Edgar Filing: ENSIGN GROUP, INC

THE ENSIGN GROUP, INC.

October 21, 2009

/s/ SUZANNE D. SNAPPER

Suzanne D. Snapper

Chief Financial Officer and Duly Authorized Officer

Form 8-K

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): October 21, 2009

THE ENSIGN GROUP, INC.

(Exact name of registrant as specified in its charter)


Delaware	001-33757	33-0861263

(State or other jurisdiction of incorporation)	(Commission File Number)	(IRS Employer Identification No.)


27101 Puerta Real, Suite 450 Mission Viejo, CA		92691

(Address of principal executive offices)		(Zip Code)

Registrant’s telephone number, including area code: (949) 487-9500

N/A

(Former name or former address, if changed since last report.)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

o		Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

o		Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o		Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

o		Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Item 7.01 Regulation FD Disclosure.

As previously disclosed during the second quarter of the current year, The Ensign Group, Inc., a Delaware corporation, beginning with the filing of its third quarter 10-Q, will be expanding its Management Discussion and Analysis disclosures to provide better visibility into its acquisitions and their assimilation into the organization. These expanded disclosures do not change the Company’s previously disclosed consolidated financial statements. On a go-forward basis, the Company’s facilities will be grouped as follows:

	•		Same Facility Results — this group will include facilities purchased by the Company at least three calendar years ago, which as of October 2009 would include facilities purchased prior to January 1, 2006.

	•		Transitioning Facility Results — this group will include facilities purchased by the Company less than three, but more than one calendar year ago, which as of October 2009 would include facilities purchased from January 1, 2006 to December 31, 2007.

	•		Recently Acquired Facilities — this group will include any facility purchased by the Company less than one full calendar year ago, which as of October 2009 would include facilities purchased on or after January 1, 2008.

The Company believes this information will provide the reader with valuable insight regarding its operations as facilities mature. The effect of this expanded disclosure for each quarter and year to date period for filings from the first quarter of 2007 to the second quarter of 2009 are disclosed below:

Results of Operations
Quarter and Year to Date Periods 2009


	Three Months Ended						Three Months Ended						Six Months Ended
	March 31,						June 30,						June 30,
	2009			2008			2009			2008			2009			2008
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Total Facility Results:
Revenue	$	130,285		$	113,779		$	132,178		$	115,318		$	262,463		$	229,097
Number of facilities at period end		70			61			70			62			70			62
Actual patient days		566,619			530,395			576,738			528,984			1,143,357			1,059,379
Occupancy percentage — Operational beds		79.8	%		82.0	%		79.4	%		81.0	%		79.6	%		81.5	%
Skilled mix by nursing days		25.2	%		25.3	%		24.3	%		25.5	%		24.8	%		25.4	%
Skilled mix by revenue		48.6	%		49.0	%		48.0	%		49.4	%		48.3	%		49.2	%


	Three Months Ended						Three Months Ended						Six Months Ended
	March 31,						June 30,						June 30,
	2009			2008			2009			2008			2009			2008
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Same Facility Results(1):
Revenue	$	100,317		$	94,545		$	100,031		$	94,495		$	200,348		$	189,040
Number of facilities at period end		46			46			46			46			46			46
Actual patient days		424,300			431,168			423,175			425,665			847,475			856,833
Occupancy percentage — Operational beds		84.2	%		84.8	%		83.1	%		83.8	%		83.7	%		84.3	%
Skilled mix by nursing days		27.2	%		27.0	%		26.1	%		27.0	%		26.6	%		27.0	%
Skilled mix by revenue		50.6	%		50.7	%		50.1	%		51.0	%		50.3	%		50.9	%


	Three Months Ended						Three Months Ended						Six Months Ended
	March 31,						June 30,						June 30,
	2009			2008			2009			2008			2009			2008
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Transitioning Facility Results(2):
Revenue	$	21,622		$	19,234		$	21,726		$	19,760		$	43,348		$	38,994
Number of facilities at period end		15			15			15			15			15			15
Actual patient days		100,476			99,227			101,407			98,716			201,883			197,943
Occupancy percentage — Operational beds		72.1	%		71.7	%		73.3	%		71.4	%		72.7	%		71.6	%
Skilled mix by nursing days		22.6	%		18.3	%		22.3	%		19.5	%		22.5	%		18.9	%
Skilled mix by revenue		47.1	%		40.4	%		47.2	%		42.0	%		47.1	%		41.2	%


	Three Months Ended						Three Months Ended						Six Months Ended
	March 31,						June 30,						June 30,
	2009			2008			2009			2008			2009			2008
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Recently Acquired Facility Results(3):
Revenue	$	8,346		$	—		$	10,421		$	1,063		$	18,767		$	1,063
Number of facilities at period end		9			—			9			1			9			1
Actual patient days		41,843			—			52,156			4,603			93,999			4,603
Occupancy percentage — Operational beds		62.6	%		—	%		66.0	%		66.2	%		64.4	%		66.2	%
Skilled mix by nursing days		12.6	%		—	%		13.5	%		28.0	%		13.1	%		28.0	%
Skilled mix by revenue		28.0	%		—	%		29.2	%		48.2	%		28.6	%		48.2	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2009 would include facilities purchased prior to January 1, 2006.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2009 would include facilities purchased from January 1, 2006 to December 31, 2007.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2009 would include facilities purchased on or after January 1, 2008.

Results of Operations
Year to Date Periods 2008


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Total Facility Results:
Revenue	$	229,097		$	198,247		$	345,425		$	302,339		$	469,372		$	411,318
Number of facilities at period end		62			60			62			61			63			61
Actual patient days		1,059,379			1,013,624			1,594,616			1,546,083			2,135,662			2,078,893
Occupancy percentage — Operational beds		81.5	%		80.9	%		81.1	%		81.2	%		81.1	%		81.3	%
Skilled mix by nursing days		25.4	%		23.7	%		25.1	%		23.3	%		25.1	%		23.3	%
Skilled mix by revenue		49.2	%		45.1	%		49.0	%		44.5	%		48.8	%		44.7	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Same Facility Results(1):
Revenue	$	173,937		$	155,653		$	261,171		$	235,789		$	354,024		$	319,299
Number of facilities at period end		43			43			43			43			43			43
Actual patient days		799,320			792,102			1,200,101			1,199,537			1,601,227			1,604,448
Occupancy percentage — Operational beds		84.3	%		84.0	%		83.9	%		84.3	%		83.8	%		84.3	%
Skilled mix by nursing days		26.8	%		24.8	%		26.4	%		24.4	%		26.3	%		24.5	%
Skilled mix by revenue		50.6	%		46.0	%		50.1	%		45.5	%		49.8	%		45.9	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Transitioning Facility Results(2):
Revenue	$	44,619		$	37,396		$	66,813		$	56,950		$	90,036		$	77,563
Number of facilities at period end		14			14			14			14			14			14
Actual patient days		203,100			189,651			302,913			288,228			405,468			388,834
Occupancy percentage — Operational beds		76.8	%		72.1	%		76.0	%		72.6	%		76.2	%		73.3	%
Skilled mix by nursing days		23.2	%		21.6	%		22.9	%		21.2	%		22.9	%		21.2	%
Skilled mix by revenue		47.1	%		43.0	%		47.0	%		42.4	%		47.0	%		42.3	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Recently Acquired Facility Results(3):
Revenue	$	10,541		$	5,198		$	17,441		$	9,600		$	25,312		$	14,456
Number of facilities at period end		5			3			5			4			6			4
Actual patient days		56,959			31,871			91,602			58,318			128,967			85,611
Occupancy percentage — Operational beds		66.7	%		69.3	%		66.6	%		68.6	%		67.6	%		68.3	%
Skilled mix by nursing days		15.1	%		13.5	%		17.1	%		13.4	%		18.0	%		13.5	%
Skilled mix by revenue		35.5	%		33.9	%		39.2	%		33.4	%		41.1	%		33.5	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Results of Operations
Quarter to Date Periods 2008


	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Total Facility Results:
Revenue	$	113,779		$	97,978		$	115,318		$	100,269		$	116,328		$	104,092		$	123,947		$	108,979
Number of facilities at period end		61			60			62			60			62			61			63			61
Actual patient days		530,395			497,887			528,984			515,737			535,237			532,459			541,046			532,810
Occupancy percentage — Operational beds		82.0	%		81.1	%		81.0	%		80.7	%		80.4	%		81.6	%		81.0	%		81.5	%
Skilled mix by nursing days		25.3	%		24.3	%		25.5	%		23.3	%		24.6	%		22.6	%		25.0	%		23.4	%
Skilled mix by revenue		49.0	%		45.6	%		49.4	%		44.6	%		48.5	%		43.3	%		48.1	%		45.4	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Same Facility Results(1):
Revenue	$	87,226		$	77,877		$	86,711		$	77,775		$	87,233		$	80,136		$	92,853		$	83,509
Number of facilities at period end		43			43			43			43			43			43			43			43
Actual patient days		402,840			394,139			396,480			397,963			400,781			407,435			401,126			404,911
Occupancy percentage — Operational beds		84.9	%		84.0	%		83.6	%		83.9	%		83.2	%		85.0	%		83.4	%		84.4	%
Skilled mix by nursing days		26.8	%		25.3	%		26.8	%		24.3	%		25.7	%		23.7	%		26.0	%		24.8	%
Skilled mix by revenue		50.5	%		46.5	%		50.7	%		45.4	%		49.2	%		44.5	%		48.8	%		47.0	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Transitioning Facility Results(2):
Revenue	$	21,782		$	18,544		$	22,836		$	18,853		$	22,195		$	19,554		$	23,223		$	20,614
Number of facilities at period end		14			14			14			14			14			14			14			14
Actual patient days		100,814			93,922			102,286			95,729			99,813			98,577			102,555			100,606
Occupancy percentage — Operational beds		76.2	%		71.8	%		77.3	%		72.4	%		74.6	%		73.7	%		76.7	%		75.2	%
Skilled mix by nursing days		23.0	%		21.7	%		23.5	%		21.6	%		22.3	%		20.5	%		22.8	%		21.0	%
Skilled mix by revenue		46.5	%		43.6	%		47.8	%		42.5	%		46.7	%		41.2	%		47.0	%		42.0	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2008			2007			2008			2007			2008			2007			2008			2007
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Recently Acquired Facility Results(3):
Revenue	$	4,771		$	1,557		$	5,771		$	3,641		$	6,900		$	4,402		$	7,871		$	4,856
Number of facilities at period end		4			3			5			3			5			4			6			4
Actual patient days		26,741			9,826			30,218			22,045			34,643			26,447			37,365			27,293
Occupancy percentage — Operational beds		67.1	%		70.8	%		64.6	%		68.6	%		68.2	%		67.8	%		70.0	%		67.7	%
Skilled mix by nursing days		12.9	%		11.0	%		17.1	%		14.7	%		20.3	%		13.2	%		20.3	%		13.6	%
Skilled mix by revenue		32.8	%		27.2	%		37.7	%		36.8	%		44.9	%		32.8	%		45.3	%		33.6	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Results of Operations
Year to Date Periods 2007


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Total Facility Results:
Revenue	$	198,247		$	168,727		$	302,339		$	261,065		$	411,318		$	358,575
Number of facilities at period end		60			49			61			54			61			57
Actual patient days		1,013,624			878,536			1,546,083			1,355,323			2,078,893			1,849,932
Occupancy percentage — Operational beds		80.9	%		83.4	%		81.2	%		83.2	%		81.3	%		82.6	%
Skilled mix by nursing days		23.7	%		25.2	%		23.3	%		25.0	%		23.4	%		24.8	%
Skilled mix by revenue		45.1	%		47.2	%		44.5	%		46.9	%		44.7	%		46.8	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Same Facility Results(1):
Revenue	$	142,955		$	140,315		$	216,419		$	213,151		$	292,873		$	286,495
Number of facilities at period end		41			41			41			41			41			41
Actual patient days		751,978			760,112			1,137,935			1,148,880			1,521,640			1,533,399
Occupancy percentage — Operational beds		83.8	%		85.0	%		84.1	%		85.1	%		84.1	%		85.0	%
Skilled mix by nursing days		23.2	%		23.5	%		22.8	%		23.6	%		22.9	%		23.6	%
Skilled mix by revenue		43.6	%		45.1	%		43.1	%		45.0	%		43.5	%		44.9	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Transitioning Facility Results(2):
Revenue	$	25,187		$	24,820		$	38,146		$	37,554		$	51,839		$	50,508
Number of facilities at period end		5			5			5			5			5			5
Actual patient days		93,389			98,423			142,735			148,163			191,463			197,290
Occupancy percentage — Operational beds		82.4	%		86.9	%		83.5	%		86.7	%		83.8	%		86.4	%
Skilled mix by nursing days		36.5	%		38.4	%		35.9	%		38.2	%		35.8	%		38.0	%
Skilled mix by revenue		59.5	%		61.3	%		58.5	%		60.9	%		58.7	%		60.7	%


	Six Months Ended						Nine Months Ended						Twelve Months Ended
	June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Recently Acquired Facility Results(3):
Revenue	$	30,105		$	3,592		$	47,774		$	10,360		$	66,606		$	21,571
Number of facilities at period end		14			3			15			8			15			11
Actual patient days		168,257			20,001			265,413			58,280			365,790			119,243
Occupancy percentage — Operational beds		69.6	%		44.3	%		69.8	%		53.7	%		70.3	%		57.2	%
Skilled mix by nursing days		18.9	%		14.5	%		18.4	%		16.2	%		18.3	%		17.7	%
Skilled mix by revenue		39.8	%		31.1	%		39.3	%		34.8	%		39.1	%		37.4	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Results of Operations
Quarter to Date Periods 2007


	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Total Facility Results:
Revenue	$	97,978		$	83,352		$	100,269		$	85,375		$	104,092		$	92,338		$	108,979		$	97,509
Number of facilities at period end		60			47			60			49			61			54			61			57
Actual patient days		497,887			432,673			515,737			445,863			532,459			476,787			532,810			494,609
Occupancy percentage — Operational beds		81.1	%		84.0	%		80.7	%		82.9	%		81.6	%		82.8	%		81.5	%		80.8	%
Skilled mix by nursing days		24.3	%		25.9	%		23.3	%		24.4	%		22.5	%		24.7	%		23.4	%		24.5	%
Skilled mix by revenue		45.6	%		48.1	%		44.6	%		46.4	%		43.3	%		46.4	%		45.4	%		46.2	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Same Facility Results(1):
Revenue	$	71,531		$	70,084		$	71,424		$	70,231		$	73,464		$	72,836		$	76,455		$	73,344
Number of facilities at period end		41			41			41			41			41			41			41			41
Actual patient days		374,169			380,154			377,809			379,958			385,957			388,768			383,705			384,519
Occupancy percentage — Operational beds		83.8	%		85.5	%		83.7	%		84.5	%		84.6	%		85.5	%		84.1	%		84.6	%
Skilled mix by nursing days		23.7	%		24.0	%		22.6	%		23.1	%		22.1	%		23.7	%		23.1	%		23.5	%
Skilled mix by revenue		44.3	%		45.5	%		42.9	%		44.6	%		42.1	%		44.9	%		44.7	%		44.7	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Transitioning Facility Results(2):
Revenue	$	12,633		$	12,631		$	12,554		$	12,190		$	12,959		$	12,734		$	13,693		$	12,954
Number of facilities at period end		5			5			5			5			5			5			5			5
Actual patient days		46,291			49,364			47,098			49,059			49,346			49,740			48,728			49,127
Occupancy percentage — Operational beds		82.2	%		87.6	%		82.7	%		86.1	%		85.7	%		86.4	%		84.6	%		85.3	%
Skilled mix by nursing days		37.1	%		39.7	%		35.9	%		37.2	%		34.8	%		37.6	%		35.7	%		37.3	%
Skilled mix by revenue		59.5	%		62.7	%		59.6	%		59.8	%		56.6	%		60.2	%		59.2	%		60.0	%

	Three Months Ended						Three Months Ended						Three Months Ended						Three Months Ended
	March 31,						June 30,						September 30,						December 31,
	2007			2006			2007			2006			2007			2006			2007			2006
	(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)						(Dollars in thousands)
Recently Acquired Facility Results(3):
Revenue	$	13,814		$	637		$	16,291		$	2,954		$	17,669		$	6,768		$	18,831		$	11,211
Number of facilities at period end		14			1			14			3			15			8			15			11
Actual patient days		77,427			13,980			90,830			16,846			97,156			38,279			100,377			60,963
Occupancy percentage — Operational beds		69.6	%		22.6	%		69.6	%		54.0	%		70.1	%		60.4	%		71.8	%		61.1	%
Skilled mix by nursing days		18.7	%		12.5	%		19.0	%		14.8	%		17.7	%		17.1	%		18.1	%		19.2	%
Skilled mix by revenue		39.6	%		28.2	%		40.1	%		31.7	%		38.4	%		36.7	%		38.5	%		39.8	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Skilled Nursing Average Daily Revenue Rates
Quarter and Year to Date Periods 2009


	Three Months Ended March 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2009		2008		2009		2008		2009		2008		2009		2008
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	547.58	$	506.96	$	475.19	$	437.75	$	449.79	$	—	$	528.46	$	493.36
Managed care		325.71		313.23		377.60		350.04		449.13		—		334.71		315.70
Other skilled		651.22		594.03		433.59		—		—		—		646.84		594.70
Total skilled revenue		459.40		430.60		446.50		422.09		449.64		—		456.90		429.39
Medicaid		163.94		151.28		144.80		138.30		162.71		—		160.32		148.68
Private and other payors		187.64		171.37		152.35		145.70		177.94		—		178.23		164.19
Total skilled nursing revenue	$	246.83	$	228.91	$	214.04	$	191.61	$	202.57	$	—	$	237.47	$	221.61


	Three Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2009		2008		2009		2008		2009		2008		2009		2008
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	566.21	$	515.44	$	481.86	$	426.14	$	466.65	$	400.64	$	542.05	$	495.57
Managed care		336.90		321.72		374.31		443.65		396.32		376.40		342.94		330.41
Other skilled		640.91		596.98		432.78		—		—		—		620.88		596.98
Total skilled revenue		473.79		438.05		453.37		429.13		450.61		394.40		469.18		436.27
Medicaid		163.10		151.58		143.81		140.25		163.99		180.68		159.60		149.55
Private and other payors		188.03		175.85		155.20		153.46		185.32		137.31		180.64		168.95
Total skilled nursing revenue	$	246.81	$	231.66	$	214.59	$	199.02	$	207.69	$	229.35	$	237.40	$	225.26


	Six Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2009		2008		2009		2008		2009		2008		2009		2008
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	556.58	$	511.18	$	478.58	$	431.75	$	459.25	$	400.64	$	535.15	$	494.48
Managed care		331.04		317.46		376.06		397.15		419.62		376.40		338.73		323.06
Other skilled		645.68		595.38		432.90		—		—		—		632.38		595.38
Total skilled revenue		466.42		434.30		449.93		425.71		450.18		394.40		462.96		432.84
Medicaid		163.51		151.43		144.30		139.26		163.40		180.68		159.95		149.11
Private and other payors		187.83		173.61		153.72		149.61		182.00		137.31		179.43		166.60
Total skilled nursing revenue	$	246.82	$	230.28	$	214.31	$	195.31	$	205.36	$	229.35	$	237.43	$	223.43


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2009 would include facilities purchased prior to January 1, 2006.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2009 would include facilities purchased from January 1, 2006 to December 31, 2007.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2009 would include facilities purchased on or after January 1, 2008.

Skilled Nursing Average Daily Revenue Rates
Year to Date Periods 2008


	Six Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	507.83	$	453.90	$	470.69	$	409.56	$	412.88	$	400.77	$	494.48	$	441.66
Managed care		315.55		288.53		362.60		322.03		454.41		343.20		323.06		292.30
Other skilled		595.38		510.46		—		—		—		—		595.38		510.46
Total skilled revenue		430.86		384.01		443.93		390.25		418.75		393.70		432.84		385.33
Medicaid		150.45		145.89		147.86		139.25		136.06		119.75		149.11		143.59
Private and other payors		173.24		162.92		162.73		155.46		135.65		121.11		166.60		159.29
Total skilled nursing revenue	$	228.18	$	206.95	$	218.87	$	196.06	$	178.77	$	157.07	$	223.43	$	203.07


	Nine Months Ended September 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	510.95	$	455.66	$	479.19	$	411.64	$	421.13	$	402.07	$	498.43	$	443.23
Managed care		318.05		289.74		361.53		327.45		439.46		353.15		325.79		294.08
Other skilled		594.34		500.12		—		—		—		—		594.34		500.12
Total skilled revenue		432.82		385.13		449.77		392.68		424.62		396.80		435.54		386.76
Medicaid		150.83		146.25		148.05		140.86		134.84		121.77		149.34		144.11
Private and other payors		174.91		165.13		163.97		156.25		136.47		124.33		167.81		160.68
Total skilled nursing revenue	$	228.07	$	206.88	$	219.58	$	196.69	$	184.71	$	159.09	$	223.69	$	202.90


	Twelve Months Ended December 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	520.16	$	464.75	$	486.60	$	416.06	$	434.00	$	414.60	$	507.02	$	451.33
Managed care		320.52		292.60		357.30		333.80		444.78		343.73		328.17		297.42
Other skilled		596.84		508.42		—		—		—		—		596.84		508.42
Total skilled revenue		438.20		391.97		453.27		396.96		436.26		406.23		440.84		393.23
Medicaid		154.36		147.15		149.17		142.50		137.80		125.21		152.33		145.20
Private and other payors		177.41		166.38		164.78		157.16		135.40		126.44		169.24		161.46
Total skilled nursing revenue	$	231.64	$	209.45	$	221.05	$	198.56	$	190.93	$	163.24	$	226.88	$	205.22


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Nursing Average Daily Revenue Rates
Quarter to Date Periods 2008


	Three Months Ended March 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	504.71	$	454.41	$	467.51	$	414.16	$	433.34	$	391.00	$	493.36	$	444.04
Managed care		310.09		281.55		347.01		328.51		430.88		311.84		315.70		286.54
Other skilled		594.03		514.14		—		—		—		—		594.03		514.14
Total skilled revenue		427.79		382.16		435.81		395.04		433.08		373.85		429.39		384.38
Medicaid		150.27		146.55		147.44		138.24		131.47		123.07		148.68		144.31
Private and other payors		171.23		161.00		159.17		155.01		131.83		126.04		164.19		158.54
Total skilled nursing revenue	$	227.01	$	207.89	$	215.39	$	196.67	$	170.46	$	151.13	$	221.61	$	204.41


	Three Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	511.01	$	453.35	$	473.63	$	405.03	$	398.32	$	403.58	$	495.57	$	439.27
Managed care		321.01		295.55		379.58		315.45		464.66		368.00		330.41		298.08
Other skilled		596.98		507.36		—		—		—		—		596.98		507.36
Total skilled revenue		433.98		385.93		451.76		385.52		409.21		400.32		436.27		386.28
Medicaid		150.64		145.24		148.28		140.22		140.38		118.19		149.55		142.90
Private and other payors		175.21		164.79		166.24		155.92		139.09		118.93		168.95		160.02
Total skilled nursing revenue	$	229.38	$	206.02	$	222.29	$	195.45	$	186.13	$	159.72	$	225.26	$	201.78


	Three Months Ended September 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	517.71	$	459.26	$	497.42	$	415.98	$	432.77	$	403.63	$	506.75	$	446.38
Managed care		323.05		292.20		359.32		337.83		429.06		370.04		331.15		297.66
Other skilled		592.56		481.87		—		—		—		—		592.56		481.87
Total skilled revenue		436.89		387.39		462.17		397.64		431.84		400.63		441.05		389.63
Medicaid		151.55		146.95		148.43		143.87		132.61		124.36		149.78		145.09
Private and other payors		178.23		169.42		166.57		157.85		137.78		127.42		170.17		163.27
Total skilled nursing revenue	$	227.85	$	206.73	$	221.03	$	197.93	$	194.47	$	161.54	$	224.18	$	202.56


	Three Months Ended December 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2008		2007		2008		2007		2008		2007		2008		2007
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	548.79	$	490.80	$	509.53	$	429.38	$	462.66	$	442.07	$	533.11	$	474.56
Managed care		327.79		301.10		346.14		350.25		453.15		328.42		334.92		307.18
Other skilled		604.67		531.23		—		—		—		—		604.67		531.23
Total skilled revenue		454.53		411.86		463.63		409.39		460.29		426.15		456.52		411.88
Medicaid		164.77		149.80		152.37		147.13		145.48		133.17		161.00		148.35
Private and other payors		185.21		170.28		167.50		159.94		132.79		129.97		173.65		163.76
Total skilled nursing revenue	$	242.31	$	217.04	$	225.41	$	203.91	$	206.18	$	172.10	$	236.27	$	211.92


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Nursing Average Daily Revenue Rates
Year to Date Periods 2007


	Six Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	451.15	$	435.49	$	491.70	$	453.21	$	381.81	$	382.27	$	441.66	$	437.01
Managed care		285.68		259.13		312.77		310.95		338.57		267.59		292.30		270.51
Other skilled		—		—		510.46		436.75		—		—		510.46		436.75
Total skilled revenue		378.12		371.16		426.55		389.77		376.08		365.17		385.33		374.58
Medicaid		144.95		137.44		163.05		150.67		129.72		137.69		143.59		138.67
Private and other payors		161.42		148.48		179.05		163.33		141.72		131.52		159.29		150.17
Total skilled nursing revenue	$	201.07	$	193.79	$	261.26	$	244.53	$	177.90	$	169.72	$	203.07	$	199.43


	Nine Months Ended September 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	453.35	$	439.15	$	487.43	$	450.49	$	387.41	$	381.42	$	443.23	$	438.21
Managed care		286.28		261.13		316.94		316.16		347.85		288.08		294.08		272.63
Other skilled		—		—		500.12		436.76		—		—		500.12		436.76
Total skilled revenue		379.79		372.25		422.46		392.76		382.21		372.27		386.76		376.02
Medicaid		145.26		138.32		164.10		152.43		131.03		135.37		144.11		139.47
Private and other payors		163.39		150.38		181.52		165.91		142.30		130.41		160.68		151.34
Total skilled nursing revenue	$	201.03	$	194.99	$	259.06	$	246.06	$	179.02	$	172.89	$	202.90	$	200.10


	Twelve Months Ended December 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	462.86	$	445.31	$	496.37	$	451.81	$	391.13	$	385.10	$	451.33	$	441.78
Managed care		288.59		263.42		322.46		317.37		352.50		301.81		297.42		274.39
Other skilled		—		—		508.42		452.84		—		—		508.42		452.84
Total skilled revenue		386.81		375.01		429.58		396.88		385.53		377.77		393.23		379.06
Medicaid		146.14		139.69		165.13		154.01		133.22		135.72		145.20		140.70
Private and other payors		164.53		151.66		184.05		169.08		142.38		137.81		161.64		152.74
Total skilled nursing revenue	$	203.49	$	196.61	$	262.31	$	248.29	$	180.92	$	178.89	$	205.22	$	201.45


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Skilled Nursing Average Daily Revenue Rates
Quarter to Date Periods 2007


	Three Months Ended March 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	452.77	$	431.85	$	490.74	$	451.76	$	381.16	$	432.57	$	444.04	$	434.89
Managed care		278.26		252.46		310.80		316.01		353.51		269.59		286.54		266.56
Other skilled		—		—		514.14		435.34		—		—		514.14		435.34
Total skilled revenue		376.87		367.34		424.69		392.19		377.47		414.00		384.38		372.30
Medicaid		145.38		137.75		165.21		152.86		130.10		149.61		144.31		139.27
Private and other payors		158.72		143.97		188.14		153.98		141.00		167.43		158.54		145.54
Total skilled nursing revenue	$	201.99	$	193.61	$	264.57	$	247.95	$	177.94	$	183.99	$	204.41	$	200.35


	Three Months Ended June 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	449.42	$	439.35	$	492.72	$	454.86	$	382.35	$	373.93	$	439.27	$	439.21
Managed care		293.17		265.90		314.84		305.71		325.95		267.36		298.08		274.50
Other skilled		—		—		507.36		438.07		—		—		507.36		438.07
Total skilled revenue		379.43		375.16		428.45		387.18		374.91		357.44		386.28		376.93
Medicaid		144.53		137.14		161.00		148.59		129.27		135.14		142.90		138.10
Private and other payors		164.04		153.02		169.48		172.74		142.36		128.26		160.02		154.64
Total skilled nursing revenue	$	200.15	$	193.96	$	258.01	$	241.09	$	177.86	$	167.05	$	201.78	$	198.55


	Three Months Ended September 30,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	457.84	$	446.70	$	477.72	$	445.22	$	397.73	$	381.07	$	446.38	$	440.48
Managed care		287.52		264.73		324.47		327.99		365.40		306.58		297.66		276.61
Other skilled		—		—		481.87		436.79		—		—		481.87		436.79
Total skilled revenue		383.21		374.38		414.35		398.81		393.54		375.49		389.63		378.72
Medicaid		145.86		140.06		165.97		155.64		133.43		134.03		145.09		140.94
Private and other payors		167.22		154.04		186.79		172.18		143.20		129.92		163.27		153.48
Total skilled nursing revenue	$	200.95	$	197.36	$	254.89	$	249.08	$	180.95	$	174.58	$	202.56	$	201.33


	Three Months Ended December 31,
	Same Facility⁽¹⁾				Transitioning⁽²⁾				Acquisitions⁽³⁾				Total
	2007		2006		2007		2006		2007		2006		2007		2006
Skilled Nursing Average Daily Revenue Rates:
Medicare	$	489.85	$	465.22	$	524.09	$	455.94	$	401.71	$	388.08	$	474.56	$	451.92
Managed care		295.56		269.59		338.35		321.51		361.52		315.81		307.18		279.26
Other skilled		—		—		531.23		486.74		—		—		531.23		486.74
Total skilled revenue		407.28		383.29		450.52		409.55		394.42		382.33		411.88		387.57
Medicaid		148.74		143.73		168.13		158.57		139.07		136.08		148.35		143.98
Private and other payors		168.09		155.78		191.86		179.61		142.56		145.04		163.76		156.78
Total skilled nursing revenue	$	210.76	$	201.46	$	271.83	$	255.03	$	185.94	$	184.82	$	211.92	$	205.16


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would facilities purchased on or after January 1, 2006.

Skilled Mix by Revenue
Quarter and Year to Date Periods 2009


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Revenue:
Medicare		33.5	%		33.2	%		35.3	%		34.4	%		21.6	%		—	%		33.0	%		33.4	%
Managed care		14.8			15.1			11.7			6.0			6.4			—			13.7			13.6
Other skilled		2.3			2.4			0.1			—			—			—			1.9			2.0

Skilled mix		50.6			50.7			47.1			40.4			28.0			—			48.6			49.0
Private and other payors		8.3			8.5			11.2			13.7			21.0			—			9.6			9.3

Quality mix		58.9			59.2			58.3			54.1			49.0			—			58.2			58.3
Medicaid		41.1			40.8			41.7			45.9			51.0			—			41.8			41.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		—	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Revenue:
Medicare		32.6	%		33.5	%		36.3	%		34.6	%		23.3	%		36.3	%		32.5	%		33.7	%
Managed care		14.8			15.4			10.0			7.4			5.9			11.9			13.3			14.0
Other skilled		2.7			2.1			0.9			—			—			—			2.2			1.7

Skilled mix		50.1			51.0			47.2			42.0			29.2			48.2			48.0			49.4
Private and other payors		8.1			8.8			10.4			14.2			21.7			15.4			9.5			9.8

Quality mix		58.2			59.8			57.6			56.2			50.9			63.6			57.5			59.2
Medicaid		41.8			40.2			42.4			43.8			49.1			36.4			42.5			40.8

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Revenue:
Medicare		33.0	%		33.3	%		35.8	%		34.5	%		22.5	%		36.3	%		32.8	%		33.5	%
Managed care		14.8			15.3			10.8			6.7			6.1			11.9			13.5			13.8
Other skilled		2.5			2.3			0.5			—			—			—			2.0			1.9

Skilled mix		50.3			50.9			47.1			41.2			28.6			48.2			48.3			49.2
Private and other payors		8.2			8.6			10.8			14.0			21.4			15.4			9.5			9.6

Quality mix		58.5			59.5			57.9			55.2			50.0			63.6			57.8			58.8
Medicaid		41.5			40.5			42.1			44.8			50.0			36.4			42.2			41.2

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2009 would include facilities purchased prior to January 1, 2006.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2009 would include facilities purchased from January 1, 2006 to December 31, 2007.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2009 would include facilities purchased on or after January 1, 2008.

Skilled Mix by Days
Quarter and Year to Date Periods 2009


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Days:
Medicare		15.1	%		15.0	%		15.9	%		15.0	%		9.7	%		—	%		14.9	%		15.0	%
Managed care		11.2			11.1			6.6			3.3			2.9			—			9.7			9.5
Other skilled		0.9			0.9			0.1			—			—			—			0.6			0.8

Skilled mix		27.2			27.0			22.6			18.3			12.6			—			25.2			25.3
Private and other payors		10.9			11.3			15.7			18.1			23.9			—			12.7			12.7

Quality mix		38.1			38.3			38.3			36.4			36.5			—			37.9			38.0
Medicaid		61.9			61.7			61.7			63.6			63.5			—			62.1			62.0

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		—	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Days:
Medicare		14.2	%		15.1	%		16.2	%		16.2	%		10.4	%		20.8	%		14.2	%		15.3	%
Managed care		10.9			11.1			5.7			3.3			3.1			7.2			9.2			9.6
Other skilled		1.0			0.8			0.4			—			—			—			0.9			0.6

Skilled mix		26.1			27.0			22.3			19.5			13.5			28.0			24.3			25.5
Private and other payors		10.7			11.5			14.4			18.4			24.3			25.8			12.5			13.1

Quality mix		36.8			38.5			36.7			37.9			37.8			53.8			36.8			38.6
Medicaid		63.2			61.5			63.3			62.1			62.2			46.2			63.2			61.4

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2009			2008			2009			2008			2009			2008			2009			2008
Percentage of Skilled Nursing Days:
Medicare		14.6	%		15.0	%		16.0	%		15.6	%		10.1	%		20.8	%		14.5	%		15.2	%
Managed care		11.0			11.1			6.2			3.3			3.0			7.2			9.5			9.5
Other skilled		1.0			0.9			0.3			—			—			—			0.8			0.7

Skilled mix		26.6			27.0			22.5			18.9			13.1			28.0			24.8			25.4
Private and other payors		10.8			11.4			15.0			18.2			24.1			25.8			12.6			12.8

Quality mix		37.4			38.4			37.5			37.1			37.2			53.8			37.4			38.2
Medicaid		62.6			61.6			62.5			62.9			62.8			46.2			62.6			61.8

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2009 would include facilities purchased prior to January 1, 2006.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2009 would include facilities purchased from January 1, 2006 to December 31, 2007.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2009 would include facilities purchased on or after January 1, 2008.

Skilled Mix by Revenue
Year to Date Periods 2008


	Year Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		31.8	%		29.0	%		37.4	%		34.0	%		32.3	%		30.1	%		32.9	%		30.0	%
Managed care		15.5			14.8			9.6			8.3			8.8			3.4			14.0			13.1
Other skilled		2.5			2.1			—			—			—			—			1.9			1.6

Skilled mix		49.8			45.9			47.0			42.3			41.1			33.5			48.8			44.7
Private and other payors		8.6			9.5			10.6			12.0			17.6			15.6			9.4			10.3

Quality mix		58.4			55.4			57.6			54.3			58.7			49.1			58.2			55.0
Medicaid		41.6			44.6			42.4			45.7			41.3			50.9			41.8			45.0

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Nine Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		32.0	%		28.6	%		37.5	%		34.4	%		31.5	%		30.2	%		33.1	%		29.8	%
Managed care		15.5			14.9			9.5			8.0			7.7			3.2			13.9			13.1
Other skilled		2.6			2.0			—			—			—			—			2.0			1.6

Skilled mix		50.1			45.5			47.0			42.4			39.2			33.4			49.0			44.5
Private and other payors		8.7			9.7			11.0			12.2			18.3			14.5			9.7			10.4

Quality mix		58.8			55.2			58.0			54.6			57.5			47.9			58.7			54.9
Medicaid		41.2			44.8			42.0			45.4			42.5			52.1			41.3			45.1

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		32.7	%		29.0	%		37.6	%		35.2	%		30.0	%		30.3	%		33.5	%		30.2	%
Managed care		15.4			15.0			9.5			7.8			5.5			3.6			13.8			13.3
Other skilled		2.5			2.0			—			—			—			—			1.9			1.6

Skilled mix		50.6			46.0			47.1			43.0			35.5			33.9			49.2			45.1
Private and other payors		8.6			9.6			11.1			12.5			18.6			12.9			9.6			10.2

Quality mix		59.2			55.6			58.2			55.5			54.1			46.8			58.8			55.3
Medicaid		40.8			44.4			41.8			44.5			45.9			53.2			41.2			44.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Mix by Days
Year to Date Periods 2008


	Year Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		14.2	%		13.1	%		17.0	%		16.3	%		14.2	%		11.9	%		14.7	%		13.6	%
Managed care		11.2			10.6			5.9			4.9			3.8			1.6			9.7			9.1
Other skilled		0.9			0.8			—			—			—			—			0.7			0.6

Skilled mix		26.3			24.5			22.9			21.2			18.0			13.5			25.1			23.3
Private and other payors		11.2			12.0			14.3			15.2			24.8			20.2			12.7			13.0

Quality mix		37.5			36.5			37.2			36.4			42.8			33.7			37.8			36.3
Medicaid		62.5			63.5			62.8			63.6			57.2			66.3			62.2			63.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Nine Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		14.3	%		13.0	%		17.2	%		16.4	%		13.8	%		12.0	%		14.8	%		13.6	%
Managed care		11.1			10.6			5.7			4.8			3.3			1.4			9.6			9.1
Other skilled		1.0			0.8			—			—			—			—			0.7			0.6

Skilled mix		26.4			24.4			22.9			21.2			17.1			13.4			25.1			23.3
Private and other payors		11.4			12.2			14.8			15.4			24.7			18.6			12.9			13.1

Quality mix		37.8			36.6			37.7			36.6			41.8			32.0			38.0			36.4
Medicaid		62.2			63.4			62.3			63.4			58.2			68.0			62.0			63.6

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		14.7	%		13.2	%		17.5	%		16.9	%		13.0	%		11.9	%		15.2	%		13.9	%
Managed care		11.2			10.8			5.7			4.7			2.1			1.6			9.5			9.2
Other skilled		0.9			0.8			—			—			—			—			0.7			0.6

Skilled mix		26.8			24.8			23.2			21.6			15.1			13.5			25.4			23.7
Private and other payors		11.3			12.1			15.0			15.7			24.5			16.7			12.8			13.1

Quality mix		38.1			36.9			38.2			37.3			39.6			30.2			38.2			36.8
Medicaid		61.9			63.1			61.8			62.7			60.4			69.8			61.8			63.2

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Mix by Revenue
Quarter to Date Periods 2008


	Three Months Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		31.1	%		30.2	%		37.1	%		32.9	%		34.2	%		29.9	%		32.4	%		30.8	%
Managed care		15.3			14.6			9.9			9.1			11.1			3.7			14.0			13.0
Other skilled		2.4			2.2			—			—			—			—			1.7			1.6

Skilled mix		48.8			47.0			47.0			42.0			45.3			33.6			48.1			45.4
Private and other payors		8.3			9.0			9.6			11.5			15.9			17.9			9.1			9.9

Quality mix		57.1			56.0			56.6			53.5			61.2			51.5			57.2			55.3
Medicaid		42.9			44.0			43.4			46.5			38.8			48.5			42.8			44.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		30.7	%		27.8	%		37.4	%		33.0	%		33.8	%		30.1	%		32.1	%		28.9	%
Managed care		15.7			14.6			9.3			8.2			11.1			2.7			14.2			12.8
Other skilled		2.8			2.1			—			—			—			—			2.2			1.6

Skilled mix		49.2			44.5			46.7			41.2			44.9			32.8			48.5			43.3
Private and other payors		8.9			10.0			10.9			11.9			17.9			16.5			9.9			10.7

Quality mix		58.1			54.5			57.6			53.1			62.8			49.3			58.4			54.0
Medicaid		41.9			45.5			42.4			46.9			37.2			50.7			41.6			46.0

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		32.7	%		28.0	%		38.5	%		34.9	%		30.7	%		33.7	%		33.7	%		29.5	%
Managed care		15.7			15.3			9.3			7.6			7.0			3.1			14.0			13.4
Other skilled		2.3			2.1			—			—			—			—			1.7			1.7

Skilled mix		50.7			45.4			47.8			42.5			37.7			36.8			49.4			44.6
Private and other payors		8.8			9.8			11.7			12.1			18.2			12.4			9.8			10.3

Quality mix		59.5			55.2			59.5			54.6			55.9			49.2			59.2			54.9
Medicaid		40.5			44.8			40.5			45.4			44.1			50.8			40.8			45.1

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Revenue:
Medicare		32.8	%		30.0	%		36.7	%		35.5	%		29.3	%		22.3	%		33.4	%		30.9	%
Managed care		15.1			14.7			9.8			8.1			3.5			4.9			13.6			13.3
Other skilled		2.6			1.8			—			—			—			—			2.0			1.4

Skilled mix		50.5			46.5			46.5			43.6			32.8			27.2			49.0			45.6
Private and other payors		8.4			9.3			11.0			12.8			19.1			13.8			9.3			10.1

Quality mix		58.9			55.8			57.5			56.4			51.9			41.0			58.3			55.7
Medicaid		41.1			44.2			42.5			43.6			48.1			59.0			41.7			44.3

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Mix by Days
Quarter to Date Periods 2008


	Three Months Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		13.8	%		13.4	%		16.4	%		15.7	%		15.2	%		11.7	%		14.4	%		13.7	%
Managed care		11.3			10.5			6.4			5.3			5.1			1.9			9.9			9.0
Other skilled		0.9			0.9			—			—			—			—			0.7			0.7

Skilled mix		26.0			24.8			22.8			21.0			20.3			13.6			25.0			23.4
Private and other payors		10.8			11.5			13.0			14.6			24.8			23.7			12.3			12.8

Quality mix		36.8			36.3			35.8			35.6			45.1			37.3			37.3			36.2
Medicaid		63.2			63.7			64.2			64.4			54.9			62.7			62.7			63.8

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		13.5	%		12.5	%		16.6	%		15.7	%		15.2	%		12.0	%		14.2	%		13.1	%
Managed care		11.1			10.3			5.7			4.8			5.1			1.2			9.6			8.8
Other skilled		1.1			0.9			—			—			—			—			0.8			0.7

Skilled mix		25.7			23.7			22.3			20.5			20.3			13.2			24.6			22.6
Private and other payors		11.3			12.2			14.5			14.9			25.2			20.9			13.0			13.2

Quality mix		37.0			35.9			36.8			35.4			45.5			34.1			37.6			35.8
Medicaid		63.0			64.1			63.2			64.6			54.5			65.9			62.4			64.2

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		14.7	%		12.7	%		18.0	%		16.9	%		14.3	%		13.3	%		15.3	%		13.6	%
Managed care		11.3			10.7			5.5			4.7			2.8			1.4			9.6			9.0
Other skilled		0.8			0.9			—			—			—			—			0.6			0.7

Skilled mix		26.8			24.3			23.5			21.6			17.1			14.7			25.5			23.3
Private and other payors		11.5			12.2			14.9			15.1			24.4			16.7			13.0			13.0

Quality mix		38.3			36.5			38.4			36.7			41.5			31.4			38.5			36.3
Medicaid		61.7			63.5			61.6			63.3			58.5			68.6			61.5			63.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2008			2007			2008			2007			2008			2007			2008			2007
Percentage of Skilled Nursing Days:
Medicare		14.7	%		13.7	%		16.9	%		16.9	%		11.5	%		8.6	%		15.0	%		14.2	%
Managed care		11.1			10.8			6.1			4.8			1.4			2.4			9.5			9.5
Other skilled		1.0			0.8			—			—			—			—			0.8			0.6

Skilled mix		26.8			25.3			23.0			21.7			12.9			11.0			25.3			24.3
Private and other payors		11.2			12.1			14.9			16.2			24.7			16.6			12.7			13.0

Quality mix		38.0			37.4			37.9			37.9			37.6			27.6			38.0			37.3
Medicaid		62.0			62.6			62.1			62.1			62.4			72.4			62.0			62.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2008 would include facilities purchased prior to January 1, 2005.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2008 would include facilities purchased from January 1, 2005 to December 31, 2006.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2008 would include facilities purchased on or after January 1, 2007.

Skilled Mix by Revenue
Year to Date Periods 2007


	Year Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		29.3	%		32.7	%		28.8	%		33.0	%		33.9	%		34.8	%		30.0	%		32.9	%
Managed care		14.2			12.2			17.5			19.9			5.2			2.6			13.1			12.7
Other skilled		—			—			12.4			7.8			—			—			1.6			1.2

Skilled mix		43.5			44.9			58.7			60.7			39.1			37.4			44.7			46.8
Private and other payors		10.0			9.9			8.9			9.5			12.4			11.8			10.3			9.9

Quality mix		53.5			54.8			67.6			70.2			51.5			49.2			55.0			56.7
Medicaid		46.5			45.2			32.4			29.8			48.5			50.8			45.0			43.3

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Nine Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		28.8	%		33.1	%		29.1	%		33.5	%		34.6	%		32.2	%		29.8	%		33.1	%
Managed care		14.3			11.9			17.3			20.6			4.7			2.6			13.1			12.8
Other skilled		—			—			12.1			6.8			—			—			1.6			1.0

Skilled mix		43.1			45.0			58.5			60.9			39.3			34.8			44.5			46.9
Private and other payors		10.2			10.0			9.1			9.7			12.3			11.5			10.4			10.1

Quality mix		53.3			55.0			67.6			70.6			51.6			46.3			54.9			57.0
Medicaid		46.7			45.0			32.4			29.4			48.4			53.7			45.1			43.0

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		29.1	%		33.6	%		30.9	%		33.6	%		35.1	%		27.7	%		30.2	%		33.5	%
Managed care		14.5			11.5			16.7			21.3			4.7			3.4			13.3			12.8
Other skilled		—			—			11.9			6.4			—			—			1.6			0.9

Skilled mix		43.6			45.1			59.5			61.3			39.8			31.1			45.1			47.2
Private and other payors		10.0			9.9			9.2			10.3			11.9			10.5			10.2			10.0

Quality mix		53.6			55.0			68.7			71.6			51.7			41.6			55.3			57.2
Medicaid		46.4			45.0			31.3			28.4			48.3			58.4			44.7			42.8

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Skilled Mix by Days
Year to Date Periods 2007


	Year Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		12.9	%		14.5	%		15.2	%		18.1	%		15.7	%		16.2	%		13.7	%		15.0	%
Managed care		10.0			9.1			14.2			15.5			2.6			1.5			9.0			9.3
Other skilled		—			—			6.4			4.4			—			—			0.7			0.5

Skilled mix		22.9			23.6			35.8			38.0			18.3			17.7			23.4			24.8
Private and other payors		12.3			12.7			12.8			14.0			15.8			15.3			13.0			13.1

Quality mix		35.2			36.3			48.6			52.0			34.1			33.0			36.4			37.9
Medicaid		64.8			63.7			51.4			48.0			65.9			67.0			63.6			62.1

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Nine Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		12.8	%		14.7	%		15.5	%		18.3	%		16.0			14.6			13.6	%		15.1	%
Managed care		10.0			8.9			14.1			16.0			2.4			1.6			9.1			9.4
Other skilled		—			—			6.3			3.9			—			—			0.6			0.5

Skilled mix		22.8			23.6			35.9			38.2			18.4			16.2			23.3			25.0
Private and other payors		12.5			13.0			12.9			14.4			15.5			15.2			13.1			13.3

Quality mix		35.3			36.6			48.8			52.6			33.9			31.4			36.4			38.3
Medicaid		64.7			63.4			51.2			47.4			66.1			68.6			63.6			61.7

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Six Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		13.0	%		14.9	%		16.4	%		18.2	%		16.4	%		12.3	%		13.9	%		15.3	%
Managed care		10.2			8.6			13.9			16.7			2.5			2.2			9.2			9.4
Other skilled		—			—			6.2			3.5			—			—			0.6			0.5

Skilled mix		23.2			23.5			36.5			38.4			18.9			14.5			23.7			25.2
Private and other payors		12.5			13.0			13.4			15.4			14.9			13.5			13.1			13.2

Quality mix		35.7			36.5			49.9			53.8			33.8			28.0			36.8			38.4
Medicaid		64.3			63.5			50.1			46.2			66.2			72.0			63.2			61.6

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Skilled Mix by Revenue
Quarter to Date Periods 2007


	Three Months Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		30.9	%		31.5	%		28.1	%		31.6	%		32.1	%		37.2	%		30.8	%		32.2	%
Managed care		13.8			13.2			17.9			17.8			6.4			2.6			13.0			12.6
Other skilled		—			—			13.2			10.6			—			—			1.6			1.4

Skilled mix		44.7			44.7			59.2			60.0			38.5			39.8			45.4			46.2
Private and other payors		9.4			9.3			8.6			9.2			12.8			12.1			9.9			9.6

Quality mix		54.1			54.0			67.8			69.2			51.3			51.9			55.3			55.8
Medicaid		45.9			46.0			32.2			30.8			48.7			48.1			44.7			44.2

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		28.3	%		32.3	%		25.6	%		33.2	%		33.8	%		34.5	%		28.9	%		32.6	%
Managed care		13.8			12.6			18.6			19.2			4.6			2.2			12.8			12.8
Other skilled		—			—			12.4			7.8			—			—			1.6			1.0

Skilled mix		42.1			44.9			56.6			60.2			38.4			36.7			43.3			46.4
Private and other payors		10.4			10.3			8.7			8.6			13.0			12.0			10.7			10.2

Quality mix		52.5			55.2			65.3			68.8			51.4			48.7			54.0			56.6
Medicaid		47.5			44.8			34.7			31.2			48.6			51.3			46.0			43.4

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		28.1	%		32.9	%		30.1	%		32.2	%		35.5	%		28.0	%		29.5	%		32.6	%
Managed care		14.8			11.7			16.5			20.9			4.6			3.7			13.4			12.8
Other skilled		—			—			13.0			6.7			—			—			1.7			1.0

Skilled mix		42.9			44.6			59.6			59.8			40.1			31.7			44.6			46.4
Private and other payors		10.3			10.2			8.5			11.0			11.7			11.3			10.3			10.3

Quality mix		53.2			54.8			68.1			70.8			51.8			43.0			54.9			56.7
Medicaid		46.8			45.2			31.9			29.2			48.2			57.0			45.1			43.3

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Revenue:
Medicare		30.1	%		34.3	%		31.6	%		35.0	%		34.7	%		26.1	%		30.9	%		34.3	%
Managed care		14.2			11.2			16.9			21.7			4.9			2.1			13.3			12.8
Other skilled		—			—			11.0			6.0			—			—			1.4			1.0

Skilled mix		44.3			45.5			59.5			62.7			39.6			28.2			45.6			48.1
Private and other payors		9.7			9.6			9.9			9.6			12.0			6.5			10.1			9.5

Quality mix		54.0			55.1			69.4			72.3			51.6			34.7			55.7			57.6
Medicaid		46.0			44.9			30.6			27.7			48.4			65.3			44.3			42.4

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

Skilled Mix by Days
Quarter to Date Periods 2007


	Three Months Ended December 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		13.3	%		13.7	%		14.6	%		17.7	%		14.8	%		17.7	%		13.7	%		14.6	%
Managed care		9.8			9.8			14.4			14.1			3.3			1.5			9.0			9.3
Other skilled		—			—			6.7			5.5			—			—			0.7			0.6

Skilled mix		23.1			23.5			35.7			37.3			18.1			19.2			23.4			24.5
Private and other payors		11.8			12.1			12.3			13.1			16.7			15.4			12.8			12.6

Quality mix		34.9			35.6			48.0			50.4			34.8			34.6			36.2			37.1
Medicaid		65.1			64.4			52.0			49.6			65.2			65.4			63.8			62.9

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended September 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		12.4	%		14.3	%		13.6	%		18.6	%		15.4			15.8			13.1	%		14.9	%
Managed care		9.7			9.4			14.6			14.6			2.3			1.3			8.8			9.3
Other skilled		—			—			6.6			4.4			—			—			0.6			0.5

Skilled mix		22.1			23.7			34.8			37.6			17.7			17.1			22.5			24.7
Private and other payors		12.5			13.2			11.9			12.5			16.4			16.1			13.2			13.4

Quality mix		34.6			36.9			46.7			50.1			34.1			33.2			35.7			38.1
Medicaid		65.4			63.1			53.3			49.9			65.9			66.8			64.3			61.9

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended June 30,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		12.5	%		14.5	%		15.8	%		17.0	%		16.5	%		12.5	%		13.6	%		14.8	%
Managed care		10.1			8.6			13.5			16.5			2.5			2.3			9.0			9.2
Other skilled		—			—			6.6			3.7			—			—			0.7			0.4

Skilled mix		22.6			23.1			35.9			37.2			19.0			14.8			23.3			24.4
Private and other payors		12.6			12.9			12.9			15.4			14.7			14.8			13.0			13.3

Quality mix		35.2			36.0			48.8			52.6			33.7			29.6			36.3			37.7
Medicaid		64.8			64.0			51.2			47.4			66.3			70.4			63.7			62.3

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


	Three Months Ended March 31,
	Same Facility⁽¹⁾						Transitioning⁽²⁾						Acquisitions⁽³⁾						Total
	2007			2006			2007			2006			2007			2006			2007			2006
Percentage of Skilled Nursing Days:
Medicare		13.4	%		15.4	%		17.1	%		19.2	%		16.2	%		11.1	%		14.2	%		15.8	%
Managed care		10.3			8.6			14.3			17.0			2.5			1.4			9.5			9.6
Other skilled		—			—			5.7			3.5			—			—			0.6			0.5

Skilled mix		23.7			24.0			37.1			39.7			18.7			12.5			24.3			25.9
Private and other payors		12.4			12.9			13.9			15.3			15.1			7.2			13.0			13.2

Quality mix		36.1			36.9			51.0			55.0			33.8			19.7			37.3			39.1
Medicaid		63.9			63.1			49.0			45.0			66.2			80.3			62.7			60.9

Total skilled nursing		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%		100.0	%


(1)		Same Facility Results represents facilities purchased by the Company at least three calendar years ago, which for the calendar year 2007 would include facilities purchased prior to January 1, 2004.

(2)		Transitioning Facility Results represents facilities purchased by the Company less than three, but more than one calendar year ago, which for the calendar year 2007 would include facilities purchased from January 1, 2004 to December 31, 2005.

(3)		Recently Acquired Facility Results represents any facility purchased by the Company less than one full calendar year ago, which for the calendar year 2007 would include facilities purchased on or after January 1, 2006.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.