0001104659-14-033776.txt : 20140502 0001104659-14-033776.hdr.sgml : 20140502 20140502080025 ACCESSION NUMBER: 0001104659-14-033776 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20140429 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Submission of Matters to a Vote of Security Holders ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20140502 DATE AS OF CHANGE: 20140502 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP CENTRAL INDEX KEY: 0001320414 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 14806962 BUSINESS ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 MAIL ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL CORP CENTRAL INDEX KEY: 0001035688 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 232872718 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-31441 FILM NUMBER: 14806963 BUSINESS ADDRESS: STREET 1: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 BUSINESS PHONE: 7179721100 MAIL ADDRESS: STREET 1: 4716 OLD GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 8-K 1 a14-11782_18k.htm 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 


 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported):  April 29, 2014

 


 

SELECT MEDICAL HOLDINGS CORPORATION
SELECT MEDICAL CORPORATION

(Exact name of registrant as specified in its charter)

 

Delaware
Delaware

 

001-34465
001-31441

 

20-1764048
23-2872718

(State or other jurisdiction of
Incorporation)

 

(Commission File
Number)

 

(I.R.S. Employer
Identification No.)

 


 

4714 Gettysburg Road, P.O. Box 2034

Mechanicsburg, PA 17055

(Address of principal executive offices)  (Zip Code)

 

(717) 972-1100

(Registrant’s telephone number, including area code)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

o            Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o            Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o            Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o            Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 



 

Item 2.02                   Results of Operations and Financial Condition.

 

On May 1, 2014, Select Medical Holdings Corporation (the “Company”) issued a press release announcing its financial results for its first quarter ended March 31, 2014. A copy of that press release and the attached financial schedules are attached as Exhibit 99.1 to this report and incorporated herein by reference.

 

The information in this report (including Exhibit 99.1) is being furnished pursuant to Item 2.02 and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed to be incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act.

 

Item 5.07                   Submission of Matters to a Vote of Security Holders.

 

The annual meeting of stockholders (the “Annual Meeting”) of the Company was held on April 29, 2014.  At the Annual Meeting, the Company’s stockholders approved three proposals.  The proposals below are described in the Company’s definitive proxy statement dated March 5, 2014.  The results are as follows:

 

Proposal 1: The Election of Three Class II Directors to the Board of Directors

 

Name

 

Votes For

 

Votes Withheld

 

Abstentions

 

Broker Non-Votes

Bryan C. Cressey

 

122,548,801

 

5,147,252

 

0

 

5,333,511

Robert A. Ortenzio

 

120,565,497

 

7,130,556

 

0

 

5,333,511

Leopold Swergold

 

109,495,371

 

18,200,682

 

0

 

5,333,511

 

Proposal 2:  Non-Binding Advisory Vote on the Compensation of the Company’s Named Executive Officers

 

Votes For

 

Votes Against

 

Abstentions

 

Broker Non-Votes

121,303,056

 

5,799,209

 

593,788

 

5,333,511

 

Proposal 3:  Ratification of the Appointment of PricewaterhouseCoopers LLP as the Company’s Independent Registered Public Accounting Firm for the Fiscal Year Ending December 31, 2014

 

Votes For

 

Votes Against

 

Abstentions

 

Broker Non-Votes

132,128,536

 

454,679

 

446,349

 

0

 

Item 9.01                                           Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit Number

 

Description

 

 

 

99.1

 

Press Release, dated May 1, 2014, announcing financial results for the first quarter ended March 31, 2014.

 

2



 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrants have duly caused this report to be signed on their behalf by the undersigned, thereunto duly authorized.

 

 

SELECT MEDICAL HOLDINGS CORPORATION

 

SELECT MEDICAL CORPORATION

 

 

 

 

Date: May 2, 2014

By:

/s/ Michael E. Tarvin

 

 

Michael E. Tarvin

 

 

Executive Vice President, General Counsel and Secretary

 

3



 

EXHIBIT INDEX

 

Exhibit Number

 

Description

99.1

 

Press Release, dated May 1, 2014, announcing financial results for the first quarter ended March 31, 2014.

 

4


EX-99.1 2 a14-11782_1ex99d1.htm EX-99.1

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, 2014 and Cash Dividend

 

MECHANICSBURG, PENNSYLVANIA — May 1, 2014 — Select Medical Holdings Corporation (“Select Medical”) (NYSE: SEM) today announced results for its quarter ended March 31, 2014 and the declaration of a cash dividend.

 

For the quarter ended March 31, 2014, net operating revenues increased 1.7% to $762.6 million, compared to $750.0 million for the same quarter, prior year.  The results for the quarter ended March 31, 2014 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 quarter ended March 31, 2014, these changes reduced both net operating revenues and income from operations by approximately $7.6 million for the Sequestration Reduction and $2.1 million for the MPPR Reduction, respectively.  Excluding the impact of these reductions, net operating revenues would have increased 3.0% for the quarter ended March 31, 2014, compared to the same quarter, prior year.  Income from operations was $78.4 million for the quarter ended March 31, 2014, compared to $82.5 million for the same quarter, prior year.  Net income attributable to Select Medical was $33.0 million for the quarter ended March 31, 2014, compared to $34.4 million for the same quarter, prior year.  Net income attributable to Select Medical for the quarter ended March 31, 2014 and 2013 includes losses on early retirement of debt, net of tax, of $1.4 million and $0.9 million, respectively. 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 quarter ended March 31, 2014 was $96.8 million, compared to $100.1 million for the same quarter, prior year.  A reconciliation of net income to Adjusted EBITDA is presented in table V of this release.  Excluding the effect of the Sequestration Reduction and MPPR Reduction, Adjusted EBITDA would have increased 6.5%, compared to the same quarter, prior year.  Income per common share for the both the quarters ended March 31, 2014 and 2013 was $0.24 on a fully diluted basis.  Excluding the loss related to the early retirement of debt in each period and their related tax affects, adjusted income per common share was $0.25 per diluted share for both the quarters ended March 31, 2014 and 2013.  A reconciliation of net income per share to adjusted net income per share for both the quarters ended March 31, 2014 and 2013 is presented in table VI of this release.

 



 

Specialty Hospitals

 

For the quarter ended March 31, 2014, net operating revenues for the specialty hospital segment increased 1.2% to $564.6 million, compared to $557.8 million for the same quarter, prior year.  The Sequestration Reduction reduced both net operating revenues and income from operations for the segment by approximately $7.2 million for the quarter ended March 31, 2014.  Excluding the impact of this reduction, net operating revenues would have increased 2.5% for the first quarter ended March 31, 2014, compared to the same quarter, prior year.  Adjusted EBITDA for the specialty hospital segment was $92.2 million for the quarter ended March 31, 2014, compared to $93.3 million for the same quarter, prior year.  Excluding the effect of the Sequestration Reduction, Adjusted EBITDA would have increased 6.5%, compared to the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 16.3% for the quarter ended March 31, 2014, compared to 16.7% for the same quarter, prior year.  Certain specialty hospital key statistics for both the quarters ended March 31, 2014 and 2013 are presented in table IV of this release.

 

Outpatient Rehabilitation

 

For the quarter ended March 31, 2014, net operating revenues for the outpatient rehabilitation segment increased 3.0% to $197.9 million, compared to $192.1 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 quarter ended March 31, 2014.  Excluding the impact of these reductions, net operating revenues would have increased 4.3% for the quarter ended March 31, 2014, compared to the same quarter, prior year.  In addition, our outpatient rehabilitation segment was adversely affected by the severe winter weather in several of our markets.  Adjusted EBITDA for the segment for the quarter ended March 31, 2014 decreased 8.1% to $21.0 million, compared to $22.8 million for the same quarter, prior year.  Excluding the effect of the Sequestration Reduction and MPPR Reduction, Adjusted EBITDA would have increased 3.1%, compared to the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 10.6% for the quarter ended March 31, 2014, compared to 11.9% for the same quarter, prior year.  Certain outpatient rehabilitation key statistics for both the quarters ended March 31, 2014 and 2013 are presented in table IV of this release.

 

Stock Repurchase Program

 

On April 30, 2014, the board of directors of Select Medical authorized an increase of $150.0 million in the capacity of its common stock repurchase program from $350.0 million to $500.0 million and extended the program until December 31, 2016.  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 its revolving credit facility.  Select Medical repurchased a total of 10,000,000 shares at a total cost of $109.5 million, or $10.95 per share, during the quarter ended March 31, 2014.  Since the inception of the program through March 31, 2014, Select Medical has repurchased 33,606,080 shares at a cost of approximately $283.1 million, or $8.42 per share, which includes transaction costs.

 



 

Refinancing

 

Senior Secured Credit Facilities

 

On March 4, 2014, Select Medical amended its existing senior secured credit facilities in order to, among other things:

 

·                  convert the remaining series B term loan to a new term loan tranche, which we refer to as the series D term loan, and lower the interest rate payable on the series D term loan from Adjusted LIBO plus 3.25%, or Alternate Base Rate plus 2.25%, to Adjusted LIBO plus 2.75%, or Alternate Base Rate plus 1.75%;

·                  set the maturity date of the series D term loan at December 20, 2016;

·                  convert the remaining series C term loan to a new term loan tranche, which we refer to as the series E term loan, and lower the interest rate payable on the series E term loan from Adjusted LIBO plus 3.00% (subject to an Adjusted LIBO rate floor of 1.00%), or Alternate Base Rate plus 2.00%, to Adjusted LIBO plus 2.75% (subject to an Adjusted LIBO rate floor of 1.00%), or Alternate Base Rate plus 1.75%;

·                  set the maturity date of the series E term loan at June 1, 2018;

·                  beginning with the quarter ending March 31, 2014, increase the quarterly compliance threshold set forth in the leverage ratio financial maintenance covenant to a level of 5.00 to 1.00 from 4.50 to 1.00;

·                  provide for a prepayment premium of 1.00% if the senior secured credit facilities are amended at any time prior to September 4, 2014 in the case of the series D term loans and March 4, 2015 in the case of the series E term loans and such amendment reduces the yield applicable to such loans; and

·                  amend the definition of “Available Amount” in a manner the effect of which was to increase the amount available for investments, restricted payments and the payment of specified indebtedness.

 

Senior Notes

 

On March 11, 2014, Select Medical issued and sold $110.0 million aggregate principal amount of additional 6.375% senior notes due June 1, 2021, at 101.50% of the aggregate principal amount resulting in gross proceeds of $111.7 million.   The notes were issued as Additional Notes under the indenture pursuant to which it previously issued $600.0 million of 6.375% senior notes due June 1, 2021.

 

Dividends

 

On April 30, 2014, Select Medical’s board of directors declared a cash dividend of $0.10 per share.  The dividend will be payable on or about May 28, 2014 to stockholders of record as of the close of business on May 16, 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 in its January 10, 2014 press release for net operating revenues and Adjusted EBITDA. 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 is adjusting its prior business outlook for fully diluted income per common share and providing business outlook for adjusted income per common share for the estimated financial impact from its refinancing and share repurchase activity in the quarter ended March 31, 2014. Select Medical expects adjusted income per common share, which excludes the loss on retirement of debt and its related tax effects in the quarter ended March 31, 2014, for the full year 2014 to be in the range of $0.89 to $0.97. Select Medical now expects 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 first quarter results and its business outlook on Friday, May 2, 2014, at 9:00am EDT. The domestic dial-in number for the call is 1-866-515-2912. The international dial-in number is 1-617-399-5126. The passcode for the call is 48419922. 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 EDT, May 9, 2014. The replay number is 1-888-286-8010 (domestic) or 1-617-801-6888 (international). The passcode for the replay will be 86296236. 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 March 31, 2014, Select Medical operated 110 long term acute care hospitals and 15 acute medical rehabilitation hospitals in 28 states and 1,017 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 March 31, 2013 and 2014

(In thousands, except per share amounts, unaudited)

 

 

 

2013

 

2014

 

% Change

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

749,955

 

$

762,578

 

1.7

%

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

Cost of services

 

624,904

 

638,764

 

2.2

%

General and administrative

 

17,398

 

18,123

 

4.2

%

Bad debt expense

 

9,321

 

11,018

 

18.2

%

Depreciation and amortization

 

15,802

 

16,229

 

2.7

%

 

 

 

 

 

 

 

 

Income from operations

 

82,530

 

78,444

 

(5.0

)%

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(1,467

)

(2,277

)

55.2

%

Equity in earnings of unconsolidated subsidiaries

 

1,058

 

908

 

(14.2

)%

Interest expense

 

(23,458

)

(20,616

)

(12.1

)%

 

 

 

 

 

 

 

 

Income before income taxes

 

58,663

 

56,459

 

(3.8

)%

 

 

 

 

 

 

 

 

Income tax expense

 

21,861

 

22,092

 

1.1

%

 

 

 

 

 

 

 

 

Net income

 

36,802

 

34,367

 

(6.6

)%

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

2,384

 

1,323

 

(44.5

)%

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

34,418

 

$

33,044

 

(4.0

)%

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.25

 

$

0.24

 

 

 

Diluted

 

$

0.24

 

$

0.24

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

Basic

 

137,389

 

135,540

 

 

 

Diluted

 

137,598

 

135,953

 

 

 

 



 

II.           Condensed Consolidated Balance Sheets

(In thousands, unaudited)

 

 

 

December 31,
2013

 

March 31,
2014

 

Assets

 

 

 

 

 

 

 

 

 

 

 

Cash

 

$

4,319

 

$

4,692

 

 

 

 

 

 

 

Accounts receivable, net

 

391,319

 

467,738

 

 

 

 

 

 

 

Current deferred tax asset

 

17,624

 

17,781

 

 

 

 

 

 

 

Other current assets

 

41,140

 

44,288

 

 

 

 

 

 

 

Total Current Assets

 

454,402

 

534,499

 

 

 

 

 

 

 

Property and equipment, net

 

509,102

 

520,194

 

 

 

 

 

 

 

Goodwill

 

1,642,633

 

1,642,857

 

 

 

 

 

 

 

Other identifiable intangibles

 

71,907

 

71,980

 

 

 

 

 

 

 

Other assets

 

139,578

 

146,196

 

 

 

 

 

 

 

Total Assets

 

$

2,817,622

 

$

2,915,726

 

 

 

 

 

 

 

Liabilities and Equity

 

 

 

 

 

 

 

 

 

 

 

Payables and accruals

 

$

353,959

 

$

366,660

 

 

 

 

 

 

 

Current portion of long-term debt

 

17,565

 

15,435

 

 

 

 

 

 

 

Total Current Liabilities

 

371,524

 

382,095

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,427,710

 

1,596,765

 

 

 

 

 

 

 

Non-current deferred tax liability

 

96,287

 

96,502

 

 

 

 

 

 

 

Other non-current liabilities

 

91,875

 

95,090

 

 

 

 

 

 

 

Total Liabilities

 

1,987,396

 

2,170,452

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

11,584

 

11,276

 

 

 

 

 

 

 

Total equity

 

818,642

 

733,998

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

2,817,622

 

$

2,915,726

 

 



 

III.  Consolidated Statement of Cash Flows

For the Three Months Ended March 31, 2013 and 2014

(In thousands, unaudited)

 

 

 

2013

 

2014

 

Operating Activities

 

 

 

 

 

Net Income

 

$

36,802

 

$

34,367

 

Adjustments to reconcile net income to net cash used in operating activities:

 

 

 

 

 

Depreciation and amortization

 

15,802

 

16,229

 

Provision for bad debts

 

9,321

 

11,018

 

Equity in earnings of unconsolidated subsidiaries

 

(1,058

)

(908

)

Loss from disposal or sale of assets

 

41

 

121

 

Loss on early retirement of debt

 

1,467

 

2,277

 

Non-cash stock compensation expense

 

1,749

 

2,155

 

Amortization of debt discount, premium and issuance costs

 

2,304

 

2,051

 

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

 

 

 

 

 

Accounts receivable

 

(77,963

)

(87,437

)

Other current assets

 

(6,407

)

(3,144

)

Other assets

 

(652

)

(3,938

)

Accounts payable

 

4,130

 

4,732

 

Due to third-party payors

 

1,897

 

1,154

 

Accrued expenses

 

(20,700

)

(13,957

)

Income and deferred income taxes

 

21,293

 

19,280

 

Net cash used in operating activities

 

(11,974

)

(16,000

)

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(13,999

)

(27,299

)

Investment in businesses, net of distributions

 

(9,977

)

(124

)

Acquistion of businesses, net of cash acquired

 

 

(375

)

Net cash used in investing activities

 

(23,976

)

(27,798

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Borrowings on revolving credit facility

 

190,000

 

285,000

 

Payments on revolving credit facility

 

(230,000

)

(200,000

)

Borrowings on credit facility term loans, net of discount

 

298,500

 

 

Payments on credit facility term loans

 

(3,563

)

(33,994

)

Issuance of 6.375% senior notes, includes premium

 

 

111,650

 

Repurchase of senior floating rate notes

 

(167,300

)

 

Repurchase of 7 5/8% senior subordinated notes

 

(70,000

)

 

Borrowings of other debt

 

5,826

 

6,111

 

Principal payments on other debt

 

(2,291

)

(3,067

)

Proceeds from (repayment of) bank overdrafts

 

(5,629

)

5,970

 

Debt issuance costs

 

(4,209

)

(4,434

)

Dividends paid to common stockholders

 

 

(14,056

)

Repurchase of common stock

 

(9,983

)

(109,500

)

Proceeds from issuance of common stock

 

 

1,943

 

Distributions to non-controlling interests

 

(1,045

)

(1,452

)

Net cash provided by financing activities

 

306

 

44,171

 

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

(35,644

)

373

 

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

40,144

 

4,319

 

Cash and cash equivalents at end of period

 

$

4,500

 

$

4,692

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

Cash paid for interest

 

$

27,206

 

$

14,407

 

Cash paid for taxes

 

$

1,140

 

$

2,812

 

 



 

IV.  Key Statistics

For the Three Months Ended March 31, 2013 and 2014

 (unaudited)

 

 

 

2013

 

2014

 

% Change

 

Specialty Hospitals

 

 

 

 

 

 

 

Number of hospitals — end of period:

 

 

 

 

 

 

 

Long term acute care hospitals (a)

 

110

 

110

 

 

 

Rehabilitation hospitals (a)

 

12

 

15

 

 

 

Total specialty hospitals

 

122

 

125

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

557,751

 

$

564,625

 

1.2

%

 

 

 

 

 

 

 

 

Number of patient days (b)

 

339,382

 

341,551

 

0.6

%

 

 

 

 

 

 

 

 

Number of admissions (b)

 

13,856

 

13,941

 

0.6

%

 

 

 

 

 

 

 

 

Net revenue per patient day (b)(c)

 

$

1,543

 

$

1,539

 

(0.3

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

93,347

 

$

92,150

 

(1.3

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

16.7

%

16.3

%

 

 

 

 

 

 

 

 

 

 

Outpatient Rehabilitation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of clinics — end of period

 

985

 

1,017

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues (,000)

 

$

192,101

 

$

197,850

 

3.0

%

 

 

 

 

 

 

 

 

Number of visits (d)

 

1,162,623

 

1,174,790

 

1.0

%

 

 

 

 

 

 

 

 

Revenue per visit (d)(e)

 

$

105

 

$

104

 

(1.0

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA (,000)

 

$

22,833

 

$

20,989

 

(8.1

)%

 

 

 

 

 

 

 

 

Adjusted EBITDA margin

 

11.9

%

10.6

%

 

 

 


(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.

 



 

V.  Net Income to Adjusted EBITDA Reconciliation

For the Three Months Ended March 31, 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 March 31,

 

 

 

2013

 

2014

 

Net income

 

$

36,802

 

$

34,367

 

Income tax expense

 

21,861

 

22,092

 

Loss on early retirement of debt

 

1,467

 

2,277

 

Interest expense

 

23,458

 

20,616

 

Equity in earnings of unconsolidated subsidiaries

 

(1,058

)

(908

)

Stock compensation expense:

 

 

 

 

 

Included in general and administrative

 

1,196

 

1,710

 

Included in cost of services

 

553

 

445

 

Depreciation and amortization

 

15,802

 

16,229

 

Adjusted EBITDA

 

$

100,081

 

$

96,828

 

 

 

 

 

 

 

Specialty hospitals

 

$

93,347

 

$

92,150

 

Outpatient rehabilitation

 

22,833

 

20,989

 

Other (a)

 

(16,099

)

(16,311

)

Adjusted EBITDA

 

$

100,081

 

$

96,828

 

 


(a)         Other primarily includes general and administrative costs.

 



 

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

For the Three Months Ended March 31, 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

 

$

34,418

 

$

0.25

 

$

33,044

 

$

0.24

 

Earnings allocated to unvested restricted stockholders

 

(708

)

(0.00

)

(770

)

(0.00

)

Net income available to common stockholders

 

33,710

 

0.25

 

32,274

 

0.24

 

 

 

 

 

 

 

 

 

 

 

Adjustment for early retirement of debt:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

1,467

 

0.01

 

2,277

 

0.02

 

Estimated income tax benefit (b)

 

(579

)

(0.01

)

(902

)

(0.01

)

Earnings allocated to unvested restricted stockholders

 

(18

)

(0.00

)

(32

)

(0.00

)

 

 

 

 

 

 

 

 

 

 

Adjusted net income available to common stockholders

 

$

34,580

 

$

0.25

 

$

33,617

 

$

0.25

 

Adjustment for dilution

 

 

 

(0.00

)

 

 

(0.00

)

Adjusted income per common share - diluted shares

 

 

 

$

0.25

 

 

 

$

0.25

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

 

 

137,389

 

 

 

135,540

 

Diluted

 

 

 

137,598

 

 

 

135,953

 

 


(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.

 


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