In This Article:
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Revenue: Increased by 7% compared to Q1 of the previous year.
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Adjusted EBITDA: Grew 22% to $261.9 million from $214.1 million in the prior year.
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Consolidated Adjusted EBITDA Margin: Improved to 14.6% from 12.9% in the prior year.
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Critical Illness Recovery Hospital Division Revenue: Increased by 10%.
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Critical Illness Recovery Hospital Division Adjusted EBITDA: Increased by 51%.
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Inpatient Rehabilitation Hospital Division Revenue: Increased by 15%.
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Inpatient Rehabilitation Hospital Division Adjusted EBITDA: Increased by 30%.
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Concentra Net Revenues: Increased by 2%.
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Concentra Adjusted EBITDA: Increased by 3%.
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Outpatient Rehab Division Revenue: Increased by 2%.
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Earnings Per Fully Diluted Share: Were $0.75, up from $0.56 in the same quarter prior year.
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Adjusted Earnings Per Fully Diluted Share: Were $0.77, excluding Concentra separation transaction costs.
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Dividend: A cash dividend of $0.125 payable on May 30, 2024.
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Debt: Stood at $3.8 billion at the end of the quarter.
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2024 Revenue Outlook: Expected to be in the range of $6.9 billion to $7.1 billion.
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2024 Adjusted EBITDA Outlook: Projected to be between $845 million and $885 million.
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2024 Fully Diluted EPS Outlook: Anticipated to be between $1.95 and $2.19.
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2024 Adjusted EPS Outlook: Forecasted to be between $1.96 and $2.20.
Release Date: May 03, 2024
For the complete transcript of the earnings call, please refer to the full earnings call transcript.
Positive Points
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Select Medical Holdings Corp reported a strong start to 2024 with a 22% growth in adjusted EBITDA and a 7% increase in revenue compared to Q1 of the previous year.
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The critical illness recovery hospital division exceeded expectations with a 51% increase in adjusted EBITDA and a 10% increase in revenue.
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Significant reductions in salary, wages, and benefits to revenue ratio by 6%, with nurse agency utilization decreasing by 20% and agency rates decreasing by 7%.
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Announced several new hospital openings and expansions, including partnerships with Rush University System, UF Health Jacksonville, Cleveland Clinic, and UPMC, enhancing future growth prospects.
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Successful management of labor costs, particularly in the critical illness recovery hospital division, where SW&B as a percentage of revenue ratio improved significantly from 56.2% in Q1 of the prior year to 52.9%.
Negative Points
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Despite overall growth, the outpatient rehab division experienced a 17% decrease in adjusted EBITDA and a reduction in adjusted EBITDA margin from 10.2% to 8.2%.
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Reported a decline in employer demand for drug screens and physicals in the Concentra division, leading to a 2% overall visit decline.
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An increase in day sales outstanding (DSO) from 54 days to 58 days, primarily due to the changed health cyber incident, indicating potential issues in cash flow management.
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Interest expenses increased to $50.8 million in Q1 from $48.6 million in the same quarter of the previous year, reflecting higher borrowing costs.
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The company faces ongoing challenges with Medicare reimbursement pressures and regulatory changes, which could impact future profitability.