NYSE:CON Concentra Group Holdings Parent Q3 2024 Earnings Report $20.32 -0.24 (-1.15%) Closing price 04/17/2025 03:59 PM EasternExtended Trading$20.38 +0.06 (+0.28%) As of 04/17/2025 04:31 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast Concentra Group Holdings Parent EPS ResultsActual EPS$0.37Consensus EPS $0.36Beat/MissBeat by +$0.01One Year Ago EPSN/AConcentra Group Holdings Parent Revenue ResultsActual Revenue$489.64 millionExpected Revenue$492.61 millionBeat/MissMissed by -$2.97 millionYoY Revenue Growth+3.30%Concentra Group Holdings Parent Announcement DetailsQuarterQ3 2024Date10/31/2024TimeAfter Market ClosesConference Call DateFriday, November 1, 2024Conference Call Time10:30AM ETUpcoming EarningsConcentra Group Holdings Parent's Q1 2025 earnings is scheduled for Wednesday, May 7, 2025, with a conference call scheduled on Thursday, May 8, 2025 at 9:00 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Concentra Group Holdings Parent Q3 2024 Earnings Call TranscriptProvided by QuartrNovember 1, 2024 ShareLink copied to clipboard.There are 10 speakers on the call. Operator00:00:00Good morning, and thank you for joining us today for Concentra Group Holdings Parent Inc. Earnings Conference Call to discuss the Q3 2024 Results. Speaking today are the company's Chief Executive Officer, Keith Newton and the company's President and Chief Financial Officer, Matt Decadio. Management will give you an overview of the quarter and then open the call for questions. Before we get started, we would like to remind you that this conference call may contain forward looking statements regarding future events or the future financial performance of the company, including without limitation, statements regarding operating results, growth opportunities and other statements that refer to Concentra's plans, expectations, strategies, intentions and beliefs. Operator00:00:51These forward looking statements are based on the information available to management of Concentra today, and the company assumes no obligation to update these statements as circumstances change. At this time, I'd like to turn the conference call over to Mr. Keith Newton. Speaker 100:01:07Thanks, operator. Good morning, everyone. Welcome to Concentra's Q3 2024 earnings call. I would like to start today with a brief refresher on our business. We previously provided comments during our Q2 earnings call, but we know we continue to gain new followers of our company. Speaker 100:01:26Concentra is the largest provider of occupational health services in the United States. We have over 700 locations across 45 states, including both our occupational health centers and our on-site health clinics at Employers Workplace. We see approximately 50,000 patients per day and serve approximately 200,000 employer customers across our occupational health centers, on-site health clinics and our telemedicine platform. We serve almost every industry and have little to no industry concentration. Manufacturing, distribution, transportation, retail, healthcare, government, schools, construction, hospitality are just some of the examples. Speaker 100:02:11Our mission is to improve the health of America's workforce, one patient at a time. We provide employer focused healthcare services and we are patient centric in everything we do. We deliver a consistent high quality patient experience as exemplified by our high patient satisfaction scores. Our value proposition is focused on supporting the improvement of injured workers' health with a timely and safe return to work. Injured employees tend to recover better through early intervention and a quick return to normal activities. Speaker 100:02:46We expedite employees' safe and sustainable return to work and help lower medical and indemnity claims cost incurred by employers. Workers' compensation patients treated in a Concentra Health Center have an approximate 25% lower average total claim cost than in non Concentra Centers. Within our Occupational Health Centers operating segment, which represents 94% of total revenue for the 3rd quarter, we provide 3 service lines consisting of workers' compensation, employer services and consumer health. Reimbursement for our workers' compensation services is guided by the various state workers' compensation fee schedules, which are set by legislative bodies and paid for by employers typically through their workers' compensation insurance company or their 3rd party claims administrator. The reimbursement for our employer services line is paid directly by employers at market rates or through entities who manage these types of visits on an employer's behalf. Speaker 100:03:49We have virtually no reimbursement from government programs such as Medicare or Medicaid or from commercial healthcare insurance. As existing and potential investors look at Concentra on a standalone basis or as compared to other companies in the healthcare services sector, we would point you to the unique reimbursement environment in which we operate, our growth opportunities, our margin profile, our cash flow statistics, our diversification across geographies and industries, our experienced management and leadership teams and our strong track record over a sustained period of time. For those interested in learning more about our business, we welcome you to spend time reviewing our publicly filed registration statement and other quarterly filings or by following the company through one of our many communication channels. Now switching to our Q3 performance, where we saw a continuation of themes from our Q2 2024 performance. Overall, we had a successful quarter in line with our expectations, made progress on strategic initiatives, grew our development pipeline and continue to execute on the steps to separate from Select Medical. Speaker 100:05:05Concentra ended the quarter with 549 occupational health centers and 156 on-site health clinics for a total of 705 locations, which is 21 more than at the end of Q3 2023. In the quarter, revenue was $489,600,000 compared to $474,000,000 in the prior year, representing a 3.3% growth year over year. Adjusted EBITDA was $101,600,000 in the quarter versus $98,900,000 in the same quarter prior year or a 2.7% increase. EBITDA margin decreased slightly to 20.7% for the quarter compared to 20.9% for the same quarter prior year. Net income was $45,800,000 and earnings per common share were $0.37 for the Q3 2024. Speaker 100:06:06The lower net income and EPS versus prior year was due to the recapitalization of the company at the time of the IPO and the associated higher interest expense as compared to prior year. From a patient visit standpoint, we had a very similar quarter to the Q2 of 2024 in terms of year over year comparisons. Total visits decreased 0.7% in Q3 2024 as compared to the prior year. This was driven by a 2.6% decline in our employer services visit. This decline is something we have been experiencing for several quarters now on a year over year basis. Speaker 100:06:46The employer services decrease was offset by a 1.7% increase in our workers' compensation volume. After adjusting for the one additional revenue day in Q3 2024 versus Q3 2023, employer services and workers' compensation per business day visit volumes were 4.1% lower and 0.2% higher than the prior year, respectively. Our workers' compensation and employer services visits are driven by employment levels and hiring events across the United States. Approximately 2 thirds of our employer service visit volumes are driven by hiring events, which have experienced a slowdown over the last year as quit rates and job openings have fallen. Q3 saw some positive and negative economic newsprints, which we are following closely. Speaker 100:07:41Within our occupational health centers, our visits were softer in July, but trended better in August September. Hurricane Beryl and the CrowdStrike related IT outage contributed to the softer July visits. The takeaway for Concentra is that the number of people employed has continued to rise, which is a positive driver for our workers' compensation visit volumes. The decline in employer services volume is not a new trend as hiring events, employee quit rates and job openings have all receded. It has been something we've been experiencing for more than a year now. Speaker 100:08:17We have adjusted to it accordingly and have continued to show profit growth and stable margins. From a rate standpoint, we had a 3.9% increase in revenue per visit, principally due to increases in the reimbursement rates payable pursuant to certain state fee schedules for workers' compensation visits and increases in our employer services rates per visit, which we negotiate and set directly with employer customers. The higher percentage mix of the workers' compensation visits with their higher revenue rates per visit also contributed to the blended higher rate per visit. Overall, we are proud of our company's performance and our team's continued dedication to our mission. We are optimistic for the coming quarters in 2025. Speaker 100:09:05We are well positioned to continue our growth trajectory, especially with a more normalized visit volume profile. Matt will share more details as well as some guidance for full year 2024 in a few minutes. Before I hand it over to Matt, I wanted to highlight some other important developments in the quarter, including some great work the team has done to advance our development pipeline. The early but significant progress we've made as it relates to the separation from Select Medical and our continued advancement of key technology initiatives. We spoke about all three of these areas during our IPO process in our last quarter's call. Speaker 100:09:44I'm excited about the continued accomplishments in these areas and the roadmap we have in the coming quarters. This concludes my overall company remarks. I now turn the call over to Matt to provide more color on our operating segments, key operating metrics, cost and expenses, cash flow and balance sheet and full year 2024 guidance as well as provide further detail on some important strategic work streams. Speaker 200:10:11Matt? Thanks, Keith. Good morning, everyone. I'll begin with some additional commentary on our operating segments and our major expense categories as well as other key performance indicators. In our occupational health center operating segment, revenue of $463,100,000 in Q3 2024 was 3.3% higher than the same quarter prior year. Speaker 200:10:38Heath outlined our 0.7% visit decline year over year driven by the continued and expected lower employer services volume, which are lower revenue visit and the 3.9% increase in revenue per visit from $136.11 in Q3 2023 to $141.42 in Q3 2024. Within the center operating segment, workers' compensation revenue of $298,700,000 was 4.5% higher than prior year. Q3 twenty twenty four work comp visits increased 1.7% from prior year or 0.2% on a per day basis. The Q3 2024 work comp revenue per visit increased 2.7% versus prior year. Workers' compensation revenue represents 64.5 percent of our total center operating segment revenue in Q3 2024 versus 63.8% in Q3 2023 or a 0.7 percentage point increase. Speaker 200:11:52Employer services revenue in the center operating segment of $154,800,000 increased 0.9% from prior year. Employer services visits decreased 2.6% from prior year or 4.1% on a per day basis and in line with expectations and continued trends from recent quarters. The Q3 2024 Employer Services revenue per visit increased 3.6% versus prior year. On-site revenue of $15,600,000 in Q3 increased 3.9% from the same quarter prior year. We had a solid business development quarter in this operating segment, winning more than 10 new on sites that will open in the coming months, including additional on sites with our advanced primary care service offering that we recently launched. Speaker 200:12:47Other business revenue of $11,000,000 increased 4.4% against same quarter prior year. Our cost of services expense excluding depreciation and amortization, a major component of which is personnel costs includes all direct and indirect support costs related to providing services to our customers. Cost of services was 351,100,000 dollars or 71.7 percent of revenue in Q3 2024 compared to 71.1 percent of revenue for the same quarter prior year. General and administrative expense includes corporate overhead such as finance, legal, human resources, marketing, corporate offices and other administrative areas. Our general and administrative expenses were 37,100,000 dollars or 7.6 percent of revenue in Q3 2024 compared to 8.1 percent of revenue in the same quarter prior year. Speaker 200:13:51Our total company labor costs in the quarter was helped by fewer full time equivalents or FTEs quarter over quarter despite having 10 more occupational health centers and 11 more on-site health clinics compared to the same quarter prior year. The lower FTEs are primarily in the center operating segment, consistent with prior quarters where we have fewer FTEs year over year largely due to the lower employer services visits. For the Q3, we had strong cash flow generation with operating activities providing $65,900,000 in cash flow and our days sales outstanding or DSO at 44 days at September 30, 2024, which was 3 days better than prior year. Our cash flow metrics continued to improve over historical levels. Investing activities used $17,000,000 of cash in the 3rd quarter. Speaker 200:14:46This includes $15,100,000 in purchases of property and equipment and $1,800,000 for the One Center acquisition in the quarter. Our teams have done a nice job of managing to consistent levels of maintenance and growth capital expenditures each quarter. Financing activities provided $37,200,000 of cash for the 3rd quarter and with the cash retained by the company from the debt and equity transactions in the quarter, we now have a cash balance of $137,000,000 With our cash flow in the quarter and our higher TTM EBITDA versus June 30, 2024, our total net debt is now $1,350,000,000 and our net leverage came down from 3.9x@IPO to 3.7x at September 30, 2024. We still have our undrawn revolver of $400,000,000 less $14,000,000 of outstanding letters of credit. Given the solid financial performance and following up on previous quarter's comments about a potential dividend, we are pleased to announce that on October 28, 2024, Concentra's Board of Directors declared a cash dividend of $0.0625 per share. Speaker 200:16:06The dividend will be payable on or about November 22, 2024 to stockholders of record as of the close of business on November 13, 2024. From a capital standpoint, we remain focused on growth efforts and deleveraging in addition to this return of capital to stockholders. The dividend does not change our growth outlook and prospects. Now switching gears to our corporate development efforts. In July, we acquired a practice in Bolingbrook, Illinois to further expand our presence in the Greater Chicago area. Speaker 200:16:41In September, we opened a new center in Chattanooga, Tennessee and we are close to opening a new center in nearby Knoxville, Tennessee. Both are new areas for Concentra and we look forward to providing additional access points nearby in the future. Post quarter end, in early October, we opened a new center in Orlando, Florida as well. We also had a very good quarter in terms of building our acquisition and de novo pipeline. We are excited about some opportunities we're working on and hope to have more information available soon. Speaker 200:17:16We intend to pursue continued organic growth within our existing occupational health centers and on-site health clinics at employer worksites and to take advantage of opportunities to continue to grow our footprint and base of customers via strategic acquisitions and the opening of new centers in key areas. Regarding our separation process from Select Medical, as Keith mentioned in his opening remarks, we made solid progress with these efforts, though it is early in the process. We recruited and successfully hired some key senior leaders that will help support the transition and they have already taken productive steps towards achieving our end goal of operating completely independently from Select Medical before the end of 2026. Our hires include a new Chief Legal Counsel who has 30 plus years of healthcare experience, a Vice President of Transition Services and HR who is an individual with years of prior experience at Concentra and in healthcare, a Chief Information Security Officer with many years of experience in this area, as well as leaders in accounting and tax to help us replace the services we currently pay Select Medical for. It has been a solid start to the process. Speaker 200:18:35Our teams are well synced on what we need to do, the associated costs, which have not materially changed from previous estimates. And finally, just some overarching comments for me on the results from the quarter and our outlook for the remainder of the year and beyond. Looking back on what we discussed during the IPO process, we feel good about the progress and execution we have shown since becoming a public company. We discussed how we navigate as a company through economic headwinds, including the negative employer services decline and we showed that through our execution in the second and third quarters. Our reimbursement rate growth has been strong. Speaker 200:19:17It is predictable and is insulated from any election related uncertainty. Cost of services remains consistent as a percentage of revenue as our teams have managed staffing levels very effectively. Cash flow remains robust and margins consistent with prior periods. Our development pipeline continues to grow. We declared a dividend to show our commitment to returning capital to our stockholders. Speaker 200:19:44And we have made good progress with our separation from Select and our latest technology efforts. As we continue our path forward as a public company, we will continue with transparency. To that end, we are providing guidance where we believe we will end the full year for 2024. We expect revenue to be approximately $1,900,000,000 adjusted EBITDA to be in the range of $370,000,000 to $375,000,000 capital expenditures to be in the range of $65,000,000 to $70,000,000 and our net leverage ratio to be in the range of 3.5 to 3.6 times. We will have guidance for 2025 early into the New Year. Speaker 200:20:28With this information and all the remarks from myself and Keith, we hope investors are becoming more familiar with and excited about Concentra. We believe we remain very well positioned for continued success. With that, this concludes our prepared remarks. Thank you for your time today to go through Concentra's business update and Q3 financial results. At this time, we'd like to turn it back to the operator to open the call for any questions. Operator00:20:57Thank you. At this time, we will be conducting a question and answer session. Your first question for today is from John Stancil with JPMorgan. Speaker 300:21:36Great. Thanks for taking my question. Strong revenue per visit in the workers' comp side of the business this quarter. Just wanted to get a sense of how you're thinking about as we think over the next couple of quarters how rates are going to progress in the workers' comp side, what visibility you have into that? And guess embedded in my question is a little bit of what you think now a few months on the Florida rate update could contribute as Speaker 400:22:01we think about next year? Thank you. Speaker 100:22:04Hey, John, this is Keith. Yes, what we're seeing so far as we go into this coming quarter is continued strong workers' comp reimbursement from a rate perspective. So we don't see anything any different than what we've been seeing. It continues to be where it is. It's stable. Speaker 100:22:25Those increases have been put into place and we'll continue on. We've got good start to get some visibility into 2025 and feel very good about what we've outlined and what our projections are going to be for that also. Regarding Florida, we're that's still in line to be put into place in February. We were not forecasting that number publicly yet at this point. Matt, do you have any? Speaker 200:22:53Yes, John, I'll just add to that. So Florida is still on track, no changes from prior quarter. We will give more guidance early into 2025 on where all the states shake out from a reimbursement standpoint. But again, expect that it's going into place January 1, 2025 in Florida. Speaker 300:23:16Great. And if I can just squeeze a follow-up in here. Just you called out some of the weather impacts in 3Q and obviously there have been a few in the early part of 4Q. Speaker 400:23:25Is there anything you could do Speaker 300:23:26to kind of size how that may have impacted the business on either employer services or workers' comp? Speaker 200:23:32Sure. Yes, I could take that. So we had Hurricane Beryl in July in Texas. We had Hurricane Helene in late September. And then also in July was the global cyber outage that impacted us primarily on one day in July. Speaker 200:23:50The total impact from all three of those we estimate to be approximately $1,700,000 in revenue and about $600,000 in EBITDA. So definitely contributed to some of the softness we saw in July, but things were much better in August September. Speaker 300:24:12Thanks so much. Operator00:24:18Your next question is from Jamie Purce with Goldman Sachs. Speaker 500:24:23Hey, thanks. Good morning. I wanted to start with the workers' comp visits per day. I mean that was up 0.2%. It sounds like there were some of these headwinds across the quarter. Speaker 500:24:38But overall, how does that compare to your expectations? And how should we think about trends developing in the workers' comp visit side of the equation going forward? Speaker 200:24:50Sure. Jamie, this is Matt. Good morning. Thanks for the question. So yes, we saw positive work comp visit growth in the quarter, not as strong as we saw in Q1 and Q2, but we had talked about some of the events that took place that muted the visit growth. Speaker 200:25:09But as Keith mentioned in his remarks, the work comp visits are tied to total employment and we continue to see total employment increase. So our expectations are for work comp visits will be in line with Q1, Q2 and Q3 pretty much on a blended average. Speaker 500:25:32Okay. And then I guess a related follow-up. You mentioned some of the sensitivity to the hiring and labor environment, and that you're watching that closely. I guess as I look at estimates for next year, consensus estimates for volume growth in both businesses within the Occupational Health segment, It's up about 2%. I guess, do you need improvement in the hiring and labor environment to get to just roughly that type of level? Speaker 500:26:03Is the current labor environment conducive to that level of growth? Just any connection in terms of what you're seeing on the macro front and tying that back to implications for volume growth? Thank you. Speaker 100:26:18Yes. I would say that we would definitely need to see a little bit of improvement with the hiring and the labor force and some of the statistics out there. But we've mitigated it in other ways and we're kind of weathering that right now. And our expectation is, I think some of the employers and the hiring and things we're seeing right now, we would hope that as we get through the election process and the interest rates question as far as what happens there, that that should start to settle that down a little bit from our expectations as far as what we're seeing. Speaker 500:27:03All right. That's really helpful. Thank you. Operator00:27:08Your next question for today is from Ben Hendricks with RBC Capital Markets. Speaker 600:27:15Thank you very much and congratulations on the progress guys. Just wanted to ask a question about continuing on the hurricane theme. What is implied or what do you have included in guidance related to Hurricane Milton and its impact on Florida? And then looking further ahead, is there any hurricane damage out there or hurricane disruption out there that's putting down speed bumps as it pertains to your expansion strategy, especially in Florida given that it's becoming a more influential state? Thanks. Speaker 200:27:50Sure. Thanks for the question, Ben. So we had Hurricane Milton in October in Florida. It had an impact on us, but not incredibly material. When you look at the impact I just outlined for Barrow, Helene and Cyber, it was in line with what we saw for the prior storms. Speaker 200:28:11So and that is included in the guidance that we outlined for full year 2024. Speaker 100:28:20And it has not slowed down our efforts as far as M and A and development in that state at this point in time. We still have a nice pipeline that we're looking at right now relative to that. And I think the other impact potentially of Milton is actually a positive impact to us as far as the rebuilding that takes place in some of those areas and the potential visit volume to our centers in support of that. Speaker 400:28:50Great. Thank you very much. Operator00:28:59Your next question for today is from Justin Bowers with Deutsche Bank. Speaker 700:29:07Hey, good morning, everyone. Can you remind us about the seasonality in the business? Now that 4Q is seasonally usually the lowest quarter, looks like last year it was down 7% sequentially Q over Q. This year it looks like just based on the guidance the implication is down 5% sequentially. So what are some of the moving pieces there? Speaker 100:29:35Yes, I'll give an overview and Matt can comment on any specifics. But typically in our business, the hotter the weather, the more volume we see. We've got the outdoor landscaping and a lot of the construction activities that drive that. 4th quarter is by far our lowest quarter with the holiday season and the weather cooling. And that's what we've experienced year after year and that historical trends show that what we see here in the Q4 of this year is no different than what we've seen for past history many, many years. Speaker 100:30:10So it's pretty much in line with exactly what we've always seen. Speaker 200:30:15Yes. And I'll add to that, Justin. Obviously, we put out guidance for the full year, but you can imply our thoughts for Q4. But we expect to have a nice Q4 that will be up versus prior year. We had some one time items last Q4. Speaker 200:30:34So when you do the calculation on what's implied, you'll see that we'll be we are estimating to do better year over year than we have for the 1st 3 quarters. Speaker 700:30:47Got it. Thank you. And just a couple of clarifying questions. It looks like from the prepared remarks, you have 2 new centers in OncHealth coming on in the Q4 and then 10 on sites as well as are those coming online in 4Q or is some of that going to spill over into 1Q? And then part 2 is just on the guidance early in the year, are you going to issue that prior to when you release 4Q results? Speaker 200:31:18Sure. I'll take the first question first. So we have 2 more sites coming in Q4. We've got 6 or 7 signed leases for next year. The on sites that you referenced, the 10 additional ones that we had comments about, Those were on-site wins that will come over Q4 and into 2025. Speaker 200:31:46So they'll be spread over time as those employers are ready to for those on sites to come online. And then the second question, remind me your second question, Justin? Speaker 700:31:59Yes, just around you said guidance early into the New Year. So I wasn't sure if that meant you plan on releasing prior to when you issue 4Q results or? Speaker 200:32:11Sure. So we'll have Q4 results late February, early March. Good chance that we'll provide guidance before that, but still TBD. Will be at some of the major conferences in early January February. Speaker 700:32:28Understood. Thank you. Operator00:32:33Your next question for today is from Anne Hynes with Mizuho. Speaker 800:32:39Hi, good morning. I'm not going to provide in 2025 guidance, but are there any major headwinds and tailwinds that you want to call out that we should consider while we're finalizing models? Speaker 200:32:53No, nothing significant from what we've said in the past in prior quarters and during the road show process. I think the visit trends have been pretty consistent and Keith talked about expectations for getting through the election and some interest rates coming down and our viewpoint there. We talked about our growth trajectory and our pipeline and we've also hit the Florida increase, which will help us next year as well. And I think we've taken good steps on the separation from Select and are well on our way down that pathway with no material differences than what we were anticipating. So I think we've got good visibility into that. Speaker 200:33:41And I think we're fairly excited about what 2025 Speaker 100:33:47shows for us. Speaker 800:33:50Perfect. And I know Florida is a state that you're getting a nice bump. Are there any other states in the pipeline that you think you could get positive rate increases that haven't done it for a while? Speaker 100:34:04I wouldn't say, I would say no. It depends on what the states that have been doing it, what they come back with as far as MEIs and CPIs and those type of things. And like I said, it's we're starting to see a few of those, but it's still a little early before they will put those into place. But there's always surprises every year that we see and but we feel pretty good about the visibility we have as far as what's going to happen from a workers' comp standpoint and we're already sticking a stake in the ground relative to what we think we're going to do from employer services. So I think we feel pretty good about where we're going to end up on both of those. Speaker 800:34:51Great. Thank you. Operator00:34:57Your next question for today is from Stephen Baxter with Wells Fargo. Speaker 900:35:03Hi, thanks for the question. Obviously, I understand the focus on the economic backdrop, which obviously is out of your control. I'd love to hear a little bit more about what's in your control in terms of what you're doing to work more closely with employers potentially to support maybe a greater percentage of their workers' comp or employer services needs. I guess what I'm wondering is in the past, have there been periods where maybe those employers are under more pressure and have looked to you for a greater percentage of their needs? Or in general, how do we think about the economic sensitivity of the sales cycle into employers? Speaker 900:35:38Thank you. Speaker 100:35:41Yes, I would say for the most part, whether it's a down economic or an up economic trend, we work pretty consistent with the employers as far as trying to penetrate further both their injuries and their workers' comp and their employer services. We're really prospecting every single channel. It's just not the employers that can direct that business to us. It's 3rd party claims administrators like on the workers' comp side, like a Sedgwick or a workers' comp insurance company similar to a Liberty Mutual or a Travelers where we're putting pipelines and things in place to try to create an ease of them potentially getting patients to us. Same thing on the employer services side where some of these aggregators, these 3rd party administrator aggregators on the employer services like an eScreen or First Advantage for good example is certified, which basically coordinates DOT driver physicals and drug screens really developing those pipelines with them to be their choice for directing those individuals to us for whatever their needs are. Speaker 100:37:02So it's prospecting a multitude of pathways within the workers' comp and employer services ecosystem, not just the employers. Operator00:37:28Your next question for today is from Joanna Gajuk with Bank of America. Speaker 400:37:35Hi, good morning. Thanks so much for taking the question. So I guess, first one, following up on the comments you were making on workers' comp rate increases. So I guess, this year, year to date, I guess, rates are on average, I'll call it 2% year over year. So is it a per, number to assume into next year, 2% call it, but maybe a little bit more because of the Florida rate update? Speaker 200:38:02Yes. So Joanna, good morning. Thanks for the question. So yes, 2% year to date, 2.7% for the quarter from a work comp standpoint. Longer term, as we've mentioned in the past, we still expect plus or minus 3% on an annual basis and we expect it will be slightly higher next year given the Florida increase. Speaker 400:38:30Great. And another, I guess, follow-up on the, I guess, economic backdrop and exposure there. So can you talk about your exposure to different industries? And is it different for your workers' comp versus your employer services? Speaker 100:38:47Yes. Go ahead, Keith. I was going to say, from an employer services side, when there's lower quit rates and less hiring, less job growth and certainly you'll feel the headwinds there before you feel that on the workers' comp side. Typically on the workers' comp side, you don't feel it as much until they're actually in a layoff position where that employed workforce actually begins to drop, which we have not seen that happening. And when you look at kind of the layoff situation out there, we haven't really felt anything any different than other years. Speaker 100:39:26So that's kind of plugging along as it historically has. And we would hope that as we continue, like we mentioned earlier, getting through the election cycle, some of the interest rate changes that the employee hiring activity starts to pick up and we'll pick that up with our employer services volume starting to pick back up. Speaker 200:39:51And Joanna, we added a new chart in our investor deck on Page 6 that shows our industry mix. And the main takeaway there is we're highly diversified from an industry standpoint as you could see on that page. At any point in time, there will be some industries that are up, some industries that are down from a visit perspective at Concentra, but the diversification is key, and we wanted to call that out here on the Slide 6 here. Speaker 400:40:23Yes. Thank you. But I guess I was asking, if there's any difference between the workers' comp and employer services businesses or they kind of look the pie charts would look the same if you would try to split? Speaker 200:40:35No, they would look very similar. Speaker 300:40:39Okay. Speaker 400:40:39I just want to confirm that. Thank you. And if I may just say last one, I guess, follow-up, you mentioned the on-site, right, adding more locations, but then also these advanced care primary care offering that you announced. So can you give us a little bit more flavor of how they're tracking and what this could be, I guess, over time? Is there any target you have in mind? Speaker 400:41:00How big this business could be? Am I asking about this Advanced Care primary care offering? Thank you. Speaker 200:41:06Yes, sure. So we launched officially during the quarter the Advanced Primary Care offering in our on sites. We won 10 additional sites as we mentioned. Those some of those were primary care, some of those were occupational health. And we're early innings of with that new service line, but we'll continue to grow that business. Speaker 200:41:29We think be a nice contributor and we can be much larger in size with that portfolio as it relates to our total company. Speaker 100:41:38And also there's a lot of opportunity there from an M and A activity for us also. You look at where we are as an organization, we're probably top 10 as far as size. Some of the bigger ones are several million larger than us. But I think there's some real opportunity relative to that industry and our ability to evaluate some M and A and opportunity here in the near future. Speaker 400:42:08Thank you. Thanks for the call. Operator00:42:14We have reached the end of the question and answer session. And I will now turn the call over to Keith for closing remarks. Speaker 100:42:21Thank you, operator. Appreciate everybody joining us today. We look forward to speaking with you early 2025. Thank you. Operator00:42:33This concludes today's conference and you may disconnect your lines at this time. Thank you for your participation.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallConcentra Group Holdings Parent Q3 202400:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Concentra Group Holdings Parent Earnings HeadlinesCan Concentra Group Holdings Parent, Inc. (NYSE:CON) Maintain Its Strong Returns?April 19 at 4:43 PM | finance.yahoo.comConcentra® to Announce First Quarter 2025 Results on Wednesday, May 7, 2025April 7, 2025 | businesswire.comThe Trump Dump is starting; Get out of stocks now?The first 365 days of the Trump presidency… Will be the best time to get rich in American history.April 20, 2025 | Paradigm Press (Ad)Concentra opens new medical centre in Texas, USMarch 24, 2025 | finance.yahoo.comConcentra Expands to Katy, TexasMarch 24, 2025 | businesswire.comConcentra Group Holdings Parent, Inc. (CON) Gets a Buy from RBC CapitalMarch 21, 2025 | markets.businessinsider.comSee More Concentra Group Holdings Parent Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Concentra Group Holdings Parent? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Concentra Group Holdings Parent and other key companies, straight to your email. Email Address About Concentra Group Holdings ParentConcentra Group Holdings Parent (NYSE:CON) provides occupational health services in the United States. The company offers occupational and consumer health services, including workers' compensation injury care, urgent care, clinical testing, preventative care, and employer services, as well as wellness programs through occupational health centers and onsite clinics. It also provides Concentra Telemed, a telemedicine solution for the treatment of work-related injuries and illnesses, and employer services; pharmacy solution under the Concentra Pharmacy name; and Concentra Medical Compliance Administration, a third-party administrator that helps to manage abuse testing programs for employers with regulated or non-regulated workforces. The company was founded in 1979 and is based in Mechanicsburg, Pennsylvania. Concentra Group Holdings Parent, Inc. is a subsidiary of Select Medical Corporation.View Concentra Group Holdings Parent ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Archer Aviation Unveils NYC Network Ahead of Key Earnings Report3 Reasons to Like the Look of Amazon Ahead of EarningsTesla Stock Eyes Breakout With Earnings on DeckJohnson & Johnson Earnings Were More Good Than Bad—Time to Buy? 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There are 10 speakers on the call. Operator00:00:00Good morning, and thank you for joining us today for Concentra Group Holdings Parent Inc. Earnings Conference Call to discuss the Q3 2024 Results. Speaking today are the company's Chief Executive Officer, Keith Newton and the company's President and Chief Financial Officer, Matt Decadio. Management will give you an overview of the quarter and then open the call for questions. Before we get started, we would like to remind you that this conference call may contain forward looking statements regarding future events or the future financial performance of the company, including without limitation, statements regarding operating results, growth opportunities and other statements that refer to Concentra's plans, expectations, strategies, intentions and beliefs. Operator00:00:51These forward looking statements are based on the information available to management of Concentra today, and the company assumes no obligation to update these statements as circumstances change. At this time, I'd like to turn the conference call over to Mr. Keith Newton. Speaker 100:01:07Thanks, operator. Good morning, everyone. Welcome to Concentra's Q3 2024 earnings call. I would like to start today with a brief refresher on our business. We previously provided comments during our Q2 earnings call, but we know we continue to gain new followers of our company. Speaker 100:01:26Concentra is the largest provider of occupational health services in the United States. We have over 700 locations across 45 states, including both our occupational health centers and our on-site health clinics at Employers Workplace. We see approximately 50,000 patients per day and serve approximately 200,000 employer customers across our occupational health centers, on-site health clinics and our telemedicine platform. We serve almost every industry and have little to no industry concentration. Manufacturing, distribution, transportation, retail, healthcare, government, schools, construction, hospitality are just some of the examples. Speaker 100:02:11Our mission is to improve the health of America's workforce, one patient at a time. We provide employer focused healthcare services and we are patient centric in everything we do. We deliver a consistent high quality patient experience as exemplified by our high patient satisfaction scores. Our value proposition is focused on supporting the improvement of injured workers' health with a timely and safe return to work. Injured employees tend to recover better through early intervention and a quick return to normal activities. Speaker 100:02:46We expedite employees' safe and sustainable return to work and help lower medical and indemnity claims cost incurred by employers. Workers' compensation patients treated in a Concentra Health Center have an approximate 25% lower average total claim cost than in non Concentra Centers. Within our Occupational Health Centers operating segment, which represents 94% of total revenue for the 3rd quarter, we provide 3 service lines consisting of workers' compensation, employer services and consumer health. Reimbursement for our workers' compensation services is guided by the various state workers' compensation fee schedules, which are set by legislative bodies and paid for by employers typically through their workers' compensation insurance company or their 3rd party claims administrator. The reimbursement for our employer services line is paid directly by employers at market rates or through entities who manage these types of visits on an employer's behalf. Speaker 100:03:49We have virtually no reimbursement from government programs such as Medicare or Medicaid or from commercial healthcare insurance. As existing and potential investors look at Concentra on a standalone basis or as compared to other companies in the healthcare services sector, we would point you to the unique reimbursement environment in which we operate, our growth opportunities, our margin profile, our cash flow statistics, our diversification across geographies and industries, our experienced management and leadership teams and our strong track record over a sustained period of time. For those interested in learning more about our business, we welcome you to spend time reviewing our publicly filed registration statement and other quarterly filings or by following the company through one of our many communication channels. Now switching to our Q3 performance, where we saw a continuation of themes from our Q2 2024 performance. Overall, we had a successful quarter in line with our expectations, made progress on strategic initiatives, grew our development pipeline and continue to execute on the steps to separate from Select Medical. Speaker 100:05:05Concentra ended the quarter with 549 occupational health centers and 156 on-site health clinics for a total of 705 locations, which is 21 more than at the end of Q3 2023. In the quarter, revenue was $489,600,000 compared to $474,000,000 in the prior year, representing a 3.3% growth year over year. Adjusted EBITDA was $101,600,000 in the quarter versus $98,900,000 in the same quarter prior year or a 2.7% increase. EBITDA margin decreased slightly to 20.7% for the quarter compared to 20.9% for the same quarter prior year. Net income was $45,800,000 and earnings per common share were $0.37 for the Q3 2024. Speaker 100:06:06The lower net income and EPS versus prior year was due to the recapitalization of the company at the time of the IPO and the associated higher interest expense as compared to prior year. From a patient visit standpoint, we had a very similar quarter to the Q2 of 2024 in terms of year over year comparisons. Total visits decreased 0.7% in Q3 2024 as compared to the prior year. This was driven by a 2.6% decline in our employer services visit. This decline is something we have been experiencing for several quarters now on a year over year basis. Speaker 100:06:46The employer services decrease was offset by a 1.7% increase in our workers' compensation volume. After adjusting for the one additional revenue day in Q3 2024 versus Q3 2023, employer services and workers' compensation per business day visit volumes were 4.1% lower and 0.2% higher than the prior year, respectively. Our workers' compensation and employer services visits are driven by employment levels and hiring events across the United States. Approximately 2 thirds of our employer service visit volumes are driven by hiring events, which have experienced a slowdown over the last year as quit rates and job openings have fallen. Q3 saw some positive and negative economic newsprints, which we are following closely. Speaker 100:07:41Within our occupational health centers, our visits were softer in July, but trended better in August September. Hurricane Beryl and the CrowdStrike related IT outage contributed to the softer July visits. The takeaway for Concentra is that the number of people employed has continued to rise, which is a positive driver for our workers' compensation visit volumes. The decline in employer services volume is not a new trend as hiring events, employee quit rates and job openings have all receded. It has been something we've been experiencing for more than a year now. Speaker 100:08:17We have adjusted to it accordingly and have continued to show profit growth and stable margins. From a rate standpoint, we had a 3.9% increase in revenue per visit, principally due to increases in the reimbursement rates payable pursuant to certain state fee schedules for workers' compensation visits and increases in our employer services rates per visit, which we negotiate and set directly with employer customers. The higher percentage mix of the workers' compensation visits with their higher revenue rates per visit also contributed to the blended higher rate per visit. Overall, we are proud of our company's performance and our team's continued dedication to our mission. We are optimistic for the coming quarters in 2025. Speaker 100:09:05We are well positioned to continue our growth trajectory, especially with a more normalized visit volume profile. Matt will share more details as well as some guidance for full year 2024 in a few minutes. Before I hand it over to Matt, I wanted to highlight some other important developments in the quarter, including some great work the team has done to advance our development pipeline. The early but significant progress we've made as it relates to the separation from Select Medical and our continued advancement of key technology initiatives. We spoke about all three of these areas during our IPO process in our last quarter's call. Speaker 100:09:44I'm excited about the continued accomplishments in these areas and the roadmap we have in the coming quarters. This concludes my overall company remarks. I now turn the call over to Matt to provide more color on our operating segments, key operating metrics, cost and expenses, cash flow and balance sheet and full year 2024 guidance as well as provide further detail on some important strategic work streams. Speaker 200:10:11Matt? Thanks, Keith. Good morning, everyone. I'll begin with some additional commentary on our operating segments and our major expense categories as well as other key performance indicators. In our occupational health center operating segment, revenue of $463,100,000 in Q3 2024 was 3.3% higher than the same quarter prior year. Speaker 200:10:38Heath outlined our 0.7% visit decline year over year driven by the continued and expected lower employer services volume, which are lower revenue visit and the 3.9% increase in revenue per visit from $136.11 in Q3 2023 to $141.42 in Q3 2024. Within the center operating segment, workers' compensation revenue of $298,700,000 was 4.5% higher than prior year. Q3 twenty twenty four work comp visits increased 1.7% from prior year or 0.2% on a per day basis. The Q3 2024 work comp revenue per visit increased 2.7% versus prior year. Workers' compensation revenue represents 64.5 percent of our total center operating segment revenue in Q3 2024 versus 63.8% in Q3 2023 or a 0.7 percentage point increase. Speaker 200:11:52Employer services revenue in the center operating segment of $154,800,000 increased 0.9% from prior year. Employer services visits decreased 2.6% from prior year or 4.1% on a per day basis and in line with expectations and continued trends from recent quarters. The Q3 2024 Employer Services revenue per visit increased 3.6% versus prior year. On-site revenue of $15,600,000 in Q3 increased 3.9% from the same quarter prior year. We had a solid business development quarter in this operating segment, winning more than 10 new on sites that will open in the coming months, including additional on sites with our advanced primary care service offering that we recently launched. Speaker 200:12:47Other business revenue of $11,000,000 increased 4.4% against same quarter prior year. Our cost of services expense excluding depreciation and amortization, a major component of which is personnel costs includes all direct and indirect support costs related to providing services to our customers. Cost of services was 351,100,000 dollars or 71.7 percent of revenue in Q3 2024 compared to 71.1 percent of revenue for the same quarter prior year. General and administrative expense includes corporate overhead such as finance, legal, human resources, marketing, corporate offices and other administrative areas. Our general and administrative expenses were 37,100,000 dollars or 7.6 percent of revenue in Q3 2024 compared to 8.1 percent of revenue in the same quarter prior year. Speaker 200:13:51Our total company labor costs in the quarter was helped by fewer full time equivalents or FTEs quarter over quarter despite having 10 more occupational health centers and 11 more on-site health clinics compared to the same quarter prior year. The lower FTEs are primarily in the center operating segment, consistent with prior quarters where we have fewer FTEs year over year largely due to the lower employer services visits. For the Q3, we had strong cash flow generation with operating activities providing $65,900,000 in cash flow and our days sales outstanding or DSO at 44 days at September 30, 2024, which was 3 days better than prior year. Our cash flow metrics continued to improve over historical levels. Investing activities used $17,000,000 of cash in the 3rd quarter. Speaker 200:14:46This includes $15,100,000 in purchases of property and equipment and $1,800,000 for the One Center acquisition in the quarter. Our teams have done a nice job of managing to consistent levels of maintenance and growth capital expenditures each quarter. Financing activities provided $37,200,000 of cash for the 3rd quarter and with the cash retained by the company from the debt and equity transactions in the quarter, we now have a cash balance of $137,000,000 With our cash flow in the quarter and our higher TTM EBITDA versus June 30, 2024, our total net debt is now $1,350,000,000 and our net leverage came down from 3.9x@IPO to 3.7x at September 30, 2024. We still have our undrawn revolver of $400,000,000 less $14,000,000 of outstanding letters of credit. Given the solid financial performance and following up on previous quarter's comments about a potential dividend, we are pleased to announce that on October 28, 2024, Concentra's Board of Directors declared a cash dividend of $0.0625 per share. Speaker 200:16:06The dividend will be payable on or about November 22, 2024 to stockholders of record as of the close of business on November 13, 2024. From a capital standpoint, we remain focused on growth efforts and deleveraging in addition to this return of capital to stockholders. The dividend does not change our growth outlook and prospects. Now switching gears to our corporate development efforts. In July, we acquired a practice in Bolingbrook, Illinois to further expand our presence in the Greater Chicago area. Speaker 200:16:41In September, we opened a new center in Chattanooga, Tennessee and we are close to opening a new center in nearby Knoxville, Tennessee. Both are new areas for Concentra and we look forward to providing additional access points nearby in the future. Post quarter end, in early October, we opened a new center in Orlando, Florida as well. We also had a very good quarter in terms of building our acquisition and de novo pipeline. We are excited about some opportunities we're working on and hope to have more information available soon. Speaker 200:17:16We intend to pursue continued organic growth within our existing occupational health centers and on-site health clinics at employer worksites and to take advantage of opportunities to continue to grow our footprint and base of customers via strategic acquisitions and the opening of new centers in key areas. Regarding our separation process from Select Medical, as Keith mentioned in his opening remarks, we made solid progress with these efforts, though it is early in the process. We recruited and successfully hired some key senior leaders that will help support the transition and they have already taken productive steps towards achieving our end goal of operating completely independently from Select Medical before the end of 2026. Our hires include a new Chief Legal Counsel who has 30 plus years of healthcare experience, a Vice President of Transition Services and HR who is an individual with years of prior experience at Concentra and in healthcare, a Chief Information Security Officer with many years of experience in this area, as well as leaders in accounting and tax to help us replace the services we currently pay Select Medical for. It has been a solid start to the process. Speaker 200:18:35Our teams are well synced on what we need to do, the associated costs, which have not materially changed from previous estimates. And finally, just some overarching comments for me on the results from the quarter and our outlook for the remainder of the year and beyond. Looking back on what we discussed during the IPO process, we feel good about the progress and execution we have shown since becoming a public company. We discussed how we navigate as a company through economic headwinds, including the negative employer services decline and we showed that through our execution in the second and third quarters. Our reimbursement rate growth has been strong. Speaker 200:19:17It is predictable and is insulated from any election related uncertainty. Cost of services remains consistent as a percentage of revenue as our teams have managed staffing levels very effectively. Cash flow remains robust and margins consistent with prior periods. Our development pipeline continues to grow. We declared a dividend to show our commitment to returning capital to our stockholders. Speaker 200:19:44And we have made good progress with our separation from Select and our latest technology efforts. As we continue our path forward as a public company, we will continue with transparency. To that end, we are providing guidance where we believe we will end the full year for 2024. We expect revenue to be approximately $1,900,000,000 adjusted EBITDA to be in the range of $370,000,000 to $375,000,000 capital expenditures to be in the range of $65,000,000 to $70,000,000 and our net leverage ratio to be in the range of 3.5 to 3.6 times. We will have guidance for 2025 early into the New Year. Speaker 200:20:28With this information and all the remarks from myself and Keith, we hope investors are becoming more familiar with and excited about Concentra. We believe we remain very well positioned for continued success. With that, this concludes our prepared remarks. Thank you for your time today to go through Concentra's business update and Q3 financial results. At this time, we'd like to turn it back to the operator to open the call for any questions. Operator00:20:57Thank you. At this time, we will be conducting a question and answer session. Your first question for today is from John Stancil with JPMorgan. Speaker 300:21:36Great. Thanks for taking my question. Strong revenue per visit in the workers' comp side of the business this quarter. Just wanted to get a sense of how you're thinking about as we think over the next couple of quarters how rates are going to progress in the workers' comp side, what visibility you have into that? And guess embedded in my question is a little bit of what you think now a few months on the Florida rate update could contribute as Speaker 400:22:01we think about next year? Thank you. Speaker 100:22:04Hey, John, this is Keith. Yes, what we're seeing so far as we go into this coming quarter is continued strong workers' comp reimbursement from a rate perspective. So we don't see anything any different than what we've been seeing. It continues to be where it is. It's stable. Speaker 100:22:25Those increases have been put into place and we'll continue on. We've got good start to get some visibility into 2025 and feel very good about what we've outlined and what our projections are going to be for that also. Regarding Florida, we're that's still in line to be put into place in February. We were not forecasting that number publicly yet at this point. Matt, do you have any? Speaker 200:22:53Yes, John, I'll just add to that. So Florida is still on track, no changes from prior quarter. We will give more guidance early into 2025 on where all the states shake out from a reimbursement standpoint. But again, expect that it's going into place January 1, 2025 in Florida. Speaker 300:23:16Great. And if I can just squeeze a follow-up in here. Just you called out some of the weather impacts in 3Q and obviously there have been a few in the early part of 4Q. Speaker 400:23:25Is there anything you could do Speaker 300:23:26to kind of size how that may have impacted the business on either employer services or workers' comp? Speaker 200:23:32Sure. Yes, I could take that. So we had Hurricane Beryl in July in Texas. We had Hurricane Helene in late September. And then also in July was the global cyber outage that impacted us primarily on one day in July. Speaker 200:23:50The total impact from all three of those we estimate to be approximately $1,700,000 in revenue and about $600,000 in EBITDA. So definitely contributed to some of the softness we saw in July, but things were much better in August September. Speaker 300:24:12Thanks so much. Operator00:24:18Your next question is from Jamie Purce with Goldman Sachs. Speaker 500:24:23Hey, thanks. Good morning. I wanted to start with the workers' comp visits per day. I mean that was up 0.2%. It sounds like there were some of these headwinds across the quarter. Speaker 500:24:38But overall, how does that compare to your expectations? And how should we think about trends developing in the workers' comp visit side of the equation going forward? Speaker 200:24:50Sure. Jamie, this is Matt. Good morning. Thanks for the question. So yes, we saw positive work comp visit growth in the quarter, not as strong as we saw in Q1 and Q2, but we had talked about some of the events that took place that muted the visit growth. Speaker 200:25:09But as Keith mentioned in his remarks, the work comp visits are tied to total employment and we continue to see total employment increase. So our expectations are for work comp visits will be in line with Q1, Q2 and Q3 pretty much on a blended average. Speaker 500:25:32Okay. And then I guess a related follow-up. You mentioned some of the sensitivity to the hiring and labor environment, and that you're watching that closely. I guess as I look at estimates for next year, consensus estimates for volume growth in both businesses within the Occupational Health segment, It's up about 2%. I guess, do you need improvement in the hiring and labor environment to get to just roughly that type of level? Speaker 500:26:03Is the current labor environment conducive to that level of growth? Just any connection in terms of what you're seeing on the macro front and tying that back to implications for volume growth? Thank you. Speaker 100:26:18Yes. I would say that we would definitely need to see a little bit of improvement with the hiring and the labor force and some of the statistics out there. But we've mitigated it in other ways and we're kind of weathering that right now. And our expectation is, I think some of the employers and the hiring and things we're seeing right now, we would hope that as we get through the election process and the interest rates question as far as what happens there, that that should start to settle that down a little bit from our expectations as far as what we're seeing. Speaker 500:27:03All right. That's really helpful. Thank you. Operator00:27:08Your next question for today is from Ben Hendricks with RBC Capital Markets. Speaker 600:27:15Thank you very much and congratulations on the progress guys. Just wanted to ask a question about continuing on the hurricane theme. What is implied or what do you have included in guidance related to Hurricane Milton and its impact on Florida? And then looking further ahead, is there any hurricane damage out there or hurricane disruption out there that's putting down speed bumps as it pertains to your expansion strategy, especially in Florida given that it's becoming a more influential state? Thanks. Speaker 200:27:50Sure. Thanks for the question, Ben. So we had Hurricane Milton in October in Florida. It had an impact on us, but not incredibly material. When you look at the impact I just outlined for Barrow, Helene and Cyber, it was in line with what we saw for the prior storms. Speaker 200:28:11So and that is included in the guidance that we outlined for full year 2024. Speaker 100:28:20And it has not slowed down our efforts as far as M and A and development in that state at this point in time. We still have a nice pipeline that we're looking at right now relative to that. And I think the other impact potentially of Milton is actually a positive impact to us as far as the rebuilding that takes place in some of those areas and the potential visit volume to our centers in support of that. Speaker 400:28:50Great. Thank you very much. Operator00:28:59Your next question for today is from Justin Bowers with Deutsche Bank. Speaker 700:29:07Hey, good morning, everyone. Can you remind us about the seasonality in the business? Now that 4Q is seasonally usually the lowest quarter, looks like last year it was down 7% sequentially Q over Q. This year it looks like just based on the guidance the implication is down 5% sequentially. So what are some of the moving pieces there? Speaker 100:29:35Yes, I'll give an overview and Matt can comment on any specifics. But typically in our business, the hotter the weather, the more volume we see. We've got the outdoor landscaping and a lot of the construction activities that drive that. 4th quarter is by far our lowest quarter with the holiday season and the weather cooling. And that's what we've experienced year after year and that historical trends show that what we see here in the Q4 of this year is no different than what we've seen for past history many, many years. Speaker 100:30:10So it's pretty much in line with exactly what we've always seen. Speaker 200:30:15Yes. And I'll add to that, Justin. Obviously, we put out guidance for the full year, but you can imply our thoughts for Q4. But we expect to have a nice Q4 that will be up versus prior year. We had some one time items last Q4. Speaker 200:30:34So when you do the calculation on what's implied, you'll see that we'll be we are estimating to do better year over year than we have for the 1st 3 quarters. Speaker 700:30:47Got it. Thank you. And just a couple of clarifying questions. It looks like from the prepared remarks, you have 2 new centers in OncHealth coming on in the Q4 and then 10 on sites as well as are those coming online in 4Q or is some of that going to spill over into 1Q? And then part 2 is just on the guidance early in the year, are you going to issue that prior to when you release 4Q results? Speaker 200:31:18Sure. I'll take the first question first. So we have 2 more sites coming in Q4. We've got 6 or 7 signed leases for next year. The on sites that you referenced, the 10 additional ones that we had comments about, Those were on-site wins that will come over Q4 and into 2025. Speaker 200:31:46So they'll be spread over time as those employers are ready to for those on sites to come online. And then the second question, remind me your second question, Justin? Speaker 700:31:59Yes, just around you said guidance early into the New Year. So I wasn't sure if that meant you plan on releasing prior to when you issue 4Q results or? Speaker 200:32:11Sure. So we'll have Q4 results late February, early March. Good chance that we'll provide guidance before that, but still TBD. Will be at some of the major conferences in early January February. Speaker 700:32:28Understood. Thank you. Operator00:32:33Your next question for today is from Anne Hynes with Mizuho. Speaker 800:32:39Hi, good morning. I'm not going to provide in 2025 guidance, but are there any major headwinds and tailwinds that you want to call out that we should consider while we're finalizing models? Speaker 200:32:53No, nothing significant from what we've said in the past in prior quarters and during the road show process. I think the visit trends have been pretty consistent and Keith talked about expectations for getting through the election and some interest rates coming down and our viewpoint there. We talked about our growth trajectory and our pipeline and we've also hit the Florida increase, which will help us next year as well. And I think we've taken good steps on the separation from Select and are well on our way down that pathway with no material differences than what we were anticipating. So I think we've got good visibility into that. Speaker 200:33:41And I think we're fairly excited about what 2025 Speaker 100:33:47shows for us. Speaker 800:33:50Perfect. And I know Florida is a state that you're getting a nice bump. Are there any other states in the pipeline that you think you could get positive rate increases that haven't done it for a while? Speaker 100:34:04I wouldn't say, I would say no. It depends on what the states that have been doing it, what they come back with as far as MEIs and CPIs and those type of things. And like I said, it's we're starting to see a few of those, but it's still a little early before they will put those into place. But there's always surprises every year that we see and but we feel pretty good about the visibility we have as far as what's going to happen from a workers' comp standpoint and we're already sticking a stake in the ground relative to what we think we're going to do from employer services. So I think we feel pretty good about where we're going to end up on both of those. Speaker 800:34:51Great. Thank you. Operator00:34:57Your next question for today is from Stephen Baxter with Wells Fargo. Speaker 900:35:03Hi, thanks for the question. Obviously, I understand the focus on the economic backdrop, which obviously is out of your control. I'd love to hear a little bit more about what's in your control in terms of what you're doing to work more closely with employers potentially to support maybe a greater percentage of their workers' comp or employer services needs. I guess what I'm wondering is in the past, have there been periods where maybe those employers are under more pressure and have looked to you for a greater percentage of their needs? Or in general, how do we think about the economic sensitivity of the sales cycle into employers? Speaker 900:35:38Thank you. Speaker 100:35:41Yes, I would say for the most part, whether it's a down economic or an up economic trend, we work pretty consistent with the employers as far as trying to penetrate further both their injuries and their workers' comp and their employer services. We're really prospecting every single channel. It's just not the employers that can direct that business to us. It's 3rd party claims administrators like on the workers' comp side, like a Sedgwick or a workers' comp insurance company similar to a Liberty Mutual or a Travelers where we're putting pipelines and things in place to try to create an ease of them potentially getting patients to us. Same thing on the employer services side where some of these aggregators, these 3rd party administrator aggregators on the employer services like an eScreen or First Advantage for good example is certified, which basically coordinates DOT driver physicals and drug screens really developing those pipelines with them to be their choice for directing those individuals to us for whatever their needs are. Speaker 100:37:02So it's prospecting a multitude of pathways within the workers' comp and employer services ecosystem, not just the employers. Operator00:37:28Your next question for today is from Joanna Gajuk with Bank of America. Speaker 400:37:35Hi, good morning. Thanks so much for taking the question. So I guess, first one, following up on the comments you were making on workers' comp rate increases. So I guess, this year, year to date, I guess, rates are on average, I'll call it 2% year over year. So is it a per, number to assume into next year, 2% call it, but maybe a little bit more because of the Florida rate update? Speaker 200:38:02Yes. So Joanna, good morning. Thanks for the question. So yes, 2% year to date, 2.7% for the quarter from a work comp standpoint. Longer term, as we've mentioned in the past, we still expect plus or minus 3% on an annual basis and we expect it will be slightly higher next year given the Florida increase. Speaker 400:38:30Great. And another, I guess, follow-up on the, I guess, economic backdrop and exposure there. So can you talk about your exposure to different industries? And is it different for your workers' comp versus your employer services? Speaker 100:38:47Yes. Go ahead, Keith. I was going to say, from an employer services side, when there's lower quit rates and less hiring, less job growth and certainly you'll feel the headwinds there before you feel that on the workers' comp side. Typically on the workers' comp side, you don't feel it as much until they're actually in a layoff position where that employed workforce actually begins to drop, which we have not seen that happening. And when you look at kind of the layoff situation out there, we haven't really felt anything any different than other years. Speaker 100:39:26So that's kind of plugging along as it historically has. And we would hope that as we continue, like we mentioned earlier, getting through the election cycle, some of the interest rate changes that the employee hiring activity starts to pick up and we'll pick that up with our employer services volume starting to pick back up. Speaker 200:39:51And Joanna, we added a new chart in our investor deck on Page 6 that shows our industry mix. And the main takeaway there is we're highly diversified from an industry standpoint as you could see on that page. At any point in time, there will be some industries that are up, some industries that are down from a visit perspective at Concentra, but the diversification is key, and we wanted to call that out here on the Slide 6 here. Speaker 400:40:23Yes. Thank you. But I guess I was asking, if there's any difference between the workers' comp and employer services businesses or they kind of look the pie charts would look the same if you would try to split? Speaker 200:40:35No, they would look very similar. Speaker 300:40:39Okay. Speaker 400:40:39I just want to confirm that. Thank you. And if I may just say last one, I guess, follow-up, you mentioned the on-site, right, adding more locations, but then also these advanced care primary care offering that you announced. So can you give us a little bit more flavor of how they're tracking and what this could be, I guess, over time? Is there any target you have in mind? Speaker 400:41:00How big this business could be? Am I asking about this Advanced Care primary care offering? Thank you. Speaker 200:41:06Yes, sure. So we launched officially during the quarter the Advanced Primary Care offering in our on sites. We won 10 additional sites as we mentioned. Those some of those were primary care, some of those were occupational health. And we're early innings of with that new service line, but we'll continue to grow that business. Speaker 200:41:29We think be a nice contributor and we can be much larger in size with that portfolio as it relates to our total company. Speaker 100:41:38And also there's a lot of opportunity there from an M and A activity for us also. You look at where we are as an organization, we're probably top 10 as far as size. Some of the bigger ones are several million larger than us. But I think there's some real opportunity relative to that industry and our ability to evaluate some M and A and opportunity here in the near future. Speaker 400:42:08Thank you. Thanks for the call. Operator00:42:14We have reached the end of the question and answer session. And I will now turn the call over to Keith for closing remarks. Speaker 100:42:21Thank you, operator. Appreciate everybody joining us today. We look forward to speaking with you early 2025. Thank you. Operator00:42:33This concludes today's conference and you may disconnect your lines at this time. Thank you for your participation.Read morePowered by