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8-K - FORM 8-K - SELECT MEDICAL HOLDINGS CORP | c14473e8vk.htm |
Exhibit 99.1
Corporate Profile
Select Medical Holdings Corporation, through its subsidiaries, is a leading provider of specialized
healthcare in both specialty hospitals and outpatient rehabilitation. We are based in
Mechanicsburg, Pennsylvania, and have approximately 25,900 employees throughout the United States.
We believe that we are one of the largest operators of both specialty hospitals and outpatient
rehabilitation clinics in the United States based on number of facilities. As of December 31, 2010,
we operated 111 long term acute care hospitals and seven inpatient rehabilitation facilities in 28
states, and 944 outpatient rehabilitation clinics in 36 states and the District of Columbia. We
also provide medical rehabilitation services on a contract basis at nursing homes, hospitals,
assisted living and senior care centers, schools and worksites. We began operations in 1997 under
the leadership of our current management team.
Our specialty hospital segment consists of hospitals designed to serve the needs of long term stay
acute patients and hospitals designed to serve patients that require intensive medical
rehabilitation care. Patients are typically admitted to our specialty hospitals from general acute
care hospitals. These patients have specialized needs, because of their serious and complex medical
conditions such as respiratory failure, neuromuscular disorders, traumatic brain and spinal cord
injuries, strokes, non-healing wounds, cardiac disorders, renal disorders and cancer. Given their
complex medical needs, these patients generally require a longer length of stay than patients in a
general acute care hospital and benefit from being treated in a specialty hospital that is designed
to meet their unique medical needs.
In our outpatient rehabilitation clinics and through our contractual relationships, we provide
physical, occupational and speech rehabilitation programs and services. We also provide certain
specialized programs such as hand therapy or sports performance enhancement that treat sports and
work related injuries, musculoskeletal disorders, chronic or acute pain and orthopedic conditions.
The typical patient in one of our clinics suffers from musculoskeletal impairments that restrict
his or her ability to perform normal activities of daily living. These impairments are often
associated with accidents, sports injuries, strokes, heart attacks and other medical conditions.
Our rehabilitation programs and services are designed to help these patients minimize physical and
cognitive impairments and maximize functional ability. We also provide services designed to prevent
short term disabilities from becoming chronic conditions. Our rehabilitation services are provided
by our professionals including licensed physical therapists, occupational therapists,
speech-language pathologists and respiratory therapists.
To Our Stockholders:
2010 was a defining year for Select Medical Holdings Corporation (Select). The
company began a new decade and acknowledged its first anniversary as a publicly
traded company on the New York Stock Exchange (NYSE: SEM). Three prevailing themes
defined the year: leadership, high-quality and business expansion.
In terms of leadership, the company welcomed two influential figures in 2010. In May,
former Senate Majority Leader William H. Frist, M.D., joined the companys board of
directors as a new independent director. In September, former board member David S.
Chernow was hired as President and Chief Development and Strategy Officer. In this
role, Mr. Chernow drives the companys strategic direction for the future and works
closely with Selects seasoned executives.
Of course, sound leadership and high-quality outcomes go hand-in-hand. In 2010, we were pleased to
also welcome two new leaders to our LTAC hospital division: Lisa Snyder, M.D., MPH, Senior Vice
President, Chief Quality Officer, and Tony Grigonis, Ph.D., Vice President of Quality Improvement.
Drs. Snyder and Grigonis are focused on enhancing a high-quality culture that emphasizes continuous
learning, teamwork and customer focus at all levels of the organization.
High-quality has been a top priority since we started the company in 1996. This founding spirit
remains with us today: providing high-quality health care to everyone we serve. It may involve
weaning a medically complex patient from a ventilator, helping someone re-learn basic tasks after a
life-altering accident, enabling an injured individual to successfully return to work, or
accelerating a patients post-surgical recovery. Regardless of condition or injury, our clinical
teams are united by a shared goal: to provide exceptional patient care and achieve optimal
outcomes. Our ongoing dedication to high-quality is underscored by extensive continuing education
opportunities for our employees, frequent exchange of best practices, and thorough analysis of
quality metrics.
Throughout 2010, Select also built positive momentum through other means: acquisition and joint
venture activity. In September 2010, we acquired Regency Hospital Company. This hallmark
acquisition grew our LTAC hospital network by 23 hospitals in nine states. With these additional
898 licensed beds, we expanded our LTAC hospital footprint into Louisiana, Minnesota and South
Carolina. Through the cooperation, support and collaboration of many talented people, we have
integrated Regency Hospitals into the Select organization.
Collaboration was also evident through joint venture activity in the companys inpatient
rehabilitation hospital division. In the summer of 2010, Penn State Hershey Rehabilitation Hospital
a joint venture between Select and Penn State Milton S. Hershey Medical Center relocated its
operations to a newly constructed, 61,588-square-foot facility. With 44 adult beds and 10 pediatric
beds, this state-of-the-art facility advances medical rehabilitation services throughout the
region.
During the summer of 2010, Select and Baylor Health Care System announced a definitive agreement to
forge a rehabilitation joint venture in the Dallas-Fort Worth metroplex. The joint venture is
expected to close in April of 2011.
In December 2010, the joint venture between Select and SSM Health Care St. Louis celebrated its
first anniversary. Throughout the year, this joint partnership served the specialized inpatient and
outpatient rehabilitation needs of the greater St. Louis community. With an eye on the future,
construction also commenced on the future home of SSM Rehabilitation Hospital, a planned 60-bed
freestanding facility.
Our outpatient operations also logged numerous accomplishments in 2010. Selects well-established
brands NovaCare Rehabilitation, Kessler Rehabilitation Centers, Select Physical Therapy, and
KORT (Kentucky Orthopedic Rehab Team) were the providers of choice in local markets across the
United States. With its long-term growth potential, workers compensation continued its place as an
area of focus for our outpatient clinics. Across the country, NovaCare Rehabilitation and Select
Physical Therapy partnered with high-profile professional and collegiate sports teams to keep
athletes at peak performance. Our contract therapy business, Select Medical Rehabilitation
Services, continued to provide physical, occupational and speech-language therapy services to a
wide range of organizations, including skilled nursing facilities, assisted living and senior care
centers, schools, acute care hospitals and worksites.
None of our progress in 2010 would be possible without the expertise, dedication and devotion of
our employees. They live the companys values each day in our hospitals, outpatient centers,
contract sites and business offices. As just one example, last year The Gallup Organization
recognized our Kessler Institute for Rehabilitation with its prestigious 2010 Great Workplace
Award. The honor recognized companies with the best performing workforces in the world. Kessler was
one of only 25 companies to receive the honor and we are very proud of this accomplishment.
We are grateful for the entire Select teams sustained commitment to achieving high-quality,
optimal outcomes for those we have the privilege to serve. As our everyday brand ambassadors,
Select employees extend their good deeds into their respective communities. Our employees proudly
devote their time, talents and energy to support local causes and to enhance quality of life for
others. Through Caring and Responsive Employees of Select (CARES), employees at our corporate
campus are deeply involved in the local community and support a wide number of organizations and
causes.
Through this letter to you, we are pleased to share some of the key highlights from 2010. It was an
eventful year as the company continued to mature while charting a new course for a new decade. We
are enormously proud of this company. Thank you for supporting the vital work we do every day to
transform lives through healing and recovery.
Sincerely yours,
Rocco A. Ortenzio
|
Robert A. Ortenzio | |||
Executive Chairman
|
Chief Executive Officer |
FINANCIAL HIGHLIGHTS SELECT MEDICAL HOLDINGS CORPORATION
(In thousands, except per share data)
(In thousands, except per share data)
For the Year | 2010 | 2009 | 2008 | 2007 | ||||||||||||
For the Years Ended |
||||||||||||||||
Revenue |
$ | 2,390,290 | $ | 2,239,871 | $ | 2,153,362 | $ | 1,991,666 | ||||||||
Income from operations |
236,137 | 235,838 | 196,408 | 193,885 | ||||||||||||
Net income attributable to Select Medical Holdings Corporation |
77,644 | 75,282 | 22,441 | 35,430 | ||||||||||||
Income (loss) per common share, fully diluted |
0.48 | 0.61 | (0.04 | ) | 0.17 | |||||||||||
Cash flow from operations |
144,537 | 165,639 | 107,438 | 86,013 | ||||||||||||
At Year End |
||||||||||||||||
Cash and equivalents |
$ | 4,365 | $ | 83,680 | $ | 64,260 | $ | 4,529 | ||||||||
Working capital (deficit) |
(70,232 | ) | 156,685 | 118,370 | 14,730 | |||||||||||
Total assets |
2,722,086 | 2,588,146 | 2,579,469 | 2,495,046 | ||||||||||||
Total debt |
1,430,769 | 1,405,571 | 1,779,925 | 1,755,635 | ||||||||||||
Stockholders equity (deficit) |
783,880 | 738,988 | (174,204 | ) | (165,889 | ) | ||||||||||
Segment Information |
||||||||||||||||
Revenue |
||||||||||||||||
Specialty hospitals |
$ | 1,702,165 | $ | 1,557,821 | $ | 1,488,412 | $ | 1,386,410 | ||||||||
Outpatient rehabilitation |
688,017 | 681,892 | 664,760 | 603,413 | ||||||||||||
All other |
108 | 158 | 190 | 1,843 | ||||||||||||
Total |
$ | 2,390,290 | $ | 2,239,871 | $ | 2,153,362 | $ | 1,991,666 | ||||||||
Adjusted EBITDA(1) |
||||||||||||||||
Specialty hospitals |
$ | 284,558 | $ | 290,370 | $ | 236,388 | $ | 217,175 | ||||||||
Outpatient rehabilitation |
83,772 | 89,072 | 77,279 | 75,437 | ||||||||||||
All other |
(61,251 | ) | (49,215 | ) | (43,380 | ) | (37,684 | ) |
(1) | We define Adjusted EBITDA as net income before interest, income taxes, depreciation and
amortization, gain on early retirement of debt, stock compensation expense, equity in losses of
unconsolidated subsidiaries, other income (expense), and long-term incentive compensation.
Adjusted EBITDA is used by management to evaluate financial performance and determine resource
allocation for each of our operating units. |
Select has had a Strong Track Record of Growth through both Acquisitions and Internal Development
(Net operating revenues, in millions)
Internal Development 63 specialty hospitals and 299 outpatient clinics opened since inception
Acquisitions 85 specialty hospitals acquired since inception
Acquisitions 85 specialty hospitals acquired since inception
Board of Directors
Rocco A. Ortenzio
|
Bryan C. Cressey | William H. Frist, M.D. | ||
Co-Founder & Executive Chairman,
|
Founder & Partner, | Former Majority Leader of the | ||
Select Medical Holdings Corporation
|
Cressey & Company | United States Senate | ||
Partner, Cressey & Company | ||||
Robert A. Ortenzio
|
James E. Dalton, Jr. | |||
Co-Founder &
|
Chairman, | Thomas A. Scully | ||
Chief Executive Officer,
|
Signature Hospital Corporation | General Partner, | ||
Select Medical Holdings Corporation
|
Welsh, Carson, Anderson & Stowe | |||
Russell L. Carson
|
James S. Ely III | Leopold Swergold | ||
Co-founder & General Partner,
|
Founder & Chief Executive Officer, | Managing Member, | ||
Welsh, Carson, Anderson & Stowe
|
Priority Capital Management LLC | Anvers Management Company LLC | ||
Executive Officers | ||||
Rocco A. Ortenzio
|
Martin F. Jackson | Michael E. Tarvin | ||
Executive Chairman
|
Executive Vice President & | Executive Vice President, General | ||
Chief Financial Officer | Counsel & Secretary | |||
Robert A. Ortenzio |
||||
Chief Executive Officer
|
John A. Saich | Scott A. Romberger | ||
Executive Vice President & | Senior Vice President, Controller & | |||
Patricia A. Rice
|
Chief Human Resources Officer | Chief Accounting Officer | ||
President & Chief Operating Officer |
||||
Robert G. Breighner, Jr. | ||||
David S. Chernow
|
James J. Talalai | Vice President, Compliance and | ||
President & Chief Development and
|
Executive Vice President & | Audit Services & Corporate | ||
Strategy Officer
|
Chief Information Officer | Compliance Officer | ||
Corporate Information | ||||
Corporate Headquarters
|
Registrar and Stock Transfer Agent | Shareholder Inquiries | ||
Select Medical Holdings Corporation
|
BNY Mellon Shareowner Services | For information, please contact: | ||
4714 Gettysburg Road
|
P. O. Box 358015 | Joel T. Veit | ||
Mechanicsburg, PA 17055
|
Pittsburgh, PA 15252-8015 | Vice President & Treasurer | ||
(717) 972-1100
|
(800) 756-3353 | 4714 Gettysburg Road | ||
Mechanicsburg, PA 17055 | ||||
Independent Registered Public
|
ir@selectmedicalcorp.com | |||
Accounting Firm
|
Stock Exchange | (717) 972-1100 | ||
PricewaterhouseCoopers, LLC
|
NYSE | |||
Two Commerce Square, Suite 1700
|
Symbol: SEM | Internet Address | ||
2001 Market Street
|
www.selectmedicalholdings.com | |||
Philadelphia, PA 19103-7042 |
Select Medical Holdings Corporation trades under the symbol SEM and is proud to meet the listing requirements of the NYSE, the worlds leading equities market.