sunh - investor presentation - july 2010
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Leerink SwannNon-Deal Roadshow
July 2010
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References are made in this presentation to EBITDA, EBITDA margin, EBITDAR, EBITDAR marg in and FFO, which are non-GAAPfinancial measures. These non-GAAP financial measures are reconciled to the corresponding GAAP financial measures in theAppendices included at the end of this presentation.
EBITDA is def ined as net income before loss (gain) on discontinued operations, interest expense (net of interest income), income taxexpense (benef it) and depreciation and amortization. EBITDA margin is EBITDA as a percentage of revenue. EBITDAR is EBITDAbefore center rent expense and EBITDAR margin is EBITDAR as a percentage of revenue. Sun believes that the presentation ofEBITDA, EBITDA margin and EBITDA R provides useful information regarding Suns operational performance because they enhance theoverall understanding of the financial performance and prospects for the future of Suns core business activities, provides consistency inSuns f inancial reporting and provides a basis for the comparison of results of core business operations betw een current, past and futureperiods. These measures are also some of the primary indicators Sun uses for planning and forecasting in future periods, includingtrending and analyzing the core operating perf ormance of its business from period to period w ithout the effect of GAAP expenses,revenues and gains that are unrelated to day-to-day performance.
FFO is defined in accordance w ith the definition used by the National Association of Real Estate Invest ments Trusts and is def ined asnet income, excluding gains (or losses) from sales of property, plus depreciation and amortization, and af ter adjustments forunconsolidated partnerships and joint ventures. FFO is useful to investors in comparing operating and financial results betw een periods.This is especially true because FFO excludes real estate depreciation and amort ization, and real estate values fluctuate based onmarket conditions rather than depreciate ratably on a straight-line basis over time. In addition, a presentation of FFO also provides amore meaningful measure of operating results of other real estate investment trusts.
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Recent Developments /Restructuring Transactions
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On 05/24/10 Sun Healthcare announced plans to separate into two separatepublicly traded companies
Will own Suns operating
subsidiariesWill continue to serviceall of its 203 centers
Will manage and growancillary services
Will own Suns current real
estate portfolioWill lease property to theOperating Company
Will grow and diversify throughacquisitions and new tenantrelationships
Operations
OperatingCompany
REIT
Spin Off SurvivingEntity
Leases
Real EstateSun Healthcare Group
Sabra Health Care REIT, Inc.Sun Healthcare Group, Inc.
Unlocks Value of Suns Real Estate Assets
Creates Two Companies Well Positioned To Execute Growth Strategies
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REIT Focused on Diverse Expansion in the Health Care Sector
Establishes Industry Focused REIT Well Positioned to Build a Broad-basedHealthcare Real Estate Portfolio
Healthcare has proven to be a stable asset class vs. other property typesHealthcare REITs have meaningfully outperformed the overall REIT universe and broadermarket
Significant Growth Opportunities within the Sector
Large and growing opportunity in current and other healthcare real estate asset classesDiversify asset base (e.g., ALFs, ILFs, Hospitals, MOBs)
Size provides opportunity to pursue attractive tuck-in acquisitions
Leverage industry operator relationships
Experienced Management Team
Rick Matros, CEO and Chairman Designate
Harold Andrews, CFO Designate
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Key Portfolio Metrics
Number of Facilities 87
Property Type:Skilled NursingCCRCSNF/AL/ILAL/ILMental Health
68 (78%)1 (1%)9 (11%)7 (8%)2 (2%)
Beds:
LicensedAvailable
9,7409,403
States 20
3/31/10 PF EBITDARMMargin
$35.2M19.4%
SNF Skilled Mix 3/31/10 21.0%
Occupancy 3/31/10 89.1%
Facilities w/Specialty Units:RRS UnitsSolana Units
3021
Geographically diversified portfolio of skilled nursing and senior housing assets
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Historical Portfolio Occupancy
Histor ical Portfolio SNF Skilled Mix
Favorable Operating Trends in the Underlying Portfolio
* Pro Forma for Harborside acquisition in 2007
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Master lease on all 87 facilities
10-15 year term, with 5 year renewal options
Renewal options at existing rates
Lesser of CPI or 2.5% escalators
1.6x lease coverage
No purchase options
Visibility of tenant public entity
Strong structural protections to the REIT with positive operating flexibility to theoperating company
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Trend in Cert ified Nursing Facilities , Beds and Residents US Seniors Populat ion Trends (70+ years old) (1)
Implied Demand Growth of 35,000 per year While certified beds and patient occupancy rates remains relativelystable, the number of skilled nursing facilities Continues to decline,
signifying that demand for SNFs will exceed supply
(figures in 000s)
is Substantially Greater than New Supply
Senior Hous ing Construction Starts in Top 31 Metros (Units) (2)
Source: American Health Care Association (AHCA).
(1) Source: US Census Bureau.
(2) Source: Q110 NIC Map Data Construction Monitor for the top 31 metro markets.
Sabra will be opportunistic in its investing strategy, but initially will be focused onskilled nursing and senior housing opportunity
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6.5x
15.0x
Source: CapitalIQ as of 5/16/10
Long Term Car e Index: EXE, SKH, ENSG, KND, SUNH, Manor Care, GenesisHC REIT Index: VTR, NHP, HR, HCP, HCN, LTC, SNH, OHI
Forward FFO Multiple and Forward EBITDAR Multiple 2003-2010 YTD
5.0x
6.0x
7.0x
8.0x
9.0x
10.0x
11.0x
12.0x
13.0x
14.0x
15.0x
16.0x
17.0x
18.0x
Jan-03 Mar-04 Jun-05 Sep-06 Nov-07 Feb-09 May-10
HC REIT Index Forward FFO Multiple LTC Index Forward EBITDAR Multiple
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SunBridge (Skilled Nursing)203 inpatient facilities19,700 patients/residents
SunDance (Rehab)
460+ contracts/330 non-affiliatedContract services, rehab agency,management services
CareerStaff (Staffing)More than 50% of business is in
hospital settings (also serves SNFs,schools, prisons)More than 50% of billings are fortherapist (also provide nursing andpharmacy services)
SolAmor (Hospice)Targeted growth businessLTM revenues increased 93% in theyear-over-year LTM 3/31/10 period
3/31/10 LTM Net RevenueTotal: $ 1.9 billion
Medicaid
25.0% 35.0%
40.0%
Private Payand Other Skilled Mix
CareerStaff
Inpatient
% of 3/31/10 LTM Net RevenueBy Business Unit
5.2%
89.1%
5.7 %SunDance
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Focused Organization Positioned for Optimal Operating Execution
High Quality Portfolio and Premium Assets
Geographically diversified with strong operating metrics
Proven track record of public company performanceAbility to manage higher acuity patients and drive better margins
Attractive Financial Position
Strong balance sheet and consistent cash flow
Provides flexibility to access the capital markets in the future
Experienced Management Team
Bill Mathies, CEO and Chairman Designate
No Changes in the rest of the management team
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Significant Growth Opportunities within the Sector
Well positioned to pursue acquisition opportunities and leverage existing infrastructure intargeted growth segments
Organic Growth Activity Focused on Continued Development of Rehab RecoverySuites (RRS)
Currently 66 centers with RRS units totaling 1632 beds
Accretive Acquisition Activity Focused on :
Hospice Business Synergistic to inpatient business Looking for small tuck-ins or large regional players located near our centers
Skilled Nursing Centers
Mid year 2011, post reimbursement change/stabilized environment Individual and regional targets Complement our 25 s tate footprints individual/regional multi targets
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New Sun Healthcare Group, Inc. Sabra Health Care REIT, Inc.
Pro Forma
(Dollars in millions)
(1) Adj usted for one-time expenses related to net restructuring costs and net loss on sale of assets.(2) Calc ulated in accordance with NAREITs defini tion of FFO except that there are no adjus tments for gains (or losses) from sales of propertyor adjustments for unconsolidated partnerships and joint ventures.
2009 Q1 10
Revenue $1,881.8 $473.3
EBITDAR
(1)
243.8 61.4
EBITDA
(2)
98.7 24.8
Net Income 36.7 8.8
2009 Q110
Revenue $71.9 $18.0
EBITDA 69.5 17.4
Net Income 25.5 6.4
FFO 46.4 11.6
(1)
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(1) The actual amount of the New Sun and/or New Sabra indebtedness may be less than the amount shown above if cash collections fromoperation s between March 31, 2010 and the date of the Separation are received in accordance with Sun's projections.
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NON GAAP RECONCILIATION
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As Reported Reconciliation SectionAs Reported Reconciliation Section
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(Dollars in millions) For the Three For the Three
Months Ended Months EndedMarch 31, 2010 March 31, 2009
Revenue 473.3$ 468.1$
Income from continuing operations 10.5 11.6
Add:Income tax expense 7.3 8.1 D&A 12.4 10.7 Interest 12.0 12.7
EBITDA 42.2$ 43.1$Margin - EBITDA 8.9% 9.2%
Center rent expense 18.6 18.4
EBITDAR 60.8$ 61.5$Margin - EBITDAR 12.8% 13.1%
Sun Healthcare Group, Inc. Reconciliation toReported EBITDA and EBITDAR
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Pro Forma Reconciliation SectionPro Forma Reconciliation Section
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(Dollars in mil lions) Proforma ProformaFor the Tw elve For the Three
Months Ended Months EndedDecember 31, 2009 March 31, 2010
Revenue 1,881.8$ 473.3$
Net income from continuing operations 36.7 8.8
Add:Income tax expense 25.5 6.1 D&A 24.6 7.2 Interest 10.7 2.7 Restructuring costs and net loss on sale of assets 1.3 -
EBITDA 98.7$ 24.8$Margin - EBITDA 5.2% 5.2%
Center rent expense 145.0 36.5
EBITDAR 243.8$ 61.4$Margin - EBITDAR 13.0% 13.0%
Sun Healthcare Group, Inc. Reconciliation toPro Forma EBITDA and EBITDAR
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Pro Forma Reconciliation SectionPro Forma Reconciliation Section
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(Dollars in millions) Proforma ProformaFor the Twelve For the ThreeMonths Ended Months Ended
December 31, 2009 March 31, 2010
Revenue 71.9$ 18.0$
Net income 25.5 6.4
Add: D&A 20.9 5.2
FFO 46.4$ 11.6$
Add: Interest 23.1 5.8
EBITDA 69.5$ 17.4$
Sabra Health Care REIT, Inc. Reconciliation toPro Forma FFO and EBITDA
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APPENDIX
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Occupancy
(3) Quality mix includes all non-Medicaid inpatient revenues
Inpatient Revenue Quality Mix
$173$177
$373
$466Inpatient Revenue Per Patient Day
$450$364
$168
Medicaid Private and Other
(Percentages represent change from prior period)
Q1 09 Q1 10
$186
Managed Care/Comm Medicare Part A
3.0%5.1%
3.5%
Skilled Mix as a % of Revenue
SunBridge Performance Metrics
(1) Occupancy excludes hospital
Q1 09
88.8%
Q4 09
87.8%
Q1 10
87.5%
56.3%
Q1 09 Q4 09
54.2%55.0%
Q1 10
(2) SNF beds only ManagedCare
33.9%
Q1 09
40.6%
Medicare
6.7 %
31.1%
Q4 09
6.3%37.4% 6.1%
38.6%
32.5%
Q1 10
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Product Differentiation
RRS and Solana(Same Store Basis)
Q1 09 Q1 10
90.4 %87.7 %
26.6 % 25.4 % 262.26267.92
Q1 09 Q1 10 Q1 09 Q1 10
Occupancy
Centers w/RRS Only
Skilled Mix%
Rates
Q1 09 Q1 10 Q1 09 Q1 10 Q1 09 Q1 10
90.5 % 89.0 %
17.2 % 15.8 %230.73 230.30
Centers w/Solana Only
OccupancySkilled Mix% Rates
Q1 09 Q1 10
86.6 86.6 %
19.6 % 18.9 % 229.94233.87
Q1 09 Q1 10 Q1 09 Q1 10
Centers w/RRS and Solana
Skilled Mix%
Occupancy Rates
Centers w/o RRS or Solana
86.6 %87.3 %
15.9 % 15.1% 210.60214.36
Q1 09 Q1 10 Q1 09 Q1 10 Q1 09 Q1 10
RatesSkilled Mix%
Occupancy
(39) (22)
(24) (120)
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Revenue($ in millions) EBITDA Margin
SolAmor Performance Metrics
ADC
Q1 10Q1 09
$3.4$4.0
$1.7$0.7
$5.7
$1.3$11.0
$5.8
Q1 09 Q1 10
841283 321122
40545
85
450
811
Q1 09 Q1 10
84119.7%19.5%
17.7%
20.3%
14.9%
14.1%
19.4%
: Legacy : Acquisition : DeNovo
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Pharmacy
Q1 10 RevenueBy Type
61.9%
25.9%
6.9%
5.2% Allied
Nursing
Physician Services
EBITDA Margin
Revenue($ in millions)
CareerStaff Unlimited Performance Metrics
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Q1 09
$27.9
Q4 09
$23.6 $23.5
Q1 10
7.9% 9.3%
Q1 09
9.%
Q4 09
10.1%
Q1 10
7.1%
Pharmacy
57.9%28.9%
6.4%
6.8%
Allied
Nursing
Physician Services
Q1 09 RevenueBy Type
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Q4 07 Q4 08 Q4 09
$644$606
$683
$587
Q1 10
Leverage
Net Debt /EBITDA
Net Debt
Q4 09Q4 08
3.9x3.4x
Q4 07
4.9x
3.3x
Q1 10
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p. 2 Letter from Our CEO p. 3 Our Public Commitme nts to Quality Improvement p. 7 About Our Nursing Centers
p. 9 Our Approach to Quality and its Measure ment p. 10 Quality Information p. 18 Enhancing the Quality of Our Residents Lives p. 20 About Our Employees p. 22 Employee Spirit and Achievement p. 24 Investing in Our Future
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Published 1 st annual report on qualityQuality First PledgeAdvancing Excellence Campaign
Key metrics ahead of nationalpeers
(Can be found on our website @ www.sunh.com)
Suns Commitment to Quality
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