10-Q 1 esc-9302013x10q.htm 10-Q ESC - 9.30.2013 - 10Q
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 _______________________________________________________
 FORM 10-Q
  _______________________________________________________
 
x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT 1934
For the quarterly period ended September 30, 2013
 
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number 1-14012
  _______________________________________________________
 
EMERITUS CORPORATION
(Exact name of registrant as specified in its charter)
  _______________________________________________________ 
WASHINGTON
91-1605464
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
3131 Elliott Avenue, Suite 500, Seattle, WA 98121
(Address of principal executive offices)
(206) 298-2909
(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  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act:
Large accelerated filer
¨
Accelerated filer
x
 
 
 
 
Non-accelerated filer
¨
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  ¨    No  x
As of October 25, 2013, 47,735,709 shares of the Registrant’s Common Stock were outstanding.



EMERITUS CORPORATION
Table of Contents
Part I. Financial Information
 
 
 
 
 
Page No.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 2.
 
 
 
Item 3.
 
 
 
Item 4.
 
 
 
 
Note:
Items 2, 3, 4, and 5 of Part II have been omitted because they are not applicable.
 
 
 
 
Item 1.
 
 
 
Item 1A.
 
 
 
Item 6.
 
 
 
 
 
 
 
 



PART I. FINANCIAL INFORMATION
 
Item 1. Financial Statements (unaudited)


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1


EMERITUS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
(In thousands, except share data)
 
September 30,
 
December 31,
 
2013
 
2012
ASSETS
 
 
 
Current Assets:
 
 
 
Cash and cash equivalents
$
109,630

 
$
59,795

Short-term investments
6,787

 
4,910

Trade accounts receivable, net of allowance of $9,402 and $7,179
53,851

 
53,138

Other receivables
12,673

 
28,533

Tax, insurance, and maintenance escrows
30,142

 
23,813

Prepaid insurance expense
17,733

 
24,297

Deferred tax asset
32,657

 
33,781

Other prepaid expenses and current assets
11,656

 
12,185

Property held for sale
7,400

 

          Total current assets
282,529

 
240,452

Investments in unconsolidated joint ventures
1,681

 
2,513

Property and equipment, net of accumulated depreciation of $661,521 and $533,710
3,934,576

 
4,011,884

Restricted deposits and escrows
72,984

 
50,671

Goodwill
188,055

 
186,756

Other intangible assets, net of accumulated amortization of $38,850 and $47,547
125,372

 
131,971

Other assets, net
38,397

 
36,503

          Total assets
$
4,643,594

 
$
4,660,750

 
 
 
 
LIABILITIES, SHAREHOLDERS’ EQUITY AND NONCONTROLLING INTEREST
 
 
 
Current Liabilities:
 
 
 
Current portion of long-term debt
$
122,894

 
$
49,381

Current portion of capital lease and financing obligations
31,577

 
25,736

Trade accounts payable
29,860

 
14,244

Accrued employee compensation and benefits
51,457

 
53,606

Accrued interest
7,451

 
8,467

Accrued real estate taxes
23,344

 
16,432

Accrued insurance liabilities
39,686

 
44,867

Other accrued expenses
36,958

 
30,291

Deferred revenue
25,375

 
22,417

Unearned rental income
29,429

 
30,552

          Total current liabilities
398,031

 
295,993

Long-term debt obligations, less current portion
1,389,715

 
1,558,936

Capital lease and financing obligations, less current portion
2,482,061

 
2,384,857

Deferred gain on sale of communities
3,016

 
3,743

Deferred straight-line rent
70,901

 
63,920

Other long-term liabilities
130,640

 
128,472

          Total liabilities
4,474,364

 
4,435,921

Redeemable noncontrolling interest
10,612

 
10,105

Commitments and contingencies

 

Shareholders' Equity and Noncontrolling Interest:
 
 
 
Preferred stock, $0.0001 par value. Authorized 20,000,000 shares, none issued

 

Common stock, $0.0001 par value. Authorized 100,000,000 shares, issued and
 
 
 
outstanding 47,735,709 and 45,814,988 shares
5

 
5

Additional paid-in capital
887,644

 
839,511

Accumulated deficit
(731,629
)
 
(628,093
)
Total Emeritus Corporation shareholders' equity
156,020

 
211,423

Noncontrolling interest
2,598

 
3,301

Total shareholders' equity
158,618

 
214,724

Total liabilities, shareholders' equity, and noncontrolling interest
$
4,643,594

 
$
4,660,750


See accompanying Notes to Condensed Consolidated Financial Statements

2


EMERITUS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
(In thousands, except per share data)
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
Revenues:
 
 
 
 
 
 
 
Community and ancillary services revenue
$
483,858

 
$
323,874

 
$
1,414,387

 
$
960,425

Management fees
630

 
5,293

 
2,010

 
15,490

Reimbursed costs incurred on behalf of managed communities
7,245

 
51,953

 
23,630

 
154,598

Total operating revenues
491,733

 
381,120

 
1,440,027

 
1,130,513

Expenses:
 
 
 
 
 
 
 
Community and ancillary services operations (exclusive of depreciation, amortization and lease expense shown separately below)
329,627

 
216,943

 
973,216

 
643,987

General and administrative
28,130

 
23,082

 
86,461

 
69,492

Transaction costs
291

 
1,292

 
1,833

 
2,480

Impairments of long-lived assets

 

 

 
2,135

Depreciation and amortization
45,202

 
32,461

 
135,614

 
98,024

Lease expense
38,207

 
30,960

 
102,410

 
93,147

Costs incurred on behalf of managed communities
7,245

 
51,953

 
23,630

 
154,598

Total operating expenses
448,702

 
356,691

 
1,323,164

 
1,063,863

Operating income from continuing operations
43,031

 
24,429

 
116,863

 
66,650

Other income (expense):
 
 
 
 
 
 
 
Interest income
118

 
101

 
346

 
303

Interest expense
(71,441
)
 
(38,451
)
 
(215,730
)
 
(116,083
)
Change in fair value of derivative financial instruments
(100
)
 
(174
)
 
77

 
(919
)
Net equity losses for unconsolidated joint ventures
(86
)
 
(28
)
 
(93
)
 
(500
)
Other, net
242

 
743

 
1,967

 
1,624

Net other expense
(71,267
)
 
(37,809
)
 
(213,433
)
 
(115,575
)
 
 
 
 
 
 
 
 
Loss from continuing operations before income taxes
(28,236
)
 
(13,380
)
 
(96,570
)
 
(48,925
)
Benefit of (provision for) income taxes
177

 
(324
)
 
(2,119
)
 
(920
)
Loss from continuing operations
(28,059
)
 
(13,704
)
 
(98,689
)
 
(49,845
)
Income (loss) from discontinued operations
146

 
(2,698
)
 
(5,222
)
 
(7,705
)
Net loss
(27,913
)
 
(16,402
)
 
(103,911
)
 
(57,550
)
Net loss attributable to the noncontrolling interests
90

 
150

 
375

 
198

Net loss attributable to Emeritus Corporation
 
 
 
 
 
 
 
   common shareholders
$
(27,823
)
 
$
(16,252
)
 
$
(103,536
)
 
$
(57,352
)
Basic and diluted loss per common share attributable to
 
 
 
 
 
 
 
    Emeritus Corporation common shareholders:
 
 
 
 
 
 
 
   Continuing operations
$
(0.59
)
 
$
(0.30
)
 
$
(2.12
)
 
$
(1.12
)
   Discontinued operations

 
(0.06
)
 
(0.11
)
 
(0.17
)
 
$
(0.59
)
 
$
(0.36
)
 
$
(2.23
)
 
$
(1.29
)
 
 
 
 
 
 
 
 
Weighted average common shares outstanding: basic and diluted
46,962

 
44,642

 
46,401

 
44,612

See accompanying Notes to Condensed Consolidated Financial Statements

3


EMERITUS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(unaudited)
(In thousands)
 
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
Net loss
$
(27,913
)
 
$
(16,402
)
 
$
(103,911
)
 
$
(57,550
)
Comprehensive loss attributable to the noncontrolling interests
90

 
150

 
375

 
198

Comprehensive loss attributable to Emeritus Corporation
 
 
 
 
 
 
 
   common shareholders
$
(27,823
)
 
$
(16,252
)
 
$
(103,536
)
 
$
(57,352
)
See accompanying Notes to Condensed Consolidated Financial Statements

4


EMERITUS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(In thousands)
 
Nine Months Ended September 30,
 
2013
 
2012
Cash flows from operating activities:
 
 
 
Net loss
$
(103,911
)
 
$
(57,550
)
Adjustments to reconcile net loss to net cash provided by operating activities:
 
 
 
Depreciation and amortization
135,614

 
98,024

Amortization of above/below market rents
3,700

 
4,990

Amortization of deferred gains
(727
)
 
(782
)
Loss on lease termination
505

 

(Gain) loss on early extinguishment of debt
(3
)
 
813

Impairments of long-lived assets
5,206

 
8,430

Amortization of loan fees
2,307

 
2,465

Allowance for doubtful receivables
6,620

 
7,883

Net equity losses for unconsolidated joint ventures
93

 
500

Loss on sale of assets
50

 
527

Stock-based compensation
10,351

 
8,319

Change in fair value of derivative financial instruments
(77
)
 
919

Deferred straight-line rent
1,369

 
3,221

Deferred revenue
2,635

 
(755
)
Non-cash interest expense
24,738

 
1,985

Other
461

 
(108
)
Change in other operating assets and liabilities
4,910

 
31,740

Net cash provided by operating activities
93,841

 
110,621

Cash flows from investing activities:
 
 
 
Purchase of property and equipment
(50,421
)
 
(21,621
)
Acquisitions
(6,347
)
 

Proceeds from sale of assets
34,275

 
15,565

Advances from affiliates and other managed communities, net
12,944

 
814

Distributions from unconsolidated joint ventures, net
49,921

 
173

Other assets
(11,639
)
 
(376
)
Net cash provided by (used in) investing activities
28,733

 
(5,445
)
Cash flows from financing activities:
 
 
 
Sale of stock, net
42,404

 
1,693

Proceeds from lease extensions
6,055

 

Distributions to noncontrolling interests, net
(3,726
)
 

Increase in restricted deposits
(785
)
 
(2,066
)
Debt issuance and other financing activities
(1,492
)
 
(1,252
)
Proceeds from long-term borrowings and financings
68,102

 
17,703

Repayment of long-term borrowings and financings
(163,815
)
 
(55,121
)
Repayment of capital lease and financing obligations
(19,482
)
 
(12,450
)
Net cash used in financing activities
(72,739
)
 
(51,493
)
Net increase in cash and cash equivalents
49,835

 
53,683

Cash and cash equivalents at the beginning of the period
59,795

 
43,670

Cash and cash equivalents at the end of the period
$
109,630

 
$
97,353

See accompanying Notes to Condensed Consolidated Financial Statements

5


EMERITUS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(In thousands)
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
 
 
 
Supplemental disclosure of cash flow information:
 
 
 
Cash paid during the period for interest
$
189,556

 
$
112,635

Cash paid during the period for income taxes
1,811

 
1,087

Cash received during the period for income tax refunds
19

 
46

Non-cash financing and investing activities:

 

Change in receivable from exercise of stock options
715

 
78

HCP Transaction:

 

Increase in property and equipment and financing lease obligation
32,596

 

See accompanying Notes to Condensed Consolidated Financial Statements

6


EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012
Note 1. Description of Business
Emeritus Corporation (“Emeritus,” the “Company,” “we,” “us” or “our”) is a senior living service provider focused on operating residential style communities throughout the United States. Our assisted living and Alzheimer’s and dementia care (“memory care”) communities provide a residential housing alternative for senior citizens who need help with the activities of daily living, with an emphasis on assisted living and personal care services. Many of our communities offer independent living alternatives and, to a lesser extent, skilled nursing care. We also offer a range of outpatient therapy and home health services in Florida, Arizona and Texas. As of September 30, 2013, we owned 188 communities and leased 312 communities. These 500 communities comprise the communities included in the condensed consolidated financial statements and are referred to as our “Consolidated Portfolio.”
We also provide management services to independent and related-party owners of senior living communities. As of September 30, 2013, we managed 15 communities, three of which are owned by joint ventures in which we have a financial interest. The majority of our management agreements provide for fees of 5.0% of gross revenues. The communities that we manage for others, combined with our Consolidated Portfolio, are referred to as our “Operated Portfolio.”
Note 2. Summary of Significant Accounting Policies and Use of Estimates
To prepare financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”), management is required to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, and expenses, and related disclosure of contingent assets and liabilities. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
We have adopted certain significant accounting policies that are critical to the judgments and estimates used in the preparation of our condensed consolidated financial statements. We record revisions to such estimates in the period in which the facts that give rise to the revision become known. A detailed discussion of our significant accounting policies and the use of estimates is contained in our Annual Report on Form 10-K for the year ended December 31, 2012 (“Form 10-K”), which we filed with the Securities and Exchange Commission (“SEC”).
Basis of Presentation
The condensed consolidated financial statements include the accounts of Emeritus and its wholly owned subsidiaries. Intercompany balances and transactions have been eliminated.
The unaudited condensed consolidated financial statements reflect all adjustments that are, in our opinion, necessary to fairly state our financial position, results of operations, and cash flows as of September 30, 2013 and for all periods presented. Except as otherwise disclosed in these notes to the condensed consolidated financial statements, such adjustments are of a normal, recurring nature. Our results of operations for the period ended September 30, 2013 are not necessarily indicative of the results of operations that we may achieve for the full year ending December 31, 2013. We presume that readers of the interim financial information in this Quarterly Report on Form 10-Q have read or have access to our 2012 audited consolidated financial statements and Management’s Discussion and Analysis of Financial Condition and Results of Operations contained in our Form 10-K for the year ended December 31, 2012. Therefore, we have omitted certain footnotes and other disclosures that are disclosed in our Form 10-K.

Segment Information
In November 2012, we acquired Nurse On Call, Inc. (“NOC”), a home healthcare provider. Also, we began leasing 129 senior living communities in the fourth quarter of 2012 and four communities in the first quarter of 2013 that we had previously managed for an unconsolidated joint venture (the “HCP Transaction”) (Note 4). As a result of these transactions, Emeritus is comprised of three operating segments and reporting units, which are: (i) ancillary services, including NOC; (ii) the 133 communities leased in the HCP Transaction (the “HCP Leased Communities”); and (iii) the legacy Emeritus communities. See Note 13 for segment financial data.
Recent Accounting Pronouncements
In July 2013, the Financial Accounting Standards Board ("FASB") issued ASU No. 2013-11, Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. This new

7

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


standard requires the netting of unrecognized tax benefits ("UTB"s) against a deferred tax asset for a loss or other carryforward that would apply in settlement of the uncertain tax positions. Under the new standard, UTBs will be netted against all available same-jurisdiction loss or other tax carryforwards that would be utilized, rather than only against carryforwards that are created by the UTBs. ASU No. 2013-11 is effective for Emeritus beginning in the first quarter of 2014, and we do not expect that it will have a material impact on our financial statements.
In July 2012, the Financial Accounting Standards Board (the “FASB”) issued ASU No. 2012-2, Testing Indefinite-Lived Intangible Assets for Impairment. In accordance with the amendments in this update, an entity has the option first to assess qualitative factors to determine whether the existence of events and circumstances indicates that it is more likely than not that the indefinite-lived intangible asset is impaired. If, after assessing the totality of events and circumstances, an entity concludes that it is not more likely than not that the indefinite-lived intangible asset is impaired, then the entity is not required to take further action. However, if an entity concludes otherwise, then it is required to determine the fair value of the indefinite-lived intangible asset and perform the quantitative impairment test by comparing the fair value with the carrying amount. We adopted ASU 2012-2 effective January 1, 2013 and it did not have a material impact on our financial statements.
In June 2011, the FASB issued ASU 2011-5, Presentation of Comprehensive Income. This standard eliminates the option to report other comprehensive income (“OCI”) and its components in the statement of shareholders’ equity. Instead, an entity is required to present items of net income and other comprehensive income either in a continuous statement of net income and OCI or in two separate but consecutive statements. We adopted ASU 2011-5 beginning with our financial statements for the first quarter of 2012, and it resulted only in changes to presentation of our financial statements. In February 2013, the FASB issued ASU 2013-2, Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income. This guidance requires entities to present, either on the face of the income statement or in the notes, the effects on the line items of the income statement for amounts reclassified out of accumulated other comprehensive income. We adopted ASU 2013-2 effective January 1, 2013, and it did not have a material impact on our financial statements or related disclosures.
Revision of Prior Period Financial Statements
In the first quarter of 2013, we determined that the portions of our accruals for professional and general liability and workers’ compensation which are not expected to be paid within one year of the balance sheet date should have been classified as long-term liabilities (Note 11). The prior-period financial statements included in this filing have been revised to reflect this correction, which decreased current liabilities and increased long-term liabilities by $55.7 million as of December 31, 2012. In addition, a portion of receivables from insurance companies related to professional and general liability was reclassified, which decreased current assets and increased other assets, net, by $10.1 million as of December 31, 2012. A portion of prepaid insurance expense related to our workers’ compensation program was reclassified, which decreased current assets and increased restricted deposits and escrows by $27.4 million as of December 31, 2012.
In addition, certain reclassifications were made to the condensed consolidated balance sheet as of December 31, 2012 to conform to the current-year presentation. Specifically, the current portion of accrued professional and general liability and workers’ compensation, as well as accrued health insurance, are included in accrued insurance liabilities as of September 30, 2013 and December 31, 2012. As of December 31, 2012, we reclassified $23.7 million related to workers compensation and health insurance from accrued employee compensation and benefits to accrued insurance liabilities.
Note 3. Stock-Based Compensation
As of September 30, 2013, we have three equity incentive plans under which equity awards are outstanding: the Amended and Restated 2006 Equity Incentive Plan (the “2006 Plan”), the Amended and Restated Stock Option Plan for Non-employee Directors (the “Directors Plan”) and the 1995 Stock Incentive Plan (the “1995 Plan”). In May 2013, our shareholders approved an amendment to the 2006 Plan, whereby our board of directors terminated the Directors Plan. Shares previously available for issuance under the Directors Plan, but not issued under that plan, are or will become available for issuance under the 2006 Plan. Future equity awards to directors will be made under the 2006 Plan.
Employees may also participate in our 2009 Employee Stock Purchase Plan (the “2009 ESP Plan”).
We record compensation expense based on the fair value for all stock-based awards, which amounted to $3.5 million and $2.6 million for the three months ended September 30, 2013 and 2012, respectively, and $10.4 million and $8.3 million for the nine months ended September 30, 2013 and 2012, respectively.
Stock Incentive Plans

8

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


The following table summarizes our stock option activity for the nine months ended September 30, 2013:
 
 
2013
 
Shares
Underlying
Options
 
Weighted
Average
Exercise
Price
 
Aggregate
Intrinsic
Value
($000)
Outstanding at beginning of period
4,401,418

 
$
19.46

 
$
25,568

Exercised
(643,871
)
 
15.16

 
7,592

Forfeited/expired
(159,888
)
 
19.12

 
 
Outstanding at end of period
3,597,659

 
20.25

 
4,092

 
 
 
 
 
 
Options exercisable
2,169,871

 
21.14

 
2,712

Options exercisable in the money
956,446

 
 
 
2,712

Options exercisable out of the money
1,213,425

 
 
 

The following table summarizes our restricted stock activity for the nine months ended September 30, 2013:
 
 
 
 
2013
 
Number
of Shares
 
Weighted
Average
Grant Date
Fair
Value
Outstanding at beginning of period
801,172

 
$
19.27

Granted
45,189

 
25.34

Vested
(108,750
)
 
16.17

Outstanding unvested at end of period
737,611

 
20.01

Note 4. Acquisitions and Other Significant Transactions
We make acquisitions of certain businesses and complete other transactions from time to time that we believe align with our strategic intent to, among other factors, enhance the overall care of our residents as well as maximize our revenues, operating income, and cash flows.
In September 2013, we acquired 38 communities pursuant to an operating lease with Health Care REIT, Inc. ("HCN") (the "Master Lease"). These communities were previously operated by Merrill Gardens (the "Merrill Gardens Communities"). Rent in the first year of the Master Lease will initially be $54.0 million and will increase each year based on the greater of (i) the percentage change in the consumer price index ("CPI") or (ii) (a) 4.0% in the second year of the lease and (b) 3.25% thereafter. Additional rent may be due beginning in the third year of the lease if gross revenues, as defined therein, exceed certain thresholds. The initial term of the Master Lease is fifteen years, and we have the option to extend the lease for one additional fifteen-year term. HCN has committed to fund up to $10.0 million for capital improvements during the first two years of the Master Lease, and our rent will increase by 6.5% of any such capital improvements funded. The Company also entered into an operations transfer agreement with Merrill Gardens, pursuant to which we paid to Merrill Gardens a $10.0 million management contract termination fee upon commencement of the Master Lease.
In July 2013, we entered into a fifteen-year lease for a 76-unit assisted living community in Ohio. Base rent is initially $1.1 million per year, increasing by 3.0% annually. We have options for three additional five-year terms. We are accounting for this transaction as an operating lease.
In June 2013, we sold one community to HCP, Inc. (“HCP”), a real estate investment trust, and leased it back from HCP. The sale price was $18.0 million and we used $13.0 million of the proceeds to pay down mortgage debt. The lease with HCP is for an initial term of 15 years, with options for two additional ten-year terms. Because of continuing involvement in the property in the form of a purchase option, we are accounting for the lease as a financing lease, and therefore recorded the $18.0 million of sales proceeds as a financing lease obligation.

9

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


In June 2013, we extended the term of a community operating lease for an additional 15 years, with two ten-year extensions available. In addition, we amended our right to exercise the purchase option on the property in exchange for a $6.1 million cash payment from the lessor, which represented the difference between the current market value of the property and the purchase option price. The amended lease provides us with an option to purchase the community beginning in 2020.
In April 2013, we purchased a 20-unit assisted living community that we previously leased from Ventas, Inc. (“Ventas”) (Note 5). The purchase price was $3.9 million, and we accounted for the transaction as an asset purchase.
In March 2013, we entered into a 15-year lease for a 118-unit assisted living community in California. Base rent is initially $1.8 million per year, increasing by 3.0% annually. We have the option to extend the lease term for an additional ten years. We are accounting for this transaction as an operating lease.
2013 Stock Offering
On March 18, 2013, pursuant to an underwritten secondary public offering, certain shareholders completed the sale of 7,973,600 shares of our common stock held by them. On the same date, in connection with the underwriter’s exercise of its option to purchase additional shares of our common stock, the Company sold 1,196,040 newly issued shares to the underwriter and received net cash proceeds of $31.3 million.
2012 HCP Transaction
Prior to October 2012, the Company held a 6.0% ownership interest in a joint venture (the “Sunwest JV”) with BRE/SW Member LLC, an affiliate of Blackstone Real Estate Advisors VI, L.P (“Blackstone”), Columbia Pacific Opportunity Fund (“Columbia Pacific”), which is controlled by Daniel R. Baty, a founder of the Company and the Chairman of our board of directors, and certain other tenant-in-common investors.  In October 2012, the Sunwest JV entered into a purchase and sale agreement with Emeritus and HCP, whereby the Sunwest JV agreed to sell to HCP 142 of its communities (the “Properties”), 133 of which were then leased to Emeritus (the “HCP Leased Communities”) and nine were sold to Emeritus (the “Emeritus Nine Communities”) for $62.0 million, with $52.0 million financed with a loan from HCP (the “HCP Loan”). The HCP Leased Communities are operated by Emeritus under lease agreements with HCP (collectively, the “HCP Lease”) and became, at the date of closing, part of the Company’s Consolidated Portfolio. The Emeritus Nine Communities are operated by Emeritus, except for one that continues to be managed by an unrelated third party. In April 2013, we sold one of the Emeritus Nine Communities for $5.3 million. In the third quarter of 2013, we sold two of the Emeritus Nine Communities for a combined total sales price of $9.2 million, of which the net proceeds from the sales of $8.9 million were used to reduce the principal balance of the HCP Loan.
At the initial closing on October 30, 2012, the Sunwest JV sold 136 of the 142 Properties to HCP, which included the Emeritus Nine Communities that Emeritus then purchased from HCP. At the second closing on December 4, 2012, HCP purchased two more of the Properties, which were included in the HCP Leased Communities and became part of the HCP Lease as of that date.
In the first quarter of 2013, the Sunwest JV closed on the sale of the remaining four HCP Leased Communities and they were added to the HCP Lease.
The aggregate sales price payable to the Sunwest JV for the Properties was $1.8 billion.
When final distributions are made by the Sunwest JV, Emeritus expects to have received, in total, cash of approximately $139.0 million, comprised of approximately $45.0 million for the Company’s ownership interest in the Sunwest JV and a promote incentive payment of approximately $94.0 million based on the final rate of investment return to the Sunwest JV’s investors. As of September 30, 2013, Emeritus had received total cash distributions of $136.9 million related to the sale. Remaining distributions are expected by the end of 2013.
 
We are accounting for the HCP Lease as a financing capital lease and our acquisition of the Emeritus Nine Communities as an asset purchase. Due to our ownership interest in the Sunwest JV, we are accounting for the acquisition of the HCP Leased Communities as a sale and leaseback. Because we currently expect to exercise all renewal options, we will have substantial continuing involvement in the HCP Leased Communities. As a result, in accordance with GAAP, we deferred the gain associated with our equity interest in the Sunwest JV and include it in the lease financing obligation. Lease payments are recorded to interest expense and the lease financing obligation using the effective interest method. As of September 30, 2013, the deferred gain was $124.9 million, which represents our share of the cash proceeds from the sale through September 30, 2013, including the promote incentive, net of our investment in the Sunwest JV.

10

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


2012 Nurse On Call Acquisition
In November 2012, we purchased Nurse On Call, Inc., the largest Medicare-licensed provider of home healthcare services in Florida. We paid cash of $102.9 million (net of cash acquired) for 91.0% of the equity of NOC’s parent company, and the remaining equity is owned by certain members of NOC’s management team (the “Minority Members”). We acquired NOC in order to increase our service offerings to seniors, with the goal of expanding this platform beyond Florida.
In connection with the NOC acquisition, we entered into a put/call agreement, whereby the Minority Members have the right to require us to purchase certain of their equity interests beginning on January 1, 2016 (or earlier upon the occurrence of certain events). Likewise, we have the right to require any of the Minority Members to sell certain of their equity interests to us beginning on January 1, 2016 (or earlier, if any of the Minority Members cease to be an employee). The purchase price will be based on a formula specified in the put/call agreement. Because the minority members have a put right, under GAAP, the equity held by the Minority Members is classified on the consolidated balance sheet as redeemable noncontrolling interest, which is outside of our permanent equity. The balance of redeemable noncontrolling interest as of September 30, 2013 and December 31, 2012 was $10.6 million and $10.1 million , respectively, which represents the estimated redemption value as of those dates. During the first quarter of 2013, the Minority Members received a $3.9 million distribution from the proceeds of a$50.0 million credit facility that NOC entered into in February 2013 (Note 5). We recorded this distribution as additional paid-in capital.
The following table sets forth the effect on our results of operations had the acquisition of NOC occurred as of January 1, 2012 (in thousands):
 
 
Pro Forma Combined
 
(unaudited)
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
Total operating revenues
$
491,733

 
$
417,438

 
$
1,440,027

 
$
1,238,626

Operating income from continuing operations
43,031

 
28,208

 
116,863

 
78,667

Loss from continuing operations before income taxes
(28,236
)
 
(9,853
)
 
(96,570
)
 
(37,599
)
Net loss attributable to Emeritus Corporation
 
 
 
 
 
 
 
common shareholders
(27,823
)
 
(12,724
)
 
(103,536
)
 
(46,025
)
 
 
 
 
 
 
 
 
Basic and diluted loss per common share attributable to
 
 
 
 
 
 
 
Emeritus Corporation common shareholders
$
(0.59
)
 
$
(0.29
)
 
$
(2.23
)
 
$
(1.03
)
Basic and diluted weighted average common shares
 
 
 
 
 
 
 
outstanding
46,962

 
44,642

 
46,401

 
44,612

Dispositions
In the third quarter of 2013, we sold two of the Emeritus Nine Communities, as discussed above, representing a total of 185 units. Aggregate net sales proceeds of $8.9 million were used to pay down outstanding debt. In the second quarter of 2013, we sold two communities and terminated the lease on one community, representing a total of 194 units. Aggregate sales proceeds of $7.3 million were used to pay down outstanding debt. Impairment charges, including impairment charges related to property held for sale as of September 30, 2013, totaled $5.2 million for the nine months ended September 30, 2013, which are included in loss from discontinued operations. 

11

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


Note 5. Long-Term Debt
NOC Credit Facility
In February 2013, NOC and its subsidiaries (the “NOC Entities”) entered into a $50.0 million syndicated credit facility with KeyBank National Association and certain other lenders. The credit facility consisted of a $50.0 million term loan, the proceeds of which were being used primarily to finance its expansion, to refinance existing indebtedness of Emeritus, and other general corporate purposes.
The loan has a four-year term, maturing in February 2017, and the interest accrues, at the election of NOC, at a base rate or LIBOR, plus an applicable spread based on the NOC Entities’ total leverage ratio. As of the date of this report, the interest rate is equal to LIBOR plus 4.75%. Principal of the term loan is payable quarterly in equal installments of $1.875 million. The NOC Entities paid loan fees and related expenses of $814,000 in connection with establishing the credit facility.
The credit facility is secured by substantially all of the personal property of the NOC Entities and by NOC’s stock, and is cross-collateralized and cross-defaulted with existing KeyBank loans to Emeritus. In addition, Emeritus, affiliates of Emeritus and NOC’s parent company guaranty the payment and performance of the NOC Entities under the credit facility. The credit agreement underlying the credit facility contains usual and customary events of default and affirmative and negative covenants that, among other things, place limitations on the NOC Entities’ ability to create or allow liens to exist, issue equity, pay dividends, transact with affiliates and make asset dispositions and investments. The credit agreement also contains financial covenants of the NOC Entities measured on a consolidated basis that include a debt service coverage ratio, total leverage ratio and minimum required levels of liquidity and net worth. Emeritus, as guarantor, must maintain specified fixed charge coverage ratios on a consolidated basis and, during the first 12 months of the loan, a minimum of $25.0 million of liquidity as of the last day of each fiscal quarter (reduced to $20.0 million thereafter).
Debt Refinancing
In July 2013, we refinanced the mortgage debt on three communities with a combined outstanding principal balance of $17.5 million. The new mortgages total $17.9 million, were purchased by Freddie Mac, and bear interest at a fixed rate of 5.17%. Monthly payments of principal and interest are $98,000 and the loans mature in August 2020.
Debt Repayments
In May 2013, we repaid a $30.0 million note payable to a subsidiary of Ventas. The interest rate on the note was 8.80%.
In March 2013, we reduced the principal balance of a note payable to HCN from $45.8 million to $15.8 million, and in July 2013 repaid the outstanding balance of $15.2 million. The interest rate on the note was 8.77% .
In January 2013, we retired a note payable to HCN with an outstanding principal balance of $12.9 million and an interest rate of 9.99%.
Debt and Lease Covenants
Our lease and loan agreements generally include customary provisions related to: (i) restrictions on cash dividends, investments, and borrowings; (ii) cash held in escrow for real estate taxes, insurance, and building maintenance; (iii) financial reporting requirements; and (iv) events of default. Certain loan agreements require the maintenance of debt service coverage or other financial ratios and specify minimum required annual capital expenditures at the related communities. Many of our lease and debt instruments contain “cross-default” provisions pursuant to which a default under one obligation can cause a default under one or more other obligations to the same lender or property owner. Such cross-default provisions affect the majority of our properties. Accordingly, an event of default could cause a material adverse effect on our financial condition if such debts/leases are cross-defaulted. As of September 30, 2013, we were in violation of financial covenants in one loan agreement covering one community and one lease agreement covering four communities. We obtained waivers from the lender and landlord through September 30, 2013 and we are therefore in compliance with those financial covenants.
As of December 31, 2012, we were not in compliance with certain financial covenants required by our master lease agreement with Ventas. In February 2013, we received a waiver of these violations through January 1, 2014 in connection with the modification of the master lease. Such modifications include a resetting of the lease coverage ratios, the ability to cure up to four lease coverage shortfalls with cash deposits, and an extension of the period allowed for us to exercise purchase options. In addition, in accordance with a put option provision in the master lease related to two communities, in April 2013, we purchased one of the communities from Ventas for the option price of $3.9 million. The difference between the option price and our estimate of the fair value of the community was $2.3 million, which we recorded as additional rent expense and a current

12

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


liability as of December 31, 2012. The other community remains subject to a put option if certain financial covenants are not met, beginning in the first quarter of 2014.
Note 6. Derivative Financial Instruments
Pursuant to the terms of a credit agreement, in October 2011 we purchased an interest rate cap for a cash payment of $1.6 million.  This contract effectively caps the LIBOR on a notional amount of $132.0 million at 2.50% over the term of the loan.  As of September 30, 2013, the fair value of the interest rate cap was $242,000, which is included in other assets, net, in the condensed consolidated balance sheet (Note 9). The contract expires in June 2016.
Note 7. Loss Per Share
Potential dilutive shares consist of the incremental common shares issuable upon the exercise of outstanding stock options (both vested and unvested) using the treasury stock method. Potential dilutive shares are excluded from the computation of earnings per share if their effect is antidilutive. As of September 30, 2013 and 2012, we had outstanding stock options totaling 3.6 million and 4.3 million, respectively, that were excluded from the computation of net loss per share because they were antidilutive.
Performance-based restricted and unvested shares, totaling 737,611 shares as of September 30, 2013, are included in total outstanding shares but are excluded from the loss per share calculation until the related performance criteria have been met.
With regard to the equity held by the Minority Members of NOC, we estimate the redemption value of the redeemable noncontrolling interest based on the formula specified in the NOC put/call agreement (Note 4). Because the redemption value may not fully represent fair value, and the terms of the redemption feature are not included in our attribution of net income or loss to the noncontrolling interest, we are required under GAAP to apply the two-class method for calculating net loss per share. Under the two-class method, net loss attributable to Emeritus common shareholders is adjusted for the change in the excess of the noncontrolling interest’s estimated redemption value over its measurement amount per ASC Section 480-10-S99 (i.e., acquisition fair value adjusted for dividends and attribution of net income or loss). This calculation has no material impact on our consolidated net loss per share attributable to Emeritus common shareholders.
Note 8. Liquidity
As of September 30, 2013, we had a working capital deficit of $115.5 million compared to a working capital deficit of $55.5 million at December 31, 2012. We are able to operate in the position of a working capital deficit because we often convert our revenues to cash more quickly than we are required to pay the corresponding obligations incurred to generate those revenues, and we have historically refinanced or extended maturities of debt obligations as they become current liabilities. Our operations result in a low level of current assets to the extent we have used cash for business development expenses or to pay down long-term liabilities. Additionally, the working capital deficit as of September 30, 2013 included the following non-cash items: a $32.7 million deferred tax asset and, as part of current liabilities, $54.8 million of deferred revenue and unearned rental income. Additionally, a $46.5 million deferred tax liability is included in other long-term liabilities as of September 30, 2013. We do not expect the level of current liabilities to change from period to period in such a way as to require the use of significant cash in excess of normal requirements, except for $82.8 million in final (“balloon”) payments of principal on long-term debt maturing in the next 12 months, which is included in current portion of long-term debt as of September 30, 2013. Also included in the current portion of long-term debt is $7.3 million related to communities held for sale as of September 30, 2013 (Note 12), which will be repaid with the proceeds from the sales when completed.
Since 2008, we have refinanced and extended the terms of a substantial amount of our existing debt obligations. Balloon payments of principal on long-term debt maturing in the next 12 months are expected to be repaid, refinanced, or extended. Many of our debt instruments and leases contain “cross-default” provisions pursuant to which a default under one obligation can cause a default under one or more other obligations to the same lender or lessor. Such cross-default provisions affect the majority of our properties. Accordingly, any event of default could cause a material adverse effect on our financial condition if such debt or leases are cross-defaulted. From time to time, we have failed to comply with certain covenants in our financing and lease agreements relating generally to matters such as cash flow, debt, and lease coverage ratios, and certain other performance standards. In the future, we may be unable to comply with these or other covenants. If we fail to comply with any of these requirements and are not able to obtain waivers, our lenders could accelerate the repayment of the related indebtedness so that it becomes due and payable prior to its stated due date, and/or the lessors could terminate lease agreements.

13

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


In the nine months ended September 30, 2013 and 2012, we reported net cash provided by operating activities of $93.8 million and $110.6 million, respectively, in our condensed consolidated statements of cash flows. Net cash provided by operating activities has not always been sufficient to pay all of our long-term obligations and we have been dependent upon third-party financing or disposition of assets to fund operations. We cannot guarantee that, if necessary in the future, such transactions will be available on a timely basis or at all, or on terms attractive to us.
As discussed above, we expect to repay, refinance or extend our balloon payments due in the next 12 months. If we are unable to do so, or if additional principal payments are required as a result of covenant violations, we believe the Company would be able to generate sufficient cash flows to support its operating and investing activities for at least the next 12 months by reducing or delaying its capital expenditures and operating expenses, selling communities or a combination thereof. However, we will be required to refinance or extend a portion of our debt in order to meet our financing obligations in the next 12 months.
In connection with Emeritus’ guarantees of certain debt and lease agreements, we are required at all times to maintain a minimum $20.0 million balance of unencumbered liquid assets, defined as cash, cash equivalents and/or publicly traded/quoted marketable securities, and a minimum $25.0 million balance of unencumbered liquid assets on the last day of each fiscal quarter. As a result, between $20.0 million and $25.0 million of our cash on hand is not available to fund operations and we take this into account in our cash management activities.
Note 9. Fair Value Disclosures
The following table presents information about our assets and liabilities measured at fair value on a recurring basis as of September 30, 2013 and December 31, 2012, and indicates the fair value hierarchy of the valuation techniques we have utilized to determine such fair value (in thousands):
 
 
Quoted Prices in
 
Significant
 
 
 
 
 
Active Markets
 
Other
 
Significant
 
Balance as of
 
for Identical
 
Observable
 
Unobservable
 
September 30,
 
Assets (Level 1)
 
Inputs (Level 2)
 
Inputs (Level 3)
 
2013
Assets
 
 
 
 
 
 
 
Investment securities - trading
$
6,787

 
$

 
$

 
$
6,787

Interest rate cap agreement

 
242

 

 
242

 
 
Quoted Prices in
 
Significant
 
 
 
 
 
Active Markets
 
Other
 
Significant
 
Balance as of
 
for Identical
 
Observable
 
Unobservable
 
December 31,
 
Assets (Level 1)
 
Inputs (Level 2)
 
Inputs (Level 3)
 
2012
Assets
 
 
 
 
 
 
 
Investment securities - trading
$
4,910

 
$

 
$

 
$
4,910

Interest rate cap agreement

 
164

 

 
164

In general, fair values determined by Level 1 inputs utilize quoted prices in active markets for identical assets or liabilities that we have the ability to access.
Fair values determined by Level 2 inputs utilize inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs include quoted prices for similar assets and liabilities in active markets, and inputs other than quoted prices that are observable for the asset or liability.
 
Level 3 inputs are unobservable inputs for the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment, and we consider many factors specific to the asset or liability.
We have financial instruments other than investment securities consisting of cash equivalents, other receivables, tax and maintenance escrows, workers’ compensation collateral accounts, and long-term debt. As of September 30, 2013 and December 31, 2012, the fair values of other receivables, tax and maintenance escrows, and workers’ compensation collateral accounts approximate their carrying values based on their short-term nature as well as current market indicators, such as

14

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


prevailing interest rates (Level 2 inputs). The fair value of our long-term debt is as follows as of the periods indicated (in thousands):
 
 
September 30, 2013
 
December 31, 2012
 
Carrying
 
 
 
Carrying
 
 
 
Amount
 
Fair Value
 
Amount
 
Fair Value
Long-term debt
$
1,512,609

 
$
1,546,670

 
$
1,608,317

 
$
1,663,687

We estimated the fair value of debt obligations using discounted cash flows based on our assumed incremental borrowing rate of 8.5% for unsecured borrowings and 5.3% for secured borrowings (Level 2 inputs).
Impairments of Long-Lived Assets
We designate communities as held for sale when it is probable that the properties will be sold. As a result, we may record impairment losses and carry these assets on our balance sheet at fair value less estimated selling costs. Such losses are included in discontinued operations in the condensed consolidated statements of operations. We determine the fair value of the properties based primarily on purchase and sale agreements from prospective purchasers (Level 2 input). In periods prior to designating the properties as held for sale, when a triggering event occurs, we test these properties for recoverability by applying probability weighting to the estimated undiscounted future cash flows of the communities based on the probability of selling the properties versus continuing to operate them.
In the second quarter of 2013, we recorded impairment charges of $5.2 million related to two communities that we disposed of and two that are held for sale as of September 30, 2013, which are included in loss from discontinued operations. We determined the fair value of the assets based on the executed purchase and sale agreements.
In the third quarter of 2012, we designated one community as held for sale and sold it in September 2012. As a result, we recorded an impairment loss of $1.9 million.
In the second quarter of 2012, we recorded impairment charges of $4.3 million related to two communities that were classified as held for sale as of June 30, 2012. We determined the fair values based on pending purchase offers, less estimated selling costs (Level 2 input). The impairment charges are included in loss from discontinued operations.
In the first quarter of 2012, we recorded impairment charges of $2.1 million related to two parcels of undeveloped land. We determined the fair values of the properties based on comparable land sales in the respective local markets (Level 2 input). The impairment charges are reflected in the condensed consolidated statement of operations as impairments of long-lived assets.
Note 10. Income Taxes
Our income tax accruals include liabilities for unrecognized tax benefits, including penalties and interest, which we recorded in connection with our acquisition of Summerville Senior Living, Inc. in 2007. These liabilities, which totaled $113,000 as of September 30, 2013, are included in other long-term liabilities and are the result of uncertainty surrounding the deductibility of certain items included in the Summerville tax returns for periods prior to the merger.
We record deferred income taxes based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax bases. We record a valuation allowance to reduce the Company’s deferred tax assets to the amount that is more likely than not to be realized. Deferred tax assets are recorded as current assets in the condensed consolidated balance sheets and amounted to $32.7 million and $33.8 million as of September 30, 2013 and December 31, 2012, respectively. Deferred tax liabilities amounted to $46.5 million and $46.8 million as of September 30, 2013 and December 31, 2012, respectively, which are included in other long-term liabilities in the condensed consolidated balance sheets.
Because the Company fully reserves its deferred tax assets, no net tax effects were allocated to the components of other comprehensive loss.
Note 11. Contingencies
The Company has been, is currently, and expects in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of business. These claims, lawsuits and

15

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


other matters are similar to those to which other companies in the senior living and healthcare industries are subject. The defense of these claims, lawsuits and governmental audits, investigations and proceedings, certain of which allege large damage amounts, may require us to incur significant expense.

We maintain a combination of self-insurance reserves and commercial insurance policies in amounts and with coverage and deductibles that we believe are adequate, based on the nature and risks of our business, historical experience and industry standards. We cannot predict the ultimate outcome of any pending litigation, claims, or regulatory and other governmental audits, investigations and proceedings. Certain of these matters are not covered by insurance, and, in any event, there is no assurance that our actual costs or damages related to any such matter will not exceed such reserves or applicable insurance policy limits.
On June 4, 2013, in Joan Boice et al. v. Emeritus Corporation et al., the Sacramento County Superior Court entered final judgment in favor of Joan Boice (deceased) and against the Company in the amount of $250,000 in compensatory damages and $23.0 million in punitive damages for alleged elder abuse. Judgment was also entered in favor of Joan Boice’s three adult children for $250,000 and the court awarded the plaintiffs’ lawyer over $4.1 million in attorneys’ fees. On July 8, 2013, we filed a Notice of Appeal. We were required to post a bond in connection with our appeal, and made a cash deposit in the amount of $20.9 million to collateralize the bond.
On July 29, 2013, a claim alleging the failure to provide certain services at our California assisted living communities was filed against the Company in the Alameda County Superior Court and subsequently removed to the United States District Court for the Northern District of California. In this case, the plaintiff is seeking to represent a class of residents at such California communities during the period beginning July 29, 2009.  The plaintiff alleges violations of certain laws, including California’s Consumer Legal Remedies Act, Unfair Competition Law and Financial Elder Abuse statute.  The Company believes that the suit is without merit and has filed a motion to dismiss the action in its entirety. At this time the Company is unable to estimate a possible range of loss.
As of September 30, 2013 and December 31, 2012, we have recorded a liability related to self-insured professional and general claims, including known claims, incurred but not yet reported claims, and legal fees, of $29.6 million and $25.8 million, respectively. We believe that the range of reasonably possible losses as of September 30, 2013, based on sensitivity testing of the various underlying actuarial assumptions, is approximately $28.1 million to $45.0 million. The high end of the range reflects the potential for high-severity losses.
Communities not in the self-insurance pool are insured under commercial policies that provide for deductibles for each claim ranging from $50,000 to $250,000.  As a result, the Company is, in effect, self-insured for claims that are less than the deductibles.  The net liability for known claims and incurred but not yet reported claims was $7.9 million and $6.3 million as of September 30, 2013 and December 31, 2012, respectively (the gross liability was $16.4 million and $25.0 million with corresponding estimated amounts receivable from the insurance companies of $8.5 million and $18.7 million, respectively).
The total gross liability for professional and general claims as of September 30, 2013 and December 31, 2012 was $46.0 million and $50.8 million, respectively, of which $15.6 million and $21.2 million is included in accrued insurance liabilities, with the balance recorded in other long-term liabilities. Of the related amounts receivable from insurance companies as of September 30, 2013 and December 31, 2012, $3.7 million and $8.6 million, respectively, is included in other receivables and $4.7 million and $10.1 million, respectively, is included in other assets, net, in the condensed consolidated balance sheets.
We are self-insured for workers’ compensation risk (except in five states) up to $500,000 per claim through a high deductible, collateralized insurance program. The liability for self-insured known claims and incurred but not yet reported claims was $42.4 million and $38.3 million at September 30, 2013 and December 31, 2012, respectively, of which $12.6 million and $12.2 million is included in accrued insurance liabilities as of September 30, 2013 and December 31, 2012, respectively, with the balance recorded in other long-term liabilities. We believe that the range of reasonably possible losses as of September 30, 2013, based on sensitivity testing of the various underlying actuarial assumptions, is approximately $40.7 million to $44.0 million.
For health insurance, we self-insure each participant up to $350,000 per year, above which a catastrophic insurance policy covers any additional costs. The liability for self-insured incurred but not yet reported claims is included in accrued insurance liabilities in the condensed consolidated balance sheets and was $10.3 million and $10.0 million at September 30, 2013 and December 31, 2012, respectively. 
Note 12. Discontinued Operations

16

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


Net losses from discontinued operations for the three and nine months ended September 30, 2013 and 2012 represent losses on the sales of communities and related impairment charges and transaction costs (Note 9). During the nine months ended September 30, 2013, we sold four communities and terminated the lease on one community, and two communities are classified as held-for-sale as of September 30, 2013. We sold three communities in the third quarter of 2012 and one community in the second quarter of 2012.
Revenues and expenses related to any and all of these communities were not material to the consolidated statements of operations.
Note 13. Segment Information
The Company currently has three operating segments which are ancillary services, the HCP Leased Communities, and the legacy Emeritus communities. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment.
For financial reporting purposes, the HCP Leased Communities and legacy Emeritus communities meet applicable aggregation criteria and are therefore combined into one reportable segment, which is assisted living and related services ("Senior Living"). The ancillary services segment does not meet applicable materiality thresholds for separate segment disclosure but is included as the primary component of an "all other" category under GAAP. The accounting policies of our reportable segments are the same as those described in the summary of significant accounting policies in Note 2, except as noted below.
The following table sets forth certain segment financial data and does not include reimbursed costs incurred on behalf of managed communities (in thousands). Unallocated amounts include corporate revenues and expenses, capital lease adjustments, and certain unallocated community revenues and expenses.
 
 
Three Months Ended September 30, 2013
 
 
Senior
 
 
 
 
 
 
 
 
Living
 
All Other
 
Unallocated
 
Totals
 
 
 
 
 
 
 
 
 
Community and ancillary services revenue (a)
 
$
442,223

 
$
41,774

 
$
(139
)
 
$
483,858

Management fees
 

 

 
630

 
630

Community and ancillary services operations expenses
 
298,117

 
32,966

 
(1,456
)
 
329,627

General and administrative expenses
 

 
3,929

 
24,201

 
28,130

EBITDAR (b)
 
144,106

 
4,879

 
(22,254
)
 
126,731

Lease expense
 
80,906

 
1,277

 
(43,976
)
 
38,207

EBITDA (c)
 
63,200

 
3,602

 
21,722

 
88,524

Interest expense
 
22,066

 

 
49,375

 
71,441

Depreciation and amortization
 
18,309

 

 
26,893

 
45,202

Other (revenue) and expense, net
 
(241
)
 

 
358

 
117

Segment profit (loss)
 
$
23,066

 
$
3,602

 
$
(54,904
)
 
$
(28,236
)
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended September 30, 2012
 
 
Senior
 
 
 
 
 
 
 
 
Living
 
All Other
 
Unallocated
 
Totals
 
 
 
 
 
 
 
 
 
Community and ancillary services revenue (a)
 
$
322,104

 
$
640

 
$
1,130

 
$
323,874

Management fees
 

 

 
5,293

 
5,293

Community and ancillary services operations expenses
 
216,473

 
562

 
(92
)
 
216,943

General and administrative expenses
 

 
131

 
22,951

 
23,082

EBITDAR (b)
 
105,631

 
(53
)
 
(16,436
)
 
89,142

Lease expense
 
45,448

 
19

 
(14,507
)
 
30,960

EBITDA (c)
 
60,183

 
(72
)
 
(1,929
)
 
58,182

Interest expense
 
23,203

 

 
15,248

 
38,451

Depreciation and amortization
 
19,588

 

 
12,873

 
32,461

Other (revenue) and expense, net
 
(347
)
 

 
997

 
650

Segment profit (loss)
 
$
17,739

 
$
(72
)
 
$
(31,047
)
 
$
(13,380
)
 
 
 
 
 
 
 
 
 

17

EMERITUS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Three Months and Nine Months Ended September 30, 2013 and 2012


 
 
Nine Months Ended September 30, 2013
 
 
Senior
 
 
 
 
 
 
 
 
Living
 
All Other
 
Unallocated
 
Totals
 
 
 
 
 
 
 
 
 
Community and ancillary services revenue (a)
 
$
1,286,156

 
$
125,505

 
$
2,726

 
$
1,414,387

Management fees
 

 

 
2,010

 
2,010

Community and ancillary services operations expenses
 
861,690

 
97,126

 
14,400

 
973,216

General and administrative expenses
 

 

 
86,461

 
86,461

EBITDAR (b)
 
424,466

 
28,379

 
(96,125
)
 
356,720

Lease expense
 
231,149

 
3,687

 
(132,426
)
 
102,410

EBITDA (c)
 
193,317

 
24,692

 
36,301

 
254,310

Interest expense
 
66,591

 

 
149,139

 
215,730

Depreciation and amortization
 
55,659

 

 
79,955

 
135,614

Other (revenue) and expense, net
 
(768
)
 

 
304

 
(464
)
Segment profit (loss)
 
$
71,835

 
$
24,692

 
$
(193,097
)
 
$
(96,570
)
 
 
 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2012
 
 
Senior
 
 
 
 
 
 
 
 
Living
 
All Other
 
Unallocated
 
Totals
 
 
 
 
 
 
 
 
 
Community and ancillary services revenue (a)
 
$
953,227

 
$
1,954

 
$
5,244

 
$
960,425

Management fees
 

 

 
15,490

 
15,490

Community and ancillary services operations expenses
 
635,731

 
1,204

 
7,052

 
643,987

General and administrative expenses
 

 

 
69,492

 
69,492

EBITDAR (b)
 
317,496

 
750

 
(55,810
)
 
262,436

Lease expense
 
135,473

 
56

 
(42,382
)
 
93,147

EBITDA (c)
 
182,023

 
694

 
(13,428
)
 
169,289

Interest expense
 
69,535

 

 
46,548

 
116,083

Depreciation and amortization
 
59,071

 

 
38,953

 
98,024

Other (revenue) and expense, net
 
(760
)
 

 
4,867

 
4,107

Segment profit (loss)
 
$
54,177

 
$
694

 
$
(103,796
)
 
$
(48,925
)
(a) All revenue is earned from external third parties in the United States.
(b) EBITDAR is defined as earnings before interest, taxes, depreciation, amortization and rent (lease) expense and represents the measure of profitability used by our chief operating decision maker ("CODM") to evaluate the Senior Living segment. The Senior Living data set forth above do not include adjustments related to capital leases and certain unallocated revenues and expenses.
(c) EBITDA is defined as EBITDAR less lease expense and represents the measure of profitability used by our CODM to evaluate our ancillary services segment, the primary component of the All Other category. Lease expense for Senior Living represents cash rent payments on operating and capital leases.
 
 
As of September 30, 2013
 
 
Senior
 
 
 
 
 
 
Living
 
All Other
 
Totals
Total Assets
 
$
4,496,301

 
$
147,293

 
$
4,643,594

Goodwill
 
134,161

 
53,894

 
188,055

 
 
 
 
 
 
 
 
 
As of December 31, 2012
 
 
Senior
 
 
 
 
 
 
Living
 
All Other
 
Totals
Total Assets
 
$
4,525,409

 
$
135,341

 
$
4,660,750

Goodwill
 
135,039

 
51,717

 
186,756



18

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

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

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
The disclosure and analysis in this Quarterly Report on Form 10-Q contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. You can identify forward-looking statements by the fact that they do not relate strictly to historical or current facts. They often include words such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “predict,” “seek,” “should,” “will,” or the negative of those terms, or comparable terminology. These forward-looking statements are all based on currently available operating, financial and competitive information and are subject to various risks and uncertainties. Our actual future results and trends may differ materially depending on a variety of factors, including, but not limited to, the risks and uncertainties discussed under Risk Factors and Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K filed with the Securities and Exchange Commission.
Any or all of our forward-looking statements in this report may turn out to be inaccurate. Incorrect assumptions we might make and known or unknown risks and uncertainties may affect the accuracy of our forward-looking statements. Forward-looking statements reflect our current expectations or forecasts of future events or results and are inherently uncertain. Accordingly, you should not place undue reliance on our forward-looking statements.
Although we believe that the expectations and forecasts reflected in the forward-looking statements are reasonable, we cannot guarantee future results, performance, or achievements. Consequently, no forward-looking statement can be guaranteed, and future events and actual or suggested results may differ materially. We are including this cautionary note to make applicable and take advantage of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 for forward-looking statements. We expressly disclaim any obligation to publicly update any forward-looking statements, whether as a result of new information, future events, or otherwise. You are advised, however, to consult any further disclosures we make in our quarterly reports on Form 10-Q and current reports on Form 8-K.
Overview
Our Business
We are one of the largest and fastest-growing operators of senior living communities in the United States. We own and operate a portfolio of high-quality, purpose-built communities providing resident services including independent living, assisted living, specialized Alzheimer’s/dementia (“memory care”), and, to a lesser extent, skilled nursing care. Beginning in the fourth quarter of 2012, we added home healthcare to our service offerings through our acquisition of Nurse On Call, Inc. (“NOC”).
We strive to provide a wide variety of supportive living services in a professionally staffed environment that enables seniors to live with dignity and independence. Our holistic approach enhances every aspect of our residents’ lives by assisting them with life enrichment activities including transportation, socialization and education, housing and 24-hour personal support services, such as medication management, bathing, dressing, personal hygiene and grooming. The average age of our residents is 84.
As of September 30, 2013, we owned 188 communities and leased 312 communities. These 500 communities comprise the communities included in the condensed consolidated financial statements and are referred to as our “Consolidated Portfolio.”
We also provide management services to independent and related-party owners of senior living communities. As of September 30, 2013, we managed 15 communities, three of which are owned by joint ventures in which we have a financial interest. The communities we manage for others, combined with our Consolidated Portfolio, are referred to as our “Operated Portfolio.”
Recent Developments
In September 2013, we acquired 38 communities pursuant to an operating lease with Health Care REIT, Inc. ("HCN"). These communities were previously operated by Merrill Gardens (the "Merrill Gardens Communities"). Rent in the first year of the lease will initially be $54.0 million and will increase each year based on the greater of (i) the percentage change in the consumer price index ("CPI") or (ii) (a) 4.0% in the second year of the lease and (b) 3.25% thereafter. Additional rent may be due beginning in the third year of the lease if gross revenues, as defined therein, exceed certain thresholds. The initial term of the Master Lease is fifteen years, and we have the option to extend the lease for one additional fifteen-year term. HCN has committed to fund up to $10.0 million for capital improvements during the first two years of the Master Lease, and our rent will increase by 6.5% of any such capital improvements funded.

19

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Summary of Activity
A summary of activity for the first nine months of 2013, compared to the same period for 2012, is as follows:
Total operating revenues increased $309.5 million, or 27.4%, to $1.4 billion from $1.1 billion for the prior-year period, due primarily to acquisitions in the fourth quarter of 2012.
Operating income from continuing operations increased $50.2 million to $116.9 million from $66.7 million for the prior-year period. Our net loss attributable to Emeritus Corporation common shareholders was $103.5 million compared to $57.4 million for the prior-year period.
Average occupancy of the Consolidated Portfolio increased to 86.8% from 86.7% for the prior-year period.
Average rate per occupied unit decreased 3.3% to $4,011 from $4,148 for the prior-year period. This is primarily due to the communities in the HCP Transaction, which had lower rates than our legacy communities.
Net cash provided by operating activities was $93.8 million compared to $110.6 million for the prior-year period.
Our Portfolios
As of September 30, 2013, we operated 515 senior living communities in 45 states. Our Consolidated Portfolio had a capacity of 52,157 beds and our Operated Portfolio had a capacity of 53,901 beds. The following table sets forth a comparison of our Consolidated and Operated Portfolios:
 
 
September 30, 2013
 
December 31, 2012
 
September 30, 2012
 
Community Count
 
Unit
Count (b)
 
Community Count
 
Unit
Count (b)
 
Community Count
 
Unit
Count (b)
Owned
188

 
15,679

 
192

 
16,157

 
183

 
15,073

Leased(a)
312

 
29,743

 
269

 
24,831

 
140

 
14,499

Consolidated Portfolio
500

 
45,422

 
461

 
40,988

 
323

 
29,572

Managed
12

 
1,301

 
13

 
1,357

 
12

 
1,264

Managed - Joint Ventures
3

 
198

 
9

 
687

 
142

 
11,845

Operated Portfolio
515

 
46,921

 
483

 
43,032

 
477

 
42,681

 
(a)
We account for 117 of the 312 leased communities as operating leases and 195 as capital or financing leases. We do not include the assets and liabilities of the 117 operating lease communities on our condensed consolidated balance sheets.
(b)
Total units reflect skilled nursing units in terms of beds.

Our Total Operated Portfolio as of September 30, 2013 consisted of the following unit types:
 
 
Units by Type of Service
 
AL (a)
MC (b)
IL (c)
SN (d)
Other (e)
Total
Owned
11,262

2,950

1,061

208

198

15,679

Leased
19,508

3,811

5,197

961

266

29,743

Consolidated Portfolio
30,770

6,761

6,258

1,169

464

45,422

Managed
782

226

246

25

22

1,301

Managed - Joint Ventures
122

76




198

Operated Portfolio
31,674

7,063

6,504

1,194

486

46,921

 
(a)
Assisted living
(b)
Memory care
(c)
Independent living
(d)
Skilled nursing beds

20

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

(e)
Units taken out of service
The units taken out of service represent rooms that we have converted to alternative uses, such as additional office space, and are not available for immediate occupancy. We exclude the units taken out of service from the calculation of the average occupancy rate. We place these units back into service as demand dictates.
Significant Transactions
Transactions completed in the first nine months of 2013 are summarized below.
 
 
 
Transaction
Period
Unit
Count
 
Transaction
Type
r in
Owned
Count
 
 
r in
Leased
Count
 
r in
Managed
Count
Count as of December 31, 2012
192

 
 
269

 
22

 
 
 
 
 
 
 
 
 
 
 
 
2013 Activity
 
 
 
 
 
 
 
 
 
 
 
Necanicum Village
 
Feb 2013
80

 
Disposition

 
 

 
(1
)
Emeritus at Diablo Lodge
 
Mar 2013
118

 
Acquisition

 
 
1

 

HCP Transaction - delayed close properties
 
Mar 2013

 
Acquisition

 
 
4

 
(4
)
Big Sky
 
Apr 2013
159

 
Disposition

 
 

 
(1
)
Emeritus at Roseville Gardens
 
Apr 2013

 
Acquisition
1

 
 
(1
)
 

Sunshine Village
 
Apr 2013
84

 
Disposition
(1
)
 
 

 

Emeritus at Pinellas Park
 
May 2013
97

 
Disposition
 
 
 
(1
)
 

Emeritus at Augusta
 
May 2013
50

 
Disposition
(1
)
 
 

 

Emeritus at Fulton Villa
 
Jun 2013
80

 
Disposition

 
 

 
(1
)
Emeritus at Springtree
 
Jun 2013

 
Sale-leaseback
(1
)
 
 
1

 

Emeritus at Halcyon Village
 
Jul 2013
76

 
Acquisition

 
 
1

 

Terrace at Jasper
 
Jul 2013
62

 
Disposition
(1
)
 
 

 

Emeritus at West Park Place
 
Aug 2013
123

 
Disposition
(1
)
 
 

 

HCN - Merrill Gardens
 
Sep 2013
4,406

 
Acquisition

 
 
38

 

 
 
 
 
 
 
 
 
 
 
 
 
Count as of September 30, 2013
 
 
 
 
 
188

 
 
312

 
15

 

Results of Operations
Sources of Revenues
We generate revenues by providing senior housing and related healthcare services to the senior population. We are the largest provider of assisted living and memory care services in the United States, with a capacity for approximately 54,000 residents. Assisted living and memory care units comprise approximately 82.6% of our total Operated Portfolio.
The two basic drivers of our community revenues are the rates we charge our residents and the occupancy levels we achieve in our communities. In evaluating the rate component, we utilize the average monthly revenue per occupied unit, computed by dividing the total operating revenue for a particular period by the average number of occupied units for the same period. In evaluating the occupancy component, we track the average occupancy rate, computed by dividing the average units occupied during a particular period by the average number of units available during the period.

We rely primarily on our residents' ability to pay our charges for senior living services from their own or family resources and expect that we will do so for the foreseeable future. Private pay revenues represented 80.0% of our consolidated commuity and ancillary services revenues and 87.6% of our senior living revenues in the first nine months of 2013. We believe that only residents with income or assets meeting or exceeding the regional median can afford to reside in our communities, and that the rates we charge and our occupancy levels are interrelated. Therefore, we continuously evaluate rate and occupancy in each community to find the optimal balance so that we can benefit from our increasing capacity and anticipated future occupancy increases. Although our business is primarily needs-driven, we believe that our occupancy growth has been slowed due to slow

21

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

economic growth in the United States, as some seniors and their families have postponed moves for financial reasons, and we believe that high unemployment has enabled family members and others to provide home care for seniors.
Revenues from government reimbursement programs, which are the federal Medicare and state Medicaid programs, represented 20.0% of our consolidated community and ancillary revenues in the first nine months of 2013 compared to 12.5% in the comparable 2012 period. The increase in government reimbursed revenues is primarily due to our acquisition of NOC in November 2012, as NOC’s revenues are almost all from Medicare. Future changes in revenues from Medicare and Medicaid programs in our existing communities will depend upon factors that include resident mix, levels of acuity among our residents, overall occupancy and government reimbursement rates.
There continue to be various federal and state legislative and regulatory proposals to implement cost containment measures that would limit payments to healthcare providers in the future. For example, on April 1, 2013, the mandated 2.0% reduction in Medicare payments under the Budget Control Act of 2011 went into effect. These cuts cannot be offset through higher co-pays or other charges to patients. Although we believe that we can offset a portion of Medicare cuts through targeted expense reductions, the reductions are not expected to fully offset the revenue decrease.
In June 2013, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule to update Medicare payment rates for home health agencies. The rule proposes rebasing adjustments over a four-year period beginning in 2014. CMS estimates that net payments to home health agencies will decrease by approximately 1.5% in 2014.
We also earn management fee revenues by managing certain communities for third parties, including communities owned by related parties and by joint ventures in which we have an ownership interest. The majority of our management agreements provide for fees equal to 5.0% of gross revenues.
In addition to our monthly management fee, we receive reimbursement for operating expenses of managed communities.  Reimbursed operating expenses for which the Company is the primary obligor are reported as costs incurred on behalf of managed communities and included in total operating expense in our condensed consolidated statements of operations. A corresponding amount of revenue is recognized in the same period in which the expense is incurred and the Company is due reimbursement.
 
As a result of the HCP Transaction, the number of communities managed by Emeritus for others was reduced significantly as 142 communities became part of our Consolidated Portfolio. Specifically, 133 of the managed communities were leased and nine communities were sold to Emeritus in connection with the HCP Transaction in the fourth quarter of 2012. Therefore, there has been a significant reduction in reimbursed costs incurred on behalf of managed communities in 2013. See Note 4, Acquisitions and Other Significant Transactions—2012 HCP Transaction.
Same Community Portfolio Analysis
Of the 500 communities included in our Consolidated Portfolio as of September 30, 2013, we include 320 communities in our Same Community Portfolio. Our Same Community Portfolio consists of consolidated communities that we have continuously operated since January 1, 2012, and does not include properties where new expansion projects were opened during the comparable periods, communities in which we substantially changed the service category offered, or communities accounted for as discontinued operations.
Selected data from our Same Community Portfolio is as follows:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
r (a) (b)
 
(in thousands, except percentages)
Community revenue
$
323,015

 
$
319,896

 
$
3,119

 
1.0
 %
Community operations expense
$
(218,633
)
 
$
(213,631
)
 
$
(5,002
)
 
(2.3
)%
Community operating income
$
104,382

 
$
106,265

 
$
(1,883
)
 
(1.8
)%
Average monthly revenue per occupied unit
$
4,247

 
$
4,196

 
$
51

 
1.2
 %
Average occupancy rate
87.1
%
 
87.4
%
 
 
 
(0.3) ppt

 

22

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

(a)
“N/M” indicates percentages that are not meaningful in this analysis.  Applies to all subsequent tables in this section.
(b)
“ppt” refers to percentage points.  Applies to all subsequent tables in this section.
Revenues from our Same Community Portfolio represented 73.1% of our total community revenue for the third quarter of 2013. The increase in same community revenues was due to improvements in average revenue per occupied unit.
The increase in operating expense from the Same Community Portfolio was primarily due to increases in salaries and benefits, professional liability insurance, marketing, and supplies, offset somewhat by lower health insurance expenses from our August 2012 transition to a more efficient network and fluctuations in employee enrollment, as well as lower bad debt expense.
Comparison of the Three Months Ended September 30, 2013 and 2012
Net Loss Attributable to Emeritus Corporation Common Shareholders
We reported a net loss attributable to Emeritus common shareholders of $27.8 million for the three months ended September 30, 2013, compared to net loss of $16.3 million in the prior-year period. As further described in the section Liquidity and Capital Resources below, the Company has incurred significant losses since its inception, but has generated annual positive cash flow from operating activities since 2001.
Operating income from continuing operations increased by $18.6 million to $43.0 million in the third quarter of 2013. The increase in operating income was primarily the result of net community acquisitions during 2012 and the acquisition of NOC in November 2012.

The $11.6 million increase in net loss was due primarily to the increase in operating income of $18.6 million being offset by increases in other net non-operating expenses. Interest expense increased by $33.0 million primarily as a result of capital lease accounting treatment of the HCP Leased Communities that we acquired in the fourth quarter of 2012.
The details of each of the components of net loss are set forth below.
Total Operating Revenues:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r 
 
(in thousands, except percentages)
Same Community Portfolio
$
323,015

 
$
319,896

 
$
3,119

 
1.0
 %
Acquisitions, dispositions, development and expansion
118,980

 
3,034

 
115,946

 
N/M

Ancillary services
41,774

 
640

 
41,134

 
N/M

Unallocated community revenue (a)
89

 
304

 
(215
)
 
(70.7
)%
Community and ancillary services revenue
483,858

 
323,874

 
159,984

 
49.4
 %
Management fees
630

 
5,293

 
(4,663
)
 
N/M

Reimbursed costs incurred on behalf of managed communities
7,245

 
51,953

 
(44,708
)
 
N/M

Total operating revenues
$
491,733

 
$
381,120

 
$
110,613

 
29.0
 %
 
 
 
 
 
 
 
 
Average monthly revenue per occupied unit
$
4,008

 
$
4,189

 
$
(181
)
 
(4.3
)%
Average occupancy rate
87.3
%
 
87.1
%
 
 
 
0.2 ppt

 
(a) Comprised primarily of deferred move-in fees.
The increase in revenues of $3.1 million from the Same Community Portfolio was due to improvement in the rates we charge our residents. As further described in Same Community Portfolio Analysis above, our Same Community Portfolio consists of those communities that we have continuously operated since January 1, 2012, net of dispositions. Revenues from acquisitions, developments and expansions, which are derived from any communities that we began operating since January 1, 2012 (net of dispositions), increased by $115.9 million due primarily to the HCP Transaction as well as the September 1, 2013 acquisition of the 38 former Merrill Gardens Communities pursuant to the Master Lease. The increase in ancillary services revenue was the result of our acquisition of NOC in November 2012.

23

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

The decrease in management fees and reimbursed costs incurred on behalf of managed communities is the result of the HCP Transaction in which 142 communities that were previously owned by the Sunwest JV and managed by us are now part of our Consolidated Portfolio as owned and leased properties.
Community and Ancillary Services Operating Expense:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Same Community Portfolio
$
218,633

 
$
213,631

 
$
5,002

 
2.3
%
Acquisitions, dispositions, development, and expansion
78,195

 
2,712

 
75,483

 
N/M

Ancillary services
32,966

 
562

 
32,404

 
N/M

Unallocated community expenses
(167
)
 
38

 
(205
)
 
N/M

Community operations and ancillary services
$
329,627

 
$
216,943

 
$
112,684

 
51.9
%
As a percentage of total operating revenues
67.0
%
 
56.9
%
 
 
 
10.1
 ppt
 
Community operating expense includes direct costs incurred to operate the communities and includes costs such as payroll and benefits, resident activities, marketing, housekeeping, food service, facility maintenance, utilities, taxes, insurance, and licenses.
Community operating expense in our Same Community Portfolio increased by $5.0 million, as described above under Same Community Portfolio Analysis. We focus on providing the appropriate level of care to our residents, while also pursuing overall expense efficiencies.
Expenses related to acquisitions, developments and expansions, which are derived from any communities that we began operating since January 1, 2012 (net of dispositions), increased by $75.5 million, due primarily to the HCP Transaction, as well as the September 1, 2013 acquisition of the 38 former Merrill Gardens Communities pursuant to the Master Lease.
Ancillary services expense represents the operating expenses incurred by NOC, acquired in November 2012, as well as our durable medical equipment subsidiary.
General and Administrative Expense:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Senior living
$
24,201

 
$
22,951

 
$
1,250

 
5.4
%
Ancillary services
3,929

 
131

 
3,798

 
N/M

General and administrative
$
28,130

 
$
23,082

 
$
5,048

 
21.9
%
As a percentage of total operating revenues
5.7
%
 
6.1
%
 
 
 
(0.4
)
The increase in general and administrative expenses attributable to our senior living operations primarily reflects increases in employee compensation, including noncash stock compensation expense. Ancillary services represents the general and administrative expenses incurred by NOC, acquired in November 2012, as well as our durable medical equipment subsidiary.
Senior living general and administrative expense as a percentage of community operating revenues for our Operated Portfolio was 5.3% and 5.3% (4.5% and 4.7% excluding stock compensation expense) for the three-month periods ended September 30, 2013 and 2012, respectively. We focus on overhead expense efficiencies, while ensuring adequate infrastructure to support our operational needs.
 
We computed these percentages as follows:
 

24

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

 
Three Months Ended September 30,
 
2013
 
2012
 
(in thousands, except percentages)
Senior living general and administrative expenses
 
$
24,201

 
 
$
22,951

Sources of revenue:
 
 
 
 
 
Owned and leased
$
442,084

 
 
$
323,234

 
Managed
14,357

 
 
108,431

 
Total revenue for all communities in our Operated Portfolio
 
$
456,441

 
 
$
431,665

 
 
 
 
 
 
General and administrative expenses as a percent of
 
 
 
 
 
      all Operated Portfolio revenue
 
5.3
%
 
 
5.3
%
 
 
 
 
 
 
General and administrative expenses excluding stock-based
 
 
 
 
 
     compensation as a percent of Operated Portfolio revenue
 
4.5
%
 
 
4.7
%
Depreciation and Amortization Expense:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Depreciation and amortization
$
45,202

 
$
32,461

 
$
12,741

 
39.3
%
As a percentage of total operating revenues
9.2
%
 
8.5
%
 
 
 
0.7
 ppt
The increase in depreciation and amortization expense represents an increase in depreciation expense of $14.8 million and a decrease in amortization expense of $2.1 million. The increased depreciation expense is due to the addition of new communities to our Consolidated Portfolio, including the 142 communities in the HCP Transaction that were added in the fourth quarter of 2012, as well as depreciation on capital improvements to our existing communities. The decrease in amortization expense is the result of resident contract intangible assets acquired in business combinations becoming fully amortized subsequent to September 30, 2012.
Lease Expense:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Operating lease expense
$
35,903

 
$
28,425

 
$
7,478

 
26.3
 %
Above/below market rent amortization
1,229

 
1,612

 
(383
)
 
(23.8
)%
Deferred straight-line rent amortization
1,075

 
923

 
152

 
16.5
 %
Lease expense
$
38,207

 
$
30,960

 
$
7,247

 
23.4
 %
As a percentage of total operating revenues
7.8
%
 
8.1
%
 
 
 
(0.3
) ppt
 
The increase in total lease expense is due to the new operating leases of 38 former Merrill Garden Communities commencing on September 1, 2013, as well as rent escalators on existing leases. We leased 117 and 79 communities under operating leases as of September 30, 2013 and 2012, respectively.
Costs Incurred on Behalf of Managed Communities:
 

25

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Costs incurred on behalf of managed communities
$
7,245

 
$
51,953

 
$
(44,708
)
 
N/M

As a percentage of total operating revenues
1.5
%
 
13.6
%
 
 
 
(12.1
) ppt
The decrease in costs incurred on behalf of managed communities was due primarily to the HCP Transaction, which significantly reduced the number of communities that we manage for third parties.
Interest Expense:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Interest expense
$
71,441

 
$
38,451

 
$
32,990

 
85.8
%
As a percentage of total operating revenues
14.5
%
 
10.1
%
 
 
 
4.4
 ppt
The increase in interest expense was due primarily to interest on the financing leases and debt added in the fourth quarter of 2012 in the HCP Transaction, partially offset by decreases related to community dispositions and repayment of certain high-rate notes payable in 2013.
Income (Loss) from Discontinued Operations:
 
 
Three Months Ended September 30,
 
2013
 
2012
 
$r
 
% r
 
(in thousands, except percentages)
Income (loss) from discontinued operations
$
146

 
$
(2,698
)
 
$
2,844

 
N/M

As a percentage of total operating revenues
%
 
(0.7
)%
 
 
 
0.7
 ppt
Income from discontinued operations for the three months ended September 30, 2013 primarily consists of net gains on the sales of communities during the period (see Note 12, Discontinued Operations).
Loss from discontinued operations for the three months ended September 30, 2012 primarily consists of losses on the sale of three communities completed during the quarter.
 
Comparison of the Nine Months Ended September 30, 2013 and 2012
Net Loss Attributable to Emeritus Corporation Common Shareholders
We reported a net loss attributable to Emeritus common shareholders of $103.5 million for the nine months ended September 30, 2013, compared to a net loss of $57.4 million in the prior-year period. As further described in the section Liquidity and Capital Resources below, the Company has incurred significant losses since its inception, but has generated annual positive cash flow from operating activities since 2001.
Operating income from continuing operations increased by $50.2 million to $116.9 million in the nine months ended September 30, 2013 compared to the nine months ended September 30, 2012. The increase in operating income was primarily the result of net community acquisitions during 2012 and the acquisition of NOC in November 2012. The $46.2 million increase in net loss attributable to Emeritus common shareholders was due primarily to increases in other net non-operating expenses, partially offset by the increase in operating income of $50.2 million. Interest expense increased by $99.6 million primarily as a result of capital lease treatment of the HCP Leased Communities that we acquired in the fourth quarter of 2012. We record interest expense on capital lease obligations based on our estimated incremental borrowing rate, which for the HCP Leased Communities results in interest expense that exceeds the amount of the lease payments in the early years of the lease. Therefore, interest expense for the nine months ended September 30, 2013 includes noncash interest expense of $24.7 million.

26

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

The details of each of the components of net loss attributable to Emeritus common shareholders are set forth below.
Total Operating Revenues:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Same Community Portfolio
$
965,225

 
$
946,522

 
$
18,703

 
2.0
 %
Acquisitions, dispositions, development and expansion
323,064

 
11,187

 
311,877

 
N/M

Ancillary services
125,505

 
1,954

 
123,551

 
N/M

Unallocated community revenue (a)
593

 
762

 
(169
)
 
(22.2
)%
Community and ancillary services revenue
1,414,387

 
960,425

 
453,962

 
47.3
 %
Management fees
2,010

 
15,490

 
(13,480
)
 
N/M

Reimbursed costs incurred on behalf of managed communities
23,630

 
154,598

 
(130,968
)
 
N/M

Total operating revenues
$
1,440,027

 
$
1,130,513

 
$
309,514

 
27.4
 %
 
 
 
 
 
 
 
 
Average monthly revenue per occupied unit
$
4,011

 
$
4,148

 
$
(137
)
 
(3.3
)%
Average occupancy rate
86.8
%
 
86.7
%
 
 
 
0.1

 
(a)
Comprised primarily of deferred move-in fees.
The increase in revenues of $18.7 million from the Same Community Portfolio was primarily due to improvement in the rates we charge our residents. As further described in Same Community Portfolio Analysis above, our Same Community Portfolio consists of those communities that we have continuously operated since January 1, 2012, net of dispositions. Revenues from acquisitions, developments and expansions, which are derived from any communities that we began operating since January 1, 2012 (net of dispositions), increased by $311.9 million, due primarily to the HCP Transaction as well as the September 1, 2013 acquisition of the 38 former Merrill Gardens Communities pursuant to the Master Lease. The increase in ancillary services revenue was the result of our acquisition of NOC in November 2012.
The decrease in management fees and reimbursed costs incurred on behalf of managed communities is the result of the HCP Transaction, in which 142 communities that were previously owned by the Sunwest JV and managed by us are now part of our Consolidated Portfolio as leased and owned properties.
 
Community and Ancillary Services Operating Expense:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Same Community Portfolio
$
648,312

 
$
630,154

 
$
18,158

 
2.9
%
Acquisitions, dispositions, development and expansion
215,662

 
9,548

 
206,114

 
N/M

Ancillary services
97,126

 
1,204

 
95,922

 
N/M

Unallocated community expenses
12,116

 
3,081

 
9,035

 
293.2
%
Community operations and ancillary services
$
973,216

 
$
643,987

 
$
329,229

 
51.1
%
As a percentage of total operating revenues
67.6
%
 
57.0
%
 
 
 
10.6
 ppt
Community operating expense in our Same Community Portfolio increased by $18.2 million, due primarily to increases in professional liability insurance, supplies, marketing, and salaries and benefits, offset somewhat by lower health insurance expenses from our August 2012 transition to a more efficient network, as well as lower bad debt expense.

27

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Expenses related to acquisitions, developments and expansions, which are derived from any communities that we began operating since January 1, 2012 (net of dispositions), increased by $206.1 million, due primarily to the HCP Transaction as well as the September 1, 2013 acquisition of the 38 former Merrill Gardens Communities pursuant to the Master Lease.
Ancillary services expense represents the operating expenses incurred by NOC as well as our durable medical equipment subsidiary.
Unallocated community expenses primarily represent accrued liability adjustments for workers’ compensation insurance and professional and general liability insurance. We periodically adjust our estimated self-insurance liabilities based on actuarial projected losses, representing our revised estimates of the ultimate exposure under the Company’s self-insurance programs. The increase in the 2013 period compared to the prior year includes an increase in our self-insurance liabilities related to prior-year claims totaling $13.4 million, compared to $2.4 million in the 2012 period (see Note 11, Contingencies).
General and Administrative Expense:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Senior living
$
74,121

 
$
68,983

 
$
5,138

 
7.4
%
Ancillary services
12,340

 
509

 
11,831

 
N/M

General and administrative
$
86,461

 
$
69,492

 
$
16,969

 
24.4
%
As a percentage of total operating revenues
6.0
%
 
6.1
%
 
 
 
(0.1
)
The increase in general and administrative expenses attributable to our senior living operations primarily reflects increases in employee compensation, including noncash stock compensation expense, and professional fees. Ancillary services represents the general and administrative expenses incurred by NOC as well as our durable medical equipment subsidiary.
 
Senior living general and administrative expense as a percentage of community operating revenues for our Operated Portfolio was 5.6% and 5.4% (4.8% in both periods excluding stock compensation expense) for the nine months ended September 30, 2013 and 2012, respectively.
We computed these percentages as follows:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
(in thousands, except percentages)
Senior living general and administrative expenses
 
$
74,121

 
 
$
68,983

Sources of revenue:
 
 
 
 
 
Owned and leased
$
1,288,882

 
 
$
958,471

 
Managed
44,950

 
 
316,201

 
Total revenue for all communities in our Operated Portfolio
 
$
1,333,832

 
 
$
1,274,672

 
 
 
 
 
 
General and administrative expenses as a percent of
 
 
 
 
 
      all Operated Portfolio revenue
 
5.6
%
 
 
5.4
%

 
 
 
 
 
General and administrative expenses excluding stock-based
 
 
 
 
 
     compensation as a percent of Operated Portfolio revenue
 
4.8
%
 
 
4.8
%
Impairment of Long-Lived Assets:
The impairment charge of $2.1 million in the nine months ended September 30, 2012 represents the write-down to fair value of two parcels of undeveloped land that we plan to sell (see Note 9, Fair Value Disclosures—Impairment of Long-Lived Assets).

28

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Depreciation and Amortization Expense:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Depreciation and amortization
$
135,614

 
$
98,024

 
$
37,590

 
38.3
%
As a percentage of total operating revenues
9.4
%
 
8.7
%
 
 
 
0.7
 ppt
The increase in depreciation and amortization expense represents an increase in depreciation expense of $43.5 million, net of a decrease in amortization expense of $5.9 million. The increased depreciation expense is due to the addition of new communities to our Consolidated Portfolio, including the 142 communities in the HCP Transaction that were added in the fourth quarter of 2012, as well as depreciation on capital improvements to our existing communities. The decrease in amortization expense is the result of resident contract intangible assets acquired in business combinations becoming fully amortized.
Lease Expense:

 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Operating lease expense
$
97,341

 
$
84,936

 
$
12,405

 
14.6
 %
Above/below market rent amortization
3,700

 
4,990

 
(1,290
)
 
(25.9
)%
Deferred straight-line rent amortization
1,369

 
3,221

 
(1,852
)
 
(57.5
)%
Lease expense
$
102,410

 
$
93,147

 
$
9,263

 
9.9
 %
As a percentage of total operating revenues
7.1
%
 
8.2
%
 
 
 
-1.1 ppt

 
The increase in total lease expense is primarily due to the new operating leases of the 38 former Merrill Garden Communities commencing on September 1, 2013, as well as rent escalators on existing leases.
Costs Incurred on Behalf of Managed Communities:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Costs incurred on behalf of managed communities
$
23,630

 
$
154,598

 
$
(130,968
)
 
N/M

As a percentage of total operating revenues
1.6
%
 
13.7
%
 
 
 
(12.1
) ppt
The decrease in costs incurred on behalf of managed communities was due primarily to the HCP Transaction, which significantly reduced the number of communities that we manage for third parties.
Interest Expense:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Interest expense
$
215,730

 
$
116,083

 
$
99,647

 
85.8
%
As a percentage of total operating revenues
15.0
%
 
10.3
%
 
 
 
4.7
 ppt

29

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

The increase in interest expense was due primarily to interest on the financing leases and debt added in the fourth quarter of 2012 in the HCP Transaction, partially offset by decreases related to community dispositions and repayment of certain high-rate notes payable in 2013.
Income Taxes:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Provision for income taxes
$
(2,119
)
 
$
(920
)
 
$
(1,199
)
 
(130.3
)%
As a percentage of total operating revenues
(0.1
)%
 
(0.1
)%
 
 
 

The income tax provisions in 2013 and 2012 represent estimated state income and franchise tax liabilities.
Loss from Discontinued Operations:
 
 
Nine Months Ended September 30,
 
2013
 
2012
 
$ r
 
% r
 
(in thousands, except percentages)
Loss from discontinued operations
$
(5,222
)
 
$
(7,705
)
 
$
2,483

 
32.2
%
As a percentage of total operating revenues
(0.4
)%
 
(0.7
)%
 
 
 
0.3
 ppt
Loss from discontinued operations for the nine months ended September 30, 2013 primarily consists of impairment losses on four communities that were sold or held for sale during the period (see Note 8, Discontinued Operations).
The loss from discontinued operations for the nine months ended September 30, 2012 primarily consists of losses on four communities sold during the period.


30

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Liquidity and Capital Resources
As of September 30, 2013, we had cash and cash equivalents on hand of $109.6 million, compared to $59.8 million at December 31, 2012.
The Company has incurred significant operating losses since its inception, and we had working capital deficits of $115.5 million and $55.5 million as of September 30, 2013 and December 31, 2012, respectively. Due to the nature of our business, it is not unusual to operate in the position of a working capital deficit because we collect revenues much more quickly, often in advance, than we are required to pay obligations, and we have historically refinanced or extended maturities of debt obligations as they become current liabilities. Our operations result in a very low level of current assets primarily stemming from our deployment of cash to pursue strategic business development opportunities or to pay down long-term liabilities. Along those lines, the working capital deficit as of September 30, 2013 included a $32.7 million deferred tax asset and, as part of current liabilities, $54.8 million of deferred revenue and unearned rental income. A $46.5 million deferred tax liability is included in other long-term liabilities. We do not expect the level of current liabilities to change from period to period in such a way as to require the use of significant cash, except for $82.8 million in balloon payments of principal on long-term debt maturing during the next 12 months, which is included in current portion of long-term debt as of September 30, 2013. We intend to refinance, extend, or retire these obligations prior to their maturities. There can be no assurance that we will be able to obtain such refinancing or be able to retire the obligations.
Also included in the current portion of long-term debt is $7.3 million related to communities held for sale as of September 30, 2013 (see Note 12, Discontinued Operations). This debt will be repaid with the proceeds from the sales.
Sources and Uses of Cash
We expect to use our cash to invest in our core business as well as other new business opportunities related to our core business. As discussed above, we expect to refinance or extend our balloon payments of debt principal in the next 12 months; however, if we are unable to do so, we believe the Company would be able to generate sufficient cash flows to support its operating and investing activities for at least the next 12 months by reducing or delaying capital expenditures and operating expenses, selling communities or a combination thereof. However, we will be required to refinance or extend a portion of our debt in order to meet our financing obligations in the next 12 months. In connection with Emeritus’ guarantees of certain debt and lease agreements, we are required at all times to maintain a minimum $20.0 million balance of unencumbered liquid assets, defined as cash, cash equivalents and/or publicly traded/quoted marketable securities, and a minimum $25.0 million balance of unencumbered liquid assets on the last day of each fiscal quarter. As a result, between $20.0 million and $25.0 million of our cash on hand is not available to fund operations and we take this into account in our cash management activities.
We may use our available cash resources for acquisitions and other investments in support of our growth strategy. Significant acquisitions and/or other new business opportunities will likely require additional outside funding. We do not plan to pay cash dividends to our common shareholders in the foreseeable future.
Other than normal operating expenses and debt payments, we expect that cash requirements for the next 12 months will consist primarily of capital expenditures. We expect to increase expenditures both to preserve and maintain our communities as well as to reposition or otherwise invest in return-generating projects. We also expect to invest in systems and technology in the communities and in our overall support infrastructure.
The following is a summary of cash flow information for the periods indicated (in thousands):
 

31

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

 
Nine Months Ended September 30,
 
2013
 
2012
 
 
 
 
Cash provided by operating activities
$
93,841

 
$
110,621

Cash provided by (used in) investing activities
28,733

 
(5,445
)
Cash used in financing activities
(72,739
)
 
(51,493
)
Net increase in cash and cash equivalents
49,835

 
53,683

Cash and cash equivalents at the beginning of the period
59,795

 
43,670

Cash and cash equivalents at the end of the period
$
109,630

 
$
97,353

In the first nine months of 2013 and in each of the previous years since 2001, we reported positive net cash from operating activities in our consolidated statements of cash flows. In the first nine months of 2013, cash provided by operating activities was $93.8 million, compared to $110.6 million in the first nine months of 2012, a decrease of $16.8 million. In July 2013, we posted a bond in connection with our appeal of a jury verdict against the Company in a professional liability case (see Note 11, Contingencies). As a result, we made a cash deposit in the amount of $20.9 million to collateralize the bond, which is included in net cash flows from operating activities.
Cash provided by investing activities during the first nine months of 2013 includes $62.9 million of distributions and expense reimbursements from unconsolidated joint ventures, primarily the Sunwest JV, and $34.3 million from the sale of communities. These cash inflows were offset in part by capital expenditures totaling $50.4 million used to maintain and improve our communities, and acquisitions totaling $6.3 million. We used cash in investing activities during the first nine months of 2012 primarily for capital expenditures.
In the first nine months of 2013, financing activities included $42.4 million in net cash from the sale of stock and exercise of stock options, including $31.3 million from the March 2013 public offering (conducted simultaneously with the secondary public offering described in Note 4, Acquisitions and Other Significant Transactions—2013 Stock Offering), and $68.1 million in proceeds from long-term borrowings and financings, comprised primarily of $50.0 million of proceeds from the NOC credit facility. Cash paid for debt and capital lease principal payments totaled $183.3 million, including $88.1 million paid to HCN and Ventas for early retirement of debt. Additionally, we paid net distributions of $3.7 million to our noncontrolling interest holders, primarily consisting of a $3.9 million distribution to the Minority Members of NOC. In the first nine months of 2012, we used cash in financing activities primarily for the repayment of debt and lease obligations.
 
As of September 30, 2013, the Company had payment obligations for long-term debt and capital and financing leases due during the next 12 months totaling approximately $154.5 million.
Payment Commitments
The following table summarizes our contractual obligations as of September 30, 2013 (in thousands):
 
 
Principal Due by Period
 
 
 
 
 
More than
Contractual Obligations
Total
1 year (a)
2-3 years
4-5 years
5 years
Long-term debt, including current portion
$
1,512,609

$
122,894

$
290,345

$
807,786

$
291,584

Capital and financing leases including current portion
2,513,638

31,577

86,021

119,046

2,276,994

Operating leases
1,908,508

177,668

363,993

360,494

1,006,353

Liability related to unrecognized tax benefits (b)
113

                      –

                   –

                     –

                     –

 
$
5,934,868

$
332,139

$
740,359

$
1,287,326

$
3,574,931

 
(a)
Represents all payments due within one year, including balloon payments described elsewhere in this Form 10-Q.
(b)
We have recognized total liabilities related to unrecognized tax benefits of $113,000 as of September 30, 2013. The timing of payments related to these obligations is uncertain; however, we do not expect to pay any of this amount within the next year.

32

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

The following table summarizes interest on our contractual obligations as of September 30, 2013 (in thousands):
 
 
Interest Due by Period
 
 
 
 
 
More than
Contractual Obligations
Total
1 year
2-3 years
4-5 years
5 years
Long-term debt
$
413,855

$
89,132

$
157,801

$
102,308

$
64,614

Capital and financing lease obligations
4,451,910

161,458

326,971

326,712

3,636,769

 
$
4,865,765

$
250,590

$
484,772

$
429,020

$
3,701,383

The amounts above do not include our indirect guarantee of the construction loan payable by one of our Wegman joint ventures ("Vestal").  Emeritus has a 50.0% ownership interest in Vestal which we account for as an unconsolidated equity method investment.  As of September 30, 2013, the loan balance for Vestal was $7.0 million with a variable interest rate at LIBOR (floor of 1.5%) plus 4.0%. Wegman has provided an unconditional guarantee of payment to the lender and is indemnified by Emeritus through a separate agreement.  In the event that we would be required to repay this loan, our share of the obligation would be 50.0%.
Financial Covenants and Cross-Defaults
Many of our debt instruments, leases and corporate guarantees contain financial covenants that require the Company to meet specified financial criteria as of the end of each reporting period. These financial covenants generally prescribe operating performance metrics such as debt or lease coverage ratios, operating income yields, fixed-charge coverage ratios and/or minimum occupancy requirements. Others are based on financial metrics such as minimum cash or net worth balances, or have material adverse change clauses. In the event of default, remedies available to the counterparties to these arrangements vary, but include the requirement to post a security deposit in specified amounts, acceleration of debt or lease payments, and/or the termination of the related lease agreements.
In addition, many of the lease and debt instruments contain cross-default provisions whereby a default under one obligation can cause a default under one or more other obligations. Accordingly, an event of default could have a material adverse effect on our financial condition if a lender or landlord exercised their rights under an event of default.
As of September 30, 2013, the Company had outstanding $1.5 billion of mortgage debt and notes payable comprised of the following:
Mortgage debt financed through Freddie Mac and Fannie Mae of approximately $1.1 billion, or approximately 73.7% of our total debt outstanding. These obligations were incurred to facilitate community acquisitions over the past few years, were issued to single purpose entities (each an “SPE”) and are secured by the assets of each SPE, which consist of the real and personal property and intangible assets of a single community. The debt is generally nonrecourse debt to the Company in that only the assets or common stock of each SPE are available to the lender in the event of default, with some limited exceptions. These debt obligations do not contain provisions requiring ongoing maintenance of specific financial covenants, but do contain typical events of default such as nonpayment of monetary obligations, failure to maintain insurance coverage, fraud and/or misrepresentation of facts, unauthorized sale or transfer of assets, and the institution of legal proceedings under bankruptcy. These debt instruments typically contain cross-default provisions, which are limited to other related loans provided by the specific lender. Remedies under an event of default include the acceleration of payment of the related obligations.
Mortgage debt financed primarily through traditional financial lending institutions of approximately $328.7 million, or approximately 21.7% of our total debt outstanding. These obligations were incurred to facilitate community acquisitions over the past few years, and were typically issued to, and secured by, the assets of each SPE, which consist of the real and personal property and intangible assets of a single community. The debt is generally recourse debt to the Company in that not only are the assets or common stock of each SPE available to the lender in the event of default, but the Company has guaranteed performance of each SPE’s obligations under the mortgage. These debt obligations generally contain provisions requiring ongoing maintenance of specific financial covenants, such as debt service coverage ratios, operating income yields, occupancy requirements, and/or net operating income thresholds. Our guarantees generally contain requirements to maintain minimum cash and/or net worth balances. In addition, the mortgages contain other typical events of default such as nonpayment of monetary obligations, failure to maintain insurance coverage, fraud and/or misrepresentation of facts,

33

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

unauthorized sale or transfer of assets, and the institution of legal proceedings under bankruptcy. These debt instruments may contain cross-default provisions, but are limited to other loans provided by the specific lender. Remedies under an event of default include the acceleration of payment of the related obligations.
Mezzanine debt financing in the amount of $21.4 million provided by real estate investment trusts (each a “REIT” and collectively, “REITs") to facilitate community acquisitions, and a $48.1 million loan to NOC, which combined represents approximately 4.6% of our total debt outstanding. The mezzanine debt is unsecured and the NOC credit facility is secured by its personal property and stock. Performance under the NOC credit facility is guaranteed by the Company and includes a requirement to maintain a minimum debt service coverage ratio and cash and net worth balances. Typical events of default under these obligations include nonpayment of monetary obligations, events of default under related lease agreements, and the institution of legal proceedings under bankruptcy. Remedies under an event of default include the acceleration of payments of the related obligations.
As of September 30, 2013, we operated 312 communities under long-term lease arrangements, of which 287 were leased from publicly traded REITs. Of the 312 leased properties, 85 contain provisions requiring ongoing maintenance of specific financial covenants, such as rent coverage ratios. Other typical events of default under all of these leases include nonpayment of rents or other monetary obligations, events of default under related lease agreements, and the institution of legal proceedings under bankruptcy. Remedies in these events of default vary, but generally include the requirement to post a security deposit in specified amounts, acceleration of lease payments, and/or the termination of the related lease agreements. As of September 30, 2013, we were in violation of financial covenants in one loan agreement covering one community and one lease agreement covering four communities. We obtained waivers from the lenders and landlord through September 30, 2013 and therefore are in compliance with those financial covenants.
 
Off-Balance Sheet Arrangements
We currently have no off-balance sheet arrangements other than community operating leases. For additional information on the community operating leases, see the discussions of Lease Expense contained in the section Results of Operations.
Significant Accounting Policies and Use of Estimates
Significant accounting policies are those that we believe are both most important to the portrayal of our financial condition and results of operations, and require our most difficult, subjective, or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Judgments and uncertainties affecting the application of those policies may result in our reporting materially different amounts under different conditions or using different assumptions.
We believe that our accounting policies regarding revenue recognition, investments in joint ventures, asset impairments, goodwill impairment, stock-based compensation, leases, self-insurance reserves, and income taxes are the most critical in understanding the judgments involved in our preparation of our financial statements. Those financial statements reflect our revisions to such estimates in income in the period in which the facts that give rise to the revision become known. For a summary of all of our significant accounting policies, see Note 1, Description of the Business, Basis of Presentation, and Summary of Significant Accounting Policies in the Notes to Consolidated Financial Statements in our 2012 Annual Report on Form 10-K (“Form 10-K”).
In our Form 10-K, we provide additional analysis of our significant accounting policies in Management’s Discussion and Analysis of Financial Condition and Results of Operations—Significant Accounting Policies and Use of Estimates. The following is an update to our analyses related to revenue recognition and self-insurance reserves.
Revenue Recognition
Approximately 20.0% and 12.5% of our community and ancillary services revenue in the nine months ended September 30, 2013 and 2012, respectively, were derived from governmental reimbursement programs such as Medicare and Medicaid. We record billings for services under third-party payer programs net of contractual adjustments as determined by the specific program. We accrue any retroactive adjustments when assessed, regardless of when the assessment is paid or withheld, even if we have not agreed to or are appealing the assessment. We record subsequent positive or negative adjustments to these accrued amounts in net revenues when they become known. Nearly all of NOC’s revenues are derived from Medicare.
Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. We believe that the Company is in compliance in all material respects with all applicable laws and regulations.

34

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Self-Insurance Reserves
We use a combination of insurance and self-insurance mechanisms to provide for the potential liabilities for certain risks, including workers’ compensation, healthcare benefits, professional and general liability, property insurance, and director and officers’ liability insurance (see Note 11, Contingencies).
We are self-insured for professional liability risk with respect to 269 of the 500 communities in our Consolidated Portfolio. The other 231 communities are insured with conventional indemnity policies. The liability for self-insured incurred but not yet reported claims was $29.6 million and $25.8 million at September 30, 2013 and December 31, 2012, respectively. We believe that the range of reasonably possible losses as of September 30, 2013, based on sensitivity testing of the various underlying actuarial assumptions, is approximately $28.1 million to $45.0 million. The high end of the range reflects the potential for high-severity losses.
 
Communities not in the self-insurance pool are insured under commercial policies that provide for deductibles for each claim ranging from $50,000 to $250,000.  As a result, the Company is, in effect, self-insured for claims that are less than the deductibles.  The net liability for known claims and incurred not yet reported claims was $7.9 million and $6.3 million as of September 30, 2013 and December 31, 2012, respectively (the gross liability was $16.4 million and $25.0 million with corresponding estimated amounts receivable from the insurance companies of $8.5 million and $18.7 million, respectively).
We are self-insured for workers’ compensation risk (except in five states) up to $500,000 per claim through a high deductible, collateralized insurance program. The liability for self-insured known claims and incurred but not yet reported claims was $42.4 million and $38.3 million at September 30, 2013 and December 31, 2012, respectively. We believe that the range of reasonably possible losses as of September 30, 2013, based on sensitivity testing of the various underlying actuarial assumptions, is approximately $40.7 million to $44.0 million.
For health insurance, we self-insure each participant up to $350,000 per year above which a catastrophic insurance policy covers any additional costs. The liability for self-insured incurred but not yet reported claims was $10.3 million and $10.0 million at September 30, 2013 and December 31, 2012, respectively. A 10.0% change in the estimated liability at September 30, 2013 would have increased or decreased Operated Portfolio expenses during the current period by approximately $1.0 million.
Liabilities associated with the risks that are retained by Emeritus are not discounted and we estimate them, in part, by considering historical claims experience, demographic factors, severity factors and other actuarial assumptions. For professional liability and workers’ compensation claims, we engage third-party actuaries to assist us in estimating the related liabilities. In doing so, we record liabilities for estimated losses for both known claims and incurred but not reported claims. These estimates are based on historical paid and incurred losses and ultimate losses using several actuarial methods. The estimated accruals for these liabilities could be significantly affected if future occurrences and claims differ from these assumptions and historical trends. Changes in self-insurance reserves are recorded as an increase or decrease to expense in the period that the determination is made.
In March 2010, Congress enacted health care reform legislation, referred to as the Affordable Care Act (“ACA”), which we believe will increase our costs to provide healthcare benefits to our employees. The specific provisions of the ACA will be phased in over time through 2018, unless modifying legislation is passed before some of the provisions become effective. The ACA did not have a material financial impact on our Company in the nine months of 2013. However, we could see significant cost increases beginning in 2014 when certain provisions of the legislation are required to be implemented.
Impact of Inflation
Inflation could affect our future revenues and operating income due to our dependence on the senior resident population, most of whom rely on relatively fixed incomes to pay for our services. The monthly charges for the resident’s unit and assisted living services are influenced by the location of the community and local competition. Our ability to increase revenues in proportion to increased operating expenses may be limited. We typically do not rely to a significant extent on governmental reimbursement programs, which accounted for approximately 20.0% of our community and ancillary services revenues for the nine months ended September 30, 2013. In pricing our services, we attempt to anticipate inflation levels, but there can be no assurance that we will be able to respond to inflationary pressures in the future. Changing economic outlooks in the United States may impact our ability to raise prices. In recent years, inflation has not had a material impact on our financial position, revenues, income from continuing operations, or cash flows.  We do not expect inflation affecting the U.S. dollar to materially impact our financial position, results of operations, or cash flows in the foreseeable future.

35

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Non-GAAP Measures
A non-GAAP financial measure is generally defined as one that purports to measure historical financial position, results of operations, or cash flows but excludes or includes amounts that would not be excluded or included in most measures under GAAP.
 
Definition of Adjusted EBITDA:
We define Adjusted EBITDA as net income (loss) adjusted for the following items:
Depreciation and amortization;
Interest income;
Interest expense;
Net equity earnings or losses for unconsolidated joint ventures;
Provision for income taxes;
Certain noncash revenues and expenses;
Transaction costs; and
Transition costs (incremental costs to integrate new communities).
We define Adjusted EBITDAR as Adjusted EBITDA plus lease expense, net of amortization of above/below market rents and deferred straight-line rent.
Management’s Use of Adjusted EBITDA/EBITDAR:
Adjusted EBITDA/EBITDAR are commonly used performance metrics in the senior living industry. We use Adjusted EBITDA/EBITDAR to assess our overall financial and operating performance. We believe these non-GAAP measures, as we have defined them, are useful in identifying trends in our financial performance because they exclude items that have little or no significance to our day-to-day operations. These measures provide an assessment of controllable expenses and afford management the ability to make decisions, which are expected to facilitate meeting current financial goals, as well as achieve optimal financial performance. These measures also provide indicators for management to determine if adjustments to current spending levels are needed.
Adjusted EBITDA/EBITDAR provide us with measures of financial performance, independent of items that are beyond the control of management in the short-term, such as depreciation and amortization, taxation, interest expense, and lease expense associated with our capital structure. These metrics measure our financial performance based on operational factors that management can influence in the short-term, namely the cost structure or expenses of the organization. Adjusted EBITDA/EBITDAR are some of the metrics used by senior management to review the financial performance of the business on a monthly basis and are used by research analysts and investors to evaluate the performance and value of the companies in our industry.
Limitations of Adjusted EBITDA/EBITDAR:
Adjusted EBITDA/EBITDAR have limitations as analytical tools. Material limitations to making the adjustments to our losses to calculate Adjusted EBITDA/EBITDAR and using this non-GAAP financial measure as compared to GAAP net loss include:
The items excluded from the calculation of Adjusted EBITDA/EBITDAR generally represent income or expense items that may have a significant effect on our financial results;
Items determined to be non-recurring in nature could, nevertheless, re-occur in the future; and
Depreciation, while not directly affecting our current cash position, does represent wear and tear and/or reduction in value of our properties. If the cost to maintain our properties exceeds our expected routine capital expenditures, then this could affect our ability to attract and retain long-term residents at our communities.
An investor or potential investor may find this important in evaluating our financial position and results of operations. We use these non-GAAP measures to provide a more complete understanding of the factors and trends affecting our business.

36

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

Adjusted EBITDA/EBITDAR are not alternatives to net loss, loss from continuing operations, or cash flows provided by operating activities as calculated and presented in accordance with GAAP. You should not rely on Adjusted EBITDA/EBITDAR as substitutes for any such GAAP financial measure. We strongly urge you to review the reconciliation of GAAP net loss to Adjusted EBITDA/EBITDAR presented below, along with our condensed consolidated balance sheets, statements of operations, and statements of cash flows. In addition, because Adjusted EBITDA/EBITDAR are not measures of financial performance under GAAP and are susceptible to varying calculations, these measures as presented may differ from and may not be comparable to similarly titled measures used by other companies.
The table below shows the reconciliation of net loss to Adjusted EBITDA/EBITDAR for the three and nine months ended September 30, 2013 and 2012 (in thousands):
 
 
 
Three Months Ended
 
Nine Months Ended
 
 
September 30,
 
September 30,
 
 
2013
 
2012
 
2013
 
2012
Net loss
 
$
(27,913
)
 
$
(16,402
)
 
$
(103,911
)
 
$
(57,550
)
Depreciation and amortization
 
45,202

 
32,461

 
135,614

 
98,024

Interest income
 
(118
)
 
(101
)
 
(346
)
 
(303
)
Interest expense
 
71,441

 
38,451

 
215,730

 
116,083

Net equity losses for unconsolidated joint ventures
 
86

 
28

 
93

 
500

Income tax (benefit) provision
 
(177
)
 
324

 
2,119

 
920

(Income) loss from discontinued operations
 
(146
)
 
2,698

 
5,222

 
7,705

Amortization of above/below market rents
 
1,229

 
1,612

 
3,700

 
4,990

Amortization of deferred gains
 
(237
)
 
(249
)
 
(727
)
 
(782
)
Loss (gain) on early extinguishment of debt
 
476

 
188

 
(3
)
 
133

Stock-based compensation
 
3,542

 
2,640

 
10,351

 
8,319

Change in fair value of derivative financial
 
 
 
 
 
 
 
 
instruments
 
100

 
174

 
(77
)
 
919

Deferred revenue
 
299

 
(305
)
 
2,635

 
(755
)
Deferred straight-line rent
 
1,075

 
923

 
1,369

 
3,221

Impairment of long-lived assets
 

 

 

 
2,135

Loss on lease termination
 

 

 
486

 

Transaction and financing costs
 
291

 
1,151

 
1,833

 
2,639

Transition costs
 
1,047

 

 
1,047

 

Self-insurance reserve adjustments
 
288

 
190

 
13,424

 
2,436

Adjusted EBITDA
 
96,485

 
63,783

 
288,559

 
188,634

Lease expense
 
35,903

 
28,425

 
97,341

 
84,936

Adjusted EBITDAR
 
$
132,388

 
$
92,208

 
$
385,900

 
$
273,570

 
The table below shows the reconciliation of Adjusted EBITDAR to net cash provided by operating activities for the periods indicated (in thousands):
 

37

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

 
 
Three Months Ended
 
Nine Months Ended
 
 
September 30,
 
September 30,
 
 
2013
 
2012
 
2013
 
2012
Adjusted EBITDAR
 
$
132,388

 
$
92,208

 
$
385,900

 
$
273,570

Interest income
 
118

 
101

 
346

 
303

Interest expense
 
(71,441
)
 
(38,451
)
 
(215,730
)
 
(116,083
)
Income tax (benefit) provision
 
177

 
(324
)
 
(2,119
)
 
(920
)
Amortization of loan fees
 
755

 
785

 
2,307

 
2,465

Allowance for doubtful receivables
 
2,236

 
2,658

 
6,620

 
7,883

Change in other operating assets and liabilities
 
2,702

 
14,467

 
4,910

 
31,740

Transaction and financing costs
 
(291
)
 
(1,254
)
 
(1,833
)
 
(2,731
)
Transition costs
 
(1,047
)
 

 
(1,047
)
 

Self-insurance reserve adjustments
 
(288
)
 
(190
)
 
(13,424
)
 
(2,436
)
Lease expense
 
(35,903
)
 
(28,425
)
 
(97,341
)
 
(84,936
)
Non-cash interest expense
 
8,459

 
676

 
24,738

 
1,985

Discontinued operations cash component
 
77

 
(111
)
 
53

 
(111
)
Other
 
(190
)
 
(35
)
 
461

 
(108
)
Net cash provided by operating activities
 
$
37,752

 
$
42,105

 
$
93,841

 
$
110,621

Definition of Cash From Facility Operations:
We define Cash From Facility Operations (“CFFO”) as net cash provided by operating activities adjusted for:
Changes in operating assets and liabilities, net;
Repayment of capital lease and financing obligations;
Recurring capital expenditures; and
Distributions from unconsolidated joint ventures, net.
We define Adjusted CFFO, as CFFO adjusted for self-insurance reserve adjustments related to prior years and transaction costs.
Recurring routine capital expenditures include expenditures capitalized in accordance with GAAP that are funded from CFFO. Amounts excluded from recurring routine capital expenditures consist primarily of community acquisitions, including expenditures incurred in the months immediately following acquisition (and specifically excluding the $30.0 million capital commitment under the HCP Lease), new construction and expansions, ROI-designated projects, computer hardware and software purchases, and purchases of vehicles.
Management’s Use of Cash From Facility Operations
We use CFFO to assess our overall liquidity and to determine levels of executive compensation. This measure provides an assessment of controllable expenses and affords us the ability to make decisions that facilitate meeting our current financial and liquidity goals as well as to achieve optimal financial performance.  It provides an indicator for us to determine if we need to make adjustments to our current spending decisions.
This metric measures our overall liquidity based on operational factors that we can influence in the short term, namely the cost structure or expenses of the organization. CFFO is one of the metrics used by us and our board of directors: (i) to review our ability to service our outstanding indebtedness (including our credit facilities and long-term leases); (ii) to assess our ability to make regular recurring routine capital expenditures to maintain and improve our communities on a period-to-period basis; (iii) for planning purposes, including preparation of our annual budget; (iv) in setting various covenants in our credit agreements; and (v) in determining levels of executive compensation.
 
Limitations of Cash From Facility Operations

38

EMERITUS CORPORATION
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS - CONTINUED
Three Months and Nine Months Ended September 30, 2013 and 2012

CFFO has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of cash flows from operating activities.  CFFO does not represent cash available for discretionary expenditures, since we may have mandatory debt service requirements or other non-discretionary expenditures not reflected in the measure.
We believe CFFO is useful to investors because it assists in their ability to meaningfully evaluate: (i) our ability to service our outstanding indebtedness, including our credit facilities and capital and financing leases; and (ii) our ability to make regular recurring routine capital expenditures to maintain and improve our communities.
CFFO is not an alternative to cash flows provided by or used in operating activities as calculated and presented in accordance with GAAP.  You should not rely on CFFO as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of GAAP net cash provided by operating activities to CFFO, along with our condensed consolidated financial statements included herein.  We also strongly urge you not to rely on any single financial measure to evaluate our business.  In addition, because CFFO is not a measure of financial performance under GAAP and is susceptible to varying calculations, the CFFO measure as presented in this report may differ from and may not be comparable to similarly titled measures used by other companies.
The following table shows the reconciliation of net cash provided by operating activities to CFFO for the periods indicated (in thousands):
 
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
Net cash provided by operating activities
$
37,752

 
$
42,105

 
$
93,841

 
$
110,621

Changes in operating assets and liabilities, net
(2,702
)
 
(14,467
)
 
(4,910
)
 
(31,740
)
Repayment of capital lease and financing obligations
(6,672
)
 
(4,373
)
 
(19,482
)
 
(12,450
)
Recurring capital expenditures
(7,262
)
 
(6,471
)
 
(18,693
)
 
(14,644
)
Distributions from unconsolidated joint ventures (a)
43

 
929

 
471

 
1,016

Cash From Facility Operations
21,159

 
17,723

 
51,227

 
52,803

Transaction costs
291

 
1,292

 
1,833

 
2,480

Transition costs
1,047

 

 
1,047

 

Self-insurance reserve adjustments, prior years
288

 
190

 
13,424

 
2,436

Adjusted Cash From Facility Operations
$
22,785

 
$
19,205

 
$
67,531

 
$
57,719

 
(a) Excludes distributions resulting from the HCP Transaction, the sale of communities and refinancing of debt.

39


Item 3. Quantitative and Qualitative Disclosures About Market Risk
We are subject to market risk from exposure to changes in interest rates due to our financing activities and changes in the availability of credit.
Our results of operations are affected by changes in interest rates as a result of our short-term and long-term borrowings. At September 30, 2013, we had approximately $317.0 million of variable rate borrowings based on LIBOR. Of this total variable rate debt, $76.2 million varies with LIBOR with no LIBOR floors or ceilings. For every 1.0% change in the LIBOR on this $76.2 million in variable rate debt, interest expense will either increase or decrease by $762,000. As of September 30, 2013, the $76.2 million of variable rate debt carried a weighted average variable rate of LIBOR plus 4.95% based on the monthly and 90-day LIBOR rates of 0.178% and 0.248%, respectively. In addition, we have variable rate debt of $240.8 million that has LIBOR floors. At September 30, 2013, this debt carried a weighted average floor of 1.10% and a weighted average spread of 4.09%, for a total weighted average rate of 5.19%. The LIBOR floors effectively make this debt fixed rate debt as long as the monthly LIBOR is less than the 1.10% weighted average floor. Increases or decreases to the monthly LIBOR do not change interest expense on this variable rate debt until the monthly LIBOR rises above the floor and, conversely, interest expense does not decrease when the monthly LIBOR falls below the floor. This analysis does not consider changes in the actual level of borrowings or operating lease obligations that may occur subsequent to September 30, 2013. This analysis also does not consider the effects of the reduced level of overall economic activity that could exist in such an environment, nor does it consider actions that we might be able to take with respect to our financial structure to mitigate the exposure to such a change.
In October 2011, pursuant to the terms of a credit agreement related to the acquisition of 24 communities, we purchased an interest rate cap for $1.6 million. This contract effectively caps the LIBOR on a notional amount of $132.0 million at 2.50% over the term of the loan, and expires in June 2016.
 
Item 4. Controls and Procedures
(a) Evaluation of disclosure controls and procedures. The Company maintains disclosure controls and procedures (as defined under Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended). Management, under the supervision and with the participation of our chief executive officer and our chief financial officer, evaluated the effectiveness and design of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15(b) as of September 30, 2013. Based on that evaluation, our chief executive officer and our chief financial officer concluded that our disclosure controls and procedures were effective as of September 30, 2013.
(b) Changes in internal controls. Management has evaluated the effectiveness of our internal controls through September 30, 2013. Through our ongoing evaluation process to determine whether any changes occurred in internal control procedures in the third quarter of 2013, management has concluded that there were no such changes that materially affected, or are reasonably likely to materially affect, our controls over financial reporting.

40


PART II. OTHER INFORMATION
Items 2, 3, 4, and 5 are not applicable.
 
Item 1. Legal Proceedings

The Company has been, is currently, and expects in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of business. These claims, lawsuits and other matters, which are similar to those to which other companies in the senior living and healthcare industries are subject, include the following:

Professional and General Liability Claims - As a result of the nature of our business, we are subject to professional and general liability claims and lawsuits (with respect to which a substantial portion of our liability, if any, is self-insured).

Whistleblower Lawsuits - The Company may be subject to qui tam or “whistleblower” lawsuits under the False Claims Act and comparable federal and state laws for allegedly submitting fraudulent bills for services to the Medicare and Medicaid programs. Qui tam lawsuits typically remain under seal (and, as a result, are usually unknown to the defendant) for some time while the government decides whether or not to intervene on behalf of a private qui tam plaintiff and take the lead in the litigation.

Employment-related Lawsuits - The Company’s operations are subject to a variety of federal and state employment-related laws and regulations, including, but not limited to, the U.S. Fair Labor Standards Act, the Americans with Disabilities Act, regulations of the Equal Employment Opportunity Commission, the Office of Civil Rights and state attorneys general, federal and state wage and hour laws, and a variety of laws enacted by the federal and state governments that govern these and other employment-related matters. Accordingly, the Company is currently subject to employee-related claims and other lawsuits and proceedings in connection with the Company’s operations, including those related to alleged wrongful discharge, illegal discrimination and violations of equal employment and federal and state wage and hour laws.

Minimum Staffing Lawsuits - Various states in which the Company operates have established minimum staffing requirements or may establish minimum staffing requirements in the future. While the Company seeks to comply with all applicable staffing requirements, the regulations in this area are complex and the Company may experience compliance issues from time to time.

Ordinary Course Matters - In addition to the matters described above, the Company is subject to various other claims, lawsuits and governmental audits, investigations and proceedings arising in the ordinary course of business.

The defense of the foregoing claims, lawsuits and governmental audits, investigations and proceedings, certain of which allege large amounts of damages and losses, may require the Company to incur significant expense and may necessitate significant time and attention from the Company’s management. Adverse outcomes in such matters, whether as a result of litigation or settlement, may (i) jeopardize the Company’s participation in certain state and federal healthcare programs, (ii) result in citations, civil and criminal penalties (including the loss of the Company’s licenses to operate one or more communities or healthcare activities), recoupment and/or substantial compensatory and punitive damages and attorneys’ fees that may, either individually or in the aggregate, have a material adverse effect on our business, financial position, results of operations and liquidity, (iii) cause the Company to close or sell one or more of its properties or otherwise modify the way in which the Company conducts its business, (iv) damage the Company’s reputation in various markets, which could adversely affect the Company’s ability to attract residents, patients, and employees, and (v) in the case of “whistleblower” lawsuits brought under the False Claims Act and comparable federal and state laws, result in awards of bounties to private qui tam plaintiffs who successfully bring these lawsuits and to the government programs.

We maintain a combination of self-insurance reserves and commercial insurance policies in amounts and with coverage and deductibles that we believe are adequate, based on the nature and risks of our business, historical experience and industry standards. We cannot predict the ultimate outcome of any pending litigation, claims, or regulatory and other governmental audits, investigations and proceedings. Certain of these matters are not covered by insurance, and, in any event, there is no

41


assurance that our actual costs or damages related to any such matter will not exceed such reserves or applicable insurance policy limits.
 
On June 4, 2013, in Joan Boice et al. v. Emeritus Corporation et al., the Sacramento County Superior Court entered final judgment in favor of Joan Boice (deceased) and against the Company in the amount of $250,000 in compensatory damages and $23.0 million in punitive damages for alleged elder abuse. Judgment was also entered in favor of Ms. Boice’s three adult children for $250,000 and the court awarded the plaintiffs’ lawyer over $4.1 million in attorneys’ fees. On July 8, 2013, the Company filed a Notice of Appeal challenging, among other things, the excessive nature of the punitive damages award. Furthermore, the Company intends to argue that the trial court issued several erroneous rulings allowing the jury to consider extraneous, irrelevant, and collateral evidence unrelated to the care of Ms. Boice, meriting reversal or a remand for additional trial proceedings on all issues.

On July 29, 2013, a claim alleging the failure to provide certain services at our California assisted living communities was filed by Arville Winans, by and through his Guardian ad Litem, Renee Moulton, against the Company in the Alameda County Superior Court and subsequently removed to the United States District Court for the Northern District of California. In this case, the plaintiff is seeking to represent a class of residents at such California communities during the period beginning July 29, 2009.  The plaintiff alleges violations of certain laws, including California’s Consumer Legal Remedies Act, Unfair Competition Law and Financial Elder Abuse statute.  In connection with the claims for liability, the plaintiff is seeking an injunction, restitution, attorney's fees and costs, treble damages and punitive damages. The Company believes that the suit is without merit and has filed a motion to dismiss the action in its entirety.

Item 1A. Risk Factors
There were no material changes to risk factors during the nine months ended September 30, 2013 from those previously disclosed in Part I, Item 1A, Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2012, which could materially affect our business, financial condition, or future results. The risks described in our Annual Report on Form 10-K are not the only risks facing our Company. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial may also materially adversely affect our business, financial condition, and/or operating results.
 
Item 6. Exhibits
See Index to Exhibits, which is incorporated herein by reference.

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SIGNATURE
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.
 
Dated: November 5, 2013
 
EMERITUS CORPORATION
 
 
(Registrant)
 
 
 
 
 
/s/ Robert C. Bateman
 
 
Robert C. Bateman, Executive Vice President—Finance and Chief Financial Officer

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Index to Exhibits
Number
 
Description
 
FootnoteNumber
 
 
 
 
 
 
10.24
 
Document Related to Lease between HCP, Inc. and Summerville Senior Living for 23 Communities.
 
 
 
 
10/24/2011
Sixteenth Amendment to Amended and Restated Master Lease dated as of June 28, 2013 by and among affiliates of HCP, Inc. and Emeritus Corporation (addition of Springtree Facility).
 
(1)
10.38
 
Document Related to Lease between Carriage Hill Cabin John, Inc. and Summerville at Potomac, Inc.
 
 
 
 
10.38.2
Lease Amendment dated June 1, 2013 by and between Carriage Hill Cabin John, Inc., as agent for the owner, Cabin John Properties, LLC, and Summerville at Potomac, Inc.
 
(1)
10.73
 
Document Related to the Lease of 11 Communities from Affiliates of HCP, Inc. (collectively "HCP").
 
 
 
 
10.73.07
Tenth Amendment to Master Lease and Security Agreement dated as of June 14, 2013 between HCP and Emeritus Corporation.
 
(1)
10.83
 
Documents Related to Debt Financing with Keybank National Association (3 communities).
 
 
 
 
10.83.06
Multifamily Mortgage, Assignment of Rent and Security Agreement dated as of July 30, 2013, between Emerichenal LLC and KeyCorp Real Estate Capital Markets, Inc.
 
(1)
 
 
10.83.07
Freddie Mac Multifamily Note dated as of July 30, 2013 in the amount of $6,637,500, payable by Emerichenal LLC to KeyCorp Real Estate Capital Markets, Inc. (Emeritus at Chenal Heights).
 
(1)
10.9
 
Documents Relating to Debt Financing with KeyBank N.A. (16 communities)
 
 
 
 
10.90.04
Multifamily Mortgage, Assignment of Rent and Security Agreement effective as of July 30, 2013, between Emerihrt Harrisburg LLC and KeyCorp Real Estate Capital Markets, Inc.
 
(1)
 
 
10.90.05
Freddie Mac Multifamily Note dated as of July 30, 2013 in the amount of $3,375,000, payable by Emerihrt Harrisburg LLC to KeyCorp Real Estate Capital Markets, Inc. (Emeritus at Harrisburg).
 
(1)
 
 
10.90.06
Multifamily Deed of Trust, Assignment of Rents, Security Agreement and Fixture Filing effective as of July 30, 2013, between Emerihrt Medical Center LP and KeyCorp Real Estate Capital Markets, Inc.
 
(1)
 
 
10.90.07
Freddie Mac Multifamily Note dated as of July 30, 2013 in the amount of $7,857,500, payable by Emerihrt Medical Center LP KeyCorp Real Estate Capital Markets, Inc. (Emeritus at Kingsley Place Medical Center).
 
(1)
10.97
 
Documents related to the lease of 38 communities from Health Care REIT, Inc. and affiliates
 
 
 
 
(collectively, "HCN").
 
 
 
 
10.97.01
Master Lease Agreement (Master Lease #7 - MG Facilities - Fannie Lease #2 (PNC)) dated as of September 1, 2013 by and among HCN and Emeritus Corporation (representative of nine separate leases).
 
(1)
10.98
 
Documents related to the lease of one community from NHI-REIT of Ohio, LLC (Emeritus at Halcyon Village).
 
 
 
 
10.98.01
Master Lease dated as of June 28, 2013 by and between Emeritus Corporation and NHI-REIT of Ohio, LLC.
 
(1)
31.1
 
Certification of Periodic Reports
 
 
 
 
31.1.1
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 302
 
(1)
 
 
 
of the Sarbanes-Oxley Act of 2002 for Granger Cobb dated November 5, 2013.
 
 
 
 
31.1.2
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 302
 
(1)
 
 
 
of the Sarbanes-Oxley Act of 2002 for Robert C. Bateman dated November 5, 2013.
 
 
32.1
 
Certification of Periodic Reports
 
 
 
 
32.1.1
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906
 
(1)
 
 
 
of the Sarbanes-Oxley Act of 2002 for Granger Cobb dated November 5, 2013.
 
 
 
 
32.1.2
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906
 
(1)
 
 
 
of the Sarbanes-Oxley Act of 2002 for Robert C. Bateman dated November 5, 2013.
 
 
101
 
XBRL Files
 
 
 
 
101.INS
XBRL Instance Document.
 
(1)
 
 
101.SCH
XBRL Taxonomy Extension Schema.
 
(1)
 
 
101.CAL
XBRL Taxonomy Extension Calculation Linkbase.
 
(1)
 
 
101.DEF
XBRL Taxonomy Extension Definition Linkbase.
 
(1)
 
 
101.LAB
XBRL Taxonomy Extension Label Linkbase.
 
(1)
 
 
101.PRE
XBRL Taxonomy Extension Presentation Linkbase.
 
(1)
Footnotes:
(1) Filed herewith.

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