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8-K - 8-K - SELECT MEDICAL HOLDINGS CORPa14-6412_18k.htm

Exhibit 99.1

 

 

FOR IMMEDIATE RELEASE

4714 Gettysburg Road
Mechanicsburg, PA 17055

NYSE Symbol: SEM

 

Select Medical Holdings Corporation Announces Results for

Fourth Quarter and Year Ended December 31, 2013 and Cash Dividend

 

MECHANICSBURG, PENNSYLVANIA — February 20, 2014 — Select Medical Holdings Corporation (“Select Medical”) (NYSE: SEM) today announced results for its fourth quarter and year ended December 31, 2013 and the declaration of a cash dividend.

 

For the fourth quarter ended December 31, 2013, net operating revenues increased 0.7% to $746.2 million, compared to $741.1 million for the same quarter, prior year.  The results for the fourth quarter ended December 31, 2013 reflect Medicare changes that became effective on April 1, 2013, including (i) a 2% reduction in Medicare payments that was implemented as part of the automatic reduction in federal spending mandated under the Budget Control Act of 2011 (the “Sequestration Reduction”), and (ii) an increase from 25% to 50% in the multiple procedure payment reduction for therapy services as mandated by the American Taxpayer Relief Act of 2012 (the “MPPR Reduction”).  For the fourth quarter ended December 31, 2013, these changes reduced both net operating revenues and income from operations by approximately $7.3 million for the Sequestration Reduction and $2.1 million for the MPPR Reduction, respectively.  Income from operations was $68.2 million for the fourth quarter ended December 31, 2013, compared to $80.9 million for the same quarter, prior year.  Net income attributable to Select Medical was $28.9 million for the fourth quarter ended December 31, 2013, compared to $39.4 million for the same quarter, prior year.  Net income before interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, equity in earnings (losses) of unconsolidated subsidiaries and other income (expense) (“Adjusted EBITDA”) for the fourth quarter ended December 31, 2013 was $86.4 million, compared to $98.8 million for the same quarter, prior year.  A reconciliation of net income to Adjusted EBITDA is presented in table VIII of this release.  Income per common share for the fourth quarter ended December 31, 2013 was $0.21 on a fully diluted basis, compared to $0.28 for the same quarter, prior year.

 

For the year ended December 31, 2013, net operating revenues increased 0.9% to $2,975.6 million, compared to $2,949.0 million for the prior year.  The results for the year ended December 31, 2013 include $23.9 million for the Sequestration Reduction and $5.7 million for the MPPR Reduction which reduced both net operating revenues and income from operations.  Income from operations was $301.4 million for the year ended December 31, 2013, compared to $336.9 million for the prior year.  Net income attributable to Select Medical was $114.4 million for the year ended December 31, 2013, compared to $148.2 million for the prior year.  Net income attributable to Select Medical for the years ended December 31, 2013 and 2012 include losses on early retirement of debt, net of tax, of $11.6 million and $3.8 million, respectively.  Adjusted EBITDA for the year ended December 31, 2013 was $372.9 million, compared to $405.8 million for the prior year.  A reconciliation of net income to Adjusted EBITDA is presented in table VIII of this release.  Income per common share for the year ended December 31, 2013 was $0.82 on a fully diluted basis, compared to income per common share of $1.05 for the year ended December 31, 2012.  Excluding the loss related to the early retirement of debt in each

 



 

period and their related tax effects, adjusted income per common share was $0.90 and $1.07 per diluted share for the years ended December 31, 2013 and 2012, respectively.  A reconciliation of net income per share to adjusted net income per share for years ended December 31, 2013 and 2012 is presented in table IX of this release.

 

Specialty Hospitals

 

For the fourth quarter of 2013, net operating revenues for the specialty hospital segment decreased 1.4% to $548.4 million, compared to $556.0 million for the same quarter, prior year.  The Sequestration Reduction reduced net operating revenues and income from operations for the segment by approximately $7.0 million for the fourth quarter of 2013.  Adjusted EBITDA for the specialty hospital segment was $88.8 million for the fourth quarter of 2013, compared to $95.6 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 16.2% for the fourth quarter of 2013, compared to 17.2% for the same quarter, prior year.  Certain specialty hospital key statistics for the fourth quarters ended December 31, 2013 and 2012 are presented in table VI of this release.

 

For the year ended December 31, 2013, net operating revenues for the specialty hospital segment were $2,198.1 million, compared to $2,197.5 million for the prior year.  The Sequestration Reduction reduced both net operating revenues and income from operations for the segment by approximately $22.8 million for the year ended December 31, 2013.  Adjusted EBITDA for the specialty hospital segment for the year ended December 31, 2013 was $353.8 million, compared to $381.4 million for the prior year.  The Adjusted EBITDA margin for the segment was 16.1% for the year ended December 31, 2013, compared to 17.4% for the prior year.  Certain specialty hospital key statistics for the years ended December 31, 2013 and 2012 are presented in table VII of this release.

 

Outpatient Rehabilitation

 

For the fourth quarter of 2013, net operating revenues for the outpatient rehabilitation segment increased 6.8% to $197.8 million, compared to $185.1 million for the same quarter, prior year.  The Sequestration Reduction and MPPR Reduction reduced both net operating revenues and income from operations for the segment by approximately $0.4 million for the Sequestration Reduction and $2.1 million for the MPPR Reduction for the fourth quarter of 2013.  Adjusted EBITDA for the segment for the fourth quarter of 2013 increased 7.9% to $19.8 million, compared to $18.4 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 10.0% for the fourth quarter of 2013, compared to 9.9% for the same quarter, prior year.  Certain outpatient rehabilitation key statistics for the fourth quarters ended December 31, 2013 and 2012 are presented in table VI of this release.

 

For the year ended December 31, 2013, net operating revenues for the outpatient rehabilitation segment increased 3.4% to $777.2 million, compared to $751.3 million for the prior year.  The Sequestration Reduction and MPPR Reduction reduced both net operating revenues and income from operations for the segment by approximately $1.1 million for the Sequestration Reduction and $5.7 million for the MPPR Reduction for the year ended December 31, 2013.  Adjusted EBITDA for the segment for the year ended December 31, 2013 increased 3.8% to $90.3 million, compared to $87.0 million for the prior year.  The Adjusted EBITDA margin for the segment was 11.6% for both the years ended December 31, 2013 and 2012.  Certain outpatient rehabilitation key statistics for the years ended December 31, 2013 and 2012 are presented in table VII of this release.

 

Stock Repurchase Program

 

On February 19, 2014, the board of directors of Select Medical authorized an extension of its $350.0 million common stock repurchase program for an additional year.  The program will now remain in effect until March 31, 2015, unless further extended by the board of directors.  Stock repurchases under this program may be made in the open market or through privately negotiated transactions, and at times and in such amounts as Select Medical deems appropriate.  The timing of purchases of stock will be based

 



 

upon market conditions and other factors.  Select Medical is funding this program with cash on hand or borrowings under its revolving credit facility.  Select Medical did not repurchase shares during the three months ended December 31, 2013.  During the year ended December 31, 2013, Select Medical repurchased 1,115,691 shares at a cost of approximately $10.0 million, an average cost per share of $8.95, which includes transaction costs.  Since the inception of the program through December 31, 2013, Select Medical has repurchased 23,606,080 shares at a cost of approximately $173.6 million, an average cost per share of $7.36, which includes transaction costs.

 

Dividends

 

On October 30, 2013, Select Medical’s board of directors declared a cash dividend of $0.10 per share, totaling $14.0 million.  The dividend was paid on November 22, 2013 to stockholders of record as of the close of business on November 12, 2013.

 

On February 19, 2014, Select Medical’s board of directors declared a cash dividend of $0.10 per share.  The dividend will be payable on or about March 10, 2014 to stockholders of record as of the close of business on March 3, 2014.

 

There is no assurance that future dividends will be declared or the timing or amount of any future dividend. The declaration and payment of dividends in the future are at the sole discretion of our board of directors after taking into account various factors, including our financial condition, operating results, available cash and current and anticipated cash needs and applicable restrictions in our debt documents.

 

Business Outlook

 

Select Medical confirms the business outlook it provided in its January 10, 2014 press release and expects consolidated net operating revenues for the full year 2014 to be in the range of $3.05 billion to $3.15 billion.  Select Medical expects Adjusted EBITDA for the full year 2014 to be in the range of $365.0 million to $385.0 million.  Select Medical expects fully diluted income per common share for the full year 2014 to be in the range of $0.84 to $0.93.

 

Conference Call

 

Select Medical will host a conference call regarding its fourth quarter and full year results and its business outlook on Friday, February 21, 2014, at 9:00am EST. The domestic dial-in number for the call is 1-866-515-2909. The international dial-in number is 1-617-399-5123. The passcode for the call is 79781154. The conference call will be webcast simultaneously and can be accessed at Select Medical’s website, www.selectmedicalholdings.com.

 

For those unable to participate in the conference call, a replay will be available until 11:59pm EST, February 28, 2014. The replay number is 1-888-286-8010 (domestic) or 1-617-801-6888 (international). The passcode for the replay will be 79857381. The replay can also be accessed at Select Medical’s website, www.selectmedicalholdings.com.

 

*   *   *   *   *

 

Select Medical is a leading operator of specialty hospitals and outpatient rehabilitation clinics in the United States. As of December 31, 2013, Select Medical operated 108 long term acute care hospitals and 15 acute medical rehabilitation hospitals in 28 states and 1,006 outpatient rehabilitation clinics in 32 states and the District of Columbia. Select Medical also provides medical rehabilitation services on a contracted basis to nursing homes, hospitals, assisted living and senior care centers, schools and work sites. Information about Select Medical is available at www.selectmedical.com.

 



 

Certain statements contained herein that are not descriptions of historical facts are “forward-looking” statements (as such term is defined in the Private Securities Litigation Reform Act of 1995).  Because such statements include risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements due to factors including the following:

 

·                        changes in government reimbursement for our services due to the implementation of healthcare reform legislation, deficit reduction measures, and/or new payment policies (including, for example, the expiration of the moratorium limiting the full application of the 25 Percent Rule that would reduce our Medicare payments for those patients admitted to a long term acute care hospital from a referring hospital in excess of an applicable percentage admissions threshold) may result in a reduction in net operating revenues, an increase in costs and a reduction in profitability;

 

·                        the impact of the Bipartisan Budget Act of 2013, which establishes new payment limits for Medicare patients who do not meet specified criteria, may result in a reduction in net operating revenues and profitability of our long term acute care hospitals;

 

·                     the failure of our specialty hospitals to maintain their Medicare certifications may cause our net operating revenues and profitability to decline;

 

·                     the failure of our facilities operated as “hospitals within hospitals” to qualify as hospitals separate from their host hospitals may cause our net operating revenues and profitability to decline;

 

·                     a government investigation or assertion that we have violated applicable regulations may result in sanctions or reputational harm and increased costs;

 

·                     acquisitions or joint ventures may prove difficult or unsuccessful, use significant resources or expose us to unforeseen liabilities;

 

·                     private third-party payors for our services may undertake future cost containment initiatives that limit our future net operating revenues and profitability;

 

·                     the failure to maintain established relationships with the physicians in the areas we serve could reduce our net operating revenues and profitability;

 

·                    shortages in qualified nurses or therapists could increase our operating costs significantly;

 

·                     competition may limit our ability to grow and result in a decrease in our net operating revenues and profitability;

 

·                     the loss of key members of our management team could significantly disrupt our operations;

 

·                     the effect of claims asserted against us could subject us to substantial uninsured liabilities; and

 

·                     other factors discussed from time to time in our filings with the Securities and Exchange Commission (the “SEC”), including factors discussed under the heading “Risk Factors” of the annual report on Form 10-K.

 

Investor inquiries:

Joel T. Veit

Senior Vice President and Treasurer

717-972-1100

ir@selectmedical.com

SOURCE: Select Medical Holdings Corporation

 



 

I.  Condensed Consolidated Statements of Operations

For the Three Months Ended December 31, 2012 and 2013

(In thousands, except per share amounts, unaudited)

 

 

 

2012

 

2013

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

741,086

 

$

746,175

 

0.7

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

620,278

 

627,561

 

1.2

%

General and administrative

 

16,286

 

23,856

 

46.5

%

Bad debt expense

 

7,452

 

9,994

 

34.1

%

Depreciation and amortization

 

16,147

 

16,520

 

2.3

%

 

 

 

 

 

 

 

 

Income from operations

 

80,923

 

68,244

 

(15.7

)%

 

 

 

 

 

 

 

 

Equity in earnings of unconsolidated subsidiaries

 

1,321

 

1,029

 

(22.1

)%

Interest expense

 

(22,655

)

(20,750

)

(8.4

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

59,589

 

48,523

 

(18.6

)%

 

 

 

 

 

 

 

 

Income tax expense

 

18,242

 

17,401

 

(4.6

)%

 

 

 

 

 

 

 

 

Net income

 

41,347

 

31,122

 

(24.7

)%

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

1,941

 

2,202

 

13.4

%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

39,406

 

$

28,920

 

(26.6

)%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.28

 

$

0.21

 

 

 

Diluted

 

$

0.28

 

$

0.21

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

137,661

 

136,879

 

 

 

Diluted

 

137,953

 

137,066

 

 

 

 



 

II.   Condensed Consolidated Statements of Operations

For the Year Ended December 31, 2012 and 2013

(In thousands, except per share amounts, unaudited)

 

 

 

2012

 

2013

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

2,948,969

 

$

2,975,648

 

0.9

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

2,443,550

 

2,495,476

 

2.1

%

General and administrative

 

66,194

 

76,921

 

16.2

%

Bad debt expense

 

39,055

 

37,423

 

(4.2

)%

Depreciation and amortization

 

63,311

 

64,392

 

1.7

%

 

 

 

 

 

 

 

 

Income from operations

 

336,859

 

301,436

 

(10.5

)%

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(6,064

)

(18,747

)

209.2

%

Equity in earnings of unconsolidated subsidiaries

 

7,705

 

2,476

 

(67.9

)%

Interest expense

 

(94,950

)

(87,364

)

(8.0

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

243,550

 

197,801

 

(18.8

)%

 

 

 

 

 

 

 

 

Income tax expense

 

89,657

 

74,792

 

(16.6

)%

 

 

 

 

 

 

 

 

Net income

 

153,893

 

123,009

 

(20.1

)%

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

5,663

 

8,619

 

52.2

%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

148,230

 

$

114,390

 

(22.8

)%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

1.05

 

$

0.82

 

 

 

Diluted

 

$

1.05

 

$

0.82

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

138,767

 

136,879

 

 

 

Diluted

 

139,042

 

137,047

 

 

 

 



 

III.  Condensed Consolidated Balance Sheets

(In thousands, unaudited)

 

 

 

December 31,
2012

 

December 31,
2013

 

Assets

 

 

 

 

 

 

 

 

 

 

 

Cash

 

$

40,144

 

$

4,319

 

 

 

 

 

 

 

Accounts receivable, net

 

359,929

 

391,319

 

 

 

 

 

 

 

Current deferred tax asset

 

17,877

 

17,624

 

 

 

 

 

 

 

Prepaid income taxes

 

3,895

 

 

 

 

 

 

 

 

Other current assets

 

31,818

 

41,140

 

 

 

 

 

 

 

Total Current Assets

 

453,663

 

454,402

 

 

 

 

 

 

 

Property and equipment, net

 

501,552

 

509,102

 

 

 

 

 

 

 

Goodwill

 

1,640,534

 

1,642,633

 

 

 

 

 

 

 

Other identifiable intangibles

 

71,745

 

71,907

 

 

 

 

 

 

 

Other assets

 

93,867

 

139,578

 

 

 

 

 

 

 

Total Assets

 

$

2,761,361

 

$

2,817,622

 

 

 

 

 

 

 

Liabilities and Equity

 

 

 

 

 

 

 

 

 

 

 

Payables and accruals

 

$

361,620

 

$

353,959

 

 

 

 

 

 

 

Current portion of long-term debt

 

11,646

 

17,565

 

 

 

 

 

 

 

Total Current Liabilities

 

373,266

 

371,524

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,458,597

 

1,427,710

 

 

 

 

 

 

 

Non-current deferred tax liability

 

89,510

 

96,287

 

 

 

 

 

 

 

Other non-current liabilities

 

83,699

 

91,875

 

 

 

 

 

 

 

Total Liabilities

 

2,005,072

 

1,987,396

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

10,811

 

11,584

 

 

 

 

 

 

 

Total equity

 

745,478

 

818,642

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

2,761,361

 

$

2,817,622

 

 



 

IV.  Consolidated Statement of Cash Flows

For the Three Months Ended December 31, 2012 and 2013

(In thousands, unaudited)

 

 

 

2012

 

2013

 

Operating Activities

 

 

 

 

 

Net Income

 

$

41,347

 

$

31,122

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

16,147

 

16,520

 

Provision for bad debts

 

7,452

 

9,994

 

Equity in earnings of unconsolidated subsidiaries

 

(1,321

)

(1,029

)

Gain from disposal or sale of assets

 

(2,422

)

(488

)

Non-cash stock compensation expense

 

1,687

 

1,630

 

Amortization of debt discount and issuance costs

 

2,072

 

1,926

 

Deferred income taxes

 

5,493

 

3,067

 

Changes in operating assets and liabilities, net of effects from acquisition of businesses:

 

 

 

 

 

Accounts receivable

 

25,665

 

22,092

 

Other current assets

 

242

 

(525

)

Other assets

 

4,592

 

(273

)

Accounts payable

 

(2,019

)

(8,081

)

Due to third-party payors

 

(4,808

)

(3,931

)

Accrued expenses

 

10,479

 

5,394

 

Net cash provided by operating activities

 

104,606

 

77,418

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(22,997

)

(28,329

)

Proceeds from sale of assets

 

 

2,394

 

Investment in business, net of distributions

 

(4,790

)

(2,463

)

Acquisition of businesses, net of cash acquired

 

(4,496

)

(817

)

Net cash used in investing activities

 

(32,283

)

(29,215

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facility

 

130,000

 

110,000

 

Payments on revolving credit facility

 

 

(155,000

)

Payments on credit facility term loans

 

(2,812

)

(2,052

)

Borrowings of other debt

 

2,446

 

6,072

 

Principal payments on other debt

 

(2,878

)

(3,367

)

Proceeds from bank overdrafts

 

4,238

 

5,071

 

Debt issuance costs

 

(2,291

)

(94

)

Dividends paid to common stockholders

 

(210,888

)

(14,032

)

Repurchase of common stock

 

(112

)

(835

)

Proceeds from issuance of common stock

 

713

 

1,525

 

Distributions to non-controlling interests

 

(271

)

(465

)

Net cash used in financing activities

 

(81,855

)

(53,177

)

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(9,532

)

(4,974

)

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

49,676

 

9,293

 

Cash and cash equivalents at end of period

 

$

40,144

 

$

4,319

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

12,600

 

$

28,622

 

Cash paid for taxes

 

$

17,764

 

$

11,986

 

 



 

V.  Consolidated Statement of Cash Flows

For the Year Ended December 31, 2012 and 2013

(In thousands, unaudited)

 

 

 

2012

 

2013

 

Operating Activities

 

 

 

 

 

Net Income

 

$

153,893

 

$

123,009

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

63,311

 

64,392

 

Provision for bad debts

 

39,055

 

37,423

 

Equity in earnings of unconsolidated subsidiaries

 

(7,705

)

(2,476

)

Gain from disposal or sale of assets

 

(5,906

)

(581

)

Loss on early retirement of debt

 

6,064

 

18,747

 

Non-cash stock compensation expense

 

5,677

 

7,033

 

Amortization of debt discount and issuance costs

 

7,566

 

8,433

 

Deferred income taxes

 

7,909

 

7,032

 

Changes in operating assets and liabilities, net of effects from acquisition of businesses:

 

 

 

 

 

Accounts receivable

 

15,158

 

(67,145

)

Other current assets

 

(1,607

)

(8,167

)

Other assets

 

5,862

 

(3,484

)

Accounts payable

 

(6,117

)

(1,283

)

Due to third-party payors

 

(4,448

)

(1,041

)

Accrued expenses

 

19,970

 

10,631

 

Net cash provided by operating activities

 

298,682

 

192,523

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(68,185

)

(73,660

)

Proceeds from sale of assets

 

16,511

 

2,912

 

Investment in businesses, net of distributions

 

(14,689

)

(34,893

)

Acquisition of businesses, net of cash acquired

 

(6,043

)

(1,665

)

Net cash used in investing activities

 

(72,406

)

(107,306

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facility

 

495,000

 

690,000

 

Payments on revolving credit facility

 

(405,000

)

(800,000

)

Borrowings on credit facility term loans, net of discount

 

266,750

 

298,500

 

Payments on credit facility term loans

 

(9,875

)

(596,720

)

Issuance of 6.375% senior notes

 

 

600,000

 

Repurchase of senior floating rate notes

 

 

(167,300

)

Repurchase of 7 5/8% senior subordinated notes

 

(278,495

)

(70,000

)

Borrowings of other debt

 

8,281

 

15,310

 

Principal payments on other debt

 

(10,295

)

(10,834

)

Proceeds from (repayment of) bank overdrafts

 

1,227

 

(5,330

)

Debt issuance costs

 

(6,527

)

(18,914

)

Dividends paid to common stockholders

 

(210,888

)

(41,961

)

Repurchase of common stock

 

(46,902

)

(11,781

)

Proceeds from issuance of common stock

 

1,817

 

1,525

 

Distributions to non-controlling interests

 

(3,268

)

(3,537

)

Net cash used in financing activities

 

(198,175

)

(121,042

)

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

28,101

 

(35,825

)

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

12,043

 

40,144

 

Cash and cash equivalents at end of period

 

$

40,144

 

$

4,319

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

80,722

 

$

89,061

 

Cash paid for taxes

 

$

77,614

 

$

64,963

 

 



 

VI.  Key Statistics

For the Three Months Ended December 31, 2012 and 2013

(unaudited)

 

 

 

2012

 

2013

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

110

 

108

 

 

 

Rehabilitation hospitals (a)

 

12

 

15

 

 

 

Total specialty hospitals

 

122

 

123

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

555,952

 

$

548,374

 

(1.4

)%

 

 

 

 

 

 

 

 

Number of patient days (b)

 

337,522

 

336,690

 

(0.2

)%

 

 

 

 

 

 

 

 

Number of admissions (b)

 

13,743

 

13,989

 

1.8

%

 

 

 

 

 

 

 

 

Net revenue per patient day (b)(c)

 

$

1,542

 

$

1,509

 

(2.1

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

95,575

 

$

88,823

 

(7.1

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

17.2

%

16.2

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of clinics — end of period

 

979

 

1,006

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

185,122

 

$

197,773

 

6.8

%

 

 

 

 

 

 

 

 

Number of visits (d)

 

1,121,047

 

1,203,609

 

7.4

%

 

 

 

 

 

 

 

 

Revenue per visit (d)(e)

 

$

104

 

$

104

 

0.0

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

18,355

 

$

19,807

 

7.9

%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

9.9

%

10.0

%

 

 

 


(a)         Includes managed hospitals.

(b)         Excludes managed hospitals.

(c)          Net revenue per patient day is calculated by dividing specialty hospital direct patient service revenue by the total number of patient days.

(d)         Excludes managed clinics.

(e)          Net revenue per visit is calculated by dividing outpatient rehabilitation clinic direct patient service revenue by the total number of visits.  For purposes of this computation, outpatient rehabilitation clinic direct patient service revenue does not include managed clinics or contract services revenue.

 



 

VII.  Key Statistics

For the Year Ended December 31, 2012 and 2013

(unaudited)

 

 

 

2012

 

2013

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

110

 

108

 

 

 

Rehabilitation hospitals (a)

 

12

 

15

 

 

 

Total specialty hospitals

 

122

 

123

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

2,197,529

 

$

2,198,121

 

0.0

%

 

 

 

 

 

 

 

 

Number of patient days (b)

 

1,345,430

 

1,353,847

 

0.6

%

 

 

 

 

 

 

 

 

Number of admissions (b)

 

55,147

 

55,729

 

1.1

%

 

 

 

 

 

 

 

 

Net revenue per patient day (b)(c)

 

$

1,534

 

$

1,514

 

(1.3

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

381,354

 

$

353,843

 

(7.2

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

17.4

%

16.1

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of clinics — end of period

 

979

 

1,006

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

751,317

 

$

777,177

 

3.4

%

 

 

 

 

 

 

 

 

Number of visits (d)

 

4,568,821

 

4,780,723

 

4.6

%

 

 

 

 

 

 

 

 

Revenue per visit (d)(e)

 

$

103

 

$

104

 

1.0

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

87,024

 

$

90,313

 

3.8

%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

11.6

%

11.6

%

 

 

 


(a)         Includes managed hospitals.

(b)         Excludes managed hospitals.

(c)          Net revenue per patient day is calculated by dividing specialty hospital direct patient service revenue by the total number of patient days.

(d)         Excludes managed clinics.

(e)          Net revenue per visit is calculated by dividing outpatient rehabilitation clinic direct patient service revenue by the total number of visits.  For purposes of this computation, outpatient rehabilitation clinic direct patient service revenue does not include managed clinics or contract services revenue.

 



 

VIII. Net Income to Adjusted EBITDA Reconciliation

For the Three Months and Year Ended December 31, 2012 and 2013

(In thousands, unaudited)

 

The following table reconciles net income to Adjusted EBITDA for Select Medical.  Adjusted EBITDA is used by Select Medical to report its segment performance.  Adjusted EBITDA is defined as net income before interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, equity in earnings (losses) of unconsolidated subsidiaries and other income (expense).  The Company believes that the presentation of Adjusted EBITDA is important to investors because Adjusted EBITDA is commonly used as an analytical indicator of performance by investors within the healthcare industry.  Adjusted EBITDA is used by management to evaluate financial performance and determine resource allocation for each of its operating units.

 

Adjusted EBITDA is not a measure of financial performance under generally accepted accounting principles.  Items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance.  Adjusted EBITDA should not be considered in isolation or as an alternative to, or substitute for, net income, cash flows generated by operations, investing or financing activities, or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity.  Because Adjusted EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.

 

 

 

Three Months Ended
December 31,

 

Year Ended
December 31,

 

 

 

2012

 

2013

 

2012

 

2013

 

Net income

 

$

41,347

 

$

31,122

 

$

153,893

 

$

123,009

 

Income tax expense

 

18,242

 

17,401

 

89,657

 

74,792

 

Loss on early retirement of debt

 

 

 

6,064

 

18,747

 

Interest expense

 

22,655

 

20,750

 

94,950

 

87,364

 

Equity in earnings of unconsolidated subsidiaries

 

(1,321

)

(1,029

)

(7,705

)

(2,476

)

Stock compensation expense:

 

 

 

 

 

 

 

 

 

Included in general and administrative

 

1,102

 

1,591

 

3,538

 

5,276

 

Included in cost of services

 

585

 

39

 

2,139

 

1,757

 

Depreciation and amortization

 

16,147

 

16,520

 

63,311

 

64,392

 

Adjusted EBITDA

 

$

98,757

 

$

86,394

 

$

405,847

 

$

372,861

 

 

 

 

 

 

 

 

 

 

 

Specialty hospitals

 

$

95,575

 

$

88,823

 

$

381,354

 

$

353,843

 

Outpatient rehabilitation

 

18,355

 

19,807

 

87,024

 

90,313

 

Other (a)

 

(15,173

)

(22,236

)

(62,531

)

(71,295

)

Adjusted EBITDA

 

$

98,757

 

$

86,394

 

$

405,847

 

$

372,861

 

 


(a)              Other primarily includes general and administrative costs.

 



 

IX.   Reconciliation of Income Per Common Share to Adjusted Income Per Common Share

For the Year Ended December 31, 2012 and 2013

(In thousands, except per share amounts, unaudited)

 

 

 

2012

 

Per Share (a)

 

2013

 

Per Share (a)

 

Net income attributable to Select Medical Holdings Corporation

 

$

148,230

 

$

1.07

 

$

114,390

 

$

0.84

 

Earnings allocated to unvested restricted stockholders

 

(2,514

)

(0.02

)

(2,450

)

(0.02

)

Net income available to common stockholders

 

145,716

 

1.05

 

111,940

 

0.82

 

 

 

 

 

 

 

 

 

 

 

Adjustment for early retirement of debt:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

6,064

 

0.04

 

18,747

 

0.13

 

Estimated income tax benefit (b)

 

(2,311

)

(0.01

)

(7,130

)

(0.05

)

Earnings allocated to unvested restricted stockholders

 

(63

)

(0.00

)

(249

)

(0.00

)

 

 

 

 

 

 

 

 

 

 

Adjusted net income available to common stockholders

 

$

149,406

 

$

1.08

 

$

123,308

 

$

0.90

 

Adjustment for dilution

 

 

 

(0.01

)

 

 

(0.00

)

Adjusted income per common share - diluted shares

 

 

 

$

1.07

 

 

 

$

0.90

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

 

 

138,767

 

 

 

136,879

 

Diluted

 

 

 

139,042

 

 

 

137,047

 

 


(a) Per share amounts for each period presented are basic weighted average common shares outstanding for all amounts except adjusted income per common share - diluted shares, which is based on diluted shares outstanding.

(b) Represents the estimated tax benefit on the adjustments to net income.