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Occupancy Better Than Feared--
But Several Private Companies Are At Record High Census

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The month of April was a record for seniors housing company stock prices, with gains ranging from 38% for Emeritus Corporation (NYSE: ESC) to 104% for Brookdale Senior Living (NYSE: BKD) all the way to 275% for Sunrise Senior Living (NYSE: SRZ). For several of them, the bull market continued in May with Emeritus soaring by another 59%, Five Star Quality Care (NYSE: FVE) by 25% and Brookdale adding another 12%. One would have thought occupancy, revenue per unit and cash flow were soaring. Well, two out of three isn’t bad, is it?

Investors today seem to have the mentality that "it could have been worse," or "it was much better than we feared, given the economy," which is fine. As we have stated for several months (is anyone listening?), the broad seniors housing industry was never in the desperate straits that the March lows in stock prices would have suggested. The financial and auto industries, yes, but the seniors housing industry? No. So when the sector reported its first quarter earnings in early May, we assume there was a big sigh of relief as opposed to a great round of applause. All things considered, it was not too bad a quarter.

All companies reported lower occupancy rates compared with the first quarter of 2008, but the range was a decline of 310 basis points for Five Star (its seniors housing facilities) to just 20 basis points for Emeritus. On a sequential basis, Emeritus appears to be the only company with an improvement, with average occupancy increasing by 10 basis points from last year’s fourth quarter. Even better, ESC’s occupancy rate increased by 30 basis points to 87.8% from December 31, 2008 to March 31, 2009. This leads us to believe that the industry may be bottoming out from an occupancy perspective. Excluding Assisted Living Concepts (NYSE: ALC), which has intentionally been lowering its Medicaid census, the average occupancy rate for the remaining five companies in the first quarter was 87.3%. While lower than what management would like it to be, no one is going to go out of business with an 87.3% occupancy rate, and with so little new construction, at some point the units will start to fill up with residents who delayed their moves.

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The other good news is that even though average occupancy rates were declining year-over-year, the companies were able to increase revenue per unit by 3% to 5% over the past year. This has allowed them to keep cash flow stable or growing, and that is an accomplishment in this environment for anyone with a heavy real estate component to their business. Hotels, hospitals, developers, office buildings, retail —you name it—they are not performing as well as seniors housing. One of the few sectors that may be outperforming seniors housing is skilled nursing (see page 1), but investors are worried about the future of government reimbursement programs.

As we know, the publicly traded companies, despite the large size of some of them, really represent a small proportion of the industry. We dropped in at the annual ALFA meeting in Philadelphia last month and had the opportunity to chat with the owners of some privately held companies. You may remember our story in November last year about Legend Senior Living opening a 66-unit assisted living and memory care facility last August in Oklahoma City and reaching 100% occupancy in two weeks. Well, they did it again, opening another 66-unit facility in Oklahoma City, and it was at 40% occupancy the first week and they expect it to take a little longer to reach stabilized occupancy, perhaps 10 to 12 weeks instead of two for the other property. We are talking weeks here, not years. While we could say that the marketing staff is slipping up a bit, the reality is that this is either an outstanding example of marketing or of site selection, but probably both. The company has four additional properties under development or construction in Florida (you know, the state where the housing market is so strong), and the first one scheduled to open in early September is already 30% pre-leased and may reach 40% to 50% by opening day. The point is that providers do not have to settle for 87% occupancy and 18-month fill-ups if they can do their homework. And by the way, company-wide occupancy at Legend Senior Living, with facilities in four states and nearly 1,000 units, was at 99.5% at the beginning of May.

Or take California-based Chancellor Health Care, which is smaller with two assisted living facilities, one skilled nursing facility and one independent living community in California, plus a skilled nursing facility in Colorado. The CEO, Michel Augsburger, was at the ALFA conference and he informed us that his overall occupancy rate was at 97%, representing an all-time high, and he has been in business for quite a while. Or Steve Vick, CEO of Signature Senior Living, who keeps building assisted living facilities in Texas and filling them up, competing head-on with some of the publicly traded companies, and beating them. We are sure there are more, but it seems that the flexibility of being small has helped both in terms of marketing and staffing. They seem to know their local markets better than a company with 200 properties can, and can change their approach to that market very quickly if something is not working. This is certainly nothing new, but they are facing the same economic environment, the same housing market, the same lost savings and income suffered by the elderly that other providers are facing, yet they seem to be doing things that others are not able to do. This is one of the reasons why we have repeatedly said that the seniors housing industry is not in as bad shape as the investors in the publicly traded companies think it is. That said, not all private companies are performing as well as the three mentioned above, and perhaps it was sheer coincidence that the three CEOs we spoke with were doing so well. However, we still believe it has a lot to do with focus and flexibility and not having to turn an aircraft carrier on a dime. But remember, when those aircraft carriers turn, they can pack a powerful punch.

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