UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

FORM 10-Q

 

x

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended March 31, 2008

 

OR

 

o

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934

 

Commission File Number 001-16817

 

FIVE STAR QUALITY CARE, INC.

(Exact Name of Registrant as Specified in Its Charter)

 

Maryland

 

04-3516029

(State or Other Jurisdiction of Incorporation or
Organization)

 

(IRS Employer Identification No.)

 

400 Centre Street, Newton, Massachusetts 02458

(Address of Principal Executive Offices) (Zip Code)

 

617-796-8387

(Registrant’s Telephone Number, Including Area Code)

 

Indicate by check mark whether the registrant:  (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.                                                  Yes x  No o

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer, or a smaller reporting company.  See the definitions of “large accelerated filed”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.  (Check one):

 

Large accelerated filer o

 

Accelerated filer x

 

 

 

Non-accelerated filer o

 

Smaller reporting company o

(Do not check if a smaller reporting company)

 

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).          Yes o  No x

 

Number of registrants’ shares of common stock, $0.01 par value outstanding as of May 7, 2008: 31,818,144.

 

 



 

FIVE STAR QUALITY CARE, INC.

 

FORM 10-Q

 

March 31, 2008

 

INDEX

 

 

 

Page

PART I

Financial Information

 

 

 

 

Item 1.

Consolidated Financial Statements (unaudited)

 

 

 

 

 

Consolidated Balance Sheet – March 31, 2008 and December 31, 2007

1

 

 

 

 

Consolidated Statement of Income – Three Months Ended March 31, 2008 and 2007

2

 

 

 

 

Consolidated Statement of Cash Flows – Three Months Ended March 31, 2008 and 2007

3

 

 

 

 

Notes to Consolidated Financial Statements

4

 

 

 

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

14

 

 

 

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

19

 

 

 

Item 4.

Controls and Procedures

20

 

 

 

 

Warning Concerning Forward Looking Statements

21

 

 

 

PART II

Other Information

 

 

 

 

Item 6.

Exhibits

22

 

 

 

 

Signatures

23

 

As used herein the terms “we”, “us”, “our” and “Five Star” include Five Star Quality Care, Inc. and its consolidated subsidiaries unless otherwise expressly stated or the context otherwise requires.

 



 

Part I.     Financial Information

 

Item 1.  Consolidated Financial Statements

 

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED BALANCE SHEET

(in thousands, except share data)

(unaudited)

 

 

 

March 31,
2008

 

December 31,
2007

 

ASSETS

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

52,029

 

$

30,999

 

Accounts receivable, net of allowance of $5,305 and $4,836 at March 31, 2008 and December 31, 2007, respectively

 

61,056

 

58,803

 

Prepaid expenses

 

5,096

 

9,041

 

Investment securities:

 

 

 

 

 

Investments in trading securities

 

 

61,800

 

Investments in available for sale securities

 

7,756

 

7,455

 

Restricted cash

 

6,382

 

3,655

 

Restricted investments

 

4,037

 

3,946

 

Other current assets

 

7,661

 

7,140

 

Assets of discontinued operations

 

2,297

 

3,178

 

Total current assets

 

146,314

 

186,017

 

 

 

 

 

 

 

Property and equipment, net

 

127,505

 

131,705

 

Investments in trading securities

 

71,580

 

 

Restricted cash

 

2,788

 

2,568

 

Restricted investments

 

10,790

 

10,375

 

Goodwill and other intangible assets

 

22,595

 

21,877

 

Other long term assets

 

4,898

 

7,912

 

 

 

$

386,470

 

$

360,454

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

27,771

 

$

19,135

 

Accrued expenses

 

19,448

 

15,222

 

Accrued compensation and benefits

 

35,616

 

30,103

 

Due to Senior Housing Properties Trust (“Senior Housing”)

 

14,670

 

11,242

 

Mortgage notes payable

 

184

 

200

 

Accrued real estate taxes

 

5,384

 

7,352

 

Security deposit liability

 

13,291

 

13,361

 

Other current liabilities

 

8,346

 

7,229

 

Liabilities of discontinued operations

 

270

 

219

 

Total current liabilities

 

124,980

 

104,063

 

 

 

 

 

 

 

Long term liabilities:

 

 

 

 

 

Mortgage notes payable

 

15,768

 

15,810

 

Convertible senior notes

 

126,500

 

126,500

 

Continuing care contracts

 

3,237

 

3,159

 

Other long term liabilities

 

26,705

 

24,100

 

Total long term liabilities

 

172,210

 

169,569

 

Commitments and contingencies

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Preferred stock, par value $0.01: 1,000,000 shares authorized, none issued

 

 

 

Common stock, par value $0.01: 50,000,000 shares authorized, 31,818,144 shares issued and outstanding at March 31, 2008 and December 31, 2007

 

318

 

318

 

Additional paid-in capital

 

286,735

 

286,734

 

Accumulated deficit

 

(194,492

)

(196,109

)

Unrealized loss on investments

 

(3,281

)

(4,121

)

Total shareholders’ equity

 

89,280

 

86,822

 

 

 

$

386,470

 

$

360,454

 

 

See accompanying notes.

 

1



 

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF INCOME

(in thousands, except per share amounts)

(unaudited)

 

 

 

Three months ended March 31,

 

 

 

2008

 

2007

 

 

 

 

 

 

 

Revenues:

 

 

 

 

 

Senior living revenue

 

$

216,927

 

$

197,222

 

Hospital revenue

 

24,744

 

26,129

 

Pharmacy revenue

 

17,206

 

13,835

 

Total revenues

 

258,877

 

237,186

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

Senior living wages and benefits

 

109,094

 

102,092

 

Other senior living operating expenses

 

53,421

 

49,910

 

Hospital expenses

 

22,592

 

23,624

 

Pharmacy expenses

 

16,203

 

13,591

 

Rent expense

 

35,444

 

32,171

 

General and administrative

 

11,133

 

10,059

 

Depreciation and amortization

 

3,635

 

3,151

 

Total operating expenses

 

251,522

 

234,598

 

 

 

 

 

 

 

Operating income

 

7,355

 

2,588

 

Interest and other income

 

2,494

 

1,420

 

Interest expense

 

(1,594

)

(1,778

)

Unrealized loss on investments in trading securities

 

(3,270

)

 

Gain on extinguishment of debt

 

 

3,557

 

 

 

 

 

 

 

Income from continuing operations before income taxes

 

4,985

 

5,787

 

Provision for income taxes

 

566

 

208

 

Income from continuing operations

 

4,419

 

5,579

 

 

 

 

 

 

 

Loss from discontinued operations

 

(2,802

)

(815

)

 

 

 

 

 

 

Net income

 

$

1,617

 

$

4,764

 

 

 

 

 

 

 

Weighted average shares outstanding - basic

 

31,818

 

31,684

 

 

 

 

 

 

 

Weighted average shares outstanding - diluted

 

41,549

 

41,415

 

 

 

 

 

 

 

Basic income per share from:

 

 

 

 

 

Continuing operations

 

$

0.14

 

$

0.18

 

Discontinued operations

 

(0.09

)

(0.03

)

Net income per share

 

$

0.05

 

$

0.15

 

 

 

 

 

 

 

Diluted income per share from:

 

 

 

 

 

Continuing operations

 

$

0.14

 

$

0.17

 

Discontinued operations

 

(0.07

)

(0.02

)

Net income per share

 

$

0.07

 

$

0.15

 

 

See accompanying notes.

 

2



 

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

 

Three months ended March 31,

 

 

 

2008

 

2007

 

 

 

 

 

 

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

Net income

 

$

1,617

 

$

4,764

 

Adjustments to reconcile net income to cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

3,635

 

3,151

 

Gain on extinguishment of debt

 

 

(3,557

)

Loss from discontinued operations

 

2,802

 

815

 

Unrealized loss on investments in trading securities

 

3,270

 

 

Provision for losses on receivables, net

 

469

 

1,193

 

Changes in assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(2,431

)

6,388

 

Prepaid expenses and other assets

 

6,710

 

7,311

 

Investment securities

 

(13,351

)

9,675

 

Accounts payable and accrued expenses

 

9,565

 

(4,991

)

Accrued compensation and benefits

 

5,513

 

7,406

 

Due to Senior Housing

 

3,428

 

384

 

Other current and long term liabilities

 

462

 

113

 

Cash provided by operating activities

 

21,689

 

32,652

 

 

 

 

 

 

 

Net cash used in discontinued operations

 

(58

)

(787

)

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

Deposits into restricted cash and investment accounts, net

 

(2,612

)

(933

)

Acquisition of property and equipment

 

(17,687

)

(17,745

)

Assumption of senior living communities, net of cash acquired

 

3,204

 

 

Proceeds from disposition of property and equipment held for sale

 

16,552

 

9,645

 

Cash used in investing activities

 

(543

)

(9,033

)

 

 

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

 

 

Repayments of mortgage note payable

 

(58

)

(22,887

)

Cash used in financing activities

 

(58

)

(22,887

)

 

 

 

 

 

 

Change in cash and cash equivalents

 

21,030

 

(55

)

Cash and cash equivalents at beginning of period

 

30,999

 

46,241

 

Cash and cash equivalents at end of period

 

$

52,029

 

$

46,186

 

 

 

 

 

 

 

SUPPLEMENTAL CASH FLOW INFORMATION:

 

 

 

 

 

Cash paid for interest

 

$

249

 

$

715

 

 

 

 

 

 

 

NON-CASH INVESTING AND FINANCING ACTIVITIES:

 

 

 

 

 

Issuance of common stock

 

 

24

 

 

See accompanying notes.

 

3



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Note 1.  Basis of Presentation and Organization

 

Certain information and disclosures required by generally accepted accounting principles for complete financial statements have been condensed or omitted.  We believe the disclosures made are adequate to make the information presented not misleading.  However, the accompanying financial statements should be read in conjunction with the financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2007.  In the opinion of our management, all adjustments, which include only normal recurring adjustments considered necessary for a fair presentation, have been included.  All material intercompany transactions and balances have been eliminated.  Our operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.

 

As of March 31, 2008, we operated 183 senior living communities with 19,666 living units, including 134 primarily independent and assisted living communities with 15,254 living units and 49 nursing homes with 4,412 living units.  Of our 134 primarily independent and assisted living communities, we leased 117 communities with 13,994 living units from Senior Housing, our former parent, and we owned or leased from parties other than Senior Housing 17 communities with 1,260 living units.  We leased 47 of our 49 nursing homes from Senior Housing.  Our 183 communities included 5,605 independent living apartments, 7,846 assisted living suites and 6,215 skilled nursing units.  As of March 31, 2008, we also operated five institutional pharmacies, and two rehabilitation hospitals that we leased from Senior Housing.  Our two rehabilitation hospitals had 321 beds available for inpatient services, three satellite locations, and 19 affiliated outpatient clinics.

 

Note 2. New Accounting Pronouncements

 

In September 2006, the Financial Accounting Standards Board, or FASB, issued Statement of Financial Accounting Standards No. 157, “Fair Value Measurement”, or SFAS No. 157, which defines fair value, establishes a framework for measuring fair value, and expands disclosures about fair value measurement.  This statement is effective for financial statements issued for fiscal years beginning after November 15, 2007, and interim periods within those fiscal years.  The adoption of this standard did not have a material impact on our financial position, operations or cash flow.

 

In December 2007, the FASB issued Statement of Financial Accounting Standards No. 141 (revised 2007), “Business Combinations”, or SFAS No. 141(R).  SFAS No. 141(R) establishes principles and requirements for how the acquirer shall recognize and measure in its financial statements the identifiable assets acquired, liabilities assumed, any noncontrolling interest in the acquiree and goodwill acquired in a business combination.  SFAS No. 141(R) is effective for fiscal years beginning after December 15, 2008.  We are currently evaluating the effect that the adoption of SFAS No. 141(R) will have on our consolidated financial statements.

 

Note 3. Property and Equipment

 

Property and equipment, at cost, consists of:

 

 

 

March 31,
2008

 

December 31,
2007

 

Land

 

$

7,519

 

$

7,196

 

Buildings and improvements

 

97,610

 

99,945

 

Furniture, fixtures and equipment

 

56,917

 

55,660

 

 

 

162,046

 

162,801

 

Accumulated depreciation

 

(34,541

)

(31,096

)

 

 

$

127,505

 

$

131,705

 

 

As of March 31, 2008 and December 31, 2007, we had assets classified as held for sale of $23,668 and $25,222, respectively, included in our property and equipment that we intend to sell to Senior Housing as permitted by our leases.

 

4



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Note 4.  Comprehensive Income

 

Comprehensive income for the three months ended March 31, 2008 and 2007 is summarized below:

 

 

 

Three months ended March 31,

 

 

 

2008

 

2007

 

Net income

 

$

1,617

 

$

4,764

 

Unrealized gain (loss) on investments

 

840

 

(43

)

Net comprehensive income

 

$

2,457

 

$

4,721

 

 

Note 5.  Financial Data By Segment

 

Our reportable segments consist of our senior living community business and our rehabilitation hospital business.  In the senior living community segment, we operate independent living and congregate care communities, assisted living communities and nursing homes.  Our rehabilitation hospital segment provides inpatient medical rehabilitation services at two hospital locations and three satellite locations and outpatient medical rehabilitation services at 19 affiliated outpatient clinics.  We do not consider our pharmacy operations to be a material, separately reportable segment of our business but we report our pharmacy revenues and expense as separate items within our corporate and other activities.  All of our operations and assets are located in the United States.

 

We use segment operating profit as an important measure to evaluate performance and for decision making purposes.  Segment operating profit excludes interest and other income, interest expense and certain corporate expenses.

 

Our revenues by segment and a reconciliation of segment operating profit to income from continuing operations before income taxes for the quarter ended March 31, 2008 and 2007 are as follows:

 

 

 

Senior Living
Communities

 

Rehabilitation
Hospitals

 

Corporate
and Other (1)

 

Total

 

Three months ended March 31, 2008

 

 

 

 

 

 

 

 

 

Revenues

 

$

216,927

 

$

24,744

 

$

17,206

 

$

258,877

 

Segment expenses:

 

 

 

 

 

 

 

 

 

Operating expenses

 

162,515

 

22,592

 

16,203

 

201,310

 

Rent expense

 

32,794

 

2,650

 

 

35,444

 

Depreciation and amortization

 

2,440

 

308

 

887

 

3,635

 

Total segment expenses

 

197,749

 

25,550

 

17,090

 

240,389

 

 

 

 

 

 

 

 

 

 

 

Segment operating profit (loss)

 

19,178

 

(806

)

116

 

18,488

 

General and administrative expenses (2)

 

 

 

(11,133

)

(11,133

)

Operating income (loss)

 

19,178

 

(806

)

(11,017

)

7,355

 

Interest and other income

 

1,283

 

 

1,211

 

2,494

 

Interest expense

 

(306

)

 

(1,288

)

(1,594

)

Unrealized loss on investments in trading securities

 

 

 

(3,270

)

(3,270

)

Provision for income taxes

 

 

 

(566

)

(566

)

Income (loss) from continuing operations

 

$

20,155

 

$

(806

)

$

(14,930

)

$

4,419

 

 

 

 

 

 

 

 

 

 

 

Total Assets as of March 31, 2008

 

$

254,556

 

$

20,821

 

$

111,093

 

$

386,470

 

 

 

 

 

 

 

 

 

 

 

Three months ended March 31, 2007

 

 

 

 

 

 

 

 

 

Revenues

 

$

197,222

 

$

26,129

 

$

13,835

 

$

237,186

 

Segment expenses:

 

 

 

 

 

 

 

 

 

Operating expenses

 

152,002

 

23,624

 

13,591

 

189,217

 

Rent expense

 

29,609

 

2,562

 

 

32,171

 

Depreciation and amortization

 

2,231

 

216

 

704

 

3,151

 

Total segment expenses

 

183,842

 

26,402

 

14,295

 

224,539

 

 

 

 

 

 

 

 

 

 

 

Segment operating profit

 

13,380

 

(273

)

(460

)

12,647

 

General and administrative expenses (2)

 

 

 

(10,059

)

(10,059

)

Operating income (loss)

 

13,380

 

(273

)

(10,519

)

2,588

 

Interest and other income

 

355

 

 

1,065

 

1,420

 

Interest expense

 

(537

)

 

(1,241

)

(1,778

)

Gain on extinguishment of debt

 

3,557

 

 

 

3,557

 

Provision for income taxes

 

 

 

(208

)

(208

)

Income (loss) from continuing operations

 

$

16,755

 

$

(273

)

$

(10,903

)

$

5,579

 

 

 

 

 

 

 

 

 

 

 

Total Assets as of March 31, 2007

 

$

261,176

 

$

18,977

 

$

67,471

 

$

347,624

 

 

5



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 


 (1) Corporate and Other includes operations that we do not consider a significant, separately reportable segments of our business and income and expenses that are not attributable to a specific segment.

 

 (2) General and administrative expenses are not attributable to a specific segment and include items such as corporate payroll and benefits and outside service expenses affecting home activities.

 

Note 6.  Income Taxes

 

Because we have historically reported losses we do not currently recognize the benefit of all of our deferred tax assets, including tax loss carry forwards that may be used to offset future taxable income.  We will, however, continue to assess our ability to generate sufficient taxable income during future periods in which our deferred tax assets may be realized.  When we believe that we will more likely than not recover our deferred tax assets, we will record deferred tax assets as an income tax benefit in the consolidated statement of income, which will affect our results of operations.  At December 31, 2007, our net operating loss carry forwards, totaling approximately $182,800, will begin to expire in 2023 if unused.

 

For the quarter ended March 31, 2008, we recognized tax expenses of $566, which includes $506 of alternative minimum taxes and certain state taxes that are payable without regard to our tax loss carry forwards. Tax expense also includes $60 related to a non cash deferred tax liability arising from the amortization of goodwill for tax purposes but not for book purposes. We may recognize this deferred tax liability as a reduction in the income tax provision if, in some future period, we expense the related items of goodwill for book purposes as the result of its sale, other disposition or impairment.

 

Note 7.  Earnings Per Share

 

Basic earnings per share for the periods ended March 31, 2008 and 2007 are computed using the weighted average number of shares outstanding during those periods.  Diluted earnings per share for the period ended March 31, 2008 reflect additional common shares that would have been outstanding if dilutive potential common shares had been issued, as well as any adjustment to income applicable to common shareholders that would result from the assumed issuance upon conversion of our 3.75% convertible senior notes, or the Notes (See Note 10).  The effect of conversion of our Notes on loss from discontinued operations per share is anti-dilutive for the three months ended March 31, 2008 and March 31, 2007.

 

The following table provides a reconciliation of both net income and the number of common shares used in the computations of diluted earnings per share:

 

 

 

Three Months Ended March 31,

 

 

 

2008

 

2007

 

 

 

Income

 

Shares

 

Per Share

 

Income

 

Shares

 

Per Share

 

Income from continuing operations

 

$

4,419

 

31,818

 

$

0.14

 

$

5,579

 

31,684

 

$

0.18

 

Conversion of the Notes

 

1,239

 

9,731

 

 

 

1,241

 

9,731

 

 

 

Diluted earnings from continuing operations

 

5,658

 

41,549

 

$

0.14

 

6,820

 

41,415

 

$

0.17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted loss from discontinued operations

 

$

(2,802

)

41,549

 

$

(0.07

)

$

(815

)

41,415

 

$

(0.02

)

 

6



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Note 8. Fair Values of Assets and Liabilities

 

As required, we adopted SFAS 157 effective January 1, 2008 for assets and liabilities we measure on a recurring basis.  Although the adoption of SFAS 157 did not materially impact our financial condition, results of operations, or cash flow, we are now required to provide additional disclosures as part of our financial statements.  We measure fair value at the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.  SFAS 157 prioritizes the assumptions that market participants would use in pricing the asset or liability, or the inputs, into three broad levels.  This fair value hierarchy gives the highest priority, or Level 1, to quoted prices in active markets for identical assets or liabilities and the lowest priority, or Level 3, to assumptions that are unobservable.  Observable inputs that do not meet the criteria of Level 1, and include quoted prices for similar assets or liabilities in active markets or quoted prices for identical assets and liabilities in markets that are not active, are categorized as Level 2.  Level 3 inputs are those that reflect our own assumptions about the assumptions market participants would use in pricing the asset or liability, based on the best information available in the circumstances.  Valuation techniques for assets and liabilities measured using Level 3 inputs may include methodologies such as the market approach, the income approach or the cost approach, and may use unobservable inputs such as projections, estimates and management’s interpretation of current market data.  These unobservable inputs are only utilized to the extent that observable inputs are not available, or for which it not cost effective for us to obtain.

 

The table below presents the assets and liabilities measured at fair value on a recurring basis at March 31, 2008 categorized by the level of inputs used in the valuation of each asset.

 

Description

 

Total

 

Quoted Prices in
Active Markets
for Identical
Assets
(Level 1)

 

Significant Other
Observable
Inputs
(Level 2)

 

Significant
Unobservable
Inputs
(Level 3)

 

 

 

 

 

 

 

 

 

 

 

Long lived assets held for sale (1)

 

$

23,668

 

$

23,668

 

$

 

$

 

Investments in trading securities (2)

 

71,580

 

 

 

71,580

 

Investments in available for sale securities (3)

 

22,583

 

22,583

 

 

 

Total assets

 

$

117,831

 

$

46,251

 

$

 

$

71,580

 

 


(1) Long lived assets held for sale consist of property and equipment we expect to sell to Senior Housing as permitted by our leases and are reported at fair value utilizing Level 1 inputs.  We determined that these asset costs approximate fair value since we have either recently acquired the assets or the assets are part of ongoing construction projects and we expect to sell these assets to Senior Housing at their recorded value.

 

(2) Our investments in trading securities consist of auction rate securities which are primarily bonds issued by various entities to fund student loans pursuant to the Federal Family Education Loan Program.  Due to recent events in the credit markets, auctions for our auction rate securities failed during the first quarter of 2008.  As a result, our auction rate securities are reported at fair value utilizing Level 3 inputs.  We measured fair value of these securities by reference to a statement provided by our securities broker which statement was reportedly calculated with the assistance of a valuation model.  This model reportedly considered, among other items, the collateral underlying the investments, the creditworthiness of the counterparty, the timing of expected future cash flows including possible refinancing of the securities and determination of the appropriate discount rate.  The third party analysis also reportedly included a comparison, when possible, to other observable market data with similar characteristics to our auction rate securities. We reviewed the components of, and calculations made under, our broker’s model.  Due to the declines in fair value for our auction rate securities during the first quarter in 2008, we have recorded an unrealized loss of $3,270.

 

7



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Prior to April 1, 2008, we classified our auction rate securities as investments in trading securities and recorded the changes in fair value in earnings.  On March 31, 2008, we moved our auction rate securities from current to non-current investments due to our belief that the market for student loan collateralized instruments may take in excess of twelve months to recover.

 

(3) Investments in available for sale securities consist of corporate bonds, preferred securities and variable rate demand obligations and are reported in our balance sheet as current investments in available for sale securities of $7,756, current restricted investments of $4,037 and long term restricted investments of $10,790.  These securities are carried at fair value utilizing Level 1 inputs based on quoted market prices with changes in fair value recorded in other comprehensive income.  When a change in fair value is deemed temporary, we record a corresponding credit or charge to other comprehensive income for any unrealized gains or losses.  If we determine that any future valuation adjustment was other than temporary, we would record a charge to earnings.

 

Based on market conditions, our valuation methodology for investments in trading securities changed.  Accordingly, these securities changed from Level 1 to Level 3 within SFAS 157’s hierarchy since our initial adoption of SFAS 157 at January 1, 2008.  The table below presents the change in fair value measurements that used Level 3 inputs during the period ended March 31, 2008:

 

 

 

Investments in
trading
securities

 

Balance, beginning of year

 

$

 

Transfers into Level 3

 

74,850

 

Change in value recognized in earnings

 

(3,270

)

Balance, end of period

 

$

71,580

 

 

Note 9. Line of Credit

 

We have a $40,000 revolving bank line of credit facility for general business purposes, including acquisitions and working capital, which is currently scheduled to expire in May 2009. The amount we are able to borrow at any time is subject to limitation based upon qualifying collateral. We are the borrower under this revolving credit facility and certain of our subsidiaries guarantee our obligations under the facility, which is secured by our and our guarantor subsidiaries’ accounts receivable, deposit accounts and related assets.  The facility contains covenants requiring us to maintain collateral, minimum net worth and certain other financial ratios; and this facility also places limits on our ability to incur or assume debt or create liens with respect to certain of our properties and has other customary provisions.  In certain circumstances and subject to available collateral and lender approvals, the maximum amount which we may borrow under this credit facility may be increased to $80,000.  The termination date of this facility may be extended twice, in each case by twelve months upon our payment of extension fees and other conditions, including lender’s approval. As of March 31, 2008 and May 7, 2008, no amounts were outstanding under this credit facility. As of March 31, 2008 and May 7, 2008 we believe we were and are in compliance with all applicable covenants under this credit facility.  Interest expense and other associated costs related to this facility were $49 and $0 for the three months ended March 31, 2008 and 2007, respectively.

 

Note 10. Mortgages Payable

 

At March 31, 2008, four of our communities were encumbered by five United States Department of Housing and Urban Development, or HUD, insured mortgages totaling $15,952.  The weighted average interest rate on these loans was 6.5%.  Payments of principal and interest are due monthly until maturities at varying dates ranging from June 2035 to July 2043.  These mortgages contain standard HUD mortgage covenants.  We recorded mortgage premiums in connection with some of these HUD mortgages in order to record assumed mortgages at their estimated fair value.  The mortgage premiums are being amortized as a reduction of interest expense until the maturities of the mortgages.  The mortgage premium balance included in the mortgage notes payable as of March 31, 2008 was $759. Mortgage interest expense, net of premium amortization, was $306 and $537 for the three months ended March 31, 2008 and 2007, respectively.

 

8



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Note 11. Convertible Senior Notes due in 2026

 

In October 2006, we issued $126,500 principal amount of Convertible Senior Notes due in 2026.  Our net proceeds from this offering were approximately $122,600.  These Notes are convertible into our common shares at any time.  The initial conversion rate, which is subject to adjustment, is 76.9231 common shares per $1 principal amount of notes, which represents an initial conversion price of $13.00 per share.  Interest expense and other associated costs on the Notes were $1,239 and $1,241 for the three months ended March 31, 2008 and 2007, respectively.  The Notes are guaranteed by certain of our domestic wholly owned subsidiaries (see Note 13).  These Notes mature on October 15, 2026; we may prepay the Notes at anytime after October 20, 2011 and the Note holders may require that we purchase all or a portion of these Notes on each October 15 of 2013, 2016 and 2021.  We issued these Notes pursuant to an indenture which contains various customary covenants.  We believe we are in compliance with all applicable covenants of this indenture.

 

Note 12.  Related Person Transactions

 

We leased 164 of the 183 senior living communities and the two rehabilitation hospitals that we operated on March 31, 2008 from Senior Housing for total annual minimum rent of $152,259In addition to the minimum rent, we paid $1,019 and $552 in percentage rent to Senior Housing for the three months ended March 31, 2008 and 2007, respectively.

 

Included in the 164 communities we lease from Senior Housing are 22 senior living communities with 1,743 units which Senior Housing acquired and we began to lease during the first quarter of 2008.  Twenty-one of these communities are assisted living communities (one of which offers some skilled nursing services and one of which offers some independent living services) and one is a continuing care retirement community which offers independent living, assisted living and skilled nursing services.  Our rent payable to Senior Housing for these 22 communities is $21,790 per year, plus future increases calculated as a percentage of the revenue increases for all of these communities after 2009.  We added these communities to our existing lease with Senior Housing which has a term ending in 2020, with renewal options thereafter.

 

During the three months ended March 31, 2008, as permitted by our leases with Senior Housing, we sold to Senior Housing, at cost, $16,552 of improvements made to properties leased from Senior Housing, and our annual rent payable to Senior Housing increased by $1,574.

 

Note 13.  Discontinued Operations

 

In March 2007, we agreed with Senior Housing that it should sell two assisted living communities in Pennsylvania, which we lease from Senior Housing.  We and Senior Housing are in the process of selling these assisted living communities and, upon their sale, our annual minimum rent payable to Senior Housing will decrease by 9.5% of the net proceeds of the sale to Senior Housing, in accordance with the terms of our lease with Senior Housing.  In December 2007, we decided to sell one institutional pharmacy located in California and our mail order pharmacy located in Nebraska.  As of March 31, 2008, we have disposed of substantially all of our assets and liabilities related to one of the communities which we expect will be sold.  The assets and liabilities related to the other community and of the two pharmacies that we expect to sell are presented separately in the consolidated balance sheet.  We have reclassified the consolidated statement of income for all periods presented to show the results of operations of the communities and pharmacies which have been sold or are expected to be sold as discontinued.  Below is a summary of the operating results of these discontinued operations included in the financial statements for the three months ended March 31, 2008 and 2007:

 

 

 

Three months ended March 31,

 

 

 

2008

 

2007

 

Revenues

 

$

2,971

 

$

3,165

 

Expenses

 

(5,773

)

(3,980

)

Net loss

 

$

(2,802

)

$

(815

)

 

9



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

Note 14.   Guarantor Financial Information

 

Our Notes are guaranteed by certain of our domestic wholly owned subsidiaries.  Such guarantees are full, unconditional and joint and several.  Condensed consolidating financial information related to us, our guarantor subsidiaries and our non-guarantor subsidiaries for all periods presented are stated below:

 

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the Three Months Ended March 31, 2008

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

Senior living revenue

 

$

 

$

88,915

 

$

128,012

 

$

 

$

216,927

 

Hospital revenue

 

 

 

24,744

 

 

24,744

 

Pharmacy revenue

 

 

 

17,206

 

 

17,206

 

Total revenues

 

 

88,915

 

169,962

 

 

258,877

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Senior living wages and benefits

 

 

37,887

 

71,207

 

 

109,094

 

Other senior living operating expenses

 

 

21,416

 

32,005

 

 

53,421

 

Hospital expenses

 

 

 

22,592

 

 

22,592

 

Pharmacy expenses

 

 

 

16,203

 

 

16,203

 

Rent expense

 

 

17,244

 

18,200

 

 

35,444

 

General and administrative

 

 

 

11,133

 

 

11,133

 

Depreciation and amortization

 

 

1,222

 

2,413

 

 

3,635

 

Total operating expenses

 

 

77,769

 

173,753

 

 

251,522

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating income (loss)

 

 

11,146

 

(3,791

)

 

7,355

 

Interest and other income

 

 

 

2,494

 

 

2,494

 

Interest expense

 

 

 

(1,594

)

 

(1,594

)

Unrealized loss on investments in trading securities

 

 

 

(3,270

)

 

(3,270

)

Equity in earnings of subsidiaries

 

1,617

 

 

 

(1,617

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Income (loss) from continuing operations before income taxes

 

1,617

 

11,146

 

(6,161

)

(1,617

)

4,985

 

Provision for income taxes

 

 

 

566

 

 

566

 

Income (loss) from continuing operations

 

1,617

 

11,146

 

(6,727

)

(1,617

)

4,419

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from discontinued operations

 

 

 

(2,802

)

 

(2,802

)

 

 

 

 

 

 

 

 

 

 

 

 

Net income (loss)

 

$

1,617

 

$

11,146

 

$

(9,529

)

$

(1,617

)

$

1,617

 

 

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the Three Months Ended March 31, 2007

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

Senior living revenue

 

$

 

$

84,041

 

$

113,181

 

$

 

$

197,222

 

Hospital revenue

 

 

 

26,129

 

 

26,129

 

Pharmacy revenue

 

 

 

13,835

 

 

13,835

 

Total revenues

 

 

84,041

 

153,145

 

 

237,186

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Senior living wages and benefits

 

 

38,729

 

63,363

 

 

102,092

 

Other senior living operating expenses

 

 

26,057

 

23,853

 

 

49,910

 

Hospital expenses

 

 

 

23,624

 

 

23,624

 

Pharmacy expenses

 

 

 

13,591

 

 

13,591

 

Rent expense

 

 

16,624

 

15,547

 

 

32,171

 

General and administrative

 

 

 

10,059

 

 

10,059

 

Depreciation and amortization

 

 

1,174

 

1,977

 

 

3,151

 

Total operating expenses

 

 

82,584

 

152,014

 

 

234,598

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating income

 

 

1,457

 

1,131

 

 

2,588

 

Interest and other income

 

 

(10

)

1,430

 

 

1,420

 

Interest expense

 

 

 

(1,778

)

 

(1,778

)

Gain on extinguishment of debt

 

 

 

3,557

 

 

3,557

 

Equity in earnings of subsidiaries

 

4,764

 

 

 

(4,764

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Income from continuing operations before income taxes

 

4,764

 

1,447

 

4,340

 

(4,764

)

5,787

 

Provision for income taxes

 

 

 

208

 

 

208

 

Income from continuing operations

 

4,764

 

1,447

 

4,132

 

(4,764

)

5,579

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from discontinued operations

 

 

 

(815

)

 

(815

)

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

4,764

 

$

1,447

 

$

3,317

 

$

(4,764

)

$

4,764

 

 

10



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

CONDENSED CONSOLIDATING BALANCE SHEET

As of March 31, 2008

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

 

$

4,372

 

$

47,657

 

$

 

$

52,029

 

Accounts receivable, net

 

 

11,820

 

49,236

 

 

61,056

 

Restricted cash and investments

 

 

1,657

 

8,762

 

 

10,419

 

Investments

 

 

 

7,756

 

 

7,756

 

Prepaid expenses and other current assets

 

 

2,200

 

10,557

 

 

12,757

 

Assets of discontinued operations

 

 

 

2,297

 

 

2,297

 

Total current assets

 

 

20,049

 

126,265

 

 

146,314

 

 

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

25,898

 

101,607

 

 

127,505

 

Investment in subsidiary and long term receivable from (to) subsidiaries

 

200

 

 

200

 

(400

)

 

Intercompany

 

229,049

 

 

 

(229,049

)

 

Investments in trading securities

 

 

 

71,580

 

 

71,580

 

Restricted cash and investments

 

 

 

13,578

 

 

13,578

 

Other long term assets

 

 

1,313

 

26,180

 

 

27,493

 

 

 

$

229,249

 

$

47,260

 

$

339,410

 

$

(229,449

)

$

386,470

 

 

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

Accounts payable and other current liabilities

 

$

 

$

29,440

 

$

95,086

 

$

 

$

124,526

 

Mortgage notes payable

 

 

 

184

 

 

184

 

Liabilities of discontinued operations

 

 

 

 

270

 

 

270

 

Total current liabilities

 

 

29,440

 

95,540

 

 

124,980

 

 

 

 

 

 

 

 

 

 

 

 

 

Long term liabilities:

 

 

 

 

 

 

 

 

 

 

 

Mortgage notes payable

 

 

 

15,768

 

 

15,768

 

Convertible senior notes

 

 

 

126,500

 

 

126,500

 

Notes payable to related parties

 

200

 

 

 

(200

)

 

 

Other long term liabilities

 

 

1,717

 

28,225

 

 

29,942

 

Total long term liabilities

 

200

 

1,717

 

170,493

 

(200

)

172,210

 

 

 

 

 

 

 

 

 

 

 

 

 

Total shareholders’ equity

 

229,049

 

16,103

 

73,377

 

(229,249

)

89,280

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

229,249

 

$

47,260

 

$

339,410

 

$

(229,449

)

$

386,470

 

 

11



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

CONDENSED CONSOLIDATING BALANCE SHEET

As of December 31, 2007

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

 

$

5,422

 

$

25,577

 

$

 

$

30,999

 

Accounts receivable, net

 

 

11,209

 

47,594

 

 

58,803

 

Investments

 

 

 

69,255

 

 

69,255

 

Prepaid expenses and other current assets

 

 

5,021

 

18,761

 

 

23,782

 

Assets of discontinued operations

 

 

 

3,178

 

 

3,178

 

Total current assets

 

 

21,652

 

164,365

 

 

186,017

 

 

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

28,874

 

102,831

 

 

131,705

 

Investment in subsidiary and long term receivable from (to) subsidiaries

 

200

 

 

200

 

(400

)

 

Intercompany

 

229,048

 

 

 

(229,048

)

 

Other long term assets

 

 

 

42,732

 

 

42,732

 

 

 

$

229,248

 

$

50,526

 

$

310,128

 

$

(229,448

)

$

360,454

 

 

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

Accounts payable and other current liabilities

 

$

 

$

27,823

 

$

75,821

 

$

 

$

103,644

 

Mortgage notes payable

 

 

 

200

 

 

200

 

Liabilities of discontinued operations

 

 

 

219

 

 

219

 

Total current liabilities

 

 

27,823

 

76,240

 

 

104,063

 

 

 

 

 

 

 

 

 

 

 

 

 

Long term liabilities:

 

 

 

 

 

 

 

 

 

 

 

Mortgage notes payable

 

 

 

15,810

 

 

15,810

 

Convertible senior notes

 

 

 

126,500

 

 

126,500

 

Notes payable to related parties

 

200

 

 

 

(200

)

 

Other long term liabilities

 

 

15,161

 

12,098

 

 

27,259

 

Total long term liabilities

 

200

 

15,161

 

154,408

 

(200

)

169,569

 

 

 

 

 

 

 

 

 

 

 

 

 

Total shareholders’ equity

 

229,048

 

7,542

 

79,480

 

(229,248

)

86,822

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

229,248

 

$

50,526

 

$

310,128

 

$

(229,448

)

$

360,454

 

 

 

 

 

 

 

 

 

 

 

 

 

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the three months ended March 31, 2008

 

 

 

 

 

 

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Net income

 

$

1,617

 

$

11,146

 

$

(9,529

)

$

(1,617

)

$

1,617

 

Undistributed equity in earnings of subsidiaries

 

(1,617

)

 

 

1,617

 

 

Adjustments to reconcile net income to cash provided by (used in) operating activities, net

 

 

(16,982

)

37,054

 

 

20,072

 

Net cash provided by (used in) operating activities

 

 

(5,836

)

27,525

 

 

21,689

 

 

 

 

 

 

 

 

 

 

 

 

 

Net cash used in discontinued operations

 

 

 

(58

)

 

(58

)

 

 

 

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Acquisition of senior living communities

 

 

 

3,204

 

 

3,204

 

Acquisitions of property and equipment, net

 

 

1,753

 

(2,888

)

 

(1,135

)

Other, net

 

 

3,033

 

(5,645

)

 

(2,612

)

Net cash used in investing activities

 

 

4,786

 

(5,329

)

 

(543

)

 

 

 

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Repayments of mortgage note payable

 

 

 

(58

)

 

(58

)

Net cash used in financing activities

 

 

 

(58

)

 

(58

)

 

 

 

 

 

 

 

 

 

 

 

 

Change in cash and cash equivalents

 

 

(1,050

)

22,080

 

 

 

21,030

 

Cash and cash equivalents at beginning of period

 

 

5,422

 

25,577

 

 

 

30,999

 

Cash and cash equivalents at end of period

 

$

 

$

4,372

 

$

47,657

 

$

 

$

52,029

 

 

12



 

FIVE STAR QUALITY CARE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(dollars in thousands, except per share amounts)

(unaudited)

 

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the three months ended March 31, 2007

 

 

 

Parent

 

Guarantor
Subsidiaries

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Net income

 

$

4,764

 

$

1,447

 

$

3,317

 

$

(4,764

)

$

4,764

 

Undistributed equity in earnings of subsidiaries

 

(4,764

)

 

 

4,764

 

 

Adjustments to reconcile net income to cash provided by (used in) operating activities, net

 

 

(5,212

)

33,100

 

 

27,888

 

Net cash provided by (used in) operating activities

 

 

(3,765

)

36,417

 

 

32,652

 

 

 

 

 

 

 

 

 

 

 

 

 

Net cash used in discontinued operations

 

 

 

(787

)

 

(787

)

 

 

 

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Capital expenditures

 

 

(5,156

)

(12,589

)

 

(17,745

)

Proceeds from the sale of property and equipment

 

 

3,588

 

6,057

 

 

9,645

 

Other, net

 

 

 

(933

)

 

(933

)

Net cash used in investing activities

 

 

(1,568

)

(7,465

)

 

(9,033

)

 

 

 

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

 

Change in borrowings, net

 

 

 

(22,887

)

 

(22,887

)

Net cash used in financing activities

 

 

 

(22,887

)

 

(22,887

)

 

 

 

 

 

 

 

 

 

 

 

 

Change in cash and cash equivalents

 

 

(5,333

)

5,278

 

 

(55

)

Cash and cash equivalents at beginning of period

 

 

8,065

 

38,176

 

 

46,241

 

Cash and cash equivalents at end of period

 

$

 

$

2,732

 

$

43,454

 

$

 

$

46,186

 

 

13



 

Item 2. Management’s Discussion and Analysis of Financial Conditions and Results of Operations

 

RESULTS OF OPERATIONS

 

Our reportable segments consist of our senior living community business and our rehabilitation hospital business.   In the senior living community segment, we operate independent living and congregate care communities, assisted living communities and nursing homes.  Our rehabilitation hospital segment provides inpatient medical rehabilitation services at our two hospital locations and three satellite locations and outpatient medical rehabilitation services at 19 affiliated outpatient clinics. We do not consider our pharmacy operations to be a significant, separately reportable segment of our business but we report our pharmacy revenues and expense as separate items within our corporate and other activities.  All of our operations and assets are located in the United States.

 

We use segment operating profit as an important measure to evaluate performance and for decision making purposes.  Segment operating profit excludes interest and other income, interest expense and certain corporate expenses.

 

Key Statistical Data (for the three months ended March 31, 2008 and 2007):

 

The following tables present an overview of our operations for the quarters ended March 31, 2008 and 2007:

 

Senior living communities:

 

 

 

Three months ended March 31,

 

(in thousands, except per day amounts)

 

2008

 

2007

 

$ Variance

 

Change

 

Senior living revenue

 

$

216,927

 

$

197,222

 

$

19,705

 

10

%

Senior living wages and benefits

 

109,094

 

102,092

 

7,002

 

7

%

Other senior living operating expenses

 

53,421

 

49,910

 

3,511

 

7

%

Rent expense

 

32,794

 

29,609

 

3,185

 

11

%

Depreciation and amortization

 

2,440

 

2,231

 

209

 

9

%

Interest expense

 

306

 

537

 

(231

)

(43

)%

Interest and other income

 

1,283

 

355

 

928

 

261

%

Gain on extinguishment of debt

 

 

3,557

 

(3,557

)

(100

)%

Senior living income from continuing operations

 

20,155

 

16,755

 

3,400

 

20

%

 

 

 

 

 

 

 

 

 

 

No. of communities (end of period)

 

183

 

160

 

 

23

 

No. of living units (end of period)

 

19,666

 

17,909

 

 

1,757

 

Occupancy

 

89.6

%

90.2

%

 

(0.6

)%

Average daily rate

 

$

142.30

 

$

135.65

 

$

6.65

 

5

%

Percent of senior living revenue from Medicare

 

16

%

16

%

 

 

Percent of senior living revenue from Medicaid

 

18

%

18

%

 

 

Percent of senior living revenue from private and other sources

 

66

%

66

%

 

 

 

Comparable senior living communities (senior living communities that we have operated continuously since January 1, 2007):

 

 

 

Three months ended March 31,

 

(in thousands, except per day amounts)

 

2008

 

2007

 

$ Variance

 

Change

 

Senior living revenue

 

$

209,102

 

$

197,222

 

$

11,880

 

6

%

Senior living community expenses

 

156,739

 

152,002

 

4,737

 

3

%

No. of communities (end of period)

 

160

 

160

 

 

 

No. of living units (end of period)

 

17,867

 

17,867

 

 

 

Occupancy

 

89.6

%

90.2

%

 

(0.6

)%

Average daily rate

 

$

143.56

 

$

135.65

 

$

7.91

 

6

%

Percent of senior living revenue from Medicare

 

16

%

16

%

 

 

Percent of senior living revenue from Medicaid

 

18

%

18

%

 

 

Percent of senior living revenue from private and other sources

 

66

%

66

%

 

 

 

14



 

Rehabilitation hospitals:

 

 

 

Three months ended March 31,

 

(in thousands)

 

2008

 

2007

 

$ Variance

 

Change

 

Hospital revenues

 

$

24,744

 

$

26,129

 

$

(1,385

)

(5

)%

Hospital expenses

 

22,592

 

23,624

 

(1,032

)

(4

)%

Rent expense

 

2,650

 

2,562

 

88

 

3

%

Depreciation and amortization

 

308

 

216

 

92

 

43

%

Hospital loss from continuing operations

 

(806

)

(273

)

(533

)

195

%

 

Corporate and other (1):

 

 

 

Three months ended March 31,

 

(in thousands)

 

2008

 

2007

 

$ Variance

 

Change

 

Pharmacy revenue

 

$

17,206

 

$

13,835

 

$

3,371

 

24

%

Pharmacy expenses

 

16,203

 

13,591

 

2,612

 

19

%

Depreciation and amortization

 

887

 

704

 

183

 

26

%

General and administrative (2)

 

11,133

 

10,059

 

1,074

 

11

%

Unrealized loss on investments in trading securities

 

3,270

 

 

3,270

 

 

Interest and other income

 

1,211

 

1,065

 

146

 

14

%

Interest expense

 

1,288

 

1,241

 

47

 

4

%

Provision for income taxes

 

566

 

208

 

358

 

172

%

Corporate and Other loss from continuing operations

 

(14,930

)

(10,903

)

(4,027

)

37

%

 


(1) Corporate and other includes operations that are not considered a significant, separately reportable segment of our business and income and expenses that are not attributable to a specific segment.

 

(2) General and administrative expenses are not attributable to a specific segment and include items such as corporate payroll and benefits and various outside services expenses.

 

Consolidated:

 

 

 

Three months ended March 31,

 

(in thousands)

 

2008

 

2007

 

$ Variance

 

Change

 

Summary of revenue:

 

 

 

 

 

 

 

 

 

Senior living revenue

 

$

216,927

 

$

197,222

 

$

19,705

 

10

%

Hospital revenue

 

24,744

 

26,129

 

(1,385

)

(5

)%

Corporate and Other

 

17,206

 

13,835

 

3,371

 

24

%

Total revenue

 

258,877

 

237,186

 

21,691

 

9

%

Summary of income (loss) from continuing operations:

 

 

 

 

 

 

 

 

 

Senior living communities

 

20,155

 

16,755

 

3,400

 

20

%

Rehabilitation hospitals

 

(806

)

(273

)

(533

)

195

%

Corporate and Other

 

(14,930

)

(10,903

)

(4,027

)

37

%

Income from continuing operations

 

4,419

 

5,579

 

(1,160

)

(21

)%

 

Three Months Ended March 31, 2008, Compared to Three Months Ended March 31, 2007

 

Senior living communities:

 

The 10% increase in senior living revenue is due primarily to revenues from the one community we acquired in April 2007, the 22 communities we began to lease in the first quarter of 2008 and higher per diem charges to residents, partially offset by a decrease in occupancy.  The 6% increase in senior living revenue at the communities that we have operated continuously since January 1, 2007 is due primarily to higher per diem charges to residents, partially offset by a decrease in occupancy.

 

15



 

Our 7% increase in senior living wages and benefits costs is primarily due to wages and benefits at the one community we acquired in April 2007 and the 22 communities we began to lease in the first quarter of 2008. The 7% increase in other senior living operating expenses, which include utilities, housekeeping, dietary, maintenance, insurance and community level administrative costs, primarily results from the addition of these expenses from the one community we acquired in April 2007 and the 22 communities we began to lease in the first quarter of 2008 and increased charges from various service providers.  The senior living community expenses for the senior living communities that we have operated continuously since January 1, 2006 have increased by 3%, principally due to wage and benefit increases.  The 11% rent expense increase in 2008 over 2007 is due to the addition of 22 communities that we began to lease in the first quarter of 2008 and our payment of additional rent for senior living community capital improvements purchased by Senior Housing since January 1, 2007.

 

The 9% increase in depreciation and amortization expense for the three months ended March 31, 2008 is primarily attributable to our purchase of furniture and fixtures for our existing communities as well as the one community we acquired in April 2007.

 

Our interest and other income increased by $928,000, or 261%, for the three months ended March 31, 2008, compared to the three months ended March 31, 2007, primarily as a result of recognizing an $840,000 gain related to a 2003 sale of a property that was previously deferred until the buyer paid in full our note receivable during the first quarter of 2008.

 

Our interest expense decreased in 2008 by 43% because in 2007, we prepaid seven HUD insured mortgages that were secured by six of our communities.  We recognized a net gain of $3.6 million during the first quarter of 2007 on extinguishments of six of these seven mortgages that consisted of the elimination of $4.3 million of debt premium, offset by $725,000 in prepayment penalties.

 

Rehabilitation hospitals:

 

The 5% decrease in hospital revenues was primarily due to a change in payor mix, resulting in a lower average daily rate, and the closing of several unprofitable outpatient clinics.  The 4% decrease in hospital expenses was primarily due to reductions in labor and benefit expenses and the closing of several unprofitable outpatient clinics.

 

The 3% rent expense increase in the first quarter 2008 over the same period in 2007 is due to our payment of additional rent for hospital capital improvements purchased by Senior Housing since January 1, 2007.

 

The 43% increase in depreciation and amortization expense for the three months ended March 31, 2008 is primarily attributable to our purchase of furniture and fixtures for our rehabilitation hospitals.

 

Corporate and other:

 

The 24% and 19% increase in 2008 revenues and expenses, respectively, from our pharmacies is primarily the result of adding new customers from our existing senior living communities.

 

The 11% increase in general and administrative expenses for the three months ended March 31, 2008 over the same period in 2007 results from the 22 communities we began to lease in the first quarter of 2008.

 

The 26% increase in depreciation and amortization expense for the three months ended March 31, 2008 is primarily attributable to our purchase of furniture and fixtures for our pharmacies and corporate and regional offices.

 

During the quarter ended March 31, 2008, we recognized an unrealized loss of $3.3 million on investments in trading securities related to our holdings of auction rate securities.

 

Our interest and other income increased by $146,000, or 14%, for the three months ended March 31, 2008, compared to the three months ended March 31, 2007, primarily as a result of higher levels of investable cash.

 

For the quarter ended March 31, 2008, we incurred taxes of $566,000, which includes $506,000 of alternative minimum taxes and certain state taxes that are payable without regard to our tax loss carry forwards and $60,000 of a non cash, deferred tax liability arising from the amortization of goodwill for tax purposes but not for book purposes.

 

16



 

LIQUIDITY AND CAPITAL RESOURCES

 

Recent Developments:  Investments

 

At March 31, 2008, we had $71.6 million invested in auction rate securities which we classified as long term investments in trading securities.  Starting in February 2008, as a result of changes in the capital markets, auctions affecting our auction rate securities failed to close on their settlement dates.  We do not know if future auctions for our auction rate securities will successfully close on future auction settlement dates.   On March 31, 2008, we moved our auction rate securities from current to non-current due to our belief that the market for student loan collateralized instruments may take in excess of twelve months to fully recover.

 

Our auction rate securities consist primarily of bonds issued by various entities to fund student loans pursuant to the Federal Family Education Loan Program.  The maturities of our auction rate securities range from 2032 to 2047.  However, historically we have had the option to liquidate our investments in the auction rate securities whenever the interest rates are reset at auctions, usually every 35 days.  All of our auction rate securities were rated “AAA” by at least one nationally recognized debt rating agency when we made these investments, and, to our knowledge, none of these ratings have been reduced.  We and the broker dealer who has marketed the auction rate securities which we own are presently monitoring developments in the auction rate securities markets and, based upon our analysis of impairment factors, we recognized an unrealized loss of $3.3 million on our investments in these securities.

 

The funds which we invested in auction rate securities were funds we were holding to invest in potential acquisitions which we have not yet identified or to satisfy longer term self insurance obligations.  Accordingly, these funds are not needed to fund our current operations and we do not expect the failure of auctions affecting our auction rate securities holdings to have a material adverse impact upon us unless the auction rate securities market remains illiquid for an extended period, our auction rate securities’ ratings are reduced or the value of these securities declines.  Nonetheless, the current illiquidity of these investments may mean we are unable to take advantage of acquisitions or other investment opportunities.

 

Assets and Liabilities

 

Our total current assets at March 31, 2008 were $146.3 million, compared to $186.0 million at December 31, 2007.  At March 31, 2008, we had cash and cash equivalents of $52.0 million compared to $31.0 million at December 31, 2007.  Our current liabilities were $125.0 million at March 31, 2008, compared to $104.1 million at December 31, 2007.  The decrease in current assets is primarily the result of our reclassifying our investments in auction rate securities from current to long term assets.

 

Our Leases with Senior Housing

 

As of May 7, 2008, we leased 164 senior living communities and two rehabilitation hospitals from Senior Housing under six leases.  Our leases with Senior Housing require us to pay minimum rent of $152.3 million annually and percentage rent for most of the senior living communities but not our rehabilitation hospitals.  We paid approximately $1.0 million and $552,000 in percentage rent to Senior Housing for the three months ended March 31, 2008 and 2007, respectively.

 

Upon our request, Senior Housing may purchase our capital expenditures made at the senior living communities we lease from Senior Housing and increase our rent pursuant to contractual formulas.  During the three months ended March 31, 2008, Senior Housing purchased $16.6 million of capital expenditures made at our communities leased from Senior Housing and these purchases resulted in our annual rent being increased by approximately $1.6 million.

 

Our Revenues

 

Our revenues from services to residents at our senior living communities and patients of our rehabilitation hospitals and clinics are our primary source of cash to fund our operating expenses, including rent, principal and interest payments on our debt and our capital expenditures.

 

At some of our communities, operating revenues for nursing home services are received from the Medicare and Medicaid programs.  Medicare and Medicaid revenues from senior living services were earned primarily at our 49 nursing homes.  We derived 34% of our senior living revenues from these programs for the three months ended March 31, 2008 and 2007.

 

17



 

Our net Medicare revenues from services to senior living community residents totaled $34.6 million and $30.4 million for the three months ended March 31, 2008 and 2007, respectively. In October 2007, our senior living community Medicare rates increased by approximately 3.6% over the prior period.  Our net Medicaid revenues from services to senior living community residents totaled $38.2 million and $35.4 million for the three months ended March 31, 2008 and 2007, respectively.  The Bush administration and certain members of the Senate and the House of Representatives have proposed Medicare and Medicaid policy changes and rate reductions to be phased in during the next several years.  In addition, some of the states in which we operate either have not raised Medicaid rates by amounts sufficient to offset increasing costs or are expected to reduce Medicaid rates.  The magnitude of the potential Medicare and Medicaid rate reductions and the impact of the failure of these programs to increase rates to match increasing expenses, as well as the impact on us of the potential Medicare and Medicaid policy changes, cannot currently be estimated, but they may be material to our operations and may affect our future results of operations.  The Federal Centers for Medicare and Medicaid Services, or CMS, has proposed rules to update Medicare payment rates and recalibrate prospective case-mix payment levels for skilled nursing facilities in federal fiscal year 2009.  If adopted, the rules would reduce Medicare payment rates to skilled nursing facilities by approximately 0.3% for the federal fiscal year ending September 30, 2009.

 

We began to operate two rehabilitation hospitals in October 2006.  Approximately 66% and 68% of our revenues from these hospitals came from the Medicare and Medicaid programs for the three months ended March 31, 2008 and 2007, respectively.  In October 2007, our rehabilitation hospital Medicare rates increased by approximately 3.5% over the prior period.  However, for payments on and after April 1, 2008, Medicare rate increases for these hospitals are set at zero per cent for the federal fiscal years ending September 30, 2008 and 2009, eliminating substantially all of the October 2007 rate increase.  In May 2004, CMS issued a rule establishing revised Medicare criteria that rehabilitation hospitals are required to meet in order to participate as inpatient rehabilitation facilities, or IRFs, in the Medicare program.  As recently amended, the rule requires that for cost reporting periods starting on and after July 1, 2006, 60% of a facility’s inpatient population must require intensive rehabilitation services for one of the CMS’s designated medical conditions.  An IRF that fails to meet the requirements of this rule is subject to reclassification as a different type of healthcare provider; and the effect of such reclassification would be to lower Medicare payment rates. As of March 31, 2008 and May 7, 2008, we believe we are in compliance with the CMS requirements to remain an IRF.  However, the actual percentage of patients at these hospitals who meet these Medicare requirements may not remain as high as we anticipate, or may decline.  A CMS finding of non-compliance, if it occurs, would result in our receiving lower Medicare rates than we currently receive at our hospitals.

 

Debt Instruments and Covenants

 

We have a $40.0 million revolving bank line of credit facility for general business purposes, including acquisitions and working capital, which is currently scheduled to expire in May 2009.  The amount we are able to borrow at any time is subject to limitations based upon qualifying collateral.  We are the borrower under this revolving credit facility and certain of our subsidiaries guarantee our obligations under the facility, which is secured by our and our guarantor subsidiaries’ accounts receivable, deposit accounts and related assets.  The facility contains covenants requiring us to maintain collateral, minimum net worth and certain other financial ratios; and this facility also places limits on our ability to incur or assume debt or create liens with respect to certain of our properties and has other customary provisions.  In certain circumstances and subject to available collateral and lender approvals, the maximum amounts which we may borrow under this credit facility may be increased to $80.0 million.  The termination date may be extended twice, in each case by twelve months upon our payment of extension fees and other conditions, including lender’s approval.  As of March 31, 2008 and May 7, 2008, no amounts were outstanding under this credit facility.  As of March 31, 2008 and May 7, 2008 we believe we are in compliance with all applicable covenants under this credit facility.

 

At March 31, 2008, four of our senior living communities were encumbered by five HUD insured mortgages totaling $16.0 million.  The weighted average interest rate on these loans was 6.5 %.  Payments of principal and interest are due monthly until maturities at varying dates ranging from June 2035 to July 2043.  These mortgages contain standard HUD mortgage covenants.  We recorded mortgage premiums in connection with some of these HUD mortgages in order to record assumed mortgages at their estimated fair value.  The mortgage premiums are being amortized as a reduction of interest expense until the maturities of the mortgages.  The mortgage premium balance included in mortgage notes payable as of March 31, 2008 was $759,000.

 

18



 

In October 2006, we issued $126.5 million principal amount of Convertible Senior Notes due in 2026, or the Notes.  Our net proceeds from this issuance were approximately $122.6 million.  These Notes are convertible into our common shares at any time.  The initial conversion rate, which is subject to adjustment, is 76.9231 common shares per $1,000 principal amount of Notes, which represents an initial conversion price of $13.00 per share.  The Notes are guaranteed by certain of our wholly owned subsidiaries.  These Notes mature on October 15, 2026; we may prepay the Notes at any time after October 20, 2011 and the Note holders may require that we purchase all or a portion of these Notes on each October 15 of 2013, 2016 and 2021.  We issued these Notes pursuant to an indenture which contains various customary covenants. As of March 31, 2008 and May 7, 2008, we believe we were and are in compliance with all applicable covenants of this indenture.

 

Seasonality

 

Our business is subject to modest effects of seasonality. During the fourth calendar quarter holiday periods, nursing home and assisted living residents are sometimes discharged to join family celebrations and admission decisions are often deferred. The first quarter of each calendar year usually coincides with increased illness among nursing home and assisted living residents that can result in increased costs or discharges to hospitals. As a result of these factors, nursing home and assisted living operations sometimes produce greater earnings in the second and third quarters of a calendar year and lesser earnings in the first and fourth quarters. We do not believe that this seasonality will cause fluctuations in our revenues or operating cash flow to such an extent that we will have difficulty paying our expenses, including rent, which do not fluctuate seasonally.

 

Related Party Transactions

 

We currently lease 164 of our 183 senior living communities and our two rehabilitation hospitals from Senior Housing for total annual minimum rent of $152.3 million.  In addition, we paid approximately $1.0 million in percentage rent to Senior Housing for the three months ended March 31, 2008.

 

Included in the 164 communities we lease from Senior Housing are 22 senior living communities with 1,743 units which Senior Housing acquired and we began to lease during the first quarter of 2008.  Twenty-one of these communities are assisted living communities (one of which offers some skilled nursing services and one of which offers some independent living services) and one is a continuing care retirement community which offers independent living, assisted living and skilled nursing services.  Our rent payable to Senior Housing for these 22 communities is $21.8 million per year, plus future increases calculated as a percentage of the revenue increases for all of these communities after 2009.  We added these communities to our existing lease with Senior Housing which has a term ending in 2020, with renewal options thereafter.

 

During the three months ended March 31, 2008, as permitted by our leases with Senior Housing, we sold to Senior Housing, at cost, $16.6 million of improvements made to properties leased from Senior Housing, and the annual rent payable to Senior Housing increased by approximately $1.6 million.

 

We currently intend to lease from Senior Housing two additional assisted living communities with a total of 112 units which Senior Housing has agreed to purchase from an unrelated party.  We expect our rent to Senior Housing for these two communities to be $1.1 million per year, plus future increases calculated as a percentage of the revenue increase at these communities after 2009.  Senior Housing’s purchase and our lease of these properties are contingent upon further diligence, consent from mortgage lenders and other customary closing conditions.  We can provide no assurance that we will lease these properties.

 

Other historical and continuing related party transactions are described in our Annual Report on Form 10K for the year ended December 31, 2007 and in our definitive proxy statement for our 2008 annual meeting, both of which are filed at the Securities and Exchange Commission, or S.E.C, and available at the S.E.C website www.sec.gov.

 

Item 3.  Quantitative and Qualitative Disclosures About Market Risk

 

We are exposed to risks associated with market changes in interest rates.  We manage our exposure to this market risk by monitoring available financing alternatives.  Our strategy to manage exposure to changes in interest rates remains unchanged since December 31, 2007.

 

At March 31, 2008, we owned certain auction rate securities.  As a result of the current conditions in capital markets, our auction rate securities have experienced multiple failed auctions. While we continue to earn and receive interest on these investments at the contractual rates, the estimated fair values of these auction rate securities no

 

19



 

longer approximates par value.  Due to the declines in fair value for our auction rate securities during the first quarter in 2008, we have recorded an unrealized loss of $3.3 million. We determined this unrealized loss by reference to a statement provided by our securities broker which statement was reportedly calculated with the assistance of a valuation model.  This model considered, among other items, the collateral underlying the investments, the creditworthiness of the counterparty, the timing of expected future cash flows including possible refinancing of the securities and determination of the appropriate discount rate.  Reportedly this third party analysis also included a comparison, when possible, to other observable market data with similar characteristics to our auction rate securities.  We reviewed the components of, and the calculations made under, our broker’s model. The valuation of our auction rate securities is subject to uncertainties that are difficult to predict. Factors that may impact our valuation include changes to credit ratings of the securities as well as to the underlying assets supporting those securities, rates of default of the underlying assets, underlying collateral value, discount rates and ongoing strength and quality of credit market conditions and liquidity.

 

We currently intend to hold these auction rate securities until the market recovers. We do not anticipate having to sell these auction rate securities in order to operate our business. We believe that, based on our current unrestricted cash and cash equivalents balances of $52.0 million at March 31, 2008, the current lack of liquidity in the credit and capital markets will not have a material impact on our liquidity, our cash flow, or our ability to fund our operations.  See Item 2 above, “Management’s Discussion and Analysis of Financial Conditions and Results of Operations – Liquidity and Capital Resources – Recent Developments: Investments”.

 

Item 4.  Controls and Procedures

 

As of the end of the period covered by this report, our management carried out an evaluation, under the supervision and with the participation of our President and Chief Executive Officer and our Treasurer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures pursuant to Rules 13a-15(e) and 15d-15(e).  Based upon that evaluation, our President and Chief Executive Officer and our Treasurer and Chief Financial Officer concluded that our disclosure controls and procedures are effective.

 

There have been no changes in our internal control over financial reporting during the quarter ended March 31, 2008, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

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WARNING CONCERNING FORWARD LOOKING STATEMENTS

 

THIS QUARTERLY REPORT CONTAINS STATEMENTS WHICH CONSTITUTE FORWARD LOOKING STATEMENTS WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 AND OTHER FEDERAL SECURITIES LAWS.  THESE FORWARD LOOKING STATEMENTS AND THEIR IMPLICATIONS ARE BASED UPON OUR PRESENT INTENT, BELIEFS OR EXPECTATIONS, BUT FORWARD LOOKING STATEMENTS ARE NOT GUARANTEED TO OCCUR AND MAY NOT OCCUR.  OUR ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTAINED IN OR IMPLIED BY OUR FORWARD LOOKING STATEMENTS AS A RESULT OF VARIOUS FACTORS SOME OF WHICH ARE BEYOND OUR CONTROL.  FOR EXAMPLE:

 

·

WE EXPECT TO OPERATE OUR REHABILITATION HOSPITALS PROFITABLY. HOWEVER, WE ARE CURRENTLY EXPERIENCING LOSSES FROM THESE OPERATIONS AND WE MAY BE UNABLE TO OPERATE THESE HOSPITALS PROFITABLY.  IN ADDITION, THE HOSPITALS MAY BE SUBJECT TO RETROACTIVE RATE ADJUSTMENTS. SIXTY PERCENT OF PATIENTS AT OUR HOSPITALS ARE REQUIRED TO MEET CERTAIN MEDICARE REQUIREMENTS. WHILE WE BELIEVE THAT WE ARE IN COMPLIANCE WITH THESE MEDICARE REQUIREMENTS, AND ALTHOUGH WE EXPECT TO CONTINUE TO BE IN COMPLIANCE WITH THESE REQUIREMENTS, THE PERCENTAGE OF PATIENTS AT THESE HOSPITALS WHO MEET THESE MEDICARE REQUIREMENTS MAY NOT BE OR MAY NOT REMAIN AS HIGH AS WE CURRENTLY BELIEVE OR ANTICIPATE. FAILURE TO COMPLY AND TO REMAIN IN COMPLIANCE WITH APPLICABLE MEDICARE REQUIREMENTS WOULD RESULT IN THE RECLASSIFICATION OF OUR HOSPITALS BY MEDICARE AUTHORITIES AND OUR RECEIVING LOWER MEDICARE PAYMENTS THAN WE CURRENTLY RECEIVE AT THESE HOSPITALS. THESE EVENTS WOULD MATERIALLY AND ADVERSELY AFFECT OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

 

 

·

ALTHOUGH WE EXPECT TO LEASE FROM SENIOR HOUSING TWO ADDITIONAL SENIOR LIVING COMMUNITIES WHICH SENIOR HOUSING HAS AGREED TO PURCHASE FROM THIRD PARTIES, THE DILIGENCE ON THESE COMMUNITIES HAS NOT YET BEEN COMPLETED AND WE OR SENIOR HOUSING MAY DECIDE NOT TO PROCEED WITH THESE TRANSACTIONS. BOTH OF THESE PURCHASES ARE CONTINGENT UPON APPROVALS FROM THIRD PARTY MORTGAGE LENDERS AND GOVERNMENT REGULATORY AGENCIES, WHICH APPROVALS MAY NOT BE OBTAINED. AS A RESULT, BOTH OF THESE PROPOSED LEASES MAY NOT OCCUR.

 

 

·

AS WE BELIEVE THE DECLINE IN VALUE OF THE AUCTION RATE SECURITIES WE OWN IS TEMPORARY, WE INTEND TO HOLD THESE INVESTMENTS FOR THE FORESEEABLE FUTURE. HOWEVER, THIS DECLINE MAY NOT BE TEMPORARY AND THERE MAY BE FURTHER DECLINES. IN ADDITION, WE EVENTUALLY MAY LIQUIDATE SOME OR ALL OF THESE INVESTMENTS AT A LOSS.

 

 

·

OTHER RISKS THAT MAY ADVERSELY IMPACT OUR FORWARD LOOKING STATEMENTS AND THEIR IMPLICATIONS ARE DESCRIBED MORE FULLY UNDER “ITEM 1A. RISK FACTORS” IN OUR ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 2007.

 

YOU SHOULD NOT PLACE UNDUE RELIANCE UPON OUR FORWARD LOOKING STATEMENTS.

 

EXCEPT AS REQUIRED BY LAW, WE UNDERTAKE NO OBLIGATION TO UPDATE OR REVISE ANY FORWARD LOOKING STATEMENTS AS A RESULT OF NEW INFORMATION, FUTURE EVENTS OR OTHERWISE.

 

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Part II.

Other Information

 

 

Item 6.

Exhibits

 

3.1

 

Composite copy of Amended and Restated Bylaws of the Company, as amended to date. (Incorporated by reference to the Company’s Current Report on Form 8-K dated March 28, 2008.)

 

 

 

10.1

 

Thirteenth Amendment to Second Amended and Restated Lease Agreement, dated as of January 4, 2008, by and among Ellicott City Land I LLC, Ellicott City Land II LLC, HRES2 Properties Trust, SNH CHS Properties Trust, SPTIHS Properties Trust, SPT-Michigan Trust, SPTMNR Properties Trust, SNH/LTA Properties Trust and SNH/LTA Properties GA LLC, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.)

 

 

 

10.2

 

Fourteenth Amendment to Second Amended and Restated Lease Agreement, dated as of February 7, 2008, by and among Ellicott City Land I LLC, Ellicott City Land II LLC, HRES2 Properties Trust, SNH CHS Properties Trust, SPTIHS Properties Trust, SPT-Michigan Trust, SPTMNR Properties Trust, SNH/LTA Properties Trust and SNH/LTA Properties GA LLC, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.)

 

 

 

10.3

 

Fifteenth Amendment to Second Amended and Restated Lease Agreement, dated as of February 17, 2008, by and among Ellicott City Land I LLC, Ellicott City Land II LLC, HRES2 Properties Trust, SNH CHS Properties Trust, SPTIHS Properties Trust, SPT-Michigan Trust, SPTMNR Properties Trust, SNH/LTA Properties Trust and SNH/LTA Properties GA LLC, as Landlord, and Five Star Quality Care Trust, as Tenant. (Incorporated by reference to the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.)

 

 

 

10.4

 

Sixteenth Amendment to Second Amended and Restated Lease Agreement, dated as of March 1, 2008, by and among Ellicott City Land I LLC, Ellicott City Land II LLC, HRES2 Properties Trust, SNH CHS Properties Trust, SPTIHS Properties Trust, SPT-Michigan Trust, SPTMNR Properties Trust, SNH/LTA Properties Trust and SNH/LTA Properties GA LLC, as Landlord, and Five Star Quality Care Trust, as Tenant. (Filed herewith.)

 

 

 

10.5

 

Seventeenth Amended and Restated Lease Agreement, dated as of March 31, 2008, by and among Ellicott City Land I LLC, Ellicott City Land II LLC, HRES2 Properties Trust, SNH CHS Properties Trust, SPTIHS Properties Trust, SPT-Michigan Trust, SPTMNR Properties Trust, SNH/LTA Properties Trust, SNH/LTA Properties GA LLC and SNH Somerford Properties Trust, as Landlord, and Five Star Quality Care Trust, as Tenant. (Filed herewith.)

 

 

 

10.6

 

Consulting and Noncompetition Agreement, dated as of May 1, 2008, by and between Five Star Quality Care, Inc. and Errett W. Benton. (Incorporated by reference to the Company’s Current Report on Form 8-K dated May 7, 2008)

 

 

 

31.1

 

Rule 13a-14(a) Certification of Chief Executive Officer. (Filed herewith.)

 

 

 

31.2

 

Rule 13a-14(a) Certification of Chief Financial Officer. (Filed herewith.)

 

 

 

32.1

 

Section 1350 Certification of Chief Executive Officer and Chief Financial Officer. (Furnished herewith.)

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

 

FIVE STAR QUALITY CARE, INC.

 

 

 

 

 

  /s/ Bruce J. Mackey Jr.

 

Bruce J. Mackey Jr.

 

President and Chief Executive Officer

 

Dated:  May 8, 2008

 

 

 

 

 

  /s/ Francis R. Murphy III

 

Francis R. Murphy III

 

Treasurer and Chief Financial Officer

 

(Principal Financial Officer)

 

Dated:  May 8, 2008

 

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