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8-K - SUN HEALTHCARE GROUP INCform8k.htm
EXHIBIT 99.1
 
 
Sun Healthcare Group, Inc.
Reports 2011 First-quarter Results and EPS of $0.33

Contact: Investor Inquiries (505) 468-2341
Media Inquiries (505) 468-4582

Irvine, Calif. (May 3, 2011)—Sun Healthcare Group, Inc. (NASDAQ GS: SUNH) today announced its operating results for the first quarter ended March 31, 2011.

 
Results for the first-quarter period ended March 31, 2011:
 
·  
consolidated revenues rose 2.9 percent to $483.9 million, compared to the same period in 2010, driven primarily by rate growth and skilled mix in the inpatient services segment;
·  
consolidated adjusted EBITDAR increased 5.0 percent to $63.9 million and adjusted EBITDAR margin grew 30 basis points to 13.2 percent compared to the same period in 2010;
·  
diluted earnings per share from continuing operations was $0.33 on 25.8 million weighted-average diluted shares; and
·  
free cash flow was $7.2 million, in line with expectations for the quarter.
 
Commenting on the Company’s first-quarter results, William A. Mathies, Sun’s chairman and chief executive officer, remarked, “I am pleased with the overall results of the quarter. Our admission volumes have directly impacted our year-over-year growth in our skilled mix days and have contributed to our improving occupancy levels. These positive trends directly correlate with our initiatives associated with attracting and caring for high-acuity, short-stay patients. I was pleased with our teams’ ability to convert these positive revenue trends into enhanced profit contribution, with both adjusted EBITDAR and EPS in line with our expectations.”
 
Mathies added, “Our first quarter results reflect our continued success in navigating the transition to RUGs IV and other Medicare related changes implemented on October 1, 2010. In the quarter we also successfully integrated our Countryside Hospice acquisition, which was accretive to both top line as well as margin. In the balance of 2011, we look forward to continuing the execution of our value-creation initiatives, which include the growth of our clinical capabilities and clinical outcomes, the expansion of our Rehab Recovery Suites® (RRS) footprint and the targeted acquisition of nursing center and hospice businesses that are complementary to our portfolio and vision.”
 
Segment Updates
 
On a year-over-year basis, revenue growth for the quarter in SunBridge, Sun’s inpatient services business, totaled $13.8 million, or 3.3 percent. SunBridge reported adjusted EBITDAR of $74.5 million for the quarter, with an adjusted EBITDAR margin of 17.3 percent, up 50 basis points from the same period in 2010. In both the year-over-year and sequential quarters, patient admissions increased by 9.0 percent and 6.5 percent, respectively, reversing the adverse occupancy trend of the prior year. The majority of the new admissions were high-acuity patients, which drove skilled mix up by 20 basis points over prior year to 20.0 percent for the quarter. In addition, skilled mix revenue, as a percent of total revenue, rose 230 basis points to 41.1 percent for the quarter.

 
 

 
 
Included in the inpatient segment, SolAmor, the Company's hospice business, experienced same-store revenue growth in the quarter of 5.4 percent or $0.6 million and an additional $2.3 million of revenue growth associated with the acquisition of Countryside. In total, SolAmor revenues increased from $11.0 million in the first quarter of 2010 to $13.9 million in the first quarter of 2011.
 
For the quarter, SunDance, Sun’s rehabilitation therapy services business, reported adjusted EBITDAR of $3.1 million, down from the prior-year quarter due to changes in concurrent therapy reimbursement which was effective on Oct. 1, 2010, and the implementation of the multiple procedure payment reduction (MPPR), which was effective on Jan. 1, 2011. For the quarter, SunDance’s adjusted EBITDAR margin was 5.0 percent, which was consistent with adjusted EBITDAR margin for the prior sequential quarter.
 
Although revenues from CareerStaff, the Company’s medical staffing services segment, were down   2.4 percent to $22.9 million compared to revenues in the same quarter of 2010, its business lines appear to be stabilizing, as revenues grew for the third consecutive quarter. CareerStaff achieved adjusted EBITDAR of $1.8 million and an adjusted EBITDAR margin of 7.7 percent for the quarter.
 
Cash Flow and Rent Expense

At March 31, 2011, Sun had $85.6 million in cash and cash equivalents and $153.4 million of long-term debt. Sun’s free cash flow for the first quarter of 2011 was $7.2 million, after taking into account $8.8 million of cash used for capital expenditures in the quarter.  Rent expense in the quarter, reflecting the first full quarter in which the increased rents resulting from Sun’s 2010 restructuring were paid, increased $18.4 million over rent expense in the first quarter of 2010, to $36.9 million.
 
Conference Call
 
As previously announced, investors and the general public are invited to listen to a conference call with Sun’s senior management on Wednesday, May 4, 2011, at 10 a.m. Pacific / 1 p.m. Eastern, to discuss the Company’s first-quarter results for the period ended March 31, 2011.

To listen to the conference call, dial (888) 389-5997 and refer to Sun Healthcare Group. A recording of the call will be available from 4 p.m. Eastern on May 4, 2011, until midnight Eastern on June 4, 2011, by calling (888) 203-1112 and using access code 5967956.

About Sun Healthcare Group, Inc.

Sun Healthcare Group, Inc. (NASDAQ GS: SUNH) is a healthcare services company, serving principally the senior population, with consolidated annual revenues in excess of $1.9 billion and approximately 30,000 employees in 46 states. Sun's services are provided through its subsidiaries: as of March 31, 2011, SunBridge Healthcare and its subsidiaries operate 163 skilled nursing centers, 16 combined skilled nursing, assisted and independent living centers, 10 assisted living centers, two independent living centers and eight mental health centers with an aggregate of 22,916 licensed beds in 25 states; SunDance Rehabilitation provides rehabilitation therapy services to affiliated and non-affiliated centers in 36 states; CareerStaff Unlimited provides medical staffing services in 39 states; and SolAmor Hospice provides hospice services in 10 states. For more information, go to www.sunh.com.

Forward-looking Statements

Statements made in this release that are not historical facts are "forward-looking" statements (as defined in the Private Securities Litigation Reform Act of 1995) that involve risks and uncertainties and are subject to change at any time. These forward-looking statements may include, but are not limited to, statements containing words such as "anticipate," "believe," "plan," "estimate," "expect," "hope," "intend," "may" and similar expressions. Forward-looking statements in this release include all statements regarding the expected results of operations, growth opportunities and plans and objectives of management for future operations, including expectations concerning the expansion of the


 
 

 

Company’s Rehab Recovery Suites® portfolio, acquisitions and the impact of changes in the Medicare payment system. Factors that could cause actual results to differ are identified in filings made by the Company with the Securities and Exchange Commission and include changes in Medicare and Medicaid reimbursements; the impact that healthcare reform legislation will have on the Company's business; the ability to maintain the occupancy rates and payor mix at the Company's healthcare centers; potential liability for losses not covered by, or in excess of, insurance; the effects of government regulations and investigations; the ability of the Company to collect its accounts receivable on a timely basis; the significant amount of the Company's indebtedness; covenants in debt agreements that may restrict the Company's activities, including the Company's ability to make acquisitions and incur more indebtedness on favorable terms; the impact of the current economic downturn on the business; increasing labor costs and the shortage of qualified healthcare personnel; and the Company's ability to receive increases in reimbursement rates from government payors to cover increased costs. More information on factors that could affect the Company's business and financial results are included in Sun's filings made with the Securities and Exchange Commission, including its Annual Report on Form 10-K and Quarterly Report on Form 10-Q, copies of which are available on Sun's web site, www.sunh.com. There may be additional risks of which the Company is presently unaware or that it currently deems immaterial.

The forward-looking statements involve known and unknown risks, uncertainties and other factors that are, in some cases, beyond the Company’s control. Sun cautions investors that any forward-looking statements made by Sun are not guarantees of future performance and are only made as of the date of this release. Sun disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.

EBITDA, adjusted EBITDA, adjusted EBITDAR and free cash flow, as used in this press release and in the accompanying tables, which are non-GAAP financial measures, are each reconciled to their respective GAAP-recognized financial measures in the accompanying tables.   


 
 

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             
KEY INCOME STATEMENT FIGURES
 
CONSOLIDATED
 
(in thousands, except per share data)
 
             
   
For the
   
For the
 
   
Three Months Ended
   
Three Months Ended
 
   
March 31, 2011
   
March 31, 2010
 
             
             
Revenue
  $ 483,897     $ 470,415  
                 
Depreciation and amortization
    7,579       12,348  
                 
Interest expense, net
    5,000       11,890  
                 
Pre-tax income
    14,322       18,099  
                 
Income tax expense
    5,872       7,296  
                 
Income from continuing operations
    8,450       10,803  
                 
Loss from discontinued operations
    (338 )     (605 )
                 
Net income
  $ 8,112     $ 10,198  
                 
                 
Diluted earnings per share
  $ 0.31     $ 0.69  
                 
                 
                 
Adjusted EBITDAR
  $ 63,949     $ 60,884  
Margin - Adjusted EBITDAR
    13.2 %     12.9 %
                 
                 
                 
                 
Adjusted EBITDA
  $ 27,037     $ 42,337  
Margin - Adjusted EBITDA
    5.6 %     9.0 %
                 
                 
                 
                 
Pre-tax income continuing operations
  $ 14,322     $ 18,099  
                 
Income tax expense
  $ 5,872     $ 7,296  
                 
Income from continuing operations
  $ 8,450     $ 10,803  
                 
Diluted earnings per share from continuing operations
  $ 0.33     $ 0.73  
                 
                 
                 
     See definitions of Adjusted EBITDA and Adjusted EBITDAR in the table "Reconciliation of Net Income to
      Adjusted EBITDA and Adjusted EBITDAR".
 


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             
CONSOLIDATED BALANCE SHEETS
 
(in thousands, except share data)
 
             
             
   
March 31, 2011
   
December 31, 2010
 
   
(unaudited)
   
(unaudited)
 
ASSETS
           
             
Current assets:
           
Cash and cash equivalents
  $ 85,571     $ 81,163  
Restricted cash
    17,274       15,329  
Accounts receivable, net
    218,827       218,040  
Prepaid expenses and other assets
    20,510       16,859  
Deferred tax assets
    68,423       69,800  
                 
 Total current assets
    410,605       401,191  
                 
Property and equipment, net
    141,211       139,860  
Intangible assets, net
    41,255       41,967  
Goodwill
    347,520       348,047  
Restricted cash, non-current
    351       350  
Deferred tax assets
    125,864       126,540  
Other assets
    50,027       23,803  
 
               
Total assets
  $ 1,116,833     $ 1,081,758  
                 
                 
LIABILITIES AND STOCKHOLDERS' EQUITY
               
                 
Current liabilities:
               
Accounts payable
  $ 47,795     $ 49,993  
Accrued compensation and benefits
    65,092       61,518  
Accrued self-insurance obligations, current portion
    55,314       52,093  
Income taxes payable
    478       -  
Other accrued liabilities
    53,451       53,945  
Current portion of long-term debt and capital lease obligations
    11,112       11,050  
                 
Total current liabilities
    233,242       228,599  
                 
Accrued self-insurance obligations, net of current portion
    159,146       133,405  
Long-term debt and capital lease obligations, net of current portion
    142,238       144,930  
Unfavorable lease obligations, net
    9,133       9,815  
Other long-term liabilities
    51,840       52,566  
                 
Total liabilities
    595,599       569,315  
                 
                 
Stockholders' equity:
               
Preferred stock of $.01 par value, authorized 3,333,333 shares,
       zero shares were issued and outstanding as of March 31, 2011
       and December 31, 2010
    -       -  
Common stock of $.01 par value, authorized 41,666,667 shares,
        25,088,409 and 24,973,693 shares issued and outstanding as of
        March 31, 2011 and December 31, 2010, respectively
    251       250  
Additional paid-in capital
    721,500       720,854  
Accumulated deficit
    (200,549 )     (208,661 )
Accumulated other comprehensive income, net
    32       -  
      521,234       512,443  
Total liabilities and stockholders' equity
  $ 1,116,833     $ 1,081,758  
                 
                 


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             
CONSOLIDATED INCOME STATEMENTS
 
(in thousands, except per share data)
 
             
   
For the
   
For the
 
   
Three Months Ended
   
Three Months Ended
 
   
March 31, 2011
   
March 31, 2010
 
   
(unaudited)
   
(unaudited)
 
             
Total net revenues
  $ 483,897     $ 470,415  
Costs and expenses:
               
Operating salaries and benefits
    272,101       265,087  
    Self-insurance for workers' compensation and
      general and professional liability insurance
    15,262       14,441  
Operating administrative costs
    13,280       12,289  
Other operating costs
    98,591       96,652  
Center rent expense
    36,912       18,547  
General and administrative expenses
    15,379       15,266  
Depreciation and amortization
    7,579       12,348  
Provision for losses on accounts receivable
    5,335       5,796  
Interest, net of interest income of $59 and $90, respectively
    5,000       11,890  
Restructuring costs
    136       -  
Total costs and expenses
    469,575       452,316  
                 
Income before income taxes and discontinued operations
    14,322       18,099  
Income tax expense
    5,872       7,296  
Income from continuing operations
    8,450       10,803  
                 
Discontinued operations:
               
Loss from discontinued operations, net of related taxes
    (338 )     (605 )
                 
Net income
  $ 8,112     $ 10,198  
                 
                 
Basic income per common and common equivalent share:
               
Income from continuing operations
  $ 0.33     $ 0.74  
Loss from discontinued operations, net
    (0.01 )     (0.05 )
Net income
  $ 0.32     $ 0.69  
                 
Diluted income per common and common equivalent share:
               
Income from continuing operations
  $ 0.33     $ 0.73  
Loss from discontinued operations, net
    (0.02 )     (0.04 )
Net income
  $ 0.31     $ 0.69  
                 
Weighted average number of common and
 common equivalent shares outstanding:
         
Basic
    25,740       14,678  
Diluted
    25,838       14,828  
                 

 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             
CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(in thousands)
 
             
   
For the
   
For the
 
    Three Months Ended   Three Months Ended
   
March 31, 2011
   
March 31, 2010
 
   
(unaudited)
   
(unaudited)
 
             
Cash flows from operating activities:
           
Net income
  $ 8,112     $ 10,198  
Adjustments to reconcile net income to net cash provided by
               
  operating activities, including discontinued operations:
               
Depreciation and amortization
    7,681       12,446  
Amortization of favorable and unfavorable lease intangibles
(484 )     (474 )
Provision for losses on accounts receivable
    5,644       6,014  
Stock-based compensation expense
    1,449       1,393  
Deferred taxes
    2,032       4,936  
Changes in operating assets and liabilities, net of acquisitions:
           
Accounts receivable
    (5,393 )     (6,322 )
Restricted cash
    (1,946 )     (1,156 )
Prepaid expenses and other assets
    (249 )     4,283  
Accounts payable
    (1,919 )     (5,859 )
Accrued compensation and benefits
    3,438       8,424  
Accrued self-insurance obligations
    (1,342 )     2,037  
Income taxes payable
    478       628  
Other accrued liabilities
    (731 )     2,470  
Other long-term liabilities
    (727 )     (955 )
Net cash provided by operating activities
    16,043       38,063  
                 
Cash flows from investing activities:
               
Capital expenditures
    (8,837 )     (17,058 )
Net cash used for investing activities
    (8,837 )     (17,058 )
                 
Cash flows from financing activities:
               
Principal repayments of long-term debt and capital lease obligations
(2,798 )     (20,941 )
Payment to non-controlling interest
    -       (2,025 )
Distribution to non-controlling interest
    -       (69 )
Net cash used for financing activities
    (2,798 )     (23,035 )
                 
Net increase (decrease) in cash and cash equivalents
    4,408       (2,030 )
Cash and cash equivalents at beginning of period
    81,163       104,483  
Cash and cash equivalents at end of period
  $ 85,571     $ 102,453  
                 
Reconciliation of net cash provided by operating activities to free cash flow:
         
                 
Net cash provided by operating activities
  $ 16,043     $ 38,063  
Capital expenditures
    (8,837 )     (17,058 )
Free cash flow
  $ 7,206     $ 21,005  
                 
                 
 
   Free cash flow is defined as net cash flow provided by operating activities less cash used for capital expenditures.
   Free cash flow is used by management to evaluate discretionary cash flow potentially available for debt service and other financing activities.
 
 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
             
RECONCILIATION OF NET INCOME TO ADJUSTED EBITDA and ADJUSTED EBITDAR
 
(in thousands)
 
             
   
For the
   
For the
 
   
Three Months Ended
   
Three Months Ended
 
   
March 31, 2011
   
March 31, 2010
 
   
(unaudited)
   
(unaudited)
 
             
 Total net revenues
  $ 483,897     $ 470,415  
                 
 Net income
  $ 8,112     $ 10,198  
                 
 Income from continuing operations
    8,450       10,803  
                 
 Income tax expense
    5,872       7,296  
                 
 Interest, net
    5,000       11,890  
                 
 Depreciation and amortization
    7,579       12,348  
                 
 EBITDA
  $ 26,901     $ 42,337  
                 
 Restructuring costs
    136       -  
                 
 Adjusted EBITDA
  $ 27,037     $ 42,337  
                 
 Center rent expense
    36,912       18,547  
                 
 Adjusted EBITDAR
  $ 63,949     $ 60,884  
                 

EBITDA is defined as earnings before loss on discontinued operations, income taxes, interest, net, depreciation and amortization. Adjusted EBITDA is defined as EBITDA before restructuring costs. Adjusted EBITDAR is defined as Adjusted EBITDA before center rent expense. Adjusted EBITDA and Adjusted EBITDAR are used by management to evaluate financial performance and resource allocation for each entity within the operating units and for the Company as a whole. Adjusted EBITDA and Adjusted EBITDAR are commonly used as analytical indicators within the healthcare industry and also serve as measures of leverage capacity and debt service ability. Adjusted EBITDA and Adjusted EBITDAR should not be considered as measures of financial performance under generally accepted accounting principles. As the items excluded from Adjusted EBITDA and Adjusted EBITDAR are significant components in understanding and assessing finance performance, Adjusted EBITDA and Adjusted EBITDAR should not be considered in isolation or as alternatives to net income, cash flows generated by or used in operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because Adjusted EBITDA and Adjusted EBITDAR are not measurements determined in accordance with U.S. generally accepted accounting principles and are thus susceptible to varying calculations. Adjusted EBITDA and Adjusted EBITDAR as presented may not be comparable to other similarly titled measures of other companies.


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
                                     
RECONCILIATION OF INCOME (LOSS) FROM CONTINUING OPERATIONS TO ADJUSTED EBITDA and ADJUSTED EBITDAR
 
($ in thousands)
 
                                     
For the Three Months Ended March 31, 2011
 
(unaudited)
 
                                     
   
Inpatient
Services
   
Rehabilitation
Therapy
Services
   
Medical
Staffing
Services
   
Other &
Corp Seg
   
Elimination
of Affiliated
Revenue
   
Consolidated
 
                                     
Nonaffiliated revenue
  $ 431,477     $ 30,097     $ 22,316     $ 7     $ -     $ 483,897  
                                                 
Affiliated revenue
    -       32,694       623       -       (33,317 )     -  
                                                 
Total revenue
  $ 431,477     $ 62,791     $ 22,939     $ 7     $ (33,317 )   $ 483,897  
                                                 
Income (loss) from continuing operations
$ 31,425     $ 2,772     $ 1,399     $ (27,146 )   $ -     $ 8,450  
                                                 
Income tax expense
    -       -       -       5,872       -       5,872  
                                                 
Interest, net
    (5 )     -       1       5,004       -       5,000  
                                                 
Depreciation and amortization
    6,336       226       187       830       -       7,579  
                                                 
EBITDA
  $ 37,756     $ 2,998     $ 1,587     $ (15,440 )   $ -     $ 26,901  
                                                 
Restructuring costs
    136       -       -       -       -       136  
                                                 
Adjusted EBITDA
  $ 37,892     $ 2,998     $ 1,587     $ (15,440 )   $ -     $ 27,037  
                                                 
Center rent expense
    36,612       127       173       -       -       36,912  
                                                 
Adjusted EBITDAR
  $ 74,504     $ 3,125     $ 1,760     $ (15,440 )   $ -     $ 63,949  
                                                 
                                                 
                                                 
Adjusted EBITDA margin
    8.8 %     4.8 %     6.9 %                     5.6 %
                                                 
Adjusted EBITDAR margin
    17.3 %     5.0 %     7.7 %                     13.2 %
                                                 
See definitions of EBITDA, Adjusted EBITDA and Adjusted EBITDAR in the table "Reconciliation of Net Income to
         
     Adjusted EBITDA and Adjusted EBITDAR".
 


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
                                     
RECONCILIATION OF INCOME (LOSS) FROM CONTINUING OPERATIONS TO ADJUSTED EBITDA and ADJUSTED EBITDAR
 
($ in thousands)
 
                                     
For the Three Months Ended March 31, 2010
 
(unaudited)
 
                                     
   
Inpatient
Services
   
Rehabilitation
Therapy
Services
   
Medical
Staffing
Services
   
Other &
Corp Seg
   
Elimination
of Affiliated
Revenue
   
Consolidated
 
                                     
Nonaffiliated revenue
  $ 417,687     $ 29,363     $ 23,357     $ 8     $ -     $ 470,415  
                                                 
Affiliated revenue
    -       21,154       143       -       (21,297 )     -  
                                                 
Total revenue
  $ 417,687     $ 50,517     $ 23,500     $ 8     $ (21,297 )   $ 470,415  
                                                 
Income (loss) from continuing operations
$ 38,061     $ 3,876     $ 1,482     $ (32,616 )   $ -     $ 10,803  
                                                 
Income tax expense
    -       -       -       7,296       -       7,296  
                                                 
Interest, net
    2,725       -       (1 )     9,166       -       11,890  
                                                 
Depreciation and amortization
    11,181       153       180       834       -       12,348  
                                                 
EBITDA
  $ 51,967     $ 4,029     $ 1,661     $ (15,320 )   $ -     $ 42,337  
                                                 
Restructuring costs
    -       -       -       -       -       -  
                                                 
Adjusted EBITDA
  $ 51,967     $ 4,029     $ 1,661     $ (15,320 )   $ -     $ 42,337  
                                                 
                                                 
Center rent expense
    18,214       123       210       -       -       18,547  
                                                 
Adjusted EBITDAR
  $ 70,181     $ 4,152     $ 1,871     $ (15,320 )   $ -     $ 60,884  
                                              -  
                                                 
                                                 
Adjusted EBITDA margin
    12.4 %     8.0 %     7.1 %                     9.0 %
                                                 
Adjusted EBITDAR margin
    16.8 %     8.2 %     8.0 %                     12.9 %
                                                 
See definitions of EBITDA, Adjusted EBITDA and Adjusted EBITDAR in the table "Reconciliation of Net Income to
 
     Adjusted EBITDA and Adjusted EBITDAR".
 


 
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Sun Healthcare Group, Inc. and Subsidiaries
 
Selected Operating Statistics
 
Continuing Operations
 
     For the        
     Three Months Ended        
     March 31,        
   
2011
         
2010
       
Consolidated Company
                       
                         
Revenues - Non-affiliated (in thousands)
                   
Skilled Nursing and similar facilities
  $ 417,143           $ 406,176        
Hospice
    13,855             10,987        
Other - Inpatient Services
    479             524        
Inpatient Services
    431,477             417,687        
                             
Rehabilitation Therapy Services
    30,097             29,363        
Medical Staffing Services
    22,316             23,357        
Other - non-core businesses
    7             8        
Total
  $ 483,897           $ 470,415        
                             
                             
Revenue Mix - Non-affiliated (in thousands)
                     
Medicare
  $ 157,621       33 %   $ 141,523       30 %
Medicaid
    184,678       38 %     187,306       40 %
Private and Other
    112,012       23 %     112,288       24 %
Managed Care / Insurance
    24,468       5 %     24,393       5 %
Veterans
    5,118       1 %     4,905       1 %
Total
  $ 483,897       100 %   $ 470,415       100 %
                                 
                                 
                                 
Inpatient Services Stats
                               
                                 
Number of centers:
    199               199          
Number of available beds:
    22,060               22,029          
Occupancy %:
    87.0 %             87.8 %        
                                 
                                 
Payor Mix % based on patient days:
                               
Medicare - SNF Beds
    15.8 %             15.7 %        
Managed care / Ins. - SNF Beds
    4.2 %             4.1 %        
    Total SNF skilled mix
    20.0 %             19.8 %        
                                 
Medicare
    14.5 %             14.3 %        
Medicaid
    62.1 %             61.8 %        
Private and Other
    18.4 %             19.0 %        
Managed Care / Insurance
    3.8 %             3.8 %        
Veterans
    1.2 %             1.1 %        
                                 
Revenue Mix % of revenues:
                               
Medicare - SNF Beds
    35.1 %             32.6 %        
Managed care / Ins. - SNF Beds
    6.0 %             6.2 %        
    Total SNF skilled mix
    41.1 %             38.8 %        
                                 
Medicare
    35.5 %             32.8 %        
Medicaid
    42.8 %             44.8 %        
Private and Other
    14.9 %             15.4 %        
Managed Care / Insurance
    5.6 %             5.8 %        
Veterans
    1.2 %             1.2 %        
                                 
                                 
Revenues PPD:
                               
Medicare (Part A)
  $ 520.92             $ 465.98          
Medicare Blended Rate (Part A & B)
  $ 556.98             $ 502.21          
Medicaid
  $ 172.25             $ 172.59          
Private and Other
  $ 193.39             $ 186.31          
Managed Care / Insurance
  $ 367.47             $ 363.84          
Veterans
  $ 245.52             $ 243.97          
                                 
                                 
Rehab contracts
                               
                                 
Affiliated
    179               131          
Non-affiliated
    343               337          
                                 
Average Qtrly Revenue per Contract
(in thousands)
  $ 120             $ 108          
                                 
                                 

 
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