Mike. Thanks,
and then are to I I'll we'll then it to as Talya go with finish Talya and Harold Harold Q&A. call pass the over my remarks, me and to On and as soon
I hope safe well First all let me all are you during thank and doing tough you the call. this time. pretty your And families for joining and
to the recognizing the all facilities working I I honor and first have of staff as call activity start by of years started the I’d facilities. our an director in So like an of as nursing at operator. in home. honoring
assisted And independent of care was whether being so staff day facilities, the services living, kind and care, delivered, direct the nursing, patients the how I delivered second being the reside to memory see start families and become that care in the living, every beyond were to there. other and skilled they're that that residents
treated vulnerable hospitals high being in to pandemic, attention haven't Unfortunately, supplies. staffing population, the identified and issues the in are and that cared most while have were elderly it that a even pertains gotten also And being we our which well the cautious the housing. was are on deserved. and elderly the relative is early media are shortage the level staff nursing it skilled and as facilities more And the this support, they're all and understanding of of And year, support that of tremendous are very to they with tough the the the that vulnerable. from for senior seen
and is the we’re hospital that because same there, to prioritized, not have so understanding gotten are supplies staff staffing facilities same level have the the of PR effort deserve our And tough, tough of out and of part been better still some workers support get understanding. they an our level deserve does
out up paper see in step letters And all so you I'll think you even I go when further, things head. a or see
to take a much. we'd have appreciate to us of respond If to that those, very moment you want some as
all the as not staff our pandemic starting of but Nurses Day is was are and National peers to Monday I'm yesterday Nurses the the to workers honor to Care appropriate Week, further as Skilled field sure week support And the doing, honor of also out out on week. because the are National all provide in and next our in field. National doing It's beginning the and just of things
So get direct let me that, the at on hand. with to business
capital smaller sheets So support operators, talking and growth point all don't purposes. we the appropriate operators a get environment, past has that pandemic good or as us because we have to will the tough, come soon stop acquisition this for about opportunities do to this the look is can to for some that the smaller complete partners I and on. environment think them balance move back as later so provide acquisition create that intents the for who at
We our year. from our direct, a blended -- our have we've deals, yield pipeline for get pipeline few that deals this a this on to came We'll done ones do did to some facilities material X.XX%. this year. looking year number totaling don't We development that of expect development any a forward housing senior acquisition for the similar XXX.X million from closed from approximately acquisitions more of
difficult last of the the option, we're even though not and some really we’ll to time saw right much there's tougher combination to which talk really performance in Enlivant pressed JV more the side, we're March, do the doing pressed year feel to which uplifting on really season, cost than anything anything. no quarter, it's do reason fourth We not Obviously, flu it. don't on was about, pandemic we to in do the now. it, the particularly a now about Moving this. nice very And hitting
at that that isn't point at the to end us. expires option of this meaningful the we have the fact The year
We'll to that. recover But out everything see how and how and This valuations. that space we'll about take time. plays we'll to still going how So nicely is talk that have see we affects more goes. really
for really exercise remains option JV do whether some future actually would the I seen. anything in Again, we come to arrangement So, be pressed. feel and on something, expect do other or to we option don't us foreseeable the the
impact February, reported which had an XX% and Moving related PDPM was the annualized related. PDPM first on XX% to rate of through was Based on EBITDA numbers positive of coverage quarter our cost impact. X.XX SNF and results on
Now October, the we month talking three of annualized so excluded we're the and months excluded we trailing basket market on an basis.
is patients In nursing admitted to terms sector lot to to operators PDPM, the off having we better as short still in we've the only. place, patients we types much have and drugs facilities our more term expanded a care. going Since it’s basis, of place, to we're that have of the had it you through, positioned in into of first place if it us our improved us improved. But complex PDPM you been incentivized in quarter. drugs helping our because a standalone on in admit rehab -- our nursing include PDPM And pandemic, one all more look portfolio at coverage in stats, the conditions, as even a saw that be stronger coverage
I since concerns And quarter showed of about North Avamere, some had tenants strongest it. like was that acquired really and America improvement. it's this the quarter we had that know year Avamere’s first
that and isolate still admission have admitting if outbreak Services, If a of So helped are most come there our facilities in large new they they’ve still been of because of in capacity admission large terms and with that's in. a particularly to the our if operators, hasn't stopped. there's positive and us working COVID-XX patients, admitting, facilities got quarantine outbreak conjunction Department Health may are the helped
by terms been facilities Association a issued patients. following that in guidelines time, the CDC by there supported admitting Healthcare been of our are period that are the For of have very and has specific American
said, savings basis, with have saw on a And and much the had done everything's on one that to being of do one being prior cost group done So comparing from gone pandemic therapy. one cost savings pretty because now on the therapies away, that those much the and on basis. right one we in to facilities PDPM
have that being on served done one, So have one. one activities one been on meals
basis. a being is everything one done on one So on
the savings, So exist. back come those while they currently do cost will not post pandemic,
increased occupancy the skilled did as EBITDARM our mix. and as For reported, quarter, coverage skilled
Our triple occupancy essentially rent were coverage senior net housing and flat.
of The PDPM tenants benefiting top all over improved improved had and coverage showed strong XX yet our quarter tenant more current Our PDPM. still on and their with a coverage with most Group skilled times coverage, showed McGuire X from showing best basis.
our detail. Talya discuss more For that in portfolio will
would I things first quarter. the it was flu impact out of is the -- into went point One that the really
occupancy And as hit as of so of the the result the early in a cost seeing started pandemic April. March, we pandemic in the with starting a increases really result
for On want how a of we we're the operators on first in terms go weekly from the what's going monitoring COVID-XX basis, to I things business. and our that In received over specifically, receive all we census Every level. tracker our it our facility portfolio census Difficulty]. don't We level. from weeks the operators at received two [Technical ask the of we at for
basis. asking line every for not an a But operators weeks they're our to tenant business, fine we information do dealing can walking undue We’re but tenant a provide that is two on else so that with. the on burden think given the critical causing by monitor we everything them we between get that entire census portfolio
things with of also get all this are have there. county every allowed to facilities in And might on in positive report track counties results for that us the positive province facilities. received cases sense facilities weekly progress have weekly and how which of number COVID-XX we a operating in test we some We out and the we has
When our just use to the where we February assistance. of of teams the COVID-XX, operations asset we demarcation can of point. continuously, we operators with talk impact be refer to Our but not status management determine as
to at comparison well we're and in then in April as well. to and March February April So and comparison as at May February, looking and averages looking date as month to March February
to-date basis the April. is of month occupancies February, down for since So last XXX for points shop week average through
the and of saw dropping week largest April, since first degree then. it to been however, hasn't that The drop
from triple occupancy last was points down average week senior the housing XXX basis of April. the Our net February to
pretty practical who’s be the them and from able provide leave feel taking not our out has slow care more the happened down, may residents is senior to families has outside been what's facilities. the well, consider them having simply there who need really are to able back might And in perspective door. a is number the up in our they or a housing So of secure really admissions slowed of while the held down facilities
some to that's a the So mitigated certain occupancy of extent.
would on ago. years is bigger had in a triple year-over-year is what of this a no both look occupancy you I And that at bigger the if flu thing tough and season it's and we saw impact really of housing drop flu. season, a basis, couple a impact. reflects we the net senior recalls other drop a of our though The note dissimilar virtually pretty light we quarter flu first to everybody XXXX, I’m not shop, have
long as not saw we Although, XXXX in in and duration XXXX. as
of held recover the So industry, reality and and believe combination we housing we the facilities have that’s as we senior when to the how the be I we're the will reasons to specific the the But access think from that is pandemic doing more and trends at why pretty probably pandemic. the really in well the flu just since we look have occupancy to measure we the up case.
nursing the occupancy from points to of XXX was April. basis week date skilled last February Our down month through
third that was. about Our at talking of is declining one our mix the rate skilled
we in the holding week bit it it increase is skilled just has and skilled and of by mix. now flat, of well April So pretty went up before the as than was mix have an higher hit. actually last then pandemic declining skilled from And little been our mix a to
the stay of you've stay, skilled of much healthy. I as on earlier And about three going are back skilled well so with the to PDPM, reason a who that's problem hospital long now mix mitigate Those have population the the also life some has larger healthy. mix the And comment needs. skill we're been day helped in to requirement, fact that so the has been to as so that one made And a that’s suspension got nursing place. able focused And to individuals helped.
they specifically, Medicaid, to before the at would they they nursing would care for have Medicare. where So regardless where worsen back treated additional sent if hospital and they'd could were home condition then -- and care to the qualify of facility someone's be be whether they be discharged on the get to the
because in then rule, to Medicaid tried lobby has of They really whole of So it Medicare these have lot enhances retraction always transfer folks, to they just even permanent and on sense is they're industry their like had when go for the trauma back the this through that. the that the a things facility, of discharge doesn't reasons facility, that a to which benefit. one and make and
in is place, patients now So place. in that be skilled our will
increased be put being patient have discharged it to necessarily Medicaid you day reason, for be So the maybe certainly, a have even although, whose they can related, doesn't COVID-XX for acuity stay. on to has back Medicare qualifying without hospital then whatever three
in to is and there more important of in have while Medicare perspective. they're for able those some big terms drop of care been some there's able of occupancies them where most to examples from And changes a Medicaid seen that there. where there we've to for been And they've place breakdown extreme bigger in been COVID, but convert metrics folks
so effective going in rate as sequestration and going is May to well. So, got And X% Medicare on that's mix been a Xst, that's other factor suspended skilled help we've was increase the forward positive. the
all facilities cessation surgeries. due The the that and difference, impact least the we occupancy help. from take almost such entirely overall that impact we we from see the positive given the this COVID because particularly our elective to since really of still elective drop are facilities doesn't materially huge proportion excluded almost surgeries no of from census lot buildings a that numbers that drop does is to a it is So at occupancy the of When the COVID admit, point. the have of
packages of from operators there. also of the are Now from relief that our move We're each there. accessing on programs we out are to variety that with out tracking the are mitigation various
And right now. aggregate so just going I'm to use numbers
emergency FMAP of we operators XX have that from some will billion operators we our in public asking $XXX million. broken of that the some think, relatively their advanced order; of paid be from billion; million social in suspension care XX of there to XX improve; that health I seen number have not short sequestration But you XXX PHSSEF; million number line that program chosen so that, and XXX they may as this filings. have providers, and follows; a it to payment are I your money. make comment from access providers access and would Medicare secondly, our back; our pay have access from from down total because fund million the XXX down And to when has million; one, is lenders that hope
number some lenders have being are were that, we out greatly limited appreciate program. the there Medicare during flexible access on pandemic. There we But who that that advanced operators and the flexibility from payment have to everybody of that's
PPE. benefit employer again, the million there���s does that tax X.X%, XX what rate way the million. three really payroll delay you XX a hospital is. day provide On on benefit And but that There's can't stay that quantify the
it's will on side for done but not we that there hoping Medicaid be optimistic to We're another more health help cautiously specifically that are package the will be and yet.
is tenants. positive we'll those there and currently our the to housing if different XX COVID-XX patients live what longer, and else be and have will be. chance think of and with two And those tenants facilities are there. So of or out this in XX residents senior holiday. XX there wait classes. asset this We're patterns seeing XX We goes we And on have will don't see all
assisted healthy, independent more living folks. coming you in expect, so would you exposed as employees the into population living, is And and less even got
a facilities had but large cases. had So hasn't pattern, there has there a breakouts had that does that. facilities And gets and and either there. the we've tested some nursing In that really still experiencing had beyond somewhat have help our everybody a of been when we're we've skilled facilities, facility. positive facility been positive, hasn't not much the in few really test But patients a that pattern have
So COVID have knows, be more we some problem of quantity the be testing. of of don't a facilities testing in the may the that and continues terms positive other the that But the everybody testing. And there of that facilities. mean the both the in adequacy as to of doesn't with XX patients efficacy
optimistic, nursing. cautiously are we because So skilled in our decline slowing census is however,
As The and increases counties cases held occupancy in better our it’s cases. up many as Sabra than skill mix decreases increasing. I with facilities not showings said, overall in as now
positive with the we’ve protocols a Following testing also had impact. lack of
words, have as negatives and in high So and patient But cases they lack that CDC every there other because of still of the positives. testing have false of approved you've the in testing, out according COVID-XX. some so reliability to FDA guidelines is if tests being treated false got
we positive had hospital. and be that and ventilator been to treated we've know, So recovered for patients that that of, they aware it, of know enough more transferred sick a have we're residents and not place while in cases we from have have example, have have had that need it, numbers where also untold to been we care, needs
think had a has we following. that that's again, helped because for rate. X% lot which done So, that's of bit. example, has positive the been a And testing, Enlivant, really they've quite protocols And of
certainly infections needs even memory and assisted based that, not things level come on more And the of of My a they're the concern coming the independent to in this senior a skilled side, operator, occurring does into obviously. lot had. initial that business dealing with living has experience down setting, the a didn't same housing and so in like the nursing care not And and test they healthcare this it’s have because side, just what's was living become markets availability. on
than different great So it's was recession. much the during it
guidelines workers healthcare visitors in and in had But impact. that holiday all now place, of it like institutes who have positive provider very a such, regardless fact on restrictions the a have the all when immediately, you you place the
operator from really we vigor. regardless everybody's it have that to on great same an perspective, with of see or So that's asset class, of their experience sort operators the that jumped been
that mentioned practices. do, best goes is, provide sharing as our asset I managers the from And we much and one of trying that to things assistance as we possible
We are with as get And help if programs, all referrals we of what operators any share with they it. information on make them release doing. struggling source can disseminated can so to to we much how we access, other terms our operators as were get of access in supplies them the
that All in value issue. supplies helps think are our So be available are that of huge problem. all said, availability that we're they a the tenants. continues of we'd to gowns like of to were, to bring trying all more to much Masks terms an than
And so, will there’s point some the that biggest but at but be nothing on shows there be, some right there there, the now. will horizon that relief that’s problem,
In I and mind. going that's everybody's on terms forward of costs that know
lot the costs additional think these I nursing, for skilled will away. a go of
inventory. And now a Skilled I definitely uptick an nursing facilities as lot change have The think the this as nursing housing of in now but of well that the inventory operators stock has typically obvious those little I the senior for is carry bit stock, skilled be don't they'll to senior have does, a kind nursing same on think because different. normally skilled the reasons housing hand.
don't driver the the have because there’ll in So in for relative just they'll on biggest that of something an think material you additional cost, prepared again. is supplies go this nursing from basis increase impact. more think do on of control senior housing relative happens cost labor on perspective, for That's like we'll I much be I more basis. a a an that a be skilled forward some basis, infection
have of reasonable should go going in something function be be so the I level, it And case it's again, think will forward happen I up senior at what you a basis. to building inventory, on need you housing a more think
that over which I that's portfolio, been as And turn our just this of XX% other material period relative at others our behavioral no remarkably our going but let briefly in is specialty be to on this far. some primarily and that so sense stable children's XX% and impact to finally, before through well, facilities Talya, NOI also me hospitals there’s that's facilities. have of NOI then of those comment point it And time and facilities any hospital we
with so Talya. to call will And that, I over turn the
