EX-99.1 2 c96592exv99w1.htm EXHIBIT 99.1 Exhibit 99.1
Exhibit 99.1
(IMAGE)
     
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, 2009
MECHANICSBURG, PENNSYLVANIA — February 18, 2010 — Select Medical Holdings Corporation (“Select”) (NYSE: SEM), today announced results for its fourth quarter and year ended December 31, 2009.
For the fourth quarter ended December 31, 2009, net operating revenues increased 4.8% to $573.5 million compared to $547.1 million for the same quarter, prior year. Income from operations increased 21.6% to $69.9 million compared to $57.5 million for the same quarter, prior year. Net income attributable to Select increased to $29.9 million compared to $8.8 million for the same quarter, prior year. Additionally, net income before interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, other expense, long-term incentive compensation and non-controlling interest (“Adjusted EBITDA”) for the fourth quarter increased 14.9% to $87.9 million compared to $76.5 million for the same quarter, prior year. A reconciliation of net income to Adjusted EBITDA is attached to this release. Income per common share was $0.19 on a fully diluted basis compared to $0.04 for the same quarter prior year.
For the year ended December 31, 2009, net operating revenues increased 4.0% to $2,239.9 million compared to $2,153.4 million for the prior year. Income from operations increased 20.1% to $235.8 million compared to $196.4 million for the prior year. Income from operations for the year ended December 31, 2009 includes compensation costs of $22.0 million Select incurred associated with its initial public offering of common stock. Net income attributable to Select increased to $75.3 million compared to $22.4 million for the prior year. Additionally, Adjusted EBITDA for the year ended December 31, 2009 increased 22.2% to $330.2 million compared to $270.3 million for the prior year. Earnings per share were $0.61 on a fully diluted basis compared to a loss of $0.04 per common share for the prior year.
Select’s income per common share for the quarter and year ended December 31, 2009 includes certain non-recurring items, such as long-term incentive compensation, stock expense related to the grant of restricted stock upon Select’s initial public offering and gains and losses related to the early retirement of debt. Other than the gains on early retirement of debt, the non-recurring items relate to Select’s initial public offering of common stock. Excluding these items, on an adjusted basis income available to common stockholders was $0.20 per diluted share for the fourth quarter ended December 31, 2009 compared to $0.03 for the same quarter prior year and $0.67 per diluted share for the year ended December 31, 2009 compared to a loss per common share of $0.04 for the prior year. A reconciliation of net income per share to adjusted net income per share is attached to this release.

 

 


 

Specialty Hospitals
At December 31, 2009, Select operated 89 long term acute care hospitals and six acute medical rehabilitation hospitals. This compares to 88 long term acute care hospitals and five acute medical rehabilitation hospitals operated at December 31, 2008. For the fourth quarter of 2009, net operating revenues for all of Select’s hospitals increased 4.6% to $401.4 million compared to $383.7 million for the same quarter, prior year. Total patient days for the fourth quarter of 2009 were 258,013, admissions were 10,899 and net revenue per patient day was $1,528. This compares to 249,626 days, 10,286 admissions and net revenue per patient day of $1,509 for the same quarter, prior year. For the hospitals opened or acquired as of January 1, 2008 and operated by Select throughout both periods, patient days in the fourth quarter of 2009 were 238,583 and admissions were 10,096, compared to 235,381 days and 9,720 admissions in the same quarter, prior year. Adjusted EBITDA for the Specialty Hospital segment increased 13.8% to $78.2 million compared to $68.8 million for the same quarter, prior year. The Adjusted EBITDA margin for the segment was 19.5% for the fourth quarter of 2009, compared to 17.9% for the same quarter, prior year. The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2008 and operated by Select throughout both periods was 21.1% for the fourth quarter of 2009, compared to 20.8% for the same quarter, prior year.
For the year ended December 31, 2009, net operating revenues for all of Select’s hospitals increased 4.7% to $1,557.8 million compared to $1,488.4 million for the prior year. Total patient days for the year ended December 31, 2009 were 1,015,500, admissions were 42,674 and net revenue per patient day was $1,507. This compares to 1,005,719 days, 41,177 admissions and net revenue per patient day of $1,453 for the prior year. For the hospitals opened or acquired as of January 1, 2008 and operated by Select throughout both periods, patient days for the year ended December 31, 2009 were 944,275 and admissions were 39,666, compared to 964,114 days and 39,514 admissions in the prior year. Adjusted EBITDA for the Specialty Hospital segment for the year ended December 31, 2009 increased 22.8% to $290.4 million compared to $236.4 million for the prior year. The Adjusted EBITDA margin for the segment for the year ended December 31, 2009 was 18.6%, compared to 15.9% for the prior year. The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2008 and operated by Select throughout both periods was 20.1% for the year ended December 31, 2009, compared to 18.2% for the prior year.
Outpatient Rehabilitation
At December 31, 2009, Select operated 961 outpatient clinics. This compares to 956 outpatient clinics at December 31, 2008. For the fourth quarter of 2009, net operating revenues for the segment increased 5.4% to $172.1 million compared to $163.4 million for the same quarter, prior year. Adjusted EBITDA for the Outpatient Rehabilitation segment for the fourth quarter increased 26.8% to $21.6 million compared to $17.0 million for the same quarter, prior year. The Adjusted EBITDA margin for the segment for the quarter was 12.5% compared to 10.4% in the same quarter, prior year. Patient visits for the quarter were 1,116,316 compared to 1,103,589 for the same quarter, prior year. Net revenue per visit for the quarter ended December 31, 2009 was $102 compared to $101 for the same quarter, prior year.
For the year ended December 31, 2009, net operating revenues for the segment increased 2.6% to $681.9 million compared to $664.8 million for the prior year. Adjusted EBITDA for the Outpatient Rehabilitation segment for the year ended December 31, 2009 increased 15.3% to $89.1 million compared to $77.3 million for the prior year. The Adjusted EBITDA margin for the year ended December 31, 2009 was 13.1% compared to 11.6% in the prior year. Patient visits for the year ended December 31, 2009 were 4,502,049 compared to 4,533,727 for the prior year. Net revenue per visit was $102 for both the year ended December 31, 2009 and the prior year.

 

 


 

Initial Public Offering of Common Stock
On September 30, 2009 Select completed an initial public offering of 30,000,000 shares at a price to the public of $10.00 per share, and on October 28, 2009, the underwriters exercised their over-allotment option to purchase an additional 3,602,700 shares at the same price. The total net proceeds to Select after deducting underwriting discounts and commissions and offering expenses was approximately $312.5 million. Select used the proceeds from the offering to repay $258.4 million of revolving and term loans outstanding under its senior secured credit facility and to make payments to executive officers under the Long Term Cash Incentive Plan of $18.0 million. The remaining proceeds were used for general corporate purposes.
Business Outlook
Select reaffirms its financial guidance for 2010 as disclosed in the presentation attached as an exhibit to Select’s Form 8-K filed with the SEC on January 11, 2010.
Conference Call
Select will host a conference call regarding its fourth quarter and full year results and its business outlook on Friday, February 19, 2010, at 11:00 am EST. The domestic dial in number for the call is 1-800-291-5365. The international dial in number is 1-617-614-3922. The passcode for the call is 45516325. The conference call will be webcast simultaneously and can be accessed at Select Medical Holdings Corporation’s website http://www.selectmedicalcorp.com.
* * * * *
Select Medical Holdings Corporation is a leading operator of specialty hospitals in the United States. As of December 31, 2009, Select operated 89 long term acute care hospitals and six acute medical rehabilitation hospitals in 25 states. Select is also a leading operator of outpatient rehabilitation clinics in the United States, with approximately 961 locations in 37 states and the District of Columbia. Select also provides medical rehabilitation services on a contract basis at nursing homes, hospitals, assisted living and senior care centers, schools and worksites. Information about Select is available at http://www.selectmedicalcorp.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 may result in a reduction in net operating revenues, an increase in costs and a reduction in profitability;
   
the failure of our long term acute care hospitals, or LTCHs, to maintain their status as such may cause our net operating revenues and profitability to decline;
   
the failure of our facilities operated as “hospitals within hospitals,” or HIHs, to qualify as hospitals separate from their host hospitals may cause our net operating revenues and profitability to decline;
   
implementation of modifications to the admissions policies for our inpatient rehabilitation facilities, as required to achieve compliance with Medicare guidelines, may result in a loss of patient volume at these hospitals and, as a result, may reduce our future net operating revenues and profitability;
   
a government investigation or assertion that we have violated applicable regulations may result in sanctions or reputational harm and increased costs;
   
future 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 our markets 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 or lack of adequate available insurance could subject us to substantial uninsured liabilities;
   
the ability to obtain any necessary or desired waiver or amendment from our existing lenders may be difficult due to the current uncertainty in the credit markets; and
   
the inability to draw funds under our senior secured credit facility because of lender defaults.
Investor inquiries:
Joel Veit, 717/972-1100

 

 


 

I. Condensed Consolidated Statements of Operations
(In thousands, except per share amounts)
(unaudited)
For the Three Months Ended December 31, 2008 and 2009
                         
                    %  
    2008     2009     Change  
Net operating revenues
  $ 547,099     $ 573,543       4.8 %
 
                       
Costs and expenses:
                       
Cost of services
    448,819       466,664       4.0 %
General and administrative
    9,680       12,131       25.3 %
Bad debt expense
    12,504       7,194       (42.5 )%
Depreciation and amortization
    18,611       17,635       (5.2 )%
 
                 
 
                       
Income from operations
    57,485       69,919       21.6 %
 
                       
Gain (loss) on early retirement of debt
    912       (2,870 )     N/M  
Other expense
          (632 )     N/M  
Interest income
    196       10       (94.9 )%
Interest expense
    (36,291 )     (30,688 )     (15.4 )%
 
                 
 
                       
Income from operations before income taxes
    22,302       35,739       60.3 %
 
                       
Income tax expense
    12,201       4,440       (63.6 )%
 
                 
 
                       
Net income
    10,101       31,299       209.9 %
 
                       
Less: Net income attributable to non-controlling interests
    1,290       1,388       7.6 %
 
                 
 
                       
Net income attributable to Select Medical Holdings Corporation
    8,811       29,911       239.5 %
 
                       
Less: Preferred dividends
    6,403             N/M  
 
                 
 
                       
Net income available to common stockholders and participating securities
  $ 2,408     $ 29,911       N/M  
 
                 
 
                       
Income per common share:
                       
Basic
  $ 0.04     $ 0.19       375.0 %
Diluted
  $ 0.04     $ 0.19       375.0 %
N/M = Not Meaningful

 

 


 

II. Condensed Consolidated Statements of Operations
(In thousands, except per share amounts)
(unaudited)
For the Year Ended December 31, 2008 and 2009
                         
                    %  
    2008     2009     Change  
Net operating revenues
  $ 2,153,362     $ 2,239,871       4.0 %
 
                       
Costs and expenses:
                       
Cost of services
    1,791,841       1,819,771       1.6 %
General and administrative
    45,523       72,409       59.1 %
Bad debt expense
    47,804       40,872       (14.5 )%
Depreciation and amortization
    71,786       70,981       (1.1 )%
 
                 
 
                       
Income from operations
    196,408       235,838       20.1 %
 
                       
Gain on early retirement of debt
    912       13,575       N/M  
Other expense
          (632 )     N/M  
Interest income
    471       92       (80.5 )%
Interest expense
    (145,894 )     (132,469 )     (9.2 )%
 
                 
 
                       
Income from operations before income taxes
    51,897       116,404       124.3 %
 
                       
Income tax expense
    26,063       37,516       43.9 %
 
                 
 
                       
Net income
    25,834       78,888       205.4 %
 
                       
Less: Net income attributable to non-controlling interests
    3,393       3,606       6.3 %
 
                 
 
                       
Net income attributable to Select Medical Holdings Corporation
    22,441       75,282       235.5 %
 
                       
Less: Preferred dividends
    24,972       19,537       (21.8 )%
 
                 
 
                       
Net income available to common stockholders and participating securities
  $ (2,531 )   $ 55,745       N/M  
 
                 
 
                       
Income per common share:
                       
Basic
  $ (0.04 )   $ 0.61       N/M  
Diluted
  $ (0.04 )   $ 0.61       N/M  
N/M = Not Meaningful

 

 


 

III. Condensed Consolidated Balance Sheets
(In thousands)
(unaudited)
                 
    December 31,     December 31,  
    2008     2009  
ASSETS
               
 
               
Cash
  $ 64,260     $ 83,680  
 
               
Accounts receivable, net
    312,418       307,079  
 
               
Current deferred tax asset
    61,925       48,535  
 
               
Prepaid income taxes
    7,362       11,179  
 
               
Other current assets
    20,897       24,240  
 
           
 
               
Total Current Assets
    466,862       474,713  
 
               
Property and equipment, net
    471,065       466,131  
 
               
Goodwill
    1,506,661       1,548,269  
 
               
Other identifiable intangibles
    74,078       65,297  
 
               
Assets held for sale
    12,542       11,342  
 
               
Other assets
    48,261       36,481  
 
           
 
               
Total Assets
  $ 2,579,469     $ 2,602,233  
 
           
 
               
LIABILITIES AND EQUITY
               
 
               
Payables and accruals
  $ 339,446     $ 299,796  
 
               
Current portion of long-term debt
    9,046       4,145  
 
           
 
               
Total Current Liabilities
    348,492       303,941  
 
               
Long-term debt, net of current portion
    1,770,879       1,401,426  
 
               
Non-current deferred tax liability
    42,918       66,768  
 
               
Other non-current liabilities
    67,709       60,543  
 
               
Preferred stock
    515,872        
 
               
Total equity
    (166,401 )     769,555  
 
           
 
               
Total Liabilities and Equity
  $ 2,579,469     $ 2,602,233  
 
           

 

 


 

IV. Condensed Consolidated Statements of Cash Flows
(In thousands)
(unaudited)
For the Year Ended December 31, 2008 and 2009
                 
    2008     2009  
Operating activities
               
Net income
  $ 25,834     $ 78,888  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    71,786       70,981  
Provision for bad debts
    47,804       40,872  
Gain on early retirement of debt
    (912 )     (13,575 )
Loss (gain) from disposal of assets
    546       (122 )
Non-cash loss from interest rate swaps
          632  
Non-cash stock compensation expense
    2,093       5,147  
Amortization of debt discount
    1,492       1,681  
Changes in operating assets and liabilities, net of effects from acquisition of businesses:
               
Accounts receivable
    (88,545 )     (35,455 )
Other current assets
    8,230       (1,117 )
Other assets
    16,913       6,114  
Accounts payable
    (1,351 )     963  
Due to third-party payors
    (9,363 )     (3,804 )
Accrued expenses and deferred income taxes
    32,911       14,434  
 
           
Net cash provided by operating activities
    107,438       165,639  
 
           
 
               
Investing activities
               
Purchases of property and equipment
    (56,504 )     (57,877 )
Proceeds from sale of business units
    2,666        
Proceeds from sale of property
    743       1,341  
Insurance proceeds
    281        
Acquisition of businesses, net of cash acquired
    (7,624 )     (21,381 )
 
           
Net cash used in investing activities
    (60,438 )     (77,917 )
 
           
 
               
Financing activities
               
Proceeds from initial public offering, net of fees
          315,866  
Payment of initial public offering costs
    (1,326 )     (1,737 )
Borrowings on revolving credit facility
    407,000       193,000  
Payments on revolving credit facility
    (377,000 )     (343,000 )
Payment on credit facility term loan
    (6,800 )     (173,433 )
Repurchase of 7 5/8% senior subordinated notes
    (1,040 )     (30,114 )
Repurchase of senior floating rate notes
          (6,468 )
Borrowings of other debt
          7,189  
Principal payments on seller and other debt
    (5,630 )     (7,275 )
Repurchase of common and preferred stock
    (612 )     (80 )
Proceeds from exercise of stock options
    90       146  
Proceeds from (repayment of) bank overdrafts
    6       (21,130 )
Equity contribution and loans from non-controlling interests
          1,500  
Distributions to non-controlling interests
    (1,957 )     (2,766 )
 
           
Net cash provided by (used in) financing activities
    12,731       (68,302 )
 
           
 
               
Net increase in cash and cash equivalents
    59,731       19,420  
 
               
Cash and cash equivalents at beginning of period
    4,529       64,260  
 
           
Cash and cash equivalents at end of period
  $ 64,260     $ 83,680  
 
           
 
               
Supplemental Cash Flow Information
               
Cash paid for interest
  $ 135,838     $ 126,695  
Cash paid for taxes
  $ 5,313     $ 18,084  

 

 


 

V. Key Statistics
(unaudited)
For the Three Months Ended December 31, 2008 and 2009
                         
                    %  
    2008     2009     Change  
 
                       
Specialty Hospitals (a)
                       
 
                       
Number of hospitals — end of period
    93       95       2.2 %
 
                       
Net operating revenues (,000)
  $ 383,681     $ 401,399       4.6 %
 
                       
Number of patient days
    249,626       258,013       3.4 %
 
                       
Number of admissions
    10,286       10,899       6.0 %
 
                       
Net revenue per patient day (b)
  $ 1,509     $ 1,528       1.3 %
 
                       
Adjusted EBITDA (,000)
  $ 68,771     $ 78,248       13.8 %
 
                       
Adjusted EBITDA margin — all hospitals
    17.9 %     19.5 %     8.9 %
Adjusted EBITDA margin — same store hospitals (c)
    20.8 %     21.1 %     1.4 %
 
                       
Outpatient Rehabilitation
                       
 
                       
Number of clinics — end of period
    956       961       0.5 %
 
                       
Net operating revenues (,000)
  $ 163,385     $ 172,132       5.4 %
 
                       
Number of visits
    1,103,589       1,116,316       1.2 %
 
                       
Revenue per visit (d)
  $ 101     $ 102       1.0 %
 
                       
Adjusted EBITDA (,000)
  $ 17,031     $ 21,596       26.8 %
 
                       
Adjusted EBITDA margin
    10.4 %     12.5 %     20.2 %
     
(a)  
Specialty hospitals consist of long term acute care hospitals and acute medical rehabilitation hospitals.
 
(b)  
Net revenue per patient day is calculated by dividing specialty hospital patient service revenue by the total number of patient days.
 
(c)  
Adjusted EBITDA margin — same store hospitals represents the Adjusted EBITDA margin for those hospitals opened or acquired before January 1, 2008 and operated throughout both periods.
 
(d)  
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.

 

 


 

VI. Key Statistics
(unaudited)
For the Year Ended December 31, 2008 and 2009
                         
                    %  
    2008     2009     Change  
 
                       
Specialty Hospitals (a)
                       
 
                       
Number of hospitals — end of period
    93       95       2.2 %
 
                       
Net operating revenues (,000)
  $ 1,488,412     $ 1,557,821       4.7 %
 
                       
Number of patient days
    1,005,719       1,015,500       1.0 %
 
                       
Number of admissions
    41,177       42,674       3.6 %
 
                       
Net revenue per patient day (b)
  $ 1,453     $ 1,507       3.7 %
 
                       
Adjusted EBITDA (,000)
  $ 236,388     $ 290,370       22.8 %
 
                       
Adjusted EBITDA margin — all hospitals
    15.9 %     18.6 %     17.0 %
Adjusted EBITDA margin — same store hospitals (c)
    18.2 %     20.1 %     10.4 %
 
                       
Outpatient Rehabilitation
                       
 
                       
Number of clinics — end of period
    956       961       0.5 %
 
                       
Net operating revenues (,000)
  $ 664,760     $ 681,892       2.6 %
 
                       
Number of visits
    4,533,727       4,502,049       (0.7 )%
 
                       
Revenue per visit (d)
  $ 102     $ 102       0.0 %
 
                       
Adjusted EBITDA (,000)
  $ 77,279     $ 89,072       15.3 %
 
                       
Adjusted EBITDA margin
    11.6 %     13.1 %     12.9 %
     
(a)  
Specialty hospitals consist of long term acute care hospitals and acute medical rehabilitation hospitals.
 
(b)  
Net revenue per patient day is calculated by dividing specialty hospital patient service revenue by the total number of patient days.
 
(c)  
Adjusted EBITDA margin — same store hospitals represents the Adjusted EBITDA margin for those hospitals opened or acquired before January 1, 2008 and operated throughout both periods.
 
(d)  
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.

 

 


 

VII. Net Income to Adjusted EBITDA Reconciliation
(In thousands)
(unaudited)
For the Three Months and Year Ended December 31, 2008 and 2009
The following table reconciles net income to Adjusted EBITDA for Select. Adjusted EBITDA is used by Select to report its segment performance. Adjusted EBITDA is defined as net income before interest, income taxes, depreciation and amortization, stock compensation expense, other expense, long-term incentive compensation, gain (loss) on early retirement of debt and non-controlling interest. We believe that the presentation of Adjusted EBITDA is important to investors because Adjusted EBITDA is used by management to evaluate financial performance and determine resource allocation for each of our 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,  
    2008     2009     2008     2009  
Net income
  $ 8,811     $ 29,911     $ 22,441     $ 75,282  
Non-controlling interest
    1,290       1,388       3,393       3,606  
Income tax expense
    12,201       4,440       26,063       37,516  
Other expense
          632             632  
Interest expense, net
    36,095       30,678       145,423       132,377  
Loss (gain) on early retirement of debt
    (912 )     2,870       (912 )     (13,575 )
Long-term incentive compensation
                      18,261  
Stock compensation expense
                               
Included in general and administrative
    337       181       1,953       4,775  
Included in cost of services
    59       171       140       372  
Depreciation and amortization
    18,611       17,635       71,786       70,981  
 
                       
Adjusted EBITDA
  $ 76,492     $ 87,906     $ 270,287     $ 330,227  
 
                       
 
                               
Specialty hospitals
  $ 68,771     $ 78,248     $ 236,388     $ 290,370  
Outpatient rehabilitation
    17,031       21,596       77,279       89,072  
Other (1)
    (9,310 )     (11,938 )     (43,380 )     (49,215 )
 
                       
Adjusted EBITDA
  $ 76,492     $ 87,906     $ 270,287     $ 330,227  
 
                       
     
(1)  
Other primarily includes general and administrative costs.

 

 


 

The following tables reconcile specialty hospital same store information.
                 
    Three Months Ended  
    December 31, 2008     December 31, 2009  
Specialty hospitals net operating revenue
  $ 383,681     $ 401,399  
Less: Specialty hospitals in development, opened or closed after 1/1/08
    19,907       28,921  
 
           
Specialty hospitals same store net operating revenue
  $ 363,774     $ 372,478  
 
           
 
               
Specialty hospitals Adjusted EBITDA
  $ 68,771     $ 78,248  
Less: Specialty hospitals in development, opened or closed after 1/1/08
    (6,716 )     (460 )
 
           
Specialty hospitals same store Adjusted EBITDA
  $ 75,487     $ 78,708  
 
           
 
               
All specialty hospitals Adjusted EBITDA margin
    17.9 %     19.5 %
Specialty hospitals same store Adjusted EBITDA margin
    20.8 %     21.1 %
                 
    Year Ended  
    December 31, 2008     December 31, 2009  
Specialty hospitals net operating revenue
  $ 1,488,412     $ 1,557,821  
Less: Specialty hospitals in development, opened or closed after 1/1/08
    56,363       108,806  
 
           
Specialty hospitals same store net operating revenue
  $ 1,432,049     $ 1,449,015  
 
           
 
               
Specialty hospitals Adjusted EBITDA
  $ 236,388     $ 290,370  
Less: Specialty hospitals in development, opened or closed after 1/1/08
    (24,303 )     (1,452 )
 
           
Specialty hospitals same store Adjusted EBITDA
  $ 260,691     $ 291,822  
 
           
 
               
All specialty hospitals Adjusted EBITDA margin
    15.9 %     18.6 %
Specialty hospitals same store Adjusted EBITDA margin
    18.2 %     20.1 %

 

 


 

VIII. Reconciliation of Net Income Per Share to Adjusted Net Income Per Share
(In thousands, except per share amounts)
(unaudited)
For the Three Months Ended December 31, 2008 and 2009
                                 
    2008     Per Share (a)     2009     Per Share (a)  
Net income
  $ 10,101     $ 0.17     $ 31,299     $ 0.20  
Net income attributable to non-controlling interests
    1,290       0.02       1,388       0.01  
 
                       
Net income attributable to Select Medical Holdings Corporation
    8,811       0.15       29,911       0.19  
Less: Preferred dividends
    6,403       0.11             0.00  
 
                       
 
                               
Net income available to common stockholders and participating securities
    2,408       0.04       29,911       0.19  
 
                               
Long-term incentive compensation related to initial public offering
          0.00             0.00  
Stock compensation related to initial public offering
          0.00             0.00  
Loss (gain) on early retirement of debt
    (912 )     (0.01 )     2,870       0.02  
Estimated income tax expense (benefit) (b)
    490       0.00       (955 )     (0.01 )
 
                       
 
    1,986       0.03       31,826       0.20  
Allocation to participating securities:
                               
Less: Earnings allocated to preferred stockholders
    194       0.00             0.00  
Less: Earnings allocated to unvested restricted stockholders
    39       0.00       62       0.00  
 
                       
 
                               
Adjusted net income available to common stockholders
  $ 1,753     $ 0.03     $ 31,764     $ 0.20  
 
                           
Adjustment for dilution
            0.00               0.00  
 
                           
Adjusted net income available to common stockholders — diluted shares
          $ 0.03             $ 0.20  
 
                           
 
                               
Weighted average common shares outstanding:
                               
Basic
            60,125               158,457  
Diluted
            60,609               158,889  
     
(a)  
Per share amounts for each period presented are based on basic weighted average common shares outstanding for all amounts except adjusted net income available to common stockholders — diluted shares, which is based on diluted shares outstanding.
 
(b)  
Represents the tax expense (benefit) on the adjustments to net income.

 

 


 

IX. Reconciliation of Net Income Per Share to Adjusted Net Income Per Share
(In thousands, except per share amounts)
(unaudited)
For the Year Ended December 31, 2008 and 2009
                                 
    2008     Per Share (a)     2009     Per Share (a)  
Net income
  $ 25,834     $ 0.44     $ 78,888     $ 0.92  
Net income attributable to non-controlling interests
    3,393       0.07       3,606       0.04  
 
                       
Net income attributable to Select Medical Holdings Corporation
    22,441       0.37       75,282       0.88  
Less: Preferred dividends
    24,972       0.41       19,537       0.23  
 
                       
 
                               
Net income (loss) available to common stockholders and participating securities
    (2,531 )     (0.04 )     55,745       0.65  
 
                               
Long-term incentive compensation related to initial public offering
          0.00       18,261       0.21  
Stock compensation related to initial public offering
          0.00       3,689       0.04  
Gain on early retirement of debt
    (912 )     (0.02 )     (13,575 )     (0.16 )
Estimated income tax expense (benefit) (b)
    490       0.01       (2,786 )     (0.03 )
 
                       
 
    (2,953 )     (0.05 )     61,334       0.71  
Allocation to participating securities:
                               
Less: Earnings (loss) allocated to preferred stockholders
    (296 )     (0.01 )     3,328       0.03  
Less: Earnings allocated to unvested restricted stockholders
          0.00       472       0.01  
 
                       
 
                               
Adjusted net income (loss) available to common stockholders
  $ (2,657 )   $ (0.04 )   $ 57,534     $ 0.67  
 
                           
Adjustment for dilution
            0.00               0.00  
 
                           
Adjusted net income (loss) available to common stockholders — diluted shares
          $ (0.04 )           $ 0.67  
 
                           
 
                               
Weighted average common shares outstanding:
                               
Basic
            59,566               85,587  
Diluted
            59,566               86,045  
     
(a)  
Per share amounts for each period presented are based on basic weighted average common shares outstanding for all amounts except adjusted net income (loss) available to common stockholders — diluted shares, which is based on diluted shares outstanding.
 
(b)  
Represents the tax expense (benefit) on the adjustments to net income.