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Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiaries under Select's 6.375% Senior Notes - Consolidating Statement of Cash Flows (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Operating activities      
Net income $ 135,996 $ 128,175 $ 123,009
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Distributions from unconsolidated subsidiaries 13,969 11,954  
Depreciation and amortization 104,981 68,354 64,392
Provision for bad debts 59,372 44,600 37,423
Equity in earnings of unconsolidated subsidiaries (16,811) (7,044) (2,476)
Loss on early retirement of debt   2,277 18,747
Loss (gain) on sale of assets and businesses (1,098) (1,048) (581)
Gain on sale of equity investment 29,647    
Stock compensation expense 14,985 11,186 7,033
Amortization of debt discount, premium and issuance costs 9,543 7,553 8,433
Deferred income taxes (2,058) 14,311 7,032
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Accounts receivable (92,572) (97,802) (67,145)
Other current assets (2,503) (1,729) (8,167)
Other assets 4,713 (103) (3,484)
Accounts payable 2,345 5,997 (1,283)
Accrued expenses 7,200 (16,039) 9,590
Net cash provided by operating activities 208,415 170,642 192,523
Investing activities      
Purchases of property and equipment (182,642) (95,246) (73,660)
Proceeds from sale of assets 1,767   2,912
Investment in businesses (2,347) (4,634) (34,893)
Proceeds from sale of equity method investment 33,096    
Acquisition of businesses, net of cash acquired (1,061,628) (1,211) (1,665)
Net cash used in investing activities (1,211,754) (101,091) (107,306)
Financing activities      
Borrowings on revolving facilities 1,135,000 910,000 690,000
Payments on revolving facilities (895,000) (870,000) (800,000)
Proceeds from term loans, net of discount 646,875   298,500
Payments on term loans (29,134) (33,994) (596,720)
Issuance of 6.375% senior notes, includes premium   111,650 600,000
Repurchase of 7 5/8% senior subordinated notes, net of premiums     (70,000)
Borrowings of other debt 13,374 9,076 15,310
Principle payments on other debt (18,136) (14,673) (10,834)
Debt issuance costs (23,300) (4,434) (18,914)
Proceeds from (repayment of) bank overdrafts 6,869 9,240 (5,330)
Purchase of non-controlling interests (1,095) (9,961)  
Tax benefit from stock based awards 1,846 3,119  
Proceeds from issuance of non-controlling interests 217,065 185  
Distributions to non-controlling interests (12,637) (3,979) (3,537)
Net cash provided by (used in) financing activities 1,014,420 (70,516) (121,042)
Net increase (decrease) in cash and cash equivalents 11,081 (965) (35,825)
Cash and cash equivalents at beginning of period 3,354 4,319 40,144
Cash and cash equivalents at end of period 14,435 3,354 4,319
Select      
Operating activities      
Net income 135,996 128,175 125,199
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Distributions from unconsolidated subsidiaries 13,969 11,954  
Depreciation and amortization 104,981 68,354 64,392
Provision for bad debts 59,372 44,600 37,423
Equity in earnings of unconsolidated subsidiaries (16,811) (7,044) (2,476)
Loss on early retirement of debt   2,277 17,788
Loss (gain) on sale of assets and businesses (1,098) (1,048) (581)
Gain on sale of equity investment 29,647    
Stock compensation expense 14,985 11,186 7,033
Amortization of debt discount, premium and issuance costs 9,543 7,553 8,344
Deferred income taxes (2,058) 14,311 7,032
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Accounts receivable (92,572) (97,802) (67,145)
Other current assets (2,503) (1,729) (8,167)
Other assets 4,713 (103) (3,484)
Accounts payable 2,345 5,997 (1,283)
Accrued expenses 7,200 (16,039) 14,027
Accrued expenses     15,068
Due to third-party payors     (1,041)
Net cash provided by operating activities 208,415 170,642 198,102
Investing activities      
Purchases of property and equipment (182,642) (95,246) (73,660)
Proceeds from sale of assets 1,767   2,912
Investment in businesses (2,347) (4,634) (34,893)
Proceeds from sale of equity method investment 33,096    
Acquisition of businesses, net of cash acquired (1,061,628) (1,211) (1,665)
Net cash used in investing activities (1,211,754) (101,091) (107,306)
Financing activities      
Borrowings on revolving facilities 1,135,000 910,000 690,000
Payments on revolving facilities (895,000) (870,000) (800,000)
Proceeds from term loans, net of discount 646,875   298,500
Payments on term loans (29,134) (33,994) (596,720)
Issuance of 6.375% senior notes, includes premium   111,650 600,000
Repurchase of 7 5/8% senior subordinated notes, net of premiums     (70,000)
Borrowings of other debt 13,374 9,076 15,310
Principle payments on other debt (18,136) (14,673) (10,834)
Debt issuance costs (23,300) (4,434) (18,914)
Proceeds from (repayment of) bank overdrafts 6,869 9,240 (5,330)
Purchase of non-controlling interests (1,095) (9,961)  
Equity investment by Holdings 1,649 7,355 1,525
Dividends paid to Holdings (28,956) (184,100) (226,621)
Tax benefit from stock based awards 1,846 3,119  
Proceeds from issuance of non-controlling interests 217,065 185  
Distributions to non-controlling interests (12,637) (3,979) (3,537)
Net cash provided by (used in) financing activities 1,014,420 (70,516) (126,621)
Net increase (decrease) in cash and cash equivalents 11,081 (965) (35,825)
Cash and cash equivalents at beginning of period 3,354 4,319 40,144
Cash and cash equivalents at end of period 14,435 3,354 4,319
Select | Reportable legal entities | Select Medical Corporation (Parent Company Only)      
Operating activities      
Net income 130,737 120,627 116,580
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Depreciation and amortization 4,292 3,723 3,746
Loss on early retirement of debt   2,277 17,788
Stock compensation expense 13,969 11,186 7,033
Amortization of debt discount, premium and issuance costs 7,404 7,553 8,344
Deferred income taxes (3,484) 14,311 7,032
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Equity in earnings of subsidiaries (132,520) (126,419) (129,971)
Other current assets (2,661) 1,885 (4,145)
Other assets 10,840 2,811 (6,594)
Accounts payable 560 3,136 2,075
Accrued expenses (1,508) (6,353)  
Accrued expenses     (4,929)
Net cash provided by operating activities 27,629 34,737 16,959
Investing activities      
Purchases of property and equipment (10,890) (4,674) (3,024)
Net cash used in investing activities (10,890) (4,674) (3,024)
Financing activities      
Borrowings on revolving facilities 1,115,000 910,000 690,000
Payments on revolving facilities (880,000) (870,000) (800,000)
Proceeds from term loans, net of discount     298,500
Payments on term loans (26,884) (33,994) (596,720)
Issuance of 6.375% senior notes, includes premium   111,650 600,000
Repurchase of 7 5/8% senior subordinated notes, net of premiums     (70,000)
Borrowings of other debt 8,684 8,151 8,923
Principle payments on other debt (11,923) (9,213) (7,752)
Debt issuance costs   (4,434) (18,914)
Proceeds from (repayment of) bank overdrafts 6,869 9,240 (5,330)
Equity investment by Holdings 1,649 7,355 1,525
Dividends paid to Holdings (28,956) (184,100) (226,621)
Intercompany (199,024) 22,162 77,455
Tax benefit from stock based awards 1,846 3,119  
Net cash provided by (used in) financing activities (12,739) (30,064) (48,934)
Net increase (decrease) in cash and cash equivalents 4,000 (1) (34,999)
Cash and cash equivalents at beginning of period 70 71 35,070
Cash and cash equivalents at end of period 4,070 70 71
Select | Reportable legal entities | Subsidiary Guarantors      
Operating activities      
Net income 138,567 127,333 130,997
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Distributions from unconsolidated subsidiaries 13,870 11,889  
Depreciation and amortization 56,447 54,876 51,825
Provision for bad debts 40,541 38,052 31,173
Equity in earnings of unconsolidated subsidiaries (16,719) (6,958) (2,384)
Loss (gain) on sale of assets and businesses (1,128) (1,168) (463)
Gain on sale of equity investment 29,647    
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Equity in earnings of subsidiaries (9,117) (8,995) (14,561)
Accounts receivable (83,142) (80,394) (60,460)
Other current assets (2,236) (4,004) (5,849)
Other assets (6,415) (2,566) 3,026
Accounts payable 8,569 2,440 (3,746)
Accrued expenses 9,569 (9,407)  
Accrued expenses     20,843
Due to third-party payors     3,067
Net cash provided by operating activities 119,159 121,098 153,468
Investing activities      
Purchases of property and equipment (134,002) (79,600) (60,532)
Proceeds from sale of assets 1,742   2,456
Investment in businesses (2,347) (4,634) (34,893)
Proceeds from sale of equity method investment 33,096    
Acquisition of businesses, net of cash acquired   (397) (1,665)
Net cash used in investing activities (101,511) (84,631) (94,634)
Financing activities      
Borrowings of other debt     5,303
Principle payments on other debt (2,736) (2,058) (873)
Purchase of non-controlling interests   (9,961)  
Intercompany (13,660) (25,092) (63,900)
Net cash provided by (used in) financing activities (16,396) (37,111) (59,470)
Net increase (decrease) in cash and cash equivalents 1,252 (644) (636)
Cash and cash equivalents at beginning of period 2,454 3,098 3,734
Cash and cash equivalents at end of period 3,706 2,454 3,098
Select | Reportable legal entities | Non-Guarantor Concentra      
Operating activities      
Net income (10,005)    
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Depreciation and amortization 33,644    
Provision for bad debts 9,591    
Loss (gain) on sale of assets and businesses 14    
Stock compensation expense 1,016    
Amortization of debt discount, premium and issuance costs 2,139    
Deferred income taxes 1,426    
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Accounts receivable 825    
Other current assets 2,790    
Accounts payable (9,438)    
Accrued expenses (6,557)    
Net cash provided by operating activities 25,445    
Investing activities      
Purchases of property and equipment (26,771)    
Proceeds from sale of assets 1    
Acquisition of businesses, net of cash acquired (1,052,796)    
Net cash used in investing activities (1,079,566)    
Financing activities      
Borrowings on revolving facilities 20,000    
Payments on revolving facilities (15,000)    
Proceeds from term loans, net of discount 646,875    
Payments on term loans (2,250)    
Borrowings of other debt 3,009    
Principle payments on other debt (1,964)    
Debt issuance costs (23,300)    
Intercompany 217,935    
Proceeds from issuance of non-controlling interests 217,065    
Distributions to non-controlling interests (2,215)    
Net cash provided by (used in) financing activities 1,060,155    
Net increase (decrease) in cash and cash equivalents 6,034    
Cash and cash equivalents at end of period 6,034    
Select | Reportable legal entities | Non-Guarantor Subsidiaries      
Operating activities      
Net income 18,334 15,629 22,154
Adjustments to reconcile net income to net cash provided by (used in) operating activities:      
Distributions from unconsolidated subsidiaries 99 65  
Depreciation and amortization 10,598 9,755 8,821
Provision for bad debts 9,240 6,548 6,250
Equity in earnings of unconsolidated subsidiaries (92) (86) (92)
Loss (gain) on sale of assets and businesses 16 120 (118)
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Accounts receivable (10,255) (17,408) (6,685)
Other current assets (396) 390 1,827
Other assets 288 (348) 84
Accounts payable 2,654 421 388
Accrued expenses 5,696 (279)  
Accrued expenses     (846)
Due to third-party payors     (4,108)
Net cash provided by operating activities 36,182 14,807 27,675
Investing activities      
Purchases of property and equipment (10,979) (10,972) (10,104)
Proceeds from sale of assets 24   456
Acquisition of businesses, net of cash acquired (8,832) (814)  
Net cash used in investing activities (19,787) (11,786) (9,648)
Financing activities      
Borrowings of other debt 1,681 925 1,084
Principle payments on other debt (1,513) (3,402) (2,209)
Purchase of non-controlling interests (1,095)    
Intercompany (5,251) 2,930 (13,555)
Proceeds from issuance of non-controlling interests   185  
Distributions to non-controlling interests (10,422) (3,979) (3,537)
Net cash provided by (used in) financing activities (16,600) (3,341) (18,217)
Net increase (decrease) in cash and cash equivalents (205) (320) (190)
Cash and cash equivalents at beginning of period 830 1,150 1,340
Cash and cash equivalents at end of period 625 830 1,150
Select | Eliminations      
Operating activities      
Net income (141,637) (135,414) (144,532)
Changes in operating assets and liabilities, net of effects from acquisition of businesses:      
Equity in earnings of subsidiaries $ 141,637 $ 135,414 $ 144,532