Select Medical Holdings Corporation Announces Results For Its First Quarter Ended March 31, 2026 and Cash Dividend

PR Newswire

MECHANICSBURG, Pa., April 30, 2026

MECHANICSBURG, Pa., April 30, 2026 /PRNewswire/ -- Select Medical Holdings Corporation ("Select Medical," "we," "us," or "our") (NYSE: SEM) today announced results for its first quarter ended March 31, 2026, and the declaration of a cash dividend.

For the first quarter ended March 31, 2026, revenue increased 5.0% to $1,421.5 million, compared to $1,353.2 million for the same quarter, prior year. Income from operations was $98.4 million for the first quarter ended March 31, 2026, compared to $112.7 million for the same quarter, prior year. Net income was $63.8 million for the first quarter ended March 31, 2026, compared to $74.7 million for the same quarter, prior year. Adjusted EBITDA was $141.6 million for the first quarter ended March 31, 2026, compared to $151.4 million for the same quarter, prior year. Earnings per common share was $0.35 for the first quarter ended March 31, 2026, compared to $0.44 for the same quarter, prior year. Adjusted earnings per common share was $0.36 for the first quarter ended March 31, 2026, compared to $0.44 for the same quarter, prior year. The definition of Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA are presented in table VI of this release. A reconciliation of earnings per common share to adjusted earnings per common share is presented in table VII of this release.

On March 2, 2026, the Company entered into an agreement and plan of merger with wholly owned subsidiaries of WCAS XIV, L.P., an investment fund affiliated with Welsh, Carson, Anderson & Stowe and a member of a consortium led by Robert A. Ortenzio, our Executive Chairman, Co-Founder and Director and Martin F. Jackson, our Senior Executive Vice President of Strategic Finance and Operations, pursuant to which, subject to the terms and conditions of the merger agreement, a wholly-owned subsidiary of the buyer will merge with and into the Company, with the Company surviving as a wholly-owned subsidiary of the buyer (the "Merger"). Upon completion of the Merger, each issued and outstanding share of Company common stock (subject to certain exceptions) will be converted into the right to receive $16.50 per share in cash, without interest. Immediately prior to the Merger, each share of common stock that is subject to forfeiture conditions (other than any Rollover Shares as defined in the merger agreement) will vest in full and be treated the same as all other shares of common stock.

The completion of the Merger is subject to the receipt of required regulatory approvals, including certain healthcare regulatory approvals, the approval of the Company's stockholders (including the approval of a majority of shares not held by the buyer group or their affiliates), and other customary closing conditions. The applicable waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, expired on April 27, 2026. The merger agreement does not contain any financing condition. The Company currently expects to complete the Merger in the middle of 2026, although there can be no assurance that the Merger will occur in accordance with the expected plans or anticipated timeline, or at all. If the Merger is consummated, the shares of common stock will be delisted from the New York Stock Exchange and deregistered under the Exchange Act.

Company Overview

Select Medical is one of the largest operators of critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States based on number of facilities. Select Medical's reportable segments include the critical illness recovery hospital segment, the rehabilitation hospital segment, and the outpatient rehabilitation segment. As of March 31, 2026, Select Medical operated 103 critical illness recovery hospitals in 28 states, 41 rehabilitation hospitals in 15 states, and 1,912 outpatient rehabilitation clinics in 37 states and the District of Columbia. At March 31, 2026, Select Medical had operations in 38 states and the District of Columbia. Information about Select Medical is available at www.selectmedical.com.

Critical Illness Recovery Hospital Segment

For the first quarter ended March 31, 2026, revenue for the critical illness recovery hospital segment increased 0.3% to $638.8 million, compared to $637.0 million for the same quarter, prior year. Adjusted EBITDA for the critical illness recovery hospital segment was $73.4 million for the first quarter ended March 31, 2026, compared to $86.6 million for the same quarter, prior year. The Adjusted EBITDA margin for the critical illness recovery hospital segment was 11.5% for the first quarter ended March 31, 2026, compared to 13.6% for the same quarter, prior year. Certain critical illness recovery hospital key statistics are presented in table V of this release for the first quarters ended March 31, 2026 and 2025.

Rehabilitation Hospital Segment

For the first quarter ended March 31, 2026, revenue for the rehabilitation hospital segment increased 14.5% to $351.9 million, compared to $307.4 million for the same quarter, prior year. Adjusted EBITDA for the rehabilitation hospital segment increased 15.1% to $81.1 million for the first quarter ended March 31, 2026, compared to $70.4 million for the same quarter, prior year. The Adjusted EBITDA margin for the rehabilitation hospital segment was 23.0% for the first quarter ended March 31, 2026, compared to 22.9% for the same quarter, prior year. Certain rehabilitation hospital key statistics are presented in table V of this release for the first quarters ended March 31, 2026 and 2025.

Outpatient Rehabilitation Segment

For the first quarter ended March 31, 2026, revenue for the outpatient rehabilitation segment increased 4.5% to $321.3 million, compared to $307.3 million for the same quarter, prior year. Adjusted EBITDA for the outpatient rehabilitation segment was $22.0 million for the first quarter ended March 31, 2026, compared to $24.3 million for the same quarter, prior year. The Adjusted EBITDA margin for the outpatient rehabilitation segment was 6.8% for the first quarter ended March 31, 2026, compared to 7.9% for the same quarter, prior year. Certain outpatient rehabilitation key statistics are presented in table V of this release for the first quarters ended March 31, 2026 and 2025.

Dividend

On April 29, 2026, Select Medical's Board of Directors declared a cash dividend of $0.0625 per share. The dividend will be payable on or about May 28, 2026, to stockholders of record as of the close of business on May 14, 2026.

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

Business Outlook

Select Medical is maintaining its 2026 business outlook, which was provided most recently in its February 19, 2026 press release. For fiscal year 2026, Select Medical expects revenue to be in the range of $5.6 billion to $5.8 billion, Adjusted EBITDA to be in the range of $520.0 million to $540.0 million, and fully diluted earnings per share to be in the range of $1.22 to $1.32. Reconciliations of full year 2026 Adjusted EBITDA expectations to net income, is presented in table VIII of this release.

Conference Call

Select Medical will host a conference call regarding its first quarter results and its business outlook on Friday, May 1, 2026, at 9:00am ET. The conference call will be a live webcast and can be accessed at Select Medical Holdings Corporation's website at www.selectmedicalholdings.com. 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 Select Medical 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 Select Medical's 2026 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:

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.

Investor inquiries:
Robert S. Kido
Senior Vice President and Treasurer
717-972-1100
ir@selectmedical.com

I.  Condensed Consolidated Statements of Operations

For the Three Months Ended March 31, 2025 and 2026

(In thousands, except per share amounts, unaudited)




2025


2026


% Change

Revenue


$        1,353,172


$        1,421,476


5.0 %

Costs and expenses:







Cost of services, exclusive of depreciation and amortization


1,172,611


1,246,008


6.3

General and administrative


33,008


39,384


19.3

Depreciation and amortization


34,808


37,666


8.2

Total costs and expenses


1,240,427


1,323,058


6.7

Income from operations


112,745


98,418


(12.7)

Other income and expense:







Equity in earnings of unconsolidated subsidiaries


12,512


12,011


(4.0)

Interest expense


(29,072)


(28,336)


(2.5)

Income before income taxes


96,185


82,093


(14.7)

Income tax expense


21,453


18,318


(14.6)

Net income


74,732


63,775


(14.7)

Less: Net income attributable to non-controlling interests


18,051


19,780


9.6

Net income attributable to Select Medical


$            56,681


$            43,995


(22.4) %

Basic and diluted earnings per common share:(1)


$               0.44


$               0.35
















(1)

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

II.  Earnings per Share
For the Three Months Ended March 31, 2025 and 2026
(In thousands, except per share amounts, unaudited)

Select Medical's capital structure includes common stock and unvested restricted stock awards. To compute earnings per share ("EPS"), Select Medical applies the two-class method because its unvested restricted stock awards are participating securities which are entitled to participate equally with its common stock in undistributed earnings.

The following table sets forth the net income attributable to Select Medical, its common shares outstanding, and its participating securities outstanding for the three months ended March 31, 2025 and 2026:


Basic and Diluted EPS


Three Months Ended

March 31,


2025


2026

Net income

$                 74,732


$                 63,775

Less: net income attributable to non-controlling interests

18,051


19,780

Net income attributable to Select Medical's common stockholders

56,681


43,995

Less: distributed and undistributed net income attributable to participating securities

1,145


1,191

Distributed and undistributed net income attributable to common shares

$                 55,536


$                 42,804

The following tables set forth the computation of EPS under the two-class method for the three months ended March 31, 2025 and 2026:



Three Months Ended March 31,



2025



2026



Net Income
Allocation


Shares(1)


Basic and
Diluted EPS



Net Income
Allocation


Shares(1)


Basic and
Diluted EPS

Common shares


$      55,536


126,205


$         0.44



$        42,804


120,661


$         0.35

Participating securities


1,145


2,602


$         0.44



1,191


3,356


$         0.35

Total


$      56,681







$        43,995


















(1)

Represents the weighted average share count outstanding during the period.

 

III.  Condensed Consolidated Balance Sheets

(In thousands, unaudited)




December 31, 2025


March 31, 2026

Assets





Current Assets:





Cash and cash equivalents


$               26,523


$               25,683

Accounts receivable


864,207


949,480

Other current assets


134,551


136,934

Total Current Assets


1,025,281


1,112,097

Operating lease right-of-use assets


957,904


1,042,220

Property and equipment, net


992,314


997,409

Goodwill


2,360,902


2,378,179

Identifiable intangible assets, net


100,800


99,864

Other assets


414,388


412,314

Total Assets


$           5,851,589


$           6,042,083

Liabilities and Equity





Current Liabilities:





Payables and accruals


$             771,872


$             765,731

Current operating lease liabilities


188,405


179,449

Current portion of long-term debt and notes payable


24,217


25,185

Total Current Liabilities


984,494


970,365

Non-current operating lease liabilities


835,362


931,195

Long-term debt, net of current portion


1,803,979


1,835,523

Non-current deferred tax liability


112,157


117,862

Other non-current liabilities


79,858


81,197

Total Liabilities


3,815,850


3,936,142

Redeemable non-controlling interests


18,808


20,967

Total equity


2,016,931


2,084,974

Total Liabilities and Equity


$           5,851,589


$           6,042,083

 

IV.  Condensed Consolidated Statements of Cash Flows

For the Three Months Ended March 31, 2025 and 2026

(In thousands, unaudited)




2025


2026

Operating activities





Net income


$               74,732


$               63,775

Adjustments to reconcile net income to net cash provided by (used in)
operating activities:





Distributions from unconsolidated subsidiaries


20,145


14,043

Depreciation and amortization


34,808


37,666

Provision for expected credit losses


2,283


1,098

Equity in earnings of unconsolidated subsidiaries


(12,512)


(12,011)

(Gain) loss on sale or disposal of assets


(23)


48

Stock compensation expense


3,892


4,638

Amortization of debt discount and issuance costs


783


778

Deferred income taxes


(5,655)


6,336

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





Accounts receivable


(89,083)


(86,370)

Other current assets


(12,230)


(10,563)

Other assets


2,127


5,092

Accounts payable and accrued expenses


(22,724)


13,330

Net cash provided by (used in) operating activities


(3,457)


37,860

Investing activities





Business combinations, net of cash acquired



31

Purchases of property and equipment


(52,339)


(58,898)

Proceeds from sales of assets and business


24


2,212

Net cash used in investing activities


(52,315)


(56,655)

Financing activities





Borrowings on revolving facilities


405,000


250,000

Payments on revolving facilities


(330,000)


(225,000)

Payments on term loans


(2,625)


(2,625)

Borrowings of other debt


16,015


19,369

Principal payments on other debt


(7,729)


(9,903)

Dividends paid to common stockholders


(8,060)


(7,751)

Repurchases of common stock


(11,389)


Increase (decrease) in overdrafts


(5,120)


2,643

Proceeds from issuance of non-controlling interests


7,944


5,948

Distributions to and purchases of non-controlling interests


(14,745)


(14,726)

Net cash provided by financing activities


49,291


17,955

Net decrease in cash and cash equivalents


(6,481)


(840)

Cash and cash equivalents at beginning of period


59,694


26,523

Cash and cash equivalents at end of period


$               53,213


$               25,683

Supplemental information





Cash paid for interest


$               23,772


$               17,554

Cash paid for taxes


1,472


3,908

 

V.  Key Statistics

For the Three Months Ended March 31, 2025, and 2026

(unaudited)




2025


2026


% Change

Critical Illness Recovery Hospital







Number of hospitals operated – end of period(a)


104


103



Revenue (,000)


$     637,030


$     638,776


0.3 %

Number of patient days(b)(c)


291,324


284,936


(2.2) %

Number of admissions(b)(d)


9,351


9,449


1.0 %

Revenue per patient day(b)(e)


$        2,179


$        2,234


2.5 %

Occupancy rate(b)(f)


73 %


72 %


(1.4) %

Adjusted EBITDA (,000)


$      86,649


$      73,433


(15.3) %

Adjusted EBITDA margin


13.6 %


11.5 %



Rehabilitation Hospital







Number of hospitals operated – end of period(a)


35


41



Revenue (,000)


$     307,388


$     351,942


14.5 %

Number of patient days(b)(c)


122,822


138,133


12.5 %

Number of admissions(b)(d)


8,848


9,999


13.0 %

Revenue per patient day(b)(e)


$        2,234


$        2,296


2.8 %

Occupancy rate(b)(f)


82 %


83 %


1.2 %

Adjusted EBITDA (,000)


$      70,424


$      81,078


15.1 %

Adjusted EBITDA margin


22.9 %


23.0 %



Outpatient Rehabilitation







Number of clinics operated – end of period(a)


1,911


1,912



Working days(g)


63


63



Revenue (,000)


$     307,342


$     321,300


4.5 %

Number of visits(b)(h)


2,709,964


2,831,858


4.5 %

Revenue per visit(b)(i)


$          102


$          102


0.0 %

Adjusted EBITDA (,000)


$      24,273


$      21,984


(9.4) %

Adjusted EBITDA margin


7.9 %


6.8 %
















(a)

Includes managed locations.

(b)

Excludes managed locations.

(c)

Each patient day represents one patient occupying one bed for one day during the periods presented.

(d)

Represents the number of patients admitted to Select Medical's hospitals during the periods presented.

(e)

Represents the average amount of revenue recognized for each patient day. Revenue per patient day is calculated by dividing patient service revenues, excluding revenues from certain other ancillary and outpatient services provided at Select Medical's hospitals, by the total number of patient days.

(f)

Represents the portion of our hospitals being utilized for patient care during the periods presented. Occupancy rate is calculated using the number of patient days, as presented above, divided by the total number of bed days available during the period. Bed days available is derived by adding the daily number of available licensed beds for each of the periods presented.

(g)

Represents the number of days in which normal business operations were conducted during the periods presented.

(h)

Represents the number of visits in which patients were treated at Select Medical's outpatient rehabilitation clinics during the periods presented.

(i)

Represents the average amount of revenue recognized for each patient visit. Revenue per visit is calculated by dividing patient service revenue, excluding revenues from certain other ancillary services, by the total number of visits.

VI. Net Income to Adjusted EBITDA Reconciliation
For the Three Months Ended March 31, 2025 and 2026
(In thousands, unaudited)

The presentation of Adjusted EBITDA is important to investors because Adjusted EBITDA is commonly used as an analytical indicator of performance by investors within the healthcare industry. Adjusted EBITDA is used by management to evaluate financial performance and determine resource allocation for each of Select Medical's segments. Adjusted EBITDA is not a measure of financial performance under accounting principles generally accepted in the United States of America ("GAAP"). 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, income from operations, 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 GAAP and is thus susceptible to varying definitions, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.

The following table reconciles net income to Adjusted EBITDA for Select Medical. Adjusted EBITDA is used by Select Medical to report its segment performance. Adjusted EBITDA is defined as earnings excluding interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, take private transaction costs, gain (loss) on sale of businesses, and equity in earnings (losses) of unconsolidated subsidiaries.



Three Months Ended

March 31,



2025


2026

Net income


$               74,732


$               63,775

Income tax expense


21,453


18,318

Interest expense


29,072


28,336

Equity in earnings of unconsolidated subsidiaries


(12,512)


(12,011)

Income from operations


112,745


98,418

Stock compensation expense:





Included in general and administrative


3,108


3,609

Included in cost of services


784


1,029

Depreciation and amortization


34,808


37,666

Take private transaction costs



846

Adjusted EBITDA


$             151,445


$             141,568






Critical illness recovery hospital


$               86,649


$               73,433

Rehabilitation hospital


70,424


81,078

Outpatient rehabilitation


24,273


21,984

Other(a)


(29,901)


(34,927)

Adjusted EBITDA


$             151,445


$             141,568














(a)

Other primarily includes general and administrative costs.


VII. Reconciliation of Earnings per Common Share to Adjusted Earnings per Common Share
For the Three Months Ended March 31, 2025 and 2026
(In thousands, except per share amounts, unaudited)

Adjusted net income attributable to common shares and adjusted earnings per common share are not measures of financial performance under GAAP. Items excluded from adjusted net income attributable to common shares and adjusted earnings per common share are significant components in understanding and assessing financial performance. Select Medical believes that the presentation of adjusted net income attributable to common shares and adjusted earnings per common share are important to investors because they are reflective of the financial performance of Select Medical's ongoing operations and provide better comparability of its results of operations between periods. Adjusted net income attributable to common shares and adjusted earnings per common share should not be considered in isolation or as alternatives to, or substitutes 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 net income, attributable to common shares and adjusted earnings per common share are not measurements determined in accordance with GAAP and are thus susceptible to varying calculations, adjusted net income attributable to common shares and adjusted earnings per common share as presented may not be comparable to other similarly titled measures of other companies.

The following tables reconcile net income attributable to common shares and earnings per common share on a fully diluted basis to adjusted net income attributable to common shares and adjusted earnings per common share on a fully diluted basis.


Three Months Ended March 31,


2025


Per Share(a)


2026


Per Share(a)

Net income attributable to common shares(a)

$        55,536


$           0.44


$        42,804


$           0.35

Adjustments:(b)








Take private transaction costs, net of tax



646


0.01

Adjusted net income attributable to common shares

$        55,536


$           0.44


$        43,450


$           0.36














(a)

Net income attributable to common shares and earnings per common share are calculated based on the diluted weighted average common shares outstanding, as presented in table II.

(b)

Adjustments to net income attributable to common shares include estimated income tax and non-controlling interest impacts and are calculated based on the diluted weighted average common shares outstanding. The estimated income tax impact, which is determined using tax rates based on the nature of the adjustment and the jurisdiction in which the adjustment occurred, includes both current and deferred income tax expense or benefit.


VIII. Net Income to Adjusted EBITDA Reconciliation
Business Outlook for the Year Ending December 31, 2026
(In millions, unaudited)

The following is a reconciliation of full year 2026 Adjusted EBITDA as computed at the low and high points of the range to the closest comparable GAAP financial measure. Refer to table VI for the definition of Adjusted EBITDA and discussion of Select Medical's use of Adjusted EBITDA in evaluating financial performance. Each item presented in the below table is an estimation of full year 2026 expectations.


Range

Non-GAAP Measure Reconciliation

Low


High

Net income attributable to Select Medical

$                 152


$                 164

Net income attributable to non-controlling interests

76


80

Net income

228


244

Income tax expense

64


69

Interest expense

118


118

Equity in earnings of unconsolidated subsidiaries

(57)


(58)

Income from operations

353


373

Stock compensation expense

21


21

Depreciation and amortization

146


146

Adjusted EBITDA

$                 520


$                 540

 

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SOURCE Select Medical Holdings Corporation