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8-K - FORM 8-K - ENSIGN GROUP, INC | a58744e8vk.htm |
Exhibit 99.1
The Ensign Group Reports Fourth Quarter 2010 Earnings of $0.55 per Share; Issues 2011 Guidance
Conference Call and Webcast Scheduled for February 17, 2011 at 10:00 am PT
MISSION VIEJO, California (PR Newswire) February 16, 2011 The Ensign Group, Inc.
(Nasdaq: ENSG), the parent company of the Ensign group of skilled nursing, rehabilitative care
services, home health, hospice care and assisted and independent living companies, today reported
record results for the fourth quarter and full year 2010.
Financial Highlights Include:
§ | Same-store occupancy grew by 137 basis points to a record 83.1% for the year, and by 194 basis points to 83.7% for the quarter; | ||
§ | Consolidated EBITDAR climbed 22.8% to $106.8 million for the year, with consolidated EBITDAR margins improving by 40 basis points to 16.4% and same-store EBITDAR margins increasing by 92 basis points to 17.6% for the year and by 192 basis points to 18.9% for the quarter; | ||
§ | Same-store skilled mix by revenue increased 292 basis points to 53.5% for 2010, and by 319 basis points to 54.6% for the quarter; | ||
§ | Total revenue was a record $649.5 million for the year and $172.8 million for the quarter, up 19.8% and 17.8% over the comparable periods in 2009; | ||
§ | Consolidated net income for the year climbed 24.7% to $40.5 million, or $1.92 per diluted share; and | ||
§ | The companys net debt-to-EBITDAR ratio at December 31 was 1.76x. |
Operating Results
Ensigns President and Chief Executive Officer Christopher Christensen cited the companys
concerted focus on census growth in producing record results while overall occupancy fell elsewhere
in the industry. Making each Ensign facility the facility of choice in the community it serves is
not only the key to consistent financial performance, but the antidote for almost any economic
challenge facing the industries in which we operate, he said.
Mr. Christensen lauded the companys facility leaders and care teams, stating that, We could never
have achieved this occupancy growth or these financial results without first and consistently
delivering outstanding clinical outcomes for our residents and their families, noting that based
on state survey results, 2010 had seen a marked uptick in quality-of-care metrics across the
organization. Quality care begets financial performance, he added, and the clinical excellence
that produced these results is the
1
work product of many, many dedicated leaders and caregivers across the Ensign organization who
selflessly give their all to their residents, their communities and each other every day.
He noted that the company achieved these results while actively acquiring additional assets, with
eight new facilities and one home health business flying the Ensign banner since January 1, 2010,
some of which were initially dilutive to earnings, as expected.
Executive Vice President Greg Stapley discussed Ensigns 2010 growth, saying, The kinds of
acquisitions weve made this past year have tended more toward the strategic, as opposed to the
opportunistic, which is what we usually do as market forces start to favor sellers. But we continue
to see and seek both kinds of opportunities, and expect to continue acquiring both strategically
and opportunistically, and always in a disciplined fashion.
Mr. Stapley noted that the company has already acquired two strategic potential flagship
continuing care retirement campuses in the first quarter of 2011. He also observed that
opportunities for organic growth and improvement across the companys expanding portfolio appear
more compelling than ever, as local leaders continue to focus on business fundamentals, occupancy
continues to climb, and recent acquisitions start to mature.
Mr. Christensen also referenced Ensigns balance sheet and its industry-low debt ratio, reporting
that the companys net-debt-to-EBITDAR ratio was 1.76x at year end. He further noted that the
company continues to generate strong cash flow, with cash on hand on December 31 of $72.1 million,
and net cash from operations of $60.5 million for the year.
In other results, consolidated EBITDA for the year grew by 27.8% or $20.1 million, to $92.3
million. Overall EBITDAR margins increased 40 basis points to 16.4% for the year, and by 92 basis
points to 17.0% in the quarter. Consolidated net income margins climbed by 25 basis points to 6.24%
for the year, and by 83 basis points to 6.76% for the quarter, notwithstanding recent acquisitions,
which typically carry little or no positive margin at all upon acquisition.
Net income was $11.7 million for the quarter and $40.5 million for the year. Fully diluted GAAP
earnings per share were $0.55 for the quarter, compared to $0.41 per share in the prior year, and
$1.92 for the year, compared to $1.55 in 2009.
A discussion of the companys use of non-GAAP financial measures is set forth below. A
reconciliation of net income to EBITDAR and EBITDA, as well as a reconciliation of GAAP earnings
per share and net income to adjusted net earnings per share and adjusted net income, appear in the
financial data portion of this release.
More complete information is contained in the Companys 10-K, which was filed with the SEC today
and can be viewed on the Companys website at http://www.ensigngroup.net.
2011 Guidance Issued
Management issued 2011 annual guidance, projecting revenues of $740 million to $756 million, and
net income of $2.15 to $2.25 per diluted share for the year. The guidance is based on diluted
weighted average common shares outstanding of 21.7 million and assumes, among other things, no
additional acquisitions or dispositions beyond those made to date, an aggregate 1.0% projected
decline in overall Medicaid reimbursement rates including expected provider tax increases, and
taking into account the
2
impact of wide variations in actual facility (versus aggregate state) rate changes in states like
California which have facility-specific rates and Texas which has a patient-specific rate, and that
tax rates do not materially increase.
Quarter Highlights
During the quarter, the companys Board of Directors declared a quarterly cash dividend of $0.055
per share of Ensign common stock, an increase from the prior quarterly cash dividend of $0.05 per
share. Ensign has been a dividend-paying company since 2002.
Also during the quarter, the company announced that it procured a $35 million, seven-year secured
term loan from RBS Asset Finance, Inc., an affiliate of the Royal Bank of Scotland, which was
mainly used to replenish the companys acquisition fund. The loan, which funded on December 31, is
secured by mortgages on four of the companys previously-unencumbered properties. Of the companys
55 owned properties, 30 remain unencumbered and may be leveraged to fund further expansion in the
future.
The company also announced the acquisition of eight long-term care facilities and a home health
business in six separate transactions since January 1, 2010. The facilities and business were
purchased with cash, and include:
§ | In Idaho, Emmett Care & Rehabilitation Center, a 72-bed skilled nursing facility in Emmett, Idaho, and Parke View Rehabilitation & Care Center, an 86-bed skilled nursing facility in Burley, Idaho. | ||
§ | In Texas, Heritage Gardens Healthcare Center, a 140-bed skilled nursing facility in Carrollton, Texas, and Silver Springs Healthcare Center, a 137-bed skilled nursing facility in Houston, Texas. | ||
§ | Also in Idaho, Horizon Home Health and Hospice, a well-regarded four-office home health and hospice agency based in the greater Boise, Idaho market. | ||
§ | In Colorado, Canterbury Gardens Independent & Assisted Living Community, a 215-bed assisted and independent living facility in Aurora, Colorado. | ||
§ | Also in Texas, Wisteria Place, a full-service senior care campus in Abilene, with 123 skilled nursing beds, 77 assisted living units and 20 independent living cottages, and Wisteria Independent Living, a separate residential retirement community also located in Abilene, with 72 independent living units. | ||
§ | And in Utah, St. Joseph Villa, a full-service senior care campus with 221 skilled nursing beds, 48 assisted living units and 60 independent living apartments. St. Joseph Villa also includes the Marian Center, the Salt Lake Valleys premier long-term inpatient acute psychiatric program, with its 12 psychiatric beds. |
The acquisitions brought Ensigns growing portfolio to 85 facilities, 55 of which are Ensign-owned,
with Ensign affiliates holding purchase options on eight of Ensigns 30 leased facilities.
Management reaffirmed that Ensign is actively seeking additional opportunities to acquire both
well-performing and struggling long-term care operations across the Western United States.
3
Conference Call
A live webcast will be held on Thursday, February 17, 2011 at 10:00 a.m. Pacific Time (1:00 p.m.
Eastern Time) to discuss Ensigns fourth quarter and fiscal 2010 financial results, and
Managements 2011 guidance. To listen to the webcast, or to view any financial or statistical
information required by SEC Regulation G, please visit the Investors section of the Ensign website
at http://investor.ensigngroup.net. The webcast will be recorded, and will be available for replay
via the website until 5:00 p.m. Pacific Time on Thursday, February 24, 2011.
About Ensign
The Ensign Group, Inc.s operating subsidiaries provide a broad spectrum of skilled nursing,
assisted living and independent living services, home health and hospice services, physical,
occupational and speech therapies, and other rehabilitative and healthcare services for both
long-term residents and short-stay rehabilitation patients at 85 care facilities in California,
Arizona, Texas, Washington, Utah, Idaho and Colorado. Each of these facilities is operated by a
separate, wholly-owned independent operating subsidiary that has its own management, employees and
assets. References herein to the consolidated company and its assets and activities, as well as
the use of the terms we, us, its and similar verbiage, are not meant to imply that The Ensign
Group, Inc. has direct operating assets, employees or revenue, or that any of the facilities, the
home health and hospice businesses, the Service Center or the captive insurance subsidiary are
operated by the same entity. More information about Ensign is available at
http://www.ensigngroup.net.
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995:
This press release contains, and the related conference call and webcast will include,
forward-looking statements that are based on managements current expectations, assumptions and
beliefs about its business, financial performance, operating results, the industry in which it
operates and other future events. Forward-looking statements can often be identified by words such
as anticipates, expects, intends, plans, predicts, believes, seeks, estimates,
may, will, should, would, could, potential, continue, ongoing, similar expressions,
and variations or negatives of these words. These forward-looking statements include, but are not
limited to, statements regarding growth prospects, future operating and financial performance. They
are not guarantees of future results and are subject to risks, uncertainties and assumptions that
could cause actual results to materially and adversely differ from those expressed in any
forward-looking statement.
These risks and uncertainties relate to the companys business, its industry and its common stock
and include: reduced prices and reimbursement rates for its services; its ability to acquire,
develop, manage or improve facilities, its ability to manage its increasing borrowing costs as it
incurs additional indebtedness to fund the acquisition and development of facilities; its ability
to access capital on a cost-effective basis to continue to successfully implement its growth
strategy; its operating margins and profitability could suffer if it is unable to grow and manage
effectively its increasing number of facilities; competition from other companies in the
acquisition, development and operation of facilities; and the application of existing or proposed
government regulations, or the adoption of new laws and regulations, that could limit its business
operations, require it to incur significant expenditures or limit its ability to relocate its
facilities if necessary. Readers should not place undue reliance on any forward-looking statements
and are encouraged to review the companys periodic filings with the Securities and Exchange
Commission, including its Form 10-K, which was filed today, for a more complete discussion of the
risks and other factors that could affect Ensigns business, prospects and any forward-looking
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statements. Except as required by the federal securities laws, Ensign does not undertake any
obligation to publicly update or revise any forward-looking statements, whether as a result of new
information, future events, changing circumstances or any other reason after the date of this press
release.
Contact Information
Robert East, Westwicke Partners LLC, (443) 213-0500, bob.east@westwickepartners.com, or Gregory
Stapley, Investor/Media Relations, The Ensign Group, Inc., (949) 487-9500, ir@ensigngroup.net.
SOURCE: The Ensign Group, Inc.
5
THE ENSIGN GROUP, INC.
GAAP AND ADJUSTED CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(In thousands, except per share data)
GAAP AND ADJUSTED CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(In thousands, except per share data)
Three Months Ended | Year Ended | |||||||||||||||||||||||
December 31, 2010 | December 31, 2010 | |||||||||||||||||||||||
Non- | Non- | |||||||||||||||||||||||
GAAP | As | As | GAAP | As | ||||||||||||||||||||
As Reported | Adj. | Adjusted | Reported | Adj. | Adjusted | |||||||||||||||||||
Revenue |
$ | 172,757 | $ | 172,757 | $ | 649,532 | $ | 649,532 | ||||||||||||||||
Expense: |
||||||||||||||||||||||||
Cost of services (exclusive of
facility rent and depreciation and
amortization shown separately below) |
136,217 | (54 | )(1) | 136,163 | 516,668 | (150 | )(1) | 516,518 | ||||||||||||||||
Facility rentcost of services |
3,656 | 3,656 | 14,478 | 14,478 | ||||||||||||||||||||
General and administrative expense |
7,205 | 7,205 | 26,099 | 26,099 | ||||||||||||||||||||
Depreciation and amortization |
4,395 | (27 | )(2) | 4,368 | 16,633 | (481 | )(2) | 16,152 | ||||||||||||||||
Total expenses |
151,473 | (81 | ) | 151,392 | 573,878 | (631 | ) | 573,247 | ||||||||||||||||
Income from operations |
21,284 | 81 | 21,365 | 75,654 | 631 | 76,285 | ||||||||||||||||||
Other income (expense): |
||||||||||||||||||||||||
Interest expense |
(2,252 | ) | (2,252 | ) | (9,123 | ) | (9,123 | ) | ||||||||||||||||
Interest income |
60 | 60 | 248 | 248 | ||||||||||||||||||||
Other expense, net |
(2,192 | ) | (2,192 | ) | (8,875 | ) | (8,875 | ) | ||||||||||||||||
Income before provision for income taxes |
19,092 | 81 | 19,173 | 66,779 | 631 | 67,410 | ||||||||||||||||||
Provision for income taxes |
7,420 | 32 | (3) | 7,452 | 26,253 | 248 | (3) | 26,501 | ||||||||||||||||
Net income |
$ | 11,672 | 49 | $ | 11,721 | $ | 40,526 | 383 | $ | 40,909 | ||||||||||||||
Net income per share: |
||||||||||||||||||||||||
Basic |
$ | 0.56 | $ | 0.56 | $ | 1.95 | $ | 1.97 | ||||||||||||||||
Diluted |
$ | 0.55 | $ | 0.55 | $ | 1.92 | $ | 1.93 | ||||||||||||||||
Weighted average common shares
outstanding: |
||||||||||||||||||||||||
Basic |
20,791 | 20,791 | 20,744 | 20,744 | ||||||||||||||||||||
Diluted |
21,275 | 21,275 | 21,159 | 21,159 | ||||||||||||||||||||
(1) | Represents acquisition-related costs. | |
(2) | Represents amortization costs related to patient base intangible assets acquired. Patient base intangible assets are amortized over a period of four to eight months, depending on the classification of the patients and the level of occupancy in a new acquisition on the acquisition date. | |
(3) | Represents the tax impact of acquisition costs and patient base non-GAAP adjustments represented in entries (1) and (2). |
6
THE ENSIGN GROUP, INC.
RECONCILIATION OF NET INCOME TO EBITDA AND EBITDAR
(in thousands)
RECONCILIATION OF NET INCOME TO EBITDA AND EBITDAR
(in thousands)
The table below reconciles net income to EBITDA and EBITDAR for the periods
presented:
Three Months Ended | Year Ended | |||||||||||||||
December 31, | December 31, | |||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||
Consolidated Statement of Income Data: |
||||||||||||||||
Net income |
$ | 11,672 | $ | 8,693 | $ | 40,526 | $ | 32,486 | ||||||||
Interest expense, net |
2,192 | 1,914 | 8,875 | 5,412 | ||||||||||||
Provision for income taxes |
7,420 | 5,503 | 26,253 | 21,040 | ||||||||||||
Depreciation and amortization |
4,395 | 3,863 | 16,633 | 13,276 | ||||||||||||
EBITDA(1) |
$ | 25,679 | $ | 19,973 | $ | 92,287 | $ | 72,214 | ||||||||
Facility rentcost of services |
3,656 | 3,571 | 14,478 | 14,703 | ||||||||||||
EBITDAR(1) |
$ | 29,335 | $ | 23,544 | $ | 106,765 | $ | 86,917 | ||||||||
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THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS AND STATEMENTS OF CASH FLOWS
(In thousands)
CONDENSED CONSOLIDATED BALANCE SHEETS AND STATEMENTS OF CASH FLOWS
(In thousands)
December 31, | ||||||||
2010 | 2009 | |||||||
Assets |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 72,088 | $ | 38,855 | ||||
Accounts receivableless allowance for doubtful accounts of
$9,793 and $7,575 at December 31, 2010 and 2009, respectively |
69,437 | 62,606 | ||||||
Prepaid income taxes |
1,333 | 1,242 | ||||||
Prepaid expenses and other current assets |
7,175 | 6,498 | ||||||
Deferred tax assetcurrent |
9,975 | 8,126 | ||||||
Total current assets |
160,008 | 117,327 | ||||||
Property and equipment, net |
262,527 | 230,774 | ||||||
Insurance subsidiary deposits and investments |
16,358 | 13,810 | ||||||
Escrow deposits |
14,422 | 7,595 | ||||||
Deferred tax asset |
4,987 | 4,262 | ||||||
Restricted and other assets |
6,509 | 5,650 | ||||||
Intangible assets, net |
4,070 | 4,498 | ||||||
Goodwill |
10,339 | 7,432 | ||||||
Other indefinite-lived intangibles |
672 | | ||||||
Total assets |
$ | 479,892 | $ | 391,348 | ||||
Liabilities and stockholders equity |
||||||||
Current liabilities: |
||||||||
Accounts payable |
$ | 17,897 | $ | 15,498 | ||||
Accrued wages and related liabilities |
37,377 | 28,756 | ||||||
Accrued self-insurance liabilitiescurrent |
11,480 | 10,074 | ||||||
Other accrued liabilities |
13,557 | 15,375 | ||||||
Current maturities of long-term debt |
3,055 | 2,065 | ||||||
Total current liabilities |
83,366 | 71,768 | ||||||
Long-term debtless current maturities |
139,451 | 107,401 | ||||||
Accrued self-insurance liabilitiesless current portion |
25,920 | 22,096 | ||||||
Deferred rent and other long-term liabilities |
2,952 | 2,524 | ||||||
Stockholders equity |
228,203 | 187,559 | ||||||
Total liabilities and stockholders equity |
$ | 479,892 | $ | 391,348 | ||||
The following table presents selected data from our condensed consolidated statement
of cash flows for the periods presented:
Year Ended | ||||||||
December 31, | ||||||||
2010 | 2009 | |||||||
(In thousands) | ||||||||
Net cash provided by operating activities |
$ | 60,501 | $ | 46,271 | ||||
Net cash used in investing activities |
(57,186 | ) | (80,469 | ) | ||||
Net cash provided by (used in) financing activities |
29,918 | 31,727 | ||||||
Net increase (decrease) in cash and cash equivalents |
33,233 | (2,471 | ) | |||||
Cash and cash equivalents at beginning of period |
38,855 | 41,326 | ||||||
Cash and cash equivalents at end of period |
$ | 72,088 | $ | 38,855 | ||||
8
THE ENSIGN GROUP, INC.
SELECT PERFORMANCE INDICATORS
(Dollars in thousands)
SELECT PERFORMANCE INDICATORS
(Dollars in thousands)
The following table summarizes our selected performance indicators, along with other
statistics, for each of the dates or periods indicated:
Three Months Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Total Facility Results : |
||||||||||||||||
Revenue |
$ | 172,757 | $ | 146,615 | $ | 26,142 | 17.8 | % | ||||||||
Number of facilities at period end |
82 | 77 | 5 | 6.5 | % | |||||||||||
Actual patient days |
700,984 | 628,699 | 72,285 | 11.5 | % | |||||||||||
Occupancy percentage Operational beds |
80.5 | % | 78.7 | % | 1.8 | % | ||||||||||
Skilled mix by nursing days |
24.5 | % | 24.4 | % | 0.1 | % | ||||||||||
Skilled mix by nursing revenue |
50.5 | % | 47.9 | % | 2.6 | % |
Three Months Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Same Facility Results(1) : |
||||||||||||||||
Revenue |
$ | 130,950 | $ | 119,683 | $ | 11,267 | 9.4 | % | ||||||||
Number of facilities at period end |
56 | 56 | | | % | |||||||||||
Actual patient days |
499,241 | 491,648 | 7,593 | 1.5 | % | |||||||||||
Occupancy percentage Operational beds |
83.7 | % | 81.7 | % | 2.0 | % | ||||||||||
Skilled mix by nursing days |
28.2 | % | 27.3 | % | 0.9 | % | ||||||||||
Skilled mix by nursing revenue |
54.6 | % | 51.4 | % | 3.2 | % |
Three Months Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Transitioning Facility Results(2) : |
||||||||||||||||
Revenue |
$ | 9,785 | $ | 8,623 | $ | 1,162 | 13.5 | % | ||||||||
Number of facilities at period end |
6 | 6 | | | % | |||||||||||
Actual patient days |
43,425 | 41,892 | 1,533 | 3.7 | % | |||||||||||
Occupancy percentage Operational beds |
74.1 | % | 71.5 | % | 2.6 | % | ||||||||||
Skilled mix by nursing days |
19.4 | % | 17.8 | % | 1.6 | % | ||||||||||
Skilled mix by nursing revenue |
44.1 | % | 39.3 | % | 4.8 | % |
Three Months Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Recently Acquired Facility Results(3) : |
||||||||||||||||
Revenue |
$ | 32,022 | $ | 18,309 | $ | 13,713 | NM% | |||||||||
Number of facilities at period end |
20 | 15 | 5 | NM% | ||||||||||||
Actual patient days |
158,318 | 95,159 | 63,159 | NM% | ||||||||||||
Occupancy percentage Operational beds |
73.5 | % | 68.9 | % | 4.6 | % | ||||||||||
Skilled mix by nursing days |
13.8 | % | 12.2 | % | 1.6 | % | ||||||||||
Skilled mix by nursing revenue |
34.1 | % | 28.3 | % | 5.8 | % |
(1) | Same Facility results represent all facilities purchased prior to January 1, 2007. | |
(2) | Transitioning Facility results represents all facilities purchased from January 1, 2007 to December 31, 2008. | |
(3) | Recently Acquired Facility (or Acquisitions) results represent all acquisition made on or subsequent to January 1, 2009. |
9
THE ENSIGN GROUP, INC.
SELECT PERFORMANCE INDICATORS
(Dollars in thousands)
SELECT PERFORMANCE INDICATORS
(Dollars in thousands)
The following table summarizes our selected performance indicators, along with other
statistics, for each of the dates or periods indicated:
Year Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Total Facility Results : |
||||||||||||||||
Revenue |
$ | 649,532 | $ | 542,002 | $ | 107,530 | 19.8 | % | ||||||||
Number of facilities at period end |
82 | 77 | 5 | 6.5 | % | |||||||||||
Actual patient days |
2,706,543 | 2,353,087 | 353,456 | 15.0 | % | |||||||||||
Occupancy percentage Operational beds |
79.9 | % | 79.4 | % | 0.5 | % | ||||||||||
Skilled mix by nursing days |
25.0 | % | 24.6 | % | 0.4 | % | ||||||||||
Skilled mix by nursing revenue |
49.1 | % | 48.2 | % | 0.9 | % |
Year Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Same Facility Results(1) : |
||||||||||||||||
Revenue |
$ | 497,274 | $ | 468,032 | $ | 29,242 | 6.2 | % | ||||||||
Number of facilities at period end |
56 | 56 | | | % | |||||||||||
Actual patient days |
1,971,860 | 1,980,008 | (8,148 | ) | (0.4 | )% | ||||||||||
Occupancy percentage Operational beds |
83.1 | % | 81.7 | % | 1.4 | % | ||||||||||
Skilled mix by nursing days |
28.6 | % | 26.6 | % | 2.0 | % | ||||||||||
Skilled mix by nursing revenue |
53.5 | % | 50.6 | % | 2.9 | % |
Year Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Transitioning Facility Results(2) : |
||||||||||||||||
Revenue |
$ | 35,830 | $ | 33,305 | $ | 2,525 | 7.6 | % | ||||||||
Number of facilities at period end |
6 | 6 | | | % | |||||||||||
Actual patient days |
167,245 | 162,250 | 4,995 | 3.1 | % | |||||||||||
Occupancy percentage Operational beds |
71.9 | % | 69.8 | % | 2.1 | % | ||||||||||
Skilled mix by nursing days |
19.1 | % | 18.1 | % | 1.0 | % | ||||||||||
Skilled mix by nursing revenue |
41.5 | % | 41.2 | % | 0.3 | % |
Year Ended | ||||||||||||||||
December 31, | ||||||||||||||||
2010 | 2009 | Change | % Change | |||||||||||||
(Dollars in thousands) | ||||||||||||||||
Recently Acquired Facility Results(3) : |
||||||||||||||||
Revenue |
$ | 116,428 | $ | 40,665 | $ | 75,763 | NM% | |||||||||
Number of facilities at period end |
20 | 15 | 5 | NM% | ||||||||||||
Actual patient days |
567,438 | 210,829 | 356,609 | NM% | ||||||||||||
Occupancy percentage Operational beds |
72.5 | % | 68.1 | % | 4.4 | % | ||||||||||
Skilled mix by nursing days |
13.8 | % | 11.2 | % | 2.6 | % | ||||||||||
Skilled mix by nursing revenue |
31.5 | % | 25.2 | % | 6.3 | % |
(1) | Same Facility results represent all facilities purchased prior to January 1, 2007. Same Facility results for 2009 include the results of operations through September 30, 2009 of our assisted living facility in Arizona where we decided not to exercise our renewal option on the lease which expired on September 30, 2009. The non-renewal of this lease reduced the number of actual patient days by 21,984 during the year ended December 31, 2010. | |
(2) | Transitioning Facility results represents all facilities purchased from January 1, 2007 to December 31, 2008. | |
(3) | Recently Acquired Facility (or Acquisitions) results represent all facilities purchased on or subsequent to January 1, 2009. |
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THE ENSIGN GROUP, INC.
SKILLED NURSING AVERAGE DAILY REVENUE RATES AND REVENUE BY PAYOR
SKILLED NURSING AVERAGE DAILY REVENUE RATES AND REVENUE BY PAYOR
The following table reflects the change in the skilled nursing average daily revenue rates
by payor source, excluding therapy and other ancillary services that are not covered by the
daily rate:
Three Months Ended | Twelve Months Ended | |||||||||||||||||||||||
December 31, | December 31, | |||||||||||||||||||||||
Same Facility | Same Facility | |||||||||||||||||||||||
% | % | |||||||||||||||||||||||
2010 | 2009 | Change | 2010 | 2009 | Change | |||||||||||||||||||
Skilled Nursing Average
Daily Revenue Rates: |
||||||||||||||||||||||||
Medicare |
$ | 647.13 | $ | 555.81 | 16.4 | % | $ | 577.63 | $ | 547.06 | 5.6 | % | ||||||||||||
Managed care |
350.48 | 343.66 | 2.0 | % | 345.36 | 337.99 | 2.2 | % | ||||||||||||||||
Other skilled |
534.53 | 551.05 | (3.0 | )% | 546.35 | 592.57 | (7.8 | )% | ||||||||||||||||
Total skilled revenue |
523.75 | 469.47 | 11.6 | % | 484.67 | 465.12 | 4.2 | % | ||||||||||||||||
Medicaid |
166.47 | 163.90 | 1.6 | % | 165.10 | 161.36 | 2.3 | % | ||||||||||||||||
Private and other payors |
194.46 | 183.34 | 6.1 | % | 189.78 | 182.69 | 3.9 | % | ||||||||||||||||
Total skilled nursing revenue |
$ | 269.94 | $ | 249.51 | 8.2 | % | $ | 258.89 | $ | 244.39 | 5.9 | % |
The following table sets forth our total revenue by payor source and as a percentage
of total revenue for the periods indicated:
Three Months Ended | Year Ended | |||||||||||||||||||||||||||||||
December 31, | December 31, | |||||||||||||||||||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||||||||||||||||||
$ | % | $ | % | $ | % | $ | % | |||||||||||||||||||||||||
Revenue: |
||||||||||||||||||||||||||||||||
Medicaid |
$ | 66,878 | 38.7 | % | $ | 59,760 | 40.8 | % | $ | 259,711 | 40.0 | % | $ | 219,188 | 40.4 | % | ||||||||||||||||
Medicare |
61,194 | 35.4 | 46,895 | 32.0 | 219,217 | 33.7 | 174,769 | 32.3 | ||||||||||||||||||||||||
Medicaid-skilled |
4,111 | 2.4 | 3,823 | 2.6 | 17,573 | 2.7 | 12,449 | 2.3 | ||||||||||||||||||||||||
Total |
132,183 | 76.5 | 110,478 | 75.4 | 496,501 | 76.4 | 406,406 | 75.0 | ||||||||||||||||||||||||
Managed Care |
22,265 | 12.9 | 19,868 | 13.5 | 84,364 | 13.0 | 72,544 | 13.4 | ||||||||||||||||||||||||
Private and Other |
18,309 | 10.6 | 16,269 | 11.1 | 68,667 | 10.6 | 63,052 | 11.6 | ||||||||||||||||||||||||
Total revenue |
$ | 172,757 | 100.0 | % | $ | 146,615 | 100.0 | % | $ | 649,532 | 100.0 | % | $ | 542,002 | 100.0 | % | ||||||||||||||||
Discussion of Non-GAAP Financial Measures
EBITDA consists of net income before (a) interest expense, net, (b) provisions for income taxes,
and (c) depreciation and amortization. EBITDAR consists of net income before (a) interest expense,
net, (b) provisions for income taxes, (c) depreciation and amortization, and (d) facility rent-cost
of services. The Company believes that the presentation of EBITDA and EBITDAR provides important
supplemental information to management and investors to evaluate the Companys operating
performance. The Company believes disclosure of adjusted non-GAAP net income and non-GAAP diluted
earnings per share has economic substance because the
excluded expenses are infrequent in nature and are variable in nature, or do not represent current
cash expenditures. A material limitation associated with the use of these measures as compared to
the GAAP measures of net income and diluted earnings per share is that they may not be comparable
with the calculation of net income and diluted earnings per share for
11
other companies in the
Companys industry. These non-GAAP financial measures should not be relied upon to the exclusion of
GAAP financial measures. For further information regarding why the Company believes that this
non-GAAP measure provides useful information to investors, the specific manner in which management
uses this measure, and some of the limitations associated with the use of this measure, please
refer to the Companys Report on Form 10-K filed today with the SEC. The Form 10-K is available on
the SECs website at www.sec.gov or under the Financial Information link of the Investor
Relations section on Ensigns website at http://www.ensigngroup.net.
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