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Concentra Group Holdings Parent, Inc. Announces Results For Its Third Quarter Ended September 30, 2024 and Cash Dividend

Businesswire ·  Nov 1 04:30

ADDISON, Texas--(BUSINESS WIRE)--Concentra Group Holdings Parent, Inc. ("Concentra," "we," "us," or "our") (NYSE: CON) today announced results for its third quarter ended September 30, 2024, and the declaration of a cash dividend.

"We had a successful quarter and made significant progress on key strategic initiatives and our separation from Select Medical. I am proud of our results, solid execution, and our colleagues' continued dedication to delivering quality patient-centric care," said Keith Newton, Chief Executive Officer of Concentra.

Matt DiCanio, President & Chief Financial Officer, added "We expanded our footprint in new and existing areas and achieved some of our highest patient satisfaction scores. With our robust development pipeline and proven operating model, we are confident in our ability to meet our strategic business objectives and are well positioned for continued growth through the rest of the year and into 2025."

Third Quarter 2024 Highlights

For the third quarter ended September 30, 2024 and 2023

  • Revenue of $489.6 million, an increase of 3.3% from $474.0 million in Q3 2023
  • Net Income of $45.8 million, and Earnings per Share of $0.37 in Q3 2024
  • Adjusted EBITDA of $101.6 million, an increase of 2.7% from $98.9 million in Q3 2023
  • Cash balance of $136.8 million and net leverage of 3.7x
  • Patient Visits of 3,258,605, or 50,916 Visits per Day in the quarter, a decrease in Visits per Day of 2.2% from Q3 2023
  • Revenue per Visit of $141.42, an increase of 3.9% from $136.11 in Q3 2023
  • Total occupational health centers of 549, compared to 539 at end of Q3 2023
  • Total onsite health clinics of 156, compared to 145 at end of Q3 2023

Third Quarter 2024 Financial Overview

For the third quarter ended September 30, 2024, revenue increased 3.3% to $489.6 million, compared to $474.0 million for the same quarter, prior year. Income from operations increased 6.5% to $86.2 million for the third quarter ended September 30, 2024, compared to $80.9 million for the same quarter, prior year. Net income was $45.8 million and earnings per common share was $0.37 for the third quarter ended September 30, 2024. Adjusted EBITDA increased 2.7% to $101.6 million for the third quarter ended September 30, 2024, compared to $98.9 million for the same quarter, prior year. The Adjusted EBITDA margin was 20.7% for the third quarter ended September 30, 2024, compared to 20.9% for the same quarter, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in table X of this release.

Year to Date September 30, 2024 Financial Overview

For the nine months ended September 30, 2024, revenue increased 2.7% to $1,435.2 million, compared to $1,397.3 million for the same period, prior year. Income from operations increased 3.1% to $245.7 million for the nine months ended September 30, 2024, compared to $238.3 million for the same period, prior year. Net income was $149.1 million and earnings per common share was $1.32 for the nine months ended September 30, 2024. Adjusted EBITDA increased 2.1% to $299.3 million for the nine months ended September 30, 2024, compared to $293.0 million for the same period, prior year. The Adjusted EBITDA margin was 20.9% for the nine months ended September 30, 2024, compared to 21.0% for the same period, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in table X of this release.

Balance Sheet

As of September 30, 2024, Concentra's balance sheet reflected cash of $136.8 million, total debt of $1,482.3 million and total assets of $2,481.0 million.

Cash Flow

Cash flows provided by operating activities in the third quarter ended September 30, 2024 totaled $65.9 million compared to $58.6 million for the same quarter, prior year. During the third quarter ended September 30, 2024, capital expenditures totaled $15.1 million, excluding acquisitions.

Dividend

On October 28, 2024, Concentra's Board of Directors declared a cash dividend of $0.0625 per share. The dividend will be payable November 22, 2024, to stockholders of record as of the close of business on November 13, 2024.

There is no assurance that future dividends will be declared. The declaration and payment of dividends in the future are at the discretion of Concentra's Board of Directors after taking into account various factors, including, but not limited to, Concentra's financial condition, operating results, available cash and current and anticipated cash needs, the terms of Concentra's indebtedness, and other factors Concentra's Board of Directors may deem to be relevant.

Business Outlook

Concentra is issuing its 2024 business outlook. Concentra expects revenue to be approximately $1.9 billion, Adjusted EBITDA to be in the range of $370.0 million to $375.0 million, capital expenditures to be in the range of $65.0 million to $70.0 million and our net leverage ratio to be in the range of 3.5 to 3.6x. A reconciliation of full year 2024 Adjusted EBITDA expectations to net income is presented in table XII of this release.

Initial Public Offering and Debt Transactions

On July 26, 2024, Concentra completed an initial public offering ("IPO") of 22,500,000 shares of its common stock, par value $0.01 per share, at an initial public offering price of $23.50 per share for net proceeds of $499.7 million after deducting underwriting discounts and commission of $29.1 million. In addition, the underwriters exercised the option to purchase an additional 750,000 shares of the Company's common stock for net proceeds of $16.7 million after deducting underwriting discounts and commission of $1.0 million. Concentra shares began trading on the New York Stock Exchange under the symbol "CON" on July 25, 2024. In connection with the offering, Concentra Health Services, Inc. ("CHSI"), a wholly-owned subsidiary of Concentra, entered into certain financing arrangements which include Credit Facilities and $650.0 million aggregate principal amount of 6.875% Senior Notes due 2032 (the "Notes"). The Notes are unconditionally guaranteed, jointly and severally, on a senior unsecured basis by Concentra and certain of its wholly-owned subsidiaries. The Credit Facilities consist of an $850.0 million Term Loan and a $400.0 million Revolving Credit Facility. The Revolving Credit Facility was undrawn at the time of closing. The Term Loan matures on July 26, 2031 and has an interest rate of Term SOFR plus 2.25%, subject to a leverage-based pricing grid. The Revolving Credit Facility matures on July 26, 2029 and has an interest rate of Term SOFR plus 2.50%, subject to a leverage-based pricing grid.

The net proceeds of the IPO and the debt financing transactions, except for $34.7 million, were paid to Select Medical Corporation through the issuance of a dividend and the repayment of promissory notes.

Company Overview

Concentra is the largest provider of occupational health services in the United States by number of locations, with the mission of improving the health of America's workforce, one patient at a time. Our 11,000 colleagues and affiliated physicians and clinicians support the delivery of an extensive suite of services, including occupational and consumer health services and other direct-to-employer care, to more than 50,000 patients each day on average across 45 states at our 549 occupational health centers, 156 onsite health clinics at employer worksites, and Concentra Telemed as of September 30, 2024.

Conference Call

Concentra will host a conference call regarding its third quarter results and its business outlook on Friday, November 1, 2024, at 10:30 am ET. The conference call will be a live webcast and can be accessed at Concentra Group Holdings Parent, Inc.'s website at and a replay of the webcast will be available shortly after the call through the same link.

For listeners wishing to dial-in via telephone, or participate in the question and answer session, you may pre-register for the call at Concentra Earnings Call Registration to obtain your dial-in number and unique passcode.

* * * * *

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), including statements related to Concentra's 2024 and long-term business outlook. 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:

  • The frequency of work-related injuries and illnesses;
  • The adverse changes to our relationships with employer customers, third-party payors, workers' compensation provider networks or employer services networks;
  • Changes to regulations, new interpretations of existing regulations, or violations of regulations;
  • State fee schedule changes undertaken by state workers' compensation boards or commissions and other third-party payors;
  • Our ability to realize reimbursement increases at rates sufficient to keep pace with the inflation of our costs;
  • Labor shortages, increased employee turnover or costs, and union activity could significantly increase our operating costs;
  • Our ability to compete effectively with other occupational health centers, onsite health clinics at employer worksites, and healthcare providers;
  • A security breach of our, or our third-party vendors', information technology systems which may cause a violation of HIPAA and subject us to potential legal and reputational harm;
  • Negative publicity which can result in increased governmental and regulatory scrutiny and possibly adverse regulatory changes;
  • Litigation and other legal and regulatory proceedings in the course of our business that could adversely affect our business and financial statements and the effects of claims asserted against us could subject us to substantial uninsured liabilities;
  • Acquisitions may use significant resources, may be unsuccessful, and could expose us to unforeseen liabilities;
  • Our exposure to additional risk due to our reliance on third parties in many aspects of our business;
  • Compliance with applicable laws regarding the corporate practice of medicine and therapy and fee-splitting;
  • Our facilities are subject to extensive federal and state laws and regulations relating to the privacy of individually identifiable information;
  • Compliance with applicable data interoperability and information blocking rule;
  • Facility licensure requirements in some states are costly and time-consuming, limiting or delaying our operations;
  • Our ability to adequately protect and enforce our intellectual property and other proprietary rights;
  • Adverse economic conditions in the U.S. or globally;
  • Any negative impact on the global economy and capital markets resulting from other geopolitical tensions;
  • Our ability to maintain satisfactory credit ratings;
  • The inability to execute on the separation from Select Medical;
  • The risk of disruption or unanticipated costs in connection with the separation;
  • Our ability to succeed as a standalone publicly traded entity;
  • Restrictions on our business, potential tax and indemnification liabilities and substantial charges in connection with the separation, the distribution and related transactions;
  • The negative impact of public threats such as a global pandemic or widespread outbreak of an infectious disease similar to the COVID-19 pandemic;
  • The loss of key members of our management team and our ability to attract and retain talented, highly skilled employees and a diverse workforce, and on the succession of our senior management; and,
  • Changes in tax laws or exposures to additional tax liabilities.

Except as required by applicable law, including the securities laws of the United States and the rules and regulations of the SEC, we are under no obligation to publicly update or revise any forward-looking statements, whether as a result of any new information, future events, or otherwise. You should not place undue reliance on our forward-looking statements. Although we believe that the expectations reflected in forward-looking statements are reasonable, we cannot guarantee future results or performance.

I. Condensed Consolidated Statements of Operations

For the Third Quarter Ended September 30, 2024 and 2023

(In thousands, except per share amounts, unaudited)

2024

2023

% Change

Revenue

$

489,638

$

473,964

3.3%

Costs and expenses:

Cost of services, exclusive of depreciation and amortization

351,103

336,812

4.2

General and administrative, exclusive of depreciation and amortization (1)

37,088

38,245

(3.0)

Depreciation and amortization

15,213

17,959

(15.3)

Total costs and expenses

403,404

393,016

2.6

Income from operations

86,234

80,948

6.5

Other income and expense:

Interest expense on related party debt

(2,691)

(11,255)

N/M

Interest expense

(21,369)

(64)

N/M

Income before income taxes

62,174

69,629

(10.7)

Income tax expense

16,415

15,205

8.0

Net income

45,759

54,424

(15.9)

Less: Net income attributable to non-controlling interests

1,421

1,318

7.8

Net income attributable to Concentra

$

44,338

$

53,106

(16.5)%

Basic and diluted earnings per common share:(2)

$

0.37

$

0.51

_______________________________________________________________________________

(1)

Includes the shared service fee from related party of $3.8 million and $3.6 million for the third quarter ended September 30, 2024 and 2023, respectively.

(2)

Refer to table III for calculation of earnings per common share.

N/M

Not meaningful

II. Condensed Consolidated Statements of Operations

For the Nine Months Ended September 30, 2024 and 2023

(In thousands, except per share amounts, unaudited)

2024

2023

% Change

Revenue

$

1,435,151

$

1,397,341

2.7%

Costs and expenses:

Cost of services, exclusive of depreciation and amortization

1,027,366

994,726

3.3

General and administrative, exclusive of depreciation and amortization (1)

110,825

109,898

0.8

Depreciation and amortization

51,568

54,552

(5.5)

Total costs and expenses

1,189,759

1,159,176

2.6

Other operating income

284

151

88.1

Income from operations

245,676

238,316

3.1

Other income and expense:

Equity in losses of unconsolidated subsidiaries

(3,676)

(526)

598.9

Interest expense on related party debt

(21,980)

(33,831)

N/M

Interest expense

(21,275)

(108)

N/M

Income before income taxes

198,745

203,851

(2.5)

Income tax expense

49,648

47,964

3.5

Net income

149,097

155,887

(4.4)

Less: Net income attributable to non-controlling interests

4,066

3,775

7.7

Net income attributable to Concentra

$

145,031

$

152,112

(4.7)%

Basic and diluted earnings per common share:(2)

$

1.32

$

1.46

_______________________________________________________________________________

(1)

Includes the shared service fee from related party of $11.5 million and $11.0 million for the nine months ended September 30, 2024 and 2023, respectively.

(2)

Refer to table III for calculation of earnings per common share.

N/M

Not meaningful

III. Earnings per Share

For the Three and Nine Months Ended September 30, 2024 and 2023

(In thousands, except per share amounts, unaudited)

At September 30, 2024, the Company's capital structure consists of common stock. There were no participating shares or securities outstanding during the three and nine months ended September 30, 2024.

The following table sets forth the computation of earnings per share ("EPS") in 2024:

Three Months Ended September 30, 2024

Nine Months Ended September 30, 2024

Net Income
Attributable
to
Concentra

Shares(1)

Basic and
Diluted EPS

Net Income
Attributable
to
Concentra

Shares(1)

Basic and
Diluted EPS

(in thousands, except for per share amounts)

Common shares

$

44,338

120,765

$

0.37

$

145,031

109,691

$

1.32

At September 30, 2023, the Company's capital structure included Class A, B and C units outstanding and unvested restricted interests and outstanding options. To calculate EPS for the three and nine months ended September 30, 2023, Concentra applied the two-class method because its unvested restricted interests and outstanding options are participating securities.

The following table sets forth the net income attributable to the Company, its units outstanding, and its participating units outstanding:

Three Months
Ended

September 30,
2023

Nine Months
Ended
September 30,
2023

(in thousands)

Net income

$

54,424

$

155,887

Less: Net income attributable to non-controlling interests

1,318

3,775

Net income attributable to Concentra

53,106

152,112

Less: Distributed and undistributed income attributable to participating shares

66

356

Distributed and undistributed income attributable to outstanding shares

$

53,040

$

151,756

The following table sets forth the computation of EPS in 2023, under the two-class method:

Three Months Ended September 30, 2023

Nine Months Ended September 30, 2023

Net Income
Allocation

Shares (1)(2)

Basic and
Diluted EPS

Net Income
Allocation

Shares (1)(2)

Basic and
Diluted EPS

(in thousands, except for per share amounts)

Outstanding Class A, Class B, and Class C shares

$

53,040

104,035

$

0.51

$

151,756

103,980

$

1.46

Participating shares

66

130

$

0.51

356

244

$

1.46

Total Company

$

53,106

$

152,112

_______________________________________________________________________________

(1)

The recapitalization of the members units into common shares has been treated as such for earnings per share purposes and has been reflected retrospectively for all periods, along with the one for 4.295 reverse stock split.

(2)

Represents the weighted average units outstanding during the period.

IV. Condensed Consolidated Balance Sheets

(In thousands, unaudited)

September 30, 2024

December 31, 2023

Assets

Current Assets:

Cash

$

136,822

$

31,374

Accounts receivable

232,202

216,194

Other current assets

40,933

46,850

Total Current Assets

409,957

294,418

Operating lease right-of-use assets

430,133

397,852

Property and equipment, net

191,099

178,370

Goodwill

1,234,707

1,229,745

Identifiable intangible assets, net

209,171

224,769

Other assets

5,975

8,406

Total Assets

$

2,481,042

$

2,333,560

Liabilities and Equity

Current Liabilities:

Payables and accruals

$

177,620

$

196,879

Due to related party

7,753

3,354

Current operating lease liabilities

74,411

72,946

Current portion of long-term debt and notes payable

9,737

1,455

Total Current Liabilities

269,521

274,634

Non-current operating lease liabilities

391,037

357,310

Long-term debt, net of current portion

1,472,610

3,291

Long-term debt with related party

470,000

Non-current deferred tax liability

22,454

23,364

Other non-current liabilities

24,188

27,522

Total Liabilities

2,179,810

1,156,121

Redeemable non-controlling interests

18,122

16,477

Total Equity

283,110

1,160,962

Total Liabilities and Equity

$

2,481,042

$

2,333,560

V. Condensed Consolidated Statements of Cash Flows

For the Three Months Ended September 30, 2024 and 2023

(In thousands, unaudited)

2024

2023

Operating activities

Net income

$

45,759

$

54,424

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

15,213

17,959

Provision for expected credit losses

11

91

(Gain) loss on sale or disposal of assets

(1)

17

Stock compensation expense

168

Amortization of debt discount and issuance costs

750

Deferred income taxes

459

(3,314)

Changes in operating assets and liabilities, net of effects of business combinations:

Accounts receivable

(3,250)

(8,641)

Other current assets

11,276

1,408

Other assets

7,366

640

Accounts payable and accrued liabilities

(11,843)

(3,987)

Net cash provided by operating activities

65,908

58,597

Investing activities

Business combinations, net of cash acquired

(1,821)

Purchases of property and equipment

(15,145)

(15,456)

Proceeds from sale of assets

2

3

Net cash used in investing activities

(16,964)

(15,453)

Financing activities

Payments on related party revolving promissory note

(420,000)

(50,000)

Proceeds from term loans, net of issuance costs

836,697

Proceeds from 6.875% senior notes, net of issuance costs

637,337

Borrowings of other debt

1,604

Principal payments on other debt

(3,510)

(1,708)

Exercise of stock options

3,340

Repurchase of common shares

(5,322)

Distributions to and purchases of non-controlling interests

(1,583)

(1,392)

Proceeds from Initial Public Offering

511,198

Dividend to Select

(1,535,683)

Contributions from Parent

11,149

2,380

Net cash provided by (used in) financing activities

37,209

(52,702)

Net increase (decrease) in cash and cash equivalents

86,153

(9,558)

Cash and cash equivalents at beginning of period

50,669

33,238

Cash and cash equivalents at end of period

$

136,822

$

23,680

Supplemental information

Cash paid for interest

$

14,709

$

11,204

Cash paid for taxes

15,328

17,599

VI. Condensed Consolidated Statements of Cash Flows

For the Nine Months Ended September 30, 2024 and 2023

(In thousands, unaudited)

2024

2023

Operating activities

Net income

$

149,097

$

155,887

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

51,568

54,552

Provision for expected credit losses

70

276

Equity in losses of unconsolidated subsidiaries

3,676

526

Loss on sale or disposal of assets

41

3

Stock compensation expense

500

178

Amortization of debt discount and issuance costs

750

Deferred income taxes

(1,159)

(6,579)

Changes in operating assets and liabilities, net of effects of business combinations:

Accounts receivable

(16,079)

(35,652)

Other current assets

12,500

(8,536)

Other assets

3,149

2,436

Accounts payable and accrued liabilities

(23,150)

(4,953)

Net cash provided by operating activities

180,963

158,138

Investing activities

Business combinations, net of cash acquired

(6,965)

(1,446)

Purchase of customer relationships

(4,382)

Purchases of property and equipment

(47,639)

(41,320)

Proceeds from sale of assets

25

23

Net cash used in investing activities

(54,579)

(47,125)

Financing activities

Borrowings from related party revolving promissory note

10,000

Payments on related party revolving promissory note

(480,000)

(120,000)

Proceeds from term loans, net of issuance costs

836,697

Proceeds from 6.875% senior notes, net of issuance costs

637,337

Borrowings of other debt

8,222

5,471

Principal payments on other debt

(7,888)

(5,782)

Exercise of stock options

3,340

Repurchase of common shares

(5,322)

Distributions to and purchases of non-controlling interests

(4,226)

(4,522)

Proceeds from Initial Public Offering

511,198

Dividend to Select

(1,535,683)

Contributions from Parent

3,407

1,825

Net cash used in financing activities

(20,936)

(124,990)

Net increase (decrease) in cash and cash equivalents

105,448

(13,977)

Cash and cash equivalents at beginning of period

31,374

37,657

Cash and cash equivalents at end of period

$

136,822

$

23,680

Supplemental information

Cash paid for interest

$

34,221

$

33,988

Cash paid for taxes

49,337

50,044


Contacts

Investor inquiries:
Bill Chapman
Vice President, Strategy & Investor Relations
972-725-6488
ir@concentra.com


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