10-Q 1 a16-17222_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, 2016

 

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 Number:  001 – 34465 and 001 – 31441

 

SELECT MEDICAL HOLDINGS CORPORATION

 

SELECT MEDICAL CORPORATION

(Exact name of Registrant as specified in its charter)

 

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 such 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 registrant, Select Medical Holdings Corporation, is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer x

 

Accelerated filer o

 

 

 

Non-accelerated filer o
(Do not check if a smaller reporting company)

 

Smaller reporting company o

 

Indicate by check mark whether the registrant, Select Medical Corporation, is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer o

 

Accelerated filer o

 

 

 

Non-accelerated filer x
(Do not check if a smaller reporting company)

 

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, 2016, Select Medical Holdings Corporation had outstanding 132,329,220 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, and any of Select’s subsidiaries. Any reference to “Concentra” refers to Concentra Inc., the indirect operating subsidiary of Concentra Group Holdings, LLC (“Group Holdings”), and its subsidiaries. References to the “Company,” “we,” “us” and “our” refer collectively to Holdings, Select, and Group Holdings and its subsidiaries.

 

 

 



Table of Contents

 

TABLE OF CONTENTS

 

PART I

FINANCIAL INFORMATION

 

3

 

 

 

 

ITEM 1.

CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

 

 

 

 

 

 

Condensed consolidated balance sheets

 

3

 

 

 

 

 

Condensed consolidated statements of operations

 

4

 

 

 

 

 

Condensed consolidated statements of changes in equity and income

 

6

 

 

 

 

 

Condensed consolidated statements of cash flows

 

7

 

 

 

 

 

Notes to condensed consolidated financial statements

 

8

 

 

 

 

ITEM 2.

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

 

34

 

 

 

 

ITEM 3.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

61

 

 

 

 

ITEM 4.

CONTROLS AND PROCEDURES

 

62

 

 

 

 

PART II

OTHER INFORMATION

 

63

 

 

 

 

ITEM 1.

LEGAL PROCEEDINGS

 

63

 

 

 

 

ITEM 1A.

RISK FACTORS

 

65

 

 

 

 

ITEM 2.

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

65

 

 

 

 

ITEM 3.

DEFAULTS UPON SENIOR SECURITIES

 

66

 

 

 

 

ITEM 4.

MINE SAFETY DISCLOSURES

 

66

 

 

 

 

ITEM 5.

OTHER INFORMATION

 

66

 

 

 

 

ITEM 6.

EXHIBITS

 

66

 

 

 

 

SIGNATURES

 

 

 

2



Table of Contents

 

PART I FINANCIAL INFORMATION

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

Condensed 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,

 

 

 

2015

 

2016

 

2015

 

2016

 

 

 

 

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

14,435

 

$

68,223

 

$

14,435

 

$

68,223

 

Accounts receivable, net of allowance for doubtful accounts of $61,133 and $61,084 at 2015 and 2016, respectively

 

603,558

 

592,711

 

603,558

 

592,711

 

Current deferred tax asset

 

28,688

 

50,647

 

28,688

 

50,647

 

Prepaid income taxes

 

16,694

 

11,474

 

16,694

 

11,474

 

Other current assets

 

85,779

 

82,680

 

85,779

 

82,680

 

Total Current Assets

 

749,154

 

805,735

 

749,154

 

805,735

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

864,124

 

863,485

 

864,124

 

863,485

 

Goodwill

 

2,314,624

 

2,674,623

 

2,314,624

 

2,674,623

 

Other identifiable intangibles, net

 

318,675

 

338,220

 

318,675

 

338,220

 

Other assets

 

142,101

 

163,342

 

142,101

 

163,342

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

$

4,388,678

 

$

4,845,405

 

$

4,388,678

 

$

4,845,405

 

 

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

 

Bank overdrafts

 

$

28,615

 

$

20,151

 

$

28,615

 

$

20,151

 

Current portion of long-term debt and notes payable

 

225,166

 

12,690

 

225,166

 

12,690

 

Accounts payable

 

137,409

 

114,181

 

137,409

 

114,181

 

Accrued payroll

 

120,989

 

138,090

 

120,989

 

138,090

 

Accrued vacation

 

73,977

 

78,776

 

73,977

 

78,776

 

Accrued interest

 

9,401

 

32,964

 

9,401

 

32,964

 

Accrued other

 

133,728

 

142,431

 

133,728

 

142,431

 

Due to third party payors

 

 

11,065

 

 

11,065

 

Total Current Liabilities

 

729,285

 

550,348

 

729,285

 

550,348

 

 

 

 

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

2,160,730

 

2,642,115

 

2,160,730

 

2,642,115

 

Non-current deferred tax liability

 

218,705

 

210,000

 

218,705

 

210,000

 

Other non-current liabilities

 

133,220

 

136,527

 

133,220

 

136,527

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

3,241,940

 

3,538,990

 

3,241,940

 

3,538,990

 

 

 

 

 

 

 

 

 

 

 

Commitments and contingencies (Note 11)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

238,221

 

246,429

 

238,221

 

246,429

 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

 

Common stock of Holdings, $0.001 par value, 700,000,000 shares authorized, 131,282,798 and 132,395,317 shares issued and outstanding at 2015 and 2016, respectively

 

131

 

132

 

 

 

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

 

 

 

0

 

0

 

Capital in excess of par

 

424,506

 

440,316

 

904,375

 

921,069

 

Retained earnings (accumulated deficit)

 

434,616

 

528,593

 

(45,122

)

47,972

 

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

 

859,253

 

969,041

 

859,253

 

969,041

 

Non-controlling interest

 

49,264

 

90,945

 

49,264

 

90,945

 

Total Equity

 

908,517

 

1,059,986

 

908,517

 

1,059,986

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

4,388,678

 

$

4,845,405

 

$

4,388,678

 

$

4,845,405

 

 

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

 

3



Table of Contents

 

Condensed 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,

 

 

 

2015

 

2016

 

2015

 

2016

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

1,021,123

 

$

1,053,795

 

$

1,021,123

 

$

1,053,795

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of services

 

900,949

 

915,703

 

900,949

 

915,703

 

General and administrative

 

22,201

 

27,088

 

22,201

 

27,088

 

Bad debt expense

 

18,287

 

17,677

 

18,287

 

17,677

 

Depreciation and amortization

 

31,472

 

37,165

 

31,472

 

37,165

 

Total costs and expenses

 

972,909

 

997,633

 

972,909

 

997,633

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

48,214

 

56,162

 

48,214

 

56,162

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

 

(10,853

)

 

(10,853

)

Equity in earnings of unconsolidated subsidiaries

 

6,348

 

5,268

 

6,348

 

5,268

 

Non-operating gain (loss)

 

29,647

 

(1,028

)

29,647

 

(1,028

)

Interest expense

 

(33,052

)

(44,482

)

(33,052

)

(44,482

)

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

51,157

 

5,067

 

51,157

 

5,067

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

18,347

 

1,075

 

18,347

 

1,075

 

Net income

 

32,810

 

3,992

 

32,810

 

3,992

 

 

 

 

 

 

 

 

 

 

 

Less: Net income (loss) attributable to non-controlling interests

 

3,404

 

(2,479

)

3,404

 

(2,479

)

 

 

 

 

 

 

 

 

 

 

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

 

$

29,406

 

$

6,471

 

$

29,406

 

$

6,471

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

0.22

 

$

0.05

 

 

 

 

 

Diluted

 

$

0.22

 

$

0.05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

127,386

 

127,848

 

 

 

 

 

Diluted

 

127,649

 

127,989

 

 

 

 

 

 

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

 

4



Table of Contents

 

Condensed 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,

 

 

 

2015

 

2016

 

2015

 

2016

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

2,703,531

 

$

3,239,756

 

$

2,703,531

 

$

3,239,756

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of services

 

2,309,213

 

2,754,950

 

2,309,213

 

2,754,950

 

General and administrative

 

67,917

 

81,226

 

67,917

 

81,226

 

Bad debt expense

 

43,243

 

51,591

 

43,243

 

51,591

 

Depreciation and amortization

 

70,668

 

107,887

 

70,668

 

107,887

 

Total costs and expenses

 

2,491,041

 

2,995,654

 

2,491,041

 

2,995,654

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

212,490

 

244,102

 

212,490

 

244,102

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

 

(11,626

)

 

(11,626

)

Equity in earnings of unconsolidated subsidiaries

 

12,788

 

14,466

 

12,788

 

14,466

 

Non-operating gain

 

29,647

 

37,094

 

29,647

 

37,094

 

Interest expense

 

(79,728

)

(127,662

)

(79,728

)

(127,662

)

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

175,197

 

156,374

 

175,197

 

156,374

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

65,048

 

51,585

 

65,048

 

51,585

 

Net income

 

110,149

 

104,789

 

110,149

 

104,789

 

 

 

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

8,740

 

9,550

 

8,740

 

9,550

 

 

 

 

 

 

 

 

 

 

 

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

 

$

101,409

 

$

95,239

 

$

101,409

 

$

95,239

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

0.77

 

$

0.72

 

 

 

 

 

Diluted

 

$

0.77

 

$

0.72

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dividends paid per share

 

$

0.10

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

127,541

 

127,659

 

 

 

 

 

Diluted

 

127,844

 

127,804

 

 

 

 

 

 

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

 

5



Table of Contents

 

Condensed Consolidated Statement of Changes in Equity and Income

(unaudited)

(in thousands)

 

 

 

 

 

 

 

Select Medical Holdings Corporation Stockholders

 

Non-

 

 

 

Comprehensive Income

 

Total

 

Common Stock
Issued

 

Common Stock Par
Value

 

Capital in Excess
of Par

 

Retained Earnings

 

controlling 
Interests

 

Balance at December 31, 2015

 

 

 

$

908,517

 

131,283

 

$

131

 

$

424,506

 

$

434,616

 

$

49,264

 

Net income

 

$

93,037

 

93,037

 

 

 

 

 

 

 

95,239

 

(2,202

)

Net income - attributable to redeemable non-controlling interests

 

11,752

 

 

 

 

 

 

 

 

 

 

 

 

 

Total comprehensive income

 

$

104,789

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance and vesting of restricted stock

 

 

 

12,344

 

1,089

 

1

 

12,343

 

 

 

 

 

Tax benefit from stock based awards

 

 

 

514

 

 

 

 

 

514

 

 

 

 

 

Repurchase of common shares

 

 

 

(1,939

)

(155

)

0

 

(883

)

(1,056

)

 

 

Stock option expense

 

 

 

4

 

 

 

 

 

4

 

 

 

 

 

Exercise of stock options

 

 

 

1,488

 

178

 

0

 

1,488

 

 

 

 

 

Non-controlling interests acquired in business combination

 

 

 

2,514

 

 

 

 

 

 

 

 

 

2,514

 

Distributions to non-controlling interests

 

 

 

(6,939

)

 

 

 

 

 

 

 

 

(6,939

)

Issuance of non-controlling interests

 

 

 

50,178

 

 

 

 

 

2,377

 

 

 

47,801

 

Purchase of redeemable non-controlling interests

 

 

 

466

 

 

 

 

 

 

 

466

 

 

 

Other

 

 

 

(198

)

 

 

 

 

(33

)

(672

)

507

 

Balance at September 30, 2016

 

 

 

$

1,059,986

 

132,395

 

$

132

 

$

440,316

 

$

528,593

 

$

90,945

 

 

 

 

 

 

 

 

Select Medical Corporation Stockholders

 

Non-

 

 

 

Comprehensive Income

 

Total

 

Common Stock
Issued

 

Common Stock Par
Value

 

Capital in Excess
of Par

 

Retained Earnings
(Accumulated Deficit)

 

controlling 
Interests

 

Balance at December 31, 2015

 

 

 

$

908,517

 

0

 

$

0

 

$

904,375

 

$

(45,122

)

$

49,264

 

Net income

 

$

93,037

 

93,037

 

 

 

 

 

 

 

95,239

 

(2,202

)

Net income - attributable to redeemable non-controlling interests

 

11,752

 

 

 

 

 

 

 

 

 

 

 

 

 

Total comprehensive income

 

$

104,789

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional investment by Holdings

 

 

 

1,488

 

 

 

 

 

1,488

 

 

 

 

 

Dividends declared and paid to Holdings

 

 

 

(1,939

)

 

 

 

 

 

 

(1,939

)

 

 

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

 

 

 

12,348

 

 

 

 

 

12,348

 

 

 

 

 

Tax benefit from stock based awards

 

 

 

514

 

 

 

 

 

514

 

 

 

 

 

Non-controlling interests acquired in business combination

 

 

 

2,514

 

 

 

 

 

 

 

 

 

2,514

 

Distributions to non-controlling interests

 

 

 

(6,939

)

 

 

 

 

 

 

 

 

(6,939

)

Issuance of non-controlling interests

 

 

 

50,178

 

 

 

 

 

2,377

 

 

 

47,801

 

Purchase of redeemable non-controlling interests

 

 

 

466

 

 

 

 

 

 

 

466

 

 

 

Other

 

 

 

(198

)

 

 

 

 

(33

)

(672

)

507

 

Balance at September 30, 2016

 

 

 

$

1,059,986

 

0

 

$

0

 

$

921,069

 

$

47,972

 

$

90,945

 

 

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

 

6



Table of Contents

 

Condensed 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,

 

 

 

2015

 

2016

 

2015

 

2016

 

 

 

 

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

 

 

 

 

Net income

 

$

110,149

 

$

104,789

 

$

110,149

 

$

104,789

 

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

 

 

 

 

 

 

 

 

 

Distributions from unconsolidated subsidiaries

 

11,814

 

16,145

 

11,814

 

16,145

 

Depreciation and amortization

 

70,668

 

107,887

 

70,668

 

107,887

 

Amortization of leasehold interests

 

 

457

 

 

457

 

Provision for bad debts

 

43,243

 

51,591

 

43,243

 

51,591

 

Equity in earnings of unconsolidated subsidiaries

 

(12,788

)

(14,466

)

(12,788

)

(14,466

)

Loss on early retirement of debt

 

 

11,626

 

 

11,626

 

Loss on disposal of assets

 

 

282

 

 

282

 

Gain on sale of assets and businesses

 

(1,264

)

(42,192

)

(1,264

)

(42,192

)

Gain on sale of equity investment

 

(29,647

)

(241

)

(29,647

)

(241

)

Impairment of equity investment

 

 

5,339

 

 

5,339

 

Stock compensation expense

 

9,244

 

12,924

 

9,244

 

12,924

 

Amortization of debt discount, premium and issuance costs

 

6,746

 

11,845

 

6,746

 

11,845

 

Deferred income taxes

 

(6,925

)

(13,088

)

(6,925

)

(13,088

)

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

 

 

 

 

 

 

 

 

 

Accounts receivable

 

(48,778

)

(40,776

)

(48,778

)

(40,776

)

Other current assets

 

(4,580

)

12,094

 

(4,580

)

12,094

 

Other assets

 

4,540

 

4,689

 

4,540

 

4,689

 

Accounts payable

 

3,047

 

(17,752

)

3,047

 

(17,752

)

Accrued expenses

 

32,716

 

52,996

 

32,716

 

52,996

 

Due to third party payors

 

 

11,065

 

 

11,065

 

Income taxes

 

15,246

 

5,033

 

15,246

 

5,033

 

Net cash provided by operating activities

 

203,431

 

280,247

 

203,431

 

280,247

 

 

 

 

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

(113,992

)

(118,260

)

(113,992

)

(118,260

)

Proceeds from sale of assets and businesses

 

1,542

 

71,388

 

1,542

 

71,388

 

Investment in businesses

 

(1,703

)

(3,140

)

(1,703

)

(3,140

)

Proceeds from sale of equity investment

 

33,096

 

1,241

 

33,096

 

1,241

 

Acquisition of businesses, net of cash acquired

 

(1,049,872

)

(414,231

)

(1,049,872

)

(414,231

)

Net cash used in investing activities

 

(1,130,929

)

(463,002

)

(1,130,929

)

(463,002

)

 

 

 

 

 

 

 

 

 

 

Financing activities

 

 

 

 

 

 

 

 

 

Borrowings on revolving facilities

 

840,000

 

420,000

 

840,000

 

420,000

 

Payments on revolving facilities

 

(675,000

)

(545,000

)

(675,000

)

(545,000

)

Net proceeds from term loans

 

623,575

 

795,344

 

623,575

 

795,344

 

Payments on term loans

 

(26,884

)

(434,842

)

(26,884

)

(434,842

)

Borrowings of other debt

 

11,041

 

23,801

 

11,041

 

23,801

 

Principal payments on other debt

 

(13,167

)

(15,477

)

(13,167

)

(15,477

)

Dividends paid to common stockholders

 

(13,129

)

 

 

 

Dividends paid to Holdings

 

 

 

(26,751

)

(1,939

)

Repurchase of common stock

 

(13,622

)

(1,939

)

 

 

Proceeds from issuance of common stock

 

1,604

 

1,488

 

 

 

Equity investment by Holdings

 

 

 

1,604

 

1,488

 

Proceeds from issuance of non-controlling interest

 

217,065

 

11,846

 

217,065

 

11,846

 

Proceeds from (repayments of) bank overdrafts

 

2,353

 

(8,464

)

2,353

 

(8,464

)

Tax benefit from stock based awards

 

383

 

514

 

383

 

514

 

Purchase of non-controlling interests

 

 

(1,530

)

 

(1,530

)

Distributions to non-controlling interests

 

(7,440

)

(9,198

)

(7,440

)

(9,198

)

Net cash provided by financing activities

 

946,779

 

236,543

 

946,779

 

236,543

 

 

 

 

 

 

 

 

 

 

 

Net increase in cash and cash equivalents

 

19,281

 

53,788

 

19,281

 

53,788

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

3,354

 

14,435

 

3,354

 

14,435

 

Cash and cash equivalents at end of period

 

$

22,635

 

$

68,223

 

$

22,635

 

$

68,223

 

 

 

 

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

59,937

 

$

92,928

 

$

59,937

 

$

92,928

 

Cash paid for taxes

 

$

55,905

 

$

59,937

 

$

55,905

 

$

59,937

 

 

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

 

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SELECT MEDICAL HOLDINGS CORPORATION AND SELECT MEDICAL CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

 

1.              Basis of Presentation

 

The unaudited condensed consolidated financial statements of Select Medical Holdings Corporation (“Holdings”) and Select Medical Corporation (“Select”) as of September 30, 2016, and for the three and nine month periods ended September 30, 2015 and 2016, have been prepared in accordance with generally accepted accounting principles (“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, 2016 are not necessarily indicative of the results to be expected for the full fiscal year ending December 31, 2016. Holdings and Select and their subsidiaries are collectively referred to as the “Company.” The condensed 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.

 

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, 2015 contained in the Company’s Annual Report on Form 10-K filed with the SEC on February 26, 2016.

 

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.

 

Recent Accounting Pronouncements

 

In August 2016, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standards Update (“ASU”) 2016-15, Statement of Cash Flows (Topic 230), Classification of Certain Cash Receipts and Cash Payments, which addresses the diversity in practice in how certain cash receipts and cash payments are presented and classified in the statement of cash flows.  The standard will be effective for fiscal years beginning after December 15, 2017.  The Company is currently evaluating the standard to determine the impact it will have on its consolidated financial statements.

 

In March 2016, the FASB issued ASU 2016-09, Compensation-Stock Compensation, which simplifies various aspects of accounting for share-based payments to employees. The areas for simplification involve several aspects of the accounting for employee share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The standard will be effective for fiscal years beginning after December 15, 2016. The Company is currently evaluating the standard to determine the impact it will have on its consolidated financial statements.

 

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In February 2016, the FASB issued ASU 2016-02, Leases. This ASU includes a lessee accounting model that recognizes two types of leases; finance and operating. This ASU requires that a lessee recognize on the balance sheet assets and liabilities for all leases with lease terms of more than twelve months. Lessees will need to recognize almost all leases on the balance sheet as a right-of-use asset and a lease liability. For income statement purposes, the FASB retained the dual model, requiring leases to be classified as either operating or finance. The recognition, measurement, and presentation of expenses and cash flows arising from a lease by a lessee will depend on its classification as finance or operating lease. For short-term leases of twelve months or less, lessees are permitted to make an accounting election by class of underlying asset not to recognize right-of-use assets or lease liabilities. If the alternative is elected, lease expense would be recognized generally on the straight-line basis over the respective lease term.

 

The amendments in ASU 2016-02 will take effect for public companies for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Earlier application is permitted as of the beginning of an interim or annual reporting period. A modified retrospective approach is required for leases that exist or are entered into after the beginning of the earliest comparative period in the financial statements.  The Company is currently evaluating the standard to determine the impact it will have on its consolidated financial statements.

 

In November 2015, the FASB issued ASU No. 2015-17, Balance Sheet Classification of Deferred Taxes, which changes the presentation of deferred income taxes. The intent is to simplify the presentation of deferred income taxes through the requirement that deferred tax liabilities and assets be classified as noncurrent in a classified statement of financial position. The revised guidance is effective for annual fiscal periods beginning after December 15, 2016. Early adoption is permitted. The Company is currently evaluating the standard to determine the impact it will have on its consolidated financial statements.

 

In May 2014, March 2016, and April 2016 the FASB issued ASU 2014-09, Revenue from Contracts with Customers, ASU 2016-08, Revenue from Contracts with Customers, Principal versus Agent Considerations, ASU 2016-10, Revenue from Contracts with Customers, Identifying Performance Obligations and Licensing, and ASU 2016-12, Revenue from Contracts with Customers, Narrow Scope Improvements and Practical Expedients, respectively, which supersede most of the current revenue recognition requirements. The core principle of the new guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. New disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers are also required. The original standards were effective for fiscal years beginning after December 15, 2016; however, in July 2015, the FASB approved a one-year deferral of these standards, with a new effective date for fiscal years beginning after December 15, 2017. The standards require the selection of a modified retrospective or cumulative effect transition method for retrospective application.  The Company is currently evaluating the standards to determine the impact they will have on its consolidated financial statements.

 

Recently Adopted Accounting Pronouncements

 

In April and August 2015, the FASB issued ASU 2015-03 and ASU 2015-15, each titled Interest- Imputation of Interest, to simplify the presentation of debt issuance costs. The standard requires debt issuance costs be presented in the balance sheet as a direct deduction from the carrying value of the debt liability. The FASB clarified that debt issuance costs related to line-of-credit arrangements can be presented as an asset and amortized over the term of the arrangement. The Company adopted the standard at the beginning of the first quarter of 2016. The balance sheet as of December 31, 2015 was retrospectively conformed to reflect the

 

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adoption of the standard and approximately $38.0 million of unamortized debt issuance costs were reclassified to be a direct reduction of debt, rather than a component of other assets.

 

3.              Acquisitions

 

Physiotherapy Acquisition

 

On March 4, 2016, Select acquired 100% of the issued and outstanding equity securities of Physiotherapy Associates Holdings, Inc. (“Physiotherapy”) for $406.3 million, net of $12.3 million of cash acquired. Select financed the acquisition using a combination of cash on hand and proceeds from an incremental term loan facility under the Select credit facilities, as defined below (see Note 7 for more details). During the nine months ended September 30, 2016, $3.2 million of Physiotherapy acquisition costs were recognized in general and administrative expense.

 

Physiotherapy is a national provider of outpatient physical rehabilitation care offering a wide range of services, including general orthopedics, spinal care and neurological rehabilitation, as well as orthotics and prosthetics services.

 

The Physiotherapy acquisition is being accounted for under the provisions of Accounting Standards Codification (“ASC”) 805, Business Combinations. The Company has prepared a preliminary allocation of the purchase price to tangible and identifiable intangible assets acquired and liabilities assumed based on their estimated fair values. The Company is in the process of completing its assessment of fair values for identifiable tangible and intangible assets, and liabilities assumed; therefore, the values set forth below are subject to adjustment during the measurement period for such activities as estimating useful lives of long-lived assets and finite lived intangibles and completing assessment of fair values by obtaining appraisals. The amount of these potential adjustments could be significant. The Company expects to complete its purchase price allocation activities by December 31, 2016.

 

The following table summarizes the preliminary allocation of the purchase price to the fair value of identifiable assets acquired and liabilities assumed, in accordance with the acquisition method of accounting (in thousands):

 

Cash and cash equivalents

 

$

12,340

 

Identifiable tangible assets, excluding cash and cash equivalents

 

92,981

 

Identifiable intangible assets

 

32,484

 

Goodwill

 

319,145

 

Total assets

 

456,950

 

Total liabilities

 

35,792

 

Acquired non-controlling interests

 

2,514

 

Net assets acquired

 

418,644

 

Less: Cash and cash equivalents acquired

 

(12,340

)

Net cash paid

 

$

406,304

 

 

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Goodwill of $319.1 million has been recognized in the transaction, representing the excess of the purchase price over the value of the tangible and intangible assets acquired and liabilities assumed. The factors considered in determining the goodwill that resulted from the Physiotherapy purchase price included Physiotherapy’s future earnings potential and the value of the assembled workforce. The goodwill has been allocated to the outpatient rehabilitation segment and is not deductible for tax purposes. However, prior to its acquisition by the Company, Physiotherapy completed certain acquisitions that resulted in goodwill with an estimated value of $8.8 million that is deductible for tax purposes, which the Company will deduct through 2030.

 

Due to the integrated nature of our operations, it is not practicable to separately identify net revenue and earnings of Physiotherapy on a stand-alone basis.

 

Concentra Acquisition

 

On June 1, 2015, MJ Acquisition Corporation, a joint venture that Select created with Welsh, Carson, Anderson & Stowe XII, L.P., consummated the acquisition of Concentra, Inc. (“Concentra”), the indirect operating subsidiary of Concentra Group Holdings, LLC, and its subsidiaries. Pursuant to the terms of the stock purchase agreement, dated as of March 22, 2015, by and among MJ Acquisition Corporation, Concentra and Humana Inc., MJ Acquisition Corporation acquired 100% of the issued and outstanding equity securities of Concentra from Humana, Inc. for $1,047.2 million, net of $3.8 million of cash acquired.

 

During the year ended December 31, 2015, the Company finalized the purchase price allocation to identifiable intangible assets, fixed assets, non-controlling interests, and certain pre-acquisition contingencies. During the quarter ended June 30, 2016, the Company completed the accounting for certain deferred tax matters.

 

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The following table summarizes the allocation of the purchase price to the fair value of identifiable assets acquired and liabilities assumed, in accordance with the acquisition method of accounting (in thousands):

 

Cash and cash equivalents

 

$

3,772

 

Identifiable tangible assets, excluding cash and cash equivalents

 

406,926

 

Identifiable intangible assets

 

254,990

 

Goodwill

 

651,152

 

Total assets

 

1,316,840

 

Total liabilities

 

248,797

 

Acquired non-controlling interests

 

17,084

 

Net assets acquired

 

1,050,959

 

Less: Cash and cash equivalents acquired

 

(3,772

)

Net cash paid

 

$

1,047,187

 

 

Goodwill of $651.2 million was recognized in the transaction, representing the excess of the purchase price over the value of the tangible and intangible assets acquired and liabilities assumed. The factors considered in determining the goodwill that resulted from the Concentra purchase price included Concentra’s future earnings potential and the value of Concentra’s assembled workforce. The goodwill is allocated to the Concentra segment and is not deductible for tax purposes. However, prior to its acquisition by MJ Acquisition Corporation, Concentra completed certain acquisitions that resulted in goodwill with an estimated value of $23.9 million that is deductible for tax purposes, which the Company will deduct through 2025.

 

For the three months ended September 30, 2016, Concentra contributed net revenue of $258.5 million and net income of approximately $0.9 million, which are reflected in the Company’s consolidated statements of operations. For the nine months ended September 30, 2016, Concentra contributed net revenue of $764.3 million and net income of approximately $7.9 million, which are reflected in the Company’s consolidated statements of operations.

 

Pro Forma Results

 

The following pro forma unaudited results of operations have been prepared assuming the acquisitions of Concentra and Physiotherapy occurred January 1, 2014 and 2015, respectively. These results are not necessarily indicative of results of future operations nor of the results that would have actually occurred had the acquisitions been consummated on the aforementioned dates. The Company’s results of operations for the three months ended September 30, 2016 include both Concentra and Physiotherapy for the entire period and there are no pro forma adjustments; therefore, no pro forma information is presented for the period.

 

 

 

For the Three Months
Ended September 30,

 

For the Nine Months
Ended September 30,

 

 

 

2015

 

2015

 

2016

 

 

 

(in thousands, except per share amounts)

 

Net revenue

 

$

1,099,857

 

$

3,350,131

 

$

3,293,286

 

Net income attributable to Holdings

 

26,277

 

88,502

 

93,407

 

Income per common share:

 

 

 

 

 

 

 

Basic

 

$

0.20

 

$

0.67

 

$

0.71

 

Diluted

 

$

0.20

 

$

0.67

 

$

0.71

 

 

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Table of Contents

 

The pro forma financial information is based on the preliminary allocation of the purchase price of the Physiotherapy acquisition, and is therefore subject to adjustment upon finalizing the purchase price allocation, as described above, during the measurement period. The net income tax impact was calculated at a statutory rate, as if Concentra and Physiotherapy had been subsidiaries of the Company as of January 1, 2014 and 2015, respectively.

 

Pro forma results for the nine months ended September 30, 2015 were adjusted to include $3.2 million of Physiotherapy acquisition costs and exclude $4.7 million of Concentra acquisition costs. Pro forma results for the nine months ended September 30, 2016 were adjusted to exclude approximately $3.2 million of Physiotherapy acquisition costs.

 

Other Acquisitions

 

In addition to the acquisition of Physiotherapy, the Company completed other acquisitions consisting of hospital, clinic, and center businesses during the nine months ended September 30, 2016.  The specialty hospital transactions were conducted principally through either the exchange of nonmonetary assets or issuance of equity interests.  Assets transferred and equity interests issued for these acquisitions consisted of $7.6 million in cash payments, net of cash received, $17.7 million for specialty hospitals exchanged, and issuance of $38.3 million of equity interests.  The specialty hospital exchange transaction resulted in a non-operating gain totaling $6.5 million due, in part, to a bargain purchase because the fair values of the identifiable assets received in the exchange transaction exceeded the fair values of the transferred hospitals. The assets received in these acquisitions consisted principally of cash, real property, and goodwill, of which $46.2 million, $0.9 million, and $4.1 million of goodwill was recognized in our specialty hospital, outpatient rehabilitation, and Concentra reporting units, respectively.

 

4.              Sale of Businesses

 

The Company recognized non-operating gains totaling $42.1 million for the nine months ended September 30, 2016, principally as the result of the sale of its contract therapy businesses for $65.0 million, resulting in a non-operating gain of $33.9 million. Additionally, the Company sold nine outpatient rehabilitation clinics to an entity in which the Company holds a non-controlling interest, resulting in a non-operating gain of $1.7 million.

 

5.              Equity Investment Events

 

During the nine months ended September 30, 2016, an entity in which the Company owned a non-controlling interest was sold, which resulted in a non-operating loss of $5.1 million.

 

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6.    Intangible Assets

 

The net carrying value of the Company’s goodwill and identifiable intangible assets consist of the following:

 

 

 

December 31, 
2015

 

September 30,
2016

 

 

 

(in thousands)

 

Goodwill

 

$

2,314,624

 

$

2,674,623

 

Identifiable intangibles—Indefinite lived assets:

 

 

 

 

 

Trademarks

 

162,609

 

166,698

 

Certificates of need

 

13,022

 

13,070

 

Accreditations

 

2,045

 

2,045

 

Identifiable intangibles—Finite lived assets:

 

 

 

 

 

Customer relationships

 

132,751

 

122,095

 

Favorable leasehold interests

 

8,248

 

11,227

 

Non-compete agreements

 

 

23,085

 

Total identifiable intangibles

 

$

2,633,299

 

$

3,012,843

 

 

                                                The Company’s customer relationships and non-compete agreement assets amortize over their estimated useful lives. Amortization expense was $4.1 million and $3.0 million for the three months ended September 30, 2016 and 2015, respectively. Amortization expense was $12.2 million and $4.4 million for the nine months ended September 30, 2016 and 2015, respectively. Estimated amortization expense of the Company’s customer relationships and non-compete agreements for each of the five succeeding years is $16.3 million.

 

In addition, the Company has recognized unfavorable leasehold interests which are recorded as liabilities. The net carrying value of unfavorable leasehold interests was $4.0 million and $3.0 million as of September 30, 2016 and December 31, 2015, respectively.

 

The Company’s favorable leasehold assets and unfavorable leasehold liabilities are amortized to rent expense over the remaining term of their respective leases to reflect a market rent per period based upon the market conditions present at the acquisition date. The net effect of this amortization increased rent expense by $0.2 million for the three months ended September 30, 2016 and $0.5 million for the nine months ended September 30, 2016.

 

The Company’s accreditations and trademarks have renewal terms. The costs to renew these intangibles are expensed as incurred. At September 30, 2016, the accreditations and trademarks have a weighted average time until next renewal of 1.5 years and 3.1 years, respectively.

 

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The changes in the carrying amount of goodwill for the Company’s reportable segments for the nine months ended September 30, 2016 are as follows:

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Concentra

 

Total

 

 

 

(in thousands)

 

Balance as of December 31, 2015

 

$

1,357,379

 

$

306,595

 

$

650,650

 

$

2,314,624

 

Acquired

 

46,205

 

358,153

 

4,115

 

408,473

 

Measurement period adjustment

 

 

(38,148

)

4,825

 

(33,323

)

Disposed

 

(6,758

)

(8,393

)

 

(15,151

)

Balance as of September 30, 2016

 

$

1,396,826

 

$

618,207

 

$

659,590

 

$

2,674,623

 

 

See Note 3 for details of the goodwill acquired during the period.

 

7. Indebtedness

 

For purposes of this indebtedness footnote, references to Select exclude Concentra, because the Concentra credit facilities are non-recourse to Holdings and Select.

 

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

 

 

 

December 31, 
2015

 

September 30,
2016

 

 

 

(in thousands)

 

Select 6.375% senior notes(1)

 

$

700,867

 

$

702,124

 

Select credit facilities:

 

 

 

 

 

Select revolving facility

 

295,000

 

175,000

 

Select term loans(2)

 

743,071

 

1,121,655

 

Other—Select

 

11,987

 

22,802

 

Total Select debt

 

1,750,925

 

2,021,581

 

Less: Select current maturities

 

222,905

 

7,268

 

Select long-term debt maturities

 

$

1,528,020

 

$

2,014,313

 

 

 

 

 

 

 

Concentra credit facilities:

 

 

 

 

 

Concentra revolving facility

 

$

5,000

 

$

 

Concentra term loans(3)

 

624,659

 

627,262

 

Other—Concentra

 

5,312

 

5,962

 

Total Concentra debt

 

634,971

 

633,224

 

Less: Concentra current maturities

 

2,261

 

5,422

 

Concentra long-term debt maturities

 

$

632,710

 

$

627,802

 

 

 

 

 

 

 

Total current maturities

 

$

225,166

 

$

12,690

 

Total long-term debt maturities

 

2,160,730

 

2,642,115

 

Total debt

 

$

2,385,896

 

$

2,654,805

 

 


(1)                                 Includes unamortized premium of $1.2 million and $1.1 million at December 31, 2015 and September 30, 2016, respectively. Includes unamortized debt issuance costs of $10.4 million and $8.9 million at December 31, 2015 and September 30, 2016, respectively.

 

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(2)                                 Includes unamortized discounts of $2.8 million and $12.9 million at December 31, 2015 and September 30, 2016, respectively. Includes unamortized debt issuance costs of $7.4 million and $14.8 million at December 31, 2015 and September 30, 2016, respectively.

 

(3)                                 Includes unamortized discounts of $2.9 million at both December 31, 2015 and September 30, 2016. Includes unamortized debt issuance costs of $20.2 million and $13.7 million at December 31, 2015 and September 30, 2016, respectively.

 

Maturities of Long-Term Debt and Notes Payable

 

Maturities of the Company’s long-term debt for the period from October 1, 2016 through December 31, 2016 and the years after 2016 are approximately as follows:

 

 

 

Select

 

Concentra

 

Total

 

 

 

(in thousands)

 

October 1, 2016 — December 31, 2016

 

$

4,236

 

$

2,160

 

$

6,396

 

2017

 

16,731

 

7,890

 

24,621

 

2018

 

706,426

 

6,617

 

713,043

 

2019

 

18,084

 

6,636

 

24,720

 

2020

 

6,303

 

6,656

 

12,959

 

2021 and beyond

 

1,305,337

 

619,873

 

1,925,210

 

Total principal

 

2,057,117

 

649,832

 

2,706,949

 

Unamortized discounts and premiums

 

(11,811

)

(2,905

)

(14,716

)

Unamortized debt issuance costs

 

(23,725

)

(13,703

)

(37,428

)

Total

 

$

2,021,581

 

$

633,224

 

$

2,654,805

 

 

Excess Cash Flow Payment

 

On March 2, 2016, Select made a principal prepayment of $10.2 million associated with its term loans (the “Select term loans”) in accordance with the provision in the Select credit facilities that requires mandatory prepayments of term loans as a result of annual excess cash flow as defined in the Select credit facilities.

 

Select Credit Facilities

 

On March 4, 2016, Select entered into an Additional Credit Extension Amendment (the “Additional Credit Extension Amendment”) to Select’s senior secured credit facility with JPMorgan Chase Bank, N.A., as administrative agent, collateral agent and lender, and the additional lenders named therein (the “Select credit facilities”). The Additional Credit Extension Amendment (i) provided for the lenders named therein to make available an aggregate of $625.0 million of Series F Tranche B Term Loans, (ii) extended the financial covenants through March 3, 2021, (iii) added a 1.00% prepayment premium for prepayments made with new term loans on or prior to March 4, 2017 if such new term loans have a lower yield than the Series F Tranche B Term Loans, and (iv) made certain other technical amendments to the Select credit facilities. The Series F Tranche B Term Loans bear interest at a rate per annum equal to the Adjusted LIBO Rate (as defined in the Select credit facilities, subject to an Adjusted LIBO Rate floor of 1.00%) plus 5.00% for Eurodollar Loans or the Alternate Base Rate (as defined in the Select credit facilities) plus 4.00% for Alternate Base Rate Loans (as defined in the Select credit facilities). Select is required to make principal payments on the Series F Tranche B Term Loans in quarterly installments on the last day of each of March, June, September and December, beginning June 30, 2016, in amounts equal to 0.25% of the aggregate principal amount of the Series F Tranche B Term Loans outstanding as of the date of the Additional Credit Extension Amendment. The balance of the

 

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Table of Contents

 

Series F Tranche B Term Loans is payable on March 3, 2021. Except as specifically set forth in the Additional Credit Extension Amendment, the terms and conditions of the Series F Tranche B Term Loans are identical to the terms of the outstanding Series E Term B Loans under the Select credit facilities and the other loan documents to which Select is party.

 

Select used the proceeds of the Series F Tranche B Term Loans to (i) refinance in full the Series D Tranche B Term Loans due December 20, 2016, (ii) consummate the acquisition of Physiotherapy, and (iii) pay fees and expenses incurred in connection with the acquisition of Physiotherapy, the refinancing, and the Additional Credit Extension Amendment.

 

As a result of the Additional Credit Extension Amendment relating to the Series F Tranche B Term Loans, the interest rate payable on the Series E Tranche B Term Loans was increased from Adjusted LIBO plus 4.00% (subject to an Adjusted LIBO rate floor of 1.00%), or Alternative Base Rate plus 3.00%, to Adjusted LIBO plus 5.00% (subject to an Adjusted LIBO rate floor of 1.00%), or Alternative Base Rate plus 4.00%.

 

During the nine months ended September 30, 2016, the Company recognized a loss on early retirement of debt of $0.8 million relating to the repayment of the Series D Tranche B Term Loans under the Select credit facilities.

 

Concentra Credit Facilities

 

On September 26, 2016, Concentra entered into Amendment No. 1 (the “Concentra Credit Agreement Amendment”) to its first lien credit agreement (the “Concentra first lien credit agreement”) dated June 1, 2015. The Concentra first lien credit agreement initially provided for $500.0 million in first lien credit facilities composed of $450.0 million, seven-year term loans (“Concentra first lien term loan”) and a $50.0 million, five-year revolving credit facility (“Concentra revolving facility”).

 

The Concentra Credit Agreement Amendment provided an additional $200.0 million of first lien term loans due June 1, 2022, the proceeds of which were used to prepay in full Concentra’s second lien term loan due June 1, 2023; and also amended certain restrictive covenants to give Concentra greater operational flexibility.

 

The Concentra first lien term loan continues to bear interest at a rate equal to Adjusted LIBO (as defined in the Concentra first lien credit agreement) plus 3.00% (subject to an Adjusted LIBO floor of 1.00%), or Alternate Base Rate (as defined in the Concentra first lien credit agreement) plus 2.00% (subject to an Alternate Base Rate floor of 2.00%). The Concentra first lien term loan amortizes in equal quarterly installments of $1.6 million through March 31, 2022, with the remaining unamortized aggregate principal due on the maturity date.

 

The reacquisition price of the second lien term loans was $202.0 million. The premium plus the expensing of unamortized deferred financing costs and original issuance discount resulted in a loss on early retirement of debt of $10.9 million during the three months ended September 30, 2016.

 

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Table of Contents

 

8. 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.

 

 

 

December 31, 2015

 

September 30, 2016

 

 

 

Face 
Value

 

Carrying 
Value

 

Fair
Value

 

Face 
Value

 

Carrying 
Value

 

Fair
Value

 

 

 

(in thousands)

 

Select 6.375% senior notes(1)

 

$

710,000

 

$

700,867

 

$

623,948

 

$

710,000

 

$

702,124

 

$

698,853

 

Select credit facilities(2)

 

1,048,277

 

1,038,071

 

1,023,616

 

1,324,315

 

1,296,655

 

1,318,943

 

Concentra credit facilities(3)

 

652,750

 

629,659

 

645,392

 

643,870

 

627,262

 

642,260

 

 


(1)                                 The carrying value includes unamortized premium of $1.2 million and $1.1 million at December 31, 2015 and September 30, 2016, respectively, and unamortized debt issuance costs of $10.4 million and $8.9 million at December 31, 2015 and September 30, 2016, respectively.

 

(2)                                 The carrying value includes unamortized discounts of $2.8 million and $12.9 million at December 31, 2015 and September 30, 2016, respectively, and unamortized debt issuance costs of $7.4 million and $14.8 million at December 31, 2015 and September 30, 2016, respectively.

 

(3)                                 The carrying value includes unamortized discounts of $2.9 million at both December 31, 2015 and September 30, 2016 and unamortized debt issuance costs of $20.2 million and $13.7 million at December 31, 2015 and September 30, 2016, respectively.

 

The fair value of the Select credit facilities and the Concentra credit facilities was based on quoted market prices for this debt in the syndicated loan market. The fair value of Select’s 6.375% senior notes debt was based on quoted market prices.

 

The Company considers the inputs in the valuation process to be Level 2 in the fair value hierarchy. Level 2 in the fair value hierarchy is defined as inputs that are observable for the asset or liability, either directly or indirectly, which includes quoted prices for identical assets or liabilities in markets that are not active.

 

9. Segment Information

 

The Company’s reportable segments consist of: (i) specialty hospitals, (ii) outpatient rehabilitation, and (iii) Concentra. Other activities include the Company’s corporate shared services and certain other non-consolidating joint ventures and minority investments in other healthcare related businesses. 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 earnings excluding interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, Concentra acquisition costs, Physiotherapy acquisition costs, non-operating gain (loss), and equity in earnings (losses) of unconsolidated subsidiaries.

 

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Table of Contents

 

The following tables summarize selected financial data for the Company’s reportable segments. The segment results of Holdings are identical to those of Select.

 

 

 

Three Months Ended September 30, 2015

 

 

 

Specialty 
Hospitals

 

Outpatient 
Rehabilitation

 

Concentra

 

Other

 

Total

 

 

 

(in thousands)

 

Net operating revenues

 

$

562,328

 

$

199,593

 

$

258,969

 

$

233

 

$

1,021,123

 

Adjusted EBITDA

 

53,656

 

23,807

 

25,584

 

(18,536

)

84,511

 

Total assets

 

2,333,049

 

541,435

 

1,332,975

 

106,946

 

4,314,405

 

Capital expenditures

 

27,494

 

4,023

 

9,640

 

3,923

 

45,080

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30, 2016

 

 

 

Specialty 
Hospitals

 

Outpatient 
Rehabilitation(1)

 

Concentra

 

Other

 

Total

 

 

 

(in thousands)

 

Net operating revenues

 

$

544,491

 

$

250,710

 

$

258,507

 

$

87

 

$

1,053,795

 

Adjusted EBITDA

 

48,264

 

31,995

 

40,888

 

(23,070

)

98,077

 

Total assets

 

2,461,751

 

977,431

 

1,327,438

 

78,785

 

4,845,405

 

Capital expenditures

 

24,378

 

6,234

 

2,720

 

4,670

 

38,002

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30, 2015

 

 

 

Specialty 
Hospitals

 

Outpatient 
Rehabilitation

 

Concentra(2)

 

Other

 

Total

 

 

 

(in thousands)

 

Net operating revenues

 

$

1,753,445

 

$

603,831

 

$

345,798

 

$

457

 

$

2,703,531

 

Adjusted EBITDA

 

241,575

 

74,662

 

36,783

 

(54,672

)

298,348

 

Total assets

 

2,333,049

 

541,435

 

1,332,975

 

106,946

 

4,314,405

 

Capital expenditures

 

81,329

 

11,048

 

13,494

 

8,121

 

113,992

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30, 2016

 

 

 

Specialty 
Hospitals

 

Outpatient
Rehabilitation(1)

 

Concentra

 

Other

 

Total

 

 

 

(in thousands)

 

Net operating revenues

 

$

1,729,261

 

$

745,720

 

$

764,252

 

$

523

 

$

3,239,756

 

Adjusted EBITDA

 

217,759

 

99,006

 

118,080

 

(66,696

)

368,149

 

Total assets

 

2,461,751

 

977,431

 

1,327,438

 

78,785

 

4,845,405

 

Capital expenditures

 

79,366

 

15,032

 

10,647

 

13,215

 

118,260

 

 

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Table of Contents

 

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

 

 

 

Three Months Ended September 30, 2015

 

 

 

Specialty 
Hospitals

 

Outpatient 
Rehabilitation

 

Concentra

 

Other

 

Total

 

 

 

(in thousands)

 

Adjusted EBITDA

 

$

53,656

 

$

23,807

 

$

25,584

 

$

(18,536

)

 

 

Depreciation and amortization

 

(13,782

)

(3,247

)

(13,316

)

(1,127

)

 

 

Stock compensation expense

 

 

 

(811

)

(4,014

)

 

 

Income (loss) from operations

 

$

39,874

 

$

20,560

 

$

11,457

 

$

(23,677

)

$

48,214

 

Non-operating gain

 

 

 

 

 

 

 

 

 

29,647

 

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

 

 

6,348

 

Interest expense

 

 

 

 

 

 

 

 

 

(33,052

)

Income before income taxes

 

 

 

 

 

 

 

 

 

$

51,157

 

 

 

 

 

 

 

Three Months Ended September 30, 2016

 

 

 

Specialty 
Hospitals

 

Outpatient 
Rehabilitation (1)

 

Concentra

 

Other

 

Total

 

 

 

(in thousands)

 

Adjusted EBITDA

 

$

48,264

 

$

31,995

 

$

40,888

 

$

(23,070

)

 

 

Depreciation and amortization

 

(14,317

)

(6,159

)

(15,278

)

(1,411

)

 

 

Stock compensation expense

 

 

 

(193

)

(4,557

)

 

 

Income (loss) from operations

 

$

33,947

 

$

25,836

 

$

25,417

 

$

(29,038

)

$

56,162

 

Non-operating loss

 

 

 

 

 

 

 

 

 

(1,028

)

Loss on early retirement of debt

 

 

 

 

 

 

 

 

 

(10,853

)

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

 

 

5,268

 

Interest expense

 

 

 

 

 

 

 

 

 

(44,482

)

Income before income taxes

 

 

 

 

 

 

 

 

 

$

5,067

 

 

 

 

 

 

 

Nine Months Ended September 30, 2015