Select Medical Holdings Corporation Announces Results For Its Fourth Quarter and Year Ended December 31, 2022 and Cash Dividend
Select Medical Holdings Corporation (NYSE: SEM) reported a 1.4% increase in Q4 revenue to $1,581.5 million and a 12.0% rise in operating income to $86.9 million. However, net income dropped to $37.7 million from $66.3 million year-over-year. For the full year, revenue rose 2.1% to $6,333.5 million, but operating income fell dramatically to $403.3 million from $713.8 million in 2021. Adjusted EBITDA for Q4 was $148.9 million, up 7.6%, while it totaled $646.9 million for the year, down from $947.4 million. A cash dividend of $0.125 per share was declared, payable on March 15, 2023. Revenue outlook for 2023 is projected between $6.5 billion and $6.7 billion.
- Q4 revenue increased by 1.4% to $1,581.5 million.
- Operating income rose 12.0% to $86.9 million in Q4.
- Adjusted EBITDA for Q4 increased 7.6% to $148.9 million.
- Declared a cash dividend of $0.125 per share, payable March 15, 2023.
- Revenue for the year increased 2.1% to $6,333.5 million.
- Net income decreased to $37.7 million in Q4 compared to $66.3 million last year.
- Full-year operating income fell significantly to $403.3 million from $713.8 million.
- Adjusted EBITDA for the year was down to $646.9 million from $947.4 million.
- Revenue outlook for 2023 is uncertain due to labor market conditions.
For the fourth quarter ended
For the year ended
In addition to providing key statistics in tables VII and VIII of this release for both the fourth quarters and years ended
Company Overview
Critical Illness Recovery Hospital Segment
For the fourth quarter ended
For the year ended
Rehabilitation Hospital Segment
For the fourth quarter ended
For the year ended
Outpatient Rehabilitation Segment
For the fourth quarter ended
For the year ended
Concentra Segment
For the fourth quarter ended
For the year ended
Dividend
On
There is no assurance that future dividends will be declared. The declaration and payment of dividends in the future are at the discretion of
Stock Repurchase Program
The board of directors of
During the fourth quarter ended
Financing Transactions
On
Business Outlook for Revenue
Given the continued uncertainties surrounding the labor market,
Conference Call
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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), including statements related to
- adverse economic conditions including an inflationary environment could cause us to continue to experience increases in the prices of labor and other costs of doing business resulting in a negative impact on our business, operating results, cash flows, and financial condition;
- shortages in qualified nurses, therapists, physicians, or other licensed providers, and/or the inability to attract or retain qualified healthcare professionals could limit our ability to staff our facilities;
- shortages in qualified health professionals could cause us to increase our dependence on contract labor, increase our efforts to recruit and train new employees, and expand upon our initiatives to retain existing staff, which could increase our operating costs significantly;
- the continuing effects of the COVID-19 pandemic including, but not limited to, the prolonged disruption to the global financial markets, increased operational costs due to recessionary pressures and labor costs, additional measures taken by government authorities and the private sector to limit the spread of COVID-19, and further legislative and regulatory actions which impact healthcare providers, including actions that may impact the Medicare program;
- changes in government reimbursement for our services and/or new payment policies may result in a reduction in revenue, an increase in costs, and a reduction in profitability;
- the failure of our Medicare-certified long term care hospitals or inpatient rehabilitation facilities to maintain their Medicare certifications may cause our revenue and profitability to decline;
- the failure of our Medicare-certified long term care hospitals and inpatient rehabilitation facilities operated as "hospitals within hospitals" to qualify as hospitals separate from their host hospitals may cause our revenue 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;
- our plans and expectations related to our acquisitions and our ability to realize anticipated synergies;
- private third-party payors for our services may adopt payment policies that could limit our future revenue and profitability;
- the failure to maintain established relationships with the physicians in the areas we serve could reduce our revenue and profitability;
- competition may limit our ability to grow and result in a decrease in our revenue 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;
- a security breach of our or our third-party vendors' information technology systems may subject us to potential legal and reputational harm and may result in a violation of the Health Insurance Portability and Accountability Act of 1996 or the Health Information Technology for Economic and Clinical Health Act; and
- other factors discussed from time to time in our filings with the
Securities and Exchange Commission (the "SEC "), including factors discussed under the heading "Risk Factors" of the annual report on Form 10-K for the year endedDecember 31, 2022 .
Except as required by applicable law, including the securities laws of
Investor inquiries:
Senior Vice President and Treasurer
717-972-1100
ir@selectmedical.com
I. Condensed Consolidated Statements of Operations | ||||||
2021 | 2022 | % Change | ||||
Revenue | $ 1,559,811 | $ 1,581,456 | 1.4 % | |||
Costs and expenses: | ||||||
Cost of services, exclusive of depreciation and amortization | 1,402,570 | 1,408,784 | 0.4 | |||
General and administrative | 37,950 | 38,763 | 2.1 | |||
Depreciation and amortization | 51,943 | 52,246 | 0.6 | |||
Total costs and expenses | 1,492,463 | 1,499,793 | 0.5 | |||
Other operating income | 10,191 | 5,201 | N/M | |||
Income from operations | 77,539 | 86,864 | 12.0 | |||
Other income and expense: | ||||||
Equity in earnings of unconsolidated subsidiaries | 11,248 | 6,759 | (39.9) | |||
Gain on sale of businesses | 2,155 | — | N/M | |||
Interest income | 601 | — | N/M | |||
Interest expense | (33,870) | (47,341) | 39.8 | |||
Income before income taxes | 57,673 | 46,282 | (19.8) | |||
Income tax expense (benefit) | (8,637) | 8,570 | N/M | |||
Net income | 66,310 | 37,712 | (43.1) | |||
Less: Net income attributable to non-controlling interests | 16,453 | 10,208 | (38.0) | |||
Net income attributable to | $ 49,857 | $ 27,504 | (44.8) % | |||
Basic and diluted earnings per common share:(1) | $ 0.37 | $ 0.22 | ||||
_______________________________________________________________________________ | |
(1) | Refer to table III for calculation of earnings per common share. |
N/M | Not meaningful. |
II. Condensed Consolidated Statements of Operations | ||||||
2021 | 2022 | % Change | ||||
Revenue | $ 6,204,515 | $ 6,333,538 | 2.1 % | |||
Costs and expenses: | ||||||
Cost of services, exclusive of depreciation and amortization | 5,285,149 | 5,600,161 | 6.0 | |||
General and administrative | 146,975 | 153,035 | 4.1 | |||
Depreciation and amortization | 202,645 | 205,825 | 1.6 | |||
Total costs and expenses | 5,634,769 | 5,959,021 | 5.8 | |||
Other operating income | 144,028 | 28,766 | N/M | |||
Income from operations | 713,774 | 403,283 | (43.5) | |||
Other income and expense: | ||||||
Equity in earnings of unconsolidated subsidiaries | 44,428 | 26,407 | (40.6) | |||
Gain on sale of businesses | 2,155 | — | N/M | |||
Interest income | 5,350 | — | N/M | |||
Interest expense | (135,985) | (169,111) | 24.4 | |||
Income before income taxes | 629,722 | 260,579 | (58.6) | |||
Income tax expense | 129,773 | 62,553 | (51.8) | |||
Net income | 499,949 | 198,026 | (60.4) | |||
Less: Net income attributable to non-controlling interests | 97,724 | 39,032 | (60.1) | |||
Net income attributable to | $ 402,225 | $ 158,994 | (60.5) % | |||
Basic and diluted earnings per common share:(1) | $ 2.98 | $ 1.23 | ||||
_______________________________________________________________________________ | |
(1) | Refer to table III for calculation of earnings per common share. |
N/M | Not meaningful. |
III. Earnings per Share
For the Three Months and Years Ended
(In thousands, except per share amounts, unaudited)
The following table sets forth the net income attributable to
Basic and Diluted EPS | |||||||||
Three Months Ended | Years Ended | ||||||||
2021 | 2022 | 2021 | 2022 | ||||||
Net income | $ 66,310 | $ 37,712 | $ 499,949 | $ 198,026 | |||||
Less: net income attributable to non-controlling interests | 16,453 | 10,208 | 97,724 | 39,032 | |||||
Net income attributable to | 49,857 | 27,504 | 402,225 | 158,994 | |||||
Less: net income attributable to participating securities | 1,660 | 1,002 | 13,435 | 5,609 | |||||
Net income attributable to common shares | $ 48,197 | $ 26,502 | $ 388,790 | $ 153,385 | |||||
The following tables set forth the computation of EPS under the two-class method for the three months and years ended
Three Months Ended | |||||||||||||
2021 | 2022 | ||||||||||||
Net Income | Shares(1) | Basic and | Net Income | Shares(1) | Basic and | ||||||||
Common shares | $ 48,197 | 129,679 | $ 0.37 | $ 26,502 | 122,511 | $ 0.22 | |||||||
Participating securities | 1,660 | 4,466 | $ 0.37 | 1,002 | 4,630 | $ 0.22 | |||||||
Total | $ 49,857 | $ 27,504 | |||||||||||
Years Ended | |||||||||||||
2021 | 2022 | ||||||||||||
Net Income | Shares(1) | Basic and | Net Income | Shares(1) | Basic and | ||||||||
Common shares | $ 388,790 | 130,249 | $ 2.98 | $ 153,385 | 124,628 | $ 1.23 | |||||||
Participating securities | 13,435 | 4,501 | $ 2.98 | 5,609 | 4,557 | $ 1.23 | |||||||
Total | $ 402,225 | $ 158,994 | |||||||||||
_______________________________________________________________________________ |
(1) Represents the weighted average share count outstanding during the period. |
IV. Condensed Consolidated Balance Sheets | ||||
2021 | 2022 | |||
Assets | ||||
Current Assets: | ||||
Cash and cash equivalents | $ 74,310 | $ 97,906 | ||
Accounts receivable | 889,303 | 941,312 | ||
Other current assets | 175,826 | 232,095 | ||
Total Current Assets | 1,139,439 | 1,271,313 | ||
Operating lease right-of-use assets | 1,078,754 | 1,169,740 | ||
Property and equipment, net | 961,467 | 1,001,440 | ||
3,448,912 | 3,484,200 | |||
Identifiable intangible assets, net | 374,879 | 351,662 | ||
Other assets | 356,720 | 386,938 | ||
Total Assets | $ 7,360,171 | $ 7,665,293 | ||
Liabilities and Equity | ||||
Current Liabilities: | ||||
Payables and accruals | $ 942,381 | $ 874,016 | ||
Government advances | 83,790 | — | ||
Current operating lease liabilities | 229,334 | 236,784 | ||
Current portion of long-term debt and notes payable | 17,572 | 44,351 | ||
Total Current Liabilities | 1,273,077 | 1,155,151 | ||
Non-current operating lease liabilities | 916,540 | 1,008,394 | ||
Long-term debt, net of current portion | 3,556,385 | 3,835,211 | ||
Non-current deferred tax liability | 142,792 | 169,793 | ||
Other non-current liabilities | 106,442 | 106,137 | ||
Total Liabilities | 5,995,236 | 6,274,686 | ||
Redeemable non-controlling interests | 39,033 | 34,043 | ||
Total Equity | 1,325,902 | 1,356,564 | ||
Total Liabilities and Equity | $ 7,360,171 | $ 7,665,293 | ||
V. Condensed Consolidated Statements of Cash Flows | ||||
2021 | 2022 | |||
Operating activities | ||||
Net income | $ 66,310 | $ 37,712 | ||
Adjustments to reconcile net income to net cash provided by (used in) operating activities: | ||||
Distributions from unconsolidated subsidiaries | 9,230 | 5,019 | ||
Depreciation and amortization | 51,943 | 52,246 | ||
Provision for expected credit losses | 64 | 215 | ||
Equity in earnings of unconsolidated subsidiaries | (11,248) | (6,759) | ||
Gain on sale of assets and businesses | (2,322) | (1,121) | ||
Stock compensation expense | 8,938 | 9,799 | ||
Amortization of debt discount, premium and issuance costs | 562 | 576 | ||
Deferred income taxes | 17,020 | 14,601 | ||
Changes in operating assets and liabilities, net of effects of business combinations: | ||||
Accounts receivable | 22,456 | (32,497) | ||
Other current assets | (596) | (7,789) | ||
Other assets | (4,072) | 6,841 | ||
Accounts payable and accrued expenses | (141,001) | (65,227) | ||
Government advances | (75,715) | (942) | ||
Unearned government assistance | (2,321) | (130) | ||
Net cash provided by (used in) operating activities | (60,752) | 12,544 | ||
Investing activities | ||||
Business combinations, net of cash acquired | (55,081) | (4,960) | ||
Purchases of property and equipment | (55,151) | (55,253) | ||
Investment in businesses | (4,600) | — | ||
Proceeds from sale of assets and businesses | 15,564 | 2,979 | ||
Net cash used in investing activities | (99,268) | (57,234) | ||
Financing activities | ||||
Borrowings on revolving facilities | 160,000 | 275,000 | ||
Payments on revolving facilities | — | (210,000) | ||
Borrowings of other debt | 13,498 | 4,800 | ||
Principal payments on other debt | (16,758) | (10,429) | ||
Dividends paid to common stockholders | (16,784) | (15,897) | ||
Repurchase of common stock | (13,426) | (1,914) | ||
Increase (decrease) in overdrafts | 42,353 | (1,301) | ||
Proceeds from issuance of non-controlling interests | 806 | 2,434 | ||
Distributions to and purchases of non-controlling interests | (22,684) | (2,444) | ||
Purchase of membership interests of Concentra Group Holdings Parent | (660,658) | (5,876) | ||
Net cash provided by (used in) financing activities | (513,653) | 34,373 | ||
Net decrease in cash and cash equivalents | (673,673) | (10,317) | ||
Cash and cash equivalents at beginning of period | 747,983 | 108,223 | ||
Cash and cash equivalents at end of period | $ 74,310 | $ 97,906 | ||
Supplemental information: | ||||
Cash paid for interest, excluding | $ 13,633 | $ 39,998 | ||
Cash paid for taxes | 44,327 | 7,446 | ||
VI. Condensed Consolidated Statements of Cash Flows | ||||
2021 | 2022 | |||
Operating activities | ||||
Net income | $ 499,949 | $ 198,026 | ||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||
Distributions from unconsolidated subsidiaries | 37,002 | 21,911 | ||
Depreciation and amortization | 202,645 | 205,825 | ||
Provision for expected credit losses | 236 | 174 | ||
Equity in earnings of unconsolidated subsidiaries | (44,428) | (26,407) | ||
Gain on sale of assets and businesses | (2,409) | (2,714) | ||
Stock compensation expense | 30,940 | 37,755 | ||
Amortization of debt discount, premium and issuance costs | 2,217 | 2,272 | ||
Deferred income taxes | 5,055 | 7,521 | ||
Changes in operating assets and liabilities, net of effects of business combinations: | ||||
Accounts receivable | 23,101 | (52,183) | ||
Other current assets | (2,418) | (4,866) | ||
Other assets | (7,196) | 16,491 | ||
Accounts payable and accrued expenses | (19,767) | (35,203) | ||
Government advances | (241,185) | (83,790) | ||
Unearned government assistance | (82,514) | 13 | ||
Net cash provided by operating activities | 401,228 | 284,825 | ||
Investing activities | ||||
Business combinations, net of cash acquired | (81,911) | (26,987) | ||
Purchases of property and equipment | (180,537) | (190,372) | ||
Investment in businesses | (20,967) | (17,323) | ||
Proceeds from sale of assets and businesses | 26,821 | 8,343 | ||
Net cash used in investing activities | (256,594) | (226,339) | ||
Financing activities | ||||
Borrowings on revolving facilities | 160,000 | 1,120,000 | ||
Payments on revolving facilities | — | (835,000) | ||
Borrowings of other debt | 33,013 | 25,666 | ||
Principal payments on other debt | (39,668) | (35,594) | ||
Dividends paid to common stockholders | (50,600) | (64,589) | ||
Repurchase of common stock | (79,476) | (195,528) | ||
Increase (decrease) in overdrafts | 42,353 | (10,392) | ||
Proceeds from issuance of non-controlling interests | 20,732 | 9,530 | ||
Distributions to and purchases of non-controlling interests | (73,081) | (43,107) | ||
Purchase of membership interests of Concentra Group Holdings Parent | (660,658) | (5,876) | ||
Net cash used in financing activities | (647,385) | (34,890) | ||
Net increase (decrease) in cash and cash equivalents | (502,751) | 23,596 | ||
Cash and cash equivalents at beginning of period | 577,061 | 74,310 | ||
Cash and cash equivalents at end of period | $ 74,310 | $ 97,906 | ||
Supplemental information: | ||||
Cash paid for interest, excluding | $ 132,203 | $ 183,453 | ||
Cash paid for taxes | 181,184 | 32,290 | ||
VII. Key Statistics | |||||||||
2019 | 2021 | 2022 | % Change | ||||||
Number of hospitals operated – end of period(a) | 101 | 104 | 103 | ||||||
Revenue (,000) | $ 454,949 | $ 577,195 | $ 561,885 | (2.7) % | |||||
Number of patient days(b)(c) | 259,283 | 294,486 | 287,424 | (2.4) % | |||||
Number of admissions(b)(d) | 9,095 | 9,786 | 9,275 | (5.2) % | |||||
Revenue per patient day(b)(e) | $ 1,742 | $ 1,946 | $ 1,947 | 0.1 % | |||||
Occupancy rate(b)(f) | 67 % | 71 % | 70 % | (1.4) % | |||||
Adjusted EBITDA (,000) | $ 60,485 | $ 24,572 | $ 44,345 | 80.5 % | |||||
Adjusted EBITDA margin | 13.3 % | 4.3 % | 7.9 % | ||||||
Number of hospitals operated – end of period(a) | 29 | 30 | 31 | ||||||
Revenue (,000) | $ 182,670 | $ 216,436 | $ 237,855 | 9.9 % | |||||
Number of patient days(b)(c) | 94,236 | 104,361 | 108,857 | 4.3 % | |||||
Number of admissions(b)(d) | 6,636 | 7,134 | 7,587 | 6.3 % | |||||
Revenue per patient day(b)(e) | $ 1,739 | $ 1,888 | $ 2,011 | 6.5 % | |||||
Occupancy rate(b)(f) | 78 % | 83 % | 85 % | 2.4 % | |||||
Adjusted EBITDA (,000) | $ 43,312 | $ 39,326 | $ 56,038 | 42.5 % | |||||
Adjusted EBITDA margin | 23.7 % | 18.2 % | 23.6 % | ||||||
Outpatient Rehabilitation | |||||||||
Number of clinics operated – end of period(a) | 1,740 | 1,881 | 1,928 | ||||||
Working days(g) | 64 | 63 | 63 | ||||||
Revenue (,000) | $ 271,885 | $ 277,451 | $ 281,091 | 1.3 % | |||||
Number of visits(b)(h) | 2,256,966 | 2,341,539 | 2,408,114 | 2.8 % | |||||
Revenue per visit(b)(i) | $ 104 | $ 102 | $ 102 | 0.0 % | |||||
Adjusted EBITDA (,000) | $ 40,216 | $ 27,551 | $ 15,948 | (42.1) % | |||||
Adjusted EBITDA margin | 14.8 % | 9.9 % | 5.7 % | ||||||
Number of centers operated – end of period(b) | 521 | 518 | 540 | ||||||
Working days(g) | 63 | 63 | 63 | ||||||
Revenue (,000) | $ 397,145 | $ 410,639 | $ 415,003 | 1.1 % | |||||
Number of visits(b)(h) | 2,903,266 | 3,003,441 | 2,975,027 | (0.9) % | |||||
Revenue per visit(b)(i) | $ 122 | $ 125 | $ 130 | 4.0 % | |||||
Adjusted EBITDA (,000) | $ 56,458 | $ 70,709 | $ 62,236 | (12.0) % | |||||
Adjusted EBITDA margin | 14.2 % | 17.2 % | 15.0 % | ||||||
_______________________________________________________________________________ | |
(a) | Includes managed locations. |
(b) | Excludes managed locations. For purposes of the |
(c) | Each patient day represents one patient occupying one bed for one day during the periods presented. |
(d) | Represents the number of patients admitted to |
(e) | Represents the average amount of revenue recognized for each patient day. Revenue per patient day is calculated by dividing patient service revenues, excluding revenues from certain other ancillary and outpatient services provided at |
(f) | Represents the portion of our hospitals being utilized for patient care during the periods presented. Occupancy rate is calculated using the number of patient days, as presented above, divided by the total number of bed days available during the period. Bed days available is derived by adding the daily number of available licensed beds for each of the periods presented. |
(g) | Represents the number of days in which normal business operations were conducted during the periods presented. |
(h) | Represents the number of visits in which patients were treated at |
(i) | Represents the average amount of revenue recognized for each patient visit. Revenue per visit is calculated by dividing patient service revenue, excluding revenues from certain other ancillary services, by the total number of visits. For purposes of this computation for the |
VIII. Key Statistics | |||||||||
2019 | 2021 | 2022 | % Change | ||||||
Number of hospitals operated – end of period(a) | 101 | 104 | 103 | ||||||
Revenue (,000) | $ 1,836,518 | $ 2,246,772 | $ 2,234,132 | (0.6) % | |||||
Number of patient days(b)(c) | 1,038,361 | 1,133,039 | 1,127,911 | (0.5) % | |||||
Number of admissions(b)(d) | 36,774 | 37,921 | 36,594 | (3.5) % | |||||
Revenue per patient day(b)(e) | $ 1,753 | $ 1,972 | $ 1,973 | 0.1 % | |||||
Occupancy rate(b)(f) | 68 % | 71 % | 69 % | (2.8) % | |||||
Adjusted EBITDA (,000) | $ 254,868 | $ 267,993 | $ 111,344 | (58.5) % | |||||
Adjusted EBITDA margin | 13.9 % | 11.9 % | 5.0 % | ||||||
Number of hospitals operated – end of period(a) | 29 | 30 | 31 | ||||||
Revenue (,000) | $ 670,971 | $ 849,340 | $ 916,763 | 7.9 % | |||||
Number of patient days(b)(c) | 353,031 | 414,701 | 430,547 | 3.8 % | |||||
Number of admissions(b)(d) | 24,889 | 28,868 | 29,736 | 3.0 % | |||||
Revenue per patient day(b)(e) | $ 1,685 | $ 1,868 | $ 1,953 | 4.6 % | |||||
Occupancy rate(b)(f) | 76 % | 83 % | 85 % | 2.4 % | |||||
Adjusted EBITDA (,000) | $ 135,857 | $ 184,704 | $ 198,034 | 7.2 % | |||||
Adjusted EBITDA margin | 20.2 % | 21.7 % | 21.6 % | ||||||
Outpatient Rehabilitation | |||||||||
Number of clinics operated – end of period(a) | 1,740 | 1,881 | 1,928 | ||||||
Working days(g) | 255 | 254 | 255 | ||||||
Revenue (,000) | $ 1,046,011 | $ 1,084,361 | $ 1,125,282 | 3.8 % | |||||
Number of visits(b)(h) | 8,719,282 | 9,193,624 | 9,573,980 | 4.1 % | |||||
Revenue per visit(b)(i) | $ 103 | $ 102 | $ 103 | 1.0 % | |||||
Adjusted EBITDA (,000) | $ 151,831 | $ 138,275 | $ 101,860 | (26.3) % | |||||
Adjusted EBITDA margin | 14.5 % | 12.8 % | 9.1 % | ||||||
Number of centers operated – end of period(b) | 521 | 518 | 540 | ||||||
Working days(g) | 254 | 254 | 255 | ||||||
Revenue (,000) | $ 1,628,817 | $ 1,732,041 | $ 1,724,359 | (0.4) % | |||||
Number of visits(b)(h) | 12,068,865 | 12,052,724 | 12,579,468 | 4.4 % | |||||
Revenue per visit(b)(i) | $ 122 | $ 125 | $ 127 | 1.6 % | |||||
Adjusted EBITDA (,000) | $ 276,482 | $ 389,616 | $ 334,337 | (14.2) % | |||||
Adjusted EBITDA margin | 17.0 % | 22.5 % | 19.4 % | ||||||
_______________________________________________________________________________ | |
(a) | Includes managed locations. |
(b) | Excludes managed locations. For purposes of the |
(c) | Each patient day represents one patient occupying one bed for one day during the periods presented. |
(d) | Represents the number of patients admitted to |
(e) | Represents the average amount of revenue recognized for each patient day. Revenue per patient day is calculated by dividing patient service revenues, excluding revenues from certain other ancillary and outpatient services provided at |
(f) | Represents the portion of our hospitals being utilized for patient care during the periods presented. Occupancy rate is calculated using the number of patient days, as presented above, divided by the total number of bed days available during the period. Bed days available is derived by adding the daily number of available licensed beds for each of the periods presented. |
(g) | Represents the number of days in which normal business operations were conducted during the periods presented. |
(h) | Represents the number of visits in which patients were treated at |
(i) | Represents the average amount of revenue recognized for each patient visit. Revenue per visit is calculated by dividing patient service revenue, excluding revenues from certain other ancillary services, by the total number of visits. For purposes of this computation for the |
IX. Net Income to Adjusted EBITDA Reconciliation
For the Three Months and Years Ended
(In thousands, unaudited)
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
The following table reconciles net income to Adjusted EBITDA for
Three Months Ended | Years Ended | |||||||||||||
2019 | 2021 | 2022 | 2019 | 2021 | 2022 | |||||||||
Net income | $ 43,671 | $ 66,310 | $ 37,712 | $ 198,026 | ||||||||||
Income tax expense (benefit) | 11,578 | (8,637) | 8,570 | 63,718 | 129,773 | 62,553 | ||||||||
Interest expense | 43,959 | 33,870 | 47,341 | 200,570 | 135,985 | 169,111 | ||||||||
Interest income | — | (601) | — | — | (5,350) | — | ||||||||
Gain on sale of businesses | — | (2,155) | — | (6,532) | (2,155) | — | ||||||||
Equity in earnings of unconsolidated subsidiaries | (6,279) | (11,248) | (6,759) | (24,989) | (44,428) | (26,407) | ||||||||
Loss on early retirement of debt | 19,440 | — | — | 38,083 | — | — | ||||||||
Income from operations | $ 77,539 | $ 86,864 | $ 403,283 | |||||||||||
Stock compensation expense: | ||||||||||||||
Included in general and administrative | 5,485 | 7,061 | 8,560 | 20,334 | 24,598 | 30,555 | ||||||||
Included in cost of services | 1,535 | 1,877 | 1,239 | 6,117 | 6,342 | 7,200 | ||||||||
Depreciation and amortization | 52,504 | 51,943 | 52,246 | 212,576 | 202,645 | 205,825 | ||||||||
Adjusted EBITDA | $ 646,863 | |||||||||||||
Critical illness recovery hospital(a) | $ 60,485 | $ 24,572 | $ 44,345 | $ 111,344 | ||||||||||
Rehabilitation hospital | 43,312 | 39,326 | 56,038 | 135,857 | 184,704 | 198,034 | ||||||||
Outpatient rehabilitation | 40,216 | 27,551 | 15,948 | 151,831 | 138,275 | 101,860 | ||||||||
56,458 | 70,709 | 62,236 | 276,482 | 389,616 | 334,337 | |||||||||
Other(c)(d) | (28,578) | (23,738) | (29,658) | (108,130) | (33,229) | (98,712) | ||||||||
Adjusted EBITDA | $ 646,863 | |||||||||||||
_______________________________________________________________________________ | |
(a) | For the three months and year ended |
(b) | For the three months ended |
(c) | For the three months ended |
(d) | Other primarily includes general and administrative costs and other operating income, as discussed further above. |
X. Reconciliation of Earnings per Common Share to Adjusted Earnings per Common Share
For the Three Months and Years Ended
(In thousands, except per share amounts, unaudited)
Adjusted net income attributable to common shares and adjusted earnings per common share are not measures of financial performance under GAAP. Items excluded from adjusted net income attributable to common shares and adjusted earnings per common share are significant components in understanding and assessing financial performance.
The following tables reconcile net income attributable to common shares and earnings per common share on a fully diluted basis to adjusted net income attributable to common shares and adjusted earnings per common share on a fully diluted basis.
Three Months Ended | |||||||
2021 | Per Share(a) | 2022 | Per Share(a) | ||||
Net income attributable to common shares(a) | $ 48,197 | $ 0.37 | $ 26,502 | $ 0.22 | |||
Adjustments:(b) | |||||||
Gain on sale of businesses | (775) | 0.00 | — | — | |||
Adjusted net income attributable to common shares | $ 47,422 | $ 0.37 | $ 26,502 | $ 0.22 | |||
Years Ended | |||||||
2021 | Per Share(a) | 2022 | Per Share(a) | ||||
Net income attributable to common shares(a) | $ 388,790 | $ 2.98 | $ 153,385 | $ 1.23 | |||
Adjustments:(b) | |||||||
Gain on sale of businesses | (775) | 0.00 | — | — | |||
Adjusted net income attributable to common shares | $ 388,015 | $ 2.98 | $ 153,385 | $ 1.23 | |||
_______________________________________________________________________________ | |
(a) | Net income attributable to common shares and earnings per common share are calculated based on the diluted weighted average common shares outstanding, as presented in table III. |
(b) | Adjustments to net income attributable to common shares include estimated income tax and non-controlling interest impacts and are calculated based on the diluted weighted average common shares outstanding. The estimated income tax impact, which is determined using tax rates based on the nature of the adjustment and the jurisdiction in which the adjustment occurred, includes both current and deferred income tax expense or benefit. |
For the three months and year ended | |
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