Select Medical Holdings Corp (SEM) Q1 2024 Earnings Call Transcript Highlights: Strong Growth ...

In This Article:

  • Revenue: Increased by 7% compared to Q1 of the previous year.

  • Adjusted EBITDA: Grew 22% to $261.9 million from $214.1 million in the prior year.

  • Consolidated Adjusted EBITDA Margin: Improved to 14.6% from 12.9% in the prior year.

  • Critical Illness Recovery Hospital Division Revenue: Increased by 10%.

  • Critical Illness Recovery Hospital Division Adjusted EBITDA: Increased by 51%.

  • Inpatient Rehabilitation Hospital Division Revenue: Increased by 15%.

  • Inpatient Rehabilitation Hospital Division Adjusted EBITDA: Increased by 30%.

  • Concentra Net Revenues: Increased by 2%.

  • Concentra Adjusted EBITDA: Increased by 3%.

  • Outpatient Rehab Division Revenue: Increased by 2%.

  • Earnings Per Fully Diluted Share: Were $0.75, up from $0.56 in the same quarter prior year.

  • Adjusted Earnings Per Fully Diluted Share: Were $0.77, excluding Concentra separation transaction costs.

  • Dividend: A cash dividend of $0.125 payable on May 30, 2024.

  • Debt: Stood at $3.8 billion at the end of the quarter.

  • 2024 Revenue Outlook: Expected to be in the range of $6.9 billion to $7.1 billion.

  • 2024 Adjusted EBITDA Outlook: Projected to be between $845 million and $885 million.

  • 2024 Fully Diluted EPS Outlook: Anticipated to be between $1.95 and $2.19.

  • 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

  • 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.

  • The critical illness recovery hospital division exceeded expectations with a 51% increase in adjusted EBITDA and a 10% increase in revenue.

  • 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%.

  • Announced several new hospital openings and expansions, including partnerships with Rush University System, UF Health Jacksonville, Cleveland Clinic, and UPMC, enhancing future growth prospects.

  • 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

  • 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%.

  • Reported a decline in employer demand for drug screens and physicals in the Concentra division, leading to a 2% overall visit decline.

  • 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.

  • 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.

  • The company faces ongoing challenges with Medicare reimbursement pressures and regulatory changes, which could impact future profitability.