SOURCE: Extendicare Inc.

Extendicare Inc.

November 06, 2014 17:31 ET

Extendicare Announces 2014 Third Quarter Results

MARKHAM, ON--(Marketwired - November 06, 2014) - Extendicare Inc. ("Extendicare" or the "Company") (TSX: EXE) today reported results for the three and nine months ended September 30, 2014. Results are presented in Canadian dollars unless otherwise noted.

HIGHLIGHTS (variances exclude effect of foreign exchange)

  • Revenue of $536.2 million in Q3 2014 included an $11.7 million increase in same-facility operations over Q3 2013.
  • Adjusted EBITDA of $42.5 million in Q3 2014 declined by $1.5 million over Q3 2013, and by $3.3 million over Q2 2014, and included an increase in self-insured liabilities expense of $0.1 million over Q3 2013 and an increase of $3.7 million over Q2 2014.
  • AFFO was $17.3 million ($0.196 per basic share) in Q3 2014 compared to $20.4 million ($0.235 per basic share) in Q3 2013 and $15.5 million ($0.177 per basic share) in Q2 2014.
  • Results for Canadian operations include funding enhancements retroactive to April 1, 2014, for the Ontario nursing and program flow-through envelopes and to support home health care PSW base wage increases, and include increased home health care volumes of 8.6% over Q3 2013.
  • Dividends declared in the first nine months of 2014 totalled $31.6 million, representing approximately 58% of AFFO for the same period.
  • Declares November dividend of $0.04 per share.

PENNSYLVANIA LEASE TRANSACTION UPDATE
With respect to the previously announced intent to lease out our Pennsylvania operations to a third party, we have entered into leases and an operations transfer agreement to lease all 22 of our owned skilled nursing centers in the states of Pennsylvania (2,502 beds), Delaware (120 beds) and West Virginia (120 beds) to an experienced third-party long-term care operator. Under the agreement, the operating leases will have 15-year terms with two 5-year extensions at the option of the operator. The average annual lease revenue will be US$27.3 million, after taking into account lease incentives. The leases will not include options to purchase the associated real estate assets. The transfer of operations will be subject to third-party approvals, including state licensure. Leases on the first 10 centers are anticipated to close in January 2015, and the balance in the 2015 second quarter.

For the 2013 year, these 22 skilled nursing centers generated annualized revenue of US$265.2 million and Adjusted EBITDA of US$19.3 million that included an estimated US$18.7 million in provisions made for self-insured liabilities. For the first nine months of 2014, these operations generated revenue of US$199.3 million and Adjusted EBITDA of US$6.8 million that included an estimated US$20.9 million in self-insured liabilities expense. As a result of the estimated reduction in our self-insured liabilities expense attributable to these operations, this transaction is anticipated to improve our Adjusted EBITDA and AFFO. The estimated financial impact of the lease transaction on our results for the 2013 year is an improvement in Adjusted EBITDA of approximately US$4.9 million and an improvement in AFFO of approximately US$8.6 million. With respect to our results for the first nine months of 2014, the estimated financial impact is an improvement in Adjusted EBITDA of approximately US$11.2 million and an improvement in AFFO of approximately US$12.0 million.

SELF-INSURED LIABILITIES EXPENSE
The results of our independent actuarial review completed during the 2014 third quarter necessitated the continued strengthening of our reserves this quarter. Our expense in the 2014 third quarter was $15.4 million, or US$14.1 million, compared to US$10.7 million in the 2014 second quarter, and US$6.7 million in the 2014 first quarter, with the sequential increases primarily due to an increase in Pennsylvania based claims. Reserves for these claims represented approximately $22.9 million (US$20.9 million), or 66% of the total expense of $34.5 million (US$31.5 million) recorded in the first nine months of 2014. We did not experience any adverse development with respect to our former Kentucky operations in the first nine months of 2014. In comparison, our provision for the first nine months of 2013 was $33.4 million (US$32.6 million), and included approximately US$16.6 million related to our former Kentucky operations, and an estimated US$7.4 million related to our Pennsylvania operations.

STRATEGIC REVIEW UPDATE
As previously disclosed in May 2013, the board of directors of the Company (the "Board"), through its strategic committee (the "Strategic Committee"), continues to pursue a transaction involving the sale of the U.S. business (the "Strategic Review"). Details relating to the outcome of the Strategic Review will be disclosed when appropriate.

DEBT FINANCING
In September 2014, EHSI obtained a US$30.0 million non-recourse term loan (the "2014 PrivateBank Pennsylvania Loan") from The PrivateBank and Trust Company ("The PrivateBank"). In October 2014, the proceeds of this loan, together with available cash, were used to settle the previously announced U.S. government investigations of US$39.0 million.

The 2014 PrivateBank Pennsylvania Loan is secured by first mortgages on five skilled nursing centers in the state of Pennsylvania. The 2014 PrivateBank Pennsylvania Loan has a five-year term maturing in September 2019, with monthly principal and interest payments based on a 25-year amortization period and one-month LIBOR plus 450 basis points. EHSI has the option to prepay the outstanding balance of the loan in whole or in part subject to a prepayment fee of 4% of the outstanding loan balance during the first year of the agreement, 3% during the second year, 2% during the third and fourth years, 1% during the first half of the fifth year, and 0% thereafter. The 2014 PrivateBank Pennsylvania Loan contains customary covenants and events of default, including maintaining minimum rent coverage and debt service coverage ratios on each of the five centers and a minimum fixed charge coverage ratio with respect to the five centers on a consolidated basis.

ONTARIO LONG-TERM CARE AND HOME HEALTH CARE FUNDING UPDATES
In September 2014, the Ontario government provided the annual funding enhancements to the long-term care sector, the majority of which was retroactive to April 1, 2014. The April 1, 2014, funding increases to the nursing and program flow-through envelopes were 2%. These enhancements, along with our CMI adjustments, are estimated to provide additional revenue to us of approximately $3.7 million to offset additional costs for resident care and services within the nursing and program flow-through envelopes. In addition, the Ontario government provided funding enhancements for the accommodation envelope to increase the daily rates for food costs by $0.07 (0.9%), and the non flow-through component of the accommodation envelope by $0.36 (0.7%). We estimate that this enhanced funding will increase our annual revenue by approximately $0.8 million.

As previously announced, the 2014 budget of the Ontario government included wage rate increases for personal support workers (PSWs) in the publicly funded home and community care sector of $4.00 per hour over three years to a minimum of $16.50 per hour. In September 2014, PSWs received an hourly wage increase of $1.50 retroactive to April 1, 2014, and will receive an additional $1.50 on April 1, 2015, with a further $1.00 increase on April 1, 2016. The government has provided increased funding for the base wage increase and an additional 16% to cover incremental benefit costs. However, we estimate that our incremental benefit costs are approximately 22%, representing a shortfall of approximately $0.09 per hour on the initial $1.50 per hour increase, or $0.24 per hour over three years on the full $4.00 per hour increase. Based upon our current PSW service volumes through ParaMed Home Health Care Services, we estimate that the shortfall in funding will reduce our earnings by approximately $0.4 million in the first year, growing to a total of $1.0 million per annum in year three. We, along with others in the industry applaud the government's recognition of the need to improve wages for PSWs in home care. However, we share concerns over the adequacy of funding for associated incremental costs, and are currently engaged with the government to communicate those concerns. 

2014 THIRD QUARTER FINANCIAL REVIEW

               
               
TABLE 1 Q3    Q3    Q2  

(millions of dollars unless otherwise noted)
2014    2013    2014  
Revenue              
U.S. operations (US$) 308.9    309.0    310.8  
U.S. operations (C$) 336.4    321.0    338.8  
Canadian operations 199.8    187.6    192.8  
Total Revenue 536.2    508.6    531.6  
Adjusted EBITDA (1)              
U.S. operations (US$) 20.4    22.6    25.0  
U.S. operations (C$) 22.3    23.6    27.2  
Canadian operations 20.2    19.4    18.7  
Total Adjusted EBITDA 42.5    43.0    45.9  
Adjusted EBITDA margin 7.9 %  8.5 %  8.6 %
Average U.S./Canadian dollar exchange rate 1.0891    1.0385    1.0904  
(1) Refer to discussion of non-GAAP measures.              
  
  

2014 Third Quarter Comparison to 2013 Third Quarter
Consolidated revenue improved by $12.1 million this quarter, excluding a $15.5 million positive effect of a weaker Canadian dollar. The impact of the following 2013 events:  opening two new nursing centers in northern Ontario; discontinuing home health care operations in Alberta; classifying 11 U.S. skilled nursing centers in various states as held for sale; and closing a rehabilitation hospital in Michigan (collectively referred to as "non same-facility operations"), resulted in lower revenue of $0.4 million between periods. Revenue from our remaining operations (referred to as "same-facility operations") improved by $11.7 million, due primarily to improvements from our Canadian operations. 

Revenue from U.S. operations declined by US$0.1 million to US$308.9 million in the 2014 third quarter compared to US$309.0 million in the 2013 third quarter. Non same-facility operations generated revenue of US$15.0 million this quarter compared to US$15.6 million in the 2013 third quarter, for a net decline of US$0.6 million. Revenue from same-facility operations increased by US$0.5 million between periods, primarily due to higher nursing ancillary revenue of US$1.5 million and a net increase in average rates of US$0.7 million, partially offset by unfavourable prior period revenue settlement adjustments of US$0.7 million, and lower census mix of US$0.4 million and other revenue of US$0.6 million.

Revenue from Canadian operations grew by $12.2 million to $199.8 million in the 2014 third quarter from $187.6 million in the 2013 third quarter. For purposes of discussing the variances in our results, the operations of all six of our Sault Ste. Marie and Timmins area nursing centers, consisting of two new nursing centers that opened in 2013, three that were closed and one that was downsized, are classified as "non same-facility". In addition, we no longer provide home health care services in Alberta, and therefore, these operations have also been classified as "non same-facility". The non same-facility operations generated revenue of $9.8 million this quarter compared to $8.7 million in the 2013 third quarter, for a net increase of $1.1 million. Revenue from same-facility operations improved by $11.1 million between periods, approximately $2.7 million of which was retroactive funding for the Ontario flow-through envelopes and home health care wage increases related to the 2014 second quarter. Revenue from same-facility nursing and assisted living center operations increased by $3.4 million, primarily due to funding enhancements (approximately $0.9 million related to the 2014 second quarter). Revenue from the Ontario home health care operations increased by $6.9 million, approximately $3.6 million of which was enhanced funding to support increased PSW wages (approximately half related to the 2014 second quarter), and the balance of the improvement was primarily due to an 8.6% increase in daily volumes. Other revenue improved by $0.8 million, primarily due to additional centers under management.

Consolidated Adjusted EBITDA declined by $0.5 million this quarter to $42.5 million from $43.0 million in the 2013 third quarter, representing 7.9% and 8.5% of revenue, respectively. Excluding a $1.0 million positive effect of a weaker Canadian dollar, Adjusted EBITDA declined by $1.5 million, of which $2.5 million was from same-facility operations, partially offset by an improvement from non same-facility operations. The U.S. operations contributed $2.6 million to the decline in same-facility Adjusted EBITDA, partially offset by a $0.1 million improvement from the Canadian operations.

Adjusted EBITDA from U.S. operations declined by US$2.2 million to US$20.4 million this quarter from US$22.6 million in the 2013 third quarter, representing 6.6% and 7.3% of revenue, respectively. Adjusted EBITDA from non same-facility operations improved by US$0.4 million between quarters (breakeven this quarter compared to a loss of US$0.4 million in the same 2013 period). Adjusted EBITDA from same-facility operations decreased by US$2.6 million as a result of cost increases of US$3.1 million in excess of revenue improvements of US$0.5 million. Operating, administrative and lease costs from same-facility operations, adjusted to exclude the impact of property taxes accounted for under IFRIC 21, increased by US$3.1 million, and included a US$3.7 million increase in labour costs and a US$0.1 million increase in self-insured liabilities expense.

Adjusted EBITDA from Canadian operations improved by $0.8 million to $20.2 million this quarter from $19.4 million in the 2013 third quarter, representing 10.1% and 10.3% of revenue, respectively. Adjusted EBITDA from non same-facility operations improved by $0.7 million between periods ($1.2 million this quarter compared to $0.5 million in the same 2013 period). Adjusted EBITDA from same-facility operations improved by $0.1 million due to revenue improvements of $11.1 million, partially offset by increased costs of $11.0 million, of which $9.2 million were labour-related costs. The improvement in same-facility Adjusted EBITDA resulted primarily from improvements in home health care volumes, partially offset by higher administrative costs, which included a $0.3 million increase for share appreciation rights.

2014 Third Quarter Comparison to 2014 Second Quarter
In comparison to the 2014 second quarter, consolidated revenue this quarter improved by $5.0 million, excluding a $0.4 million negative effect of a stronger Canadian dollar. Same-facility operations contributed $4.4 million to the improvement in revenue. This improvement was primarily due to funding enhancements, the timing of recognition of funding in our Canadian operations, the extra day this quarter, and growth in home health care volumes, partially offset by lower U.S. census mix.

Consolidated Adjusted EBITDA was $42.5 million this quarter compared to $45.9 million in the 2014 second quarter, representing 7.9% and 8.6% of revenue, respectively. Excluding a $0.1 million negative effect of a weaker Canadian dollar, Adjusted EBITDA declined by $3.3 million between periods, of which $3.4 million was from same-facility operations. Improvements of $1.4 million from the Canadian operations were offset by a $4.8 million decline from the U.S. operations, largely due to an increase in self-insured liabilities expense and a decline in census mix.

Adjusted EBITDA from U.S. operations declined by US$4.6 million to US$20.4 million this quarter from US$25.0 million in the 2014 second quarter, representing 6.6% and 8.0% of revenue, respectively. A decline of US$4.4 million was realized from same-facility operations as a result of lower revenue of US$1.9 million and higher costs of US$2.5 million. Revenue this quarter was impacted by a decline in census mix of US$2.7 million and unfavourable prior period revenue settlement adjustments of US$2.4 million, partially offset by the impact of an extra day this quarter of US$2.9 million, and higher average rates of US$0.4 million. Operating, administrative and lease costs from same-facility operations, adjusted to exclude the impact of property taxes accounted for under IFRIC 21, increased by US$2.5 million between quarters, primarily due to a US$3.4 million increase in self-insured liabilities expense and other net cost increases of US$0.7 million, partially offset by a reduction in labour-related costs of US$1.6 million that included a favourable prior period workers' compensation refund of US$2.5 million this quarter.

Adjusted EBITDA from Canadian operations improved by $1.5 million to $20.2 million this quarter from $18.7 million in the 2014 second quarter, representing 10.1% and 9.7% of revenue, respectively. Same-facility operations contributed $1.4 million to the improvement resulting from higher revenue of $6.4 million, partially offset by higher costs of $5.0 million. This was primarily due to funding enhancements, timing of spending under the flow-through envelopes (approximately $0.4 million), the extra day in the quarter, and growth in home health care volumes of 0.6%.

2014 NINE MONTH FINANCIAL REVIEW

   
   
TABLE 2 Nine months
ended September 30
 

(millions of dollars unless otherwise noted)
2014  2013  
Revenue       
U.S. operations (US$) 929.5  927.4  
U.S. operations (C$) 1,017.0  949.2  
Canadian operations 579.0  555.9  
Total Revenue 1,596.0  1,505.1  
Adjusted EBITDA (1)       
U.S. operations (US$) 70.6  69.4  
U.S. operations (C$) 77.3  71.1  
Canadian operations 53.8  52.5  
Total Adjusted EBITDA 131.1  123.6  
Adjusted EBITDA margin 8.2 %8.2 %
Average U.S./Canadian dollar exchange rate 1.0942  1.0235  
(1) Refer to discussion of non-GAAP measures.       
  
  

Consolidated revenue in the first nine months of 2014 improved by $25.2 million, excluding a $65.7 million positive effect of the weaker Canadian dollar. Non same-facility operations contributed a decline in revenue of $2.6 million between periods. Revenue from same-facility operations grew by $27.8 million, with an improvement from the Canadian operations of $23.6 million, and the balance from the U.S. operations.

Consolidated Adjusted EBITDA improved by $2.5 million, excluding a $5.0 million positive effect of the weaker Canadian dollar, and was 8.2% of revenue in both periods. Non same-facility operations contributed $1.5 million to the improvement between periods. Adjusted EBITDA from same-facility operations increased by $1.0 million, with an improvement of $0.6 million from the U.S. operations, and the balance from the Canadian operations.

Adjusted EBITDA from U.S. operations improved by US$1.2 million to US$70.6 million in the first nine months of 2014 from US$69.4 million in the same 2013 period, representing 7.6% and 7.5% of revenue, respectively. Adjusted EBITDA from non same-facility operations improved by US$0.6 million (a loss of US$0.3 million in the first nine months of 2014 compared to a loss of US$0.9 million in the same 2013 period). Adjusted EBITDA from same-facility operations improved by US$0.6 million as a result of higher revenue of US$4.2 million, partially offset by cost increases of US$3.6 million. The increase in revenue was primarily due to an increase in average rates of US$10.3 million, higher nursing ancillary revenue of US$4.4 million, and favourable prior period revenue settlement adjustments of US$0.6 million, partially offset by lower census of US$9.0 million and other revenue of US$2.1 million. Costs from same-facility operations increased by US$3.6 million, primarily due to an increase in labour-related costs of US$6.4 million, partially offset by a reduction in self-insured liabilities expense of US$1.1 million, and other net cost reductions of US$1.7 million.

Adjusted EBITDA from Canadian operations improved by $1.3 million to $53.8 million in the first nine months of 2014 from $52.5 million in the same 2013 period, representing 9.3% and 9.4% of revenue, respectively. Non same-facility operations contributed Adjusted EBITDA of $2.8 million this period compared to $1.9 million in the first nine months of 2013, for a net improvement of $0.9 million between periods. Same-facility operations improved by $0.4 million, resulting from higher revenue of $23.6 million, partially offset by higher costs of $23.2 million. Revenue improvements resulted primarily from enhanced funding and an 8.0% increase in Ontario home health care volumes, while cost increases included higher labour-related costs of $20.4 million.

ADJUSTED FUNDS FROM OPERATIONS (AFFO)
AFFO was $17.3 million ($0.196 per basic share) in the 2014 third quarter compared to $20.4 million ($0.235 per basic share) in the 2013 third quarter, representing a decrease of $3.3 million, excluding a $0.2 million positive effect of a weaker Canadian dollar. This decline was primarily due to a reduction in Adjusted EBITDA of $1.5 million, an increase in current income taxes of $1.3 million and increased facility maintenance capital expenditures of $1.1 million, partially offset by lower interest costs, and an increase in government capital funding payments. Current income taxes for the 2014 third quarter were $5.2 million compared to $3.7 million in the 2013 third quarter, representing 24.5% and 17.7% of pre-tax funds from operations (FFO), respectively.

In comparison to the 2014 second quarter AFFO of $15.5 million ($0.177 per basic share), AFFO this quarter increased by $1.8 million. This improvement was primarily due to a reduction in current income taxes of $5.8 million and lower interest costs of $0.3 million, partially offset by a decline in Adjusted EBITDA of $3.3 million, and increased facility maintenance capital expenditures of $1.0 million. Current income taxes declined this quarter to $5.2 million from $11.0 million in the 2014 second quarter primarily due to withholding tax of $6.1 million (US$5.5 million) on the payment of a cross-border dividend from our U.S. operations in the 2014 second quarter.

For the first nine months of 2014, AFFO was $54.3 million ($0.619 per basic share), compared to $60.7 million ($0.701 per basic share) in the same 2013 period, representing a decline of $8.1 million, excluding a $1.7 million positive effect of a weaker Canadian dollar. This decline was primarily due to an increase in current income taxes of $10.3 million, increased facility maintenance capital expenditures of $0.7 million and higher interest costs of $0.1 million, partially offset by an improvement in Adjusted EBITDA of $2.5 million, and an increase in government capital funding payments of $0.5 million. Current income taxes for the first nine months of 2014 were $19.4 million compared to $8.0 million in the same 2013 period, representing 29.3% and 13.4% of pre-tax FFO, respectively. The increase in current income taxes was primarily due to withholding tax on cross-border dividends of $6.1 million incurred this period compared to $0.5 million in the first nine months of 2013.

The effective tax rates on our FFO can be impacted by: adjustments to our estimates of annual deferred timing differences, particularly when dealing with cash-based tax items versus accounting accruals; changes in the proportion of earnings between taxable and non-taxable entities; book-to-file adjustments for prior year filings; cross-border dividends; and the ability to utilize loss carryforwards. The restructuring of our Canadian legal entities in mid-2012 enhanced our ability to utilize available non-capital loss carryforwards. Our Canadian non-capital loss carryforwards were substantially utilized by the end of the 2014 first quarter and we incurred withholding tax of $6.1 million on the payment of a cross-border dividend in the 2014 second quarter. As a result, we anticipate that our annual effective tax rate on FFO for 2014 will increase over the 2013 level, to between 23% and 26%.

Facility maintenance capital expenditures were $6.9 million in the 2014 third quarter, compared to $5.5 million in the 2013 third quarter and $5.9 million in the 2014 second quarter, representing 1.3%, 1.1% and 1.1% of revenue, respectively. For the first nine months of 2014, facility maintenance capital expenditures totalled $17.5 million compared to $16.0 million in the same 2013 period, representing 1.1% of revenue in both periods. These costs fluctuate on a quarterly basis with the timing of projects and seasonality. It is our intention to spend between 1.5% and 2.0% of revenue annually, which is consistent with our objective to maintain and upgrade our centers. In 2014, we are expecting to spend in the range of $30 million to $35 million in facility maintenance capital expenditures and approximately $5 million in growth capital expenditures.

Dividends declared in the first nine months of 2014 totalled $31.6 million, or $0.360 per share, representing approximately 58% of AFFO of $54.3 million, or $0.619 per basic share, compared to a payout ratio of approximately 68% in the same 2013 period, when the dividends declared totalled $0.480 per share.

U.S. OPERATIONS KEY METRICS
Skilled Nursing Facility Revenue Rates
On October 1, 2014, the Medicare net market basket increased 2.0%, which we estimate will provide us with additional Medicare Part A and Managed Care revenue of approximately US$7.0 million per annum. 

For the 2014 third quarter, our average daily Medicare Part A rate, excluding prior period settlement adjustments, was US$473.95, representing an increase of 0.6% from US$471.20 in the 2013 third quarter, primarily due to the market basket increase on October 1, 2013, of 1.3%, partially offset by changes in acuity mix. In comparison to our average daily Medicare Part A rate of US$472.68 in the 2014 second quarter, our rate this quarter increased by 0.3%, primarily due to changes in acuity mix.

For the 2014 third quarter, our average daily Managed Care rate, excluding prior period settlement adjustments, was US$453.41, representing an increase of 1.0% from US$448.82 in the 2013 third quarter and an increase of 1.4% from US$447.10 in the 2014 second quarter, primarily due to changes in acuity mix.

Our average daily Medicaid rate, excluding prior period settlement adjustments, increased this quarter by 1.4% to US$202.48 from US$199.76 in the 2013 third quarter, and increased by 0.2% from US$202.15 in the 2014 second quarter.

Total and Skilled Census
Our same-facility ADC of 11,222 in the 2014 third quarter improved by 58 from the 2013 third quarter level of 11,164 due to higher Medicaid and Managed Care ADC of 133 and 27, respectively, partially offset by lower Medicare and private/other ADC of 79 and 23, respectively. In comparison to the 2014 second quarter, our same-facility ADC this quarter improved by seven, due to higher Medicaid ADC of 117 and slight increases in Managed Care and private/other, partially offset by lower Medicare ADC of 119. Our average same-facility occupancy was 85.3% this quarter compared to 82.8% in the 2013 third quarter. In comparison to the 2014 second quarter, our average percentage occupancy improved to 85.3% from 84.9%, primarily due to a removal of beds from service.

Our same-facility Skilled Mix ADC of 21.0% of our residents in the 2014 third quarter declined from 21.6% in the 2013 third quarter, and declined from 22.0% in the 2014 second quarter.

NOVEMBER 2014 DIVIDEND DECLARED
The Board of Directors of Extendicare today declared a cash dividend of $0.04 per share for the month of November 2014, which is payable on December 15, 2014, to shareholders of record at the close of business on November 28, 2014. This dividend is designated as an "eligible dividend" within the meaning of the Income Tax Act (Canada).

CONFERENCE CALL AND WEBCAST
On November 7, 2014, at 11:00 a.m. (ET), we will hold a conference call to discuss our 2014 third quarter results. The call will be webcast live and archived in the investors/presentations & webcasts section of our website at www.extendicare.com. Alternatively, the call-in number is 1-866-696-5910 or 416-340-2217, conference ID number 5060236#. A replay of the call will be available until midnight on November 21, 2014. To access the rebroadcast, dial 1-800-408-3053 or 905-694-9451, followed by the passcode 9562198#. Slides accompanying remarks during the call will be posted to our website as part of the live webcast. Also, a supplemental information package containing historical quarterly financial results and operating statistics can be found on the website under the investors/financial reports section.

ABOUT US
Extendicare is a leading North American provider of post-acute and long-term senior care services. Through our network of owned and operated health care centers, our qualified and experienced workforce of 35,900 individuals is dedicated to helping people live better through a commitment to quality service that includes skilled nursing care, rehabilitative therapies and home health care services. Our 259 senior care centers in North America have capacity to care for approximately 28,400 residents. 

Retrospective Adoption of IFRIC 21, Levies
Upon the adoption of IFRIC 21, Levies, effective January 1, 2014, the Company has reassessed the timing of when to accrue property taxes imposed by specific legislation in the jurisdictions where it owns property. The Company previously accrued for Canadian and U.S. property taxes evenly throughout the year. In accordance with IFRIC 21, the Company has determined that the liability to pay the U.S. property taxes should be recognized in full at a single point in time when the obligating event occurs. The obligating event for the U.S. properties has been determined to be January 1, as stated in the legislation. The Company's recognition of property taxes for its Canadian properties remains unchanged. The Company has retrospectively applied this change in accounting policy to January 1, 2013, and has restated its comparative interim periods for 2013 to reflect the recognition of the full amount of the annual U.S. property tax expense in the first quarter.

Non-GAAP Measures
Extendicare assesses and measures operating results and financial position based on performance measures referred to as "Adjusted EBITDA", "earnings (loss) before separately reported items", "Funds from Operations", and "Adjusted Funds from Operations". These are not measures recognized under GAAP and do not have standardized meanings prescribed by GAAP. These non-GAAP measures are presented in this document because either: (i) management believes that they are a relevant measure of the ability of Extendicare to make cash distributions; or (ii) certain ongoing rights and obligations of Extendicare may be calculated using these measures. Such non-GAAP measures may differ from similar computations as reported by other issuers and, accordingly, may not be comparable to similarly titled measures as reported by such issuers. They are not intended to replace earnings (loss) from continuing operations, net earnings (loss), cash flow, or other measures of financial performance and liquidity reported in accordance with GAAP. Reconciliations of these non-GAAP measures from net earnings and/or from net cash from operations, where applicable, are provided in this press release on the Non-GAAP Reconciliations page. Detailed descriptions of these terms can be found in the disclosure documents filed by Extendicare with the securities regulatory authorities, available at www.sedar.com and on Extendicare's website at www.extendicare.com.

Forward-looking Statements
Information provided by Extendicare from time to time, including this release, contains or may contain forward-looking statements concerning anticipated financial events, results, circumstances, economic performance or expectations with respect to Extendicare and its subsidiaries, including, without limitation, statements regarding its business operations, business strategy, and financial condition. Forward-looking statements can be identified because they generally contain the words "expect", "intend", "anticipate", "believe", "estimate", "project", "plan" or "objective" or other similar expressions or the negative thereof. Forward-looking statements reflect management's beliefs and assumptions and are based on information currently available, and Extendicare assumes no obligation to update or revise any forward-looking statement, except as required by applicable securities laws. These statements are not guarantees of future performance and involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of Extendicare to differ materially from those expressed or implied in the statements. Given these risks and uncertainties, readers are cautioned not to place undue reliance on Extendicare's forward-looking statements. Further information can be found in the disclosure documents filed by Extendicare with the securities regulatory authorities, available at www.sedar.com and on Extendicare's website at www.extendicare.com.

   
   
Extendicare Inc.  
Consolidated Statements of Earnings (Loss)  
   
(in thousands of Canadian dollars) Three months ended
September 30
 Nine months ended
September 30
 
  2014  2013  2014  2013  
Revenue             
Nursing and assisted living centers             
 United States 322,989  307,546  975,911  908,647  
 Canada 146,957  141,827  431,612  419,193  
Home health - Canada 49,590  43,262  138,014  129,370  
Health technology services - United States 5,569  5,601  17,075  16,854  
Outpatient therapy - United States 3,252  3,396  9,766  10,070  
Rent, management, consulting and other services 7,861  6,981  23,705  20,957  
Total revenue 536,218  508,613  1,596,083  1,505,091  
Operating expenses 471,112  444,170  1,408,530  1,326,991  
Administrative costs 17,126  16,270  50,712  48,815  
Lease costs 2,782  2,692  8,505  8,173  
Total expenses 491,020  463,132  1,467,747  1,383,979  
Earnings before depreciation, amortization, loss from asset impairment, disposals and other items            
45,198  45,481  128,336  121,112  
Depreciation and amortization 18,451  19,530  55,542  57,980  
Provision for U.S. government investigations -  -  42,240  -  
Loss from asset impairment, disposals and other items 12,947  578  16,067  1,306  
Earnings before net finance costs and income taxes 13,800  25,373  14,487  61,826  
Finance costs             
 Interest expense 15,965  16,016  48,578  47,462  
 Interest income (1,023 )(809 )(3,173 )(3,269 )
 Accretion costs 956  850  2,871  2,517  
 Fair value adjustments -  (342 )(296 )(2,996 )
 Loss on foreign exchange and financial instruments -  -  -  518  
Net finance costs 15,898  15,715  47,980  44,232  
Earnings (loss) before income taxes (2,098 )9,658  (33,493 )17,594  
Income tax expense (recovery)             
Current 7,865  4,771  5,796  6,897  
Deferred (3,952 )(721 )(11,328 )(855 )
  3,913  4,050  (5,532 )6,042  
Net earnings (loss) (6,011 )5,608  (27,961 )11,552  
              
Certain items have been restated for the adoption of the new standard, IFRIC 21 "Levies".  
  
  
 
 
Extendicare Inc.
Consolidated Statements of Financial Position
      
  September 30  December 31
(in thousands of Canadian dollars, unless otherwise noted) 2014  2013
Assets     
Current assets     
 Cash and short-term investments 127,459  95,999
 Restricted cash 11,585  18,668
 Accounts receivable, less allowance 209,634  210,795
 Income taxes recoverable 16,688  9,395
 Other current assets 64,203  61,893
 Total current assets 429,569  396,750
Non-current assets     
 Property and equipment, including construction-in-progress of $6,274 and $6,514, respectively 1,153,654  1,152,007
 Goodwill and other intangible assets 75,328  79,229
 Other assets 219,459  213,571
 Deferred tax assets 6,977  7,531
 Total non-current assets 1,455,418  1,452,338
Total Assets 1,884,987  1,849,088
Liabilities and Equity     
 Current liabilities     
 Accounts payable 26,971  31,031
 Accrued liabilities 247,207  215,521
 Accrual for self-insured liabilities 29,956  28,052
 Current portion of long-term debt 32,220  148,051
 Income taxes payable 16,186  10,111
 Total current liabilities 352,540  432,766
Non-current liabilities     
 Provisions 31,030  28,801
 Accrual for self-insured liabilities 95,293  87,257
 Long-term debt 1,167,515  1,016,785
 Other long-term liabilities 48,866  46,147
 Deferred tax liabilities 196,925  199,953
 Total non-current liabilities 1,539,629  1,378,943
Total liabilities 1,892,169  1,811,709
Shareholders' equity (deficiency) (7,182 )37,379
Total Liabilities and Equity 1,884,987  1,849,088
      
Closing U.S./Cdn. dollar exchange rate 1.1200  1.0636
      
Certain items have been restated for the adoption of the new standard, IFRIC 21 "Levies".
 
 
   
   
Extendicare Inc.  
Consolidated Statements of Cash Flows  
   
(in thousands of Canadian dollars) Three months ended
September 30
 Nine months ended
September 30
 
  2014  2013  2014  2013  
Operating Activities             
Net earnings (loss) (6,011 )5,608  (27,961 )11,552  
Adjustments for:             
 Depreciation and amortization 18,451  19,530  55,542  57,980  
 Provision for self-insured liabilities 15,368  14,467  34,491  33,352  
 Payments for self-insured liabilities (14,791 )(12,848 )(31,853 )(37,113 )
 Deferred taxes (3,952 )(721 )(11,328 )(855 )
 Current taxes 7,865  4,771  5,796  6,897  
 Loss from asset impairment, disposals and other items 12,947  578  16,067  1,306  
 Net finance costs 15,898  15,715  47,980  44,232  
 Interest capitalized -  (351 )-  (1,173 )
 Other -  (3 )-  (333 )
  45,775  46,746  88,734  115,845  
Net change in operating assets and liabilities             
 Accounts receivable (7,540 )5,266  14,914  28,178  
 Other current assets 2,138  4,592  (2,046 )1,636  
 Provision for U.S. government investigations -  -  42,240  -  
 Accounts payable and accrued liabilities (12,576 )(10,605 )(23,579 )(21,869 )
  27,797  45,999  120,263  123,790  
Interest paid (17,458 )(15,601 )(47,884 )(44,754 )
Interest received 1,024  802  3,158  3,270  
Income taxes paid (128 )(3,600 )(6,823 )(8,814 )
Net cash from operating activities 11,235  27,600  68,714  73,492  
Investing Activities             
Purchase of property, equipment and software (7,549 )(8,862 )(20,058 )(42,960 )
Net proceeds from dispositions 1,912  1,164  1,912  1,164  
Decrease (increase) in investments held for self-insured liabilities 5,437  6,524  (5,338 )11,507  
Other assets 721  265  5,355  (141 )
Net cash from investing activities 521  (909 )(18,129 )(30,430 )
Financing Activities             
Issue of long-term debt, excluding line of credit 32,894  31,229  142,574  87,474  
Repayment of long-term debt, excluding line of credit (8,455 )(22,426 )(138,495 )(72,404 )
Repayment on line of credit -  (5,118 )(2,303 )(5,118 )
Decrease in restricted cash 3,834  12,886  7,083  16,863  
Dividends paid (8,913 )(9,180 )(26,651 )(36,653 )
Financing costs (1,529 )(128 )(4,701 )(1,949 )
Other -  (26 )-  40  
Net cash from financing activities 17,831  7,237  (22,493 )(11,747 )
              
Increase in cash and cash equivalents 29,587  33,928  28,092  31,315  
Cash and cash equivalents at beginning of period 94,289  70,943  95,999  71,398  
Foreign exchange gain (loss) on cash held in foreign currency 3,583  (739 )3,368  1,419  
Cash and cash equivalents at end of period 127,459  104,132  127,459  104,132  
              
Certain items have been restated for the adoption of the new standard, IFRIC 21 "Levies".     
  
  
   
   
Extendicare Inc.  
Financial and Operating Statistics  
   
(amounts in Canadian dollars, unless otherwise noted) Three months ended
September 30
  Nine months ended
S
eptember 30
 
  2014   2013   2014   2013  
U.S. Skilled Nursing Center Statistics                    
 Percent of Revenue by Payor Source (same-facility basis, excluding prior period settlement adjustments)                    
 Medicare (Parts A and B)  27.8 %  29.0 %  29.2 %  30.3 %
 Managed Care  11.2    10.8    11.3    10.8  
 Skilled mix  39.0    39.8    40.5    41.1  
 Private/other  9.6    9.5    9.3    9.3  
 Quality mix  48.6    49.3    49.8    50.4  
 Medicaid  51.4    50.7    50.2    49.6  
   100.0    100.0    100.0    100.0  
 Average Daily Census by Payor Source (same-facility basis)                    
 Medicare  1,607    1,686    1,713    1,815  
 Managed Care  749    722    772    745  
 Skilled mix  2,356    2,408    2,485    2,560  
 Private/other  1,173    1,196    1,166    1,179  
 Quality mix  3,529    3,604    3,651    3,739  
 Medicaid  7,693    7,560    7,615    7,581  
   11,222    11,164    11,266    11,320  
 Average Revenue per Resident Day by Payor Source (excluding                    
 prior period settlement adjustments) (US$)                    
 Medicare Part A only $473.95   $471.20   $472.16   $470.66  
 Medicare (Parts A and B)  527.78    517.06    526.69    512.74  
 Managed Care  453.41    448.82    448.88    442.69  
 Private/other  246.83    241.26    245.51    243.49  
 Medicaid  202.48    199.76    201.84    198.48  
 Weighted average  269.27    267.29    271.60    268.75  
Average Occupancy (excluding managed centers) (same-facility basis)                   
U.S. skilled nursing centers  85.3 %  82.8 %  85.0 %  83.9 %
U.S. assisted living centers  73.9    78.6    74.1    78.7  
Canadian centers  98.1    98.0    97.8    97.7  
Average U.S./Cdn. dollar exchange rate  1.0891    1.0385    1.0942    1.0235  
             
             
   
   
Extendicare Inc.  
Supplemental Information - FFO and AFFO  
   
The following table provides a reconciliation of Adjusted EBITDA to Funds from Operations (FFO) and Adjusted Funds from Operations (AFFO) for the periods ended September 30, 2014 and 2013.(1)  
 
   
(in thousands of Canadian dollars unless otherwise noted) Three months ended
September 30
 Nine months ended
September 30
 
  2014  2013  2014  2013  
Adjusted EBITDA from continuing operations 42,452  42,992  131,070  123,590  
Depreciation for furniture, fixtures, equipment and computers (5,467 )(5,510 )(16,525 )(16,611 )
Accretion costs (956 )(850 )(2,871 )(2,517 )
Interest expense, net (14,942 )(15,207 )(45,405 )(44,193 )
  21,087  21,425  66,269  60,269  
Current income tax expense (recovery)(2) (5,170 )(3,786 )(19,392 )(8,048 )
FFO 15,917  17,639  46,877  52,221  
Amortization of financing costs 1,745  1,894  5,388  5,406  
Principal portion of government capital funding payments 1,008  869  3,027  2,449  
Additional maintenance capital expenditures(3) (1,398 )(22 )(1,017 )627  
AFFO 17,272  20,380  54,275  60,703  
Per Basic Share ($)             
FFO 0.181  0.203  0.535  0.603  
AFFO 0.196  0.235  0.619  0.701  
Per Diluted Share ($)             
FFO 0.179  0.197  0.533  0.588  
AFFO 0.185  0.217  0.595  0.660  
Distributions declared 10,547  10,435  31,558  41,561  
Distributions declared per share ($) 0.1200  0.1200  0.3600  0.4800  
Basic weighted average number of shares (thousands) 87,854  86,922  87,624  86,603  
Diluted weighted average number of shares (thousands) 99,099  103,892  102,035  103,573  
(1) "Adjusted EBITDA", "funds from operations" and "adjusted funds from operations" are not recognized measures under GAAP and do not have a standardized meaning prescribed by GAAP. Refer to the discussion of non-GAAP measures.  
(2) Excludes current tax with respect to the property taxes accounted for under IFRIC 21, provision for U.S. government investigations, loss (gain) from derivative financial instruments, foreign exchange, asset impairment, disposals and other items that are excluded from the computation of AFFO.  
(3) Represents total facility maintenance capital expenditures less depreciation for furniture, fixtures, equipment and computers already deducted in determining FFO.  
   
   
        
(in thousands of Canadian dollars unless otherwise noted) Three months ended
September 30
 Nine months ended
September 30
 
  2014  2013  2014  2013  
Purchase of Property, Equipment and Software             
Growth expenditures 684  3,681  2,516  28,149  
Facility maintenance 6,865  5,532  17,542  15,984  
Deduct: capitalized interest -  (351 )-  (1,173 )
  7,549  8,862  20,058  42,960  
Segmented Adjusted Funds from Operations             
United States (US$) 6,549  8,678  24,410  30,098  
United States (C$) 7,121  9,045  26,709  30,806  
Canada 10,151  11,335  27,566  29,897  
  17,272  20,380  54,275  60,703  
         
         
Extendicare Inc.  
Non-GAAP Reconciliations  
               
               
(in thousands of Canadian dollars unless otherwise noted) Three months ended
September 30
 Nine months ended
September 30
 
  2014  2013  2014   2013  
               
Reconciliation of Cash Provided by Operating Activities to AFFO:              
 Net cash from operating activities 11,235  27,600  68,714   73,492  
 Add (Deduct):              
 Net change in operating assets and liabilities, including interest and taxes 12,522  563  (28,664 ) (4,675 )
 Current income taxes on items excluded from AFFO(1) 2,695  985  (13,596 ) (1,151 )
 Net provisions and payments for self-insured liabilities (577 )(1,619 )(2,638 ) 3,761  
 Depreciation for furniture, fixtures, equipment and computers (5,467 )(5,510 )(16,525 ) (16,611 )
 Principal portion of government capital funding payments 1,008  869  3,027   2,449  
 Additional maintenance capital expenditures (1,398 )(22 )(1,017 ) 627  
 Provision for U.S. government investigations -  -  42,240   -  
 Property taxes accounted for under IFRIC 21 (2,746 )(2,489 )2,734   2,478  
 Other -  3  -   333  
 AFFO(2) 17,272  20,380  54,275   60,703  
               
Reconciliation of Earnings (Loss) before Income Taxes to Adjusted EBITDA:             
 Earnings (loss) before income taxes (2,098 )9,658  (33,493 ) 17,594  
 Add (Deduct):              
 Property taxes accounted for under IFRIC 21 (2,746 )(2,489 )2,734   2,478  
 Depreciation and amortization 18,451  19,530  55,542   57,980  
 Net finance costs 15,898  15,715  47,980   44,232  
 Loss from asset impairment, disposals and other items 12,947  578  16,067   1,306  
 Provision for U.S. government investigations -  -  42,240   -  
 Adjusted EBITDA(2) 42,452  42,992  131,070   123,590  
               
Reconciliation of Net Earnings (Loss) to Earnings before Separately Reported Items:            
 Net earnings (loss) (6,011 )5,608  (27,961 ) 11,552  
 Add (deduct):              
 Fair value adjustment on convertible debentures, net of tax -  (342 )(296 ) (2,996 )
 Loss on foreign exchange and financial instruments, net of tax -  -  -   518  
 Loss from asset impairment, disposals and other items, net of tax 10,196  1,155  12,437   1,655  
 Provision for U.S. government investigations, net of tax 777  -  29,723   -  
 Earnings before separately reported items(2) 4,962  6,421  13,903   10,729  
               
(1) Represents current income tax with respect to the property taxes accounted for under IFRIC 21, provision for U.S. government investigations, gains or losses from derivative financial instruments, foreign exchange, asset impairment, disposals and other items that are excluded from the computation of AFFO.  
(2) Refer to discussion of non-GAAP measures.  
  
  

Contact Information

  • For further information, contact:
    Dylan Mann
    Senior Vice President and Chief Financial Officer
    Phone: (414) 908-8623
    Fax: (905) 470-4003
    Email: dmann@extendicare.com 
    Visit Extendicare's Website at www.extendicare.com