NYSE$SEM

Select Medical Holdings Corporation · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Select Medical reported revenue growth in Q4 2024 but faced a loss from continuing operations due to one-time charges.

Select Medical Holdings Corporation reported a 7.8% increase in revenue for Q4 2024, reaching $1.31 billion. However, the company posted a net loss from continuing operations of $10.5 million due to a one-time stock compensation acceleration of $45.9 million and a $17.9 million loss on early retirement of debt. Adjusted EPS increased by 50% to $0.18. Adjusted EBITDA rose 3.8% to $116.0 million.

  • Q4 revenue grew 7.8% YoY to $1.31 billion.
  • Loss from continuing operations was $10.5 million due to one-time expenses.
  • Adjusted EPS increased 50% YoY to $0.18.
  • Adjusted EBITDA rose 3.8% to $116.0 million.

Headline financials

Total Revenue

$1.31B

Previous: $1.66B-20.9%
EPS (adj)

$0.18

Previous: $0.36-50.0%
Adjusted EBITDA

$116M

No prior period
CIRH Adj EBITDA Margin

10.5%

No prior period
Rehab Hospital Adj EBITDA Margin

21.2%

No prior period
Outpatient Rehab Adj EBITDA Margin

8.3%

No prior period
Revenue per Patient Day CIRH

$2.18K

No prior period
Occupancy Rate CIRH

67.0%

No prior period
Revenue per Patient Day Rehab

$2.18K

No prior period
Occupancy Rate Rehab

81.0%

No prior period
Revenue per Visit Outpatient

$102.00

No prior period
Patient Visits Outpatient

2.8M

No prior period
Net Income

-$16.1M

Previous: $61.8M-126.0%
Operating Income

$21.1M

Previous: $114M-81.5%

Revenue & EPS history

Select Medical · Revenue · Quarterly

$1.31B

Q4 2024-20.9%vs Q4 2023
Beat estimate in 9 of 15 quarters(60%)
ActualEstimate

Revenue by segment

Select Medical · $1.1B total across 3 segments · Q3 2023

  • Critical Illness Recovery
    $564M+7.4%
  • Outpatient Rehabilitation
    $292M+2.4%
  • Rehabilitation Hospital
    $247M+7.7%

Forward guidance

For 2025, Select Medical expects revenue between $5.4 billion and $5.6 billion, Adjusted EBITDA between $520 million and $540 million, and diluted EPS between $1.09 and $1.19.

Tailwinds

  • Revenue expected to grow to $5.4B - $5.6B in 2025.
  • Adjusted EBITDA projected between $520M - $540M.
  • EPS expected to rise between $1.09 - $1.19.
  • Improved cost control measures expected to enhance margins.
  • Expansion in rehabilitation and outpatient services planned.

Headwinds

  • Continued impact of labor cost inflation on margins.
  • Higher interest expenses due to recent debt refinancing.
  • Potential reimbursement pressures from government programs.
  • Challenges in retaining and attracting qualified healthcare professionals.
  • Macroeconomic uncertainties affecting patient volumes.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

-0.3%

Avg return

Earnings day

+0.1%

Avg return

5 days after

+0.5%

Avg return

30 days after

49%

32 / 65 earnings

Positive

+18.8%

Q3 2018

Best reaction

-22.2%

Q1 2025

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+0.2%+0.1%+0.7%
Q4 2025-6.5%-7.3%+1.1%
Q3 2025-5.8%-5.1%+9.1%
Q1 2025-22.2%-17.7%-16.2%
Q4 2024-7.2%-2.9%-13.1%
Q3 2024+9.4%+13.3%+19.3%
Q2 2024-14.0%-17.2%-9.3%
Q1 2024+12.3%+17.0%+23.5%
Q4 2023+6.7%+4.6%+7.7%
Q3 2023-1.2%-2.7%+3.9%
Q2 2023-1.3%-2.5%-4.3%
Q1 2023+4.8%-0.8%-2.8%
Q4 2022-7.8%-9.1%-17.6%
Q3 2022-6.5%-10.9%+0.9%
Q2 2022-4.1%-11.1%-14.7%
Q1 2022+0.9%-4.2%+10.6%
Q4 2021+1.1%+2.2%+3.5%
Q3 2021+2.4%-0.9%-18.4%
Q2 2021-3.3%-6.9%-7.7%
Q1 2021-2.5%-3.1%+4.9%
Q4 2020+10.5%+16.9%+20.5%
Q3 2020-1.7%+8.5%+15.4%
Q2 2020+13.1%+14.7%+21.2%
Q1 2020-15.3%-12.9%-6.3%
Q4 2019+8.9%-0.1%-55.6%
Q3 2019+5.7%+10.6%+22.9%
Q2 2019-5.8%-5.8%-3.1%
Q1 2019+1.7%+3.0%-1.3%
Q4 2018+0.1%-4.8%-10.1%
Q3 2018+18.8%+21.2%+16.9%
Q2 2018-5.0%-7.5%-6.6%
Q1 2018-4.4%-3.5%-2.9%
Q4 2017+11.2%+11.4%+7.8%
Q3 2017-7.8%-9.4%-6.5%
Q2 2017+8.6%+12.7%+18.7%
Q1 2017+5.9%+1.1%+3.7%
Q4 2016+9.6%+11.6%-3.1%
Q3 2016-8.2%-6.1%-1.2%
Q2 2016+10.6%+6.3%+9.3%
Q1 2016-4.5%
Q4 2015+10.9%
Q3 2015+5.0%
Q2 2015+0.1%
Q1 2015+0.0%
Q4 2014-5.2%
Q3 2014+11.3%
Q2 2014-12.4%
Q1 2014+0.5%
Q4 2013+1.7%
Q3 2013+1.1%
Q2 2013+1.3%
Q1 2013-2.5%
Q4 2012+4.0%
Q3 2012+10.0%
Q2 2012+9.1%
Q1 2011-3.2%
Q1 2012+1.1%
Q4 2009-0.4%
Q4 2011-0.4%
Q3 2010-2.4%
Q3 2011-2.4%
Q4 2010-15.8%
Q2 2010-15.8%
Q2 2011-15.8%
Q1 2010-7.2%

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