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Diversicare Announces 2017 Second Quarter Results

BRENTWOOD, Tenn., Aug. 03, 2017 (GLOBE NEWSWIRE) -- Diversicare Healthcare Services, Inc. (NASDAQ:DVCR), a premier provider of long-term care services, today announced its results for the second quarter ended June 30, 2017.

On July 27, 2017, the Board of Directors declared a quarterly dividend of $0.055 per common share payable to shareholders of record as of September 30, 2017, to be paid on October 16, 2017.

Second Quarter 2017 Highlights

  • Net revenue increased to an all-time high of $142.6 million in the second quarter of 2017 from $95.8 million in the second quarter of 2016, an increase of 48.8%, primarily attributable to the 22 Alabama and Mississippi nursing centers acquired in the fourth quarter of 2016.
  • Facility-level operating income was $29.4 million, or 20.6% of net revenue, an increase of $12.0 million from the prior year.
  • Net income from continuing operations was $0.4 million, or $0.06 per share, in the second quarter of 2017, compared to a net loss from continuing operations of $2.2 million, or $0.35 per share, in the second quarter of 2016.
  • Adjusted EBITDA was $4.8 million in the second quarter of 2017 compared to $1.9 million in the second quarter of 2016.
  • On July 1, 2017, the Company purchased the assets of a 103-bed center in Selma, Alabama for $8.75 million.

See below for a reconciliation of all GAAP and non-GAAP financial results.

CEO Remarks

Commenting on the results, Kelly Gill, Diversicare’s CEO, stated, “The second quarter 2017 proved to be a successful quarter for the Company as our net revenue increased to an all-time high of $142.6 million. We continue to experience accretive results from the centers we acquired from Golden Living in the fourth quarter 2016 and stable organic growth within our same-center group.

Mr. Gill continued, "Additionally, as previously announced, we added another center to our portfolio on July 1st, bringing our total centers operated to 77 and owned real estate to 18. Since we began our focused expansion plan, this center marks the 47th acquisition and is the 11th acquisition that included the purchase of the real estate. I'm proud and grateful for the strides and efforts made by our team to seamlessly integrate this new center onto our operating platform.

Mr. Gill concluded, "We continue to see positive synergies from our strategic investments and hardworking team members, which are reflective in our financial results. I look forward to building upon our success and sharing our results in the future."

Second Quarter 2017 Results

The following table summarizes key revenue and census statistics for continuing operations for each period:

       
  Three Months Ended June 30,    
  2017       2016    
Skilled nursing occupancy 79.8 %       76.7 %    
As a percent of total census:              
Medicare census 12.0 %       11.7 %    
Medicaid census 68.6 %       68.3 %    
Managed Care census 3.6 %       3.5 %    
As a percent of total revenues:              
Medicare revenues 27.3 %       27.6 %    
Medicaid revenues 51.6 %       50.5 %    
Managed Care revenues     7.0 %       6.8 %    
Average rate per day:              
Medicare $ 453.02         $ 456.91      
Medicaid $ 173.92         $ 168.36      
Managed Care $ 391.60         $ 388.45      
                       

Patient Revenues

Patient revenues were $142.6 million and $95.8 million for the three months ended June 30, 2017 and 2016, respectively, an increase of $46.8 million.  The following table summarizes the revenue fluctuations attributable to our portfolio growth (in thousands):

   
  Three Months Ended June 30,
  2017   2016   Change
Same-store revenue $ 96,570     $ 95,805     $ 765  
2016 acquisition revenue     45,980         45,980  
Total revenue $ 142,550     $ 95,805     $ 46,745  
 

The overall increase in revenues of $46.8 million is primarily attributable to revenue contributions from the acquisition of the Golden Living operations in Alabama and Mississippi during the fourth quarter of 2016 of $46.0 million.

On a same-store center basis, the average Medicare and Medicaid rate per patient day for the second quarter of 2017 increased compared to the second quarter of 2016, resulting in increases in revenue of $0.5 million and $0.5 million, respectively, or 2.4% and 0.9%, respectively.  Our same-store Medicare average daily census for the second quarter of 2017 increased $0.6 million, or 2.8%, and conversely our Medicaid average daily census for the second quarter of 2017 decreased $1.1 million, or 2.2%. Revenue related to ancillary services increased for the second quarter of 2017 compared to the second quarter of 2016 by $0.2 million.

Expenses

Operating expense increased in the second quarter of 2017 to $113.2 million as compared to $78.4 million in the second quarter of 2016.  Operating expense decreased as a percentage of revenue to 79.4% for the second quarter of 2017 as compared to 81.8% for the second quarter of 2016.  The following table summarizes the expense increases attributable to our portfolio growth (in thousands):

   
  Three Months Ended June 30,
  2017   2016   Change
Same-store operating expense     $ 76,991     $ 78,385     $ (1,394 )
2016 acquisition expense 36,175         36,175  
Total expense $ 113,166     $ 78,385     $ 34,781  
 

The overall increase in operating expense of $34.8 million is primarily attributable the acquisition of the Golden Living operations in Alabama and Mississippi during the fourth quarter of 2016 of $36.2 million.

On a same-store center basis, operating expenses decreased by $1.4 million, which is attributable to a favorable variance in bad debt expense and health insurance costs of $1.0 million and $0.2 million, respectively, in second quarter of 2017 compared to the second quarter of 2016.

One of the largest components of operating expenses is wages, which increased to $65.8 million during the second quarter of 2017 as compared to $45.1 million in the second quarter of 2016, which, consistent with above, is due to acquisition activity.

Lease expense increased in the second quarter of 2017 to $13.8 million as compared to $6.9 million in the second quarter of 2016. The increase in lease expense was primarily attributable to the 22 newly leased centers in Alabama and Mississippi, which occurred during the fourth quarter of 2016.

Professional liability expense was $2.7 million and $1.9 million in the second quarters of 2017 and 2016, respectively. Our cash expenditures for professional liability costs of continuing operations were $2.3 million and $0.9 million for the second quarters of 2017 and 2016, respectively. Professional liability expense and cash expenditures fluctuate from year to year based respectively on the results of our third-party professional liability actuarial studies and on the costs incurred in defending and settling existing claims. See “Liquidity and Capital Resources” for further discussion of the accrual for professional liability.

General and administrative expense was $8.2 million in the second quarter of 2017 as compared to $6.9 million in the second quarter of 2016, an increase of $1.3 million, but conversely decreased as a percentage of revenue from 7.2% in 2016 to 5.8% in 2017.  The increase in general and administrative expense is attributable to an increase in corporate wages and payroll taxes and travel by $1.3 million and $0.1 million, respectively, which is due to the acquisition of 22 new centers during the fourth quarter of 2016.

Depreciation and amortization expense was approximately $2.6 million in the second quarter of 2017 as compared to $2.1 million in 2016. The increase in depreciation expense relates to fixed assets at the newly leased centers.

Interest expense was $1.5 million in the second quarter of 2017 and $1.2 million in the second quarter of 2016, an increase of $0.3 million.  The increase was primarily attributable to higher debt balances in 2017 as a result of the change in ownership processes for the newly leased Alabama and Mississippi centers.

As a result of the above, continuing operations reported income of $0.5 million before income taxes for the second quarter of 2017 as compared to a loss of $3.4 million for the second quarter of 2016. The provision for income taxes was $0.1 million for the second quarter of 2017, and the benefit for income taxes $1.3 million was for the second quarter of 2016. Both basic and diluted income per common share from continuing operations were $0.06 for the second quarter of 2017 as compared to both basic and diluted loss per common share from continuing operations of $0.35 in the second quarter of 2016.

Receivables

Our net receivables balance increased $2.4 million to $64.6 million as of June 30, 2017, from $62.2 million as of December 31, 2016.  The increase in accounts receivable is attributable to the 22 newly leased centers in Alabama and Mississippi.

Conference Call Information

A conference call has been scheduled for Thursday, August 3, 2017 at 4:00 P.M. Central time (5:00 P.M. Eastern time) to discuss second quarter 2017 results.  The conference call information is as follows:

     
Date:   Thursday, August 3, 2017
Time:   4:00 P.M. Central, 5:00 P.M. Eastern
Webcast Links:   www.DVCR.com 
Dial in numbers:


  877.340.2552 (domestic) or 253.237.1159 (International)
Conference ID: 56397676
The Operator will connect you to Diversicare’s Conference Call
     

A replay of the conference call will be accessible two hours after its completion through August 10, 2017, by dialing 855-859-2056 (domestic) or 404-537-3406 (international) and entering Conference ID 56397676.

FORWARD-LOOKING STATEMENTS

The “forward-looking statements” contained in this release are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are predictive in nature and are frequently identified by the use of terms such as “may,” “will,” “should,” “expect,” “believe,” “estimate,” “intend,” and similar words indicating possible future expectations, events or actions. These forward-looking statements reflect our current views with respect to future events and present our estimates and assumptions only as of the date of this release. Actual results could differ materially from those contemplated by the forward-looking statements made in this release. In addition to any assumptions and other factors referred to specifically in connection with such statements, other factors, many of which are beyond our ability to control or predict, could cause our actual results to differ materially from the results expressed or implied in any forward-looking statements including, but not limited to, our ability to successfully integrate the operations of our new nursing centers in Alabama, Mississippi, Kansas and Kentucky, as well as successfully operate all of our centers, our ability to increase census at our renovated centers, changes in governmental reimbursement, government regulation, the impact of the recently adopted federal health care reform or any future health care reform, any increases in the cost of borrowing under our credit agreements, our ability to comply with covenants contained in those credit agreements, our ability to renew or extend our leases at or prior to the end of the existing lease terms, the outcome of professional liability lawsuits and claims, our ability to control ultimate professional liability costs, the accuracy of our estimate of our anticipated professional liability expense, the impact of future licensing surveys, the outcome of proceedings alleging violations of state or Federal False Claims Acts, laws and regulations governing quality of care or other laws and regulations applicable to our business including HIPAA and laws governing reimbursement from government payors, the costs of investing in our business initiatives and development, our ability to control costs, changes to our valuation of deferred tax assets, changes in occupancy rates in our centers, changing economic and competitive conditions, changes in anticipated revenue and cost growth, changes in the anticipated results of operations, the effect of changes in accounting policies as well as others. The Company has provided additional information in its Annual Report on Form 10-K for the fiscal year ended December 31, 2016, as well as in its other filings with the Securities and Exchange Commission, which readers are encouraged to review for further disclosure of other factors. These assumptions may not materialize to the extent assumed, and risks and uncertainties may cause actual results to be different from anticipated results. These risks and uncertainties also may result in changes to the Company’s business plans and prospects. Diversicare Healthcare Services, Inc. is not responsible for updating the information contained in this press release beyond the published date, or for changes made to this document by wire services or Internet services.

Diversicare provides long-term care services to patients in 77 nursing centers and 8,556 skilled nursings beds. For additional information about the Company, visit Diversicare's web site: www.DVCR.com

-Financial Tables to Follow-

 
DIVERSICARE HEALTHCARE SERVICES, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)
 
    June 30,
 2017
  December 31,
 2016
 
   (Unaudited)   
ASSETS:        
Current Assets        
Cash and cash equivalents   $ 3,900     $ 4,263  
Receivables, net   64,633     62,152  
Current assets of discontinued operations   42     28  
Deposit in escrow   8,673      
Other current assets   4,968     5,247  
     Total current assets   82,216     71,690  
         
Property and equipment, net   60,012     59,800  
Deferred income taxes   20,757     21,185  
Acquired leasehold interest, net   6,883     7,075  
Other assets, net   3,212     3,301  
TOTAL ASSETS   $ 173,080     $ 163,051  
         
LIABILITIES AND SHAREHOLDERS’ EQUITY:        
Current Liabilities        
Current portion of long-term debt and capitalized lease obligations   $ 10,373     $ 7,715  
Trade accounts payable   10,859     12,972  
Current liabilities of discontinued operations   440     427  
Accrued expenses:        
     Payroll and employee benefits   18,857     20,108  
     Current portion of self-insurance reserves   10,196     9,401  
     Provider taxes   2,508     3,114  
     Other current liabilities   5,299     4,432  
     Total current liabilities   58,532     58,169  
Noncurrent Liabilities        
Long-term debt and capitalized lease obligations, less current portion and deferred financing costs, net       81,449     72,145  
Self-insurance reserves, less current portion   11,417     11,766  
Other noncurrent liabilities   8,789     9,551  
     Total noncurrent liabilities   101,655     93,462  
         
SHAREHOLDERS’ EQUITY   12,893     11,420  
         
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY   $ 173,080     $ 163,051  
         


 
DIVERSICARE HEALTHCARE SERVICES, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data, unaudited)
 
  Three Months Ended June 30,
  2017   2016
PATIENT REVENUES, net $ 142,550     $ 95,805  
Operating expense 113,166     78,385  
Facility-level operating income 29,384     17,420  
       
EXPENSES:      
Lease and rent expense 13,763     6,854  
Professional liability 2,724     1,934  
General and administrative 8,221     6,881  
Depreciation and amortization 2,620     2,060  
Lease termination costs     2,008  
     Total expenses less operating 27,328     19,737  
OPERATING INCOME (LOSS) 2,056     (2,317 )
OTHER INCOME (EXPENSE):      
Equity in net income of unconsolidated affiliate     28  
Interest expense, net (1,541 )   (1,158 )
     Total other expense (1,541 )   (1,130 )
INCOME (LOSS) FROM CONTINUING OPERATIONS BEFORE INCOME TAXES     515     (3,447 )
BENEFIT (PROVISION) FOR INCOME TAXES (134 )   1,297  
INCOME (LOSS) FROM CONTINUING OPERATIONS 381     (2,150 )
INCOME (LOSS) FROM DISCONTINUED OPERATIONS:      
OPERATING LOSS (28 )    
NET INCOME (LOSS) $ 353     $ (2,150 )
       
NET INCOME (LOSS) PER COMMON SHARE:      
Per common share – basic      
     Continuing operations $ 0.06     $ (0.35 )
     Discontinued operations      
  $ 0.06     $ (0.35 )
       
Per common share – diluted $ 0.06     $ (0.35 )
     Continuing operations      
     Discontinued operations $ 0.06     $ (0.35 )
       
DIVIDENDS DECLARED PER SHARE OF COMMON STOCK $ 0.055     $ 0.055  
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:      
   Basic 6,294     6,211  
   Diluted 6,472     6,211  
           
           


DIVERSICARE HEALTHCARE SERVICES, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data, unaudited)
 
  Six Months Ended June 30,
  2017   2016
PATIENT REVENUES, net $ 284,050     $ 193,750  
Operating expense 223,833     157,003  
Facility-level operating income 60,217     36,747  
           
EXPENSES:          
Lease and rent expense 27,506     14,106  
Professional liability 5,394     4,000  
General and administrative 17,194     13,615  
Depreciation and amortization 5,107     4,063  
Lease termination costs     2,008  
          Total expenses less operating 55,201     37,792  
OPERATING INCOME (LOSS) 5,016     (1,045 )
OTHER INCOME (EXPENSE):          
Equity in net income of unconsolidated affiliate     61  
Gain on sale of investment in unconsolidated affiliate 733      
Interest expense, net (3,024 )   (2,228 )
Debt retirement costs     (351 )
          Total other expense (2,291 )   (2,518 )
INCOME (LOSS) FROM CONTINUING OPERATIONS BEFORE INCOME TAXES     2,725     (3,563 )
BENEFIT (PROVISION) FOR INCOME TAXES (996 )   1,339  
INCOME (LOSS) FROM CONTINUING OPERATIONS 1,729     (2,224 )
INCOME (LOSS) FROM DISCONTINUED OPERATIONS:      
OPERATING LOSS (43 )   (37 )
NET INCOME (LOSS) $ 1,686     $ (2,261 )
           
NET INCOME (LOSS) PER COMMON SHARE:          
Per common share – basic          
  Continuing operations $ 0.28     $ (0.36 )
  Discontinued operations (0.01 )   (0.01 )
  $ 0.27     $ (0.37 )
       
Per common share – diluted $ 0.27     $ (0.36 )
  Continuing operations (0.01 )   (0.01 )
  Discontinued operations $ 0.26     $ (0.37 )
           
DIVIDENDS DECLARED PER SHARE OF COMMON STOCK $ 0.11     $ 0.11  
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:        
  Basic 6,263     6,185  
  Diluted 6,458     6,185  


 
DIVERSICARE HEALTHCARE SERVICES, INC.
RECONCILIATION OF NET INCOME (LOSS) TO ADJUSTED EBITDA
(In thousands)
 
    For Three Months Ended
    June 30, 2017   March 31, 2017   December 31, 2016   September 30, 2016   June 30, 2016
    (Unaudited)   (Unaudited)   (Unaudited)   (Unaudited)   (Unaudited)
Net income (loss)   $ 353     $ 1,333     $ 1,425     $ (975 )   $ (2,150 )
Loss from discontinued operations, net of tax       28     15     13     17      
Income tax provision (benefit)   134     862     804     (495 )   (1,297 )
Interest expense   1,541     1,483     1,373     1,201     1,158  
Depreciation and amortization   2,620     2,487     2,237     1,992     2,060  
EBITDA   4,676     6,180     5,852     1,740     (229 )
                               
EBITDA adjustments:                              
Acquisition related costs (a)   133     85     1,492     438     150  
Lease termination costs (b)                   2,008  
Gain on sale of unconsolidated affiliate (c)       (733 )   (1,366 )        
Adjusted EBITDA   $ 4,809     $ 5,532     $ 5,978     $ 2,178     $ 1,929  


     
(a)   Represents non-recurring costs associated with acquisition-related transactions.
(b)   Represents non-recurring lease termination costs related to the termination of the Avon, Ohio operating lease in May 2016.
(c)   Represents non-recurring gain on the sale of an unconsolidated affiliate in November 2016.
     


 
DIVERSICARE HEALTHCARE SERVICES, INC.
RECONCILIATION OF NET INCOME (LOSS) TO ADJUSTED NET INCOME (LOSS)
(In thousands, except per share data)
 
    For Three Months Ended
    June 30,
2017
  March 31,
2017
  December 31,
2016
  September 30,
2016
  June 30,
2016
                     
Net income (loss)   $ 353     $ 1,333     $ 1,425     $ (975 )   $ (2,150 )
Adjustments:                    
Acquisition related costs  (a)   133     85     1,492     438     150  
Lease termination costs (b)                   2,008  
Gain on sale of unconsolidated affiliate (c)       (733 )   (1,366 )        
Tax impact of above adjustments (d)   (53 )   (283 )   (1,000 )   (153 )   (755 )
Discontinued operations, net of tax   28     15     13     17      
Adjusted net income (loss)   $ 461     $ 417     $ 564     $ (673 )   $ (747 )
                     
Adjusted net income (loss) per common share                    
Basic   $ 0.07     $ 0.07     $ 0.09     $ (0.11 )   $ (0.12 )
Diluted   $ 0.07     $ 0.06     $ 0.09     $ (0.11 )   $ (0.12 )
                     
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:                        
Basic   6,294     6,233     6,213     6,212     6,211  
Diluted   6,472     6,440     6,421     6,212     6,211  
                     


(a)   Represents non-recurring costs associated with acquisition-related transactions.
(b)   Represents non-recurring lease termination costs related to the termination of the Avon, Ohio operating lease in May 2016.
(c)   Represents non-recurring gain on the sale of an unconsolidated affiliate in November 2016.
(d)   Represents tax provision for the cumulative adjustments for each period.


 
 
DIVERSICARE HEALTHCARE SERVICES, INC.
FUNDS PROVIDED BY OPERATIONS
(In thousands, except per share data)
 
  Six Months Ended June 30,
  2017   2016
NET INCOME (LOSS) $ 1,686     $ (2,261 )
Discontinued operations (43 )   (37 )
Net income (loss) from continuing operations 1,729     (2,224 )
Adjustments to reconcile net income (loss) from continuing operations to funds provided by operations:          
Depreciation and amortization 5,107     4,063  
Provision for doubtful accounts 4,187     3,661  
Deferred income tax benefit 403     (1,689 )
Provision for self-insured professional liability, net of cash payments (309 )   1,595  
Stock based compensation 504     486  
Equity in net losses of unconsolidated affiliate     (61 )
Gain on sale of unconsolidated affiliate (733 )    
Debt retirement costs     351  
Provision for leases in excess of cash payments (304 )   (1,093 )
Lease termination costs, net of cash payments     1,958  
Deferred bonus 600      
Other 247     358  
FUNDS PROVIDED BY OPERATIONS $ 11,431     $ 7,405  
       
FUNDS PROVIDED BY OPERATIONS PER COMMON SHARE:      
Basic $ 1.83     $ 1.20  
Diluted $ 1.77     $ 1.20  
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING :      
Basic 6,263     6,185  
Diluted 6,458     6,185  
 
 

We have included certain financial measures in this press release, including EBITDA, Adjusted EBITDA, Adjusted Net income (loss) and Funds Provided by Operations which are “non-GAAP financial measures” using accounting principles generally accepted in the United States (GAAP) and using adjustments to GAAP (non-GAAP). These non-GAAP measures are not measurements under GAAP. These measurements should be considered in addition to, but not as a substitute for, the information contained in our financial statements prepared in accordance with GAAP. We define EBITDA as net income (loss) adjusted for loss (income) from discontinued operations, interest expense, income tax and depreciation and amortization. We define Adjusted EBITDA as EBITDA adjusted for acquisition-related, debt retirement, lease termination and lease deferral costs. We define Adjusted Net income (loss) as Net income (loss) adjusted for acquisition-related costs, lease termination costs, lease deferral costs, debt retirement costs and income (loss) from discontinued operations. Funds Provided by Operations is defined as net income from operating activities adjusted for the cash effect of professional liability and other non-cash charges.  Management believes that Funds Provided by Operations is an important performance measurement because it eliminates the effect of actuarial assumptions on our professional liability reserves, includes the cash effect of professional liability payments, and does not include the effects of deferred tax benefit and other non-cash charges.

Our measurements of EBITDA, Adjusted EBITDA, Adjusted Net income (loss) and Funds Provided by Operations may not be comparable to similarly titled measures of other companies. We have included information concerning EBITDA, Adjusted EBITDA, Adjusted Net income (loss) and Funds Provided by Operations in this press release because we believe that such information is used by certain investors as measures of a company’s historical performance. Management believes that Adjusted EBITDA and Adjusted Net income (loss) are important performance measurements because they eliminate certain nonrecurring start-up losses and separation costs. Management believes that Funds Provided by Operations is an important performance measurement because it eliminates the effect of actuarial assumptions on our professional liability reserves, includes the cash effect of professional liability payments, and does not include the effects of deferred taxes and other non-cash items. Our presentation of EBITDA, Adjusted EBITDA, Adjusted Net income (loss) and Funds Provided by Operations should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

 
 
DIVERSICARE HEALTHCARE SERVICES, INC.
SELECTED OPERATING STATISTICS
(Unaudited)
Three Months Ended June 30, 2017
       

 
As of June 30, 2017      

 
 

Occupancy (Note 2)
               
Region
(Note 1)
  Licensed
Nursing
Beds (4)
  Available
Nursing
Beds (4)
  Skilled Nursing
Weighted
Average Daily
Census
  Licensed
Nursing
Beds
  Available
 Nursing
 Beds
  Medicare
 Utilization
2017 Q2
 Revenue
($ in millions)
  Medicare
Room and
Board
Revenue PPD

 (Note 3)
  Medicaid
Room and
Board Revenue
PPD

 (Note 3)
 
Alabama   2,361     2,294     2,014     85.3 %   87.8 %   11.7 %   $ 43.0     $ 439.19     $ 183.30    
Kansas   464     464     406     87.5 %   87.5 %   10.7 %   7.8     432.42     160.12    
Kentucky   1,285     1,281     1,121     87.2 %   87.5 %   14.2 %   26.7     464.48     190.44    
Mississippi     1,138     1,103     1,005     88.3 %   91.1 %   14.0 %   21.1     419.80     181.71    
Missouri   339     339     232     68.4 %   68.4 %   8.4 %   4.1     489.99     140.73    
Ohio   404     393     342     84.6 %   87.0 %   13.2 %   9.4     492.81     190.04    
Tennessee   617     551     433     70.2 %   78.6 %   16.4 %   9.6     446.61     175.72    
Texas   1,845     1,662     1,196     64.8 %   71.9 %   7.9 %   20.9     505.87     141.72    
Total   8,453     8,087     6,749     79.8 %   83.5 %   12.0 %   $ 142.6     $ 453.02     $ 173.92    
                                     


  Note 1:   The Alabama region includes nursing centers in Alabama and Florida. The Kentucky region includes one nursing center in Indiana.
  Note 2:



  The number of Licensed Nursing Beds is based on the licensed capacity of the facility. The Company has historically reported its occupancy based on licensed nursing beds, and excludes a limited number of assisted living, independent living, and personal care beds. The number of Available Nursing Beds represents licensed nursing beds less beds removed from service. Available nursing beds is subject to change based upon the needs of the facilities, including configuration of patient rooms, common usage areas and offices, status of beds (private, semi-private, ward, etc.) and renovations. Occupancy is measured on a weighted average basis.
  Note 3:   These Medicare and Medicaid revenue rates include room and board revenues, but do not include any ancillary revenues related to these patients.
  Note 4:   The Licensed and Available Nursing Bed counts above include only licensed and available SNF beds.
       
Company Contact:
Kelly J. Gill
Chief Executive Officer
615-771-7575

Investor Relations:
James R. McKnight, Jr.
Chief Financial Officer
615-771-7575

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