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8-K - 8-K - Genesis Healthcare, Inc.a15-22438_18k.htm
EX-99.2 - EX-99.2 - Genesis Healthcare, Inc.a15-22438_1ex99d2.htm

Exhibit 99.1

 

FOR IMMEDIATE RELEASE

 

Genesis HealthCare Contact:

Investor Relations

610-925-2000

 

GENESIS HEALTHCARE

REPORTS THIRD QUARTER 2015 RESULTS

 

·                              Strong Third Quarter Performance and Growth With Pro Forma(1) Adjusted:

 

·                                          EBITDAR of $188.8 Million, up 6.3% from Prior Year Quarter

 

·                                          EBITDA of $67.2 Million, up 13.1% from Prior Year Quarter

 

·                                          Diluted EPS of $0.07

 

·                              Recent HUD Financing Approval Advances Balance Sheet Restructuring Initiatives; Expected to Improve Annual Free Cash Flow $25 - $30 Million

 

KENNETT SQUARE, PA — (November 5, 2015) — Genesis HealthCare (Genesis, or the Company) (NYSE:GEN), one of the largest post-acute care providers in the United States, today announced operating results for the quarter and nine month periods ended September 30, 2015.

 

Highlights

 

·                  Previously announced expense reductions yield $10.2 million of savings in the third quarter and $25.7 million of savings through the first nine months of 2015; on track to realize $35 million in 2015;

 

·                  Skilled Healthcare integration continues as planned; approximately $4.1 million of transaction synergies realized in the third quarter and $8.1 million through the first nine months of 2015; on track to realize $13 million in 2015;

 

·                  Pro forma EBITDAR margins of approximately 13.4% grew 60 bps over the prior year quarter;

 

·                  Genesis received formal portfolio credit approval from the U.S. Department of Housing and Urban Development Program (HUD);

 

·                  Genesis’ planned acquisition of Revera Inc.’s 24 skilled nursing facilities and contract rehabilitation business is on track to close by year end, subject to regulatory and licensing approvals and other customary conditions.

 

“We are pleased to report EBITDA growth in excess of 10% for the third consecutive quarter, exceeding our own expectations,” comments George V. Hager, Jr., Chief Executive Officer of Genesis. “Our success managing costs and leveraging our scale through acquisition were the drivers behind our 60 basis points of year-over-year EBITDAR margin expansion. Our focus remains on areas of the business where we can position Genesis for growth, including operational execution, expansion of our rehabilitation therapy segment, and integration of newly acquired and developed inpatient facilities. In the near term, we expect our M&A pipeline, incremental realization of Skilled Healthcare synergies and execution on our other strategic initiatives to position us to sustain our earnings growth rate.”

 



 

Third Quarter 2015 Results

(Unaudited)

 

 

 

Three months ended
September 30, 2015

 

Three months ended
September 30, 2014

 

Pro Forma(1) Non-GAAP
Growth

 

 

 

 

 

Pro Forma(1)

 

 

 

Pro Forma(1)

 

 

 

 

 

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

GAAP

 

Non-GAAP

 

GAAP

 

Non-GAAP

 

Dollars

 

Percentage

 

Net Revenues / Adjusted Net Revenues

 

$

1,416,027

 

$

1,405,277

 

$

1,187,618

 

$

1,391,925

 

$

13,352

 

1.0

%

EBITDAR / Adjusted EBITDAR

 

181,231

 

188,779

 

146,384

 

177,571

 

11,208

 

6.3

%

EBITDA / Adjusted EBITDA

 

143,576

 

67,205

 

113,463

 

59,407

 

7,798

 

13.1

%

Fully Diluted EPS / Adjusted Fully Diluted EPS

 

(0.32

)

0.07

 

Not applicable as Genesis was privately held

 

 

 

 

Nine months ended
September 30, 2015

 

Nine months ended
September 30, 2014

 

Pro Forma(1) Non-GAAP
Growth

 

 

 

 

 

Pro Forma(1)

 

 

 

Pro Forma(1)

 

 

 

 

 

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

GAAP

 

Non-GAAP

 

GAAP

 

Non-GAAP

 

Dollars

 

Percentage

 

Net Revenues / Adjusted Net Revenues

 

$

4,178,503

 

$

4,218,064

 

$

3,574,813

 

$

4,187,411

 

$

30,653

 

0.7

%

EBITDAR / Adjusted EBITDAR

 

542,086

 

572,118

 

456,235

 

539,338

 

32,780

 

6.1

%

EBITDA / Adjusted EBITDA

 

429,053

 

209,983

 

357,606

 

188,975

 

21,008

 

11.1

%

Fully Diluted EPS / Adjusted Fully Diluted EPS

 

(1.88

)

0.27

 

Not applicable as Genesis was privately held

 

 


(1) - To facilitate comparisons, pro forma results for the three and nine months ended September 30, 2015 and 2014 were prepared on a basis assuming the combination of Skilled Healthcare and Genesis HealthCare occurred at the beginning of the respective period presented rather than as of February 2, 2015, which is the actual date of the combination.  See reconcilition of pro forma results to GAAP results in the tables in this release.

 

Assuming Genesis and Skilled Healthcare were fully combined in all periods presented, Genesis’ adjusted revenue of $1,405.3 million in the third quarter of 2015 would have increased $13.4 million or 1.0% over the prior year quarter.  Revenue growth in the third quarter of 2015 was negatively impacted $14.0 million by the divestiture of six facilities and $8.0 million due to the loss of certain therapy contracts.  As reported GAAP basis revenue of $1,416.0 million in the third quarter of 2015 increased $228.4 million or 19.2% over the prior year quarter, principally due to the combination with Skilled Healthcare in February 2015.

 

Assuming Genesis and Skilled Healthcare were fully combined in all periods presented, Genesis’ adjusted revenue of $4,218.1 million in the nine months ended September 30, 2015 would have increased $30.7 million or 0.7% over the prior year period.  Revenue growth in the nine months ended September 30, 2015 was negatively impacted $32.0 million by the divestiture of six facilities and by $24.6 million due to the loss of therapy contacts.  As reported GAAP basis revenue of $4,178.5 million in the nine months ended September 30, 2015 increased $603.7 million or 16.9% over the prior year period, principally due to the combination with Skilled Healthcare in February 2015.

 

Assuming Genesis and Skilled Healthcare were combined in all periods presented, adjusted EBITDAR of $188.8 million in the third quarter of 2015 would have increased $11.2 million or 6.3% over the prior year quarter. Adjusted EBITDAR growth in the third quarter of 2015 was driven by $10.2 million of planned cost reductions and approximately $4.1 million of Skilled Healthcare transaction synergies. GAAP basis loss from continuing operations of $61.0 million in the third quarter of 2015 increased $18.4 million or 43% over the prior year quarter.

 

Assuming Genesis and Skilled Healthcare were combined in all periods presented, adjusted EBITDAR of $572.1 million in the nine months ended September 30, 2015 would have increased $32.8 million or 6.1% over the prior year period. Adjusted EBITDAR growth in the nine months ended September 30, 2015 was driven by $25.7 million of planned cost reductions and approximately $8.1 million of Skilled

 

2



 

Healthcare transaction synergies. GAAP basis loss from continuing operations of $212.6 million in the nine months ended September 30, 2015 increased $98.3 million over the prior year period principally due to transaction costs incurred in the Skilled combination and other transactions, offset by the incremental earnings generated by the combined business.

 

Business Development, Acquisitions and Divestitures

 

Effective July 1, 2015, as previously announced, Genesis Rehab Services (GRS) signed 91 new therapy contracts with four key customers and acquired 22 outpatient sites.  GRS now provides contract therapy services for more than 1,700 locations across 46 states, the District of Columbia and China. The integration of these new contracts is running smoothly and is on target to contribute an additional $7.5 million in annual EBITDAR.

 

Genesis previously announced its planned acquisition of Revera Inc.’s 24 skilled nursing facilities and contract rehabilitation business for $240 million.  The acquisition is on track to close by year end, subject to regulatory and licensing approvals and other customary conditions.  The acquisition is expected to contribute $34.0 million in annual EBITDAR.

 

Genesis continues to look strategically to monetize non-strategic assets and either redeploy the capital to investments providing greater return to shareholders or to repay Genesis’ most expensive debt. Over the next nine months, Genesis looks to sell certain non-strategic assets having the potential to produce $100 million to $150 million of net cash proceeds.

 

Balance Sheet Restructuring

 

Genesis received formal portfolio credit approval from the U.S. Department of Housing and Urban Development Program (HUD) in October 2015.  Genesis received approval to finance $360 million in HUD insured loans secured by certain facilities previously owned by Skilled Healthcare and $400 million of additional HUD insured loans conditioned upon the submission to and acceptance by HUD of additional qualifying assets. Proceeds from the initial $360 million of HUD insured loan borrowings will be used to refinance a real estate bridge loan at an estimated 400 basis point per annum savings. Individual HUD guaranteed mortgages are expected to close over the course of the first and second quarters of 2016. The Company intends to utilize the additional $400 million of HUD insured loan capacity to refinance 20 properties to be acquired in the previously announced Revera transaction, 20 facility buybacks with its REIT partners and future unidentified transactions.

 

“We are keenly focused on increasing our facility ownership and reducing our overall cost of capital,” notes Genesis Chief Financial Officer, Tom DiVittorio.  “Our ability to access HUD guaranteed financing, having attractive fixed rates of approximately 4% and 30 year maturities, is a key milestone in this repositioning strategy.  Combined with our announced transactions with our REIT partners, we expect it will increase annual after-tax free cash flow between $25 million and $30 million, a nearly 40% increase off the midpoint of our 2015 guidance.”

 

Skilled Healthcare Loss Contingency Reserve

 

The Company is engaged in discussions with representatives of the Department of Justice in an effort to reach mutually acceptable resolution of two investigations involving therapy matters and staffing matters related to the former Skilled Healthcare business that combined with the Company effective February 2, 2015.  Discussions have progressed to a point where Genesis believes it is appropriate to accrue an estimated loss contingency reserve of $30.0 million.  Recognition of the loss contingency reserve is not an admission of liability or fault by the Company or any of its subsidiaries.  Because these discussions are ongoing, there can be no certainty about the timing or likelihood of a definitive resolution.  As these discussions proceed and additional information becomes available, the amount of the estimated loss contingency reserve may need to be increased or decreased to reflect this new information.

 

3



 

2015 Guidance

 

The Company reaffirms its previously announced 2015 adjusted EBITDAR guidance of $755.0 million to $770.0 million, adjusted EBITDA of $267.6 million to $282.6 million, and net income from continuing operations on a diluted basis of $0.34 to $0.39 per share.

 

The 2015 guidance is based on 154.6 million diluted weighted average common shares outstanding and common stock equivalents on a fully exchanged basis. The Company’s earnings guidance was prepared on a pro forma basis to reflect full year estimates assuming the operations of Skilled Healthcare were combined with those of Genesis HealthCare as of January 1, 2015.

 

Genesis also reaffirms its 2015 recurring free cash flow guidance of approximately $70.0 million. Projected recurring free cash flow is derived from the mid-point of the Company’s 2015 adjusted EBITDA guidance of $275.0 million further adjusted for projected cash interest of $72.0 million, recurring capital expenditures of $76.0 million and recurring cash income taxes of $56.0 million.  Cash income taxes assume tax depreciation and amortization expense of approximately $62.0 million and a tax rate of 40%.

 

Conference Call

 

Genesis HealthCare will hold a conference call at 8:30 a.m. Eastern Time on Friday, November 6, 2015 to discuss financial results for the first quarter.  Investors can access the conference call by calling (855) 849-2198 or live via a listen-only webcast through the Genesis web site at http://www.genesishcc.com/investor-relations/, where a replay of the call will also be posted for one year.

 

About Genesis HealthCare

 

Genesis HealthCare (NYSE: GEN) is a holding company with subsidiaries that, on a combined basis, comprise one of the nation’s largest post-acute care providers with more than 500 skilled nursing centers and assisted/senior living communities in 34 states nationwide. Genesis subsidiaries also supply rehabilitation and respiratory therapy to more than 1,700 healthcare providers in 45 states, the District of Columbia and China.  References made in this release to “Genesis,” “the Company,” “we,” “us” and “our” refer to Genesis HealthCare and each of its wholly-owned companies. Visit our website at www.genesishcc.com.

 

Forward-Looking Statements

 

This release includes “forward-looking statements” within the meaning of the federal securities laws, including the Private Securities Litigation Reform Act of 1995. 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,” “pursue, “plans” or “prospect,” or the negative or other variations thereof or comparable terminology. They include, but are not limited to, statements about Genesis’ expectations and beliefs regarding its future financial performance, its anticipated synergy cost savings from the Skilled Healthcare combination, anticipated operating expense reductions, anticipated acquisitions, anticipated divestitures, anticipated development opportunities, anticipated deleveraging opportunities, anticipated balance sheet restructuring and resolution of government investigations. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release, and there can be no assurance that they will be achieved or occur, in whole or in part, in the timeframes anticipated by the Company or at all.

 

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 Genesis may differ materially from that expressed or implied by such forward-looking statements.

 

These risks and uncertainties include, but are not limited to the following:

 

·      reductions in Medicare reimbursement rates, or changes in the rules governing the Medicare program could have a material adverse effect on our revenue, financial condition and results of operations;

·      continued efforts of federal and state governments to contain growth in Medicaid expenditures could adversely affect our revenue and profitability;

 

4



 

·      recent federal government proposals could limit the states’ use of provider tax programs to generate revenue for their Medicaid expenditures, which could result in a reduction in our reimbursement rates under Medicaid;

·      revenue we receive from Medicare and Medicaid is subject to potential retroactive reduction;

·      our success is dependent upon retaining key executive and personnel;

·      health reform legislation could adversely affect our revenue and financial condition;

·      annual caps that limit the amounts that can be paid for outpatient therapy services rendered to any Medicare beneficiary may negatively affect our results of operations;

·      we are subject to a Medicare cap amount for our hospice business. Our net patient service revenue and profitability could be adversely affected by limitations on Medicare payments;

·      we are subject to extensive and complex laws and government regulations. If we are not operating in compliance with these laws and regulations or if these laws and regulations change, we could be required to make significant expenditures or change our operations in order to bring our facilities and operations into compliance;

·      we face inspections, reviews, audits and investigations under federal and state government programs, such as the Department of Justice, and contracts. These investigations and audits could have adverse findings that may negatively affect our business;

·      significant legal actions, which are commonplace in our professions, could subject us to increased operating costs and substantial uninsured liabilities, which would materially and adversely affect our results of operations, liquidity and financial condition;

·      insurance coverage may become increasingly expensive and difficult to obtain for health care companies, and our self-insurance may expose us to significant losses;

·      we may be unable to reduce costs to offset decreases in our patient census levels or other expenses completely;

·      future acquisitions may use significant resources, may be unsuccessful and could expose us to unforeseen liabilities;

·      we lease a significant number of our facilities and may experience risks relating to lease termination, lease extensions and special charges;

·      our substantial indebtedness could adversely affect our financial health and prevent us from fulfilling our financial obligations;

·      following the combination of FC-GEN Operations Investment LLC and Skilled Healthcare Group, Inc., we may not be able to continue to successfully integrate our operations, which could adversely affect us and the market price of our common stock;

·      we have incurred substantial costs and expect to incur additional transaction and integration costs in connection with the combination of FC-GEN Operations Investment LLC and Skilled Healthcare Group, Inc;

·      the holders of a majority of the voting power of Genesis’ common stock have entered into a voting agreement, and the control group’s interests may conflict with yours;

·      some of our directors are significant stockholders or representatives of significant stockholders, which may result in the diversion of corporate opportunities and other potential conflicts; and

·      we are a “controlled company” within the meaning of NYSE rules and, as a result, qualify for and rely on exemptions from certain corporate governance requirements.

 

The Company’s Annual Report on Form 10-K for the year ended December 31, 2014, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and other filings with the U.S. Securities and Exchange Commission, including the Company’s Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2015 when it is filed, discuss the foregoing risks as well as other important risks and uncertainties of which investors should be aware. Any forward-looking statements contained herein are made only as of the date of this release. Genesis disclaims any obligation to update the forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements.

 

Note Regarding Use of Non-GAAP Financial Measures

 

For a discussion of the reasons why the Company utilizes non-GAAP financial measures and believes that the presentation of such measures provides useful information to investors regarding the Company’s financial condition and results of operations, see the Current Report on Form 8-K furnished to the U.S. Securities and Exchange Commission on November 5, 2015.

 

###

 

5



 

GENESIS HEALTHCARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

1,416,027

 

$

1,187,618

 

$

4,178,503

 

$

3,574,813

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

833,415

 

723,586

 

2,445,074

 

2,162,064

 

Other operating expenses

 

332,918

 

265,283

 

993,715

 

798,432

 

General and administrative costs

 

46,110

 

36,341

 

131,126

 

108,187

 

Provision for losses on accounts receivable

 

23,346

 

17,285

 

68,855

 

52,881

 

Lease expense

 

37,655

 

32,921

 

113,033

 

98,629

 

Depreciation and amortization expense

 

62,505

 

48,701

 

176,043

 

145,131

 

Interest expense

 

128,538

 

112,121

 

376,236

 

330,771

 

(Gain) loss on extinguishment of debt

 

(3,104

)

 

130

 

679

 

Investment income

 

(353

)

(1,468

)

(1,200

)

(2,847

)

Other loss (income)

 

38

 

30

 

(7,522

)

(637

)

Transaction costs

 

3,306

 

1,736

 

92,016

 

5,283

 

Skilled Healthcare loss contingency expense

 

30,000

 

 

31,500

 

 

Equity in net (income) loss of unconsolidated affiliates

 

(640

)

207

 

(1,153

)

(139

)

 

 

 

 

 

 

 

 

 

 

Loss before income tax benefit

 

(77,707

)

(49,125

)

(239,350

)

(123,621

)

Income tax benefit

 

(16,726

)

(6,518

)

(26,793

)

(9,368

)

Loss from continuing operations

 

(60,981

)

(42,607

)

(212,557

)

(114,253

)

Income (loss) from discontinued operations, net of taxes

 

39

 

(1,191

)

(1,571

)

(5,561

)

 

 

 

 

 

 

 

 

 

 

Net loss

 

(60,942

)

(43,798

)

(214,128

)

(119,814

)

Less net loss (income) attributable to noncontrolling interests

 

31,990

 

(961

)

53,424

 

(1,370

)

 

 

 

 

 

 

 

 

 

 

Net loss attributable to Genesis Healthcare, Inc.

 

$

(28,952

)

$

(44,759

)

$

(160,704

)

$

(121,184

)

 

 

 

 

 

 

 

 

 

 

Loss per common share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding for basic and diluted loss from continuing operations per share

 

89,213

 

49,865

 

84,615

 

49,865

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted net loss per common share:

 

 

 

 

 

 

 

 

 

Loss from continuing operations attributable to Genesis Healthcare, Inc.

 

$

(0.32

)

$

(0.88

)

$

(1.88

)

$

(2.32

)

Loss from discontinued operations

 

0.00

 

(0.02

)

(0.02

)

(0.11

)

Net loss attributable to Genesis Healthcare, Inc.

 

$

(0.32

)

$

(0.90

)

$

(1.90

)

$

(2.43

)

 

6



 

GENESIS HEALTHCARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

(IN THOUSANDS)

 

 

 

September 30, 2015

 

December 31, 2014

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and equivalents

 

$

59,671

 

$

87,548

 

Accounts receivable, net of allowances for doubtful accounts

 

759,305

 

605,830

 

Other current assets

 

185,184

 

202,808

 

Total current assets

 

1,004,160

 

896,186

 

Property and equipment, net of accumulated depreciation

 

3,965,527

 

3,493,250

 

Identifiable intangible assets, net of accumulated amortization

 

219,028

 

173,112

 

Goodwill

 

444,446

 

169,681

 

Other long-term assets

 

488,200

 

409,179

 

Total assets

 

$

6,121,361

 

$

5,141,408

 

 

 

 

 

 

 

Liabilities and Stockholders’ Deficit:

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable and accrued expenses

 

$

395,468

 

$

320,339

 

Accrued compensation

 

222,689

 

192,838

 

Other current liabilities

 

162,206

 

147,405

 

Total current liabilities

 

780,363

 

660,582

 

 

 

 

 

 

 

Long-term debt

 

1,036,882

 

525,728

 

Capital lease obligations

 

1,053,547

 

1,002,762

 

Financing obligations

 

2,993,670

 

2,911,200

 

Other long-term liabilities

 

563,295

 

498,626

 

Stockholders’ deficit

 

(306,396

)

(457,490

)

Total liabilities and stockholders’ deficit

 

$

6,121,361

 

$

5,141,408

 

 

GENESIS HEALTHCARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

(IN THOUSANDS)

 

 

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

 

 

 

 

 

 

Net cash (used in) provided by operating activities

 

$

(4,949

)

$

85,364

 

Net cash used in investing activities

 

(67,933

)

(67,635

)

Net cash provided by (used in) financing activities

 

45,005

 

(5,575

)

 

 

 

 

 

 

Net (decrease) increase in cash and equivalents

 

(27,877

)

12,154

 

Beginning of period

 

87,548

 

61,413

 

 

 

 

 

 

 

End of period

 

$

59,671

 

$

73,567

 

 

7



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

(UNAUDITED)

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

 

 

As reported

 

Adjustments

 

As adjusted

 

 

 

Three months
ended September
30, 2015

 

Conversion to
cash basis
leases (a)

 

Newly acquired or
constructed
businesses with start-
up losses and newly
divested facilities (b)

 

Other
adjustments (c)

 

Three months
ended September
30, 2015

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

1,416,027

 

$

 

$

(10,750

)

$

 

$

1,405,277

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

833,415

 

 

(6,616

)

(477

)

826,322

 

Other operating expenses

 

332,918

 

 

(6,340

)

686

 

327,264

 

General and administrative costs

 

46,110

 

 

 

(5,194

)

40,916

 

Provision for losses on accounts receivable

 

23,346

 

 

(357

)

 

22,989

 

Lease expense

 

37,655

 

86,221

 

(2,302

)

 

121,574

 

Depreciation and amortization expense

 

62,505

 

(33,502

)

(3,020

)

 

25,983

 

Interest expense

 

128,538

 

(105,057

)

 

 

23,481

 

Gain on extinguishment of debt

 

(3,104

)

 

 

3,104

 

 

Other income

 

38

 

 

(38

)

 

 

Investment income

 

(353

)

 

 

 

(353

)

Transaction costs

 

3,306

 

 

(63

)

(3,243

)

 

Skilled Healthcare loss contingency expense

 

30,000

 

 

 

(30,000

)

 

Equity in net income of unconsolidated affiliates

 

(640

)

 

 

 

(640

)

(Loss) income before income tax benefit

 

$

(77,707

)

$

52,338

 

$

7,986

 

$

35,124

 

$

17,741

 

Income tax (benefit) expense

 

(16,726

)

12,149

 

1,854

 

8,153

 

5,430

 

(Loss) income from continuing operations

 

$

(60,981

)

$

40,189

 

$

6,132

 

$

26,971

 

$

12,311

 

Income from discontinued operations, net of taxes

 

(39

)

162

 

 

 

123

 

Net (loss) income attributable to noncontrolling interests

 

(31,990

)

21,966

 

(351

)

14,629

 

4,254

 

 

 

 

 

 

 

 

 

 

 

 

 

Net (loss) income attributable to Genesis Healthcare, Inc.

 

$

(28,952

)

$

18,061

 

$

6,483

 

$

12,342

 

$

7,934

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

62,505

 

(33,502

)

(3,020

)

 

25,983

 

Interest expense

 

128,538

 

(105,057

)

 

 

23,481

 

Gain on extinguishment of debt

 

(3,104

)

 

 

3,104

 

 

Other income

 

38

 

 

(38

)

 

 

Transaction costs

 

3,306

 

 

(63

)

(3,243

)

 

Skilled Healthcare loss contingency expense

 

30,000

 

 

 

(30,000

)

 

Income tax (benefit) expense

 

(16,726

)

12,149

 

1,854

 

8,153

 

5,430

 

Loss from discontinued operations, net of taxes

 

(39

)

162

 

 

 

123

 

Net (loss) income attributable to noncontrolling interests

 

(31,990

)

21,966

 

(351

)

14,629

 

4,254

 

EBITDA / Adjusted EBITDA

 

$

143,576

 

$

(86,221

)

$

4,865

 

$

4,985

 

$

67,205

 

Lease expense

 

37,655

 

86,221

 

(2,302

)

 

121,574

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDAR / Adjusted EBITDAR

 

$

181,231

 

$

 

$

2,563

 

$

4,985

 

$

188,779

 

 

 

 

 

 

 

 

 

 

 

 

 

(Loss) income per common share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding for diluted (loss) income from continuing operations per share (d)

 

89,213

 

 

 

 

 

 

 

153,671

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net (loss) income from continuing operations per share (e)

 

$

(0.32

)

 

 

 

 

 

 

$

0.07

 

 

See (a), (b), (c), (d) and (e) footnote references contained herein.

 

8



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

(UNAUDITED)

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

 

 

As reported

 

Adjustments

 

As adjusted

 

Non-GAAP as
adjusted

 

Pro forma adjusted

 

 

 

Nine months
ended September
30, 2015

 

Conversion to
cash basis
leases (a)

 

Newly acquired or
constructed
businesses with
start-up losses and
newly divested
facilities (b)

 

Other
adjustments (c)

 

Nine months
ended September
30, 2015

 

Skilled Healthcare
Group, Inc. one
month ended
January 31, 2015

 

Nine months ended
September 30,
2015

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

4,178,503

 

$

 

$

(32,115

)

$

388

 

$

4,146,776

 

$

71,288

 

$

4,218,064

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

2,445,074

 

 

(19,129

)

(477

)

2,425,468

 

43,926

 

2,469,394

 

Other operating expenses

 

993,715

 

 

(15,993

)

(10,534

)

967,188

 

17,141

 

984,329

 

General and administrative costs

 

131,126

 

 

 

(7,456

)

123,670

 

1,516

 

125,186

 

Provision for losses on accounts receivable

 

68,855

 

 

(608

)

 

68,247

 

1,289

 

69,536

 

Lease expense

 

113,033

 

254,566

 

(7,230

)

 

360,369

 

1,766

 

362,135

 

Depreciation and amortization expense

 

176,043

 

(101,291

)

(4,463

)

 

70,289

 

1,998

 

72,287

 

Interest expense

 

376,236

 

(311,371

)

(40

)

 

64,825

 

2,521

 

67,346

 

Loss on extinguishment of debt

 

130

 

 

 

(130

)

 

 

 

Other income

 

(7,522

)

 

(38

)

7,560

 

 

11

 

11

 

Investment income

 

(1,200

)

 

 

 

(1,200

)

 

(1,200

)

Transaction costs

 

92,016

 

 

(63

)

(91,953

)

 

 

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

 

 

 

Equity in net income of unconsolidated affiliates

 

(1,153

)

 

 

 

(1,153

)

(146

)

(1,299

)

(Loss) income before income tax benefit

 

$

(239,350

)

$

158,096

 

$

15,449

 

$

134,878

 

$

69,073

 

$

1,266

 

$

70,339

 

Income tax (benefit) expense

 

(26,793

)

36,697

 

3,586

 

31,308

 

44,798

 

494

 

45,292

 

(Loss) income from continuing operations

 

$

(212,557

)

$

121,399

 

$

11,863

 

$

103,570

 

$

24,275

 

$

772

 

$

25,047

 

Loss from discontinued operations, net of taxes

 

1,571

 

1,082

 

 

 

2,653

 

 

2,653

 

Net (loss) income attributable to noncontrolling interests

 

(53,424

)

29,591

 

2,088

 

27,911

 

6,166

 

531

 

6,697

 

Net (loss) income attributable to Genesis Healthcare, Inc.

 

$

(160,704

)

$

90,726

 

$

9,775

 

$

75,659

 

$

15,456

 

$

241

 

$

15,697

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

176,043

 

(101,291

)

(4,463

)

 

70,289

 

1,998

 

72,287

 

Interest expense

 

376,236

 

(311,371

)

(40

)

 

64,825

 

2,521

 

67,346

 

Loss on extinguishment of debt

 

130

 

 

 

(130

)

 

 

 

Other income

 

(7,522

)

 

(38

)

7,560

 

 

11

 

11

 

Transaction costs

 

92,016

 

 

(63

)

(91,953

)

 

 

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

 

 

Income tax (benefit) expense

 

(26,793

)

36,697

 

3,586

 

31,308

 

44,798

 

494

 

45,292

 

Loss from discontinued operations, net of taxes

 

1,571

 

1,082

 

 

 

2,653

 

 

2,653

 

Net (loss) income attributable to noncontrolling interests

 

(53,424

)

29,591

 

2,088

 

27,911

 

6,166

 

531

 

6,697

 

EBITDA / Adjusted EBITDA

 

$

429,053

 

$

(254,566

)

$

10,845

 

$

18,855

 

$

204,187

 

$

5,796

 

$

209,983

 

Lease expense

 

113,033

 

254,566

 

(7,230

)

 

360,369

 

1,766

 

362,135

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDAR / Adjusted EBITDAR

 

$

542,086

 

$

 

$

3,615

 

$

18,855

 

$

564,556

 

$

7,562

 

$

572,118

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Loss) income per common share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding for diluted (loss) income from continuing operations per share (d)

 

84,615

 

 

 

 

 

 

 

 

 

 

 

153,671

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net (loss) income from continuing operations per share (e)

 

$

(1.88

)

 

 

 

 

 

 

 

 

 

 

$

0.27

 

 

See (a), (b), (c), (d) and (e) footnote references contained herein.

 

9



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

(UNAUDITED)

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

 

 

As reported

 

Adjustments

 

As adjusted

 

Non-GAAP as
adjusted

 

Pro forma adjusted

 

 

 

Three months ended
September 30, 2014

 

Conversion to
cash basis
leases (a)

 

Newly acquired or
constructed
businesses with
start-up losses and
newly divested
facilities (b)

 

Other
adjustments (c)

 

Three months ended
September 30, 2014

 

Skilled Healthcare
Group, Inc. three
months ended
September 30, 2014

 

Three months ended
September 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

1,187,618

 

$

 

$

(3,533

)

$

 

$

1,184,085

 

$

207,840

 

$

1,391,925

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

723,586

 

 

(3,444

)

(308

)

719,834

 

128,793

 

848,627

 

Other operating expenses

 

265,283

 

 

(1,744

)

(1,290

)

262,249

 

36,122

 

298,371

 

General and administrative costs

 

36,341

 

 

 

 

36,341

 

11,789

 

48,130

 

Provision for losses on accounts receivable

 

17,285

 

 

 

 

17,285

 

3,737

 

21,022

 

Lease expense

 

32,921

 

80,625

 

(528

)

 

113,018

 

5,146

 

118,164

 

Depreciation and amortization expense

 

48,701

 

(33,232

)

(41

)

 

15,428

 

6,120

 

21,548

 

Interest expense

 

112,121

 

(99,188

)

 

 

12,933

 

7,836

 

20,769

 

Other (income) loss

 

30

 

 

 

(30

)

 

26

 

26

 

Investment income

 

(1,468

)

 

 

 

(1,468

)

 

(1,468

)

Transaction costs

 

1,736

 

 

 

(1,736

)

 

 

 

Equity in net loss of unconsolidated affiliates

 

207

 

 

 

 

207

 

(568

)

(361

)

(Loss) income before income tax benefit

 

$

(49,125

)

$

51,795

 

$

2,224

 

$

3,364

 

$

8,258

 

$

8,839

 

$

17,097

 

Income tax (benefit) expense

 

(6,518

)

5,190

 

194

 

345

 

(789

)

3,105

 

2,316

 

(Loss) income from continuing operations

 

$

(42,607

)

$

46,605

 

$

2,030

 

$

3,019

 

$

9,047

 

$

5,734

 

$

14,781

 

Loss (income) from discontinued operations, net of taxes

 

1,191

 

(621

)

 

 

570

 

 

570

 

Net loss attributable to noncontrolling interests

 

961

 

 

 

 

961

 

 

961

 

Net (loss) income attributable to Genesis Healthcare, Inc.

 

$

(44,759

)

$

47,226

 

$

2,030

 

$

3,019

 

$

7,516

 

$

5,734

 

$

13,250

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

48,701

 

(33,232

)

(41

)

 

15,428

 

6,120

 

21,548

 

Interest expense

 

112,121

 

(99,188

)

 

 

12,933

 

7,836

 

20,769

 

Other (income) loss

 

30

 

 

 

(30

)

 

(7

)

(7

)

Transaction costs

 

1,736

 

 

 

(1,736

)

 

 

 

Income tax (benefit) expense

 

(6,518

)

5,190

 

194

 

345

 

(789

)

3,105

 

2,316

 

Loss (income) from discontinued operations, net of taxes

 

1,191

 

(621

)

 

 

570

 

 

570

 

Net income attributable to noncontrolling interests

 

961

 

 

 

 

961

 

 

961

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA / Adjusted EBITDA

 

$

113,463

 

$

(80,625

)

$

2,183

 

$

1,598

 

$

36,619

 

$

22,788

 

$

59,407

 

Lease expense

 

32,921

 

80,625

 

(528

)

 

113,018

 

5,146

 

118,164

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDAR / Adjusted EBITDAR

 

$

146,384

 

$

 

$

1,655

 

$

1,598

 

$

149,637

 

$

27,934

 

$

177,571

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss per common share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding for diluted (loss) income from continuing operations per share (d)

 

49,865

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net (loss) income from continuing operations per share (e)

 

$

(0.88

)

 

 

 

 

 

 

 

 

 

 

Not calculated

 

 

See (a), (b), (c), (d) and (e) footnote references contained herein.

 

10



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

(UNAUDITED)

(IN THOUSANDS, EXCEPT PER SHARE DATA)

 

 

 

As reported

 

Adjustments

 

As adjusted

 

Non-GAAP as
adjusted

 

Pro forma adjusted

 

 

 

Nine months ended
September 30, 2014

 

Conversion to
cash basis
leases (a)

 

Newly acquired or
constructed
businesses with start-
up losses and newly
divested facilities (b)

 

Other
adjustments (c)

 

Nine months ended
September 30, 2014

 

Skilled Healthcare
Group, Inc. nine
months ended
September 30, 2014

 

Nine months ended
September 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

3,574,813

 

$

 

$

(10,711

)

$

1,166

 

$

3,565,268

 

$

622,143

 

$

4,187,411

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

2,162,064

 

 

(8,488

)

(2,014

)

2,151,562

 

388,727

 

2,540,289

 

Other operating expenses

 

798,432

 

 

(4,796

)

(2,123

)

791,513

 

125,134

 

916,647

 

General and administrative costs

 

108,187

 

 

 

 

108,187

 

24,089

 

132,276

 

Provision for losses on accounts receivable

 

52,881

 

 

 

 

52,881

 

10,215

 

63,096

 

Lease expense

 

98,629

 

238,505

 

(1,613

)

 

335,521

 

14,842

 

350,363

 

Depreciation and amortization expense

 

145,131

 

(98,625

)

(114

)

 

46,392

 

18,240

 

64,632

 

Interest expense

 

330,771

 

(292,256

)

 

 

38,515

 

23,475

 

61,990

 

Loss on extinguishment of debt

 

679

 

 

 

(679

)

 

 

 

Other (income) loss

 

(637

)

 

 

637

 

 

(136

)

(136

)

Investment income

 

(2,847

)

 

 

 

(2,847

)

 

(2,847

)

Transaction costs

 

5,283

 

 

 

(5,283

)

 

 

 

Equity in net income of unconsolidated affiliates

 

(139

)

 

 

 

(139

)

(1,206

)

(1,345

)

(Loss) income before income tax benefit

 

$

(123,621

)

$

152,376

 

$

4,300

 

$

10,628

 

$

43,683

 

$

18,763

 

$

62,446

 

Income tax (benefit) expense

 

(9,368

)

11,547

 

326

 

805

 

3,310

 

7,553

 

10,863

 

(Loss) income from continuing operations

 

$

(114,253

)

$

140,829

 

$

3,974

 

$

9,823

 

$

40,373

 

$

11,210

 

$

51,583

 

Loss from discontinued operations, net of taxes

 

5,561

 

(2,585

)

 

 

2,976

 

 

2,976

 

Net loss attributable to noncontrolling interests

 

1,370

 

 

 

 

1,370

 

 

1,370

 

Net (loss) income attributable to Genesis Healthcare, Inc.

 

$

(121,184

)

$

143,414

 

$

3,974

 

$

9,823

 

$

36,027

 

$

11,210

 

$

47,237

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

145,131

 

(98,625

)

(114

)

 

46,392

 

18,240

 

64,632

 

Interest expense

 

330,771

 

(292,256

)

 

 

38,515

 

23,475

 

61,990

 

Loss on extinguishment of debt

 

679

 

 

 

(679

)

 

21

 

21

 

Other (income) loss

 

(637

)

 

 

637

 

 

(114

)

(114

)

Transaction costs

 

5,283

 

 

 

(5,283

)

 

 

 

Income tax (benefit) expense

 

(9,368

)

11,547

 

326

 

805

 

3,310

 

7,553

 

10,863

 

Loss (income) from discontinued operations, net of taxes

 

5,561

 

(2,585

)

 

 

2,976

 

 

2,976

 

Net income attributable to noncontrolling interests

 

1,370

 

 

 

 

1,370

 

 

1,370

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA / Adjusted EBITDA

 

$

357,606

 

$

(238,505

)

$

4,186

 

$

5,303

 

$

128,590

 

$

60,385

 

$

188,975

 

Lease expense

 

98,629

 

238,505

 

(1,613

)

 

335,521

 

14,842

 

350,363

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDAR / Adjusted EBITDAR

 

$

456,235

 

$

 

$

2,573

 

$

5,303

 

$

464,111

 

$

75,227

 

$

539,338

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss per common share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding for diluted (loss) income from continuing operations per share (d)

 

49,865

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net (loss) income from continuing operations per share (e)

 

$

(2.32

)

 

 

 

 

 

 

 

 

 

 

Not calculated

 

 

See (a), (b), (c), (d) and (e) footnote references contained herein.

 

11



 


(a)  Our leases are classified as either operating leases, capital leases or financing obligations pursuant to applicable guidance under U.S. GAAP.  We view the primary provisions and economics of these leases, regardless of their accounting treatment, as being nearly identical.  Virtually all of our leases are structured with triple net terms, have fixed annual rent escalators and have long-term initial maturities with renewal options.  Accordingly, in connection with our evaluation of the financial performance of the Company, we reclassify all of our leases to operating lease treatment and reflect lease expense on a cash basis.  This approach allows us to better understand the relationship in each reporting period of our operating performance, as measured by EBITDAR and Adjusted EBITDAR, to the cash basis obligations to our landlords in that reporting period, regardless of the lease accounting treatment.  This presentation and approach is also consistent with the financial reporting and covenant compliance requirements contained in all of our major lease and loan agreements.  The following table summarizes the reclassification adjustments necessary to present all leases as operating leases on a cash basis.

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

 

 

(in thousands)

 

Lease expense:

 

 

 

 

 

 

 

 

 

Cash rent - capital leases

 

$

23,062

 

$

22,374

 

$

68,910

 

$

66,768

 

Cash rent - financing obligations

 

64,736

 

61,375

 

191,571

 

181,007

 

Non-cash - operating lease arrangements

 

(1,577

)

(3,124

)

(5,915

)

(9,270

)

Lease expense adjustments

 

$

86,221

 

$

80,625

 

$

254,566

 

$

238,505

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense:

 

 

 

 

 

 

 

 

 

Capital lease accounting

 

$

(8,495

)

$

(8,848

)

$

(26,570

)

$

(27,128

)

Financing obligation accounting

 

(25,007

)

(24,384

)

(74,721

)

(71,497

)

Depreciation and amortization expense adjustments

 

$

(33,502

)

$

(33,232

)

$

(101,291

)

$

(98,625

)

 

 

 

 

 

 

 

 

 

 

Interest expense:

 

 

 

 

 

 

 

 

 

Capital lease accounting

 

$

(26,503

)

$

(25,287

)

$

(78,146

)

$

(74,496

)

Financing obligation accounting

 

(78,554

)

(73,901

)

(233,225

)

(217,760

)

Interest expense adjustments

 

$

(105,057

)

$

(99,188

)

$

(311,371

)

$

(292,256

)

 

 

 

 

 

 

 

 

 

 

Total pre-tax lease accounting adjustments

 

$

(52,338

)

$

(51,795

)

$

(158,096

)

$

(152,376

)

 

(b)  The acquisition and construction of new businesses has become an important element of our growth strategy.  Many of the businesses we acquire have a history of operating losses and continue to generate operating losses in the months that follow our acquisition.  Newly constructed or developed businesses also generate losses while in their start-up phase.  We view these losses as both temporary and an expected component of our long-term investment in the new venture.  We adjust these losses when computing Adjusted EBITDAR and Adjusted EBITDA in order to better evaluate the performance of our core business.  The activities of such businesses are adjusted when computing Adjusted EBITDAR and Adjusted EBITDA until such time as a new business generates positive Adjusted EBITDA.  The operating performance of new businesses are no longer adjusted when computing Adjusted EBITDAR and Adjusted EBITDA beginning the period in which a new business generates positive Adjusted EBITDA and all periods thereafter.  The divestiture of underperforming or non-strategic facilities has also become an important element of our earnings optimization strategy.  We eliminate the results of divested facilities beginning in the quarter in which they become divested.  We view the losses associated with the wind down of such divested facilities as non-recurring and not indicative of the performance of our core business.

 

(c)  Other adjustments represent costs or gains associated with transactions or events that we do not believe are reflective of our core recurring operating business.  Other adjustments also include the effect of expensing non-cash stock-based compensation related to restricted stock units.  The following items were realized in the periods presented.

 

12



 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

 

 

(in thousands)

 

 

 

 

 

Severance and restructuring (1)

 

$

742

 

$

507

 

$

3,121

 

$

2,213

 

Regulatory defense and related costs (2)

 

2,293

 

460

 

2,755

 

1,960

 

New business development costs (3)

 

 

631

 

 

1,130

 

Self insurance adjustment (4)

 

 

 

10,500

 

 

Transaction costs (5)

 

3,243

 

1,736

 

91,953

 

5,283

 

Skilled Healthcare loss contingency expense (8)

 

30,000

 

 

31,500

 

 

Loss on early extinguishment of debt

 

(3,104

)

 

130

 

679

 

Other income (6)

 

 

30

 

(7,560

)

(637

)

Stock based compensation (7)

 

1,950

 

 

2,479

 

 

Tax benefit from total adjustments

 

(8,153

)

(345

)

(31,308

)

(805

)

Total other adjustments

 

$

26,971

 

$

3,019

 

$

103,570

 

$

9,823

 

 


(1)  We incurred costs related to the termination, severance and restructuring of certain components of the Company’s business.

 

(2)  We incurred legal defense and other related costs in connection with certain matters in dispute or under appeal with regulatory agencies.

 

(3)  We incurred business development costs in connection with the evaluation and start-up of services outside our existing service offerings.

 

(4) We incurred a self-insured program adjustment for the actuarially developed GLPL and worker’s compensation claims related to policy periods 2014 and prior.  The Company also recorded approximately $6 million of incremental development related to the first nine months of 2015, which has not been excluded from our non-GAAP results.

 

(5)  We incurred costs associated with transactions including the combination with Skilled Healthcare Group, Inc. and other transactions.

 

(6)  We realized a net gain on the sale of certain assets in the nine months ended September 30, 2015.

 

(7)  We incurred $2.0 million of non-cash stock-based compensation related to restricted stock units.

 

(8) We recognized $31.5 million of loss contingency expense associated with three Skilled Healthcare regulatory matters.

 

(d)  Assumes 153.7 million diluted weighted average common shares outstanding and common stock equivalents on a fully exchanged basis.

 

(e)  Pro forma adjusted income from continuing operations per share assumes a calculated tax rate of 40%, and is computed as follows:  Pro forma adjusted income before income taxes x (1 - 40% tax rate) / diluted weighted average shares on a fully exchanged basis.

 

13



 

GENESIS HEALTHCARE, INC.

KEY FINANCIAL PERFORMANCE INDICATORS

(UNAUDITED)

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

 

 

(In thousands)

 

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

Financial Results

 

 

 

 

 

 

 

 

 

Net revenues

 

$

1,416,027

 

$

1,187,618

 

$

4,178,503

 

$

3,574,813

 

EBITDAR

 

181,231

 

146,384

 

542,086

 

456,235

 

EBITDA

 

143,576

 

113,463

 

429,053

 

357,606

 

Adjusted EBITDAR

 

188,779

 

149,637

 

564,556

 

464,111

 

Adjusted EBITDA

 

67,205

 

36,619

 

204,187

 

128,590

 

Pro forma adjusted EBITDAR

 

188,779

 

177,571

 

572,118

 

539,338

 

Pro forma adjusted EBITDA

 

67,205

 

59,407

 

209,983

 

188,975

 

 

INPATIENT SEGMENT:

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

Occupancy Statistics - Inpatient

 

 

 

 

 

 

 

 

 

Available licensed beds in service at end of period

 

56,499

 

46,817

 

56,499

 

46,817

 

Available operating beds in service at end of period

 

55,036

 

45,454

 

55,036

 

45,454

 

Available patient days based on licensed beds

 

5,164,465

 

4,290,770

 

15,095,406

 

12,711,149

 

Available patient days based on operating beds

 

5,027,803

 

4,164,658

 

14,652,995

 

12,328,771

 

Actual patient days

 

4,324,403

 

3,706,574

 

12,751,587

 

11,014,125

 

Occupancy percentage - licensed beds

 

83.7

%

86.4

%

84.5

%

86.6

%

Occupancy percentage - operating beds

 

86.0

%

89.0

%

87.0

%

89.3

%

Skilled mix

 

20.6

%

21.1

%

21.8

%

21.8

%

Average daily census

 

47,004

 

40,289

 

46,709

 

40,345

 

Days in period

 

92

 

92

 

273

 

273

 

 

 

 

 

 

 

 

 

 

 

Revenue per patient day (skilled nursing facilities)

 

 

 

 

 

 

 

 

 

Medicare Part A

 

$

503

 

$

490

 

$

502

 

$

491

 

Medicare total (including Part B)

 

545

 

528

 

540

 

529

 

Insurance

 

451

 

457

 

448

 

450

 

Private and other

 

263

 

314

 

295

 

318

 

Medicaid

 

216

 

213

 

216

 

213

 

Medicaid (net of provider taxes)

 

195

 

192

 

195

 

193

 

Weighted average (net of provider taxes)

 

$

266

 

$

267

 

$

270

 

$

270

 

 

 

 

 

 

 

 

 

 

 

Patient days by payor (skilled nursing facilities)

 

 

 

 

 

 

 

 

 

Medicare

 

538,503

 

507,110

 

1,691,696

 

1,575,033

 

Insurance

 

288,314

 

221,984

 

883,236

 

670,590

 

Total skilled mix days

 

826,817

 

729,094

 

2,574,932

 

2,245,623

 

Private and other

 

299,153

 

247,528

 

862,777

 

728,496

 

Medicaid

 

2,879,447

 

2,480,315

 

8,392,143

 

7,314,657

 

Total Days

 

4,005,417

 

3,456,937

 

11,829,852

 

10,288,776

 

 

 

 

 

 

 

 

 

 

 

Patient days as a percentage of total patient days (skilled nursing facilities)

 

 

 

 

 

 

 

 

 

Medicare

 

13.4

%

14.7

%

14.3

%

15.3

%

Insurance

 

7.2

%

6.4

%

7.5

%

6.5

%

Skilled mix

 

20.6

%

21.1

%

21.8

%

21.8

%

Private and other

 

7.5

%

7.2

%

7.3

%

7.1

%

Medicaid

 

71.9

%

71.7

%

70.9

%

71.1

%

Total

 

100.0

%

100.0

%

100.0

%

100.0

%

 

 

 

 

 

 

 

 

 

 

Facilities at end of period

 

 

 

 

 

 

 

 

 

Skilled nursing facilities

 

 

 

 

 

 

 

 

 

Leased

 

383

 

358

 

383

 

358

 

Owned

 

33

 

2

 

33

 

2

 

Joint Venture

 

5

 

5

 

5

 

5

 

Managed *

 

32

 

14

 

32

 

14

 

Total skilled nursing facilities

 

453

 

379

 

453

 

379

 

Total licensed beds

 

54,545

 

46,160

 

54,545

 

46,160

 

 

 

 

 

 

 

 

 

 

 

Assisted living facilities:

 

 

 

 

 

 

 

 

 

Leased

 

30

 

28

 

30

 

28

 

Owned

 

22

 

1

 

22

 

1

 

Joint Venture

 

1

 

1

 

1

 

1

 

Managed

 

3

 

4

 

3

 

4

 

Total assisted living facilities

 

56

 

34

 

56

 

34

 

Total licensed beds

 

4,437

 

2,762

 

4,437

 

2,762

 

Total facilities

 

509

 

413

 

509

 

413

 

 

 

 

 

 

 

 

 

 

 

Total Jointly Owned and Managed— (Unconsolidated)

 

16

 

17

 

16

 

17

 

 

REHABILITATION THERAPY SEGMENT:

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2015

 

2014

 

2015

 

2014

 

Revenue mix %:

 

 

 

 

 

 

 

 

 

Company-operated

 

37

%

37

%

38

%

37

%

Non-affiliated

 

63

%

63

%

62

%

63

%

Sites of service (at end of period)

 

1,602

 

1,379

 

1,602

 

1,379

 

Revenue per site

 

$

168,797

 

$

170,912

 

$

497,731

 

$

521,110

 

Therapist efficiency %

 

68

%

66

%

69

%

69

%

 


* In 2015, includes 20 facilities located in Texas for which the real estate is owned by Genesis.

 

14



 

SKILLED HEALTHCARE GROUP, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

(UNAUDITED)

(IN THOUSANDS)

 

 

 

GAAP as
reported

 

 

 

Non-GAAP as
adjusted

 

 

GAAP as
reported

 

 

 

Non-GAAP as
adjusted

 

 

GAAP as
reported

 

 

 

Non-GAAP as
adjusted

 

 

 

One month
ended
January 31,
2015

 

Adjust

 

One month
ended
January 31,
2015

 

 

Three months
ended
September 30,
2014

 

Adjust

 

Three months
ended
September 30,
2014

 

 

Nine months
ended
September 30,
2014

 

Adjust

 

Nine months
ended
September 30,
2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

71,288

 

$

 

$

71,288

 

 

$

208,618

 

$

(778

)

$

207,840

 

 

$

622,897

 

$

(754

)

$

622,143

 

Salaries, wages and benefits

 

44,842

 

(916

)

43,926

 

 

129,198

 

(405

)

128,793

 

 

389,444

 

(717

)

388,727

 

Other operating expenses

 

17,486

 

(345

)

17,141

 

 

43,829

 

(7,707

)

36,122

 

 

141,796

 

(16,662

)

125,134

 

General and administrative costs

 

1,516

 

 

1,516

 

 

12,780

 

(991

)

11,789

 

 

26,151

 

(2,062

)

24,089

 

Provision for losses on accounts receivable

 

1,289

 

 

1,289

 

 

3,737

 

 

3,737

 

 

10,362

 

(147

)

10,215

 

Lease expense

 

1,766

 

 

1,766

 

 

5,146

 

 

5,146

 

 

14,842

 

 

14,842

 

Depreciation and amortization expense

 

1,998

 

 

1,998

 

 

6,120

 

 

6,120

 

 

18,240

 

 

18,240

 

Interest expense

 

2,521

 

 

2,521

 

 

7,836

 

 

7,836

 

 

23,475

 

 

23,475

 

Loss on extinguishment of debt

 

 

 

 

 

21

 

(21

)

 

 

843

 

(843

)

 

Impairment of long-lived assets

 

 

 

 

 

 

 

 

 

82

 

(82

)

 

Other (income) loss

 

11

 

 

11

 

 

26

 

 

 

26

 

 

(136

)

 

(136

)

Transaction costs

 

4,638

 

(4,638

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Equity in net income of unconsolidated affiliates

 

(146

)

 

(146

)

 

(568

)

 

(568

)

 

(1,206

)

 

(1,206

)

Income tax (benefit) expense

 

(1,807

)

2,301

 

494

 

 

(150

)

3,255

 

3,105

 

 

(153

)

7,706

 

7,553

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

1,998

 

 

1,998

 

 

6,120

 

 

6,120

 

 

18,240

 

 

18,240

 

Interest expense

 

2,521

 

 

2,521

 

 

7,836

 

 

7,836

 

 

23,475

 

 

23,475

 

Loss on extinguishment of debt

 

 

 

 

 

 

 

 

 

843

 

(822

)

21

 

Transaction costs

 

4,638

 

(4,638

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Impairment of long-lived assets

 

 

 

 

 

 

 

 

 

82

 

(82

)

 

Other (income) loss

 

11

 

 

11

 

 

(7

)

 

 

(7

)

 

(114

)

 

(114

)

Income tax (benefit) expense

 

(1,807

)

2,301

 

494

 

 

(150

)

3,255

 

3,105

 

 

(153

)

7,706

 

7,553

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA / Adjusted EBITDA

 

4,535

 

1,261

 

5,796

 

 

14,442

 

8,346

 

22,788

 

 

41,530

 

18,855

 

60,385

 

Lease expense

 

1,766

 

 

1,766

 

 

5,146

 

 

5,146

 

 

14,842

 

 

14,842

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDAR / Adjusted EBITDAR

 

$

6,301

 

$

1,261

 

$

7,562

 

 

$

19,588

 

$

8,346

 

$

27,934

 

 

$

56,372

 

$

18,855

 

$

75,227

 

 

The following adjustments represent costs or gains associated with transactions or events that we do not believe are reflective of Skilled Healthcare Group’s recurring operating business.

 

 

 

One month
ended
January 31,
2015

 

Three
months
ended
September
30, 2014

 

Nine months
ended
September
30, 2014

 

Severance and restructuring

 

$

1,220

 

$

359

 

$

1,430

 

Regulatory defense and related costs

 

41

 

 

 

Exist costs of divested facilities

 

 

57

 

397

 

Professional fees related to non-routine matters

 

 

6,377

 

13,896

 

Losses at skilled nursing facility not at full operation

 

 

450

 

583

 

Loss on disposal of asset

 

 

68

 

68

 

Loss on extinguishment of debt

 

 

21

 

843

 

Non-cash stock compensation

 

371

 

1,014

 

2,460

 

Impairment of long-lived assets

 

 

 

82

 

Transaction costs

 

4,267

 

 

 

Tax benefit of total adjustments

 

(2,301

)

(3,255

)

(7,706

)

Total adjustments

 

$

3,598

 

$

5,091

 

$

12,053

 

 

15



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

2015 GUIDANCE - LOW END OF RANGE

(IN THOUSANDS, EXCEPT EPS)

 

 

 

 

 

Adjustments

 

As adjusted

 

 

 

Twelve months
ended December
31, 2015

 

Conversion to
cash basis leases
(a)

 

Newly acquired or
constructed
businesses with
start-up losses
and newly
divested facilities
(b)

 

Other adjustments
(c)

 

Twelve months
ended December
31, 2015

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

5,660,915

 

$

 

$

(42,865

)

$

388

 

$

5,618,438

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

3,315,945

 

 

(25,745

)

(1,393

)

3,288,807

 

Other operating expenses

 

1,347,860

 

 

(22,333

)

(13,914

)

1,311,613

 

General and administrative costs

 

177,340

 

 

 

(9,406

)

167,934

 

Provision for losses on accounts receivable

 

99,049

 

 

(965

)

 

98,084

 

Lease expense

 

159,721

 

334,941

 

(7,230

)

 

487,432

 

Depreciation and amortization expense

 

236,299

 

(137,324

)

(4,463

)

 

94,512

 

Interest expense

 

507,243

 

(421,251

)

(40

)

 

85,952

 

Loss (gain) on extinguishment of debt

 

130

 

 

 

(130

)

 

Other (income) loss

 

(7,522

)

 

(38

)

7,560

 

 

Investment income

 

(2,000

)

 

 

 

(2,000

)

Transaction costs

 

96,654

 

 

(63

)

(96,591

)

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

Equity in net income of unconsolidated affiliates

 

(1,050

)

 

 

 

(1,050

)

(Loss) income before income tax expense

 

(300,254

)

223,634

 

18,012

 

145,762

 

87,154

 

Income tax expense (benefit)

 

(120,102

)

89,454

 

7,205

 

58,305

 

34,862

 

Income (loss) from continuing operations

 

(180,152

)

134,180

 

10,807

 

87,457

 

52,292

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share, diluted:

 

$

(1.17

)

 

 

 

 

 

 

$

0.34

 

Weighted-average common shares outstanding, diluted, on a fully exchanged basis

 

154,603

 

 

 

 

 

 

 

154,603

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjustments to Compute EBITDA/Adjusted EBITDA and EBITDAR / Adjusted EBITDAR

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

236,299

 

(137,324

)

(4,463

)

 

94,512

 

Interest expense

 

507,243

 

(421,251

)

(40

)

 

85,952

 

Loss (gain) on extinguishment of debt

 

130

 

 

 

(130

)

 

Other (income) loss

 

(7,522

)

 

(38

)

7,560

 

 

Transaction costs

 

96,654

 

 

(63

)

(96,591

)

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

Income tax expense (benefit)

 

(120,102

)

89,454

 

7,205

 

58,305

 

34,862

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA / Adjusted EBITDA

 

$

564,050

 

$

(334,941

)

$

13,408

 

$

25,101

 

$

267,618

 

Lease expense

 

159,721

 

334,941

 

(7,230

)

 

487,432

 

EBITDAR / Adjusted EBITDAR

 

$

723,771

 

$

 

$

6,178

 

$

25,101

 

$

755,050

 

 

16



 

GENESIS HEALTHCARE, INC.

RECONCILIATION OF NET (LOSS) INCOME TO EBITDA, EBITDAR, ADJUSTED EBITDA AND ADJUSTED EBITDAR

2015 GUIDANCE - HIGH END OF RANGE

(IN THOUSANDS, EXCEPT EPS)

 

 

 

 

 

Adjustments

 

As adjusted

 

 

 

Twelve months
ended December
31, 2015

 

Conversion to
cash basis leases
(a)

 

Newly acquired or
constructed
businesses with
start-up losses
and newly
divested facilities
(b)

 

Other adjustments
(c)

 

Twelve months
ended December
31, 2015

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

5,740,915

 

$

 

$

(42,865

)

$

388

 

$

5,698,438

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

3,363,604

 

 

(25,745

)

(1,393

)

3,336,466

 

Other operating expenses

 

1,365,422

 

 

(22,333

)

(13,914

)

1,329,175

 

General and administrative costs

 

177,340

 

 

 

(9,406

)

167,934

 

Provision for losses on accounts receivable

 

100,791

 

 

(965

)

 

99,826

 

Lease expense

 

159,721

 

334,941

 

(7,230

)

 

487,432

 

Depreciation and amortization expense

 

237,303

 

(137,324

)

(4,463

)

 

95,516

 

Interest expense

 

508,043

 

(421,251

)

(40

)

 

86,752

 

Loss (gain) on extinguishment of debt

 

130

 

––

 

––

 

(130

)

––

 

Other (income) loss

 

(7,522

)

 

(38

)

7,560

 

 

Investment income

 

(3,000

)

 

 

 

(3,000

)

Transaction costs

 

96,654

 

 

(63

)

(96,591

)

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

Equity in net income of unconsolidated affiliates

 

(2,000

)

 

 

 

(2,000

)

(Loss) income before income tax expense

 

(287,071

)

223,634

 

18,012

 

145,762

 

100,337

 

Income tax (benefit) expense

 

(114,828

)

89,454

 

7,205

 

58,305

 

40,136

 

Income (loss) from continuing operations

 

(172,243

)

134,180

 

10,807

 

87,457

 

60,201

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings (loss) per share, diluted:

 

$

(1.11

)

 

 

 

 

 

 

$

0.39

 

Weighted-average common shares outstanding, diluted, on a fully exchanged basis

 

154,603

 

 

 

 

 

 

 

154,603

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjustments to Compute EBITDA/Adjusted EBITDA and EBITDAR / Adjusted EBITDAR 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

237,303

 

(137,324

)

(4,463

)

 

95,516

 

Interest expense

 

508,043

 

(421,251

)

(40

)

 

86,752

 

Loss (gain) on extinguishment of debt

 

130

 

 

 

(130

)

 

Other (income) loss

 

(7,522

)

 

(38

)

7,560

 

 

Transaction costs

 

96,654

 

 

(63

)

(96,591

)

 

Skilled Healthcare loss contingency expense

 

31,500

 

 

 

(31,500

)

 

Income tax (benefit) expense

 

(114,828

)

89,454

 

7,205

 

58,305

 

40,136

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA / Adjusted EBITDA

 

$

579,037

 

$

(334,941

)

$

13,408

 

$

25,101

 

$

282,605

 

Lease expense

 

159,721

 

334,941

 

(7,230

)

 

487,432

 

EBITDAR / Adjusted EBITDAR

 

$

738,758

 

$

 

$

6,178

 

$

25,101

 

$

770,037

 

 

17