8-K

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

Date of Report (Date of earliest event reported)

March 11, 2008 (March 11, 2008)

ADVOCAT INC.

(Exact name of registrant as specified in its charter)

Delaware	001-12996	62-1559667
(State or other jurisdiction of incorporation)	(Commission File Number)	(Employer Identification Number)

1621 Galleria Boulevard, Brentwood, TN 37027

(Address of principal executive offices)

(615) 771-7575

(Registrant’s telephone number, including area code)

Check the appropriate box below if the Form 8-K is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2 below):

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

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

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

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

Item 2.02. Results of Operations and Financial Condition.

On March 11, 2008, the Registrant announced its results of operations for the fourth quarter and year ended December 31, 2007. A copy of the press release is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference in its entirety.

The information furnished pursuant to Item 2.02 herein, including Exhibit 99.1, shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933.

Item 9.01. Financial Statements and Exhibits.

          (d) Exhibits

Number		Exhibit
	99.1	Press Release dated March 11, 2008.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

ADVOCAT INC.
By:	/s/ L. Glynn Riddle, Jr.
	L. Glynn Riddle, Jr.
	Chief Financial Officer

Date: March 11, 2008

EXHIBIT INDEX

Number		Exhibit
	99.1	Press Release dated March 11, 2008.

EX-99.1

Exhibit 99.1

Company Contact:	Investor Relations:
William R. Council, III	Cameron Associates
President and CEO	Rodney O’Connor
(615) 771-7575	(212) 554-5470

Advocat Announces 2007 Year End Results

Revenue Increases 14% and Pre-tax Income Increases 22%

BRENTWOOD, Tenn., (March 11, 2008) — Advocat Inc. (NASDAQ: AVCA) today announced its results for the fourth quarter and year ended December 31, 2007.

2007 Highlights

Key Highlights for 2007 include the following:

• Good financial performance, marked by increases in revenue of 14.2%, operating income of 10.7%, and funds provided by operations of 18.7%, as compared to 2006.

• Continued growth of company through the SMSA Acquisition, renovation program, and a new leased facility in Texas.

• Continued success from operational improvements, including an improvement in the case mix of Medicare patients, leading to an 8.4% increase in Medicare rates compared to 2006, on a same center basis.

• Good cost control, particularly in operating wages.

Income Statement — Year Ended December 31, 2007

Operating income for the year ended December 31, 2007 was $17.6 million, compared to $15.9 million for the year ended December 31, 2006, an increase of 10.7%.

Income from continuing operations before income taxes increased 22% to $15.8 million in 2007 from $12.9 million in 2006.

Professional liability resulted in a net benefit of $1.7 million in 2007, compared to a net benefit of $5.4 million in 2006, a reduction in the benefit of $3.7 million.

Net income from continuing operations was $9.5 million and $1.49 per diluted common share in 2007 versus $22.4 million and $3.42 per diluted common share in 2006. An income tax provision of $6.3 million was recorded in 2007, compared to a tax benefit of $9.5 million in 2006. The Company’s income tax benefit in 2006 resulted from reductions in the valuation allowance for deferred tax assets.

Balance Sheet

Stockholders’ Equity increased to $12.7 million at the end of 2007, from $3.8 million at the end of 2006, and working capital increased to $15.7 million at the end of 2007, compared to $8.2 million at the end of 2006. Total debt at the end of 2007 was $34.5 million, compared to $31.5 million at the end of 2006. During the fourth quarter of 2007, the Company reduced total debt

by $4.0 million, and repurchased 74,500 shares of its common stock for approximately $0.8 million.

Funds Provided By Operations — Year Ended December 31, 2007

Funds provided by operations in 2007 increased to $17.1 million from $14.4 million in 2006. Funds provided by operations is a non-GAAP measurement. A reconciliation of funds provided by operations to net income is included in the financial tables accompanying this press release.

Other Highlights for the Year Ended 2007

The Company completed the acquisition of the leasehold interests and operations of seven skilled nursing facilities in Texas (SMSA Acquisition) on August 10, 2007. Effective November 1, 2007, the Company entered into a lease for a skilled nursing facility in Texas, as described below. Financial and statistical data reported in this earnings release for these facilities (“New Texas Facilities”) include the results of their operations from the date of acquisition in the case of the SMSA Acquisition, and beginning November 1, 2007 for the new leased facility.

Revenues increased to $245.1 million in 2007 from $214.7 million in 2006, an increase of $30.4 million, or 14.2%. Revenues related to the New Texas Facilities were $19.6 million in 2007. Same center patient revenues increased to $225.5 million in 2007 from $214.7 million in 2006, an increase of $10.8 million, or 5.0%. This increase is due primarily to increased Medicaid rates in certain states and Medicare rate increases.

The following table summarizes key revenue and census statistics for the year and segregates effects of the New Texas Facilities.

	Year Ended
	December 31,
	2007			2006
Skilled nursing occupancy:
Same center		78.8	%		78.8	%
New Texas Facilities		67.4	%		n/a
Total continuing operations		77.6	%		78.8	%
Medicare census as percent of total:
Same center		13.6	%		13.8	%
New Texas Facilities		12.9	%		n/a
Total continuing operations		13.6	%		13.8	%
Medicare revenues as percent of total:
Same center		30.8	%		30.6	%
New Texas Facilities		35.3	%		n/a
Total continuing operations		31.2	%		30.6	%
Medicaid revenues as percent of total:
Same center		56.7	%		56.4	%
New Texas Facilities		44.3	%		n/a
Total continuing operations		55.7	%		56.4	%
Medicare average rate per day:
Same center	$	351.80		$	324.48
New Texas Facilities	$	390.54			n/a
Total continuing operations	$	355.11		$	324.48
Medicaid average rate per day:
Same center	$	140.12		$	133.78
New Texas Facilities	$	110.69			n/a
Total continuing operations	$	137.79		$	133.78

On a same center basis, the Company’s average rate per day for Medicare Part A patients increased 8.4% in 2007 compared to 2006 as a result of annual inflation adjustments and the higher acuity levels of Medicare patients in 2007 compared to 2006. The average rate per day for Medicaid patients increased 4.7% in 2007 compared to 2006 as a result of higher patient acuity levels, certain state increases to offset minimum wage adjustments, effects of stock based compensation charges and other rate increases in certain states.

Operating expenses increased to $187.5 million in 2007 from $163.4 million in 2006, an increase of $24.1 million, or 14.7%. Operating expenses related to the New Texas Facilities were $17.1 million in 2007. Same center operating expenses increased to $170.4 million in 2007 from $163.4 million in 2006, an increase of $7.0 million, or 4.3%. This increase is primarily attributable to cost increases related to wages and benefits, partially offset by reductions in bad debt expenses and costs of workers compensation insurance. On a same center basis, operating expense decreased to 75.6% of revenue in 2007, compared to 76.1% of revenue in 2006.

The largest component of operating expenses is wages, which increased to $111.7 million in 2007 from $97.5 million in 2006, an increase of $14.2 million, or 14.6%. Wages related to the New Texas Facilities were approximately $9.7 million. Same center wages increased approximately $4.5 million, or 4.6%, primarily due to increases in wages as a result of competitive labor markets in most of the areas in which the Company operates, regular merit and inflationary raises for personnel (increase of approximately 3.8% for the period) and labor costs associated with increases in patient acuity levels.

Employee health insurance costs were approximately $0.6 million higher in 2007 compared to 2006 on a same center basis, an increase of approximately 14.3%. The Company is self insured for the first $150,000 in claims per employee each year, and employee health insurance costs can vary significantly from year to year.

These increased costs were partially offset by reductions in bad debt expense and workers compensation insurance. Bad debt expense was $0.6 million lower in 2007 compared to 2006, on a same center basis. Costs of workers compensation insurance were approximately $0.7 million lower in 2007 compared to 2006 on a same center basis, due to better than expected claims experience.

The remaining increases in operating expenses are primarily due to the effects of increases in patient acuity levels. Although overall Medicare census declined slightly, the acuity levels of the Company’s patients were higher than in 2006 resulting in greater costs to care for these patients.

General and administrative expenses were $3.5 million lower in 2007 than 2006, a decrease of 16.5%, primarily due to lower charges for non-cash stock based compensation ($4.4 million) and reduced costs of compliance with the Sarbanes-Oxley Act of 2002 ($0.7 million). Partially offsetting these reductions were increased compensation costs of approximately $0.9 million, resulting from normal merit and inflationary increases ($0.3 million, approximately 4.3%), new positions added to improve marketing, operational and financial controls ($0.3 million), and higher incentive compensation costs ($0.3 million) as a result of operating performance.

Revenue and Income Highlights for Fourth Quarter 2007

Revenue increased to $71.2 million in the fourth quarter of 2007 from $55.2 million in the fourth quarter of 2006. Revenues of the New Texas Facilities were $13.0 million in the fourth quarter of 2007. On a same center basis, revenues increased to $58.2 million from $55.2 million, an increase of 5.4%. On a same center basis, occupancy was 79.1% in the fourth quarter of 2007, compared to 79.2% in the fourth quarter of 2006. Medicare utilization was 12.6% in the fourth quarter of 2007, compared to 13.6% in the fourth quarter of 2006. For the fourth quarter of 2007

compared to the fourth quarter of 2006, the average rate per day for Medicare patients increased to $374.57 from $332.32, or 12.7%, and the average rate per day for Medicaid patients increased to $143.28 from $136.49, or 5.0%. The increase in Medicare and Medicaid rates is due to higher patient acuity levels, regular rate increases, and other factors.

Income from continuing operations before income taxes was $3.2 million for fourth quarter of 2007, compared to $2.0 million for the same period in 2006. The provision for income taxes was $1.3 million in the fourth quarter of 2007, compared to a benefit for income taxes of $0.4 million in the fourth quarter of 2006. The diluted income per common share from continuing operations was $0.28 and $0.38 for 2007 and 2006, respectively.

Funds provided by operations in the fourth quarter of 2007 increased to $6.4 million from $3.0 million in the fourth quarter of 2006 and $4.2 million in the third quarter of 2007. Payments for professional liability claims during the fourth quarter of 2007 were $0.2 million, compared to $1.2 million in the fourth quarter of 2006. Funds provided by operations is a non-GAAP measurement. A reconciliation of funds provided by operations to net income is included in the financial tables accompanying this press release.

Facility Renovation Update

Eight facilities have been renovated since commencing the facility renovation program in the third quarter of 2005. There are two renovation projects in progress, with expected completion by the third quarter of 2008. We expect to begin renovation on two more facilities in the second quarter.

For the seven facilities with renovations completed before the beginning of the fourth quarter of 2007, comparing the fourth quarter of 2007 to the twelve month periods prior to the commencement of renovation for each facility, fourth quarter 2007 occupancy improved to 72.0% from 64.6%, while Medicare census as a percentage of total census increased to 13.7% from 12.8%.

West Virginia Facility

As previously announced, the Company entered into an option agreement to purchase certain assets of a skilled nursing facility in West Virginia and made an application to state regulatory authorities to operate the facility and construct a new 90 bed replacement facility. The application was approved in February 2008, subject to rights of appeal by contesting parties. Once final appeals, if any, are resolved, the Company intends to arrange financing and begin construction of the replacement facility.

New Lease

In November 2007, the Company entered into a short-term lease for a facility in Paris, Texas, from a subsidiary of Omega Healthcare Investors, Inc. (“Omega”), and is evaluating the possibility of entering into an agreement with Omega for the construction of a replacement facility to be leased by the Company. It is anticipated that the Company would supervise construction, with funding provided by Omega. Upon completion of construction, the Company would lease the facility from Omega under a lease agreement with an initial term of five years, with renewal options through 2035.

Share Repurchase Program

In November 2007, the Company’s Board of Directors authorized the repurchase of up to $2.5 million of the Company’s common stock pursuant to a plan under Rule 10b5-1 and in compliance with Rule 10b-18 of the Securities Exchange Act of 1934, as amended. During 2007, the Company spent $0.8 million to repurchase 74,500 shares of its common stock.

CEO Remarks

William R. Council, III, commented, “I am pleased with the financial and operating performance of the Company during 2007. We were able to attract high acuity patients, resulting in higher reimbursement rates, and our cost control was excellent, contributing to the solid results.

“We continue to make good progress on the integration of the SMSA Facilities and improving their results of operations. During the fourth quarter, these homes improved their Medicare utilization to 13.6%, from 12.0% in the third quarter, and the results were accretive, contributing $0.4 million to fourth quarter operating income. I remain very confident in our ability to improve the operations of these nursing centers.

“The construction of the replacement facility in Paris, Texas, is a good opportunity for further growth. We believe that with a new building, we can build census and do very well in this market. In addition, we have received preliminary approval for our West Virginia CON application and look forward to beginning this project

“Finally, I’d like to say that I’m happy with the progress we made on the goals we announced at the start of the year. We expanded the Company with the SMSA Acquisition as well as internally through our renovation program. These steps, combined with our operational and cost initiatives, are reflected in our good results for 2007. We continue to look for accretive development opportunities, while maintaining the focus on existing growth.”

Conference Call Information

A conference call has been scheduled for Wednesday, March 12, 2008 at 9:00 A.M. Central time (10:00 A.M. Eastern time) to discuss 2007 year end results.

The conference call information is as follows:

Date:	Wednesday, March 12, 2008
Time:	9:00 A.M. Central, 10:00 A.M. Eastern
Webcast Links:	www.streetevents.com
	www.earnings.com
	www.irinfo.com/avc
Dial in numbers:	888-713-4199 (domestic) or 617-213-4861 (international)
Passcode:	18372837

A replay of the conference call will be accessible two hours after its completion through March 19, 2008 by dialing (888) 286-8010 (domestic) or (617) 801-6888 (international) and entering passcode 45626548.

FORWARD-LOOKING STATEMENTS

The “forward-looking statements” contained in this release are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are predictive in nature and are frequently identified by the use of terms such as “may,” “will,” “should,” “expect,” “believe,” “estimate,” “intend,” and similar words indicating possible future expectations, events or actions. These forward-looking statements reflect our current views with respect to future events and present our estimates and assumptions only as of the date of this release. Actual results could differ materially from those contemplated by the forward-looking statements made in this release. In addition to any assumptions and other factors referred to specifically in connection with such statements, other factors, many of which are beyond our

ability to control or predict, could cause our actual results to differ materially from the results expressed or implied in any forward looking statements, including but not limited to, our ability to integrate the acquired skilled nursing facilities into our business and achieve the anticipated cost savings, changes in governmental reimbursement, government regulation and health care reforms, the increased cost of borrowing under our credit agreements, ability to control ultimate professional liability costs, the accuracy of our estimate of our anticipated professional liability expense, our ability to control costs, changes to our valuation allowance for deferred tax assets, changes in occupancy rates in our facilities, the impact of future licensing surveys, the outcome of regulatory proceedings alleging violations of laws and regulations governing quality of care or violations of other laws and regulations applicable to our business, the effects of changing economic and competitive conditions, changes in anticipated revenue and cost growth, changes in the anticipated results of operations of the Company, the effect of changes in accounting policies, as well as other risk factors detailed in the Company’s Securities and Exchange Commission filings. The Company has provided additional information in its Annual Report on Form 10-K for the fiscal year ended December 31, 2007, as well as in its Quarterly Reports on Form 10-Q and other filings with the Securities and Exchange Commission, which readers are encouraged to review for further disclosure of other factors. These assumptions may not materialize to the extent assumed, and risks and uncertainties may cause actual results to be different from anticipated results. These risks and uncertainties also may result in changes to the Company’s business plans and prospects. Advocat Inc. is not responsible for updating the information contained in this press release beyond the published date, or for changes made to this document by wire services or Internet services.

Advocat provides long term care services to patients in 50 skilled nursing centers containing 5,773 licensed nursing beds, primarily in the Southeast and Southwest. For additional information about the Company, visit Advocat’s web site: http://www.irinfo.com/avc.

-Financial Tables to Follow-

ADVOCAT INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)

	December 31,		December 31,
	2007		2006
ASSETS:
Current Assets
Cash and cash equivalents	$	11,658	$	12,344
Receivables, net		26,444		16,902
Deferred income taxes		2,110		1,785
Other current assets		3,993		6,759
Total current assets		44,205		37,790
Property and equipment, net		31,658		28,773
Deferred income taxes		16,568		21,849
Note receivable, net		4,983		4,758
Acquired leasehold interest, net		9,492		—
Other assets, net		3,184		3,731
TOTAL ASSETS	$	110,090	$	96,901
LIABILITIES AND SHAREHOLDERS’ EQUITY:
Current Liabilities
Short-term debt and current portion of long-term debt	$	1,942	$	7,249
Trade accounts payable		6,636		4,566
Accrued expenses:
Payroll and employee benefits		11,360		9,363
Current portion of self-insurance reserves		4,597		4,838
Other current liabilities		3,993		3,600
Total current liabilities		28,528		29,616
Noncurrent Liabilities
Long-term debt, less current portion		32,513		24,267
Self-insurance reserves, less current portion		17,578		22,159
Other noncurrent liabilities		9,137		5,733
Total noncurrent liabilities		59,228		52,159
PREFERRED STOCK		9,590		11,289
SHAREHOLDERS’ EQUITY		12,744		3,837
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY	$	110,090	$	96,901

ADVOCAT INC.
CONSOLIDATED INCOME STATEMENTS
(In thousands, except per share data)

	For the Three Months						For the Year
	Ended December 31,						Ended December 31,
	2007			2006			2007			2006
		(Unaudited)			(Unaudited)
PATIENT REVENUES, NET	$	71,204		$	55,189		$	245,061			$	214,653
EXPENSES:
Operating — See Note		54,573			41,657			187,463				163,386
Lease		5,650			4,569			20,019				16,082
Professional liability		1,298			122			(1,663	)			(5,354	)
General and administrative — See Note		4,619			4,948			17,552				21,032
Depreciation and amortization		1,219			864			4,093				3,614
		67,359			52,160			227,464				198,760
OPERATING INCOME		3,845			3,029			17,597				15,893
OTHER INCOME (EXPENSE):
Foreign currency transaction gain (loss)		65			(248	)		808				21
Other income		—			—			—				207
Interest income		245			185			1,016				679
Interest expense		(1,001	)		(939	)		(3,549	)			(3,707	)
Debt retirement costs		—			—			(116	)			(194	)
		(691	)		(1,002	)		(1,841	)			(2,994	)
INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES		3,154			2,027			15,756				12,899
PROVISION (BENEFIT) FOR INCOME TAXES		1,330			(408	)		6,270				(9,496	)
NET INCOME FROM CONTINUING OPERATIONS		1,824			2,435			9,486				22,395
DISCONTINUED OPERATIONS:
Operating income (loss), net of tax benefit of $49, $0, $59, and $0, respectively		10			(80	)		(91	)			(337	)
Gain (loss) on sale, net of tax benefit of $0, $0, $6, and $0, respectively		(1	)		8			(8	)			(114	)
NET INCOME (LOSS) FROM DISCONTINUED OPERATIONS		9			(72	)		(99	)			(451	)
NET INCOME		1,833			2,363			9,387				21,944
PREFERRED STOCK DIVIDENDS		86			86			344				340
NET INCOME FOR COMMON STOCK	$	1,747		$	2,277		$	9,043			$	21,604
NET INCOME PER COMMON SHARE:
Per common share — basic
Income from continuing operations	$	0.30		$	0.40		$	1.56			$	3.81
Loss from discontinued operations		—			(0.01	)		(0.02	)			(0.07	)
	$	0.30		$	0.39		$	1.54			$	3.74
Per common share — diluted
Income from continuing operations	$	0.28		$	0.38		$	1.49			$	3.42
Loss from discontinued operations		0.01			(0.01	)		(0.01	)			(0.07	)
	$	0.29		$	0.37		$	1.48			$	3.35
WEIGHTED AVERAGE COMMON SHARES:
Basic		5,857			5,847			5,870				5,784
Diluted		6,117			6,250			6,127				6,507

Note:   Operating expense includes stock based compensation charges of $8 and $0 in the three month periods ended December 31, 2007 and 2006, respectively, and $22 and $127 in the years 2007 and 2006, respectively. General and administrative expense includes stock based compensation charges of $186 and $80 in the three month periods ended December 31, 2007 and 2006, respectively, and $626 and $5,057 in the years 2007 and 2006, respectively (amounts in thousands).

ADVOCAT INC.
SAME CENTER STATEMENTS OF INCOME FROM CONTINUING
OPERATIONS BEFORE INCOME TAXES
(Unaudited)
(In thousands, except per share data)

	For the Three Months						For the Year
	Ended December 31,						Ended December 31,
	2007			2006			2007			2006
PATIENT REVENUES, NET	$	58,187		$	55,189		$	225,449		$	214,653
EXPENSES:
Operating		43,477			41,657			170,429			163,386
Lease		4,665			4,569			18,506			16,082
Professional liability		1,191			122			(1,854	)		(5,354	)
General and administrative		4,341			4,948			16,866			21,032
Depreciation and amortization		998			864			3,783			3,614
		54,672			52,160			207,730			198,760
OPERATING INCOME		3,515			3,029			17,719			15,893
OTHER INCOME (EXPENSE):
Foreign currency transaction gain		65			(248	)		808			21
Other income		—			—			—			207
Interest income		245			185			1,016			679
Interest expense		(763	)		(939	)		(3,174	)		(3,707	)
Debt retirement costs		—			—			(116	)		(194	)
		(453	)		(1,002	)		(1,466	)		(2,994	)
INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES	$	3,062		$	2,027		$	16,253		$	12,899

Note  The table above presents the unaudited statements of income from continuing operations before taxes for the three and twelve month periods ended December 31, 2007 and 2006 on a same center basis, excluding the effects of the New Texas Facilities and discontinued operations.

ADVOCAT INC.
FUNDS PROVIDED BY OPERATIONS
(In thousands)

	Three Months Ended						Year Ended
	December 31,						December 31,
	2007			2006			2007			2006
	(Unaudited)			(Unaudited)			(Unaudited)			(Unaudited)
NET INCOME	$	1,833		$	2,363		$	9,387		$	21,944
Income (loss) from discontinued operations		9			(72	)		(99	)		(451	)
Net income from continuing operations		1,824			2,435			9,486			22,395
Adjustments to reconcile net income from continuing operations to funds provided by operations:
Depreciation		1,219			864			4,093			3,614
Provision for doubtful accounts		280			379			1,089			1,610
Deferred income tax provision (benefit)		1,424			(456	)		5,137			(9,719	)
Provision (benefit) for self-insured professional liability, net of cash payments		956			(1,207	)		(5,054	)		(9,323	)
Stock-based compensation		194			80			648			5,184
Amortization of deferred balances		113			104			334			289
Provision for leases in excess of cash payments		481			592			2,234			606
Other		(98	)		214			(824	)		(218	)
FUNDS PROVIDED BY OPERATIONS	$	6,393		$	3,005		$	17,143		$	14,438
Reconciliation of funds provided by operations to cash flow from operating activities:
Funds provided by Operations	$	6,393		$	3,005		$	17,143		$	14,438
Changes in other assets and liabilities affecting operating activities:
Receivables, net		(3,113	)		1,388			(10,633	)		(393	)
Prepaid expenses and other assets		1,909			1,368			2,781			928
Trade accounts payable and accrued expenses		409			1,973			3,374			425
Net cash provided by operating activities of continuing operations	$	5,598		$	7,734		$	12,665		$	15,398

Advocat provides financial measures using accounting principles generally accepted in the United States (GAAP) and using adjustments to GAAP (non-GAAP). These non-GAAP measures are not measurements under GAAP. These measurements should be considered in addition to, but not as a substitute for, the information contained in our financial statements prepared in accordance with GAAP. Funds Provided by Operations is defined as cash flow from operating activities before changes in other assets and liabilities affecting operating activities. Management believes that Funds Provided by Operations is an important measurement of the Company’s performance because it eliminates the effect of actuarial assumptions on our professional liability reserves, includes the cash effect of professional liability payments, and does not include the effects of deferred tax benefit and other non-cash charges. Since the definition of Funds Provided by Operations may vary among companies and industries, it should not be used as a measure of performance among companies.

ADVOCAT INC.
SELECTED OPERATING STATISTICS
DECEMBER 31, 2007
(Unaudited)

					For the Three Months Ended December 31, 2007
																		Medicare		Medicaid
					Skilled													Room and		Room and
	As of				Nursing		Occupancy									2007		Board		Board
	December 31, 2007				Weighted		(Note 2)									Q4		Revenue		Revenue
					Average											Revenue		PPD		PPD
	Licensed		Available		Daily Census		Licensed			Available			Medicare			($ in millions)		2007		2007
Region	Beds		Beds		(Note 1)		Beds			Beds			Utilization			(Note 3)		(Note 4)		(Note 4)
Alabama		711		699		594		83.6	%		85.0	%		11.4	%	$	10.3	$	370.73	$	154.32
Arkansas		1,311		1,163		876		66.8	%		75.3	%		14.0	%		13.5		352.24		133.12
Florida		502		460		417		83.0	%		90.6	%		10.5	%		7.4		399.31		154.03
Kentucky (Note 5)		775		742		695		89.6	%		93.6	%		11.6	%		13.4		404.02		167.10
Tennessee		617		586		516		83.6	%		88.0	%		15.4	%		8.4		380.10		129.24
Texas		1,857		1,646		1,287		70.1	%		79.5	%		12.8	%		17.8		386.42		110.09
Total		5,773		5,296		4,384		76.2	%		83.0	%		12.7	%	$	70.8	$	379.55	$	137.52

					For the Three Months Ended December 31, 2007
																		Medicare		Medicaid
					Skilled													Room and		Room and
	As of				Nursing		Occupancy									2007		Board		Board
	December 31, 2007				Weighted		(Note 2)									Q4		Revenue		Revenue
					Average											Revenue		PPD		PPD
	Licensed		Available		Daily Census		Licensed			Available			Medicare			($ in millions)		2007		2007
Region	Beds		Beds		(Note 1)		Beds			Beds			Utilization			(Note 3)		(Note 4)		(Note 4)
Alabama		711		699		599		84.3	%		85.7	%		13.3	%	$	40.6	$	344.74	$	148.80
Arkansas		1,311		1,163		870		66.3	%		74.8	%		14.7	%		52.2		327.63		130.95
Florida		502		460		420		83.7	%		91.3	%		10.3	%		29.2		376.86		156.89
Kentucky (Note 5)		775		742		694		89.6	%		93.6	%		12.6	%		50.8		377.21		159.71
Tennessee		617		586		504		81.7	%		86.0	%		16.2	%		31.8		361.93		126.75
Texas		1,857		1,646		1,282		72.7	%		82.3	%		13.4	%		39.4		365.13		107.63
Total		5,773		5,296		4,369		77.6	%		83.9	%		13.6	%	$	244.0	$	355.11	$	137.79

Note 1:  Average daily census includes results of the New Texas Facilities on a weighted average basis.

Note 2:  The number of “Licensed beds” is based on the licensed capacity of the facility. The Company has historically reported its occupancy based on licensed beds. The number of “Available Beds” represents “licensed beds” less beds removed from service. “Available beds” is subject to change based upon the needs of the facilities, including configuration of patient rooms and offices, status of beds (private, semi-private, ward, etc.) and renovations. Occupancy is measured on a weighted average basis.

Note 3:  Total revenue for regions excludes approximately $0.4 million and $1.1 million of ancillary services and other revenue for the three and twelve month periods ended December 31, 2007, respectively.

Note 4:  These Medicare and Medicaid revenue rates include room and board revenues but do not include any ancillary revenues related to these patients.

Note 5:  The Kentucky region includes nursing centers in Kentucky, West Virginia and Ohio.

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