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Interim Condensed Consolidated Balance Sheets (Current Period Unaudited) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2015
Dec. 31, 2014
Current Assets:    
Cash and cash equivalents $ 78,211us-gaap_CashAndCashEquivalentsAtCarryingValue $ 69,767us-gaap_CashAndCashEquivalentsAtCarryingValue
Restricted cash and cash equivalents 17,366us-gaap_RestrictedCashAndCashEquivalentsAtCarryingValue 7,020us-gaap_RestrictedCashAndCashEquivalentsAtCarryingValue
Marketable securities 134,795us-gaap_MarketableSecuritiesCurrent 132,535us-gaap_MarketableSecuritiesCurrent
Restricted marketable securities 9,510us-gaap_MarketableSecuritiesRestrictedCurrent 19,805us-gaap_MarketableSecuritiesRestrictedCurrent
Accounts receivable, less allowance for doubtful accounts of $6,229 and $5,738, respectively 81,570us-gaap_AccountsReceivableNetCurrent 78,843us-gaap_AccountsReceivableNetCurrent
Inventories 7,113us-gaap_InventoryNet 7,127us-gaap_InventoryNet
Prepaid expenses and other assets 3,118us-gaap_PrepaidExpenseAndOtherAssetsCurrent 2,260us-gaap_PrepaidExpenseAndOtherAssetsCurrent
Notes receivable, current portion 464us-gaap_NotesAndLoansReceivableNetCurrent 441us-gaap_NotesAndLoansReceivableNetCurrent
Federal income tax receivable   4,727us-gaap_IncomeTaxesReceivable
Total current assets 332,147us-gaap_AssetsCurrent 322,525us-gaap_AssetsCurrent
Property and Equipment:    
Property and equipment, at cost 834,336us-gaap_PropertyPlantAndEquipmentGross 821,792us-gaap_PropertyPlantAndEquipmentGross
Accumulated depreciation and amortization (315,945)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (307,048)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Net property and equipment 518,391us-gaap_PropertyPlantAndEquipmentNet 514,744us-gaap_PropertyPlantAndEquipmentNet
Other Assets:    
Restricted cash and cash equivalents 3,631us-gaap_RestrictedCashAndCashEquivalentsNoncurrent 3,631us-gaap_RestrictedCashAndCashEquivalentsNoncurrent
Restricted marketable securities 143,499us-gaap_MarketableSecuritiesRestrictedNoncurrent 138,468us-gaap_MarketableSecuritiesRestrictedNoncurrent
Deposits and other assets 8,345us-gaap_DepositsAssetsNoncurrent 8,791us-gaap_DepositsAssetsNoncurrent
Goodwill 17,600us-gaap_Goodwill 17,600us-gaap_Goodwill
Notes receivable, less current portion 12,453us-gaap_NotesAndLoansReceivableNetNoncurrent 12,548us-gaap_NotesAndLoansReceivableNetNoncurrent
Deferred income taxes 20,180us-gaap_DeferredTaxAssetsNetNoncurrent 18,700us-gaap_DeferredTaxAssetsNetNoncurrent
Investments in limited liability companies 35,607us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures 37,116us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
Total other assets 241,315us-gaap_OtherAssetsNoncurrent 236,854us-gaap_OtherAssetsNoncurrent
Total assets 1,091,853us-gaap_Assets 1,074,123us-gaap_Assets
Current Liabilities:    
Trade accounts payable 20,716us-gaap_AccountsPayableTradeCurrent 15,877us-gaap_AccountsPayableTradeCurrent
Capital lease obligations, current portion 3,135us-gaap_CapitalLeaseObligationsCurrent 3,088us-gaap_CapitalLeaseObligationsCurrent
Accrued payroll 45,673us-gaap_AccruedSalariesCurrent 59,859us-gaap_AccruedSalariesCurrent
Amounts due to third party payors 24,433us-gaap_AccountsPayableOtherCurrent 22,931us-gaap_AccountsPayableOtherCurrent
Accrued risk reserves, current portion 26,876us-gaap_SelfInsuranceReserveCurrent 26,825us-gaap_SelfInsuranceReserveCurrent
Deferred income taxes 36,058us-gaap_DeferredTaxLiabilitiesCurrent 35,506us-gaap_DeferredTaxLiabilitiesCurrent
Other current liabilities 16,496us-gaap_OtherLiabilitiesCurrent 12,472us-gaap_OtherLiabilitiesCurrent
Dividends payable 7,043us-gaap_DividendsPayableCurrent 7,000us-gaap_DividendsPayableCurrent
Total current liabilities 180,430us-gaap_LiabilitiesCurrent 183,558us-gaap_LiabilitiesCurrent
Long–term debt 10,000us-gaap_LongTermDebtNoncurrent 10,000us-gaap_LongTermDebtNoncurrent
Capital lease obligations, less current portion 32,706us-gaap_CapitalLeaseObligationsNoncurrent 33,508us-gaap_CapitalLeaseObligationsNoncurrent
Accrued risk reserves, less current portion 84,024us-gaap_SelfInsuranceReserveNoncurrent 79,393us-gaap_SelfInsuranceReserveNoncurrent
Refundable entrance fees 10,159us-gaap_OtherAccruedLiabilitiesNoncurrent 10,219us-gaap_OtherAccruedLiabilitiesNoncurrent
Obligation to provide future services 3,927us-gaap_AccountsPayableOtherCurrentAndNoncurrent 3,927us-gaap_AccountsPayableOtherCurrentAndNoncurrent
Other noncurrent liabilities 16,815us-gaap_OtherLiabilitiesNoncurrent 16,011us-gaap_OtherLiabilitiesNoncurrent
Deferred revenue 5,392us-gaap_DeferredRevenueNoncurrent 3,359us-gaap_DeferredRevenueNoncurrent
Stockholders’ Equity:    
Series A Convertible Preferred Stock; $.01 par value; 25,000,000 shares authorized; 10,836,659 issued and outstanding; stated at liquidation value of $15.75 per share 170,494us-gaap_PreferredStockValue 170,494us-gaap_PreferredStockValue
Common stock, $.01 par value; 30,000,000 shares authorized; 14,218,760 and 14,110,859 shares, respectively, issued and outstanding 141us-gaap_CommonStockValue 140us-gaap_CommonStockValue
Capital in excess of par value 160,696us-gaap_AdditionalPaidInCapital 154,965us-gaap_AdditionalPaidInCapital
Retained earnings 350,181us-gaap_RetainedEarningsAccumulatedDeficit 343,941us-gaap_RetainedEarningsAccumulatedDeficit
Accumulated other comprehensive income 66,888us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax 64,608us-gaap_AccumulatedOtherComprehensiveIncomeLossNetOfTax
Total stockholders’ equity 748,400us-gaap_StockholdersEquity 734,148us-gaap_StockholdersEquity
Total liabilities and stockholders’ equity $ 1,091,853us-gaap_LiabilitiesAndStockholdersEquity $ 1,074,123us-gaap_LiabilitiesAndStockholdersEquity