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Last updated on May 28, 2012 at 6:14 EDT

Skilled Healthcare Group Reports Full Year 2011 Adjusted EPS of $1.15

February 13, 2012
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FOOTHILL RANCH, Calif., Feb. 13, 2012 /PRNewswire/ — Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three- and twelve-month period ended December 31, 2011.

“We are pleased with our fourth quarter and 2011 consolidated operating results which reflect an outstanding effort by our operations and administrative support teams who have continued to focus on high quality patient care while navigating through dramatic changes to Medicare. We have been able to see results from our mitigation efforts more rapidly than we expected, which is reflected in our operating results for the fourth quarter of 2011,” said Boyd Hendrickson, Chairman and Chief Executive Officer of Skilled Healthcare Group, Inc. “I am also delighted to report that our consolidated cash flows from operations for the twelve months ended December 31, 2011 were a strong $99.4 million. This enabled us to reduce our outstanding debt by $44.5 million, invest $40.3 million in acquisitions and other capital expenditures, and increase cash by $11.8 million when compared to the end of 2010.”

Fourth Quarter 2011 Results
Revenue for the quarter ended December 31, 2011 was $214.4 million, a decrease of 2.9 percent when compared to $220.7 million in the fourth quarter of 2010. Skilled Mix(1) decreased 50 basis points to 22.0 percent in the fourth quarter of 2011 from 22.5 percent in the fourth quarter of 2010. Quality mix(2) in the fourth quarter of 2011 increased 70 basis points to 69.8 percent, compared to 69.1 percent in the prior year period.

Adjusted EBITDA(3) was $26.7 million, or 12.5 percent of revenue, for the quarter ended December 31, 2011, a decrease of 22.1 percent compared to $34.3 million, or 15.5 percent of revenue, in the same period a year ago. Adjusted EBITDAR(4) was $31.6 million, or 14.7 percent of revenue, for the quarter ended December 31, 2011, a decrease of 19.2 percent compared to $39.1 million, or 17.7 percent of revenue, for the quarter ended December 31, 2010.

Adjusted net income(5) for the quarter ended December 31, 2011, which excludes certain items as described in the Adjusted Net Income Reconciliation table at the end of this press release, totaled $6.9 million, a decrease of 39.8 percent compared to adjusted net income of $11.5 million for the fourth quarter of 2010.

Adjusted net income per diluted share was $0.19 for the quarter ended December 31, 2011, a decrease of 38.7 percent compared to adjusted net income per diluted share of $0.31 for the same period in 2010.

Net income for the three-months ended December 31, 2011 was $6.9 million, or $0.19 per diluted share, as compared to $10.8 million, or $0.29 per diluted share, for the same period of 2010.

Long-Term Care Services Segment
Revenue for our long-term care services segment in the quarter ended December 31, 2011 was $165.8 million, a decrease of $16.8 million, or 9.2 percent, as compared to $182.6 million for the same period a year ago. Revenue for this segment represented 77.3 percent of total revenue in the fourth quarter of 2011, compared to 82.7 percent of total revenue in the fourth quarter of 2010.

Therapy Services Segment
Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $23.7 million for the quarter ended December 31, 2011, an increase of $4.2 million compared to the same period a year ago. Third-party rehabilitation therapy accounted for 11.1 percent of total revenue in the fourth quarter of 2011, compared to 8.8 percent of total revenue in the fourth quarter of 2010.

Hospice and Home Health Care Services Segment
Revenue for Signature Hospice and Home Health Care, our hospice and home health care services segment, was $24.9 million in the fourth quarter of 2011, an increase of $6.2 million, or 33.2 percent, compared to $18.7 million in the fourth quarter of 2010. Average daily hospice census grew to 1,330 for the three-months ended December 31, 2011 from 992 for the three-months ended December 31, 2010, an increase of 34.1 percent. The increase in census was due in part to our October 2011 acquisition of two hospice companies. Signature’s revenue represented 11.6 percent of total revenue in the fourth quarter of 2011, compared to 8.5 percent of total revenue in the fourth quarter of 2010.

Full Year 2011 Results
Revenue for the twelve-months ended December 31, 2011 was $869.7 million, an increase of 6.0 percent as compared to $820.2 million for the twelve-months ended December 31, 2010. Skilled Mix increased 50 basis points to 23.2 percent in 2011 from 22.7 percent in 2010. Quality mix in 2011 increased 250 basis points to 70.8 percent, compared to 68.3 percent in the prior year period.

Adjusted EBITDA was $131.3 million, or 15.1 percent of revenue, for 2011, an increase of 8.1 percent compared to $121.5 million, or 14.8 percent of revenue, in the same period a year ago. Adjusted EBITDAR was $149.7 million, or 17.2 percent of revenue, for 2011, up 6.5 percent from $140.6 million, or 17.1 percent of revenue, for 2010.

Adjusted net income for 2011, which excludes certain items as described in the Adjusted Net Income Reconciliation table at the end of this press release, totaled $42.8 million, up 10.9 percent compared to the adjusted net income of $38.6 million for 2010.

Adjusted net income per diluted share was $1.15 for 2011, up 10.6 percent from $1.04 for 2010.

Net loss for 2011 was $203.3 million, or $5.47 per share, as compared to a net loss of $1.0 million, or $0.03 per share, in 2010.

Long-Term Care Services Segment
Revenue for our long-term care services segment in 2011, was $693.6 million, a decrease of $0.8 million, or 0.1 percent, compared to the same period a year ago. Revenue for this segment represented 79.8 percent of total revenue in 2011, compared to 84.7 percent of total revenue in 2010.

Therapy Services Segment
Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $92.8 million for 2011, an increase of $18.7 million, or 25.2 percent, compared to the same period a year ago. Rehabilitation therapy revenue from facilities owned by unaffiliated operators accounted for 10.7 percent of total revenue in 2011, compared to 9.0 percent of total revenue in 2010.

Hospice and Home Health Care Services Segment
Revenue for Signature Hospice and Home Health Care, our hospice and home health care services segment, was $83.3 million in 2011, compared to $51.7 million in 2010. Average daily hospice census grew to 1,269 for 2011 from 955 for 2010, an increase of 32.9 percent. The increases were due in part to our acquisition of nine hospice and home health companies in May 2010, a home care company in July 2011 and two hospice companies in October 2011. Signature’s revenue represented 9.5 percent of total revenue in 2011, compared to 6.3 percent of total revenue in 2010.

2012 Guidance

Skilled Healthcare Group, Inc. expects full year 2012 consolidated revenue to be between $865.0 million and $880.0 million, EBITDA( )to be in the range of $112.2 million to $115.9 million, EBITDAR to be in the range of $131.5 million to $135.2 million and net income per common diluted share to be between $0.78 and $0.85. This guidance assumes the following:

  • Market basket increase of 2 percent in Medicare beginning October 1, 2012.
  • No Medicaid rate changes for Medicaid’s fiscal 2013.
  • 2012 capital expenditures of approximately $20 million.
  • Average interest rate on outstanding debt of approximately eight percent.
  • An effective tax rate of 39 percent.
  • Guidance does not include additional acquisitions, refinancings, developments or divestitures.

Conference Call
A conference call and webcast will be held tomorrow, Tuesday, February 14th, at 9:00 a.m. Pacific Time (12:00 noon Eastern Time) to discuss Skilled Healthcare Group’s consolidated financial results for the fourth quarter and full year 2011 and its outlook for the full year 2012.

To participate in the call, interested parties may dial (800) 847-9525 and reference conference ID 46465874. Alternatively, interested parties may access the call in listen-only mode at www.skilledhealthcaregroup.com. A replay of the conference call will be available after 12:00 noon Pacific Time at www.skilledhealthcaregroup.com.

About Skilled Healthcare Group, Inc.
Skilled Healthcare Group, Inc., based in Foothill Ranch, California, is a holding company with subsidiary healthcare services companies, which in the aggregate had trailing twelve month revenue of approximately $870 million and approximately 13,800 employees as of December 31, 2011. Skilled Healthcare Group and its wholly-owned companies, collectively referred to as the “Company,” operate long-term care facilities and provide a wide range of post-acute care services, with a strategic emphasis on sub-acute specialty health care. The Company operates long-term care facilities in California, Iowa, Kansas, Missouri, Nebraska, Nevada, New Mexico and Texas, including 74 skilled nursing facilities that offer sub-acute care and rehabilitative and specialty health skilled nursing care, and 23 assisted living facilities that provide room and board and social services. In addition, the Company provides physical, occupational and speech therapy in Company-operated facilities and unaffiliated facilities. Furthermore, the Company provides hospice and home health care in Arizona, California, Idaho, Montana, New Mexico and Nevada. The Company leases 5 skilled nursing facilities in California to an unaffiliated third party operator. References made in this release to “Skilled Healthcare,” “the Company,” “we,” “us” and “our” refer to Skilled Healthcare Group, Inc. and each of its wholly-owned companies. More information about Skilled Healthcare is available at www.skilledhealthcaregroup.com.

Footnotes

  1. Skilled mix represents the number of Medicare and non-Medicaid managed care patient days at Skilled Healthcare Group’s affiliated skilled nursing facilities divided by the total number of patient days at Skilled Healthcare Group’s affiliated skilled nursing facilities for any given period.
  2. Quality mix represents non-Medicaid revenue as a percentage of total revenue.
  3. Adjusted earnings before interest, taxes, depreciation and amortization, or Adjusted EBITDA, reflects the non-GAAP adjustments to net income that are reflected in the Reconciliation of Net Loss to EBITDA, Adjusted EBITDA and Adjusted EBITDAR in this press release. EBITDA is net income before depreciation, amortization and interest expense (net of interest income) and the provision for income taxes. EBITDAR is EBITDA excluding facility rent expense.
  4. Adjusted EBITDAR is Adjusted EBITDA excluding facility rent expense as reflected in the Reconciliation of Net Loss to EBITDA, Adjusted EBITDA and Adjusted EBITDAR table in this press release.
  5. Adjusted net income reflects the non-GAAP adjustments to loss from continuing operations that are reflected in the Adjusted Net Income Reconciliation table in this press release.

Forward-Looking Statements
This release includes “forward-looking statements.” You can identify these statements by the fact that they do not relate strictly to historical or current facts. These statements contain words such as “may,” “will,” “project,” “might,” “expect,” “believe,” “anticipate,” “intend,” “could,” “would,” “estimate,” “continue” or “pursue,” or the negative or other variations thereof or comparable terminology. They include statements about Skilled Healthcare’s expectations for 2012 full year consolidated revenue, EBITDA, EBITDAR and net income per common share. These forward-looking statements are based on current expectations and projections about future events.

Investors are cautioned that forward-looking statements are not guarantees of future performance or results and involve risks and uncertainties that cannot be predicted or quantified and, consequently, the actual performance of Skilled Healthcare may differ materially from that expressed or implied by such forward-looking statements. Such risks and uncertainties include, but are not limited to, the factors described in Skilled Healthcare’s Annual Report on Form 10-K for the year ended December 31, 2011 filed with the Securities and Exchange Commission (including the sections entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” contained therein) and in our subsequent reports on Form 10-Q and Form 8-K.

Any forward-looking statements are made only as of the date of this release. Skilled Healthcare disclaims any obligation to update the forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements.


                                Skilled Healthcare Group, Inc.
                        Condensed Consolidated Statements of Operations
                             (In thousands, except per share data)

                                        Three Months Ended                 Twelve Months Ended
                                           December 31,                        December 31,
                                           ------------                        ------------
                                            2011               2010                 2011               2010
                                            ----               ----                 ----               ----
                                           (Unaudited)                          (Audited)
    Revenue:
    Net patient service
     revenue                         $213,675           $220,749             $867,462           $820,238
    Lease facility
     revenue                              746                 -                2,239                 -
                                      214,421            220,749              869,701            820,238
                                      -------            -------              -------            -------
    Expenses:
    Cost of services
     (exclusive of rent
     cost of revenue
     and depreciation
     and amortization
     show below)                      177,021        175,224          697,279        657,515
    Rent cost of
     revenue                            4,869              4,829               18,399             19,038
    General and
     administrative                     6,177              7,037               25,730             25,516
    Litigation
     settlement costs,
     (net of
     recoveries)                           -                 -               (4,488)            53,505
    Depreciation and
     amortization                       6,193              6,806               25,229             25,047
    Impairment of long-
     lived assets                          -                 -              270,478                 -
                                         ---               ---              -------               ---
                                      194,260            193,896            1,032,627            780,621
                                      -------            -------            ---------            -------

    Other (expenses)
     income:
    Interest expense                   (9,675)           (10,487)             (38,994)           (37,021)
    Interest income                       161                263                  714                947
    Other (expense)
     income                               (22)             1,744                 (499)             2,332
    Equity in earnings
     of joint venture                     372                345                1,955              2,566
    Debt retirement
     costs                                 -                 -                   -             (7,010)
                                         ---               ---                 ---             ------
    Total other
     (expenses), net                   (9,164)            (8,135)             (36,824)           (38,186)
                                       ------             ------              -------            -------
    Income (loss)
     before provision
     for income taxes                  10,997             18,718             (199,750)             1,431
    Provision for
     income taxes                       4,067              7,878                3,516              2,472
    Net income (loss)                  $6,930            $10,840            $(203,266)           $(1,041)
                                       ======            =======            =========            =======

    Earnings (loss) per
     share, basic                       $0.19              $0.29               $(5.47)            $(0.03)
                                        =====              =====               ======             ======
    Earnings (loss) per
     share, diluted                     $0.19              $0.29                (5.47)            $(0.03)
                                        =====              =====                =====             ======
    Weighted-average
     common shares
     outstanding, basic                37,179             37,010               37,145             36,988
                                       ======             ======               ======             ======
    Weighted-average
     common shares
     outstanding,
     diluted                           37,285             37,150               37,145             36,988
                                       ======             ======               ======             ======


                           Skilled Healthcare Group, Inc.
                           ------------------------------
                 Condensed Consolidated Balance Sheet and Cash Flow
                                         Data
                 --------------------------------------------------
                                   (In thousands)
                                   --------------
                                      (Audited)
                                      ---------

                                                                    December 31,
                                      December 31, 2011                          2010
                                    -----------------           -------------
    Balance Sheet Data:
    ASSETS
    Cash and cash
     equivalents                            $16,017                    $4,192
    Other current
     assets                                 127,314                   146,338
    Property and
     equipment and
     leased facility
     assets, net                            386,294                   387,322
    Goodwill                                 84,299                   332,724
    Other assets                             81,076                    73,714
    Total assets                           $695,000                  $944,290
                                           ========                  ========

    LIABILITIES AND STOCKHOLDERS'
     EQUITY
    Current
     liabilities less
     current portion
     of long-term
     debt                                $93,964          $92,002
    Current portion
     of long-term
     debt                                     4,414                     5,742
    Other long-term
     liabilities                             48,340                    54,745
    Long-term debt,
     less current
     portion                                471,069                   514,221
    Stockholders'
     equity                                  77,213                   277,580

    Total liabilities
     and
     stockholders'
     equity                                $695,000                  $944,290
                                           ========                  ========

                                      Twelve Months Ended December 31,
                                      --------------------------------
                                               2011                         2010
                                               ----                         ----
    Cash Flows from
     Continuing
     Operations
    Net cash provided
     by operating
     activities                             $99,380                   $35,391
    Net cash used in
     investing
     activities                             (39,917)                  (76,405)
    Net cash (used in)
     provided by
     financing
     activities                             (47,638)                   41,678
                                            -------                    ------
    Increase in cash and
     cash equivalents                        11,825                       664
    Cash and cash
     equivalents at
     beginning of period                      4,192                     3,528
                                              -----                     -----
    Cash and cash
     equivalents at
     end of period                          $16,017                    $4,192
                                            =======                    ======


                                           Skilled Healthcare Group, Inc.
                                       Consolidated Key Performance Indicators
                                                     (Unaudited)

    The following table summarizes our key performance indicators, along
     with other statistics, for each of the dates or periods indicated:

                                                  Three Months Ended              Twelve Months Ended
                                                  ------------------              -------------------
                                                     December 31,                    December 31,
                                                     ------------                    ------------
                                                     2011                2010          2011                2010
                                                     ----                ----          ----                ----
    Occupancy statistics (skilled
     nursing
    facilities):
    Available beds in
     service at end of
     period                                      8,809               9,156         8,809               9,156
    Available patient
     days                                      811,377             862,776     3,249,449           3,391,343
    Actual patient days                        673,330             710,668     2,698,994           2,819,609
    Occupancy percentage                          83.0%               82.4%         83.1%               83.1%
    Skilled mix                                   22.0%               22.5%         23.2%               22.7%
    Average daily number
     of patients                                 7,319               7,725         7,395               7,725

    Hospice average daily
     census                                      1,330                 992         1,269                 955
    Home health episodic-
     based admissions                            1,723                 956         5,239               2,472
    Home health episodic-
     based
     recertifications                              322                 169           885                 453

    EBITDA (in thousands)                      $26,704             $35,748     $(136,241)            $62,552
    Adjusted EBITDA (in
     thousands)                                $26,704             $34,267      $131,310            $121,524
    Adjusted EBITDA
     margin                                       12.5%               15.5%         15.1%               14.8%
    Adjusted EBITDAR (in
     thousands)                                $31,574             $39,096      $149,709            $140,562
    Adjusted EBITDAR
     margin                                       14.7%               17.7%         17.2%               17.1%

    Revenue per patient day (skilled nursing
     facilities prior to intercompany
     eliminations)
     LTC only Medicare
      (Part A)                                    $505                $573          $558                $515
     Medicare blended rate
      (Part A & B)                                 571                 635           619                 578
     Managed care                                  381                 387           386                 379
     Medicaid                                      156                 156           154                 151
     Private and other                             179                 169           178                 169
     Weighted-average for
      all                                         $236                $247          $247                $237
                                                  ====                ====          ====                ====

    Revenue from (total company):
    Medicare                                      35.1%               38.8%         37.5%               37.1%
    Managed care, private
     pay, and other                               34.7                30.3          33.3                31.2
                                                  ----                ----          ----                ----
    Quality mix                                   69.8                69.1          70.8                68.3
    Medicaid                                      30.2                30.9          29.2                31.7
                                                  ----                ----          ----                ----
    Total                                        100.0%              100.0%        100.0%              100.0%
                                                 =====               =====         =====               =====


                              Skilled Healthcare Group, Inc.
                                    Facility Ownership
                                       (Unaudited)
                                                        As of December 31,
                                                        ------------------
                                                          2011              2010
                                                          ----              ----
     Facilities:
     Skilled nursing facilities
      operated:
     Owned                                                  52                57
     Leased                                                 22                21
                                                           ---               ---
     Total skilled nursing facilities
      operated                                              74                78
     Total licensed beds                                 9,183             9,566
    Skilled nursing facilities
     leased to unaffiliated third
     party operator                                          5                 -
     Assisted living facilities
     Owned                                                  21                20
     Leased                                                  2                 2
                                                           ---               ---
     Total assisted living facilities                       23                22
     Total licensed beds                                 1,312             1,264
     Total facilities                                      102               100
     Percentage owned facilities                          76.5%             77.0%


                                           Skilled Healthcare Group, Inc.
                         Reconciliation of Net Income (Loss) to EBITDA, Adjusted EBITDA and
                                                  Adjusted EBITDAR
                                                   (In thousands)
                                                    (Unaudited)

                                                  Three Months Ended                    Twelve Months Ended
                                                     December 31,                           December 31,
                                                 -------------------                   --------------------
                                                      2011                2010                 2011                2010
                                                      ----                ----                 ----                ----
    Net income (loss)                            $6,930             $10,840            $(203,266)            $(1,041)
    Interest expense,
     net of interest
     income                                       9,514              10,224               38,280              36,074
    Provision for income
     taxes                                        4,067               7,878                3,516               2,472
    Depreciation and
     amortization
     expense                                      6,193               6,806               25,229              25,047
                                                  -----               -----               ------              ------
    EBITDA                                       26,704              35,748             (136,241)             62,552
    (Gain) loss on
     disposal of asset                               -              (1,781)                 290              (2,243)
    Impairment of long-
     lived assets                                    -                  -              270,478                  -
    Litigation
     settlement cost,
     net of recoveries                               -                  -               (4,488)             53,505
    Expenses related to
     the exploration of
     strategic
     alternatives                                    -                  -                  716                  -
    Exit costs related
     to Northern
     California
     divestiture                                     -                  -                  820                  -
    Recovery of expenses
     related to Westside
     divestiture                                     -                  -                 (265)                 -
    Debt retirement
     costs                                           -                  -                   -               7,010
    Acquisition costs                                -                 300                   -                 700
                                                   ---                 ---                 ---                 ---
    Adjusted EBITDA                              26,704              34,267              131,310             121,524
                                                 ------              ------              -------             -------
    Rent cost of revenue                          4,869               4,829               18,399              19,038
                                                  -----               -----               ------              ------
    Adjusted EBITDAR                            $31,573             $39,096             $149,709            $140,562
                                                =======             =======             ========            ========


                                            Skilled Healthcare Group, Inc.
                          Reconciliation of Net Income (Loss) From Continuing Operations to
                                                  Adjusted Net Income
                                        (In thousands, except per share data)
                                                     (Unaudited)

                                                      Three Months Ended                   Twelve Months Ended
                                                         December 31,                          December 31,
                                                     -------------------                  --------------------
                                                        2011                2010                 2011               2010
                                                        ----                ----                 ----               ----
    Income (loss) from
     continuing operations                        $10,997             $18,718            $(199,750)            $1,431
    (Gain) loss on disposal
     of asset                                          -              (1,781)                 290             (2,243)
    Impairment of long-lived
     assets                                            -                  -              270,478                 -
    Litigation settlement
     cost, net of recoveries                           -                  -               (4,488)            53,505
    Expenses related to the
     exploration of strategic
     alternatives                                      -                  -                  716                 -
    Exit costs related to
     Northern California
     divestiture                                       -                  -                  820                 -
    Recovery of expenses
     related to Westside
     divestiture                                       -                  -                 (265)                -
    Debt retirement costs                              -                  -                   -              7,010
    Acquisition costs                                  -                 300                   -                700
                                                     ---                 ---                 ---                ---
    Adjusted income before
     provision for income
     taxes                                         10,997              17,237               67,801             60,403
                                                   ------              ------               ------             ------
    Provision for income
     taxes                                          4,067               5,730               25,419             21,822
    Add back tax credit
     valuation allowance
     related to Northern
     California divestiture                            -                  -                 (388)                -
    Adjusted net income                            $6,930             $11,507              $42,770            $38,581
                                                   ======             =======              =======            =======

    Weighted-average common
     shares outstanding,
     diluted                                       37,285              37,150               37,353             37,160
    Adjusted net income per
     share, diluted                                 $0.19               $0.31                $1.15              $1.04
    Effective tax rate                               37.0%               33.2%                37.5%              36.1%


                         Skilled Healthcare Group, Inc.
          Reconciliation of Forecasted Net Income to Forecasted EBITDA
                              and Forecasted EBITDAR
                          Year Ending December 31, 2012
                      (In millions, except per share data)
                                   (Unaudited)

                                                       Outlook
                                                       -------
                                                Low                  High
                                                ---                  ----
    Net income guidance                           $29.3                $32.0
    Interest expense, net of interest
     income                                        37.4                 37.1
    Provision for income taxes                     18.7                 20.5
    Depreciation and amortization
     expense                                       26.8                 26.3
                                                   ----                 ----
    EBITDA guidance                               112.2                115.9
    Rent cost of revenue                           19.3                 19.3
    EBITDAR guidance                             $131.5               $135.2
                                                 ------               ------

    Diluted earnings per share                    $0.78                $0.85
                                                  =====                =====

    Weighted-average common shares
     outstanding, diluted                          37.6                 37.6
                                                   ====                 ====

We believe that a report of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides consistency in our financial reporting and provides a basis for the comparison of results of core business operations between our current, past and future periods. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are primary indicators management uses for planning and forecasting in future periods, including trending and analyzing the core operating performance of our business from period-to-period without the effect of U.S. GAAP, expenses, revenues and gains (losses) that are unrelated to the day-to-day performance of our business. We also use adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to benchmark the performance of our business against expected results, analyzing year-over-year trends as described below and to compare our operating performance to that of our competitors.

Management uses adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR to assess the performance of our core business operations, to prepare operating budgets and to measure our performance against those budgets on a consolidated and segment level. Segment management uses these metrics to measure performance on a facility-by-facility level. We typically use adjusted net income per share, Adjusted EBITDA and Adjusted EBITDAR for these purposes on a consolidated basis as the adjustments to adjusted net income per share, EBITDA and EBITDAR are not generally allocable to any individual business unit and we typically use EBITDA and EBITDAR to compare the operating performance of each skilled nursing and assisted living facility, as well as to assess the performance of our operating segments. EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR are useful in this regard because they do not include such costs as interest expense (net of interest income), income taxes, depreciation and amortization expense, rent cost of revenue (in the case of EBITDAR and Adjusted EBITDAR) and special charges, which may vary from business unit to business unit and period-to-period depending upon various factors, including the method used to finance the business, the amount of debt that we have determined to incur, whether a facility is owned or leased, the date of acquisition of a facility or business, the original purchase price of a facility or business unit or the tax law of the state in which a business unit operates. These types of charges are dependent on factors unrelated to the underlying business unit performance. As a result, we believe that the use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA and Adjusted EBITDAR provides a meaningful and consistent comparison of our underlying businesses and facilities between periods by eliminating certain items required by U.S. GAAP which have little or no significance to their day-to-day operations.

The use of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures has certain limitations. Our presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR or other non-GAAP financial measures may be different from the presentation used by other companies and therefore comparability may be limited. Depreciation and amortization expense, interest expense, income taxes and other items have been and will be incurred and are not reflected in the presentation of adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA or Adjusted EBITDAR. Each of these items should also be considered in the overall evaluation of our results. Additionally, adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR do not consider capital expenditures and other investing activities and should not be considered as a measure of our liquidity. We compensate for these limitations by providing the relevant disclosure of our depreciation and amortization, interest and income taxes, capital expenditures and other items both in our reconciliations to the U.S. GAAP financial measures and in our consolidated financial statements, all of which should be considered when evaluating our performance.

Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and certain other non-GAAP financial measures are used in addition to and in conjunction with results presented in accordance with U.S. GAAP. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures should not be considered as an alternative to net income, operating income, or any other operating performance measure prescribed by U.S. GAAP, nor should these measures be relied upon to the exclusion of U.S. GAAP financial measures. Adjusted net income per share, EBITDA, EBITDAR, Adjusted EBITDA, Adjusted EBITDAR and other non-GAAP financial measures reflect additional ways of viewing our operations that we believe, when viewed with our U.S. GAAP results and the reconciliations to the corresponding U.S. GAAP financial measures, provide a more complete understanding of factors and trends affecting our business than could be obtained absent this disclosure. You are strongly encouraged to review our financial information in its entirety and not to rely on any single financial measure.

Investor Contact:
Skilled Healthcare Group, Inc.
Dev Ghose or Chris Felfe
(949) 282-5800

SOURCE Skilled Healthcare Group, Inc.


Source: PR Newswire