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 March 31, 2015

 

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 March 31, 2015, Select Medical Holdings Corporation had outstanding 131,087,980 shares of common stock.

 

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

 

 

 



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

5

 

 

 

 

Condensed consolidated statements of cash flows

6

 

 

 

 

Notes to condensed consolidated financial statements

7

 

 

 

ITEM 2.

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

21

 

 

 

ITEM 3.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

40

 

 

 

ITEM 4.

CONTROLS AND PROCEDURES

40

 

 

 

PART II

OTHER INFORMATION

41

 

 

 

ITEM 1.

LEGAL PROCEEDINGS

41

 

 

 

ITEM 1A.

RISK FACTORS

42

 

 

 

ITEM 2.

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

43

 

 

 

ITEM 3.

DEFAULTS UPON SENIOR SECURITIES

43

 

 

 

ITEM 4.

MINE SAFETY DISCLOSURES

43

 

 

 

ITEM 5.

OTHER INFORMATION

43

 

 

 

ITEM 6.

EXHIBITS

43

 

 

 

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,

 

March 31,

 

December 31,

 

March 31,

 

 

 

2014

 

2015

 

2014

 

2015

 

 

 

 

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

3,354

 

$

6,588

 

$

3,354

 

$

6,588

 

Accounts receivable, net of allowance for doubtful accounts of $46,425 and $48,572 at 2014 and 2015, respectively

 

444,269

 

493,409

 

444,269

 

493,409

 

Current deferred tax asset

 

15,991

 

15,961

 

15,991

 

15,961

 

Prepaid income taxes

 

17,888

 

 

17,888

 

 

Other current assets

 

46,142

 

52,093

 

46,142

 

52,093

 

Total Current Assets

 

527,644

 

568,051

 

527,644

 

568,051

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

542,310

 

553,870

 

542,310

 

553,870

 

Goodwill

 

1,642,083

 

1,652,005

 

1,642,083

 

1,652,005

 

Other identifiable intangibles

 

72,519

 

72,640

 

72,519

 

72,640

 

Other assets

 

140,253

 

140,485

 

140,253

 

140,485

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

$

2,924,809

 

$

2,987,051

 

$

2,924,809

 

$

2,987,051

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

 

Bank overdrafts

 

$

21,746

 

$

18,925

 

$

21,746

 

$

18,925

 

Current portion of long-term debt and notes payable

 

10,874

 

11,060

 

10,874

 

11,060

 

Accounts payable

 

108,532

 

101,013

 

108,532

 

101,013

 

Accrued payroll

 

97,090

 

80,382

 

97,090

 

80,382

 

Accrued vacation

 

63,132

 

65,929

 

63,132

 

65,929

 

Accrued interest

 

10,674

 

21,805

 

10,674

 

21,805

 

Accrued other

 

82,376

 

87,073

 

82,376

 

87,073

 

Income taxes payable

 

 

6,776

 

 

6,776

 

Total Current Liabilities

 

394,424

 

392,963

 

394,424

 

392,963

 

 

 

 

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,542,102

 

1,569,627

 

1,542,102

 

1,569,627

 

Non-current deferred tax liability

 

109,203

 

106,702

 

109,203

 

106,702

 

Other non-current liabilities

 

92,855

 

98,245

 

92,855

 

98,245

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

2,138,584

 

2,167,537

 

2,138,584

 

2,167,537

 

 

 

 

 

 

 

 

 

 

 

Commitments and contingencies (Note 8)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

10,985

 

11,275

 

10,985

 

11,275

 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

 

Common stock of Holdings, $0.001 par value, 700,000,000 shares authorized, 131,233,308 shares and 131,087,980 shares issued and outstanding at 2014 and 2015, respectively

 

131

 

131

 

 

 

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

 

 

 

0

 

0

 

Capital in excess of par

 

413,706

 

418,288

 

885,407

 

889,989

 

Retained earnings (accumulated deficit)

 

325,678

 

347,303

 

(145,892

)

(124,267

)

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

 

739,515

 

765,722

 

739,515

 

765,722

 

Non-controlling interest

 

35,725

 

42,517

 

35,725

 

42,517

 

Total Equity

 

775,240

 

808,239

 

775,240

 

808,239

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

2,924,809

 

$

2,987,051

 

$

2,924,809

 

$

2,987,051

 

 

The accompanying notes are an integral part of these 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 March 31,

 

For the Three Months Ended March 31,

 

 

 

2014

 

2015

 

2014

 

2015

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

762,578

 

$

795,343

 

$

762,578

 

$

795,343

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of services

 

638,764

 

664,385

 

638,764

 

664,385

 

General and administrative

 

18,123

 

21,675

 

18,123

 

21,675

 

Bad debt expense

 

11,018

 

12,670

 

11,018

 

12,670

 

Depreciation and amortization

 

16,229

 

17,348

 

16,229

 

17,348

 

Total costs and expenses

 

684,134

 

716,078

 

684,134

 

716,078

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

78,444

 

79,265

 

78,444

 

79,265

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

Loss on early retirement of debt

 

(2,277

)

 

(2,277

)

 

Equity in earnings of unconsolidated subsidiaries

 

908

 

2,592

 

908

 

2,592

 

Interest expense

 

(20,616

)

(21,388

)

(20,616

)

(21,388

)

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

56,459

 

60,469

 

56,459

 

60,469

 

 

 

 

 

 

 

 

 

 

 

Income tax expense

 

22,092

 

23,184

 

22,092

 

23,184

 

 

 

 

 

 

 

 

 

 

 

Net income

 

34,367

 

37,285

 

34,367

 

37,285

 

 

 

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

1,323

 

2,222

 

1,323

 

2,222

 

 

 

 

 

 

 

 

 

 

 

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

 

$

33,044

 

$

35,063

 

$

33,044

 

$

35,063

 

 

 

 

 

 

 

 

 

 

 

Income per common share:

 

 

 

 

 

 

 

 

 

Basic

 

$

0.24

 

$

0.27

 

 

 

 

 

Diluted

 

$

0.24

 

$

0.27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dividends paid per share

 

$

0.10

 

$

0.10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

135,540

 

127,565

 

 

 

 

 

Diluted

 

135,953

 

127,872

 

 

 

 

 

 

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

 

4



Table of Contents

 

Condensed Consolidated Statement of Changes in Equity and Income

(unaudited)

(in thousands)

 

 

 

 

 

 

 

Select Medical Holdings Corporation Stockholders

 

 

 

 

 

Comprehensive
Income

 

Total

 

Common
Stock Issued

 

Common
Stock Par
Value

 

Capital in
Excess of Par

 

Retained
Earnings

 

Non-
controlling
Interests

 

Balance at December 31, 2014

 

 

 

$

775,240

 

131,233

 

$

131

 

$

413,706

 

$

325,678

 

$

35,725

 

Net income

 

$

37,023

 

37,023

 

 

 

 

 

 

 

35,063

 

1,960

 

Net income - attributable to redeemable non-controlling interests

 

262

 

 

 

 

 

 

 

 

 

 

 

 

 

Total comprehensive income

 

$

37,285

 

 

 

 

 

 

 

 

 

 

 

 

 

Dividends paid to common stockholders

 

 

 

(13,129

)

 

 

 

 

 

 

(13,129

)

 

 

Issuance and vesting of restricted stock

 

 

 

2,384

 

10

 

0

 

2,384

 

 

 

 

 

Tax benefit from stock based awards

 

 

 

5

 

 

 

 

 

5

 

 

 

 

 

Stock option expense

 

 

 

15

 

 

 

 

 

15

 

 

 

 

 

Exercise of stock options

 

 

 

489

 

54

 

0

 

489

 

 

 

 

 

Distributions to non-controlling interests

 

 

 

(2,143

)

 

 

 

 

 

 

 

 

(2,143

)

Exchange of ownership interests with non-controlling interests

 

 

 

8,664

 

 

 

 

 

1,689

 

 

 

6,975

 

Other

 

 

 

(309

)

(209

)

(0

)

0

 

(309

)

 

 

Balance at March 31, 2015

 

 

 

$

808,239

 

131,088

 

$

131

 

$

418,288

 

$

347,303

 

$

42,517

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Select Medical Corporation Stockholders

 

 

 

 

 

Comprehensive
Income

 

Total

 

Common
Stock Issued

 

Common
Stock Par
Value

 

Capital in
Excess of Par

 

Accumulated
Deficit

 

Non-
controlling
Interests

 

Balance at December 31, 2014

 

 

 

$

775,240

 

0

 

$

0

 

$

885,407

 

$

(145,892

)

$

35,725

 

Net income

 

$

37,023

 

37,023

 

 

 

 

 

 

 

35,063

 

1,960

 

Net income - attributable to redeemable non-controlling interests

 

262

 

 

 

 

 

 

 

 

 

 

 

 

 

Total comprehensive income

 

$

37,285

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional investment by Holdings

 

 

 

489

 

 

 

 

 

489

 

 

 

 

 

Dividends declared and paid to Holdings

 

 

 

(13,129

)

 

 

 

 

 

 

(13,129

)

 

 

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

 

 

 

2,399

 

 

 

 

 

2,399

 

 

 

 

 

Tax benefit from stock based awards

 

 

 

5

 

 

 

 

 

5

 

 

 

 

 

Distributions to non-controlling interests

 

 

 

(2,143

)

 

 

 

 

 

 

 

 

(2,143

)

Exchange of ownership interests with non-controlling interests

 

 

 

8,664

 

 

 

 

 

1,689

 

 

 

6,975

 

Other

 

 

 

(309

)

 

 

 

 

 

 

(309

)

 

 

Balance at March 31, 2015

 

 

 

$

808,239

 

0

 

$

0

 

$

889,989

 

$

(124,267

)

$

42,517

 

 

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

 

5



Table of Contents

 

Condensed Consolidated Statements of Cash Flows

(unaudited)
(in thousands)

 

 

Select Medical Holdings Corporation

 

Select Medical Corporation

 

 

 

For the Three Months Ended March 31,

 

For the Three Months Ended March 31,

 

 

 

2014

 

2015

 

2014

 

2015

 

 

 

 

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

 

 

 

 

Net income

 

$

34,367

 

$

37,285

 

$

34,367

 

$

37,285

 

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

 

 

 

 

 

 

 

 

 

Distributions from unconsolidated subsidiaries

 

 

28

 

 

28

 

Depreciation and amortization

 

16,229

 

17,348

 

16,229

 

17,348

 

Provision for bad debts

 

11,018

 

12,670

 

11,018

 

12,670

 

Equity in earnings of unconsolidated subsidiaries

 

(908

)

(2,592

)

(908

)

(2,592

)

Loss on early retirement of debt

 

2,277

 

 

2,277

 

 

Loss from disposal of assets

 

121

 

5

 

121

 

5

 

Non-cash stock compensation expense

 

2,155

 

2,399

 

2,155

 

2,399

 

Amortization of debt discount, premium and issuance costs

 

2,051

 

1,929

 

2,051

 

1,929

 

Deferred income taxes

 

57

 

(2,471

)

57

 

(2,471

)

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

 

 

 

 

 

 

 

 

 

Accounts receivable

 

(87,437

)

(61,810

)

(87,437

)

(61,810

)

Other current assets

 

(3,144

)

(5,924

)

(3,144

)

(5,924

)

Other assets

 

(3,938

)

1,663

 

(3,938

)

1,663

 

Accounts payable

 

4,732

 

5,332

 

4,732

 

5,332

 

Accrued expenses

 

(12,803

)

6,757

 

(12,803

)

6,757

 

Income taxes

 

19,223

 

24,916

 

19,223

 

24,916

 

Net cash provided by (used in) operating activities

 

(16,000

)

37,535

 

(16,000

)

37,535

 

 

 

 

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

(27,299

)

(27,848

)

(27,299

)

(27,848

)

Investment in businesses

 

(124

)

(1,000

)

(124

)

(1,000

)

Acquisition of businesses, net of cash acquired

 

(375

)

(2,686

)

(375

)

(2,686

)

Net cash used in investing activities

 

(27,798

)

(31,534

)

(27,798

)

(31,534

)

 

 

 

 

 

 

 

 

 

 

Financing activities

 

 

 

 

 

 

 

 

 

Borrowings on revolving credit facility

 

285,000

 

215,000

 

285,000

 

215,000

 

Payments on revolving credit facility

 

(200,000

)

(175,000

)

(200,000

)

(175,000

)

Payments on credit facility term loans

 

(33,994

)

(26,884

)

(33,994

)

(26,884

)

Issuance of 6.375% senior notes, includes premium

 

111,650

 

 

111,650

 

 

Borrowings of other debt

 

6,111

 

6,582

 

6,111

 

6,582

 

Principal payments on other debt

 

(3,067

)

(4,584

)

(3,067

)

(4,584

)

Debt issuance costs

 

(4,434

)

 

(4,434

)

 

Dividends paid to common stockholders

 

(14,056

)

(13,129

)

 

 

Dividends paid to Holdings

 

 

 

(123,556

)

(13,129

)

Repurchase of common stock

 

(109,500

)

 

 

 

Proceeds from issuance of common stock

 

1,943

 

489

 

 

 

Equity investment by Holdings

 

 

 

1,943

 

489

 

Proceeds from (repayments of) bank overdrafts

 

5,970

 

(2,821

)

5,970

 

(2,821

)

Tax benefit from stock based awards

 

 

5

 

 

5

 

Distributions to non-controlling interests

 

(1,452

)

(2,425

)

(1,452

)

(2,425

)

Net cash provided by (used in) financing activities

 

44,171

 

(2,767

)

44,171

 

(2,767

)

 

 

 

 

 

 

 

 

 

 

Net increase in cash and cash equivalents

 

373

 

3,234

 

373

 

3,234

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

4,319

 

3,354

 

4,319

 

3,354

 

Cash and cash equivalents at end of period

 

$

4,692

 

$

6,588

 

$

4,692

 

$

6,588

 

 

 

 

 

 

 

 

 

 

 

Supplemental Cash Flow Information

 

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

14,407

 

$

8,735

 

$

14,407

 

$

8,735

 

Cash paid for taxes

 

$

2,812

 

$

733

 

$

2,812

 

$

733

 

 

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

 

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Table of Contents

 

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 March 31, 2015 and for the three month periods ended March 31, 2014 and 2015 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 months ended March 31, 2015 are not necessarily indicative of the results to be expected for the full fiscal year ending December 31, 2015.  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, 2014 contained in the Company’s Annual Report on Form 10-K filed with the SEC on February 25, 2015.

 

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.

 

3.  Intangible Assets

 

The gross carrying amounts of the Company’s indefinite-lived intangible assets consist of the following:

 

 

 

December 31,
2014

 

March 31,
2015

 

 

 

(in thousands)

 

 

 

 

 

 

 

Goodwill

 

$

1,642,083

 

$

1,652,005

 

Trademarks

 

57,709

 

57,709

 

Certificates of need

 

12,727

 

12,848

 

Accreditations

 

2,083

 

2,083

 

Total

 

$

1,714,602

 

$

1,724,645

 

 

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The Company’s accreditations and trademarks have renewal terms. The costs to renew these intangibles are expensed as incurred. At March 31, 2015, the accreditations and trademarks have a weighted average time until next renewal of approximately 1.5 years and 5.2 years, respectively.

 

The changes in the carrying amount of goodwill for the Company’s reportable segments for the three months ended March 31, 2015 are as follows:

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Total

 

 

 

(in thousands)

 

Balance as of December 31, 2014

 

$

1,335,460

 

$

306,623

 

$

1,642,083

 

Goodwill acquired during the period

 

9,922

 

 

9,922

 

Balance as of March 31, 2015

 

$

1,345,382

 

$

306,623

 

$

1,652,005

 

 

4.  Indebtedness

 

The components of long-term debt and notes payable are as follows:

 

 

 

December 31,
2014

 

March 31,
2015

 

 

 

(in thousands)

 

 

 

 

 

 

 

6.375% senior notes (1)

 

$

711,465

 

$

711,408

 

Senior secured credit facilities:

 

 

 

 

 

Revolving loan

 

60,000

 

100,000

 

Term loans (2) 

 

775,996

 

749,490

 

Other

 

5,515

 

19,789

 

Total debt

 

1,552,976

 

1,580,687

 

Less: current maturities

 

10,874

 

11,060

 

Total long-term debt

 

$

1,542,102

 

$

1,569,627

 

 


(1)         Includes unamortized premium of $1.5 million and $1.4 million at December 31, 2014 and March 31, 2015, respectively.

(2)         Includes unamortized discounts of $4.2 million and $3.8 million at December 31, 2014 and March 31, 2015, respectively.

 

Excess Cash Flow Payment

 

On March 4, 2015, Select made a principal prepayment of $26.9 million associated with its term loans in accordance with the provision in its senior secured credit facilities agreement that requires mandatory prepayments of term loans resulting from excess cash flow as defined in the senior secured credit facilities.

 

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Table of Contents

 

Maturities of Long-Term Debt and Notes Payable

 

Maturities of the Company’s long-term debt for the period from April 1, 2015 through December 31, 2015 and the years after 2015 are approximately as follows and are presented including the discounts on the senior secured credit facility term loans and premium on the senior notes (in thousands):

 

April 1, 2015 — December 31, 2015

 

$

8,805

 

2016

 

281,913

 

2017

 

6,444

 

2018

 

570,713

 

2019

 

2,489

 

2020 and beyond

 

710,323

 

 

Loss on Early Retirement of Debt

 

On March 4, 2014, Select amended its term loans under its senior secured credit facilities.  During the three months ended March 31, 2014, the Company recognized a loss of $2.3 million for unamortized debt issuance costs, unamortized original issue discount, and certain fees incurred related to term loan modifications.

 

5.  Fair Value

 

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

 

The carrying value of Select’s senior secured credit facilities was $836.0 million and $849.5 million at December 31, 2014 and March 31, 2015, respectively.  The fair value of Select’s senior secured credit facilities was $816.6 million and $846.1 million at December 31, 2014 and March 31, 2015, respectively.  The fair value of Select’s senior secured credit facilities was based on quoted market prices for this debt in the syndicated loan market.

 

The carrying value of Select’s 6.375% senior notes was $711.5 million and $711.4 million at December 31, 2014 and March 31, 2015, respectively.  The fair value of Select’s 6.375% senior notes was $722.4 million and $701.1 million at December 31, 2014 and March 31, 2015, respectively.  The fair value of this debt was based on quoted market prices.

 

The Company considers the inputs in the valuation process of its senior secured credit facility and 6.375% senior notes 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.

 

6.  Segment Information

 

The Company’s reportable segments consist of (i) specialty hospitals and (ii) outpatient rehabilitation. Other activities include the Company’s corporate services and certain other non-consolidating joint ventures and minority investments in other healthcare related businesses. The outpatient rehabilitation reportable segment has two operating segments: outpatient rehabilitation clinics and contract therapy. These operating segments are aggregated for reporting purposes as they have common economic characteristics and provide a similar service to a similar patient base. The accounting policies of the segments are the same as those described

 

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in the summary of significant accounting policies. The Company evaluates performance of the segments based on Adjusted EBITDA. Adjusted EBITDA is defined as net income before interest, income taxes, depreciation and amortization, gain (loss) on early retirement of debt, stock compensation expense, equity in earnings (losses) of unconsolidated subsidiaries and other income (expense).

 

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

 

 

 

Three Months Ended March 31, 2014

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

564,625

 

$

197,850

 

$

103

 

$

762,578

 

Adjusted EBITDA

 

92,150

 

20,989

 

(16,311

)

96,828

 

Total assets

 

2,290,655

 

525,040

 

100,031

 

2,915,726

 

Capital expenditures

 

21,498

 

3,630

 

2,171

 

27,299

 

 

 

 

Three Months Ended March 31, 2015

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Other

 

Total

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

598,781

 

$

196,443

 

$

119

 

$

795,343

 

Adjusted EBITDA

 

96,472

 

22,133

 

(19,665

)

98,940

 

Total assets

 

2,332,591

 

540,473

 

113,987

 

2,987,051

 

Capital expenditures

 

22,793

 

3,922

 

1,133

 

27,848

 

 

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

 

 

 

Three Months Ended March 31, 2014

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Other

 

Total

 

 

 

(in thousands)

 

 

 

Adjusted EBITDA

 

$

92,150

 

$

20,989

 

$

(16,311

)

 

 

Depreciation and amortization

 

(12,095

)

(3,212

)

(922

)

 

 

Stock compensation expense

 

 

 

(2,155

)

 

 

Income (loss) from operations

 

$

80,055

 

$

17,777

 

$

(19,388

)

$

78,444

 

Loss on early retirement of debt

 

 

 

 

 

 

 

(2,277

)

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

908

 

Interest expense

 

 

 

 

 

 

 

(20,616

)

Income before income taxes

 

 

 

 

 

 

 

$

56,459

 

 

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Three Months Ended March 31, 2015

 

 

 

Specialty
Hospitals

 

Outpatient
Rehabilitation

 

Other

 

Total

 

 

 

(in thousands)

 

 

 

Adjusted EBITDA

 

$

96,472

 

$

22,133

 

$

(19,665

)

 

 

Depreciation and amortization

 

(13,223

)

(3,140

)

(985

)

 

 

Stock compensation expense

 

 

 

(2,327

)

 

 

Income (loss) from operations

 

$

83,249

 

$

18,993

 

$

(22,977

)

$

79,265

 

Equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

 

 

2,592

 

Interest expense

 

 

 

 

 

 

 

(21,388

)

Income before income taxes

 

 

 

 

 

 

 

$

60,469

 

 

7.  Income per Common Share

 

Holdings applies the two-class method for calculating and presenting income per common share. The two-class method is an earnings allocation formula that determines earnings per share for each class of stock participation rights in undistributed earnings. The following table sets forth for the periods indicated the calculation of income per common share in Holdings’ consolidated statement of operations and the differences between basic weighted average shares outstanding and diluted weighted average shares outstanding used to compute basic and diluted income per common share, respectively:

 

 

 

For the Three Months Ended March 31,

 

 

 

2014

 

2015

 

 

 

(in thousands, except per share amounts)

 

Numerator:

 

 

 

 

 

Net income attributable to Select Medical Holdings Corporation

 

$

33,044

 

$

35,063

 

Less: Earnings allocated to unvested restricted stockholders

 

770

 

973

 

Net income available to common stockholders

 

$

32,274

 

$

34,090

 

 

 

 

 

 

 

Denominator:

 

 

 

 

 

Weighted average shares — basic

 

135,540

 

127,565

 

Effect of dilutive securities:

 

 

 

 

 

Stock options

 

413

 

307

 

Weighted average shares — diluted

 

135,953

 

127,872

 

 

 

 

 

 

 

Basic income per common share

 

$

0.24

 

$

0.27

 

Diluted income per common share

 

$

0.24

 

$

0.27

 

 

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8. Commitments and Contingencies

 

Litigation

 

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

 

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

 

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

 

On January 8, 2013, a federal magistrate judge unsealed an Amended Complaint in United States of America and the State of Indiana, ex rel. Doe I, Doe II and Doe III v. Select Medical Corporation, Select Specialty Hospital- Evansville, Evansville Physician Investment Corporation, Dr. Richard Sloan and Dr. Jeffrey Selby. The Amended Complaint, which was served on the Company on February 15, 2013, is a civil action filed under seal on September 28, 2012 in the United States District Court for the Southern District of Indiana by private plaintiff-relators on behalf of the United States and the State of Indiana under the federal False Claims Act and Indiana False Claims and Whistleblower Protection Act. Although the Amended Complaint identified the relators by fictitious pseudonyms, on March 28, 2013, the relators filed a Notice identifying themselves as the former CEO at the Company’s long term acute care hospital in Evansville, Indiana (“SSH-Evansville”) and two former case managers at SSH-Evansville. The named defendants include the Company, SSH-Evansville, and two physicians who have practiced at SSH-Evansville. On March 26, 2013, the defendants, relators and the United States filed a joint motion seeking a stay of the proceedings, in which the United States notified the court that its investigation has not been completed and therefore it is not yet able to decide whether or not to intervene, and on March 29, 2013, the magistrate judge granted the motion and stayed all deadlines in the case for 90 days. The court has subsequently granted additional motions filed by the United States to continue the stay, and the current stay extends through May 15, 2015.

 

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Table of Contents

 

As previously disclosed, the Company and SSH-Evansville produced documents in response to various government subpoenas and demands relating to SSH-Evansville. In September 2014, representatives of the United States Attorney’s Office for the Southern District of Indiana and the Department of Justice informed the Company that, while the United States has not yet decided whether to intervene in the case, its investigation is continuing concerning the allegation that SSH-Evansville admitted patients for whom long-term acute care was not medically necessary. The Company intends to fully cooperate with this governmental investigation and is involved in ongoing discussions with the government regarding this matter. At this time, the Company is unable to predict the timing and outcome of this matter.

 

Construction Commitments

 

At March 31, 2015, the Company had outstanding commitments under construction contracts related to new construction, improvements and renovations at the Company’s long term acute care properties and inpatient rehabilitation facilities totaling approximately $67.5 million.

 

Pending Concentra Acquisition

 

The Company announced on March 23, 2015 that MJ Acquisition Corporation, a joint venture that the Company has created with Welsh, Carson, Anderson & Stowe XII, L.P. (“WCAS”), has entered into a stock purchase agreement, dated as of March 22, 2015 (the “Purchase Agreement”), as buyer with Concentra Inc. (“Concentra”) and Humana Inc. (“Humana”) to acquire all of the issued and outstanding equity securities of Concentra from Humana. Concentra, a subsidiary of Humana, is a national health care company that delivers a wide range of medical services to employers and patients, including urgent care, occupational medicine, physical therapy, primary care, and wellness programs. According to a Concentra press release, Concentra operates more than 300 medical centers and 170 onsite clinics in 40 states.

 

For all of the outstanding stock of Concentra, MJ Acquisition Corporation has agreed to pay a purchase price of $1.055 billion, subject to adjustments for net working capital and net debt on the closing date.  Should the Purchase Agreement be terminated by Humana under specified conditions, including circumstances where MJ Acquisition Corporation is required to close the transactions under the Purchase Agreement and there is a failure of the debt financing to be funded in accordance with its terms, a reverse termination fee of $60.0 million would be payable to Humana.  The Company would be responsible for its pro rata share of the termination fee, based on its ownership interest in MJ Acquisition Corporation.  The Company and WCAS own 50.1% and 49.9% common equity interest, respectively, in MJ Acquisition Corporation. The transaction, which is expected to close in the second quarter of 2015, is subject to a number of closing conditions, including clearance under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended.

 

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9.  Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiaries under Select’s 6.375% Senior Notes

 

Select’s 6.375% senior notes are fully and unconditionally guaranteed, except for customary limitations, on a senior basis by all of Select’s wholly-owned subsidiaries (the “Subsidiary Guarantors”) which is defined as a subsidiary where Select or a subsidiary of Select holds all of the outstanding ownership interests. Certain of Select’s subsidiaries did not guarantee the 6.375% senior notes (the “Non-Guarantor Subsidiaries”).

 

Select conducts a significant portion of its business through its subsidiaries. Presented below is condensed consolidating financial information for Select, the Subsidiary Guarantors and the Non-Guarantor Subsidiaries at December 31, 2014 and March 31, 2015 and for the three months ended March 31, 2014 and 2015.

 

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

 

During the year ended December 31, 2014, the Company purchased the remaining outstanding non-controlling interest in a specialty hospital business changing the entity from a non-guarantor subsidiary to a guarantor subsidiary.  The three months ended March 31, 2014 have been retrospectively revised based on the guarantor structure that existed at December 31, 2014.

 

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Table of Contents

 

 

 

Select Medical Corporation

 

 

 

Condensed Consolidating Balance Sheet

 

 

 

March 31, 2015

 

 

 

(unaudited)

 

 

 

Select Medical
Corporation (Parent
Company Only)

 

Subsidiary
Guarantors

 

Non-Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

 

 

(in thousands)

 

Assets

 

 

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

3,071

 

$

3,011

 

$

506

 

$

 

$

6,588

 

Accounts receivable, net

 

 

415,657

 

77,752

 

 

493,409

 

Current deferred tax asset

 

10,519

 

2,252

 

3,190

 

 

15,961

 

Intercompany receivables

 

 

1,586,102

 

133,170

 

(1,719,272

)(a)

 

Other current assets

 

14,060

 

32,902

 

5,131

 

 

52,093

 

Total Current Assets

 

27,650

 

2,039,924

 

219,749

 

(1,719,272

)

568,051

 

 

 

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

30,151

 

467,027

 

56,692

 

 

553,870

 

Investment in affiliates

 

3,774,640

 

84,150

 

 

(3,858,790

)(b)(c)

 

Goodwill

 

 

1,652,005

 

 

 

1,652,005

 

Non-current deferred tax asset

 

13,555

 

 

 

(13,555

)(d)

 

Other identifiable intangibles

 

 

72,640

 

 

 

72,640

 

Other assets

 

30,864

 

108,864

 

757

 

 

140,485

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

$

3,876,860

 

$

4,424,610

 

$

277,198

 

$

(5,591,617

)

$

2,987,051

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities and Equity

 

 

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

 

 

 

Bank overdrafts

 

$

18,925

 

$

 

$

 

$

 

$

18,925

 

Current portion of long-term debt and notes payable

 

8,957

 

1,758

 

345

 

 

11,060

 

Accounts payable

 

10,150

 

77,693

 

13,170

 

 

101,013

 

Intercompany payables

 

1,852,442

 

(133,170

)

 

(1,719,272

)(a)

 

Accrued payroll

 

6,940

 

73,120

 

322

 

 

80,382

 

Accrued vacation

 

5,363

 

51,016

 

9,550

 

 

65,929

 

Accrued interest

 

21,684

 

121

 

 

 

21,805

 

Accrued other

 

38,855

 

39,593

 

8,625

 

 

87,073

 

Income taxes payable

 

6,776

 

 

 

 

6,776

 

Total Current Liabilities

 

1,970,092

 

110,131

 

32,012

 

(1,719,272

)

392,963

 

 

 

 

 

 

 

 

 

 

 

 

 

Long-term debt, net of current portion

 

1,087,579

 

389,575

 

92,473

 

 

1,569,627

 

Non-current deferred tax liability

 

 

112,305

 

7,952

 

(13,555

)(d)

106,702

 

Other non-current liabilities

 

53,467

 

39,961

 

4,817

 

 

98,245

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities

 

3,111,138

 

651,972

 

137,254

 

(1,732,827

)

2,167,537

 

 

 

 

 

 

 

 

 

 

 

 

 

Redeemable non-controlling interests

 

 

 

11,275

 

 

11,275

 

 

 

 

 

 

 

 

 

 

 

 

 

Stockholder’s Equity:

 

 

 

 

 

 

 

 

 

 

 

Common stock

 

0

 

 

 

 

0

 

Capital in excess of par

 

889,989

 

 

 

 

889,989

 

Retained earnings (accumulated deficit)

 

(124,267

)

1,080,777

 

3,586

 

(1,084,363

)(c)

(124,267

)

Subsidiary investment

 

 

2,691,861

 

82,566

 

(2,774,427

)(b)

 

Total Select Medical Corporation Stockholder’s Equity

 

765,722

 

3,772,638

 

86,152

 

(3,858,790

)

765,722

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-controlling interests

 

 

 

42,517

 

 

42,517

 

Total Equity

 

765,722

 

3,772,638

 

128,669

 

(3,858,790

)

808,239

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Liabilities and Equity

 

$

3,876,860

 

$

4,424,610

 

$

277,198

 

$

(5,591,617

)

$

2,987,051

 

 


(a)  Elimination of intercompany.

(b)  Elimination of investments in consolidated subsidiaries.

(c)  Elimination of investments in consolidated subsidiaries’ earnings.

(d)  Reclass of non-current deferred tax asset to report net non-current deferred tax liability in consolidation.

 

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Select Medical Corporation

 

 

 

Condensed Consolidating Statement of Operations

 

 

 

For the Three Months Ended March 31, 2015

 

 

 

(unaudited)

 

 

 

Select Medical 
Corporation (Parent
Company Only)

 

Subsidiary
Guarantors

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues

 

$

119

 

$

673,749

 

$

121,475

 

$

 

$

795,343

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

Cost of services

 

436

 

561,093

 

102,856

 

 

664,385

 

General and administrative

 

21,751

 

(76

)

 

 

21,675

 

Bad debt expense

 

 

9,473

 

3,197

 

 

12,670

 

Depreciation and amortization

 

985

 

13,772

 

2,591

 

 

17,348

 

Total costs and expenses

 

23,172

 

584,262

 

108,644

 

 

716,078

 

 

 

 

 

 

 

 

 

 

 

 

 

Income (loss) from operations

 

(23,053

)

89,487

 

12,831

 

 

79,265

 

 

 

 

 

 

 

 

 

 

 

 

 

Other income and expense:

 

 

 

 

 

 

 

 

 

 

 

Intercompany interest and royalty fees

 

(286

)

280

 

6

 

 

 

Intercompany management fees

 

41,454

 

(35,247

)

(6,207

)

 

 

Equity in earnings of unconsolidated subsidiaries

 

 

2,571

 

21

 

 

2,592

 

Interest expense

 

(13,901

)

(6,003

)

(1,484

)

 

(21,388

)

 

 

 

 

 

 

 

 

 

 

 

 

Income from operations before income taxes

 

4,214

 

51,088

 

5,167

 

 

60,469

 

 

 

 

 

 

 

 

 

 

 

 

 

Income tax expense (benefit)

 

1,402

 

22,046

 

(264

)

 

23,184

 

Equity in earnings of subsidiaries

 

32,251

 

3,280

 

 

(35,531

)(a)

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

35,063

 

32,322

 

5,431

 

(35,531

)

37,285

 

 

 

 

 

 

 

 

 

 

 

 

 

Less: Net income attributable to non-controlling interests

 

 

 

2,222

 

 

2,222

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Select Medical Corporation

 

$

35,063

 

$

32,322

 

$

3,209

 

$

(35,531

)

$

35,063

 

 


(a) Elimination of equity in earnings of subsidiaries.

 

16



Table of Contents

 

 

 

Select Medical Corporation

 

 

 

Condensed Consolidating Statement of Cash Flows

 

 

 

For the Three Months Ended March 31, 2015

 

 

 

(unaudited)

 

 

 

Select Medical
Corporation
(Parent Company
Only)

 

Subsidiary
Guarantors

 

Non-
Guarantor
Subsidiaries

 

Eliminations

 

Consolidated

 

 

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

35,063

 

$

32,322

 

$

5,431

 

$

(35,531

)(a)

$

37,285

 

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

 

 

 

 

 

 

 

 

 

 

 

Distributions from unconsolidated subsidiaries

 

 

 

28