Q3 2022 Diversified Healthcare Trust Earnings Call

Good morning, and welcome to the diversified Health Care Trust third quarter 2022 conference call.

All participants will be in listen only mode should you need assistance. Please signal a conference specialist by pressing the star key followed by zero.

After today's presentation there'll be an opportunity to ask questions to ask a question you May Press Star then one on your telephone keypad to withdraw your question. Please press Star then two.

Please note this event is being recorded.

I would now like to turn the conference over to Michael Codec Director of Investor Relations. Please go ahead.

Good morning, and welcome to diversified healthcare Trust call covering the third quarter 2020 to resolve.

Joining me on today's call are Jennifer Francis President and Chief Executive Officer, and Rick Sydell, Chief Financial Officer and Treasurer.

Today's call includes a presentation by management, followed by a question and answer session I would like to note that the transcription recording and retransmission of today's conference call are strictly prohibited without the prior written consent of diversified health care Trust for DHT.

Today's conference call contains forward looking statements within the meaning of the private Securities Litigation Reform Act of 1095 and other securities laws.

These forward looking statements are based upon the Acs present beliefs and expectations as of today Thursday November three 2022.

Company undertakes no obligation to revise or publicly release the results of any revision to the forward looking statements made in today's conference call other than through filings with the Securities and Exchange Commission or SEC.

In addition, this call may contain non-GAAP numbers, including normalized funds from operation or normalized <unk>.

EBITDA net operating income or NOI and cash basis, net operating income or cash basis NOI.

Reconciliations of net income or loss attributable to common shareholders to these non-GAAP figures and the components to calculate <unk> CAD or fad are available in our supplemental operating and financial data package found on our website at www Dot <unk> Dot com.

Actual results may differ materially from those projected in any forward looking statements additional.

Additional information concerning factors that could cause those differences is contained in our filings with the SEC.

You are cautioned not to place undue reliance upon any forward looking statements now I'd like to turn the call over to Jennifer.

Thank you Michael and good morning, Thank you for joining us on today's third quarter conference call.

I'd like to begin the call by reviewing this quarter's highlights.

Same property cash basis NOI in our office portfolio segment increased four 7% year over year, and one 2% compared to the second quarter.

It was a challenging quarter in terms of shop segment expenses on which we'll provide more details shortly our operators drove a meaningful improvement in shop occupancy compared to the second quarter with an increase of 110 basis points for the total portfolio, representing our sixth consecutive quarter of occupancy growth.

And we ended the quarter with over $800 million of cash and limited near term debt maturities, providing us the liquidity necessary to continue with our plan to invest in our shop segment communities to drive this portfolio towards stabilization.

Starting with our office portfolio segment, the four 7% year over year same property cash basis, NOI growth is indicative of the strength and quality of our medical office and life science asset and the leasing results we continue to achieve.

Leasing velocity in the third quarter remained generally in line with our three year quarterly average as we executed over 220000 square feet of new and renewal leases with average roll up in rents of two 4% and a weighted average lease term of five eight years.

Today, our weighted average lease term for the entire office portfolio segment is approximately five eight years.

Only one tenant represents more than 3% of annualized revenue in this segment.

Aurora Health care represents approximately seven 7% of the office portfolio segments annualized revenue and has a remaining lease term of over nine years.

From an operating expense perspective over 90% of our portfolio of medical office and life science assets have expense recovery structures in place where the tenants are responsible for increases in expenses, either fully or over a base year largely sheltering. This segment's results from the current inflationary environment.

We believe our combination of strong assets with high utilization rates favorable lease structures and tenant diversification is critically important in the current macroeconomic environment.

While same property occupancy decreased slightly during the third quarter to 92% there was no significant vacancies driving this result.

Our leasing pipeline now contains over one 2 million square feet of potential leasing over 40% more than our Q2 pipeline potential.

Potential transactions with new or expanding tenants account for 67% of this pipeline.

The majority of which we expect would result in roll ups to prior rents should we get these deals over the finish line.

We're making progress on our redevelopment projects in our office portfolio segment, and we will continue to evaluate opportunities across our portfolio, where redevelopment will generate a significant uplift in asset value, while providing strong returns.

Turning to senior living.

Nationally senior living is recovering from the devastating effects of the pandemic on our industry as occupancy occupancy continues to improve.

Fundamentally supply and demand trends are supporting this recovery.

The number of senior living units under construction is at its lowest level since 2015 with inventory growth moderating to just one 4% year over year.

From a demand perspective, we expect the environment to continue to grow more favorable.

Based on available census data the 80, plus demographic is projected to increase in average of three 7% per year over the next two years compared to the 2% compounded annual growth rate over the last five years.

This accelerated growth in the target demographic should continue to provide recovery tailwind, while new supply remains modest.

Within our portfolio, we benefited from this recovery as occupancy increased at its fastest pace in over a decade.

With our same property portfolio average occupancy increased 120 basis points from the second quarter to 75, 3%.

We've seen steady improvement following the changes made at <unk> life, which include considerable investment within their sales and marketing functions in the implemented implementation of a community incentive program that rewards teams for occupancy growth and expense containment.

For the 170 community not 107 community non same property portfolio average occupancy increased approximately 80 basis points from the second quarter and this portfolio is now up 660 basis points from the prior year.

While the operators of our shop segment, we were able to grow average occupancy by 110 basis points from the last quarter. While also growing revenue nine 7% year over year. These strong gains were negated this quarter by elevated costs.

First third.

Third quarter shop results were adversely impacted by Hurricane Ian.

The majority of our communities in the southeast region were largely unaffected by the Hurricane we had $1 380 unit community in Fort Myers, Florida that sustained significant damage.

This community is out of service while building repairs are underway and we expect to reopen the community in phases, starting at the end of this month.

More than half of the residents previously living in this community temporarily.

Moves to nearby DHT owned communities and we expect demand to be sizable for the community wants to be pairs are complete.

Expenses during the third quarter were also elevated due to inflationary pressures, primarily affecting food costs utilities and labor.

Access to labor and wage inflation have been and will continue to be the biggest challenges facing the senior living industry.

We saw increases in agency staffing expense this quarter as our operators work to meet the increased care demands that came with the portfolio's occupancy growth.

Overall, our operators continue to push to stabilize their workforces by improving their recruiting and retention strategies.

As a result, we've seen decreases in turnover the average time to fill positions and the number of open positions across our portfolio compared to the second quarter.

As we continue to grow occupancy, we expect to hit certain occupancy thresholds, where operators will see improved labor efficiency efficiencies in their staffing levels.

Even with those efficiencies, we expect increases in wages and benefits to continue to challenge our ability to return margins to pre pandemic level.

I'll now turn the call over to Rick to provide details on our financial results.

Thanks, Jennifer and good morning, everyone.

For the third quarter, we reported normalized <unk> of negative <unk> <unk> per share.

Adjusted EBITDA in the third quarter was $35 8 million.

Our consolidated.

Cash basis, NOI decreased approximately $13 2 million from the second quarter with $12 $2 million of that decrease coming from a shop segment, which included a $7 $5 million decrease in the same property shop communities and a $4 $7 million decrease in our non same property portfolio.

The decrease in our same property portfolio was attributable to a variety of factors that I would classify broadly into three categories.

The first is the increased expenses related to inflationary pressures and included higher rates for things like labor utilities and food.

These expenses accounted for $5 million of the NOI decrease and should be recaptured through higher rates charged to residents in the future.

The second category of expenses approximately $5 $2 million is a result of the current lease up strategy and includes costs for marketing training sales incentives and apartment turns.

The final category that impacted our same property shop communities was the $3 8 million of costs related to Hurricane Irma.

These three categories of expense increases were partially offset by same property revenue, increasing $6 $5 million as a result of higher occupancy and rate.

Our non same property shop, NOI decrease was largely attributable to just five communities with a high percentage of skilled nursing units.

Consistent with industry trends for the skilled space. These communities recognize substantially higher costs during the quarter primarily related to agency staffing.

Our operators are very focused on this and have plans in place to reduce the use of agency labor in our community.

Okay.

Interest expense of $46 $9 million represented a decrease of approximately $9 million from the second quarter. Following the $500 million redemption of nine and three quarter percent senior notes in June .

This redemption reduces our annual interest expense by approximately $49 million.

In July we prepaid a mortgage note due to mature in October on two senior living communities for approximately $15 million.

At quarter end, we had total outstanding debt of $3 1 billion.

And net debt of $2 $3 billion was equal to just 29% of gross assets.

Aside from the $114 million partial repayment of the revolver scheduled for January of 2023.

We have no significant maturities until 2024, and we have almost $5 8 billion of unencumbered gross real estate assets.

At quarter end, we had over $800 million of cash and restricted cash on hand, which we plan to use for capital investments and debt repayment.

In the third quarter, we spent $70 million on capital expenditures across our portfolio, which included approximately $52 9 million of capital improvements within the shop segment and $16 9 million of capital was deployed in the office portfolio.

During the first three quarters, we spent approximately $195 million on capital improvements across the portfolio.

Based on projects previously underway and starting in the fourth quarter, we anticipate spending approximately $115 million for the remainder of the year.

As we've discussed previously investing our portfolio is a priority for us and we continue to develop plans to improve our properties in order to grow occupancy push rental rates and enhance the overall value of our portfolio.

That concludes our prepared remarks, operator, please open up the line for questions.

We will now begin the question and answer session.

To ask a question you May press Star then one on your telephone keypad. If you were using a speaker phone. Please pick up your handset before pressing the keys to withdraw your question. Please press Star then two at this time, we will pause momentarily to assemble our roster.

Our first question is from Brian <unk> with B Riley Securities. Please go ahead.

Good morning, Jennifer and Rick and thank you for all those comments thus far.

A few from me on the Hurricane Ian can you drill down a little bit more on the actual damage to the property and I think you said you're going to start reopening in phases. Later this month, but how long will it take to fully reopen the property.

Good morning, Brian Thanks for the question.

The damage was fairly extensive I mean, there was a sizable.

Serge and as a result, our first floor was flooded. It's also the IL portion of that building is a tower that sustained some damage. We had some rooftop units that are not on top of the roof anymore.

So there is a sizable amount of work to do.

We think the.

Hey, Al building can be reopened by the end of the month and we're tracking that way the IL building will take us a little bit more time, probably.

Best guess is probably middle of 2023.

But the positive and this is there's probably an opportunity to move it up market a little bit.

It's a good building in a good market but.

We're going to we're going to be smart about the capital that gets put back into the building as we as we restore it.

And I'm sure that there were no.

Injuries or issues in that regard like you were able to move people out well in advance of the hurricane hitting.

Yes, absolutely the team.

As expert evacuating win when they need to so.

Yes.

Everyone is safe and sound, it's really just loss of some property.

And it'll get restored it's nothing that can't be restored it's pretty amazing to see how the team rallies.

To make sure the residents from are cared for in these situations.

Got it and as it relates to insurance proceeds or deductibles can you give us a little color on what Youre seeing I know, it's still early innings.

Yes. So the deductible is largely accounted for already so I think a lot of the future spend will be.

The capital that we that we used to restore the building so.

It probably won't have much of a P&L impact on a go forward basis, they are still working through it.

Exactly what needs to be done there so that we still don't have.

Complete idea of the costs associated with the.

Getting the building back online.

Got it good to hear from you Jennifer Thank you good morning.

So maybe shifting gears to shop expenses, and I think the EU I couldn't write fast and I've talked about the skilled nursing facility.

Yes.

Being the lion's share of that but you know what.

What type of plans internally are you developing to get this under control such that you know we're not talking about this.

Two or four quarters from now I mean, how di or is it how addressable is it and maybe steps youre taking at the present.

Well I think as Rick said Bryan.

There were three categories of expense.

<unk> expenses that were pretty high this quarter.

Yeah.

For skilled nursing the challenge of course is as they that skilled nursing and assisted.

Assisted living and I think it's been clear that the industry is recovering the needs base is recovering more quickly than choice based.

Senior living.

As they grow occupancy they need to bring on.

Folks to care for the residents and so while we are pushing our operators to grow occupancy if they can't bring staffing on quickly enough to.

Care for those folks they need to bring agency on.

They are on the skilled nursing operators they are very focused on.

Bringing regular employees and so they don't have to tap into to agency.

But it's going to be a continuing challenge I think they're doing a good job. This quarter. They were hit particularly hard with the agency, but where we're hoping with everything they're doing to attract employees that that this will subside in quarters to come.

Got it maybe shifting gears a little bit too.

How you are balancing.

You're spending which is significant on Capex I know you have over $800 million cash but.

When you look from the outside in and you see sizable capex spending the purchase of the Fremont property near San Francisco and in August I believe it was.

Versus liquidity needs of maturities debt down the road.

Youre not spending like your stressed REIT and yet your shares are trading that way what comfort would you give to investors, who maybe are little perplex by what they're seeing.

Yeah.

Extremely focused on growing EBITDA and.

We've said a number of times that we've talked about it before Brian that getting EBITDA to grow. This company really has an EBITDA issue and so our plan to grow EBITDA is to invest capital capital is not the Golden ticket. So it can't be just capital the operators need to do everything they can to turn their.

<unk> around and we think they all have very good plans in place to do that but.

But without the investment in the communities they will have a hard time recovering so.

This month was an anomaly and anomaly inexpensive we expect that we will continue to be able to push occupancy.

But we have to invest in the communities in order to do that.

A question, we get a lot is.

Are the shop communities.

And Mitch during or in bad locations or.

There is an issue with them relative to new supply can you talk a little bit about that.

Facilities <unk>, you've owned them for a while.

In general has the communities around them grown positively.

And for those that maybe having you know the market's grown away from that particular facility are those the ones that you sold over the last couple of years. If you can kind of help us think through that that would be great. Yes. That's a good question, Brian and you hit on it towards the end of your question, we really did cull this portfolio of community.

These that we did not think would be successful moving forward and so the portfolio that we're left with is a good portfolio.

We started 2020 with a plan to spend a lot of money in capital in 2020, one and the pandemic delayed that so we I think we started a little bit behind the eight ball in that we we were delayed in the deployment of capital I think this portfolio's occupancy.

<unk> would be higher now.

If we had been able to deploy that capital in 2020 one as planned so.

So now were deploying it.

<unk> delayed by a couple of years.

We feel very good about the ability for this portfolio to recover.

Okay, and then just maybe two more quick ones for me maybe for Rick the Covenant.

Issue and the Incurrence test you know I know you guys don't have a crystal ball on how quickly shop occupancy recovers and expenses decline and EBITDA grows.

Whats kind of your best guess that you hit the thresholds such that you can be back in the market you know refinancing debt.

It's a good question, Brian and I agree I mean, it's really been hard to forecast when the shop portfolio will really turnaround. We are really pleased with some of the progress. We've seen we are making progress on occupancy for example, we would like to see a little bit more of a shift this quarter. We added a lot of residents on the assisted.

Living memory care side and not as many on the independent living side, which is typically higher margin. So there.

There is definitely still some work to do we need to move occupancy is up.

We do think some of the inflationary costs will persist.

We're going to have to push higher rates to offset that.

The timing of all that is still up in the air we've had some of the new operators transition to January 1st increases versus anniversary date. So we do think there is.

Some some tailwind come Q1, because we will be pushing rates probably in that 10% ish range.

Possibly higher if inflation continues so budgets are being worked through right now.

Overall, I'd say all of the operators across the board really believe there is a lot of opportunity.

It's hard to tell you when that incurrence test will turnaround exactly because theres a couple of moving pieces there.

You got to remember that it is done on a pro forma basis, and we don't have a particular refinancing deal in front of US right now in order to do the math, but if we focus on increasing the EBITDA.

It'll it'll happen sooner rather than later.

Great just one last quick one on the cash C&I money cash I know that.

A lot of it is kind of earmarked.

Over the next year and some is being held as cushion, but I'm assuming that you guys are starting to collect some pretty sizable interest income off that with money markets now kind of in the two and a half to three 5% range.

Shouldn't we start to see that on the income statement and that partially starts to buffer your otherwise.

Not insignificant interest expense.

Yes, absolutely and you see this quarter we had.

Little it's about $4 1 million of interest and other income on the P&L.

So, yes, youre right I mean that is pretty substantial.

Will likely increase as rates keep going up but it is offset by that.

Amounts outstanding on our revolver so.

I wouldn't again.

The balance sheet is what it is and we're moving forward and we've got $5 8 billion of unencumbered gross assets.

That are available. So we still think we've got the flexibility we need.

We are entirely focused on growing EBITDA right now.

To get it back to where it needs to be.

Alright. Thank you that's all from me.

Thank you Brian .

Again, if you have a question. Please press Star then one please standby as we poll for questions.

This concludes our question and answer session I would like to turn the conference back over to Jennifer Francis for any closing remarks.

Thank you operator, we're working hard to maximize the value of our assets through capital investment redevelopment and continued execution with leasing and occupancy growth.

With a sizable amount of cash and few debt maturities until 2024, we believe we have both the time and flexibility to capitalize on favorable healthcare industry fundamentals and to continue investing in the recovery of our shop segment.

Finally, we look forward to seeing many of you at NAREIT in San Francisco. This month, operator that concludes our call.

Conference has now concluded. Thank you for attending today's presentation you may now disconnect.

Okay.

Okay.

[music].

Q3 2022 Diversified Healthcare Trust Earnings Call

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Diversified Healthcare Trust

Earnings

Q3 2022 Diversified Healthcare Trust Earnings Call

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Thursday, November 3rd, 2022 at 2:00 PM

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