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8-K - 8-K - SELECT MEDICAL HOLDINGS CORPa12-10747_18k.htm

Exhibit 99.1

 

 

  FOR IMMEDIATE RELEASE

4714 Gettysburg Road

Mechanicsburg, PA 17055

 

NYSE Symbol: SEM

 

Select Medical Holdings Corporation Announces Results for

First Quarter Ended March 31, 2012

 

MECHANICSBURG, PENNSYLVANIA — May 3, 2012 — Select Medical Holdings Corporation (“Select Medical”) (NYSE: SEM) today announced results for its first quarter ended March 31, 2012.

 

For the first quarter ended March 31, 2012, net operating revenues increased 7.3% to $744.0 million compared to $693.2 million for the same quarter, prior year.  Income from operations increased 4.5% to $91.6 million compared to $87.6 million for the same quarter, prior year.  Net income attributable to Select Medical increased 23.4% to $41.5 million compared to $33.7 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 first quarter increased 3.1% to $109.1 million compared to $105.7 million for the same quarter, prior year.  A reconciliation of net income to Adjusted EBITDA is presented in table V of this release.  Income per common share for the first quarter ended March 31, 2012 was $0.29 on a fully diluted basis compared to income per common share of $0.22 for the quarter ended March 31, 2011.

 

Specialty Hospitals

 

Certain specialty hospital key statistics are presented in table IV of this release.  For the first quarter of 2012, net operating revenues for the specialty hospital segment increased 6.4% to $553.0 million compared to $519.9 million for the same quarter, prior year.  Adjusted EBITDA for the specialty hospital segment decreased 0.4% to $100.0 million compared to $100.4 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 18.1% for the first quarter of 2012, compared to 19.3% for the same quarter, prior year.

 

Outpatient Rehabilitation

 

Certain outpatient rehabilitation key statistics are presented in table IV of this release.  For the first quarter of 2012, net operating revenues for the outpatient rehabilitation segment increased 10.2% to $190.9 million compared to $173.2 million for the same quarter, prior year.  Adjusted EBITDA for the segment for the first quarter increased 5.0% to $22.5 million compared to $21.4 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 11.8% for the first quarter of 2012, compared to 12.4% for the same quarter, prior year.

 



 

Stock Repurchase Program

 

On February 22, 2012, the board of directors of Select Medical authorized an increase of $100.0 million in the capacity of its common stock repurchase program from $150.0 million to $250.0 million.  The program will remain in effect until March 31, 2013, unless 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 repurchased 3,203,692 shares at a cost of $25.7 million, which includes transaction costs, during the quarter ended March 31, 2012.  Since the inception of the program through March 31, 2012, Select Medical has repurchased 19,968,299 shares at a cost of $142.6 million, which includes transaction costs.

 

Business Outlook

 

Select Medical reaffirms the financial guidance provided in its January 6, 2012 press release.  Select Medical expects consolidated revenue for full year 2012 to be in the range of $2.85 billion to $2.95 billion.  Select Medical expects Adjusted EBITDA for full year 2012 to be in the range of $390 million to $410 million.  Select Medical expects fully diluted income per common share for full year 2012 to be in the range of $0.86 to $0.94.

 

Conference Call

 

Select Medical will host a conference call regarding its first quarter results and its business outlook on Friday, May, 4, 2012, at 9:00am EDT. The domestic dial-in number for the call is 1-866-578-5788. The international dial-in number is 1-617-213-8057. The passcode for the call is 68707993. The conference call will be webcast simultaneously and can be accessed at Select Medical Holdings Corporation’s website, http://www.selectmedicalholdings.com.

 

For those unable to participate in the conference call, a replay will be available until 11:59pm EDT, May 11, 2012. The replay number is 1-888-286-8010 (domestic) or 1-617-801-6888 (international). The passcode for the replay will be 75172895. The replay can also be accessed at Select Medical Holdings Corporation’s website, http://www.selectmedicalholdings.com.

 

*   *   *   *   *

 

Select Medical is a leading operator of specialty hospitals and outpatient rehabilitation clinics in the United States. As of March 31, 2012, Select Medical operated 111 long term acute care hospitals and 12 acute medical rehabilitation hospitals in 28 states and 950 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:

 

·                     additional changes in government reimbursement for our services, including changes that will result from the expiration of the moratorium for long term acute care hospitals established by the Medicare, Medicaid, and SCHIP Extension Act of 2007, the American Recovery and Reinvestment Act, and the Patient Protection and Affordable Care Act may result in a reduction in net operating revenues, an increase in costs and a reduction in profitability;

·                     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 under the heading “Risk Factors” in our annual report on Form 10-K.

 

Investor inquiries:

 

Joel T. Veit

Vice President and Treasurer

717-972-1100

ir@selectmedicalcorp.com

 

SOURCE: Select Medical Holdings Corporation

 



 

I.  Condensed Consolidated Statements of Operations

For the Three Months Ended March 31, 2011 and 2012

(In thousands, except per share amounts, unaudited)

 

 

 

2011

 

2012

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

693,186

 

$

744,021

 

7.3

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

557,416

 

611,619

 

9.7

%

General and administrative

 

16,566

 

14,224

 

(14.1

)%

Bad debt expense

 

14,350

 

10,375

 

(27.7

)%

Depreciation and amortization

 

17,222

 

16,199

 

(5.9

)%

 

 

 

 

 

 

 

 

Income from operations

 

87,632

 

91,604

 

4.5

%

 

 

 

 

 

 

 

 

Equity in earnings (losses) of unconsolidated subsidiaries

 

(73

)

2,465

 

N/M

 

Interest income

 

56

 

 

N/M

 

Interest expense

 

(25,664

)

(23,922

)

(6.8

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

61,951

 

70,147

 

13.2

%

 

 

 

 

 

 

 

 

Income tax expense

 

26,564

 

27,575

 

3.8

%

 

 

 

 

 

 

 

 

Net income

 

35,387

 

42,572

 

20.3

%

 

 

 

 

 

 

 

 

Less: Net income attributable to non- controlling interests

 

1,715

 

1,030

 

(39.9

)%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

33,672

 

$

41,542

 

23.4

%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.22

 

$

0.29

 

 

 

Diluted

 

$

0.22

 

$

0.29

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

152,838

 

141,426

 

 

 

Diluted

 

153,056

 

141,640

 

 

 

 

N/M = Not Meaningful

 



 

II.  Condensed Consolidated Balance Sheets

(In thousands, unaudited)

 

 

 

December 31,
2011

 

March 31,
2012

 

Assets

 

 

 

 

 

Cash

 

$

12,043

 

$

9,274

 

Accounts receivable, net

 

413,743

 

465,687

 

Current deferred tax asset

 

18,305

 

19,894

 

Prepaid income taxes

 

9,497

 

 

Other current assets

 

29,822

 

34,178

 

Total Current Assets

 

483,410

 

529,033

 

Property and equipment, net

 

510,028

 

491,773

 

Goodwill

 

1,631,716

 

1,631,383

 

Other identifiable intangibles

 

72,123

 

71,868

 

Assets held for sale

 

2,742

 

2,742

 

Other assets

 

72,128

 

79,779

 

Total Assets

 

$

2,772,147

 

$

2,806,578

 

 

 

 

 

 

 

Liabilities and equity

 

 

 

 

 

Payables and accruals

 

$

373,090

 

$

366,518

 

Current portion of long-term debt

 

10,848

 

14,451

 

Total Current Liabilities

 

383,938

 

380,969

 

Long-term debt, net of current portion

 

1,385,950

 

1,399,039

 

Non-current deferred tax liability

 

82,028

 

85,029

 

Other non-current liabilities

 

64,905

 

69,459

 

Total equity

 

855,326

 

872,082

 

Total Liabilities and Equity

 

$

2,772,147

 

$

2,806,578

 

 



 

III.  Condensed Consolidated Statement of Cash Flows

For the Three Months Ended March 31, 2011 and 2012

(In thousands, unaudited)

 

 

 

2011

 

2012

 

Operating Activities

 

 

 

 

 

Net Income

 

$

35,387

 

$

42,572

 

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

 

 

 

 

 

Depreciation and amortization

 

17,222

 

16,199

 

Provision for bad debts

 

14,350

 

10,375

 

Loss (gain) from disposal or sale of assets

 

188

 

(3,550

)

Non-cash stock compensation expense

 

880

 

1,261

 

Amortization of debt discount

 

507

 

311

 

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

 

 

 

 

 

Accounts receivable

 

(100,135

)

(62,319

)

Other current assets

 

(3,076

)

(4,419

)

Other assets

 

2,052

 

2,028

 

Accounts payable

 

11,777

 

(1,560

)

Due to third-party payors

 

(474

)

485

 

Accrued expenses

 

(9,948

)

(20,585

)

Income and deferred taxes

 

26,238

 

27,382

 

Net cash provided by (used in) operating activities

 

(5,032

)

8,180

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(12,920

)

(11,751

)

Proceeds from sale of assets

 

250

 

16,511

 

Investment in business

 

 

(7,840

)

Acquisition of businesses, net of cash acquired

 

(2,000

)

 

Net cash used in investing activities

 

(14,670

)

(3,080

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facilities

 

205,000

 

230,000

 

Payments on revolving credit facilities

 

(105,000

)

(215,000

)

Payments on 2011 credit facility term loans

 

 

(2,125

)

Payments on 2005 credit facility term loans

 

(59,563

)

 

Borrowings of other debt

 

5,496

 

5,835

 

Principal payments on other debt

 

(2,494

)

(2,328

)

Repurchase of common stock

 

(2,026

)

(25,739

)

Proceeds from issuance of common stock

 

81

 

95

 

Proceeds from (repayment of) bank overdrafts

 

(9,418

)

2,491

 

Distribution to non-controlling interests

 

(1,671

)

(1,098

)

Net cash provided by (used in) financing activities

 

30,405

 

(7,869

)

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

10,703

 

(2,769

)

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

4,365

 

12,043

 

Cash and cash equivalents at end of period

 

$

15,068

 

$

9,274

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

41,365

 

$

31,285

 

Cash paid for taxes

 

$

103

 

$

204

 

 



 

IV.  Key Statistics

For the Three Months Ended March 31, 2011 and 2012

(unaudited)

 

 

 

2011

 

2012

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

110

 

111

 

 

 

Rehabilitation hospitals (a)

 

8

 

12

 

 

 

Total specialty hospitals

 

118

 

123

 

 

 

Net operating revenues (,000)

 

$

519,924

 

$

553,038

 

6.4

%

Number of patient days (b)

 

333,856

 

343,021

 

2.7

%

Number of admissions (b)

 

13,810

 

14,055

 

1.8

%

Net revenue per patient day (b)(c)

 

$

1,514

 

$

1,525

 

0.7

%

Adjusted EBITDA (,000)

 

$

100,353

 

$

99,954

 

(0.4

)%

Adjusted EBITDA margin

 

19.3

%

18.1

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

Number of clinics — end of period

 

945

 

950

 

 

 

Net operating revenues (,000)

 

$

173,191

 

$

190,899

 

10.2

%

Number of visits (d)

 

1,138,700

 

1,152,209

 

1.2

%

Revenue per visit (e)

 

$

103

 

$

103

 

0.0

%

Adjusted EBITDA (,000)

 

$

21,406

 

$

22,478

 

5.0

%

Adjusted EBITDA margin

 

12.4

%

11.8

%

 

 

 


(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 revenue by the total number of visits.  For purposes of this computation, outpatient rehabilitation clinic revenue does not include managed clinics or contract services revenue.

 



 

V. Net Income to Adjusted EBITDA Reconciliation

For the Three Months Ended March 31, 2011 and 2012

(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
March 31,

 

 

 

2011

 

2012

 

Net income

 

$

35,387

 

$

42,572

 

Income tax expense

 

26,564

 

27,575

 

Interest expense, net of interest income

 

25,608

 

23,922

 

Equity in (earnings) losses of unconsolidated subsidiaries

 

73

 

(2,465

)

Stock compensation expense:

 

 

 

 

 

Included in general and administrative

 

470

 

772

 

Included in cost of services

 

410

 

489

 

Depreciation and amortization

 

17,222

 

16,199

 

Adjusted EBITDA

 

$

105,734

 

$

109,064

 

 

 

 

 

 

 

Specialty hospitals

 

$

100,353

 

$

99,954

 

Outpatient rehabilitation

 

21,406

 

22,478

 

Other (1)

 

(16,025

)

(13,368

)

Adjusted EBITDA

 

$

105,734

 

$

109,064

 

 


(1)  Other consists primarily of general and administrative costs.