SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
(Mark One) | ||
þ | Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 | |
For the Quarter Ended June 30, 2002 | ||
o | Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the Period From __________ to __________. |
Commission File Number: 000-32499
SELECT MEDICAL CORPORATION
Delaware (State or other jurisdiction of incorporation or organization) |
23-2872718 (I.R.S. employer identification number) |
4716 Old 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 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 the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
YES þ NO o
As of July 31, 2002, the number of outstanding shares of the Registrants Common Stock was 46,649,937.
TABLE OF CONTENTS
PART I | FINANCIAL INFORMATION |
3 | ||||||
ITEM 1. | CONSOLIDATED FINANCIAL STATEMENTS |
|||||||
Consolidated Balance Sheets |
3 | |||||||
Consolidated Statements of Operations |
4 | |||||||
Consolidated
Statements of Changes in Stockholders Equity and Comprehensive
Income |
5 | |||||||
Consolidated Statements of Cash Flows |
6 | |||||||
Notes to Consolidated Financial Statements |
7 | |||||||
ITEM 2. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS |
20 | ||||||
ITEM 3. | QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK |
31 | ||||||
PART II | OTHER INFORMATION |
32 | ||||||
ITEM 1. | LEGAL PROCEEDINGS |
32 | ||||||
ITEM 2. | CHANGES IN SECURITIES AND USE OF PROCEEDS |
32 | ||||||
ITEM 3. | DEFAULTS UPON SENIOR SECURITIES |
32 | ||||||
ITEM 4. | SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS |
33 | ||||||
ITEM 5. | OTHER INFORMATION |
34 | ||||||
ITEM 6. | EXHIBITS AND REPORTS ON FORM 8-K |
34 | ||||||
SIGNATURES | 34 |
- 2 -
PART I FINANCIAL INFORMATION
ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS
SELECT MEDICAL CORPORATION
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
June 30, | December 31, | ||||||||||
2002 | 2001 | ||||||||||
Assets | (unaudited) | ||||||||||
Current Assets: |
|||||||||||
Cash and cash equivalents |
$ | 28,834 | $ | 10,703 | |||||||
Accounts receivable, net of allowance for doubtful accounts of $76,866
and $79,889 in 2002 and 2001, respectively |
235,541 | 218,393 | |||||||||
Current deferred tax asset |
28,942 | 28,945 | |||||||||
Other current assets |
18,507 | 18,444 | |||||||||
Total Current Assets |
311,824 | 276,485 | |||||||||
Property and equipment, net |
98,599 | 92,005 | |||||||||
Goodwill |
203,771 | 199,850 | |||||||||
Trademark |
37,875 | 37,875 | |||||||||
Other intangibles |
9,245 | 9,532 | |||||||||
Non-current deferred tax asset |
5,103 | 6,674 | |||||||||
Other assets |
27,016 | 28,424 | |||||||||
Total Assets |
$ | 693,433 | $ | 650,845 | |||||||
Liabilities and Stockholders Equity |
|||||||||||
Current Liabilities: |
|||||||||||
Bank overdrafts |
$ | 9,707 | $ | 6,083 | |||||||
Current portion of long-term debt and notes payable |
28,636 | 26,774 | |||||||||
Accounts payable |
31,199 | 33,520 | |||||||||
Accrued payroll |
27,507 | 27,160 | |||||||||
Accrued vacation |
14,910 | 12,820 | |||||||||
Accrued restructuring |
1,142 | 1,819 | |||||||||
Accrued other |
29,357 | 23,568 | |||||||||
Income taxes payable |
7,649 | 1,735 | |||||||||
Due to third party payors |
28,698 | 16,257 | |||||||||
Total Current Liabilities |
178,805 | 149,736 | |||||||||
Long-term debt, net of current portion |
244,239 | 261,649 | |||||||||
Total Liabilities |
423,044 | 411,385 | |||||||||
Commitments and Contingencies |
|||||||||||
Minority interest in consolidated subsidiary companies |
5,361 | 5,176 | |||||||||
Stockholders Equity: |
|||||||||||
Common
stock $.01 par value: Authorized shares - 200,000,000 in 2002
and 2001 Issued shares - 47,109,000 in 2002 and 46,488,000 in 2001 |
471 | 465 | |||||||||
Capital in excess of par |
237,580 | 231,349 | |||||||||
Retained earnings |
28,701 | 5,924 | |||||||||
Treasury stock, at cost - 461,000 shares |
(1,560 | ) | (1,560 | ) | |||||||
Accumulated other comprehensive loss |
(164 | ) | (1,894 | ) | |||||||
Total Stockholders Equity |
265,028 | 234,284 | |||||||||
Total Liabilities and Stockholders Equity |
$ | 693,433 | $ | 650,845 | |||||||
See accompanying notes.
- 3 -
SELECT MEDICAL CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)
For the Quarter Ended June 30, | For the Six Months Ended June 30, | ||||||||||||||||||
2002 | 2001 | 2002 | 2001 | ||||||||||||||||
Net operating revenues |
$ | 280,272 | $ | 234,199 | $ | 552,192 | $ | 459,287 | |||||||||||
Costs and expenses: |
|||||||||||||||||||
Cost of services |
228,183 | 188,688 | 449,918 | 369,961 | |||||||||||||||
General and administrative |
9,326 | 8,554 | 19,012 | 16,994 | |||||||||||||||
Bad debt expense |
8,577 | 8,305 | 19,020 | 16,648 | |||||||||||||||
Depreciation and amortization |
6,180 | 7,863 | 12,206 | 15,679 | |||||||||||||||
Total costs and expenses |
252,266 | 213,410 | 500,156 | 419,282 | |||||||||||||||
Income from operations |
28,006 | 20,789 | 52,036 | 40,005 | |||||||||||||||
Other income and expense: |
|||||||||||||||||||
Interest income |
(136 | ) | (39 | ) | (207 | ) | (280 | ) | |||||||||||
Interest expense |
6,815 | 7,506 | 13,593 | 15,522 | |||||||||||||||
Income before minority interests, income taxes
and extraordinary item |
21,327 | 13,322 | 38,650 | 24,763 | |||||||||||||||
Minority interest in consolidated subsidiary companies |
570 | 865 | 1,173 | 2,272 | |||||||||||||||
Income before income taxes and extraordinary item |
20,757 | 12,457 | 37,477 | 22,491 | |||||||||||||||
Income tax expense |
8,156 | 4,859 | 14,700 | 8,772 | |||||||||||||||
Income before extraordinary item |
12,601 | 7,598 | 22,777 | 13,719 | |||||||||||||||
Extraordinary item (net of tax benefit of $5,547) |
| 8,676 | | 8,676 | |||||||||||||||
Net income (loss) |
$ | 12,601 | $ | (1,078 | ) | $ | 22,777 | $ | 5,043 | ||||||||||
Less: Preferred dividends |
| (207 | ) | | (2,513 | ) | |||||||||||||
Net income (loss) available to common stockholders |
$ | 12,601 | $ | (1,285 | ) | $ | 22,777 | $ | 2,530 | ||||||||||
Net income (loss) per common share: |
|||||||||||||||||||
Basic: |
|||||||||||||||||||
Income before extraordinary item |
$ | 0.27 | $ | 0.17 | $ | 0.49 | $ | 0.32 | |||||||||||
Extraordinary item |
| (0.20 | ) | | (0.25 | ) | |||||||||||||
Net income (loss) per common share |
$ | 0.27 | $ | (0.03 | ) | $ | 0.49 | $ | 0.07 | ||||||||||
Diluted: |
|||||||||||||||||||
Income before extraordinary item |
$ | 0.25 | $ | 0.16 | $ | 0.46 | $ | 0.29 | |||||||||||
Extraordinary item |
| (0.19 | ) | | (0.20 | ) | |||||||||||||
Net income (loss) per common share |
$ | 0.25 | $ | (0.03 | ) | $ | 0.46 | $ | 0.09 | ||||||||||
Weighted average shares outstanding: |
|||||||||||||||||||
Basic |
46,442 | 43,259 | 46,262 | 34,417 | |||||||||||||||
Diluted |
49,469 | 47,205 | 49,054 | 41,788 |
See accompanying notes.
- 4 -
Select Medical Corporation
Consolidated Statements of Changes in Stockholders Equity and
Comprehensive Income
(in thousands)
(unaudited)
Common Stock | Capital in | Retained | Treasury | Accumulated Other | Comprehensive | ||||||||||||||||||||||||
Common Stock | Par Value | Excess of Par | Earnings | Stock | Comprehensive Loss | Income | |||||||||||||||||||||||
Balance at December 31, 2001 |
46,488 | $ | 465 | $ | 231,349 | $ | 5,924 | $ | (1,560 | ) | $ | (1,894 | ) | ||||||||||||||||
Net income |
22,777 | $ | 22,777 | ||||||||||||||||||||||||||
Other comprehensive income |
1,730 | 1,730 | |||||||||||||||||||||||||||
Total comprehensive income |
$ | 24,507 | |||||||||||||||||||||||||||
Issuance of common stock |
621 | 6 | 3,887 | ||||||||||||||||||||||||||
Valuation of non-employee options |
152 | ||||||||||||||||||||||||||||
Tax benefit of stock option exercises |
2,192 | ||||||||||||||||||||||||||||
Balance at June 30, 2002 |
47,109 | $ | 471 | $ | 237,580 | $ | 28,701 | $ | (1,560 | ) | $ | (164 | ) | ||||||||||||||||
See accompanying notes.
- 5 -
SELECT MEDICAL CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
For the Six Months Ended June 30, | ||||||||||
2002 | 2001 | |||||||||
Operating activities |
||||||||||
Net income |
$ | 22,777 | $ | 5,043 | ||||||
Adjustments to reconcile net income to net cash
provided by operating activities: |
||||||||||
Depreciation and amortization |
12,206 | 15,679 | ||||||||
Provision for bad debts |
19,020 | 16,648 | ||||||||
Minority interests |
1,173 | 2,272 | ||||||||
Extraordinary item |
| 8,676 | ||||||||
Changes in operating assets and liabilities, net of
effects from acquisition of businesses: |
||||||||||
Accounts receivable |
(35,895 | ) | (25,997 | ) | ||||||
Other current assets |
(1,240 | ) | 872 | |||||||
Other assets |
1,556 | 5,639 | ||||||||
Accounts payable |
(2,379 | ) | 2,137 | |||||||
Due to third-party payors |
14,626 | 3,714 | ||||||||
Accrued expenses |
6,882 | 11,518 | ||||||||
Income taxes |
11,749 | 5,695 | ||||||||
Net cash provided by operating activities |
50,475 | 51,896 | ||||||||
Investing activities |
||||||||||
Purchases of property and equipment, net |
(17,948 | ) | (10,810 | ) | ||||||
Proceeds from disposal of assets |
| 808 | ||||||||
Earnout payments |
(536 | ) | (4,763 | ) | ||||||
Acquisition of businesses, net of cash acquired |
(3,303 | ) | (11,723 | ) | ||||||
Net cash used in investing activities |
(21,787 | ) | (26,488 | ) | ||||||
Financing activities |
||||||||||
Issuance of 9.5% Senior Subordinated Notes |
| 175,000 | ||||||||
Net repayments on credit facility debt |
(12,981 | ) | (96,000 | ) | ||||||
Repayment of 10% Senior Subordinated Notes |
| (90,000 | ) | |||||||
Payment of deferred financing fees |
(67 | ) | (4,681 | ) | ||||||
Principal payments on seller and other debt |
(3,947 | ) | (10,561 | ) | ||||||
Proceeds from initial public offering, net of fees |
| 89,169 | ||||||||
Redemption of Class A Preferred Stock |
| (52,838 | ) | |||||||
Payment of Class A and Class B Preferred Stock Dividends |
| (19,248 | ) | |||||||
Proceeds from issuance of common stock |
3,893 | 10 | ||||||||
Proceeds from (repayment of) bank overdrafts |
3,624 | (3,449 | ) | |||||||
Distributions to minority interests |
(1,151 | ) | (1,846 | ) | ||||||
Net cash used in financing activities |
(10,629 | ) | (14,444 | ) | ||||||
Effect of exchange rate changes on cash
and cash equivalents |
72 | (20 | ) | |||||||
Net increase in cash and cash equivalents |
18,131 | 10,944 | ||||||||
Cash and cash equivalents at beginning of period |
10,703 | 3,151 | ||||||||
Cash and cash equivalents at end of period |
$ | 28,834 | $ | 14,095 | ||||||
Supplemental Cash Flow Information |
||||||||||
Cash paid for interest |
$ | 11,794 | $ | 15,423 | ||||||
Cash paid for income taxes |
$ | 3,358 | $ | 2,328 |
See accompanying notes.
- 6 -
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
1. Basis of Presentation
The unaudited condensed consolidated financial statements of Select Medical Corporation (the Company) as of June 30, 2002 and for the three and six month periods ended June 30, 2002 and 2001, have been prepared in accordance with generally accepted accounting principles. In the opinion of management, such information contains all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the results for such periods. All intercompany transactions and balances have been eliminated. The results of operations for the three and six months ended June 30, 2002 are not necessarily indicative of the results to be expected for the full fiscal year ending December 31, 2002.
Certain information and disclosures normally included in the notes to consolidated financial statements have been condensed or omitted as permitted by the rules and regulations of the Securities and Exchange Commission, although the Company believes the disclosure is adequate to make the information presented not misleading. The accompanying unaudited consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto for the year ended December 31, 2001 contained in the Companys Form 10-K filed with the Securities Exchange Commission.
2. Accounting Policies
Reclassifications
Certain amounts on the December 31, 2001 consolidated balance sheet have been reclassified to conform to the classifications used on the June 30, 2002 consolidated balance sheet.
Use of Estimates
The preparation of financial statements in conformity with generally accepted accounting principles 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 from those estimates.
Recent Accounting Pronouncements
In June 2002, the Financial Accounting Standards Board (FASB) issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities. SFAS No. 146 requires recording costs associated with exit or disposal activities at their fair values when a liability has been incurred. Under previous guidance, certain exit costs were accrued upon managements commitment to an exit plan, which is generally before an actual liability has been incurred. Adoption of SFAS No. 146 is required with the beginning of fiscal year 2003. The Company does not anticipate a significant impact on its results of operations from adopting this Statement.
In April 2002, the Financial Accounting Standards Board (FASB) issued SFAS No. 145 Rescission of FASB Statements No. 4, 44, and 64, Amendment of FASB Statement No. 13, and Technical Corrections. As a result of rescinding SFAS No. 4, Reporting Gains and Losses from Extinguishment of Debt, the requirement that gains and losses from the extinguishment of debt be aggregated and, if material, classified as an extraordinary item, net of the related income tax effect is eliminated. The Company reported extraordinary items in 1999, 2000 and 2001 as a result of debt extinguishments. The provisions of SFAS 145 that affect the
- 7 -
Company are effective for fiscal periods beginning after May 15, 2002 although, early adoption of SFAS 145 is permitted. The Company believes that the adoption of SFAS 145 will require the reclassification of its extraordinary items recorded in 1999, 2000 and 2001 to the other income and expense category of its consolidated statement of operations.
In October 2001, the Financial Accounting Standards Board (FASB) issued SFAS No. 144 Accounting for the Impairment or Disposal of Long-Lived Assets which is effective for financial statements issued for fiscal years beginning after December 15, 2001. SFAS No. 144 supersedes the accounting provisions of APB 30 that address the disposal of a segment of a business and requires that such long-lived assets be reported at fair value less cost to sell. SFAS No. 144 requires that long-lived assets to be abandoned, exchanged for similar productive assets or distributed to owners in a spin-off be considered held for use until they are abandoned, exchanged or distributed. It also eliminates the exception to consolidation for a subsidiary while control is expected to be temporary. The Company adopted SFAS No. 144 on January 1, 2002 with no material effect on net income.
3. Stock Option Plans
On April 11, 2002, the Companys Board of Directors adopted the Select Medical Corporation Second Amended and Restated 1997 Stock Option Plan, which was approved by the stockholders on May 13, 2002. The amended plan provides for the grant of non-qualified stock options to key employees to purchase an additional 3,000,000 shares of common stock. A substantial portion of these options are Performance Accelerated Vesting Options. The Performance Accelerated Vesting Options will vest and become exercisable on the seventh anniversary of the grant of such options, but the vesting schedule for these options will be accelerated if the Company meets or exceeds its performance-based targets of earnings per share (EPS) and return on equity (ROE). The EPS target for 2002 is $0.84 and for each subsequent year, the EPS target will be calculated by increasing the immediately preceding years EPS target by fifteen percent. The ROE target for 2002 is 13.5%, and for each subsequent year the ROE target shall be determined by increasing the target percentage for the immediately preceding year by .5%. Twenty percent (20%) of a grant of Performance Accelerated Vesting Options shall vest and become exercisable after the completion of each fiscal year in which the Company meets or exceeds both its earnings per share and return on equity targets. No accelerated vesting shall occur in years in which the Company fails to meet either of its targets. In addition, if the Company meets both of these targets in 2002, 2003 and 2004, and the Companys earnings per share for fiscal year 2004 is greater than or equal to $1.21, then all Performance Accelerated Vesting Options will become fully vested and immediately exercisable.
On February 12, 2002, the Companys Board of Directors adopted the 2002 Non-Employee Directors Plan, which was amended on April 11, 2002, and approved by the stockholders on May 13, 2002. Under the terms of the Non-Employee Directors Plan, directors who are not employees of the Company may be granted non-qualified stock options to purchase up to 250,000 shares of the Companys common stock (such number being subject to adjustment under the terms of the plan), at a price of not less than 100% of the market price on the date the option is granted. Options expire no later than ten years after the date of grant. On February 12, 2002, the Company granted 28,000 options at $14.04 per share.
During the six months ended June 30, 2002, the Company granted stock options under its Second Amended and Restated 1997 Stock Option Plan totaling 4,284,080 shares of Common Stock at exercise prices ranging from $12.66 to $15.25 per share. Of this amount, 2,294,200 were issued as Performance Accelerated Vesting Options.
- 8 -
4. Segment Information
The Companys segments consist of (i) inpatient hospitals and (ii) outpatient rehabilitation. The accounting policies of the segments are the same as those described in the summary of significant accounting policies. The Company evaluates performance based on EBITDA of the respective business units. EBITDA is defined as earnings before interest, minority interest, income taxes, depreciation and amortization and extraordinary item. All segment revenues are from external customers.
The following table summarizes selected financial data for the Companys reportable segments:
Three Months Ended June 30, 2002 | ||||||||||||||||
Specialty | Outpatient | |||||||||||||||
Hospitals | Rehabilitation | All Other | Total | |||||||||||||
Net revenue |
$ | 152,073,000 | $ | 124,639,000 | $ | 3,560,000 | $ | 280,272,000 | ||||||||
EBITDA |
17,281,000 | 23,075,000 | (6,170,000 | ) | 34,186,000 | |||||||||||
Total assets |
315,115,000 | 330,800,000 | 47,518,000 | 693,433,000 | ||||||||||||
Capital expenditures |
6,257,000 | 2,492,000 | 240,000 | 8,989,000 |
Three Months Ended June 30, 2001 | ||||||||||||||||
Specialty | Outpatient | |||||||||||||||
Hospitals | Rehabilitation | All Other | Total | |||||||||||||
Net revenue |
$ | 119,035,000 | $ | 111,958,000 | $ | 3,206,000 | $ | 234,199,000 | ||||||||
EBITDA |
13,583,000 | 20,631,000 | (5,562,000 | ) | 28,652,000 | |||||||||||
Total assets |
262,027,000 | 311,375,000 | 39,106,000 | 612,508,000 | ||||||||||||
Capital expenditures |
3,254,000 | 2,024,000 | 207,000 | 5,485,000 |
Six Months Ended June 30, 2002 | ||||||||||||||||
Specialty | Outpatient | |||||||||||||||
Hospitals | Rehabilitation | All Other | Total | |||||||||||||
Net revenue |
$ | 300,901,000 | $ | 244,333,000 | $ | 6,958,000 | $ | 552,192,000 | ||||||||
EBITDA |
32,948,000 | 44,123,000 | (12,829,000 | ) | 64,242,000 | |||||||||||
Total assets |
315,115,000 | 330,800,000 | 47,518,000 | 693,433,000 | ||||||||||||
Capital expenditures |
12,440,000 | 4,927,000 | 581,000 | 17,948,000 |
Six Months Ended June 30, 2001 | ||||||||||||||||
Specialty | Outpatient | |||||||||||||||
Hospitals | Rehabilitation | All Other | Total | |||||||||||||
Net revenue |
$ | 232,185,000 | $ | 220,631,000 | $ | 6,471,000 | $ | 459,287,000 | ||||||||
EBITDA |
26,978,000 | 39,686,000 | (10,980,000 | ) | 55,684,000 | |||||||||||
Total assets |
262,027,000 | 311,375,000 | 39,106,000 | 612,508,000 | ||||||||||||
Capital expenditures |
6,309,000 | 3,766,000 | 735,000 | 10,810,000 |
- 9 -
A reconciliation of EBITDA to net income (loss) is as follows:
For the three months ended June 30, | For the six months ended June 30, | |||||||||||||||
2002 | 2001 | 2002 | 2001 | |||||||||||||
EBITDA |
$ | 34,186,000 | $ | 28,652,000 | $ | 64,242,000 | $ | 55,684,000 | ||||||||
Depreciation and amortization |
(6,180,000 | ) | (7,863,000 | ) | (12,206,000 | ) | (15,679,000 | ) | ||||||||
Interest income |
136,000 | 39,000 | 207,000 | 280,000 | ||||||||||||
Interest expense |
(6,815,000 | ) | (7,506,000 | ) | (13,593,000 | ) | (15,522,000 | ) | ||||||||
Minority interest |
(570,000 | ) | (865,000 | ) | (1,173,000 | ) | (2,272,000 | ) | ||||||||
Income tax expense |
(8,156,000 | ) | (4,859,000 | ) | (14,700,000 | ) | (8,772,000 | ) | ||||||||
Extraordinary item |
| (8,676,000 | ) | | (8,676,000 | ) | ||||||||||
Net income (loss) |
$ | 12,601,000 | $ | (1,078,000 | ) | $ | 22,777,000 | $ | 5,043,000 | |||||||
5. Restructuring Charges
The following summarizes the Companys restructuring activity:
Lease Termination | ||||||||||||
Costs | Severance | Total | ||||||||||
December 31, 2001 |
$ | 1,687,000 | $ | 132,000 | $ | 1,819,000 | ||||||
Amounts paid in 2002 |
(632,000 | ) | (45,000 | ) | (677,000 | ) | ||||||
June 30, 2002 |
$ | 1,055,000 | $ | 87,000 | $ | 1,142,000 | ||||||
Management expects to pay out the remaining restructuring reserves through 2003 which is consistent with the original plan.
6. Intangible Assets
Effective January 1, 2002, the Company adopted Statement of Financial Accounting Standards (SFAS) No. 142, Goodwill and Other Intangible Assets. Under SFAS No. 142, goodwill and other intangible assets with indefinite lives are no longer subject to periodic amortization but are instead reviewed annually, or more frequently if impairment indicators arise. Additionally, a transitional impairment test is required within six months of the date of adoption utilizing data as of the beginning of the year. These reviews require the Company to estimate the fair value of its identified reporting units and compare those estimates against the related carrying values. For each of the reporting units, the estimated fair value is determined utilizing the expected present value of the future cash flows of the units.
During the quarter ended March 31, 2002, the Company conducted its initial transition test. In all instances, the estimated fair value of the reporting units exceeded their book values and therefore no write-down of goodwill was required at January 1, 2002.
Amortization expense for intangible assets for the six months ended June 30, 2002 was $390,000. Estimated amortization expense for intangible assets for each of the five years commencing January 1, 2002 will be approximately $553,000.
- 10 -
Intangible assets consist of the following:
As of June 30, 2002 | |||||||||
Gross Carrying | Accumulated | ||||||||
Amount | Amortization | ||||||||
Amortized intangible assets |
|||||||||
Management services agreements |
$ | 11,404,000 | $ | (2,159,000 | ) | ||||
Unamortized intangible assets |
|||||||||
Goodwill |
$ | 203,771,000 | |||||||
Trademarks |
37,875,000 | ||||||||
Total |
$ | 241,646,000 | |||||||
The following table reflects unaudited pro forma results of operations, net of related tax effect, of the Company, giving effect to SFAS No. 142 as if it were adopted on January 1, 2001:
For the Quarter Ended June 30, | For the Six Months Ended June 30, | |||||||||||||||
2002 | 2001 | 2002 | 2001 | |||||||||||||
Reported net income (loss) |
$ | 12,601,000 | $ | (1,078,000 | ) | $ | 22,777,000 | $ | 5,043,000 | |||||||
Add back: Goodwill amortization |
| 1,237,000 | | 2,469,000 | ||||||||||||
Add back: Trademark amortization |
| 152,000 | | 304,000 | ||||||||||||
Adjusted net income |
$ | 12,601,000 | $ | 311,000 | $ | 22,777,000 | $ | 7,816,000 | ||||||||
Basic earnings per share: |
||||||||||||||||
Reported net income (loss) |
$ | 0.27 | $ | (0.03 | ) | $ | 0.49 | $ | 0.07 | |||||||
Goodwill amortization |
| 0.03 | | 0.07 | ||||||||||||
Trademark amortization |
| | | 0.01 | ||||||||||||
Adjusted net income |
$ | 0.27 | $ | | $ | 0.49 | $ | 0.15 | ||||||||
Diluted earnings per share: |
||||||||||||||||
Reported net income (loss) |
$ | 0.25 | $ | (0.03 | ) | $ | 0.46 | $ | 0.09 | |||||||
Goodwill amortization |
| 0.03 | | 0.06 | ||||||||||||
Trademark amortization |
| | | 0.01 | ||||||||||||
Adjusted net income |
$ | 0.25 | $ | | $ | 0.46 | $ | 0.16 | ||||||||
- 11 -
The changes in the carrying amount of goodwill for the Companys reportable segments for the six months ended June 30, 2002, are as follows:
Outpatient | ||||||||||||||||
Specialty Hospitals | Rehabilitation | All Other | Total | |||||||||||||
Balance as of January 1, 2002 |
$ | 84,391,000 | $ | 114,875,000 | $ | 584,000 | $ | 199,850,000 | ||||||||
Goodwill acquired during year |
| 4,466,000 | | 4,466,000 | ||||||||||||
Income tax benefits recognized |
| (1,939,000 | ) | | (1,939,000 | ) | ||||||||||
Earn-out payments |
| 536,000 | | 536,000 | ||||||||||||
Translation adjustment |
| 867,000 | | 867,000 | ||||||||||||
Other |
| (9,000 | ) | | (9,000 | ) | ||||||||||
Balance as of June 30, 2002 |
$ | 84,391,000 | $ | 118,796,000 | $ | 584,000 | $ | 203,771,000 | ||||||||
7. Net Income (Loss) per Share
The following table sets forth the computation of basic and diluted earnings (loss) per share:
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||||
2002 | 2001 | 2002 | 2001 | ||||||||||||||
Numerator: |
|||||||||||||||||
Net income before extraordinary item |
$ | 12,601,000 | $ | 7,598,000 | $ | 22,777,000 | $ | 13,719,000 | |||||||||
Extraordinary item, net of $5,547,000 tax benefit |
| (8,676,000 | ) | | (8,676,000 | ) | |||||||||||
Net income (loss) |
12,601,000 | (1,078,000 | ) | 22,777,000 | 5,043,000 | ||||||||||||
Less: Class A and Class B Preferred stock dividends |
| 207,000 | | 2,513,000 | |||||||||||||
Numerator for basic earnings per share income (loss)
available to common stockholders |
12,601,000 | (1,285,000 | ) | 22,777,000 | 2,530,000 | ||||||||||||
Effect of dilutive securities: |
|||||||||||||||||
Class B Preferred stock dividends |
| 61,000 | | 1,067,000 | |||||||||||||
Numerator for diluted earnings per share income (loss)
available to common stockholders after assumed
conversions |
$ | 12,601,000 | $ | (1,224,000 | ) | $ | 22,777,000 | $ | 3,597,000 | ||||||||
Denominator: |
|||||||||||||||||
Denominator for basic earnings per share weighted
average shares |
46,442,000 | 43,259,000 | 46,262,000 | 34,417,000 | |||||||||||||
Effect of dilutive securities: |
|||||||||||||||||
a) Stock options |
1,884,000 | 1,887,000 | 1,706,000 | 1,387,000 | |||||||||||||
b) Warrants |
1,143,000 | 1,046,000 | 1,086,000 | 892,000 | |||||||||||||
c) Convertible preferred stock |
| 1,013,000 | | 5,092,000 | |||||||||||||
Denominator for diluted earnings per share-adjusted
weighted average shares and assumed conversions |
49,469,000 | 47,205,000 | 49,054,000 | 41,788,000 | |||||||||||||
- 12 -
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||||
2002 | 2001 | 2002 | 2001 | ||||||||||||||
Basic income (loss) per common share: |
|||||||||||||||||
Income before extraordinary item |
$ | 0.27 | $ | 0.17 | $ | 0.49 | $ | 0.32 | |||||||||
Extraordinary item |
| (0.20 | ) | | (0.25 | ) | |||||||||||
Income (loss) per common share |
$ | 0.27 | $ | (0.03 | ) | $ | 0.49 | $ | 0.07 | ||||||||
Diluted income (loss) per common share: |
|||||||||||||||||
Income before extraordinary item |
$ | 0.25 | $ | 0.16 | $ | 0.46 | $ | 0.29 | |||||||||
Extraordinary item |
| (0.19 | ) | | (0.20 | ) | |||||||||||
Diluted income (loss) per common share |
$ | 0.25 | $ | (0.03 | ) | $ | 0.46 | $ | 0.09 | ||||||||
8. Supplemental Disclosures of Cash Flow Information
Non-cash investing and financing activities are comprised of the following for the six months ended June 30, 2002 and 2001:
2002 | 2001 | |||||||
Conversion of preferred stock into common stock |
$ | | $ | 60,000,000 | ||||
Preferred stock dividends |
$ | | $ | | ||||
Minority interest repurchase |
$ | | $ | 4,973,000 | ||||
Notes issued with acquisitions |
$ | 1,380,000 | $ | | ||||
Tax benefit of stock option exercises |
$ | 2,192,000 | $ | |
9. Commitments and Contingencies
Litigation
On August 10, 1998 a complaint in the U.S. District Court for the Eastern District of Pennsylvania was filed that named as defendants NovaCare, Inc. (now known as NAHC, Inc.), other named defendants and 100 defendants who were to be named at a later time. This qui tam action sought triple damages and penalties under the False Claims Act against NAHC. The Department of Justice did not intervene in this action. The allegations involve, among other things, the distinction between individual and group billing in physical rehabilitation clinics that the Company acquired from NovaCare. On October 16, 2000 the relator plaintiff made a motion to amend the complaint to, among other things, add Select Medical Corporation and some of its subsidiaries acquired in the NovaCare acquisition as defendants in this case. This motion was granted in September of 2001. The amended complaint alleges that from about January 1, 1995 through the present, the defendants submitted false or fraudulent bills for physical therapy to various federal health programs. The United States Attorneys Office has asserted that because the complaint is being amended to add allegations against new defendants, it is entitled to a new period to determine whether to intervene in the new allegations. On January 3, 2002, NAHC entered into a settlement agreement with the relator plaintiff and the government, pursuant to which, in exchange for a payment by NAHC of $375,000, the parties settled all claims arising out of conduct that took place before the Companys acquisition of the NovaCare subsidiaries that are defendants in the case. Claims against the Company and the NovaCare subsidiaries regarding conduct occurring after the NovaCare acquisition were not settled. As of July 31, 2002, the government had not advised the Company whether it intends to intervene in any remaining claims, and the Company and the subsidiaries have not been served with the amended complaint. Based on a review of the amended complaint, the Company does not believe that this lawsuit is meritorious and intends to vigorously defend against this action. However, because of the uncertain nature of the litigation, the Company cannot predict the outcome of this matter.
- 13 -
The Company is subject to legal proceedings and claims that have arisen in the ordinary course of its business and have not been finally adjudicated, which include malpractice claims covered under the Companys insurance policies, as well as claims that were covered under policies issued by PHICO Insurance Company, which are discussed below. In the opinion of management, the outcome of these actions will not have a material adverse effect on the financial position or results of operations of the Company.
Other
In February 2002, PHICO Insurance Company (PHICO), at the request of the Pennsylvania Insurance Department, was placed in liquidation by an order of the Commonwealth Court of Pennsylvania (Liquidation Order). The Company had placed its primary malpractice insurance coverage through PHICO from June 1998 through December 2000. In January 2001, these policies were replaced by policies issued with other issuers. Currently, the Company has approximately 19 unsettled cases in 9 states from the policy years covered by PHICO issued policies. The Liquidation Order refers these claims to the various state guaranty associations. These state guaranty association statutes generally provide for coverage between $100,000-$300,000 per insured claim, depending on the state. Some states also have catastrophic loss funds to cover settlements in excess of the available state guaranty funds. Most state insurance guaranty statutes provide for net worth, subrogation and residency limitations that, if applicable, may limit or prevent the Company from recovering from these state guaranty association funds. At this time, the Company believes that it will meet the requirements for coverage under most of the applicable state guarantee association statutes, and that the resolution of these claims will not have a material adverse effect on the Companys financial position, cash flow or results of operations. However, because the rules related to state guarantee funds are subject to interpretation and because these claims are still in the process of resolution, the Companys conclusions may change as this process progresses.
10. Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiaries
The Company conducts a significant portion of its business through its subsidiaries. Presented below is condensed consolidating financial information for the Company, the Subsidiary Guarantors and the Non-Guarantor Subsidiaries at June 30, 2002 and for the six months ended June 30, 2002 and 2001.
The equity method has been used by the Company 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.
The following table sets forth the Non-Guarantor Subsidiaries:
Canadian Back Institute Limited |
Kentucky Orthopedic Rehabilitation, LLC. |
Medical Information Management Systems, LLC. |
Metro Therapy, Inc. |
Millennium Rehab Services, LLC. |
Rehab Advantage Therapy Services, LLC. |
Select Houston Partners, L.P. |
Select Management Services, LLC. |
Select Specialty Hospital Biloxi, Inc. |
Select Specialty Hospital Central Pennsylvania, L.P. |
TJ
Corporation I, LLC. |
- 14 -
Select Medical Corporation | ||||||||||||||||||||||
Condensed Consolidating Balance Sheet | ||||||||||||||||||||||
June 30, 2002 | ||||||||||||||||||||||
Select Medical Corporation | Non-Guarantor | |||||||||||||||||||||
(Parent Company Only) | Subsidiary Guarantors | Subsidiaries | Eliminations | Consolidated | ||||||||||||||||||
(dollars in thousands) | ||||||||||||||||||||||
Assets
|
||||||||||||||||||||||
Current Assets: |
||||||||||||||||||||||
Cash and cash equivalents |
$ | 20,724 | $ | 6,418 | $ | 1,692 | $ | | $ | 28,834 | ||||||||||||
Accounts receivable, net |
(367 | ) | 200,348 | 35,560 | | 235,541 | ||||||||||||||||
Current deferred tax asset |
1,881 | 27,054 | 7 | | 28,942 | |||||||||||||||||
Other current assets |
2,425 | 13,328 | 2,754 | | 18,507 | |||||||||||||||||
Total Current Assets |
24,663 | 247,148 | 40,013 | | $ | 311,824 | ||||||||||||||||
Property and equipment, net |
6,584 | 71,500 | 20,515 | | 98,599 | |||||||||||||||||
Investment in affiliates |
330,454 | 68,013 | | (398,467 | )(a) | | ||||||||||||||||
Goodwill |
5,854 | 160,410 | 37,507 | | 203,771 | |||||||||||||||||
Trademark |
| 37,875 | | | 37,875 | |||||||||||||||||
Other intangibles |
| 961 | 8,284 | | 9,245 | |||||||||||||||||
Non-current deferred tax asset |
(31 | ) | 5,134 | | | 5,103 | ||||||||||||||||
Other assets |
11,344 | 15,105 | 567 | | 27,016 | |||||||||||||||||
Total
Assets |
$ | 378,868 | $ | 606,146 | $ | 106,886 | $ | (398,467 | ) | $ | 693,433 | |||||||||||
Liabilities and Stockholders Equity |
||||||||||||||||||||||
Current Liabilities: |
||||||||||||||||||||||
Bank overdrafts |
$ | 9,707 | $ | | $ | | $ | | $ | 9,707 | ||||||||||||
Current portion of long-term debt and notes payable |
570 | 28,048 | 18 | | 28,636 | |||||||||||||||||
Accounts payable |
1,220 | 25,668 | 4,311 | | 31,199 | |||||||||||||||||
Intercompany accounts |
18,549 | (23,853 | ) | 5,304 | | | ||||||||||||||||
Accrued payroll |
658 | 26,822 | 27 | | 27,507 | |||||||||||||||||
Accrued vacation |
2,968 | 10,475 | 1467 | | 14,910 | |||||||||||||||||
Accrued restructuring |
| 1,142 | | | 1,142 | |||||||||||||||||
Accrued other |
12,590 | 16,709 | 58 | | 29,357 | |||||||||||||||||
Income taxes |
9,755 | 981 | (3,087 | ) | | 7,649 | ||||||||||||||||
Due to third party payors |
(29,688 | ) | 59,393 | (1,007 | ) | | 28,698 | |||||||||||||||
Total Current Liabilities |
26,329 | 145,385 | 7,091 | | 178,805 | |||||||||||||||||
Long-term debt, net of current portion |
87,511 | 110,517 | 46,211 | | 244,239 | |||||||||||||||||
Total Liabilities |
113,840 | 255,902 | 53,302 | | 423,044 | |||||||||||||||||
Commitments and Contingencies |
||||||||||||||||||||||
Minority interest in consolidated subsidiary companies |
| 1,129 | 4,232 | | 5,361 | |||||||||||||||||
Stockholders Equity: |
||||||||||||||||||||||
Common stock |
471 | | | | 471 | |||||||||||||||||
Capital in excess of par |
237,580 | | | | 237,580 | |||||||||||||||||
Retained earnings |
28,701 | 44,208 | 14,248 | (58,456 | )(b) | 28,701 | ||||||||||||||||
Subsidiary investment |
| 304,907 | 35,104 | (340,011 | )(a) | | ||||||||||||||||
Treasury stock, at cost |
(1,560 | ) | | | | (1,560 | ) | |||||||||||||||
Accumulated other comprehensive loss |
(164 | ) | | | | (164 | ) | |||||||||||||||
Total Stockholders Equity |
265,028 | 349,115 | 49,352 | (398,467 | ) | 265,028 | ||||||||||||||||
Total
Liabilities and Stockholders Equity |
$ | 378,868 | $ | 606,146 | $ | 106,886 | $ | (398,467 | ) | $ | 693,433 | |||||||||||
(a) | Elimination of investments in subsidiaries | |
(b) | Elimination of investments in subsidiaries earnings |
- 15 -
Select Medical Corporation | |||||||||||||||||||||
Condensed Consolidating Statement of Operations | |||||||||||||||||||||
For the Six Months Ended June 30, 2002 | |||||||||||||||||||||
Select Medical Corporation | Non-Guarantor | ||||||||||||||||||||
(Parent Company Only) | Subsidiary Guarantors | Subsidiaries | Eliminations | Consolidated | |||||||||||||||||
(dollars in thousands) | |||||||||||||||||||||
Net operating revenues |
$ | 6,502 | $ | 447,326 | $ | 98,364 | $ | | $ | 552,192 | |||||||||||
Costs and expenses: |
|||||||||||||||||||||
Cost of services |
| 369,233 | 80,685 | | 449,918 | ||||||||||||||||
General and administrative |
19,012 | | | | 19,012 | ||||||||||||||||
Bad debt expense |
| 15,820 | 3,200 | | 19,020 | ||||||||||||||||
Depreciation and amortization |
827 | 8,833 | 2,546 | | 12,206 | ||||||||||||||||
Total costs and expenses |
19,839 | 393,886 | 86,431 | | 500,156 | ||||||||||||||||
Income (loss) from operations |
(13,337 | ) | 53,440 | 11,933 | | 52,036 | |||||||||||||||
Other income and expense: |
|||||||||||||||||||||
Intercompany interest and royalty fees |
10,567 | (10,863 | ) | 296 | | | |||||||||||||||
Intercompany management fees |
(24,735 | ) | 23,373 | 1,362 | | | |||||||||||||||
Interest income |
(167 | ) | (40 | ) | | | (207 | ) | |||||||||||||
Interest expense |
3,684 | 7,666 | 2,243 | | 13,593 | ||||||||||||||||
Income (loss) before minority interests and income taxes |
(2,686 | ) | 33,304 | 8,032 | | 38,650 | |||||||||||||||
Minority interest in consolidated subsidiary companies |
| 6 | 1,167 | | 1,173 | ||||||||||||||||
Income (loss) before income taxes |
(2,686 | ) | 33,298 | 6,865 | | 37,477 | |||||||||||||||
Income tax expense (benefit) |
(1,308 | ) | 14,727 | 1,281 | | 14,700 | |||||||||||||||
Equity in earnings of subsidiaries |
24,155 | 4,032 | | (28,187 | )(a) | | |||||||||||||||
Net income |
$ | 22,777 | $ | 22,603 | $ | 5,584 | $ | (28,187 | ) | $ | 22,777 | ||||||||||
(a) | Elimination of equity in net income (loss) from consolidated subsidiaries. |
- 16 -
Select Medical Corporation | ||||||||||||||||||||||
Condensed Consolidating Statement of Cash Flows | ||||||||||||||||||||||
For the Six Months Ended June 30, 2002 | ||||||||||||||||||||||
Select Medical Corporation | Subsidiary | Non-Guarantor | ||||||||||||||||||||
(Parent Company Only) | Guarantors | Subsidiaries | Eliminations | Consolidated | ||||||||||||||||||
(dollars in thousands) | ||||||||||||||||||||||
Operating activities |
||||||||||||||||||||||
Net income (loss) |
$ | 22,777 | $ | 22,603 | $ | 5,584 | $ | (28,187 | )(a) | $ | 22,777 | |||||||||||
Adjustments to reconcile net income to net cash
provided by operating activities: |
||||||||||||||||||||||
Depreciation and amortization |
827 | 8,833 | 2,546 | | 12,206 | |||||||||||||||||
Provision for bad debts |
| 15,820 | 3,200 | | 19,020 | |||||||||||||||||
Minority interests |
| 6 | 1,167 | | 1,173 | |||||||||||||||||
Changes in operating assets and liabilities, net of
effects from acquisition of businesses: |
||||||||||||||||||||||
Equity (loss) in earnings of subsidiaries |
(24,155 | ) | (4,032 | ) | | 28,187 | (a) | | ||||||||||||||
Intercompany |
(16,920 | ) | 20,475 | (3,555 | ) | | | |||||||||||||||
Accounts receivable |
(124 | ) | (30,108 | ) | (5,663 | ) | | (35,895 | ) | |||||||||||||
Other current assets |
(461 | ) | (739 | ) | (40 | ) | | (1,240 | ) | |||||||||||||
Other assets |
1,150 | (862 | ) | 1,268 | | 1,556 | ||||||||||||||||
Accounts payable |
(1,870 | ) | (250 | ) | (259 | ) | | (2,379 | ) | |||||||||||||
Due to third-party payors |
(237 | ) | 12,842 | 2,021 | | 14,626 | ||||||||||||||||
Accrued expenses |
670 | 7,489 | (1,277 | ) | | 6,882 | ||||||||||||||||
Income taxes |
9,443 | 5,393 | (3,087 | ) | | 11,749 | ||||||||||||||||
Net cash provided by (used in) operating activities |
(8,900 | ) | 57,470 | 1,905 | | 50,475 | ||||||||||||||||
Investing activities |
||||||||||||||||||||||
Purchases of property and equipment, net |
(561 | ) | (14,870 | ) | (2,517 | ) | | (17,948 | ) | |||||||||||||
Earnout payments |
| (536 | ) | | | (536 | ) | |||||||||||||||
Acquisition of businesses, net of cash acquired |
| (3,303 | ) | | | (3,303 | ) | |||||||||||||||
Net cash used in investing activities |
(561 | ) | (18,709 | ) | (2,517 | ) | | (21,787 | ) | |||||||||||||
Financing activities |
||||||||||||||||||||||
Intercompany debt reallocation |
34,114 | (36,852 | ) | 2,738 | | | ||||||||||||||||
Net repayments on credit facility debt |
(11,640 | ) | | (1,341 | ) | | (12,981 | ) | ||||||||||||||
Principal payments on seller and other debt |
(370 | ) | (3,577 | ) | | | (3,947 | ) | ||||||||||||||
Proceeds from issuance of common stock |
3,893 | | | | 3,893 | |||||||||||||||||
Proceeds from bank overdrafts |
3,624 | | | | 3,624 | |||||||||||||||||
Payment of deferred financing costs |
(67 | ) | | | | (67 | ) | |||||||||||||||
Distributions to minority interests |
| | (1,151 | ) | | (1,151 | ) | |||||||||||||||
Net cash provided by (used in) financing activities |
29,554 | (40,429 | ) | 246 | | (10,629 | ) | |||||||||||||||
Effect of exchange rate changes on cash
and cash equivalents |
72 | | | | 72 | |||||||||||||||||
Net increase (decrease) in cash and cash equivalents |
20,165 | (1,668 | ) | (366 | ) | | 18,131 | |||||||||||||||
Cash and cash equivalents at beginning of period |
559 | 8,086 | 2,058 | | 10,703 | |||||||||||||||||
Cash and cash equivalents at end of period |
$ | 20,724 | $ | 6,418 | $ | 1,692 | $ | | $ | 28,834 | ||||||||||||
(a) | Elimination of equity in earnings of subsidiary. |
- 17 -
Select Medical Corporation | |||||||||||||||||||||
Condensed Consolidating Statement of Operations | |||||||||||||||||||||
For the Six Months Ended June 30, 2001 | |||||||||||||||||||||
Select Medical Corporation | Non-Guarantor | ||||||||||||||||||||
(Parent Company Only) | Subsidiary Guarantors | Subsidiaries | Eliminations | Consolidated | |||||||||||||||||
(dollars in thousands) | |||||||||||||||||||||
Net operating revenues |
$ | 6,023 | $ | 372,521 | $ | 80,743 | $ | | $ | 459,287 | |||||||||||
Costs and expenses: |
|||||||||||||||||||||
Cost of services |
| 305,097 | 64,864 | | 369,961 | ||||||||||||||||
General and administrative |
16,994 | | | | 16,994 | ||||||||||||||||
Bad debt expense |
| 14,427 | 2,221 | | 16,648 | ||||||||||||||||
Depreciation and amortization |
919 | 12,356 | 2,404 | | 15,679 | ||||||||||||||||
Total costs and expenses |
17,913 | 331,880 | 69,489 | | 419,282 | ||||||||||||||||
Income (loss) from operations |
(11,890 | ) | 40,641 | 11,254 | | 40,005 | |||||||||||||||
Other income and expense: |
|||||||||||||||||||||
Intercompany charges |
(21,688 | ) | 18,359 | 3,329 | | | |||||||||||||||
Interest income |
(102 | ) | (177 | ) | (1 | ) | | (280 | ) | ||||||||||||
Interest expense |
3,575 | 9,279 | 2,668 | | 15,522 | ||||||||||||||||
Income before minority interests and income taxes |
6,325 | 13,180 | 5,258 | | 24,763 | ||||||||||||||||
Minority interest in consolidated subsidiary companies |
| 578 | 1,694 | | 2,272 | ||||||||||||||||
Income before income taxes |
6,325 | 12,602 | 3,564 | | 22,491 | ||||||||||||||||
Income tax expense |
2,594 | 5,903 | 275 | | 8,772 | ||||||||||||||||
Equity in earnings of subsidiaries |
9,988 | 1,878 | | (11,866 | )(a) | | |||||||||||||||
Income (loss) before extraordinary item |
$ | 13,719 | $ | 8,577 | $ | 3,289 | $ | (11,866 | ) | $ | 13,719 | ||||||||||
Extraordinary item |
8,676 | | | | 8,676 | ||||||||||||||||
Net income (loss) |
$ | 5,043 | $ | 8,577 | $ | 3,289 | $ | (11,866 | ) | $ | 5,043 | ||||||||||
(a) | Elimination of equity in net income (loss) from consolidated subsidiaries |
- 18 -
Select Medical Corporation | ||||||||||||||||||||||
Condensed Consolidating Statement of Cash Flows | ||||||||||||||||||||||
For the Six Months Ended June 30, 2001 | ||||||||||||||||||||||
Select Medical | ||||||||||||||||||||||
Corporation (Parent |
||||||||||||||||||||||
Company Only) |
Subsidiary Guarantors |
Non-Guarantor Subsidiaries |
Eliminations | Consolidated | ||||||||||||||||||
(dollars in thousands) | ||||||||||||||||||||||
Operating activities |
||||||||||||||||||||||
Net income (loss) |
$ | 5,043 | $ | 8,577 | $ | 3,289 | $ | (11,866 | )(a) | $ | 5,043 | |||||||||||
Adjustments to reconcile net income to net cash
provided by operating activities: |
||||||||||||||||||||||
Depreciation and amortization |
919 | 12,356 | 2,404 | | 15,679 | |||||||||||||||||
Provision for bad debts |
| 14,427 | 2,221 | | 16,648 | |||||||||||||||||
Minority interests |
| 578 | 1,694 | | 2,272 | |||||||||||||||||
Extraordinary item |
8,676 | | | | 8,676 | |||||||||||||||||
Changes in operating assets and liabilities, net of
effects from acquisition of businesses: |
||||||||||||||||||||||
Equity (loss) in earnings of subsidiaries |
(9,988 | ) | (1,878 | ) | | 11,866 | (a) | | ||||||||||||||
Intercompany |
31,263 | (34,877 | ) | 3,614 | | | ||||||||||||||||
Accounts receivable |
29 | (18,602 | ) | (7,424 | ) | | (25,997 | ) | ||||||||||||||
Other current assets |
92 | 1,188 | (408 | ) | | 872 | ||||||||||||||||
Other assets |
47 | 6,230 | (638 | ) | | 5,639 | ||||||||||||||||
Accounts payable |
1,572 | (429 | ) | 994 | | 2,137 | ||||||||||||||||
Due to third-party payors |
(6,000 | ) | 11,080 | (1,366 | ) | | 3,714 | |||||||||||||||
Accrued expenses |
344 | 9,577 | 1,597 | | 11,518 | |||||||||||||||||
Income taxes |
(8,343 | ) | 14,982 | (944 | ) | | 5,695 | |||||||||||||||
Net cash provided by operating activities |
23,654 | 23,209 | 5,033 | | 51,896 | |||||||||||||||||
Investing activities |
||||||||||||||||||||||
Purchases of property and equipment, net |
(735 | ) | (8,851 | ) | (1,224 | ) | | (10,810 | ) | |||||||||||||
Proceeds from disposal of assets |
| 808 | | | 808 | |||||||||||||||||
Earnout payments |
| (4,763 | ) | | | (4,763 | ) | |||||||||||||||
Acquisition of businesses, net of cash acquired |
(11,723 | ) | | | | (11,723 | ) | |||||||||||||||
Net cash used in investing activities |
(12,458 | ) | (12,806 | ) | (1,224 | ) | | (26,488 | ) | |||||||||||||
Financing activities |
||||||||||||||||||||||
Issuance of 9.5% Senior Subordinated Notes |
175,000 | | | | 175,000 | |||||||||||||||||
Net repayments on credit facility debt |
(96,000 | ) | | | | (96,000 | ) | |||||||||||||||
Repayment of 10% Senior Subordinated Notes |
(90,000 | ) | | | | (90,000 | ) | |||||||||||||||
Payment of deferred financing fees |
(4,681 | ) | | | | (4,681 | ) | |||||||||||||||
Principal payments on seller and other debt |
(10,561 | ) | | | | (10,561 | ) | |||||||||||||||
Proceeds from initial public offering, net of fees |
89,169 | | | | 89,169 | |||||||||||||||||
Redemption of Class A Preferred Stock |
(52,838 | ) | | | | (52,838 | ) | |||||||||||||||
Payment of Class A and Class B Preferred Stock Dividends |
(19,248 | ) | | | | (19,248 | ) | |||||||||||||||
Proceeds from issuance of common stock |
10 | | | | 10 | |||||||||||||||||
Proceeds from (repayment of) bank overdrafts |
9,258 | (9,939 | ) | (2,768 | ) | | (3,449 | ) | ||||||||||||||
Distributions to minority interests |
| (680 | ) | (1,166 | ) | | (1,846 | ) | ||||||||||||||
Net cash provided by (used in) financing activities |
109 | (10,619 | ) | (3,934 | ) | | (14,444 | ) | ||||||||||||||
Effect of exchange rate changes on cash
and cash equivalents |
(20 | ) | | | | (20 | ) | |||||||||||||||
Net increase (decrease) in cash and cash equivalents |
11,285 | (216 | ) | (125 | ) | | 10,944 | |||||||||||||||
Cash and cash equivalents at beginning of period |
| 1,015 | 2,136 | 3,151 | ||||||||||||||||||
Cash and cash equivalents at end of period |
$ | 11,285 | $ | 799 | $ | 2,011 | $ | | $ | 14,095 | ||||||||||||
(a) | Elimination of equity in earnings of subsidiary |
- 19 -
ITEM 2. MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
You should read this discussion together with our consolidated financial statements and notes thereto contained in our Form 10-K filed with the Securities Exchange Commission on March 5, 2002.
Forward Looking Statements
This discussion contains forward-looking statements relating to the financial condition, results of operations, plans, objectives, future performance and business of Select Medical Corporation. These statements include, without limitation, statements preceded by, followed by or that include the words believes, expects, anticipates, estimates or similar expressions. These forward-looking statements involve risks and uncertainties. Actual results may differ materially from those contemplated by the forward-looking statements due to factors including the following:
| a change in government reimbursement for our services that would affect our revenue; | ||
| the failure of our long-term acute care hospitals to maintain their status as such, which could negatively impact our profitability; | ||
| private third party payors of our services may undertake cost containment initiatives that would decrease our revenue; | ||
| shortages in qualified nurses could increase our operating costs significantly; | ||
| future acquisitions may use significant resources and expose us to unforeseen risks, and | ||
| the effects of liability and other claims asserted against us. |
For a discussion of these and other factors affecting our business, see the section captioned Risk Factors in our Form 10-K under Item 1 Business.
Overview
We are a leading operator of specialty acute care hospitals for long term stay patients in the United States. We are also the second largest operator of outpatient rehabilitation clinics in the United States. As of June 30, 2002, we operated 66 specialty acute care hospitals in 22 states and 740 outpatient rehabilitation clinics in 32 states, the District of Columbia and seven Canadian provinces. We began operations in 1997 under the leadership of our current management team.
We operate through two business segments, our specialty acute care hospital segment and our outpatient rehabilitation segment. For the three months ended June 30, 2002, we had net operating revenues of $280.3 million. Of this total, we earned approximately 55% of our net operating revenues from our specialty hospitals and approximately 45% from our outpatient rehabilitation business.
Our specialty acute care hospital segment consists of hospitals designed to serve the needs of long term stay acute patients. These patients typically suffer from serious and often complex medical conditions that require a high degree of care. Our outpatient rehabilitation business consists of clinics and contract services that provide physical, occupational and speech rehabilitation services. Our patients are typically diagnosed with musculoskeletal impairments that restrict their ability to perform normal activities of daily living.
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The following table sets forth operating statistics for our specialty acute care hospitals and our outpatient rehabilitation clinics for each of the periods presented. The data in the table reflect the changes in the number of specialty acute care hospitals and outpatient rehabilitation clinics we operate that resulted from acquisitions, start-up activities and closures. The operating statistics reflect data for the period of time these operations were managed by us.
Three months ended June 30, | Six months ended June 30, | |||||||||||||||||
2002 | 2001 | 2002 | 2001 | |||||||||||||||
Specialty Hospital Data |
||||||||||||||||||
# of Hospitals Start of Period |
64 | 56 | 64 | 54 | ||||||||||||||
# of Hospital Start-ups |
2 | 2 | 2 | 4 | ||||||||||||||
# of Hospitals End of Period |
66 | 58 | 66 | 58 | ||||||||||||||
# of Licensed Beds |
2,383 | 2,117 | 2,383 | 2,117 | ||||||||||||||
# of Admissions |
5,019 | 4,224 | 10,230 | 8,415 | ||||||||||||||
# of Patient Days |
153,942 | 125,587 | 303,811 | 249,327 | ||||||||||||||
Average Length of Stay |
31 | 29 | 30 | 30 | ||||||||||||||
Net Revenue Per Patient Day (a) |
$ | 987 | $ | 947 | $ | 990 | $ | 930 | ||||||||||
Occupancy Rate |
73 | % | 66 | % | 72 | % | 67 | % | ||||||||||
% Patient Days Medicare |
76 | % | 75 | % | 77 | % | 76 | % | ||||||||||
Outpatient Rehabilitation Data |
||||||||||||||||||
# of Clinics Owned Start of Period |
667 | 624 | 664 | 636 | ||||||||||||||
# of Clinics Acquired |
6 | 2 | 7 | 2 | ||||||||||||||
# of Clinic Start-ups |
18 | 4 | 32 | 13 | ||||||||||||||
# of Clinics Closed/Sold/Consolidated |
(5 | ) | (7 | ) | (17 | ) | (28 | ) | ||||||||||
# of Clinics Owned End of Period |
686 | 623 | 686 | 623 | ||||||||||||||
# of Clinics Managed End of Period |
54 | 48 | 54 | 48 | ||||||||||||||
Total # of Clinics (All) End of Period |
740 | 671 | 740 | 671 | ||||||||||||||
# of Visits (U.S.) |
995,050 | 966,088 | 1,959,466 | 1,912,268 | ||||||||||||||
Net Revenue Per Visit (U.S.) (b) |
$ | 86 | $ | 81 | $ | 86 | $ | 81 |
(a) | Net revenue per patient day is calculated by dividing specialty hospital patient service revenues by the total number of patient days. | |
(b) | Net revenue per visit is calculated by dividing outpatient rehabilitation clinic revenue by the total number of visits. For purposes of this computation, outpatient rehabilitation clinic revenue does not include our Canadian subsidiary and contract services revenue. |
Our goal is to open approximately eight to ten new specialty acute care hospitals each year utilizing our hospital within a hospital model. We also intend to open new clinics in our current markets where we can benefit from existing referral relationships and brand awareness to produce incremental growth. From time to time, we also intend to evaluate acquisition opportunities that may enhance the scale of our business and expand our geographic reach.
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Sources of Revenue
Our net operating revenues are derived from a number of sources, including commercial, managed care, private and governmental payors. Our net operating revenues include amounts estimated by management to be reimbursable from each of the applicable payors and the federal Medicare program. Amounts we receive for treatment of patients are generally less than the standard billing rates. We account for the differences between the estimated reimbursement rates and the standard billing rates as contractual adjustments, which we deduct from gross revenues to arrive at net operating revenues.
Our specialty hospitals are paid by Medicare under a cost-based reimbursement methodology. These payments are subject to final cost report settlements based on administrative review and audit by third parties. An annual cost report is filed for each provider to report the cost of providing services and to settle the difference between the interim payments we receive and final costs. We record adjustments to the original estimates in the periods that such adjustments become known. Because our routine payments from Medicare are different than the final reimbursement due to us under the cost based reimbursement system, we record a receivable or payable for the difference. At June 30, 2002 and December 31, 2001, we had a net amount due to Medicare of $11.3 million and $3.4 million respectively. We recorded this amount as due to third party payors on our balance sheet.
On March 22, 2002, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule to establish a prospective payment system for Medicare payment of inpatient hospital services furnished by long-term acute care hospitals such as ours. CMS accepted comments on the proposed rule through May 21, 2002. Current expectations are that the regulations may be final by the CMS deadline of October 2002, with implementation at a later date.
Results of Operations
The following table outlines, for the periods indicated, selected operating data as a percentage of net operating revenues.
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2002 | 2001 | 2002 | 2001 | |||||||||||||
Net Operating revenues |
100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | ||||||||
Cost of services (a) |
81.4 | % | 80.6 | % | 81.6 | % | 80.6 | % | ||||||||
General and administrative |
3.3 | % | 3.7 | % | 3.4 | % | 3.7 | % | ||||||||
Bad debt expense |
3.1 | % | 3.5 | % | 3.4 | % | 3.6 | % | ||||||||
EBITDA (b) |
12.2 | % | 12.2 | % | 11.6 | % | 12.1 | % | ||||||||
Depreciation and amortization |
2.2 | % | 3.3 | % | 2.2 | % | 3.4 | % | ||||||||
Income from operations |
10.0 | % | 8.9 | % | 9.4 | % | 8.7 | % | ||||||||
Interest expense, net |
2.4 | % | 3.2 | % | 2.4 | % | 3.3 | % | ||||||||
Income before minority interests, and income
taxes |
7.6 | % | 5.7 | % | 7.0 | % | 5.4 | % | ||||||||
Minority interests |
0.2 | % | 0.4 | % | 0.2 | % | 0.5 | % | ||||||||
Income before income taxes |
7.4 | % | 5.3 | % | 6.8 | % | 4.9 | % | ||||||||
Income tax expense |
2.9 | % | 2.1 | % | 2.7 | % | 1.9 | % | ||||||||
Net income before extraordinary item |
4.5 | % | 3.2 | % | 4.1 | % | 3.0 | % | ||||||||
Extraordinary item |
| % | 3.7 | % | | % | 1.9 | % | ||||||||
Net income (loss) |
4.5 | % | (0.5 | )% | 4.1 | % | 1.1 | % | ||||||||
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The following table summarizes selected financial data by business segment, for the periods indicated.
Three Months Ended | Six months Ended | |||||||||||||||||||||||||
June 30, | % | June 30, | % | |||||||||||||||||||||||
2002 | 2001 | Change | 2002 | 2001 | Change | |||||||||||||||||||||
(dollars in thousands) | ||||||||||||||||||||||||||
Net operating revenues: |
||||||||||||||||||||||||||
Specialty hospitals |
$ | 152,073 | $ | 119,035 | 27.8 | % | $ | 300,901 | $ | 232,185 | 29.6 | % | ||||||||||||||
Outpatient rehabilitation |
124,639 | 111,958 | 11.3 | 244,333 | 220,631 | 10.7 | ||||||||||||||||||||
Other |
3,560 | 3,206 | 11.0 | 6,958 | 6,471 | 7.5 | ||||||||||||||||||||
Total company |
$ | 280,272 | $ | 234,199 | 19.7 | % | $ | 552,192 | $ | 459,287 | 20.2 | % | ||||||||||||||
EBITDA: (b)
Specialty hospitals |
$ | 17,281 | $ | 13,583 | 27.2 | % | $ | 32,948 | $ | 26,978 | 22.1 | % | ||||||||||||||
Outpatient rehabilitation |
23,075 | 20,631 | 11.8 | 44,123 | 39,686 | 11.2 | ||||||||||||||||||||
Other |
(6,170 | ) | (5,562 | ) | (10.9 | ) | (12,829 | ) | (10,980 | ) | (16.8 | ) | ||||||||||||||
Total company |
$ | 34,186 | $ | 28,652 | 19.3 | % | $ | 64,242 | $ | 55,684 | 15.4 | % | ||||||||||||||
Income (loss) from operations: |
||||||||||||||||||||||||||
Specialty hospitals |
$ | 14,134 | $ | 10,926 | 29.4 | % | $ | 26,753 | $ | 21,841 | 22.5 | % | ||||||||||||||
Outpatient rehabilitation |
20,488 | 16,924 | 21.1 | 39,010 | 32,275 | 20.9 | ||||||||||||||||||||
Other |
(6,616 | ) | (7,061 | ) | 6.3 | (13,727 | ) | (14,111 | ) | 2.7 | ||||||||||||||||
Total company |
$ | 28,006 | $ | 20,789 | 34.7 | % | $ | 52,036 | $ | 40,005 | 30.1 | % | ||||||||||||||
EBITDA margins: (b)
Specialty hospitals |
11.4 | % | 11.4 | % | 0.0 | % | 10.9 | % | 11.6 | % | (5.8 | )% | ||||||||||||||
Outpatient rehabilitation |
18.5 | 18.4 | 0.5 | 18.1 | 18.0 | 0.4 | ||||||||||||||||||||
Other |
N/M | N/M | N/M | N/M | N/M | N/M | ||||||||||||||||||||
Total company |
12.2 | % | 12.2 | % | 0.0 | % | 11.6 | % | 12.1 | % | (4.0 | )% | ||||||||||||||
Total assets: |
||||||||||||||||||||||||||
Specialty hospitals |
$ | 315,115 | $ | 262,027 | $ | 315,115 | $ | 262,027 | ||||||||||||||||||
Outpatient rehabilitation |
330,800 | 311,375 | 330,800 | 311,375 | ||||||||||||||||||||||
Other |
47,518 | 39,106 | 47,518 | 39,106 | ||||||||||||||||||||||
Total company |
$ | 693,433 | $ | 612,508 | $ | 693,433 | $ | 612,508 | ||||||||||||||||||
Purchases of property and
equipment, net: |
||||||||||||||||||||||||||
Specialty hospitals |
$ | 6,257 | $ | 3,254 | $ | 12,440 | $ | 6,309 | ||||||||||||||||||
Outpatient rehabilitation |
2,492 | 2,024 | 4,927 | 3,766 | ||||||||||||||||||||||
Other |
240 | 207 | 581 | 735 | ||||||||||||||||||||||
Total company |
$ | 8,989 | $ | 5,485 | $ | 17,948 | $ | 10,810 | ||||||||||||||||||
N/M Not Meaningful | ||
(a) | Cost of services include salaries, wages and benefits, operating supplies, lease and rent expense and other operating costs. | |
(b) | We define EBITDA as income (loss) before interest, income taxes, depreciation and amortization and other income, minority interest and extraordinary items. EBITDA should not be considered as a measure of financial performance under generally accepted accounting principles. Items excluded from EBITDA are significant components in understanding and assessing financial performance. EBITDA is a key measure used by management to evaluate our operations and provides useful information to investors. EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated |
- 23 -
by operations, investing or financing activities, or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is susceptible to varying calculations, EBITDA as presented may not be comparable to similarly titled measures of other companies. |
The following table reconciles EBITDA to net income (loss):
For the Three Months Ended | For the Six months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2002 | 2001 | 2002 | 2001 | |||||||||||||
(in thousands) | ||||||||||||||||
EBITDA |
$ | 34,186 | $ | 28,652 | $ | 64,242 | $ | 55,684 | ||||||||
Depreciation and amortization |
(6,180 | ) | (7,863 | ) | (12,206 | ) | (15,679 | ) | ||||||||
Interest income |
136 | 39 | 207 | 280 | ||||||||||||
Interest expense |
(6,815 | ) | (7,506 | ) | (13,593 | ) | (15,522 | ) | ||||||||
Minority interest |
(570 | ) | (865 | ) | (1,173 | ) | (2,272 | ) | ||||||||
Income tax expense |
(8,156 | ) | (4,859 | ) | (14,700 | ) | (8,772 | ) | ||||||||
Extraordinary item, net of taxes |
| (8,676 | ) | | (8,676 | ) | ||||||||||
Net income (loss) |
$ | 12,601 | $ | (1,078 | ) | $ | 22,777 | $ | 5,043 | |||||||
Three Months Ended June 30, 2002 Compared to Three Months Ended June 30, 2001
Net Operating Revenues
Our net operating revenues increased by 19.7% to $280.3 million for the three months ended June 30, 2002 compared to $234.2 million for the three months ended June 30, 2001.
Specialty Acute Care Hospitals. Our specialty hospital net operating revenues increased 27.8% to $152.1 million for the three months ended June 30, 2002 compared to $119.0 million for the three months ended June 30, 2001. Net operating revenues for the specialty hospitals opened before January 1, 2001 and operated throughout both periods increased 15.2% to $135.7 million for the three months ended June 30, 2002 from $117.8 million for the three months ended June 30, 2001. This resulted from a higher occupancy rate and a higher net revenue per patient day. The remaining increase of $15.2 million resulted from the internal development of new specialty hospitals that commenced operations in 2001 and 2002.
Outpatient Rehabilitation. Our outpatient rehabilitation net operating revenues increased 11.3% to $124.6 million for the three months ended June 30, 2002 compared to $112.0 million for the three months ended June 30, 2001. The increase was related to an increase in the number of visits, an increase in the net revenue per visit experienced at our outpatient rehabilitation locations and the additional revenues associated with acquisitions that occurred in the third and fourth quarters of 2001 and the first six months of 2002. These acquisitions provided approximately $8.8 million of net operating revenue for the three months ended June 30, 2002.
Other. Our other revenues increased to $3.6 million for the three months ended June 30, 2002 compared to $3.2 million for the three months ended June 30, 2001. The increase in other revenue reflects higher corporate general and administrative costs in 2002, which resulted in higher Medicare reimbursements for those costs.
Operating Expenses
Our operating expenses increased by 19.7% to $246.1 million for the three months ended June 30, 2002 compared to $205.5 million for the three months ended June 30, 2001. Our operating expenses consist of our
- 24 -
cost of services, general and administrative expense and bad debt expense. The increase in operating expenses was principally related to the internal development of new specialty hospitals that commenced operations in 2001, costs associated with the increased patient volumes and the operating expenses associated with the acquisitions that occurred in the third and fourth quarter of 2001 and first six months of 2002. As a percentage of our net operating revenues, our operating expenses were 87.8% for both the three months ended June 30, 2002 and 2001. Cost of services as a percentage of operating revenues increased to 81.4% for the three months ended June 30, 2002 from 80.6% for the three months ended June 30, 2001. These costs primarily reflect our labor expenses. This increase reflects the higher costs of services as a percentage of revenue in our newly developed specialty hospitals. During the same time period, general and administrative expense as a percentage of net operating revenues decreased to 3.3% for the three months ended June 30, 2002 from 3.7% for the three months ended June 30, 2001. Our bad debt expense as a percentage of net operating revenues was 3.1% for the three months ended June 30, 2002 compared to 3.5% for the three months ended June 30, 2001. This decline in our relative bad debt percentage resulted from improvement in the composition and age of our accounts receivable.
EBITDA
Our total EBITDA increased 19.3% to $34.2 million for the three months ended June 30, 2002 compared to $28.7 million for the three months ended June 30, 2001. Our EBITDA margins remained consistent at 12.2% for both the three months ended June 30, 2002 and the three months ended June 30, 2001. Excluding dilutive effect caused by the hospitals opened in 2001 and 2002, our EBITDA margins would be 13.3% for the three months ended June 30, 2002 compared to 13.0% for the three months ended June 30, 2001. For cash flow information, see -Capital Resources and Liquidity.
Specialty Acute Care Hospitals. Our specialty hospital EBITDA increased by 27.2% to $17.3 million for the three months ended June 30, 2002 compared to $13.6 million for the three months ended June 30, 2001. Our EBITDA margins remained consistent at 11.4% for both the three months ended June 30, 2002 and the three months ended June 30, 2001. The hospitals opened before January 1, 2001 and operated throughout both periods had EBITDA of $18.3 million, an increase of 19.3% over the EBITDA of these hospitals in the same period last year. This increase in same hospital EBITDA resulted from an increase in non-Medicare patient days and its associated increased revenue per patient day. Our EBITDA margin in these same store hospitals increased to 13.5% from 13.0%.
Outpatient Rehabilitation. Our outpatient rehabilitation EBITDA increased by 11.8% to $23.1 million for the three months ended June 30, 2002 compared to $20.6 million for the three months ended June 30, 2001. Approximately $0.9 million of this increase was related to the EBITDA generated by the acquisitions that occurred in the third and fourth quarter of 2001 and the first six months of 2002. Our EBITDA margins increased to 18.5% for the three months ended June 30, 2002 from 18.4% for the three months ended June 30, 2001.
Other. Our other EBITDA loss increased to $6.2 million for the three months ended June 30, 2002 compared to a loss of $5.6 million for the three months ended June 30, 2001. This increase resulted from the higher general and administrative costs needed to support the growth of the organization, principally our new hospital development.
Income from Operations
Income from operations increased 34.7% to $28.0 million for the three months ended June 30, 2002 compared to $20.8 million for the three months ended June 30, 2001. The increase in income from operations resulted from the EBITDA increases described above, and a reduction in amortization expense of $2.3 million resulting from the adoption of FAS 142, and was offset by an increase in depreciation expense. The increase in depreciation expense resulted primarily from increases in depreciation on fixed asset additions that are principally related to new hospital development.
- 25 -
Interest Expense
Interest expense decreased by $0.7 million to $6.8 million for the three months ended June 30, 2002 from $7.5 million for the three months ended June 30, 2001. The decline in interest expense is due to the lower debt levels outstanding in 2002 compared to 2001 and a lower effective interest rate in 2002. The lower debt levels resulted from the scheduled term amortization payments under our credit facility. All repayments have been made with cash flows generated through operations.
Minority Interests
Minority interests in consolidated earnings decreased by 34.1% to $0.6 million for the three months ended June 30, 2002 compared to $0.9 million for the three months ended June 30, 2001. This decrease resulted from a smaller percentage of ownership held by minority interests. The terms of our agreements with some of our minority owners allowed them to sell their minority interests back to us upon the completion of our initial public offering which occurred on April 10, 2001. We completed the purchase of these minority interests between May 2001 and October 2001.
Income Taxes
We recorded income tax expense of $8.2 million for the three months ended June 30, 2002. The expense represented an effective tax rate of 39.3% and approximates the federal and state statutory tax rates. We recorded income tax expense of $4.9 million for the three months ended June 30, 2001. This expense represented an effective tax rate of 39.0%.
Extraordinary Item
We recorded an extraordinary charge in the quarter ended June 30, 2001. The extraordinary item consists of $1.3 million of unamortized deferred financing costs related to the repayment of our U.S. term loan and $12.9 million of deferred financing costs and unamortized discount related to the repayment of our 10% Senior Subordinated Notes. These costs were offset by a tax benefit of $5.5 million.
Six months Ended June 30, 2002 Compared to Six months Ended June 30, 2001
Net Operating Revenues
Our net operating revenues increased by 20.2% to $552.2 million for the six months ended June 30, 2002 compared to $459.3 million for the six months ended June 30, 2001.
Specialty Acute Care Hospitals. Our specialty hospital net operating revenues increased 29.6% to $300.9 million for the six months ended June 30, 2002 compared to $232.2 million for the six months ended June 30, 2001. Net operating revenues for the specialty hospitals opened before January 1, 2001 and operated throughout both periods increased 18.5% to $273.1 million for the six months ended June 30, 2002 from $230.4 million for the six months ended June 30, 2001. This resulted from a higher occupancy rate and a higher net revenue per patient day. The remaining increase of $26.0 million resulted from the internal development of new specialty hospitals that commenced operations in 2001 and 2002.
Outpatient Rehabilitation. Our outpatient rehabilitation net operating revenues increased 10.7% to $244.3 million for the six months ended June 30, 2002 compared to $220.6 million the six months ended June 30, 2001. The increase was related to an increase in the number of visits and the net revenue per visit experienced at our outpatient rehabilitation locations and the additional revenues associated with acquisitions that occurred in the third and fourth quarter of 2001 and the first six months of 2002. These acquisitions provided approximately $16.6 million of net operating revenue for the six months ended June 30, 2002.
- 26 -
Other. Our other revenues increased to $7.0 million for the six months ended June 30, 2002 compared to $6.5 million for the six months ended June 30, 2001. The increase in other revenue reflects higher corporate general and administrative costs in 2002, which resulted in higher Medicare reimbursements for those costs.
Operating Expenses
Our operating expenses increased by 20.9% to $488.0 million for the six months ended June 30, 2002 compared to $403.6 million for the six months ended June 30, 2001. Our operating expenses consist of our cost of services, general and administrative expense and bad debt expense. The increase in operating expenses was principally related to the internal development of new specialty hospitals that commenced operations in 2001, costs associated with the increased patient volumes and the operating expenses associated with the acquisitions that occurred in the third and fourth quarter of 2001 and first six months of 2002. As a percentage of our net operating revenues, our operating expenses were 88.4% for the six months ended June 30, 2002 compared to 87.9% for the six months ended June 30, 2001. Cost of services as a percentage of operating revenues increased to 81.6% for the six months ended June 30, 2002 from 80.6% for the six months ended June 30, 2001. These costs primarily reflect our labor expenses. This increase reflects the higher costs of services as a percentage of revenue in our newly developed specialty hospitals. During the same time period, general and administrative expense as a percentage of net operating revenues decreased to 3.4% for the six months ended June 30, 2002 from 3.7% for the six months ended June 30, 2001. Our bad debt expense as a percentage of net operating revenues was 3.4% for the six months ended June 30, 2002 compared to 3.6% for the six months ended June 30, 2001. This decline in our relative bad debt percentage resulted from improvement in the composition and age of our accounts receivable.
EBITDA
Our total EBITDA increased 15.4% to $64.2 million for the six months ended June 30, 2002 compared to $55.7 million for the six months ended June 30, 2001. Our EBITDA margins declined to 11.6% for the six months ended June 30, 2002 compared to 12.1% for the six months ended June 30, 2001. The decline in margins is caused by the start-up losses and lower margins incurred in our hospitals that have opened or have been developed since December 31, 2000. Excluding the hospitals opened in 2001 and 2002, our EBITDA margins would be 12.9% for the six months ended June 30, 2002 compared to 12.7% for the six months ended June 30, 2001. For cash flow information, see -Capital Resources and Liquidity.
Specialty Acute Care Hospitals. Our specialty hospital EBITDA increased by 22.1% to $32.9 million for the six months ended June 30, 2002 compared to $27.0 million for the six months ended June 30, 2001. Our EBITDA margins were 10.9% for the six months ended June 30, 2002 compared to 11.6% for the six months ended June 30, 2001. The decline in margins is caused by the start-up losses and lower margins incurred in our hospitals that have opened or have been developed since December 31, 2000. The hospitals opened before January 1, 2001 and operated throughout both periods had EBITDA of $36.4 million, an increase of 23.8% over the EBITDA of these hospitals in the same period last year. This increase in same hospital EBITDA resulted from an increase in non-Medicare patient days and its associated increased revenue per patient day. Our EBITDA margin in these same store hospitals increased to 13.3% from 12.7%.
Outpatient Rehabilitation. Our outpatient rehabilitation EBITDA increased by 11.2% to $44.1 million for the six months ended June 30, 2002 compared to $39.7 million for the six months ended June 30, 2001. Approximately $2.1 million of this increase was related to the EBITDA generated by the acquisitions that occurred in the third and fourth quarter of 2001 and the first six months of 2002. Our EBITDA margins increased to 18.1% for the six months ended June 30, 2002 from 18.0% for the six months ended June 30, 2001.
Other. Our other EBITDA loss increased to $12.8 million for the six months ended June 30, 2002 compared to a loss of $11.0 million for the six months ended June 30, 2001. This increase resulted from the
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higher general and administrative costs needed to support the growth of the organization, principally our new hospital development.
Income from Operations
Income from operations increased 30.1% to $52.0 million for the six months ended June 30, 2002 compared to $40.0 million for the six months ended June 30, 2001. The increase in income from operations resulted from the EBITDA increases described above, and a reduction in amortization expense of $4.6 million resulting from the adoption of FAS 142, which was offset by an increase in depreciation expense. The increase in depreciation expense resulted primarily from increases in depreciation on fixed asset additions that are principally related to new hospital development.
Interest Expense
Interest expense decreased by $1.9 million to $13.6 million for the six months ended June 30, 2002 from $15.5 million for the six months ended June 30, 2001. The decline in interest expense is due to the lower debt levels outstanding in 2002 compared to 2001 and a lower effective interest rate in 2002. The lower debt levels resulted from the scheduled term amortization payments under our credit facility and the repayment of all borrowings under the revolving portion of the credit facility. All repayments have been made with cash flows generated through operations.
Minority Interests
Minority interests in consolidated earnings decreased by 48.4% to $1.2 million for the six months ended June 30, 2002 compared to $2.3 million for the six months ended June 30, 2001. This decrease resulted from a smaller percentage of ownership held by minority interests. The terms of our agreements with some of our minority owners allowed them to sell their minority interests back to us upon the completion of our initial public offering which occurred on April 10, 2001. We completed the purchase of these minority interests between May 2001 and October 2001.
Income Taxes
We recorded income tax expense of $14.7 million for the six months ended June 30, 2002. The expense represented an effective tax rate of 39.2% and approximates the federal and state statutory tax rates. We recorded income tax expense of $8.8 million for the six months ended June 30, 2001. This expense represented an effective tax rate of 39.0%.
Extraordinary Item
We recorded an extraordinary charge in the six months ended June 30, 2001. The extraordinary item consists of $1.3 million of unamortized deferred financing costs related to the repayment of our U.S. term loan and $12.9 million of deferred financing costs and unamortized discount related to the repayment of our 10% Senior Subordinated Notes. These costs were offset by a tax benefit of $5.5 million.
Capital Resources and Liquidity
For the six months ended June 30, 2002 operating activities provided $50.5 million of cash flow compared to $51.9 million for the six months ended June 30, 2001. Our accounts receivable days outstanding were 76 days at June 30, 2002 compared to 77 days at December 31, 2001 and 80 days at June 30, 2001.
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Investing activities used $21.8 and $26.5 million of cash flow for the six months ended June 30, 2002 and 2001, respectively. This usage resulted from purchases of property and equipment of $17.9 and $10.8 million in 2002 and 2001, respectively that relate principally to new hospital development. Additionally, we incurred earnout related payments of $0.5 million and $4.8 million in 2002 and 2001, respectively. We incurred acquisition payments of $3.3 million and $11.7 million in 2002 and 2001, respectively.
Financing activities used $10.6 and $14.4 million of cash for the six months ended June 30, 2002 and 2001, respectively. This was due principally to the repayment of credit facility, seller and other debt.
Capital Resources
Net working capital increased to $133.0 million as of June 30, 2002 compared to $126.7 million at December 31, 2001. This increase is principally related to higher cash balances.
We have a credit agreement with a group of banks. Our credit facility consists of a term facility of $83.8 million and a revolving credit facility of $152.4 million. As of June 30, 2002 we had borrowed all of our available loans under the U.S. and Canadian term loans and had availability to borrow an additional $147.7 million under our revolving facility subject to certain limitations. We have $4.7 million outstanding under letters of credit issued through the credit facility. The revolving facility terminates in 2005.
Borrowings under the credit agreement bear interest at a fluctuating rate of interest based upon financial covenant ratio tests. As of June 30, 2002, our weighted average interest rate under our credit agreement was approximately 7.5%. A portion of the amount borrowed under our U.S. term loan portion of our credit agreement is hedged through an interest rate swap transaction, which fixes the rate paid through March 31, 2003. See Item 3, Quantitative and Qualitative Disclosures on Market Risk for a discussion of our floating interest rates on borrowings under our credit facility.
We are required to pay a quarterly commitment fee at a rate that ranges from .375% to .500%, based upon financial covenant ratio tests. This fee applies to unused commitments under the revolving credit facility. The terms of the credit agreement include various restrictive covenants. These covenants include:
| restrictions against incurring additional indebtedness, | ||
| disposing of assets, | ||
| incurring capital expenditures, | ||
| making investments, | ||
| restrictions against paying certain dividends, | ||
| engaging in transactions with affiliates, | ||
| incurring contingent obligations, and | ||
| allowing or causing fundamental changes. |
The covenants also require us to maintain various financial ratios regarding total indebtedness, interest, fixed charges and net worth. The borrowings are secured by substantially all of the tangible and intangible assets of us and our subsidiaries, including all of the capital stock of our domestic subsidiaries and 65% of the capital stock of our direct foreign subsidiaries. In addition, the loans have been guaranteed by our domestic subsidiaries.
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On June 11, 2001, we issued and sold $175.0 million aggregate principal amount of 9 1 /2% senior subordinated notes due June 15, 2009. The notes were issued under an indenture dated as of June 11, 2001 between us and State Street Bank and Trust Company, N.A., as Trustee. Interest on the notes is payable semiannually in arrears on June 15 and December 15 of each year. The notes are unsecured senior subordinated obligations of Select Medical, are subordinated in right of payment to all existing and future senior indebtedness of Select Medical, and are senior in right of payment to all future subordinated indebtedness of Select Medical. The notes are guaranteed on a senior subordinated basis by all of our wholly-owned domestic subsidiaries, subject to certain exceptions. On or after June 15, 2005, the notes may be redeemed at our option, in whole or in part, at redemption prices that decline annually to 100% on and after June 15, 2008, plus accrued and unpaid interest.
Upon a change of control of Select Medical, each holder of notes may require us to repurchase all or any portion of the holders notes at a purchase price equal to 101% of the principal amount plus accrued and unpaid interest to the date of purchase. The indenture contains certain covenants that, among other things, limit the incurrence of additional debt by Select Medical and certain of its subsidiaries; the payment of dividends on capital stock of Select Medical and the purchase, redemption or retirement of capital stock or subordinated indebtedness; investments; certain transactions with affiliates; sales of assets, including capital stock of subsidiaries; and certain consolidations, mergers and transfers of assets. The indenture also prohibits certain restrictions on distributions from certain subsidiaries. All of these limitations and prohibitions, however, are subject to a number of qualifications.
We believe that existing cash balances, internally generated cash flows and borrowings under our revolving credit facility will be sufficient to finance acquisitions, capital expenditures and working capital requirements for at least the next twelve months. Our goal is to open eight to ten additional hospitals during 2002. A new specialty hospital has historically required approximately $3.4 million per hospital over the initial year of operations to fund leasehold improvements, equipment, start-up losses and working capital. From time to time, we may complete acquisitions of specialty hospitals and outpatient rehabilitation businesses. We currently have approximately $148 million of unused capacity under our revolving credit facility which can be used for acquisitions. Based on the size of the acquisition, approval of the acquisition by our lenders may be required. If funds required for future acquisitions exceed this capacity, we will need to increase our credit facilities or obtain additional capital by other means.
Inflation
The health care industry is labor intensive. Wages and other expenses increase during periods of inflation and when labor shortages occur in the marketplace. In addition, suppliers pass along rising costs to us in the form of higher prices. We have implemented cost control measures, including our case and resource management program, to curtail increases in operating costs and expenses. We have, to date, offset increases in operating costs by increasing reimbursement for services and expanding services. However, we cannot predict our ability to cover or offset future cost increases.
Recent Accounting Pronouncement
In June 2002, the Financial Accounting Standards Board (FASB) issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities. SFAS No. 146 requires recording costs associated with exit or disposal activities at their fair values when a liability has been incurred. Under previous guidance, certain exit costs were accrued upon managements commitment to an exit plan, which is generally before an actual liability has been incurred. Adoption of SFAS No. 146 is required with the beginning of fiscal year 2003. We do not anticipate a significant impact on its results of operations from adopting this Statement.
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In April 2002, the Financial Accounting Standards Board (FASB) issued SFAS No. 145 Rescission of FASB Statements No. 4, 44, and 64, Amendment of FASB Statement No. 13, and Technical Corrections. As a result of rescinding SFAS No. 4, Reporting Gains and Losses from Extinguishment of Debt, the requirement that gains and losses from the extinguishment of debt be aggregated and, if material, classified as an extraordinary item, net of the related income tax effect is eliminated. We reported extraordinary items in 1999, 2000 and 2001 as a result of debt extinguishments. The provisions of SFAS 145 that affect us are effective for fiscal periods beginning after May 15, 2002 although, early adoption of SFAS 145 is permitted. We believe that the adoption of SFAS 145 will require us to reclassify our extraordinary items recorded in 1999, 2000 and 2001 to the other income and expense category of our consolidated statement of operations.
In October 2001, the Financial Accounting Standards Board approved SFAS No. 144 Accounting for the Impairment or Disposal of Long-Lived Assets which is effective for financial statements issued for fiscal years beginning after December 15, 2001. SFAS 144 supersedes the accounting provisions of APB 30 that address the disposal of a segment of a business and requires that such long-lived assets be reported at fair value less cost to sell. SFAS 144 requires that long-lived assets to be abandoned, exchanged for similar productive assets or distributed to owners in a spin-off be considered held for use until they are abandoned, exchanged or distributed. It also eliminates the exception to consolidation for a subsidiary while control is expected to be temporary. We adopted SFAS 144 on January 1, 2002 with no material effect on net income.
In June 2001, the Financial Accounting Standards Board issued No. 142 Goodwill and Other Intangible Assets which we adopted on January 1, 2002. This accounting standard eliminates the periodic amortization of goodwill, and instead requires an annual impairment testing of goodwill and introduces the concept of indefinite life intangible assets. There was no asset impairment recognized by Select upon the adoption of this accounting standard. If the new standard had been in effect in 2001, pre-tax amortization expense for the three months and six months ended June 30, 2001 would have been $2.3 million and $4.6 million less, respectively. This would have increased fully diluted earnings per share by approximately $0.03 and $0.07 for the three and six months ended June 30, 2001, respectively.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Quantitative and Qualitative Disclosures About Market Risk
We are exposed to interest rate changes, primarily as a result of floating interest rates on borrowings under our credit facility. A change in interest rates by one percentage point on variable rate debt would have resulted in interest expense fluctuating approximately $0.1 million and $0.2 million for the three and six months ended June 30, 2002, respectively. As required by our credit agreement, on March 30, 2001, we entered into an interest rate swap agreement that fixes the interest rate cost to us on a portion of the U.S. term loans outstanding under our credit facility for a period of four years. The swap became effective on April 27, 2001. In January 2002 we amended the swap to mature in March 2003. The fixed rate portion of all of our outstanding U.S. term loans was 91% as of June 30, 2002.
Approximately 17% of our term-loan borrowings under our credit agreement are denominated in Canadian dollars. Although we are not required by our credit agreement to maintain a hedge on our foreign currency risk, we have entered into a five year agreement that allows us to limit the cost of Canadian dollars to a range of U.S.$0.6631 to U.S.$0.6711 per Canadian dollar to limit our risk on the potential fluctuation in the exchange rate of the Canadian dollar to the U.S. dollar.
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PART II OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
On August 10, 1998 a complaint in the U.S. District Court for the Eastern District of Pennsylvania was filed that named as defendants, NovaCare, Inc. (now known as NAHC, Inc.), other named defendants and 100 defendants who were to be named at a later time. This qui tam action sought triple damages and penalties under the False Claims Act against NAHC. The Department of Justice did not intervene in this action. The allegations involve, among other things, the distinction between individual and group billing in physical rehabilitation clinics that we acquired from NovaCare. On October 16, 2000 the relator plaintiff made a motion to amend the complaint to, among other things, add Select Medical Corporation and some of its subsidiaries acquired in the NovaCare acquisition as defendants in this case. This motion was granted in September of 2001. The amended complaint alleges that from about January 1, 1995 through the present, the defendants submitted false or fraudulent bills for physical therapy to various federal health programs. The United States Attorneys Office has asserted that because the complaint is being amended to add allegations against new defendants, it is entitled to a new period to determine whether to intervene in the new allegations. On January 3, 2002, NAHC and its related subsidiaries (including the subsidiaries acquired in the NovaCare acquisition) entered in to a settlement agreement with the relator plaintiff and the government, pursuant to which, in exchange for a payment by NAHC of $375,000, the parties settled all claims arising out of conduct that took place before Select Medicals acquisition of the NovaCare subsidiaries that are defendants in the case. Claims against the Company and the NovaCare subsidiaries regarding conduct occurring after the NovaCare acquisition were not settled. As of July 31, 2002, the government had not advised the Company whether it intends to intervene in any remaining claims, and Select and the subsidiaries have not been served with the amended complaint. Based on a review of the amended complaint, we do not believe that this lawsuit is meritorious, and we intend to vigorously defend against this action. However, because of the uncertain nature of the litigation, we cannot predict the outcome of this matter.
In addition, as part of our business, we are subject to legal actions alleging liability on our part. To cover claims arising out of the operations of our hospitals and outpatient rehabilitation facilities, we generally maintain professional malpractice liability insurance and general liability insurance in amounts and with deductibles that we believe to be sufficient for our operations. We also maintain umbrella liability coverage covering claims which, due to their nature or amount, are not covered by our insurance policies. We cannot assure you that professional liability insurance will cover all claims against us or continue to be available at reasonable costs for us to maintain adequate levels of insurance. These insurance policies also do not cover punitive damages.
ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS
None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
Not applicable.
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ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
On May 13, 2002, the Company held its Annual Meeting of Stockholders. At this meeting the stockholders voted in favor of the following items listed and described in the Companys Proxy Statement dated April 19, 2002.
1) | Election of Directors. |
For | Withheld | |||||||
David S. Chernow |
42,180,519 | 1,506,800 | ||||||
Meyer Feldberg |
42,117,632 | 1,569,687 | ||||||
LeRoy S. Zimmerman |
42,090,007 | 1,597,312 |
The following directors term of office as directors continued after this meeting:
Bryan C. Cressey | ||
James E. Dalton, Jr. | ||
Robert A. Ortenzio | ||
Russell L. Carson | ||
Rocco A. Ortenzio | ||
Leopold Swergold |
2) | Approval of the adoption of the Select Medical Corporation Amended and Restated 2002 Non-Employee Directors Plan. |
Broker | ||||||||||||
For | Against | Abstain | Non-Votes | |||||||||
34,684,562 |
6,568,367 | 27,664 | 2,406,726 |
3) | Approval of the adoption of the Select Medical Corporation Second Amended and Restated 1997 Stock Option Plan. |
Broker | ||||||||||||
For | Against | Abstain | Non-Votes | |||||||||
33,741,123 |
7,512,416 | 27,054 | 2,406,726 |
4) | Ratification of the appointment of PricewaterhouseCoopers LLP as the Companys independent auditors for the fiscal year ending December 31, 2002. |
For | Against | Abstain | ||||||
43,575,439 |
107,460 | 4,420 |
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ITEM 5. OTHER INFORMATION
None.
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
a. Exhibits
The exhibits to this report are listed in the Exhibit Index appearing on page 35 hereof. |
b. Reports on Form 8-K
None. |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
SELECT MEDICAL CORPORATION | ||||
By: | /s/ Martin F. Jackson | |||
Martin F. Jackson Senior Vice President and Chief Financial Officer (Duly Authorized Officer) |
||||
By: | /s/ Scott A. Romberger | |||
Scott A. Romberger Vice President, Chief Accounting Officer and Controller (Principal Accounting Officer) |
||||
Dated: August 9, 2002 |
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EXHIBIT INDEX
Exhibit | Description | |
10.1 | Select Medical Corporation Second Amended and Restated 1997 Stock Option Plan, incorporated by reference to Appendix C of the Companys Proxy Statement filed on Schedule 14A on April 19, 2002. | |
10.2 | First Addendum to Lease Agreement by and between Old Gettysburg Associates II and Select Medical Corporation, dated as of February 26, 2002. | |
10.3 | Second Addendum to Lease Agreement by and between Old Gettysburg Associates II and Select Medical Corporation, data as of February 26, 2002. | |
10.4 | Third Addendum to Lease Agreement by and between Old Gettysburg Associates II and Select Medical Corporation, dated as of February 26, 2002. |
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