EX-99.1 3 w94271exv99w1.htm SELECT MEDICAL CORPORATION INVESTOR PRESENTATION. exv99w1
 

Investor Presentation (r)


 

Select Medical Corporation This presentation may contain forward-looking statements based on current management expectations. Numerous factors, including those related to market conditions and those detailed from time-to-time in the Company's filings with the Securities and Exchange commission, may cause results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine the Company's future results are beyond the ability of the Company to control or predict. These statements are subject to risks and uncertainties and, therefore, actual results may differ materially. Readers should not place undue reliance on forward-looking statements, which reflect management's views only as of the date hereof. The Company undertakes no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise. All references to "Select" used throughout this presentation refer to Select Medical Corporation and its subsidiaries. 2


 

Presentation Business Overview Financial Performance 3


 

Business Overview Founded 1996 Two lines of business in health care services IPO - April 2001 NYSE - SEM 2003 Revenues - $1.4 billion 4


 

Recent Highlights Completed the acquisition of Kessler Rehabilitation Corporation - September 2003 Implementation during 2003 of PPS for Long Term Acute Care Hospitals Two-for-One stock split - December 2003 Quarterly cash dividend of $0.03 per share (split adjusted) - December 2003 5


 

Select Medical Operations Largest operator of long term acute care hospitals 79 hospitals operating in 24 states 75 operate as hospital within a hospital model Four acute medical rehabilitation hospitals in New Jersey Second largest operator of outpatient rehabilitation clinics 790 clinics operating in 29 states, DC, and 7 Canadian provinces 6 Note: As of December 31, 2003


 

Revenue 1997 8.2 1998 109.02 1999 333.66 2000 589.68 2001 701.71 2002 824.34 2003 1007.56 2004 1200 Revenue Growth Net Revenue ($ in millions) (1) 1997 - 2004 Estimated 2004 Estimate represents mid-point of guidance range. 7 CAGR: 104% (1) $1,396.8 Estimate $1,640.0


 

Adjusted EBITDA Growth Adjusted EBITDA (EBITDA $ in Million) EBITDA Outpatient Other (1) 1997 -2.546 0 0 1998 3.6 -12.152 1999 42.2 -16.382 2000 91.7 -18.3 2001 112 -19.743 2002 127.3 313.2 2003 185.2 CAGR: 120% (1) 1998 - 2003 8 ($ in millions) $185.2


 

Performance EPS - Adjusted for 2-for-1 stock split in December 2003 9 CAGR: 46% (1) (1) 2001 - 2004 Estimated 2004 Estimate represents mid-point of guidance range. 2001 2002 2003 2004 Estimate


 

Balanced Business and Payor Mix Inpatient 0.61 Outpatient 0.38 Other 0.01 Revenue By Business Medicare 0.46 Commercial/Other 0.52 Commercial/ Other Medicaid 0.02 Revenue By Payor Commercial/ Other 52% Note: For twelve months ended December 31, 2003 Medicaid 2% Diversified Mix of Business and Payor Sources 10 Outpatient 38% Inpatient 61%


 

Select Specialty Hospitals


 

Select Specialty Hospitals 12 79 long term acute care hospitals in 24 states (total beds = 2,882) 75 operate as hospital-within-a-hospital Four acute medical rehabilitation hospitals in New Jersey (total beds = 322) Note: As of December 31, 2003


 

Specialty Hospital Growth 1998 1999 2000 2001 2002 2003 Existing 39 44 54 64 72 83 13 39 44 54 64 72 83


 

Specialty Hospital Adjusted EBITDA Margin Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 East 0.105 0.114 0.106 0.127 0.139 0.16 0.173 0.202 14 2002 2003 13.9% 16.0% 17.3% 20.2%


 

Specialty Hospital Payor Mix Note: For twelve months ended December 31, 2003 15 Medicare 0.69 Medicaid 0.02 Commercial/Other 0.29 Commercial/ Other Medicare 69% Medicaid 2% Commercial/ Managed Care 29%


 

LTACH Industry Fragmented - Approximately 300 hospitals $2.5 - $3.0 billion revenues per year Select - 50% market share of hospital within hospital 16


 

Diagnostic Categories - LTACH Neuromuscular Respiratory Cardiac Wound Renal Cancer Other East 28 33 11 10 3 2 13 17 Note: For the twelve months ended December 31, 2003


 

Discharge Disposition - LTACH Home Expirations SNF/ALF Acute Rehab Other East 38 15 26 12 8 1 18 Note: For twelve months ended December 31, 2003


 

LTAC Hospital Development Leasehold Improvements = $550,000 Equipment = $350,000 Working Capital = $2,000,000 Start-up Losses = $600,000 $3.5 Million Investment { Return on Invested Capital > 35% 19


 

LTACH Reimbursement October 1, 2002 - Prospective Payment System (PPS) DRG based system Budget neutral New system favors high acuity patient population, lower cost provider 20


 

Current Regulatory Adjustments Proposal - 2.9% Medicare payment rate increase beginning July 1, 2004 Proposal - 3% reduction of the 6% "reduction" for cost of PPS transition 21


 

Kessler Rehabilitation Acquisition


 

Kessler Rehabilitation Acquisition Completed Effective September 1, 2003 Established 1948 in West Orange, New Jersey Ranked among Nation's Best Rehabilitation Hospitals by "U.S. News and World Report" for 12 Consecutive Years 2003 - #1 Northeast, #6 in United States Premier, Nationally Recognized Brand 23


 

Kessler Rehabilitation Four Rehabilitation Hospitals in New Jersey - 322 licensed beds One joint venture rehabilitation hospital in Montgomery County, Maryland - 55 beds 92 outpatient rehabilitation clinics in ten states (consolidated/closed 17 clinics since acquisition) One SNF facility in New Jersey - 196 beds Contract therapy, DME, home infusion, workplace rehab 24


 

Kessler Rehabilitation 2003 Revenues - $212.4 million Select Purchase Price - $230.0 million 2002 Proforma Adjusted EBITDA $34.2M = 6.7x purchase multiple 25


 

Strategic Acquisition Inpatient Rehabilitation Platform Leverage Brand Name Favorable Payor Mix Highly Regulated State (New Jersey) Significant Geographic Leverage in Outpatient Operations 26


 

Select/Kessler Outpatient Rehabilitation


 

Outpatient Rehabilitation Select Medical with Kessler 790 clinics in 29 states, D.C. and 7 Canadian provinces 656 owned U.S. clinics 102 owned Canadian clinics 32 managed clinics 28 Note: As of December 31, 2003


 

Kessler - An Excellent Fit for Select's Existing Business Pennsylvania New Jersey Florida North Carolina Maryland Illinois Virginia Massachusetts Delaware Kessler 7 28 18 1 7 2 3 8 1 Select 93 75 42 39 21 20 19 8 1 Outpatient Clinics 29 Note: As of December 31, 2003


 

Industry $35.0 billion industry CAGR of 5% Predominantly commercial pay Recognized as cost effective 30


 

Select Outpatient Adjusted EBITDA Margin 31 2000 2001 2002 2003 Select 0.157 0.173 0.167 0.142


 

Outpatient Margin Decline 2002-2003 250 Basis Point Annual Decrease Clinic consolidation (formerly managed) - 60 basis points Kessler acquisition - 80 basis points Macro-economic climate Increasing co-pays and self-pay Decline in visits/new patient New patient volumes remain constant 32


 

1998 1999 2000 2001 2002 2003 East 115 658 679 717 737 790 Outpatient Clinic Growth 33 Select Outpatient Rehabilitation Clinics NovaCare Acquisition Represents total clinics owned and operated through management arrangements. Kessler Acquisition


 

Outpatient Rate Legend Text Inpatient Outpatient 1Q 79 2Q 78 3Q 79 4Q 78 1Q 81 2Q 81 3Q 82 4Q 84 1Q 86 2Q 86 3Q 87 4Q 87 1Q 88 2Q 88 3Q 87 4Q 86 34 2000 2001 2002 U.S. Outpatient Net Revenue per Visit 2003


 

Outpatient Rehabilitation Payor Mix Note: For twelve months ended December 31, 2003 35 Commercial/Managed Care 69 Capitation 3 Medicare 9 Commercial/ Other Workers Comp. 19 Commercial/ Managed Care 69% Workers Comp. 19% Medicare 9% Capitation 3%


 

Financial Overview


 

Specialty Hospital Performance Net Revenue Adjusted EBITDA 23% $57.6 $70.9 37 ($ in millions) 2001 2002 $146.4 106% 2003 $503.0 $625.2 $853.7 24% 37% 2001 2002 2003


 

Outpatient Rehabilitation Performance 2001 2002 2003 76.1 81.1 75 2001 2002 2003 440.8 485.1 529.3 Net Revenue Adjusted EBITDA 10% 7% $440.8 $485.1 $76.1 $81.1 38 ($ in millions) 2001 2002 2001 2002 9% 2003 $529.3 $75.0 (8%) 2003


 

Strong ROIC - Development (000's) (1) Average annual Adjusted EBITDA over 3 year period. (2) Includes start-up period prior to generation of Adjusted EBITDA: Hospitals - 6 months O/P Rehab - 3 months 39


 

Improved Receivables Management Legend Text Inpatient Outpatient 1Q 111 2Q 106 3Q 121 4Q 119 1Q 89 2Q 81 3Q 86 4Q 85 1Q 81 2Q 80 3Q 79 4Q 77 1Q 74 2Q 76 3Q 76 4Q 73 1Q 64 2Q 56 3Q 54 4Q 52 One Day Improvement in DSO Equals $4.4 million 40 Days Sales Outstanding 1999 2000 2001 2002 2003


 

Free Cash Flow 41


 

Rapid Deleveraging ($ in millions) Net Debt Net Debt / Adj. EBITDA 1999 336.8 4.7 2000 299.65 3.3 2001 277.7 2.5 2002 204.16 1.6 2003 202 1 Pro forma for full year ownership of NovaCare Pro forma for full year ownership of Kessler Rehabilitation, including the add-back of $11.5 million in incremental bad debt expensed pre-closing in 2003 (1) 42 (2)


 

2004 Financial Objectives 43


 

Key Selling Points Proven management team Balanced business and payor mix Demonstrated development expertise Impressive financial performance with significant upside potential 44 Attractive long- term industry dynamics Two strong and growing business lines