Skilled Healthcare Group Reports Third Quarter 2013 Adjusted EPS Of $0.06

FOOTHILL RANCH, Calif., Nov. 4, 2013 /PRNewswire/ -- Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three and nine month periods ended September 30, 2013.

"Despite the success of our overhead reductions that were implemented August 1, our Consolidated Adjusted EPS fell to $0.06 for the quarter due primarily to two factors. First, in our long-term care business we continue to see a shift of Medicare patient days to managed care days and have experienced softness in our skilled nursing occupancy rates.  The softness in occupancy rates has resulted from our declining average lengths of stay due to improved rehabilitation outcomes. And second, our self-insured professional liability insurance expense was $1.8 million higher than anticipated in the quarter due to increases in reserves on claims from past years," said Boyd Hendrickson, Chairman and Chief Executive Officer of Skilled Healthcare Group.

Third Quarter 2013 Results
Revenue for the quarter ended September 30, 2013 was $212.4 million, a decrease of 1.9% when compared to $216.6 million in the third quarter of 2012. Skilled mix¹ decreased 60 basis points to 21.1% in the third quarter of 2013 from 21.7% in the third quarter of 2012. Occupancy declined 90 basis points to 81.7% in the third quarter of 2013 from 82.6% in the third quarter of 2012. Quality mix² in the third quarter of 2013 decreased 110 basis points to 67.7%, compared to 68.8% in the prior year period.

Adjusted EBITDA³ was $17.7 million, or 8.3% of revenue, for the quarter ended September 30, 2013, a decrease of 26.6% compared to $24.1 million, or 11.1% of revenue, in the same period a year ago.  Adjusted EBITDAR³ was $22.7 million, or 10.7% of revenue, for the quarter ended September 30, 2013, a decrease of 21.2% compared to $28.8 million, or 13.3% of revenue, for the quarter ended September 30, 2012.

Net loss for the quarter ended September 30, 2013 totaled $12.1 million, as compared to net income of $6.1 million for the third quarter of 2012. Adjusted net income⁴ for the quarter ended September 30, 2013 totaled $2.2 million, a decrease of 67.6% compared to adjusted net income of $6.8 million for the third quarter of 2012. Adjusted net income excludes certain items as described in the Reconciliation of (Loss) Income Before (Benefit) Provision for Income Taxes to Adjusted Net Income table at the end of this press release.

Net loss per share was $0.32 for the quarter ended September 30, 2013, as compared to net income per diluted share of $0.16 for the same period in 2012. Adjusted net income per diluted share was $0.06 for the quarter ended September 30, 2013, a decrease of 66.6% compared to adjusted net income per diluted share of $0.18 for the quarter ended September 30, 2012.

Long-Term Care Services Segment
Revenue for our long-term care services segment in the quarter ended September 30, 2013 was $162.0 million, a decrease of $2.6 million, or 1.6%, as compared to $164.6 million for the same period a year ago. Revenue for this segment represented 76.3% of total revenue in the third quarter of 2013, compared to 76.0% of total revenue in the third quarter of 2012. 

Therapy Services Segment
Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $25.3 million for the quarter ended September 30, 2013, a decrease of $0.9 million, or 3.4%, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 11.9% of total revenue in the third quarter of 2013, compared to 12.1% of total revenue in the third quarter of 2012.

Hospice and Home Health Services Segment
Revenue for Signature Hospice and Home Health, our hospice and home health care services segment, was $25.2 million in the third quarter of 2013, a decrease of $0.7 million, or 2.7%, compared to $25.9 million in the third quarter of 2012. Average daily hospice census decreased 14.9% to 1,219 for the three-months ended September 30, 2013, from 1,433 for the three-months ended September 30, 2012. Results for the third quarter of 2013 were negatively affected by hospice cap reserves of $0.3 million for the 2013 cap year and $0.2 million for the 2012 cap year as patients stayed on service for longer than expected.

First Nine Months 2013 Results
Revenue for the nine months ended September 30, 2013 was $645.0 million, a decrease of 1.3% when compared to $653.4 million in the nine months ended September 30, 2012. Skilled mix¹ decreased 20 basis points to 22.1% for the first nine months of 2013 as compared to 22.3% for the same period a year ago. Occupancy declined 80 basis points to 82.2% in the first nine months of 2013 from 83.0% in the first nine months of 2012. Quality mix² for the first nine months of 2013 decreased 90 basis points to 68.8%, compared to 69.7% in the prior year period.

Adjusted EBITDA³ was $53.3 million, or 8.3% of revenue, for the nine months ended September 30, 2013, a decrease of 30.8% compared to $77.0 million, or 11.8% of revenue, for the same period a year ago.  Adjusted EBITDAR³ was $67.9 million, or 10.5% of revenue, for the first nine months of 2013, a decrease of 25.1% compared to $90.7 million, or 13.9% of revenue, for the first nine months of 2012.

Net loss for the nine months ended September 30, 2013 totaled $7.5 million, as compared to a net income of $15.9 million for the same period in 2012. Adjusted net income⁴ decreased 52.8% to $9.3 million for the nine months ended September 30, 2013 from adjusted net income of $19.7 million for the first nine months of 2012.

Net loss per share was $0.20 for the nine months ended September 30, 2013, as compared to net income per diluted share of $0.42 for the same period in 2012. Adjusted net income per diluted share was $0.24 for the first nine months of 2013, a decrease of 54.7% compared to adjusted net income per diluted share of $0.53 for the nine months ended September 30, 2012.

Long-Term Care Services Segment
Revenue for our long-term care services segment in the nine months ended September 30, 2013 was $489.5 million, a decrease of $6.2 million, or 1.3%, as compared to $495.7 million for the same period a year ago. Revenue for this segment increased to 75.9% of total revenue in the first nine months of 2013, as compared to 75.8% for the same period in 2012. 

Therapy Services Segment
Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $79.0 million for the nine months ended September 30, 2013, an increase of $0.3 million, or 0.4%, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 12.3% of total revenue in the first nine months of 2013, compared to 12.1% of total revenue in the same period of 2012.

Hospice and Home Health Services Segment
Revenue for Signature Hospice and Home Health, our hospice and home health care services segment, was $76.5 million in the first nine months of 2013, a decrease of $2.5 million, or 3.2%, compared to $79.0 million in the first nine months of 2012. Average daily hospice census decreased 8.0% to 1,292 for the nine months ended September 30, 2013, from 1,404 for the nine months ended September 30, 2012. Results for the nine months ended September 30, 2013 were negatively affected by hospice cap reserves of $0.2 million for the 2011 cap year, $2.3 million for the 2012 cap year, and $0.9 million for the 2013 cap year as patients stayed on service for longer than expected.

2013 Updated Guidance
Skilled Healthcare Group, Inc. expects full year 2013 consolidated revenue to be between $858 million and $863 million, adjusted EBITDA to be in the range of $75 million to $77 million, adjusted EBITDAR to be in the range of $94.5 million to $96.5 million and adjusted net income per diluted share to be between $0.35 and $0.39. This guidance includes the results of the first nine months of 2013 and assumes the following:

• Medicare increase of 1.3% beginning October 1, 2013
• 2013 capital expenditures of approximately $14 to $17 million
• Average interest rate on outstanding debt of approximately 7.8%
• An effective tax rate of 36%
• Weighted average shares outstanding of 38.0 million
• No additional acquisitions, developments or divestitures

Conference Call
A conference call and webcast will be held tomorrow, Tuesday, November 5th, at 9:00 a.m. Pacific Time (12:00 noon Eastern Time) to discuss Skilled Healthcare Group's consolidated financial results for the third quarter of 2013 and its outlook for 2013.

To participate in the call, interested parties may dial (800) 847-9525 and reference conference 18745998. 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 $864 million and approximately 15,000 employees as of September 30, 2013. 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 74 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 Skilled Healthcare Group's affiliated skilled nursing facilities divided by the total number of patient days at Skilled Healthcare Group's 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.
(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 for 2013 full year consolidated revenue, EBITDA, EBITDAR and net income per diluted share. 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, 2012 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.

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.

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

SOURCE Skilled Healthcare Group, Inc.

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