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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
| | | | | |
☒ | QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the Quarterly Period Ended March 31, 2022
OR
| | | | | |
☐ | 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
SELECT MEDICAL HOLDINGS CORPORATION
(Exact name of Registrant as specified in its Charter)
| | | | | | | | |
Delaware | | 20-1764048 |
(State or Other Jurisdiction of Incorporation or Organization) | | (I.R.S. Employer Identification Number) |
4714 Gettysburg Road, P.O. Box 2034
Mechanicsburg, PA 17055
(Address of Principal Executive Offices and Zip code)
(717) 972-1100
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
| | | | | | | | |
Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
Common Stock, par value $0.001 per share | SEM | New York Stock Exchange |
| | (NYSE) |
Indicate by check mark whether the Registrant (1) has 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 Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
| | | | | | | | | | | |
Large accelerated filer | ☒ | Accelerated filer | ☐ |
Non-accelerated filer | ☐ | Smaller reporting company | ☐ |
| | Emerging Growth Company | ☐ |
If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
As of April 30, 2022, Select Medical Holdings Corporation had outstanding 130,627,340 shares of common stock.
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 Group Holdings Parent, LLC (“Concentra Group Holdings Parent”) and its subsidiaries, including Concentra Inc. References to the “Company,” “we,” “us,” and “our” refer collectively to Holdings, Select, and Concentra.
TABLE OF CONTENTS
PART I: FINANCIAL INFORMATION
ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Select Medical Holdings Corporation
Condensed Consolidated Balance Sheets
(unaudited)
(in thousands, except share and per share amounts)
| | | | | | | | | | | |
| December 31, 2021 | | March 31, 2022 |
ASSETS | | | |
Current Assets: | | | |
Cash and cash equivalents | $ | 74,310 | | | $ | 130,881 | |
Accounts receivable | 889,303 | | | 941,434 | |
Prepaid income taxes | 55,620 | | | 40,761 | |
Other current assets | 120,206 | | | 137,775 | |
Total Current Assets | 1,139,439 | | | 1,250,851 | |
Operating lease right-of-use assets | 1,078,754 | | | 1,102,710 | |
Property and equipment, net | 961,467 | | | 952,926 | |
Goodwill | 3,448,912 | | | 3,465,456 | |
Identifiable intangible assets, net | 374,879 | | | 368,850 | |
Other assets | 356,720 | | | 395,151 | |
Total Assets | $ | 7,360,171 | | | $ | 7,535,944 | |
LIABILITIES AND EQUITY | | | |
Current Liabilities: | | | |
Overdrafts | $ | 42,353 | | | $ | 34,745 | |
Current operating lease liabilities | 229,334 | | | 234,420 | |
Current portion of long-term debt and notes payable | 17,572 | | | 24,513 | |
Accounts payable | 233,844 | | | 238,150 | |
Accrued payroll | 247,292 | | | 242,749 | |
Accrued vacation | 144,048 | | | 148,114 | |
Accrued interest | 29,002 | | | 9,932 | |
Accrued other | 244,312 | | | 232,297 | |
Government advances | 83,790 | | | 20,862 | |
Unearned government assistance | 93 | | | 194 | |
| | | |
Income taxes payable | 1,437 | | | 3,175 | |
Total Current Liabilities | 1,273,077 | | | 1,189,151 | |
Non-current operating lease liabilities | 916,540 | | | 938,423 | |
Long-term debt, net of current portion | 3,556,385 | | | 3,738,299 | |
Non-current deferred tax liability | 142,792 | | | 156,407 | |
Other non-current liabilities | 106,442 | | | 105,098 | |
Total Liabilities | 5,995,236 | | | 6,127,378 | |
Commitments and contingencies (Note 14) | | | |
Redeemable non-controlling interests | 39,033 | | | 41,670 | |
Stockholders’ Equity: | | | |
Common stock, $0.001 par value, 700,000,000 shares authorized, 133,884,817 and 131,769,303 shares issued and outstanding at 2021 and 2022, respectively | 134 | | | 132 | |
Capital in excess of par | 504,314 | | | 489,794 | |
Retained earnings | 593,251 | | | 596,079 | |
Accumulated other comprehensive income | 12,282 | | | 52,135 | |
Total Stockholders’ Equity | 1,109,981 | | | 1,138,140 | |
Non-controlling interests | 215,921 | | | 228,756 | |
Total Equity | 1,325,902 | | | 1,366,896 | |
Total Liabilities and Equity | $ | 7,360,171 | | | $ | 7,535,944 | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
Select Medical Holdings Corporation
Condensed Consolidated Statements of Operations
(unaudited)
(in thousands, except per share amounts)
| | | | | | | | | | | | | | | |
| | | For the Three Months Ended March 31, |
| | | | | 2021 | | 2022 |
Revenue | | | | | $ | 1,546,463 | | | $ | 1,599,547 | |
Costs and expenses: | | | | | | | |
Cost of services, exclusive of depreciation and amortization | | | | | 1,293,449 | | | 1,407,010 | |
General and administrative | | | | | 35,403 | | | 37,513 | |
Depreciation and amortization | | | | | 49,620 | | | 51,039 | |
Total costs and expenses | | | | | 1,378,472 | | | 1,495,562 | |
Other operating income | | | | | 34,021 | | | — | |
Income from operations | | | | | 202,012 | | | 103,985 | |
Other income and expense: | | | | | | | |
| | | | | | | |
Equity in earnings of unconsolidated subsidiaries | | | | | 9,919 | | | 5,397 | |
| | | | | | | |
Interest income | | | | | 4,749 | | | — | |
Interest expense | | | | | (34,402) | | | (35,514) | |
Income before income taxes | | | | | 182,278 | | | 73,868 | |
Income tax expense | | | | | 45,064 | | | 17,942 | |
Net income | | | | | 137,214 | | | 55,926 | |
Less: Net income attributable to non-controlling interests | | | | | 26,668 | | | 6,809 | |
Net income attributable to Select Medical Holdings Corporation | | | | | $ | 110,546 | | | $ | 49,117 | |
Earnings per common share (Note 13): | | | | | | | |
Basic and diluted | | | | | $ | 0.82 | | | $ | 0.37 | |
| | | | | | | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
Select Medical Holdings Corporation
Condensed Consolidated Statements of Comprehensive Income
(unaudited)
(in thousands)
| | | | | | | | | | | | | | | |
| | | For the Three Months Ended March 31, |
| | | | | 2021 | | 2022 |
Net income | | | | | $ | 137,214 | | | $ | 55,926 | |
Other comprehensive income, net of tax: | | | | | | | |
Gain on interest rate cap cash flow hedge | | | | | 8,151 | | | 39,814 | |
Reclassification adjustment for losses (gains) included in net income | | | | | — | | | 39 | |
Net change, net of tax benefit (expense) of $(2,834) and $(13,284) | | | | | 8,151 | | | 39,853 | |
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Comprehensive income | | | | | 145,365 | | | 95,779 | |
Less: Comprehensive income attributable to non-controlling interests | | | | | 26,668 | | | 6,809 | |
Comprehensive income attributable to Select Medical Holdings Corporation | | | | | $ | 118,697 | | | $ | 88,970 | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
Select Medical Holdings Corporation
Condensed Consolidated Statements of Changes in Equity and Income
(unaudited)
(in thousands)
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| For the Three Months Ended March 31, 2022 |
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| | | Total Stockholders’ Equity | | | | |
| Common Stock Issued | | Common Stock Par Value | | Capital in Excess of Par | | Retained Earnings | | Accumulated Other Comprehensive Income | | Total Stockholders’ Equity | | Non-controlling Interests | | Total Equity |
Balance at December 31, 2021 | 133,884 | | | $ | 134 | | | $ | 504,314 | | | $ | 593,251 | | | $ | 12,282 | | | $ | 1,109,981 | | | $ | 215,921 | | | $ | 1,325,902 | |
Net income attributable to Select Medical Holdings Corporation | | | | | | | 49,117 | | | | | 49,117 | | | | | 49,117 | |
Net income attributable to non-controlling interests | | | | | | | | | | | — | | | 4,891 | | | 4,891 | |
Cash dividends declared for common stockholders ($0.125 per share) | | | | | | | (16,691) | | | | | (16,691) | | | | | (16,691) | |
Issuance of restricted stock | 13 | | | 0 | | | 0 | | | | | | | — | | | | | — | |
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Vesting of restricted stock | | | | | 8,288 | | | | | | | 8,288 | | | | | 8,288 | |
Repurchase of common shares | (2,128) | | | (2) | | | (23,459) | | | (28,215) | | | | | (51,676) | | | | | (51,676) | |
Issuance of non-controlling interests | | | | | 651 | | | | | | | 651 | | | 4,578 | | | 5,229 | |
Non-controlling interests acquired in business combination, measurement period adjustment | | | | | | | | | | | — | | | 12,463 | | | 12,463 | |
Distributions to and purchases of non-controlling interests | | | | | | | | | | | — | | | (9,097) | | | (9,097) | |
Redemption value adjustment on non-controlling interests | | | | | | | (1,381) | | | | | (1,381) | | | | | (1,381) | |
Other comprehensive income | | | | | | | | | 39,853 | | | 39,853 | | | | | 39,853 | |
Other | | | | | | | (2) | | | | | (2) | | | | | (2) | |
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Balance at March 31, 2022 | 131,769 | | | $ | 132 | | | $ | 489,794 | | | $ | 596,079 | | | $ | 52,135 | | | $ | 1,138,140 | | | $ | 228,756 | | | $ | 1,366,896 | |
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| For the Three Months Ended March 31, 2021 |
| | | | | |
| | | Total Stockholders’ Equity | | | | |
| Common Stock Issued | | Common Stock Par Value | | Capital in Excess of Par | | Retained Earnings | | Accumulated Other Comprehensive Income (Loss) | | Total Stockholders’ Equity | | Non-controlling Interests | | Total Equity |
Balance at December 31, 2020 | 134,850 | | | $ | 135 | | | $ | 509,128 | | | $ | 553,244 | | | $ | (2,027) | | | $ | 1,060,480 | | | $ | 192,493 | | | $ | 1,252,973 | |
Net income attributable to Select Medical Holdings Corporation | | | | | | | 110,546 | | | | | 110,546 | | | | | 110,546 | |
Net income attributable to non-controlling interests | | | | | | | | | | | — | | | 17,042 | | | 17,042 | |
Issuance of restricted stock | 2 | | | 0 | | | 0 | | | | | | | — | | | | | — | |
Forfeitures of unvested restricted stock | (14) | | | 0 | | | 0 | | | | | | | — | | | | | — | |
Vesting of restricted stock | | | | | 6,173 | | | | | | | 6,173 | | | | | 6,173 | |
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Non-controlling interests acquired in business combination | | | | | | | | | | | — | | | 8,193 | | | 8,193 | |
Distributions to and purchases of non-controlling interests | | | | | (787) | | | | | | | (787) | | | (13,458) | | | (14,245) | |
Redemption value adjustment on non-controlling interests | | | | | | | (38,405) | | | | | (38,405) | | | | | (38,405) | |
Other comprehensive income | | | | | | | | | 8,151 | | | 8,151 | | | | | 8,151 | |
Other | | | | | (178) | | | (4) | | | | | (182) | | | 371 | | | 189 | |
Balance at March 31, 2021 | 134,838 | | | $ | 135 | | | $ | 514,336 | | | $ | 625,381 | | | $ | 6,124 | | | $ | 1,145,976 | | | $ | 204,641 | | | $ | 1,350,617 | |
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The accompanying notes are an integral part of these condensed consolidated financial statements.
Select Medical Holdings Corporation
Condensed Consolidated Statements of Cash Flows
(unaudited)
(in thousands)
| | | | | | | | | | | |
| For the Three Months Ended March 31, |
| 2021 | | 2022 |
Operating activities | | | |
Net income | $ | 137,214 | | | $ | 55,926 | |
Adjustments to reconcile net income to net cash provided by operating activities: | | | |
Distributions from unconsolidated subsidiaries | 11,633 | | | 7,486 | |
Depreciation and amortization | 49,620 | | | 51,039 | |
Provision for expected credit losses | 67 | | | 94 | |
Equity in earnings of unconsolidated subsidiaries | (9,919) | | | (5,397) | |
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Loss (gain) on sale or disposal of assets | 72 | | | (23) | |
Stock compensation expense | 6,709 | | | 8,823 | |
Amortization of debt discount, premium and issuance costs | 543 | | | 558 | |
Deferred income taxes | (897) | | | 420 | |
Changes in operating assets and liabilities, net of effects of business combinations: | | | |
Accounts receivable | (60,142) | | | (52,225) | |
Other current assets | (4,425) | | | (1,819) | |
Other assets | 961 | | | 2,686 | |
Accounts payable | 23,460 | | | 16,074 | |
Accrued expenses | 21,167 | | | (31,076) | |
Government advances | — | | | (62,928) | |
Unearned government assistance | 19,207 | | | 101 | |
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Income taxes | 44,618 | | | 16,598 | |
Net cash provided by operating activities | 239,888 | | | 6,337 | |
Investing activities | | | |
Business combinations, net of cash acquired | (6,314) | | | (5,186) | |
Purchases of property and equipment | (39,719) | | | (46,845) | |
Investment in businesses | (6,571) | | | (3,337) | |
Proceeds from sale of assets | 19 | | | 37 | |
Net cash used in investing activities | (52,585) | | | (55,331) | |
Financing activities | | | |
Borrowings on revolving facilities | — | | | 280,000 | |
Payments on revolving facilities | — | | | (100,000) | |
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Borrowings of other debt | 8,915 | | | 15,794 | |
Principal payments on other debt | (9,342) | | | (9,188) | |
Dividends paid to common stockholders | — | | | (16,691) | |
Repurchase of common stock | — | | | (51,676) | |
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Decrease in overdrafts | — | | | (7,608) | |
Proceeds from issuance of non-controlling interests | — | | | 5,229 | |
Distributions to and purchases of non-controlling interests | (13,663) | | | (10,295) | |
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Net cash provided by (used in) financing activities | (14,090) | | | 105,565 | |
Net increase in cash and cash equivalents | 173,213 | | | 56,571 | |
Cash and cash equivalents at beginning of period | 577,061 | | | 74,310 | |
Cash and cash equivalents at end of period | $ | 750,274 | | | $ | 130,881 | |
Supplemental Information | | | |
Cash paid for interest | $ | 52,470 | | | $ | 53,517 | |
Cash paid for taxes | 1,343 | | | 923 | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
SELECT MEDICAL HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
1. Basis of Presentation
The unaudited condensed consolidated financial statements of Select Medical Holdings Corporation (“Holdings”) include the accounts of its wholly owned subsidiary, Select Medical Corporation (“Select”). Holdings conducts substantially all of its business through Select and its subsidiaries. Holdings, Select, and Select’s subsidiaries are collectively referred to as the “Company.” The unaudited condensed consolidated financial statements of the Company as of March 31, 2022, and for the three month periods ended March 31, 2021 and 2022, have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim reporting and the accounting principles generally accepted in the United States of America (“GAAP”). Accordingly, certain information and disclosures required by GAAP, which are normally included in the notes to the consolidated financial statements, have been condensed or omitted pursuant to those rules and regulations, although the Company believes the disclosure is adequate to make the information presented not misleading. 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 months ended March 31, 2022, are not necessarily indicative of the results to be expected for the full fiscal year ending December 31, 2022. These unaudited condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto for the year ended December 31, 2021, contained in the Company’s Annual Report on Form 10-K filed with the SEC on February 24, 2022.
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, liabilities, revenues, and expenses. Actual results could differ from those estimates.
3. Credit Risk Concentrations
Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash balances and accounts receivable. The Company’s excess cash is held with large financial institutions. The Company grants unsecured credit to its patients, most of whom reside in the service area of the Company’s facilities and are insured under third-party payor agreements.
Because of the diversity in the Company’s non-governmental third-party payor base, as well as their geographic dispersion, accounts receivable due from the Medicare program represent the Company’s only significant concentration of credit risk. Approximately 15% of the Company’s accounts receivable is due from Medicare at both December 31, 2021 and March 31, 2022.
4. Redeemable Non-Controlling Interests
The ownership interests held by outside parties in subsidiaries, which include limited liability companies and limited partnerships, controlled by the Company are classified as non-controlling interests. Some of the Company’s non-controlling ownership interests consist of outside parties that have certain redemption rights that, if exercised, require the Company to purchase the parties’ ownership interests. These interests are classified and reported as redeemable non-controlling interests and have been adjusted to their approximate redemption values, after the attribution of net income or loss.
The changes in redeemable non-controlling interests are as follows:
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| Three Months Ended March 31, |
| 2021 | | 2022 |
| (in thousands) |
Balance as of January 1 | $ | 398,171 | | | $ | 39,033 | |
Net income attributable to redeemable non-controlling interests | 9,626 | | | 1,918 | |
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Distributions to and purchases of redeemable non-controlling interests | (614) | | | (1,198) | |
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Redemption value adjustment on redeemable non-controlling interests | 38,405 | | | 1,381 | |
Other | 343 | | | 536 | |
Balance as of March 31 | $ | 445,931 | | | $ | 41,670 | |
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5. Variable Interest Entities
Certain states prohibit the “corporate practice of medicine,” which restricts the Company from owning medical practices which directly employ physicians and from exercising control over medical decisions by physicians. In these states, the Company enters into long-term management agreements with medical practices that are owned by licensed physicians, which, in turn, employ or contract with physicians who provide professional medical services. The management agreements provide for the Company to direct the transfer of ownership of the medical practices to new licensed physicians at any time. Based on the provisions of the management agreements, the medical practices are variable interest entities for which the Company is the primary beneficiary.
As of December 31, 2021 and March 31, 2022, the total assets of the Company’s variable interest entities were $225.1 million and $242.0 million, respectively, and are principally comprised of accounts receivable. As of December 31, 2021 and March 31, 2022, the total liabilities of the Company’s variable interest entities were $74.8 million and $79.1 million, respectively, and are principally comprised of accounts payable and accrued expenses. These variable interest entities have obligations payable for services received under their management agreements with the Company of $150.3 million and $163.4 million as of December 31, 2021 and March 31, 2022, respectively. These intercompany balances are eliminated in consolidation.
6. Leases
The Company has operating and finance leases for its facilities. The Company leases its corporate office space from related parties.
The Company’s total lease cost is as follows:
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| Three Months Ended March 31, 2021 | | Three Months Ended March 31, 2022 |
| Unrelated Parties | | Related Parties | | Total | | Unrelated Parties | | Related Parties | | Total |
| (in thousands) |
Operating lease cost | $ | 70,114 | | | $ | 1,799 | | | $ | 71,913 | | | $ | 73,962 | | | $ | 1,809 | | | $ | 75,771 | |
Finance lease cost: | | | | | | | | | | | |
Amortization of right-of-use assets | 35 | | | — | | | 35 | | | 347 | | | — | | | 347 | |
Interest on lease liabilities | 251 | | | — | | | 251 | | | 340 | | | — | | | 340 | |
Short-term lease cost | — | | | — | | | — | | | 35 | | | — | | | 35 | |
Variable lease cost | 13,009 | | | 3 | | | 13,012 | | | 13,655 | | | 39 | | | 13,694 | |
Sublease income | (2,234) | | | — | | | (2,234) | | | (1,966) | | | — | | | (1,966) | |
Total lease cost | $ | 81,175 | | | $ | 1,802 | | | $ | 82,977 | | | $ | 86,373 | | | $ | 1,848 | | | $ | 88,221 | |
Supplemental cash flow information related to leases is as follows:
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| Three Months Ended March 31, |
| 2021 | | 2022 |
| (in thousands) |
Cash paid for amounts included in the measurement of lease liabilities: | | | |
Operating cash flows for operating leases | $ | 72,437 | | | $ | 77,689 | |
Operating cash flows for finance leases | 251 | | | 340 | |
Financing cash flows for finance leases | 58 | | | 344 | |
Right-of-use assets obtained in exchange for lease liabilities: | | | |
Operating leases | $ | 79,987 | | | $ | 88,636 | |
Finance leases | 138 | | | — | |
Supplemental balance sheet information related to leases is as follows:
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| December 31, 2021 | | March 31, 2022 |
| Unrelated Parties | | Related Parties | | Total | | Unrelated Parties | | Related Parties | | Total |
| (in thousands) |
Operating Leases | | | | | | | | | | | |
Operating lease right-of-use assets | $ | 1,052,603 | | | $ | 26,151 | | | $ | 1,078,754 | | | $ | 1,077,980 | | | $ | 24,730 | | | $ | 1,102,710 | |
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Current operating lease liabilities | $ | 222,865 | | | $ | 6,469 | | | $ | 229,334 | | | $ | 228,598 | | | $ | 5,822 | | | $ | 234,420 | |
Non-current operating lease liabilities | 894,104 | | | 22,436 | | | 916,540 | | | 916,887 | | | 21,536 | | | 938,423 | |
Total operating lease liabilities | $ | 1,116,969 | | | $ | 28,905 | | | $ | 1,145,874 | | | $ | 1,145,485 | | | $ | 27,358 | | | $ | 1,172,843 | |
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| December 31, 2021 | | March 31, 2022 |
| Unrelated Parties | | Related Parties | | Total | | Unrelated Parties | | Related Parties | | Total |
| (in thousands) |
Finance Leases | | | | | | | | | | | |
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Property and equipment, net | $ | 8,505 | | | $ | — | | | $ | 8,505 | | | $ | 8,158 | | | $ | — | | | $ | 8,158 | |
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Current portion of long-term debt and notes payable | $ | 1,404 | | | $ | — | | | $ | 1,404 | | | $ | 1,436 | | | $ | — | | | $ | 1,436 | |
Long-term debt, net of current portion | 16,679 | | | — | | | 16,679 | | | 16,303 | | | — | | | 16,303 | |
Total finance lease liabilities | $ | 18,083 | | | $ | — | | | $ | 18,083 | | | $ | 17,739 | | | $ | — | | | $ | 17,739 | |
The weighted average remaining lease terms and discount rates are as follows:
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| December 31, 2021 | | March 31, 2022 |
Weighted average remaining lease term (in years): | | | |
Operating leases | 7.8 | | 7.6 |
Finance leases | 24.7 | | 24.8 |
Weighted average discount rate: | | | |
Operating leases | 5.6 | % | | 5.6 | % |
Finance leases | 7.4 | % | | 7.4 | % |
As of March 31, 2022, maturities of lease liabilities are approximately as follows:
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| Operating Leases | | Finance Leases | | |
| (in thousands) | | |
2022 (remainder of year) | $ | 222,152 | | | $ | 2,040 | | | |
2023 | 259,672 | | | 2,747 | | | |
2024 | 219,375 | | | 2,384 | | | |
2025 | 175,699 | | | 2,101 | | | |
2026 | 145,837 | | | 2,126 | | | |
Thereafter | 495,998 | | | 28,181 | | | |
Total undiscounted cash flows | 1,518,733 | | | 39,579 | | | |
Less: Imputed interest | 345,890 | | | 21,840 | | | |
Total discounted lease liabilities | $ | 1,172,843 | | | $ | 17,739 | | | |
7. Intangible Assets
Goodwill
The following table shows changes in the carrying amounts of goodwill by reporting unit for the three months ended March 31, 2022:
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| Critical Illness Recovery Hospital | | Rehabilitation Hospital | | Outpatient Rehabilitation | | Concentra | | Total |
| (in thousands) |
Balance as of December 31, 2021 | $ | 1,131,440 | | | $ | 442,155 | | | $ | 654,125 | | | $ | 1,221,192 | | | $ | 3,448,912 | |
Acquisition of businesses | — | | | — | | | 409 | | | 2,884 | | | 3,293 | |
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Measurement period adjustment | 13,251 | | | — | | | — | | | — | | | 13,251 | |
Balance as of March 31, 2022 | $ | 1,144,691 | | | $ | 442,155 | | | $ | 654,534 | | | $ | 1,224,076 | | | $ | 3,465,456 | |
Identifiable Intangible Assets
The following table provides the gross carrying amounts, accumulated amortization, and net carrying amounts for the Company’s identifiable intangible assets:
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| December 31, 2021 | | March 31, 2022 |
| Gross Carrying Amount | | Accumulated Amortization | | Net Carrying Amount | | Gross Carrying Amount | | Accumulated Amortization | | Net Carrying Amount |
| (in thousands) |
Indefinite-lived intangible assets: | | | | | | | | | | | |
Trademarks | $ | 166,698 | | | $ | — | | | $ | 166,698 | | | $ | 166,698 | | | $ | — | | | $ | 166,698 | |
Certificates of need | 21,478 | | | — | | | 21,478 | | | 21,625 | | | — | | | 21,625 | |
Accreditations | 1,874 | | | — | | | 1,874 | | | 1,874 | | | — | | | 1,874 | |
Finite-lived intangible assets: | | | | | | | | | | | |
Trademarks | 5,000 | | | (5,000) | | | — | | | 5,000 | | | (5,000) | | | — | |
Customer relationships | 304,289 | | | (141,111) | | | 163,178 | | | 305,839 | | | (148,283) | | | 157,556 | |
Non-compete agreements | 36,746 | | | (15,095) | | | 21,651 | | | 37,087 | | | (15,990) | | | 21,097 | |
Total identifiable intangible assets | $ | 536,085 | | | $ | (161,206) | | | $ | 374,879 | | | $ | 538,123 | | | $ | (169,273) | | | $ | 368,850 | |
The Company’s accreditations and trademarks have renewal terms and the costs to renew these intangible assets are expensed as incurred. At March 31, 2022, the accreditations and trademarks have a weighted average time until next renewal of 1.5 years and 7.5 years, respectively.
The Company’s finite-lived intangible assets amortize over their estimated useful lives. Amortization expense was $7.1 million and $7.6 million for the three months ended March 31, 2021 and 2022, respectively.
8. Long-Term Debt and Notes Payable
As of March 31, 2022, the Company’s long-term debt and notes payable were as follows:
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| Principal Outstanding | | Unamortized Premium (Discount) | | Unamortized Issuance Costs | | Carrying Value | | | Fair Value |
| (in thousands) |
6.250% senior notes | $ | 1,225,000 | | | $ | 26,131 | | | $ | (13,212) | | | $ | 1,237,919 | | | | $ | 1,262,118 | |
Credit facilities: | | | | | | | | | | |
Revolving facility | 340,000 | | | — | | | — | | | 340,000 | | | | 338,725 |
Term loan | 2,103,437 | | | (5,890) | | | (6,421) | | | 2,091,126 | | | | 2,079,773 | |
Other debt, including finance leases | 93,961 | | | — | | | (194) | | | 93,767 | | | | 93,767 | |
Total debt | $ | 3,762,398 | | | $ | 20,241 | | | $ | (19,827) | | | $ | 3,762,812 | | | | $ | 3,774,383 | |
Principal maturities of the Company’s long-term debt and notes payable were approximately as follows:
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| 2022 | | 2023 | | 2024 | | 2025 | | 2026 | | Thereafter | | Total |
| (in thousands) |
6.250% senior notes | $ | — | | | $ | — | | | $ | — | | | $ | — | | | $ | 1,225,000 | | | $ | — | | | $ | 1,225,000 | |
Credit facilities: | | | | | | | | | | | | | |
Revolving facility | — | | | — | | | 340,000 | | | — | | | — | | | — | | | 340,000 | |
Term loan | — | | | 4,757 | | | 11,150 | | | 2,087,530 | | | — | | | — | | | 2,103,437 | |
Other debt, including finance leases | 22,143 | | | 31,064 | | | 26,081 | | | 1,824 | | | 1,286 | | | 11,563 | | | 93,961 | |
Total debt | $ | 22,143 | | | $ | 35,821 | | | $ | 377,231 | | | $ | 2,089,354 | | | $ | 1,226,286 | | | $ | 11,563 | | | $ | 3,762,398 | |
As of December 31, 2021, the Company’s long-term debt and notes payable were as follows:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Principal Outstanding | | Unamortized Premium (Discount) | | Unamortized Issuance Costs | | Carrying Value | | | Fair Value |
| (in thousands) |
6.250% senior notes | $ | 1,225,000 | | | $ | 27,635 | | | $ | (13,951) | | | $ | 1,238,684 | | | | $ | 1,297,104 | |
Credit facilities: | | | | | | | | | | |
Revolving facility | 160,000 | | | — | | | — | | | 160,000 | | | | 159,400 | |
Term loan | 2,103,437 | | | (6,386) | | | (6,961) | | | 2,090,090 | | | | 2,087,661 | |
Other debt, including finance leases | 85,398 | | | — | | | (215) | | | 85,183 | | | | 85,183 | |
Total debt | $ | 3,573,835 | | | $ | 21,249 | | | $ | (21,127) | | | $ | 3,573,957 | | | | $ | 3,629,348 | |