 Company Provides COVID-19 UpdateKENNETT SQUARE, Pa., Aug. 10, 2020 GLOBE NEWSWIRE -- Genesis Healthcare, Inc. Genesis, or the Company NYSE:GEN, one of the largest post-acute care providers in the United States, today announced operating results for the second quarter ended June 30, 2020 and provided an update regarding the impact of the 2019 novel coronavirus COVID-19 pandemic on its business. As the effects of COVID-19 persist in the United States, the Companys primary focus continues to be on the health and safety of its patients, residents, employees and their respective families, stated George V. Hager, Jr., Chief Executive Officer of Genesis. I am extremely grateful for the heroism, resolve and sacrifice of our frontline caregivers and workers fighting the pandemic, along with our dedicated regional and corporate staff who are supporting their efforts on the ground. I am also very proud of the leadership role Genesis is playing in the fight against COVID-19 in partnership with the Administration, public health officials at the federal, state and local levels, and our peers and partners in the industry, as well as the academic community.The virus is having a significant adverse impact on the Companys revenues and expenses, particularly given the Companys concentration in hard-hit Mid-Atlantic and Northeastern states. Before considering funds recognized under the CARES Act and various state Medicaid programs, we estimate the impact of incremental expenses and lost revenue caused by COVID-19 in the second quarter of 2020 was approximately 213 million. While we are grateful for federal and state financial support received and committed to date, the persistence of COVID-19 outbreaks across the country, the slow pace of top line recovery in our portfolio and the elevation of operating expenses caused by COVID-19 highlight the Companys reliance on and need for additional government sponsored financial support which is essential to meeting our responsibilities to patients, residents and caregivers. We will continue to work closely with industry advocates, elected officials and the Administration to articulate thoughtfully the resource needs of our Company and the industry in the fight against COVID-19.Second Quarter 2020 Results US GAAP revenue in the second quarter of 2020 was 0.96 billion compared to 1.15 billion in the second quarter of 2019; US GAAP net loss attributable to Genesis Healthcare, Inc. in the second quarter of 2020 was 22.0 million compared to 4.8 million in the second quarter of 2019; Adjusted EBITDA in the second quarter of 2020 was 59.4 million compared to 61.4 million in the second quarter of 2019; and Adjusted EBITDAR in the second quarter of 2020 was 155.8 million.The Company recognized 188 million of federal relief grants and other support under the Coronavirus Aid, Relief, and Economic Security Act CARES Act and 40 million of additional funding provided by certain states. The recognition of these funds in the Companys operating results served to offset the estimated 213 million impact of COVID-19 related to lost revenue and incremental expenses incurred in the second quarter of 2020. COVID-19 UPDATE AND OUTLOOKThe Companys first report of a positive case of COVID-19 in one of its facilities occurred on March 16, 2020. Since that time 241 of its 361 facilities have experienced one or more positive cases of COVID-19 among patients and residents. Over 77 of patient and resident positive COVID-19 cases have occurred in its facilities located in the states of New Jersey, Connecticut, Massachusetts, Pennsylvania and Maryland, which correspond to many of the largest initial community outbreak areas across the country. Genesis facilities in these five states represent 45 of its total operating beds.Despite the unprecedented challenges facing the Companys operations, Genesis reported that of the 897 focused infection control surveys conducted during the pandemic by state and federal officials at its centers, 94 achieved a zero deficiency rate. Net Revenues. The Companys net revenues for the three and six months ended June 30, 2020 were materially impacted by a significant decline in occupancy as a result of COVID-19. The Companys skilled nursing facility operating occupancy decreased from 88.2 for the three months ended March 31, 2020 to 77 for the three months ended June 30, 2020. The Companys operating occupancy in the month of July 2020 of 74.8 grew approximately 60 basis points from operating occupancy of 74.2 in the month of June 2020.The Companys occupancy decreased in the early months of the pandemic following the efforts of referring hospitals to cancel or reschedule elective procedures in anticipation of an increasing number of COVID-19 cases in their communities. As the pandemic progressed, occupancy was further decreased by, among other things, implementation of self-imposed admission holds in those Genesis facilities having exposure to positive cases of COVID-19 among patients, residents and employees. These self-imposed restrictions on admissions were instituted to limit risks of potential spread of the virus by individuals who either tested positive for COVID-19, exhibited symptoms of COVID-19 but had not yet been tested positive due to a severe shortage of testing materials, or were asymptomatic of COVID-19 but potentially positive and contagious.After considering a commensurate reduction in operating expenses, the Company estimates lost revenue caused by COVID-19 reduced earnings by approximately 67 million and 74 million for the three and six months ended June 30, 2020, respectively. The impact of COVID-19 on the Companys occupancy and net revenues for the remainder of 2020 will depend on future developments, which are highly uncertain and cannot be predicted, including the pace of recovery in occupancy, the future scope and severity of COVID-19, and the actions taken by public and private entities in response to the pandemic.Operating Expenses.The Companys operating expenses for the three and six months ended June 30, 2020 were materially and adversely impacted due to increases in costs as a result of the pandemic, with more dramatic increases occurring at facilities with positive COVID-19 cases among patients, residents and employees. During the three months and six months ended June 30, 2020, the Company estimates it incurred approximately 145 million and 152 million, respectively, of incremental operating expenses to prepare for and respond to the pandemic. Increases in cost primarily stemmed from higher labor costs, including increased use of overtime and bonus pay, as well as a significant increase in both the cost and usage of personal protective equipment, medical equipment, food service supplies for staff, enhanced cleaning and environmental sanitation costs, the impact of utilizing less efficient modes of providing therapy in order to avoid the grouping of patients and workers compensation expense.Government Sponsored Relief Programs. Since March 31, 2020, our usual sources of liquidity have been supplemented by grants and advanced Medicare payments under programs expanded or created under the CARES Act. Specifically, in April 2020, the Company applied for and received 157 million of advanced Medicare payments, and in April and May 2020, received approximately 186 million of relief grants. In addition, the Company has elected to implement the CARES Act payroll tax deferral program, which is expected to preserve, on an interest free basis, approximately 90 million of cash representing the employer portion of payroll taxes estimated to be incurred between March 27, 2020 and December 31, 2020, of which approximately 36 million was realized through June 30, 2020. The advance Medicare payments of 157 million, which are also interest free, are scheduled to be recouped between August 2020 and November 2020, while one-half of the payroll tax deferral amount will become due on each of December 31, 2021 and December 31, 2022. In addition to relief funding under the CARES Act, funding has been committed by a number of states in which the Company operates, currently estimated at 56 million, of which approximately 46 million was recognized in net revenue through June 30, 2020.Liquidity and Going Concern Considerations A significant number of the Companys facilities and operations are geographically located and highly concentrated in markets with close proximity to areas of the United States that have experienced widespread and severe COVID-19 outbreaks. As previously noted, COVID-19 is having and will likely continue to have a material and adverse affect on the Companys operations and supply chains, resulting in a reduction in its operating occupancy and related revenues, and an increase in its expenditures.The Company performed an assessment to determine whether there are conditions or events, considered in the aggregate, that raise substantial doubt about its ability to continue as a going concern within one year after the date the financial statements are issued. Initially, this assessment does not consider the potential mitigating effect of managements plans that have not been fully implemented. When substantial doubt exists, management assesses the mitigating effect of its plans to determine if it is probable that 1 the plans will be effectively implemented within one year after the date the financial statements are issued, and 2 when implemented, the plans will mitigate the relevant conditions or events that raise substantial doubt about the entitys ability to continue as a going concern. 