Wdesk | Document
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Table of Contents

 
 
 
 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_____________________________
FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
For the quarterly period ended September 30, 2019.
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
For the transition period from                      to                     .
Commission file number: 001-33757
__________________________
THE ENSIGN GROUP, INC.

(Exact Name of Registrant as Specified in Its Charter)
Delaware
33-0861263
(State or Other Jurisdiction of
(I.R.S. Employer
Incorporation or Organization)
Identification No.)

29222 Rancho Viejo Road, Suite 127
San Juan Capistrano, CA 92675
(Address of Principal Executive Offices and Zip Code)
(949487-9500
(Registrant’s Telephone Number, Including Area Code)
_____________________________

Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, par value $0.001 per share
ENSG
Nasdaq Global Select Market
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No
Indicate by check mark whether the registrant has submitted electronically, every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act:
Large accelerated filer
Accelerated filer
Non-accelerated filer
Smaller reporting company
Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by a check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No
As of October 28, 2019, 53,353,205 shares of the registrant’s common stock were outstanding.



THE ENSIGN GROUP, INC.
QUARTERLY REPORT ON FORM 10-Q
FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2019
TABLE OF CONTENTS
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 



PART I.

Item 1.        Financial Statements

THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except par values)
(Unaudited)
 
September 30, 2019
 
December 31, 2018
Assets
 

 
Current assets:
 

 
Cash and cash equivalents
$
44,396


$
31,083

Accounts receivable—less allowance for doubtful accounts of $3,707 and $2,886 at September 30, 2019 and December 31, 2018, respectively
308,093


276,099

Investments—current
13,026


8,682

Prepaid income taxes
2,536


6,219

Prepaid expenses and other current assets
25,150


24,130

Assets held for sale - current

 
1,859

Total current assets
393,201


348,072

Property and equipment, net
708,224


618,874

Right-of-use assets (Note 17)
1,062,219

 

Insurance subsidiary deposits and investments
34,561


36,168

Escrow deposits
50


7,271

Deferred tax assets
8,105


11,650

Restricted and other assets (Note 12)
17,351


20,844

Intangible assets, net (Note 10)
3,541


31,000

Goodwill
96,199


80,477

Other indefinite-lived intangibles
36,098


27,602

Total assets
$
2,359,549


$
1,181,958

Liabilities and equity
 

 
Current liabilities:
 

 
Accounts payable
$
40,019


$
44,236

Accrued wages and related liabilities
132,659


119,656

Lease liabilities—current (Note 17)
60,817

 

Accrued self-insurance liabilities—current
26,707


25,446

Other accrued liabilities
84,250

 
69,784

Current maturities of long-term debt
10,177


10,105

Total current liabilities
354,629


269,227

Long-term debt—less current maturities
265,692


233,135

Long-term lease liabilities—less current portion (Note 17)
974,496

 

Accrued self-insurance liabilities—less current portion
58,958


54,605

Other long-term liabilities
3,968


11,234

Deferred gain related to sale-leaseback (Note 17)


11,417

Total liabilities
1,657,743

 
579,618

 
 
 
 
Commitments and contingencies (Notes 15, 17 and 18)

 

Equity:
 
 
 
Ensign Group, Inc. stockholders' equity:
 
 
 
Common stock; $0.001 par value; 100,000 shares authorized; 56,017 and 53,367 shares issued and outstanding at September 30, 2019, respectively, and 55,089 and 52,584 shares issued and outstanding at December 31, 2018, respectively
55

 
55

Additional paid-in capital
303,680

 
284,384

Retained earnings
426,414

 
344,901

Common stock in treasury, at cost, 2,046 and 1,932 shares at September 30, 2019 and December 31, 2018, respectively (Note 19)
(43,890
)
 
(38,405
)
Total Ensign Group, Inc. stockholders' equity
686,259

 
590,935

Non-controlling interest
15,547

 
11,405

Total equity
701,806


602,340

Total liabilities and equity
$
2,359,549

 
$
1,181,958

See accompanying notes to condensed consolidated financial statements.

1

Table of Contents

THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(In thousands, except per share data)
(Unaudited)

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2019

2018

2019

2018
 
 
 
 
 
 
 
 
Revenue
$
600,507

 
$
514,364

 
$
1,725,372

 
$
1,502,884

Expense







Cost of services
477,805


413,723


1,364,807


1,200,098

Return of unclaimed class action settlement (Note 18)






(1,664
)
Rent—cost of services (Note 17)
37,728


34,851


110,574


103,173

General and administrative expense
31,710


24,601


95,295


72,091

Depreciation and amortization
14,319


11,902


40,101


35,145

Total expenses
561,562


485,077


1,610,777


1,408,843

Income from operations
38,945


29,287


114,595


94,041

Other income (expense):







Interest expense
(3,900
)

(3,989
)

(11,513
)

(11,471
)
Interest income
736


467


1,883


1,477

Other expense, net
(3,164
)

(3,522
)

(9,630
)

(9,994
)
Income before provision for income taxes
35,781


25,765


104,965


84,047

Provision for income taxes
7,953


5,415


20,605


18,078

Net income
27,828


20,350


84,360


65,969

Less: net income/(loss) attributable to noncontrolling interests
669


(511
)

1,220


(35
)
Net income attributable to The Ensign Group, Inc.
$
27,159


$
20,861


$
83,140


$
66,004

Net income per share attributable to The Ensign Group, Inc.:
 
 

 
 
 
 
Basic
$
0.50


$
0.40


$
1.55


$
1.27

Diluted
$
0.48


$
0.38


$
1.48


$
1.22

Weighted average common shares outstanding:
 
 
 
 
 
 
 
Basic
53,941


52,139


53,470


51,870

Diluted
56,364


54,632


56,054


54,176

See accompanying notes to condensed consolidated financial statements.

2

Table of Contents

THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(In thousands)
(Unaudited)
 
Common Stock
 
Additional Paid-In Capital
 
Retained Earnings
 
Treasury Stock
 
Non-Controlling Interest
 
 
 
Shares
 
Amount
 
 
 
Shares
 
Amount
 
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(In thousands)
Balance - January 1, 2019
52,584

 
$
55

 
$
284,384

 
$
344,901

 
1,932

 
$
(38,405
)
 
$
11,405

 
$
602,340

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
371

 

 
5,616

 

 

 

 

 
5,616

Dividends declared ($0.0475 per share)

 

 

 
(2,543
)
 

 

 

 
(2,543
)
Employee stock award compensation

 

 
2,612

 

 

 

 

 
2,612

Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(317
)
 

 

 
658

 
341

Cumulative effect of accounting change, net of tax

 

 

 
9,030

 

 

 

 
9,030

Net income attributable to noncontrolling interest

 

 

 

 

 

 
235

 
235

Net income attributable to the Ensign Group, Inc.

 

 

 
27,372

 

 

 

 
27,372

Balance - March 31, 2019
52,955

 
$
55

 
$
292,612

 
$
378,443

 
1,932

 
$
(38,405
)
 
$
12,298

 
$
645,003

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
326

 

 
3,213

 

 

 

 

 
3,213

Shares of common stock used to satisfy tax withholding obligations
(9
)
 

 

 

 
9

 
(485
)
 

 
(485
)
Dividends declared ($0.0475 per share)

 

 

 
(2,559
)
 

 

 

 
(2,559
)
Employee stock award compensation

 

 
3,066

 

 

 

 

 
3,066

Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(2,497
)
 

 

 
2,733

 
236

Distribution to noncontrolling interest holder

 

 

 

 

 

 
(92
)
 
(92
)
Net income attributable to noncontrolling interest

 

 

 

 

 

 
316

 
316

Net income attributable to the Ensign Group, Inc.

 

 

 
28,609

 

 

 

 
28,609

Balance - June 30, 2019
53,272

 
$
55

 
$
298,891

 
$
401,996

 
1,941

 
$
(38,890
)
 
$
15,255

 
$
677,307

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
200

 

 
1,828

 

 

 

 

 
1,828

Repurchase of common stock (Note 19)
(105
)
 

 

 

 
105

 
(5,000
)
 

 
(5,000
)
Dividends declared ($0.0475 per share)

 

 

 
(2,564
)
 

 

 

 
(2,564
)
Employee stock award compensation

 

 
2,961

 

 

 

 

 
2,961

Repurchase of common stock attributable to subsidiary equity plan (Note 16)

 

 

 

 

 

 
(394
)
 
(394
)
Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(177
)
 

 

 
194

 
17

Distribution to noncontrolling interest holder

 

 

 

 

 

 
(177
)
 
(177
)
Net income attributable to noncontrolling interest

 

 

 

 

 

 
669

 
669

Net income attributable to the Ensign Group, Inc.

 

 

 
27,159

 

 

 

 
27,159

Balance - September 30, 2019
53,367

 
$
55

 
$
303,680

 
$
426,414

 
2,046

 
$
(43,890
)
 
$
15,547

 
$
701,806

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

3

Table of Contents

 
Common Stock
 
Additional Paid-In Capital
 
Retained Earnings
 
Treasury Stock
 
Non-Controlling Interest
 
 
 
Shares
 
Amount
 
 
 
Shares
 
Amount
 
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(In thousands)
Balance - January 1, 2018
51,360

 
$
53

 
$
266,058

 
$
264,691

 
1,932

 
$
(38,405
)
 
$
7,662

 
$
500,059

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
404

 
1

 
2,919

 

 

 

 

 
2,920

Dividends declared ($0.0450 per share)

 

 

 
(2,346
)
 

 

 

 
(2,346
)
Employee stock award compensation

 

 
1,971

 

 

 

 

 
1,971

Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(79
)
 

 

 
417

 
338

Distribution to noncontrolling interest holder

 

 

 

 

 

 
(292
)
 
(292
)
Net income attributable to noncontrolling interest

 

 

 

 

 

 
161

 
161

Net income attributable to the Ensign Group, Inc.

 

 

 
23,132

 

 

 

 
23,132

Balance - March 31, 2018
51,764

 
$
54

 
$
270,948

 
$
285,398

 
1,932

 
$
(38,405
)
 
$
7,948

 
$
525,943

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
269

 

 
1,857

 

 

 

 

 
1,857

Dividends declared ($0.0450 per share)

 

 

 
(2,367
)
 

 

 

 
(2,367
)
Employee stock award compensation

 

 
2,177

 

 

 

 

 
2,177

Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(1,885
)
 

 

 
2,228

 
343

Net income attributable to noncontrolling interest

 

 

 

 

 

 
315

 
315

Net income attributable to the Ensign Group, Inc.

 

 

 
22,011

 

 

 

 
22,011

Balance - June 30, 2018
52,033

 
$
54

 
$
274,982

 
$
303,157

 
1,932

 
$
(38,405
)
 
$
10,491

 
$
550,279

Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards
215

 

 
1,358

 

 

 

 

 
1,358

Dividends declared ($0.0450 per share)

 

 

 
(2,377
)
 

 

 

 
(2,377
)
Employee stock award compensation

 

 
2,462

 

 

 

 

 
2,462

Noncontrolling interest attributable to subsidiary equity plan (Note 16)

 

 

 
(193
)
 

 

 
541

 
348

Distribution to noncontrolling interest holder

 

 

 

 

 

 
(44
)
 
(44
)
Net loss attributable to noncontrolling interest

 

 

 

 

 

 
(511
)
 
(511
)
Net income attributable to the Ensign Group, Inc.

 

 

 
20,861

 

 

 

 
20,861

Balance - September 30, 2018
52,248

 
$
54

 
$
278,802

 
$
321,448

 
$
1,932

 
$
(38,405
)
 
$
10,477

 
$
572,376

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes to condensed consolidated financial statements.


4

Table of Contents

THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
 
Nine Months Ended September 30,
 
2019

2018
Cash flows from operating activities:
 
 
 
Net income
$
84,360

 
$
65,969

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Depreciation and amortization
40,101

 
35,145

Impairment of long-lived assets and goodwill (Note 9)
1,471

 
4,513

Amortization of deferred financing fees
876

 
882

Amortization of deferred gain on sale-leaseback (Note 17)

 
(493
)
Non-cash leasing arrangement (Note 17)
309

 

Deferred income taxes

 
710

Provision for doubtful accounts
1,454

 
2,101

Share-based compensation
9,233

 
7,639

Cash received from insurance proceeds related to replacement properties and business interruptions
804

 
1,783

Gains on insurance claims and disposal of assets
(2,977
)
 
(1,097
)
Income tax refund

 
11,000

Change in operating assets and liabilities
 
 
 
Accounts receivable
(34,173
)
 
3,479

Prepaid income taxes
4,181

 
1,938

Prepaid expenses and other assets
3,697

 
238

Insurance subsidiary deposits

 
(399
)
Operating lease obligations
(3,632
)
 

Accounts payable
(4,217
)
 
2,031

Accrued wages and related liabilities
16,285

 
8,540

Other accrued liabilities
12,872

 
9,092

Accrued self-insurance liabilities
4,686

 
4,025

Other long-term liability
2,263

 
181

Net cash provided by operating activities
137,593


157,277

Cash flows from investing activities:
 
 
 
Purchase of property and equipment
(54,983
)
 
(37,632
)
Cash payments for business acquisitions (Note 8)
(25,213
)
 
(1,625
)
Cash payments for asset acquisitions (Note 8)
(75,326
)
 
(57,859
)
Escrow deposits
(50
)
 
(660
)
Escrow deposits used to fund acquisitions
7,271

 
228

Cash proceeds from the sale of assets and insurance proceeds
7,835

 
2,971

Investments and change in other assets
(8,922
)
 
(692
)
Net cash used in investing activities
(149,388
)

(95,269
)
Cash flows from financing activities:
 
 
 
Proceeds from revolving credit facility and other debt (Note 15)
895,000

 
600,000

Payments on revolving credit facility and other debt (Note 15)
(863,494
)
 
(657,427
)
Issuance of common stock upon exercise of options
7,376

 
6,135

Repurchase of shares of common stock to satisfy tax withholding obligations
(485
)
 

Proceeds from sale of subsidiary shares (Note 16)
2,293

 
1,972

Repurchase of shares of common stock and subsidiary shares (Note 16)
(7,687
)
 
(1,972
)
Dividends paid
(7,626
)
 
(7,042
)
Non-controlling interest distribution
(269
)
 
(336
)
Payments of deferred financing costs

 
(18
)
Net cash provided by/(used in) financing activities
25,108


(58,688
)
Net increase in cash and cash equivalents
13,313

 
3,320

Cash and cash equivalents beginning of period
31,083


42,337

Cash and cash equivalents end of period
$
44,396

 
$
45,657

See accompanying notes to condensed consolidated financial statements.

5

Table of Contents

THE ENSIGN GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - (Continued)
(In thousands)
(Unaudited)
 
Nine Months Ended September 30,