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Form 8-K FIVE STAR QUALITY CARE For: Aug 10

August 10, 2015 8:20 AM EDT

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT PURSUANT

TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of earliest event reported):    August 10, 2015

 

FIVE STAR QUALITY CARE, INC.

(Exact Name of Registrant as Specified in Its Charter)

 

Maryland

(State or Other Jurisdiction of Incorporation)

 

 

 

 

1-16817

 

04-3516029

(Commission File Number)

 

(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)

 

 

 

 

 

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing

obligation of the registrant under any of the following provisions:

 

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


 

 

 

Item 2.02.  Results of Operations and Financial Condition.

 

On August 10, 2015, Five Star Quality Care, Inc., or the Company, issued a press release setting forth the Company’s results of operations and financial condition for the quarter and six months ended June 30, 2015.  A copy of the Company’s press release is furnished as Exhibit 99.1 hereto.

 

Item 9.01.  Financial Statements and Exhibits.

 

(d)

Exhibits.

 

The Company hereby furnishes the following exhibit:

 

99.1Press Release dated August 10, 2015.

 

 

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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 hereunto duly authorized.

 

 

 

 

 

FIVE STAR QUALITY CARE, INC.

 

 

 

 

 

 

 

 

By:

/s/ Paul V. Hoagland

 

 

Paul V. Hoagland

 

 

Treasurer and Chief Financial Officer

 

Dated:  August 10, 2015

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Exhibit 99.1

 

FVE-top

 

 

 

FOR IMMEDIATE RELEASE 

Contact: Kimberly Brown, Director, Investor Relations

 

(617) 796-8245

 

Five Star Quality Care, Inc. Reports Second Quarter 2015 Results

 

Fourteen Managed Communities  with  838 Living Units Added During the Second Quarter

 

Two Senior Living Communities with 152 Private Pay Living Units Under Agreement to Purchase for $26.0 Million 


 

Newton, MA (August 10, 2015).  Five Star Quality Care, Inc. (NYSE: FVE) today announced its financial results for the quarter and six months ended June 30, 2015.

 

Five Stars President and CEO, Bruce J. Mackey Jr., made the following statement:

 

“Our operating results at our owned and leased independent and assisted living communities as well at our leased continuing care retirement communities improved year over year, primarily driven by increased average monthly rates and our continued focus on expense controls.  Management fee revenues also increased 10.9% year over year primarily because of the growth in the number of managed communities.  However, our overall results were adversely affected by a modest, but continuing decline in occupancy. 

 

We continue executing on our business plan of growing our portfolio of owned, leased and managed private pay senior living communities and selling skilled nursing facilities dependent upon government reimbursement revenue and other underperforming properties.  During the second quarter, we added 14 managed communities with 838 living units and we recently sold two skilled nursing facilities with 51 living units.  We also currently have two private pay senior living communities with 152 living units under agreement to purchase for our own account.”

 

Second Quarter 2015 Financial Results:

 

§

Senior living revenues for the second quarter of 2015 increased 0.9% to $277.9 million from $275.4 million for the same period in 2014.  Growth in senior living revenues was the result of increases in average monthly rates to residents who pay privately for services, partially offset by decreases in occupancy. Management fee revenue from Five Star’s managed communities for the second quarter of 2015 increased 10.9% to $2.7 million from $2.4 million for the same period in 2014. Growth in management fees was primarily due to an increase in the number of communities managed and an increase in average monthly rates, partially offset by decreases in occupancy at same store comparable communities.

§

Earnings from continuing operations before interest, taxes, depreciation and amortization, or EBITDA, for the second quarter of 2015 were $5.9 million compared to $7.7 million for the same period in 2014.  EBITDA, 

 


 

excluding certain items described below that Five Star believes may be non-recurring, or Adjusted EBITDA, was $7.1 million and $8.9 million for the second quarter of 2015 and 2014, respectively. Adjusted EBITDA excluding rent, or Adjusted EBITDAR,  was $56.8 million for the second quarter of 2015 compared to $58.1 million for the same period in 2014

§

Loss from continuing operations for the second quarter of 2015 was $3.4 million, or $0.07 per basic and diluted share, compared to loss from continuing operations of $1.0 million, or $0.02 per basic and diluted share, for the same period in 2014.  

§

Net loss for the second quarter of 2015 was $3.9 million, or $0.08 per basic and diluted share, compared to net loss of $1.9 million, or $0.04 per basic and diluted share, for the same period in 2014. Net loss for the second quarter of 2015 included a loss from discontinued operations of $0.5 million; net loss for the second quarter of 2014 included a loss from discontinued operations of $0.9 million.    

§

EBITDA, EBITDAR, loss from continuing operations and net loss in the second quarter of 2015 included $1.2 million of items that Five Star believes may not be recurring and which included compliance costs and professional fees of $1.9 million, primarily resulting from Medicare records billing deficiencies which Five Star discovered and self-reported as previously disclosed and as described below, offset by a gain of $0.7 million on early extinguishment of debt.  EBITDA, EBITDAR, loss from continuing operations and net loss in the second quarter of 2014 included $1.1 million of accounting costs incurred in connection with the restatement of certain previously issued financial statements and the delayed completion of Five Star’s 2013 third quarter and 2013 annual financial reporting which Five Star believes may not be recurring.

 

§

A reconciliation of loss from continuing operations determined in accordance with U.S. generally accepted accounting principles, or GAAP, to EBITDA, Adjusted EBITDA and Adjusted EBITDAR for the quarters ended June 30, 2015 and 2014 appears later in this press release.

 

Second Quarter 2015 Operating Results (continuing operations):

§

Occupancy at owned and leased senior living communities for the second quarter of 2015 decreased by 70 basis points (“bps”) to 85.1% from 85.8% for the same period in 2014.  

§

The average monthly rate at owned and leased senior living communities for the second quarter of 2015 increased by 1.2% to $4,591 from $4,537 for the same period in 2014.

§

The percentage of revenues derived from residents’ private resources at owned and leased senior living communities for the second quarter of 2015 increased by 50 bps to 77.6% from 77.1% for the same period in 2014.

 

Year to Date Financial Results:

 

§

Senior living revenues for the six months ended June 30, 2015 increased 1.1% to $553.1 million from $547.2 million for the same period in 2014.  Growth in senior living revenues was the result of increases in average monthly rates to residents who pay privately for services, partially offset by decreases in occupancy and a revenue reserve Five Star recorded in the 2015 period, as further described below. Management fee revenue from Five Star’s managed communities for the six months ended June 30, 2015 increased by 7.5% to $5.2 million from $4.9 million for the same period in 2014. Growth in management fees was primarily due to an increase in the number of communities managed and an increase in average monthly rates, partially offset by decreases in occupancy at same store comparable communities.

§

EBITDA for the six months ended June 30, 2015 was $10.6 million compared to $7.7 million for the same period in 2014. Adjusted EBITDA was $16.7 million and $11.6 million for the six months ended June 30, 2015 and

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2014, respectively. Adjusted EBITDAR was $116.0 million for the six months ended June 30, 2015 compared to $109.9 million for the same period in 2014. 

§

Loss from continuing operations for the six months ended June 30, 2015 was $8.2 million, or $0.17 per basic and diluted share, compared to loss from continuing operations of $6.9 million, or $0.14 per basic and diluted share, for the same period in 2014.  

§

Net loss for the six months ended June 30, 2015 was $9.2 million, or $0.19 per basic and diluted share, compared to net loss of $8.7 million, or $0.18 per basic and diluted share, for the same period in 2014. Net loss for the six months ended June 30, 2015 included a loss from discontinued operations of $1.0 million; net loss for the six months ended June 30, 2014 included a loss from discontinued operations of $1.8 million.    

§

EBITDA, EBITDAR, loss from continuing operations and net loss in the six months ended June 30, 2015 included $6.1 million of items that Five Star believes may not be recurring and which included a revenue reserve of $2.4 million and estimated penalties, compliance costs and professional fees of $4.4 million, primarily resulting from Medicare records billing deficiencies which Five Star discovered and self-reported as previously disclosed and as described below, offset by a gain of $0.7 million on early extinguishment of debt.  EBITDA, EBITDAR, loss from continuing operations and net loss in the six months ended June 30, 2014 included $4.1 million of accounting costs incurred in connection with the restatement of certain previously issued financial statements and the delayed completion of Five Star’s 2013 third quarter and 2013 annual financial reporting which Five Star believes may not be recurring.

 

§

A reconciliation of loss from continuing operations determined in accordance with GAAP to EBITDA, Adjusted EBITDA and Adjusted EBITDAR for the six months ended June 30, 2015 and 2014 appears later in this press release.

 

Expansion and Disposition Activities:

 

Since April 1, 2015, Five Star began managing  15 senior living communities with a combined 878 living units for Senior Housing Properties Trust, or SNH:

 

§

In May 2015, Five Star began managing 14 assisted living communities in four states with a combined 838 living units which were acquired by SNH at that time.

 

§

Also in May 2015, Five Star began managing a newly constructed senior living community with 40 private pay independent living units located in Georgia, which is located adjacent to another community that Five Star manages for SNH.  Five Star now manages these communities as a single integrated community under the same management agreement.

 

In March 2015, Five Star entered an agreement to acquire two private pay independent living communities with a combined total of 152 living units located in Tennessee for $26.0 million, including the assumption of approximately $17.0 million of mortgage debt and excluding closing costs.  Five Star currently expects this acquisition to close by year end 2015 and to fund this acquisition with cash on hand and borrowings under its revolving credit facility.

 

In July and August 2015, Five Star and SNH sold two skilled nursing facilities, or SNFs, which are included in discontinued operations, with a combined total of 51 living units for approximately $1.0 million. As a result of these sales, Five Star’s annual minimum rent payable to SNH decreased by $0.1 million in accordance with the terms of the applicable leases.

 

As of the date of this press release,  Five Star is continuing to market for sale one community it owns with 32 living units and Five Star and SNH are continuing to jointly market for sale one community that Five Star leases from SNH

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with 116 living units,  both of which are reported as held for sale and discontinued operations in Five Star’s financial statements.

 

Financing Activities:

 

In April 2015, Five Star exercised the first of two one year options to extend the maturity date of its $150.0 million revolving credit facility, extending the maturity date of the facility to April 13, 2016

 

In June 2015, Five Star prepaid a 8.99% mortgage note that had a principal balance of approximately $4.9 million. In connection with this repayment, Five Star recorded a gain of approximately $0.7 million on early extinguishment of debt, net of unamortized premiums and a 1% prepayment penalty, in the second quarter of 2015.

 

Compliance Update: 

 

As previously disclosed, as a result of Five Star’s compliance program to review medical records related to its Medicare billing practices, during 2014 Five Star discovered potentially inadequate documentation and other issues at one of its leased SNFs.  This compliance review was not initiated in response to any specific complaint or allegation, but was a review of the type that Five Star periodically undertakes to test its own compliance with applicable Medicare billing rules.  As a result of these discoveries, in February 2015, Five Star made a voluntary disclosure of deficiencies to the United States Department of Health and Human Services Office of the Inspector General, or the OIG, pursuant to the OIG’s Provider Self-Disclosure Protocol.  Five Star completed its investigation and assessment of these matters and submitted a final supplemental disclosure to the OIG in May 2015.  At December 31, 2014, Five Star had accrued a revenue reserve of $4.3 million for historical Medicare repayments Five Star expects to repay as a result of these deficiencies.  For the quarter ended March 31, 2015, this revenue reserve was increased by $2.4 million so it now totals $6.7 million.  In addition, Five Star has recorded expense for additional costs Five Star incurred or expects to incur, including OIG imposed penalties, as a result of this matter totaling $3.6 million for the year ending December 31, 2014, and $1.9 million and $4.2 million for the three and six months ending June 30, 2015, respectively, of which $5.1 million remains accrued and not paid at June 30, 2015. As part of the OIG’s Self-Disclosure Protocol, Five Star expects that the OIG will review and evaluate Five Star’s investigation and assessment of these deficiencies and that review could result in further investigation and a possible increase in Five Star’s liabilities. 

 

Loss Contingency:

 

In the ordinary course of Five Star’s business, Five Star is periodically subject to claims by residents of its senior living communities alleging improper care and services. Five Star maintains insurance for such claims subject to a self-insured retention. In May 2015, in a case brought in the Superior Court of Maricopa County, Arizona, jury verdicts  were awarded against Five Star on such a claim for $2.5 million of compensatory damages plus approximately $16.7 million of punitive damages. The self insured retention applicable to the policy covering this claim is $0.5 million.  If the compensatory part of this jury verdict is sustained, Five Star expects that the full compensatory award will be payable by Five Star’s insurer. Although it is investigating the issue, Five Star believes that it may have a basis to recover from its insurer some or all of the punitive damages awarded by the jury verdict. Five Star also believes that it is more likely than not that these jury verdicts, including the punitive damages award, will be set aside. Because Five Star has determined that losses beyond costs already incurred in defending the lawsuit are not probable and Five Star is unable to reasonably estimate its potential liability for this matter, Five Star has not recorded a reserve for this matter. Although Five Star cannot predict the ultimate outcome of this claim, Five Star believes the jury’s verdicts were wrong and the result of significant trial error. Five Star intends to vigorously pursue its position in post trial motions and, if those motions are unsuccessful, on appeal.

 

4


 

Conference Call:

 

Later this morning,  August 10, 2015, at 8:30 a.m. Eastern Time,  Five Star will host a conference call to discuss its second quarter 2015 results.  Following management’s presentation, there will be a question and answer period. 

 

The conference call telephone number is (877) 329-4332. Participants calling from outside the United States and Canada should dial (412) 317-5436. No pass code is necessary to access the call from either number. Participants should dial in about 15 minutes prior to the scheduled start of the call. A replay of the conference call will be available through 11:59 p.m. Eastern Time on Monday, August 17, 2015.To hear the replay, dial (412) 317-0088. The replay pass code is 10070303.   

 

A live audio webcast of the conference call will also be available in a listen only mode on Five Star’s website at www.fivestarseniorliving.com.  Participants wanting to access the webcast should visit Five Star’s website about five minutes before the call.  The archived webcast will be available for replay on Five Star’s website for about one week after the call. The transcription, recording and retransmission in any way of Five Star’s second quarter 2015 conference call are strictly prohibited without the prior written consent of Five Star.    Five Star’s website is not incorporated as part of this press release.

 

About Five Star Quality Care, Inc.:

 

Five Star Quality Care, Inc. is a senior living and healthcare services company.  As of June 30, 2015,  Five Star operated 272 senior living communities (excluding those senior living communities it has classified as discontinued operations) with 31,267 living units located in 32 states, including 212 communities (23,099 living units) that it owns or leases and 60 communities  (8,168 living units) that it manages.  These communities include independent living, assisted living, continuing care and skilled nursing communities.  Five Star is headquartered in Newton, Massachusetts.

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WARNING CONCERNING FORWARD LOOKING STATEMENTS

 

this press release contains statements THAT constitute forward looking statements within the meaning of the private securities litigation reform act of 1995 and other securities laws.  aLSO, whenever Five star uses words such as “believe”, “expect”, “anticipate”, “intend”, “plan”, “estimate” or similar expressions, it is making forward looking statements.  these forward looking statements are based upon five star’s PRESENT intent, beliefs or expectations, but FORWARD LOOKING STATEMENTS are not guaranteed to occur and may not occur.  ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTAINED IN OR IMPLIED BY THESE FORWARD LOOKING STATEMENTS AS A RESULT OF VARIOUS FACTORS.  FoR EXAMPLE:

 

·

THIS PRESS RELEASE STATES THAT FIVE STAR HAS AGREED TO ACQUIRE TWO INDEPENDENT LIVING COMMUNITIES FOR $26.0 MILLION, INCLUDING THE ASSUMPTION OF APPROXIMATELY $17.0 MILLION OF MORTGAGE DEBT AND EXCLUDING CLOSING COSTS, AND THAT THIS ACQUISITION IS EXPECTED TO CLOSE BY YEAR END 2015.  THIS TRANSACTION IS SUBJECT TO CLOSING CONDITIONS.  THESE CONDITIONS MAY NOT BE SATISFIED AND THIS ACQUISITION MAY NOT OCCUR, MAY BE DELAYED OR THE PRICE AND TERMS MAY CHANGE.

 

·

THIS PRESS RELEASE STATES THAT FIVE STAR IS CONTINUING TO MARKET FOR SALE ONE COMMUNITY IT OWNS AND FIVE STAR AND SNH ARE CONTINUING TO JOINTLY MARKET FOR SALE ONE COMMUNITY THAT FIVE STAR LEASES FROM SNHFIVE STAR AND SNH MAY NOT BE ABLE TO SELL THESE COMMUNITIES ON ACCEPTABLE TERMS OR OTHERWISE, AND THE SALES OF THESE COMMUNITIES MAY NOT OCCUR.

 

·

in february 2015, FIVE STAR MADE A VOLUNTARY DISCLOSURE OF CERTAIN DOCUMENTATION DEFICIENCIES RELATED TO MEDICARE RECORDS AND OTHER MATTERS TO THE OIG. FIVE STAR COMPLETED ITS INVESTIGATION AND ASSESSMENT OF THESE MATTERS AND submitted A FINAL SUPPLEMENTAL DISCLOSURE TO THE OIG IN MAY 2015. ALTHOUGH FIVE STAR HAS ACCRUED A REVENUE RESERVE FOR REPAYMENT OF HISTORICAL MEDICARE REVENUES FIVE STAR EXPECTS TO REPAY AND HAS ACCRUED A RESERVE FOR ASSOCIATED ADDITIONAL COSTS FIVE STAR INCURRED OR EXPECTS TO INCUR, INCLUDING OIG IMPOSED PENALTIES, THERE CAN BE NO ASSURANCE THAT FIVE STAR’S RESERVES WILL BE ADEQUATE TO COVER THE REPAYMENT OBLIGATIONS IT IS FINALLY DETERMINED TO OWE OR ASSOCIATED ADDITIONAL COSTS. ALSO, ADDITIONAL DEFICIENCIES MAY BE DISCOVERED THAT COULD INCREASE FIVE STAR’S LIABILITY TO THE OIG AND THE ASSOCIATED COSTS.

 

·

THIS PRESS RELEASE STATES THAT FIVE STAR BELIEVES THE JURY’S VERDICTS AWARDED IN THE ARIZONA CASE AGAINST IT WERE WRONG AND THE RESULT OF SIGNIFICANT TRIAL ERROR AND THAT FIVE STAR INTENDS TO VIGOROUSLY PURSUE ITS POSITION IN POST TRIAL MOTIONS AND, IF THOSE MOTIONS ARE UNSUCCESSFUL, ON APPEAL.  THIS PRESS RELEASE ALSO STATES THAT BECAUSE FIVE STAR HAS DETERMINED THAT LOSSES BEYOND COSTS ALREADY INCURRED IN DEFENDING THE LAWSUIT ARE NOT PROBABLE AND FIVE STAR IS UNABLE TO REASONABLY ESTIMATE ITS POTENTIAL LIABILITY FOR THIS MATTER, FIVE STAR HAS NOT RECORDED A RESERVE FOR THIS MATTER.    THESE STATEMENTS MAY IMPLY THAT FIVE STAR WILL BE SUCCESSFUL IN THE ARIZONA CASE AND WILL NOT HAVE TO PAY ANY AMOUNTS IN CONNECTION WITH THE JURY VERDICTS IN ADDITION TO COSTS ALREADY INCURRED IN DEFENDING THE LAWSUIT. HOWEVER, LITIGATION CAN BE UNPREDICTABLE AND OFTEN HAS UNANTICIPATED RESULTS. THERE CAN BE NO ASSURANCE THAT FIVE STAR WILL BE SUCCESSFUL IN ITS

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EFFORTS TO OVERTURN THE JURY VERDICTS AND FIVE STAR MAY HAVE TO FUND SIGNIFICANT AMOUNTS TO SATISFY THESE JURY VERDICTS.

 

·

THIS PRESS RELEASE STATES THAT FIVE STAR BELIEVES THAT IT MAY HAVE A BASIS TO RECOVER FROM ITS INSURER SOME OR ALL OF THE PUNITIVE DAMAGES AWARDED IN THE ARIZONA CASE.   FIVE STAR IS CURRENTLY INVESTIGATING WHETHER ITS INSURER MAY BE RESPONSIBLE UNDER THE TERMS OF FIVE STAR’S INSURANCE OR OTHERWISE UNDER APPLICABLE LAW TO PAY SOME OR ALL OF ANY PUNITIVE DAMAGES AWARD THAT MAY BE SUSTAINED. FIVE STAR’S INSURER HAS DENIED ANY RESPONSIBILITY FOR THE PUNITIVE DAMAGES AWARD AND THERE CAN BE NO ASSURANCE THAT FIVE STAR WILL HAVE INSURANCE COVERAGE IN THE EVENT THE PUNITIVE DAMAGES AWARD IS NOT SET ASIDE OR REVERSED ON APPEAL.

 

THE INFORMATION CONTAINED IN FIVE STAR’S FILINGS WITH THE SECURITIES AND EXCHANGE COMMISSION, OR THE SEC, INCLUDING UNDER THE CAPTION “RISK FACTORS” IN FIVE STAR’S PERIODIC REPORTS, OR INCORPORATED THEREIN, IDENTIFIES OTHER IMPORTANT FACTORS THAT COULD CAUSE DIFFERENCES FROM FIVE STAR’S FORWARD LOOKING STATEMENTS.  FIVE STAR’S FILINGS WITH THE SEC ARE AVAILABLE ON THE SEC’S WEBSITE AT WWW.SEC.GOV.

 

YOU SHOULD NOT PLACE UNDUE RELIANCE UPON FORWARD LOOKING STATEMENTS.

 

EXCEPT AS REQUIRED BY LAW, FIVE STAR DOES NOT INTEND TO UPDATE OR CHANGE ANY FORWARD LOOKING STATEMENTS AS A RESULT OF NEW INFORMATION, FUTURE EVENTS OR OTHERWISE.

 

 

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Supplemental Information, page 1 of 7

 

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30,

    

Six Months Ended June 30,

 

 

    

2015

    

2014

 

2015

    

2014

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

Senior living revenue

 

$

277,935 

 

$

275,388 

 

$

553,108 

 

$

547,169 

 

Management fee revenue

 

 

2,699 

 

 

2,433 

 

 

5,222 

 

 

4,858 

 

Reimbursed costs incurred on behalf of managed communities

 

 

61,635 

 

 

54,978 

 

 

117,912 

 

 

109,183 

 

Total revenues

 

 

342,269 

 

 

332,799 

 

 

676,242 

 

 

661,210 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

Senior living wages and benefits

 

 

136,351 

 

 

134,179 

 

 

269,604 

 

 

266,962 

 

Other senior living operating expenses

 

 

71,245 

 

 

70,334 

 

 

143,470 

 

 

143,151 

 

Costs incurred on behalf of managed communities

 

 

61,635 

 

 

54,978 

 

 

117,912 

 

 

109,183 

 

Rent expense

 

 

49,657 

 

 

49,203 

 

 

99,285 

 

 

98,277 

 

General and administrative

 

 

18,181 

 

 

16,574 

 

 

36,163 

 

 

36,322 

 

Depreciation and amortization

 

 

8,123 

 

 

7,975 

 

 

16,218 

 

 

15,251 

 

Total operating expenses

 

 

345,192 

 

 

333,243 

 

 

682,652 

 

 

669,146 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating loss

 

 

(2,923)

 

 

(444)

 

 

(6,410)

 

 

(7,936)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest, dividend and other income

 

 

243 

 

 

213 

 

 

463 

 

 

409 

 

Interest and other expense

 

 

(1,137)

 

 

(1,261)

 

 

(2,491)

 

 

(2,479)

 

Gain on early extinguishment of debt

 

 

692 

 

 

 —

 

 

692 

 

 

 —

 

Gain on sale of available for sale securities reclassified from other comprehensive (loss) income

 

 

18 

 

 

13 

 

 

38 

 

 

326 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from continuing operations before income taxes and equity in earnings of an investee

 

 

(3,107)

 

 

(1,479)

 

 

(7,708)

 

 

(9,680)

 

(Provision for) benefit from income taxes

 

 

(280)

 

 

364 

 

 

(584)

 

 

2,795 

 

Equity in earnings of an investee

 

 

23 

 

 

118 

 

 

95 

 

 

21 

 

Loss from continuing operations

 

 

(3,364)

 

 

(997)

 

 

(8,197)

 

 

(6,864)

 

Loss from discontinued operations

 

 

(546)

 

 

(894)

 

 

(1,015)

 

 

(1,786)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(3,910)

 

$

(1,891)

 

$

(9,212)

 

$

(8,650)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding—basic and diluted

 

 

48,399 

 

 

48,013 

 

 

48,382 

 

 

48,007 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted loss per share from:

 

 

 

 

 

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.07)

 

$

(0.02)

 

$

(0.17)

 

$

(0.14)

 

Discontinued operations

 

 

(0.01)

 

 

(0.02)

 

 

(0.02)

 

 

(0.04)

 

Net loss per share—basic and diluted

 

$

(0.08)

 

$

(0.04)

 

$

(0.19)

 

$

(0.18)

 

 

 

 

 

 

 

 


 

 

Supplemental Information, page 2 of 7

 

FIVE STAR QUALITY CARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS DATA

(in thousands)

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

June 30,

 

December 31,

 

 

    

2015

    

2014

 

Assets

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

22,016 

 

$

20,988 

 

Accounts receivable, net of allowance

 

 

38,499 

 

 

38,814 

 

Due from related persons

 

 

11,569 

 

 

12,641 

 

Investments in available for sale securities

 

 

25,352 

 

 

23,436 

 

Restricted cash

 

 

4,468 

 

 

2,945 

 

Prepaid and other current assets

 

 

20,705 

 

 

21,494 

 

Assets of discontinued operations

 

 

1,840 

 

 

1,463 

 

Total current assets

 

 

124,449 

 

 

121,781 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

357,118 

 

 

357,186 

 

Restricted cash

 

 

3,477 

 

 

2,170 

 

Restricted investments in available for sale securities

 

 

15,222 

 

 

19,835 

 

Goodwill, equity investment and other long term assets

 

 

35,188 

 

 

34,001 

 

Total assets

 

$

535,454 

 

$

534,973 

 

 

 

 

 

 

 

 

 

Liabilities and Shareholders’ Equity

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

Revolving credit facilities

 

$

35,000 

 

$

35,000 

 

Other current liabilities

 

 

199,724 

 

 

180,392 

 

Total current liabilities

 

 

234,724 

 

 

215,392 

 

 

 

 

 

 

 

 

 

Mortgage notes payable

 

 

43,281 

 

 

49,373 

 

Other long term liabilities

 

 

39,274 

 

 

43,426 

 

Shareholders’ equity

 

 

218,175 

 

 

226,782 

 

Total liabilities and shareholders’ equity

 

$

535,454 

 

$

534,973 

 

 

 

 

 

 


 

 

Supplemental Information, page 3 of 7

 

FIVE STAR QUALITY CARE, INC.

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30,

 

    

2015

    

2014

Cash flows from operating activities:

 

 

 

 

 

Net loss

 

(9,212)

 

$

(8,650)

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

 

 

 

 

 

Depreciation and amortization

 

16,496 

 

 

15,774 

Gain on early extinguishment of debt

 

(742)

 

 

 —

Loss from discontinued operations before income tax

 

1,015 

 

 

2,757 

Gain on sale of available for sale securities

 

(38)

 

 

(326)

Loss on disposal of property and equipment

 

56 

 

 

 —

Equity in earnings of an investee

 

(95)

 

 

(21)

Stock-based compensation

 

788 

 

 

559 

Deferred income taxes

 

 —

 

 

(4,756)

Provision for losses on receivables

 

2,880 

 

 

2,607 

Changes in assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(2,565)

 

 

(4,255)

Prepaid expenses and other assets

 

(627)

 

 

1,832 

Accounts payable and accrued expenses

 

4,081 

 

 

15,096 

Accrued compensation and benefits

 

10,115 

 

 

8,096 

Due to related persons, net

 

448 

 

 

2,742 

Other current and long term liabilities

 

1,358 

 

 

3,569 

Cash provided by operating activities

 

23,958 

 

 

35,024 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

(Increase) decrease in restricted cash and investment accounts, net

 

(2,830)

 

 

7,900 

Acquisition of property and equipment

 

(25,175)

 

 

(28,906)

Acquisition of senior living communities, net of liabilities assumed

 

 —

 

 

(5,926)

Purchases of available for sale securities

 

(298)

 

 

(13,585)

Investment in Affiliates Insurance Company

 

 —

 

 

(825)

Proceeds from sale of property and equipment to Senior Housing Properties Trust

 

8,902 

 

 

17,423 

Proceeds from sale of available for sale securities

 

2,817 

 

 

8,225 

Cash used in investing activities

 

(16,584)

 

 

(15,694)

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

Proceeds from borrowings on credit facilities

 

5,000 

 

 

5,000 

Repayments of borrowings on credit facilities

 

(5,000)

 

 

(20,000)

Repayments of mortgage notes payable

 

(5,498)

 

 

(621)

Payment of deferred financing fees

 

(300)

 

 

 —

Cash used in financing activities

 

(5,798)

 

 

(15,621)

 

 

 

 

 

 

Cash flows from discontinued operations:

 

 

 

 

 

Net cash (used in) provided by operating activities

 

(536)

 

 

7,748 

Net cash used in investing activities

 

(12)

 

 

 —

Net cash flows (used in) provided by discontinued operations

 

(548)

 

 

7,748 

 

 

 

 

 

 

Change in cash and cash equivalents

 

1,028 

 

 

11,457 

Cash and cash equivalents at beginning of period

 

20,988 

 

 

23,628 

Cash and cash equivalents at end of period

 

22,016 

 

$

35,085 

 

 

 

 

 

 

Supplemental cash flow information:

 

 

 

 

 

Cash paid for interest

 

2,088 

 

$

1,599 

Cash paid for income taxes, net

 

750 

 

$

749 

 

 

 

 

 

 

Non-cash activities:

 

 

 

 

 

Issuance of common stock

 

206 

 

$

 —

Real estate acquisition

 

 —

 

$

(15,518)

Assumption of mortgage note payable

 

 —

 

$

15,518 

 

 

 


 

 

Supplemental Information, page 4 of 7

 

 

 

FIVE STAR QUALITY CARE, INC.

SENIOR LIVING COMMUNITY FINANCIAL DATA(1)

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, (2)

    

Six months ended June 30, (2)

 

    

2015

    

2014

 

2015

    

2014

Senior living revenue:

 

 

 

 

 

 

 

 

 

 

 

 

Independent and assisted living community revenue (owned)

 

$

29,531 

 

$

28,294 

 

$

59,055 

 

$

55,555 

Independent and assisted living community revenue (leased)

 

 

100,859 

 

 

99,642 

 

 

200,969 

 

 

197,797 

Continuing care retirement community revenue (leased)

 

 

99,581 

 

 

99,468 

 

 

199,837 

 

 

198,699 

Skilled nursing facility revenue (leased)

 

 

43,916 

 

 

44,563 

 

 

85,222 

(3)

 

88,575 

Other(4)

 

 

4,048 

 

 

3,421 

 

 

8,025 

 

 

6,543 

Total senior living revenue (owned and leased)

 

$

277,935 

 

$

275,388 

 

$

553,108 

 

$

547,169 

 

 

 

 

 

 

 

 

 

 

 

 

 

Senior living wages and benefits:

 

 

 

 

 

 

 

 

 

 

 

 

Independent and assisted living community wages and benefits (owned)

 

$

12,299 

 

$

11,909 

 

$

24,314 

 

$

23,532 

Independent and assisted living community wages and benefits (leased)

 

 

43,421 

 

 

42,407 

 

 

85,266 

 

 

84,300 

Continuing care retirement community wages and benefits (leased)

 

 

50,168 

 

 

50,282 

 

 

99,891 

 

 

99,497 

Skilled nursing facility wages and benefits (leased)

 

 

27,938 

 

 

27,554 

 

 

55,657 

 

 

55,147 

Other(4)

 

 

2,525 

 

 

2,027 

 

 

4,476 

 

 

4,486 

Total senior living wages and benefits (owned and leased)

 

$

136,351 

 

$

134,179 

 

$

269,604 

 

$

266,962 

 

 

 

 

 

 

 

 

 

 

 

 

 

Senior living other operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Independent and assisted living community other operating expenses (owned)

 

$

7,351 

 

$

6,730 

 

$

14,532 

 

$

13,683 

Independent and assisted living community other operating expenses (leased)

 

 

24,741 

 

 

24,627 

 

 

49,583 

 

 

49,959 

Continuing care retirement community other operating expenses (leased)

 

 

25,621 

 

 

25,907 

 

 

51,216 

 

 

53,098 

Skilled nursing facility other operating expenses (leased)

 

 

13,167 

(5)

 

12,232 

 

 

27,140 

(5)

 

24,585 

Other(4)

 

 

365 

 

 

838 

 

 

999 

 

 

1,826 

Total senior living operating expenses (owned and leased)

 

$

71,245 

 

$

70,334 

 

$

143,470 

 

$

143,151 

 


 

(1)

Excludes data for managed communities and discontinued operations.

(2)

The number of owned and leased communities between April 1, 2014 and June 30, 2015 increased by only one due to the acquisition of an assisted living community during the second quarter of 2014; therefore this press release does not present same store results.

(3)

SNF revenue for the six months ended June 30, 2015 is net of a $2.4 million reserve for estimated Medicare payments Five Star expects to repay.

(4)

Other senior living revenue and expenses relate primarily to rehabilitation and other specialty service revenues and expenses provided at the residential communities owned and leased by Five Star.

(5)

SNF other senior living operating expenses for the three and six months ended June 30, 2015 includes $1.3 million and $3.6 million, respectively, of estimated penalties, compliance costs and professional fees related to the Medicare payments Five Star expects to repay.

 


 

 

Supplemental Information, page 5 of 7

 

FIVE STAR QUALITY CARE, INC.

PERCENT BREAKDOWN OF SENIOR LIVING COMMUNITY REVENUES(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30,

    

Six months ended June 30,

 

    

2015

    

2014

 

2015

    

2014

Independent and assisted living communities (owned):

 

 

 

 

 

 

 

 

 

 

 

 

Private and other sources

 

 

99.5% 

 

 

99.2% 

 

 

99.5% 

 

 

99.2% 

Medicaid

 

 

0.5% 

 

 

0.8% 

 

 

0.5% 

 

 

0.8% 

Total

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

 

 

 

 

 

 

 

 

 

 

 

Independent and assisted living communities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

Private and other sources

 

 

98.9% 

 

 

99.2% 

 

 

99.0% 

 

 

99.1% 

Medicaid

 

 

1.1% 

 

 

0.8% 

 

 

1.0% 

 

 

0.9% 

Total

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continuing care retirement communities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

Private and other sources

 

 

72.6% 

 

 

72.1% 

 

 

72.4% 

 

 

72.0% 

Medicare

 

 

20.7% 

 

 

22.0% 

 

 

21.0% 

 

 

22.1% 

Medicaid

 

 

6.7% 

 

 

5.9% 

 

 

6.6% 

 

 

5.9% 

Total

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skilled nursing facilities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

Private and other sources

 

 

25.7% 

 

 

25.4% 

 

 

25.7% 

 

 

25.0% 

Medicare

 

 

23.5% 

 

 

25.2% 

 

 

24.4% 

 

 

25.1% 

Medicaid

 

 

50.8% 

 

 

49.4% 

 

 

49.9% 

 

 

49.9% 

Total

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total senior living communities (owned and leased):

 

 

 

 

 

 

 

 

 

 

 

 

Private and other sources

 

 

77.6% 

 

 

77.1% 

 

 

77.4% 

 

 

76.9% 

Medicare

 

 

11.3% 

 

 

12.2% 

 

 

11.7% 

 

 

12.3% 

Medicaid

 

 

11.1% 

 

 

10.7% 

 

 

10.9% 

 

 

10.8% 

Total

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 

 

100.0% 

 


 

(1)

Excludes data for managed communities and discontinued operations.

 

 


 

 

Supplemental Information, page 6 of 7

 

FIVE STAR QUALITY CARE, INC.

SENIOR LIVING OTHER OPERATING DATA(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

June 30,

 

March 31,

 

December 31,

 

September 30,

 

June 30,

 

 

2015

 

2015

 

2014

 

2014

 

2014

Independent and assisted living communities (owned):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

31 

 

 

31 

 

 

31 

 

 

31 

 

 

31 

Number of units (end of period)

 

 

3,064 

 

 

3,064 

 

 

3,061 

 

 

3,061 

 

 

3,061 

Occupancy

 

 

87.1% 

 

 

87.9% 

 

 

88.7% 

 

 

88.2% 

 

 

87.6% 

Avg. monthly rate(2)

 

 

$                3,602 

 

 

$                3,594 

 

 

$                3,492 

 

 

$                3,472 

 

 

$                3,469 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Independent and assisted living communities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

119 

 

 

119 

 

 

119 

 

 

119 

 

 

119 

Number of units (end of period)(3)

 

 

9,909 

 

 

9,909 

 

 

9,896 

 

 

9,858 

 

 

9,858 

Occupancy(3)

 

 

87.7% 

 

 

88.0% 

 

 

89.3% 

 

 

89.5% 

 

 

88.9% 

Avg. monthly rate(2)

 

 

$                3,819 

 

 

$                3,820 

 

 

$                3,734 

 

 

$                3,723 

 

 

$                3,744 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CCRC communities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

31 

 

 

31 

 

 

31 

 

 

31 

 

 

31 

Number of units (end of period)(4)

 

 

7,319 

 

 

7,319 

 

 

7,322 

 

 

7,322 

 

 

7,322 

Occupancy

 

 

83.3% 

 

 

83.8% 

 

 

83.6% 

 

 

83.2% 

 

 

83.3% 

Avg. monthly rate(2)

 

 

$                5,384 

 

 

$                5,450 

 

 

$                5,317 

 

 

$                5,304 

 

 

$                5,375 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skilled nursing facilities (leased):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

31 

 

 

31 

 

 

31 

 

 

31 

 

 

31 

Number of units (end of period)(5)

 

 

2,807 

 

 

2,807 

 

 

2,822 

 

 

2,822 

 

 

2,822 

Occupancy

 

 

78.4% 

 

 

78.6% 

 

 

79.3% 

 

 

79.3% 

 

 

79.7% 

Avg. monthly rate(2)

 

 

$                6,652 

 

 

$                6,752 

 

 

$                6,535 

 

 

$                6,543 

 

 

$                6,603 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total senior living communities (owned and leased):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

212 

 

 

212 

 

 

212 

 

 

212 

 

 

212 

Number of units (end of period)(3)

 

 

23,099 

 

 

23,099 

 

 

23,101 

 

 

23,063 

 

 

23,063 

Occupancy(3)

 

 

85.1% 

 

 

85.5% 

 

 

86.2% 

 

 

86.1% 

 

 

85.8% 

Avg. monthly rate(2)

 

 

$                4,591 

 

 

$                4,623 

 

 

$                4,503 

 

 

$                4,492 

 

 

$                4,537 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed communities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of communities (end of period)

 

 

60 

 

 

46 

 

 

46 

 

 

44 

 

 

44 

Number of units (end of period)(6)

 

 

8,168 

 

 

7,290 

 

 

7,278 

 

 

7,051 

 

 

7,051 

Occupancy

 

 

88.1% 

 

 

88.0% 

 

 

88.4% 

 

 

88.2% 

 

 

88.5% 

Avg. monthly rate(2)

 

 

$                4,215 

 

 

$                4,300 

 

 

$                4,162 

 

 

$                4,152 

 

 

$                4,176 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other ancillary services:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rehabilitation and wellness inpatient clinics (end of period)

 

 

48 

 

 

48 

 

 

48 

 

 

48 

 

 

48 

Rehabilitation and wellness outpatient clinics (end of period)

 

 

60 

 

 

58 

 

 

56 

 

 

55 

 

 

54 

Home health communities served (end of period)

 

 

15 

 

 

13 

 

 

13 

 

 

 

 


 

(1)

Excludes data for discontinued operations.

(2)

Average monthly rate is calculated by taking the average daily rate, which is defined as total operating revenues divided by occupied units during the period, and multiplying it by 30 days.

(3)

The number of units for the quarters ended September 30, 2014 and June 30, 2014 excludes 38  living units in one senior living community that was temporarily closed for a major renovation during those time periods.

(4)

Includes 1,973 skilled nursing units in communities where assisted living and independent living services are the predominant services provided.

(5)

Includes 68 assisted living and independent living units in communities where skilled nursing services are the predominant services provided.

(6)

Includes 472 skilled nursing units in communities where assisted living and independent living services are the predominant services provided.

 

 

 

 

 


 

 

Supplemental Information, page 7 of 7

 

 

 

FIVE STAR QUALITY CARE, INC.

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES

(in thousands)

 

Non-GAAP financial measures are financial measures that are not determined in accordance with U.S. generally accepted accounting principles, or GAAP. Five Star considers these Non-GAAP financial measures to be meaningful disclosures because it believes that the presentation of these Non-GAAP financial measures may help investors to gain a better understanding of changes in its operating results, and may also help investors who wish to make comparisons between Five Star and other companies on both a GAAP and a non-GAAP basis. These Non-GAAP financial measures are used by management to evaluate Five Star’s financial performance and for comparing Five Star’s performance over time and to the performance of its competitors. These Non-GAAP financial measures as presented may not, however, be comparable to amounts calculated by other companies. This information should not be considered as an alternative to income (loss) from continuing operations, net income (loss), cash flows from operating activities or any other financial operating or performance or liquidity measure established by GAAP. The following table presents the reconciliation of these Non-GAAP financial measures to loss from continuing operations, the most directly comparable financial measure under GAAP reported in Five Star’s condensed consolidated financial statements, for the three and six months ended June 30, 2015 and 2014.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the three months
ended June 30,

 

For the six months
ended June 30,

 

 

2015

 

2014

 

2015

 

2014

Loss from continuing operations

 

$

(3,364)

 

$

(997)

 

$

(8,197)

 

$

(6,864)

Add: interest and other expense

 

 

1,137 

 

 

1,261 

 

 

2,491 

 

 

2,479 

Add: income tax expense (benefit)

 

 

280 

 

 

(364)

 

 

584 

 

 

(2,795)

Add: depreciation and amortization

 

 

8,123 

 

 

7,975 

 

 

16,218 

 

 

15,251 

Less: interest, dividend and other income

 

 

(243)

 

 

(213)

 

 

(463)

 

 

(409)

EBITDA

 

 

5,933 

 

 

7,662 

 

 

10,633 

 

 

7,662 

Add (less):

 

 

 

 

 

 

 

 

 

 

 

 

Costs related to compliance assessment

 

 

1,856 

(1)

 

 -

 

 

6,561 

(2)

 

 -

Financial accounting restatement and remediation costs

 

 

18 

 

 

1,113 

 

 

228 

 

 

4,143 

Acquisition related costs

 

 

 -

 

 

138 

 

 

41 

 

 

157 

Gain on sale of investments in available for sale securities

 

 

(18)

 

 

(13)

 

 

(38)

 

 

(326)

Gain on early extinguishment of debt

 

 

(692)

 

 

 -

 

 

(692)

 

 

 -

Adjusted EBITDA

 

 

7,097 

 

 

8,900 

 

 

16,733 

 

 

11,636 

Add: Rent expense

 

 

49,657 

 

 

49,203 

 

 

99,285 

 

 

98,277 

Adjusted EBITDAR

 

$

56,754 

 

$

58,103 

 

$

116,018 

 

$

109,913 

 

 


(1)

Includes compliance costs and professional fees related to estimated Medicare payments Five Star expects to repay.

(2)

Includes $2.4 million of reserve for the estimated Medicare payments Five Star expects to repay and $4.2 million for estimated penalties, compliance costs and professional fees related to these Medicare repayments.

 




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