Pharmacy News Article

FOOTHILL RANCH, Calif.(BUSINESS WIRE) Skilled Healthcare Group, Inc. (NYSE:SKH) today announced its unaudited consolidated financial operating results for the three- and nine-month periods ended September 30, 2009.

Third Quarter 2009 Consolidated Results

• Total consolidated revenue for the quarter ended September 30, 2009 was $188.4 million, an increase of 3.2 percent, compared to total consolidated revenue of $182.5 million in the third quarter of 2008.
• Adjusted EBITDA¹ was $25.9 million for the quarter ended September 30, 2009, an increase of 3.7 percent, compared to $24.9 million during the same period in 2008².
• Adjusted EBITDAR³ was $30.4 million for the quarter ended September 30, 2009, up 2.3 percent compared to $29.7 million for the same period in 2008.
• Net income for the quarter ended September 30, 2009 totaled $9.1 million, up 5.6 percent, compared to $8.6 million for the third quarter of 2008.
• Diluted earnings per common share from continuing operations for the quarter ended September 30, 2009 were $0.25, up 8.7 percent, compared to $0.23 for the same period in 2008. Including the loss per common share from discontinued operations for the quarter ended September 30, 2009, diluted earnings per common share were $0.24. During the third quarter, the Company closed its unprofitable hospice business in Ventura, California, which represented less than five percent of total hospice revenues in the nine-month period ended September 30, 2009.

Long-Term Care Services - Third Quarter 2009 Segment Results

• Total revenue for the long-term care services segment, which represented over 88 percent of consolidated revenues, was $166.2 million for the quarter ended September 30, 2009, an increase of $6.6 million, or 4.1 percent, compared to the same period a year ago.
• Skilled mix⁴ was 22.4 percent in the third quarter of 2009, compared to 23.0 percent during the same period in 2008.
• Occupancy rates⁵ were 83.2 percent during the third quarter of 2009, compared to 84.1 percent in the third quarter of 2008.
• The percentage of Medicare days in the upper nine RUG categories⁶ was 41.2 percent in the third quarter of 2009, an increase of 110 basis points, compared to 40.1 percent during the third quarter of 2008.

Ancillary Services Third Quarter 2009 Segment Results

• The Company's third-party rehabilitation therapy services segment revenue was $19.1 million for the quarter ended September 30, 2009, an increase of 9.8 percent, compared to the same period a year ago.

• Third-party rehabilitation therapy accounted for over 10 percent of total consolidated revenues in the third quarter of 2009, compared to 9.5 percent in the third quarter of 2008.
• The Company's hospice business, which represented 1.6 percent of total consolidated revenues, reported total revenue of $3.0 million for the quarter ended September 30, 2009, compared to $5.4 million in the third quarter of 2008. Hospice revenues were reduced by a $2.1 million reserve in the third quarter of 2009 due primarily to the statutory Medicare patient reimbursement limitation, or cap, overage which is calculated annually (see Management Discussion below for more detail).

First Nine Months of 2009 Consolidated Results

• Total consolidated revenue for the nine months ended September 30, 2009 was $570.8 million, an increase of 5.0 percent, compared to total revenue of $543.5 million in the first nine months of 2008.
• Adjusted EBITDA was $83.8 million for the nine-month period ended September 30, 2009, an increase of 4.3 percent, compared to $80.4 million during the same period in 2008.
• Adjusted EBITDAR was $97.4 million for the nine months ended September 30, 2009, up 3.5 percent compared to $94.1 million for the same period in 2008.
• Net income for the first nine months ended September 30, 2009 totaled $28.1 million, up 13.6 percent, compared to $24.8 million for the first nine months of 2008.
• Diluted earnings per common share from continuing operations for the nine-month period ended September 30, 2009 were $0.77, up 14.9 percent from the same period in 2008. Including the loss per common share from discontinued operations for the nine months ended September 30, 2009, diluted earnings per common share were $0.76.

Long-Term Care Services First Nine Months of 2009 Segment Results

• Total revenue for the long-term care services segment was $499.4 million for the nine months ended September 30, 2009, an increase of $21.9 million, or 4.6 percent, compared to the same period a year ago.
• Skilled mix was 23.5 percent in the first nine months of 2009, compared to 24.4 percent during the same period in 2008.
• Occupancy rates were 84.0 percent during the first nine months of 2009, compared to 84.6 percent in the same period in 2008.
• The percentage of Medicare days in the upper nine RUG categories was 41.4 percent in the first nine months of 2009, an increase of 130 basis points, compared to 40.1 percent in the first nine months of 2008.

Ancillary Services First Nine Months of 2009 Segment Results

• The Company's third-party rehabilitation therapy services segment revenue was $57.2 million for the nine-month period ended September 30, 2009, an increase of 10.6 percent, compared to the same period a year ago.
• Third-party rehabilitation therapy accounted for 10.0 percent of total consolidated revenues in the first nine months of 2009, an increase from 9.5 percent in the first nine months of 2008.
• The Company's hospice business, which represented 2.5 percent of total consolidated revenues in the first nine months of 2009, reported total revenue of $14.2 million for the nine-month period ended September 30, 2009, compared to $14.4 million in the first nine months of 2008. As previously mentioned, hospice revenues in the third quarter of 2009 were reduced by a $2.1 million reserve due to a Medicare patient reimbursement limitation, or cap, overage.

Management Discussion Third Quarter and Year-to-Date 2009 Results

Long-term care services revenue for the three- and nine-month periods ended September 30, 2009 increased 4.1 percent and 4.6 percent, respectively, compared to the same periods in 2008 due primarily to an increase in rates which were offset slightly by lower occupancy levels.

Boyd Hendrickson, Chairman and Chief Executive Officer of Skilled Healthcare Group, Inc. commented on the long-term care services results stating, Long-term care services daily census for high-acuity patients was primarily impacted by slightly lower hospital admissions and decreased average length of stay which we expect is substantially attributable to current economic challenges. In addition, our long-term care services business is continuing to experience an increase in new competition primarily in its Texas markets. However, occupancy declines were more than offset by rate increases during that period, which allowed us to increase revenue on an annual basis. In addition, the Dallas Center of Rehabilitation, our newest skilled nursing facility which opened in April this year, has steadily increased its census and we believe is on track to break-even at the end of this year as expected. The Rehabilitation Center of Des Moines, a turnaround facility which we acquired in April this year has also improved revenue and margins upon acquisition. Furthermore, we are encouraged by steady incoming volumes and daily census trends in October as compared to the third quarter.?

Mr. Hendrickson continued, Going forward, we expect to implement additional cost controls as well as cost reductions to further streamline our operations given proposed Medicare rate cuts and possibly flat Medicaid rates, on average, in the 2010 Medicare and Medicaid fiscal year. The selection of expense controls were specifically chosen to avoid impact to our patient quality of care that we take very seriously.?

Further commenting on the importance of patient care, Mr. Hendrickson remarked, Our continued focus on patient care was further evidenced during the third quarter as 37 facilities operated by subsidiaries of Skilled Healthcare Group were awarded the prestigious 2009 Step 1 National Quality Award from the American Health Care Association and the National Center For Assisted Living (AHCA/NCAL) in recognition of a strong commitment to continuous quality improvement. This is one of the highest honors a skilled nursing facility can receive and a significant accomplishment especially during their first year of application. I once again want to congratulate the facilities and staff at those locations.?

With respect to the Company's third-party rehabilitation services, increased revenues in both the three- and nine-month periods ended September 30, 2009 were primarily due to higher rates, increased census and improved Medicare Part A RUG distribution.

For the first nine months in 2009, the Company's hospice business was impacted by marketing challenges, an increase in average lengths of stay, service improvement initiatives at the California location and an intermediate self-imposed admissions hold pending the initial implementation of those initiatives. This resulted in a $2.1 million reserve for a Medicare cap overage for the hospice business in the third quarter of 2009.

Commenting on the hospice challenges, Mr. Hendrickson noted, Earlier this year, as we reassessed our hospice business, we made some management changes after determining that modifications were necessary to better align that business with our future goals. Recently, we have completed a successful validation of our service and quality enhancement initiatives and are implementing new practices going forward that we expect will improve hospice admissions and prevent future Medicare cap issues. I am confident in the hospice leadership today to make these necessary changes and to improve operations.?

For the three- and nine-month periods ended September 30, 2009, consolidated net income was positively impacted primarily by an increase in Adjusted EBITDA as well as lower interest expenses and a benefit to the provision for income taxes compared to the same periods in 2008. For the quarter ended September 30, 2009, the provision for income taxes was reduced by $1.9 million due to the expiration of a statute of limitations, compared to the same period in 2008 which included a positive impact of $1.4 million due to the expiration of a statute of limitations. Provision for income taxes for the quarter ended September 30, 2009 was $2.4 million, compared to $1.9 million for the third quarter of 2008. The effective tax rate for the quarter ended September 30, 2009 was 20.7 percent, compared to an effective tax rate of 18.2 percent for the quarter ended September 30, 2008. Additionally, interest expense during the three- and nine-month periods ended September 30, 2009 was $8.4 million and $24.7 million, respectively, down 8.6 percent and 11.7 percent, respectively, compared to the three- and nine-month periods ended September 30, 2008. Lower interest expense was due primarily to lower weighted-average interest rates.

Outlook

Skilled Healthcare Group is updating its 2009 full year guidance due to the effect of the hospice Medicare cap overage reserve, as previously mentioned, and expects revenue to be between $763 million and $767 million. EBITDAR is expected to be in the range of $131 million to $134 million and EBITDA is expected to be in the range of $112 million to $115 million. Diluted net income per common share is expected to be between $0.98 and $1.01. This guidance assumes:

• A 1.0% decrease in Medicare payment rates in the fourth quarter of 2009;
• No increase in Medicaid payment rates for the 2009/2010 fiscal year;
• Development capital expenditures of approximately $22 million for new facilities and Express Recovery? Units;
• Preservation capital expenditures of approximately $16 million or $1,550 per bed;
• Start-up losses of approximately $1.3 million on our newly completed developments;
• Current debt structure and existing interest rates in 2009;
• Cost control program to improve efficiencies; and
• An effective tax rate of approximately 39.5 percent prior to adjustments for the $1.9 million tax benefit due to the expiration of a statute of limitations.

Conference Call

A conference call and webcast will be held today, Tuesday, November 3, 2009, at 8:00 a.m. Pacific Time (11:00 a.m. Eastern Time) to discuss Skilled Healthcare's consolidated financial results for the third quarter of 2009 and its outlook for the future.

To participate in the call, interested parties may dial (866) 804-6925 within the U.S. and (857) 350-1671 internationally and reference passcode 84092345. Alternatively, interested parties may access the call in listen-only mode via Skilled Healthcare Group's Web site - www.skilledhealthcaregroup.com. A replay of the conference call will be available after 11:00 a.m. Pacific Time on November 3, 2009 via Skilled Healthcare Group's Web site or by dialing (888) 286-8010 within the U.S. and (617) 801-6888 internationally and referencing passcode 25594047. The replay will be available until November 10, 2009.

About Skilled Healthcare Group

Skilled Healthcare Group, Inc. (Skilled Healthcare?), based in Foothill Ranch, California, is a holding company with subsidiary healthcare services companies, which in the aggregate have consolidated annual revenues of over $700 million and 14,000 employees. Skilled Healthcare 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 medical care. As of September 30, 2009, the Company currently operates facilities in California, Iowa, Kansas, Missouri, Nevada, New Mexico and Texas, including 77 skilled nursing facilities which offer sub-acute care and rehabilitative and specialty medical skilled nursing care, and 22 assisted living facilities which 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 care in the California and New Mexico markets. 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 its Web site www.skilledhealthcaregroup.com.

Footnotes

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. In particular, they include the statements made by Mr. Hendrickson regarding the financial performance of The Dallas Center of Rehabilitation, the Company's cost controls, future operation of its hospice business, as well as the outlook for Skilled Healthcare's full year 2009 revenue, net income per diluted share, EBITDA and EBITDAR. These forward-looking statements are based on current expectations and projections about future events, including the assumptions stated in this release.

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 amended Annual Report on Form 10-K/A for the year ended December 31, 2008 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), our amended Quarterly Report on Form 10-Q/A for the period ending March 31, 2009 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.