Mark W. Ohlendorf
Analyst · Ryan Daniels with William Blair
As Andy said, we produced solid first quarter results. We saw the continuation of favorable rate growth trends from 2013 and we continue to effectively manage our expenses. As we look at our key financial performance measurements, we had a good start toward achieving our 2014 goals. Excluding certain items from both periods, our cash from facility operations, or CFFO, for the quarter totaled $79.2 million, a 13% increase over the first quarter of 2013, and adjusted EBITDA was $119.8 million, a 7% year-over-year increase. We produced senior housing revenue growth of 4% for the first quarter over the first quarter of 2013, driven by increased occupancy, rate growth and the impact of acquisitions made in 2013. Occupancy grew by 10 basis points year-over-year. As Andy described, the normal occupancy seasonality for Q1 was exacerbated by the weather and the milder flu season's impact on the skilled census. But like any sales process, the ultimate results begin with more leads coming into the funnel. Inquiries were up compared to the first quarter of 2013 and lead contacts by our salespeople were also up. We experienced a 70% increase in visits to our website versus last year, which was prior to the commencement of our branding campaign. We've also experimented with pay-per-click Internet advertising, and it produced 2,500 quality leads in 3 markets in the first quarter. We're expanding this effort into 4 more markets in the second quarter. During the first quarter, we saw continuing price strength with a 2.7% year-over-year increase in Senior Living revenue per unit. We increased the in-place resident rates in the Assisted Living and Memory Care communities, roughly 46% of our consolidated capacity, by more than 3% effective January 1. The strongest rate growth continued in the Retirement Centers segment, where we produced a 4.9% increase over the first period of 2013. Senior housing expenses increased 3.6%, driving the operating margin to 35.4%, an increase of 30 basis points from the 35.1% in the first quarter last year. Our ancillary services business produced $63.4 million of revenue, a 5.3% increase for the first -- from the first quarter of 2013. We saw an increase in Home Health cases, offset by rate decreases and a small decrease in Outpatient Therapy volume. We're beginning to see a growing contribution from our Hospice operations as the start-up markets begin to mature. On April 1, we will anniversary the rate decreases of sequestration and MPPR for Outpatient Therapy. We still expect full year ancillary services operating income to hit our guidance of 10% to 15% growth. Our Independent Living entry fee sales were on par with historical seasonal trends, with the first quarter being the lowest sales quarter of the year. Our $6.5 million of net entry fee cash flow was approximately $1 million lower than the first quarter of 2013. Again, sales activity was good, but the weather delayed some closings. We've started out the second quarter on a very solid pace for closings and have closed a number of sales already in April. Looking at our same community data for senior housing for the first quarter of 2014 compared to the first quarter of 2013, our senior housing same communities produced a 2.9% increase in revenue due to a 2.7% increase in revenue per unit and a 10-basis-point improvement in occupancy. At the same time, expenses increased 2.5% with the operating margin rising by 20 basis points to 34.3%. Within the 2.5% cost increase, we continue to effectively manage our labor cost, which increased approximately 1.5% year-over-year. As Andy mentioned, we incurred higher-than-anticipated snow removal and utility costs due to the extreme weather conditions this past winter. These costs totaled $3 million in the same-store portfolio. If we normalize those costs, our same-store expense growth would have been closer to 1.5%. Same community operating income grew by 3.5% versus the first quarter of 2013. Without the heightened winter-related expenses, same-store operating income would have grown by approximately 5.5%. General and administrative expense was $55.5 million for the first quarter of the year. Included in G&A cost was noncash stock-based compensation expense of $7.6 million and integration, transaction-related and EMR rollout cost of $11.8 million. Of course, the vast majority of the latter expense related to the ongoing Emeritus integration and merger process. General and administrative expense, excluding these 2 items for the quarter, was $36.2 million, which was 4.4% as a percentage of total revenue under management. Our Q1 spending on routine CapEx, which we reflect in our CFFO, was $9.4 million. Our Program Max activity continues to scale up. As we've completed 4 projects already this year with 81 units, we have 16 projects under construction with 347 units and 11 more in active development with 276 units. Altogether, this represents almost $150 million of project cost. We recently completed a refinancing for $146 million secured by first mortgages with a fixed rate of 4.77% for 7 years. Proceeds of the loans were used to refinance a $140 million loan that carried a 5.84% fixed rate and was scheduled to mature in November of 2014. The company now has no mortgage debt maturities, excluding scheduled principal amortization in 2014 or 2015 and only $33 million of mortgage debt maturing in 2016. As Andy said, the first quarter was a good start to the year. At this point, we're not changing our full year CFFO guidance of $2.68 to $2.75 a share. This guidance does not include the impact of the Emeritus merger, the HCP transactions or any other future acquisitions or dispositions nor the expenses from transactions, integration and EMR rollout cost. We'll now turn the call back to the operator to begin the question-and-answer session. Operator?