20 25
COMPANY OVERVIEW
2 ND QUARTER
TABLE OF CONTENTS
04
Letter from our CEO
06
Vision, Mission, & Values
07
The Trilogy Difference
08
Products and Services
09
Our Footprint
10
Trilogy Management Services
12
The Best Place We've Ever Belonged
14
Gold Standard in Clinical Excellence
16
Operating Metrics
17
Portfolio Metrics
18
Occupancy Trends
19
Asset Re-Investments
22
New Projects
24
Management Team
25
Important Contacts
27
Disclaimers
For over 25 years, Trilogy has been on a mission —to be the Best Healthcare Company in the Midwest, the best place our 16,350 employees have ever belonged, and always be the gold standard of clinical excellence in long term care. It’s been an incredible journey since 1997 —one that’s taken us to 5 states with 124 campuses— but our mission has always remained the same. Our values of compassion, honesty, respect, and above all else, service to others, are what makes the Trilogy experience stand out among the rest. From the moment you enter our doors, you’ll feel it. Whether it’s Live A Dream adventures (pictured right) or our exceptional culinary services, you can count on us to serve residents, family members, communities, and investors according to those values.
25+ YEARS IN HEALTHCARE
24 YEARS WITH TRILOGY HEALTH SERVICES
That’s our promise to you—and it’s one we’re proud to stand behind.
BEST HEALTHCARE COMPANY IN THE MIDWEST
BEST PLACE OUR EMPLOYEES HAVE EVER BELONGED
GOLD STANDARD FOR CLINICAL EXCELLENCE IN LONG-TERM CARE
THE TRILOGY DIFFERENCE FLYWHEEL TO SUCCESS
We align our entire organization around delivering a remarkable employee experience. Through servant leadership, we focus on consistent and well-trained staff who are engaged and want to be the best. Our customers receive better care leading to best-in-market reputations which in turn drives higher occupancy. Higher occupancy and better payor mix lead to financial success, which allows us to reinvest in our employees and our campuses.
7
TRILOGY SERVICES SPAN THE
TRILOGY HEALTH SERVICES 124 Senior Care Campuses: Each including Senior Living and Skilled Nursing Care settings
SENIOR CARE CONTINUUM
SENIOR LIVING - Assisted Living
Since 1997, we’ve dedicated ourselves to being the Best Healthcare Company in the Midwest by providing exceptional, comprehensive care to seniors in every community we serve. We operate throughout Kentucky, Indiana, Ohio, Michigan, and Wisconsin and have designed our communities to offer a full range of services, from independent and assisted living, to skilled nursing and rehabilitative services. At Trilogy Health Services, our 180+ Trilogy Service Standards showcase our compassionate commitment to excellence in customer service. Along with these service standards, our culture, values, and commitment to utilizing no staffing agencies define The Trilogy Difference. We provide excellence in customer service to each employee, the communities in which we serve, and every resident that calls us home.
- Independent Living - Memory Care
SKILLED NURSING - Short-term care - Long-term care
- Skilled Memory Care - Dialysis
SYNCHRONY HEALTH SERVICES Synchrony is a Trilogy-owned ancillary provider of post-acute care. SERVICES INCLUDE - Long-Term Care Pharmacy - Rehabilitation - Maintenance & Employee Pharmacy
8
OUR MIDWEST FOCUS
Trilogy clusters its health campuses and ancillary businesses in demographically attractive, non-urban, and suburban communities in five Midwestern states, easing the burden on staffing and management.
2
Muskegon ego
Belmont
Cent 4
Byron Center
Romeo
7
East Lansing
Hudsonville
2
Macomb
Novi
Campus Counts: IN – 67 KY – 16 MI – 14 OH – 27 WI – 2
Scio Township
Portage
South Bend
Sylvania
6
5
Monclova
Bowling Green
2
Warsaw
Kendallville
Lowell
4
4
Tin n
2
Wabash
3
7
Westeld
3
New Albany
4
Hilliard
Crawfordsville
Gahanna
Carmel Car
3
4
9
Pickerington
Avon
Miami Twsp
2
Lancaster
Mooresville
Hamilton o Harrison son 6
3
6
4
Union Township
2
3
# of campuses clustered in the market
La 10
La Grange
4
Shelbyville
6
3
5
Corydon
Winchester
Mt. Washington
Bardstown
Harrodsburg
Danville
TRILOGY MANAGEMENT SERVICES Although we own most of our portfolio, we also partner with third-party owners, bringing our operational expertise to their properties.
Over our 25-year history, we have done it all: • Grand openings & ground-up construction • Replacing existing operator/lessee • Turn-around and repositioning • Stabilized campuses
The benefits of a large-scale operator, with the service of a small firm. BENEFITS INCLUDE: • No staffing agencies. Period. • Reduce your expenses through economies of scale for food & supplies • Centralized payor contract negotiations • Better employee benefits through larger employee pool
Comprehensive solutions for every aspect of your Skilled Nursing or Senior Housing property: • Clinical • Culinary • Environmental Services • Sales & Marketing • Maintenance • Accounting & Financial Reporting
• Actionable financials delivered in a timely and detailed fashion
10
11
Trilogy is an employee first organization, understanding that if we are the best place any of our employees have ever belonged, they will provide the clinical care required to propel us to the Best Healthcare Company in the Midwest. Our employee first culture begins with servant leadership. Each member of the Trilogy team is driven to serve, not only our residents, but also each other. Trilogy focuses on providing employees with development opportunities and an environment where they want to succeed. THE BEST PLACE WE’VE EVER BELONGED
WE TAKE CARE OF OUR EMPLOYEES BY OFFERING:
5 Comprehensive total rewards package
5 Quarterly wage increases
5 Growth pathways with premium pay through Apprenticeship and Mentorship Programs
5 Generous paid parental leave
5 Employee Resource Groups: Women in Leadership, Veteran and Military Families and Pride 5 Scholarships and emergency assistance through our Trilogy Foundation
BEST WORKPLACES FOR AGING SERVICES 4 TH YEAR IN A ROW RANKED 4 TH 2022 Fortune Magazine’s
All employees are Trilogy! 100% NO AGENCY STAFFING
2024 Recognized by Newsweek as being one of America’s Greatest Workplaces for Women, Diversity & Well-Being.
SINCE 2022 35
ADMINISTRATOR IN TRAINING GRADUATES
We grow from within by empowering our employees to become licensed administrators.
EMERGENCY ASSISTANCE In 2024, the Trilogy Health Services Foundation provided a total of $981,567 for 1,730 employee requests of experiencing financial hardship. SCHOLARSHIPS The Trilogy Health Services Foundation provided 284 scholarships to qualifying Trilogy and Synchrony employees and their dependents in 2024. CARE SHELF PROGRAM Food pantries available to employees at every Trilogy location. In 2024, the Trilogy Health Services Foundation committed $442,910 to fight food insecurity. LIVE A DREAM PROGRAM Live a Dream is a program in which the Foundation financially assists residents in fulfilling their bucket list dreams.
Established in 2009, the mission of the Trilogy Health Services Foundation is to improve the lives of Trilogy Health Services employees so that they may reach their full potential through education, financial stability, and healthy living, which creates memorable moments for our residents. Our vision is to provide resources for Trilogy Health Services employees and residents to take them WELL into the future. THE FOUNDATION HAS PROVIDED $6.5 MILLION IN EMERGENCY ASSISTANCE AND HAS AWARDED $10.3 MILLION+ IN EDUCATION ASSISTANCE AND SCHOLARSHIPS
SUSAN’S SAVINGS FIRST TIME HOME BUYER’S PROGRAM
Helping employees purchase their first home, by creating a savings plan and matching 2-1 in funds up to $7,000 at closing.
EMPLOYEE HARDSHIPS
# AWARDED
428
Car Payments/Repairs
311
Misc. Circumstances
297
Utility Shut-Offs
275
Home Eviction
114
Non-Life Threatening Medical Crisis
77
Life Threatening Medical Crisis
64
Food Assistance
62
Domestic Violence
56
Death of Immediate Family Member
55
Catastrophic Loss of Property
TOTAL
1,739
BRONZE & SILVER QUALITY AWARD RECIPIENTS
The AHCA/NCAL National Quality Award Program is a progressive, three-step process that encourages the continuous learning, development, and execution of integrated quality systems to achieve performance excellence. Each progressive step requires a more detailed and comprehensive demonstration of quality integration and performance. The criteria for
Since 2024, 117 Trilogy campuses have won awards; 60 Silver and 57 Bronze
The company’s focus on no agency staffing and clinical quality are key drivers of our success in these awards, and more importantly, in resident care.
each step are based on the Baldridge Performance Excellence Program.
Our residents are 4% less likely to return to the hospital than the industry average. 11.8 % SNF HOSPITAL READMISSION RATE
GOLD STANDARD IN CLINICAL EXCELLENCE Providing exceptional clinical care is at the forefront of everything we do, and it shows. Trilogy maintains a higher CMS star rating than our competitive set; having received multiple AHCA/NCAL National Quality Awards. We are proud to be a trusted source of care for a wide range of clinically complex patients, and our teams are extensively trained to provide exceptional support for the unique needs of individuals with diverse medical conditions.
that help ensure consistent and thoughtful care delivery. 180 + QUALITY & SERVICE STANDARDS
Our campuses have 36% more clinical staff than the industry average. 24hr ON-STAFF CLINICAL CARE
14
CMS 5 STAR RATING
68% OF TRILOGY CAMPUSES ARE RATED 4 STAR & ABOVE
4.0
3.8 3.9
3.7
3.5
3.2
2.7
2.7
2.6
2.6
2.5
2.1 2.2
2.0
OPERATING METRICS
130
14,000
12,920
12,657
12,892
12,824
12,362
125
126
124
125
12,000
122
120
11,916
10,258
10,000
10,678
115
9,880
8,000
110
105
105
6,000
100
101
4,000
97
95
2,000
92
90
86
0
85
CAMPUSES
TOTAL BEDS/UNITS
16
73% PRIVATE ROOMS
PORTFOLIO METRICS
5 %
9 %
34 %
32 %
57 %
Q2 2025 BED MIX
2015 BED MIX
63 %
SNF
AL/ALZ
IL
<1 %
<1 %
19 %
25 %
36 %
Q2 2025 CENSUS BY PAYOR MIX
Q2 2025 REVENUE BY PAYOR MIX
39 %
55 %
24 %
Private
Medicaid
Medicare
Managed Care/Ins
17
OCCUPANCY TREND SAME STORE VS. INDUSTRY
Trilogy Same Store Occupancy %
NIC Industry %
Our strong reputation, exceptional team, uncompromising quality of care, thoughtfully designed communities, and private room availability set Trilogy apart as a trusted leader in the industry.
90.1
89.9
Trilogy Same Store Occupancy %
NIC Industry %
Trilogy Same Store Occupancy %
88.8 NIC Industry %
89.0
88.9
88.6
88.0
SNF SAME STORE OCCUPANCY %
87.5 87.7
87.2
86.8 86.8 87.0
90.1
89.9
90.1
89.9
88.8
89.0
88.9
88.8
88.6 86.1 86.2 86.2 89.0
88.9
88.0
88.6
85.7 85.8
88.0
85.2 85.2 85.4
87.5 87.7
87.2
85.0
87.5 87.7
87.2
84.6 84.7
86.8 86.8 87.0 84.3 84.5
86.8 86.8 87.0
86.1 86.2 86.2
86.1 86.2 86.2
85.7 85.8
Jun 24
Jul 24
Aug 24
Sep 24
85.0 Oct 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
85.7 85.8
85.2 85.2 85.4
85.2 85.2 85.4
84.6 84.7 85.0
84.3 84.5
84.6 84.7
84.3 84.5
Jun 24
Jul 24
Aug 24
Sep 24
Oct 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
Jun 24
Jul 24
Aug 24
Sep 24
Oct 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
AL SAME STORE OCCUPANCY %
89.9
90.5 89.9
89.7
88.6
89.4 89.4
89.3
89.3
89.0
88.9
88.7 88.6
88.1
87.7 87.9 88.0
87.5 87.5 87.5 87.6
87.3
89.9
90.5 89.9
86.7 86.9 86.9 90.5 89.9
89.7
89.9
88.6
86.3
89.7
89.4 89.4
89.3
88.6
89.3
89.0
88.9
89.4 89.4
89.3
88.7 88.6 89.3
89.0
88.9
88.7 88.6
88.1
87.7 87.9 88.0 88.1
87.5 87.5 87.5 87.6
87.7 87.9 88.0
87.3 Oct 24
Jun 24
Jul 24
Aug 24
Sep 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
87.5 87.5 87.5 87.6
86.7 86.9 86.9 87.3
86.3 86.7 86.9 86.9
86.3
Jun 24
Jul 24
Aug 24
Sep 24
Oct 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
Jun 24
Jul 24
Aug 24
Sep 24
Oct 24
Nov 24
Dec 24
Jan 25
Feb 25
Mar 25
Apr 25
May 25
Jun 25
ASSET RE-INVESTMENT
2025 Planned CapEx contains a substantial reinvestment in our campuses through service line additions, refurbishments, capital lite projects, and routine maintenance. The largest distribution of these funds is focused on assets between 5–15 years of age allowing the Trilogy portfolio to be refurbished and renovated at the right time. These timely investments pay off as shown by the graphs below. When we renovate, occupancy grows.
CAPITAL LITE OCCUPANCY GROWTH
MONTHS OPEN
0
5
10
15
20
25
WILLARD, OH AL LEGACY
100%
LOUISVILLE, KY AL LEGACY
100%
OTTAWA, OH SNF LEGACY
100%
LIMA, OH SNF LEGACY GENOA, OH AL LEGACY LOUISVILLE, KY SNF LEGACY LOUISVILLE, KY STROKE UNIT
100%
100%
100%
100%
19
NEW CAMPUS OCCUPANCY GROWTH
MONTHS UNTIL STABILIZATION MIAMI TOWNSHIP, OH MT. WASHINGTON, KY HARRISON, OH BELMONT, MI LA GRANGE, KY HAMILTON, OH GAHANNA, OH HILLIARD, OH BYRON CENTER, MI BOWLING GREEN, OH LIBERTY TOWNSHIP, OH
10
40
50
20
30
68% 83% 89% 95% 91% 92% 92% 92% 92% 92% 92% 68% 67% 54%
MUSKGEON LANCASTER HUDSONVILLE
CAMPUS ADDITION OCCUPANCY GROWTH
MONTHS UNTIL STABILIZATION
100% Corydon, IN Patio Homes OCCUPANCY
100% OCCUPANCY Englewood, OH Patio Homes
100% OCCUPANCY Willard, OH Patio Homes
OCCUPANCY 94.1% Monclova, OH Patio Homes
3 MONTHS
3 MONTHS
3 MONTHS
3 MONTHS
20
48
6
0
9
42
LIBERTY TOWNSHIP
BOWLING GREEN
FUTURE DEVELOPMENT Trilogy is dedicated to the growth of our portfolio through new campus additions and future opportunities. This is achieved through our in-house development team that is responsible for feasibility studies and market planning, licensure, architecture, construction and trades, as well as overall project management.
22 FUTURE
CAMPUSES OR ADDITIONS
BOARD APPROVED NEW FUTURE CAMPUSES:
jan 2024
2025
jul
aug
sep
jan
feb
mar
nov dec
apr
may jun
oct
feb
mar
jul
aug
sep
apr
may jun
oct
nov dec
WASHINGTON, IN Patio Homes
HARRODSBURG, KY Patio Homes Phase 1
LANCASTER, OH New Campus
BOWLING GREEN, OH New Campus
SYLVANIA, OH Patio Home Addition
HUDSONVILLE, MI New Campus
NEW ALBANY DMK Mgmt
MUSKEGON, MI New Campus
HARRODSBURG, KY Patio Homes Phase 2
BEDFORD, IN SNF Wing Addition
KOKOMO, IN Patio Homes
OTTAWA, OH Patio Homes
2026
Q1
Q2
Q3
Q4
SCIO TOWNSHIP, MI New Campus
TIFFIN, OH AL Wing Addition
MOORESVILLE, IN AL Addition
LAGRANGE, KY Patio Homes
WARSAW, IN Legacy
JASPER, IN SNF Wing Addition
NOBLESVILLE, IN Patio Homes
LOWELL, IN Patio Homes & Legacy
HARRISON, OH Patio Homes
GREENFIELD, IN Patio Home Addition
LAFAYETTE, IN Patio Homes
PORTAGE, MI New Campus
TIFFIN, OH Patio Homes
HOLLY, MI New Campus
NEW ALBANY, IN SNF Wing Addition
22
MUSKEGON
LANCASTER
TELL CITY
BEFORE AFTER
PREMIER MANAGEMENT TEAM WITH PROVEN OPERATING TRACK RECORD
DAVID DAVIS President & Chief Financial Officer
TODD MEHAFFEY Chief Operating Officer
LEIGH ANN BARNEY Chief Executive Officer
STACI WOODS Chief Growth & Experience Officer
KATY WANE Chief Compliance & Ethics Officer
CRISTINA PIETROWSKI Chief Legal Officer
REISE OFFICER Chief Information Officer
RHONDA DEMPSEY Chief Nursing Officer
ANDREW MCNAMARA Chief Medical Officer
24
At Trilogy, we don’t just provide senior care, we provide great experiences for seniors. We take quality of life to mean actually living life to its fullest, and our programs are designed to help seniors do just that. From Independent and Assisted Living, to Skilled Nursing and Rehabilitation, we provide services that help our residents live the highest quality of life possible.
CONTACT INFORMATION
Leigh Ann Barney CEO 502-412-5847 LeighAnn.Barney@trilogyhs.com David Davis President & CFO 502-412-5847 David.Davis@trilogyhs.com Greg Conner SVP and Treasurer 502-412-5847 Greg.Conner@trilogyhs.com
DISCLAIMERS
SCAN TO ACCESS ONLINE
or visit trilogyhs.com/trilogy-financial-overview
DISCLAIMERS
FORWARD-LOOKING STATEMENTS Certain statements contained in this presentation, including statements relating to Trilogy Investors, LLC’s (the ”Company,” “its,” “we,” “our,” “us,” or “AHR”) expectations regarding its portfolio growth, interest expense savings, balance sheet, net income (loss), FFO, NFFO, total portfolio Same- Store NOI growth, segment-level Same-Store NOI growth, occupancy, NOI growth, revenue growth, and margin expansion may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends for all such forward-looking statements to be covered by the applicable safe harbor provisions for forward-looking statements contained in those acts. Such forward-looking statements generally can be identified by the use of forward- looking terminology such as “may,” “will,” “can,” “expect,” “intend,” “anticipate,” “estimate,” “believe,” “continue,” “possible,” “initiatives,” “focus,” “seek,” “objective,” “goal,” “strategy,” “plan,” “potential,” “potentially,” “preparing,” “projected,” “future,” “long-term,” “once,” “should,” “could,” “would,” “might,” “uncertainty,” or other similar words. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this presentation. Any such forward-looking statements are based on current expectations, estimates and projections about the industry and markets in which the Company operates and beliefs of, and assumptions made by, the Company's management and involve known and unknown risks and uncertainties that could cause actual results to differ materially from those expressed or implied therein, including, without limitation, risks disclosed in the Company’s periodic reports as filed with the Securities and Exchange Commission (“SEC”). Except as required by law, the Company does not undertake any obligation to update or revise any forward-looking statements contained in this presentation. NON-GAAP MEASURES The Company’s reported results are presented in accordance with GAAP. The Company also discloses the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, NAREIT FFO, NFFO, NOI and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and used by investors and analysts to compare the operating performance of the Company between periods and to other REITs or companies on a consistent basis without having to
account for differences caused by unanticipated and/or incalculable items. Definitions of the non-GAAP financial measures used herein and reconciliations to the most directly comparable financial measure calculated in accordance with GAAP can be found at the end of this earnings release. See below for further information regarding the Company's non-GAAP financial measures. EBITDA and Adjusted EBITDA Management uses earnings before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA to facilitate internal and external comparisons to our historical operating results and in making operating decisions. EBITDA and Adjusted EBITDA are widely used by investors, lenders, credit and equity analysts in the valuation, comparison, and investment recommendations of companies. Additionally, EBITDA and Adjusted EBITDA are utilized by our Board of Directors to evaluate management. Neither EBITDA nor Adjusted EBITDA represents net income (loss) or cash flows provided from operating activities as determined in accordance with GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, EBITDA and Adjusted EBITDA may not be comparable to similarly entitled items reported by other REITs or other companies. Funds from Operations (FFO) and Normalized Funds from Operations (NFFO) We believe that the use of FFO, which excludes the impact of real estate-related depreciation and amortization and impairments, provides a further understanding of our operating performance to investors, industry analysts and our management, and when compared year over year, reflects the impact on our operations from trends in occupancy rates, rental rates, operating costs, general and administrative expenses and interest costs, which may not be immediately apparent from net income (loss). However, FFO and NFFO should not be construed to be (i) more relevant or accurate than the current GAAP methodology in calculating net income (loss) as an indicator of our operating performance, (ii) more relevant or accurate than GAAP cash flows from operations as an indicator of our liquidity or (iii) indicative of funds available to fund our cash needs, including our ability to make distributions to our stockholders. The method utilized to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operational performance and considered
more prominently than the non-GAAP FFO and NFFO measures and the adjustments to GAAP in calculating FFO and NFFO. Presentation of this information is intended to provide useful information to investors, industry analysts and management as they compare the operating performance metrics used by the REIT industry, although it should be noted that some REITs may use different methods of calculating funds from operations and normalized funds from operations, so comparisons with such REITs may not be meaningful. NET OPERATING INCOME We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are appropriate supplemental performance measures to reflect the performance of our operating assets because NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI exclude certain items that are not associated with the operations of the properties. We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same- Store NOI are widely accepted measures of comparative operating performance in the real estate community. However, our use of the terms NOI, Cash NOI, Pro-Rata Cash NOI and Same- Store NOI may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts. NOI, Cash NOI, Pro-Rata Cash NOI and Same- Store NOI are not equivalent to our net income (loss) as determined under GAAP and may not be a useful measure in measuring operational income or cash flows. Furthermore, NOI, Cash NOI, Pro- Rata Cash NOI and Same-Store NOI should not be considered as alternatives to net income (loss) as an indication of our operating performance or as an alternative to cash flows from operations as an indication of our liquidity. NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should not be construed to be more relevant or accurate than the GAAP methodology in calculating net income (loss). NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should be reviewed in conjunction with other measurements as an indication of our performance.
303 N. Hurstbourne Parkway, Suite 200 | Louisville, KY 40222 502-412-5847 | Fax: 502-412-0407 | trilogyhs.com
COMPANY UPDATES_AUGUST_2025
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