Wendy Simpson
Analyst · BMO Capital Markets
Thank you, operator. I'd like to welcome everyone to LTC's 2021 Fourth Quarter Conference Call. Joining me today are Pam Kessler, Co-President and Chief Financial Officer; and Clint Malin, Co-President and Chief Investment Officer. The seniors housing and care market continues to deal with the impact of COVID-19 pandemic, but shows signs of sustainable recovery. Therefore, I continue to believe that a bright future for our industry remains intact. As I speak to you today, I remain cautiously optimistic. I am excited by the opportunities we are seeing to put our capital to work, with several investments completed in the fourth quarter and others planned for 2022. I also am grateful that the Omicron variant seems to have had a less significant impact on society, with cases and hospitalizations now trending down from the highs we saw late last year and earlier this year. It is my hope that this downward trend will allow our operators to continue the recovery process. We are incredibly proud of how the seniors housing and care community came together to find effective ways to care for our nation's most vulnerable population during the pandemic. Although we are not completely out of the woods, I steadfastly believe that as an industry, we will persevere and come out of this stronger than we were before. We will successfully adapt to whatever becomes the new normal. And with the growing elderly population with ongoing needs for safe, engaging and compassionate care, the long-term outlook is positive. In the shorter term, operators continue to manage through staffing shortages with many identifying ways to address the challenge. Since we spent a good deal of time on this issue last quarter, I won't belabor the point but did want to recognize that census could remain somewhat constrained until the staffing problems are mitigated. Until that time, Federal and state assistance is still needed and would be of some help. At a recent industry conference in Miami, Mark Parkinson, President and CEO of AHCA and NCAL, spoke to the audience about the road ahead for long-term care providers. Among other messages, he stressed the need for continued Federal and state support until census recovers and the need for structural Medicaid changes to create stability and accommodate changes in the labor force. In 2020, when the pandemic began, the Federal government took several steps to assist our industry. Among others, the sequester was eliminated, Medicare payments changed, the 3-day stay rule was waived, additional Medicaid support was made available to states and billions of dollars were deployed as part of the Provider Relief Fund. In 2021, the focus shifted to state-run assistance, totaling approximately $10 billion. Currently, at the Federal level, there is about $8 billion remaining to be deployed to providers who have not yet received their Phase 4 payments with a target completion for total distribution by the end of March. At the state level, virtually every state’s Phase 1 has allocated some amount of money to providers from each state's stimulus funds and from the extra Medicaid reimbursement provided by the Federal government, among others. The hope is that in 2022, we'll see an additional $10 billion in aid. In many states, the extra money is tied to the Federal public health emergency, with states like California, North Carolina and Texas, among others, providing substantial daily Medicaid add-ons for as long as the public health emergency remains in effect. It is currently extended to the middle of April because by rule, it can only be extended for 3 months at a time. Mark believes that through substantial lobbying efforts, the public health emergency could remain intact until census fully recovers with some optimism that it will be extended in April for at least another 3 months. Speaking to LTC specifically, we closed on $103.3 million in investments in Q4, including future funding commitments that are embedded in the closed transactions total. For all of 2021, we invested $109.4 million and disposed off assets for net proceeds of $44 million, which resulted in a gain of sale of $7 million. We continue to have an active and healthy pipeline moving into 2022, the value of which is just north of $110 million, including a $25 million transaction we expect to close by the end of the month. With occupancy increasing, private rates going up and pent-up demand for needs-based care, we don't expect to see a big change in rent deferrals and abatements in the first quarter, but do continue to anticipate providing some amount of relief until occupancy gains become more permanent. Our former Senior Lifestyle portfolio transaction is virtually complete. We still await licensure for 1 building in New Jersey. The delay has been purely administrative in nature at the state level, and we have no reason to believe that the transfer will not happen in due course. Since the transition of the former SLC properties, the new operators of the buildings have adapted to the current market and are seeing some occupancy increases. I'd like to quickly address Anthem as we continue to receive questions about the health of our portfolio with them. They have made considerable progress since we first reported their challenges in 2017. We are proud of the strides they have made. In 2020, Anthem paid us annual rent of $9.9 million, increasing to $10.8 million in 2021. Our expectation is that they will continue to pay annual rent of $10.8 million in 2022. We anticipate setting more permanent rents in the next 12 to 24 months, depending on performance and as occupancy returns to pre-pandemic levels. I would also note that Anthem is now expanding their footprint, which we see as a positive sign. At the end of last month, Anthem agreed to manage 9 memory care communities across several states, including 4 states new to them. As I discussed earlier, our pipeline remains robust as we've continued to work towards enhancing relationships with existing operators and building relationships with new operators who have the resources and desire to grow. During the quarter, we closed on 3 mortgage loans. Pam will provide more details later in the call. We continue to strongly believe that these types of investments, which are shorter in duration, represent cash flow strategic deals with what we believe to be reduced risk profiles. Additionally, the shorter durations of these investments can act as an inflation rate hedge, which is important in today's market. With our solid balance sheet, we have ample liquidity to quickly act on opportunities, and we are doing just that. We maintained our $0.19 per share monthly dividend during the quarter with a payout to shareholders of $22.4 million. Our FAD payout ratio decreased from the third quarter to 93% in the fourth quarter and was 94% for the year. Based on our fourth quarter investment activity and assumed rent payments from the former Senior Care and Senior Lifestyle portfolios, we anticipate that our FAD payout ratio will continue to decline during 2022 and approach our target of 80% by the end of 2022 or the beginning of 2023. Our guidance for the first quarter anticipates FFO to increase approximately $0.01 to $0.02 per share, excluding nonrecurring items from both quarters' results. This guidance does not include the recovery of any deferred rent or additional investments other than the upcoming $25 million investments I already discussed. Now, I'll hand the call over to Pam.