Attached files

file filename
8-K - 8-K - SELECT MEDICAL HOLDINGS CORPa14-18668_18k.htm

Exhibit 99.1

 

 

 

FOR IMMEDIATE RELEASE

4714 Gettysburg Road

Mechanicsburg, PA 17055

 

NYSE Symbol: SEM

 

Select Medical Holdings Corporation Announces Results for

Second Quarter Ended June 30, 2014 and Cash Dividend

 

MECHANICSBURG, PENNSYLVANIA — August 7, 2014 — Select Medical Holdings Corporation (“Select Medical”) (NYSE: SEM) today announced results for its second quarter ended June 30, 2014 and the declaration of a cash dividend.

 

For the second quarter ended June 30, 2014, net operating revenues increased 2.1% to $772.8 million, compared to $756.7 million for the same quarter, prior year.  Income from operations was $82.2 million for the second quarter ended June 30, 2014, compared to $88.3 million for the same quarter, prior year.  Net income attributable to Select Medical was $35.3 million for the second quarter ended June 30, 2014, compared to $27.8 million for the same quarter, prior year.  Net income attributable to Select Medical for the second quarter ended June 30, 2013 includes a loss on early retirement of debt, net of tax, of $10.5 million.  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 second quarter ended June 30, 2014 was $101.4 million, compared to $106.0 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 second quarter ended June 30, 2014 was $0.27 on a fully diluted basis compared to income per common share of $0.20 for the same quarter, prior year.  Excluding the loss related to the early retirement of debt for the second quarter ended June 30, 2013 and its related tax affects, adjusted income per common share was $0.27 per diluted share for the second quarter ended June 30, 2013.  A reconciliation of net income per share to adjusted net income per share for the second quarter ended June 30, 2013 is presented in table IX of this release. The results for the quarters ended June 30, 2014 and 2013 both 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 six months ended June 30, 2014, net operating revenues increased 1.9% to $1,535.3 million compared to $1,506.6 million for the same period, prior year.  Income from operations was $160.6 million compared to $170.8 million for the same period, prior year.  The Sequestration Reduction and MPPR Reduction reduced both net operating revenues and income from operations by $15.2 million for the Sequestration Reduction and $4.5 million for the MPPR Reduction for the six months ended June 30, 2014.  The Sequestration Reduction and MPPR Reduction reduced both net operating revenues and income from operations by $9.5 million for the Sequestration Reduction and $1.7 million for the MPPR Reduction for the six months ended June 30, 2013.  Net income attributable to Select Medical was $68.4 million compared to $62.2 million for the same period, prior year.  Net income attributable to Select Medical for the six months ended June 30, 2014 and 2013 includes losses on early retirement of debt, net

 



 

of tax, of $1.4 million and $11.4 million, respectively.  Adjusted EBITDA for the six months ended June 30, 2014 decreased 3.8% to $198.2 million compared to $206.0 million for the same period, prior year.  A reconciliation of net income to Adjusted EBITDA is presented in table VIII of this release.  Income per common share for the six months ended June 30, 2014 was $0.51 on a fully diluted basis compared to income per common share of $0.44 for the six months ended June 30, 2013.  Excluding the loss related to the early retirement of debt and its related tax effects in both periods, adjusted income per common share was $0.52 per diluted share for the six months ended June 30, 2014 compared to $0.53 per diluted share for the six months ended June 30, 2013.  A reconciliation of net income per share to adjusted net income per share for both the six months ended June 30, 2014 and 2013 is presented in table X of this release.

 

Specialty Hospitals

 

For the second quarter ended June 30, 2014, net operating revenues for the specialty hospital segment decreased 0.3% to $557.8 million, compared to $559.4 million for the same quarter, prior year.  Adjusted EBITDA for the specialty hospital segment was $88.7 million for the second quarter ended June 30, 2014, compared to $96.4 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 15.9% for the second quarter ended June 30, 2014, compared to 17.2% for the same quarter, prior year.  Certain specialty hospital key statistics for both the second quarter ended June 30, 2014 and 2013 are presented in table VI of this release.

 

For the six months ended June 30, 2014, net operating revenues for the specialty hospital segment increased 0.5% to $1,122.5 million compared to $1,117.1 million for the same period, prior year.  The Sequestration Reduction reduced net operating revenues and income from operations for the segment by approximately $14.4 million and $9.1 million for the six months ended June 30, 2014 and 2013, respectively.  Adjusted EBITDA for the specialty hospital segment for the six months ended June 30, 2014 decreased 4.7% to $180.8 million compared to $189.7 million for the same period, prior year.  The Adjusted EBITDA margin for the segment was 16.1% for the six months ended June 30, 2014, compared to 17.0% for the same period, prior year.  Certain specialty hospital key statistics for both the six months ended June 30, 2014 and 2013 are presented in table VII of this release.

 

Outpatient Rehabilitation

 

For the second quarter ended June 30, 2014, net operating revenues for the outpatient rehabilitation segment increased 9.0% to $214.8 million, compared to $197.1 million for the same quarter, prior year.  Adjusted EBITDA for the segment for the second quarter ended June 30, 2014 increased 16.8% to $30.4 million, compared to $26.1 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 14.2% for the second quarter ended June 30, 2014, compared to 13.2% for the same quarter, prior year.  Certain outpatient rehabilitation key statistics for both the second quarter ended June 30, 2014 and 2013 are presented in table VI of this release.

 

For the six months ended June 30, 2014, net operating revenues for the outpatient rehabilitation segment increased 6.0% to $412.6 million compared to $389.2 million for the same period, prior year.  The Sequestration Reduction and MPPR Reduction reduced both net operating revenues and income from operations for the segment by approximately $0.9 million for the Sequestration Reduction and $4.5 million for the MPPR Reduction for the six months ended June 30, 2014.  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 $1.7 million for the MPPR Reduction for the six months ended June 30, 2013.  Adjusted EBITDA for the segment for the six months ended June 30, 2014 increased 5.2% to $51.4 million compared to $48.9 million for the same period, prior year.  The Adjusted EBITDA margin for the segment was 12.5% for the six months ended June 30, 2014 compared to 12.6% for the same period, prior year.  Certain outpatient rehabilitation key statistics for both the six months ended June 30, 2014 and 2013 are presented in table VII of this release.

 



 

Stock Repurchase Program

 

The board of directors of Select Medical has authorized a $500.0 million stock repurchase program that will remain in effect until December 31, 2016, 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.  Select Medical is funding this program with cash on hand and borrowings under Select’s revolving credit facility.  Select Medical repurchased a total of 1,285,714 shares at a total cost of $18.0 million, or $14.00 per share, during the quarter ended June 30, 2014.  Since the inception of the program through June 30, 2014, Select Medical has repurchased 34,891,794 shares at a cost of approximately $301.1 million, or $8.63 per share, which includes transaction costs.

 

Dividends

 

On August 6, 2014, Select Medical’s board of directors declared a cash dividend of $0.10 per share.  The dividend will be payable on or about August 29, 2014 to stockholders of record as of the close of business on August 20, 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 is reaffirming its prior business outlook provided most recently in its May 1, 2014 first quarter earnings press release.  Select Medical continues to expect consolidated net operating revenues for the full year 2014 to be in the range of $3.05 billion to $3.15 billion.  Select Medical continues to expect Adjusted EBITDA for the full year 2014 to be in the range of $365.0 million to $385.0 million.  Select Medical continues to expect adjusted income per common share, which excludes the loss on retirement of debt and its related tax effects, for the full year 2014 to be in the range $0.89 to $0.97.  Select Medical continues to expect fully diluted income per common share for the full year 2014 to be in the range of $0.88 to $0.96.

 

Conference Call

 

Select Medical will host a conference call regarding its second quarter results and its business outlook on Friday, August 8, 2014, at 9:00 am EDT. The domestic dial-in number for the call is 1-866-515-2907. The international dial-in number is 1-617-399-5121. The passcode for the call is 47783079. 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 11:59 pm EDT, August 15, 2014. The replay number is 1-888-286-8010 (domestic) or 1-617-801-6888 (international). The passcode for the replay will be 35238169. 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 June 30, 2014, Select Medical operated 112 long term acute care hospitals and 15 acute medical rehabilitation hospitals in 28 states and 1,019 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, 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 June 30, 2013 and 2014

(In thousands, except per share amounts, unaudited)

 

 

 

2013

 

2014

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

756,673

 

$

772,762

 

2.1

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

625,730

 

642,881

 

2.7

%

General and administrative

 

17,927

 

19,377

 

8.1

%

Bad debt expense

 

8,846

 

11,115

 

25.7

%

Depreciation and amortization

 

15,907

 

17,196

 

8.1

%

 

 

 

 

 

 

 

 

Income from operations

 

88,263

 

82,193

 

(6.9

)%

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(17,280

)

 

N/M

 

Equity in earnings of unconsolidated subsidiaries

 

568

 

1,239

 

118.1

%

Interest expense

 

(21,904

)

(21,663

)

(1.1

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

49,647

 

61,769

 

24.4

%

 

 

 

 

 

 

 

 

Income tax expense

 

19,769

 

23,775

 

20.3

%

 

 

 

 

 

 

 

 

Net income

 

29,878

 

37,994

 

27.2

%

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

2,098

 

2,653

 

26.5

%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

27,780

 

$

35,341

 

27.2

%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.20

 

$

0.27

 

 

 

Diluted

 

$

0.20

 

$

0.27

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

136,609

 

127,038

 

 

 

Diluted

 

136,743

 

127,541

 

 

 

 

N/M = Not Meaningful

 



 

II.   Condensed Consolidated Statements of Operations

For the Six Months Ended June 30, 2013 and 2014

(In thousands, except per share amounts, unaudited)

 

 

 

2013

 

2014

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

1,506,628

 

$

1,535,340

 

1.9

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

1,250,634

 

1,281,645

 

2.5

%

General and administrative

 

35,325

 

37,500

 

6.2

%

Bad debt expense

 

18,167

 

22,133

 

21.8

%

Depreciation and amortization

 

31,709

 

33,425

 

5.4

%

 

 

 

 

 

 

 

 

Income from operations

 

170,793

 

160,637

 

(5.9

)%

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(18,747

)

(2,277

)

N/M

 

Equity in earnings of unconsolidated subsidiaries

 

1,626

 

2,147

 

32.0

%

Interest expense

 

(45,362

)

(42,279

)

(6.8

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

108,310

 

118,228

 

9.2

%

 

 

 

 

 

 

 

 

Income tax expense

 

41,630

 

45,867

 

10.2

%

 

 

 

 

 

 

 

 

Net income

 

66,680

 

72,361

 

8.5

%

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

4,482

 

3,976

 

(11.3

)%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

62,198

 

$

68,385

 

9.9

%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.44

 

$

0.51

 

 

 

Diluted

 

$

0.44

 

$

0.51

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

136,997

 

131,266

 

 

 

Diluted

 

137,165

 

131,766

 

 

 

 

N/M = Not Meaningful

 



 

III.  Condensed Consolidated Balance Sheets

(In thousands, unaudited)

 

 

 

December 31,
2013

 

June 30,
2014

 

Assets

 

 

 

 

 

 

 

 

 

 

 

Cash

 

$

4,319

 

$

3,140

 

 

 

 

 

 

 

Accounts receivable, net

 

391,319

 

453,184

 

 

 

 

 

 

 

Current deferred tax asset

 

17,624

 

16,042

 

 

 

 

 

 

 

Other current assets

 

41,140

 

44,759

 

 

 

 

 

 

 

Total Current Assets

 

454,402

 

517,125

 

 

 

 

 

 

 

Property and equipment, net

 

509,102

 

526,349

 

 

 

 

 

 

 

Goodwill

 

1,642,633

 

1,642,869

 

 

 

 

 

 

 

Other identifiable intangibles

 

71,907

 

72,023

 

 

 

 

 

 

 

Other assets

 

139,578

 

145,405

 

 

 

 

 

 

 

Total Assets

 

$

2,817,622

 

$

2,903,771

 

 

 

 

 

 

 

Liabilities and Equity

 

 

 

 

 

 

 

 

 

 

 

Payables and accruals

 

$

353,959

 

$

341,083

 

 

 

 

 

 

 

Current portion of long-term debt

 

17,565

 

14,778

 

 

 

 

 

 

 

Total Current Liabilities

 

371,524

 

355,861

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,427,710

 

1,598,754

 

 

 

 

 

 

 

Non-current deferred tax liability

 

96,287

 

95,981

 

 

 

 

 

 

 

Other non-current liabilities

 

91,875

 

96,335

 

 

 

 

 

 

 

Total Liabilities

 

1,987,396

 

2,146,931

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

11,584

 

11,238

 

 

 

 

 

 

 

Total equity

 

818,642

 

745,602

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

2,817,622

 

$

2,903,771

 

 



 

IV.  Consolidated Statement of Cash Flows

For the Three Months Ended June 30, 2013 and 2014

(In thousands, unaudited)

 

 

 

2013

 

2014

 

Operating Activities

 

 

 

 

 

Net Income

 

$

29,878

 

$

37,994

 

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

 

 

 

 

 

Depreciation and amortization

 

15,907

 

17,196

 

Provision for bad debts

 

8,846

 

11,115

 

Equity in earnings of unconsolidated subsidiaries

 

(568

)

(1,239

)

Loss from disposal or sale of assets

 

40

 

22

 

Loss on early retirement of debt

 

17,280

 

 

Non-cash stock compensation expense

 

1,788

 

1,965

 

Amortization of debt discount, premium and issuance costs

 

2,284

 

1,798

 

Deferred income taxes

 

3,190

 

1,218

 

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

 

 

 

 

 

Accounts receivable

 

(5,869

)

3,188

 

Other current assets

 

513

 

209

 

Other assets

 

796

 

476

 

Accounts payable

 

(6,795

)

5,611

 

Due to third-party payors

 

3,320

 

790

 

Accrued expenses

 

(7,503

)

(2,073

)

Income taxes

 

(29,110

)

(20,101

)

Net cash provided by operating activities

 

33,997

 

58,169

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(13,963

)

(23,194

)

Investment in businesses, net of distributions

 

(18,739

)

(51

)

Acquistion of businesses, net of cash acquired

 

(171

)

(79

)

Net cash used in investing activities

 

(32,873

)

(23,324

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facility

 

265,000

 

230,000

 

Payments on revolving credit facility

 

(250,000

)

(225,000

)

Payments on credit facility term loans

 

(589,052

)

 

Issuance of 6.375% senior notes

 

600,000

 

 

Borrowings of other debt

 

1,083

 

 

Principal payments on other debt

 

(2,382

)

(3,982

)

Proceeds from (repayment of) bank overdrafts

 

7,254

 

(9,284

)

Debt issuance costs

 

(14,374

)

 

Dividends paid to common stockholders

 

(13,963

)

(13,097

)

Repurchase of common stock

 

 

(18,000

)

Proceeds from issuance of common stock

 

 

3,354

 

Distributions to non-controlling interests

 

(422

)

(388

)

Net cash provided by (used in) financing activities

 

3,144

 

(36,397

)

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

4,268

 

(1,552

)

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

4,500

 

4,692

 

Cash and cash equivalents at end of period

 

$

8,768

 

$

3,140

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

26,709

 

$

24,700

 

Cash paid for taxes

 

$

45,692

 

$

42,659

 

 



 

V.  Consolidated Statement of Cash Flows

For the Six Months Ended June 30, 2013 and 2014

(In thousands, unaudited)

 

 

 

2013

 

2014

 

Operating Activities

 

 

 

 

 

Net Income

 

$

66,680

 

$

72,361

 

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

 

 

 

 

 

Depreciation and amortization

 

31,709

 

33,425

 

Provision for bad debts

 

18,167

 

22,133

 

Equity in earnings of unconsolidated subsidiaries

 

(1,626

)

(2,147

)

Loss from disposal or sale of assets

 

81

 

143

 

Loss on early retirement of debt

 

18,747

 

2,277

 

Non-cash stock compensation expense

 

3,537

 

4,120

 

Amortization of debt discount, premium, and issuance costs

 

4,588

 

3,849

 

Deferred income taxes

 

3,192

 

1,275

 

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

 

 

 

 

 

Accounts receivable

 

(83,832

)

(84,249

)

Other current assets

 

(5,894

)

(2,935

)

Other assets

 

144

 

(3,462

)

Accounts payable

 

(2,665

)

10,343

 

Due to third-party payors

 

5,217

 

1,944

 

Accrued expenses

 

(28,203

)

(16,030

)

Income taxes

 

(7,819

)

(878

)

Net cash provided by operating activities

 

22,023

 

42,169

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(27,962

)

(50,493

)

Investment in businesses, net of distributions

 

(28,716

)

(175

)

Acquisition of businesses, net of cash acquired

 

(171

)

(454

)

Net cash used in investing activities

 

(56,849

)

(51,122

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facility

 

455,000

 

515,000

 

Payments on revolving credit facility

 

(480,000

)

(425,000

)

Borrowings on credit facility term loans, net of discount

 

298,500

 

 

Payments on credit facility term loans

 

(592,615

)

(33,994

)

Issuance of 6.375% senior notes, includes premium

 

600,000

 

111,650

 

Repurchase of senior floating rate notes

 

(167,300

)

 

Repurchase of 7 5/8% senior subordinated notes

 

(70,000

)

 

Borrowings of other debt

 

6,909

 

6,111

 

Principal payments on other debt

 

(4,673

)

(7,049

)

Proceeds from (repayments of) bank overdrafts

 

1,625

 

(3,314

)

Debt issuance costs

 

(18,583

)

(4,434

)

Dividends paid to common stockholders

 

(13,963

)

(27,153

)

Repurchase of common stock

 

(9,983

)

(127,500

)

Proceeds from issuance of common stock

 

 

5,297

 

Distributions to non-controlling interests

 

(1,467

)

(1,840

)

Net cash provided by financing activities

 

3,450

 

7,774

 

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(31,376

)

(1,179

)

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

40,144

 

4,319

 

Cash and cash equivalents at end of period

 

$

8,768

 

$

3,140

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

53,914

 

$

39,107

 

Cash paid for taxes

 

$

46,832

 

$

45,471

 

 



 

VI.  Key Statistics

For the Three Months Ended June 30, 2013 and 2014

(unaudited)

 

 

 

2013

 

2014

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

109

 

112

 

 

 

Rehabilitation hospitals (a)

 

14

 

15

 

 

 

Total specialty hospitals

 

123

 

127

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

559,386

 

$

557,833

 

(0.3

)%

 

 

 

 

 

 

 

 

Number of patient days (b)

 

341,655

 

330,378

 

(3.3

)%

 

 

 

 

 

 

 

 

Number of admissions (b)

 

14,106

 

13,796

 

(2.2

)%

 

 

 

 

 

 

 

 

Net revenue per patient day (b)(c)

 

$

1,532

 

$

1,562

 

2.0

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

96,393

 

$

88,688

 

(8.0

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

17.2

%

15.9

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of clinics — end of period

 

988

 

1,019

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

197,080

 

$

214,798

 

9.0

%

 

 

 

 

 

 

 

 

Number of visits (d)

 

1,217,598

 

1,289,782

 

5.9

%

 

 

 

 

 

 

 

 

Revenue per visit (d)(e)

 

$

103

 

$

103

 

0.0

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

26,054

 

$

30,432

 

16.8

%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

13.2

%

14.2

%

 

 

 


(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 Six Months Ended June 30, 2013 and 2014

(unaudited)

 

 

 

2013

 

2014

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

109

 

112

 

 

 

Rehabilitation hospitals (a)

 

14

 

15

 

 

 

Total specialty hospitals

 

123

 

127

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

1,117,137

 

$

1,122,458

 

0.5

%

 

 

 

 

 

 

 

 

Number of patient days (b)

 

681,037

 

671,929

 

(1.3

)%

 

 

 

 

 

 

 

 

Number of admissions (b)

 

27,962

 

27,737

 

(0.8

)%

 

 

 

 

 

 

 

 

Net revenue per patient day (b)(c)

 

$

1,538

 

$

1,550

 

0.8

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

189,740

 

$

180,838

 

(4.7

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

17.0

%

16.1

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of clinics — end of period

 

988

 

1,019

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

389,181

 

$

412,648

 

6.0

%

 

 

 

 

 

 

 

 

Number of visits (d)

 

2,380,221

 

2,464,572

 

3.5

%

 

 

 

 

 

 

 

 

Revenue per visit (d)(e)

 

$

104

 

$

104

 

0.0

%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

48,887

 

$

51,421

 

5.2

%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

12.6

%

12.5

%

 

 

 


(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 and Six Months Ended June 30, 2013 and 2014

(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 June 30,

 

Six Months Ended June 30,

 

 

 

2013

 

2014

 

2013

 

2014

 

Net income

 

$

29,878

 

$

37,994

 

$

66,680

 

$

72,361

 

Income tax expense

 

19,769

 

23,775

 

41,630

 

45,867

 

Loss on early retirement of debt

 

17,280

 

 

18,747

 

2,277

 

Interest expense

 

21,904

 

21,663

 

45,362

 

42,279

 

Equity in earnings of unconsolidated subsidiaries

 

(568

)

(1,239

)

(1,626

)

(2,147

)

Stock compensation expense:

 

 

 

 

 

 

 

 

 

Included in general and administrative

 

1,231

 

1,480

 

2,427

 

3,190

 

Included in cost of services

 

557

 

485

 

1,110

 

930

 

Depreciation and amortization

 

15,907

 

17,196

 

31,709

 

33,425

 

Adjusted EBITDA

 

$

105,958

 

$

101,354

 

$

206,039

 

$

198,182

 

 

 

 

 

 

 

 

 

 

 

Specialty hospitals

 

$

96,393

 

$

88,688

 

$

189,740

 

$

180,838

 

Outpatient rehabilitation

 

26,054

 

30,432

 

48,887

 

51,421

 

Other (a)

 

(16,489

)

(17,766

)

(32,588

)

(34,077

)

Adjusted EBITDA

 

$

105,958

 

$

101,354

 

$

206,039

 

$

198,182

 

 


(a)   Other primarily includes general and administrative costs.

 



 

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

For the Three Months Ended June 30, 2013 and 2014

(In thousands, except per share amounts, unaudited)

 

 

 

2013

 

Per Share (a)

 

2014

 

Per Share (a)

 

Net income attributable to Select Medical Holdings Corporation

 

$

27,780

 

$

0.20

 

$

35,341

 

$

0.28

 

Earnings allocated to unvested restricted stockholders

 

(593

)

(0.00

)

(919

)

(0.01

)

Net income available to common stockholders

 

27,187

 

0.20

 

34,422

 

0.27

 

 

 

 

 

 

 

 

 

 

 

Adjustment for early retirement of debt:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

17,280

 

0.12

 

 

 

Estimated income tax benefit (b)

 

(6,762

)

(0.05

)

 

 

Earnings allocated to unvested restricted stockholders

 

(225

)

(0.00

)

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted net income available to common stockholders

 

$

37,480

 

$

0.27

 

$

34,422

 

$

0.27

 

Adjustment for dilution

 

 

 

(0.00

)

 

 

(0.00

)

Adjusted income per common share - diluted shares

 

 

 

$

0.27

 

 

 

$

0.27

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

 

 

136,609

 

 

 

127,038

 

Diluted

 

 

 

136,743

 

 

 

127,541

 

 


(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.

 



 

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

For the Six Months Ended June 30, 2013 and 2014

(In thousands, except per share amounts, unaudited)

 

 

 

2013

 

Per Share (a)

 

2014

 

Per Share (a)

 

Net income attributable to Select Medical Holdings Corporation

 

$

62,198

 

$

0.45

 

$

68,385

 

$

0.52

 

Earnings allocated to unvested restricted stockholders

 

(1,304

)

(0.01

)

(1,683

)

(0.01

)

Net income available to common stockholders

 

60,894

 

0.44

 

66,702

 

0.51

 

 

 

 

 

 

 

 

 

 

 

Adjustment for early retirement of debt:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

18,747

 

0.14

 

2,277

 

0.02

 

Estimated income tax benefit (b)

 

(7,341

)

(0.05

)

(922

)

(0.01

)

Earnings allocated to unvested restricted stockholders

 

(239

)

(0.00

)

(33

)

(0.00

)

 

 

 

 

 

 

 

 

 

 

Adjusted net income available to common stockholders

 

$

72,061

 

$

0.53

 

$

68,024

 

$

0.52

 

Adjustment for dilution

 

 

 

(0.00

)

 

 

(0.00

)

Adjusted income per common share - diluted shares

 

 

 

$

0.53

 

 

 

$

0.52

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

 

 

136,997

 

 

 

131,266

 

Diluted

 

 

 

137,165

 

 

 

131,766

 

 


(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.