | 160 | 4 | 2.5 | % | |||||||||
Number of campuses at period end* | 24 | 21 | 3 | 14.3 | % | |||||||||
Actual patient days | 5,405,952 | 5,050,140 | 355,812 | 7.0 | % | |||||||||
Occupancy percentage — Operational beds | 77.4 | % | 75.4 | % | 2.0 | % | ||||||||
Skilled mix by nursing days | 29.5 | % | 30.3 | % | (0.8 | )% | ||||||||
Skilled mix by nursing revenue | 49.6 | % | 51.1 | % | (1.5 | )% |
Year Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Same Facility Results(1): | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 1,143,913 | $ | 1,108,822 | $ | 35,091 | 3.2 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 1,164,930 | 1,108,822 | 56,108 | 5.1 | % | |||||||||
Number of facilities at period end | 108 | 108 | — | — | % | |||||||||
Number of campuses at period end* | 11 | 11 | — | — | % | |||||||||
Actual patient days | 3,515,147 | 3,485,195 | 29,952 | 0.9 | % | |||||||||
Occupancy percentage — Operational beds | 78.8 | % | 78.2 | % | 0.6 | % | ||||||||
Skilled mix by nursing days | 30.9 | % | 30.8 | % | 0.1 | % | ||||||||
Skilled mix by nursing revenue | 51.3 | % | 51.5 | % | (0.2 | )% |
Year Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Transitioning Facility Results(2): | ||||||||||||||
Transitional and skilled revenue (as reported) | $ | 399,747 | $ | 382,805 | $ | 16,942 | 4.4 | % | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 407,351 | 382,805 | 24,546 | 6.4 | % | |||||||||
Number of facilities at period end | 40 | 40 | — | — | ||||||||||
Number of campuses at period end* | 9 | 9 | — | — | ||||||||||
Actual patient days | 1,424,563 | 1,371,769 | 52,794 | 3.8 | % | |||||||||
Occupancy percentage — Operational beds | 75.0 | % | 72.1 | % | 2.9 | % | ||||||||
Skilled mix by nursing days | 28.8 | % | 30.1 | % | (1.3 | )% | ||||||||
Skilled mix by nursing revenue | 48.4 | % | 51.5 | % | (3.1 | )% |
Year Ended December 31, | |||||||||||||
2018 | 2017 | Change | % Change | ||||||||||
(Dollars in thousands) | |||||||||||||
Recently Acquired Facility Results(3): | |||||||||||||
Transitional and skilled revenue (as reported) | $ | 135,352 | $ | 51,715 | $ | 83,637 | NM | ||||||
Transitional and skilled revenue (adjusted to reflect prior revenue guidance) | 137,707 | 51,715 | 85,992 | NM | |||||||||
Number of facilities at period end | 16 | 12 | 4 | NM | |||||||||
Number of campuses at period end* | 4 | 1 | 3 | NM | |||||||||
Actual patient days | 466,242 | 187,601 | 278,641 | NM | |||||||||
Occupancy percentage — Operational beds | 74.3 | % | 58.1 | % | NM | ||||||||
Skilled mix by nursing days | 21.9 | % | 20.5 | % | NM | ||||||||
Skilled mix by nursing revenue | 38.0 | % | 37.3 | % | NM |
Year Ended December 31, | |||||||||||||
2018 | 2017 | Change | % Change | ||||||||||
(Dollars in thousands) | |||||||||||||
Facility Closed Results(4): | |||||||||||||
Skilled nursing revenue | $ | — | $ | 1,868 | $ | (1,868 | ) | NM | |||||
Actual patient days | — | 5,575 | (5,575 | ) | NM | ||||||||
Occupancy percentage — Operational beds | — | % | 34.3 | % | NM | ||||||||
Skilled mix by nursing days | — | % | 46.7 | % | NM | ||||||||
Skilled mix by nursing revenue | — | % | 71.5 | % | NM | ||||||||
(1) | Same Facility results represent all facilities purchased prior to January 1, 2015. |
(2) | Transitioning Facility results represents all facilities purchased from January 1, 2015 to December 31, 2016. |
(3) | Recently Acquired Facility (Acquisitions) results represent all facilities purchased on or subsequent to January 1, 2017. |
(4) | Facility Closed results represents closed operations during the year ended December 31, 2017, which were excluded from Same Store and Transitioning results for the year ended December 31, 2017, for comparison purposes. |
Three Months Ended December 31, | |||||||||||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||||||||||
Skilled Nursing Average Daily Revenue Rates: | |||||||||||||||||||||||||||||||
Medicare | $ | 625.29 | $ | 612.89 | $ | 525.44 | $ | 514.34 | $ | 531.75 | $ | 517.26 | $ | 590.27 | $ | 576.93 | |||||||||||||||
Managed care | 469.53 | 455.55 | 417.66 | 409.54 | 412.85 | 426.99 | 450.91 | 441.71 | |||||||||||||||||||||||
Other skilled | 504.67 | 471.08 | 354.42 | 351.02 | 517.34 | 425.31 | 486.26 | 453.31 | |||||||||||||||||||||||
Total skilled revenue | 539.91 | 520.39 | 461.99 | 455.88 | 481.67 | 478.03 | 516.35 | 501.22 | |||||||||||||||||||||||
Medicaid | 234.66 | 221.23 | 201.70 | 191.97 | 231.08 | 215.32 | 225.68 | 213.31 | |||||||||||||||||||||||
Private and other payors | 229.13 | 200.39 | 199.94 | 184.56 | 223.75 | 211.38 | 219.89 | 210.57 | |||||||||||||||||||||||
Total skilled nursing revenue | $ | 327.17 | $ | 307.86 | $ | 271.87 | $ | 267.20 | $ | 284.91 | $ | 267.93 | $ | 308.52 | $ | 297.12 |
Year Ended December 31, | |||||||||||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||||||||||
Skilled Nursing Average Daily Revenue Rates: | |||||||||||||||||||||||||||||||
Medicare | $ | 615.47 | $ | 603.28 | $ | 518.33 | $ | 508.15 | $ | 528.92 | $ | 506.12 | $ | 580.96 | $ | 569.77 | |||||||||||||||
Managed care | 464.89 | 451.28 | 412.42 | 414.44 | 415.49 | 416.25 | 447.34 | 440.55 | |||||||||||||||||||||||
Other skilled | 493.63 | 465.72 | 354.34 | 364.65 | 489.66 | 470.51 | 475.59 | 451.16 | |||||||||||||||||||||||
Total skilled revenue | 530.95 | 516.26 | 457.59 | 457.93 | 483.67 | 479.63 | 509.10 | 499.51 | |||||||||||||||||||||||
Medicaid | 226.64 | 217.47 | 196.47 | 184.24 | 221.42 | 206.32 | 218.30 | 208.24 | |||||||||||||||||||||||
Private and other payors | 225.89 | 202.22 | 201.03 | 191.92 | 226.71 | 210.28 | 218.42 | 209.72 | |||||||||||||||||||||||
Total skilled nursing revenue | $ | 320.96 | $ | 307.35 | $ | 272.34 | $ | 267.71 | $ | 279.86 | $ | 262.90 | $ | 304.57 | $ | 296.84 |
Three Months Ended December 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||
Percentage of Skilled Nursing Revenue: | |||||||||||||||||||||||
Medicare | 23.6 | % | 23.3 | % | 24.2 | % | 27.2 | % | 20.3 | % | 22.2 | % | 23.4 | % | 24.2 | % | |||||||
Managed care | 16.8 | 18.1 | 18.6 | 19.0 | 13.0 | 10.4 | 16.9 | 17.8 | |||||||||||||||
Other skilled | 9.9 | 9.0 | 3.2 | 3.2 | 3.7 | 3.5 | 7.8 | 7.3 | |||||||||||||||
Skilled mix | 50.3 | 50.4 | 46.0 | 49.4 | 37.0 | 36.1 | 48.1 | 49.3 | |||||||||||||||
Private and other payors | 7.6 | 7.8 | 9.8 | 10.9 | 10.7 | 12.3 | 8.4 | 8.9 | |||||||||||||||
Quality mix | 57.9 | 58.2 | 55.8 | 60.3 | 47.7 | 48.4 | 56.5 | 58.2 | |||||||||||||||
Medicaid | 42.1 | 41.8 | 44.2 | 39.7 | 52.3 | 51.6 | 43.5 | 41.8 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
Three Months Ended December 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||
Percentage of Skilled Nursing Days: | |||||||||||||||||||||||
Medicare | 12.3 | % | 11.8 | % | 12.5 | % | 14.2 | % | 10.8 | % | 11.5 | % | 12.2 | % | 12.4 | % | |||||||
Managed care | 11.6 | 12.3 | 12.1 | 12.4 | 8.9 | 6.5 | 11.5 | 11.9 | |||||||||||||||
Other skilled | 6.5 | 5.9 | 2.4 | 2.5 | 2.1 | 2.3 | 4.9 | 4.8 | |||||||||||||||
Skilled mix | 30.4 | 30.0 | 27.0 | 29.1 | 21.8 | 20.3 | 28.6 | 29.1 | |||||||||||||||
Private and other payors | 11.2 | 11.6 | 13.5 | 15.4 | 14.0 | 15.5 | 12.2 | 12.9 | |||||||||||||||
Quality mix | 41.6 | 41.6 | 40.5 | 44.5 | 35.8 | 35.8 | 40.8 | 42.0 | |||||||||||||||
Medicaid | 58.4 | 58.4 | 59.5 | 55.5 | 64.2 | 64.2 | 59.2 | 58.0 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
Year Ended December 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||
Percentage of Skilled Nursing Revenue: | |||||||||||||||||||||||
Medicare | 23.8 | % | 24.7 | % | 25.9 | % | 29.0 | % | 22.3 | % | 25.8 | % | 24.2 | % | 25.8 | % | |||||||
Managed care | 17.8 | 18.2 | 19.4 | 19.1 | 11.9 | 8.5 | 17.7 | 18.1 | |||||||||||||||
Other skilled | 9.7 | 8.6 | 3.1 | 3.4 | 3.8 | 3.0 | 7.7 | 7.2 | |||||||||||||||
Skilled mix | 51.3 | 51.5 | 48.4 | 51.5 | 38.0 | 37.3 | 49.6 | 51.1 | |||||||||||||||
Private and other payors | 7.7 | 7.9 | 10.1 | 10.5 | 11.3 | 13.2 | 8.5 | 8.6 | |||||||||||||||
Quality mix | 59.0 | 59.4 | 58.5 | 62.0 | 49.3 | 50.5 | 58.1 | 59.7 | |||||||||||||||
Medicaid | 41.0 | 40.6 | 41.5 | 38.0 | 50.7 | 49.5 | 41.9 | 40.3 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
Year Ended December 31, | |||||||||||||||||||||||
Same Facility | Transitioning | Acquisitions | Total | ||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | 2018 | 2017 | ||||||||||||||||
Percentage of Skilled Nursing Days: | |||||||||||||||||||||||
Medicare | 12.3 | % | 12.6 | % | 13.6 | % | 15.3 | % | 11.7 | % | 13.4 | % | 12.6 | % | 13.4 | % | |||||||
Managed care | 12.2 | 12.5 | 12.8 | 12.3 | 8.0 | 5.4 | 12.0 | 12.2 | |||||||||||||||
Other skilled | 6.4 | 5.7 | 2.4 | 2.5 | 2.2 | 1.7 | 4.9 | 4.7 | |||||||||||||||
Skilled mix | 30.9 | 30.8 | 28.8 | 30.1 | 21.9 | 20.5 | 29.5 | 30.3 | |||||||||||||||
Private and other payors | 11.2 | 11.6 | 13.8 | 14.6 | 14.3 | 16.4 | 12.2 | 12.5 | |||||||||||||||
Quality mix | 42.1 | 42.4 | 42.6 | 44.7 | 36.2 | 36.9 | 41.7 | 42.8 | |||||||||||||||
Medicaid | 57.9 | 57.6 | 57.4 | 55.3 | 63.8 | 63.1 | 58.3 | 57.2 | |||||||||||||||
Total skilled nursing | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % |
THE ENSIGN GROUP, INC. | ||||||||||
SELECT PERFORMANCE INDICATORS | ||||||||||
(Unaudited) | ||||||||||
The following tables summarize our selected performance indicators for our assisted and independent living segment along with other statistics, for each of the dates or periods indicated: | ||||||||||
Three Months Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Resident fee revenue | $ | 40,462 | $ | 35,836 | $ | 4,626 | 12.9 | % | ||||||
Number of facilities at period end | 56 | 49 | 7 | 14.3 | % | |||||||||
Number of campuses at period end | 24 | 21 | 3 | 14.3 | % | |||||||||
Occupancy percentage (units) | 75.9 | % | 75.8 | % | 0.1 | % | ||||||||
Average monthly revenue per unit | $ | 2,866 | $ | 3 | $ | 74 | 2.7 | % |
Year Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Resident fee revenue | $ | 151,797 | $ | 136,646 | $ | 15,151 | 11.1 | % | ||||||
Number of facilities at period end | 56 | 49 | 7 | 14.3 | % | |||||||||
Number of campuses at period end | 24 | 21 | 3 | 14.3 | % | |||||||||
Occupancy percentage (units) | 75.7 | % | 76.4 | % | (0.7 | )% | ||||||||
Average monthly revenue per unit | $ | 2,861 | $ | 2,800 | $ | 61 | 2.2 | % |
THE ENSIGN GROUP, INC. | ||||||||||
SELECT PERFORMANCE INDICATORS | ||||||||||
(Unaudited) | ||||||||||
The following tables summarize our selected performance indicators for our home health and hospice segment along with other statistics, for each of the dates or periods indicated: | ||||||||||
Three Months Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Home health and hospice revenue | ||||||||||||||
Home health services | $ | 22,614 | $ | 20,048 | $ | 2,566 | 12.8 | % | ||||||
Hospice services | 21,579 | 19,636 | 1,943 | 9.9 | ||||||||||
Total home health and hospice revenue | $ | 44,193 | $ | 39,684 | $ | 4,509 | 11.4 | % | ||||||
Adjusted to reflect prior revenue guidance | ||||||||||||||
Home health and hospice revenue | ||||||||||||||
Home health services | $ | 22,882 | $ | 20,048 | $ | 2,834 | 14.1 | % | ||||||
Hospice services | 21,581 | 19,636 | 1,945 | 9.9 | ||||||||||
Total home health and hospice revenue | $ | 44,463 | $ | 39,684 | $ | 4,779 | 12.0 | % | ||||||
Home health services: | ||||||||||||||
Average Medicare Revenue per Completed Episode | $ | 3,027 | $ | 2,985 | $ | 42 | 1.4 | % | ||||||
Hospice services: | ||||||||||||||
Average Daily Census | 1,386 | 1,229 | 157 | 12.8 | % | |||||||||
Home health and hospice agencies | 54 | 46 | 8 | 17.4 | % | |||||||||
Year Ended December 31, | ||||||||||||||
2018 | 2017 | Change | % Change | |||||||||||
(Dollars in thousands) | ||||||||||||||
Home health and hospice revenue | ||||||||||||||
Home health services | $ | 86,379 | $ | 73,045 | $ | 13,334 | 18.3 | % | ||||||
Hospice services | 82,658 | 69,358 | 13,300 | 19.2 | ||||||||||
Total home health and hospice revenue | $ | 169,037 | $ | 142,403 | $ | 26,634 | 18.7 | % | ||||||
Adjusted to reflect prior revenue guidance | ||||||||||||||
Home health and hospice revenue | ||||||||||||||
Home health services | $ | 87,728 | $ | 73,045 | $ | 14,683 | 20.1 | % | ||||||
Hospice services | 83,143 | 69,358 | 13,785 | 19.9 | ||||||||||
Total home health and hospice revenue | $ | 170,871 | $ | 142,403 | $ | 28,468 | 20.0 | % | ||||||
Home health services: | ||||||||||||||
Average Medicare Revenue per Completed Episode | $ | 2,982 | $ | 3,028 | $ | (46 | ) | (1.5 | )% | |||||
Hospice services: | ||||||||||||||
Average Daily Census | 1,329 | 1,102 | 227 | 20.6 | % | |||||||||
Home health and hospice agencies | 54 | 46 | 8 | 17.4 | % | |||||||||
Three Months Ended December 31, | |||||||||||||||||||||
2018 As Reported | 2018 adjusted to reflect change in revenue guidance | 2017 | |||||||||||||||||||
$ | % | $ | % | $ | % | ||||||||||||||||
(Dollars in thousands) | |||||||||||||||||||||
Revenue: | |||||||||||||||||||||
Medicaid | $ | 198,030 | 36.8 | % | $ | 200,289 | 36.8 | % | $ | 174,795 | 35.8 | % | |||||||||
Medicare | 142,896 | 26.6 | 143,081 | 26.3 | $ | 130,465 | 26.8 | ||||||||||||||
Medicaid-skilled | 31,662 | 5.9 | 32,073 | 5.8 | $ | 27,208 | 5.6 | ||||||||||||||
Total | 372,588 | 69.3 | 375,443 | 68.9 | $ | 332,468 | 68.2 | ||||||||||||||
Managed Care | 82,263 | 15.3 | 83,485 | 15.3 | $ | 78,176 | 16.0 | ||||||||||||||
Private and Other(1) | 82,924 | 15.4 | 85,921 | 15.8 | $ | 77,061 | 15.8 | ||||||||||||||
Total revenue | $ | 537,775 | 100.0 | % | $ | 544,849 | 100.0 | % | $ | 487,705 | 100.0 | % | |||||||||
(1) Private and other payors also includes revenue from all payors generated in our other ancillary services for the three months ended December 31, 2018 and 2017. |
Year Ended December 31, | |||||||||||||||||||||
2018 As Reported | 2018 adjusted to reflect change in revenue guidance | 2017 | |||||||||||||||||||
$ | % | $ | % | $ | % | ||||||||||||||||
(Dollars in thousands) | |||||||||||||||||||||
Revenue: | |||||||||||||||||||||
Medicaid | $ | 727,310 | 35.6 | % | $ | 738,179 | 35.6 | % | $ | 644,803 | 34.9 | % | |||||||||
Medicare | 552,577 | 27.1 | 556,159 | 26.8 | 515,884 | 27.9 | |||||||||||||||
Medicaid-skilled | 117,686 | 5.8 | 119,667 | 5.8 | 102,875 | 5.6 | |||||||||||||||
Total | 1,397,573 | 68.5 | 1,414,005 | 68.2 | 1,263,562 | 68.4 | |||||||||||||||
Managed Care | 326,325 | 16.0 | 333,197 | 16.1 | 303,386 | 16.4 | |||||||||||||||
Private and Other(1) | 316,761 | 15.5 | 326,267 | 15.7 | 282,369 | 15.2 | |||||||||||||||
Total revenue | $ | 2,040,659 | 100.0 | % | $ | 2,073,469 | 100.0 | % | $ | 1,849,317 | 100.0 | % | |||||||||
(1) Private and other payors also includes revenue from all payors generated in our other ancillary services for the year ended December 31, 2018 and 2017. |
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Net income attributable to The Ensign Group, Inc. | $ | 26,360 | $ | 11,206 | $ | 92,364 | $ | 40,475 | ||||||||
Non-GAAP adjustments | ||||||||||||||||
Results related to facilities currently being constructed and other start-up operations(a) | 492 | 2,374 | 3,840 | 13,378 | ||||||||||||
Charges related to the settlement/(return of unclaimed class action settlement) of the class action lawsuit | — | 14 | (1,664 | ) | 11,177 | |||||||||||
Share-based compensation expense(b) | 2,697 | 2,941 | 10,337 | 9,695 | ||||||||||||
Results related to closed operations and operations not at full capacity, including continued obligations and closing expense(c) | 222 | 4 | 933 | 5,602 | ||||||||||||
Bonus accrual as a result of the Tax Act(d) | — | 3,100 | — | 3,100 | ||||||||||||
Losses/(business interruption gains) related to Hurricane Harvey and California fires(e) | — | 741 | (675 | ) | 1,299 | |||||||||||
Depreciation and amortization - patient base(f) | 91 | 180 | 242 | 733 | ||||||||||||
General and administrative - transaction-related costs(g) | 23 | 100 | 361 | 717 | ||||||||||||
Cost of services - goodwill and intangible assets impairment(h) | 4,632 | — | 7,809 | — | ||||||||||||
Professional service fees(i) | — | 80 | — | 80 | ||||||||||||
Provision for income taxes on Non-GAAP adjustments(j) | (5,107 | ) | 344 | (11,416 | ) | (12,399 | ) | |||||||||
Non-GAAP net income | $ | 29,410 | $ | 21,084 | $ | 102,131 | $ | 73,857 | ||||||||
Diluted Earnings Per Share As Reported | ||||||||||||||||
Net income | $ | 0.48 | $ | 0.21 | $ | 1.70 | $ | 0.77 | ||||||||
Average number of shares outstanding | 54,967 | 53,176 | 54,397 | 52,829 | ||||||||||||
Adjusted Diluted Earnings Per Share | ||||||||||||||||
Net income | $ | 0.54 | $ | 0.40 | $ | 1.88 | $ | 1.40 | ||||||||
Average number of shares outstanding | 54,967 | 53,176 | 54,397 | 52,829 | ||||||||||||
Footnotes: | ||||||||||||||||
(a) Represents operating results for facilities currently being constructed and other start-up operations. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Revenue | $ | (17,029 | ) | $ | (17,480 | ) | $ | (66,606 | ) | $ | (62,686 | ) | ||||
Cost of services | 13,661 | 15,726 | 55,106 | 59,424 | ||||||||||||
Rent | 3,627 | 3,865 | 14,377 | 15,559 | ||||||||||||
Depreciation and amortization | 233 | 263 | 963 | 1,081 | ||||||||||||
Total Non-GAAP adjustment | $ | 492 | $ | 2,374 | $ | 3,840 | $ | 13,378 | ||||||||
(b) Represents share-based compensation expense incurred. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 |
Cost of services | $ | 1,494 | $ | 1,219 | $ | 5,665 | $ | 4,988 | ||||||||
General and administrative | 1,203 | 1,722 | 4,672 | 4,707 | ||||||||||||
Total Non-GAAP adjustment | $ | 2,697 | $ | 2,941 | $ | 10,337 | $ | 9,695 | ||||||||
(c) Represents results at closed operations and operations not at full capacity, including the fair value of continued obligation under the lease agreement and related closing expenses of $4.0 million for the year ended December 31, 2017. Included in the three months and year ended December 31, 2017 results is the loss recovery of $1.3 million of certain losses related to a closed facility in the prior year. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Revenue | $ | — | $ | — | $ | — | $ | (2,805 | ) | |||||||
(Gains)/losses related to operational closures | — | (410 | ) | — | 2,321 | |||||||||||
Cost of services | 137 | 321 | 601 | 5,115 | ||||||||||||
Rent | 76 | 93 | 301 | 885 | ||||||||||||
Depreciation and amortization | 9 | — | 31 | 86 | ||||||||||||
Total Non-GAAP adjustment | $ | 222 | $ | 4 | $ | 933 | $ | 5,602 | ||||||||
(d) Represent bonus accrual as a result of the Tax Act. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Cost of services | — | 600 | — | 600 | ||||||||||||
General and administrative | — | 2,500 | — | 2,500 | ||||||||||||
Total Non-GAAP adjustment | $ | — | $ | 3,100 | $ | — | $ | 3,100 | ||||||||
(e) Losses related to Hurricane Harvey and California fires. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Revenue | $ | — | $ | 870 | $ | — | $ | 638 | ||||||||
Cost of services | — | (129 | ) | (675 | ) | 604 | ||||||||||
Rent | — | — | — | 50 | ||||||||||||
Depreciation and amortization | — | — | — | 7 | ||||||||||||
Total Non-GAAP adjustment | $ | — | $ | 741 | $ | (675 | ) | $ | 1,299 | |||||||
(f) Included in depreciation and amortization are amortization expenses related to patient base intangible assets at newly acquired skilled nursing and assisted living facilities. | ||||||||||||||||
(g) Included in general and administrative expense are costs incurred to acquire an operation which are not capitalizable. | ||||||||||||||||
(h) Impairment charges to goodwill and long-lived assets for one of our other ancillary operations and two assisted living facilities. | ||||||||||||||||
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Cost of services | $ | 4,632 | $ | — | $ | 8,285 | $ | — | ||||||||
Non-controlling interest | — | — | (476 | ) | — | |||||||||||
Total Non-GAAP adjustment | $ | 4,632 | $ | — | $ | 7,809 | $ | — | ||||||||
(i) Included in general and administrative expense are professional fees associated with income tax rate credits, tax reform impacts and adoption of the new revenue recognition standard. | ||||||||||||||||
(j) Represents an adjustment to the provision for income tax to our historical year to date effective tax rate of 25.0%, resulting from the adoption of the Tax Cuts and Jobs Act, for the three months and year ended December 31, 2018 and 35.5% for the three months and year ended December 31, 2017. |
Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Consolidated Statements of Income Data: | ||||||||||||||||
Net income | $ | 26,559 | $ | 11,222 | $ | 92,528 | $ | 40,833 | ||||||||
Less: net income attributable to noncontrolling interests | 199 | 16 | 164 | 358 | ||||||||||||
Plus: Interest expense, net | 3,125 | 2,963 | 13,119 | 12,007 | ||||||||||||
Provision for income taxes | 4,763 | 11,958 | 22,841 | 28,445 | ||||||||||||
Depreciation and amortization | 12,199 | 11,760 | 47,344 | 44,472 | ||||||||||||
EBITDA | $ | 46,447 | $ | 37,887 | $ | 175,668 | $ | 125,399 | ||||||||
Adjustments to EBITDA: | ||||||||||||||||
Earnings related to operations in the start-up phase | (3,368 | ) | (1,753 | ) | (11,500 | ) | $ | (3,261 | ) | |||||||
Charges related to the settlement/(return of unclaimed class action settlement) of the class action lawsuit and insurance claims | — | 14 | (1,664 | ) | 11,177 | |||||||||||
Share-based compensation expense | 2,697 | 2,941 | 10,337 | 9,695 | ||||||||||||
Results related to closed operations and operations not at full capacity(a) | 137 | (88 | ) | 601 | 4,632 | |||||||||||
Bonus accrual as a result of the Tax Act | — | 3,100 | — | 3,100 | ||||||||||||
Losses/(business insurance recoveries) related to Hurricane Harvey and California fires | — | 741 | (675 | ) | 1,242 | |||||||||||
Transaction-related costs(b) | 23 | 100 | 361 | 717 | ||||||||||||
Professional service fee(c) | — | 80 | — | 80 | ||||||||||||
Impairment of long-lived assets and goodwill(d) | 4,632 | — | 7,809 | — | ||||||||||||
Rent related to items above | 3,703 | 3,959 | 14,678 | 16,495 | ||||||||||||
Adjusted EBITDA | $ | 54,271 | $ | 46,981 | $ | 195,615 | $ | 169,276 | ||||||||
Rent—cost of services | 35,339 | 33,652 | 138,512 | 131,919 | ||||||||||||
Less: rent related to items above | (3,703 | ) | (3,959 | ) | (14,678 | ) | (16,495 | ) | ||||||||
Adjusted EBITDAR | $ | 85,907 | $ | 76,674 | $ | 319,449 | $ | 284,700 | ||||||||
(b) | Costs incurred to acquire operations which are not capitalizable. |
(c) | Professional fees associated with income tax credits, tax reform impacts and adoption of the new revenue recognition standard. |
(d) | Impairment charges of long-lived assets and goodwill during the year ended December 31, 2018, excluding impact of non-controlling interest of $0.5 million. Including the impact of noncontrolling interest, the impairment charge is $8.3 million. |
THE ENSIGN GROUP, INC. | ||||||||||||||||||||||||
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL INFORMATION | ||||||||||||||||||||||||
(In thousands) | ||||||||||||||||||||||||
(Unaudited) | ||||||||||||||||||||||||
The table below reconciles net income from operations to EBITDA, Adjusted EBITDA and Adjusted EBITDAR for each reportable segment for the periods presented: | ||||||||||||||||||||||||
Three Months Ended December 31, | ||||||||||||||||||||||||
Transitional and Skilled Services | Assisted and Independent Services | Home Health and Hospice | ||||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | |||||||||||||||||||
Statements of Income Data: | ||||||||||||||||||||||||
Income from operations, excluding general and administrative expense(a) | $ | 55,169 | $ | 39,910 | $ | 1,065 | $ | 4,298 | $ | 6,494 | $ | 5,805 | ||||||||||||
Less: net income attributable to noncontrolling interests | — | — | — | — | 183 | 27 | ||||||||||||||||||
Depreciation and amortization | 8,360 | 7,890 | 1,920 | 1,647 | 256 | 245 | ||||||||||||||||||
EBITDA | $ | 63,529 | $ | 47,800 | $ | 2,985 | $ | 5,945 | $ | 6,567 | $ | 6,023 | ||||||||||||
Adjustments to EBITDA: | ||||||||||||||||||||||||
Results related to operations in the start-up phase | (3,455 | ) | (2,046 | ) | 52 | 117 | 35 | 175 | ||||||||||||||||
Results related to closed operations and operations not at full capacity | 137 | (87 | ) | — | (2 | ) | — | — | ||||||||||||||||
Losses/(business interruption recoveries) related to Hurricane Harvey and California fires | — | 741 | — | — | — | — | ||||||||||||||||||
Share-based compensation expense | 1,256 | 948 | 74 | 159 | 132 | 87 | ||||||||||||||||||
Long-lived assets impairment(b) | — | — | 4,632 | — | — | — | ||||||||||||||||||
Bonus related to the Tax Act | — | 575 | — | 25 | — | — | ||||||||||||||||||
Rent related to items above | 2,916 | 3,078 | 778 | 872 | 9 | 9 | ||||||||||||||||||
Adjusted EBITDA | 64,383 | 51,009 | 8,521 | 7,116 | 6,743 | 6,294 | ||||||||||||||||||
Rent—cost of services | 28,301 | 26,624 | 6,230 | 6,354 | 609 | 528 | ||||||||||||||||||
Less: rent related to items above | (2,916 | ) | (3,078 | ) | (778 | ) | (872 | ) | (9 | ) | (9 | ) | ||||||||||||
Adjusted EBITDAR | $ | 89,768 | $ | 74,555 | $ | 13,973 | $ | 12,598 | $ | 7,343 | $ | 6,813 |
Year Ended December 31, | ||||||||||||||||||||||||
Transitional and Skilled Services | Assisted and Independent Services | Home Health and Hospice | ||||||||||||||||||||||
2018 | 2017 | 2018 | 2017 | 2018 | 2017 | |||||||||||||||||||
Statements of Income Data: | ||||||||||||||||||||||||
Income from operations, excluding general and administrative expense(a) | $ | 190,924 | $ | 140,272 | $ | 15,426 | $ | 16,736 | $ | 26,117 | $ | 19,717 | ||||||||||||
Less: net income attributable to noncontrolling interests | — | — | — | — | 595 | 160 | ||||||||||||||||||
Depreciation and amortization | 31,931 | 29,928 | 7,282 | 6,334 | 1,045 | 945 | ||||||||||||||||||
EBITDA | $ | 222,855 | $ | 170,200 | $ | 22,708 | $ | 23,070 | $ | 26,567 | $ | 20,502 | ||||||||||||
Adjustments to EBITDA: | ||||||||||||||||||||||||
Results related to operations in the start-up phase | (11,924 | ) | (4,431 | ) | 295 | 693 | 129 | 478 | ||||||||||||||||
Results related to closed operations and operations not at full capacity | 601 | 3,801 | — | — | — | 728 | ||||||||||||||||||
Losses/(business interruption recoveries) related to Hurricane Harvey and California fires | (675 | ) | 1,242 | — | — | — | — | |||||||||||||||||
Share-based compensation expense | 4,516 | 3,909 | 595 | 627 | 446 | 345 | ||||||||||||||||||
Long-lived assets impairment(b) | — | — | 4,632 | — | — | — | ||||||||||||||||||
Bonus related to the Tax Act | — | 575 | — | 25 | — | — | ||||||||||||||||||
Rent related to items above | 11,220 | 12,765 | 3,428 | 3,540 | 30 | 190 | ||||||||||||||||||
Adjusted EBITDA | $ | 226,593 | $ | 188,061 | $ | 31,658 | $ | 27,955 | $ | 27,172 | $ | 22,243 | ||||||||||||
Rent—cost of services | 110,999 | 105,520 | 24,553 | 23,950 | 2,281 | 1,977 | ||||||||||||||||||
Less: rent related to items above | (11,220 | ) | (12,765 | ) | (3,428 | ) | (3,540 | ) | (30 | ) | (190 | ) | ||||||||||||
Adjusted EBITDAR | $ | 326,372 | $ | 280,816 | $ | 52,783 | $ | 48,365 | $ | 29,423 | $ | 24,030 |