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Press release from PR Newswire

Skilled Healthcare Group Reports Second Quarter 2012 Adjusted EPS Of $0.18

Wednesday, August 08, 2012

Skilled Healthcare Group Reports Second Quarter 2012 Adjusted EPS Of $0.1816:15 EDT Wednesday, August 08, 2012FOOTHILL RANCH, Calif., Aug. 8, 2012 /PRNewswire/ -- Skilled Healthcare Group, Inc. (NYSE: SKH) today announced its consolidated financial operating results for the three and six-month period ended June 30, 2012. For the second quarter of 2012, the Company reported revenue of $217.4 million, Adjusted EBITDA1 of $26.8 million, Adjusted EPS2 of $0.18 and a $12.2 million reduction in outstanding debt."Although the second quarter is typically our slowest quarter for patient census across all business lines, this past quarter we saw softness in skilled mix census and an acceleration in the shift of Medicare to managed care patients in our long-term care service segment.  The lower Medicare census and skilled mix has driven down consolidated financial results.  In contrast the census at our home health and hospice division has been stable through the quarter.  I am pleased to announce that we obtained Medicare certification for our new 13 bed general inpatient hospice unit in Las Vegas in early August.  The new unit will expand the range of hospice services we provide in Las Vegas and should result in increased referrals," said Boyd Hendrickson, Chairman and Chief Executive Officer of Skilled Healthcare Group."I am particularly proud of the exemplary work of the professional staff in our agencies and facilities to provide high quality patient care.  The 2012 recipients of AHCA/NCAL National Quality Awards were recently announced, and we're proud to note that three of our affiliated facilities received Silver Awards and another 11 facilities received Bronze Awards this year.  We now have 80 facilities that have received the Bronze Award and six facilities that have received the Silver Award. These quality awards are a reflection of our continued emphasis on quality of care." Second Quarter 2012 ResultsRevenue for the quarter ended June 30, 2012 was $217.4 million, an increase of 1.0 percent when compared to $215.2 million in the second quarter of 2011.  Skilled mix3 decreased 110 basis points to 22.4 percent in the second quarter of 2012 from 23.5 percent in the second quarter of 2011.  Quality mix4 in the second quarter of 2012 decreased 120 basis points to 70.2 percent, compared to 71.4 percent in the prior year period. Adjusted EBITDA was $26.8 million, or 12.3 percent of revenue, for the quarter ended June 30, 2012, a decrease of 20.4 percent compared to $33.6 million, or 15.6 percent of revenue, in the same period a year ago.  Adjusted EBITDAR5 was $31.3 million, or 14.4 percent of revenue, for the quarter ended June 30, 2012, a decrease of 18.0 percent compared to $38.2 million, or 17.8 percent of revenue, for the quarter ended June 30, 2011.Net income for the quarter ended June 30, 2012 totaled $3.5 million, a decrease of 66.3 percent compared to net income of $10.4 million for the second quarter of 2011.  Adjusted net income for the quarter ended June 30, 2012, totaled $6.6 million, a decrease of 39.6 percent compared to adjusted net income of $10.9 million for the second quarter of 2011.  Adjusted net income2 excludes certain items as described in the Adjusted Net Income Reconciliation table at the end of this press release. Net income per diluted share was $0.09 for the quarter ended June 30, 2012, a decrease of 67.9 percent compared to net income per diluted share of $0.28 for the same period in 2011.  Adjusted net income per diluted share was $0.18 for the quarter ended June 30, 2012, a decrease of 37.9 percent compared to adjusted net income per diluted share of $0.29 for the quarter ended June 30, 2011.Long-Term Care Services SegmentRevenue for our long-term care services segment in the quarter ended June 30, 2012 was $164.1 million, a decrease of $8.6 million, or 5.0 percent, as compared to $172.7 million for the same period a year ago.  Revenue for this segment represented 75.5 percent of total revenue in the second quarter of 2012, compared to 80.2 percent of total revenue in the second quarter of 2011.  The decrease in revenue was primarily related to lower PPD rates from the impact of the October 2011 Medicare rate cut, a decrease in our skilled mix, and a shift from Medicare days to Managed Medicare days as more seniors elect Medicare Advantage.Therapy Services Segment Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $26.4 million for the quarter ended June 30, 2012, an increase of $2.7 million, or 11.3 percent, compared to the same period a year ago. Third-party rehabilitation therapy accounted for 12.1 percent of total revenue in the second quarter of 2012, compared to 11.0 percent of total revenue in the second quarter of 2011. Hospice and Home Health Care Services SegmentRevenue for Signature Hospice and Home Health Care, our hospice and home health care services segment, was $26.9 million in the second quarter of 2012, an increase of $8.1 million, or 42.8 percent, compared to $18.8 million in the second quarter of 2011. Average daily hospice census grew to 1,402 for the three-months ended June 30, 2012 from 1,085 for the three-months ended June 30, 2011, an increase of 29.2 percent. The increase in census was due in significant part to our October 2011 acquisition of the two Cornerstone hospice agencies. Year-to-Date 2012 ResultsRevenue for the six months ended June 30, 2012 was $436.8 million, a decrease of 0.2 percent when compared to $437.5 million in the six months ended June 30, 2011.  Skilled mix decreased 150 basis points to 22.6 percent in the first six months of 2012 from 24.1 percent in the first six months of 2011.  Quality mix in the first six months of 2012 decreased 110 basis points to 70.2 percent, compared to 71.3 percent in the prior year period. Adjusted EBITDA was $52.9 million, or 12.1 percent of revenue, for the six months ended June 30, 2012, a decrease of 24.7 percent compared to $70.2 million, or 16.0 percent of revenue, in the same period a year ago.  Adjusted EBITDAR was $62.0 million, or 14.2 percent of revenue, for the first six months of 2012, a decrease of 21.8 percent compared to $79.3 million, or 18.1 percent of revenue, for the first six months of 2011.Net income for the six months ended June 30, 2012, totaled $9.8 million, a decrease of 55.4 percent compared to net income of $22.0 million for the six months ended June 30, 2011.  Adjusted net income for the six months ended June 30, 2012, excludes certain items as described in the Reconciliation of Income Before Provision for Income Taxes to Adjusted Net Income Reconciliation table at the end of this press release.  Adjusted net income for the six months ended June 30, 2012, totaled $12.8 million, a decrease of 45.5 percent compared to adjusted net income of $23.6 million for the six months ended June 30, 2011. Net income per diluted share was $0.26 for the six months ended June 30, 2012, a decrease of 55.9 percent compared to net income per diluted share of $0.59 for the same period in 2011.  Adjusted net income per diluted share was $0.34 for the six months ended June 30, 2012, a decrease of 46.0 percent compared to adjusted net income per diluted share of $0.63 for the same period in 2011.Long-Term Care Services SegmentRevenue for our long-term care services segment in the six months ended June 30, 2012 was $331.2 million, a decrease of $23.5 million, or 6.6 percent, as compared to $354.7 million for the same period a year ago.  Revenue for this segment represented 75.8 percent of total revenue in the first six months of 2012, compared to 81.1 percent of total revenue in the first six months of 2011.  The decrease in revenue was primarily related to lower PPD rates from the impact of the Medicare rate cut, a decrease in our skilled mix, and a shift from Medicare days to Managed Medicare days as more seniors elect Medicare Advantage.Therapy Services Segment Revenue for Hallmark Rehabilitation, our rehabilitation therapy services segment, was $52.5 million for the six months ended June 30, 2012, an increase of $6.6 million compared to the same period a year ago. Third-party rehabilitation therapy accounted for 12.1 percent of total revenue in the first six months of 2012, compared to 10.5 percent of total revenue in the first six months of 2011.Hospice and Home Health Care Services SegmentRevenue for Signature Hospice and Home Health Care, our hospice and home health care services segment, was $53.1 million in the first six months of 2012, an increase of $16.2 million, or 43.9 percent, compared to $36.9 million in the first six months of 2011. Average daily hospice census grew to 1,389 for the six months ended June 30, 2012 from 1,039 for the six months ended June 30, 2011, an increase of 33.7 percent. The increase in census was due in significant part to our October 2011 acquisition of the two Cornerstone hospice agencies. Additional InformationThe Company recently identified that a number of its affiliated skilled nursing facilities incorrectly billed Medicare for many of the blood glucose tests performed between 2007 and the first quarter of this year.  The applicable facilities have refunded to Medicare reimbursements for blood glucose tests performed during those periods.  The amount that was refunded relating to reimbursements for the periods through 2011 was $5.8 million, which was spread fairly evenly over those five years, and there was an additional amount of $0.3 million refunded related to reimbursements in the first quarter of 2012. Prior period amounts have been corrected in the Company's financial statements to its Form 10-Q for the second quarter of 2012 (the "Form 10-Q") that the Company filed with the SEC today. The correction for the first quarter of 2012 has been recorded as an adjustment to revenue in the second quarter of 2012.  For additional information, please refer to Note 2 in the Notes to the Company's Condensed Consolidated Financial Statements included in the Form 10-Q.2012 GuidanceSkilled Healthcare Group, Inc. has revised its 2012 guidance based upon current occupancy and skilled mix levels in its long-term care operating segment.  The Company now anticipates 2012 consolidated revenue to be between $875.0 million and $885.0 million, Adjusted EBITDA to be in the range of $109.0 million to $111.5 million, Adjusted EBITDAR to be in the range of $128.0 million to $130.2 million and adjusted net income per common diluted share to be between $0.76 and $0.81.  This guidance assumes the following:Market basket increase of 1.8% in Medicare beginning October 1, 2012. Moderate weighted average Medicaid rate increases in the second half of 2012. 2012 capital expenditures of approximately $17 to $20 million. Average interest rate on outstanding debt of approximately 7.5%. An effective tax rate of 39 percent. This guidance does not include additional acquisitions, developments or divestitures.Conference CallA conference call and webcast will be held tomorrow, Thursday, August 9, at 9:00 a.m. Pacific Time (12:00 noon Eastern Time) to discuss Skilled Healthcare Group's consolidated financial results for the three and six-month period ended June 30, 2012 and its outlook for the full year 2012.To participate in the call, interested parties may dial (877) 765-8543 and reference conference ID 11953823.  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 $868 million and approximately 15,000 employees as of June 30, 2012. 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 22 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)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 Income 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.  (2)Adjusted net income per diluted share and adjusted net income each reflect the non-GAAP adjustments to income before provision for income taxes that are reflected in the Adjusted Net Income Reconciliation table in this press release.  (3)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.(4)Quality mix represents non-Medicaid revenue as a percentage of total revenue. (5)Adjusted EBITDAR is Adjusted EBITDA excluding facility rent expense as reflected in the Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDAR table in this press release.Forward-Looking StatementsThis 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, Adjusted EBITDA, Adjusted EBITDAR and adjusted net income per diluted 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)(Unaudited)Three Months Ended June 30,Six Months Ended June 30,2012201120122011Revenue:Net patient service revenue$216,607$214,497435,266436,777Lease facility revenue7687461,522746217,375215,243436,788437,523Expenses:Cost of services (exclusive of rent cost of revenue anddepreciation and amortization show below)180,215171,249363,346346,710Rent cost of revenue4,5394,5479,0959,117General and administrative6,4277,23712,52714,130Depreciation and amortization6,5916,43212,86612,577197,772189,465397,834382,534Other (expenses) income:Interest expense(10,521)(9,662)(20,086)(19,608)Interest income132208277383Other income (expenses)106(30)77(354)Equity in earnings of joint venture4905579611,111Debt retirement costs(3,958)?(3,958)?Total other (expenses) income, net(13,751)(8,927)(22,729)(18,468)Income before provision for income taxes5,85216,85116,22536,521Provision for income taxes2,3556,4676,39114,476Net income$3,497$10,384$9,834$22,045Income per share, basic$0.09$0.28$0.26$0.59Income per share, diluted$0.09$0.280.26$0.59Weighted-average common shares outstanding, basic37,40037,15437,34337,117Weighted-average common shares outstanding, diluted37,49737,35437,48937,377  Skilled Healthcare Group, Inc.Condensed Consolidated Balance Sheet and Cash Flow Data(In thousands)June 30, 2012December 31, 2011(Unaudited)(Audited)Balance Sheet Data:ASSETSCash and cash equivalents$5,572$16,017Other current assets136,818129,513Property and equipment and leased facility assets, net380,444386,294Goodwill85,60984,299Other assets80,69081,076Total assets$689,133$697,199LIABILITIES AND STOCKHOLDERS' EQUITYCurrent liabilities less current portion of long-term debt$93,296$99,780Current portion of long-term debt11,9254,414Other long-term liabilities46,94048,340Long-term debt, less current portion451,452471,069Stockholders' equity85,52073,596Total liabilities and stockholders' equity$689,133$697,199Six Months Ended June 30,20122011(Unaudited)(Unaudited)Cash Flows from Continuing OperationsNet cash provided by operating activities$14,120$45,230Net cash used in investing activities(7,100)(6,173)Net cash used in financing activities(17,465)(28,234)(Decrease) increase in cash and cash equivalents(10,445)10,823Cash and cash equivalents at beginning of period16,0174,192Cash and cash equivalents at end of period$5,572$15,015  Skilled Healthcare Group, Inc.Consolidated Key Performance Indicators(Unaudited)The following table summarizes our key performance indicators, along with other statistics, for each of thedates or periods indicatedThree Months Ended June 30,Six Months Ended June 30,2012201120122011Occupancy statistics (skilled nursing facilities):Available beds in service at end of period8,8058,8198,8058,819Available patient days801,743802,6491,603,2691,627,402Actual patient days665,486662,2201,333,6791,353,028Occupancy percentage83.0%82.5%83.2%83.1%Average daily number of patients7,3137,2777,3287,475Hospice average daily census1,4021,0851,3891,039Home health episodic-based admissions2,0998744,0841,855Home health episodic-based recertifications360151693298EBITDA (in thousands)$22,832$32,737$48,900$68,323Adjusted EBITDA (in thousands)$26,790$33,649$52,858$70,152Adjusted EBITDA margin12.3%15.6%12.1%16.0%Adjusted EBITDAR (in thousands)$31,329$38,196$61,953$79,269Adjusted EBITDAR margin14.4%17.8%14.2%18.1%Revenue per patient day (skilled nursing facilities prior to intercompany eliminations)LTC only Medicare (Part A)$513$572$509$572Medicare blended rate (Part A & B)567627571625Managed care (Part A)385383384387 Managed care blended rate (Part A & B)394391392395Medicaid157154157154Private and other173175181178Weighted-average for all$237$251$239$252Patient days by payor (skilled nursing facilities):Medicare88,690102,444181,724215,727Managed care60,46453,467120,486109,684Skilled Mix149,154155,911302,210325,411Private pay and other107,242109,050211,442215,104Medicaid409,090397,259820,027812,513Total665,486662,2201,333,6791,353,028Patient days as a percentage of total patient days (skilled nursing facilities):Medicare13.3%15.5%13.6%15.9%Managed care9.18.09.08.2Skilled Mix22.423.522.624.1Private pay and other16.116.515.915.8Medicaid61.560.061.560.1Total100.0%100.0%100.0%100.0%Revenue from (total company):Medicare33.8%38.1%34.4%38.7%Managed care, private pay, and other36.433.335.832.6Quality mix70.271.470.271.3Medicaid29.828.629.828.7Total100.0%100.0%100.0%100.0%  Skilled Healthcare Group, Inc. Facility Ownership(Unaudited)As of June 30,20122011Facilities:Skilled nursing facilities operated:Owned5252Leased2222Total skilled nursing facilities operated7474Total licensed beds9,1819,176Skilled nursing facilities leased to unaffiliated third party operator55Assisted living facilitiesOwned2120Leased12Total assisted living facilities2222Total licensed beds1,2281,280Total facilities101101Percentage owned facilities77.2%76.2%  Skilled Healthcare Group, Inc.Reconciliation of Net Income to EBITDA, Adjusted EBITDA and Adjusted EBITDAR(In thousands)(Unaudited)Three Months Ended June 30,Six Months Ended June 30,2012201120122011Net income$3,497$10,384$9,834$22,045Interest expense, net of interest income10,3899,45419,80919,225Provision for income taxes2,3556,4676,39114,476Depreciation and amortization expense6,5916,43212,86612,577EBITDA22,83232,73748,90068,323Debt retirement costs3,958?3,958?Disposals of property and equipment?3?293Expenses related to the exploration of strategic alternatives?474?716Exit costs related to the Northern California divestiture?435?820Adjusted EBITDA26,79033,64952,85870,152Rent cost of revenue4,5394,5479,0959,117Adjusted EBITDAR$31,329$38,196$61,953$79,269  Skilled Healthcare Group, Inc.Reconciliation of Income Before Provision for Income Taxes to Adjusted Net Income (In thousands, except per share data)(Unaudited)Three Months Ended June 30,Six Months Ended June 30,2012201120122011Income from continuing operations$5,852$16,851$16,225$36,521Debt retirement costs3,958?3,958?Double bond interest expense for bond1,192?1,192?Disposals of property and equipment???290Expenses related to the exploration of strategic alternatives?474?716Exit costs related to the Northern California divestiture?435?820Adjusted income before provision for income taxes11,00217,76021,37538,347Provision for income taxes4,3906,8208,52915,185Add back tax credit valuation allowance related to Northern California divestiture???(388)Adjusted net income$6,612$10,940$12,846$23,550Weighted-average common shares outstanding, diluted37,49737,35437,48937,377Adjusted net income per share, diluted$0.18$0.29$0.34$0.63Effective tax rate39.9%38.4%39.9%39.6%  Skilled Healthcare Group, Inc.Reconciliation of Forecasted Net Income to Forecasted EBITDA and Forecasted EBITDARYear Ending December 31, 2012(In millions, except per share data)(Unaudited)OutlookLowHighNet income guidance$26.0$27.9Bond double interest expense (net of taxes)0.40.4Debt retirement costs (net of taxes)2.32.3Adjusted net income guidance28.730.6Interest expense net of bond double interest (A)36.536.2Provision for income taxes18.319.5Depreciation and amortization expense25.525.2Adjusted EBITDA guidance109.0111.5Rent cost of revenue19.018.7Adjusted EBITDAR guidance$128.0$130.2Adjusted diluted earnings per share$0.76$0.81Weighted-average common shares outstanding, diluted37.637.6     (A) We paid double interest expense due to the senior subordinated notes being outstanding for 30 days after we completed the $100.0 million expansion of our term loan. We were required to provide a 30 day redemption notice for the senior subordinated notes.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) 282-5800SOURCE Skilled Healthcare Group, Inc.