EX-99.1 2 ex99103312014.htm PRESS RELEASE Ex99.1 03312014


Exhibit 99.1



SKILLED HEALTHCARE GROUP REPORTS FIRST QUARTER 2014 ADJUSTED EPS OF $0.06


FOOTHILL RANCH, Calif. - May 5, 2014 - Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three month period ended March 31, 2014.

"With my first full quarter as CEO behind me and a strategic review of our business completed, it is clear that we can strengthen the company’s performance and deliver value to stakeholders - our patients, employees, and stockholders," said Robert Fish, Chief Executive Officer of Skilled Healthcare Group. "The strategic review has identified many opportunities for us to increase revenues, rationalize expenses, and improve services. I am confident that we have a roadmap and a strong management team that can get us there successfully."


First Quarter 2014 Results

Continuing Operations

Revenue for the quarter ended March 31, 2014 was $207.3 million, a decrease of 3.6% when compared to $215.1 million in the first quarter of 2013. Skilled mix1 decreased 60 basis points to 22.4% in the first quarter of 2014 from 23.0% in the first quarter of 2013. Occupancy declined 40 basis points to 82.5% in the first quarter of 2014 from 82.9% in the first quarter of 2013. Quality mix2 in the first quarter of 2014 decreased 230 basis points to 67.7%, compared to 70.0% in the prior year period.

Adjusted EBITDA3 was $17.9 million, or 8.6% of revenue, for the quarter ended March 31, 2014, a decrease of 6.3% compared to $19.1 million, or 8.9% of revenue, in the same period a year ago. Adjusted EBITDAR3 was $22.6 million, or 10.9% of revenue, for the quarter ended March 31, 2014, a decrease of 4.6% compared to $23.7 million, or 11.0% of revenue, for the quarter ended March 31, 2013.

Net income for the quarter ended March 31, 2014 totaled $1.3 million, as compared to net income of $3.3 million for the first quarter of 2013. Adjusted net income4 for the quarter ended March 31, 2014 totaled $2.3 million, a decrease of 42.7% compared to adjusted net income of $4.0 million for the first quarter of 2013. Adjusted net income excludes certain items as described in the Reconciliation of Income From Continuing Operations Before Provision for Income Taxes to Adjusted Net Income table at the end of this press release.

Net income per share was $0.03 for the quarter ended March 31, 2014, as compared to net income per diluted share of $0.09 for the same period in 2013. Adjusted net income per diluted share4 was $0.06 for the quarter ended March 31, 2014, a decrease of 40.0% compared to adjusted net income per diluted share of $0.10 for the quarter ended March 31, 2013.
 

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Long-Term Care Services Segment
Revenue for our long-term care services segment in the quarter ended March 31, 2014 was $161.4 million, a decrease of $0.5 million, or 0.3%, as compared to $161.9 million for the same period a year ago. Revenue for this segment represented 77.9% of total revenue in the first quarter of 2014, compared to 75.3% of total revenue in the first quarter of 2013.

Therapy Services Segment
Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $23.0 million for the quarter ended March 31, 2014, a decrease of $4.1 million, or 15.1%, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 11.1% of total revenue in the first quarter of 2013, compared to 12.6% of total revenue in the first quarter of 2013.

Hospice and Home Health Services Segment
Revenue for Signature Hospice and Home Health, our hospice and home health services segment, was $22.9 million in the first quarter of 2014, a decrease of $3.2 million, or 12.3%, compared to $26.1 million in the first quarter of 2013. Average daily hospice census decreased 18.9% to 1,084 for the first quarter of 2014, from 1,336 for the first quarter of 2013.

Conference Call
A conference call and webcast will be held tomorrow, Tuesday, May 6th, at 9:00 a.m. Pacific Time (12:00 noon Eastern Time) to discuss Skilled Healthcare Group's first quarter 2014 financial results.

To participate in the call, interested parties may dial (800) 847-9525 and reference conference 18746001. Alternatively, interested parties may access the call in listen-only mode at www.skilledhealthcaregroup.com. A replay of the conference call will be available after 12:00 noon Pacific Time at www.skilledhealthcaregroup.com.

About Skilled Healthcare Group, Inc.
Skilled Healthcare Group, Inc., based in Foothill Ranch, California, is a holding company with subsidiary healthcare services companies, which in the aggregate had trailing twelve month revenue of approximately $842 million and approximately 15,000 employees as of March 31, 2014. Skilled Healthcare Group and its wholly-owned companies, collectively referred to as the "Company," operate long-term care facilities and provide a wide range of post-acute care services, with a strategic emphasis on sub-acute specialty health care. The Company operates long-term care facilities in California, Iowa, Kansas, Missouri, Nebraska, Nevada, New Mexico and Texas, including 72 skilled nursing facilities that offer sub-acute care and rehabilitative and specialty health skilled nursing care, and 22 assisted living facilities that provide room and board and social services. In addition, the Company provides physical, occupational and speech therapy in Company-operated facilities and unaffiliated facilities. Furthermore, the Company provides hospice and home health care in Arizona, California, Idaho, Montana, New Mexico and Nevada. The Company leases 5 skilled nursing facilities in California to an unaffiliated third party operator. More information about Skilled Healthcare is available at www.skilledhealthcaregroup.com.

Footnotes
(1)
Skilled mix represents the number of Medicare and non-Medicaid managed care patient days at our affiliated skilled nursing facilities divided by the total number of patient days at our affiliated skilled nursing facilities for any given period.
(2)
Quality mix represents non-Medicaid revenue as a percentage of total revenue.
(3)
EBITDA is net income before depreciation, amortization and interest expense (net of interest income) and the provision for income taxes. EBITDAR is EBITDA excluding facility rent expense. Adjusted earnings before interest, taxes, depreciation and amortization, or Adjusted EBITDA, reflects the non-GAAP adjustments to net income that are reflected in the Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDAR in this press release.

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(4)
Adjusted net income per diluted share and adjusted net income each reflect the non-GAAP adjustments to income before provision for income taxes that are reflected in the Reconciliation of Income Before Provision for Income Taxes to Adjusted Net Income table in this press release.

Forward-Looking Statements
This release includes "forward-looking statements." You can identify these statements by the fact that they do not relate strictly to historical or current facts. These statements contain words such as "may," "will," "project," "might," "expect," "believe," "anticipate," "intend," "could," "would," "estimate," "continue" or "pursue," or the negative or other variations thereof or comparable terminology. They include statements about Skilled Healthcare's expectations and beliefs regarding its opportunities and abilities to increase revenue, rationalize expenses, and improve services. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release.

Investors are cautioned that forward-looking statements are not guarantees of future performance or results and involve risks and uncertainties that cannot be predicted or quantified and, consequently, the actual performance of Skilled Healthcare may differ materially from that expressed or implied by such forward-looking statements.

Additionally, the Company faces a number of other risks and uncertainties, including, but not limited to, the factors described in Skilled Healthcare's Annual Report on Form 10-K for the year ended December 31, 2013 filed with the Securities and Exchange Commission (including the sections entitled "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" contained therein) and in our subsequent reports on Form 10-Q and Form 8-K.

Any forward-looking statements are made only as of the date of this release. Skilled Healthcare disclaims any obligation to update the forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements.

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Skilled Healthcare Group, Inc.
Condensed Consolidated Statements of Operations
(In thousands, except per share data)

 
Three Months Ended March 31,
 
2014

2013 (1)
Revenue:
(Unaudited)
Net patient service revenue
$
206,513

 
$
214,298

Lease facility revenue
787

 
761

 
207,300

 
215,059

 
 
 
 
Expenses:
 
 
 
Cost of services (exclusive of rent cost of revenue and depreciation and amortization shown below)
180,309

 
186,271

Rent cost of revenue
4,774

 
4,669

General and administrative
6,084

 
6,455

Change in fair value of contingent consideration
14

 
83

Depreciation and amortization
6,085

 
5,898

 
197,266

 
203,376

 
 
 
 
Other (expenses) income:
 
 
 
Interest expense
(8,039
)
 
(8,675
)
Interest income
43

 
112

Other income (expense), net
52

 
(30
)
Equity in earnings of joint venture
546

 
489

Total other (expenses) income, net
(7,398
)
 
(8,104
)
Income from continuing operations before provision for income taxes
2,636

 
3,579

Provision for income taxes
1,341

 
245

Income from continuing operations
1,295

 
3,334

Loss from discontinued operations, net of tax

 
(264
)
Net income
$
1,295

 
$
3,070

 
 
 
 
Earnings per share, basic:
 
 
 
Earnings per common share from continuing operations
$
0.03

 
$
0.09

Loss per common share from discontinued operations

 
(0.01
)
Earnings per share
$
0.03

 
$
0.08

 
 
 
 
Earnings per share, diluted:
 
 
 
Earnings per common share from continuing operations
$
0.03

 
$
0.09

Loss per common share from discontinued operations

 
(0.01
)
Earnings per share
$
0.03

 
$
0.08

 
 
 
 
Weighted-average common shares outstanding, basic
37,972

 
37,557

Weighted-average common shares outstanding, diluted
38,202

 
38,034

Note:
(1) Amounts have been adjusted for discontinued operations




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Skilled Healthcare Group, Inc.
Condensed Consolidated Balance Sheet and Cash Flow Data
(In thousands)


 
March 31, 2014
 
December 31, 2013
 
(Unaudited)
 
(Audited)
Balance Sheet Data:
 
 
 
ASSETS
 
 
 
Cash and cash equivalents
$
4,205

 
$
4,177

Accounts receivable, less allowance for doubtful accounts of $15,455 and $16,665 at March 31, 2014 and December 31, 2013, respectively
109,407

 
107,215

Other current assets
31,955

 
31,025

Property and equipment and leased facility assets, net
348,783

 
351,238

Goodwill
69,065

 
69,065

Other assets
81,399

 
80,696

Total assets
$
644,814

 
$
643,416

 
 
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
 
 
 
Current liabilities less current portion of long-term debt
$
88,480

 
$
90,158

Other long-term liabilities
43,323

 
41,901

Long-term debt
419,248

 
419,125

Stockholders’ equity
93,763

 
92,232

Total liabilities and stockholders’ equity
$
644,814

 
$
643,416





 
Three Months Ended March 31,
 
2014
 
2013
 
(Unaudited)
Cash Flows Data:
 
 
 
Net cash provided by operating activities
$
5,737

 
$
4,481

Net cash used in investing activities
(3,550
)
 
(2,401
)
Net cash (used in) provided by financing activities
(2,159
)
 
1,066

Increase in cash and cash equivalents
28

 
3,146

Cash and cash equivalents at beginning of period
4,177

 
2,003

Cash and cash equivalents at end of period
$
4,205

 
$
5,149











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Skilled Healthcare Group, Inc.
Consolidated Key Performance Indicators
(Unaudited)

The following table summarizes our key performance indicators, along with other statistics, for each of the dates or periods indicated

Continuing Operations

 
Three Months Ended March 31,
 
2014
 
2013 (1)
Occupancy statistics (skilled nursing facilities):
 
 
 
Available beds in service at end of period
8,577

 
8,601

Available patient days
772,340

 
773,972

Actual patient days
636,892

 
641,771

Occupancy percentage
82.5
%
 
82.9
%
Average daily number of patients
7,077

 
7,131

Hospice average daily census
1,084

 
1,336

Home health episodic-based admissions
2,239

 
2,242

Home health episodic-based recertifications
435

 
490

EBITDA (in thousands)
$
16,717

 
$
17,776

Adjusted EBITDA (in thousands)
$
17,852

 
$
19,058

Adjusted EBITDA margin
8.6
%
 
8.9
%
Adjusted EBITDAR (in thousands)
$
22,626

 
$
23,727

Adjusted EBITDAR margin
10.9
%
 
11.0
%
 
 
 
 
Revenue per patient day (skilled nursing facilities prior to intercompany eliminations):
 
 
 
Medicare
$
521

 
$
521

Managed care
403

 
382

Medicaid
166

 
162

Private and other
177

 
177

Weighted-average for all
$
241

 
$
241

Patient days by payor (skilled nursing facilities):
 
 
 
Medicare
75,105

 
83,071

Managed care
67,617

 
64,469

Total skilled mix days
142,722

 
147,540

Private pay and other
94,463

 
100,826

Medicaid
399,707

 
393,405

Total days
636,892

 
641,771

Patient days as a percentage of total patient days (skilled nursing facilities):
 
 
 
Medicare
11.8
%
 
12.9
%
Managed care
10.6

 
10.1

Skilled Mix
22.4

 
23.0

Private pay and other
14.8

 
15.7

Medicaid
62.8

 
61.3

Total
100.0
%
 
100.0
%
Revenue for total company:
 
 
 
Medicare
30.0
%
 
32.6
%
Managed care, private pay, and other
37.7

 
37.4

Quality mix
67.7

 
70.0

Medicaid
32.3

 
30.0

Total
100.0
%
 
100.0
%
Note:
(1) Amounts have been adjusted for discontinued operations





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Skilled Healthcare Group, Inc.
Facility Ownership
(Unaudited)
 
As of March 31,
 
2014
 
2013 (1)
Facilities:
 
 
 
Skilled nursing facilities operated:
 
 
 
Owned
51
 
 
51

Leased
21
 
 
21

Total skilled nursing facilities operated
72
 
 
72

Total licensed beds
8,967
 
 
8,959

Skilled nursing facilities leased to unaffiliated third party operator
5
 
 
5

Assisted living facilities
 
 
 
Owned
21
 
 
21

Leased
1
 
 
1

Total assisted living facilities
22
 
 
22

Total licensed beds
1,212
 
 
1,228

Total facilities
99
 
 
99

Available bed in service (SNF only)
8,577
 
 
8,601

Percentage owned facilities
77.8
%
 
77.8
%
 
 Skilled Healthcare Group, Inc.
Reconciliation of Net Income to EBITDA, EBITDAR, Adjusted EBITDA, and Adjusted EBITDAR
(In thousands)
(Unaudited)
 
Three Months Ended March 31,
 
2014
 
2013 (1)
 
 
 
 
Net income
$
1,295

 
$
3,070

Interest expense, net of interest income
7,996

 
8,563

Provision for income taxes
1,341

 
245

Depreciation and amortization expense
6,085

 
5,898

EBITDA
16,717

 
17,776

Rent cost of revenue
4,774

 
4,669

EBITDAR
21,491

 
22,445

EBITDA
16,717

 
17,776

Change in fair value of contingent consideration
14

 
83

Organization restructure costs
440

 

Exit costs related to divested facilities
367

 

Legal expense for non-routine matters
314

 
935

Loss from discontinued operations, net of tax

 
264

Adjusted EBITDA
17,852

 
19,058

Rent cost of revenue
4,774

 
4,669

Adjusted EBITDAR
$
22,626

 
$
23,727

Note:
(1) Amounts have been adjusted for discontinued operations

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Skilled Healthcare Group, Inc.
Reconciliation of Income From Continuing Operations Before Provision for Income Taxes to Adjusted Net Income
(In thousands, except per share data)
(Unaudited)
 
Three Months Ended March 31,
 
2014
 
2013 (1)
 
 
 
 
Income from continuing operations before provision for income taxes
$
2,636

 
$
3,579

Change in fair value of contingent consideration
14

 
83

Organization restructure costs
440

 

Exit costs related to divested facilities
367

 

Legal expense for non-routine matters
314

 
935

Adjusted income before provision for income taxes
3,771

 
4,597

Adjusted provision for income taxes
1,784

 
642

Tax difference from shares that vested at a lower price than the grant price
(281
)
 

Adjusted net income from continuing operations
$
2,268

 
$
3,955

 
 
 
 
Weighted-average common shares outstanding, diluted
38,202

 
38,034

Adjusted net income per share, diluted
0.06

 
0.10

Effective tax rate
39.9
%
 
14.0
%
Note:
(1) Amounts have been adjusted for discontinued operations


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We believe that a report of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides consistency in our financial reporting and provides a basis for the comparison of results of core business operations between our current, past and future periods. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are primary indicators management uses for planning and forecasting in future periods, including trending and analyzing the core operating performance of our business from period-to-period without the effect of expenses, revenues and gains (losses) that are unrelated to the day-to-day performance of our consolidated and segmented business but are required to reported in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP"). We also use adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to benchmark the performance of our consolidated and segmented business against expected results, analyzing year-over-year trends as described below and to compare our operating performance to that of our competitors.
 
Management uses adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to assess the performance of our core business operations, to prepare operating budgets and to measure our performance against those budgets on a consolidated and segment level. Segment management uses these metrics to measure performance on a business unit by business unit basis. We typically use adjusted net income per share, Adjusted EBITDA and Adjusted EBITDAR for these purposes on a consolidated basis as the adjustments to adjusted net income per share, EBITDA and EBITDAR are not generally allocable to any individual business unit and we typically use EBITDA and EBITDAR to compare the operating performance of each skilled nursing and assisted living facility, as well as to assess the performance of our operating segments. EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are useful in this regard because they do not include such costs as interest expense (net of interest income), income taxes, depreciation and amortization expense, rent cost of revenue (in the case of EBITDAR and Adjusted EBITDAR) and special charges, which may vary from business unit to business unit and period-to-period depending upon various factors, including the method used to finance the business, the amount of debt that we have determined to incur, whether a facility is owned or leased, the date of acquisition of a facility or business, the original purchase price of a facility or business unit or the tax law of the state in which a business unit operates. These types of charges are dependent on factors unrelated to the underlying business unit performance. As a result, we believe that the use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides a meaningful and consistent comparison of our underlying business units between periods by eliminating certain items required by U.S. GAAP which have little or no significance to their day-to-day operations.

The use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures has certain limitations. Our presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR or other non-GAAP financial measures may be different from the presentation used by other companies and therefore comparability may be limited. Depreciation and amortization expense, interest expense, income taxes and other items have been and will be incurred and are not reflected in the presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA or Adjusted EBITDAR. Each of these items should also be considered in the overall evaluation of our results. Additionally, adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR do not consider capital expenditures and other investing activities and should not be considered as a measure of our liquidity. We compensate for these limitations by providing the relevant disclosure of our depreciation and amortization, interest and income taxes, capital expenditures and other items both in our reconciliations to the U.S. GAAP financial measures and in our consolidated financial statements, all of which should be considered when evaluating our performance.

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Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and certain other non-GAAP financial measures are used in addition to and in conjunction with results presented in accordance with U.S. GAAP. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures should not be considered as an alternative to net income, operating income, or any other operating performance measure prescribed by U.S. GAAP, nor should these measures be relied upon to the exclusion of U.S. GAAP financial measures. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures reflect additional ways of viewing our operations that we believe, when viewed with our U.S. GAAP results and the reconciliations to the corresponding U.S. GAAP financial measures, provide a more complete understanding of factors and trends affecting our business than could be obtained absent this disclosure. You are strongly encouraged to review our financial information in its entirety and not to rely on any single financial measure.

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

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