Company Operations - As of September 30, 2024, the company operated 549 standalone occupational health centers and 156 onsite health clinics across 45 states and the District of Columbia[69]. - The company’s telemedicine program serves 43 states and the District of Columbia, expanding its reach in occupational health services[69]. - The company’s operating segments include Occupational Health Centers, Onsite Health Clinics, and Other Businesses, with similar economic characteristics[73]. Financial Performance - Revenue from Occupational Health Centers accounted for 95% of total revenue for both the three and nine months ended September 30, 2024[74]. - Revenue increased 3.3% to 489.6millionforthethreemonthsendedSeptember30,2024,comparedto473.9 million for the same period in 2023[91]. - Revenue increased 2.7% to 1,435.2millionfortheninemonthsendedSeptember30,2024,comparedto1,397.3 million for the same period in 2023[100]. - Revenue per visit increased 3.9% to 141.42forthethreemonthsendedSeptember30,2024,comparedto136.11 for the same period in 2023[93]. - Revenue per visit increased 4.1% to 140.12fortheninemonthsendedSeptember30,2024,comparedto134.62 for the same period in 2023[102]. Patient Visits - The company reported a daily patient visit volume (VPD) of 45% for workers' compensation services for the three months ended September 30, 2024[76]. - Total patient visits decreased to 3,258,605 for the three months ended September 30, 2024, from 3,281,042 in the same period of 2023[92]. - Total patient visits for the nine months ended September 30, 2024, were 9,628,515, down from 9,766,881 in the same period of 2023[101]. - Workers' compensation VPD volume increased 1.5% to 22,733 for the nine months ended September 30, 2024, compared to 22,391 for the same period in 2023[101]. Costs and Expenses - Cost of services was 351.1million,or71.7336.8 million, or 71.1% of revenue, for the same period in 2023[94]. - Cost of services was 1,027.4million,or71.6994.7 million, or 71.2% of revenue, for the same period in 2023[103]. - General and administrative expenses were 37.1million,or7.638.2 million, or 8.1% of revenue, for the same period in 2023[95]. - General and administrative expenses were 110.8million,or7.7109.9 million, or 7.9% of revenue, for the same period in 2023[104]. Net Income and Cash Flow - Net income attributable to the Company was 44.3millionforthethreemonthsendedSeptember30,2024,comparedto53.1 million for the same period in 2023[88]. - Adjusted EBITDA for the nine months ended September 30, 2024, was 299.3million,comparedto293.0 million for the same period in 2023[115]. - Net cash provided by operating activities was 180.9millionfortheninemonthsendedSeptember30,2024,comparedto158.1 million for the same period in 2023[117]. - Cash at the end of the period increased to 136.8millionasofSeptember30,2024,from23.7 million at the end of the same period in 2023[117]. Debt and Financing - The company completed an IPO on July 26, 2024, raising net proceeds of 499.7millionfromthesaleof22,500,000sharesat23.50 per share[78]. - The Concentra credit facilities include a term loan of 850millionandarevolvingcreditfacilityof400 million, with the latter being undrawn at the IPO closing[78]. - The company had outstanding borrowings under its term loan of 850.0millionasofSeptember30,2024[126].−Interestexpenseincreasedto21.4 million for the three months ended September 30, 2024, compared to 0.1millionforthesameperiodin2023,duetotheissuanceofan850.0 million term loan and 650.0millionseniornotes[98].−Interestexpenseonrelatedpartydebtdecreasedto22.0 million for the nine months ended September 30, 2024, from 33.8millionforthesameperiodin2023[108].RisksandStrategicInitiatives−Thecompanyfacesrisksincludinglaborshortages,regulatorychanges,andpotentialdisruptionsfrompublichealththreats[67].−Thecompanyhasexperiencedhigherlaborcostsduetoinflationandcompetitivelabormarketconditions,whichmayadverselyaffectitsfinancialconditionifcostscontinuetorise[135].−Thecompanyhasimplementedstrategiestomitigateinflationarypressures,includingselectivepriceincreasesandsupplychainoptimizationinitiatives[135].−Thecompanyintendstopursuecontinuedorganicgrowthandstrategicacquisitionstoexpanditsfootprintandcustomerbase[128].−Futuredividendsareatthediscretionofthecompany′sBoardofDirectors,consideringfinancialcondition,operatingresults,andcashneeds[133].TaxandInterestRate−Theeffectivetaxrateincreasedto25.0850.0 million term loan, excluding unamortized original issue discounts and debt issuance costs of 13.0million[136].−A0.252.1 million per year[137]. Dividends - The company declared a cash dividend of 0.0625pershareonOctober28,2024,payableonNovember22,2024,tostockholdersofrecordasofNovember13,2024[132].−DuringQ32024,netproceedsfromtheIPOanddebtfinancingtransactions,exceptfor34.7 million, were paid to Select through dividends and repayment of promissory notes[130].