EX-99.2 3 dvcrinvestorslidesfy16q3.htm EXHIBIT 99.2 dvcrinvestorslidesfy16q3
Nasdaq: DVCR Investor Update As of September 30, 2016


 
Nasdaq: DVCR Forward-looking statements made in this presentation involve a number of risks and uncertainties, but not limited to, our ability to successfully integrate the operations of our new nursing centers in Alabama, Mississippi, Kansas and Kentucky, as well as successfully operate all of our, our ability to increase patients served at our renovated centers, changes in governmental reimbursement, government regulation, the impact of the recently adopted federal health care reform or any future healthcare reform, any increases in the cost of borrowing under our credit agreements, our ability to comply with covenants contained in those credit agreements, the outcome of professional liability lawsuits and claims, our ability to control ultimate professional liability costs, the accuracy of our estimate of our anticipated professional liability expense, the impact of future licensing surveys, the outcome of proceedings alleging violations of state or Federal False Claims Acts, laws and regulations governing quality of care or other laws and regulations applicable to our business including laws governing reimbursement from government payers, impacts associated with the implementation of our electronic medical records plan, the costs of investing in our business initiatives and development, our ability to control costs, changes to our valuation of deferred tax assets, changes in occupancy rates in our centers, changing economic and competitive conditions, changes in anticipated revenue and cost growth, changes in the anticipated results of operations, the effect of changes in accounting policies as well as other risk factors detailed in the Company's Securities and Exchange Commission filings. The Company has provided additional information in its Annual Report on Form 10-K for the fiscal year ended December 31, 2015, as well as in other filings with the Securities and Exchange Commission, which readers are encouraged to review for further disclosure of other factors that could cause actual results to differ materially from those indicated in the forward-looking statements. Forward-Looking Statements 2


 
Nasdaq: DVCR Leading Skilled Nursing Provider Compelling Demographic Trends Management’s Strategic Vision Yielding Results Improving Patient Quality Measures, Census And Skilled Mix Demonstrated Ability To Grow And Enhance Portfolio Positively Trending Financial Results Investment Highlights 3


 
Nasdaq: DVCR • Joined Diversicare in 2013 • 20+ years of experience in the LTC industry • Previous senior leadership positions at: ‒ Golden Living • Licensed Physical Therapist Executive Leadership • Joined Diversicare in 2012 • 10+ Years of senior finance positions in the healthcare industry • Previous senior leadership positions at: ‒ NuscriptRX ‒ Take Care Health Systems ‒ I-TRAX, Inc. (CHD Meridian) • Joined Diversicare in 2010 • 25 Years+ of experience in the LTC industry • Previous senior leadership positions at: ‒ Beverly ‒ Living Centers of America ‒ Skilled Healthcare • SNF – Rehab - Hospice Jay McKnight Chief Financial Officer Kelly Gill CEO, President & Director Leslie Campbell Chief Operating Officer 4


 
Nasdaq: DVCR FY15 Revenue $388M – FY16 Revenue $389M Run Rate As of today – 53 SNF’s, 1 ALF – 5,879 Licensed Beds - 9 States Headquartered in Brentwood, TN NE CO OK LA FL (1) IA IL KS (6) OH (5)IN (1) MO (3) AR KY (13) TN (5) PA MS AL (7) SC NC GA VA WV TX (13) Diversicare as of September 30, 2016 5


 
Nasdaq: DVCR • Operating since 1989 • Traded on NASDAQ: DVCR • Publicly traded since 1994 • Added to Russell Microcap Index in 2014 • 52 week range $6.41 – $10.59 • Historically paid $0.22 annual dividend 6 Company Profile


 
Nasdaq: DVCR 7 Golden Living Transaction


 
Nasdaq: DVCR Pro Forma Revenue Run Rate with Golden Living Facilities- $575M As of today – 76 Facilities – 8,453 Skilled Nursing Beds - 10 States NE CO OK LA FL (1) IA IL KS (6) OH (5)IN (1) MO (3) AR KY (13) TN (5) PA MS (10) AL (19) SC NC GA VA WV TX (13) Diversicare at a Glance as of Today 8


 
Nasdaq: DVCR Facilities & Licensed Beds Growth 9 0 20 40 60 80 2012 2013 2014 2015 2016 Facilities 51 % 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 2012 2013 2014 2015 2016 Licensed Beds 49 %


 
Nasdaq: DVCR Pro Forma Revenue Growth * Denotes 2016 Revenue Run-Rate ** Estimated Revenue Run-Rate with Golden Living Facilities 10 100,000 200,000 300,000 400,000 500,000 600,000 2012 2013 2014 2015 2016* ProForma** Revenue


 
Nasdaq: DVCR 11 Long Term Care Industry Overview • Compelling Demographic Trends • High Quality Clinical Outcomes • Relative Low Cost of Care


 
Nasdaq: DVCR 12 Compelling Industry Demographics Risi n g Deman d St able Su p pl y Sources: AHCA, CMS OSCAR Data and US Census Bureau, US Administration on Aging 15,000 15,500 16,000 16,500 17,000 2000 2002 2004 2006 2008 2010 2012 2014 2016 Number of Skilled Nursing Facilities 0 20 40 60 80 100 1990 2000 2010 2020E 2030E 2040E 2050E 2060E Age 65+ Population (in millions)


 
Nasdaq: DVCR 13 • Long term care spending continues to increase ‒ Medicare and Medicaid expenditures for SNFs expected to grow 66% from 2014 to 2024 ‒ Annual spending on older adults is expected to increase 250% by 2040 Sources: Medpac and US HHS Department Compelling Industry Demographics 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 2010 2011 2012 2013 2014 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E Medicare and Medicaid SNF Spending (in billions) Medicare Medicaid


 
Nasdaq: DVCR 14 Relative Cost Per Case of Treatment Across Post-Acute Care Providers Sources: Medpac and US HHS Department $0 $20 $40 $60 $80 $100 $120 Stroke Hip Fracture Joint Replacement Respiratory w/ Vent Tracheotomy w/ Vent $9 $11 $6 $8 $10 $34 $18 $17 $26 $26 $31 $45 $67 $75 $115 SNF IRF LTAC SNFs are recognized as high quality, low cost provider of institutional post-acute care


 
Nasdaq: DVCR 15 Company Overview • Mature Company • Provides a full spectrum of post-acute healthcare services • Robust operating platform capable of significant growth expansion


 
Nasdaq: DVCR Investments made in internal improvements and scalability position Diversicare for external growth Launched Q3 2010 Today Expanded Focus Now On Portfolio Growth Retooling: Areas of Focus Platform Development Operational Improvement Facility Renovations Key Strategic Accomplishments 16


 
Nasdaq: DVCR Implement an Electronic Medical Record (EMR) Solution Centralization of Key Processes People – Processes – Resources Completed – Company repositioned for rapid growth Platform Development and Operational Improvements 17


 
Nasdaq: DVCR 18 Key Results and Outcomes • Improved Quality Measures • Improved patient mix and reimbursement rates • Improved operating and G&A leverage • Demonstrated growth through acquisitions


 
Nasdaq: DVCR Results: 5 Star Quality Measures Relative to For-Profit Peer Group 19 3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 4 4.1 Overall QM Rating 4.02 DVCR Industry For-Profit Not-For-Profit Diversicare is the industry leader in Quality Measures outcomes.


 
Nasdaq: DVCR Skilled Care and Marketing Initiatives: • 24 Hour RN coverage with specialized clinical capability • Clinical programs drive higher acuity and favorable reimbursement trends • Facility based sales representatives deploy centrally managed business development activities • Clinical programs can be customized for physician needs Results: Improved Patient Mix 20 200 300 400 500 600 700 Q1 14 Q2 14 Q3 14 Q4 14 Q1 15 Q2 15 Q3 15 Q4 15 Q1 16 Q2 16 Q3 16 500 563 544 552 623 574 553 557 574 538 525 Medicare Avg Daily Census 60 80 100 120 140 160 180 200 Q1 14 Q2 14 Q3 14 Q4 14 Q1 15 Q2 15 Q3 15 Q4 15 Q1 16 Q2 16 Q3 16 150 138 152 162 182 167 171 172 180 161 159 Managed Care Avg Daily Census


 
Nasdaq: DVCR A – Resulting from a 2% decrease in rates as a result of sequestration beginning April 1, 2013. Results: Rate Increases Driven By Higher Acuity • Medicare rate growth driven by acuity • 17.4% Increase from FY10 Q3 to FY16 Q3 • 4.1% CAGR 21 $380 $430 $480 Q3 '10 Q4 '10 Q1 '11 Q2 '11 Q3 '11 Q4 '11 Q1 '12 Q2 '12 Q3 '12 Q4 '12 Q1 '13 Q2 '13 Q3 '13 Q4 '13 Q1 '14 Q2 '14 Q3 '14 Q4 '14 Q1 '15 Q2 '15 Q3 '15 Q4 '15 Q1 '16 Q2 '16 Q3 '16 $388 $456 Medicare Rate Per Day Medicare Rate Per Day RUGS IV Final Rule Impact A


 
Nasdaq: DVCR • Medicaid rates driven by acuity • 14.7% Increase from FY10 Q3 to FY16 Q3 • 3.5% CAGR Results: Rate Increases Driven By Higher Acuity 22 $148 $170 $135 $140 $145 $150 $155 $160 $165 $170 $175 Q3 '10Q4 '10Q1 '11Q2 '11Q3 '11Q4 '11Q1 '12Q2 '12Q3 '12Q4 '12Q1 '13Q2 '13Q3 '13Q4 '13Q1 '14Q2 '14Q3 '14Q4 '14Q1 '15Q2 '15Q3 '15Q4 '15Q1 '16Q2 '16Q3 '16 Medicaid Rate Per Day


 
Nasdaq: DVCR Results: Growth in Operated Facilities • Our ability to integrate facilities onto our platform is proven by our continuous growth and early accretion of new facilities. • Subsequent to 2016 Q3, 22 facilities were implemented. 23 25 30 35 40 45 50 55 60 32 54


 
Nasdaq: DVCR Acquisitions are Accretive to earnings within a quarter of acquisitions date – the exceptions being development opportunities like new construction, major renovations, etc. Demonstrated Platform Scalability by successful implementation of new facilities New Facility Integration, including EMR, implemented during the first quarter of operations at new facilities Results: Impact Of New Centers 24


 
Nasdaq: DVCR Results: Revenue Impact of Acquisitions 25 * For the purposes of this chart, the “same-store group” represents all centers operated by the Company prior to January 1, 2014. $0 $10 $20 $30 $40 $50 $60 $70 $80 $90 $100 Q1 ’14 Q2 '14 Q3 '14 Q4 '14 Q1 '15 Q2 '15 Q3 '15 Q4 '15 Q1 '16 Q2 '16 Q3 '16 Quarterly Revenue 2015 Acquisitions (3) 2014 Acquisitions (8) Same-store group*


 
Nasdaq: DVCR *Same-Store group represents all nursing centers acquired by the Company prior to January 1, 2015. Results: New Centers and Same-Store 26


 
Nasdaq: DVCR Results: Revenue Growth and Operating Leverage • Continued Company-wide cost reduction efforts in place o Diligent vendor management and product selection criteria o Centralized purchasing functions drive consistency through all facilities 27 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% $30.0 $40.0 $50.0 $60.0 $70.0 $80.0 $90.0 $100.0 $110.0 Q1 '13 Q2 '13 Q3 '13 Q4 '13 Q1 '14 Q2 '14 Q3 '14 Q4 '14 Q1 '15 Q2 '15 Q3 '15 Q4 '15 Q1 '16 Q2 '16 Q3 '16 Revenue and Facility-Level Operating Profit Revenue Operating Profit (%)


 
Nasdaq: DVCR • Continued G&A reduction efforts in place o Right-sized overhead structure for new portfolio o Centralized core functions to leverage skilled teams • Savings from G&A reductions funded strategic investments • G&A increased in the third quarter 2016 due to acquisition activity Results: G&A Leverage 28 7.6% 5.0% 6.0% 7.0% 8.0% Q1 '14 Q2 '14 Q3 '14 Q4 '14 Q1 '15 Q2 '15 Q3 '15 Q4 '15 Q1 '16 Q2 '16 Q3 '16 G&A Expense as a % of Revenue


 
Nasdaq: DVCR 29 Current Areas of Focus • Continuous quality improvement • Enhancing existing portfolio • Growth through accretive acquisitions


 
Nasdaq: DVCR Continuous improvement of Quality Measures Continue to drive volume of patients served Improve skilled mix / provide high-acuity services Ongoing renovations of existing facilities Continue to Enhance Existing Portfolio 30


 
Nasdaq: DVCR Stated goal to double the Company within 5 years Target: 5-10 new facilities per year Active pipeline and buyer friendly market Expanded operating infrastructure = Scalability Structure flexibility = Several sources of financial capacity Portfolio Growth 31


 
Nasdaq: DVCR Today2010 Portfolio has grown by more than 60% after divestitures • Exited Arkansas and West Virginia • Entered Missouri, Kansas, Indiana and Mississippi • Added Facilities in Ohio, Alabama, and Kentucky Deepen and Expand Existing Footprint 32 OH (5) FL (1) IN (1) AL (19) KS (6) MO (3) TX (13) AR (12) TX (13) OH (1) AL (6) FL (1) WV (2) MS (10)


 
Nasdaq: DVCR • Full Ownership Of Assets • Participate In Value Appreciation • Enhance Facility Ownership Fee-Simple Acquisitions • Minimal Capital Required • Leverage Turnaround Capabilities • Leverage Strong REIT Relationships Assumption of Long-Term Operating Leases 2010 Today 20% 22% 80% 78% Flexible Structure Broadens Pipeline 33 Acquisition Types


 
Nasdaq: DVCR 34 Summary • Improved operational and financial results • Attractive investment dynamics • Repositioned for the future


 
Nasdaq: DVCR Key Financial and Operating Statistics Q3 2015 Q4 2015 Q1 2016 Q2 2016 Q3 2016 Average Daily Census 4,651 4,662 4,645 4,595 4,592 Total Average Daily Census – Medicare & Managed Care 724 729 754 699 684 Skilled Mix % 15.6% 15.6% 16.2% 15.2% 14.9% Occupancy (Available Beds) 81.1% 79.6% 79.3% 79.1% 80.4% Medicare Rate Per Day $452.48 $457.24 $453.51 $456.91 $455.69 Medicaid Rate Per Day $168.12 $166.72 $167.34 $168.36 $169.51 Revenue (Millions) $98.1 $98.0 $97.9 $95.8 $97.3 Facility Level Operating Profit $19.6 $19.2 $19.3 $17.4 $17.9 G&A % of Revenue 6.5% 6.1% 6.9% 7.2% 7.6% Adjusted EBITDAR $11.3 $11.3 $10.8 $8.8 $9.1 Adjusted EBITDA $4.1 $4.2 $3.5 $1.9 $2.2 35


 
Nasdaq: DVCR Leading Skilled Nursing Provider Compelling Demographic Trends Management’s Strategic Vision Yielding Results Improving Patient Quality Measures, Census And Skilled Mix Demonstrated Ability To Grow And Enhance Portfolio Positively Trending Financial Results Investment Highlights 36


 
Nasdaq: DVCR Appendix A: Reconciliation of Net Income to Adjusted EBITDA and Adjusted EBITDAR (a) Represents non-recurring costs associated with acquisition-related transactions. (b) Represents non-recurring debt retirement costs associated with the extinguishment of the previous debt facility during the first quarter 2016. (c) Represents non-recurring lease termination costs related to the termination of the Avon, Ohio operating lease in May 2016. (d) Represents non-recurring lease deferral costs associated with the purchase of Clinton and Hutchinson in February 2016. 37