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      Select Medical Holdings Corporation Announces Results for Second Quarter Ended June 30, 2010


      News provided by

      Select Medical Holdings Corporation

      Aug 05, 2010, 04:34 ET

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      MECHANICSBURG, Pa., Aug. 5 /PRNewswire-FirstCall/ -- Select Medical Holdings Corporation ("Select") (NYSE: SEM), today announced results for its second quarter ended June 30, 2010.

      For the second quarter ended June 30, 2010, net operating revenues increased 3.6% to $579.9 million compared to $559.5 million for the same quarter, prior year.  Income from operations increased 11.0% to $72.6 million compared to $65.4 million for the same quarter, prior year.  Net income attributable to Select increased 23.6% to $24.5 million compared to $19.8 million for the same quarter, prior year.   Net income attributable to Select for the quarter ended June 30, 2009 included a gain on early retirement of debt, net of tax, of $2.0 million.  Additionally, net income before interest, income taxes, depreciation and amortization, gain on early retirement of debt, stock compensation expense and other income ("Adjusted EBITDA") for the second quarter increased 7.2% to $89.6 million compared to $83.6 million for the same quarter, prior year.  A reconciliation of net income to Adjusted EBITDA is attached to this release.  Income per common share for the second quarter ended June 30, 2010 was $0.15 on a fully diluted basis and weighted average diluted shares outstanding were 159,975,000.  On September 30, 2009, Select completed an initial public offering that resulted in the issuance of 30,000,000 shares of common stock.  On October 28, 2009, the underwriters exercised their over-allotment option to purchase an additional 3,603,000 shares of common stock.  Upon completion of the initial public offering, Select's participating preferred stock converted into a total of 64,277,000 common shares.

      Select's income per common share for the quarter ended June 30, 2009 was $0.19, which included a non-recurring gain related to the early retirement of debt.  Excluding this item, on an adjusted basis income available to common stockholders was $0.16 per diluted share for the quarter ended June 30, 2009.  A reconciliation of net income per share to adjusted net income per share is attached to this release.

      For the six months ended June 30, 2010, net operating revenues increased 3.9% to $1,164.7 million compared to $1,120.7 million for the same period, prior year. Income from operations increased 9.2% to $145.2 million compared to $133.0 million for the same period, prior year. Net income attributable to Select increased 8.7% to $48.7 million compared to $44.8 million for the same period, prior year.  Net income attributable to Select for the six months ended June 30, 2009 includes a gain on early retirement of debt, net of tax, of $8.9 million.  Additionally, Adjusted EBITDA for the six months ended June 30, 2010 increased 6.6% to $180.5 million compared to $169.3 million for the same period, prior year.  A reconciliation of net income to Adjusted EBITDA is attached to this release.  Income per common share for the six months ended June 30, 2010 was $0.30 on a fully diluted basis and weighted average diluted shares outstanding were 159,984,000.  On September 30, 2009, Select completed an initial public offering that resulted in the issuance of 30,000,000 shares of common stock.  On October 28, 2009, the underwriters exercised their over-allotment option to purchase an additional 3,603,000 shares of common stock.  Upon completion of the initial public offering, Select's participating preferred stock converted into a total of 64,277,000 common shares.

      Select's income per common share for the six months ended June 30, 2009 was $0.47, which included a non-recurring gain related to the early retirement of debt.  Excluding this item, on an adjusted basis income available to common stockholders was $0.34 per diluted share for the six months ended June 30, 2009.  A reconciliation of net income per share to adjusted net income per share is attached to this release.

      Specialty Hospitals

      At June 30, 2010, Select operated 89 long term acute care hospitals and six acute medical rehabilitation hospitals.  This compares to 87 long term acute care hospitals and five acute medical rehabilitation hospitals operated at June 30, 2009.  For the second quarter of 2010, net operating revenues for all of Select's hospitals increased 4.3% to $403.1 million compared to $386.3 million for the same quarter, prior year. Total patient days for the second quarter of 2010 were 264,898, admissions were 10,616 and net revenue per patient day was $1,474.  This compares to 252,710 days, 10,504 admissions and net revenue per patient day of $1,491 for the same quarter, prior year.  For the hospitals opened or acquired as of  January 1, 2009 and operated by Select throughout both periods, patient days in the second quarter of 2010 were 258,884 and admissions were 10,304, compared to 251,136 days and 10,433 admissions in the same quarter, prior year.  Adjusted EBITDA for the specialty hospital segment increased 3.4% to $73.3 million compared to $71.0 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment was 18.2% for the second quarter of 2010, compared to 18.4% for the same quarter, prior year.  The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2009 and operated by Select throughout both periods was 18.5% for the second quarter of 2010, compared to 18.4% for the same quarter, prior year.  

      For the six months ended June 30, 2010, net operating revenues for all of Select's hospitals increased 4.5% to $814.8 million compared to $779.6 million for the same period, prior year. Total patient days for the six months ended June 30, 2010 were 532,746, admissions were 21,717 and net revenue per patient day was $1,483. This compares to 508,983 days, 21,309 admissions and net revenue per patient day of $1,494 for the same period, prior year. For the hospitals opened or acquired as of January 1, 2009 and operated by Select throughout both periods, patient days for the six months ended June 30, 2010 were 521,823, and admissions were 21,122, compared to 505,403 days and 21,164 admissions in the same period, prior year. Adjusted EBITDA for the segment for the six months ended June 30, 2010 increased 5.8% to $156.2 million compared to $147.7 million for the same period, prior year. The Adjusted EBITDA margin for the segment for the six months ended June 30, 2010 was 19.2%, compared to 19.0% for the same period, prior year. The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2009 and operated by Select throughout both periods was 19.7% for the six months ended June 30, 2010, compared to 19.0% for the same period, prior year.

      Outpatient Rehabilitation

      At June 30, 2010, Select operated 953 outpatient clinics.  This compares to 948 outpatient clinics at June 30, 2009.  For the second quarter of 2010, net operating revenues for the outpatient rehabilitation segment increased 2.1% to $176.8 million compared to $173.2 million for the same quarter, prior year.  Adjusted EBITDA for the segment for the second quarter increased 2.6% to $26.0 million compared to $25.3 million for the same quarter, prior year.  The Adjusted EBITDA margin for the segment for the quarter was 14.7% compared to 14.6% in the same quarter, prior year.  Patient visits for the quarter were 1,172,212 compared to 1,163,341 for the same quarter, prior year.   Net revenue per visit was $101 in both quarters.  

      For the six months ended June 30, 2010, net operating revenues were $349.9 million compared to $341.0 million for the same period, prior year. Adjusted EBITDA for the six months ended June 30, 2010 decreased 0.2% to $46.5 million compared to $46.6 million for the same period, prior year. The Adjusted EBITDA margin for the six months ended June 30, 2010 was 13.3% compared to 13.7% in the same period, prior year. Patient visits for the six months ended June 30, 2010 were 2,298,170 compared to 2,259,637 for the same period, prior year. Net revenue per visit was $101 for the six months ended June 30, 2010 compared to $102 for the same period, prior year.

      Agreement to Purchase Regency Hospital Company, L.L.C.

      On June 18, 2010, the Company entered into an agreement to acquire all the issued and outstanding equity securities of Regency Hospital Company, L.L.C. ("Regency") an operator of long-term acute care hospitals, for approximately $210 million, including certain assumed liabilities.  The purchase price is subject to adjustment based on Regency's net working capital on the closing date.  

      Regency operates a network of 23 long-term acute care hospitals, located in 9 states.  The transaction, which is expected to close in the third quarter of 2010, is subject to a number of closing conditions, including clearance under the Hart-Scott-Rodino antitrust Improvements Act of 1976, as amended, and receipt of certain healthcare regulatory approvals.

      Business Outlook

      The Company intends to revise its 2010 business outlook upon the closing of the Regency Transaction.  

      Conference Call

      The Company will host a conference call regarding its second quarter results and its business outlook on Friday, August 6, 2010, at 9:00am EDT. The domestic dial in number for the call is 1-866-788-0541. The international dial in number is 1-857-350-1679. The passcode for the call is 10011638. The conference call will be webcast simultaneously and can be accessed at Select Medical Holdings Corporation's website http://www.selectmedicalholdings.com.

      For those unable to participate in the conference call, a replay will be available until 11:59pm EDT, Friday, August 13, 2010. The replay number is 1-888-286-8010 (domestic) or 1-617-801-6888 (international). The passcode for the replay will be 70263211. The replay can also be accessed at Select Medical Holdings Corporation's website, http://www.selectmedicalholdings.com.

      Select Medical Holdings Corporation is a leading operator of specialty hospitals in the United States.  As of June 30, 2010, Select operated 89 long term acute care hospitals and 6 acute medical rehabilitation hospitals in 25 states.  Select is also a leading operator of outpatient rehabilitation clinics in the United States, with approximately 953 locations in 36 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.selectmedicalholdings.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, including changes that will result from the expiration of the moratorium for long term acute care hospitals established by the SCHIP Extension Act of 2007, the American Recovery and Reinvestment Act, and the Patient Protection and Affordable Care Act may result in a reduction in net operating revenues, an increase in costs and a reduction in profitability;
      • the failure of our specialty hospitals to maintain their Medicare certifications 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;
      • 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 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 or lack of adequate available insurance could subject us to substantial uninsured liabilities;
      • other factors discussed from time to time in our filings with the Securities and Exchange Commission, including factors under the heading "Risk Factors" in our annual report on Form 10-K.

      Investor inquiries:


      Joel T. Veit

      Vice President and Treasurer

      717-972-1100

      [email protected]



      I.   Condensed Consolidated Statements of Operations

      (In thousands, except per share amounts)

      (unaudited)

      For the Three Months Ended June 30, 2009 and 2010








      2009


      2010


      %
      Change

      Net operating revenues

      $      559,535


      $    579,877


      3.6%







      Costs and expenses:






      Cost of services

      453,011


      470,044


      3.8%

      General and administrative

      12,885


      9,802


      (23.9)%

      Bad debt expense

      10,312


      10,845


      5.2%

      Depreciation and amortization

      17,939


      16,610


      (7.4)%







      Income from operations

      65,388


      72,576


      11.0%







      Gain on early retirement of debt

      3,562


      -


      N/M

      Other income

      -


      182


      N/M

      Interest income

      28


      -


      N/M

      Interest expense

      (33,658)


      (29,279)


      (13.0)%







      Income from operations before income taxes

      35,320


      43,479


      23.1%







      Income tax expense

      15,137


      17,306


      14.3%







      Net income

      20,183


      26,173


      29.7%







      Less:  Net income attributable to non-controlling interests

      391


      1,711


      337.6%







      Net income attributable to Select Medical Holdings Corporation

      19,792


      24,462


      23.6%







      Less: Preferred dividends

      6,508


      -


      N/M







      Net income available to common stockholders and participating securities

      $        13,284


      $      24,462


      84.1%







      Income per common share:






          Basic

      $0.20


      $0.15



          Diluted

      $0.19


      $0.15









      Weighted average shares outstanding (1):






          Basic

      60,632


      159,709



          Diluted

      61,114


      159,975









      N/M = Not Meaningful












      (1) On September 30, 2009, Select completed an initial public offering that resulted in the issuance of 30,000 shares of
      common stock.  On October 28, 2009, the underwriters exercised their over-allotment option to purchase an additional 3,603  
      shares of common stock.  Upon completion of the initial public offering, Select's participating preferred stock converted
      into a total of 64,277 common shares.



      II.   Condensed Consolidated Statements of Operations

      (In thousands, except per share amounts)

      (unaudited)

      For the Six Months Ended June 30, 2009 and 2010










      2009


      2010


      %
      Change

      Net operating revenues


      $   1,120,707


      $ 1,164,690


      3.9%








      Costs and expenses:







      Cost of services


      904,405


      942,421


      4.2%

      General and administrative


      25,660


      22,591


      (12.0)%

      Bad debt expense


      21,958


      20,132


      (8.3)%

      Depreciation and amortization


      35,670


      34,321


      (3.8)%








      Income from operations


      133,014


      145,225


      9.2%








      Gain on early retirement of debt


                15,316


                        -


      N/M

      Other income


                          -


      316


      N/M

      Interest income


                       80


                        -


      N/M

      Interest expense


      (68,330)


      (59,321)


      (13.2)%








      Income from operations before income taxes


      80,080


      86,220


      7.7%








      Income tax expense


      33,880


      34,415


      1.6%








      Net income


      46,200


      51,805


      12.1%








      Less:  Net income attributable to non-controlling interests


      1,412


      3,117


      120.8%








      Net income attributable to Select Medical Holdings Corporation


      44,788


      48,688


      8.7%








      Less: Preferred dividends


      12,870


                        -


      N/M








      Net income available to common stockholders and participating securities

      $        31,918


      $      48,688


      52.5%








      Income per common share:







          Basic


      $0.47


      $0.30



          Diluted


      $0.47


      $0.30










      Weighted average shares outstanding (1):







          Basic


      60,509


      159,686



          Diluted


      60,991


      159,984










      N/M = Not Meaningful














      (1) On September 30, 2009, Select completed an initial public offering that resulted in the issuance of 30,000 shares of
      common stock.  On October 28, 2009, the underwriters exercised their over-allotment option to purchase an additional 3,603
      shares common stock.  Upon completion of the initial public offering, Select's participating preferred stock converted  
      into a total of 64,277 common shares.










      III. Condensed Consolidated Balance Sheets

      (In thousands)

      (unaudited)








      December 31,


      June 30,



      2009


      2010

      ASSETS










      Cash


      $         83,680


      $       128,753






      Accounts receivable, net


      307,079


      338,320






      Current deferred tax asset


      48,535


      40,808






      Prepaid income taxes


      11,179


      6,841






      Other current assets


      24,240


      24,730






      Total Current Assets


      474,713


      539,452






      Property and equipment, net


      466,131


      459,567






      Goodwill


      1,548,269


      1,548,269






      Other identifiable intangibles


      65,297


      63,468






      Assets held for sale


      11,342


      11,342






      Other assets


      36,481


      38,025






      Total Assets


      $    2,602,233


      $    2,660,123






      LIABILITIES AND EQUITY










      Payables and accruals


      $       299,796


      $       296,972






      Current portion of long-term debt


      4,145


      102,410






      Total Current Liabilities


      303,941


      399,382






      Long-term debt, net of current portion


      1,401,426


      1,305,069






      Non-current deferred tax liability


      66,768


      66,604






      Other non-current liabilities


      60,543


      61,712






      Total equity


      769,555


      827,356






      Total Liabilities and Equity

      $    2,602,233


      $    2,660,123


















      IV.   Condensed Consolidated Statements of Cash Flows

      (In thousands)

      (unaudited)

      For the Six Months Ended June 30, 2009 and 2010



      2009


      2010

      Operating activities





      Net income


      $        46,200


      $         51,805

      Adjustments to reconcile net income to net cash





         provided by operating activities:





             Depreciation and amortization


                35,670


                 34,321

             Provision for bad debts


                21,958


                 20,132

             Gain on early retirement of debt


               (15,316)


                          -

             Loss from disposal of assets


                     117


                      660

        Non-cash gain from interest rate swaps


                          -


                    (316)

             Non-cash stock compensation expense


                     594


                      945

             Amortization of debt discount


                     815


                      918

             Changes in operating assets and liabilities, net of





                 effects from acquisition of businesses:





                     Accounts receivable


               (49,155)


               (51,373)

                     Other current assets


                    (667)


                    (495)

                     Other assets


                  4,242


                 (1,140)

                     Accounts payable


                 (3,693)


                 (8,796)

                     Due to third-party payors


                    (216)


                      587

                     Accrued expenses and deferred income taxes


                16,686


                 11,471

      Net cash provided by operating activities


                57,235


                 58,719






      Investing activities





      Purchases of property and equipment


               (20,981)


               (26,454)

      Proceeds from sale of property


                  1,341


                          -

      Net cash used in investing activities


               (19,640)


               (26,454)






      Financing activities





      Borrowings on revolving credit facility


              138,000


                          -

      Payments on revolving credit facility


             (173,000)


                          -

      Payment on credit facility term loan


                 (3,400)


                          -

      Repurchase of 7 5/8% senior subordinated notes


               (30,114)


                          -

      Borrowings of other debt


                  5,184


                   5,015

      Principal payments on seller and other debt


                 (3,891)


                 (4,442)

      Repurchase of common and preferred stock


                      (80)


                          -

      Proceeds from issuance of common stock


                       24


                      125

      Payment of initial public offering costs


                    (417)


                          -

      Proceeds from (repayment of) bank overdrafts


                 (4,658)


                 14,201

      Distributions to non-controlling interests


                 (1,814)


                 (2,091)

      Net cash provided by (used in) financing activities


               (74,166)


                 12,808






      Net increase (decrease) in cash and cash equivalents


               (36,571)


                 45,073






      Cash and cash equivalents at beginning of period


                64,260


                 83,680

      Cash and cash equivalents at end of period


      $        27,689


      $       128,753






      Supplemental Cash Flow Information





      Cash paid for interest


      $        64,710


      $         55,928

      Cash paid for taxes


      $        11,090


      $         24,664



      V.  Key Statistics

      (unaudited)

      For the Three Months Ended June 30, 2009 and 2010







      %



      2009


      2010


      Change








      Specialty Hospitals (a)














      Number of hospitals - end of period


      92


      95


      3.3%








      Net operating revenues   (,000)


      $     386,331


      $     403,079


      4.3%








      Number of patient days


      252,710


      264,898


      4.8%








      Number of admissions


      10,504


      10,616


      1.1%








      Net revenue per patient day (b)


      $         1,491


      $         1,474


      (1.1)%








      Adjusted EBITDA   (,000)


      $       70,960


      $       73,344


      3.4%








      Adjusted EBITDA margin – all hospitals


      18.4%


      18.2%


      (1.1)%

      Adjusted EBITDA margin – same store hospitals (c)


      18.4%


      18.5%


      0.5%








      Outpatient Rehabilitation














      Number of clinics - end of period


      948


      953


      0.5%








      Net operating revenues   (,000)


      $     173,190


      $     176,785


      2.1%








      Number of visits


      1,163,341


      1,172,212


      0.8%








      Revenue per visit (d)


      $            101


      $            101


      0.0%








      Adjusted EBITDA  (,000)


      $       25,294


      $       25,956


      2.6%








      Adjusted EBITDA margin


      14.6%


      14.7%


      0.7%








      (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 direct 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, 2009 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 Six Months Ended June 30, 2009 and 2010







      %



      2009


      2010


      Change








      Specialty Hospitals (a)














      Number of hospitals - end of period


                            92


                            95


      3.3%








      Net operating revenues   (,000)


      $           779,563


      $           814,764


      4.5%








      Number of patient days


                   508,983


                   532,746


      4.7%








      Number of admissions


                     21,309


                     21,717


      1.9%








      Net revenue per patient day (b)


      $               1,494


      $               1,483


      (0.7)%








      Adjusted EBITDA   (,000)


      $           147,741


      $           156,241


      5.8%








      Adjusted EBITDA margin – all hospitals


      19.0%


      19.2%


      1.1%

      Adjusted EBITDA margin – same store hospitals (c)


      19.0%


      19.7%


      3.7%








      Outpatient Rehabilitation














      Number of clinics - end of period


                          948


                          953


      0.5%








      Net operating revenues   (,000)


      $           341,009


      $           349,850


      2.6%








      Number of visits


                2,259,637


                2,298,170


      1.7%








      Revenue per visit (d)


      $                  102


      $                  101


      (1.0)%








      Adjusted EBITDA  (,000)


      $             46,578


      $             46,474


      (0.2)%








      Adjusted EBITDA margin


      13.7%


      13.3%


      (2.9)%








      (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 direct 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, 2009 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 and Six Months Ended June 30, 2009 and 2010

      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 income and gain on early retirement of debt.  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 June 30,


      Six Months Ended June 30,


      2009

      2010


      2009

      2010

      Net income

      $               20,183

      $               26,173


      $               46,200

      $               51,805

      Income tax expense

      15,137

      17,306


      33,880

      34,415

      Other income

      -

      (182)


      -

      (316)

      Interest expense, net

      33,630

      29,279


      68,250

      59,321

      Gain on early retirement of debt

      (3,562)

      -


      (15,316)

      -

      Stock compensation expense






      Included in general and administrative

      241

      111


      483

      291

      Included in cost of services

      58

      326


      111

      654

      Depreciation and amortization

      17,939

      16,610


      35,670

      34,321

      Adjusted EBITDA

      $               83,626

      $               89,623


      $             169,278

      $             180,491







      Specialty hospitals

      $               70,960

      $               73,344


      $             147,741

      $             156,241

      Outpatient rehabilitation

      25,294

      25,956


      46,578

      46,474

      Other (1)

      (12,628)

      (9,677)


      (25,041)

      (22,224)

      Adjusted EBITDA

      $               83,626

      $               89,623


      $             169,278

      $             180,491







      (1)  Other primarily includes general and administrative costs.



      The following tables reconcile specialty hospital same store information.




      Three Months Ended



      June 30, 2009


      June 30, 2010

      Specialty hospitals net operating revenue


      $                   386,331


      $                   403,079

      Less:   Specialty hospitals in development, opened, acquired or closed after 1/1/09

                               2,550


                             10,748

      Specialty hospitals same store net operating revenue


      $                   383,781


      $                   392,331






      Specialty hospitals Adjusted EBITDA


      $                     70,960


      $                     73,344

      Less:   Specialty hospitals in development, opened, acquired or closed after 1/1/09

                                  338


                                  582

      Specialty hospitals same store Adjusted EBITDA


      $                     70,622


      $                     72,762






      All specialty hospitals Adjusted EBITDA margin


      18.4%


      18.2%

      Specialty hospitals same store Adjusted EBITDA margin


      18.4%


      18.5%








      Six Months Ended



      June 30, 2009


      June 30, 2010

      Specialty hospitals net operating revenue


      $                   779,563


      $                   814,764

      Less:   Specialty hospitals in development, opened, acquired or closed after 1/1/09

                               5,572


                             19,575

      Specialty hospitals same store net operating revenue


      $                   773,991


      $                   795,189






      Specialty hospitals Adjusted EBITDA


      $                   147,741


      $                   156,241

      Less:   Specialty hospitals in development, opened, acquired or closed after 1/1/09

                                  392


                                (490)

      Specialty hospitals same store Adjusted EBITDA


      $                   147,349


      $                   156,731






      All specialty hospitals Adjusted EBITDA margin


      19.0%


      19.2%

      Specialty hospitals same store Adjusted EBITDA margin


      19.0%


      19.7%













      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 June 30, 2009 and 2010



      2009

      Per Share (a)


      2010

      Per Share (a)

      Net income

      $        20,183

      $            0.33


      $        26,173

      $            0.16

      Net income attributable to non-controlling interests

      391

      0.01


      1,711

      0.01

      Net income attributable to Select Medical Holdings Corporation

      19,792

      0.32


      24,462

      0.15

      Less:  Preferred dividends

      6,508

      0.10


      -

      0.00

      Net income available to common stockholders and participating securities

      13,284

      0.22


      24,462

      0.15







      Gain on early retirement of debt

      (3,562)

      (0.06)


      -

      -

      Estimated income tax expense (b)

      1,502

      0.02


      -

      -


      11,224

      0.18


      24,462

      0.15

      Allocation to participating securities:






      Less:  Earnings allocated to preferred stockholders

      1,095

      0.02


      -

      0.00

      Less:  Earnings allocated to unvested restricted stockholders

      136

      0.00


      46

      0.00







      Adjusted net income available to common stockholders

      $          9,993

      $            0.16


      $        24,416

      $            0.15

      Adjustment for dilution


      0.00



      0.00

      Adjusted net income available to common stockholders - diluted shares


      $            0.16



      $            0.15







      Weighted average common shares outstanding:






      Basic


      60,632



      159,709

      Diluted


      61,114



      159,975







      (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 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 Six Months Ended June 30, 2009 and 2010








      2009

      Per Share (a)


      2010

      Per Share (a)

      Net income

      $        46,200

      $            0.76


      $        51,805

      $            0.32

      Net income attributable to non-controlling interests

      1,412

      0.02


      3,117

      0.02

      Net income attributable to Select Medical Holdings Corporation

      44,788

      0.74


      48,688

      0.30

      Less:  Preferred dividends

      12,870

      0.21


      -

      0.00

      Net income available to common stockholders and participating securities

      31,918

      0.53


      48,688

      0.30







      Gain on early retirement of debt

      (15,316)

      (0.25)


      -

      -

      Estimated income tax expense (b)

      6,457

      0.10


      -

      -


      23,059

      0.38


      48,688

      0.30

      Allocation to participating securities:






      Less:  Earnings allocated to preferred stockholders

      2,250

      0.04


      -

      0.00

      Less:  Earnings allocated to unvested restricted stockholders

      320

      0.00


      97

      0.00







      Adjusted net income available to common stockholders

      $        20,489

      $            0.34


      $        48,591

      $            0.30

      Adjustment for dilution


      0.00



      0.00

      Adjusted net income available to common stockholders - diluted shares


      $            0.34



      $            0.30







      Weighted average common shares outstanding:






      Basic


      60,509



      159,686

      Diluted


      60,991



      159,984







      (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 on the adjustments to net income.      




      SOURCE Select Medical Holdings Corporation

      Modal title

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