Five Star Senior Living Inc. Announces Third Quarter 2021 Results

Rhea-AI Summary

Five Star Senior Living announced its Q3 2021 financial results, reporting a net loss of $10.2 million and an adjusted EBITDA loss of $3.3 million, though showing a sequential improvement. Occupancy in owned communities rose by 280 basis points, while DHC managed communities saw a 130 basis point increase. The company has transitioned 69 of 108 senior living communities planned under its strategic repositioning. With over $80 million in cash and low debt, the company is well-positioned for future growth despite restructuring expenses anticipated at $19 million.

Positive

• Sequential occupancy growth: 280 basis points in owned communities and 130 basis points in managed communities.
• Improved cash position with $80.2 million in unrestricted cash and cash equivalents.
• Progress in strategic repositioning with 69 of 108 planned community transitions completed.

Negative

• Net loss of $10.2 million and adjusted EBITDA loss of $3.3 million.
• Occupancy still below pre-pandemic levels with only 72.9% in owned communities and 73.8% in managed communities.

Owned Communities Sequential Quarter End Occupancy Growth of 280 Basis Points

130 Basis Point Increase in Sequential Quarter End Occupancy in DHC Communities Five Star Will Continue to Manage

Completed 69 of 108 Planned Community Transitions and Agreements in Place to Transition Additional 35 Senior Living Communities Throughout the Remainder of 2021

Reported $80.2 million of Unrestricted Cash and Cash Equivalents at Quarter End

NEWTON, Mass.--(BUSINESS WIRE)-- Five Star Senior Living Inc. (Nasdaq: FVE) today announced its financial results for the three months ended September 30, 2021.

Katherine Potter, President and Chief Executive Officer, made the following statement:

"For the third quarter of 2021, we reported a net loss of $10.2 million and an adjusted EBITDA loss of $3.3 million, which represented a $1.2 million improvement sequentially driven largely by occupancy improvement and cost containment measures. More specifically, as part of our strategic repositioning, we began rationalizing our work force and infrastructure during the third quarter.

Occupancy in our portfolio of 20 owned communities increased 280 basis points at quarter end from the prior quarter. Likewise, occupancy in our 120 DHC retained managed communities, increased 130 basis points from the prior quarter. As of October 31, 2021, occupancy for these same 120 DHC retained managed communities has improved further to 74.9%, which represents a 250 basis point increase from pandemic lows.

We are encouraged by the continued occupancy growth within our owned and managed senior living portfolios as we drive efficiency and reposition our communities to fully participate in the upside of the senior living recovery. These positive occupancy trends have come as resident vaccination levels have increased throughout our senior living portfolio, while confirmed resident COVID-19 cases have declined to at or near pandemic lows. In addition, as of September 1, 2021, all community and clinic employees were in compliance with our requirement that they be fully vaccinated against COVID-19.

During the third quarter, we continued to transform our business to better address the changing needs and preferences of a growing older adult population, and to position Five Star for long term growth. We have made great progress on the repositioning phase of our strategic plan and, as of today, have transitioned 99 of the senior living communities with approximately 6,600 living units to new operators, closed 1,532 skilled nursing facility units and 27 of the planned Ageility inpatient clinics. We expect all community transitions to be completed by year end.

We have now shifted our focus to a sustained recovery by welcoming new residents and clients to our communities and clinics and embracing the return to our full resident, client and team member experience. With over $80 million of cash, $6.9 million of debt, and no outstanding balances on our revolving credit facility, our balance sheet remains flexible. We are well positioned to opportunistically diversify our revenue streams and pursue an expansion of our health and wellness services through new outpatient clinics and new service offerings."

Third Quarter Summary of Financial Results:

• Net loss for the third quarter of 2021 was $10.2 million, or $0.32 per share, which included $3.3 million loss from the termination of a lease and $1.2 million of expenses related to FVE's restructuring, partially offset by $0.8 million to be reimbursed by Diversified Healthcare Trust, or DHC, related to the strategic plan announced by FVE on April 9, 2021, or the Strategic Plan, compared to net income of $3.7 million, or $0.12 per share, for the third quarter of 2020.

• Earnings before interest, taxes, depreciation and amortization, or EBITDA, for the third quarter of 2021 was $(7.0) million compared to $7.1 million for the third quarter of 2020. Adjusted EBITDA, as described further below, was $(3.3) million for the third quarter of 2021 compared to $6.8 million for the third quarter of 2020. EBITDA and Adjusted EBITDA are non-GAAP financial measures. Reconciliations of net loss determined in accordance with GAAP to EBITDA and Adjusted EBITDA for the third quarter of 2021 and 2020 are presented later in this press release.

The following tables present data on the senior living communities that FVE owns, leases and manages as well as FVE's Ageility rehabilitation clinics, and FVE's comparable community data.

		As of and for the Three Months Ended
		September 30, 2021				June 30, 2021				September 30, 2020
Senior Living Segment:
Month End Occupancy
Owned and Leased		72.9		%		69.7		%		73.0		%
Managed		73.8		%		71.3		%		74.0		%
Comparable Communities (1)
Month End Occupancy
Owned		72.9		%		70.1		%		73.7		%
Managed		74.6		%		73.3		%		77.0		%
Operating Margin (2) (3)
Owned		(5.1)		%		(17.7)		%		(8.5)		%
Managed		7.1		%		10.1		%		10.6		%
		As of and for the Three Months Ended
		September 30, 2021				June 30, 2021				September 30, 2020
Ageility:
Number of Clinics
Inpatient (3)		10				10				40
Outpatient		223				218				209
Number of Visits (in thousands)
Inpatient (3)		20				36				82
Outpatient		147				156				155
Comparable Clinics (4)
Average revenue per clinic		$	65			$	70			$	72
Operating margin (3)		9.9		%		12.3		%		17.9		%

_______________________________________

(1)		Comparable communities provides data for 20 owned senior living communities and 120 managed senior living communities that FVE continuously owned or managed since July 1, 2020, exclusive of 108 senior living communities with approximately 7,500 living units, that FVE managed on behalf of DHC which have been or are expected to be transitioned to new operators in 2021, per the Strategic Plan, of which 69 senior living communities with approximately 4,800 living units were transitioned to new operators as of September 30, 2021, and exclusive of 1,532 skilled nursing facility, or SNF, units which have been closed and are in the process of being repositioned in 27 Continuing Care Retirement Communities, or CCRCs, that FVE will continue to manage. See Strategic Plan below for an update on the progress made with respect to the Strategic Plan. Comparable communities also excludes all four leased communities with approximately 200 living units where the leases were terminated on September 30, 2021.
(2)		Operating margin is defined as operating revenue less operating expenses for the business unit divided by operating revenue. It is exclusive of Provider Relief Funds from the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, and other governmental grants recognized as other income. It is inclusive of 1,532 SNF units, which have been closed and are in the process of being repositioned, in 27 CCRCs that FVE will continue to manage. In addition, it excludes restructuring expenses for the three months ended September 30, 2021 of $0.2 million and for the three months ended June 30, 2021 of $10.2 million for the comparable managed communities.
(3)		All Ageility inpatient clinics will be closed as part of the Strategic Plan. During the three months ended June 30, 2021, 27 inpatient clinics were closed as part of the Strategic Plan. There were no inpatient clinics closed during the three months ended September 30, 2021.
(4)		Comparable clinics includes financial data for 199 Ageility outpatient clinics that FVE continuously owned and operated since July 1, 2020 and excludes data for 27 Ageility inpatient clinics that were closed during the three months ended June 30, 2021 and an additional ten Ageility inpatient clinics that are expected to be closed per the Strategic Plan.

Strategic Plan

On April 9, 2021, FVE announced the Strategic Plan, including to:

• Reposition the senior living management service offering to focus on larger independent living and assisted living as well as active adult communities, and exit skilled nursing by transitioning 108 communities to new operators and closing approximately 1,500 SNF living units in retained CCRCs;

• Evolve through investment in an enhanced scalable corporate shared service center to support operations to deliver differentiated, customer focused resident experiences across segmented senior living service offerings; and

• Diversify with a focus on revenue diversification opportunities, including growing Ageility rehabilitation services and expanding ancillary services to provide choice based, financially flexible, resident experience and reach customers outside of FVE's senior living communities.

During the nine months ended September 30, 2021, FVE made the following progress with respect to the Reposition phase of the Strategic Plan:

1. FVE and DHC amended their management arrangements on June 9, 2021,
2. Transitioned the management of 69 senior living communities with approximately 4,800 living units to new operators, all of which occurred during the three months ended September 30, 2021. During October 2021, we transitioned the management of 27 senior living communities with approximately 1,700 living units to new operators, and DHC has entered into agreements for FVE to transition the management of an additional 11 senior living communities, with approximately 1,000 living units, to new operators in the fourth quarter of 2021. We plan to close one community with approximately 100 living units,
3. Closed all 1,532 SNF living units in 27 managed CCRCs and began collaborating with DHC to reposition these SNF units,
4. Closed 27 of the 37 planned Ageility inpatient rehabilitation clinics, and
5. For six of the Ageility inpatient rehabilitation clinics, FVE has entered into agreements with the new operators to continue to provide these services for 12 months.

During the nine months ended September 30, 2021, FVE made the following progress with respect to the Evolve phase of the Strategic Plan:

1. Implemented enhancements to its corporate technology infrastructure,
2. Invested in critical areas of residential experience, including community wireless connectivity, resident transportation services, re-designed community common areas and resident units,
3. Made enhancements to digital marketing infrastructure and implemented a labor management tool, and
4. Standardized certain administrative functions through centralization efforts to enhance operating efficiency.

During the nine months ended September 30, 2021, FVE made the following progress with respect to the Diversify phase of the Strategic Plan:

1. Opened 16 net new Ageility outpatient rehabilitation clinics, bringing its Ageility outpatient rehabilitation clinic total to 223, and
2. Grew Ageility fitness revenues to $2.4 million or a 41.1% increase over the same period in 2020.

In connection with the implementation of the Strategic Plan, FVE expects to incur restructuring expenses of up to $19.0 million, approximately $13.0 million of which FVE expects DHC will reimburse. These expenses are expected to include up to $7.5 million of retention bonus payments, up to $8.7 million of severance, benefits and transition expenses, and up to $2.8 million of transaction expenses, of which FVE expects DHC to reimburse approximately $5.1 million, $7.2 million and $0.7 million, respectively. During the three months ended September 30, 2021, FVE recorded restructuring expenses of $1.2 million, of which $0.8 million will be reimbursed by DHC.

Presented below is a summary of the units FVE operated (owned and managed) as of September 30, 2021 and the projected number of units to be operated after the conclusion of the Reposition phase of the Strategic Plan:

		Total		Retained
		Units (1)		Units (2)
Independent living		10,628		10,422
Assisted living		9,402		7,715
Memory care		2,454		1,861
Skilled nursing		284		—
Total		22,768		19,998

_______________________________________

(1)		The units operated as of September 30, 2021 include 2,099 owned and 20,669 managed and excludes the approximately 4,800 living units that FVE previously managed for DHC that FVE transitioned to new operators during the three months ended September 30, 2021 and exclusive of approximately 200 living units within its four leased communities for which the leases were terminated on September 30, 2021.
(2)		Includes 2,099 owned and 17,899 managed units.

Presented below is a summary of the communities, units, average occupancy, month end occupancy, revenues and management fees for the communities FVE manages for DHC as of and for the three months ended September 30, 2021 and for the retained communities to be managed for DHC after the conclusion of the Strategic Plan (dollars in thousands):

		Total
		Communities		Units		Average Occupancy		Month End Occupancy		Community Revenues (1)				Management Fees (2)(3)
Independent and assisted living communities (5)		155		20,044		72.5%		74.2%		$	184,996			$	9,944
Continuing care retirement communities (5)		4		625		68.1%		61.6%		17,015				881
Skilled nursing facilities		—		—		67.4%		—%		8,149				395
Total		159		20,669		72.2%		73.8%		$	210,160			$	11,220
		Retained
		Communities		Units		Average Occupancy		Month End Occupancy		Community Revenues (1)				Management Fees (4)
Independent and assisted living communities (5)		120		17,899		73.4%		74.6%		$	157,930			$	8,510
Continuing care retirement communities		—		—		—%		—%		—				—
Skilled nursing facilities		—		—		—%		—%		—				—
Total		120		17,899		73.4%		74.6%		$	157,930			$	8,510

_______________________________________

(1)		Represents the revenues of the senior living communities FVE manages on behalf of DHC. Managed senior living communities' revenues do not represent FVE's revenues and are included to provide supplemental information regarding the operating results and financial condition of the communities from which FVE earns management fees.
(2)		The 59 SNF units in one CCRC that were closed during the three months ended September 30, 2021, and are to be repositioned, had management fee revenue of $1 for the three months ended September 30, 2021.
(3)		FVE recognized management fee revenue of $1,306 for the three months ended September 30, 2021 from 69 senior living communities with approximately 4,800 living units that were transitioned to new operators during the three months ended September 30, 2021.
(4)		Excludes management fee revenue of $2,710 earned in the three months ended September 30, 2021 related to (i) 108 senior living communities managed on behalf of DHC, with approximately 7,500 living units that are expected to be transitioned to new operators in 2021; of which 69 senior living communities, with approximately 4,800 living units were transitioned to new operators during the three months ended September 30, 2021, and (ii) 59 SNF units in one CCRC that were closed during the three months ended September 30, 2021, and are to be repositioned in communities that FVE will continue to manage.
(5)		During the three months ended September 30, 2021, FVE closed 59 SNF units in one CCRC. Due to these SNF unit closures, this community is no longer a CCRC and has been included in the community and unit totals and month end occupancy as independent and assisted living community as of September 30, 2021. However, average occupancy, community revenues and management fees for this former CCRC is included in the CCRC totals for the three months ended September 30, 2021. The average occupancy, community revenues and management fees for this former CCRC for the three months ended September 30, 2021 were 74.7%, $4,439 and $233, respectively.

Following the completion of the Reposition phase of the Strategic Plan, FVE will continue to manage 120 senior living communities for DHC, representing 17,899 living units and approximately 75.8% of FVE's management fee revenues for the three months ended September 30, 2021, and to operate its existing owned portfolio of 20 communities with approximately 2,100 living units. FVE expects to partially offset the resulting revenue loss from fees FVE earns from the 108 transitioning senior living communities with expense reductions to right-size operations.

The 120 senior living communities that FVE will continue to manage for DHC, after transitioning the 108 communities, outperformed the total DHC managed portfolio (exclusive of the closed and pending repositioning of approximately 1,500 SNF living units in the 27 CCRCs) for the three months ended September 30, 2021 with approximately 370 basis points higher operating margin.

In addition to the transition of 108 managed communities owned by DHC, on September 30, 2021, FVE terminated its leases for four communities with approximately 200 living units that were previously leased from Healthpeak Properties Inc., or PEAK. As of September 30, 2021, FVE no longer operates units within leased communities.

Presented below is a summary of FVE's Ageility rehabilitation clinics as of and for the three months ended September 30, 2021 and the number of clinics to be operated after the implementation of the Strategic Plan (dollars in thousands):

		As of and for the Three Months Ended September 30, 2021												Retained
		Number of Clinics		Total Revenue (3)				Average Revenue per Clinic				Adjusted EBITDA Margin(5)		Number of Clinics		Total Revenue (1)(3)				Average Revenue per Clinic				Adjusted EBITDA Margin(5)
Inpatient Clinics in DHC Communities		10		$	1,508			$	151			35.3%		—		$	—			$	—			—%
Outpatient Clinics in DHC Communities		91		7,936				87				11.3%		91		7,936				87				11.3%
Outpatient Clinics in Transition Communities(2)		45		1,776				39				16.2%		45		1,776				39				16.2%
Total Clinics at DHC Communities		146		11,220				77				15.3%		136		9,712				71				12.2%
Outpatient Clinics at Other Communities(4)		87		3,888				45				3.4%		87		3,888				45				3.4%
Total Clinics		233		$	15,108			$	65			12.2%		223		$	13,600			$	61			9.6%

_______________________________________

(1)		Excludes revenue of $1,508 earned during the three months ended September 30, 2021 for ten Ageility inpatient rehabilitation clinics which are expected to be closed as part of the transition.
(2)		As part of the transition, FVE expects to transition 108 senior living communities managed on behalf of DHC to new operators in 2021; of which 69 senior living communities were transitioned to new operators during the three months ended September 30, 2021. These communities have 45 Ageility outpatient rehabilitation clinics, of which 29 clinics were within communities that had transitioned to new operators as of September 30, 2021 and that FVE will continue to operate. The remaining 16 clinics, due to the pending transfer of the communities to new operators, may be subject to closure by the new operator.
(3)		Total Ageility revenue excludes home health care services, which are a part of the rehabilitation and wellness services segment.
(4)		Other communities includes outpatient clinics at non-FVE operated or managed communities and 15 outpatient clinics at communities FVE owns.
(5)		Adjusted EBITDA Margin is a non-GAAP financial measure. A reconciliation of operating margin to Adjusted EBITDA Margin is presented later in this press release.

FVE expects the rehabilitation and wellness services segment to grow and diversify through its expanded emphasis on fitness and home health care services. Fitness offerings started as an extension of FVE's rehabilitation product and, while representing only 5.5% of segment revenues for the three months ended September 30, 2021, fitness revenues increased by 34.8% to $0.8 million when compared to the same period in 2020.

FVE currently expects to continue to evolve and diversify through growth of its ancillary rehabilitation and wellness service offerings, by opening new clinics and expanding its fitness and other home-based service offerings within and outside of its senior living communities. Since January 1, 2019, FVE has opened 94 net new outpatient rehabilitation clinics, 17 of which were opened in 2020, and 16 of which were opened during the nine months ended September 30, 2021.

Conference Call Information:

At 1:00 p.m. Eastern Time on November 4, 2021, FVE's President and Chief Executive Officer, Katherine Potter, Executive Vice President and Chief Operating Officer, Margaret Wigglesworth, and Executive Vice President, Chief Financial Officer and Treasurer, Jeffrey Leer, will host a conference call to discuss FVE's third quarter 2021 financial results.

The conference call telephone number is (877) 329-4332. Participants calling from outside the United States and Canada should dial (412) 317-5436. No pass code is necessary to access the call from either number. Participants should dial in about 15 minutes prior to the scheduled start of the call. A replay of the conference call will be available through 11:59 p.m. Eastern Time on November 11, 2021. To hear the replay, dial (412) 317-0088. The replay pass code is 10160357.

A live audio webcast of the conference call will also be available in a listen-only mode on FVE’s website, https://www.fivestarseniorliving.com/. Participants wanting to access the webcast should visit FVE’s website about five minutes before the call. The archived webcast will be available for replay on FVE’s website following the call for about a week. The transcription, recording and retransmission in any way of FVE's third quarter ended September 30, 2021 financial results conference call are strictly prohibited without the prior written consent of FVE. FVE’s website is not incorporated as part of this press release.

About Five Star Senior Living Inc.:

FVE is a provider of senior living management and rehabilitation and wellness services to over 20,000 older adults. Five Star is the fifth largest senior living operator in the United States and operates independent and assisted living communities. Additionally, FVE's rehabilitation and wellness services segment includes Ageility Physical Therapy Solutions^TM, or Ageility, a division of FVE, which provides rehabilitation and wellness services within FVE communities as well as to external customers. FVE is headquartered in Newton, Massachusetts.

Five Star Senior Living Inc. Condensed Consolidated Statements of Operations (amounts in thousands, except per share amounts) (unaudited)
		Three Months Ended September 30,								Nine Months Ended September 30,
		2021				2020				2021				2020
REVENUES
Rehabilitation and wellness services		$	15,382			$	21,124			$	52,388			$	61,776
Senior living		16,320				18,525				49,755				59,112
Management fees		11,220				15,302				37,997				48,058
Total management and operating revenues		42,922				54,951				140,140				168,946
Reimbursed community-level costs incurred on behalf of managed communities		177,231				233,783				585,662				689,903
Other reimbursed expenses		5,678				6,589				27,750				19,003
Total revenues		225,831				295,323				753,552				877,852
Other operating income		—				—				7,795				1,499
OPERATING EXPENSES
Rehabilitation and wellness services expenses		13,536				16,716				45,414				50,361
Senior living wages and benefits		8,547				11,128				30,456				30,633
Other senior living operating expenses		7,184				7,407				22,418				20,246
Community-level costs incurred on behalf of managed communities		177,231				233,783				585,662				689,903
General and administrative		21,817				19,774				66,956				65,051
Restructuring expenses		1,220				142				16,859				1,412
Depreciation and amortization		2,983				2,680				8,912				8,084
Total operating expenses		232,518				291,630				776,677				865,690
Operating (loss) income		(6,687)				3,693				(15,330)				13,661
Interest, dividend and other income		84				104				244				625
Interest and other expense		(507)				(379)				(1,379)				(1,170)
Unrealized gain (loss) on equity investments		22				435				555				(160)
Realized gain on sale of debt and equity investments		—				327				193				422
Loss on termination of leases		(3,277)				—				(3,277)				(22,899)
Income (loss) before income taxes		(10,365)				4,180				(18,994)				(9,521)
(Provision) benefit for income taxes		164				(465)				(194)				(971)
Net (loss) income		$	(10,201)			$	3,715			$	(19,188)			$	(10,492)
Weighted average shares outstanding—basic		31,618				31,486				31,567				31,465
Weighted average shares outstanding—diluted		31,618				31,563				31,567				31,465
Net (loss) income per share—basic		$	(0.32)			$	0.12			$	(0.61)			$	(0.33)
Net (loss) income per share—diluted		$	(0.32)			$	0.12			$	(0.61)			$	(0.33)

Five Star Senior Living Inc.
Reconciliation of Non-GAAP Financial Measures
(dollars in thousands)
(unaudited)

Non-GAAP financial measures are financial measures that are not determined in accordance with U.S. generally accepted accounting principles, or GAAP. FVE believes the non-GAAP financial measures presented in the tables below are meaningful supplemental disclosures because they may help investors better understand changes in FVE’s operating results and its ability to meet FVE's financial obligations or service debt, make capital expenditures and expand its business. These non-GAAP financial measures may also help investors make comparisons between FVE and other companies on both a GAAP and non-GAAP basis. FVE believes that EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin are meaningful financial measures that may help investors better understand its financial performance, including by allowing investors to compare FVE's performance between periods and to the performance of other companies. FVE management uses EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin to evaluate FVE’s financial performance and compare FVE’s performance over time and to the performance of other companies. FVE calculates EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin as shown below. These measures should not be considered as alternatives to net income (loss) or operating income (loss), as indicators of FVE’s operating performance or as measures of FVE’s liquidity. Also, EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin as presented may not be comparable to similarly titled amounts calculated by other companies.

FVE believes that net income (loss) is the most directly comparable financial measure, determined according to GAAP, to FVE’s presentation of EBITDA and Adjusted EBITDA. The following table presents the reconciliation of these non-GAAP financial measures to net income (loss) for the three and nine months ended September 30, 2021 and 2020.

		Three Months Ended September 30,								Nine Months Ended September 30,
		2021				2020				2021				2020
Net (loss) income		$	(10,201)			$	3,715			$	(19,188)			$	(10,492)
Add (less):
Interest and other expense		507				379				1,379				1,170
Interest, dividend and other income		(84)				(104)				(244)				(625)
(Benefit) provision for income taxes		(164)				465				194				971
Depreciation and amortization		2,983				2,680				8,912				8,084
EBITDA		(6,959)				7,135				(8,947)				(892)
Add (less):
Severance (1)		—				—				—				282
Litigation settlement (2)		—				—				—				2,473
Unrealized gain (loss) on equity investments		(22)				(435)				(555)				160
Loss on termination of leases (3)		3,277				—				3,277				22,899
Net restructuring expenses (4)		407				142				4,515				1,412
Long-lived asset impairment (5)		—				—				890				—
Adjusted EBITDA		$	(3,297)			$	6,842			$	(820)			$	26,334

_______________________________________

(1)		Costs incurred for the three and nine months ended September 30, 2020 represent those related to a reduction in workforce.
(2)		Represents costs incurred related to the settlement of a lawsuit and is included in other senior living operating expenses in FVE's condensed consolidated statements of operations. The settlement was approved by the court, and paid by FVE on May 12, 2021.
(3)		For the 2021 periods, represents the lease termination expenses related to the termination of all four leased communities on September 30, 2021 as well as the write off of certain assets at those communities. For the 2020 periods, represents the excess of the fair value of the shares issued to DHC as of January 1, 2020 of $97,899, compared to the consideration of $75,000 paid by DHC as part of the transaction agreement to restructure FVE's business arrangements with DHC, or the Restructuring Transactions.
(4)		Includes costs incurred related to the Strategic Plan announced on April 9, 2021 and the Restructuring Transactions for the three and nine months ended September 30, 2021 and 2020, respectively, and are included in restructuring expenses in the Condensed Consolidated Statements of Operations, net of reimbursed expenses of $813 and $12,344 to be received for the three and nine months ended September 30, 2021, respectively, from DHC.
(5)		Represents asset impairments related to one leased community that had a fire on April 4, 2021.

Five Star Senior Living Inc.
Reconciliation of Non-GAAP Financial Measures
(dollars in thousands)
(unaudited)

FVE believes that net income is the most directly comparable financial measure, determined according to GAAP, to FVE’s presentation of EBITDA and Adjusted EBITDA. The following table presents the reconciliation of these non-GAAP financial measures to net income for the three months ended September 30, 2021 for the rehabilitation and wellness services segment.

		Three Months Ended September 30, 2021
		Total				Retained
Rehabilitation and wellness services:
Revenue		$	15,382			$	15,382
Less: Home health services		274				274
Less: Inpatient		—				1,508
Total Ageility revenue		$	15,108			$	13,600
Ageility:
Net income		$	2,033			$	1,203
Add: Depreciation		120				109
EBITDA		2,153				1,312
Add: Restructuring expenses		(310)				—
Adjusted EBITDA		$	1,843			$	1,312
Adjusted EBITDA Margin		12.2		%		9.6		%

Five Star Senior Living Inc. Condensed Consolidated Balance Sheets (dollars in thousands, except per share amounts)
		September 30,				December 31,
		2021				2020
		(unaudited)
ASSETS
Current assets:
Cash and cash equivalents		$	80,188			$	84,351
Restricted cash and cash equivalents		23,615				23,877
Accounts receivable, net of allowance of $3,709 and $3,149, respectively		8,647				9,104
Due from related person		33,215				96,357
Debt and equity investments, of which $8,689 and $11,125 are restricted, respectively		19,498				19,961
Prepaid expenses and other current assets		19,990				28,658
Total current assets		185,153				262,308
Property and equipment, net		157,028				159,251
Operating lease right-of-use assets		9,452				18,030
Finance lease right-of-use assets		3,698				4,493
Restricted cash and cash equivalents		1,137				1,369
Restricted debt and equity investments		3,841				4,788
Equity investment of an investee, net		11				11
Other long-term assets		10,119				3,956
Total assets		$	370,439			$	454,206
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Accounts payable		$	16,440			$	23,454
Accrued expenses and other current liabilities		32,000				41,843
Accrued compensation and benefits		38,072				70,543
Accrued self-insurance obligations		30,461				31,355
Operating lease liabilities		417				2,567
Finance lease liabilities		856				808
Due to related persons		3,413				6,585
Mortgage note payable		409				388
Security deposits and current portion of continuing care contracts		303				365
Total current liabilities		122,371				177,908
Long-term liabilities:
Accrued self-insurance obligations		36,664				37,420
Operating lease liabilities		9,552				17,104
Finance lease liabilities		3,274				3,921
Mortgage note payable		6,473				6,783
Other long-term liabilities		338				538
Total long-term liabilities		56,301				65,766
Shareholders’ equity:
Common stock, par value $0.01: 75,000,000 shares authorized, 31,753,484 and 31,679,207 shares issued and outstanding, respectively		318				317
Additional paid-in-capital		460,798				460,038
Accumulated deficit		(270,330)				(251,139)
Accumulated other comprehensive income		981				1,316
Total shareholders’ equity		191,767				210,532
Total liabilities and shareholders' equity		$	370,439			$	454,206

Five Star Senior Living Inc. Senior Living Segment Data (dollars in thousands, except per unit amounts) (unaudited)
		Three Months Ended
		September 30,				June 30,				March 31,				December 31,				September 30,
		2021				2021				2021				2020				2020
Owned and Leased Communities
Independent and assisted living communities:
Revenues		$	16,320			$	16,378			$	17,057			$	17,903			$	18,525
Other operating income (1)		—				2				7,774				1,715				—
Operating expenses		17,895				21,012				20,414				21,181				19,661
Operating (loss) income		(1,575)				(4,632)				4,417				(1,563)				(1,136)
Operating margin		(9.7)		%		(28.3)		%		17.8		%		(8.0)		%		(6.1)		%
Number of communities (end of period)		20				24				24				24				24
Number of living units (end of period) (2)		2,099				2,251				2,302				2,302				2,312
Average occupancy		69.9		%		68.1		%		68.3		%		71.5		%		74.7		%
Month end occupancy		72.9		%		69.7		%		68.2		%		69.7		%		73.0		%
RevPAR (3)		$	2,411			$	2,425			$	2,479			$	2,596			$	2,665
RevPOR (4)		$	3,375			$	3,524			$	3,630			$	3,550			$	3,492
Managed Communities (5)
Management fees		$	11,220			$	12,927			$	13,850			$	14,822			$	15,302
Community-level revenues		210,160				243,947				259,966				278,637				290,101
Other operating income (1)		786				16,564				1,617				12,520				—
Community-level expenses (6)		203,756				237,461				247,171				261,678				270,333
Community operating income		7,190				23,050				14,412				29,479				19,768
Community operating margin		3.4		%		8.8		%		5.5		%		10.1		%		6.8		%
Number of communities (end of period)		159				228				228				228				239
Number of living units (end of period) (2)		20,669				25,482				26,963				26,969				28,232
Average occupancy		72.2		%		69.5		%		69.5		%		72.2		%		75.2		%
Month end occupancy		73.8		%		71.3		%		70.2		%		70.8		%		74.0		%
RevPAR (3)		$	3,046			$	3,086			$	3,213			$	3,355			$	3,420
RevPOR (4)		$	4,129			$	4,389			$	4,623			$	4,543			$	4,447

_______________________________________

(1)		Other operating income represents income recognized for funds received under the CARES Act and other governmental grants.
(2)		Includes living units categorized as in service. As a result, the number of living units may vary from period to period for reasons other than the acquisition or disposition of senior living communities.
(3)		RevPAR is defined by FVE as resident fee revenues for the corresponding portfolio for the period divided by the average number of available units for the period, divided by the number of months in the period. Data for the three months ended December 31, 2020, March 31, 2021, June 30, 2021 and September 30, 2021 exclude income received by communities under the CARES Act and other governmental grants.
(4)		RevPOR is defined by FVE as resident fee revenues for the corresponding portfolio for the period divided by the average number of occupied units for the period, divided by the number of months in the period. Data for the three months ended December 31, 2020, March 31, 2021, June 30, 2021 and September 30, 2021 exclude income received by communities under the CARES Act and other governmental grants.
(5)		Managed communities, other than FVE's management fees, represents financial data of communities FVE manages for the account of DHC and does not represent financial results of FVE. Managed communities' data is included to provide supplemental information regarding the operating results and financial condition of the communities from which FVE earns management fees.
(6)		The three months ended September 30, 2021 and June 30, 2021 includes restructuring expense of $813 and $11,531, respectively.

Five Star Senior Living Inc. Comparable Communities Senior Living Segment Data (dollars in thousands, except per unit amounts) (unaudited)
		Three Months Ended
		September 30,				June 30,				March 31,				December 31,				September 30,
		2021				2021				2021				2020				2020
Owned Communities (1):
Number of communities (end of period)		20				20				20				20				20
Number of living units (end of period) (2)		2,099				2,099				2,099				2,098				2,108
Average occupancy		70.4		%		68.3		%		68.9		%		72.4		%		75.1		%
Month end occupancy		72.9		%		70.1		%		69.0		%		70.2		%		73.7		%
RevPAR (3)		$	2,354			$	2,357			$	2,421			$	2,549			$	2,602
RevPOR (4)		$	3,270			$	3,413			$	3,515			$	3,445			$	3,388
Managed Communities (1)(5):
Number of communities (end of period)		120				120				120				120				120
Number of living units (end of period) (2)		17,899				17,898				17,906				17,910				17,929
Average occupancy		73.4		%		72.9		%		72.7		%		75.6		%		78.5		%
Month end occupancy		74.6		%		73.3		%		73.2		%		74.2		%		77.0		%
RevPAR (3)		$	2,941			$	2,961			$	2,946			$	3,054			$	3,139
RevPOR (4)		$	3,922			$	4,018			$	4,051			$	3,954			$	3,942

_______________________________________

(1)		Includes data for senior living communities that FVE has continuously owned or managed since July 1, 2020. Per the Strategic Plan, the summary of operations for comparable communities excludes (i) 108 senior living communities managed on behalf of DHC, with approximately 7,500 living units that are expected to be transitioned to new operators in 2021, of which 69 senior living communities, with approximately 4,800 living units have been transitioned to new operators as of September 30, 2021 and (ii) 1,532 SNF units in 27 CCRCs that were closed during the six months ended September 30, 2021 and are in the process of being repositioned that FVE will continue to manage for DHC. Comparable communities also excludes all four leased communities with approximately 200 living units where the leases were terminated on September 30, 2021.
(2)		Includes living units categorized as in service. As a result, the number of living units may vary from period to period for reasons other than the acquisition or sale of senior living communities.
(3)		RevPAR is defined by FVE as resident fee revenues for the corresponding portfolio for the period divided by the average number of available units for the period, divided by the number of months in the period. Data for the three months ended December 31, 2020, March 31, 2021, June 30, 2021 and September 30, 2021 exclude income received by communities under the CARES Act and other governmental grants.
(4)		RevPOR is defined by FVE as resident fee revenues for the corresponding portfolio for the period divided by the average number of occupied units for the period, divided by the number of months in the period. Data for the three months ended December 31, 2020, March 31, 2021, June 30, 2021 and September 30, 2021 exclude income received by communities under the CARES Act and other governmental grants.
(5)		Senior living segment data for comparable managed communities represents financial data of communities FVE manages for the account of DHC and does not represent financial results of FVE. Managed communities' data is included to provide supplemental information regarding the operating results and financial condition of the communities from which FVE earns management fees.

Five Star Senior Living Inc. Rehabilitation and Wellness Services Segment Data (dollars in thousands) (unaudited)
		Three Months Ended
		September 30,				June 30,				March 31,				December 31,				September 30,
		2021				2021				2021				2020				2020
Rehabilitation and Wellness Services (1):
Revenues		$	15,382			$	17,453			$	19,553			$	20,256			$	21,124
Other operating income (2)		—				—				19				221				—
Operating expenses (3)		13,348				17,517				16,338				16,613				16,833
Operating (loss) income		2,034				(64)				3,234				3,864				4,291
Operating margin		13.2		%		(0.4)		%		16.5		%		18.9		%		20.3		%
Number of inpatient clinics (end of period)		10				10				37				37				40
Number of outpatient clinics (end of period)		223				218				215				207				209

_______________________________________

(1)		Includes Ageility clinics and home health operations.
(2)		Other operating income represents income recognized for funds received under the CARES Act and other governmental grants.
(3)		The three months ended September 30, 2021 and June 30, 2021 includes restructuring expenses of $(310) and $1,720, respectively.

Five Star Senior Living Inc. omparable Rehabilitation and Wellness Services Segment Data (dollars in thousands) (unaudited)
		Three Months Ended
		September 30,				June 30,				March 31,				December 31,				September 30,
		2021				2021				2021				2020				2020
Rehabilitation and Wellness Services (1):
Revenues		$	13,294			$	14,289			$	13,603			$	13,960			$	14,664
Other operating income (2)		—				—				20				36				—
Operating expenses		11,997				12,700				11,804				12,204				12,226
Operating income		1,297				1,589				1,819				1,792				2,438
Operating margin		9.8		%		11.1		%		13.4		%		12.8		%		16.6		%
Number of inpatient clinics (end of period)		—				—				—				—				—
Number of outpatient clinics (end of period)		199				199				199				199				199

_______________________________________

(1)		Includes Ageility clinics and home health operations. Comparable clinics includes data for 199 outpatient clinics that FVE has continuously owned and operated since July 1, 2020, exclusive of 27 Ageility inpatient rehabilitation clinics that were closed during the three months ended June 30, 2021 and an additional ten Ageility inpatient rehabilitation clinics that are expected to be closed.
(2)		Other operating income represents income recognized for funds received under the CARES Act and other governmental grants.

Five Star Senior Living Inc. Owned Senior Living Communities as of and for the Three Months Ended September 30, 2021 (dollars in thousands) (unaudited)
No.		Community Name		State		Property Type (1)		Living Units		Senior Living Revenues (4)				Gross Carrying Value				Net Carrying Value				Date Acquired		Year Built or Most Recent Renovation
1		Morningside of Decatur (2)		Alabama		AL		49		$	253			$	7,025			$	3,762			11/19/2004		2021
2		Morningside of Auburn		Alabama		AL		42		292				1,805				776				11/19/2004		1997
3		The Palms of Fort Myers (2)		Florida		IL		218		1,675				6,999				3,711				4/1/2002		1988
4		Five Star Residences of Banta Pointe (3)		Indiana		AL		121		720				10,561				6,127				9/29/2011		2006
5		Five Star Residences of Fort Wayne (2)		Indiana		AL		154		999				8,526				5,205				9/29/2011		1998
6		Five Star Residences of Clearwater		Indiana		AL		88		342				14,267				9,227				6/1/2011		1999
7		Five Star Residences of Lafayette (2)		Indiana		AL		109		513				11,417				7,340				6/1/2011		2000
8		Five Star Residences of Noblesville (2)		Indiana		AL		151		1,012				13,008				8,088				7/1/2011		2005
9		The Villa at Riverwood (2)		Missouri		IL		111		667				4,873				3,263				4/1/2002		1986
10		Voorhees Senior Living (2)		New Jersey		AL		104		926				19,369				13,281				7/1/2008		1999
11		Washington Township Senior Living (2)		New Jersey		AL		93		900				26,143				17,492				7/1/2008		1998
12		Carriage House Senior Living		North Carolina		AL		98		874				9,827				5,353				12/1/2008		1997
13		Forest Heights Senior Living		North Carolina		AL		111		740				16,126				10,731				12/1/2008		1998
14		Fox Hollow Senior Living (2)		North Carolina		AL		77		1,048				25,530				17,410				7/1/2000		1999
15		Legacy Heights Senior Living (2)		North Carolina		AL		116		755				7,130				3,217				12/1/2008		1997
16		Morningside at Irving Park		North Carolina		AL		91		785				3,745				1,644				11/19/2004		1997
17		The Devon Senior Living		Pennsylvania		AL		84		511				31,945				14,796				7/1/2008		1985
18		The Legacy of Anderson		South Carolina		IL		101		571				10,730				6,262				12/1/2008		2003
19		Morningside of Springfield (2)		Tennessee		AL		54		436				17,775				10,986				11/19/2004		1984
20		Huntington Place		Wisconsin		AL		127		807				2,408				1,536				7/15/2010		1999
		Total						2,099		$	14,826			$	249,209			$	150,207

_______________________________________

(1)		AL is primarily an assisted living community and IL is primarily an independent living community.
(2)		Encumbered property under FVE's $65,000 revolving credit facility.
(3)		Encumbered property under FVE's $6,882 mortgage note.
(4)		Excludes funds received under the CARES Act recognized as other operating income.

Warning Concerning Forward-Looking Statements

This press release contains statements that constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and other securities laws. Also, whenever Five Star Senior Living Inc. uses words such as “believe”, “expect”, “anticipate”, “intend”, “plan”, “estimate”, "will", “may” and negatives or derivatives of these or similar expressions, FVE is making forward-looking statements. These forward-looking statements are based upon FVE’s present intent, beliefs or expectations, but forward-looking statements are not guaranteed to occur and may not occur. Actual results may differ materially from those contained in or implied by FVE’s forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors, some of which are beyond FVE's control. For example:

• This press release includes statements regarding the actions that have occurred and steps that are expected to be taken in connection with the implementation of FVE's Strategic Plan and the anticipated timing, costs, savings and benefits related to such steps, as well as FVE's expectations for the operation and performance of the business following implementation of the Strategic Plan. FVE may not be able to implement each of its strategic initiatives in a timely manner or at all, the costs of such initiatives may be more than it expects, it may not realize the benefits it anticipates from the Strategic Plan, and it may not be able to achieve its objectives following implementation of such Strategic Plan, including partially offsetting the revenue loss from the communities it intends to transition with expense reductions to right-size operations, on the anticipated timeline or at all.

• Ms. Potter states that Five Star has completed its COVID-19 vaccination program of inoculating all community team members and resident COVID-19 cases have declined to pandemic lows. However, despite the current case count and high rate of vaccinations, certain residents, team members and clients may still become infected with COVID-19, including as a result of current or possible variants or mutations of the virus, and any concerns about infections may reduce the number of new residents moving into FVE's communities, which could impact FVE's operations and financial performance.

• Ms. Potter states that FVE is encouraged by the continued occupancy growth within its owned and managed senior living portfolios. However, these trends may not continue and occupancy could decline due to a variety of factors, including as a result of the COVID-19 pandemic.

• Ms. Potter states that FVE is driving efficiency as it repositions its communities to fully participate in the upside of the senior living industry. However, FVE may not achieve the efficiencies it seeks or be able to reposition its portfolio and realize the benefits it expects. Further, the upside of the senior living industry that FVE expects may not be realized.

• The out performance of our retained portfolio realized for the quarter ending September 30, 2021 compared to the total DHC managed portfolio for that period may not be achieved in future periods.

• This press release includes statements regarding FVE's intent to expand its Ageility business and growing and diversifying FVE's rehabilitation and wellness offerings. It also includes statements regarding FVE's expectation that FVE will continue to evolve and diversify through growth of its ancillary rehabilitation and wellness service offerings by opening new clinics ad expanding its fitness and other home-based service offerings within and outside its senior living communities. FVE may not be able to achieve these objectives, including if its growth is adversely impacted by the COVID-19 pandemic, and if it does not have sufficient resources to fund the expansion or does not identify new opportunities to grow or diversify the business.

The information contained in FVE’s filings with the Securities and Exchange Commission, or SEC, including under “Risk Factors” in FVE’s periodic reports, or incorporated therein, identifies other important factors that could cause FVE’s actual results to differ materially from those stated in or implied by FVE’s forward-looking statements. FVE’s filings with the SEC are available on the SEC’s website at https://www.sec.gov/.

You should not place undue reliance upon forward-looking statements.

Except as required by law, FVE does not intend to update or change any forward-looking statements as a result of new information, future events or otherwise.

View source version on businesswire.com: https://www.businesswire.com/news/home/20211103006171/en/

Michael Kodesch, Director, Investor Relations

(617) 796-8245

Source: Five Star Senior Living

FAQ

What were Five Star Senior Living's Q3 2021 financial results?

In Q3 2021, Five Star Senior Living reported a net loss of $10.2 million and an adjusted EBITDA loss of $3.3 million.

How did occupancy rates change for Five Star Senior Living in Q3 2021?

Occupancy rates increased by 280 basis points in owned communities and 130 basis points in DHC managed communities.

What is the current cash position of Five Star Senior Living?

Five Star Senior Living reported $80.2 million in unrestricted cash and cash equivalents as of quarter-end.

What strategic changes has Five Star Senior Living implemented?

Five Star has transitioned 69 of 108 senior living communities as part of its strategic repositioning plan.

What are the anticipated restructuring expenses for Five Star Senior Living?

Five Star anticipates restructuring expenses of up to $19 million, with approximately $13 million expected to be reimbursed.