EX-99.1 2 g16505exv99w1.htm EX-99.1 Ex-99.1
Exhibit 99.1
(AVCA ADVOCAT LOGO)
     
Company Contact:
  Investor Relations:
William R. Council, III
  Rodney O’Connor
President and CEO
  Cameron Associates
(615) 771-7575
  (212) 554-5470
Advocat Announces 2008 Third Quarter Results
BRENTWOOD, Tenn., (November 6, 2008) — Advocat Inc. (NASDAQ: AVCA) today announced its results for the third quarter and nine months ended September 30, 2008.
Highlights for Third Quarter 2008
Key Highlights for the third quarter of 2008 compared to the third quarter of 2007 include the following:
    Revenue increased 13.0% to $72.2 million in 2008, compared to $63.9 million in 2007.
 
    Same center occupancy decreased to 77.7% in 2008, compared to 79.1% in 2007, and same center Medicare census as a percent of total census decreased to 13.0% in 2008, compared to 13.3% in 2007.
 
    Medicare rates increased 8.9% compared to 2007 on a same center basis.
 
    Operating income was $1.9 million in 2008 compared to $3.9 million in 2007.
 
    Net income from continuing operations was $0.7 million in 2008, compared to $2.0 million in 2007, or $0.10 per diluted common share in 2008 compared to $0.32 in 2007.
 
    Funds provided by operations were $2.3 million in 2008 compared to $4.2 million in 2007.
For the third quarter of 2008 compared to the second quarter of 2008:
    Revenue increased 1.9% to $72.2 million in the third quarter of 2008 compared to $70.8 million in the second quarter of 2008.
 
    Total occupancy increased to 75.3% in the third quarter of 2008, compared to 74.6% in the second quarter of 2008. Medicare census as a percent of total census decreased to 12.6% in the third quarter of 2008, compared to 13.9% in the second quarter of 2008.
 
    Operating income increased to $1.9 million in the third quarter of 2008 compared to $1.7 million in the second quarter of 2008.
 
    Net income from continuing operations was $0.7 million in both the third and second quarters of 2008.
 
    Funds provided by operations were $2.3 million in the third quarter of 2008 compared to $2.7 million in the second quarter of 2008.

 


 

(AVCA ADVOCAT LOGO)
Other Highlights for the Third Quarter 2008
The Company completed the acquisition of the leasehold interests and operations of seven skilled nursing facilities in Texas (SMSA Acquisition) on August 10, 2007. Effective November 1, 2007, the Company entered into a lease for a skilled nursing facility in Texas. Financial and statistical data reported in this earnings release for these eight facilities (“New Texas Facilities”) include the results of their operations from the date of acquisition in the case of the SMSA Acquisition, and beginning November 1, 2007 for the new leased facility. Accordingly, the third quarter data referenced in comparisons below for the New Texas Facilities is comparing the full quarter of 2008 to a partial quarter in 2007.
Revenues increased to $72.2 million in 2008 from $63.9 million in 2007, an increase of $8.3 million, or 13.0%. Revenues related to the New Texas Facilities were $13.3 million in 2008 and $6.6 million in 2007. Same center patient revenues increased to $58.9 million in 2008 from $57.3 million in 2007, an increase of $1.6 million, or 2.8%. This increase is due primarily to Medicare rate increases, increased Medicaid rates in certain states and increased private pay and managed care rates and census, partially offset by the effects of lower Medicaid and Medicare census.
The following table summarizes key revenue and census statistics for the quarterly reporting periods and segregates effects of the New Texas Facilities.
                 
    Three Months Ended
    September 30,
    2008   2007
Skilled nursing occupancy:
               
Same center
    77.7 %     79.1 %
New Texas Facilities
    67.8 %     68.4 %
Total continuing operations
    75.3 %     77.6 %
Medicare census as percent of total:
               
Same center
    13.0 %     13.3 %
New Texas Facilities
    11.4 %     12.0 %
Total continuing operations
    12.6 %     13.1 %
Medicare revenues as percent of total:
               
Same center
    30.1 %     29.7 %
New Texas Facilities
    31.6 %     33.1 %
Total continuing operations
    30.4 %     30.0 %
Medicaid revenues as percent of total:
               
Same center
    55.9 %     57.9 %
New Texas Facilities
    47.9 %     46.0 %
Total continuing operations
    54.5 %     56.7 %
Medicare average rate per day:
               
Same center
  $ 382.96     $ 351.51  
New Texas Facilities
  $ 398.02     $ 375.13  
Total continuing operations
  $ 385.86     $ 354.12  
Medicaid average rate per day:
               
Same center
  $ 146.66     $ 142.04  
New Texas Facilities
  $ 113.91     $ 109.62  
Total continuing operations
  $ 140.19     $ 138.59  
On a same center basis, the Company’s average rate per day for Medicare Part A patients increased 8.9% in 2008 compared to the same period in 2007 as a result of annual inflation adjustments and increased acuity levels of Medicare patients in our nursing centers, as indicated by RUG level scores, which were higher in 2008 than in 2007. Our average rate per day for

 


 

(AVCA ADVOCAT LOGO)
Medicaid patients increased 3.3% in 2008 compared to 2007 as a result of increasing patient acuity levels and other rate increases in certain states.
Operating expense increased to $58.3 million in 2008 from $49.3 million in 2007, an increase of $9.0 million, or 18.4%. Operating expense related to the New Texas Facilities was $12.2 million in 2008. Same center operating expense increased to $46.1 million in 2008 from $43.3 million in 2007, an increase of $2.8 million, or 6.5%. This increase is primarily attributable to cost increases related to wages and benefits and other cost increases as discussed below. On a same center basis, operating expense increased to 78.3% of revenue in 2008, compared to 75.6% of revenue in 2007.
The largest component of operating expenses is wages, which increased to $34.6 million in 2008 from $29.4 million in 2007, an increase of $5.2 million, or 17.8%. Wages related to the New Texas Facilities were approximately $7.4 million in 2008 and $3.4 million in 2007. Same center wages increased approximately $1.2 million, or 4.6%, primarily due to increases in wages as a result of competitive labor markets in most of the areas in which we operate, regular merit and inflationary raises for personnel (increase of approximately 4.6% for the period).
In addition to increased wages, workers’ compensation insurance expense was approximately $0.2 million higher in 2008. The Company has had increases in claim costs related to certain prior year claims during 2008 resulting in higher expense. Operating costs were also impacted by higher food and utility expenses. Food costs were approximately $0.2 million higher on a same center basis, an increase in expense per patient day of 17.9%. Utility costs were approximately $0.1 million higher, or approximately 8.6%.
The Company’s three Houston area nursing centers incurred additional costs in 2008 as a result of Hurricane Ike. The Company incurred approximately $0.2 million in incremental operating costs.
The remaining increases in same center operating expense are primarily due to the effects of increases in patient acuity levels as indicated by RUG level scores, which were higher in 2008, resulting in greater costs to care for these patients.
General and administrative expense increased to $4.6 million in 2008 and 2007. As a percentage of revenues, general and administrative expense decreased to 6.4% of revenue in 2008 compared to 7.2% of revenue in 2007. General and administrative expense related to the New Texas Facilities was $0.2 million in 2008 and $0.4 million in 2007, including $0.3 million for post acquisition integration costs in 2007. Same center general and administrative expense increased to $4.4 million in 2008 from $4.2 million in 2007, an increase of $0.2 million, or 5.7%. Compensation costs increased by approximately $0.2 million, including normal merit and inflationary increases and new positions added to improve operating and financial controls. Travel costs increased by approximately $0.1 million. These increases were offset by a decrease in incentive compensation expense of $0.3 million.
Professional liability resulted in an expense of $0.3 million in 2008, compared to a benefit of $6,000 in 2007, an increase in expense of $0.3 million. The benefit in 2007 resulted from a reduction in the accrual for prior year claims.
Funds provided by operations in 2008 decreased to $2.3 million from $4.2 million in 2007. The decrease was primarily due to lower operating income and increased cash payments for professional liability costs. Cash payments for professional liability costs were approximately $1.0 million higher in the third quarter of 2008 compared to the third quarter of 2007. Funds

 


 

(AVCA ADVOCAT LOGO)
provided by operations is a non-GAAP measurement and a reconciliation of this measurement to net income is included in the financial tables accompanying this press release.
Revenue and Income Highlights for Nine Months
Revenue increased 23% to $214.5 million in 2008 from $173.9 million in 2007. Revenues related to New Texas facilities were $38.8 million in 2008 and $6.6 million in 2007.
Net income from continuing operations was $4.5 million for nine months ended September 30, 2008 compared to $7.7 million for the same period in 2007. The diluted income per common share from continuing operations was $0.71 and $1.21 for 2008 and 2007, respectively.
Facility Renovation Update
Nine facilities have been renovated since commencing the facility renovation program in the third quarter of 2005, including one completed in October 2008. Our tenth renovation is expected to be completed in November 2008. There is one additional renovation project in progress, with completion expected in 2009.
Third quarter occupancy for the eight facilities with renovations completed before the beginning of the quarter increased from 63.2% to 70.7%, and Medicare average daily census increased from a total of 81 to 88, each as compared to the last twelve months prior to the commencement of renovation.
Amendment to Debt Agreement
As of September 30, 2008, the Company was not in compliance with the Minimum Fixed Charge Coverage Covenant related to the Company’s bank term loan. On November 3, 2008 the Company received a covenant waiver from the bank effective for the period ending September 30, 2008 through the earlier of October 1, 2009 or the date the Company amends the Minimum Fixed Charge Coverage Covenant. The Company and the bank are currently in discussions to amend the provisions of the Minimum Fixed Charge Coverage Covenant, and the terms of the waiver require that this amendment be completed by December 31, 2008. It is anticipated that the amendment will be completed in the fourth quarter of 2008, and that the Company would be in compliance with the proposed covenant for at least the next twelve months.
CEO Remarks
William R. Council, III, noted, “I am pleased with the progress in the third quarter compared to the second quarter of this year. We continue to work to improve the Texas operations. Also the Renovation Program is continuing to provide positive results. Our average daily census (ADC) increased to 4,392 for the month in September 2008, compared to 4,295 for the month in June 2008, and in the New Texas Facilities increased to 948 from 899 in this same period. Our Medicare ADC increased to 568 for the month in September 2008 compared to 545 for the month in June 2008, and in the New Texas Facilities increased to 107 from 95 in this same period. The summer months can be slower seasonally, making these improvements noteworthy.
“We also believe that our efforts may have been offset by the impact of the economic downturn, which is resulting in fewer elective surgical procedures and downward pressure on Medicare census. We are seeing pressures on costs, including inflation in food and energy costs, and we are generally seeing lower Medicaid rate increases this year than we realized last year.

 


 

(AVCA ADVOCAT LOGO)
“The positive dynamics of the business include the increasing number of elderly and the continuing decline in the industry of available beds to serve this population segment. Looking ahead, we are working hard to improve performance at the acquired Texas facilities and to diligently control costs throughout the Company.”
Conference Call Information
A conference call has been scheduled for Friday, November 7, 2008 at 9:00 A.M. Central time (10:00 A.M. Eastern time) to discuss third quarter 2008 results.
The conference call information is as follows:
         
Date:
  Friday, November 7, 2008
Time:
  9:00 A.M. Central, 10:00 A.M. Eastern
Webcast Links:
  www.streetevents.com
www.earnings.com
www.irinfo.com/avc
 
       
Dial in numbers:
  888-713-4216 (domestic) or 617-213-4868 (international)
Passcode:
  14490362    
Please use the following link to pre-register and view important information about this conference call. Pre-registering is not mandatory, but is recommended as it will provide you immediate entry into the call and will facilitate the timely start of the call. Pre-registration takes only a few minutes and you may pre-register at any time, including up to and after the call start time. To pre-register, please go to:
https://www.theconferencingservice.com/prereg/key.process?key=P8J74FFHH
A replay of the conference call will be accessible two hours after its completion through November 14, 2008 by dialing 888-286-8010 (domestic) or 617-801-6888 (international) and entering passcode 91253493.
FORWARD-LOOKING STATEMENTS
The “forward-looking statements” contained in this release are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are predictive in nature and are frequently identified by the use of terms such as “may,” “will,” “should,” “expect,” “believe,” “estimate,” “intend,” and similar words indicating possible future expectations, events or actions. These forward-looking statements reflect our current views with respect to future events and present our estimates and assumptions only as of the date of this release. Actual results could differ materially from those contemplated by the forward-looking statements made in this release. In addition to any assumptions and other factors referred to specifically in connection with such statements, other factors, many of which are beyond our ability to control or predict, could cause our actual results to differ materially from the results expressed or implied in any forward looking statements, including but not limited to, our ability to integrate the acquired skilled nursing facilities into our business and achieve the anticipated cost savings, our ability to successfully construct and operate the Paris replacement facility, our ability to increase census at our renovated facilities, changes in governmental reimbursement, government regulation and health care reforms, the increased cost of borrowing under our credit agreements, a failure to comply with covenants contained in those credit agreements, ability to control ultimate professional liability costs, the accuracy of our estimate of our anticipated

 


 

(AVCA ADVOCAT LOGO)
professional liability expense, our ability to control costs, changes to our valuation allowance for deferred tax assets, changes in occupancy rates in our facilities, the impact of future licensing surveys, the outcome of regulatory proceedings alleging violations of laws and regulations governing quality of care or violations of other laws and regulations applicable to our business, the effects of changing economic and competitive conditions, changes in anticipated revenue and cost growth, changes in the anticipated results of operations of the Company, 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, 2007, as well as in its Quarterly Reports on Form 10-Q and other filings with the Securities and Exchange Commission, which readers are encouraged to review for further disclosure of other factors. These assumptions may not materialize to the extent assumed, and risks and uncertainties may cause actual results to be different from anticipated results. These risks and uncertainties also may result in changes to the Company’s business plans and prospects. Advocat Inc. is not responsible for updating the information contained in this press release beyond the published date, or for changes made to this document by wire services or Internet services.
Advocat provides long term care services to patients in 50 skilled nursing centers containing 5,773 licensed nursing beds, primarily in the Southeast and Southwest. For additional information about the Company, visit Advocat’s web site: http://www.irinfo.com/avc.
-Financial Tables to Follow-

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands)
                 
    September 30,     December 31,  
    2008     2007  
    (Unaudited)          
ASSETS:
               
Current Assets
               
Cash and cash equivalents
  $ 9,967     $ 11,658  
Receivables, net
    23,585       26,444  
Current portion of note receivable
    4,685       629  
Deferred income taxes
    2,298       2,110  
Other current assets
    3,484       3,364  
 
           
Total current assets
    44,019       44,205  
 
               
Property and equipment, net
    35,269       31,658  
Deferred income taxes
    16,107       16,568  
Note receivable, net
          4,983  
Acquired leasehold interest, net
    10,245       9,492  
Other assets, net
    3,328       3,184  
 
           
TOTAL ASSETS
  $ 108,968     $ 110,090  
 
           
 
LIABILITIES AND SHAREHOLDERS’ EQUITY:
               
Current Liabilities
               
Current portion of long-term debt
  $ 4,122     $ 1,942  
Trade accounts payable
    5,732       6,636  
Accrued expenses:
               
Payroll and employee benefits
    11,052       11,360  
Current portion of self-insurance reserves
    4,637       4,597  
Other current liabilities
    5,006       3,993  
 
           
Total current liabilities
    30,549       28,528  
Noncurrent Liabilities
               
Long-term debt, less current portion
    28,805       32,513  
Self-insurance reserves, less current portion
    13,755       17,578  
Other noncurrent liabilities
    11,411       9,137  
 
           
Total noncurrent liabilities
    53,971       59,228  
 
               
PREFERRED STOCK
    8,316       9,590  
 
               
SHAREHOLDERS’ EQUITY
    16,132       12,744  
 
           
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY
  $ 108,968     $ 110,090  
 
           

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
CONSOLIDATED INCOME STATEMENTS

(Unaudited)
(In thousands, except per share data)
                                 
    For the Three Months     For the Nine Months  
    Ended September 30,     Ended September 30,  
    2008     2007     2008     2007  
PATIENT REVENUES, NET
  $ 72,206     $ 63,884     $ 214,517     $ 173,857  
 
                       
EXPENSES:
                               
Operating
    58,297       49,253       169,832       132,903  
Lease
    5,753       5,162       17,203       14,369  
Professional liability
    278       (6 )     636       (2,961 )
General and administrative
    4,642       4,580       13,848       12,920  
Depreciation and amortization
    1,355       1,033       3,914       2,874  
 
                       
 
    70,325       60,022       205,433       160,105  
 
                       
OPERATING INCOME
    1,881       3,862       9,084       13,752  
 
                       
OTHER INCOME (EXPENSE):
                               
Foreign currency transaction gain (loss)
    (126 )     330       (293 )     743  
Interest income
    91       264       371       771  
Interest expense
    (692 )     (956 )     (2,226 )     (2,548 )
Debt retirement costs
          (116 )           (116 )
 
                       
 
    (727 )     (478 )     (2,148 )     (1,150 )
 
                       
INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES
    1,154       3,384       6,936       12,602  
PROVISION FOR INCOME TAXES
    (480 )     (1,363 )     (2,452 )     (4,940 )
 
                       
NET INCOME FROM CONTINUING OPERATIONS
    674       2,021       4,484       7,662  
DISCONTINUED OPERATIONS:
                               
Operating loss, net of tax provision (benefit) of $(4), $(10), $(23), and $(10), respectively
    (4 )     (100 )     (35 )     (101 )
Loss on sale, net of tax provision of $0, $17, $0, and $(6), respectively
          28             (7 )
 
                       
NET INCOME (LOSS) FROM DISCONTINUED OPERATIONS
    (4 )     (72 )     (35 )     (108 )
 
                       
NET INCOME
    670       1,949       4,449       7,554  
PREFERRED STOCK DIVIDENDS
    86       86       258       258  
 
                       
 
                               
NET INCOME FOR COMMON STOCK
  $ 584     $ 1,863     $ 4,191     $ 7,296  
 
                       
 
                               
NET INCOME PER COMMON SHARE:
                               
Per common share — basic
                               
Income from continuing operations
  $ 0.10     $ 0.33     $ 0.74     $ 1.26  
Loss from discontinued operations
          (0.01 )           (0.02 )
 
                       
 
  $ 0.10     $ 0.32     $ 0.74     $ 1.24  
 
                       
 
                               
Per common share — diluted
                               
Income from continuing operations
  $ 0.10     $ 0.32     $ 0.71     $ 1.21  
Loss from discontinued operations
          (0.02 )           (0.02 )
 
                       
 
  $ 0.10     $ 0.30     $ 0.71     $ 1.19  
 
                       
 
                               
WEIGHTED AVERAGE COMMON SHARES:
                               
Basic
    5,671       5,877       5,700       5,874  
 
                       
Diluted
    5,859       6,136       5,919       6,131  
 
                       

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
SAME CENTER STATEMENTS OF INCOME FROM CONTINUING
OPERATIONS BEFORE INCOME TAXES

(Unaudited)
(In thousands)
                                 
    For the Three Months     For the Nine Months  
    Ended September 30,     Ended September 30,  
    2008     2007     2008     2007  
PATIENT REVENUES, NET
  $ 58,919     $ 57,289     $ 175,744     $ 167,262  
 
                       
EXPENSES:
                               
Operating
    46,139       43,313       134,767       126,964  
Lease
    4,731       4,634       14,168       13,841  
Professional liability
    139       (90 )     556       (3,045 )
General and administrative
    4,412       4,174       13,177       12,513  
Depreciation and amortization
    1,065       944       3,093       2,785  
 
                       
 
    56,486       52,975       165,761       153,058  
 
                       
OPERATING INCOME
    2,433       4,314       9,983       14,204  
 
                       
OTHER INCOME (EXPENSE):
                               
Foreign currency transaction gain (loss)
    (126 )     330       (293 )     743  
Interest income
    91       264       371       771  
Interest expense
    (560 )     (819 )     (1,784 )     (2,411 )
Debt retirement costs
          (116 )           (116 )
 
                       
 
    (595 )     (341 )     (1,706 )     (1,013 )
 
                       
INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES
  $ 1,838     $ 3,973     $ 8,277     $ 13,191  
 
                       
Note:   The table above presents the unaudited statements of income from continuing operations before taxes for the three and nine month periods ended September 30, 2008 and 2007 on a same center basis, excluding the effects of the New Texas Facilities and discontinued operations.

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
FUNDS PROVIDED BY OPERATIONS

(Unaudited)
(In thousands)
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2008     2007     2008     2007  
NET INCOME
  $ 670     $ 1,949     $ 4,449     $ 7,554  
Loss from discontinued operations
    (4 )     (72 )     (35 )     (108 )
 
                       
Net income from continuing operations
    674       2,021       4,484       7,662  
 
                               
Adjustments to reconcile net income from continuing operations to funds provided by operations:
                               
Depreciation and amortization
    1,355       1,033       3,914       2,874  
Provision for doubtful accounts
    661       397       1,684       809  
Deferred income tax provision
    320       1,022       273       3,713  
Provision (benefit) for self-insured professional liability, net of cash payments
    (1,605 )     (890 )     (3,636 )     (6,010 )
Stock-based compensation
    234       195       645       454  
Amortization of deferred balances
    105       85       335       221  
Provision for leases in excess of cash payments
    454       586       1,371       1,753  
Other
    99       (244 )     197       (726 )
 
                       
 
                               
FUNDS PROVIDED BY OPERATIONS
  $ 2,297     $ 4,205     $ 9,267     $ 10,750  
 
                       
 
                               
Reconciliation of funds provided by operations to cash flow from operating activities:
                               
Funds provided by operations
  $ 2,297     $ 4,205       9,267     $ 10,750  
Changes in other assets and liabilities affecting operating activities:
                               
Receivables, net
    (283 )     (6,631 )     1,140       (7,520 )
Prepaid expenses and other assets
    558       252       (133 )     872  
Trade accounts payable and accrued expenses
    1,854       4,304       (1,365 )     2,965  
 
                       
Net cash provided by operating activities of continuing operations
  $ 4,426     $ 2,130     $ 8,909     $ 7,067  
 
                       
Advocat provides financial measures using accounting principles generally accepted in the United States (GAAP) and using adjustments to GAAP (non-GAAP). These non-GAAP measures are not measurements under GAAP. These measurements should be considered in addition to, but not as a substitute for, the information contained in our financial statements prepared in accordance with GAAP. Funds Provided by Operations is defined as cash flow from operating activities before changes in other assets and liabilities affecting operating activities. Management believes that Funds Provided by Operations is an important measurement of the Company’s performance because it eliminates the effect of actuarial assumptions on our professional liability reserves, includes the cash effect of professional liability payments, and does not include the effects of deferred tax benefit and other non-cash charges. Since the definition of Funds Provided by Operations may vary among companies and industries, it should not be used as a measure of performance among companies.

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
SELECTED OPERATING STATISTICS
SEPTEMBER 30, 2008

(Unaudited)
                                                                         
                    For the Three Months Ended September 30, 2008  
                                                            Medicare     Medicaid  
                    Skilled                                     Room and     Room and  
                    Nursing                             2008     Board     Board  
    As of     Weighted     Occupancy             Q3     Revenue     Revenue  
    September 30, 2008     Average     (Note 1)             Revenue     PPD     PPD  
    Licensed     Available     Daily     Licensed     Available     Medicare     ($ in millions)     2008     2008  
Region   Beds     Beds     Census     Beds     Beds     Utilization     (Note 2)     (Note 3)     (Note 3)  
Alabama
    711       697       576       81.0 %     82.6 %     12.2 %   $ 10.4     $ 388.32     $ 157.12  
Arkansas
    1,311       1,165       891       68.0 %     76.5 %     13.8 %     14.3       360.53       138.91  
Florida
    502       462       401       79.8 %     86.7 %     9.2 %     7.2       418.18       153.89  
Kentucky (Note 4)
    775       742       681       87.9 %     91.8 %     13.9 %     13.3       399.07       169.82  
Tennessee
    617       586       502       81.4 %     85.7 %     15.7 %     8.5       376.52       135.56  
Texas
    1,857       1,646       1,299       70.0 %     78.9 %     11.2 %     18.2       394.39       112.75  
 
                                                     
Total
    5,773       5,298       4,350       75.3 %     82.1 %     12.6 %   $ 71.9     $ 385.86     $ 140.19  
 
                                                     
 
     
Note 1:   The number of “Licensed beds” is based on the licensed capacity of the facility. The Company has historically reported its occupancy based on licensed beds. The number of “Available Beds” represents “licensed beds” less beds removed from service. “Available beds” is subject to change based upon the needs of the facilities, including configuration of patient rooms and offices, status of beds (private, semi-private, ward, etc.) and renovations. Occupancy is measured on a weighted average basis.
 
Note 2:   Total revenue for regions excludes approximately $0.3 million of ancillary services and other revenue for the three month period ended September 30, 2008.
 
Note 3:   These Medicare and Medicaid revenue rates include room and board revenues but do not include any ancillary revenues related to these patients.
 
Note 4:   The Kentucky region includes nursing centers in Kentucky, West Virginia and Ohio.

 


 

(AVCA ADVOCAT LOGO)
ADVOCAT INC.
SELECTED OPERATING STATISTICS OF RENOVATED FACILITIES
SEPTEMBER 30, 2008

(Unaudited)
                                 
                    Medicare Average Daily
    Occupancy(1)   Census
    Q3   LTM(2)   Q3   LTM(2)
Renovation – Completion Date   2008   Prior   2008   Prior
1st renovation – January 2006
    87.4 %     64.9 %     15.2       8.1  
2nd renovation – July 2006
    80.3 %     71.2 %     12.5       12.3  
3rd renovation – August 2006
    63.4 %     45.1 %     8.4       5.3  
4th renovation – October 2006
    81.9 %     71.9 %     12.3       8.6  
5th renovation – February 2007
    64.0 %     56.2 %     8.4       8.0  
6th renovation – April 2007
    48.8 %     47.5 %     10.3       12.7  
7th renovation – July 2007
    78.1 %     85.0 %     12.2       17.4  
8th renovation – January 2008
    60.4 %     50.9 %     8.9       8.9  
 
                               
Total
    70.7 %     63.2 %     88.2       81.3  
 
                               
 
     
(1)   Occupancy based on licensed beds.
 
(2)   Last Twelve Months prior to commencement of construction.
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