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    AlerisLife Inc. Announces Third Quarter 2022 Results

    11/2/22 4:15:00 PM ET
    $ALR
    Hospital/Nursing Management
    Health Care
    Get the next $ALR alert in real time by email

    Combined Sequential Quarter End Occupancy Growth of 180 Basis Points

    Sequential Quarter Management and Operating Revenues Growth of $1.8 Million, or 4.6%

    Restructuring Plan on Track as Adjusted EBITDA Improvements Continue

    AlerisLife Inc. (NASDAQ:ALR) today announced its financial results for the three months ended September 30, 2022.

    "We continued to make steady progress implementing our plan to improve our operating results and drive efficiencies in our organization throughout the third quarter," said Jeff Leer, President and Chief Executive Officer. "Owned and managed community occupancy increased 290 basis points and 160 basis points, respectively, or 180 basis points across all residential senior living communities, as we continue to enhance our sales and marketing strategies. We also rounded out our executive team with the addition of Heather Pereira as our new Chief Financial Officer and Philip Benjamson as our new Chief Operating Officer. We ended the quarter with sufficient liquidity to execute on our restructuring plan and, following approximately $3.8 million of capital improvements invested in our owned senior living communities in the third quarter, we had $79.1 million of cash at quarter-end and no debt maturities until 2025."

    Third Quarter Summary of Financial Results:

    • Quarter-end occupancy in ALR's owned senior living communities grew 290 basis points, or bps, relative to the end of the second quarter.
    • Quarter-end occupancy for the managed portfolio increased 160 bps relative to the end of the second quarter.
    • Net loss for the third quarter of 2022 was $8.5 million, or $0.27 per diluted share, which included $1.6 million of costs related to the restructuring plan implemented as a result of Alvarez & Marsal's, or A&M's, operational review, compared to a net loss of $8.8 million, or $0.28 per diluted share, for the second quarter of 2022, and a net loss of $10.2 million, or $0.32 per diluted share, for the third quarter of 2021, which included a $3.3 million loss from a termination of a lease and $1.2 million of restructuring expenses related to the repositioning of ALR's residential service offerings, partially offset by $0.8 million which was reimbursed by Diversified Healthcare Trust, or DHC.
    • Earnings before interest, taxes, depreciation and amortization, or EBITDA, for the third quarter of 2022 was $(4.1) million compared to $(4.4) million for the second quarter of 2022 and $(7.0) million for the third quarter of 2021. Adjusted EBITDA, as described further below, was $(0.5) million for the third quarter of 2022 compared to $(1.3) million for the second quarter of 2022 and $(3.3) million for the third quarter of 2021. EBITDA and Adjusted EBITDA are non-GAAP financial measures. Reconciliations of net loss determined in accordance with U.S. generally accepted accounting principles, or GAAP, to EBITDA and Adjusted EBITDA for the third quarter of 2022 and 2021 are presented later in this press release. The reconciliation of net loss to EBITDA and Adjusted EBITDA for the second quarter of 2022 is presented in the Form 8-K that ALR furnished on August 3, 2022.
    • RevPAR (resident fee revenues for the corresponding portfolio for the period divided by the average number of available units for the corresponding portfolio for the period, divided by the number of months in the period) for the comparable managed communities for the third quarter of 2022 was $3,200 compared to $3,077 for the second quarter of 2022 and $2,941 for the third quarter of 2021, an increase of 4.0% and 8.8%, respectively.
    • RevPAR for the comparable owned communities for the third quarter of 2022 was $2,801 compared to $2,560 for the second quarter of 2022 and $2,354 for the third quarter of 2021, an increase of 9.4% and 19.0%, respectively.

    Substantially all of ALR's business is conducted by its two segments: (i) its residential segment through its Five Star Senior Living, or Five Star, brand and (ii) its lifestyle services segment primarily through its brands Ageility Physical Therapy Solutions and Ageility Fitness, or collectively Ageility, and Windsong Home Health. The following tables present data on the owned and leased and managed senior living communities that ALR operates through its Five Star brand, including comparable community data, as well as data on the rehabilitation locations that ALR operates through its Ageility brand, including comparable outpatient location data.

    Summary of Operational Results

     

     

    As of and for the Three Months Ended

     

     

    September 30, 2022

     

    June 30, 2022

     

    September 30, 2021

    Residential Segment:

     

     

     

     

     

     

    Five Star:

     

     

     

     

     

     

    Number of living units (end of period)

     

     

     

     

     

     

    Independent living

     

     

    10,422

     

     

     

    10,460

     

     

     

    10,628

     

    Assisted living

     

     

    7,734

     

     

     

    7,696

     

     

     

    9,402

     

    Memory care

     

     

    1,817

     

     

     

    1,817

     

     

     

    2,454

     

    Skilled nursing

     

     

    —

     

     

     

    —

     

     

     

    284

     

    Total living units

     

     

    19,973

     

     

     

    19,973

     

     

     

    22,768

     

     

     

     

     

     

     

     

    RevPAR

     

     

     

     

     

     

    Owned and Leased (1)

     

    $

    2,801

     

     

    $

    2,560

     

     

    $

    2,411

     

    Managed

     

    $

    3,200

     

     

    $

    3,077

     

     

    $

    3,046

     

    Quarter End Occupancy

     

     

     

     

     

     

    Owned and Leased

     

     

    78.4

    %

     

     

    75.5

    %

     

     

    72.9

    %

    Managed

     

     

    77.0

    %

     

     

    75.4

    %

     

     

    73.8

    %

     

     

     

     

     

     

     

    Comparable Communities (2):

     

     

     

     

     

     

    RevPAR

     

     

     

     

     

     

    Owned

     

    $

    2,801

     

     

    $

    2,560

     

     

    $

    2,354

     

    Managed

     

    $

    3,200

     

     

    $

    3,077

     

     

    $

    2,941

     

    Quarter End Occupancy

     

     

     

     

     

     

    Owned

     

     

    78.4

    %

     

     

    75.5

    %

     

     

    72.9

    %

    Managed

     

     

    77.0

    %

     

     

    75.4

    %

     

     

    74.6

    %

    Operating Margin (3):

     

     

     

     

     

     

    Owned

     

     

    (15.9

    )%

     

     

    (20.1

    )%

     

     

    (24.4

    )%

    Managed

     

     

    4.7

    %

     

     

    8.4

    %

     

     

    7.1

    %

     

     

    As of and for the Three Months Ended

     

     

    September 30, 2022

     

    June 30, 2022

     

    September 30, 2021

    Lifestyle Services Segment:

     

     

     

     

     

     

    Ageility:

     

     

     

     

     

     

    Number of Clinics and Locations (4)

     

     

     

     

     

     

    Inpatient clinics

     

    8

     

     

    10

     

     

    10

     

    Outpatient locations

     

     

    203

     

     

     

    202

     

     

     

    223

     

    Number of Visits (in thousands)

     

     

     

     

     

     

    Inpatient clinics

     

     

    21

     

     

     

    23

     

     

     

    20

     

    Outpatient locations

     

     

    156

     

     

     

    153

     

     

     

    147

     

     

     

     

     

     

     

     

    Comparable Outpatient Locations (5):

     

     

     

     

     

     

    Caseload as a % of occupancy (6)

     

     

    24.6

    %

     

     

    24.3

    %

     

     

    24.6

    %

    Operating margin (3)

     

     

    (1.2

    )%

     

     

    (0.6

    )%

     

     

    10.0

    %

    ___________________________

    (1)

     

    The three months ended September 30, 2021 includes four leased communities with approximately 200 living units previously leased from HealthPeak Properties, Inc., or HealthPeak. The lease with HealthPeak was terminated on September 30, 2021.

    (2)

     

    Comparable Communities includes financial data for 20 owned senior living communities and 120 managed senior living communities that ALR continuously owned or managed and operated through its Five Star brand since July 1, 2021, exclusive of 59 skilled nursing facility, or SNF, living units that have been closed in one former Continuing Care Retirement Community, or CCRC.

    (3)

     

    Operating margin is defined as operating revenue less operating expenses divided by operating revenue in each case for the business segment. For the Residential segment, it is inclusive of 59 SNF living units, which have been closed in one former CCRC. It is exclusive of Provider Relief Funds from the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, and other government grants recognized as other operating income. In addition, it excludes restructuring expenses for the three months ended September 30, 2021 of $0.2 million for the comparable managed communities. Managed operating margin does not represent ALR's operating margin and is included to provide supplemental information regarding the operating results of the Five Star senior living communities from which ALR earns residential management fees.

    (4)

     

    During the three months ended September 30, 2022, ALR opened six outpatient locations, closed five outpatient locations and closed two inpatient clinics.

    (5)

     

    Comparable outpatient locations includes financial data for 185 outpatient rehabilitation locations that ALR continuously operated since July 1, 2021.

    (6)

     

    Represents the average number of Ageility customers divided by average total occupancy at each of the senior living communities where ALR operates Ageility outpatient rehabilitation locations. Occupancy is defined as the average total number of residents residing at the senior living communities.

    Operational Review

    During the quarter ended June 30, 2022, ALR engaged the healthcare consulting arm of A&M to provide a comprehensive operational review of ALR's business and make recommendations to ALR's Board of Directors. The recommendations made by A&M included general and administrative cost reductions, a corporate reorganization that is designed to enhance accountability and certain operational changes to support team members to ensure the delivery of high-quality experiences to residents and customers and to increase occupancy at ALR's senior living communities, as further described below:

    • Reduce costs annually by a target of approximately $2.0 million, net of investments to be made of approximately $3.3 million as described below, by:
      • Streamlining redundant business processes and reducing investments in non-core functions,
      • rationalizing information technology systems to those that directly support core business functions, ensuring their optimal utilization, and
      • continually assessing general and administrative expenses to identify cost savings opportunities.
    • Invest approximately $3.3 million to refocus on ALR's core business and invest strategically in projects, processes and systems that will enhance ALR's ability to successfully operate ALR's residential and lifestyle services businesses, including:
      • Enhancing the executive leadership team with a Chief Operating Officer to oversee field and national operations and a Chief Financial Officer,
      • investing in a scalable and agile national operations infrastructure to drive operational excellence and results, and
      • establishing a centralized sales function with reinstituted regional sales support to focus on both sales and marketing efforts.

    Based on A&M's operational review, on August 3, 2022, ALR announced a restructuring plan which includes the elimination of certain positions in its corporate team. ALR expects to complete this restructuring by the middle of 2023. As of the date of this press release, ALR made the following progress with respect to the restructuring plan:

    • Aligned several functions, including sales, marketing, clinical and resident programming, under the national operations support function;
    • Deployed sales support functions to directly support community level sales directors to focus on improved tour to move-in conversion rate;
    • Appointed a Chief Financial Officer, effective September 19, 2022, and a Chief Operating Officer, effective October 17, 2022. In addition, ALR continues to invest in the sales and marketing function, including hiring a Vice President of Marketing, effective October 3, 2022, and five sales directors; and
    • Implemented approximately $2.6 million of labor and non-labor annual cost savings, net of approximately $1.8 million in labor investments.

    In addition to the restructuring plan, ALR achieved further cost savings of $4.9 million from the elimination of certain unfilled positions.

    In connection with implementing its restructuring plan, ALR expects to incur non-recurring cash expenses of up to $3.0 million. These expenses are expected to include up to $0.4 million of retention payments, up to $2.0 million of severance, benefits and transition expenses and up to $0.6 million of other restructuring expenses. For the three months ended September 30, 2022, ALR recognized $1.6 million of expenses related to the restructuring plan, including $0.1 million of retention payments, $1.4 million of severance, benefits and transition expenses, and $0.1 million of other restructuring expenses, which was recorded in restructuring expenses in ALR's condensed consolidated statements of operations. Additionally, ALR recognized costs of $0.6 million related to the implementation of the A&M operational review for the three months ended September 30, 2022, which are recorded in general and administrative expenses in ALR's condensed consolidated statements of operations.

    Summary of Senior Living Communities and Outpatient Rehabilitation Locations

    Presented below is a summary of the communities, units, average occupancy, quarter end occupancy, revenues and residential management fees for the Five Star senior living communities ALR manages for DHC, as of and for the three months ended September 30, 2022 (dollars in thousands):

     

     

    Total

     

     

    Communities

     

    Units

     

    Average Occupancy

     

    Quarter End Occupancy

     

    Community Revenues (1)

     

    Management Fees

    Independent and assisted living communities

     

    120

     

    17,889

     

    75.3%

     

    77.0%

     

    $

    171,684

     

    $

    9,477

    ___________________________

    (1)

     

    Managed senior living communities' revenues do not represent ALR's revenues and are included to provide supplemental information regarding the operating results of the Five Star senior living communities from which ALR earns residential management fees.

    Presented below is a summary of the Ageility outpatient rehabilitation locations ALR operated as of and for the three months ended September 30, 2022 (dollars in thousands):

     

     

    As of and for the

    Three Months Ended September 30, 2022

     

     

    Number of Locations

     

    Total

    Revenue (1)(2)

     

    Caseload as a % of occupancy (3)

     

    EBITDA Margin (4)

    Outpatient Locations in DHC Owned Communities Managed by Five Star

     

    94

     

    $

    7,789

     

    25.9

    %

     

    (0.2

    )%

    Outpatient Locations at ALR Owned Communities

     

    15

     

     

    868

     

    29.9

    %

     

    4.6

    %

    Outpatient Locations at Other Communities (5)

     

    94

     

     

    4,124

     

    21.7

    %

     

    (8.3

    )%

    Total Outpatient Locations

     

    203

     

    $

    12,781

     

    24.3

    %

     

    (2.5

    )%

    ___________________________

    (1)

     

    Excludes revenue of $1,590 earned during the three months ended September 30, 2022 for ten Ageility inpatient rehabilitation clinics (inclusive of two inpatient rehabilitation clinics that were closed during the three months ended September 30, 2022).

    (2)

     

    Total Ageility revenue includes fitness revenue. Total Ageility revenue excludes home health care services, which is part of the lifestyle services segment.

    (3)

     

    Represents the average number of Ageility customers divided by average total occupancy at each of the senior living communities where ALR operates Ageility outpatient rehabilitation locations. Occupancy is defined as the average total number of residents residing at the senior living communities.

    (4)

     

    EBITDA Margin is a non-GAAP financial measure and represents rehabilitation locations that are in service as of September 30, 2022. A reconciliation of EBITDA Margin is presented later in this press release.

    (5)

     

    Other communities includes outpatient rehabilitation locations at senior living communities not owned or managed by ALR.

    Conference Call Information:

    At 1:00 p.m. Eastern Time on November 3, 2022, ALR's President and Chief Executive Officer, Jeffrey Leer, and Senior Vice President, Chief Financial Officer and Treasurer, Heather Pereira, will host a conference call to discuss ALR's third quarter 2022 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 10, 2022. To hear the replay, dial (412) 317-0088. The replay pass code is 3979235.

    A live audio webcast of the conference call will also be available in a listen-only mode on ALR's website, www.alerislife.com. Participants wanting to access the webcast should visit ALR's website about five minutes before the call. The archived webcast will be available for replay on ALR's website following the call for about a week. The transcription, recording and retransmission in any way of ALR's third quarter ended September 30, 2022 financial results conference call are strictly prohibited without the prior written consent of ALR. ALR's website is not incorporated as part of this press release.

    About AlerisLife:

    AlerisLife enriches and inspires the lives of its older adult customers across the United States by delivering an exceptional and enhanced resident experience to senior living residents, while also offering lifestyle services to the younger choice-based consumer. The Company is headquartered in Newton, Massachusetts. For more information, visit www.alerislife.com.

     

    AlerisLife Inc.

    Condensed Consolidated Statements of Operations

    (amounts in thousands, except per share amounts)

    (unaudited)

     

     

     

    Three Months Ended

    September 30,

     

    Nine Months

    Ended September 30,

     

     

     

    2022

     

     

     

    2021

     

     

     

    2022

     

     

     

    2021

     

    REVENUES

     

     

     

     

     

     

     

     

    Lifestyle services

     

    $

    14,546

     

     

    $

    15,382

     

     

    $

    43,330

     

     

    $

    52,388

     

    Residential

     

     

    17,514

     

     

     

    16,320

     

     

     

    48,994

     

     

     

    49,755

     

    Residential management fees

     

     

    9,477

     

     

     

    11,220

     

     

     

    27,380

     

     

     

    37,997

     

    Total management and operating revenues

     

     

    41,537

     

     

     

    42,922

     

     

     

    119,704

     

     

     

    140,140

     

    Reimbursed community-level costs incurred on behalf of managed communities

     

     

    137,768

     

     

     

    177,231

     

     

     

    396,352

     

     

     

    585,662

     

    Other reimbursed expenses

     

     

    3,354

     

     

     

    5,678

     

     

     

    10,869

     

     

     

    27,750

     

    Total revenues

     

     

    182,659

     

     

     

    225,831

     

     

     

    526,925

     

     

     

    753,552

     

     

     

     

     

     

     

     

     

     

    Other operating income

     

     

    2

     

     

     

    —

     

     

     

    44

     

     

     

    7,795

     

     

     

     

     

     

     

     

     

     

    OPERATING EXPENSES

     

     

     

     

     

     

     

     

    Lifestyle services expenses

     

     

    14,562

     

     

     

    13,536

     

     

     

    42,112

     

     

     

    45,414

     

    Residential wages and benefits

     

     

    10,156

     

     

     

    8,547

     

     

     

    27,942

     

     

     

    30,456

     

    Other residential operating expenses

     

     

    5,804

     

     

     

    7,184

     

     

     

    18,126

     

     

     

    22,418

     

    Community-level costs incurred on behalf of managed communities

     

     

    137,768

     

     

     

    177,231

     

     

     

    396,352

     

     

     

    585,662

     

    General and administrative

     

     

    17,015

     

     

     

    21,817

     

     

     

    53,205

     

     

     

    66,956

     

    Restructuring expenses

     

     

    1,570

     

     

     

    1,220

     

     

     

    1,944

     

     

     

    16,859

     

    Depreciation and amortization

     

     

    3,088

     

     

     

    2,983

     

     

     

    9,535

     

     

     

    8,912

     

    Total operating expenses

     

     

    189,963

     

     

     

    232,518

     

     

     

    549,216

     

     

     

    776,677

     

     

     

     

     

     

     

     

     

     

    Operating loss

     

     

    (7,302

    )

     

     

    (6,687

    )

     

     

    (22,247

    )

     

     

    (15,330

    )

     

     

     

     

     

     

     

     

     

    Interest, dividend and other income

     

     

    225

     

     

     

    84

     

     

     

    434

     

     

     

    244

     

    Interest and other expense

     

     

    (1,474

    )

     

     

    (507

    )

     

     

    (3,757

    )

     

     

    (1,379

    )

    Unrealized (loss) gain on equity investments

     

     

    (1,997

    )

     

     

    22

     

     

     

    (3,679

    )

     

     

    555

     

    Realized gain on sale of debt and equity investments

     

     

    1,573

     

     

     

    —

     

     

     

    1,528

     

     

     

    193

     

    Gain (loss) on termination of lease

     

     

    498

     

     

     

    (3,277

    )

     

     

    777

     

     

     

    (3,277

    )

    Loss before income taxes

     

     

    (8,477

    )

     

     

    (10,365

    )

     

     

    (26,944

    )

     

     

    (18,994

    )

    (Provision) benefit for income taxes

     

     

    (31

    )

     

     

    164

     

     

     

    (99

    )

     

     

    (194

    )

    Net loss

     

    $

    (8,508

    )

     

    $

    (10,201

    )

     

    $

    (27,043

    )

     

    $

    (19,188

    )

     

     

     

     

     

     

     

     

     

    Weighted average shares outstanding—basic and diluted

     

     

    31,875

     

     

     

    31,618

     

     

     

    31,825

     

     

     

    31,567

     

     

     

     

     

     

     

     

     

     

    Net loss per share—basic and diluted

     

    $

    (0.27

    )

     

    $

    (0.32

    )

     

    $

    (0.85

    )

     

    $

    (0.61

    )

    AlerisLife 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 GAAP. ALR believes the non-GAAP financial measures presented in the tables below are meaningful supplemental disclosures because they may help investors better understand changes in ALR's operating results and its ability to meet financial obligations or service debt, make capital expenditures and expand its business. ALR believes that EBITDA, Adjusted EBITDA, EBITDA Margin and Net Income (Loss) Margin also may help investors better understand its financial performance, including by allowing investors to compare ALR's performance between periods and against the performance of other companies on both a GAAP and non-GAAP basis. ALR management uses EBITDA, Adjusted EBITDA, EBITDA Margin and Net Income (Loss) Margin to evaluate ALR's financial performance and compare ALR's performance over time and to the performance of other companies. ALR calculates EBITDA, Adjusted EBITDA, EBITDA Margin and Net Income (Loss) Margin as shown below or later in this press release. These measures should not be considered as alternatives to net income (loss) or operating income (loss), as indicators of ALR's operating performance or as measures of ALR's liquidity. Also, EBITDA, Adjusted EBITDA, EBITDA Margin and Net Income (Loss) Margin as presented may not be comparable to similarly titled amounts calculated by other companies.

    ALR believes that net income (loss) is the most directly comparable financial measure, determined according to GAAP, to ALR'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, 2022 and 2021.

     

     

    Three Months Ended

    September 30,

     

    Nine Months Ended

    September 30,

     

     

     

    2022

     

     

     

    2021

     

     

     

    2022

     

     

     

    2021

     

    Net loss

     

    $

    (8,508

    )

     

    $

    (10,201

    )

     

    $

    (27,043

    )

     

    $

    (19,188

    )

    Add (less):

     

     

     

     

     

     

     

     

    Interest and other expense

     

     

    1,474

     

     

     

    507

     

     

     

    3,757

     

     

     

    1,379

     

    Interest, dividend and other income

     

     

    (225

    )

     

     

    (84

    )

     

     

    (434

    )

     

     

    (244

    )

    Provision (benefit) for income taxes

     

     

    31

     

     

     

    (164

    )

     

     

    99

     

     

     

    194

     

    Depreciation and amortization

     

     

    3,088

     

     

     

    2,983

     

     

     

    9,535

     

     

     

    8,912

     

    EBITDA

     

     

    (4,140

    )

     

     

    (6,959

    )

     

     

    (14,086

    )

     

     

    (8,947

    )

    Add (less):

     

     

     

     

     

     

     

     

    Separation costs (1)

     

     

    —

     

     

     

    —

     

     

     

    1,319

     

     

     

    —

     

    Unrealized loss (gain) on equity investments

     

     

    1,997

     

     

     

    (22

    )

     

     

    3,679

     

     

     

    (555

    )

    (Gain) loss on termination of leases

     

     

    (498

    )

     

     

    3,277

     

     

     

    (777

    )

     

     

    3,277

     

    Transaction costs (2)

     

     

    574

     

     

     

    —

     

     

     

    1,278

     

     

     

    —

     

    Net restructuring expenses (3)

     

     

    1,568

     

     

     

    407

     

     

     

    1,468

     

     

     

    4,515

     

    Long-lived asset impairment (4)

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    890

     

    Adjusted EBITDA

     

    $

    (499

    )

     

    $

    (3,297

    )

     

    $

    (7,119

    )

     

    $

    (820

    )

    ___________________________

    (1)

     

    Costs incurred for the nine months ended September 30, 2022 represent those related to the separation of our former President and Chief Executive Officer during the second quarter of 2022.

    (2)

     

    The three and nine months ended September 30, 2022 includes costs incurred related to the comprehensive operational review by A&M and are included in general and administrative expenses in the condensed consolidated statements of operations.

    (3)

     

    The three and nine months ended September 30, 2022 and 2021 includes (i) costs incurred related to the repositioning of ALR's residential service offerings, which are reported net of reimbursed expenses received from DHC of $2 and $476, respectively, for the three and nine months ended September 30, 2022, and $813 and $12,344, respectively, for the three and nine months ended September 30, 2021, and (ii) costs incurred related to the restructuring plan executed as a part of A&M's operational review. All of these costs are included in restructuring expenses in the condensed consolidated statements of operations.

    (4)

     

    The nine months ended September 30, 2021 represents one previously leased community that had a fire on April 4, 2021.

    AlerisLife Inc.

    Reconciliation of Non-GAAP Financial Measures

    (dollars in thousands)

    (unaudited)

    ALR believes that net income (loss) is the most directly comparable financial measure, determined according to GAAP, to ALR's presentation of EBITDA, Net Income (Loss) Margin and EBITDA Margin. The following table presents the reconciliation of these non-GAAP financial measures to net income (loss) for the three months ended September 30, 2022 for Ageility.

     

     

    Three Months Ended

    September 30, 2022

    Lifestyle services:

     

     

    Revenue

     

    $

    14,546

     

    Less: Home health services

     

     

    175

     

    Less: Inpatient rehabilitation clinics (1)

     

     

    1,590

     

    Total Ageility revenue (2)

     

    $

    12,781

     

     

     

     

    Ageility:

     

     

    Net loss

     

    $

    (413

    )

    Add: Depreciation

     

     

    98

     

    EBITDA

     

    $

    (315

    )

     

     

     

    Net Loss Margin (3)

     

     

    (3.2

    )%

    EBITDA Margin (4)

     

     

    (2.5

    )%

    ___________________________

    (1)

     

    Revenue for ten Ageility inpatient rehabilitation clinics that were operated by Ageility during the three months ended September 30, 2022 (inclusive of two inpatient rehabilitation clinics that were closed during the three months ended September 30, 2022).

    (2)

     

    Total Ageility revenue includes revenue from outpatient rehabilitation locations and fitness.

    (3)

     

    Net Loss Margin is defined by ALR as net loss for the period divided by total revenue for the period.

    (4)

     

    EBITDA Margin is defined by ALR as EBITDA for the period divided by total revenue for the period.

    AlerisLife Inc.

    Condensed Consolidated Balance Sheets

    (dollars in thousands, except per share amounts)

    (unaudited)

     

     

     

    September 30,

     

    December 31,

     

     

     

    2022

     

     

     

    2021

     

    ASSETS

     

     

     

     

    Current assets:

     

     

     

     

    Cash and cash equivalents

     

    $

    79,126

     

     

    $

    66,987

     

    Restricted cash and cash equivalents

     

     

    21,317

     

     

     

    24,970

     

    Accounts receivable, net

     

     

    9,676

     

     

     

    9,244

     

    Due from related person

     

     

    56,497

     

     

     

    41,664

     

    Debt and equity investments, of which $7,100 and $7,609 are restricted, respectively

     

     

    10,890

     

     

     

    19,535

     

    Prepaid expenses and other current assets

     

     

    21,817

     

     

     

    24,433

     

    Total current assets

     

     

    199,323

     

     

     

    186,833

     

     

     

     

     

     

    Property and equipment, net

     

     

    162,785

     

     

     

    159,843

     

    Operating lease right-of-use assets

     

     

    5,796

     

     

     

    9,197

     

    Finance lease right-of-use assets

     

     

    2,773

     

     

     

    3,467

     

    Restricted cash and cash equivalents

     

     

    991

     

     

     

    982

     

    Restricted debt and equity investments

     

     

    2,715

     

     

     

    3,873

     

    Other long-term assets

     

     

    8,155

     

     

     

    12,082

     

    Total assets

     

    $

    382,538

     

     

    $

    376,277

     

     

     

     

     

     

    LIABILITIES AND SHAREHOLDERS' EQUITY

     

     

     

     

    Current liabilities:

     

     

     

     

    Accounts payable

     

    $

    16,367

     

     

    $

    37,516

     

    Accrued expenses and other current liabilities

     

     

    44,861

     

     

     

    31,488

     

    Accrued compensation and benefits

     

     

    33,413

     

     

     

    34,295

     

    Accrued self-insurance obligations

     

     

    26,701

     

     

     

    31,739

     

    Operating lease liabilities

     

     

    501

     

     

     

    699

     

    Finance lease liabilities

     

     

    1,351

     

     

     

    872

     

    Due to related persons

     

     

    2,500

     

     

     

    3,879

     

    Current portion of debt

     

     

    437

     

     

     

    419

     

    Total current liabilities

     

     

    126,131

     

     

     

    140,907

     

     

     

     

     

     

    Long-term liabilities:

     

     

     

     

    Accrued self-insurance obligations

     

     

    27,007

     

     

     

    34,744

     

    Operating lease liabilities

     

     

    5,331

     

     

     

    9,366

     

    Finance lease liabilities

     

     

    2,351

     

     

     

    3,050

     

    Long-term debt

     

     

    67,161

     

     

     

    6,364

     

    Other long-term liabilities

     

     

    227

     

     

     

    256

     

    Total long-term liabilities

     

     

    102,077

     

     

     

    53,780

     

     

     

     

     

     

    Commitments and contingencies

     

     

     

     

     

     

     

     

     

    Shareholders' equity:

     

     

     

     

    Common stock, par value $0.01: 75,000,000 shares authorized, 32,609,009 and 32,662,649 shares issued and outstanding, respectively

     

     

    326

     

     

     

    327

     

    Additional paid-in-capital

     

     

    462,144

     

     

     

    461,298

     

    Accumulated deficit

     

     

    (308,107

    )

     

     

    (281,064

    )

    Accumulated other comprehensive (loss) income

     

     

    (33

    )

     

     

    1,029

     

    Total shareholders' equity

     

     

    154,330

     

     

     

    181,590

     

    Total liabilities and shareholders' equity

     

    $

    382,538

     

     

    $

    376,277

     

    AlerisLife Inc.

    Residential Segment Data

    (dollars in thousands, except per unit amounts)

    (unaudited)

     

     

     

    Three Months Ended

     

     

    September 30,

     

    June 30,

     

    March 31,

     

    December 31,

     

    September 30,

     

     

     

    2022

     

     

     

    2022

     

     

     

    2022

     

     

     

    2021

     

     

     

    2021

     

     

     

     

     

     

     

     

     

     

     

     

    Owned and Leased Senior Living Communities

     

     

     

     

     

     

     

     

     

     

    Revenues

     

    $

    17,514

     

     

    $

    16,094

     

     

    $

    15,386

     

     

    $

    14,883

     

     

    $

    16,320

     

    Other operating income (1)

     

     

    2

     

     

     

    —

     

     

     

    42

     

     

     

    —

     

     

     

    —

     

    Operating expenses

     

     

    20,182

     

     

     

    18,861

     

     

     

    19,371

     

     

     

    18,574

     

     

     

    17,895

     

    Operating loss

     

     

    (2,666

    )

     

     

    (2,767

    )

     

     

    (3,943

    )

     

     

    (3,691

    )

     

     

    (1,575

    )

    Operating margin

     

     

    (15.2

    )%

     

     

    (17.2

    )%

     

     

    (25.6

    )%

     

     

    (24.8

    )%

     

     

    (9.7

    )%

    Number of communities (end of period)

     

     

    20

     

     

     

    20

     

     

     

    20

     

     

     

    20

     

     

     

    20

     

    Number of living units (end of period) (2)

     

     

    2,084

     

     

     

    2,087

     

     

     

    2,100

     

     

     

    2,100

     

     

     

    2,099

     

    Average occupancy

     

     

    76.0

    %

     

     

    72.5

    %

     

     

    71.0

    %

     

     

    72.0

    %

     

     

    69.9

    %

    Quarter end occupancy

     

     

    78.4

    %

     

     

    75.5

    %

     

     

    72.1

    %

     

     

    72.7

    %

     

     

    72.9

    %

    RevPAR (3)

     

    $

    2,801

     

     

    $

    2,560

     

     

    $

    2,443

     

     

    $

    2,349

     

     

    $

    2,411

     

    RevPOR (4)

     

    $

    3,604

     

     

    $

    3,492

     

     

    $

    3,444

     

     

    $

    3,192

     

     

    $

    3,375

     

     

     

     

     

     

     

     

     

     

     

     

    Managed Senior Living Communities (5):

     

     

     

     

     

     

     

     

     

     

    Residential management fees

     

    $

    9,477

     

     

    $

    8,971

     

     

    $

    8,932

     

     

    $

    9,482

     

     

    $

    11,220

     

     

     

     

     

     

     

     

     

     

     

     

    Community-level revenues

     

     

    171,684

     

     

     

    165,179

     

     

     

    162,552

     

     

     

    161,907

     

     

     

    210,160

     

    Other operating income (1)

     

     

    125

     

     

     

    75

     

     

     

    199

     

     

     

    602

     

     

     

    786

     

    Community-level expenses (6)

     

     

    164,044

     

     

     

    151,906

     

     

     

    152,892

     

     

     

    159,329

     

     

     

    203,756

     

    Community operating income

     

     

    7,765

     

     

     

    13,348

     

     

     

    9,859

     

     

     

    3,180

     

     

     

    7,190

     

    Community operating margin

     

     

    4.5

    %

     

     

    8.1

    %

     

     

    6.1

    %

     

     

    2.0

    %

     

     

    3.4

    %

    Number of communities (end of period)

     

     

    120

     

     

     

    120

     

     

     

    120

     

     

     

    121

     

     

     

    159

     

    Number of living units (end of period) (2)

     

     

    17,889

     

     

     

    17,886

     

     

     

    17,899

     

     

     

    18,005

     

     

     

    20,669

     

    Average occupancy

     

     

    75.3

    %

     

     

    74.1

    %

     

     

    74.1

    %

     

     

    73.7

    %

     

     

    72.2

    %

    Quarter end occupancy

     

     

    77.0

    %

     

     

    75.4

    %

     

     

    74.6

    %

     

     

    74.8

    %

     

     

    73.8

    %

    RevPAR (3)

     

    $

    3,200

     

     

    $

    3,077

     

     

    $

    3,027

     

     

    $

    2,919

     

     

    $

    3,046

     

    RevPOR (4)

     

    $

    4,158

     

     

    $

    4,109

     

     

    $

    4,084

     

     

    $

    3,875

     

     

    $

    4,129

     

    ___________________________

    (1)

     

    Other operating income represents income recognized for funds received under the CARES Act and other government 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 ALR as resident fee revenues for the corresponding portfolio for the period divided by the average number of available units for the corresponding portfolio for the period, divided by the number of months in the period. Data for the three months ended September 30, 2022, June 30, 2022, March 31, 2022, December 31, 2021 and September 30, 2021 exclude income received by senior living communities under the CARES Act and other government grants.

    (4)

     

    RevPOR is defined by ALR as resident fee revenues for the corresponding portfolio for the period divided by the average number of occupied units for the corresponding portfolio for the period, divided by the number of months in the period. Data for the three months ended September 30, 2022, June 30, 2022, March 31, 2022, December 31, 2021 and September 30, 2021 exclude income received by senior living communities under the CARES Act and other government grants.

    (5)

     

    Managed senior living communities, other than ALR's residential management fees, represents financial data of senior living communities managed for DHC and does not represent financial results of ALR. Managed senior living communities' data is included to provide supplemental information regarding the operating results of the senior living communities from which ALR earns residential management fees.

    (6)

     

    The three months ended September 30, 2022, June 30, 2022, December 31, 2021 and September 30, 2021 includes restructuring expense of $2, $474, $966, and $813, respectively.

    AlerisLife Inc.

    Comparable Communities Residential Segment Data

    (dollars in thousands, except per unit amounts)

    (unaudited)

     

     

     

    Three Months Ended

     

     

    September 30,

     

    June 30,

     

    March 31,

     

    December 31,

     

    September 30,

     

     

     

    2022

     

     

     

    2022

     

     

     

    2022

     

     

     

    2021

     

     

     

    2021

     

    Owned Senior Living Communities (1):

     

     

     

     

     

     

     

     

     

     

    Number of communities (end of period)

     

     

    20

     

     

     

    20

     

     

     

    20

     

     

     

    20

     

     

     

    20

     

    Number of living units (end of period) (2)

     

     

    2,084

     

     

     

    2,087

     

     

     

    2,100

     

     

     

    2,100

     

     

     

    2,099

     

    Average occupancy

     

     

    76.0

    %

     

     

    72.5

    %

     

     

    71.0

    %

     

     

    72.0

    %

     

     

    70.4

    %

    Quarter end occupancy

     

     

    78.4

    %

     

     

    75.5

    %

     

     

    72.1

    %

     

     

    72.7

    %

     

     

    72.9

    %

    RevPAR (3)

     

    $

    2,801

     

     

    $

    2,560

     

     

    $

    2,443

     

     

    $

    2,349

     

     

    $

    2,354

     

    RevPOR (4)

     

    $

    3,604

     

     

    $

    3,492

     

     

    $

    3,444

     

     

    $

    3,192

     

     

    $

    3,270

     

     

     

     

     

     

     

     

     

     

     

     

    Managed Senior Living Communities (1)(5):

     

     

     

     

     

     

     

     

     

     

    Number of communities (end of period)

     

     

    120

     

     

     

    120

     

     

     

    120

     

     

     

    120

     

     

     

    120

     

    Number of living units (end of period) (2)

     

     

    17,889

     

     

     

    17,886

     

     

     

    17,899

     

     

     

    17,899

     

     

     

    17,899

     

    Average occupancy

     

     

    75.3

    %

     

     

    74.1

    %

     

     

    74.1

    %

     

     

    74.1

    %

     

     

    73.4

    %

    Quarter end occupancy

     

     

    77.0

    %

     

     

    75.4

    %

     

     

    74.6

    %

     

     

    75.2

    %

     

     

    74.6

    %

    RevPAR (3)

     

    $

    3,200

     

     

    $

    3,077

     

     

    $

    3,027

     

     

    $

    2,900

     

     

    $

    2,941

     

    RevPOR (4)

     

    $

    4,158

     

     

    $

    4,109

     

     

    $

    4,084

     

     

    $

    3,831

     

     

    $

    3,922

     

    ___________________________

    (1)

     

    Includes data for Five Star senior living communities that ALR has continuously owned or managed since July 1, 2021. The summary of operations for comparable communities excludes 59 SNF living units that have been closed in one former CCRC that Five Star presently manages as an assisted living community.

    (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 ALR as resident fee revenues for the corresponding portfolio for the period divided by the average number of available units for the corresponding portfolio for the period, divided by the number of months in the period. Data for the three months ended September 30, 2022, June 30, 2022, March 31, 2022, December 31, 2021 and September 30, 2021 exclude income received by senior living communities under the CARES Act and other government grants.

    (4)

     

    RevPOR is defined by ALR as resident fee revenues for the corresponding portfolio for the period divided by the average number of occupied units for the corresponding portfolio for the period, divided by the number of months in the period. Data for the three months ended September 30, 2022, June 30, 2022, March 31, 2022, December 31, 2021 and September 30, 2021 exclude income received by senior living communities under the CARES Act and other government grants.

    (5)

     

    Residential segment data for comparable managed senior living communities represents financial data of senior living communities managed for DHC and does not represent financial results of ALR. Managed senior living communities' data is included to provide supplemental information regarding the operating results of the senior living communities from which ALR earns residential management fees.

    AlerisLife Inc.

    Lifestyle Services Segment Data

    (dollars in thousands)

    (unaudited)

     

     

     

    Three Months Ended

     

     

    September 30,

     

    June 30,

     

    March 31,

     

    December 31,

     

    September 30,

     

     

     

    2022

     

     

     

    2022

     

     

     

    2022

     

     

     

    2021

     

     

     

    2021

     

    Lifestyle Services (1):

     

     

     

     

     

     

     

     

     

     

    Revenues

     

    $

    14,546

     

     

    $

    14,645

     

     

    $

    14,139

     

     

    $

    15,626

     

     

    $

    15,382

     

    Outpatient

     

     

    11,837

     

     

     

    11,753

     

     

     

    11,165

     

     

     

    12,848

     

     

     

    12,747

     

    Fitness

     

     

    944

     

     

     

    941

     

     

     

    881

     

     

     

    890

     

     

     

    853

     

    Other

     

     

    1,765

     

     

     

    1,951

     

     

     

    2,093

     

     

     

    1,888

     

     

     

    1,782

     

    Operating expenses (2)

     

     

    14,672

     

     

     

    14,438

     

     

     

    13,334

     

     

     

    14,045

     

     

     

    13,348

     

    Operating (loss) income

     

     

    (126

    )

     

     

    207

     

     

     

    805

     

     

     

    1,581

     

     

     

    2,034

     

    Operating margin (3)

     

     

    (0.9

    )%

     

     

    1.4

    %

     

     

    5.7

    %

     

     

    10.1

    %

     

     

    13.2

    %

    Number of inpatient clinics (end of period)

     

     

    8

     

     

     

    10

     

     

     

    10

     

     

     

    10

     

     

     

    10

     

    Number of outpatient locations (end of period)

     

     

    203

     

     

     

    202

     

     

     

    201

     

     

     

    205

     

     

     

    223

     

    Number of fitness locations (end of period)

     

     

    67

     

     

     

    76

     

     

     

    73

     

     

     

    60

     

     

     

    61

     

    ___________________________

    (1)

     

    Includes Ageility rehabilitation locations and fitness operations as well as home healthcare operations.

    (2)

     

    The three months ended December 31, 2021 and September 30, 2021 includes restructuring expenses of $23 and $(310), respectively.

    (3)

     

    Operating margin is defined as operating revenue less operating expenses divided by operating revenue in each period.

    AlerisLife Inc.

    Comparable Lifestyle Services Segment Data

    (dollars in thousands)

    (unaudited)

     

     

     

    Three Months Ended

     

     

    September 30,

     

    June 30,

     

    March 31,

     

    December 31,

     

    September 30,

     

     

     

    2022

     

     

     

    2022

     

     

     

    2022

     

     

     

    2021

     

     

     

    2021

     

    Lifestyle Services (1)(2):

     

     

     

     

     

     

     

     

     

     

    Revenues

     

    $

    12,183

     

     

    $

    12,057

     

     

    $

    11,533

     

     

    $

    12,892

     

     

    $

    12,823

     

    Outpatient

     

     

    11,091

     

     

     

    10,944

     

     

     

    10,520

     

     

     

    11,825

     

     

     

    11,754

     

    Fitness

     

     

    917

     

     

     

    898

     

     

     

    835

     

     

     

    832

     

     

     

    795

     

    Other

     

     

    175

     

     

     

    215

     

     

     

    178

     

     

     

    235

     

     

     

    274

     

    Operating expenses

     

     

    12,291

     

     

     

    12,095

     

     

     

    11,251

     

     

     

    11,621

     

     

     

    11,563

     

    Operating (loss) income

     

     

    (108

    )

     

     

    (38

    )

     

     

    282

     

     

     

    1,271

     

     

     

    1,260

     

    Operating margin (3)

     

     

    (0.9

    )%

     

     

    (0.3

    )%

     

     

    2.4

    %

     

     

    9.9

    %

     

     

    9.8

    %

    Number of outpatient locations (end of period)

     

     

    185

     

     

     

    185

     

     

     

    185

     

     

     

    185

     

     

     

    185

     

    Number of fitness locations (end of period)

     

     

    62

     

     

     

    73

     

     

     

    73

     

     

     

    51

     

     

     

    57

     

    ___________________________

    (1)

     

    Includes Ageility outpatient rehabilitation locations and fitness operations as well as home healthcare operations that ALR has continuously operated since July 1, 2021.

    (2)

     

    Excludes eight Ageility inpatient rehabilitation clinics.

    (3)

     

    Operating margin is defined as operating revenue less operating expenses divided by operating revenue in each period.

    AlerisLife Inc.

    Owned Senior Living Communities as of and for the Three Months Ended September 30, 2022

    (dollars in thousands)

    (unaudited)

    No.

     

    Community Name

     

    State

     

    Property Type (1)

     

    Living Units

     

    Residential Revenues (4)

     

    Gross Carrying Value

     

    Net Carrying Value

     

    Date Acquired

     

    Most Recent Renovation

    1

     

    Morningside of Decatur (2)

     

    Alabama

     

    AL

     

    49

     

    $

    414

     

    $

    7,805

     

    $

    4,232

     

    11/19/2004

     

    2021

    2

     

    Morningside of Auburn (2)

     

    Alabama

     

    AL

     

    42

     

     

    415

     

     

    2,339

     

     

    1,119

     

    11/19/2004

     

    1997

    3

     

    The Palms of Fort Myers (2)

     

    Florida

     

    IL

     

    218

     

     

    1,965

     

     

    7,452

     

     

    3,912

     

    4/1/2002

     

    1988

    4

     

    Five Star Residences of Banta Pointe (3)

     

    Indiana

     

    AL

     

    121

     

     

    859

     

     

    12,052

     

     

    7,235

     

    9/29/2011

     

    2006

    5

     

    Five Star Residences of Fort Wayne (2)

     

    Indiana

     

    AL

     

    154

     

     

    1,000

     

     

    9,355

     

     

    5,726

     

    9/29/2011

     

    1998

    6

     

    Five Star Residences of Clearwater

     

    Indiana

     

    AL

     

    88

     

     

    400

     

     

    15,259

     

     

    9,780

     

    6/1/2011

     

    1999

    7

     

    Five Star Residences of Lafayette

     

    Indiana

     

    AL

     

    109

     

     

    665

     

     

    12,406

     

     

    7,961

     

    6/1/2011

     

    2000

    8

     

    Five Star Residences of Noblesville (2)

     

    Indiana

     

    AL

     

    151

     

     

    1,232

     

     

    14,005

     

     

    8,588

     

    7/1/2011

     

    2005

    9

     

    The Villa at Riverwood (2)

     

    Missouri

     

    IL

     

    112

     

     

    754

     

     

    5,056

     

     

    3,231

     

    4/1/2002

     

    1986

    10

     

    Voorhees Senior Living (2)

     

    New Jersey

     

    AL

     

    91

     

     

    909

     

     

    20,591

     

     

    13,883

     

    7/1/2008

     

    1999

    11

     

    Washington Township Senior Living

     

    New Jersey

     

    AL

     

    93

     

     

    994

     

     

    26,586

     

     

    17,178

     

    7/1/2008

     

    1998

    12

     

    Carriage House Senior Living (2)

     

    North Carolina

     

    AL

     

    98

     

     

    1,075

     

     

    10,065

     

     

    5,319

     

    12/1/2008

     

    1997

    13

     

    Forest Heights Senior Living (2)

     

    North Carolina

     

    AL

     

    111

     

     

    875

     

     

    16,328

     

     

    10,457

     

    12/1/2008

     

    1998

    14

     

    Fox Hollow Senior Living (2)

     

    North Carolina

     

    AL

     

    74

     

     

    1,253

     

     

    26,639

     

     

    17,816

     

    7/1/2000

     

    1999

    15

     

    Legacy Heights Senior Living (2)

     

    North Carolina

     

    AL

     

    116

     

     

    895

     

     

    7,845

     

     

    3,641

     

    12/1/2008

     

    1997

    16

     

    Morningside at Irving Park (2)

     

    North Carolina

     

    AL

     

    91

     

     

    869

     

     

    3,848

     

     

    1,565

     

    11/19/2004

     

    1997

    17

     

    The Devon Senior Living

     

    Pennsylvania

     

    AL

     

    84

     

     

    566

     

     

    33,437

     

     

    14,686

     

    7/1/2008

     

    1985

    18

     

    The Legacy of Anderson (2)

     

    South Carolina

     

    IL

     

    101

     

     

    662

     

     

    11,840

     

     

    6,994

     

    12/1/2008

     

    2003

    19

     

    Morningside of Springfield (2)

     

    Tennessee

     

    AL

     

    54

     

     

    565

     

     

    19,114

     

     

    11,633

     

    11/19/2004

     

    1984

    20

     

    Huntington Place

     

    Wisconsin

     

    AL

     

    127

     

     

    1,152

     

     

    2,499

     

     

    1,502

     

    7/15/2010

     

    1999

     

     

    Total

     

     

     

     

     

    2,084

     

    $

    17,519

     

    $

    264,521

     

    $

    156,458

     

     

     

     

    ___________________________

    (1)

     

    AL is primarily an assisted living community and IL is primarily an independent living community.

    (2)

     

    Encumbered property under ALR's $95,000 Loan.

    (3)

     

    Encumbered property under ALR's mortgage note having an aggregate principal amount outstanding of $6,659 as of September 30, 2022.

    (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 ALR uses words such as "believe", "expect", "anticipate", "intend", "plan", "estimate", "will", "may" and negatives or derivatives of these or similar expressions, ALR is making forward-looking statements. These forward-looking statements are based upon ALR'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 ALR's forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors, some of which are beyond ALR's control. For example:

    • This press release includes statements regarding the comprehensive operational review performed by A&M and the restructuring plan ALR has implemented as a result and has begun to execute. In addition, Mr. Leer notes the recent additions of ALR's Chief Financial Officer and Chief Operating Officer. ALR may not be able to successfully execute the restructuring plan on the timing it expects or at all, the costs to implement the restructuring plan may be more than it expects and it may not realize the benefits it anticipates from the restructuring plan.
    • Mr. Leer refers to the steady progress ALR has made in implementing its plan to improve its operating results and drive efficiencies in its organization throughout the third quarter of 2022, noting improvements in occupancy in both ALR's owned and managed senior living communities. However, this progress may not continue and its operating results may not improve and occupancy could decline as a result of current economic conditions, including inflation, high interest rates, geopolitical risks and possible economic recession.
    • Mr. Leer states that ALR ended the quarter with sufficient liquidity to execute on the restructuring plan and that it has no debt maturities until 2025. However, the costs to implement the restructuring plan may be more than it anticipates, it may not generate sufficient cash flow from its operations, and its current liquidity may prove to be insufficient.

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

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

    Except as required by law, ALR 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/20221102005873/en/

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      2/22/23 4:25:24 PM ET
      $ALR
      Hospital/Nursing Management
      Health Care
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      2/3/23 8:16:03 AM ET
      $ALR
      Hospital/Nursing Management
      Health Care