Question · Q3 2025
Austin Wurschmidt inquired about the sequential step down in ADR growth for Trilogy's skilled segment, the expected improvement in Medicare Advantage partnerships, and whether QMIX improvements drive NOI growth and margin expansion or if there's a trade-off with senior housing margins.
Answer
COO Gabe Willhite explained that Trilogy optimizes its quality mix by prioritizing higher-reimbursing Medicare and Medicare Advantage plans, which should drive rate. He noted that while Medicare rate increases are slowing, Medicare Advantage gains are expected to offset this. CEO Danny Prosky clarified that senior housing beds are separate from skilled beds, and higher Medicare/Medicare Advantage mix leads to higher NOI and margins. He also attributed a sequential margin dip to Q3 seasonal expenses like flu vaccines and employee health insurance, expecting overall margin improvement over time. COO Gabe Willhite added that Midwestern concentration means higher winter expenses.