Exhibit 99.1
| | |
| | ![(SELECT MEDICAL CORPORATION LOGO)](https://capedge.com/proxy/8-K/0000893220-07-003658/w42559bw4255902.gif) |
FOR IMMEDIATE RELEASE | | 4716 Old Gettysburg Road |
| | Mechanicsburg, PA 17055 |
Select Medical Corporation Announces Results for
Third Quarter Ended September 30, 2007
MECHANICSBURG, PENNSYLVANIA — November 12, 2007 — Select Medical Corporation (“Select”) today announced results for its third quarter ended September 30, 2007.
For the third quarter ended September 30, 2007, net operating revenues increased 12.7% to $500.4 million compared to $443.9 million for the same quarter, prior year. Income from operations decreased 42.4% to $31.3 million compared to $54.3 million for the same quarter, prior year. Net income was $0.7 million compared to net income of $16.1 million for the same quarter, prior year. Additionally, net income before interest, income taxes, depreciation and amortization, income from discontinued operations, stock compensation expense, other expense (income) and minority interest (“Adjusted EBITDA”) for the third quarter decreased 28.1% to $48.6 million compared to $67.7 million for the same quarter, prior year. A reconciliation of net income to Adjusted EBITDA is attached to this release.
For the nine months ended September 30, 2007, net operating revenues increased 4.8% to $1,473.7 million compared to $1,405.8 million for the same period, prior year. Income from operations decreased 23.4% to $152.2 million compared to $198.8 million for the same period, prior year. Net income decreased 48.6% to $43.9 million compared to $85.4 million for the same period, prior year. Additionally, Adjusted EBITDA for the nine months ended September 30, 2007 decreased 16.7% to $197.0 million compared to $236.5 million for the same period, prior year.
Specialty Hospitals
At September 30, 2007, Select operated 87 long-term acute care hospitals and four acute medical rehabilitation hospitals. This compares to 93 long-term acute care hospitals and four acute medical rehabilitation hospitals operated at September 30, 2006. For the third quarter of 2007, net operating revenues for all of Select’s hospitals increased 1.4% to $334.0 million compared to $329.3 million for the same quarter, prior year. Total patient days for the third quarter of 2007 were 242,115, admissions were 9,856 and net revenue per patient day was $1,352. This compares to 236,094 days, 9,485 admissions and net revenue per patient day of $1,361 for the same quarter, prior year. For the hospitals opened or acquired as of January 1, 2006 and operated by Select throughout both periods, patient days in the third quarter of 2007 were 234,705 and admissions were 9,565, compared to 225,729 days and 9,123 admissions in the same quarter, prior year. Adjusted EBITDA for the segment decreased 31.5% to $41.6 million compared to $60.8 million for the same quarter, prior year. The Adjusted EBITDA margin for the segment was 12.5% for the third quarter of 2007, compared to 18.5% for the same quarter, prior year. The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2006 and operated by Select throughout both periods was 14.7% for the third quarter of 2007, compared to 19.9% for the same quarter, prior year.
Exhibit 99.1
For the nine months ended September 30, 2007, net operating revenues for all of Select’s hospitals decreased 1.5% to $1,033.5 million compared to $1,049.8 million for the same period, prior year. Total patient days for the nine months ended September 30, 2007 were 741,959, admissions were 30,095 and net revenue per patient day was $1,367. This compares to 734,070 days, 30,122 admissions and net revenue per patient day of $1,401 for the same period, prior year. For the hospitals opened or acquired as of January 1, 2006 and operated by Select throughout both periods, patient days for the nine months ended September 30, 2007 were 718,622 and admissions were 29,198, compared to 698,417 days and 28,746 admissions in the same period, prior year. Adjusted EBITDA for the segment for the nine months ended September 30, 2007 decreased 22.8% to $168.4 million compared to $218.2 million for the same period, prior year. The Adjusted EBITDA margin for the segment for the nine months ended September 30, 2007 was 16.3%, compared to 20.8% for the same period, prior year. The Adjusted EBITDA margin for the hospitals opened or acquired as of January 1, 2006 and operated by Select throughout both periods was 17.9% for the nine months ended September 30, 2007, compared to 21.7% for the same period, prior year.
Outpatient Rehabilitation
At September 30, 2007, Select operated 1,021 outpatient clinics. This compares to 605 outpatient clinics at September 30, 2006. The increase in the number of clinics is primarily due to Select’s acquisition, in the second quarter of 2007, of substantially all of the outpatient rehabilitation division of HealthSouth Corporation, as described below. For the third quarter of 2007, net operating revenues increased 45.8% to $166.3 million compared to $114.0 million for the same quarter, prior year. Adjusted EBITDA for the third quarter increased 15.0% to $18.1 million compared to $15.7 million for the same quarter, prior year. The Adjusted EBITDA margin for the quarter was 10.9% compared to 13.8% in the same quarter, prior year. Patient visits for the quarter were 1,160,870 compared to 714,064 for the same quarter, prior year. Net revenue per visit was $101 for the third quarter of 2007 compared to $95 for the same quarter, prior year.
For the nine months ended September 30, 2007, net operating revenues increased 23.8% to $438.4 million compared to $354.0 million for the same period, prior year. Adjusted EBITDA for the nine months ended September 30, 2007 increased 23.2% to $60.3 million compared to $48.9 million for the same period, prior year. The Adjusted EBITDA margin for the nine months ended September 30, 2007 was 13.7% compared to 13.8% in the same period, prior year. Patient visits for the nine months ended September 30, 2007 were 2,887,134 compared to 2,261,080 for the same period, prior year. Net revenue per visit was $100 for the nine months ended September 30, 2007 compared to $93 for the same period, prior year.
Acquisition of HealthSouth Corporation’s Outpatient Rehabilitation Division
On May 1, 2007, Select completed the acquisition of substantially all of the outpatient rehabilitation division of HealthSouth Corporation. At the closing, Select acquired 540 outpatient rehabilitation clinics. The closing of the purchase of approximately 30 additional outpatient rehabilitation clinics that was deferred pending certain state regulatory approvals was completed as of October 31, 2007 and resulted in the release of an additional $23.4 million of the purchase price. The aggregate purchase price of $245.0 million was reduced by approximately $7.0 million at closing for assumed indebtedness and other unresolved matters.
Conference Call
Select will host a conference call regarding its third quarter results on Tuesday, November 13, 2007, at 11:00 am EST. The domestic dial in number for the call is 1-866-256-9295. The international dial in number is 1-703-639-1214.
Exhibit 99.1
* * * * *
Select Medical Corporation is a leading operator of specialty hospitals in the United States. Select currently operates 85 long-term acute care hospitals and four acute medical rehabilitation hospitals in 25 states. Select is also a leading operator of outpatient rehabilitation clinics in the United States, with approximately 1,021 locations in 37 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 athttp://www.selectmedicalcorp.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. Factors that could cause results to differ materially from those expressed or implied by such forward-looking statements include, but are not limited to those discussed in filings made by Select with the Securities and Exchange Commission. Many of the factors that will determine Select’s future results are beyond the ability of management to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. Select 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.
Investor inquiries:
Joel Veit, 717/972-1100
Exhibit 99.1
I. Condensed Consolidated Statements of Operations
(In thousands)
(unaudited)
For the Three Months Ended September 30, 2006 and 2007
| | | | | | | | | | | | |
| | | | | | | | | | % | |
| | 2006 | | | 2007 | | | Change | |
Net operating revenues | | $ | 443,872 | | | $ | 500,385 | | | | 12.7 | % |
| | | | | | | | | | | | |
Costs and expenses: | | | | | | | | | | | | |
| | | | | | | | | | | | |
Cost of services | | | 362,070 | | | | 429,831 | | | | 18.7 | % |
| | | | | | | | | | | | |
General and administrative | | | 9,762 | | | | 12,081 | | | | 23.8 | % |
| | | | | | | | | | | | |
Bad debt expense | | | 5,333 | | | | 10,782 | | | | 102.2 | % |
| | | | | | | | | | | | |
Depreciation and amortization | | | 12,394 | | | | 16,399 | | | | 32.3 | % |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from operations | | | 54,313 | | | | 31,292 | | | | (42.4 | )% |
| | | | | | | | | | | | |
Other expense | | | (3,124 | ) | | | (4,065 | ) | | | 30.1 | % |
Interest income | | | 319 | | | | 158 | | | | (50.5 | )% |
Interest expense | | | (24,348 | ) | | | (27,093 | ) | | | 11.3 | % |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from continuing operations before minority interests and income taxes | | | 27,160 | | | | 292 | | | | (98.9 | )% |
| | | | | | | | | | | | |
Minority interests | | | 369 | | | | 237 | | | | (35.8 | )% |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from continuing operations before income taxes | | | 26,791 | | | | 55 | | | | (99.8 | )% |
| | | | | | | | | | | | |
Income tax expense (benefit) | | | 10,652 | | | | (669 | ) | | | N/M | |
| | | | | | | | | |
| | | | | | | | | | | | |
Net income | | $ | 16,139 | | | $ | 724 | | | | (95.5 | )% |
| | | | | | | | | |
Exhibit 99.1
II. Condensed Consolidated Statements of Operations
(In thousands)
(unaudited)
For the Nine Months Ended September 30, 2006 and 2007
| | | | | | | | | | | | |
| | | | | | | | | | % | |
| | 2006 | | | 2007 | | | Change | |
Net operating revenues | | $ | 1,405,756 | | | $ | 1,473,698 | | | | 4.8 | % |
| | | | | | | | | | | | |
Costs and expenses: | | | | | | | | | | | | |
| | | | | | | | | | | | |
Cost of services | | | 1,119,767 | | | | 1,218,410 | | | | 8.8 | % |
| | | | | | | | | | | | |
General and administrative | | | 33,511 | | | | 35,847 | | | | 7.0 | % |
| | | | | | | | | | | | |
Bad debt expense | | | 18,766 | | | | 25,206 | | | | 34.3 | % |
| | | | | | | | | | | | |
Depreciation and amortization | | | 34,955 | | | | 42,042 | | | | 20.3 | % |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from operations | | | 198,757 | | | | 152,193 | | | | (23.4 | )% |
| | | | | | | | | | | | |
Other income (expense) | | | 918 | | | | (2,548 | ) | | | N/M | |
Interest income | | | 738 | | | | 1,956 | | | | 165.0 | % |
Interest expense | | | (72,615 | ) | | | (77,798 | ) | | | 7.1 | % |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from continuing operations before minority interests and income taxes | | | 127,798 | | | | 73,803 | | | | (42.3 | )% |
| | | | | | | | | | | | |
Minority interests | | | 1,095 | | | | 1,373 | | | | 25.4 | % |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from continuing operations before income taxes | | | 126,703 | | | | 72,430 | | | | (42.8 | )% |
| | | | | | | | | | | | |
Income tax expense | | | 51,278 | | | | 28,486 | | | | (44.4 | )% |
| | | | | | | | | |
| | | | | | | | | | | | |
Income from continuing operations | | | 75,425 | | | | 43,944 | | | | (41.7 | )% |
| | | | | | | | | | | | |
Income from discontinued operations, net of tax (includes pretax gain of $13,950 in 2006) (a) | | | 10,018 | | | | — | | | | N/M | |
| | | | | | | | | |
| | | | | | | | | | | | |
Net income | | $ | 85,443 | | | $ | 43,944 | | | | (48.6 | )% |
| | | | | | | | | |
(a) On March 1, 2006, we sold our wholly-owned subsidiary, Canadian Back Institute Limited (“CBIL”), for approximately C$89.8 million in cash (US$79.0 million). We conducted all of our Canadian operations through CBIL. The financial results of CBIL have been classified as discontinued operations for the nine months ended September 30, 2006. We recognized a gain on sale (net of tax) of $9.1 million in 2006.
Exhibit 99.1
III. Condensed Consolidated Balance Sheets
(In thousands)
(unaudited)
| | | | | | | | |
| | December 31, | | | September 30, | |
| | 2006 | | | 2007 | |
Assets | | | | | | | | |
| | | | | | | | |
Cash | | $ | 81,600 | | | $ | 10,103 | |
| | | | | | | | |
Restricted cash | | | 4,335 | | | | 886 | |
| | | | | | | | |
Accounts receivable, net | | | 199,927 | | | | 257,318 | |
| | | | | | �� | | |
Current deferred tax asset | | | 42,613 | | | | 38,760 | |
| | | | | | | | |
Other current assets | | | 16,762 | | | | 28,891 | |
| | | | | | |
| | | | | | | | |
Total Current Assets | | | 345,237 | | | | 335,958 | |
| | | | | | | | |
Property and equipment, net | | | 356,336 | | | | 479,833 | |
| | | | | | | | |
Goodwill | | | 1,323,572 | | | | 1,475,530 | |
| | | | | | | | |
Other identifiable intangibles | | | 79,230 | | | | 95,532 | |
| | | | | | | | |
Other assets held for sale | | | 4,855 | | | | 3,447 | |
| | | | | | | | |
Other assets | | | 68,412 | | | | 63,521 | |
| | | | | | |
| | | | | | | | |
Total Assets | | $ | 2,177,642 | | | $ | 2,453,821 | |
| | | | | | |
| | | | | | | | |
Liabilities and Stockholder’s Equity | | | | | | | | |
| | | | | | | | |
Payables and accruals | | $ | 297,698 | | | $ | 342,747 | |
| | | | | | | | |
Income taxes payable | | | 1,937 | | | | — | |
| | | | | | | | |
Current portion of long term debt | | | 6,209 | | | | 7,616 | |
| | | | | | |
| | | | | | | | |
Total Current Liabilities | | | 305,844 | | | | 350,363 | |
| | | | | | | | |
Long term debt, net of current portion | | | 1,224,509 | | | | 1,419,271 | |
| | | | | | | | |
Non-current deferred tax liability | | | 30,721 | | | | 24,275 | |
| | | | | | | | |
Other non-current liabilities | | | — | | | | 22,857 | |
| | | | | | | | |
Minority interests | | | 2,566 | | | | 4,897 | |
| | | | | | | | |
Stockholder’s equity | | | 614,002 | | | | 632,158 | |
| | | | | | |
| | | | | | | | |
Total Liabilities and Stockholder’s Equity | | $ | 2,177,642 | | | $ | 2,453,821 | |
| | | | | | |
Exhibit 99.1
IV. Key Statistics
(unaudited)
For the Three Months Ended September 30, 2006 and 2007
| | | | | | | | | | | | |
| | | | | | | | | | % |
| | 2006 | | 2007 | | Change |
Specialty Hospitals (a) | | | | | | | | | | | | |
| | | | | | | | | | | | |
Number of hospitals — end of period | | | 97 | | | | 91 | | | | (6.2 | )% |
| | | | | | | | | | | | |
Net operating revenues (,000) | | $ | 329,324 | | | $ | 334,023 | | | | 1.4 | % |
| | | | | | | | | | | | |
Number of patient days | | | 236,094 | | | | 242,115 | | | | 2.6 | % |
| | | | | | | | | | | | |
Number of admissions | | | 9,485 | | | | 9,856 | | | | 3.9 | % |
| | | | | | | | | | | | |
Net revenue per patient day (b) | | $ | 1,361 | | | $ | 1,352 | | | | (0.7 | )% |
| | | | | | | | | | | | |
Adjusted EBITDA (,000) | | $ | 60,812 | | | $ | 41,646 | | | | (31.5 | )% |
| | | | | | | | | | | | |
Adjusted EBITDA margin – all hospitals | | | 18.5 | % | | | 12.5 | % | | | (32.4 | )% |
Adjusted EBITDA margin – same store hospitals (c) | | | 19.9 | % | | | 14.7 | % | | | (26.1 | )% |
| | | | | | | | | | | | |
Outpatient Rehabilitation | | | | | | | | | | | | |
| | | | | | | | | | | | |
Number of clinics — end of period | | | 605 | | | | 1,021 | | | | 68.8 | % |
| | | | | | | | | | | | |
Net operating revenues (,000) | | $ | 114,043 | | | $ | 166,290 | | | | 45.8 | % |
| | | | | | | | | | | | |
Number of visits | | | 714,064 | | | | 1,160,870 | | | | 62.6 | % |
| | | | | | | | | | | | |
Revenue per visit (d) | | $ | 95 | | | $ | 101 | | | | 6.3 | % |
| | | | | | | | | | | | |
Adjusted EBITDA (,000) | | $ | 15,737 | | | $ | 18,099 | | | | 15.0 | % |
| | | | | | | | | | | | |
Adjusted EBITDA margin | | | 13.8 | % | | | 10.9 | % | | | (21.0 | )% |
(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 inpatient 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, 2006 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. |
Exhibit 99.1
V. Key Statistics
(unaudited)
For the Nine Months Ended September 30, 2006 and 2007
| | | | | | | | | | | | |
| | | | | | | | | | % |
| | 2006 | | 2007 | | Change |
Specialty Hospitals (a) | | | | | | | | | | | | |
| | | | | | | | | | | | |
Number of hospitals — end of period | | | 97 | | | | 91 | | | | (6.2 | )% |
| | | | | | | | | | | | |
Net operating revenues (,000) | | $ | 1,049,768 | | | $ | 1,033,533 | | | | (1.5 | )% |
| | | | | | | | | | | | |
Number of patient days | | | 734,070 | | | | 741,959 | | | | 1.1 | % |
| | | | | | | | | | | | |
Number of admissions | | | 30,122 | | | | 30,095 | | | | (0.1 | )% |
| | | | | | | | | | | | |
Net revenue per patient day (b) | | $ | 1,401 | | | $ | 1,367 | | | | (2.4 | )% |
| | | | | | | | | | | | |
Adjusted EBITDA (,000) | | $ | 218,203 | | | $ | 168,367 | | | | (22.8 | )% |
| | | | | | | | | | | | |
Adjusted EBITDA margin – all hospitals | | | 20.8 | % | | | 16.3 | % | | | (21.6 | )% |
Adjusted EBITDA margin – same store hospitals (c) | | | 21.7 | % | | | 17.9 | % | | | (17.5 | )% |
| | | | | | | | | | | | |
Outpatient Rehabilitation | | | | | | | | | | | | |
| | | | | | | | | | | | |
Number of clinics — end of period | | | 605 | | | | 1,021 | | | | 68.8 | % |
| | | | | | | | | | | | |
Net operating revenues (,000) | | $ | 353,974 | | | $ | 438,356 | | | | 23.8 | % |
| | | | | | | | | | | | |
Number of visits | | | 2,261,080 | | | | 2,887,134 | | | | 27.7 | % |
| | | | | | | | | | | | |
Revenue per visit (d) | | $ | 93 | | | $ | 100 | | | | 7.5 | % |
| | | | | | | | | | | | |
Adjusted EBITDA (,000) | | $ | 48,920 | | | $ | 60,270 | | | | 23.2 | % |
| | | | | | | | | | | | |
Adjusted EBITDA margin | | | 13.8 | % | | | 13.7 | % | | | (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 inpatient 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, 2006 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. |
Exhibit 99.1
VI. Net Income to Adjusted EBITDA Reconciliation
(In thousands)
(unaudited)
For the Three and Nine Months Ended September 30, 2006 and 2007
The following table reconciles net income to Adjusted EBITDA for Select. Adjusted EBITDA is used by Select to report its segment performance in accordance with SFAS No. 131. Adjusted EBITDA is defined as net income before interest, income taxes, depreciation and amortization, income from discontinued operations, stock compensation expense, other expense (income) and minority interest. 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 September 30, | | Nine Months Ended September 30, |
| | 2006 | | 2007 | | 2006 | | 2007 |
| | | | |
Net income | | $ | 16,139 | | | $ | 724 | | | $ | 85,443 | | | $ | 43,944 | |
Income from discontinued operations, net of tax | | | — | | | | — | | | | (10,018 | ) | | | — | |
Income tax expense (benefit) | | | 10,652 | | | | (669 | ) | | | 51,278 | | | | 28,486 | |
Minority interest | | | 369 | | | | 237 | | | | 1,095 | | | | 1,373 | |
Interest expense, net | | | 24,029 | | | | 26,935 | | | | 71,877 | | | | 75,842 | |
Other expense (income) | | | 3,124 | | | | 4,065 | | | | (918 | ) | | | 2,548 | |
Stock compensation expense | | | | | | | | | | | | | | | | |
Included in general and administrative | | | 888 | | | | 886 | | | | 2,663 | | | | 2,665 | |
Included in cost of services | | | 58 | | | | 45 | | | | 174 | | | | 144 | |
Depreciation and amortization | | | 12,394 | | | | 16,399 | | | | 34,955 | | | | 42,042 | |
| | | | |
Adjusted EBITDA | | $ | 67,653 | | | $ | 48,622 | | | $ | 236,549 | | | $ | 197,044 | |
| | | | |
Specialty hospitals | | $ | 60,812 | | | $ | 41,646 | | | $ | 218,203 | | | $ | 168,367 | |
Outpatient rehabilitation | | | 15,737 | | | | 18,099 | | | | 48,920 | | | | 60,270 | |
Other (1) | | | (8,896 | ) | | | (11,123 | ) | | | (30,574 | ) | | | (31,593 | ) |
| | | | |
Adjusted EBITDA | | $ | 67,653 | | | $ | 48,622 | | | $ | 236,549 | | | $ | 197,044 | |
| | | | |
(1) | | Other primarily includes Select’s general and administrative costs. |
Exhibit 99.1
The following tables reconcile specialty hospital same store information.
| | | | | | | | |
| | Three Months Ended | |
| | September 30, 2006 | | | September 30, 2007 | |
Specialty hospitals net operating revenue | | $ | 329,324 | | | $ | 334,023 | |
Less: Specialty hospitals in development, opened or closed after 1/1/06 | | | 13,713 | | | | 10,214 | |
| | | | | | |
Specialty hospitals same store net operating revenue | | $ | 315,611 | | | $ | 323,809 | |
| | | | | | |
| | | | | | | | |
Specialty hospitals Adjusted EBITDA | | $ | 60,812 | | | $ | 41,646 | |
Less: Specialty hospitals in development, opened or closed after 1/1/06 | | | (1,907 | ) | | | (5,862 | ) |
| | | | | | |
Specialty hospitals same store Adjusted EBITDA | | $ | 62,719 | | | $ | 47,508 | |
| | | | | | |
| | | | | | | | |
All specialty hospitals Adjusted EBITDA margin | | | 18.5 | % | | | 12.5 | % |
Specialty hospitals same store Adjusted EBITDA margin | | | 19.9 | % | | | 14.7 | % |
| | | | | | | | |
| | Nine Months Ended | |
| | September 30, 2006 | | | September 30, 2007 | |
Specialty hospitals net operating revenue | | $ | 1,049,768 | | | $ | 1,033,533 | |
Less: Specialty hospitals in development, opened or closed after 1/1/06 | | | 51,024 | | | | 32,944 | |
| | | | | | |
Specialty hospitals same store net operating revenue | | $ | 998,744 | | | $ | 1,000,589 | |
| | | | | | |
| | | | | | | | |
Specialty hospitals Adjusted EBITDA | | $ | 218,203 | | | $ | 168,367 | |
Less: Specialty hospitals in development, opened or closed after 1/1/06 | | | 1,008 | | | | (10,550 | ) |
| | | | | | |
Specialty hospitals same store Adjusted EBITDA | | $ | 217,195 | | | $ | 178,917 | |
| | | | | | |
| | | | | | | | |
All specialty hospitals Adjusted EBITDA margin | | | 20.8 | % | | | 16.3 | % |
Specialty hospitals same store Adjusted EBITDA margin | | | 21.7 | % | | | 17.9 | % |