10-Q 1 a12-20134_110q.htm 10-Q

Table of Contents

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

x      Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

For the Quarterly Period Ended September 30, 2012

 

o         Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

For the Transition Period From                    to                     .

 

Commission File Numbers: 001 — 34465 and 001 — 31441

 

SELECT MEDICAL HOLDINGS CORPORATION

SELECT MEDICAL CORPORATION

(Exact name of Registrants as specified in their charters)

 

Delaware

Delaware
(State or other jurisdiction of
incorporation or organization)

 

20-1764048

23-2872718
(I.R.S. employer identification
number)

 

4714 Gettysburg Road, P.O. Box 2034, Mechanicsburg, Pennsylvania 17055

(Address of principal executive offices and zip code)

 

(717) 972-1100

(Registrants’ telephone number, including area code)

 

Indicate by check mark whether the Registrants (1) have filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter periods as the Registrants were required to file such reports), and (2) have been subject to such filing requirements for the past 90 days.  YES x   NO o

 

Indicate by check mark whether the Registrants have submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the Registrants were required to submit and post such files).   YES x   NO o

 

Indicate by check mark whether the Registrants are large accelerated filers, accelerated filers, non-accelerated filers, or smaller reporting companies.  See definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer o

 

Accelerated filer x

 

 

 

Non-accelerated filer o

 

Smaller reporting company o

 

Indicate by check mark whether the Registrants are shell companies (as defined in Rule 12b-2 of the Exchange Act). YES o NO x

 

As of October 31, 2012, Select Medical Holdings Corporation had outstanding 140,520,316 shares of common stock.

 

This Form 10-Q is a combined quarterly report being filed separately by two Registrants: Select Medical Holdings Corporation and Select Medical Corporation.  Unless the context indicates otherwise, any reference in this report to “Holdings” refers to Select Medical Holdings Corporation and any reference to “Select” refers to Select Medical Corporation, the wholly-owned operating subsidiary of Holdings.  References to the “Company,” “we,” “us,” and “our” refer collectively to Select Medical Holdings Corporation and Select Medical Corporation.

 

 

 



Table of Contents

 

TABLE OF CONTENTS

 

PART I

FINANCIAL INFORMATION

3

 

 

 

ITEM 1.

CONSOLIDATED FINANCIAL STATEMENTS

 

 

 

 

 

Consolidated balance sheets

3

 

 

 

 

Consolidated statements of operations

4

 

 

 

 

Consolidated statements of changes in stockholders’ equity and income

6

 

 

 

 

Consolidated statements of cash flows

7

 

 

 

 

Notes to consolidated financial statements

8

 

 

 

ITEM 2.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

28

 

 

 

ITEM 3.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

54

 

 

 

ITEM 4.

CONTROLS AND PROCEDURES

54

 

 

 

PART II

OTHER INFORMATION

55

 

 

 

ITEM 1.

LEGAL PROCEEDINGS

55

 

 

 

ITEM 1A.

RISK FACTORS

56

 

 

 

ITEM 2.

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

56

 

 

 

ITEM 3.

DEFAULTS UPON SENIOR SECURITIES

56

 

 

 

ITEM 4.

MINE SAFETY DISCLOSURES

56

 

 

 

ITEM 5.

OTHER INFORMATION

56

 

 

 

ITEM 6.

EXHIBITS

57

 

 

 

SIGNATURES

 

 

 

2



Table of Contents

 

PART I FINANCIAL INFORMATION

ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS

 

Consolidated Balance Sheets

(unaudited)

(in thousands, except share and per share amounts)

 

 

 

Select Medical Holdings Corporation

 

Select Medical Corporation

 

 

 

December 31,

 

September 30,

 

December 31,

 

September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

ASSETS

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

12,043

 

$

49,676

 

$

12,043

 

$

49,676

 

Accounts receivable, net of allowance for doubtful accounts of $47,469 and $45,719 in 2011 and 2012, respectively

 

413,743

 

392,647

 

413,743

 

392,647

 

Current deferred tax asset

 

18,305

 

17,978

 

18,305

 

17,978

 

Prepaid income taxes

 

9,497

 

1,410

 

9,497

 

1,410

 

Other current assets

 

29,822

 

31,620

 

29,822

 

31,620

 

Total Current Assets

 

483,410

 

493,331

 

483,410

 

493,331

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

510,028

 

494,625

 

510,028

 

494,625

 

Goodwill

 

1,631,716

 

1,633,106

 

1,631,716

 

1,633,106

 

Other identifiable intangibles

 

72,123

 

71,783

 

72,123

 

71,783

 

Assets held for sale

 

2,742

 

2,742

 

2,742

 

2,742

 

Other assets

 

72,128

 

86,221

 

70,719

 

85,091

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

$

2,772,147

 

$

2,781,808

 

$

2,770,738

 

$

2,780,678

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

 

Bank overdrafts

 

$

16,609

 

$

13,598

 

$

16,609

 

$

13,598

 

Current portion of long-term debt and notes payable

 

10,848

 

11,084

 

10,848

 

11,084

 

Accounts payable

 

95,618

 

91,520

 

95,618

 

91,520

 

Accrued payroll

 

82,888

 

83,683

 

82,888

 

83,683

 

Accrued vacation

 

51,250

 

53,210

 

51,250

 

53,210

 

Accrued interest

 

15,096

 

13,921

 

11,980

 

13,413

 

Accrued restructuring

 

5,027

 

2,015

 

5,027

 

2,015

 

Accrued other

 

101,076

 

99,004

 

106,316

 

99,004

 

Due to third party payors

 

5,526

 

5,886

 

5,526

 

5,886

 

Total Current Liabilities

 

383,938

 

373,921

 

386,062

 

373,413

 

 

 

 

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,385,950

 

1,330,549

 

1,218,650

 

1,163,249

 

Non-current deferred tax liability

 

82,028

 

84,118

 

82,028

 

84,118

 

Other non-current liabilities

 

64,905

 

70,502

 

64,905

 

70,502

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

1,916,821

 

1,859,090

 

1,751,645

 

1,691,282

 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

 

Common stock of Holdings, $0.001 par value, 700,000,000 shares authorized, 145,268,190 shares and 139,991,156 shares issued and outstanding in 2011 and 2012, respectively

 

145

 

140

 

 

 

Common stock of Select, $0.01 par value, 100 shares issued and outstanding

 

 

 

0

 

0

 

Capital in excess of par

 

493,828

 

471,358

 

848,844

 

856,446

 

Retained earnings

 

328,882

 

418,071

 

137,778

 

199,801

 

Total Select Medical Holdings Corporation and Select Medical Corporation Stockholders’ Equity

 

822,855

 

889,569

 

986,622

 

1,056,247

 

Non-controlling interest

 

32,471

 

33,149

 

32,471

 

33,149

 

Total Equity

 

855,326

 

922,718

 

1,019,093

 

1,089,396

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

2,772,147

 

$

2,781,808

 

$

2,770,738

 

$

2,780,678

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

3



Table of Contents

 

Consolidated Statements of Operations

(unaudited)

(in thousands, except per share amounts)

 

 

 

Select Medical Holdings Corporation

 

Select Medical Corporation

 

 

 

For the Three Months Ended September 30,

 

For the Three Months Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

694,131

 

$

713,669

 

$

694,131

 

$

713,669

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of services

 

581,829

 

598,984

 

581,829

 

598,984

 

General and administrative

 

14,975

 

17,130

 

14,975

 

17,130

 

Bad debt expense

 

11,709

 

11,199

 

11,709

 

11,199

 

Depreciation and amortization

 

17,545

 

15,537

 

17,545

 

15,537

 

Total costs and expenses

 

626,058

 

642,850

 

626,058

 

642,850

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

68,073

 

70,819

 

68,073

 

70,819

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

 

(6,064

)

 

(6,064

)

Equity in earnings of unconsolidated subsidiaries

 

1,653

 

1,167

 

1,653

 

1,167

 

Interest income

 

119

 

 

119

 

 

Interest expense

 

(24,134

)

(24,575

)

(21,526

)

(21,740

)

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

45,711

 

41,347

 

48,319

 

44,182

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

19,330

 

16,189

 

20,243

 

17,181

 

 

 

 

 

 

 

 

 

 

 

Net income

 

26,381

 

25,158

 

28,076

 

27,001

 

 

 

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

785

 

1,048

 

785

 

1,048

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation

 

$

25,596

 

$

24,110

 

$

27,291

 

$

25,953

 

 

 

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

 

 

Basic

 

$

0.17

 

$

0.17

 

 

 

 

 

Diluted

 

$

0.17

 

$

0.17

 

 

 

 

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

4



Table of Contents

 

Consolidated Statements of Operations

(unaudited)

(in thousands, except per share amounts)

 

 

 

Select Medical Holdings Corporation

 

Select Medical Corporation

 

 

 

For the Nine Months Ended September 30,

 

For the Nine Months Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

2,086,066

 

$

2,207,883

 

$

2,086,066

 

$

2,207,883

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of services

 

1,708,911

 

1,823,272

 

1,708,911

 

1,823,272

 

General and administrative

 

47,656

 

49,908

 

47,656

 

49,908

 

Bad debt expense

 

40,002

 

31,603

 

40,002

 

31,603

 

Depreciation and amortization

 

52,766

 

47,164

 

52,766

 

47,164

 

Total costs and expenses

 

1,849,335

 

1,951,947

 

1,849,335

 

1,951,947

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

236,731

 

255,936

 

236,731

 

255,936

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(31,018

)

(6,064

)

(20,385

)

(6,064

)

Equity in earnings of unconsolidated subsidiaries

 

1,329

 

6,384

 

1,329

 

6,384

 

Interest income

 

286

 

 

286

 

 

Interest expense

 

(75,094

)

(72,295

)

(59,882

)

(63,947

)

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

132,234

 

183,961

 

158,079

 

192,309

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

56,809

 

71,415

 

65,854

 

74,337

 

 

 

 

 

 

 

 

 

 

 

Net income

 

75,425

 

112,546

 

92,225

 

117,972

 

 

 

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

4,438

 

3,722

 

4,438

 

3,722

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation and Select Medical Corporation

 

$

70,987

 

$

108,824

 

$

87,787

 

$

114,250

 

 

 

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

 

 

Basic

 

$

0.46

 

$

0.77

 

 

 

 

 

Diluted

 

$

0.46

 

$

0.77

 

 

 

 

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

5



Table of Contents

 

Select Medical Holdings Corporation

Consolidated Statement of Changes in Equity and Income

(unaudited)

(in thousands)

 

 

 

 

 

Select Medical Holdings Corporation Stockholders

 

 

 

 

 

Total

 

Common
Stock Issued

 

Common
Stock Par
Value

 

Capital in
Excess of Par

 

Retained
Earnings

 

Non-controlling
Interests

 

Balance at December 31, 2011

 

$

855,326

 

145,268

 

$

145

 

$

493,828

 

$

328,882

 

$

32,471

 

Net income

 

112,546

 

 

 

 

 

 

 

108,824

 

3,722

 

Issuance and vesting of restricted stock

 

3,085

 

232

 

0

 

3,085

 

 

 

 

 

Exercise of stock options

 

1,104

 

217

 

0

 

1,104

 

 

 

 

 

Stock option expense

 

905

 

 

 

 

 

905

 

 

 

 

 

Repurchase of common shares

 

(46,790

)

(5,726

)

(5

)

(27,150

)

(19,635

)

 

 

Distributions to non-controlling interests

 

(2,997

)

 

 

 

 

 

 

 

 

(2,997

)

Purchase of non-controlling interests

 

(477

)

 

 

 

 

(414

)

 

 

(63

)

Other

 

16

 

 

 

 

 

 

 

 

 

16

 

Balance at September 30, 2012

 

$

922,718

 

139,991

 

$

140

 

$

471,358

 

$

418,071

 

$

33,149

 

 

Select Medical Corporation

Consolidated Statement of Changes in Equity and Income

(unaudited)

(in thousands)

 

 

 

 

 

Select Medical Corporation Stockholders

 

 

 

 

 

Total

 

Common
Stock Issued

 

Common
Stock Par
Value

 

Capital in
Excess of Par

 

Retained
Earnings

 

Non-controlling
Interests

 

Balance at December 31, 2011

 

$

1,019,093

 

0

 

$

0

 

$

848,844

 

$

137,778

 

$

32,471

 

Net income

 

117,972

 

 

 

 

 

 

 

114,250

 

3,722

 

Federal tax benefit of losses contributed by Holdings

 

2,922

 

 

 

 

 

2,922

 

 

 

 

 

Additional investment by Holdings

 

1,104

 

 

 

 

 

1,104

 

 

 

 

 

Net change in dividends payable to Holdings

 

5,240

 

 

 

 

 

 

 

5,240

 

 

 

Dividends declared and paid to Holdings

 

(57,467

)

 

 

 

 

 

 

(57,467

)

 

 

Distributions to non-controlling interests

 

(2,997

)

 

 

 

 

 

 

 

 

(2,997

)

Purchase of non-controlling interests

 

(477

)

 

 

 

 

(414

)

 

 

(63

)

Other

 

16

 

 

 

 

 

 

 

 

 

16

 

Contribution related to restricted stock awards and stock option issuances by Holdings

 

3,990

 

 

 

 

 

3,990

 

 

 

 

 

Balance at September 30, 2012

 

$

1,089,396

 

0

 

$

0

 

$

856,446

 

$

199,801

 

$

33,149

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

6



Table of Contents

 

Consolidated Statements of Cash Flows

(unaudited)

(in thousands)

 

 

 

Select Medical Holdings Corporation

 

Select Medical Corporation

 

 

 

For the Nine Months Ended September 30,

 

For the Nine Months Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

 

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

 

 

 

 

Net income

 

$

75,425

 

$

112,546

 

$

92,225

 

$

117,972

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

52,766

 

47,164

 

52,766

 

47,164

 

Provision for bad debts

 

40,002

 

31,603

 

40,002

 

31,603

 

Loss on early retirement of debt

 

31,018

 

6,064

 

20,385

 

6,064

 

Gain from disposal or sale of assets

 

(5,182

)

(3,484

)

(5,182

)

(3,484

)

Non-cash stock compensation expense

 

2,698

 

3,990

 

2,698

 

3,990

 

Amortization of debt discount

 

1,271

 

1,123

 

412

 

1,123

 

Changes in operating assets and liabilities, net of effects from acquisition of businesses:

 

 

 

 

 

 

 

 

 

Accounts receivable

 

(81,466

)

(10,507

)

(81,466

)

(10,507

)

Other current assets

 

240

 

(1,849

)

240

 

(1,849

)

Other assets

 

1,072

 

(743

)

723

 

(1,022

)

Accounts payable

 

14,008

 

(4,098

)

14,008

 

(4,098

)

Due to third-party payors

 

(1,050

)

360

 

(1,050

)

360

 

Accrued expenses

 

(12,566

)

348

 

(3,650

)

2,956

 

Income and deferred taxes

 

25,678

 

11,559

 

34,723

 

14,481

 

Net cash provided by operating activities

 

143,914

 

194,076

 

166,834

 

204,753

 

 

 

 

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

(32,094

)

(45,188

)

(32,094

)

(45,188

)

Proceeds from sale of assets

 

7,879

 

16,511

 

7,879

 

16,511

 

Investment in business, net of distributions

 

(13,514

)

(9,899

)

(13,514

)

(9,899

)

Acquisition of businesses, net of cash acquired

 

1,921

 

(1,547

)

1,921

 

(1,547

)

Net cash used in investing activities

 

(35,808

)

(40,123

)

(35,808

)

(40,123

)

 

 

 

 

 

 

 

 

 

 

Financing activities

 

 

 

 

 

 

 

 

 

Borrowings on revolving credit facilities

 

595,000

 

365,000

 

595,000

 

365,000

 

Payments on revolving credit facilities

 

(570,000

)

(405,000

)

(570,000

)

(405,000

)

Borrowings on 2011 credit facility term loans, net of discount

 

841,500

 

266,750

 

841,500

 

266,750

 

Payments on 2011 credit facility term loans

 

(2,125

)

(7,063

)

(2,125

)

(7,063

)

Payments on 2005 credit facility term loans, net of premium

 

(484,633

)

 

(484,633

)

 

Repurchase of 10% senior subordinated notes

 

(150,000

)

 

 

 

Repurchase of 7 5/8% senior subordinated notes, net of premiums

 

(273,941

)

(278,495

)

(273,941

)

(278,495

)

Borrowings of other debt

 

5,496

 

5,835

 

5,496

 

5,835

 

Principal payments on other debt

 

(5,846

)

(7,417

)

(5,846

)

(7,417

)

Debt issuance costs

 

(18,556

)

(4,236

)

(18,556

)

(4,236

)

Dividends paid to Holdings

 

 

 

(204,561

)

(57,467

)

Repurchase of common stock

 

(31,641

)

(46,790

)

 

 

Proceeds from issuance of common stock

 

169

 

1,104

 

 

 

Equity investment by Holdings

 

 

 

169

 

1,104

 

Repayment of bank overdrafts

 

(4,174

)

(3,011

)

(4,174

)

(3,011

)

Distributions to non-controlling interests

 

(3,507

)

(2,997

)

(3,507

)

(2,997

)

Net cash used in financing activities

 

(102,258

)

(116,320

)

(125,178

)

(126,997

)

 

 

 

 

 

 

 

 

 

 

Net increase in cash and cash equivalents

 

5,848

 

37,633

 

5,848

 

37,633

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

4,365

 

12,043

 

4,365

 

12,043

 

Cash and cash equivalents at end of period

 

$

10,213

 

$

49,676

 

$

10,213

 

$

49,676

 

 

 

 

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

94,632

 

$

68,122

 

$

71,719

 

$

57,448

 

Cash paid for taxes

 

$

31,105

 

$

59,850

 

$

31,105

 

$

59,850

 

 

The accompanying notes are an integral part of these consolidated financial statements.

 

7



Table of Contents

 

SELECT MEDICAL HOLDINGS CORPORATION AND SELECT MEDICAL CORPORATION

 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

1.              Basis of Presentation

 

        Select Medical Corporation (“Select”) was formed in December 1996 and commenced operations during February 1997 upon the completion of its first acquisition. Select Medical Holdings Corporation (“Holdings”) was formed in October 2004 for the purpose of affecting a leveraged buyout of Select, which was a publicly traded entity.  On February 24, 2005, Select merged with a subsidiary of Holdings, which resulted in Select becoming a wholly-owned subsidiary of Holdings (the “Merger”). On September 30, 2009 Holdings completed its initial public offering of common stock.  Generally accepted accounting principles (“GAAP”) require that any amounts recorded or incurred (such as goodwill and compensation expense) by the parent as a result of the Merger or for the benefit of the subsidiary be “pushed down” and recorded in Select’s consolidated financial statements. Holdings and Select and their subsidiaries are collectively referred to as the “Company.” The consolidated financial statements of Holdings include the accounts of its wholly-owned subsidiary Select. Holdings conducts substantially all of its business through Select and its subsidiaries.

 

        The unaudited condensed consolidated financial statements of the Company as of September 30, 2012 and for the three and nine month periods ended September 30, 2011 and 2012 have been prepared in accordance with GAAP.  In the opinion of management, such information contains all adjustments, which are normal and recurring in nature, necessary for a fair statement of the financial position, results of operations and cash flow for such periods.  All significant intercompany transactions and balances have been eliminated.  The results of operations for the three and nine months ended September 30, 2012 are not necessarily indicative of the results to be expected for the full fiscal year ending December 31, 2012.

 

        Certain information and disclosures normally included in the notes to consolidated financial statements have been condensed or omitted consistent with the rules and regulations of the Securities and Exchange Commission (the “SEC”), although the Company believes the disclosure is adequate to make the information presented not misleading.  The accompanying unaudited condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto for the year ended December 31, 2011 contained in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 2, 2012.

 

2.              Accounting Policies

 

Use of Estimates

 

        The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Actual results could differ materially from those estimates.

 

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Table of Contents

 

Recent Accounting Pronouncements

 

In July 2012, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2012-02, “Intangibles — Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible Assets for Impairment,” (“Update 2012-02”). In accordance with Update 2012-02, an entity has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of an indefinite-lived intangible asset is less than its carrying value. If the entity determines that it is more likely than not that the fair value of the indefinite-lived intangible asset is less than the carrying value, the entity will be required to perform the quantitative impairment test. Update 2012-02 is effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012. However, early adoption is permitted. Update 2012-02 will not have a material impact on the Company’s consolidated financial statements.

 

In June 2011, the FASB issued ASU 2011-05, “Comprehensive Income (Topic 220) — Presentation of Comprehensive Income” (“Update 2011-05”) that improves the comparability, consistency and transparency of financial reporting and increases the prominence of items reported in other comprehensive income by eliminating the option to present components of other comprehensive income as part of the statement of changes in stockholders’ equity. Update 2011-05 requires that all non-owner changes in stockholders’ equity be presented either in a single continuous statement of comprehensive income or in two separate but consecutive statements. Under either method, adjustments must be displayed for items that are reclassified from other comprehensive income (“OCI”) to net income, in both net income and OCI. Update 2011-05 does not change the current option for presenting components of OCI gross or net of the effect of income taxes, provided that such tax effects are presented in the statement in which OCI is presented or disclosed in the notes to the financial statements. Additionally, Update 2011-05 does not affect the calculation or reporting of earnings per share. Update 2011-05 was effective for fiscal years, and interim periods within those years, beginning after December 15, 2011 and is to be applied retrospectively. The Company adopted Update 2011-05 on January 1, 2012.  Update 2011-05 had no effect on the Company’s presentation of other comprehensive income for the three and nine months ended September 30, 2011 and 2012 because the Company did not have any items of other comprehensive income during these periods.

 

3.  Intangible Assets

 

The Company’s intangible assets consist of the following:

 

 

 

As of September 30, 2012

 

 

 

Gross Carrying
Amount

 

Accumulated
Amortization

 

 

 

(in thousands)

 

Amortized intangible assets:

 

 

 

 

 

Non-compete agreements

 

$

25,909

 

$

(25,909

)

 

 

 

 

 

 

Indefinite-lived intangible assets:

 

 

 

 

 

Goodwill

 

$

1,633,106

 

 

 

Trademarks

 

57,709

 

 

 

Certificates of need

 

11,914

 

 

 

Accreditations

 

2,160

 

 

 

Total

 

$

1,704,889

 

 

 

 

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Table of Contents

 

The Company’s accreditations and trademarks have renewal terms. The costs to renew these intangibles are expensed as incurred. At September 30, 2012, the accreditations and trademarks have a weighted average time until next renewal of approximately 1.5 years and 7.7 years, respectively.

 

Amortization expense for the Company’s intangible assets with finite lives follows:

 

 

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

(in thousands)

 

(in thousands)

 

Amortization expense

 

$

328

 

$

 

$

981

 

$

340

 

 

Amortization expense for the Company’s intangible assets primarily relates to the amortization of the value associated with the non-compete agreement entered into in connection with the acquisition of the outpatient rehabilitation division of HealthSouth Corporation. The useful life of the outpatient rehabilitation division of HealthSouth Corporation’s non-compete was five years.

 

The changes in the carrying amount of goodwill for the Company’s reportable segments for the nine months ended September 30, 2012 are as follows:

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Total

 

 

 

(in thousands)

 

Balance as of December 31, 2011

 

$

1,333,553

 

$

298,163

 

$

1,631,716

 

Goodwill acquired during the period

 

 

1,723

 

1,723

 

Other

 

(333

)

 

(333

)

Balance as of September 30, 2012

 

$

1,333,220

 

$

299,886

 

$

1,633,106

 

 

4.  Restructuring Reserves

 

In connection with the acquisition of substantially all of the outpatient rehabilitation division of HealthSouth Corporation, the Company recorded an estimated liability of $18.7 million in 2007 for business restructuring which was accounted for as additional purchase price. This reserve primarily included costs associated with workforce reductions and lease termination costs in accordance with the Company’s restructuring plan of which only lease termination costs remain.

 

In connection with the acquisition of all the issued and outstanding equity securities of Regency Hospital Company, L.L.C. (“Regency”), an operator of long term acute care hospitals, the Company recorded an estimated liability of $4.3 million in 2010 for business restructuring related to lease termination costs.

 

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Table of Contents

 

The following summarizes the Company’s restructuring activity:

 

 

 

Lease Termination
Costs

 

 

 

(in thousands)

 

Balance as of December 31, 2011

 

$

5,027

 

Amounts paid in 2012

 

(1,169

)

Accretion expense

 

202

 

Revision of estimate

 

(2,045

)

Balance as of September 30, 2012

 

$

2,015

 

 

The Company expects to pay out the remaining lease termination costs through 2014 for the acquisition of the outpatient rehabilitation division of HealthSouth Corporation and through 2015 for the Regency acquisition.

 

5. Indebtedness

 

The components of long-term debt and notes payable are shown in the following tables:

 

 

 

Holdings

 

Select

 

 

 

December 31,
2011

 

September 30,
2012

 

December 31,
2011

 

September 30,
2012

 

 

 

(in thousands)

 

(in thousands)

 

7 5/8 % senior subordinated notes

 

$

345,000

 

$

70,000

 

$

345,000

 

$

70,000

 

Senior secured credit facilities:

 

 

 

 

 

 

 

 

 

Revolving loan

 

40,000

 

 

40,000

 

 

Term loans (1)

 

837,974

 

1,098,784

 

837,974

 

1,098,784

 

Senior floating rate notes

 

167,300

 

167,300

 

 

 

Other debt

 

6,524

 

5,549

 

6,524

 

5,549

 

Total debt

 

1,396,798

 

1,341,633

 

1,229,498

 

1,174,333

 

Less: current maturities

 

10,848

 

11,084

 

10,848

 

11,084

 

Total long-term debt

 

$

1,385,950

 

$

1,330,549

 

$

1,218,650

 

$

1,163,249

 

 


(1)        Includes unamortized discount of $7.8 million and $14.9 million at December 31, 2011 and September 30, 2012, respectively.

 

On August 13, 2012, Select, Holdings and the subsidiaries of Select named therein entered into an Additional Credit Extension Amendment (the “Extension Amendment”) to Select’s senior secured credit facility with a group of lenders and JPMorgan Chase Bank, N.A. as administrative agent.  Pursuant to the terms and conditions of the Extension Amendment, the lenders extended Series A Tranche B Term Loans in the aggregate principal amount of $275.0 million to Select at the same interest rate and with the same term as applies to other Tranche B Term Loan amounts borrowed by Select under the senior secured credit facility.  On September 12, 2012, Select used the proceeds of the Series A Tranche B Term Loans (other than amounts used for fees and expenses) and cash on hand to redeem an aggregate of $275.0 million principal amount of Select’s outstanding 7 5/8% senior subordinated notes due 2015 at a redemption price of 101.271% of the principal amount.  Select recognized a loss on early retirement of debt of $6.1 million for the three and nine months ended September 30, 2012 in connection with the redemption of the senior subordinated notes, which included the write-off of unamortized deferred financing costs and call premiums.

 

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Table of Contents

 

Maturities of Long-Term Debt and Notes Payable

 

Maturities of the Company’s long-term debt for the period from October 1, 2012 through December 31, 2012 and the years after 2012 are approximately as follows and are presented net of the discount on the senior secured credit facilities’ term loans:

 

 

 

Holdings

 

Select

 

 

 

(in thousands)

 

(in thousands)

 

October 1, 2012 – December 31, 2012

 

$

4,173

 

$

4,173

 

2013

 

9,652

 

9,652

 

2014

 

9,136

 

9,136

 

2015

 

246,345

 

79,045

 

2016

 

8,684

 

8,684

 

2017 and beyond

 

1,063,643

 

1,063,643

 

 

6.  Fair Value

 

Financial instruments include cash and cash equivalents, notes payable and long-term debt.  The carrying amount of cash and cash equivalents approximates fair value because of the short-term maturity of these instruments.

 

The carrying value of Select’s senior secured credit facility was $878.0 million and $1,098.8 million at December 31, 2011 and September 30, 2012, respectively.  The fair value of Select’s senior secured credit facility was $823.3 million and $1,104.3 million at December 31, 2011 and September 30, 2012, respectively.  The fair value of Select’s senior secured credit facility was based on quoted market prices for this debt in the syndicated loan market.

 

The carrying value of Select’s 7 5/8% senior subordinated notes was $345.0 million and $70.0 million at December 31, 2011 and September 30, 2012, respectively.  The fair value of Select’s 7 5/8% senior subordinated notes was $326.4 million and $70.9 million at December 31, 2011 and September 30, 2012, respectively.  The fair value of this registered debt was based on quoted market prices.

 

The carrying value of Holdings’ senior floating rate notes was $167.3 million at both December 31, 2011 and September 30, 2012.  The fair value of Holdings’ senior floating rate notes was $143.9 million and $167.3 million at December 31, 2011 and September 30, 2012, respectively.  The fair value of this registered debt was based on quoted market prices.

 

The Company considers the inputs in the valuation process of its debt instruments to be Level 2 in the fair value hierarchy.  Level 2 in the fair value hierarchy is defined as inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly.  These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.

 

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Table of Contents

 

7.  Segment Information

 

                       The Company’s reportable segments consist of (i) specialty hospitals and (ii) outpatient rehabilitation. All other represents amounts associated with corporate activities and non-healthcare related services. The outpatient rehabilitation reportable segment has two operating segments: outpatient rehabilitation clinics and contract therapy. These operating segments are aggregated for reporting purposes as they have common economic characteristics and provide a similar service to a similar patient base. The accounting policies of the segments are the same as those described in the summary of significant accounting policies. The Company evaluates performance of the segments based on Adjusted EBITDA. Adjusted EBITDA is defined as net income before interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, equity in earnings (losses) of unconsolidated subsidiaries and other income (expense).

 

The following tables summarize selected financial data for the Company’s reportable segments for the three and nine months ended September 30, 2011 and 2012.  The segment results of Holdings are identical to those of Select with the exception of total assets:

 

 

 

Three Months Ended September 30, 2011

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenue

 

$

521,085

 

$

173,030

 

$

16

 

$

694,131

 

Adjusted EBITDA

 

81,570

 

19,435

 

(14,469

)

86,536

 

Total assets:

 

 

 

 

 

 

 

 

 

Select Medical Corporation

 

2,191,493

 

468,551

 

89,568

 

2,749,612

 

Select Medical Holdings Corporation

 

2,191,493

 

468,551

 

91,066

 

2,751,110

 

Capital expenditures

 

4,957

 

3,160

 

281

 

8,398

 

 

 

 

Three Months Ended September 30, 2012

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All
Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenue

 

$

531,409

 

$

182,246

 

$

14

 

$

713,669

 

Adjusted EBITDA

 

83,659

 

20,354

 

(16,266

)

87,747

 

Total assets:

 

 

 

 

 

 

 

 

 

Select Medical Corporation

 

2,165,248

 

431,310

 

184,120

 

2,780,678

 

Select Medical Holdings Corporation

 

2,165,248

 

431,310

 

185,250

 

2,781,808

 

Capital expenditures

 

12,281

 

3,073

 

1,900

 

17,254

 

 

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Table of Contents

 

 

 

Nine Months Ended September 30, 2011

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenue

 

$

1,561,270

 

$

524,694

 

$

102

 

$

2,086,066

 

Adjusted EBITDA

 

273,004

 

65,308

 

(46,117

)

292,195

 

Total assets:

 

 

 

 

 

 

 

 

 

Select Medical Corporation

 

2,191,493

 

468,551

 

89,568

 

2,749,612

 

Select Medical Holdings Corporation

 

2,191,493

 

468,551

 

91,066

 

2,751,110

 

Capital expenditures

 

21,574

 

8,142

 

2,378

 

32,094

 

 

 

 

Nine Months Ended September 30, 2012

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenue

 

$

1,641,577

 

$

566,195

 

$

111

 

$

2,207,883

 

Adjusted EBITDA

 

285,779

 

68,669

 

(47,358

)

307,090

 

Total assets:

 

 

 

 

 

 

 

 

 

Select Medical Corporation

 

2,165,248

 

431,310

 

184,120

 

2,780,678

 

Select Medical Holdings Corporation

 

2,165,248

 

431,310

 

185,250

 

2,781,808

 

Capital expenditures

 

31,963

 

9,786

 

3,439

 

45,188

 

 

A reconciliation of Adjusted EBITDA to income before income taxes is as follows:

 

 

 

Three Months Ended September 30, 2011

 

 

 

(in thousands)

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

 

 

 

 

Adjusted EBITDA

 

$

81,570

 

$

19,435

 

$

(14,469

)

 

 

 

 

Depreciation and amortization

 

(12,828

)

(4,003

)

(714

)

 

 

 

 

Stock compensation expense

 

 

 

(918

)

 

 

 

 

 

 

 

 

 

 

 

 

Select
Medical
Holdings
Corporation

 

Select
Medical
Corporation

 

Income (loss) from operations

 

$

68,742

 

$

15,432

 

$

(16,101

)

$

68,073

 

$

68,073

 

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

1,653

 

1,653

 

Interest expense, net

 

 

 

 

 

 

 

(24,015

)

(21,407

)

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

 

 

 

 

 

$

45,711

 

$

48,319

 

 

14



Table of Contents

 

 

 

Three Months Ended September 30, 2012

 

 

 

(in thousands)

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

 

 

 

 

Adjusted EBITDA

 

$

83,659

 

$

20,354

 

$

(16,266

)

 

 

 

 

Depreciation and amortization

 

(11,553

)

(3,152

)

(832

)

 

 

 

 

Stock compensation expense

 

 

 

(1,391

)

 

 

 

 

 

 

 

 

 

 

 

 

Select
Medical
Holdings
Corporation

 

Select
Medical
Corporation

 

Income (loss) from operations

 

$

72,106

 

$

17,202

 

$

(18,489

)

$

70,819

 

$

70,819

 

Loss on early retirement of debt

 

 

 

 

 

 

 

(6,064

)

(6,064

)

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

1,167

 

1,167

 

Interest expense, net

 

 

 

 

 

 

 

(24,575

)

(21,740

)

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

 

 

 

 

 

$

41,347

 

$

44,182

 

 

 

 

Nine Months Ended September 30, 2011

 

 

 

(in thousands)

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

 

 

 

 

Adjusted EBITDA

 

$

273,004

 

$

65,308

 

$

(46,117

)

 

 

 

 

Depreciation and amortization

 

(37,921

)

(12,689

)

(2,156

)

 

 

 

 

Stock compensation expense

 

 

 

(2,698

)

 

 

 

 

 

 

 

 

 

 

 

 

Select
Medical
Holdings
Corporation

 

Select
Medical
Corporation

 

Income (loss) from operations

 

$

235,083

 

$

52,619

 

$

(50,971

)

$

236,731

 

$

236,731

 

Loss on early retirement of debt

 

 

 

 

 

 

 

(31,018

)

(20,385

)

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

1,329

 

1,329

 

Interest expense, net

 

 

 

 

 

 

 

(74,808

)

(59,596

)

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

 

 

 

 

 

$

132,234

 

$

158,079

 

 

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Table of Contents

 

 

 

Nine Months Ended September 30, 2012

 

 

 

(in thousands)

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

All Other

 

 

 

 

 

Adjusted EBITDA

 

$

285,779

 

$

68,669

 

$

(47,358

)

 

 

 

 

Depreciation and amortization

 

(34,875

)

(10,034

)

(2,255

)

 

 

 

 

Stock compensation expense

 

 

 

(3,990

)

 

 

 

 

 

 

 

 

 

 

 

 

Select
Medical
Holdings
Corporation

 

Select
Medical
Corporation

 

Income (loss) from operations

 

$

250,904

 

$

58,635

 

$

(53,603

)

$

255,936

 

$

255,936

 

Loss on early retirement of debt

 

 

 

 

 

 

 

(6,064

)

(6,064

)

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

6,384

 

6,384

 

Interest expense, net

 

 

 

 

 

 

 

(72,295

)

(63,947

)

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

 

 

 

 

 

 

$

183,961

 

$

192,309

 

 

8.  Income per Common Share

 

The Company applies the two-class method for calculating and presenting income per common share. The two-class method is an earnings allocation formula that determines earnings per share for each class of stock participation rights in undistributed earnings. Effective January 1, 2009 the Financial Accounting Standards Board (“FASB”) clarified that share based payment awards that have not yet vested meet the definition of a participating security provided the right to receive the dividend is non-forfeitable and non-contingent. Participating securities are defined as securities that participate in dividends with common stock according to a predetermined formula. These participating securities should be included in the computation of basic earnings per share under the two class method. Based upon the clarification made by FASB, the Company concluded that its non-vested restricted stock awards meet the definition of a participating security and should be included in the Company’s computation of basic earnings per share.

 

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The following table sets forth for the periods indicated the calculation of net income per share in the Company’s consolidated statement of operations and the differences between basic weighted average shares outstanding and diluted weighted average shares outstanding used to compute basic and diluted earnings per share, respectively:

 

 

 

For the Three Months
Ended September 30,

 

For the Nine Months
Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

(in thousands, except per share data)

 

Numerator:

 

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

25,596

 

$

24,110

 

$

70,987

 

$

108,824

 

Less: Earnings allocated to unvested restricted stockholders

 

278

 

407

 

763

 

1,759

 

Net income available to common stockholders

 

$

25,318

 

$

23,703

 

$

70,224

 

$

107,065

 

 

 

 

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

 

 

 

 

Weighted average shares — basic

 

151,470

 

137,551

 

152,299

 

139,138

 

Effect of dilutive securities:

 

 

 

 

 

 

 

 

 

Stock options

 

206

 

337

 

223

 

266

 

Weighted average shares — diluted

 

151,676

 

137,888

 

152,522

 

139,404

 

 

 

 

 

 

 

 

 

 

 

Basic income per common share

 

$

0.17

 

$

0.17

 

$

0.46

 

$

0.77

 

Diluted income per common share

 

$

0.17

 

$

0.17

 

$

0.46

 

$

0.77

 

 

The following share amounts are shown here for informational and comparative purposes only since their inclusion would be anti-dilutive:

 

 

 

For the Three Months
Ended September 30,

 

For the Nine Months
Ended September 30,

 

 

 

2011

 

2012

 

2011

 

2012

 

 

 

(in thousands)

 

Stock options

 

2,437

 

78

 

2,412

 

1,683

 

 

9. Commitments and Contingencies

 

Litigation

 

The Company is a party to various legal actions, proceedings and claims (some of which are not insured), and regulatory and other governmental audits and investigations in the ordinary course of its business. The Company cannot predict the ultimate outcome of pending litigation, proceedings and regulatory and other governmental audits and investigations. These matters could potentially subject the Company to sanctions, damages, recoupments, fines and other penalties. The Department of Justice, Centers for Medicare & Medicaid Services (“CMS”) or other federal and state enforcement and regulatory agencies may conduct additional investigations related to the Company’s businesses in the future that may, either individually or in the

 

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aggregate, have a material adverse effect on the Company’s business, financial position, results of operations and liquidity.

 

To address claims arising out of the operations of the Company’s specialty hospitals and outpatient rehabilitation facilities, the Company maintains professional malpractice liability insurance and general liability insurance, subject to self-insured retention of $2.0 million per medical incident for professional liability claims and $2.0 million per occurrence for general liability claims. The Company also maintains umbrella liability insurance covering claims which, due to their nature or amount, are not covered by or not fully covered by the Company’s other insurance policies. These insurance policies also do not generally cover punitive damages and are subject to various deductibles and policy limits. Significant legal actions, as well as the cost and possible lack of available insurance, could subject the Company to substantial uninsured liabilities. In the Company’s opinion, the outcome of these actions, individually or in the aggregate, will not have a material adverse effect on its financial position, results of operations, or cash flows.

 

Healthcare providers are subject to lawsuits under the qui tam provisions of the federal False Claims Act. Qui tam lawsuits typically remain under seal (hence, usually unknown to the defendant) for some time while the government decides whether or not to intervene on behalf of a private qui tam plaintiff (known as a relator) and take the lead in the litigation. These lawsuits can involve significant monetary damages and penalties and award bounties to private plaintiffs who successfully bring the suits. The Company has been a defendant in these cases in the past, and may be named as a defendant in similar cases from time to time in the future.

 

During April 2012, the Company’s long term acute care hospital in Evansville, Indiana (“SSH - Evansville”) received two subpoenas from the Office of Attorney General for the State of Indiana. One subpoena demanded certain patient medical records of SSH - Evansville. The second subpoena demanded reports and documents related to SSH - Evansville for various periods beginning in 2006, including certain financial, statistical, billing and quality reports; certain policies and procedures, joint venture board meeting minutes, and documents related to certain complaints and internal investigations. SSH — Evansville subsequently received a Request for Information or Assistance from the Office of Inspector General of the U.S. Department of Health and Human Services (Indianapolis, Indiana Field Office) covering the period beginning in 2007 seeking substantially the same records demanded by the Indiana Attorney General’s Office, additional patient medical records of SSH - Evansville and additional documents and information of SSH - Evansville, including documents concerning SSH - Evansville’s relationships with its joint venture partner and seven other identified persons and entities. During May 2012, the Evansville (Indiana) Police Department executed a search warrant at SSH - Evansville purporting to seek evidence pertaining to the crime of theft. At the Company’s request, the Vanderburgh (Indiana) Superior Court ordered the release of the probable cause affidavit supporting that search warrant. According to the affidavit, confidential informants, some of whom are purportedly current or former employees of SSH-Evansville, alleged, among other things, that a physician on the medical staff at SSH-Evansville improperly manipulated patient diagnoses to raise the diagnosis related group (DRG) and lengths-of-stay to enhance reimbursement and, on one occasion, discontinued treatments to a patient based on financial motivation and without regard to the patient’s end of life instructions resulting in the patient’s death, and that a second physician on the medical staff at SSH-Evansville performed bronchoscopes that were medically unnecessary and resulted in at least two patient deaths. The affidavit also makes allegations that imply that the Company may not have provided complete or accurate documents called for in the Indiana Attorney General’s Office subpoenas which were received during April 2012. In August 2012, the Company received a subpoena from the Office of Inspector General of the U.S. Department of Health and Human Services (Chicago Regional Office) (“OIG — Chicago”) demanding additional documents covering the period beginning in March 2007 relating to the Company and SSH — Evansville, including contracts with SSH — Evansville’s joint venture partner, contracts and other documents relating to financial relationships with

 

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physicians practicing at SSH —Evansville, records of payments to and hours worked by physicians practicing at SSH — Evansville, documents relating to actual or expected physician referrals and admissions to SSH — Evansville, documents relating to billing for services furnished by the Company’s long term acute care hospitals (“LTCHs”), such as government program guidance and staff training materials, information relating to case manager duties and responsibilities at the Company’s LTCHs, reports on patient admissions, discharges, DRG, length-of-stay and transfers at SSH — Evansville, and documents relating to criteria used by the Company or SSH — Evansville for patient admissions, discharges and eligibility for service. In October 2012, the Company received an additional subpoena from OIG — Chicago seeking the medical records of 19 patients treated at SSH — Evansville between 2008 and 2012.  The Company has produced and will continue to produce documents in response to, and intends to fully cooperate with, these governmental investigations. At this time, the Company is unable to predict the timing and outcome of this matter.

 

Construction Commitments

 

At September 30, 2012, the Company had outstanding commitments under construction contracts related to new construction, improvements and renovations at the Company’s long term acute care properties and inpatient rehabilitation facilities totaling approximately $10.8 million.

 

10.       Subsequent Events

 

On October 30, 2012, Holdings’ board of directors declared a special cash dividend of $1.50 per share, totaling approximately $210.8 million.  This special cash dividend will be paid on or about December 12, 2012 to all stockholders of record at the close of business on December 5, 2012. Select is entering into an amendment to its senior secured credit facility that provides Holdings and Select with additional flexibility to make certain restricted payments, including the payment of dividends.

 

11.       Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiaries under Select’s 7 5/8% Senior Subordinated Notes

 

Select’s 7 5/8% senior subordinated notes are fully and unconditionally guaranteed, except for customary limitations, on a senior subordinated basis by all of Select’s wholly-owned subsidiaries (the “Subsidiary Guarantors”). Certain of Select’s subsidiaries did not guarantee the 7 5/8% senior subordinated notes (the “Non-Guarantor Subsidiaries”).

 

Select conducts a significant portion of its business through its subsidiaries. Presented below is condensed consolidating financial information for Select, the Subsidiary Guarantors and the Non-Guarantor Subsidiaries at December 31, 2011 and September 30, 2012 and for the three and nine months ended September 30, 2011 and 2012.

 

The equity method has been used by Select with respect to investments in subsidiaries. The equity method has been used by Subsidiary Guarantors with respect to investments in Non-Guarantor Subsidiaries. Separate financial statements for Subsidiary Guarantors are not presented.

 

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Select Medical Corporation

Condensed Consolidating Balance Sheet

September 30, 2012

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Select Medical
Corporation (Parent
Company Only)

 

Subsidiary
Guarantors

 

Non-Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

 

 

(in thousands)

 

Assets