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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
x | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended: December 31, 2009
or
¨ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number 333-135172
CRC HEALTH CORPORATION
(Exact name of registrant as specified in its charter)
Delaware | 73-1650429 | |
(State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification No.) | |
20400 Stevens Creek Boulevard, Suite 600, Cupertino, California | 95014 | |
(Address of principal executive offices) | (Zip code) |
(877) 272-8668
(Registrants telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act: None
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ¨ No x
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes x No ¨
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 period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 229.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ¨ No ¨
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrants knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. x
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of large accelerated filer, accelerated filer, and smaller reporting company in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer ¨ | Accelerated filer ¨ | |
Non-accelerated filer x | Smaller reporting company ¨ |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ¨ No x
The Company is privately held. There is no trading in the common equity and therefore an aggregate market value based on sales or bid and asked prices is not determinable.
The total number of shares of the registrants common stock, par value of $0.001 per share, outstanding as of March 24, 2010 was 1,000.
Documents incorporated by reference: exhibits as indicated herein
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Forward-Looking Statements
This Annual Report on Form 10-K, including Managements Discussion and Analysis of Financial Condition and Results of Operations in Item 7 of Part II of this Annual Report, includes or may include forward-looking statements. All statements included herein, other than statements of historical fact, may constitute forward-looking statements. In some cases you can identify forward-looking statements by terminology such as may, should or could. Generally, the words anticipates, believes, expects, intends, estimates, projects, plans and similar expressions identify forward-looking statements. Although CRC Health Corporation (CRC) believes that the expectations reflected in such forward-looking statements are reasonable, it can give no assurance that such expectations will prove to be correct. Important factors that could cause actual results to differ materially from those expressed or implied by such forward-looking statements include, among others, the following factors: changes in government reimbursement for CRCs services; our substantial indebtedness; changes in applicable regulations or a government investigation or assertion that CRC has violated applicable regulation; attempts by local residents to force our closure or relocation; the potentially difficult, unsuccessful or costly integration of recently acquired operations and future acquisitions; the potentially difficult, unsuccessful or costly opening and operating of new treatment programs; the possibility that commercial payors for CRCs services may undertake future cost containment initiatives; the limited number of national suppliers of methadone used in CRCs outpatient treatment clinics; the failure to maintain established relationships or cultivate new relationships with patient referral sources; shortages in qualified healthcare workers; natural disasters such as hurricanes, earthquakes and floods; competition that limits CRCs ability to grow; the potentially costly implementation of new information systems to comply with federal and state initiatives relating to patient privacy, security of medical information and electronic transactions; the potentially costly implementation of accounting and other management systems and resources in response to financial reporting and other requirements; the loss of key members of CRCs management; claims asserted against CRC or lack of adequate available insurance; and certain restrictive covenants in CRCs debt documents and other risks that are described herein, including but not limited to the items discussed in Risk Factors in Item 1A of Part I of this Annual Report, and that are otherwise described from time to time in CRCs Securities and Exchange Commission filings after this Annual Report. CRC assumes no obligation and does not intend to update these forward-looking statements.
ITEM 1. | Business |
Overview
We are a leading provider of substance abuse treatment services and youth treatment services in the United States. We also provide treatment services for other addiction diseases and behavioral disorders such as eating disorders. We deliver our services through our two divisions, our recovery division and our healthy living division. Our recovery division provides our substance abuse and behavioral disorder treatment services through our residential treatment facilities and outpatient treatment clinics. Our healthy living division provides therapeutic educational programs for underachieving young people through residential schools and wilderness programs. Our healthy living division also provides treatment services through its adolescent and adult weight management programs and its eating disorder facilities. As of December 31, 2009, our recovery division operated 100 treatment facilities in 21 states and treated approximately 27,500 patients per day, which we believe makes us the largest and most geographically diversified for-profit provider of substance abuse treatment. As of December 31, 2009, our healthy living division operated 42 programs in 15 states and two foreign countries. During the 2009 calendar year, the healthy living division enrolled approximately 4,500 students from families from all 50 states of the United States and from 120 foreign countries. Since our inception in 1995, we believe that we have developed a reputation for providing outstanding services and care and as a result have become a provider of choice throughout the communities we serve.
All references in this report to the Company, we, our, and us mean, unless the context indicates otherwise, CRC Health Corporation and its subsidiaries on a consolidated basis.
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Industry Overview
Addiction Disorders
Addiction is a chronic disease that adversely affects the lives of millions of Americans. One of the most common and serious addictions is substance abuse, which encompasses the abuse of alcohol and drugs. Without treatment, substance abuse can lead to depression, problems at home or work, and in some cases, physical injury or death. In 2003, expenditures for treatment of substance abuse in the United States totaled $21.0 billion and is projected to increase to $35.0 billion in 2014 (U.S. Department of Health and Human Services). In 2008, 23.1 million persons aged 12 or older needed treatment for an illicit drug or alcohol abuse problem (9.2% of persons aged 12 or older in the U.S.). Of these, 2.3 million (9.9% of those who needed treatment) received treatment at a specialty facility. Thus, 20.8 million persons (8.3% of the population aged 12 or older) needed treatment for an illicit drug or alcohol use problem but did not receive treatment at a specialty substance abuse facility in 2008 (2008 National Survey on Drug and Health sponsored by the Substance Abuse and Mental Health Services Administration). Furthermore, there is increasing recognition by private and public payors that failure to deliver early treatment for substance abuse and other behavioral issues generally results in higher acute-care hospital costs and can compound the negative effects of these issues over time. Treatment providers for the large and growing behavioral healthcare market, at both the adult and adolescent levels, are highly fragmented, with services to the adult population provided by almost 14,000 facilities of which only 25% are operated by for-profit organizations (2007 National Survey on Substance Abuse Treatment Services sponsored by the Substance Abuse and Mental Health Services Administration), and with services to the adolescent population provided primarily by single-site competitors and a handful of competitors of significantly lesser size. Due in part to the regulatory and land use hurdles of opening new substance abuse treatment facilities, we believe that supply of residential substance abuse treatment and therapeutic education services is constrained in the United States as evidenced by high industry-wide utilization rates.
Addiction is a complex, neurologically based, lifelong disease. While the initial behavior of addiction manifests itself through conscious choices, such behavior can develop into a long-term neurological disorder. There is no uniform treatment protocol for all substance abuse patients. Effective treatment includes a combination of medical, psychological and social treatment programs. These programs may be provided in residential and outpatient treatment facilities.
Adolescent Behavioral Disorders
According to the 2008 National Survey on Drug Use and Health (NSDUH), in 2005 and 2006, an estimated 8.7 million (34.5%) youths aged 12 to 17 reported that they engaged in at least one delinquent behavior in the past year, and from 2008 report NSDUH, Major Depressive Episode among Youths Aged 12 to 17 in the U.S.: 2004 to 2006, approximately 2.1 million adolescents, or 8.5% of the population had at least one major depressive episode. While the majority of adolescents successfully cope with these issues on their own, there are a growing number of adolescents who need help and support to successfully transition to a productive adulthood. Other developmental challenges faced by adolescents include learning disabilities, such as attention deficit hyperactivity disorder and obesity. According to the National Resource Center on Attention Deficit Hyperactivity Disorder, this condition affects 3% to 7% of school-age children, who in relation to their peers have higher rates of psychiatric and behavioral disorders. The National Health and Nutrition Examination Survey reports that approximately 16% of the population between the ages of 6 and 19 are overweight.
Historically, treatment options for struggling or underachieving youth were limited to counseling or placement in a highly structured hospital setting. More recently, however, parents, health professionals and public officials have been increasingly turning to the preventative care that can be provided by therapeutic education programs designed to modify adolescent behavior and assist the transition to a successful and productive adulthood. Therapeutic education programs offer individualized curricula that combine counseling, education and therapeutic treatment in residential and outdoor locations that provide a stable environment for students and provide measurable benefits to adolescents who have not benefited from counseling alone.
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Eating Disorders
Other related behavioral disorders that may be effectively treated through a combination of medical, psychological and social treatment programs include obesity and eating disorders. Eating disorders, such as anorexia nervosa, bulimia nervosa, and other forms of disordered eating such as binge eating and compulsive overeating that may lead to obesity represent large underserved treatment markets. These segments are highly fragmented with no national provider.
As many as 10 million people suffered from an eating disorder such as anorexia or bulimia in 2005. For females between fifteen to twenty-four years old who suffer from anorexia nervosa, the mortality rate associated with the illness is twelve times higher than the death rate of all other causes of death. It is estimated that 2 million people in the U.S. suffer from an eating disorder (excluding obesity) at any point in time. Only 10% of those who need treatment receive treatment and only 35% of those who get treatment receive treatment in an appropriate program or at the appropriate level of care.
Overweight and obesity is a significant health issue in the United States. In 2004, the U.S. Centers for Disease Control and Prevention ranked obesity as the number one health threat facing America. It is estimated that in 2005 approximately 37% of the adult population was overweight, 32% of the adult population was obese and 4.8% was morbidly obese. Overweight is defined as having a body mass index (BMI) of 25.0 to 29.9, obesity is defined as having a BMI of 30 or greater and morbid or extreme obesity is defined as a BMI of 40 or higher. Obesity increases a persons risk for developing several serious obesity-related health conditions such as cardiovascular disease, hypertension, thyroid disease and diabetes.
Our Business
We deliver our services through our recovery and healthy living divisions. Effective January 1, 2009, we realigned our operations and internal organizational structure by combining our youth division with our healthy living division. Performance of our two reportable segments (recovery division and healthy living division) is evaluated based on profit or loss from operations (segment profit).
Recovery division
Our recovery division provides treatment services both on an inpatient and outpatient basis to patients suffering from chronic addiction diseases and related behavioral disorders. We operated 31 inpatient facilities and 15 outpatient and 54 comprehensive treatment clinics in 21 states as of December 31, 2009. The majority of our treatment services are provided to patients who abuse addictive substances such as alcohol, illicit drugs or opiates, including prescription drugs. Some of our facilities also treat other addictions and behavioral disorders such as chronic pain, sexual compulsivity, compulsive gambling, mood disorders and emotional trauma.
All of our treatment facilities and clinics are accredited by either JCAHO or CARF, making them eligible for reimbursement by third party payors, with the exception of Echo Malibu, portions of Sober Living by the Sea and our four State of Washington treatment clinics. Accreditation is being pursued for Bayside Marin, and additional Sober Living by the Sea programs. Our State of Washington treatment clinics are accredited by the State of Washington Division of Behavioral Health and Recovery. At this time accreditation for Echo Malibu is not being sought due to the nature of their payor profiles, which would not necessarily benefit from accreditation.
The goal of the recovery division is to provide the appropriate level of treatment to an individual no matter where they are in the lifecycle of their disease in order to restore the individual to a healthier, more productive life, free from dependence on illicit substances and destructive behaviors. Our treatment facilities provide a number of different treatment services such as assessment, detoxification, medication assisted treatment, counseling, education, lectures and group therapy. We assess and evaluate the medical, psychological and emotional needs of the patient and address these needs in the treatment process. Following this assessment, an individualized treatment program is designed to provide a foundation for a lifelong recovery process. Many
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modalities are used in our treatment programs to support the individual, including the twelve step philosophy, cognitive/behavioral therapies, supportive therapies and continuing care.
Our treatment facilities deliver care at various levels of intensity, which allows us to provide the appropriate services depending on the needs of the individual. We treat medically stable adult and adolescent patients. Upon admission, a patient enters an appropriate stage in our continuum of care depending on the patients diagnosis, the level and acuity of the disease and related treatment requirements. The patient may enter into one of a number of different levels of treatment depending on the patients needs such as detoxification, inpatient residential, partial inpatient, day treatment, extended care or outpatient.
Inpatient/Residential Treatment. We operated 31 residential facilities in 11 states. On average, our residential facilities have been operating for over 20 years. We have established strong relationships with referral sources and have longstanding ties to the local community and an extensive network of former patients and their families. Our residential treatment services are provided in a peaceful setting that is removed from the pressures, pace and temptations of a patients everyday life. Our inpatient facilities house and care for patients over an extended period (22 days on average) and typically treat patients from a broadly defined regional market. As of December 31, 2009, we had 1,923 available beds in our residential and extended care facilities and treated approximately 1,500 patients per day.
We provide three basic levels of residential treatment depending on the severity of the patients addiction and/or disorder. Patients with the most debilitating dependencies are typically placed into inpatient treatment, in which the patient resides at a treatment facility. If a patients condition is less severe, he or she will be offered day treatment, which allows the patient to return home in the evening. The least intensive service is where the patient visits the facility for just a few hours a week to attend counseling/group sessions.
Following primary treatment, our extended care programs are typically inpatient facilities which allow clients to develop healthy and appropriate living skills while remaining in a safe and nurturing residential environment. Clients are supported in their recovery by a semi-structured living environment that allows them to begin the process of employment or to pursue educational goals and to take personal responsibility for their recovery. The structure of this treatment phase is monitored by a primary therapist who works with each client to integrate recovery skills and build a foundation of sobriety and a strong support system. Length of stay will vary depending on the clients needs with a minimum stay of 30 days and could be up to one year if needed.
Outpatient and Intensive Outpatient Services. We provide outpatient substance abuse services at 69 treatment clinics in 17 states. Our clinics, which typically range in size from 3,000 to 7,000 square feet, are generally located within light commercial districts. As of December 31, 2009, our clinics treated on average approximately 25,900 patients on a daily basis.
During 2009, substantially all of our outpatient services were provided to individuals addicted to heroin and other opiates, including prescription analgesics. In 2009, 35 comprehensive treatment clinics were certified to provide at least one additional comprehensive outpatient substance abuse treatment service, which we refer to as our COSAT services.
Substantially all of our patients addicted to heroin and other opiates are treated with methadone, but a small percentage of our patients are treated with other medications such as buprenorphine. Patients usually visit an outpatient treatment facility once a day in order to receive their medication. During the beginning of their treatment program, patients receive weekly counseling and as they successfully progress in the treatment protocol, they continue to receive counseling each month. This mandatory minimum duration of counseling may vary from state to state. Following the initial administration of medication, patients go through an induction phase where medication dosage is systematically modified until an appropriate dosage is reached. As patients progress with treatment and meet certain goals in their individualized treatment plan and certain federal criteria related to time in treatment, they become eligible for up to 30 days of take-home doses of medication, eliminating the need for daily visits to the clinic. The length of treatment differs from patient to patient, but typically ranges from one to three years.
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The recovery division has initiated the development of a broad range of programs and services for addiction treatment that are administered in our comprehensive treatment clinics. These services are offered for opiate and other abused substances in an outpatient setting. Utilizing the platform of our comprehensive treatment clinics will allow for a broad geographic dissemination of programs and services. COSAT services broaden the array of services offered at our clinics and increase our potential patient base by providing services to individuals with problems with all drugs and alcohol, not just opiates. Ambulatory detoxification is a program where medication is administered to counter physical withdrawal symptoms. Patients are monitored daily by nurses and other medical personnel at the clinic. This program allows patients to remain in their home environment while going through treatment. Intensive outpatient is a 12-16 week program. An individual treatment plan is developed for each patient providing manageable goals and objectives to assist in the recovery process.
Other Services. Several other related behavioral diseases, in addition to substance abuse, represent large underserved markets to which our residential treatment services may be provided. The treatment model used at our residential facilities to treat substance abuse can also be applied to treat other compulsive behaviors such as trauma and abuse, chronic pain and sexual addiction/compulsivity, which a number of our facilities treat.
Referral Base and Marketing. We receive a large number of patient referrals generated from our several thousand referral sources. Patients are referred to our treatment facilities through a number of different sources, including healthcare practitioners, public programs, other treatment facilities, managed care organizations, unions, emergency departments, judicial officials, social workers, police departments and word of mouth from previously treated patients and their families, among others. We devote significant resources to establishing strong relationships with a broad array of potential referral sources at the local and national level. No single referral source resulted in a significant portion of our revenues.
We engage in local marketing and direct-to-consumer internet marketing, coordinate intra-facility referrals and develop programs and content targeted at key referral sources on a national basis. Our National Resource Center (NRC) is a centralized call center located at our corporate headquarters that responds to inquiries from our online marketing efforts and facilitates cross-referrals.
Payor Mix. We generate our revenues from three primary sources: self payors, commercial payors such as managed care organizations, and government programs. We believe our strong relationships with third party payors and our industry experience allow us to obtain new contracts for new and acquired facilities which creates an opportunity to increase the number of patients that we treat.
Staffing and Local Management Structure. Our residential facilities are managed by an executive director experienced in substance abuse treatment services. Our executive directors have, on average, over 24 years of experience in healthcare and over ten years tenure at the treatment center they currently manage. The executive director is supported by a facility staff that consists of physicians, nurses, counselors, marketing professionals, reimbursement specialists, and administrative and facility maintenance employees. Our comprehensive treatment clinics are typically run by a clinic director experienced in substance abuse treatment services. A clinic director is supported by a staff that consists of a medical director, nurses, counselors and administrative employees.
Healthy living division
Our healthy living division provides a wide variety of therapeutic educational programs for adolescents through settings and solutions that match individual needs with the appropriate learning and therapeutic environment. Additionally, our healthy living division provides treatment services for eating disorders and obesity, each of which may be effectively treated through a combination of medical, psychological and social treatment programs.
Adolescent Services. We operated 24 programs in 8 states as of December 31, 2009, with services ranging from short-term intervention programs to longer-term residential treatment. Our programs are offered in boarding schools, residential treatment centers, outdoor experiential programs and summer
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camps. These programs exist at the intersection of education and therapy for adolescents who have demonstrated behavioral or learning challenges that are interfering with their performance in school and in life such as substance abuse, academic underachievement, anger and aggressive behavior, family conflict, special learning needs and depression. Since most of the targeted customer base for these programs faces a wide range of interrelated academic, emotional and behavioral disorders, our ability to offer a seamless continuum of care for a multitude of problems is an important competitive differentiator for us. All of our residential programs and approximately one half of our outdoor programs are accredited by an educational accreditation program, such as the Southern Association of Colleges and Schools (SACS). We are also in the process of pursuing CARF accreditation for a number of our adolescent programs.
Adolescent Residential Programs. We operated 17 residential programs in 7 states as of December 31, 2009. These programs are typically operated in traditional boarding school environments where a unique plan is crafted for each student that combines group therapy, individual counseling and specialized therapeutic experiences, such as equine therapy, which are designed to build the students personal and emotional skills. We treat both adolescents and young adults in our residential programs. Our residential programs provide a range of services. Our programs focus primarily on therapeutic programming and a strong peer environment to help students overcome self-defeating behaviors and acquire and practice positive behaviors. In addition, we have a number of programs that are tailored to students with attention deficit hyperactivity disorder, learning disabilities or acute emotional issues, and offer structured education in an intimate academic environment that emphasizes personalized student attention and development of organizational and social skills. Parent seminars and family resolution conferences play an important role in building mutually respectful and responsible relationships and preparing the student to face the real world challenges they face upon completion of the program. Each of our residential programs follows an accredited middle school, high school or college preparatory curriculum over a length of stay ranging from one to 17 months with an average duration of approximately nine months. Admissions are accepted year-round, subject to capacity, and campus sizes range from 17-132 students at both single gender and co-ed campuses.
Adolescent Outdoor Programs. We operated 7 outdoor programs in 4 states as of December 31, 2009. Outdoor programs emphasize student exposure to, and interaction with, natural environments and are based on either a base camp format, where students are housed in fixed structures between camping expeditions, or an expedition-only format. These programs are designed for adolescents and/or young adults who have typically undergone an acute personal crisis and require immediate intervention in a short-term, high-impact therapeutic program that emphasizes experiential learning and individualized counseling as a catalyst for positive behavioral change. Students enrolled in an outdoor program experience the challenges of living and working together in the outdoors as a means of identifying and working through internal conflicts and emotional obstacles that have kept them from responding to parental efforts, schools and prior treatment. In some cases, academic credit is offered upon completion of the program.
Payor Mix. Substantially all of our revenues are from self payors.
Adolescent Staffing and Local Management Structure. A typical youth treatment program is managed by an executive director experienced in education or other clinical areas, and many of our executive directors hold post-graduate degrees. Our executive directors have on average over 17 years of experience in education/healthcare and over seven years tenure at the treatment center they currently manage. The executive director is supported by a staff that consists of therapists, clinical professionals, teachers, counselors, field staff, admissions, finance and operational personnel as well as administrative and maintenance employees.
Adolescent Online Services. As part of a students participation in one of our youth treatment programs, we utilize a parent check-in website that provides parents with updated progress reports, pictures and school event information. This website is designed to allow families to participate in the students progress at the program, and assist with the eventual transition of the student back to home life upon completion of the program.
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Eating Disorder Treatment and Weight Management Services
Eating Disorder Treatment. We operated 4 residential eating disorder facilities/programs in 3 states as of December 31, 2009. The total number of beds as of December 31, 2009 was 36. Our residential facilities are located in home-like settings with scenic and peaceful surroundings and provide individuals with a variety of treatment options focusing on their individual needs. The full range of services includes residential inpatient, day program and intensive outpatient treatment for anorexia nervosa, bulimia nervosa, binge eating and related disorders. All of our residential facilities are accredited by CARF, making them eligible for reimbursement by third party payors.
Weight Management Programs. We operate a number of different types of weight loss programs for adults and adolescents. Recognizing that weight loss management is a complex behavioral and biological struggle, our comprehensive and intensive weight management programs provide people with the necessary tools, decision-making skills and behavioral strategies to control weight permanently.
Structure House, our residential weight loss facility for adults offers a behavioral approach to weight loss and healthy lifestyle change. As of December 31, 2009, this facility had 92 available beds. Emphasizing a medically sound approach to healthy living, Structure House provides individual nutrition counseling, behavioral workshops, exercise and individual sessions with a psychologist to empower participants and teach them how to integrate healthy eating principles into their daily lives.
We operate two year-round residential weight loss schools and eleven summer weight loss camps in eight states, Canada and the United Kingdom for adolescents. These programs are intended for the growing number of obese adolescents for whom traditional weight loss methods have been unsuccessful. Our year-round weight loss schools are the nations first therapeutic boarding schools specifically designed for obese adolescents and young adults, and feature a full academic program in addition to a therapeutic weight loss program. The residential schools, as well as our summer weight loss camps, employ scientific weight loss methods that are designed to maximize long-term behavioral change as a catalyst to substantial and sustained weight loss. These programs include intensive cognitive-behavioral therapy, a low fat, low energy density diet, high physical activity and an integrated nutritional and academic educational program. By participating in a research-based diet and activity management program, and intensive training on the skill sets and behaviors necessary for weight control, students are returned to a normal weight and learn to change to a wide range of behaviors, starting with diet and activity, but including self-esteem, mood, affect and outlook.
Referral Base and Marketing. Patients are referred to our eating disorder treatment and weight management facilities through a number of different sources, including healthcare practitioners, public programs, other treatment facilities, managed care organizations and emergency departments. We receive a large number of weight loss patient referrals generated from our web sites and the public relations efforts of our marketing staff. We devote significant resources to establishing strong relationships with a broad array of potential referral sources at the local and national level. No single referral source resulted in a significant portion of our revenues.
We engage in local marketing and direct-to-consumer internet marketing, coordinate intra-facility referrals and develop programs and content targeted at key referral sources on a national basis. Our NRC responds to inquiries from our online marketing efforts and facilitates cross-referrals.
Payor Mix. For our weight management business, we generate our revenues primarily from self payors. We also receive revenues for our eating disorder services from commercial payors. We believe our strong relationships with third party payors and our industry experience allow us to obtain and increase the number of new contracts for our eating disorder business which will provide us with an opportunity to increase the number of patients that we treat.
Staffing and Local Management Structure. A typical eating disorder or adult weight management residential facility is managed by an executive director experienced in treatment services. Our
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executive directors have, on average, over 10 years of experience in healthcare. The executive director is supported by a facility staff that consists of physicians, nurses, counselors, marketing professionals, reimbursement specialists, and administrative and facility maintenance employees. Our adolescent weight management programs are managed by an executive director experienced in education or other clinical areas, and many of our executive directors hold post-graduate degrees. The executive director is supported by a staff that consists of therapists, clinical professionals, teachers, counselors, field staff, admissions, finance and operational personnel as well as administrative and maintenance employees.
Competition
Treatment providers for the large and growing substance abuse treatment market are highly fragmented, with services being provided by over 13,000 different facilities of which approximately only 26% are operated by for-profit organizations. The primary competitive factors in the substance abuse treatment industry include the quality of programs and services, charges for programs and services, geographic proximity to the patients served, brand and marketing awareness and the overall responsiveness to the needs of patients, families and payors. Our recovery division competes against an array of local competitors, both private and governmental, hospital-based and free standing and for-profit and non-profit facilities. Most of our residential facilities compete within local or regional markets. Sierra Tucson, Life Healing Center and Bayside Marin, three of our residential treatment facilities for addiction and other behavioral disorders compete in both national and international markets with other nationally known substance abuse treatment facilities such as the Betty Ford Clinic and Hazelden.
Providers of adolescent treatment services are also highly fragmented with services being provided by over 500 different facilities. Our adolescent division competes with a large number of single-site businesses that lack our name recognition and management resources, as well as a handful of larger companies who have divisions that provide youth treatment programs, such as the youth programs of Universal Health Services, Second Nature and Three Springs.
The eating disorder market is highly fragmented with no national player that offers the full continuum of care. Our eating disorder programs for anorexia and bulimia primarily compete against private and non-profit treatment programs. Our weight management programs compete primarily against surgical alternatives, such as bariatric surgery, support programs that offer diet foods and meal replacement and various weight loss camps.
Technology Infrastructure
We utilize computer systems for billing, general ledger and all corporate accounting. As of December 31, 2009, we expect to invest $5.0 million over the next 24 months to finalize implementation of a company-wide customer relationship management system, to expand our data centers, and to continue our investment, initiated in 2007, for the implementation of a comprehensive and fully integrated system encompassing clinical, marketing, regulatory, financial and management reporting systems.
Regulatory Matters
Overview
Healthcare providers are regulated extensively at the federal, state and local levels. In order to operate our business and obtain reimbursement from third party payors, we must obtain and maintain a variety of state and federal licenses, permits and certifications, and accreditations. We must also comply with numerous other laws and regulations applicable to the conduct of business by healthcare providers. Our facilities are also subject to periodic on-site inspections by the agencies that regulate and accredit them in order to determine our compliance with applicable requirements.
The laws and regulations that affect healthcare providers are complex, change frequently and require that we regularly review our organization and operations and make changes as necessary to comply with the new rules. Significant public attention has focused in recent years on the healthcare industry, directing attention not only to
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the conduct of industry participants but also to the cost of healthcare services. In recent years, there have been heightened coordinated civil and criminal enforcement efforts by both federal and state government agencies relating to the healthcare industry. The ongoing investigations relate to, among other things, various referral practices, cost reporting, billing practices, credit balances, physician ownership and joint ventures involving hospitals and other health care providers. We expect that healthcare costs and other factors will continue to encourage both the development of new laws and increased enforcement activity.
Licensure, Accreditation and Certification
All of our recovery division treatment facilities must be licensed under applicable state laws. Licensing requirements typically vary significantly by state and by the services provided. Licensure requirements generally relate to the providers qualifications, the adequacy of care and other matters, including: its equipment, personnel, staff-to-patient ratios, operating policies and procedures, fire prevention, maintenance of adequate records, rate-setting and compliance with building codes and environmental protection laws. In addition, all of our facilities that handle and dispense controlled substances are required to register with the U.S. Drug Enforcement Administration (DEA), and are required to abide by DEA regulations regarding such controlled substances. The DEA also requires that our comprehensive treatment clinics be certified by the Substance Abuse and Mental Health Services Administration (SAMSHA), in order to provide opiate treatment. In addition, our treatment facilities that participate in government healthcare payment programs such as Medicaid must apply to the appropriate government agency and be certified to participate in the program.
Most of our residential and comprehensive treatment clinics must obtain and maintain accreditation from private agencies. JCAHO and CARF are private organizations that have accreditation programs for a broad spectrum of healthcare facilities. These accreditation programs are intended generally to improve the quality, safety, outcomes and value of healthcare services provided by accredited facilities. CARF accredits behavioral health organizations providing mental health and alcohol and drug use and addiction services, as well as opiate treatment programs, and many other types of programs. JCAHO accredits a broad variety of healthcare organizations, including hospitals, behavioral health organizations, nursing and long-term care facilities, ambulatory care centers, laboratories and managed care networks and others, including three of our youth treatment programs. Accreditation by JCAHO, CARF or one of the educational accreditation organizations that recognize our youth treatment programs requires an initial application and completion of on-site surveys demonstrating compliance with accreditation requirements. Accreditation is typically granted for a specified period, typically ranging from one to three years, and renewals of accreditation generally require completion of a renewal application and an on-site renewal survey. Accreditation is generally a requirement for participation in government and private healthcare payment programs. In addition, certain federal and state licensing agencies require that providers be accredited.
Our healthy living, adolescent treatment programs and adolescent weight management programs must comply with state and local laws that vary based on the locations in which they operate. A typical adolescent youth services or adolescent weight management program will be subject to licensure by the state department of education or health services, as well as local land use and health and safety laws. In addition, approximately one half of our youth treatment programs are accredited by an educational accreditation program, such as the Southern Association of Colleges and Schools (SACS). We are also in the process of pursuing CARF accreditation for a number of our adolescent treatment programs. A number of our youth programs within our healthy living division maintain federal land use permits for their outdoor education and ranching activities.
Our eating disorder facilities within the healthy living division are subject to licensure by the state department of health services. In addition, the facilities and programs that are accredited must comply with the guidelines of the applicable accrediting agencies.
We believe that all of our facilities and programs are in substantial compliance with current applicable federal, state and local licensure and certification requirements. In addition, we believe that all are in compliance
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with the standards of the agencies, including JCAHO and CARF, which have accredited them. Periodically, federal, state and accreditation regulatory organizations conduct surveys of our facilities and may find from time to time that a facility is out of compliance with certain requirements. Upon receipt of any such finding, the facility timely submits a plan of correction and corrects any cited deficiencies.
Fraud, Abuse and Self-Referral Laws
Many of our facilities in our recovery division must comply with a number of laws and regulations because such facilities participate in government healthcare payment programs such as Medicare and Medicaid. The anti-kickback provision of the Social Security Act, or the anti-kickback statute, prohibits certain offers, payments or receipt of remuneration in return for referring patients covered by federal healthcare payment programs or purchasing, leasing, ordering or arranging for or recommending any services, good, item or facility for which payment may be made under a federal healthcare program. As a result, dealings by facilities that participate in such government programs with referring physicians and other referral sources, including employment contracts, independent contractor agreements, professional service agreements, joint venture agreements and medical director agreements, are all subject to the anti-kickback statute. The anti-kickback statute has been interpreted broadly by federal regulators and certain courts to prohibit the payment of anything of value if even one purpose of the payment is to influence the referral of Medicare or Medicaid business. Violations of the anti-kickback statute may be punished by criminal or civil penalties, exclusion from federal and state healthcare programs, imprisonment and damages up to three times the total dollar amount involved. The Office of Inspector General (OIG) of the Department of Health and Human Services is responsible for identifying fraud and abuse activities in government programs. The OIG has published regulations describing activities and business relationships that would be deemed not to violate the anti-kickback statute, known as safe harbor regulations. We use our best efforts to comply with applicable safe harbors.
Sections 1877 and 1903(s) of the Social Security Act, commonly known as the Stark Law, prohibit referrals for designated health services by physicians under the Medicare and Medicaid programs to any entity in which the physician has an ownership or compensation arrangement, unless an exception applies, and prohibits the entity from billing for such services rendered pursuant to any prohibited referrals. These types of referrals are commonly known as self referrals. There are exceptions for customary financial arrangements between physicians and facilities, including employment contracts, personal services agreements, leases and recruitment agreements that meet specific standards. We use our best efforts to structure our financial arrangements with physicians to comply with the statutory exceptions included in the Stark Law and related regulations. Sanctions for violating the Stark Law include required repayment to governmental payors of amounts received for services resulting from prohibited referrals, civil monetary penalties, assessments equal to three times the dollar value of each service rendered for an impermissible referral (in lieu of repayment) and exclusion from the Medicare and Medicaid programs.
A number of states have laws comparable to the anti-kickback statute and the Stark Law. These state laws may be more stringent than the federal rules and apply regardless of whether the healthcare services involved are paid for under a federal health care program.
The Federal False Claims Act
The federal False Claims Act prohibits healthcare providers from knowingly submitting false claims for payment under a federal healthcare payment program. There are many potential bases for liability under the federal False Claims Act, including claims submitted pursuant to a referral found to violate the Stark Law or the anti-kickback statute. Although liability under the federal False Claims Act arises when an entity knowingly submits a false claim for reimbursement to the federal government, the federal False Claims Act defines the term knowingly broadly. Civil liability under the federal False Claims Act can be up to three times the actual damages sustained by the government plus civil penalties for each false claim. From time to time, companies in the healthcare industry, including us, may be subject to actions under the federal False Claims Act.
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Individuals may also bring an action on behalf of the government under the whistleblower or qui tam provisions of the federal False Claims Act. Because qui tam lawsuits are filed under seal, we could be named in one or more such lawsuits of which we are not aware. These provisions allow for the private party that identified the violation to receive a portion of the sums the provider is required to pay. This whistleblower structure has encouraged some private companies to go into the business of detecting and reporting potential fraud and abuse.
Privacy and Security Requirements
There are numerous federal and state regulations addressing patient information privacy and security concerns. In particular, the federal regulations issued under the Drug Abuse Prevention, Treatment and the Rehabilitation Act of 1979 and Health Insurance Portability and Accountability Act of 1996 (HIPAA) contain provisions that:
| protect individual privacy by limiting the uses and disclosures of patient information; |
| create new rights for patients regarding their health information, such as access rights and the right to amend certain aspects of their health information; |
| require the implementation of security safeguards to ensure the confidentiality, integrity and availability of individually identifiable health information in electronic form; |
| prescribe specific transaction formats and data code sets for certain electronic healthcare transactions; and |
| require establishment of standard unique health identifiers for individuals, employers, health plans and healthcare providers to be used in connection with standard electronic transactions no later than May 23, 2007. |
In 2007, we implemented computer systems to comply with the transaction and code set requirements to correspond to the requirements of our trading partners. We have adopted privacy policies in accordance with HIPAA requirements. We believe that we are in compliance with certain security regulations under HIPAA but have not yet conducted a full HIPAA audit to ensure compliance. Under HIPAA, a violation of these regulations could result in civil money penalties of $100 per incident, up to a maximum of $25,000 per person per year per standard. HIPAA also provides for criminal penalties of up to $50,000 and one year in prison for knowingly and improperly obtaining or disclosing protected health information, up to $100,000 and five years in prison for obtaining protected health information under false pretenses and up to $250,000 and ten years in prison for obtaining or disclosing protected health information with the intent to sell, transfer or use such information for commercial advantage, personal gain or malicious harm.
In addition, many states impose requirements regarding the confidentiality and security of healthcare information, as well as regarding the permitted uses of that information, and many of these state laws are more restrictive than the federal rules. For example, some states impose laws governing the use and disclosure of health information pertaining to substance abuse issues that are more stringent than the rules that apply to healthcare information generally. As public attention is drawn to the issues of the privacy and security of medical information, states may revise or expand their laws concerning the use and disclosure of health information, or may adopt new laws addressing these subjects. Failure to comply with these laws could expose us to criminal and civil liability, as well as requiring us to restructure certain of our operations.
Health Planning and Certificates of Need
The construction of new healthcare facilities, the expansion of existing facilities, the transfer or change of ownership of existing facilities and the addition of new beds, services or equipment may be subject to state laws that require prior approval by state regulatory agencies under certificate of need laws. These laws generally require that a state agency determine the public need for construction or acquisition of facilities or the addition of
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new services. Review of certificates of need and other healthcare planning initiatives may be lengthy and may require public hearings. Violations of these state laws may result in the imposition of civil sanctions or revocation of a facilitys license. The states in which we operate that have certificate of need laws include Indiana, West Virginia and North Carolina.
Local Land Use and Zoning
Municipal and other local governments also may regulate our treatment programs. Many of our facilities must comply with zoning and land use requirements in order to operate. For example, local zoning authorities regulate not only the physical properties of a health facility, such as its height and size, but also the location and activities of the facility. In addition, community or political objections to the placement of treatment facilities can result in delays in the land use permit process, and may prevent the operation of facilities in certain areas.
Corporate Practice of Medicine and Fee Splitting
Some states have laws that prohibit business entities, including corporations or other business organizations that own healthcare facilities, from employing physicians. Some states also have adopted laws that prohibit direct and indirect payments or fee-splitting arrangements between physicians and such business entities. These laws vary from state to state, are often difficult to interpret and have seldom been interpreted by the courts or regulatory agencies. We use our best efforts to comply with the relevant state laws. Sanctions for violations of these restrictions include loss of a physicians license, civil and criminal penalties upon both the physician and the business entity and rescission of business arrangements.
Employees
As of December 31, 2009, we employed approximately 4,405 people throughout the United States. Approximately 3,965 of our employees are full-time and the remaining approximately 440 are part-time employees. There were approximately 2,781 employees in our recovery division and 1,471 employees in our healthy living division. The remaining approximately 153 employees are in corporate management, administration and other services. Certain of our employees are represented by a labor union.
Available Information
Our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to reports filed or furnished pursuant to Sections 13(a) and 15(d) of the Securities Exchange Act of 1934, as amended, are available free of charge, on our website at http://www.crchealth.com/investor-relations.php, as soon as reasonably practicable after CRC electronically files such reports with, or furnishes those reports to, the Securities and Exchange Commission.
We included the certifications of the CEO and the CFO of CRC required by Section 302 of the Sarbanes-Oxley Act of 2002 and related rules, relating to the quality of our public disclosure, in this Annual Report on Form 10-K as Exhibits 31.1 and 31.2.
ITEM 1A. | Risk Factors |
Set forth below and elsewhere in this annual report and in other documents we have filed and will file with the SEC are risks and uncertainties that could cause our actual results to differ materially from the results contemplated by the forward-looking statements contained in this Annual Report.
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Business Risks
Unfavorable economic conditions have and could continue to negatively impact our revenues.
Economic conditions have negatively impacted our revenues. If the economic downturn continues or deteriorates further or if other adverse economic conditions arise such as inflation, it could have a material adverse effect on our business. Tightening credit markets, depressed consumer spending and higher unemployment rates continue to pressure many industries. Substantially all of the revenue from our healthy living division and certain residential treatment facilities such as Sierra Tucson and our extended care facilities is derived from private-pay funding. In addition, a substantial portion of our revenue from our comprehensive substance abuse treatment clinics is from self-payors. In 2009, we experienced a significant decrease in demand for services in our healthy living division as a result of declining economic conditions and the inability of families to access the credit markets to fund tuition. A sustained downturn in the U.S. economy has, and could continue to, restrain the ability of our patients and the families of our students to pay for our services in all of our divisions. Other risks that we face as a result of general economic weakness include potential declines in the population covered by health insurance and patient decisions to postpone care. Moreover, reduced revenues as a result of a softening economy may also reduce our working capital and interfere with our long-term business strategy.
Although inflation has not previously or currently had a material impact on our results of operations, our industry is very labor intensive and salaries and benefits are subject to inflationary pressures. Some of our facilities are experiencing the effects of the tight labor market for certain skilled professionals, including a shortage of qualified counselors and nurses, which has caused and may continue to cause an increase in our salaries, wages and benefits expense in excess of the inflation rate. Our ability to pass on increased costs associated with providing services to our patients, in some cases, may be limited.
Our level of indebtedness could adversely affect our ability to meet our obligations under our indebtedness, raise additional capital to fund our operations and to react to changes in the economy or our industry.
We are highly leveraged. The following chart shows our level of indebtedness as of December 31, 2009 (in thousands):
Term Loans and Revolving Line of Credit (1) |
$ | 452,149 | |
Senior Subordinated Notes |
175,690 | ||
Other |
3,237 | ||
Total Debt |
$ | 631,076 | |
Total Stockholders Equity |
$ | 288,542 | |
(1) | In addition, as of December 31, 2009, we had $8.9 million of letters of credit outstanding under our revolving line of credit leaving approximately $44.6 million available for additional borrowings under our revolving credit facility. The revolving line of credit commitment expires on February 6, 2012. |
Our parent company has incurred $147.4 million of indebtedness as of December 31, 2009 pursuant to which an interest payment of $80 million is due in May 2012. Additionally, we had additional indebtedness related to discontinued operations of $2.1 million in seller notes and $0.1 million in lessor financing. During 2009 we incurred $44.2 million in interest expense on our indebtedness including term loans, revolving line of credit, seller notes, senior subordinated notes and interest rate swaps. At December 31, 2009, we recognized a liability of $8.7 million related to its interest rate swaps. Our substantial indebtedness and the indebtedness of our parent company could make it more difficult for us to satisfy our obligations with respect to our indebtedness, increase our vulnerability to general adverse economic and industry conditions, require us to dedicate a substantial portion of our cash flow from operations to payments on our indebtedness, thereby reducing the availability of our cash flow to fund working capital, capital expenditures and other general corporate purposes, limit our flexibility in planning for, or reacting to, changes in our business and the industry in which we operate, place us at a competitive disadvantage compared to our competitors that have less debt and limit our ability to borrow additional funds.
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Our ability to make payments, to refinance our indebtedness, and to fund planned capital expenditures and other general corporate matters will depend on our ability to generate cash in the future. This, to a certain extent, is subject to general economic, financial, competitive, legislative, regulatory and other factors that are beyond our control.
We cannot assure that our business will generate sufficient cash flow from operations or that future borrowings will be available to us in an amount sufficient to enable us to pay our indebtedness or to fund our other liquidity needs. We may need to refinance all or a portion of our indebtedness on or before the maturity thereof. We cannot assure that we will be able to refinance any of our indebtedness on commercially reasonable terms or at all.
If federal or state healthcare programs, managed care organizations and other third-party payors reduce their reimbursement rates for services provided, our revenue and profitability may decline.
Government healthcare programs, managed care organizations and other third-party payors pay for the services we provide to some of our patients. If any of these entities reduce their reimbursement rates, or elect not to cover some or all of our services, our revenue and profitability may decline.
For 2009, we derived approximately 19.9% of our revenue from government programs and 80.1% of our revenue from non-government payors such as self pay, managed care organizations, private health insurance programs and labor unions. Government payors, such as Medicaid and Medicare, generally reimburse us on a fee-for-service basis based on predetermined reimbursement rate schedules. As a result, we are limited in the amount we can record as revenue for our services from these government programs, and if we have a cost increase, we typically will not be able to recover this increase. In addition, the federal government and many state governments are operating under significant budgetary pressures, and they may seek to reduce payments under their Medicaid programs for services such as those we provide. They also tend to pay on a slower schedule. Thus, while 19.9% of our revenue was attributable to governmental payors, such payors accounted for 38.3% of our gross accounts receivable as of December 31, 2009. Therefore, if governmental entities reduce the amounts they will pay for our services, or if they elect not to continue paying for such services altogether, our revenue and profitability may decline. In addition, if governmental entities slow their payment cycles further, our cash flow from operations could be negatively affected.
Commercial payors such as managed care organizations, private health insurance programs and labor unions generally reimburse us for the services rendered to insured patients based upon contractually determined rates. These commercial payors are under significant pressure to control healthcare costs. In addition to limiting the amounts they will pay for the services we provide their members, commercial payors may, among other things, impose prior authorization and concurrent utilization review programs that may further limit the services for which they will pay and shift patients to lower levels of care and reimbursement. These actions may reduce the amount of revenue we derive from commercial payors.
We are subject to restrictions that limit our flexibility in operating our business as a result of our debt financing agreements.
Our debt financing agreements contain a number of significant covenants that, among other things, restrict our ability to incur additional indebtedness, create liens on our assets, restrict our ability to engage in sale and leaseback transactions, mergers, acquisitions or asset sales and make investments. Under some circumstances, these restrictive covenants may not allow us the flexibility we need to operate our business in an effective and efficient manner and may prevent us from taking advantage of strategic and financial opportunities that could benefit our business. In addition, we are required under our senior secured credit facility to satisfy specified financial ratios and tests. Our ability to comply with those financial ratios and tests may be affected by events beyond our control, and we may not be able to meet those ratios and tests. A breach of any of those covenants could result in a default under our senior secured credit facility and in our being unable to borrow additional
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amounts under our revolving facility. If an event of default occurs, the lenders could elect to declare all amounts borrowed under our senior secured credit facility, together with accrued interest, to be immediately due and payable and could proceed against the collateral securing that indebtedness. Substantially all of our assets are pledged as collateral pursuant to the terms of our senior secured credit facility. In such an event, we could not assure that we would have sufficient assets to pay amounts under our secured indebtedness.
If we fail to comply with the restrictions in our debt financing agreements, a default may allow the creditors to accelerate the related indebtedness, as well as any other indebtedness to which a cross-acceleration or cross-default provision applies. In addition, lenders may be able to terminate any commitments they had made to supply us with further funds.
Our variable rate indebtedness subjects us to interest rate risk, which could cause our debt service obligation to increase significantly.
Certain of our borrowings, primarily borrowings under our senior secured credit facility, are at variable rates of interest and expose us to interest rate risk. If interest rates increase, our debt service obligations on the variable rate indebtedness would increase even though the amount borrowed remained the same, and our net income and cash flows would decrease.
Despite our current leverage, we may still be able to incur additional indebtedness. This could further exacerbate the risks that we face.
We may be able to incur additional indebtedness in the future. Although our senior secured credit facility and the indenture governing our senior subordinated notes contain restrictions on the incurrence of additional indebtedness, these restrictions are subject to a number of important qualifications and exceptions and the indebtedness incurred in compliance with these restrictions could be significant. If new debt is added to our existing debt levels, the related risks that we now face, including those described above, could intensify.
Unfavorable student loan markets and the lack of available credit have and could continue to negatively impact our revenues in our healthy living division.
Many students attending therapeutic boarding school in our healthy living division obtain private loans from lenders to finance a portion of their education. In response to the tightening in the credit markets over the last few years, many lenders are no longer making student loans available or have announced that they will apply more stringent lending standards for private student loans. In addition, some of the families of our students in our healthy living division rely on third-party loans, including additional home loans, to fund the cost of tuition at our programs. The unavailability of these loans has and could continue to interfere with the ability of private-pay customers to afford our programs, and may harm our operating results. Continued tightening of the credit markets has and could continue to result in financing difficulties for those students who rely on private student loans and the credit markets and could adversely impact our revenues.
We derive a significant portion of our revenue from key treatment programs that are located in Pennsylvania, California, Arizona, North Carolina and Utah which makes us particularly sensitive to regulatory and economic conditions in those states.
For 2009, Pennsylvania facilities accounted for approximately 13.3% of our total revenue, our California facilities accounted for approximately 12.1% of our total revenue, our Arizona facilities accounted for approximately 11.0% of our total revenue, our North Carolina facilities accounted for approximately 10.8% of our total revenue, and our Utah facilities accounted for approximately 10.3% of our total revenue. If our treatment facilities in these states are adversely affected by changes in regulatory and economic conditions, our revenue and profitability may decline.
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We may have difficulty operating and integrating treatment facilities and youth programs that we acquire. This may disrupt our business and increase our costs and harm our operating results.
In 2006, we acquired six residential facilities, five outpatient treatment clinics and Aspen Education Group, our largest acquisition to date. In 2007, we acquired one residential treatment facility, two youth programs and one weight management facility. In 2008 we acquired two residential treatment facilities. Additional acquisitions would expose us to additional business and operating risk and uncertainties, including risks related to our ability to:
| integrate operations and personnel at acquired programs; |
| retain key management and healthcare professional personnel; |
| maintain and attract patients and students to acquired programs; |
| manage our exposure to unknown or contingent liabilities, including liabilities for failure to comply with healthcare laws and regulations; and |
| realize our investment return on acquisitions. |
Integration efforts can require spending substantial resources on projects, such as implementing consistent billing, payroll and information technology systems, instituting standard policies and procedures and re-training staff from the acquired businesses to conform to our service philosophy and internal compliance procedures. Furthermore, integrating an acquired treatment program may disrupt our ongoing business and distract our management and other key personnel. If we are unable to manage our expansion efforts efficiently or effectively, or are unable to attract and retain additional qualified management and healthcare professional personnel to run our expanded operations, our business may be disrupted, our costs may increase and our operating results may be harmed.
We may have difficulty opening new treatment facilities and/or youth programs and operating them profitably. We have limited experience in opening new residential treatment facilities. If we are unable to execute our strategy, our growth may be restrained and our operating results could be adversely affected.
Our growth strategy includes developing and opening new treatment facilities and youth programs and to date, we have limited experience in doing so. Planning and opening new treatment facilities and youth programs in each of the recovery and healthy living divisions can be complex, and may be delayed and, in some circumstances, prevented by a variety of forces, including local zoning and land use regulation, health facility licensing, certificate of need requirements, community opposition and other political issues. Healthcare laws and other rules and regulations may also impede or increase the cost of opening new programs. If we are unable to open new treatment programs on time and on budget, our rate of growth and operating results may be adversely affected.
Even if we are able to open new facilities and programs, we may not be able to staff them or integrate them into our organization. In addition, there can be no assurance that once completed, new facilities and programs will achieve sufficient patient census or student enrollment to generate operating profits. Developing new programs, particularly residential facilities and programs, involves significant upfront capital investment and expense and if we are unable to attract patients and/or students quickly and/or enter into contracts or extend our existing contracts with third-party payors for these programs, these programs may not be profitable and our operating results could be adversely affected.
Changes to federal, state and local regulations could prevent us from operating our existing facilities or acquiring additional facilities or could result in additional regulation of our operations which may cause our growth to be restrained, an increase in our operating expenses and our operating results to be adversely affected.
Federal, state and local regulations determine the capacity at which our therapeutic education programs for adolescents may be operated. Some of our programs in our healthy living division rely on federal land use permits to conduct the hiking, camping and ranching aspects of these programs. State licensing standards require many of our programs to have minimum staffing levels, minimum amounts of residential space per student and adhere to other minimum standards. Local regulations require us to follow land use guidelines at many of our programs, including those pertaining to fire safety, sewer capacity and other physical plant matters.
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In addition, federal, state and local regulations may be enacted that impose additional requirements on our facilities. For example, in 2008, Indiana passed legislation imposing new regulations affecting our operations. Further, in 2009, legislators in California, West Virginia and Pennsylvania sponsored legislation that could impact our operations and increase our operating expenses. In addition, U.S. Representative Miller introduced federal legislation in April 2008, which, if adopted, would impose an additional layer of federal regulation on all private residential and outdoor treatment programs for youth under the age of 18. Adoption of legislation or the creation of new regulations affecting our facilities could increase our operating costs, restrain our growth and harm our operating results.
State and local regulation of the construction, acquisition or expansion of treatment facilities and youth programs could prevent us from opening or acquiring additional treatment facilities and youth programs or expanding or renovating our existing treatment facilities and youth programs, which may cause our growth to be restrained and our operating results to be adversely affected.
Some states have enacted laws which require prior approval for the construction, acquisition or expansion of treatment facilities and youth programs, or for other capital expenditures such as the acquisition of certain kinds of equipment. In giving approval, these states consider the need for additional or expanded treatment facilities or services. In the states of North Carolina, West Virginia and Indiana, in which we currently operate, certificates of need may be required to be obtained for capital expenditures exceeding a prescribed amount, changes in capacity or services offered. Other states in which we now or may in the future operate may also require certificates of need under certain circumstances not currently applicable to us, or may impose standards and other health planning requirements upon us.
No assurance can be given that we will be able to obtain the required approvals or certificates of need for additional or expanded treatment facilities or services in the future, which may restrain our growth. If we are unable to obtain required regulatory, zoning or other required approvals for renovations and expansions, our growth may be restrained and our operating results may be adversely affected.
If the Employee Free Choice Act is adopted, it would be easier for our employees to obtain union representation and our business could be impacted.
Currently, we only have one facility represented by a union. If some or all of our workforce were to become unionized and the terms of the collective bargaining agreements were significantly different from our current compensation arrangements, it could increase our costs and adversely impact our business. The Employee Free Choice Act of 2007 (EFCA), which was passed in the U.S. House of Representatives in 2008, or a variation of such bill could be enacted in the future and could have an adverse impact on our business.
Our treatment facilities are sometimes subject to attempts by local or regional governmental authorities and local area residents to force their closure or relocation.
Property owners and local authorities have attempted, and may in the future attempt, to use or enact zoning ordinances to eliminate our ability to operate a given treatment facility or program. Local governmental authorities in some cases also have attempted to use litigation and the threat of prosecution to force the closure of certain of our clinics. If any of these attempts were to succeed or if their frequency were to increase, our revenue would be adversely affected and our operating results might be harmed. In addition, such actions may require us to litigate which would increase our costs.
A shortage of qualified workers could adversely affect our ability to identify, hire and retain qualified personnel. This could increase our operating costs, restrain our growth and reduce our revenue.
The success of our business depends on our ability to identify, hire and retain a professional team of addiction counselors, nurses, psychiatrists, physicians, licensed counselors and clinical technicians across our network of treatment facilities. Competition for skilled employees is intense. For example, there are currently national shortages of qualified addiction counselors and registered nurses. The process of locating and recruiting
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skilled employees with the qualifications and attributes required to treat those suffering from addiction and other behavioral health illnesses can be lengthy and competition for these workers could cause the salaries, wages and benefits we must pay to increase faster than anticipated. Furthermore, many states require specified staff to patient ratios for residential and outpatient treatment facilities. If we are unable to identify, hire and retain sufficient numbers of qualified professional employees, or to continue to offer competitive salaries and benefits, we may be unable to staff our facilities with the appropriate personnel or to maintain required staff ratios and may be required to turn away patients. Certain of our treatment facilities are located in remote geographical areas, far from population centers, which increases this risk. These factors could increase our operating costs, restrain our growth and reduce our revenue.
If we fail to cultivate new or maintain established relationships with referral sources, our revenue may decline.
Our ability to grow or even to maintain our existing level of business depends significantly on our ability to establish and maintain close working relationships with physicians, managed care companies, insurance companies, educational consultants and other referral sources. We do not have binding contracts or commitments with any of these referral sources. We may not be able to maintain our existing referral source relationships or develop and maintain new relationships in existing or new markets. If we lose existing relationships with our referral sources, the number of people to whom we provide services may decline, which may adversely affect our revenue. If we fail to develop new referral relationships, our growth may be restrained.
There are only two significant suppliers of methadone distributed by our outpatient treatment facilities. If one or both of these vendors does not supply the methadone we require, we may face increased costs in our outpatient treatment division, which may adversely affect our operating results and profitability.
Although methadone is a generic drug, there are only two significant national suppliers of methadone. We currently purchase methadone for dispensation in our clinics from one. If one of these suppliers were to reduce or curtail production of methadone, we would need to identify other suppliers of methadone. If we are unable to do so, our cost to purchase methadone may increase which may adversely affect our operating results and profitability.
A decline in the revenues or profitability of our Sierra Tucson facility would likely have a material adverse effect on our revenues and operating results.
For 2009, our Sierra Tucson facility represented approximately 9.5% of our total revenue and approximately 56.7% of our operating income before corporate and divisional overhead. Historically, our Sierra Tucson facility has had a high occupancy rate as well as a favorable average length of stay and price of treatment which made it our most profitable facility for 2009. As discussed above, we rely primarily on self payor patients at our Sierra Tucson facility. We have experienced a significant decrease in demand at certain facilities as a result of the inability of patients and students to pay for our services due to tightening credit markets and the downturn in the U.S. economy. Should Sierra Tucsons revenues or profitability decline as a result of the inability or unwillingness of patients to pay for the services or for other reasons or its operations be interrupted, our total revenue and profitability would likely decline. For example, a terrorist act, significant terrorist threat or other disruption to air travel may reduce the willingness or ability of Sierra Tucsons national and international patient base to travel to the facility or a fire or other casualty loss could interrupt its operations. These events could negatively affect our consolidated operating results.
Accidents or other incidents involving the students at our youth treatment facilities within our healthy living divisions, or those of our competitors, may adversely affect our revenues and operating results directly or through negative public perception of the industry.
Accidents resulting in physical injuries to our students or staff, or incidents that attract negative attention to the youth treatment industry generally, such as those involving death or criminal conduct against, or by a student could result in regulatory action against us, including but not limited to the suspension of our license, possible
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legal claims and lost referrals or student withdrawals. For example, at one of our youth programs within our healthy living division, we received notice of an investigation by the state, department of human services due to the death of one of our students. In connection with such an investigation, the department requested that we remove all students. Similar accidents or incidents at programs operated by our competitors could negatively impact public perception of the therapeutic education industry and harm our operations as well. No assurance can be given that accidents or other incidents at our programs or those of our competitors will not adversely affect our operations.
Natural disasters such as hurricanes, earthquakes and floods may adversely affect our revenues and operating results.
Natural disasters such as hurricanes, earthquakes and floods may adversely affect our operations. Such natural disasters may result in physical damage to or destruction of our programs as well as damage to areas where our patients or referral sources are based. In 2005, hurricanes resulted in property damage and additional expense to our Florida facilities. In addition, these facilities experienced a loss of referrals from areas affected by the hurricanes. Such natural disasters may lead to decreased census, decreased revenues and higher operating costs.
We face significant competition from established providers as well as new entrants.
We compete directly with a wide variety of non-profit, government and for-profit treatment providers, and this competition may intensify in the future. Non-profit and government providers may be able to offer competitive services at lower prices, which may adversely affect our revenue in regional markets and service categories. In addition, many for-profit providers are local, independent operators with strong established reputations within the surrounding communities, which may adversely affect our ability to attract a sufficiently large number of patients in markets where we compete with such providers. Our healthy living division competes against a small number of multiple-location providers, such as Universal Health Services, Second Nature and Three Springs, as well as a number of independent operators. These providers compete with us not only for referrals, but also for qualified personnel, and in some cases our personnel have resigned their positions with us to operate programs of their own. We may also face increasing competition from new operators which may adversely affect our revenue and operating results in impacted markets.
As a provider of treatment services, we are subject to claims and legal actions by patients, students, employees and others, which may increase our costs and harm our business.
We are subject to medical malpractice and other lawsuits based on the services we provide. In addition, treatment facilities and programs that we have acquired, or may acquire in the future, may have unknown or contingent liabilities, including liabilities related to care and failure to comply with healthcare laws and regulations, which could result in large claims, significant defense costs and interruptions to our business. These liabilities may increase our costs and harm our business. A successful lawsuit or claim that is not covered by, or is in excess of, our insurance coverage may increase our costs and reduce our profitability. Furthermore, we maintain a $0.5 million deductible per claim under our workers compensation insurance, and an increase in workers compensation claims or average claim size may also increase our costs and reduce our profitability. Our insurance coverage may not continue to be available at a reasonable cost, especially given the significant increase in insurance premiums generally experienced in the healthcare industry.
The integration of our information systems may be more costly than we anticipate, may not be completed on time or the integrated systems may not function properly.
We are currently introducing new software to consolidate and integrate critical information systems used in daily operations, including for claims processing, billing, financial, intake and other clinical functions. The new software is also intended to streamline internal controls to comply with the requirements of Section 404 of the Sarbanes-Oxley Act of 2002. We expect to make additional capital expenditures related to this plan before it is complete. If this implementation takes longer or is more expensive than anticipated, or if we fail to successfully complete this implementation or if the software fails to perform as expected, our operations may be disrupted and we may not comply with the requirements of Section 404 of the Sarbanes-Oxley Act. This may increase our costs, reduce our revenue and harm our business.
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Borrowers of our loan program may default, resulting in loss.
We maintain a private loan program pursuant to which our students and/or patients who meet predetermined credit standards can obtain third-party financing to pay a portion of the cost of participating in certain of our programs. As of December 31, 2009, there were $4.0 million outstanding in loans. The loans are unsecured. If the borrowers default on these loans, we will incur losses.
We have a limited history of profitability, have incurred net losses in the past and may incur substantial net losses in the future.
We began operations in August 2002, and our predecessor organizations began operations in September 1995. We recorded net losses in 2002, 2003 and 2006 of approximately $11.5 million, $1.6 million and $35.5 million, respectively, primarily as a result of transaction costs and the write-off of capitalized financing costs. For 2007, 2008 and 2009 we recorded a net profit of approximately $1.5 million, a net loss of $141.9 million, and a net loss of $26.6 million respectively. We cannot assure that we will operate profitably in the future. In addition, we may experience significant quarter-to-quarter variations in operating results.
We depend on our key management personnel.
Our senior management team has many years of experience addressing the broad range of concerns and issues relevant to our business. The loss of existing key management or the inability to attract, retain and motivate sufficient numbers of qualified management personnel could have an adverse effect on our business and our ability to execute our growth strategy.
Funds managed by Bain Capital Partners, LLC control us and may have conflicts of interest with us.
Investment funds managed by Bain Capital Partners, LLC which we refer to as Bain Capital, indirectly own, through their ownership in our parent company, substantially all of our capital stock. As a result, Bain Capital has control over our decisions to enter into any corporate transaction regardless of whether our debt holders believe that any such transaction is in their own best interests. For example, Bain Capital could cause us to make acquisitions or pay dividends that increase the amount of indebtedness that is secured or that is senior to our senior subordinated notes or to sell assets.
Additionally, Bain Capital is in the business of making investments in companies and may from time to time acquire and hold interests in businesses that compete directly or indirectly with us. Bain Capital may also pursue acquisition opportunities that may be complementary to our business and, as a result, those acquisition opportunities may not be available to us. So long as investment funds associated with or designated by Bain Capital continue to indirectly own a significant amount of the outstanding shares of our common stock, even if such amount is less than 50%, Bain Capital will continue to be able to strongly influence or effectively control our decisions.
Regulatory Risks
If we fail to comply with extensive laws and government regulations, we could suffer penalties, become ineligible to participate in reimbursement programs, be the subject of federal and state investigations or be required to make significant changes to our operations, which may reduce our revenues, increase our costs and harm our business.
Healthcare service providers are required to comply with extensive and complex laws and regulations at the federal, state and local government levels relating to, among other things:
| licensure, certification and accreditation; |
| handling of controlled substances; |
| adequacy of care, quality of services, qualifications of professional and support personnel; |
| referrals of patients and relationships with physicians; |
| inducements to use healthcare services that are paid for by governmental agencies; |
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| billings for reimbursement from commercial and government payors; |
| confidentiality, maintenance and security issues associated with health-related information and medical records; |
| physical plant planning, construction of new facilities and expansion of existing facilities; |
| state and local land use and zoning requirements; and |
| corporate practice of medicine and fee splitting. |
Failure to comply with these laws and regulations could result in the imposition of significant penalties or require us to change our operations, which may harm our business and operating results. Both federal and state government agencies as well as commercial payors have heightened and coordinated civil and criminal enforcement efforts as part of numerous ongoing investigations of healthcare organizations.
The 2006 Work Plan issued by the OIG includes among the areas that the agency will target for investigation in 2006 a number of services we offer, including Outpatient Alcoholism Services and Freestanding Inpatient Alcoholism Providers. Any investigations of us or our executives or managers could result in significant liabilities or penalties, including possible exclusion from the Medicare or Medicaid programs, as well as adverse publicity.
The following is a discussion of some of the risks relating to specific laws and regulations that apply to us.
Licensure, accreditation and certification
In order to operate our business, our treatment facilities for substance abuse must obtain the required state and federal licenses and certification as well as, in most cases, accreditation from JCAHO or CARF. In addition, such licensure, certification and accreditation are required to receive reimbursement from most commercial and government payors. If our programs are unable to maintain such licensure, certification and accreditation, our revenue may decline, our growth may be limited and our business may be harmed.
Handling of controlled substances
All of our facilities that handle and dispense controlled substances must comply with especially strict federal and state regulations regarding such controlled substances. The potential for theft or diversion of such controlled substances distributed at our facilities for illegal uses has led the federal government as well as a number of states and localities to adopt stringent regulations not applicable to many other types of healthcare providers. Compliance with these regulations is expensive and these costs may increase in the future.
Referrals of patients and relationships with physicians
The federal anti-kickback statute and related regulations prohibit certain offers, payments or receipt of remuneration in return for referring patients covered by Medicaid or other federal healthcare programs or purchasing, leasing, ordering or arranging for or recommending any services, good, item or facility for which payment may be made under a federal healthcare program. Federal physician self-referral legislation, known as the Stark Law, generally prohibits a physician from ordering certain services reimbursable by a federal healthcare program from an entity with which the physician has a financial relationship, unless an exception applies, and prohibits the entity from billing for certain services rendered pursuant to any prohibited referrals. Several of the states in which we operate have laws that are similar to the federal Stark Law and anti-kickback laws and that reach services paid for by private payors and individual patients.
If we fail to comply with the federal anti-kickback statute and its safe harbors, the Stark Law or other related state and federal laws and regulations, we could be subjected to criminal and civil penalties, we could lose our license to operate, and our residential and outpatient treatment programs could be excluded from participation in Medicaid and other federal and state healthcare programs and could be required to repay governmental payors amounts received by our residential and outpatient treatment programs for services resulting from prohibited
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referrals. In lieu of repayment, the OIG may impose civil monetary assessments of three times the amount of each item or service wrongfully claimed. In addition, if we do not operate our treatment facilities in accordance with applicable law, our residential and outpatient treatment programs may lose their licenses or the ability to participate in third-party reimbursement programs.
Coding and billing rules
If we fail to comply with federal and state documentation, coding and billing rules, we could be subject to criminal and civil penalties, loss of licenses, loss of payment for past services and exclusion from Medicaid programs, which could harm us. Approximately 19.9% of our revenue for 2009 consisted of payments from Medicaid and other government programs. In billing for our services to government payors, we must follow complex documentation, coding and billing rules. Failure to follow these rules could result in potential criminal or civil liability under the federal False Claims Act, under which extensive financial penalties can be imposed. It could further result in criminal liability under various federal and state criminal statutes, or in our being ineligible for reimbursement under Medicaid programs. The rules are complex and we submit a large number of claims per year for Medicaid and other federal program payments and we cannot assure that governmental investigators, commercial insurers or whistleblowers will not challenge our practices or that there will be no errors. Any such challenges or errors could result in increased costs and have an adverse effect on our profitability, and could result in a portion of our recorded revenue being uncollectible or subject to repayment to governmental payors.
Privacy and security requirements
There are numerous federal and state regulations such as the federal regulations issued under the Drug Abuse Prevention, Treatment and Rehabilitation Act of 1979 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) addressing patient information privacy and security concerns. Compliance with these regulations can be costly and requires substantial management time and resources. Our failure to comply with HIPAA privacy or security requirements could lead to civil and criminal penalties and our business could be harmed.
In addition, many states impose similar, and in some cases more restrictive, requirements. For example, some states impose laws governing the use and disclosure of health information pertaining to mental health and/or substance abuse issues that are more stringent than the rules that apply to healthcare information generally. As public attention is drawn to the issues of the privacy and security of medical information, states may revise or expand their laws concerning the use and disclosure of health information, or may adopt new laws addressing these subjects. Failure to comply with these laws could expose us to criminal and civil liability, as well as requiring us to restructure certain of our operations.
Changes in state and federal regulation and in the regulatory environment, as well as different or new interpretations of existing regulations, could adversely affect our operations and profitability.
Since our treatment programs and operations are regulated at federal, state and local levels, we could be affected by different regulatory changes in different regional markets. Increases in the costs of regulatory compliance and the risks of noncompliance may increase our operating costs, and we may not be able to recover these increased costs, which may adversely affect our results of operations and profitability.
Also, because many of the current laws and regulations are relatively new, we do not always have the benefit of significant regulatory or judicial interpretation of these laws and regulations. In the future, different interpretations or enforcement of these laws and regulations could subject our current or past practices to allegations of impropriety or illegality or could require us to make changes in our treatment facilities, equipment, personnel, services or capital expenditure programs. A determination that we have violated these laws, or the public announcement that we are being investigated for possible violations of these laws, could adversely affect our business and operating results.
ITEM 1B. | Unresolved Staff Comments |
None.
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ITEM 2. | Properties |
Recovery division. The following tables list our residential treatment facilities, as of December 31, 2009.
Program |
City | State | Owned /Leased | |||
Inpatient Residential Treatment Facilities |
||||||
Azure Acres |
Sebastopol | CA | Owned | |||
Bayside Marin (with multiple licensed treatment programs) |
San Rafael | CA | Leased | |||
Brandywine |
Kennett Square | PA | Owned | |||
Burkwood |
Hudson | WI | Owned | |||
Camp Recovery Center |
Scotts Valley | CA | Owned | |||
Echo Malibu |
Malibu | CA | Leased | |||
Galax Treatment Center |
Galax | VA | Owned | |||
Keystone Treatment Center |
Canton | SD | Owned | |||
Life Healing Center |
Santa Fe | NM | Owned | |||
New Life Lodge |
Burns | TN | Owned | |||
New Life Lodge Extended Care Program |
Burns | TN | Leased | |||
Sierra Tucson |
Tucson | AZ | Leased | |||
Sober Living by the SeaExtended Care |
Newport Beach | CA | Leased | |||
Sober Living by the SeaSunrise Ranch |
Riverside | CA | Leased | |||
Sober Living by the SeaVictorian |
Newport Beach | CA | Leased | |||
Sober Living by the SeaThe Rose |
Newport Beach | CA | Leased | |||
Sober Living by the SeaThe Landing |
Newport Beach | CA | Leased | |||
Starlite Recovery Center |
Center Point | TX | Owned | |||
Twelve Oaks |
Navarre | FL | Owned | |||
Wellness Resource Center |
Boca Raton | FL | Leased | |||
White Deer Run (WDR)Allenwood |
Allenwood | PA | Owned | |||
WDRBlue Mountain |
Blue Mountain | PA | Owned | |||
WDRLancaster |
Lancaster | PA | Leased | |||
WDRLebanon |
Lebanon | PA | Leased | |||
WDRJohnstown New Directions |
Johnstown | PA | Owned | |||
WDRJohnstown Renewal Center |
Johnstown | PA | Leased | |||
WDRTorrance |
Torrance | PA | Leased | |||
WDRWilliamsburg |
Williamsburg | PA | Leased | |||
WDRWilliamsport |
Williamsport | PA | Owned | |||
WDRYork/Adams |
York | PA | Leased | |||
Wilmington Treatment Center |
Wilmington | NC | Owned | |||
Outpatient Treatment Facilities |
||||||
Azure |
Sacramento | CA | Leased | |||
Bayside Marin |
San Rafael | CA | Leased | |||
Camp San Jose |
San Jose | CA | Leased | |||
KeystoneSioux Falls |
Sioux Falls | SD | Leased | |||
Sober LivingCosta Mesa |
Costa Mesa | CA | Leased | |||
WilmingtonMyrtle Beach |
Myrtle Beach | NC | Leased | |||
WilmingtonWilmington |
Wilmington | NC | Leased | |||
WilmingtonShallotte |
Shallotte | NC | Leased | |||
WDRAllentown |
Allentown | PA | Leased | |||
WDRAltoona |
Altoona | PA | Leased | |||
WDRErie |
Erie | PA | Leased | |||
WDRHarrisburg |
Harrisburg | PA | Leased | |||
WDRLewisburg |
Lewisburg | PA | Leased | |||
WDRNew Castle |
New Castle | PA | Leased | |||
WDRPittsburgh |
Pittsburgh | PA | Leased |
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Recovery division. The following table lists our comprehensive treatment centers by state and number, as of December 31, 2009.
State |
Clinics | Owned / Leased | ||
California |
12 | All clinics leased | ||
Delaware |
1 | All clinics leased | ||
Georgia |
1 | Leased | ||
Indiana |
5 | All clinics leased | ||
Kansas |
1 | Leased | ||
Louisiana |
1 | Leased | ||
Maryland |
3 | All clinics leased | ||
North Carolina |
3 | All clinics leased | ||
Oregon |
5 | All clinics leased | ||
Pennsylvania |
2 | All clinics leased | ||
Tennessee |
1 | Leased | ||
Virginia |
3 | All clinics leased | ||
Washington |
4 | All clinics leased | ||
West Virginia |
7 | All leased except for one owned property | ||
Wisconsin |
5 | All clinics leased | ||
Total |
54 | |||
Healthy living division. The following table lists our youth treatment programs within our healthy living division as of December 31, 2009.
Program |
City | State | Owned /Leased | |||
Residential Treatment Centers |
||||||
Aspen Institute for Behavioral Assessment |
Syracuse | UT | Leased | |||
Aspen Ranch |
Loa | UT | Leased | |||
Island View |
Syracuse | UT | Leased | |||
Pine Ridge Academy |
Jordan | UT | Leased | |||
SunHawk Adolescent Recovery Center |
St George | UT | Leased | |||
Turn-About Ranch |
Escalante | UT | Owned/Leased | |||
Youth Care |
Draper | UT | Owned/Leased | |||
Therapeutic Boarding Schools |
||||||
Academy at Swift River |
Cummington | MA | Leased | |||
Bromley Brook School |
Manchester | VT | Leased | |||
Copper Canyon Academy |
Rimrock | AZ | Leased | |||
New Leaf Academy of Oregon |
Bend | OR | Leased | |||
New Leaf Academy of North Carolina |
Hendersonville | NC | Leased | |||
NorthStar Center |
Bend | OR | Leased | |||
Oakley School |
Oakley | UT | Leased | |||
Stone Mountain School |
Black Mountain | NC | Leased | |||
Special Learning Needs |
||||||
Camp Huntington |
High Falls | NY | Leased | |||
Talisman Summer Camps |
Zirconia | NC | Leased | |||
Outdoor Programs |
||||||
Adirondack Leadership Expeditions |
Saranac Lake | NY | Leased | |||
Aspen Achievement Academy |
Loa | UT | Leased | |||
Four Circles Recovery Center |
Horseshoe | NC | Leased | |||
Outback Therapeutic Expeditions |
Loa | UT | Leased | |||
Passages to Recovery |
Loa | UT | Leased | |||
SUWS of the Carolinas / Phoenix Outdoor |
Old Fort | NC | Leased | |||
SUWS of Idaho |
Shoshone | ID | Leased |
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Healthy living division. The following table lists our eating disorder facilities, residential weight management program, and weight management schools and camps as of December 31, 2009.
Program |
City | State | Owned /Leased | |||
Eating Disorder Facilities |
||||||
Montecatini |
Carlsbad | CA | Owned | |||
Montecatini IOP |
Carlsbad | CA | Leased | |||
Center for Hope of the Sierras |
Reno | NV | Owned/Leased | |||
Carolina House |
Durham | NC | Owned | |||
Residential Weight Management Program |
||||||
Structure House |
Durham | NC | Owned | |||
Weight Management Schools and Camps |
||||||
Wellspring Academy of the Carolinas |
Brevard | NC | Leased | |||
Wellspring Academy of California |
Reedley | CA | Leased | |||
Wellspring Adventure Camp NC |
Canton | NC | Leased | |||
Wellspring Family Camp |
Village of Pinehurst | NC | Leased | |||
Wellspring California |
La Jolla | CA | Leased | |||
Wellspring Florida |
St. Petersburg | FL | Leased | |||
Wellspring Hawaii |
Captain Cook | HI | Leased | |||
Wellspring New York |
Saranac Lake | NY | Leased | |||
Wellspring Pennsylvania |
Saltsburg | PA | Leased | |||
Wellspring Texas |
San Marcos | TX | Leased | |||
Wellspring Wisconsin |
Platteville | WI | Leased | |||
Wellspring UK |
Exeter | UK | Leased | |||
Wellspring Vancouver |
Vancouver, BC | Canada | Leased |
Our properties are owned and or leased by our recovery division and healthy living division. All owned property is subject to a security interest under our senior secured credit facility. We believe that our existing properties are in good condition and are suitable for the conduct of our business.
ITEM 3. | Legal Proceedings |
We are subject to various claims and legal actions that arise in the ordinary course of our business. In the opinion of management, we are not currently a party to any proceeding that could have a material adverse effect on our financial condition or results of operations.
ITEM 4. | Reserved |
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ITEM 5. | Market for the Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities |
There is no established public trading market for our common stock. We are a wholly owned subsidiary of CRC Health Group, Inc. which holds all of our outstanding common stock.
ITEM 6. | Selected Financial Data |
On February 6, 2006, investment funds managed by Bain Capital Partners, LLC (Bain Capital) acquired CRC Health Group, Inc. for a total cash consideration of approximately $742.3 million (including acquisition and financing transactions related fees and expenses of $28.5 million). As a result of the acquisition, Bain Capital received control of the Company. We refer to our acquisition by Bain Capital and the related financings as the Transactions.
Set forth below is selected historical consolidated financial information at the dates and for the periods indicated. The summary of historical financial information as of and for the years ended December 31, 2009, 2008, 2007, 2006 and 2005 has been derived from our audited financial statements. The date of the purchase of our company by investment funds managed by Bain Capital was February 6, 2006, but for accounting purposes and to coincide with our normal financial accounting closing dates, we have utilized February 1, 2006, as the effective date of the close of the transaction. As a result, we have reported operating results and financial position for all periods presented prior to February 1, 2006 as those of the Predecessor Company (Predecessor) and for all periods from and after February 1, 2006 as those of the Successor Company (Successor) due to the resulting change in the basis of accounting. For the purpose of presenting a comparison of our 2006 results to all other years, we have presented the year ended December 31, 2006 as the mathematical addition of our operating results for January 2006 to the operating results of the eleven months ended December 31, 2006. This approach is not consistent with generally accepted accounting principles and may yield results that are not strictly comparable on a period-to-period basis primarily due to the impact of purchase accounting entries recorded as a result of the Transactions. For purposes of this managements discussion and analysis of financial condition and results of operations, however, management believes that it is the most meaningful way to present our results of operations for the year ended December 31, 2006.
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The selected historical financial information should be read in conjunction with Item 7, Managements Discussion and Analysis of Financial Condition and Results of Operations and our consolidated financial statements and the accompanying notes thereto included in Item 8, Financial Statements and Supplementary Data, which are included elsewhere in this Annual Report on Form 10-K. Historical results are not necessarily indicative of results to be expected for future periods.
Successor | Predecessor | |||||||||||||||||||||||||||||
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
Combined Year Ended December 31, 2006 |
Eleven Months Ended December 31, 2006 |
One Month Ended January 31, 2006 |
Year Ended December 31, 2005 |
||||||||||||||||||||||||
Statement of Operations Data: |
||||||||||||||||||||||||||||||
Net revenue |
$ | 429,590 | $ | 454,204 | $ | 429,711 | $ | 263,440 | $ | 243,962 | $ | 19,478 | $ | 204,834 | ||||||||||||||||
Operating expenses (1) |
$ | 399,169 | $ | 536,121 | $ | 368,241 | $ | 255,100 | $ | 197,211 | $ | 57,889 | $ | 156,718 | ||||||||||||||||
Operating income (loss) |
$ | 30,421 | $ | (81,917 | ) | $ | 61,470 | $ | 8,340 | $ | 46,751 | $ | (38,411 | ) | $ | 48,116 | ||||||||||||||
Interest expense |
(44,158 | ) | (54,104 | ) | (60,262 | ) | (43,844 | ) | (41,338 | ) | (2,506 | ) | (19,744 | ) | ||||||||||||||||
Gain on debt repurchase and other financing costs |
| 8,086 | | (10,655 | ) | | (10,655 | ) | (2,185 | ) | ||||||||||||||||||||
Other (expense) income |
(82 | ) | 1 | (1,771 | ) | 167 | 112 | 55 | 2,232 | |||||||||||||||||||||
Loss from continuing operations before income taxes |
$ | (13,819 | ) | $ | (127,934 | ) | $ | (563 | ) | $ | (45,992 | ) | $ | 5,525 | $ | (51,517 | ) | $ | 28,419 | |||||||||||
Income tax expense (benefit) |
4,016 | (6,276 | ) | 1,007 | (9,800 | ) | 2,672 | (12,472 | ) | 10,741 | ||||||||||||||||||||
(Loss) income from continuing operations, net of tax |
$ | (17,835 | ) | $ | (121,658 | ) | $ | (1,570 | ) | $ | (36,192 | ) | $ | 2,853 | $ | (39,045 | ) | $ | 17,678 | |||||||||||
(Loss) income from discontinued operations, net of tax |
(8,826 | ) | (20,400 | ) | 3,223 | 683 | 631 | 52 | 323 | |||||||||||||||||||||
Net (loss) income |
$ | (26,661 | ) | $ | (142,058 | ) | $ | 1,653 | $ | (35,509 | ) | $ | 3,484 | $ | (38,993 | ) | $ | 18,001 | ||||||||||||
Less: net (loss) income attributable to the noncontrolling interest |
(62 | ) | (153 | ) | 189 | (38 | ) | (38 | ) | | | |||||||||||||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | $ | (35,471 | ) | $ | 3,522 | $ | (38,993 | ) | $ | 18,001 | ||||||||||||
Amounts attributable to CRC Health Corporation: |
||||||||||||||||||||||||||||||
(Loss) income from continuing operations, |
$ | (17,778 | ) | $ | (121,496 | ) | $ | (1,759 | ) | $ | (36,154 | ) | $ | 2,891 | $ | (39,045 | ) | $ | 18,001 | |||||||||||
Discontinued operations, |
(8,821 | ) | (20,409 | ) | 3,223 | 683 | 631 | 52 | | |||||||||||||||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | $ | (35,471 | ) | $ | 3,522 | $ | (38,993 | ) | $ | 18,001 | ||||||||||||
Successor | Predecessor | |||||||||||||||||||||||||
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
Eleven Months Ended December 31, 2006 |
One Month Ended January 31, 2006 |
Year Ended December 31, 2005 |
|||||||||||||||||||||
Balance Sheet Data (at period end): |
||||||||||||||||||||||||||
Working capital (2) |
$ | (15,285 | ) | $ | (14,468 | ) | $ | (56,539 | ) | $ | (18,730 | ) | $ | 2,284 | ||||||||||||
Property and equipment, net |
125,215 | 129,728 | 122,937 | 94,976 | 49,074 | |||||||||||||||||||||
Cash and cash equivalents |
4,982 | 2,540 | 5,118 | 4,206 | 5,077 | |||||||||||||||||||||
Total assets |
1,108,334 | 1,169,175 | 1,322,291 | 1,288,788 | 424,154 | |||||||||||||||||||||
Long-term debt |
631,076 | 653,152 | 648,367 | 626,528 | 259,931 | |||||||||||||||||||||
Mandatorily redeemable stock |
| | | | 115,625 | |||||||||||||||||||||
Shareholders equity |
288,542 | 303,222 | 445,749 | 437,174 | 11,985 | |||||||||||||||||||||
Other Financial Data: |
||||||||||||||||||||||||||
Cash paid for interest |
$ | 42,707 | $ | 51,758 | $ | 56,418 | $ | 29,118 | $ | 1,336 | $ | 18,101 | ||||||||||||||
Depreciation and amortization |
22,857 | 21,971 | 21,373 | 10,112 | 360 | 3,836 | ||||||||||||||||||||
Capital expenditures |
12,999 | 25,279 | 30,159 | 14,189 | 411 | 11,480 | ||||||||||||||||||||
Cash flows from operating activities |
37,028 | 24,176 | 56,420 | (4,486 | ) | 1,201 | 23,902 | |||||||||||||||||||
Cash flows from investing activities |
(12,378 | ) | (39,645 | ) | (70,947 | ) | (746,811 | ) | (315 | ) | (159,228 | ) | ||||||||||||||
Cash flows from financing activities |
(22,208 | ) | 12,891 | 15,439 | 755,080 | (5,540 | ) | 129,840 |
(1) | Operating expenses for the one month ended January 31, 2006 and the twelve months ended December 31, 2006 includes $43.7 million in acquisition related costs incurred in connection with the purchase of our company by Bain Capital. During the years ended December 31, 2009 and 2008, the Company recognized $30.5 million and $142.2 million in non-cash goodwill impairment charges related to its healthy living division. |
(2) | We define working capital as our current assets (including cash and cash equivalents) minus our current liabilities, which includes the current portion of long-term debt and accrued interest thereon. |
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ITEM 7. | Managements Discussion and Analysis of Financial Condition and Results of Operations |
The following discussion should be read in conjunction with the Consolidated Financial Statements and the related notes that appear elsewhere in this Annual Report.
Unless the context otherwise requires, in this managements discussion and analysis of financial condition and results of operations, the terms our company, we, us, the Company and our refer (i) for periods prior to the consummation of the Transactions, to CRC Health Group, Inc. and its consolidated subsidiaries and (ii) for periods following the consummation of the Transactions, to CRC Health Corporation and its consolidated subsidiaries following the mergers described below as The Transactions.
On February 6, 2006, investment funds managed by Bain Capital Partners, LLC (Bain Capital) acquired CRC Health Group, Inc. for a total cash consideration of approximately $742.3 million (including acquisition and financing transactions related fees and expenses of $28.5 million). As a result of the acquisition, Bain Capital received control of the Company.
OVERVIEW
We are a leading provider of substance abuse treatment services and youth treatment services in the United States. We also provide treatment services for other addiction diseases and behavioral disorders such as eating disorders. We deliver our services through our two divisions, the recovery division and the healthy living division. Our recovery division provides our substance abuse and behavioral disorder treatment services through our residential treatment facilities and outpatient treatment clinics. Our healthy living division provides education to underachieving young people through residential schools and wilderness programs. Our healthy living division also provides treatment services through adolescent and adult weight management programs as well as eating disorder facilities.
We have two operating segments: recovery division and healthy living division. As of December 31, 2009, our recovery division, which operates 31 inpatient, 15 outpatient facilities, and 54 comprehensive treatment centers (CTCs) in 21 states, provides treatment services to patients suffering from chronic addiction related diseases and related behavioral disorders. As of December 31, 2009, our recovery division treated approximately 27,500 patients per day. As of December 31, 2009, our healthy living division, which operates 24 adolescent and young adult programs in 8 states, provides a wide variety of therapeutic educational programs for underachieving young people. Our healthy living division also operates 18 facilities in 9 states inclusive of one facility each in the United Kingdom and Canada with a focus on providing treatment services for eating disorders and weight management. Other activities classified as corporate represent revenue and expenses associated with eGetgoing, an online internet treatment option, and general and administrative expenses (i.e., expenses associated with our corporate offices in Cupertino, California, which provides management, financial, human resource and information system support) and stock-based compensation expense that are not allocated to the segments.
Management uses segment profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Intersegment sales and transfers are insignificant. We report in two segments: recovery division, healthy living division. In addition to the two reportable segments, the Company has activities classified as Corporate which represent revenue and expenses associate with eGetgoing, an online internet treatment option, as well as certain corporate-level operating general and administrative costs. The recovery division includes all inpatient and outpatient drug and alcohol treatment programs consistent with our long-term objective of being a full spectrum chemical dependency provider that integrates the best of the various treatment modalities into a seamless web of service. The healthy living division includes adolescent residential and outdoor programs as well as eating disorders and adult weight management facilities and adolescent weight management programs.
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Basis of Presentation
The accompanying financial data has been prepared by us pursuant to the rules and regulations of the U.S. Securities and Exchange Commission (SEC) and is in conformity with U.S. generally accepted accounting principles (GAAP). Our fiscal year end is December 31. Unless otherwise stated, all years and dates refer to our fiscal year.
Management is responsible for the fair presentation of the accompanying consolidated financial statements, prepared in accordance with GAAP, and has full responsibility for their integrity and accuracy. In the opinion of management, the accompanying consolidated financial statements contain all adjustments necessary to present fairly our consolidated balance sheets, statements of operation, statements of cash flows and statements of changes in equity for all periods presented.
Principles of consolidation. The consolidated financial statements include the accounts of the Company and our wholly owned subsidiaries. All significant intercompany accounts and transactions have been eliminated. Certain reclassifications have been made to the prior year consolidated statements of operations to conform to the 2009 presentation. The Company combined other revenue into net client service revenue to represent how the Company currently manages its business.
Discontinued Operations. We have reflected certain facility closures, and facilities held for sale, as discontinued operations in our consolidated statements of operations for all periods presented and as discontinued operations, facility exits for 2009.
Acquisitions
2009 Acquisitions
We did not complete any acquisitions during the year ended December 31, 2009.
2008 Acquisitions
During the third quarter of 2008, we closed two acquisitions and paid approximately $11.6 million in cash. The acquisitions are intended to provide expansion of the Companys services within the respective corresponding markets of the acquired facilities in the United States.
2007 Acquisitions
Our 2007 acquisitions reflect our strategic plan for expanding the services offered by our operating divisions. We completed four acquisitions in 2007 and paid approximately $32.9 million in cash. The acquisitions are intended to expand our range of services into new geographic regions in the United States.
EXECUTIVE SUMMARY
We generate revenue by providing substance abuse treatment services and adolescent treatment services in the United States. We also generate revenue by providing treatment services for other specialized behavioral disorders. Revenue is recognized when rehabilitation and treatment services are provided to a patient. Client service revenue is reported at the estimated net realizable amounts from clients, third-party payors and others for services rendered. Revenue under third-party payor agreements is subject to audit and retroactive adjustment. Provisions for estimated third-party payor settlements are provided for in the period the related services are rendered and adjusted in future periods as final settlements are determined. Revenue for therapeutic educational services provided to adolescent services consists primarily of tuition, enrollment fees, alumni services and ancillary charges. Tuition revenue and ancillary charges are recognized based on contracted monthly/daily rates as services are rendered. The enrollment fees for service contracts that are charged upfront are deferred and
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recognized over the average student length of stay, approximately nine months. Alumni fees revenue represents upfront fees for post graduation services and these fees are deferred and recognized systematically over the contracted life, which is twelve months. During the years ended December 31, 2009 and December 31, 2008, we generated 80.1% and 83.6% of our net revenue from non-governmental sources, including 64.3% and 68.5% from self payors, respectively, and 15.8% and 15.1% from commercial payors, respectively. Substantially all of our government program net revenue was received from multiple counties and states under Medicaid and similar programs.
During the year ended December 31, 2009 our consolidated same-facility net revenue decreased $28.0 million or 6.2% compared to an increase of $10.2 million or 2.4% for the same period in 2008. Same-facility refers to the comparison of each facility owned during the periods 2009 compared to 2008 and 2008 compared to 2007.
Our operating expenses include salaries and benefits, supplies, facilities and other operating costs, provision for doubtful accounts, depreciation and amortization and acquisition related costs. Operating expenses for our recovery and healthy living divisions exclude corporate level general and administrative costs (i.e., expenses associated with our corporate offices in Cupertino, California, which provide management, financial, human resources and information systems support), stock-based compensation expense and expenses associated with eGetgoing.
Effective April 1, 2009, the Company created a private loan program (the Loan Program) pursuant to which students and/or patients (the Borrowers) who meet predetermined credit standards can obtain third-party financing to pay a portion of the cost of participating in certain of our programs. The Company initiated this program in response to the lack of credit availability for our students/patients, particularly in the healthy living division, to secure financing to access our services. The Board of Directors has approved a loan pool of up to $20.0 million for 2009 and 2010.
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
Long-Lived Assets The Company tests its long-lived assets and intangible assets subject to amortization for impairment whenever events or changes in circumstances indicate that the carrying value of certain of its assets may not be recoverable. If the undiscounted future cash flows from the asset tested are less than the carrying value, a loss equal to the difference between the carrying value and the fair market value of the asset is recorded.
The Companys analysis of its undiscounted cash flows requires judgment with respect to many factors, including future cash flows, success at executing its business strategy, and future revenue and expense growth rates. It is possible that the Companys estimates of undiscounted cash flows may change in the future resulting in the need to reassess the carrying value of its long-lived assets for impairment.
Goodwill and Other Intangible Assets The Company tests goodwill and indefinite lived intangible assets for impairment annually, at the beginning of its fourth quarter or more frequently if evidence of possible impairment arises.
The Company performs a two-step impairment test on goodwill. In the first step, the Company compares the fair value of the reporting unit being tested to its carrying value. The Companys reporting units are consistent with the operating segments identified in Note 20 to the consolidated financial statements. The Company determines the fair value of its reporting units using a combination of income approach and a market approach. Under the income approach, the Company calculates the fair value of a reporting unit based on the present value of estimated future cash flows. Under the market approach, the Company estimates fair value based on what investors have paid for similar interests in comparable companies through the development of ratios of market prices to various earnings indications of comparable companies taking into consideration adjustments for growth prospects, debt levels and
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overall size. If the fair value of the reporting unit exceeds the carrying value of the net assets assigned to that unit, goodwill is not impaired and the Company is not required to perform further testing. If the carrying value of the net assets assigned to the reporting unit exceeds the fair value of the reporting unit, then the Company must perform the second step of the impairment test in order to determine the implied fair value of the reporting units goodwill. If the carrying value of a reporting units goodwill exceeds its implied fair value, then the Company records an impairment loss equal to the difference. During 2009, the Company tested its recovery reporting unit for possible impairment in accordance with its annual goodwill impairment testing policy. The Company determined that the fair value of its recovery reporting unit exceeded its carrying value by approximately 165%. Accordingly, the Company determined that the second step of goodwill impairment testing was not required. As a result of impairment testing at December 31, 2009, the Company determined that the carrying value of its healthy living reporting unit exceeded the reporting units fair value by approximately 4.5%. The Company recognized a non-cash goodwill impairment loss of $6.2 million. In addition, the Company recorded an impairment loss of $24.3 million in the healthy living reporting unit related to goodwill impairment testing during the third quarter of 2009. At December 31, 2009, the Companys healthy living reporting unit had $72.1 million in goodwill recorded on the consolidated balance sheet. Future declines in value may result in additional impairment charges.
The process of evaluating the potential impairment of goodwill is subjective and requires significant estimates and assumptions at many points during the analysis. The Companys estimated future cash flows are based on assumptions that are consistent with its annual planning process and include estimates for revenue and operating margins and future economic and market conditions. Actual future results may differ from those estimates. The Company bases its fair value estimates on assumptions it believes to be reasonable at the time, but that are unpredictable and inherently uncertain. In addition, the Company makes certain judgments and assumptions in allocating shared assets and liabilities to determine the carrying values for each of its reporting units tested.
Changes in assumptions or circumstances could result in an additional impairment in the period in which the change occurs and in future years. Factors which could cause the Company additional goodwill impairment include, but are not limited to:
1. | Decreases in revenues |
2. | Increases in the Companys borrowing rates or weighted average cost of capital |
3. | Increase in the blended tax rate |
4. | Changes in its working capital |
5. | Significant alteration of market multiples utilized in the valuation process |
6. | Significant decrease in market value of comparable companies |
Revenue Recognition Revenue is recognized when rehabilitation and treatment services are provided to a patient. Client service revenue is reported at the estimated net realizable amounts from clients, third-party payors and others for services rendered. Revenue under third-party payor agreements is subject to audit and retroactive adjustment. Provisions for estimated third-party payor settlements are provided for in the period the related services are rendered and adjusted in future periods as final settlements are determined. Revenue for educational services provided by the Companys healthy living division consists primarily of tuition, enrollment fees, alumni services and ancillary charges. Tuition revenue and ancillary charges are recognized based on contracted monthly/daily rates as services are rendered. The enrollment fees for service contracts that are charged upfront are deferred and recognized over the average student length of stay, approximately nine months. Alumni fees revenue represents non-refundable upfront fees for post-graduation services and these fees are deferred and recognized systematically over the contracted life, which is twelve months. The Company, from time to time, may provide charity care to a limited number of clients. The Company does not record revenues or receivables for charity care provided. Advance billings for client services are deferred and recognized as the related services are performed.
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Stock-Based Compensation The Company measures and recognizes compensation expense for all stock-based payment awards, including employee stock options, granted after January 1, 2006, based on the grant-date fair value. The Company estimates grant date fair value of its awards by utilizing the Black Scholes Merton model for time-based awards and a closed-form lattice model for awards containing market conditions.
Income Taxes The Company accounts for income taxes under an asset and liability method. Under this method, deferred income tax assets and liabilities are determined based upon the difference between the financial statement carrying amounts and tax bases of assets and liabilities using tax rates in effect when the differences are expected to reverse. A valuation allowance is established when necessary to reduce deferred tax assets to the amounts expected to be realized. For U.S. federal tax return purposes, the Company is part of a consolidated tax return with its Parent, CRC Health Group, Inc. However, the Companys provision for income taxes is prepared on a stand-alone basis.
Interest Rate Swaps Interest rate swaps are used exclusively in the management of the Companys interest rate exposures and are recorded on the balance sheet at fair value. As part of its hedging strategy, the Company has designated its interest rate swaps as cash flow hedges.
The fair value of the interest rate swaps are estimated based upon terminal value models. If the swaps are designated as a cash flow hedge, the effective portions of changes in the fair value of the swap are recorded in other comprehensive income. Ineffective portions of changes in the fair value of cash flow hedges are recognized in earnings. Additionally, reclassifications of deferred gains or losses related to ineffectiveness of interest rate swaps are recognized as interest expense on the consolidated statement of operations. If the swaps are not designated as cash flow hedges, the changes in the fair value of the swaps are recorded in other income (expense) on the consolidated statement of operations. See Note 9.
Recently Issued Accounting Guidance In January 2010, the FASB issued updated authoritative guidance, which, among other things, requires entities to separately present purchases, sales, issuances, and settlements in their reconciliation of Level 3 fair value measurements (i.e., to present such items on a gross basis rather than on a net basis), and which clarifies existing disclosure requirements regarding the level of disaggregation and the inputs and valuation techniques used to measure fair value for measurements that fall within either Level 2 or Level 3 of the fair value hierarchy. The updated guidance is effective for interim and annual periods beginning after December 15, 2009, except for the disclosures about purchases, sales, issuances, and settlements in the roll forward of activity in Level 3 fair value measurements (which are effective for fiscal years beginning after December 15, 2010, and for interim periods within those fiscal years). The Company is currently assessing the impact that the adoption of the updated guidance will have on the consolidated financial statement disclosures.
During the third quarter of 2009, the Company adopted the new Accounting Standards Codification (ASC) as issued by the Financial Accounting Standards Board (FASB). The ASC has become the source of authoritative U.S. GAAP recognized by the FASB to be applied by nongovernmental entities. The ASC is not intended to change or alter existing GAAP. The adoption of the ASC did not have a material impact on the Companys consolidated financial statements.
In August 2009, the FASB issued a new accounting standard which provides additional guidance on the measurement of liabilities at fair value. Specifically, when a quoted price in an active market for the identical liability is not available, the new standard requires that the fair value of a liability be measured using one or more of the valuation techniques that should maximize the use of relevant observable inputs and minimize the use of unobservable inputs. In addition, an entity is not required to include a separate input or adjustment to other inputs relating to the existence of a restriction that prevents the transfer of a liability. We adopted this standard in the fourth quarter of 2009 and the adoption did not have a material impact on our consolidated financial statements.
In May 2009, the FASB issued new accounting and disclosure guidance for recognized and non-recognized subsequent events that occur after the balance sheet date but before financial statements are issued. The new
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guidance required disclosure of the date through which an entity has evaluated subsequent events and the basis for that date. The new accounting guidance was effective for the Company beginning with three and six months ended June 30, 2009. The guidance was subsequently amended in February 2010 and is being applied prospectively. Under the amended guidance, the Company is required to evaluate for subsequent events through the date the financial statements are issued. We adopted the amended guidance in February 2010. This change in accounting policy had no impact on the consolidated financial statements.
On January 1, 2009, we adopted a new standard in regard to noncontrolling interests in consolidated financial statements. This standard establishes new accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. It clarifies that a noncontrolling interest in a subsidiary (minority interest) is an ownership interest in the consolidated entity that should be reported as equity in the consolidated financial statements and separate from the parent companys equity. This statement also requires disclosure, on the face of the consolidated statements of operations, of the amounts of consolidated net income attributable to the parent and to the noncontrolling interest. These disclosure requirements have been applied retrospectively to all periods presented. The adoption of this standard impacted certain captions previously used on the consolidated statements of operations, largely identifying net income including noncontrolling interests and net income attributable to CRC Health Corporation. Certain captions on the consolidated balance sheets and consolidated statements of cash flows have also changed.
In March 2008, the FASB amended existing disclosure requirements related to derivative and hedging activities, which became effective for the Company on January 1, 2009, and is being applied prospectively. As a result of the amended disclosure requirements, the Company is required to provide expanded qualitative and quantitative disclosures about derivatives and hedging activities in each interim and annual period. The adoption of the new disclosure requirements had no material impact on the consolidated financial statements.
In December 2007, the FASB amended its guidance on accounting for business combinations. The new accounting guidance resulted in a change in the Companys accounting policy effective January 1, 2009, and is being applied prospectively to all business combinations subsequent to the effective date. Among other things, the new guidance amends the principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed, any noncontrolling interest in the acquiree and the goodwill acquired. It also establishes new disclosure requirements to enable the evaluation of the nature and financial effects of the business combination. The adoption of this new accounting policy did not have a significant impact on the consolidated financial statements, and the impact it will have on the consolidated financial statements in future periods will depend on the nature and size of business combinations completed subsequent to the date of adoption.
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RESULTS OF OPERATIONS
The following table presents our results of operations by reportable segments for the years ended December 31, 2009, 2008 and 2007 (dollars in thousands, except for percentages; percentages are calculated as percentage of total net revenue).
Years Ended December 31, | |||||||||||||||||||||
2009 | % | 2008 | % | 2007 | % | ||||||||||||||||
Statement of Operations Data: |
|||||||||||||||||||||
Net revenue: |
|||||||||||||||||||||
Recovery division |
$ | 311,835 | 72.6 | % | $ | 309,379 | 68.1 | % | $ | 286,091 | 66.6 | % | |||||||||
Healthy living division |
117,515 | 27.3 | % | 144,507 | 31.8 | % | 143,194 | 33.3 | % | ||||||||||||
Corporate |
240 | 0.1 | % | 318 | 0.1 | % | 426 | 0.1 | % | ||||||||||||
Total net revenue |
429,590 | 100.0 | % | 454,204 | 100.0 | % | 429,711 | 100.0 | % | ||||||||||||
Operating expenses: |
|||||||||||||||||||||
Recovery division |
214,436 | 49.9 | % | 224,446 | 49.4 | % | 206,204 | 48.0 | % | ||||||||||||
Healthy living division |
153,098 | 35.6 | % | 282,491 | 62.2 | % | 135,467 | 31.5 | % | ||||||||||||
Corporate |
31,635 | 7.4 | % | 29,184 | 6.4 | % | 26,570 | 6.2 | % | ||||||||||||
Total operating expenses |
399,169 | 92.9 | % | 536,121 | 118.0 | % | 368,241 | 85.7 | % | ||||||||||||
Operating income (loss): |
|||||||||||||||||||||
Recovery division |
97,399 | 22.7 | % | 84,933 | 18.7 | % | 79,887 | 18.6 | % | ||||||||||||
Healthy living division |
(35,583 | ) | (8.3 | )% | (137,984 | ) | (30.4 | )% | 7,727 | 1.8 | % | ||||||||||
Corporate |
(31,395 | ) | (7.3 | )% | (28,866 | ) | (6.4 | )% | (26,144 | ) | (6.1 | )% | |||||||||
Operating income (loss) |
30,421 | 7.1 | % | (81,917 | ) | (18.1 | )% | 61,470 | 14.3 | % | |||||||||||
Interest expense |
(44,158 | ) | (54,104 | ) | (60,262 | ) | |||||||||||||||
Gain on debt repurchase |
| 8,086 | | ||||||||||||||||||
Other income (expense) |
(82 | ) | 1 | (1,771 | ) | ||||||||||||||||
Loss from continuing operations before income taxes |
(13,819 | ) | (127,934 | ) | (563 | ) | |||||||||||||||
Income tax expense (benefit) |
4,016 | (6,276 | ) | 1,007 | |||||||||||||||||
Loss from continuing operations, net of tax |
(17,835 | ) | (121,658 | ) | (1,570 | ) | |||||||||||||||
(Loss) income from discontinued operations (net of tax (benefit) expense of ($4,961) in 2009, ($10,855) in 2008, and $2,136 in 2007, respectively) |
(8,826 | ) | (20,400 | ) | 3,223 | ||||||||||||||||
Net (loss) income |
(26,661 | ) | (142,058 | ) | 1,653 | ||||||||||||||||
Less: net (loss) income attributable to the noncontrolling interest |
(62 | ) | (153 | ) | 189 | ||||||||||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | |||||||||||||
Amounts attributable to CRC Health Corporation: |
|||||||||||||||||||||
Loss from continuing operations, net of tax |
$ | (17,778 | ) | (121,496 | ) | (1,759 | ) | ||||||||||||||
Discontinued operations, net of tax |
(8,821 | ) | (20,409 | ) | 3,223 | ||||||||||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | |||||||||||||
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Continuing Operations Year Ended December 31, 2009 Compared to Continuing Operations Year Ended December 31, 2008
Consolidated net revenue decreased $24.6 million, or 5.4%, to $429.6 million in 2009 from $454.2 million in 2008. Of the total net revenue decrease, healthy living division net revenue decreased $27.0 million, or 18.7% year over year. On a consolidated basis, the decline in healthy living revenue was partially offset by a net revenue increase of $2.5 million or 0.8% within the recovery division year over year. Recovery division revenue growth is primarily attributable to increases of $6.9 million and $0.2 million in comprehensive treatment centers (CTCs) and outpatient facilities, respectively offset by revenue decreases in residential treatment centers of $4.6 million. Of the $27.0 million decrease in healthy living division revenue, $14.8 million is primarily attributable to residential schools, $10.1 million in outdoor programs, and $1.9 million in weight management. The Companys healthy living division revenue has continued to be adversely affected by the negative economic environment which has impacted the ability of families to access the credit markets and student loan programs to fund the tuition. During 2009, the Company initiated its own student loan program to facilitate credit to eligible families for purchase of the Companys client services. At December 31, 2009, the Company had facilitated client service financing for approximately $4.0 million in loans to enable eligible clients to obtain services from the Companys healthy living division.
Healthy living division same-facility net revenue decreased $27.8 million, or 19.3%, due to a $14.8 million decrease in same-facility residential boarding schools, $10.1 million decrease in outdoor camps, and $2.8 million decrease in weight management. Same-facility revenue growth in the recovery division decreased $0.2 million. The decrease was primarily due to a same-facility decrease of $7.4 million, or 3.7% in residential facilities offset by increases of $7.0 million, or 6.6% in CTCs and $0.2 million in outpatient services.
Consolidated operating expenses decreased $137.0 million, or 25.5%, to $399.2 million from $536.1 million in the same period of 2008. Of the $137.0 million decrease in operating expenses, the recovery division incurred a decrease of $10.0 million, or 4.5%. The healthy living division incurred a decrease of $129.4 million, or 45.8%. Consolidated operating expense decreases are primarily driven by a $4.5 million decrease in non-cash intangible asset impairment charges within the recovery division as well as by a $111.7 million decrease in non-cash goodwill impairment charges within the healthy living division to $30.5 million in 2009 from $142.2 in 2008. The remaining decrease of $20.8 million in consolidated operating expenses reflects the effect of expense controls and cost reduction efforts across the Company.
Without considering the effects of impairments, recovery division and healthy living division operating expenses decreased $5.5 million or 2.5% and $19.9 million or 14.2% respectively. Of the $5.5 million recovery division operating expense decrease, $2.9 million and $1.1 million were due to salary and benefits expenses decreases in residential facilities and CTCs respectively. Additionally, supplies facilities and other costs decreased by $2.4 million and $0.3 million within residential facilities and CTCs respectively. The decreases in recovery division operating expenses were partially offset by a non-cash revenue reclassification of $1.3 million into bad debt expense. Without considering impairment effects, operating expenses within the healthy living division decreased $19.9 million of which $12.6 million are attributable to decreases in salaries and benefits as well as to decreases of $6.6 million in supplies, facilities and other expenses.
Corporate operating expenses increased $2.5 million, or 8.4% due to increases of $2.5 million in salaries and benefits with the remaining increase due to a $1.2 million increase in depreciation expenses offset by a decrease of $1.3 million in supplies, facilities, and other costs. The $2.5 million increase in salaries and benefits was attributable to salary increases of $2.0 million due to the consolidation of certain healthy living division administrative functions into the corporate administrative function and by a $0.5 million actuarial reserve for the Companys self-insured medical program. Stock compensation expense decreased by $0.5 million year over year.
Without considering the effects of impairments, recovery division same-facility decrease in operating expenses was $6.9 million, or 3.4% of which $4.0 million and $1.1 million was related to salary decreases within residential facilities and CTCs respectively driven by cost controls across the Company. Additionally, decreases
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of $3.2 million and $0.3 million in supplies, facilities and other costs within residential facilities and CTCs, respectively, further contributed to the decrease partially offset by increases of $1.5 million and $0.2 million in allowance for doubtful accounts and depreciation and amortization expenses, respectively, within residential facilities. Healthy living same-facility operating expenses decreased $16.9 million or 13.8% due to decreases of $10.8 million, and $6.4 million in salaries and supplies, facilities, and other costs respectively slightly offset by net increases in allowance for doubtful accounts and amortization and depreciation expenses. Of the $10.8 million same-facility salary decreases, $4.9 million, $4.6 million and $1.3 million were attributable to residential facilities, outdoor programs and weight management programs, respectively. The $6.4 million decrease in same-facility healthy living supplies, facilities and other costs were due to decreases of $2.6 million, $1.9 million, and $1.9 million in residential facilities, outdoor programs and weight management, respectively.
Our consolidated operating margin was 7.1% in 2009 compared to (18.1) % in 2008. Excluding healthy living division non-cash asset impairment charges of $2.3 million and non-cash goodwill impairment charges of $30.5 million, consolidated operating margin was 14.7% for the year ended December 31, 2009. Without considering recovery division non-cash asset impairment charges of $4.5 million and healthy living, non-cash goodwill impairment charges of $142.2 million, consolidated operations margins for the year ended December 31, 2008 were 14.3%. Without considering impairment charges, our same-facility consolidated operating margin increased to 30.0% in 2009 compared to 29.1% in 2008. Recovery division same-facility operating margin increased to 37.8% in 2009 compared to 35.6 % in 2008. Healthy living division same-facility operating margin was 9.5% in both 2009 and in 2008. Healthy living division operating margin remained flat due to expense controls despite lessening in demand for healthy living division services as a result of declining economic conditions and the inability of families to access the credit markets and student loan markets to fund the tuition.
For the year ended December 31, 2009, net loss attributable to the Company, decreased by $115.3 million or 81.3% to a net loss attributable to the Company of $26.6 million compared to a net loss of $141.9 million for same period in 2008. The decrease in net loss attributable to the Company in 2009 is primarily driven by a $4.5 million decrease in non-cash intangible asset impairment charges within the recovery division and by a $111.7 million decrease in non-cash goodwill impairment charges within the healthy living division to $30.5 million in 2009 from $142.2 million in 2008. Additionally, a decrease of $22.9 million in consolidated, non-impairment operating expenses, and a net revenue increase of $2.5 million in the recovery division further contributed to the lower net loss attributable to the Company in 2009 compared to 2008. The Company also recognized a $1.3 million non-cash gain related to its interest rate derivatives. Income tax expense increased by $10.3 million in 2009 due to an income tax expense of $4.0 million in 2009 compared to a $6.3 million income tax benefit in 2008. The effective tax rate in 2009 was (29.2) % compared to 4.9% in 2008. The effective tax rate decrease from 2008 to 2009 is attributable primarily to the effect on federal income tax expenses of non-deductible goodwill impairment and the effect of deductible losses on state income tax rates.
Continuing Operations Year Ended December 31, 2008 Compared to Continuing Operations Year Ended December 31, 2007
Consolidated net revenue increased $24.5 million, or 5.7%, to $454.2 million in 2008 from $429.7 million in 2007. Of the total net revenue increase, the recovery division contributed an increase of $23.3 million, representing 8.1% growth for the division, with the remaining net revenue growth driven by an increase of $1.3 million, or 0.9% in the healthy living division slightly offset by a revenue decrease of $0.1 million in the corporate division. During the year ended December 31, 2007, the Company recorded a deferred revenue adjustment of $2.7 million related to 2007 acquisition activity within its healthy living division. Without considering the deferred revenue adjustment, healthy living division revenue decreased $1.4 million. The decrease is attributable to revenue increases of $5.3 million and $1.1 million in weight management and residential boarding schools, respectively, offset by a $7.8 million revenue decrease in outdoor programs. There has been a significant lessening in demand for healthy living division services as a result of declining economic conditions and the inability of families to access the credit markets and student loan markets to fund the tuition.
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Our healthy living division same-facility net revenue decreased $7.1 million, or 4.9%, due primarily to an $8.9 million decrease in same-facility outdoor programs offset by increases of $1.1 million and $0.6 million in residential boarding schools and weight management respectively. Revenue growth in the recovery division was primarily due to same-facility growth of $17.3 million, or 6.1%. The remaining $6.0 million revenue increase in the recovery division was primarily due to acquisitions completed in 2007 and in 2008 respectively as well as by increases in census and start-ups.
Consolidated operating expenses increased $167.9 million, or 45.6%, to $536.1 million from $368.2 million in the same period of 2007. Of the $167.9 million increase in operating expenses, the recovery division incurred an increase of $18.2 million, or 8.8%, the healthy living division incurred an increase of $147.0 million, or 108.5%, and the corporate division incurred an increase of $2.6 million, or 9.8%. Of the $18.2 million increase in recovery division operating expenses, $4.5 million was due to non-cash intangible asset impairment charge. The remaining recovery division increase in operating expenses was primarily due to a $7.2 million increase in salaries and benefits expenses and a $6.0 million increase in supplies, facilities and other costs. The increase in operating expenses within the healthy living division was primarily due to a $142.2 million non-cash impairment charge for goodwill.
Without considering the $142.2 million in healthy living division impairment charge, healthy living division operating expenses increased $4.8 million or 3.5% compared to the same period in the prior year. The $4.8 million increase in healthy living operating expenses is attributable to net increases of $5.5 million in weight management and $4.6 million in residential facilities offset by decreases of $1.1 million in outdoor programs and $4.2 million in divisional administrative functions. Operating expense increases in weight management resulted primarily from increases of $2.7 million and $2.5 million in salaries and benefits and supplies facilities and other costs, respectively. Operating expense increases in residential facilities resulted mainly from increases of $2.3 million and $1.5 million in salary and benefits and supplies, facilities and other costs, respectively, with increases in depreciation and amortization expenses contributing an additional $0.8 million. Operating expense decreases in outdoor programs were primarily due to salary decreases of $0.8 million and decreases of $0.3 million in supplies, facilities, and other costs. Decreases in divisional administrative function operating expenses were primarily related to a decrease of $2.8 million in supplies, facilities and other costs, and a decrease of $2.3 million in depreciation and amortization, offset by an increase of $0.9 million in salaries, due to facility consolidation activities within the division.
For our recovery division, same-facility increase in operating expenses was $14.5 million, or 7.9% of which $4.5 million was related to non-cash asset impairment charges for one of our residential facilities. Without consideration of impairments, recovery division same-facility operating expense increased $9.9 million or 5.5% year over year. Of the $9.9 million increase, $5.0 million and $1.0 million was contributed by salary and benefits increases within residential facilities and CTCs respectively. Residential facilities and CTCs each contributed increases of $1.7 million in supplies, facilities, and other operating costs, respectively. The remaining increase was due to a $0.8 million increase in amortization and depreciation expense offset by a $0.4 million decrease in provision for doubtful accounts. Healthy living same-facility operating expenses increased $3.7 million or 3.2% year over year. Of the $3.7 million increase in same-facility healthy living operating expenses, increases in salaries and benefits expenses within residential facilities contributed $2.3 million offset by decreases of $1.1 million within outdoor programs. Of the remaining $2.5 million operating expense increase, increases of $1.5 million and $0.6 million are attributable to increases in supplies, facilities and other operating costs within residential facilities and weight management, respectively. The increases in supplies, facilities and other operating costs were offset by a decrease of $0.8 million within outdoor programs. Healthy living residential same-facility operating expenses were also increased by a $0.8 million increase in depreciation and amortization expenses.
Our consolidated operating margin was (18.1) % in 2008 compared to 14.3% in 2007. Without considering healthy living division non-cash impairment charges of $142.2 million and the aforementioned acquisition
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related deferred revenue adjustment, consolidated operating margin was 14.3% for the year ended December 31, 2008. Without considering non-cash impairment charges, on a same-facility basis, our consolidated operating margin decreased to 29.7% in 2008 compared to 31.2% in 2007. Recovery division same-facility operating margin increased to 36.2% in 2008 compared to 35.8 % in 2007. Healthy living division same-facility operating margin decreased to 15.4% in 2008 compared to 22.2% in 2007. The significant decrease in our healthy living division same-facility operating margin is primarily due to a revenue decrease of $7.1 million within the healthy living division due to a significant lessening in demand for healthy living division services driven by declining economic conditions and the inability of families to access the credit markets and student loan markets to fund the tuition and an increase in healthy living division operating expenses of $3.7 million.
For the year ended December 31, 2008, losses attributable to the Company were $141.9 million compared to net income attributable to the Company of $1.5 million during the same period in 2007. The decrease in net income in 2008 is primarily attributable to a $142.2 million non-cash goodwill impairment charge within the healthy living division, a $4.5 million non-cash impairment charge of intangible assets slightly offset by net revenue increases in the recovery and healthy living divisions. Other income increased by $1.8 million in 2008 due to decreased losses related to interest rate swaps. Additionally, the Company recognized an $8.1 million gain due to debt retirement activities. Income tax expense decreased by $7.3 million to a net tax benefit of $6.3 million in 2008 compared to a $1.0 million income tax expense in 2007. The effective tax rate in 2008 was 4.9% compared to (178.9)% in 2007. The effective tax rate increase for continuing operations relates primarily to changes in state effective tax rates for deductible losses and release of tax reserves in 2007.
LIQUIDITY AND CAPITAL RESOURCES
Our principal sources of liquidity for operating activities are payments from self pay patients, students, commercial payors and government programs for treatment services. We receive most of our cash from self payors in advance or upon completion of treatment. Cash revenue from commercial payors and government programs is typically received upon the collection of accounts receivable, which are generated upon delivery of treatment services. Additionally, the competitive health care environment and the Company desire to make its services more accessible to a greater number of potential clients maintains a competitive pricing pressure on many of the Companys services.
Working Capital
Working capital is defined as total current assets, including cash and cash equivalents, less total current liabilities, including the current portion of long-term debt.
We had negative working capital of $15.3 million at December 31, 2009, compared to negative working capital of $14.5 million at December 31, 2008. The $0.8 million increase in negative working capital from December 31, 2008 to December 31, 2009 was driven by the following: a reduction in working capital of $13.8 million related to discontinued operations/facility closures, a reclassification of $3.2 million from long-term debt to current portion of long-term debt related to planned term loan repayments under the credit agreement, offset by several increases in working capital. Such increases in working capital included: decrease in tax payable of $1.2 million, decrease in other current liabilities of $5.7 million primarily related to change in value of interest rate swaps, decrease in accounts payable of $3.2 million, increase in deferred tax assets of $2.3 million, and an increase in cash and cash equivalents of $2.4 million. During 2009, the Company reduced its operating cost structure, closed and sold several facilities, executed no acquisitions and obtained benefits from lower interest rates.
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Sources and Uses of Cash
Years Ended December 31, | ||||||||||||
2009 | 2008 | 2007 | ||||||||||
(In thousands) | ||||||||||||
Net cash provided by operating activities |
$ | 37,028 | $ | 24,176 | $ | 56,420 | ||||||
Net cash used in investing activities |
(12,378 | ) | (39,645 | ) | (70,947 | ) | ||||||
Net cash (used in) provided by financing activities |
(22,208 | ) | 12,891 | 15,439 | ||||||||
Net increase (decrease) in cash |
$ | 2,442 | $ | (2,578 | ) | $ | 912 | |||||
Year Ended December 31, 2009 Compared to Year Ended December 31, 2008
Cash provided from operating activities was $37.0 million in 2009 and $24.2 million in 2008. The $12.8 million increase in cash flows from operating activities in fiscal 2009 was primarily the result of a reduction in payments for interest. Interest payments decreased to $42.7 million in 2009 from $51.8 million in 2008 due to lower interest rates and lower debt levels due to repayments during the year. Other changes totaling $3.7 million resulted from higher levels of operating profit year over year.
Cash used in investing activities was $12.4 million in 2009, compared to $39.6 million in 2008. The decrease of $27.2 million in the cash used for investing activities during 2009 was due primarily to decreases in acquisition related activity of $11.6 million compared to 2008 as well as to a decrease of $12.2 million in purchases of property and equipment and a decrease of $2.7 million in payments made under earnout arrangements. The Company expects its additions of property and equipment to increase in 2010 as a result of planned capacity expansion projects which are expected to add approximately 250 beds to our residential facilities in both our recovery and in our healthy living divisions. Cash provided by sale of discontinued operations relates to the sale of four facilities within the recovery division.
Cash used in financing activities was $22.2 million in 2009, compared to cash provided by financing activities of $12.9 million in 2008. The increase of cash used in financing activities of $35.1 million was due primarily to $15.0 million in net repayments during 2009 compared to $35.0 million in net borrowings activity in 2008 under the revolving line of credit mostly offset by a reduction of $13.6 million in repurchase of long-term debt and a reduction of $1.2 million in repayment of long term debt.
Year Ended December 31, 2008 Compared to Year Ended December 31, 2007
Cash provided from operating activities was $24.2 million in 2008 and $56.4 million in 2007. The $32.2 million decrease in cash flows from operating activities in fiscal 2008 is due to net losses incurred by the Company for 2008 compared to 2007 offset by non-cash impairments, other non-cash items, and changes in assets and liabilities. Additionally, a decrease of $11.7 million in income tax receivable related to income tax refunds contributed to the decrease in cash from operating activities.
Cash used in investing activities was $39.6 million in 2008, compared to $70.9 million in 2007. The decrease of $31.3 million in the cash used for investing activities during 2008 was due to decreases in acquisition related activity of $21.3 million compared to 2007 as well as to a decrease of $4.9 million in purchases of property and equipment and a decrease of $5.7 million in payments made under earnout arrangements.
Cash provided by financing activities was $12.9 million in 2008, compared to $15.4 million in 2007. The decrease of $2.5 million was due primarily to a net increase in borrowings of $11.4 million offset by debt retirement of $13.6 million and capital contributed to Parent of $0.6 million.
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Financing and Liquidity
We intend to fund our ongoing operations through cash generated by operations, funds available under the revolving portion of our senior secured credit facility and existing cash and cash equivalents. As of December 31, 2009, our senior secured credit facility was comprised of a $405.6 million senior secured term loan facility and a $100.0 million revolving credit facility. At December 31, 2009, the revolving credit facility had $44.6 million available for borrowing, $46.5 million outstanding and classified on our balance sheet as long-term debt, and $8.9 million of letters of credit issued and outstanding. As part of the Transactions, we issued $200.0 million in aggregate principal amount of senior subordinated notes of which $177.3 million, excluding discount, remained outstanding at December 31, 2009. We anticipate that cash generated by current operations, the remaining funds available under the revolving portion of our senior secured credit facility and existing cash and cash equivalents will be sufficient to meet working capital requirements, service our debt and finance capital expenditures over the next 12 months.
In addition, we may expand existing recovery and healthy living treatment facilities and build or acquire new facilities. Management continually assesses our capital needs and may seek additional financing, including debt or equity, to fund potential acquisitions, additions of property and equipment, or for other corporate purposes. In negotiating such financing, there can be no assurance that we will be able to raise additional capital on terms satisfactory to us. Failure to obtain additional financing on reasonable terms could have a negative effect on our plans to acquire additional treatment facilities. We expect to spend approximately $6.8 million for maintenance related expenditures and up to an additional $17.5 million over the next 12 months for expansion projects, systems upgrades and other related initiatives.
Under the terms of our borrowing arrangements, we are required to comply with various covenants, including the maintenance of certain financial ratios. As of December 31, 2009, we were in compliance with all such covenants. A breach of these could result in a default under our credit facilities and in our being unable to borrow additional amounts under our revolving credit facility. If an event of default occurs, the lenders could elect to declare all amounts borrowed under our credit facilities to be immediately due and payable and the lenders under our term loans and revolving credit facility could proceed against the collateral securing the indebtedness.
Effective April 16, 2007, we entered into an amendment to our senior secured credit agreement dated November 17, 2006. Per the agreement, the term loan interest is payable quarterly at 90 day LIBOR plus 2.25% per annum; provided that on and after such time our corporate rating from Moodys is at least B1 then the interest is payable quarterly at 90 day LIBOR plus 2% per annum.
Funding Commitments
In connection with an acquisition which closed in October 2005, we were obligated to make certain payments of up to $2.0 million in 2007 if the entity satisfied certain performance milestones. During the third quarter of 2007, the entity had achieved the second year performance milestones and additional goodwill and liability of $2.0 million, respectively, was recognized. The $2.0 million related to performance milestones was paid in the fourth quarter of 2007. We have no subsequent performance payment liability or obligation related to the October 2005 acquisition.
Certain agreements contain contingent earnout provisions that provide for additional payments if the acquisitions meet performance milestones as specified in the agreements. During the year ended December 31, 2008, the Company made payments of $2.9 million related to earnout provisions. During 2009, the Company paid $0.2 million due to buyout of an earnout commitment related to a 2008 acquisition. The Company is not subject to any future earnout repayment commitments at December 31, 2009.
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Off-Balance Sheet Obligations
As of December 31, 2009, we did not have any off-balance sheet obligations other than $8.9 million of letters of credit.
Obligations and Commitments
The following table sets forth our contractual obligations as of December 31, 2009 (dollars in millions):
Total | Less Than 1 Year |
1-3 Years | 4-5 Years | Thereafter | |||||||||||
Term loans, including interest (i) |
$ | 438.5 | $ | 14.4 | $ | 28.6 | $ | 395.5 | $ | | |||||
Senior subordinated notes, including interest (ii) |
301.2 | 19.1 | 38.1 | 38.1 | 205.9 | ||||||||||
Revolving line of credit, including interest (iii) |
49.2 | 1.3 | 47.9 | | | ||||||||||
Seller notes, including interest |
5.8 | 2.1 | 3.5 | 0.2 | | ||||||||||
Operating leases |
127.7 | 19.1 | 29.8 | 20.6 | 58.2 | ||||||||||
Consulting agreements and other service contracts |
9.9 | 3.6 | 4.4 | 1.9 | | ||||||||||
Liability for income taxes associated with uncertain tax positions |
1.1 | 0.5 | | | 0.6 | ||||||||||
Total obligations |
$ | 933.4 | $ | 60.1 | $ | 152.3 | $ | 456.3 | $ | 264.7 | |||||
(i) | Interest rate is calculated using published three month LIBOR at December 31, 2009, plus 2.25%, which equals 2.501%. |
(ii) | Stated interest rate of 10.75% per the indenture. |
(iii) | Interest rate is calculated using published one month LIBOR at December 31, 2009, plus 2.50%, which equals 2.73%. |
ITEM 7A. | Quantitative and Qualitative Disclosure about Market Risk |
Interest rate risk
We are subject to interest rate risk in connection with our long-term debt. Our principal interest rate exposure relates to the term loans outstanding under our amended and restated senior secured credit facility. As of December 31, 2009 we have $405.6 million in term loans outstanding, bearing interest at variable rates. A hypothetical quarter point increase or decrease in market interest rates compared to the interest rates at December 31, 2009 would result in a $0.4 million change in annual interest expense on our term loans. We also have a revolving credit facility, which provides for borrowings of up to $100.0 million, which bears interest at variable rates. Assuming the revolving line of credit is fully drawn, each quarter point change in interest rates compared to the interest rates at December 31, 2009 would result in an immaterial change in the annual interest expense on our revolving credit facility. In conjunction with our term loans, we entered into an interest rate swap agreement on February 28, 2006 in the amount of $115.0 million as provided under our credit agreement and retained in our amended and restated credit agreement to exchange floating for fixed interest rate payments to reduce interest rate volatility. The effective date of the swap agreement was March 31, 2006 and has a maturity date of March 31, 2011. On June 30, 2008, as provided for in the Credit Agreement and retained in the Amended and Restated Credit Agreement and Amendment No. 2, the Company entered into an interest rate swap agreement to provide for interest rate protection for an aggregate notional amount of $200.0 million. The effective date of the agreement is June 30, 2008 and has a maturity date of July 1, 2011.
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ITEM 8. | Financial Statements and Supplementary Data |
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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors and Stockholders of
CRC Health Corporation:
We have audited the accompanying consolidated balance sheets of CRC Health Corporation and subsidiaries, (the Company), (a wholly owned subsidiary of CRC Health Group, Inc.) as of December 31, 2009 and 2008, and the related consolidated statements of operations, changes in equity, and cash flows for the years ended December 31, 2009, 2008 and 2007. These financial statements are the responsibility of the Companys management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Companys internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, such consolidated financial statements present fairly, in all material respects, the financial position of CRC Health Corporation and subsidiaries as of December 31, 2009 and 2008, and the results of their operations and their cash flows for the years ended December 31, 2009, 2008, and 2007 in conformity with accounting principles generally accepted in the United States of America.
As discussed in Note 2 to the consolidated financial statements, the 2008 and 2007 consolidated financial statements have been revised for the retrospective adoption and new presentation and disclosure requirements for noncontrolling interests in subsidiaries.
/s/ DELOITTE & TOUCHE LLP |
San Francisco, California |
March 24, 2010 |
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CONSOLIDATED BALANCE SHEETS
(In thousands, except share amounts)
December 31, 2009 |
December 31, 2008 |
|||||||
ASSETS |
||||||||
CURRENT ASSETS: |
||||||||
Cash and cash equivalents |
$ | 4,982 | $ | 2,540 | ||||
Restricted cash |
420 | | ||||||
Accounts receivable, net of allowance for doubtful accounts of $5,327 in 2009 and $5,409 in 2008 |
31,558 | 30,826 | ||||||
Prepaid expenses |
7,489 | 7,703 | ||||||
Other current assets |
1,306 | 1,618 | ||||||
Income taxes receivable |
676 | | ||||||
Deferred income taxes |
6,346 | 4,029 | ||||||
Current assets of discontinued operations, facility exits |
1,720 | 14,125 | ||||||
Total current assets |
54,497 | 60,841 | ||||||
PROPERTY AND EQUIPMENT-Net |
125,215 | 129,728 | ||||||
GOODWILL |
573,594 | 604,078 | ||||||
INTANGIBLE ASSETS-Net |
335,409 | 354,463 | ||||||
OTHER ASSETS-Net |
19,619 | 20,065 | ||||||
TOTAL ASSETS |
$ | 1,108,334 | $ | 1,169,175 | ||||
LIABILITIES AND EQUITY |
||||||||
CURRENT LIABILITIES: |
||||||||
Accounts payable |
$ | 3,011 | $ | 6,165 | ||||
Accrued liabilities |
29,851 | 29,061 | ||||||
Income taxes payable |
| 1,201 | ||||||
Current portion of long-term debt |
8,814 | 6,522 | ||||||
Other current liabilities |
25,992 | 31,657 | ||||||
Current liabilities of discontinued operations, facility exits |
2,114 | 703 | ||||||
Total current liabilities |
69,782 | 75,309 | ||||||
LONG-TERM DEBT-Less current portion |
622,262 | 646,630 | ||||||
OTHER LONG-TERM LIABILITIES |
8,735 | 7,553 | ||||||
LIABILITIES OF DISCONTINUED OPERATIONS, FACILITY EXITS |
1,679 | 1,909 | ||||||
DEFERRED INCOME TAXES |
117,334 | 134,331 | ||||||
Total liabilities |
819,792 | 865,732 | ||||||
COMMITMENTS AND CONTINGENCIES (Note 12) |
||||||||
CRC HEALTH CORPORATION STOCKHOLDERS EQUITY: |
||||||||
Common stock, $0.001 par value-1,000 shares authorized; 1,000 shares issued and outstanding at December 31, 2009 and 2008 |
| | ||||||
Additional paid-in capital |
454,880 | 444,275 | ||||||
Accumulated deficit |
(161,363 | ) | (134,764 | ) | ||||
Accumulated other comprehensive loss |
(4,975 | ) | (6,289 | ) | ||||
Total CRC Health Corporation stockholders equity |
288,542 | 303,222 | ||||||
NONCONTROLLING INTEREST |
| 221 | ||||||
Total equity |
288,542 | 303,443 | ||||||
TOTAL LIABILITIES AND EQUITY |
$ | 1,108,334 | $ | 1,169,175 | ||||
See notes to consolidated financial statements.
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CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands)
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
||||||||||
NET REVENUE: |
||||||||||||
Net client service revenue |
$ | 429,590 | $ | 454,204 | $ | 429,711 | ||||||
OPERATING EXPENSES: |
||||||||||||
Salaries and benefits |
212,149 | 226,613 | 211,157 | |||||||||
Supplies, facilities and other operating costs |
123,570 | 134,366 | 128,920 | |||||||||
Provision for doubtful accounts |
7,839 | 6,408 | 6,791 | |||||||||
Depreciation and amortization |
22,857 | 21,971 | 21,373 | |||||||||
Asset impairment |
2,257 | 4,525 | | |||||||||
Goodwill impairment |
30,497 | 142,238 | | |||||||||
Total operating expenses |
399,169 | 536,121 | 368,241 | |||||||||
OPERATING INCOME (LOSS) |
30,421 | (81,917 | ) | 61,470 | ||||||||
INTEREST EXPENSE |
(44,158 | ) | (54,104 | ) | (60,262 | ) | ||||||
GAIN ON DEBT REPURCHASE |
| 8,086 | | |||||||||
OTHER (EXPENSE) INCOME |
(82 | ) | 1 | (1,771 | ) | |||||||
LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAXES |
(13,819 | ) | (127,934 | ) | (563 | ) | ||||||
INCOME TAX EXPENSE (BENEFIT) |
4,016 | (6,276 | ) | 1,007 | ||||||||
LOSS FROM CONTINUING OPERATIONS, NET OF TAX |
(17,835 | ) | (121,658 | ) | (1,570 | ) | ||||||
(LOSS) INCOME FROM DISCONTINUED OPERATIONS (net of tax (benefit) expense of ($4,961) in 2009, ($10,855) in 2008, and $2,136 in 2007, respectively) |
(8,826 | ) | (20,400 | ) | 3,223 | |||||||
NET (LOSS) INCOME |
(26,661 | ) | (142,058 | ) | 1,653 | |||||||
LESS: NET (LOSS) INCOME ATTRIBUTABLE TO THE NONCONTROLLING INTEREST |
(62 | ) | (153 | ) | 189 | |||||||
NET (LOSS) INCOME ATTRIBUTABLE TO CRC HEALTH CORPORATION |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | ||||
AMOUNTS ATTRIBUTABLE TO CRC HEALTH CORPORATION: |
||||||||||||
LOSS FROM CONTINUING OPERATIONS, NET OF TAX |
$ | (17,778 | ) | $ | (121,496 | ) | $ | (1,759 | ) | |||
DISCONTINUED OPERATIONS, NET OF TAX |
(8,821 | ) | (20,409 | ) | 3,223 | |||||||
NET (LOSS) INCOME ATTRIBUTABLE TO CRC HEALTH CORPORATION |
$ | (26,599 | ) | $ | (141,905 | ) | $ | 1,464 | ||||
See notes to consolidated financial statements
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CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY
(In thousands, except share amounts)
CRC Health Corporation Stockholders Equity | ||||||||||||||||||||||||||||
Total | Comprehensive Income (Loss) |
Accumulated (Deficit) Retained Earnings |
Accumulated Other Comprehensive Loss |
Series A Common Stock |
Additional Paid-in Capital |
Noncontrolling Interest |
||||||||||||||||||||||
Shares | Amount | |||||||||||||||||||||||||||
BALANCEDecember 31, 2006 |
$ | 437,425 | $ | | $ | 3,522 | $ | | 1,000 | $ | | $ | 433,652 | $ | 251 | |||||||||||||
Cumulative effect of adoption of FIN48 |
2,155 | 2,155 | ||||||||||||||||||||||||||
Reclassification to other current liabilities |
(66 | ) | (66 | ) | ||||||||||||||||||||||||
Net income for the year ended December 31, 2007 |
1,653 | 1,653 | 1,464 | 189 | ||||||||||||||||||||||||
Capital contributed by Parent, net |
4,956 | 4,956 | ||||||||||||||||||||||||||
BALANCEDecember 31, 2007 |
$ | 446,123 | $ | 1,653 | $ | 7,141 | $ | | 1,000 | $ | | $ | 438,608 | $ | 374 | |||||||||||||
Comprehensive loss: |
||||||||||||||||||||||||||||
Net loss for the year ended December 31, 2008 |
(142,058 | ) | (142,058 | ) | (141,905 | ) | (153 | ) | ||||||||||||||||||||
Other comprehensive income, net of tax: |
||||||||||||||||||||||||||||
Unrealized loss on cash flow hedges, net of tax benefit of $4,161 |
(6,289 | ) | (6,289 | ) | (6,289 | ) | ||||||||||||||||||||||
Other comprehensive income |
(6,289 | ) | (6,289 | ) | ||||||||||||||||||||||||
Comprehensive loss |
(148,347 | ) | $ | (148,347 | ) | |||||||||||||||||||||||
Capital contributed by Parent, net |
5,667 | 5,667 | ||||||||||||||||||||||||||
BALANCEDecember 31, 2008 |
$ | 303,443 | $ | (134,764 | ) | $ | (6,289 | ) | 1,000 | $ | | $ | 444,275 | $ | 221 | |||||||||||||
Noncontrolling interest buyout |
(138 | ) | 21 | (159 | ) | |||||||||||||||||||||||
Comprehensive loss: |
||||||||||||||||||||||||||||
Net loss for the year ended December 31, 2009 |
(26,661 | ) | (26,661 | ) | (26,599 | ) | (62 | ) | ||||||||||||||||||||
Other comprehensive income, net of tax: |
||||||||||||||||||||||||||||
Unrealized gain on cash flow hedges, net of tax expense of $865 |
1,314 | 1,314 | 1,314 | |||||||||||||||||||||||||
Other comprehensive income |
1,314 | 1,314 | ||||||||||||||||||||||||||
Comprehensive loss |
(25,347 | ) | $ | (25,347 | ) | |||||||||||||||||||||||
Capital contributed by Parent, net |
10,584 | 10,584 | ||||||||||||||||||||||||||
BALANCEDecember 31, 2009 |
$ | 288,542 | $ | (161,363 | ) | $ | (4,975 | ) | 1,000 | $ | | $ | 454,880 | $ | | |||||||||||||
See notes to consolidated financial statements.
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CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
||||||||||||
Net (loss) income |
$ | (26,661 | ) | $ | (142,058 | ) | $ | 1,653 | ||||
Adjustments to reconcile net (loss) income to net cash provided by operating activities: |
||||||||||||
Depreciation and amortization |
23,142 | 22,811 | 22,015 | |||||||||
Amortization of debt discount and capitalized financing costs |
4,290 | 4,536 | 4,476 | |||||||||
Goodwill impairment |
30,497 | 142,862 | | |||||||||
Asset impairment |
11,500 | 30,836 | | |||||||||
Write-off of prior year paid acquisition costs |
62 | | | |||||||||
Gain on debt repurchase |
| (8,086 | ) | | ||||||||
(Gain)/ loss on interest rate swap agreement |
(1,272 | ) | (1 | ) | 1,771 | |||||||
Loss on sale of property and equipment |
1,509 | 68 | 218 | |||||||||
Loss on sale of discontinued operations |
47 | | | |||||||||
Provision for doubtful accounts |
8,002 | 6,561 | 6,857 | |||||||||
Stock-based compensation |
5,541 | 6,026 | 3,909 | |||||||||
Deferred income taxes |
(7,253 | ) | (19,756 | ) | 1,306 | |||||||
Changes in assets and liabilities: |
||||||||||||
Restricted cash |
(420 | ) | | | ||||||||
Accounts receivable |
(8,771 | ) | (5,655 | ) | (4,962 | ) | ||||||
Prepaid expenses |
44 | (164 | ) | 216 | ||||||||
Income taxes receivable |
(676 | ) | 193 | 11,899 | ||||||||
Other current assets |
(3,989 | ) | 494 | 56 | ||||||||
Accounts payable |
(3,189 | ) | (803 | ) | 300 | |||||||
Accrued liabilities |
1,216 | (8,381 | ) | (2,877 | ) | |||||||
Other current liabilities |
(1,814 | ) | (6,288 | ) | 2,710 | |||||||
Income taxes payable |
4,488 | 1,202 | | |||||||||
Other long-term assets |
375 | (19 | ) | 840 | ||||||||
Other long-term liabilities |
360 | (202 | ) | 6,033 | ||||||||
Net cash provided by operating activities |
37,028 | 24,176 | 56,420 | |||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: |
||||||||||||
Additions of property and equipment |
(12,999 | ) | (25,279 | ) | (30,159 | ) | ||||||
Proceeds from sale of property and equipment |
148 | 188 | 90 | |||||||||
Proceeds from sale of discontinued operations |
732 | | | |||||||||
Acquisition of businesses, net of cash acquired |
| (11,597 | ) | (32,912 | ) | |||||||
Acquisition adjustments |
(59 | ) | (10 | ) | 779 | |||||||
Payments made under earnout arrangements |
(200 | ) | (2,947 | ) | (8,645 | ) | ||||||
Purchase of intangible asset |
| | (100 | ) | ||||||||
Net cash used in investing activities |
(12,378 | ) | (39,645 | ) | (70,947 | ) | ||||||
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CRC HEALTH CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS(Continued)
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
||||||||||
CASH FLOWS FROM FINANCING ACTIVITIES: |
||||||||||||
Capital (distributed to) contributed by Parent |
(412 | ) | (359 | ) | 252 | |||||||
Capitalized financing costs |
| (338 | ) | (640 | ) | |||||||
Repayments of capital lease obligations |
(12 | ) | (22 | ) | (259 | ) | ||||||
Repurchase of long term debt |
| (13,607 | ) | | ||||||||
Borrowings under revolving line of credit |
14,000 | 59,000 | 63,500 | |||||||||
Repayments under revolving line of credit |
(29,000 | ) | (24,000 | ) | (40,600 | ) | ||||||
Repayment of long-term debt |
(6,550 | ) | (7,783 | ) | (6,814 | ) | ||||||
Noncontrolling interest buyout |
(234 | ) | | | ||||||||
Net cash (used in) provided by financing activities |
(22,208 | ) | 12,891 | 15,439 | ||||||||
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS |
2,442 | (2,578 | ) | 912 | ||||||||
CASH AND CASH EQUIVALENTSBeginning of period |
2,540 | 5,118 | 4,206 | |||||||||
CASH AND CASH EQUIVALENTSEnd of period |
$ | 4,982 | $ | 2,540 | $ | 5,118 | ||||||
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES: |
||||||||||||
Assets acquired under capital lease |
$ | | $ | | $ | 33 | ||||||
Notes payable issued in connection with earnout arrangements |
$ | | $ | 897 | $ | 5,681 | ||||||
Note payable in connection to leasehold improvements |
$ | | $ | 374 | $ | | ||||||
Payable in conjunction with contingent acquisition consideration |
$ | | $ | | $ | 3,204 | ||||||
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION: |
||||||||||||
Cash paid for interest |
$ | 42,707 | $ | 51,758 | $ | 56,418 | ||||||
Cash paid (received) for income taxes, net of refunds |
$ | 2,164 | $ | 1,128 | $ | (10,062 | ) | |||||
See notes to consolidated financial statements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. ORGANIZATION
CRC Health Corporation, (the Company) is headquartered in Cupertino, California and is a wholly owned subsidiary of CRC Health Group, Inc. referred to as the Group or the Parent. The Company is a leading provider of substance abuse treatment services and youth treatment services in the United States. The Company also provides treatment services for other addiction diseases and behavioral disorders such as eating disorders. Effective January 1, 2009, the Company realigned its operations and internal organizational structure by combining its youth division with its healthy living division, formerly included as a component of corporate/other. There were no organizational changes to the Companys recovery division.
The Company delivers services through two divisions, the recovery division and the healthy living division. The recovery division provides substance abuse and behavioral disorder treatment services through our residential treatment facilities and outpatient treatment clinics. The healthy living division provides therapeutic and educational programs to underachieving young people through residential schools and wilderness programs. The healthy living division also provides treatment services through adolescent and adult weight management programs as well as eating disorder facilities. The healthy living division and recovery division are also its two operating segments.
As of December 31, 2009, the recovery division, operates 31 inpatient, 15 outpatient facilities, and 54 comprehensive treatment centers (CTCs) in 21 states, provides treatment services to patients suffering from chronic addiction related diseases and related behavioral disorders. As of December 31, 2009, the healthy living division, operates 24 adolescent and young adult programs in 8 states and provides a wide variety of therapeutic and educational programs for underachieving young people. Additionally, the healthy living division operates 18 weight management facilities in 9 states, one facility in the United Kingdom and one facility in Canada with a focus on providing treatment services for eating disorders and weight management. Other activities classified as corporate represent revenue and expenses associated with eGetgoing, an online internet treatment option, and general and administrative expenses (i.e., expenses associated with our corporate offices in Cupertino, California, which provides management, financial, human resource and information system support).
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Basis of Presentation and Principles of Consolidation These consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (GAAP) and pursuant to the rules and regulations of the Securities and Exchange Commission (the SEC) applicable for annual financial information. The Companys consolidated financial statements include the accounts of CRC Health Corporation and its consolidated subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. Certain reclassifications have been made to the prior year consolidated statements of operations to conform to the 2009 presentation. The Company combined other revenue into net client service revenue to represent how the Company currently manages its business.
Use of Estimates Preparation of financial statements in accordance with GAAP requires management to make estimates and assumptions that affect the amounts reported in the Companys consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates.
Cash and Cash Equivalents Cash includes amounts in demand accounts. At December 31, 2009 and 2008 substantially all cash was on deposit with financial institutions. Cash equivalents are short-term investments with original maturities of three months or less. Interest income for the years ended December 31, 2009, 2008 and 2007 was approximately $0.1 million, $0.1 million, and $0.7 million, respectively, and is recorded in interest expense on the consolidated statements of operations.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Cash Flows Related to Borrowings and Repayments under the Revolving Line of Credit The Company has historically presented cash flows under its revolving line of credit on a net basis. For the year ended December 31, 2009, the Company is presenting activities under the revolving line of credit on a gross basis for both borrowings and repayments within the cash flows from financing activities section in the consolidated statement of cash flows. Due to the aforementioned change, the Company has corrected the consolidated statements of cash flows for the years ended December 31, 2008 and 2007 to reflect gross borrowings and repayments on the revolving line of credit.
There was no change to total net cash (used in) provided by financing activities within the consolidated statements of cash flows for any period presented.
Property and Equipment Property and equipment are stated at cost less accumulated depreciation. Depreciation expense is computed on a straight-line basis over the estimated useful lives of the assets, generally three to seven years, except for buildings, which are depreciated over thirty years. Leasehold improvements and assets held under capital leases are amortized using the straight-line method over the life of the lease, or the estimated useful life of the asset, whichever is shorter. Maintenance and repairs are charged to operations as incurred.
Long-Lived Assets The Company tests its long-lived assets and intangible assets subject to amortization for impairment whenever events or changes in circumstances indicate that the carrying value of certain of its assets may not be recoverable. If the undiscounted future cash flows from the asset tested are less than the carrying value, a loss equal to the difference between the carrying value and the fair market value of the asset is recorded.
The Companys analysis of its undiscounted cash flows requires judgment with respect to many factors, including future cash flows, success at executing its business strategy, and future revenue and expense growth rates. It is possible that the Companys estimates of undiscounted cash flows may change in the future resulting in the need to reassess the carrying value of its long-lived assets for impairment.
Goodwill and Other Intangible Assets The Company tests goodwill and other indefinite lived intangible assets for impairment annually, at the beginning of its fourth quarter or more frequently if evidence of possible impairment arises. The Companys other indefinite lived intangible assets consist of trademarks and trade names, certificates of need, and regulatory licenses. The Company applies a fair value-based impairment test to the net book value of other indefinite lived intangible assets using a combination of income and market approaches.
The Company performs a two-step impairment test on goodwill. In the first step, the Company compares the fair value of the reporting unit being tested to its carrying value. The Companys reporting units are consistent with the operating segments identified in Note 20 to the consolidated financial statements. The Company determines the fair value of its reporting units using a combination of income and market approaches. Under the income approach, the Company calculates the fair value of a reporting unit based on the present value of estimated future cash flows. Under the market approach, the Company estimates fair value based on what investors have paid for similar interests in comparable companies through the development of ratios of market prices to various earnings indications of comparable companies taking into consideration adjustments for growth prospects, debt levels and overall size. If the fair value of the reporting unit exceeds the carrying value of the net assets assigned to that unit, goodwill is not impaired and the Company is not required to perform further testing. If the carrying value of the net assets assigned to the reporting unit exceeds the fair value of the reporting unit, then the Company must perform the second step of the impairment test in order to determine the implied fair value of the reporting units goodwill. If the carrying value of a reporting units goodwill exceeds its implied fair value, then the Company records an impairment loss equal to the difference.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
The process of evaluating the potential impairment of goodwill is subjective and requires significant estimates and assumptions at many points during the analysis. The Companys estimated future cash flows are based on assumptions that are consistent with its annual planning process and include estimates for revenue and operating margins and future economic and market conditions. Actual future results may differ from those estimates. To the extent that the Companys reporting unit revenues during any of its reporting periods decreases significantly, the Company may have to report an impairment loss with respect to the carrying value of the reporting units goodwill. The Company intends to closely monitor revenues within its reporting units during 2010 and, if warranted, will record an impairment loss to the carrying value of the reporting units goodwill.
The Company bases its fair value estimates on assumptions it believes to be reasonable at the time, but that are unpredictable and inherently uncertain. In addition, the Company makes certain judgments and assumptions in allocating shared assets and liabilities to determine the carrying values for each of its reporting units tested. Changes in assumptions or circumstances could result in an additional impairment in the period in which the change occurs and in future years. Factors that could cause the Company additional goodwill impairment include, but are not limited to:
1. | Decreases in revenues |
2. | Increases in the Companys borrowing rates or weighted average cost of capital |
3. | Increase in the blended tax rate |
4. | Changes in its working capital |
5. | Significant alteration of market multiples utilized in the valuation process |
6. | Significant decrease in market value of comparable companies |
Impairment charges related to goodwill and intangible assets not subject to amortization are included in the consolidated statement of operations under goodwill impairment, asset impairment and discontinued operations. See Note 6.
Capitalized Financing Costs Costs to obtain long-term debt financing are capitalized and amortized over the expected life of the debt instrument. As of December 31, 2009 and 2008, other assets include net capitalized financing costs of $14.7 million, and $18.7 million, respectively. Amortization expenses for the years ended December 31, 2009, 2008 and 2007 were $4.1 million, $4.2 million, and $4.2 million, respectively and are included in the Companys consolidated statement of operations under interest expense.
Revenue Recognition Revenue is recognized when rehabilitation and treatment services are provided to a patient. Client service revenue is reported at the estimated net realizable amounts from clients, third-party payors and others for services rendered. Revenue under third-party payor agreements is subject to audit and retroactive adjustment. Provisions for estimated third-party payor settlements are provided for in the period the related services are rendered and adjusted in future periods as final settlements are determined. Revenue for educational services provided by the Companys healthy living division consists primarily of tuition, enrollment fees, alumni services and ancillary charges. Tuition revenue and ancillary charges are recognized based on contracted monthly/daily rates as services are rendered. The enrollment fees for service contracts that are charged upfront are deferred and recognized over the average student length of stay, approximately nine months. Alumni fees revenue represents non-refundable upfront fees for post-graduation services and these fees are deferred and recognized systematically over the contracted life, which is twelve months. The Company, from time to time, may provide charity care to a limited number of clients. The Company does not record revenues or receivables for charity care provided. Advance billings for client services are deferred and recognized as the related services are performed.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Advertising Costs Advertising costs, included in supplies, facilities and other operating costs, are expensed as incurred. Advertising costs for the years ended December 31, 2009, 2008 and 2007, were approximately $4.0 million, $4.1 million, and $2.9 million, respectively.
Stock-Based Compensation The Company measures and recognizes compensation expense for all stock-based payment awards, including employee stock options, based on the grant-date fair value. The Company estimates grant-date fair value of its awards by utilizing the Black Scholes Merton model for time-based awards and a closed-form lattice model for awards containing market conditions. Stock-based compensation is recognized over the required service or performance period of the awards.
Gain on Debt Repurchase During the year ended December 31, 2008 the Company retired senior subordinated notes with a par amount of $22.7 million. Excluding immaterial transaction related costs, the Company realized a gain of $8.1 million from debt retirement activities. The Company did not have any debt retirement activities in 2009 or 2007.
Noncontrolling Interest The Company, through the acquisition of Aspen Education Group, acquired a seventy-five percent interest in certain weight loss programs. Additionally, a former employee acquired a 10% interest in two healthy living division programs as a result of a prior agreement in place from the Aspen acquisition. The Company consolidates its investment for financial reporting purposes. Losses are allocated based upon the at risk capital of each limited liability partner member. Losses in excess of the at risk capital are allocated to the Company without regard to the percentage of ownership. The Company retained an option to buy-out the non-controlling interest at a price to be calculated pursuant to the terms and conditions of the operating agreement. During the year ended December 31, 2009, the Company exercised its option to buy-out the non-controlling interests, related to the aforementioned two healthy living division programs, and paid a total consideration of $0.2 million.
Income Taxes The Company accounts for income taxes under an asset and liability method. Under this method, deferred income tax assets and liabilities are determined based upon the difference between the financial statement carrying amounts and tax bases of assets and liabilities using tax rates in effect when the differences are expected to reverse. A valuation allowance is established when necessary to reduce deferred tax assets to the amounts expected to be realized. For U.S. federal tax return purposes, the Company is part of a consolidated tax return with its Parent, CRC Health Group, Inc. However, the Companys provision for income taxes is prepared on a stand-alone basis.
The Company recognizes a tax benefit from an uncertain tax position when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes based on technical merits.
Restructuring and Discontinued Operations The Company accounts for facility closures and restructuring costs in accordance with applicable accounting standards. The Company records as an obligation the estimated costs that will not be recovered. These costs include employment termination benefits, lease contract termination costs and other associated costs. Additionally, upon review of facility closures and those facilities held for sale, the Company assesses the classification of such facilities as discontinued operations. Should the Company classify certain facility closures and facilities held for sale as discontinued operations, the facility operations related to closures and facilities held for sale are classified as discontinued operations on the consolidated statements of operations for all periods presented. Assets and liabilities of discontinued operations are classified under assets and liabilities of discontinued operations, facility exits on the Companys consolidated balance sheets. See Note 18 and Note 19.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Concentration of Credit Risk Financial instruments that potentially subject the Company to a concentration of credit risk consist primarily of cash and accounts receivable. The Companys cash accounts are maintained with financial institutions in the United States of America. At times, deposits in these institutions may exceed federally insured limits. The Companys accounts receivable are primarily derived from methadone treatment, detoxification, psychological evaluations, counseling, education, weight loss management and other related rehabilitation services provided to clients. As of December 31, 2009 and 2008, approximately 38.3% and 36.2% of gross accounts receivable and approximately 19.9% and 16.4% of net client service revenue, respectively, was derived from county, state and federal contracts under Medicaid and other programs. In the event of cancellation or curtailment of these programs or default on these accounts receivable, the Companys operating results and financial position would be adversely affected. The Company performs ongoing credit evaluations of its third-party insurance payors financial condition and generally requires advance payment from its clients who do not have verifiable insurance coverage. The Company maintains an allowance for doubtful accounts to cover potential credit losses based upon the estimated collectability of accounts receivable.
Interest Rate Swaps Interest rate swaps are used exclusively in the management of the Companys interest rate exposures and are recorded on the balance sheet at fair value. As part of its hedging strategy, the Company has designated its interest rate swaps as cash flow hedges.
The fair value of the interest rate swaps are estimated based upon terminal value models. The effective portions of changes in the fair value of the swap are recorded in other comprehensive income. Ineffective portions of changes in the fair value of cash flow hedges are recognized in earnings. Additionally, reclassifications of deferred gains or losses related to ineffectiveness of interest rate swaps, are recognized as interest expense on the consolidated statement of operations. If the swaps are not designated as cash flow hedges, the changes in the fair value of the swaps are recorded in other income (expense) on the consolidated statement of operations. See Note 9.
Other Comprehensive Income Other comprehensive income (OCI) includes income, expenses, gains and losses that bypass the statement of operations and are reported directly as a separate component of equity. For the years ended December 31, 2009 and 2008, the effective portion of changes in fair value of its interest rate swaps designated as cash flow hedges was recorded to other comprehensive income. For the year ended December 31, 2007, the Companys interest rate swap was not designated as a hedge; therefore, changes in its fair value were recorded in other income (expense) in the consolidated statements of operations. See Note 11.
Business Segments Performance of the Companys two reportable segments (recovery division and healthy living division) is evaluated based on profit or loss from operations before depreciation and amortization, gain on sale of assets, special charges or benefits, income taxes and minority interest (segment profit). Management uses segment profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Intersegment sales and transfers are insignificant. All prior period segment information is presented to conform to the Companys current segment structure. See Note 1 and Note 20.
Student Loan Program Effective April 1, 2009, the Company created a private loan program (the Loan Program) pursuant to which students and/or patients (the Borrowers) who meet predetermined credit standards can obtain third-party financing to pay a portion of the cost of participating in certain of our programs. The Company initiated this program in response to the lack of credit availability for our students/patients, particularly in the healthy living division, to secure financing to access our services. The Board of Directors has approved a loan pool of up to $20.0 million for 2009 and 2010.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
The Company has entered into an agreement (the Agreement) with an unrelated third party (the Lender) to facilitate unsecured consumer loans for certain of the Companys students and/or patients. The loans are funded by the Lender based on predetermined loan criteria, including risk profile and credit quality requirements. The loans are unsecured consumer loans with a floating interest rate. Under the terms of the Loan Program, the Company has agreed to purchase from the Lender on a recurring basis loan notes that meet Loan Program criteria. In accordance with the Agreement, the Company can terminate the Loan Program at any time upon a 120 day advance notice of termination to the Lender.
In connection with the Loan Program, the Company has agreed to purchase on a recurring basis loan notes that meet Loan Program criteria from the third-party lender that makes these loans. The Company considers the purchase commitments as off-balance sheet arrangements and maintains restricted cash for the fulfillment of its Loan Program note purchase commitments. At December 31, 2009, the Company did not have any loan purchase commitments related to its Loan Program.
The Company maintains balances in its restricted cash account for the purchase of notes pursuant to the Agreement. Restricted cash is recorded on the Companys consolidated balance sheets under restricted cash. At December 31, 2009, the Company had $0.4 million classified as restricted cash under current assets on the Companys consolidated balance sheets.
The Company has established a loan loss reserve to account for non-performing Loan Program notes. The Company has utilized a variety of data from the consumer and education loan industry to establish its initial loan loss reserve. On a periodic basis, the Company evaluates the adequacy of the allowance based on the Companys past loan loss experience, known and inherent risks in the loan portfolio, adverse situations that may affect the borrowers ability to repay, the estimated value of any underlying collateral and current economic conditions. At December 31, 2009, the Company has recorded $0.2 million in loan loss reserves under other assets, net, on its consolidated balance sheets.
Recently Issued Accounting Guidance In January 2010, the FASB issued updated authoritative guidance, which, among other things, requires entities to separately present purchases, sales, issuances, and settlements in their reconciliation of Level 3 fair value measurements (i.e., to present such items on a gross basis rather than on a net basis), and which clarifies existing disclosure requirements regarding the level of disaggregation and the inputs and valuation techniques used to measure fair value for measurements that fall within either Level 2 or Level 3 of the fair value hierarchy. The updated guidance is effective for interim and annual periods beginning after December 15, 2009, except for the disclosures about purchases, sales, issuances, and settlements in the roll forward of activity in Level 3 fair value measurements (which are effective for fiscal years beginning after December 15, 2010, and for interim periods within those fiscal years). The Company is currently assessing the impact that the adoption of the updated guidance will have on the consolidated financial statement disclosures.
During the third quarter of 2009, the Company adopted the new Accounting Standards Codification (ASC) as issued by the Financial Accounting Standards Board (FASB). The ASC has become the source of authoritative U.S. GAAP recognized by the FASB to be applied by nongovernmental entities. The ASC is not intended to change or alter existing GAAP. The adoption of the ASC did not have a material impact on the Companys consolidated financial statements.
In August 2009, the FASB issued a new accounting standard which provides additional guidance on the measurement of liabilities at fair value. Specifically, when a quoted price in an active market for the identical liability is not available, the new standard requires that the fair value of a liability be measured using one or more of the valuation techniques that should maximize the use of relevant observable inputs and minimize the use of
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
unobservable inputs. In addition, an entity is not required to include a separate input or adjustment to other inputs relating to the existence of a restriction that prevents the transfer of a liability. We adopted this standard in the fourth quarter of 2009 and the adoption did not have a material impact on our consolidated financial statements.
In May 2009, the FASB issued new accounting and disclosure guidance for recognized and non-recognized subsequent events that occur after the balance sheet date but before financial statements are issued. The new guidance required disclosure of the date through which an entity has evaluated subsequent events and the basis for that date. The new accounting guidance was effective for the Company beginning with three and six months ended June 30, 2009. The guidance was subsequently amended in February 2010 and is being applied prospectively. Under the amended guidance, the Company is required to evaluate for subsequent events through the date the financial statements are issued. We adopted the amended guidance in February 2010. This change in accounting policy had no impact on the consolidated financial statements.
On January 1, 2009, we adopted a new standard in regard to noncontrolling interests in consolidated financial statements. This standard establishes new accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. It clarifies that a noncontrolling interest in a subsidiary (minority interest) is an ownership interest in the consolidated entity that should be reported as equity in the consolidated financial statements and separate from the parent companys equity. This statement also requires disclosure, on the face of the consolidated statements of operations, of the amounts of consolidated net income attributable to the parent and to the noncontrolling interest. These disclosure requirements have been applied retrospectively to all periods presented. The adoption of this standard impacted certain captions previously used on the consolidated statements of operations, largely identifying net income including noncontrolling interests and net income attributable to CRC Health Corporation. Certain captions on the consolidated balance sheets and consolidated statements of cash flows have also changed.
In March 2008, the FASB amended existing disclosure requirements related to derivative and hedging activities, which became effective for the Company on January 1, 2009, and is being applied prospectively. As a result of the amended disclosure requirements, the Company is required to provide expanded qualitative and quantitative disclosures about derivatives and hedging activities in each interim and annual period. The adoption of the new disclosure requirements had no material impact on the consolidated financial statements.
In December 2007, the FASB amended its guidance on accounting for business combinations. The new accounting guidance resulted in a change in the Companys accounting policy effective January 1, 2009, and is being applied prospectively to all business combinations subsequent to the effective date. Among other things, the new guidance amends the principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed, any noncontrolling interest in the acquiree and the goodwill acquired. It also establishes new disclosure requirements to enable the evaluation of the nature and financial effects of the business combination. The adoption of this new accounting policy did not have a significant impact on the consolidated financial statements, and the impact it will have on the consolidated financial statements in future periods will depend on the nature and size of business combinations completed subsequent to the date of adoption.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
3. ACQUISITIONS
The Company did not complete any acquisitions during the year ended December 31, 2009.
2008 Acquisitions
For the year ended December 31, 2008, the Company completed two acquisitions, and paid total cash consideration of approximately $11.6 million, including acquisition related expenses. Additional contingent consideration of $1.0 million may be paid subject to the acquired entity meeting certain performance benchmarks over the two year period subsequent to the acquisition. The acquisitions are intended to provide expansion of the Companys services within the respective corresponding markets of the acquired facilities in the United States. The Company recorded $11.3 million of goodwill within its recovery division related to the acquisitions, all of which is expected to be deductible for tax purposes.
Under purchase accounting the purchase price for each acquisition was allocated to the assets acquired and liabilities assumed based on their respective fair values. The Company has included the acquired entities results of operations in the consolidated statements of operations from the date of the acquisition. Pro forma results of operations have not been presented because the effect of the acquisitions was not material.
2007 Acquisitions
During the year ended December 31, 2007, the Company completed four acquisitions and paid total cash consideration of approximately $32.9 million, including acquisition related expenses. The acquisitions expanded its recovery division and healthy living division services into new geographic regions within the United States. The Company recorded $29.1 million of goodwill, of which $28.6 million is expected to be deductible for tax purposes. Goodwill assigned to the recovery division and healthy living division was $22.9 million and $6.2 million respectively.
Under purchase accounting the purchase price for each acquisition was allocated to the assets acquired and liabilities assumed based on their respective fair values. The Company has included the acquired entities results of operations in the consolidated statements of operations from the date of the acquisition. Pro forma results of operations have not been presented because the effect of the acquisitions was not material.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
4. BALANCE SHEET COMPONENTS
Balance sheet components at December 31, 2009 and 2008 consist of the following (in thousands):
2009 | 2008 | |||||||
Accounts receivablegross |
$ | 36,885 | $ | 36,235 | ||||
Less allowance for doubtful accounts |
(5,327 | ) | (5,409 | ) | ||||
Accounts receivablenet |
$ | 31,558 | $ | 30,826 | ||||
Other assets-net: |
||||||||
Capitalized financing costsnet |
$ | 14,663 | $ | 18,688 | ||||
Deposits |
925 | 912 | ||||||
Note receivable |
4,031 | 465 | ||||||
Total other assets-net |
$ | 19,619 | $ | 20,065 | ||||
Accrued liabilities: |
||||||||
Accrued payroll and related expenses |
$ | 8,698 | $ | 7,864 | ||||
Accrued vacation |
4,615 | 5,613 | ||||||
Accrued interest |
8,019 | 8,289 | ||||||
Accrued expenses |
8,519 | 7,295 | ||||||
Total accrued liabilities |
$ | 29,851 | $ | 29,061 | ||||
Other current liabilities: |
||||||||
Deferred revenue |
$ | 9,650 | $ | 10,249 | ||||
Client deposits |
4,130 | 5,114 | ||||||
Insurance premium financing |
| 2,226 | ||||||
Interest rate swap liability |
8,659 | 12,110 | ||||||
Other liabilities |
3,553 | 1,958 | ||||||
Total other current liabilities |
$ | 25,992 | $ | 31,657 | ||||
The following schedule reflects activity associated with the Companys allowance for doubtful accounts for the years ended December 31, 2009, 2008 and 2007 (in thousands):
2009 | 2008 | 2007 | ||||||||||
Allowance for Doubtful Accounts |
||||||||||||
Balancebeginning of the period (1) |
$ | 5,344 | $ | 6,849 | $ | 8,235 | ||||||
Provision for doubtful accounts |
7,839 | 6,492 | 6,857 | |||||||||
Write-off of uncollectible accounts |
(7,856 | ) | (7,932 | ) | (8,191 | ) | ||||||
Balanceend of the period |
$ | 5,327 | $ | 5,409 | $ | 6,901 | ||||||
(1) | Beginning balance for the years ended December 31, 2009 and 2008 has been adjusted to exclude accounts receivable related to discontinued operations. |
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
5. PROPERTY AND EQUIPMENT
Property and equipment at December 31, 2009 and 2008 consists of the following (in thousands):
2009 | 2008 | |||||||
Land |
$ | 21,373 | $ | 21,373 | ||||
Building and improvements |
74,551 | 65,733 | ||||||
Leasehold improvements |
23,181 | 22,147 | ||||||
Furniture and fixtures |
12,404 | 11,556 | ||||||
Computer equipment |
10,855 | 9,474 | ||||||
Computer software |
11,332 | 9,495 | ||||||
Motor vehicles |
5,911 | 5,568 | ||||||
Field equipment |
2,782 | 2,901 | ||||||
Construction in progress |
6,363 | 12,013 | ||||||
168,752 | 160,260 | |||||||
Less accumulated depreciation |
(43,537 | ) | (30,532 | ) | ||||
Property and equipmentnet |
$ | 125,215 | $ | 129,728 | ||||
Depreciation expense was $15.6 million, $13.9 million, and $10.9 million for the years ended December 31, 2009, 2008 and 2007, respectively.
The Company tests its long-lived assets for impairment whenever events and changes in circumstances indicate that the carrying value of certain of its assets may not be recoverable. If the undiscounted future cash flows from the assets tested are less than the carrying value, a loss equal to the difference between the carrying value and the fair market value of the asset is recorded. Fair market value is determined using discounted cash flow methods. The Companys analysis of its undiscounted cash flows requires judgment with respect to many factors, including future cash flows, success at executing its business strategy, and future revenue and expense growth rates. It is possible that the Companys estimates of undiscounted cash flows may change in the future resulting in the need to reassess the carrying value of its long-lived assets for impairment.
At September 30, 2009, the Company tested property and equipment within its healthy living segment for possible impairment as a result of triggering events related to declining enrollments. Consequently, for the year ended December 31, 2009, the Company recognized a non-cash impairment charge of $0.2 million related to impairment of property and equipment which is recorded under asset impairment on the consolidated statement of operations.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
6. GOODWILL AND INTANGIBLE ASSETS
Changes to goodwill by reportable segment for the years ended December 31, 2009 and 2008 are as follows (in thousands):
Recovery | Healthy Living | Total | ||||||||||||||||||||||
2009 | 2008 | 2009 | 2008 | 2009 | 2008 | |||||||||||||||||||
Balance as of January 1 |
||||||||||||||||||||||||
Goodwill |
$ | 502,155 | $ | 488,318 | $ | 244,785 | $ | 242,366 | $ | 746,940 | $ | 730,684 | ||||||||||||
Accumulated impairment losses |
(624 | ) | | (142,238 | ) | | (142,862 | ) | | |||||||||||||||
Balance as of January 1 |
501,531 | 488,318 | 102,547 | 242,366 | 604,078 | 730,684 | ||||||||||||||||||
Activity during the year: |
||||||||||||||||||||||||
Goodwill additions |
| 11,304 | | | | 11,304 | ||||||||||||||||||
Goodwill impairment |
| (624 | ) | (30,497 | ) | (142,238 | ) | (30,497 | ) | (142,862 | ) | |||||||||||||
Goodwill related to earn-outs |
200 | | | 641 | 200 | 641 | ||||||||||||||||||
Goodwill related to sale of facilities |
(236 | ) | | | | (236 | ) | | ||||||||||||||||
Goodwill adjustments |
49 | 2,533 | | 1,778 | 49 | 4,311 | ||||||||||||||||||
Balance as of December 31 |
||||||||||||||||||||||||
Goodwill |
502,168 | 502,155 | 244,785 | 244,785 | 746,953 | 746,940 | ||||||||||||||||||
Accumulated impairment losses |
(624 | ) | (624 | ) | (172,735 | ) | (142,238 | ) | (173,359 | ) | (142,862 | ) | ||||||||||||
Balance as of December 31 |
$ | 501,544 | $ | 501,531 | $ | 72,050 | $ | 102,547 | $ | 573,594 | $ | 604,078 | ||||||||||||
Goodwill impairment
2009 Goodwill Impairment During 2009, the Company tested its recovery reporting unit for possible impairment in accordance with its annual goodwill impairment testing policy. The Company determined that the fair value of its recovery reporting unit exceeded its carrying value by approximately 165%. As a result of the impairment testing, the Company established that the second step of goodwill impairment testing was not required for its recovery reporting unit.
During the third quarter of 2009, the Company reduced its estimate of expected future cash flows for the healthy living reporting unit based upon current economic conditions including the lack of availability of student loans, credit for its clients and other factors. Accordingly, the Company tested its healthy living reporting unit in advance of the annual goodwill impairment test date as there was a significant adverse change in business climate and recognized a non-cash impairment charge of $24.9 million. Goodwill impairment charges, recognized by the Company during the three months ended September 30, 2009, were estimated amounts which were subsequently revised during the fourth quarter of 2009 resulting in a favorable goodwill adjustment of $0.6 million.
During the fourth quarter of 2009, the Company closed two facilities within its healthy living reporting unit. The closure of the two facilities negatively impacted the Companys forecasted cash flows for the reporting unit. The decrease in forecasted cash flows was considered a triggering event that gave effect to additional goodwill impairment testing for the healthy living reporting unit. As a result of goodwill impairment testing for its healthy living reporting unit, the Company determined that the carrying value of its healthy living reporting unit exceeded the reporting units estimated fair value and recognized a non-cash impairment charge of $6.2 million.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Goodwill impairment charges for 2009 are reflected as goodwill impairment within continuing operations in the consolidated statement of operations.
2008 Goodwill Impairment In the third quarter of 2008, the Company tested its healthy living reporting unit for impairment in advance of the annual test date, based upon restructuring activity and deteriorating economic conditions. The Company recorded a non-cash impairment charge of $142.2 million related to its healthy living reporting unit, which is reflected as goodwill impairment in continuing operations on the consolidated statement of operations.
As of December 31, 2008, certain facilities within the Companys recovery reporting unit were classified as held for sale. A portion of the recovery reporting unit goodwill was allocated to these assets held for sale on a relative fair value basis. At December 31, 2008, the Company determined that the carrying value of the assets held for sale exceeded the fair value. Accordingly, the Company recognized $0.6 million goodwill impairment charge which is recorded within discontinued operations on the consolidated statement of operations.
Goodwill related to earnouts
Certain acquisition agreements contain contingent earnout provisions that provide for additional consideration to be paid to the sellers if the results of the acquired entitys operations exceed negotiated benchmarks. During the year ended December 31, 2009, the recovery reporting unit recorded $0.2 million in additional goodwill related to the Companys negotiated purchase of an earnout related to a 2008 acquisition.
During the year ended December 31, 2008, the healthy living reporting unit recorded $0.6 million in additional goodwill as a result of one of the entities meeting the benchmarks.
Goodwill related to sale of facilities
During the year ended December 31, 2009, the Company completed the sale of four facilities within its recovery reporting unit which were classified as held for sale at December 31, 2008. The Company allocated approximately $0.2 million of goodwill to the facilities upon completion of the sales.
Goodwill adjustments
For the year ended December 31, 2009, goodwill adjustments include an immaterial correction to an acquisition completed in 2007. For the year ended December 31 2008, goodwill adjustments include a $1.8 million correction related to an above market lease from an acquisition completed in 2007 and a $2.5 million correction of estimated deferred tax benefits related to acquisitions occurring in 2006.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Intangible assets at December 31, 2009 and 2008 consist of the following (in thousands):
December 31, 2009 | December 31, 2008 | |||||||||||||||||||||||
Useful Life |
Gross Carrying Amount |
Accumulated Amortization |
Net Carrying Amount |
Useful Life |
Gross Carrying Amount |
Accumulated Amortization |
Net Carrying Amount | |||||||||||||||||
Intangible assets subject to amortization: |
||||||||||||||||||||||||
Referral network |
20 years | $ | 29,695 | $ | (4,632 | ) | $ | 25,063 | 20 years | $ | 35,914 | $ | (3,823 | ) | $ | 32,091 | ||||||||
Accreditations |
20 years | 14,144 | (2,219 | ) | 11,925 | 20 years | 16,118 | (1,722 | ) | 14,396 | ||||||||||||||
Curriculum |
20 years | 7,425 | (1,159 | ) | 6,266 | 20 years | 8,743 | (929 | ) | 7,814 | ||||||||||||||
Government including Medicaid contracts |
15 years | 34,967 | (9,131 | ) | 25,836 | 15 years | 34,979 | (6,806 | ) | 28,173 | ||||||||||||||
Managed care contracts |
10 years | 14,400 | (5,640 | ) | 8,760 | 10 years | 14,400 | (4,200 | ) | 10,200 | ||||||||||||||
Managed care contracts |
5 years | 100 | (45 | ) | 55 | 5 years | 100 | (25 | ) | 75 | ||||||||||||||
Core developed technology |
5 years | 2,704 | (2,122 | ) | 582 | 5 years | 2,704 | (1,582 | ) | 1,122 | ||||||||||||||
Covenants not to compete |
3 years | 152 | (152 | ) | | 3 years | 152 | (152 | ) | | ||||||||||||||
Total intangible assets subject to amortization: |
$ | 103,587 | $ | (25,100 | ) | 78,487 | $ | 113,110 | $ | (19,239 | ) | 93,871 | ||||||||||||
Intangible assets not subject to amortization: |
||||||||||||||||||||||||
Trademarks and trade names |
174,821 | 176,587 | ||||||||||||||||||||||
Certificates of need |
44,600 | 44,600 | ||||||||||||||||||||||
Regulatory licenses |
37,501 | 39,405 | ||||||||||||||||||||||
Total intangible assets not subject to amortization |
256,922 | 260,592 | ||||||||||||||||||||||
Total intangible assets |
$ | 335,409 | $ | 354,463 | ||||||||||||||||||||
Amortization expense related to intangible assets subject to amortization was $7.3 million, $8.1 million and $10.4 million, for the years ended December 31, 2009, 2008 and 2007, respectively.
During the year ended December 31, 2009, the Company continued its restructuring activities initiated in 2008 (the FY08 Plan). The Company recognized a non-cash impairment charge of $6.1 million related to finite-lived intangible assets and $3.2 million related to indefinite lived intangible assets. These impairment charges are based on the Companys decision to close four of its healthy living program facilities and reduce the carrying value of certain of its finite-lived and indefinite lived intangible assets to their estimated fair value.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Impairment charges related to facility closures are included under asset impairment in the consolidated statement of operations under results from discontinued operations. See Note 18.
During the third quarter ended September 30, 2009, the Company tested its finite lived intangible assets for possible impairment due to negative economic conditions including the lack of availability of student loans, credit for its clients and other factors which indicated that the carrying value of certain of its assets may not be recoverable. The Company records impairments when the undiscounted future cash flow from an asset tested is less than the carrying value of that asset. Losses are measured based on the difference between the carrying value and the estimated fair market value of the asset based on a discounted cash flow analysis. The Company determined that certain finite-lived intangible assets within its healthy living segment were impaired. Accordingly, for the year ended December 31, 2009, the Company recognized a non-cash charge of $2.0 million which is included in the consolidated statement of operations under asset impairment. These impairment charges reduce the carrying value of certain of its finite-lived intangible assets to their estimated fair value.
During 2008, as a result of impairment testing during the year, the Company recognized non-cash impairment charges of $16.9 million related to intangibles subject to amortization and $10.9 million related to intangible assets not subject to amortization. Of the total impairment charges, $4.5 million of charges related to intangible assets not subject to amortization are recognized in continuing operations on the Companys consolidated statement of operations under asset impairment. The remaining impairment charges are recognized in discontinued operations.
Estimated future amortization expense related to the amortizable intangible assets at December 31, 2009 is as follows (in thousands):
Fiscal Year |
|||
2010 |
$ | 6,895 | |
2011 |
6,395 | ||
2012 |
6,349 | ||
2013 |
6,334 | ||
2014 |
6,334 | ||
Thereafter |
46,180 | ||
Total |
$ | 78,487 | |
7. INCOME TAXES
The provision for income taxes attributable to income from continuing operations consists of the following (in thousands):
2009 | 2008 | 2007 | ||||||||||
Current: |
||||||||||||
Federal |
$ | 5,691 | $ | 269 | $ | (855 | ) | |||||
State |
2,176 | 2,354 | 2,691 | |||||||||
Total Current |
7,867 | 2,623 | 1,836 | |||||||||
Deferred: |
||||||||||||
Federal |
(3,295 | ) | (8,156 | ) | (648 | ) | ||||||
State |
(556 | ) | (743 | ) | (181 | ) | ||||||
Total Deferred |
(3,851 | ) | (8,899 | ) | (829 | ) | ||||||
Income tax expense (benefit) from continuing operations |
$ | 4,016 | $ | (6,276 | ) | $ | 1,007 | |||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
The reconciliation of income tax computed by applying the U.S. federal statutory rate to the effective tax rate for continuing operations is summarized in the following table:
2009 | 2008 | 2007 | |||||||
Statutory federal tax rate |
35.0 | % | 35.0 | % | 35.0 | % | |||
State income taxes (net of federal benefit) |
-11.8 | % | -0.6 | % | -342.2 | % | |||
Goodwill impairment |
-60.1 | % | -28.2 | % | | ||||
Non deductible expenses |
1.3 | % | -0.2 | % | -48.3 | % | |||
Prior year provision true-ups |
1.3 | % | -0.3 | % | -22.4 | % | |||
Release of tax reserve |
| 0.0 | % | 221.2 | % | ||||
Change in valuation allowances for NOL |
1.8 | % | -1.0 | % | | ||||
Other |
3.4 | % | 0.2 | % | -22.2 | % | |||
Effective tax rate from continuing operations |
-29.1 | % | 4.9 | % | -178.9 | % | |||
Deferred tax Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purpose and the amounts used for income tax purposes. The tax effects of items comprising deferred income taxes at December 31, 2009 and 2008 is as follows:
2009 | 2008 | |||||||
Deferred tax assets: |
||||||||
Reserves and allowances |
$ | 6,491 | $ | 4,006 | ||||
Net operating loss carryforwards |
5,431 | 1,277 | ||||||
Research credits |
1,068 | 1,295 | ||||||
Acquisition costs |
2,674 | 3,184 | ||||||
Flow through entity |
| 204 | ||||||
Stock based compensation |
7,850 | 5,637 | ||||||
Charitable contributions |
109 | 97 | ||||||
State taxes |
351 | 8 | ||||||
Interest rate swap |
3,451 | 5,356 | ||||||
Gross deferred tax assets |
$ | 27,425 | $ | 21,064 | ||||
Valuation allowance |
(5,763 | ) | (8,127 | ) | ||||
Total deferred tax assets |
$ | 21,662 | $ | 12,937 | ||||
Deferred tax liabilities: |
||||||||
Acquired intangible assets |
$ | (130,096 | ) | $ | (142,999 | ) | ||
Depreciation and amortization |
(1,223 | ) | (240 | ) | ||||
Flow through entity |
(1,331 | ) | | |||||
Gross deferred tax liabilities |
$ | (132,650 | ) | $ | (143,239 | ) | ||
Total net deferred tax liabilities |
$ | (110,988 | ) | $ | (130,302 | ) | ||
Current Net DTA |
$ | 6,346 | $ | 4,029 | ||||
Non-Current Net DTL |
$ | (117,334 | ) | $ | (134,331 | ) |
At December 31, 2009, the Company had $4.3 million and $72.7 million of U.S. federal and state net operating loss carry forwards, respectively, available to offset future taxable incomes, which expire in varying amounts beginning in 2022 and 2013 respectively, if not utilized. Under the Tax Reform Act of 1986, the
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
amounts of and benefits from net operating loss carry forwards may be impaired or limited in certain circumstances. Events which cause limitations in the amount of net operating losses that the company may utilize in any one year include, but are not limited to, a cumulative ownership change of more than 50%, as defined, over a three-year period. At December 31, 2009, the Companys net operating loss and credit carry forwards may be subject to such limitations.
At December 31, 2009, the Company had approximately $0.2 million of state research and development credit carry forward, respectively. The state credits carry forward indefinitely.
As of December 31, 2009, the Company also had $1.0 million of federal alternative minimum tax credit that can be carried forward indefinitely to offset the future federal regular tax liability.
Future tax benefits are recognized to the extent that realization of such benefits is more likely than not. A valuation allowance is established for those benefits that do not meet the more likely than not criteria. We have evaluated the need for a valuation allowance against deferred tax assets, and have recorded valuation allowance of $5.8 million at December 31, 2009.
Our income tax returns are audited by federal and various states tax authorities. We are currently under examination by the Internal Revenue Service for the tax year 2006 and by various state jurisdictions for various tax years. We periodically evaluate our exposures associated with our tax filing positions.
Income Tax related to Impairments During the year ended December 31, 2009, the Company recognized a total of $ 42.0 million in impairments related to goodwill, intangible assets and fixed assets. Of the $42.0 million in impairment, $41.8 million is related to impairment of goodwill and other intangible. The remaining $0.2 million is related to fixed asset impairments.
Of the $41.8 million in impairments related to goodwill and other intangibles, $23.6 million represents goodwill that is non-deductible for income tax purposes, resulting in an increase to federal income expense of $8.3 million. The $8.3 million increase in income tax expense reduced the income tax benefit to the Companys total effective tax rate by 60.1%. The $8.3 million income tax expense is related to continuing operations.
Of the total impairments, $41.8 million impairment generated approximately $7.0 million of income tax benefits in the form of future tax deductions.
During the year ended December 31, 2008, the Company recognized a total of $ 173.7 million in impairments related to goodwill, intangible assets and fixed assets. Of the $173.7 million in impairment, $170.7 million is related to impairment of goodwill and other intangibles. The remaining $3.0 million is related to fixed asset impairments.
Of the $170.7 million in impairments related to goodwill and other intangibles, $102.9 million represents goodwill that is non-deductible for income tax purpose, resulting in an increase to federal income expense of $36.0 million. The $36.0 million increase in income tax expense reduced the income tax benefit to the Companys total effective tax rate by 22.7%. Of the $36.0 million income tax expense, $35.8 million is related to continuing operations and $0.2 million is related to discontinued operations, representing an effective tax rate change of 28.2% and 0.7%, respectively.
Of the total impairments, $67.7 million impairment generated approximately $27.0 million of income tax benefits in the form of future tax deductions.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Unrecognized tax benefits At December 31, 2009, the Companys total unrecognized tax benefits were approximately $1.1 million exclusive of interest and penalties described below. Included in this amount is approximately $0.7 million of unrecognized tax benefits that, if recognized, would favorably affect the effective tax rate in a future period. The Company expects that $0.4 million 2006 transaction cost will be taken off from the schedule and realize unrecognized tax benefits within the next six to eight months due to 2006 IRS audit close.
The Company recognizes interest related to unrecognized tax benefits within the income tax expenses line in the accompanying consolidated statement of operations. Accrued interest and penalties are included within the related tax liability line in the consolidated balance sheet. At December 31, 2009 and 2008, the Company had $0.3 million and $0.1 million accrued for estimated interest and penalties.
The Company is no longer subject to U.S. federal, state and local income tax audits by taxing authorities for years through 2004. The tax years 2005 through 2008 remain open to examination by major taxing jurisdictions to which the Company is subject in the United States. In addition, the Company has net operating losses in certain states for which the statute of limitations relative to the net operating loss carryovers is open from 2001.
The following is a roll forward of our total gross unrecognized tax benefit liabilities for the years ended December 31, 2009, 2008 and 2007 (in thousands):
2009 | 2008 | 2007 | ||||||||||
Beginning Balance |
$ | 1,097 | $ | 1,075 | $ | 1,918 | ||||||
Tax positions related to |
||||||||||||
Additions |
| | | |||||||||
Reductions |
| | | |||||||||
Tax positions related to prior years: |
||||||||||||
Additions |
| 112 | 464 | |||||||||
Reductions |
| | | |||||||||
Settlements |
||||||||||||
Lapse of statute of limitations |
(16 | ) | (90 | ) | (1,307 | ) | ||||||
Balance, December 31, |
$ | 1,081 | $ | 1,097 | $ | 1,075 | ||||||
8. LONG-TERM DEBT
Long-term debt at December 31, 2009 and 2008 consists of the following (in thousands):
2009 | 2008 | |||||||
Term loan |
$ | 405,649 | $ | 409,841 | ||||
Revolving line of credit |
46,500 | 61,500 | ||||||
Senior subordinated notes, net of discount of $1,606 in 2009 and $1,870 in 2008 |
175,690 | 175,426 | ||||||
Seller notes |
3,116 | 6,216 | ||||||
Note payable, leasehold improvement |
121 | 157 | ||||||
Capital lease obligations |
| 12 | ||||||
Total debt |
631,076 | 653,152 | ||||||
Less current portion |
(8,814 | ) | (6,522 | ) | ||||
Long-term debtless current portion |
$ | 622,262 | $ | 646,630 | ||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Term Loan and Revolving Line of Credit On February 6, 2006, the Company entered into a Credit Agreement (the Credit Agreement) with a syndicate of institutional lenders and financial institutions. The Credit Agreement provided for financing of $245.0 million in senior secured term loans and $100.0 million of revolving line of credit. On November 17, 2006, concurrent with the Aspen Education Group acquisition, the Company amended and restated the Credit Agreement (the Amended and Restated Credit Agreement). The Amended and Restated Credit Agreement provides for financing of $419.3 million in senior secured term loans (Term Loan) and $100.0 million of revolving line of credit. The Company borrowed $175.5 million in senior secured term loans upon execution of the amendment. Effective April 16, 2007, the Company entered into Amendment No. 2 (Amendment No. 2) that amends the Companys Amended and Restated Credit Agreement. Under Amendment No. 2, the Term Loan interest is payable quarterly at 90 day LIBOR plus 2.25% per annum (previously 2.50% per annum); provided that on and after such time if the Companys corporate rating from Moodys is at least B1 then the interest is payable quarterly at 90 day LIBOR plus 2.0% per annum.
Term Loan Aggregate commitment of $419.3 million matures on February 6, 2013. The Term Loan is payable in quarterly principal installments of $1.05 million per quarter through December 31, 2012, and the remainder on February 6, 2013. Interest is payable quarterly at 90 day London Interbank Offered Rate (LIBOR) plus 2.25% (2.501% at December 31, 2009). Under the Amendment No. 2, the Company must comply with certain restrictive financial covenants that limit the amount of capital expenditures the Company may make on an annual basis and require the Company to maintain certain levels of liquidity, debt to income ratios and interest coverage ratios. The Company was in compliance with all such covenants as of December 31, 2009. The principal balance outstanding at December 31, 2009 was $405.6 million.
Under the Credit Agreement, the Company is required to apply a certain portion of excess cash to the principal amount of the Term Loan. Excess cash under the Credit Agreement is defined as net income attributable to the Company adjusted for certain cash and non-cash items.
Revolving Line of Credit Maximum borrowings are not to exceed $100.0 million. At the Companys option, interest is currently payable at LIBOR plus 2.50% or monthly at the Base Rate (defined as the higher of (a) the prime rate or (b) the overnight federal funds rate plus 50 basis points) plus 1.50% per annum. Principal is payable at the Companys discretion based on available operating cash balances. The revolving line of credit commitment expires on February 6, 2012. At December 31, 2009, the outstanding balance under the revolving line of credit was $46.5 million. Based on periodic review of its debt structure, the Company determined it appropriate to classify $46.5 million related to the revolving line of credit as long-term debt as the company does not intend to repay such amount in 2010. From time to time the revolving line of credit may include one or more swing line loans at the Base Rate or one or more letters of credit (LCs). At December 31, 2009, there was no outstanding balance on the swing line loans. LCs outstanding at December 31, 2009 totaled $8.9 million, respectively, with interest payable quarterly at LIBOR plus 2.50% per annum. The LCs secure various liability and workers compensation policies in place for the Company and its subsidiaries. The Company has historically and currently intends to make payments to reduce borrowing under the revolving line of credit from operating cash flow. In addition, the Company expects that future financings will serve not only to partially fund acquisitions but also to repay all or part of any outstanding revolving line of credit balances then outstanding.
Senior Subordinated Notes On November 16, 2006, the Company issued $200.0 million aggregate principal amount of 10 3/4% Senior Subordinated Notes (the Notes) due February 1, 2016. Interest is payable semiannually beginning August 1, 2006. The Notes were issued at a price of 98.511%, resulting in $3.0 million of original issue discount. The Company may redeem some or all of the Notes on or prior to February 1, 2011 at a redemption price equal to 100% of the principal amount of the Notes redeemed plus a make-whole premium or at the redemption prices set forth in the indenture governing the Notes. If there is a change of control as specified in the indenture, the Company must offer to repurchase the Notes. The Notes are subordinated to all of
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
the Companys existing and future senior indebtedness, rank equally with all of the Companys existing and future senior subordinated indebtedness and rank senior to all of the Companys existing and future subordinated indebtedness. The Notes are guaranteed on an unsecured senior subordinated basis by all the Companys wholly owned subsidiaries.
During the year ended December 31, 2008 the Company retired senior subordinated notes with a par amount of $22.7 million. Excluding immaterial transaction related costs, the Company realized a gain of $8.1 million related to debt retirement activities, which is included in gain on debt repurchase on the Companys consolidated statement of operations.
Seller Notes Represents notes payable for amounts owed by the Company to former shareholders of business acquired related to the achievement of certain earnout obligations. Interest rates on these notes range from 6.75% to 10.25%. Principal and interest are payable quarterly through January 2012.
Lessor Financing Leasehold improvements at two facilities leased by the Company were financed by the lessor and the Company issued note payables for those amounts. Such amounts are due and payable in the aggregate amount of approximately $0.1 million as of December 31, 2009.
Interest expense on total debt was $45.7 million for the year ended December 31, 2009 inclusive of $1.4 million of capitalized interest, $54.9 million for the year ended December 31, 2008 inclusive of $0.8 million of capitalized interest, and $60.9 million for the year ended December 31, 2007.
At December 31, 2009, currently scheduled principal payments of total long-term debt, excluding discount on senior subordinated notes, are as follows (in thousands):
Total | |||
2010 |
$ | 5,908 | |
2011 |
7,105 | ||
2012 |
51,117 | ||
2013 |
393,250 | ||
2014 |
| ||
Thereafter |
177,296 | ||
Total |
$ | 634,676 | |
9. DERIVATIVES
The Company uses interest rate swaps to manage risk related to fluctuations in interest rates and does not engage in speculation or trading activities with its interest rate swaps.
The Company expects that the interest rate swaps will hedge the variable cash flows associated with existing variable-rate debt. Accordingly, the Company has designated these as cash flow hedges under applicable accounting literature. The effective portion of changes in the fair value of interest rate swaps designated and qualifying as cash flow hedges is recorded in accumulated other comprehensive income and is subsequently reclassified into earnings in the period that the hedged forecasted transaction affects earnings. The ineffective portion of the change in fair value of the derivatives is recognized directly in interest expense on the statements of operations.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
As of December 31, 2009, the Company had two outstanding interest rate derivatives with a combined $231.3 million in notional amounts that were designated as cash flow hedges of interest rate risk. One of the derivatives (the 2006 Swap) with a maturity date of March 31, 2011, converts $31.3 million of its floating-rate debt to fixed-rate debt at 4.99%. For the second derivative (the 2008 Swap) with a maturity date of June 30, 2011, the Company receives an interest rate equal to 3-month LIBOR and in exchange pays a fixed rate of 3.875% on the $200.0 million notional amount.
For the years ended December 31, 2009 and 2008, the Company recorded an unrealized gain of $1.3 million, net of tax and an unrealized loss of $6.3 million, net of tax, respectively, related to its cash flow hedges. Unrealized gains and losses related to the Companys cash flow hedges are recorded in accumulated other comprehensive income. See Note 11.
At June 30, 2008, the 2006 Swap had not been designated as a qualifying hedge. On July 1, 2008 (the off-market date) the Company designated the 2006 Swap as a qualifying cash flow hedge. During the three months ended December 31, 2009, the Company reclassified $1.3 million related to 2006 Swap hedge ineffectiveness from other comprehensive income to earnings. The reclassification of hedge ineffectiveness relates to unrealized gains being deferred in other comprehensive income that represent changes in fair value of the 2006 Swap. The reclassification from other comprehensive income to earnings represents a favorable increase of $1.3 million to earnings, before taxes, and is recorded in interest expense in the Companys consolidated statement of operations.
During 2008, the Company recognized a $0.3 million loss in cumulative hedge ineffectiveness of the 2006 Swap which was recorded in interest expense on the Companys consolidated statement of operations. For the six months ended June 30, 2008, and prior to the off-market date, the Company recognized an immaterial loss for the 2006 Swap. For the year ended December 31, 2007, the Company recorded a loss of $1.8 million related to the 2006 Swap, which was recognized in other (expense) income on the Companys consolidated statements of operations.
For the years ended December 31, 2009 and 2008, there was no hedge ineffectiveness related to the 2008 Swap.
Amounts reported in accumulated other comprehensive income related to derivatives will be reclassified to interest expense as interest payments are made on the Companys variable-rate debt. During the next twelve months, the Company estimates that an additional $7.3 million of the effective portion of its derivatives will be reclassified as an increase to interest expense.
The table below presents the fair value of the Companys derivative financial instruments at December 31, 2009 and 2008 (in thousands):
Liability Derivatives | ||||||||
Balance Sheet Location | Fair Value | |||||||
December 31, 2009 |
December 31, 2008 | |||||||
Derivatives designated as hedging instruments |
||||||||
Interest Rate Swaps |
Other current liabilities | $ | 8,659 | $ | 12,110 | |||
Total derivatives designated as hedging instruments |
$ | 8,659 | $ | 12,110 | ||||
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The table below presents the before-tax effect of the Companys derivative financial instruments for the years ending December 31, 2009 and 2008 (in thousands):
Cash Flow Hedging Relationships |
Amount of Gain or (Loss) Recognized in OCI on Derivative (Effective Portion) |
Location of Gain or (Loss) Reclassified from Accumulated OCI into Income (Effective Portion) |
Amount of Gain or (Loss) Reclassified from Accumulated OCI into Income (Effective Portion) |
Location of Gain or (Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded from Effectiveness Testing) |
Amount of Gain or (Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded from Effectiveness Testing) |
||||||||||||||||||||||
2009 | 2008 | 2009 | 2008 | 2009 | 2008 | ||||||||||||||||||||||
Interest Rate Swaps |
$ | (5,101 | ) | $ | (11,155 | ) | Interest expense | $ | (7,279 | ) | $ | (705 | ) | Interest expense | $ | 536 | $ | (583 | ) |
Credit-Risk-Related Contingent Features
The Company has agreements with one of its derivative counterparties that contain a provision where if the Company defaults on any of its indebtedness, including default where repayment of the indebtedness has not been accelerated by the lender, then the Company could also be declared in default on its derivative obligations.
At December 31, 2009, the liability due to counterparties to the derivative agreements is $9.8 million, which includes accrued interest but excludes any adjustment for nonperformance risk (credit valuation adjustments). As of December 31, 2009, the Company has not posted any collateral related to these agreements. If the Company had breached any of these provisions at December 31, 2009, it may be required to settle its obligations under the agreements at their termination value of $9.8 million. At December 31, 2009, the Company was in compliance with all agreements related to its debt and derivatives.
10. FAIR VALUE MEASUREMENTS
The Company accounts for certain assets and liabilities at fair value. As defined in the authoritative guidance on fair value measurements, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The Company establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. An asset or liabilitys level is based on the lowest level of input that is significant to the fair value measurement. The statement requires that assets and liabilities carried at fair value be classified and disclosed in one of the following three categories:
Level 1: |
Quoted prices (unadjusted) in active markets for identical assets or liabilities; | |
Level 2: |
Inputs other than quoted prices included within Level 1 that are either directly or indirectly observable; | |
Level 3: |
Unobservable inputs in which little or no market activity exists, therefore requiring an entity to develop its own assumptions about the assumptions that market participants would use in pricing. |
Assets and Liabilities Measured at Fair Value on a Recurring Basis
The Company values its interest rate swaps using terminal values which are derived using proprietary models based upon well-recognized financial principles and reasonable estimates about relevant future market conditions at December 31, 2009 and 2008. These instruments are allocated to Level 2 on the fair value hierarchy
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because the critical inputs into these models, including the relevant yield curves and the known contractual terms of the instrument, are readily available. Refer to Note 9 for disclosure of fair value measurements and impact of unrealized gain or loss on earnings.
Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis
The Company measures, on a non-recurring basis, its long-lived assets and indefinite-lived intangible assets at fair value when performing impairment assessments under the relevant accounting guidance. Nonfinancial liabilities for facility exit activities are also measured at fair value on a non-recurring basis.
The following table presents the non-financial assets that were measured and recorded at fair value on a non-recurring basis during the year ended December 31, 2009 (in thousands):
Year Ended December 31, 2009 | Level Used to Determine New Cost Basis | |||||||||||||
Impairment Charge |
New Cost Basis |
Level 1 | Level 2 | Level 3 | ||||||||||
Property and equipment |
$ | 212 | | $ | | $ | | $ | | |||||
Referral network |
5,303 | | | | | |||||||||
Accreditation |
1,681 | | | | | |||||||||
Curriculum |
1,132 | | | | | |||||||||
Regulatory licenses |
1,904 | | | | | |||||||||
Trademarks and trade names |
1,268 | | | | | |||||||||
Goodwillhealthy living reporting unit |
30,497 | 72,050 | | | 72,050 | |||||||||
Total |
$ | 41,997 | 72,050 | $ | | $ | | $ | 72,050 | |||||
For the year ended December 31, 2009, the estimated fair value of the assets was determined based on level 3 inputs.
Fair Value of Financial Instruments
Financial instruments not measured on a recurring basis include cash, restricted cash, accounts receivable, accounts payable, loan program notes and long-term debt. With the exception of financial instruments noted in the following table, the fair value of the Companys financial instruments approximate carrying value due to their short maturities.
The estimated fair value of financial instruments with long-term maturities is as follows:
December 31, 2009 | December 31, 2008 | |||||||||||
(in thousands) | ||||||||||||
Carrying Amount |
Fair Value | Carrying Amount |
Fair Value | |||||||||
Assets |
||||||||||||
Loan program notes |
$ | 3,821 | $ | 3,872 | $ | | $ | | ||||
Total Assets |
$ | 3,821 | $ | 3,872 | $ | | $ | | ||||
Liabilities |
||||||||||||
Senior subordinated notes |
$ | 175,690 | $ | 156,570 | $ | 175,426 | $ | 106,892 | ||||
Term loan |
$ | 405,649 | $ | 358,568 | $ | 409,841 | $ | 299,090 | ||||
Total Liabilities |
$ | 581,339 | $ | 515,138 | $ | 585,267 | $ | 405,982 | ||||
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Loan program notes are measured at fair value using Level 2 inputs based on the 90-day LIBOR rate plus a margin based on consumer credit scores. The Companys senior subordinated notes are measured at fair value using Level 2 inputs based on bond-yield data from market trading activity as well as U.S Treasury rates with similar maturities as the senior subordinated notes. The Companys term loans are measured at fair value based on present value methods and the forward yield curve derived from commercial bank liabilities.
11. COMPREHENSIVE INCOME (LOSS)
Comprehensive income (loss) includes other gains and losses affecting equity that are excluded from net income. The components of accumulated other comprehensive income (loss) consist of changes in the fair value of derivative financial instruments.
Comprehensive income (loss) for the years ended December 31, 2009, 2008 and 2007 is comprised of the following (in thousands):
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 | |||||||||
Net (loss) income |
$ | (26,661 | ) | $ | (142,058 | ) | $ | 1,653 | |||
Other comprehensive income (loss): |
|||||||||||
Net change in unrealized gain/(loss) on cash flow hedges (net of tax expense of $865 in 2009, and tax benefit of $4,161 in 2008) |
1,314 | (6,289 | ) | | |||||||
Total comprehensive (loss) income |
$ | (25,347 | ) | $ | (148,347 | ) | $ | 1,653 | |||
Comprehensive (loss) income attributable to noncontrolling interest |
$ | (62 | ) | $ | (153 | ) | $ | 189 | |||
Comprehensive (loss) income attributable to CRC Health Corporation |
$ | (25,285 | ) | $ | (148,194 | ) | $ | 1,464 | |||
12. COMMITMENTS AND CONTINGENCIES
Operating Leases The Company leases various office space, clinic offices, facilities and equipment under non-cancelable operating leases throughout the United States with various expiration dates through November 2026. Rent expense was $19.4 million, $22.1 million and $19.7 million for the years ended December 31, 2009, 2008 and 2007, respectively. The Company earned $0.4 million, $0.5 million, and $0.4 million in sublease rental income for the years ended December 31, 2009, 2008 and 2007, respectively. The terms of certain facility leases provide for annual scheduled increases in cost adjustments and rental payments on a graduated scale. The Company is party to certain related party leases as a result of the Companys acquisitions (see Note 16). Such related party leases are due and payable on a monthly basis on similar terms and conditions as the Companys other leasing arrangements. In addition, the Company is also responsible for certain expenses including property tax, insurance and maintenance costs associated with some of the clinic offices and facility leases.
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Future minimum lease payments under all non-cancelable operating leases at December 31, 2009 are as follows (in thousands):
Third Party Operating Lease Payments |
Related Party Operating Lease Payments |
Total Operating Lease Payments | |||||||
2010 |
$ | 16,876 | $ | 2,210 | $ | 19,086 | |||
2011 |
13,987 | 2,219 | 16,206 | ||||||
2012 |
11,449 | 2,193 | 13,642 | ||||||
2013 |
9,315 | 1,978 | 11,293 | ||||||
2014 |
7,652 | 1,689 | 9,341 | ||||||
Thereafter |
48,474 | 9,746 | 58,220 | ||||||
Total minimum lease payments |
$ | 107,753 | $ | 20,035 | $ | 127,788 | |||
Indemnifications The Company provides for indemnification of directors, officers and other persons in accordance with limited liability agreements, certificates of incorporation, bylaws, articles of association or similar organizational documents, as the case may be. The Company maintains directors and officers insurance which should enable the Company to recover a portion of any future amounts paid.
In addition to the above, from time to time the Company provides standard representations and warranties to counterparties in contracts in connection with business dispositions and acquisitions and also provide indemnities that protect the counterparties to these contracts in the event they suffer damages as a result of a breach of such representations and warranties or in certain other circumstances relating to such sales or acquisitions.
While the Companys future obligations under certain agreements may contain limitations on liability for indemnification, other agreements do not contain such limitations and under such agreements it is not possible to predict the maximum potential amount of future payments due to the conditional nature of the Companys obligations and the unique facts and circumstances involved in each particular agreement. Historically, no payments have been made under any of these indemnities.
Self-Insurance Plans Effective May 2004, the Company established a self-insurance program for workers compensation benefits for employees. Self-insurance reserves are based on past claims experience and projected losses for incurred claims and include an estimate of costs for claims incurred but not reported at the balance sheet date. The Company obtains an independent actuarial valuation of the estimated costs of claims reported but not settled, and claims incurred but not reported and may adjust the reserves based on the results of the valuations. Insurance coverage in excess of the per occurrence self-insurance retention has been secured with insurers for specified amounts. The reserve for self-insured workers compensation claims was $3.2 million and $3.2 million at December 31, 2009 and 2008, respectively, and is included in accrued liabilities on the consolidated balance sheets.
The Company maintains a self-insurance program for employee group health insurance to consolidate both self-insured and insured plans that had been in existence previously. The self-insured group health plan covers approximately 67% of our employees enrolled in group health plans. The remaining approximate 33% of our employees enrolled in group health plans are covered through health maintenance organizations. Insurance coverage, in excess of the per occurrence self-insurance retention, has been secured with insurers for specified amounts. Self-insurance reserves are based on projected costs for incurred claims and include an estimate of costs of claims incurred but not reported at the balance sheet date. The reserve for self-insured health insurance claims totaled $2.1 million and $0.7 million at December 31, 2009 and 2008, respectively, and is included in accrued liabilities on the consolidated balance sheets.
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Litigation The Company is involved in litigation and regulatory investigations arising in the course of business. After consultation with legal counsel, management estimates that these matters will be resolved without material adverse effect on the Companys future financial position or results from operations and cash flows.
13. STOCKHOLDERS EQUITY
Common Stock
The Companys amended and restated certificate of incorporation authorizes the Company to issue 1,000 shares of $0.001 par value common stock, all of which are issued and outstanding as of December 31, 2009 and are held by the Group.
Voting Each share of common stock is entitled, on all matters submitted for a vote or the consent of the holders of shares of common stock, to one vote.
Capital Contributed by Parent
As discussed in Note 1, the Company is a wholly owned subsidiary of the Group. Contributions from and distributions to the Group are reflected as capital contributed by Parent, net on the Companys consolidated statement of changes in equity. During the years ended December 31, 2009, 2008, and 2007, the Company recorded capital contributions from the Parent of $10.6 million, $5.7 million and $5.0 million, respectively.
The Company is included in the consolidated income tax returns of the Parent. Settlements of intercompany tax receivable and payable amounts between the Company and the Group are reflected as capital contributions or distributions on the consolidated statement of changes in equity. During the year ended December 31, 2009, the Company received $5.4 million from the Parent representing settlement with the Group of the Companys tax liability. During the year ended December 31, 2007, the Company received $0.8 million from the Parent representing settlement with the Group of the Companys tax liability.
The Company recognizes stock-based compensation in conjunction with stock options issued by the Group. Stock-based compensation is primarily related to employees of the Company who have received options to purchase Group stock. Stock-based compensation expense associated with these grants is recorded as a capital contribution from the Parent. For the years ended December 31, 2009, 2008, and 2007, the Company recognized $5.5 million, $6.0 million and $3.9 million in non-cash capital contributions from the Parent.
During the years ended December 31, 2009 and 2008, the Company received an immaterial amount and $0.1 million in cash related to stock options exercised, respectively. Additionally, during 2009, 2008 and 2007, the Company paid approximately $0.3 million, $0.4 million, and $0.3 million, respectively, in cash to repurchase Group common stock as a result of stock options exercised. During the year ended December 31, 2009, the Company also paid $0.1 million in cash related to an employee agreement not to exercise stock options. The cash payment related to Group stock repurchase and retirement is recorded as a capital distribution to the Parent.
During 2007, the Company received a capital contribution of $0.5 million from the Group. The Group funded the capital contribution with the proceeds from the sale of Group equity securities.
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14. STOCK-BASED COMPENSATION
Description of Share-Based Plans
2006 Executive Incentive Plan, 2006 Management Incentive Plan and 2007 Incentive Plan
On February 6, 2006 the Group adopted the 2006 Executive Incentive Plan (the Executive Plan) and the 2006 Management Incentive Plan (the Management Plan) and on September 7, 2007, the Group adopted the 2007 Incentive Plan (the Incentive Plan). The Company refers to the Executive Plan, Management Plan and Incentive Plan collectively as the Plans. The Plans provide for options to purchase Group stock by the Companys key employees, directors, consultants and advisors. Options granted under the Plans may be either incentive or non-incentive stock options. As of December 31, 2009, only non-incentive options (non-qualified under Internal Revenue Code 422) have been awarded under the Plans. Options granted under the Plans represent units. One unit consists of nine shares of class A and one share of class L common stock of the Group.
Options under the Plans may be granted for periods of up to ten years at an exercise price generally not less than fair market value of the shares subject to the award, determined as of the award date. In the case that the incentive stock options are granted to a 10% shareholder, an exercise price shall not be less than 110% of the fair market value of the shares subject to the award at the grant date. All options granted under the Plans generally expire ten years from the date of grant.
Options granted under the Executive Plan and Incentive Plan vest in three tranches as follows: tranche 1 options vest and become exercisable at the rate of 20% in one year from the date of grant and 10% on each six-month period thereafter or, if earlier, 100% on a change of control as defined in the plans; tranche 2 options vest and become exercisable upon achievement of a market condition, as defined in the Executive and Incentive Plans; tranche 3 options vest and become exercisable over a five-year period upon achievement of performance conditions or alternatively upon achievement of a market condition, as defined in the Executive and Incentive Plans. Tranche 1 options represent 50% of an option grant under the Executive Plan and Incentive Plans and tranches 2 and 3 options each represent 25% of the options granted under the Executive and Incentive Plans.
Options granted under the Management Plan vest and become exercisable over five years as follows: 20% in one year from the date of grant and 10% on each six-month period thereafter or, if earlier, 100% on a change of control, as defined in the Management Plan.
A maximum of 5,734,053 shares of Class A common stock of the Group and 637,117 shares of Class L common stock of the Group may be granted under the Plans.
Stock Option Expense Measurement and Recognition
The Company measures and recognizes expense for all stock-based payment awards, including employee stock options, granted after January 1, 2006, based on the grant-date fair value. Management estimates the fair value of stock-based payment awards on the date of grant using an option-pricing model. The value of the portion of the award that is ultimately expected to vest is recognized as expense over the requisite service periods on a straight-line basis in the consolidated statements of operations. In addition, for the options that vest upon the achievement of performance conditions, the Company recognizes compensation expense only if the probability of achievement of such performance conditions is assured. Such expense is recognized starting from the service inception date.
As stock-based compensation expense recognized in the consolidated statement of operations for the years ended December 31, 2009, 2008 and 2007 is based on awards ultimately expected to vest, it has been reduced for
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estimated forfeitures. Forfeitures are estimated at the date of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. The estimated forfeiture rate at December 31, 2009, 2008, and 2007 was 5% per year.
The Company recognizes the cash flows resulting from the tax benefits resulting from tax deductions in excess of the compensation cost as financing cash flows.
The Company continues to account for stock options issued to non-employees in accordance with the provisions of ASC Topic 505-50-30, Equity-Based Payments to Non-Employees.
Valuation of Stock-Based Awards
The Company estimates the fair value of stock options granted using the Black Scholes Merton option valuation model for Management Plan grants, tranche 1 Executive Plan grants, and tranche 1 Incentive Plan grants. The Company uses the binomial model in conjunction with Monte Carlo simulation to determine the fair value of tranche 2 and 3 Incentive Plan grants and tranche 2 and 3 Executive Plan grants. The estimated fair value of awards granted is based upon certain assumptions, including probability of achievement of market conditions for certain Executive Plan and Incentive Plan awards, stock price, expected term, expected volatility, dividend yield, and a risk-free interest rate. The weighted average grant date fair value of units granted during the years ended December 31, 2009, 2008 and 2007 were $21.83, $53.72, and $56.31 per unit, respectively. The fair value of stock-based payment awards was estimated using the following assumptions.
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 | ||||
Black Scholes Merton |
||||||
Expected term (in years) |
6.16 - 6.24 | 6.22 - 6.40 | 5.97 - 6.47 | |||
Expected volatility |
39.50 - 43.70% | 38.70 - 39.90% | 40.50 - 48.90% | |||
Dividend yield |
0% | 0% | 0% | |||
Risk-free interest rate |
2.03 - 2.92% | 2.87 - 3.40% | 3.50 - 5.06% | |||
Binomial (Monte Carlo simulation) |
||||||
Expected volatility |
39.60 - 52.88% | 50.80 - 51.78% | 51.05 - 55.09% | |||
Dividend yield |
0% | 0% | 0% | |||
Risk-free interest rate |
2.74 - 3.71% | 3.53 - 3.94% | 3.94 - 5.14% |
| Expected term used in the Black Scholes Merton valuation model represents the period that the Companys stock options are expected to be outstanding and is determined based on historical experience of similar awards, giving consideration to the contractual terms of the stock options, vesting schedules and expectation of future employee behavior as influenced by changes to the terms of its stock option grants. |
| Expected volatility utilized for the units granted is based on the historical volatility of comparable public companies for periods corresponding to the expected term of the awards. |
| No dividends are expected to be paid over the option term. |
| The risk-free rate used for options granted is based on the implied yield on U.S. Treasury constant maturities issued with a term equal to the expected term of the options. |
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Stock-Based Compensation Expense
Options granted under the Plans are for the purchase of Group stock by the Companys key employees, directors, consultants and advisors. Stock-based compensation expense related to the stock options granted by the Group is being recorded on the Companys consolidated financial statements, as substantially all grants have been made to employees of the Company. The Company recognizes stock-based compensation costs net of an estimated forfeiture rate and recognizes the compensation costs for only those shares expected to vest on a straight-line basis over the requisite service period of the award. For the years ended December 31, 2009, 2008 and 2007, the Company recognized stock-based compensation expense of $5.5 million, $6.0 million, and $3.9 million, respectively. Stock-based compensation expense is recorded within salaries and benefits on the consolidated statements of operations. The total income tax benefit recognized in the consolidated statements of operations for stock-based compensation expense was $2.2 million, $2.4 million, and $1.5 million, for the years ended December 31, 2009, 2008, and 2007, respectively.
As of December 31, 2009, $18.0 million of total unrecognized compensation, net of estimated forfeitures of $1.0 million, is expected to be recognized over a weighted-average period of 3.2 years if all performance conditions are met under the provisions of the option plans. During the years ended December 31, 2009, 2008 and 2007, 638,186 shares, 570,719 shares and 958,255 shares vested with an aggregate grant date fair value of $3.4 million, $3.1 million and $5.1 million, respectively.
Stock Option Activity under the Plans
During the year ended December 31, 2009, the Group granted 20,440 units, which represent 183,961 option shares to purchase Class A common stock of the Group and 20,440 option shares to purchase Class L common stock of the Group. Activity under the Plans for the year ended December 31, 2009 is summarized below:
Option Shares | Weighted- Average Exercise Price Per Share |
Weighted- Average Grant Date Fair Value |
Weighted- Average Remaining Contractual Term (In Years) | |||||||
Balance at December 31, 2008 |
7,310,873 | $ | 7.97 | 7.44 | ||||||
Granted |
204,401 | 9.00 | 2.18 | 9.20 | ||||||
Exercised |
(5,431 | ) | 1.20 | | ||||||
Forfeited/cancelled/expired |
(621,067 | ) | 9.50 | 5.17 | ||||||
OutstandingDecember 31, 2009 |
6,888,776 | $ | 7.87 | 6.47 | ||||||
ExercisableDecember 31, 2009 |
3,283,288 | $ | 6.22 | 6.26 | ||||||
Exercisable and expected to be exercisable |
6,544,337 | $ | 7.87 | 6.47 | ||||||
As of December 31, 2009, the aggregate intrinsic value of share options outstanding, exercisable, and outstanding and expected to be exercisable was $5.8 million, $5.8 million and $5.5 million, respectively. The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying awards and the fair value of the Groups shares as of December 31, 2009. At December 31, 2009 and 2008, the Company had 3,605,488 and 4,516,822 unvested option shares with per-share, weighted average grant date fair values of $5.28 and $5.42, respectively. Additionally, 638,186 option shares with a per-share weighted average grant date fair value of $5.37 vested during the twelve months ended December 31, 2009.
The aggregate intrinsic value of share options exercised under equity compensation plans was $0.5 million, $0.8 million and $0.3 million for the years ended December 31, 2009, 2008 and 2007, respectively.
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The following table presents the composition of options outstanding and exercisable as of December 31, 2009.
Options Outstanding |
Options Exercisable | |||||||||||
Range of Exercise Prices |
Number of |
Weighted Average |
Weighted Average |
Number of |
Weighted Average | |||||||
$ 0.02 - $ 0.32 |
1,058,594 | 6.15 | $ | 0.10 | 1,058,594 | $ | 0.10 | |||||
$ 1.00 - $ 3.30 |
5,147,748 | 6.53 | 1.12 | 1,902,792 | 1.09 | |||||||
$ 7.89 - $17.62 |
111,173 | 6.11 | 8.04 | 111,173 | 8.04 | |||||||
$ 81.00 - $98.16 |
571,261 | 6.53 | 83.05 | 210,729 | 82.25 | |||||||
Total |
6,888,776 | 6.47 | $ | 7.87 | 3,283,288 | $ | 6.22 | |||||
15. EMPLOYEE BENEFITS
The Company has a qualified 401(k) plan (the 401 K Plan). The 401 K Plan is a defined contribution plan, available to all eligible employees, that allows participants to contribute up to the legal maximum of their eligible compensation, not to exceed the maximum tax-deferred amount allowed by the Internal Revenue Service. The 401 K Plan also allows the Company to make discretionary matching contributions. During February 2009, the Company suspended its discretionary matching under the 401 K Plan and there is no assurance that the Company will reinstate its discretionary contribution portion of the 401 K plan in future periods. The Companys defined contribution plan expense was approximately $0.1 million, $0.7 million, $0.8 million, for the years ended December 31, 2009, 2008, and 2007, respectively.
16. RELATED PARTY TRANSACTIONS
The Company maintains a stockholders agreement with its security holders. The stockholders agreement contains agreements among the parties with respect to the election of the Companys directors and the directors of the Parent, restrictions on the issuance or transfer of shares, including tag-along rights and drag-along rights, other special corporate governance provisions (including the right to approve various corporate actions), registration rights (including customary indemnification provisions) and call options. Three of the Companys six directors are employees of Bain Capital, the Companys principal shareholder.
The Company maintains a management agreement with an affiliate of Bain Capital Partners, LLC. pursuant to which such entity or its affiliates will provide management services. Pursuant to such agreement, an affiliate of Bain Capital Partners, LLC will receive an aggregate annual management fee of $2.0 million and reimbursement in connection with the provision of services pursuant to the agreement. The management agreement has a five year, evergreen term; however, in certain circumstances, such as an initial public offering or change of control of the Group, the Company may terminate the management agreement and buy out its remaining obligations under the agreement to Bain Capital Partners, LLC and affiliates. In addition, the management agreement provides that an affiliate of Bain Capital Partners, LLC may receive fees in connection with certain subsequent financing and acquisition transactions. The management agreement includes customary indemnification provisions in favor of Bain Capital Partners, LLC and its affiliates. The Company, under this agreement, paid management fees of $2.2 million, $2.2 million and $2.0 million during the years ended December 31, 2009, 2008, and 2007, respectively, which is included in supplies, facilities and other operating costs in the Companys consolidated statements of operations.
The Company maintains operating leases with certain employees resulting primarily from prior year acquisition activity within the healthy living division. Such related party leases are due and payable on a monthly basis on similar terms and conditions as the Companys other leasing arrangements (see Note 12).
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Two Directors receive compensation for their services to the Company as consultants. One Director was granted options to purchase 13,435 shares of Class A common stock and 1,492 shares of Class L common stock and receives a salary of $10,000 per month in consideration for his services to the Company as a consultant. The other Director receives a salary of $4,000 per month for consulting services rendered to the Company. Additionally, he retains an aggregate of 49,885 options for Class A common shares and 5,543 options for Class L common shares, with 24,942 options for Class A common shares and 2,771 options for Class L common shares in consideration for his services as a member of the Board of Directors and 24,942 options for Class A common shares and 2,771 options for Class L common shares in consideration for his services as a consultant.
17. CONDENSED CONSOLIDATING FINANCIAL INFORMATION
As of December 31, 2009, the Company had outstanding $177.3 million aggregate principal amount of Notes due in 2016. The Notes are fully and unconditionally guaranteed, jointly and severally on an unsecured senior subordinated basis, by all of the Companys wholly owned subsidiaries.
The following supplemental tables present condensed consolidating balance sheets for the Company and its subsidiary guarantors as of December 31, 2009 and 2008, and the condensed consolidating statements of operations for the years ended December 31, 2009, 2008, and 2007, and the condensed consolidating statements of cash flows for the years ended December 31, 2009, 2008, and 2007.
80
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Balance Sheet as of December 31, 2009
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | ||||||||||||
ASSETS |
||||||||||||||||
CURRENT ASSETS: |
||||||||||||||||
Cash and cash equivalents |
$ | | $ | 4,745 | $ | 237 | $ | | $ | 4,982 | ||||||
Restricted cash |
420 | | | | 420 | |||||||||||
Accounts receivablenet of allowance for doubtful accounts |
| 31,153 | 405 | | 31,558 | |||||||||||
Prepaid expenses |
4,164 | 3,217 | 108 | | 7,489 | |||||||||||
Other current assets |
238 | 1,061 | 7 | | 1,306 | |||||||||||
Income taxes receivable |
676 | | | | 676 | |||||||||||
Deferred income taxes |
6,346 | | | | 6,346 | |||||||||||
Current assets of discontinued operations, facility exits |
| 1,720 | | | 1,720 | |||||||||||
Total current assets |
11,844 | 41,896 | 757 | | 54,497 | |||||||||||
PROPERTY AND EQUIPMENTNet |
8,046 | 115,604 | 1,565 | | 125,215 | |||||||||||
GOODWILL |
| 561,796 | 11,798 | | 573,594 | |||||||||||
INTANGIBLE ASSETSNet |
| 335,409 | | | 335,409 | |||||||||||
OTHER ASSETS-Net |
18,645 | 959 | 15 | | 19,619 | |||||||||||
INVESTMENT IN SUBSIDIARIES |
1,026,293 | | | (1,026,293 | ) | | ||||||||||
TOTAL ASSETS |
$ | 1,064,828 | $ | 1,055,664 | $ | 14,135 | $ | (1,026,293 | ) | $ | 1,108,334 | |||||
LIABILITIES AND EQUITY |
||||||||||||||||
CURRENT LIABILITIES: |
||||||||||||||||
Accounts payable |
$ | 1,702 | $ | 1,236 | $ | 73 | $ | | $ | 3,011 | ||||||
Accrued liabilities |
16,603 | 12,806 | 442 | | 29,851 | |||||||||||
Current portion of long-term debt |
7,344 | 1,470 | | | 8,814 | |||||||||||
Other current liabilities |
11,826 | 13,697 | 469 | | 25,992 | |||||||||||
Current liabilities of discontinued operations, facility exits |
| 2,114 | | | 2,114 | |||||||||||
Total current liabilities |
37,475 | 31,323 | 984 | | 69,782 | |||||||||||
LONG-TERM DEBTLess current portion |
620,495 | 1,767 | | | 622,262 | |||||||||||
OTHER LONG-TERM LIABILITIES |
982 | 7,723 | 30 | | 8,735 | |||||||||||
OTHER LONG-TERM LIABILITIES OF DISCONTINUED OPERATIONS, FACILITY EXITS |
| 1,679 | | | 1,679 | |||||||||||
DEFERRED INCOME TAXES |
117,334 | | | | 117,334 | |||||||||||
Total liabilities |
776,286 | 42,492 | 1,014 | | 819,792 | |||||||||||
CRC HEALTH CORPORATION STOCKHOLDERS EQUITY |
288,542 | 1,013,172 | 13,121 | (1,026,293 | ) | 288,542 | ||||||||||
Total equity |
288,542 | 1,013,172 | 13,121 | (1,026,293 | ) | 288,542 | ||||||||||
TOTAL LIABILITIES AND EQUITY |
$ | 1,064,828 | $ | 1,055,664 | $ | 14,135 | $ | (1,026,293 | ) | $ | 1,108,334 | |||||
81
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Balance Sheet as of December 31, 2008
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | ||||||||||||
ASSETS |
||||||||||||||||
CURRENT ASSETS: |
||||||||||||||||
Cash and cash equivalents |
$ | | $ | 2,180 | $ | 360 | $ | | $ | 2,540 | ||||||
Accounts receivable-net of allowance for doubtful accounts |
2 | 30,390 | 434 | | 30,826 | |||||||||||
Prepaid expenses |
4,420 | 3,204 | 79 | | 7,703 | |||||||||||
Other current assets |
31 | 1,543 | 44 | | 1,618 | |||||||||||
Deferred income taxes |
4,029 | | | | 4,029 | |||||||||||
Current assets of discontinued operations, facility exits |
| 14,125 | | | 14,125 | |||||||||||
Total current assets |
8,482 | 51,442 | 917 | | 60,841 | |||||||||||
PROPERTY AND EQUIPMENT-Net |
8,712 | 118,358 | 2,658 | | 129,728 | |||||||||||
GOODWILL |
| 592,280 | 11,798 | | 604,078 | |||||||||||
INTANGIBLE ASSETS-Net |
| 354,463 | | | 354,463 | |||||||||||
OTHER ASSETS-Net |
18,778 | 1,266 | 21 | | 20,065 | |||||||||||
INVESTMENT IN SUBSIDIARIES |
1,082,757 | | | (1,082,757 | ) | | ||||||||||
TOTAL ASSETS |
$ | 1,118,729 | $ | 1,117,809 | $ | 15,394 | $ | (1,082,757 | ) | $ | 1,169,175 | |||||
LIABILITIES AND EQUITY |
||||||||||||||||
CURRENT LIABILITIES: |
||||||||||||||||
Accounts payable |
$ | 3,636 | $ | 2,424 | $ | 105 | $ | | $ | 6,165 | ||||||
Accrued liabilities |
14,819 | 13,514 | 728 | | 29,061 | |||||||||||
Income taxes payable |
1,201 | | | | 1,201 | |||||||||||
Current portion of long-term debt |
4,193 | 2,329 | | | 6,522 | |||||||||||
Other current liabilities |
14,603 | 16,354 | 700 | | 31,657 | |||||||||||
Current liabilities of discontinued operations, facility exits |
| 703 | | | 703 | |||||||||||
Total current liabilities |
38,452 | 35,324 | 1,533 | | 75,309 | |||||||||||
LONG-TERM DEBT-Less current portion |
642,575 | 4,055 | | | 646,630 | |||||||||||
OTHER LONG-TERM LIABILITIES |
149 | 7,378 | 26 | | 7,553 | |||||||||||
LIABILITIES OF DISCONTINUED OPERATIONS, FACILITY EXITS |
| 1,909 | | | 1,909 | |||||||||||
DEFERRED INCOME TAXES |
134,331 | | | | 134,331 | |||||||||||
Total liabilities |
815,507 | 48,666 | 1,559 | | 865,732 | |||||||||||
CRC HEALTH CORPORATION STOCKHOLDERS EQUITY |
303,222 | 1,069,143 | 13,614 | (1,082,757 | ) | 303,222 | ||||||||||
NONCONTROLLING INTEREST |
| | 221 | | 221 | |||||||||||
Total Equity |
303,222 | 1,069,143 | 13,835 | (1,082,757 | ) | 303,443 | ||||||||||
TOTAL LIABILITIES AND EQUITY |
$ | 1,118,729 | $ | 1,117,809 | $ | 15,394 | $ | (1,082,757 | ) | $ | 1,169,175 | |||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Operations
For the Year Ended December 31, 2009
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | ||||||||||||||||
NET REVENUE: |
||||||||||||||||||||
Net client service revenue |
$ | 32 | $ | 412,339 | $ | 17,219 | $ | | $ | 429,590 | ||||||||||
Management fee revenue |
75,433 | | | (75,433 | ) | | ||||||||||||||
Total net revenue |
75,465 | 412,339 | 17,219 | (75,433 | ) | 429,590 | ||||||||||||||
OPERATING EXPENSES: |
||||||||||||||||||||
Salaries and benefits |
20,125 | 184,435 | 7,589 | | 212,149 | |||||||||||||||
Supplies, facilities and other operating costs |
7,851 | 106,963 | 8,756 | | 123,570 | |||||||||||||||
Provision for doubtful accounts |
2 | 7,573 | 264 | | 7,839 | |||||||||||||||
Depreciation and amortization |
3,566 | 18,625 | 666 | | 22,857 | |||||||||||||||
Asset impairment |
| 2,257 | | | 2,257 | |||||||||||||||
Goodwill impairment |
| 30,497 | | | 30,497 | |||||||||||||||
Management fee expense |
| 72,414 | 3,019 | (75,433 | ) | | ||||||||||||||
Total operating expenses |
31,544 | 422,764 | 20,294 | (75,433 | ) | 399,169 | ||||||||||||||
OPERATING INCOME (LOSS) |
43,921 | (10,425 | ) | (3,075 | ) | | 30,421 | |||||||||||||
INTEREST EXPENSE |
(43,685 | ) | (473 | ) | | | (44,158 | ) | ||||||||||||
OTHER EXPENSE |
(82 | ) | | | | (82 | ) | |||||||||||||
INCOME (LOSS) FROM CONTINUING OPERATIONS BEFORE INCOME TAXES |
154 | (10,898 | ) | (3,075 | ) | | (13,819 | ) | ||||||||||||
INCOME TAX (BENEFIT) EXPENSE |
(45 | ) | 3,168 | 893 | | 4,016 | ||||||||||||||
INCOME (LOSS) FROM CONTINUING OPERATIONS, NET OF TAX |
199 | (14,066 | ) | (3,968 | ) | | (17,835 | ) | ||||||||||||
LOSS FROM DISCONTINUED OPERATIONS, NET OF TAX BENEFIT OF ($4,961) |
| (8,826 | ) | | | (8,826 | ) | |||||||||||||
NET INCOME (LOSS) |
199 | (22,892 | ) | (3,968 | ) | | (26,661 | ) | ||||||||||||
LESS: NET LOSS ATTRIBUTABLE TO THE NONCONTROLLING INTEREST |
| | (62 | ) | | (62 | ) | |||||||||||||
EQUITY IN LOSS OF SUBSIDIARIES, NET OF TAX |
(26,798 | ) | | | 26,798 | | ||||||||||||||
NET (LOSS) ATTRIBUTABLE TO CRC HEALTH CORPORATION |
$ | (26,599 | ) | $ | (22,892 | ) | $ | (3,906 | ) | $ | 26,798 | $ | (26,599 | ) | ||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Operations
For the Year Ended December 31, 2008
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | ||||||||||||||||
NET REVENUE: |
||||||||||||||||||||
Net client service revenue |
$ | 36 | $ | 433,533 | $ | 20,635 | $ | | $ | 454,204 | ||||||||||
Management fee revenue |
68,437 | | | (68,437 | ) | | ||||||||||||||
Total net revenue |
68,473 | 433,533 | 20,635 | (68,437 | ) | 454,204 | ||||||||||||||
OPERATING EXPENSES: |
||||||||||||||||||||
Salaries and benefits |
17,566 | 200,208 | 8,839 | | 226,613 | |||||||||||||||
Supplies, facilities and other operating costs |
9,151 | 114,171 | 11,044 | | 134,366 | |||||||||||||||
Provision for doubtful accounts |
8 | 6,223 | 177 | | 6,408 | |||||||||||||||
Depreciation and amortization |
2,390 | 18,838 | 743 | | 21,971 | |||||||||||||||
Asset impairment |
| 4,525 | | | 4,525 | |||||||||||||||
Goodwill impairment |
| 142,238 | | | 142,238 | |||||||||||||||
Management fee expense |
| 64,373 | 4,064 | (68,437 | ) | | ||||||||||||||
Total operating expenses |
29,115 | 550,576 | 24,867 | (68,437 | ) | 536,121 | ||||||||||||||
OPERATING INCOME (LOSS) |
39,358 | (117,043 | ) | (4,232 | ) | | (81,917 | ) | ||||||||||||
INTEREST EXPENSE |
(53,388 | ) | (714 | ) | (2 | ) | | (54,104 | ) | |||||||||||
GAIN ON DEBT REPURCHASE |
8,086 | | | | 8,086 | |||||||||||||||
OTHER INCOME |
1 | | | | 1 | |||||||||||||||
LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAXES |
(5,943 | ) | (117,757 | ) | (4,234 | ) | | (127,934 | ) | |||||||||||
INCOME TAX BENEFIT |
(292 | ) | (5,776 | ) | (208 | ) | | (6,276 | ) | |||||||||||
LOSS FROM CONTINUING OPERATIONS, NET OF TAX |
(5,651 | ) | (111,981 | ) | (4,026 | ) | | (121,658 | ) | |||||||||||
LOSS FROM DISCONTINUED OPERATIONS, NET OF TAX BENEFIT OF ($10,855) |
| (20,518 | ) | 118 | | (20,400 | ) | |||||||||||||
NET LOSS |
(5,651 | ) | (132,499 | ) | (3,908 | ) | | (142,058 | ) | |||||||||||
LESS: NET LOSS ATTRIBUTABLE TO THE NONCONTROLLING INTEREST |
| | (153 | ) | | (153 | ) | |||||||||||||
EQUITY IN LOSS OF SUBSIDIARIES, NET OF TAX |
(136,254 | ) | | | 136,254 | | ||||||||||||||
NET LOSS ATTRIBUTABLE TO CRC HEALTH CORPORATION |
$ | (141,905 | ) | $ | (132,499 | ) | $ | (3,755 | ) | $ | 136,254 | $ | (141,905 | ) | ||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Operations
For the Year Ended December 31, 2007
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | ||||||||||||||||
NET REVENUE: |
||||||||||||||||||||
Net client service revenue |
$ | 34 | $ | 413,710 | $ | 15,967 | $ | 0 | $ | 429,711 | ||||||||||
Management fee revenue |
71,003 | | | (71,003 | ) | | ||||||||||||||
Total net revenue |
71,037 | 413,710 | 15,967 | (71,003 | ) | 429,711 | ||||||||||||||
OPERATING EXPENSES: |
||||||||||||||||||||
Salaries and benefits |
14,344 | 190,894 | 5,919 | 0 | 211,157 | |||||||||||||||
Supplies, facilities and other operating costs |
10,508 | 109,439 | 8,973 | 0 | 128,920 | |||||||||||||||
Provision for doubtful accounts |
16 | 6,721 | 54 | 0 | 6,791 | |||||||||||||||
Depreciation and amortization |
1,632 | 19,439 | 302 | 0 | 21,373 | |||||||||||||||
Management fee expense |
0 | 67,364 | 3,639 | (71,003 | ) | 0 | ||||||||||||||
Total operating expenses |
26,500 | 393,857 | 18,887 | (71,003 | ) | 368,241 | ||||||||||||||
OPERATING INCOME (LOSS) |
44,537 | 19,853 | (2,920 | ) | 0 | 61,470 | ||||||||||||||
INTEREST EXPENSE |
(59,442 | ) | (819 | ) | (1 | ) | 0 | (60,262 | ) | |||||||||||
OTHER EXPENSE |
(1,771 | ) | 0 | 0 | 0 | (1,771 | ) | |||||||||||||
(LOSS) INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES |
(16,676 | ) | 19,034 | (2,921 | ) | 0 | (563 | ) | ||||||||||||
INCOME TAX EXPENSE (BENEFIT) |
29,820 | (34,037 | ) | 5,224 | 0 | 1,007 | ||||||||||||||
(LOSS) INCOME FROM CONTINUING OPERATIONS, NET OF TAX |
(46,496 | ) | 53,071 | (8,145 | ) | 0 | (1,570 | ) | ||||||||||||
INCOME FROM DISCONTINUED OPERATIONS, NET OF TAX EXPENSE OF $2,136 |
0 | 3,223 | 0 | 0 | 3,223 | |||||||||||||||
NET (LOSS) INCOME |
|
(46,496 |
) |
|
56,294 |
|
|
(8,145 |
) |
|
0 |
|
|
1,653 |
| |||||
LESS: NET INCOME ATTRIBUTABLE TO THE NONCONTROLLING INTEREST |
|
0 |
|
|
0 |
|
|
189 |
|
|
0 |
|
|
189 |
| |||||
EQUITY IN INCOME OF SUBSIDIARIES, NET OF TAX |
47,960 | 0 | 0 | (47,960 | ) | 0 | ||||||||||||||
NET INCOME (LOSS) ATTRIBUTABLE TO CRC HEALTH CORPORATION |
$ | 1,464 | $ | 56,294 | $ | (8,334 | ) | $ | (47,960 | ) | $ | 1,464 | ||||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Cash Flows
For the Year Ended December 31, 2009
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | |||||||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
|||||||||||||||||||
Net cash provided by (used in) operating activities |
$ | 3,010 | $ | 37,824 | $ | (3,806 | ) | $ | | $ | 37,028 | ||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: |
|||||||||||||||||||
Additions of property and equipment |
(2,891 | ) | (9,867 | ) | (241 | ) | | (12,999 | ) | ||||||||||
Proceeds from sale of property and equipment |
110 | 38 | | | 148 | ||||||||||||||
Proceeds from sale of discontinued operations |
| 732 | | | 732 | ||||||||||||||
Acquisition adjustments |
(59 | ) | | | | (59 | ) | ||||||||||||
Payments made under earnout arrangements |
| (200 | ) | | | (200 | ) | ||||||||||||
Net cash used in investing activities |
(2,840 | ) | (9,297 | ) | (241 | ) | | (12,378 | ) | ||||||||||
CASH FLOWS FROM FINANCING ACTIVITIES: |
|||||||||||||||||||
Intercompany transfers |
22,026 | (26,005 | ) | 3,979 | | | |||||||||||||
Capital distributed to Parent |
(412 | ) | | | | (412 | ) | ||||||||||||
Repayment of capital lease obligations |
| (12 | ) | | | (12 | ) | ||||||||||||
Borrowings under revolving line of credit |
14,000 | | | | 14,000 | ||||||||||||||
Repayments under revolving line of credit |
(29,000 | ) | | | | (29,000 | ) | ||||||||||||
Repayment of long-term debt |
(6,550 | ) | | | | (6,550 | ) | ||||||||||||
Noncontrolling interest buyout |
(234 | ) | | | | (234 | ) | ||||||||||||
Net cash (used in) provided by financing activities |
(170 | ) | (26,017 | ) | 3,979 | | (22,208 | ) | |||||||||||
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS |
| 2,510 | (68 | ) | | 2,442 | |||||||||||||
CASH AND CASH EQUIVALENTSBeginning of period |
| 2,180 | 360 | | 2,540 | ||||||||||||||
CASH AND CASH EQUIVALENTSEnd of period |
$ | | $ | 4,690 | $ | 292 | $ | | $ | 4,982 | |||||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Cash Flows
For the Year Ended December 31, 2008
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | |||||||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
|||||||||||||||||||
Net cash (used in) provided by operating activities |
$ | (6,644 | ) | $ | 33,771 | $ | (2,951 | ) | $ | | $ | 24,176 | |||||||
CASH FLOWS FROM INVESTING ACTIVITIES: |
|||||||||||||||||||
Additions of property and equipment |
(5,509 | ) | (13,385 | ) | (6,385 | ) | | (25,279 | ) | ||||||||||
Proceeds from sale of property and equipment |
| 188 | | | 188 | ||||||||||||||
Acquisition of businesses, net of cash acquired |
(11,597 | ) | | | | (11,597 | ) | ||||||||||||
Acquisition adjustments |
| (10 | ) | | | (10 | ) | ||||||||||||
Payments made under earnout arrangements |
(2,947 | ) | | | | (2,947 | ) | ||||||||||||
Net cash used in investing activities |
(20,053 | ) | (13,207 | ) | (6,385 | ) | | (39,645 | ) | ||||||||||
CASH FLOWS FROM FINANCING ACTIVITIES: |
|||||||||||||||||||
Intercompany transfers |
13,784 | (23,291 | ) | 9,507 | | | |||||||||||||
Capital distributed to Parent |
(359 | ) | | | | (359 | ) | ||||||||||||
Capitalized financing costs |
(338 | ) | | | | (338 | ) | ||||||||||||
Repayment of capital lease obligations |
| (22 | ) | | | (22 | ) | ||||||||||||
Repurchase of long-term debt |
(13,607 | ) | | | | (13,607 | ) | ||||||||||||
Borrowings under revolving line of credit |
59,000 | | | | 59,000 | ||||||||||||||
Repayments under revolving line of credit |
(24,000 | ) | | | | (24,000 | ) | ||||||||||||
Repayment of long-term debt |
(7,783 | ) | | | | (7,783 | ) | ||||||||||||
Net cash provided by (used in) financing activities |
26,697 | (23,313 | ) | 9,507 | | 12,891 | |||||||||||||
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS |
| (2,749 | ) | 171 | | (2,578 | ) | ||||||||||||
CASH AND CASH EQUIVALENTSBeginning of period |
| 4,929 | 189 | | 5,118 | ||||||||||||||
CASH AND CASH EQUIVALENTSEnd of period |
$ | | $ | 2,180 | $ | 360 | $ | | $ | 2,540 | |||||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Condensed Consolidating Statements of Cash Flows
For the Year Ended December 31, 2007
(In thousands)
CRC Health Corporation |
Subsidiary Guarantors |
Subsidiary Non-Guarantors |
Eliminations | Consolidated | |||||||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
|||||||||||||||||||
Net cash provided by (used in) operating activities |
$ | 28,694 | $ | 28,718 | $ | (992 | ) | $ | | $ | 56,420 | ||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: |
|||||||||||||||||||
Additions of property and equipment |
(3,002 | ) | (25,820 | ) | (1,337 | ) | | (30,159 | ) | ||||||||||
Proceeds from sale of property and equipment |
| 90 | | | 90 | ||||||||||||||
Acquisition of businesses, net of cash acquired |
(32,912 | ) | | | | (32,912 | ) | ||||||||||||
Acquisition adjustments |
| 779 | | | 779 | ||||||||||||||
Payments made under earnout arrangements |
(8,645 | ) | | | | (8,645 | ) | ||||||||||||
Purchase of intangible asset |
(100 | ) | | | | (100 | ) | ||||||||||||
Net cash used in investing activities |
(44,659 | ) | (24,951 | ) | (1,337 | ) | | (70,947 | ) | ||||||||||
CASH FLOWS FROM FINANCING ACTIVITIES: |
|||||||||||||||||||
Intercompany transfers |
267 | (2,746 | ) | 2,479 | | | |||||||||||||
Capital contributed by Parent |
252 | | | | 252 | ||||||||||||||
Capitalized financing costs |
(640 | ) | | | | (640 | ) | ||||||||||||
Repayment of capital lease obligations |
| (259 | ) | | | (259 | ) | ||||||||||||
Borrowings under revolving line of credit |
63,500 | | | | 63,500 | ||||||||||||||
Repayments under revolving line of credit |
(40,600 | ) | | | | (40,600 | ) | ||||||||||||
Repayment of long-term debt |
(6,814 | ) | | | | (6,814 | ) | ||||||||||||
Net cash provided by (used in) financing activities |
15,965 | (3,005 | ) | 2,479 | | 15,439 | |||||||||||||
NET INCREASE IN CASH AND CASH EQUIVALENTS |
| 762 | 150 | | 912 | ||||||||||||||
CASH AND CASH EQUIVALENTSBeginning of period |
| 4,167 | 39 | | 4,206 | ||||||||||||||
CASH AND CASH EQUIVALENTSEnd of period |
$ | | $ | 4,929 | $ | 189 | $ | | $ | 5,118 | |||||||||
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
18. RESTRUCTURING
In the second half of fiscal 2008, management initiated a restructuring plan (the FY08 Plan) to align the Companys resources with its strategic business plan by initiating facility consolidations, facility exit actions and certain workforce reductions. During the year ended December 31, 2009, the Company continued restructuring activities under the FY08 Plan. Actions under the FY08 Plan are focused on those facilities which have been negatively impacted by the economic crisis and the depressed credit markets. Facility exit actions include the closure, sale or sale of certain facilities across all divisions and have been substantially completed at December 31, 2009.
At December 31, 2009, the Company has recorded approximately $3.0 million in lease obligations, net of sublease income, related to minimum operating lease payments over the next six years for facility exit and $0.6 million in severance benefit payments over the next twelve months. Lease obligations related to minimum operating lease payments and severance benefit obligations are recorded on the Companys consolidated balance sheets under accrued liabilities.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
A summary of total restructuring activity, including those classified as discontinued operations, is shown in the table below:
Workforce Reduction |
Consolidation and Exit of Excess Facilities |
Total | ||||||||||
(in thousands) | ||||||||||||
Total restructuring reserve at December 31, 2007 |
| | | |||||||||
Expenses |
||||||||||||
Recovery division |
$ | 53 | $ | 2,208 | $ | 2,261 | ||||||
Healthy living division |
316 | 1,017 | 1,333 | |||||||||
Corporate |
| | | |||||||||
Total expenses |
369 | 3,225 | 3,594 | |||||||||
Cash payments (receipts), net |
||||||||||||
Recovery division |
(41 | ) | | (41 | ) | |||||||
Healthy living division |
(152 | ) | (121 | ) | (273 | ) | ||||||
Corporate |
| | | |||||||||
Total cash payments (receipts), net |
(193 | ) | (121 | ) | (314 | ) | ||||||
Restructuring reserve at December 31, 2008 |
||||||||||||
Recovery division |
12 | 2,208 | 2,220 | |||||||||
Healthy living division |
164 | 896 | 1,060 | |||||||||
Corporate |
| | | |||||||||
Total restructuring reserve at December 31, 2008 |
176 | 3,104 | 3,280 | |||||||||
Expenses |
||||||||||||
Recovery division |
425 | 660 | 1,085 | |||||||||
Healthy living division |
1,154 | 1,302 | 2,456 | |||||||||
Corporate |
271 | 6 | 277 | |||||||||
Total expenses |
1,850 | 1,968 | 3,818 | |||||||||
Cash payments (receipts), net |
||||||||||||
Recovery division |
(418 | ) | (761 | ) | (1,179 | ) | ||||||
Healthy living division |
(726 | ) | (1,323 | ) | (2,049 | ) | ||||||
Corporate |
(271 | ) | (6 | ) | (277 | ) | ||||||
Total cash payments (receipts), net |
(1,415 | ) | (2,090 | ) | (3,505 | ) | ||||||
Restructuring reserve at December 31, 2009 |
||||||||||||
Recovery division |
19 | 2,107 | 2,126 | |||||||||
Healthy living division |
592 | 875 | 1,467 | |||||||||
Corporate |
| | | |||||||||
Total restructuring reserve at December 31, 2009 |
$ | 611 | $ | 2,982 | $ | 3,593 | ||||||
During the year ended December 31, 2009, the Company recognized a non-cash impairment charge of $6.1 million related to finite-lived intangible assets and $3.2 million related to indefinite lived intangible assets. These impairment charges are based on the Companys decision to close four healthy living program facilities and reduce the carrying value of finite-lived and indefinite lived intangible assets associated with these facilities to their estimated fair value. Impairment charges related to facility closures are included in the consolidated statement of operations under results from discontinued operations.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
19. DISCONTINUED OPERATIONS
As part of the FY08 Plan, the Company announced its intention to sell, dispose of or cease operations at certain facilities within each of its business divisions. At December 31, 2008, these facilities included one therapeutic boarding school and one eating disorder start-up in its healthy living division, and eight outpatient treatment clinics in its recovery division. During the year ended December 31, 2009, the Company classified five additional facilities as discontinued operations which included two outdoor programs and two therapeutic boarding schools within its healthy living division and one outpatient facility within its recovery division. For all periods presented, the Company had classified a total of fifteen facilities as discontinued operations. During the year ended December 31, 2009, the Company completed the sale of four facilities classified as held for sale and recognized an immaterial loss related to the sale.
Activities related to discontinued operations are recognized in the Companys consolidated statements of operations under discontinued operations for all periods presented.
The results of operations for those facilities classified as discontinued operations are summarized below (in thousands):
For the Year Ended December 31, | |||||||||||
2009 | 2008 | 2007 | |||||||||
Net revenue |
$ | 9,954 | $ | 21,878 | $ | 30,294 | |||||
Operating expenses |
14,226 | 26,106 | 24,935 | ||||||||
Asset impairment |
9,243 | 26,311 | | ||||||||
Goodwill impairment |
| 624 | | ||||||||
Interest expense |
9 | 18 | | ||||||||
Loss on disposals |
263 | 74 | | ||||||||
(Loss) income before income taxes |
(13,787 | ) | (31,255 | ) | 5,359 | ||||||
Tax (benefit) expense |
(4,961 | ) | (10,855 | ) | 2,136 | ||||||
(Loss) income from discontinued operations |
$ | (8,826 | ) | $ | (20,400 | ) | $ | 3,223 | |||
20. SEGMENT INFORMATION
The Company has two identified operating segments under its organizational structure, which are also its reportable segments: recovery division and healthy living division.
Reportable segments are based upon the Companys internal organizational structure, the manner in which the operations are managed and on the level at which the Companys chief operating decision-maker allocates resources. The Companys chief operating decision-maker is its Chief Executive Officer. The financial information used by the Companys chief operating decision-maker includes net revenue, operating expenses, income (loss) from continuing operations and capital expenditures.
A summary of the Companys reportable segments are as follows:
Recovery The recovery segment specializes in the treatment of chemical dependency and other behavioral health disorders both on an inpatient residential basis and on an outpatient basis. Services offered in this segment include: inpatient/residential care, partial/day treatment, intensive outpatient groups, therapeutic living/half-way house environments, aftercare centers and detoxification. As of December 31, 2009, the recovery segment provided substance abuse and behavioral health services to patients at 100 facilities located in 21 states.
Healthy Living The healthy living segment provides a wide variety of adolescent therapeutic programs through settings and solutions that match individual needs with the appropriate learning and therapeutic
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
environment. As of December 31, 2009, the healthy living segment operated 42 educational facilities in 15 states and two foreign countries. Its offerings include boarding schools, experiential outdoor education programs and summer camps as well as weight management and eating disorder services. Weight management and eating disorder services within the healthy living segment provide adult and adolescent treatment services for eating disorders and obesity, each a related behavioral disorder that may be effectively treated through a combination of medical, psychological and social treatment programs.
Corporate In addition to the two reportable segments as described above, the Company has activities classified as corporate which represent revenue and expenses associated with eGetgoing, an online internet treatment option, certain corporate-level operating general and administrative costs (i.e., expenses associated with the corporate offices in Cupertino, California, which provides management, financial, human resources and information system support), and stock-based compensation expense that are not allocated to the segments.
Major Customers No single customer represented 10% or more of the Companys total net revenue in any period presented.
Geographic Information The Companys business operations are primarily in the United States.
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Selected segment financial information for the Companys reportable segments was as follows (in thousands):
Year Ended December 31, 2009 |
Year Ended December 31, 2008 |
Year Ended December 31, 2007 |
||||||||||
Net revenue: |
||||||||||||
Recovery division |
$ | 311,835 | $ | 309,379 | $ | 286,091 | ||||||
Healthy living division |
117,515 | 144,507 | 143,194 | |||||||||
Corporate |
240 | 318 | 426 | |||||||||
Total consolidated net revenue |
$ | 429,590 | $ | 454,204 | $ | 429,711 | ||||||
Operating expenses: |
||||||||||||
Recovery division |
$ | 214,436 | $ | 224,446 | $ | 206,204 | ||||||
Healthy living division |
153,098 | 282,491 | 135,467 | |||||||||
Corporate |
31,635 | 29,184 | 26,570 | |||||||||
Total consolidated operating expenses |
$ | 399,169 | $ | 536,121 | $ | 368,241 | ||||||
Operating income (loss): |
||||||||||||
Recovery division |
$ | 97,399 | $ | 84,933 | $ | 79,887 | ||||||
Healthy living division |
(35,583 | ) | (137,984 | ) | 7,727 | |||||||
Corporate |
(31,395 | ) | (28,866 | ) | (26,144 | ) | ||||||
Total consolidated operating (loss) income |
$ | 30,421 | $ | (81,917 | ) | $ | 61,470 | |||||
Income (loss) from continuing operations before income taxes: |
||||||||||||
Total consolidated operating (loss) income |
$ | 30,421 | $ | (81,917 | ) | $ | 61,470 | |||||
Interest expense |
(44,158 | ) | (54,104 | ) | (60,262 | ) | ||||||
Gain on debt repurchase |
| 8,086 | | |||||||||
Other income (expense) |
(82 | ) | 1 | (1,771 | ) | |||||||
Total consolidated loss from continuing operations before income taxes |
$ | (13,819 | ) | $ | (127,934 | ) | $ | (563 | ) | |||
Capital expenditures (1): |
||||||||||||
Recovery division |
$ | 7,370 | $ | 12,525 | $ | 18,309 | ||||||
Healthy living division |
2,738 | 7,245 | 8,848 | |||||||||
Corporate |
2,891 | 5,509 | 3,002 | |||||||||
Total consolidated capital expenditures |
$ | 12,999 | $ | 25,279 | $ | 30,159 | ||||||
December 31, 2009 |
December 31, 2008 | |||||
Total assets (1) |
||||||
Recovery division |
$ | 897,239 | $ | 899,360 | ||
Healthy living division |
171,580 | 222,525 | ||||
Corporate |
39,515 | 47,290 | ||||
Total consolidated assets |
$ | 1,108,334 | $ | 1,169,175 | ||
(1) | Includes amounts related to discontinued operations |
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CRC HEALTH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS(Continued)
21. QUARTERLY SUMMARY (Unaudited)
The following tables represent certain unaudited consolidated quarterly financial information for each of the four quarters ended December 31, 2009 and 2008. This quarterly information has been prepared on the same basis as the consolidated financial statements and includes all adjustments necessary to state fairly the information for the periods presented.
Quarter Ended | ||||||||||||||||
March 31 | June 30 | September 30 | December 31 | |||||||||||||
(in thousands) | ||||||||||||||||
2009 |
||||||||||||||||
Net revenue |
$ | 102,842 | $ | 108,929 | $ | 113,084 | $ | 104,735 | ||||||||
(Loss) income from continuing operations, net of tax |
(297 | ) | 2,805 | (17,448 | ) | (2,895 | ) | |||||||||
Loss from discontinued operations, net of tax |
(1,016 | ) | (474 | ) | (1,273 | ) | (6,063 | ) | ||||||||
Net (loss) income |
(1,313 | ) | 2,331 | (18,721 | ) | (8,958 | ) | |||||||||
Less: net (loss) income attributable to the Noncontrolling interest |
(128 | ) | 9 | 148 | (91 | ) | ||||||||||
Net (loss) income attributable to CRC Health Corporation |
(1,185 | ) | 2,322 | (18,869 | ) | (8,867 | ) | |||||||||
Amounts attributable to CRC Health Corporation: |
||||||||||||||||
(Loss) income from continuing operations, net of tax |
$ | (173 | ) | $ | 2,796 | $ | (17,596 | ) | $ | (2,805 | ) | |||||
Discontinued operations, net of tax |
(1,012 | ) | (474 | ) | (1,273 | ) | (6,062 | ) | ||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (1,185 | ) | $ | 2,322 | $ | (18,869 | ) | $ | (8,867 | ) | |||||
2008 |
||||||||||||||||
Net revenue |
$ | 110,281 | $ | 116,272 | $ | 121,005 | $ | 106,646 | ||||||||
(Loss) income from continuing operations, net of tax |
(1,394 | ) | 4,074 | (123,481 | ) | (857 | ) | |||||||||
Loss from discontinued operations, net of tax |
(433 | ) | (371 | ) | (16,152 | ) | (3,444 | ) | ||||||||
Net (loss) income |
(1,827 | ) | 3,703 | (139,633 | ) | (4,301 | ) | |||||||||
Less: net (loss) income attributable to the Noncontrolling interest |
(303 | ) | (54 | ) | 301 | (97 | ) | |||||||||
Net (loss) income attributable to CRC Health Corporation |
(1,524 | ) | 3,757 | (139,934 | ) | (4,204 | ) | |||||||||
Amounts attributable to CRC Health Corporation: |
||||||||||||||||
(Loss) income from continuing operations, net of tax |
$ | (1,091 | ) | $ | 4,137 | $ | (123,770 | ) | $ | (772 | ) | |||||
Discontinued operations, net of tax |
(433 | ) | (380 | ) | (16,164 | ) | (3,432 | ) | ||||||||
Net (loss) income attributable to CRC Health Corporation |
$ | (1,524 | ) | $ | 3,757 | $ | (139,934 | ) | $ | (4,204 | ) | |||||
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ITEM 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure |
None
ITEM 9A. | Controls and Procedures |
(a) Evaluation of disclosure controls and procedures.
We conducted an evaluation under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the Exchange Act)), as of the end of the period covered by this Annual Report. Based upon this evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures are effective to ensure that material information required to be disclosed by us in reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms and is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.
(b) Changes in internal control over financial reporting.
We regularly review our system of internal control over financial reporting and make changes to our processes and systems to improve controls and increase efficiency, while ensuring that we maintain an effective internal control environment. Changes may include such activities as implementing new, more efficient systems, consolidating activities and migrating processes. No change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the period covered by this Annual Report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
(c) Managements report on internal control over financial reporting.
Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Exchange Act Rule 13a-15(f). Management conducted an evaluation of the effectiveness of our internal control over financial reporting based on the framework in Internal ControlIntegrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this evaluation, management concluded that our internal control over financial reporting was effective as of December 31, 2009. Management reviewed the results of their assessment with our audit committee.
This annual report does not include an attestation report of the Companys registered public accounting firm regarding internal control over financial reporting. Managements report was not subject to attestation by the companys public accounting firm pursuant to rules of the Securities and Exchange Commission that permit the Company to provide only managements report in this Annual Report.
Inherent Limitations on Effectiveness of Controls
The Companys management, including the CEO and CFO, does not expect that our disclosure controls or our internal control over financial reporting will prevent or detect all error and all fraud. A control system, no matter how well-designed and operated, can provide only reasonable, not absolute, assurance that the control systems objectives will be met. The design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Further, because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that misstatements due to error or fraud will not occur or that all control issues and instances of fraud, if any, within the company have been detected. These inherent limitations include the realities that judgments in decision-making can be
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faulty and that breakdowns can occur because of simple error or mistake. Controls can also be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of the controls. The design of any system of controls is based in part on certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Projections of any evaluation of controls effectiveness to future periods are subject to risks. Over time, controls may become inadequate because of changes in conditions or deterioration in the degree of compliance with policies or procedures.
ITEM 9B. | Other Information |
Not applicable
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ITEM 10. | Directors, Executive Officers and Corporate Governance |
All of our directors serve until a successor is duly elected and qualified or until the earlier of his death, resignation or removal. Our executive officers are appointed and serve at the discretion of our board of directors. There are no family relationships between any of our directors or executive officers.
Executive Officers and Directors
The following table sets forth information with respect to our directors and executive officers:
Name |
Age | Position | ||
Dr. Barry W. Karlin |
55 | Chairman and Chief Executive Officer | ||
James Hudak |
62 | Chief Administrative Officer, Vice President | ||
Kevin Hogge |
52 | Chief Financial Officer, Vice President and Treasurer | ||
Philip L. Herschman |
62 | President, Healthy Living Division | ||
Jerome E. Rhodes |
52 | President, Recovery Division | ||
Gary Fisher |
52 | Chief Marketing Officer | ||
Pamela B. Burke |
42 | Vice President, General Counsel and Secretary | ||
Steven Barnes |
49 | Director | ||
John Connaughton |
44 | Director | ||
Chris Gordon |
37 | Director | ||
General Barry R. McCaffrey (ret.) |
67 | Director | ||
Elliot Sainer |
64 | Director |
The following biographies describe the business experience of our executive officers and directors:
Dr. Barry W. Karlin, Chairman and Chief Executive Officer. Dr. Karlin has served as our chairman and chief executive officer since January 2002. From January 2002 to June 2003, Dr. Karlin also served as our secretary, treasurer and chief financial officer. Before our formation in January 2002, Dr. Karlin was the chairman and chief executive officer of eGetgoing, Inc. and CRC Health Corporation from May 2000 and November 2000, respectively, to January 2002. Dr. Karlin also served as chairman and chief executive officer of CRC Recovery, Inc., the general partner of The Camp Recovery Centers, L.P. from July 1995 to January 2001. From 1993 to 1995, Dr. Karlin acted as an independent consultant providing strategic consulting services to Fortune 100 companies. From 1992 to 1993, Dr. Karlin served as chairman and chief executive officer of Karlin and Collins, Inc., an emerging growth high-technology company which he founded. In 1990, Dr. Karlin joined Corporate Technology Partners, a venture capital firm specializing in the wireless communications industry, where he served as a general partner until 1992. From 1984 to 1990, Dr. Karlin served as chairman and chief executive officer of Navigation Technologies, Inc., a provider of maps for vehicle navigation. Dr. Karlin began his career as a strategy management consultant in 1981, first with Strategic Decisions Group and subsequently with Decision Processes, Inc. Dr. Karlin holds Ph.D. and M.S. degrees from Stanford University in the department of engineering economic systems, specializing in decision analysis, and a B.S. in electrical engineering from University of Witwatersrand in South Africa.
James Hudak, Chief Administrative Officer. Mr. Hudak has served as our chief administrative officer since July 2008. From 2006 to 2008, Mr. Hudak served as Chairman of the Board of Directors of MedAvant, Inc. From 2003 to 2006, Mr. Hudak served as chief operating officer and then as chief executive officer of United Behavioral Health. From 2000 to 2003, he served as Executive VP and chief executive officer of United Health Technologies. From 1980 to 2000, Mr. Hudak worked at Accenture (formerly Andersen Consulting) where he worked as a manager and then served as Global Managing Partner to the health services division. Mr. Hudak holds a B.A. from Yale University and a Master of Public Policy from the University of Michigan.
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Kevin Hogge, Chief Financial Officer, Vice President and Treasurer. Mr. Hogge has served as our chief financial officer since June 2003. From September 1999 to June 2003, Mr. Hogge was the chief financial officer for Epoch Senior Living, Inc., an assisted living and skilled nursing company. From April 1996 to January 1999, he served as controller of the hospital division of Horizon/CMS Healthcare Corporation, a provider of specialty healthcare services, maintaining his position following the acquisition of this division by Regency Health Services, Inc. and the subsequent acquisition of Regency Health Services, Inc. by Sun Healthcare Group, Inc. From October 1992 to April 1996, Mr. Hogge worked as vice president of planning for Tenet Healthcare Corporation, an owner and operator of acute care hospitals and related healthcare services. Prior to working in healthcare, Mr. Hogge was a certified public accountant with Ernst & Whinney. Mr. Hogge holds a B.S. in accounting from Virginia Polytechnic Institute.
Philip L. Herschman, President, Health Living Division. Mr. Herschman has served as the president of our healthy living division since September 2007. From May 2002 to September 2007, Mr. Herschman served as president of our outpatient treatment division. From August 1993 to May 2002, Mr. Herschman served as chief executive officer of Behavioral Health Concepts, a national mental health management company which he founded in 1993. From 1984 to 1992, Mr. Herschman worked in operations and business development for Republic Health Corporation, a healthcare company, where he was responsible for implementing the companys strategy of joint venturing its acute care hospitals with physician groups. During this time, Mr. Herschman was also responsible for the operations of three acute care hospitals with over 500 beds for OrNda Health Corp. Prior to OrNda/Republic, Mr. Herschman was a regional vice president of operations with Horizon Health Corporation, a multi-unit psychiatric management company. Mr. Herschman holds a Ph.D. in psychology from the University of California, Irvine and a B.A. from the University of California, San Diego.
Jerome E. Rhodes, President, Recovery Division. Mr. Rhodes has served as the president of our recovery division since September 2007. From January 2004 to September 2007, Mr. Rhodes served as president of our residential treatment division. From August 2003 to January 2004, he was president of our eastern division. From September 1993 to February 2003, Mr. Rhodes served as chief executive officer of Comprehensive Addiction Programs, Inc., a behavioral healthcare treatment company. We acquired Comprehensive Addiction Programs, Inc. in February 2003. From 1991 to 1993, Mr. Rhodes was the senior vice president of operations and from 1987 to 1991 he served as the senior vice president of acquisitions and development for Comprehensive Addiction Programs, Inc. From 1982 to 1987, Mr. Rhodes was the director of development for Beverly Enterprises, Inc., a publicly held nursing home company. From 1980 to 1982, Mr. Rhodes was the chief development consultant at Wilmot Bower and Associates, an architectural and development firm specializing in healthcare facilities. From 1978 to 1980, Mr. Rhodes was a project coordinator and analyst with Manor Care, Inc., a publicly held nursing home company. Mr. Rhodes holds a B.A. in business administration from Columbia Union College.
Gary Fisher, Chief Marketing Officer. Mr. Fisher has served as our chief marketing officer since February 2010. From October 2008 to November 2009, Mr. Fisher served as executive vice president of consumer marketing for Selling Source, LLC. From 2000 to 2007, Mr. Fisher worked at Choice Hotels International, Inc. as vice president, business development and marketing from 2004 to 2007 and as vice president, strategic alliances from 2000 to 2003. From 1998 to 2000, Mr. Fisher served as vice president, brand marketing at Capital One Financial Corporation. From 1996 to 1998, Mr. Fisher served as general manager, marketing and sales of Conectiv, Inc., a subsidiary of Pepco, Inc. From 1991 to 1996, Mr. Fisher served as director of marketing, new business development at LOreal S.A. From 1988 to 1991, Mr. Fisher served as group product manager for Corning, Inc. and from 1984 to 1988 he worked in various product manager and marketing manager positions at Nabisco Brands, Inc. Mr. Fisher holds a M.B.A. in marketing from the University of Connecticut and a B.S. in education from State University of New York.
Pamela B. Burke, Vice President, General Counsel and Secretary. Ms. Burke has served as our vice president, general counsel and secretary since February 2005. Prior to joining us in February 2005, Ms. Burke was a partner at the law firm DLA Piper Rudnick Gray Cary US LLP, which she joined in September 1996. From September 1993 to April 1996, Ms. Burke worked for Ernst & Young in its National Tax Office. Ms. Burke received her B.A. in government from Cornell University and her J.D. from George Washington University.
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Steven Barnes, Director. Mr. Barnes has served as a director since February 2006. Mr. Barnes has been associated with Bain Capital since 1988 and has been a Managing Director since 2000. In addition to working for Bain Capital, he also held senior operating roles of several Bain Capital portfolio companies including chief executive officer of Dade Behring, Inc., president of Executone Business Systems, Inc. and president of Holson Burnes Group, Inc. Mr. Barnes currently serves on several boards including Ideal Standard Bulgaria AD(IB) and Clear Channel (CC Media Holdings, Inc.), Inc. He also volunteers on several charitable organizations, serving as a member of the board of United way, Make-A-Wish Foundation of Massachusetts, Project Health, Syracuse University and Childrens Hospital Trust. Mr. Barnes received a B.S. from Syracuse University.
John Connaughton, Director. Mr. Connaughton has served as a director since February 2006. Mr. Connaughton has been a Managing Director of Bain Capital Partners, LLC since 1997 and a member of the firm since 1989. He has played a leading role in transactions in the medical, technology and media industries. Prior to joining Bain Capital, Mr. Connaughton was a consultant at Bain & Company, Inc., where he worked in the consumer products and business services industries. Mr. Connaughton currently serves as a director of Hospital Corporation of America (HCA), Warner Chilcott (WCRX-NASDAQ), Quintiles Transnational Corp, Sungard Data Systems, Warner Music Group (NYSE-WMG), Clear Channel Communications Inc. and The Boston Celtics. He also volunteers for a variety of charitable organizations, serving as a member of Childrens Hospital Board of Overseers, The Berklee College of Music Board of Trustees and UVa McIntire Foundation Board of Trustees. Mr. Connaughton received a B.S. in commerce from the University of Virginia and an M.B.A. from Harvard Business School.
Chris Gordon, Director. Mr. Gordon has served as director since February 2006. Mr. Gordon is a managing director of Bain Capital and joined the firm in 1997. Prior to joining Bain Capital, Mr. Gordon was a consultant at Bain & Company, Inc. and currently serves as a director of Hospital Corporation of America, of Accellent, Inc. and of Quintiles Transnational Corporation. He also volunteers for a variety of charitable organizations, currently serving on the Childrens Hospital Board of Overseers and the Boston Public Library Foundation Board of Directors. Mr. Gordon received an M.B.A. from Harvard Business School where he was a Baker Scholar and graduated magna cum laude with an A.B. in economics from Harvard College.
General Barry R. McCaffrey (ret), Director. General McCaffrey has served as a director since August 2002. From March 2001 to the present, General McCaffrey has served as president of BR McCaffrey Associates, LLC, an international consulting firm. General McCaffrey served as the Director of the White House Office of National Drug Control Policy from March 1996 to March 2001, and as the Bradley Distinguished Professor of National Security Studies at the U.S. Military Academy from March 2001 to June 2005. General McCaffrey has also served as an analyst for NBC News since September 2001. During his time at the White House, General McCaffrey was a member of both the Presidents Cabinet and the National Security Council for drug-related issues. General McCaffrey also serves on the board of directors of: DynCorp International; LLC, McNeil Technologies; Global Linguist Solutions; and HNTB Corporation. General McCaffrey graduated from the U.S. Military Academy at West Point. He holds an M.A. in civil government from American University and attended the Harvard University National Security Program as well as the Business School Executive Education Program.
Elliot Sainer, Director. Mr. Sainer has served as a director since November 2006. From November 2006 through September 31, 2007, Mr. Sainer served as the president of our youth division (now part of our healthy living division). From 1998 to 2006, he served as chief executive officer of Aspen Education Group, Inc. We acquired Aspen Education Group, Inc. in November 2006. From 1991 to 1998, Mr. Sainer was Chief Executive Officer of College Health Enterprises. Mr. Sainer serves as a director of Acadia Healthcare, LLC, Knowledge Delivery Systems, Inc. and StarPoint LLC Healthcare Group. He also serves as a member of the board of Alzheimers Association of Greater Los Angeles and Union Station Homeless Services. Mr. Sainer holds an M.B.A. in health care administration from George Washington University and a B.A. in Political Science from the University of Pittsburgh.
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Code of Conduct
The CRC Health Corporation Code of Business Conduct and Ethics is our code of ethics applicable to all employees, including all officers and directors with regard to company related activities. The code incorporates our policy to conduct our business affairs honestly and in an ethical manner. It also incorporates our expectations of all employees to provide accurate and timely disclosures in our filings with the SEC. A copy of our code is available on our website at www.crchealth.com under Company, Code of Conduct. We will post any amendments to our code, or waivers of the code for our executive officers, on our website at www.crchealth.com under Company.
We also maintain a Compliance Manual and Code of Conduct that focuses on our responsibilities to our patients and the high standards of ethics that we require from all employees. This Code of Conduct is compliant with the requirements of our accrediting bodies.
Section 16(a) Compliance
There is no established public trading market for our common stock. We are a wholly owned subsidiary of CRC Health Group, Inc., which holds all of our outstanding common stock. CRC Health Group, Inc. is a privately held corporation.
Audit Committee
The audit committee selects the independent auditors, reviews the independence of such auditors, approves the scope of the annual audit activities of the independent auditors, approves the audit fee payable to the independent auditors and reviews results of the annual audit with the independent auditors. The audit committee is currently composed of Steven Barnes, Chris Gordon and Elliot Sainer. Chris Gordon serves as our audit committee financial expert as defined in Item 407(d)(5) of Regulation S-K.
ITEM 11. | Executive Compensation |
Compensation Discussion and Analysis
This section discusses the principles underlying our executive compensation policies and decisions. In this section, we address the members and role of our compensation committee, our compensation setting process, our compensation philosophy and policies regarding executive compensation, the components of our executive compensation program and our compensation decisions for 2009. We address the compensation paid or awarded during 2009 to our chief executive officer, our chief financial officer and the three other most highly compensated executive officers in fiscal year 2009. We refer to these five executive officers as our named executive officers.
On February 6, 2006, we were acquired by investments funds managed by Bain Capital (the Bain Merger). We refer to Bain Capital Partners as our Sponsor. As discussed in more detail below, various aspects of the compensation of our named executive officers was negotiated and determined at the time of the Bain Merger. There is no established public trading market for our common stock. We are a wholly-owned subsidiary of CRC Health Group, Inc. which holds all of our outstanding common stock. CRC Health Group, Inc. is a privately held corporation. Our parent companys outstanding capital stock consists of Class A common stock and Class L common stock. All references to options herein refer to options to purchase Class A common stock and Class L common stock of our parent company.
The Compensation Committee and Compensation Setting Practice
The compensation committee operates under a written charter adopted by our Board of Directors and has responsibility for discharging the responsibilities of the Board of Directors relating to the compensation of our executive officers and related duties. Compensation decisions are designed to promote our fundamental business
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objectives and strategy and align the interests of management with the interests of our stakeholders. Our chief executive officer works with senior management to evaluate employee performance, establish business performance targets and objectives and recommend salary levels and then presents cash and equity compensation recommendations to the Compensation Committee for its consideration and approval. We have not engaged a compensation consultant or benchmarked our compensation against other companies to date but may consider doing so in the future. The Compensation Committee reviews these proposals and makes all final compensation decisions for the executive officers by exercising its discretion in accepting, modifying or rejecting any management recommendations.
The Board of Directors created a compensation committee in January 2007. The current members of the compensation committee are John Connaughton, Steven Barnes and Barry Karlin.
Our Compensation Philosophy
Compensation decisions are designed to promote our fundamental business objectives and strategy and align the interests of management with the interests of our stakeholders. We believe that compensation should focus management on achieving strong short-term (annual) performance in a manner that supports and ensures out long-term success and profitability. We also believe that pay should be directly linked to performance and that pay should be at competitive levels necessary to attract and retain exceptional leadership talent. This philosophy has guided many compensation related decisions:
| A substantial portion of executive officer compensation is contingent on achievement of objective corporate, division and individual performance objectives. |
| Our annual incentive bonus program and equity incentive bonus program emphasize performance-based compensation that promotes the achievement of short-term and long-term business objectives which are aligned with our long term strategic plan. |
| Total compensation is higher for individuals with greater responsibility and greater ability to influence our achievement of targeted results and strategy; further, as position and responsibility increases, a greater portion of the executive officers total compensation is performance based pay and equity based pay, making a significant portion of their total compensation dependent on the achievement of performance objectives. |
Components of Executive Compensation Plan
In 2009, the principal elements of annual compensation for our named executive officers consisted of base salary and performance based incentive bonuses, long term equity incentive compensation and benefits.
Base Salary. Base pay is a critical element of executive compensation because it provides executives with a base level of monthly income. In determining base salaries, we consider the executives qualification and experience, scope of responsibilities and future potential, the goals and objectives established for the executive, the executives past performance and competitive salary practices. Further, for our most senior executives, we establish base salaries at a level so that a significant portion of the total compensation that such executives can earn is performance based pay. Dr. Barry Karlins base salary was determined in his employment agreement which was negotiated at the time of the Bain Merger and is reviewed annually by the Compensation Committee. For all of our other named executive officers, base salary increases are at the discretion of the Compensation Committee. Base salary is reviewed annually at the beginning of the year and any increases are based on our overall performance and the executives individual performance during the preceding year. At its February 2010 meeting, the Compensation Committee reviewed recommendations for salary adjustments for all executive officers. Base salaries for our named executives will increase up to a maximum of 2% in 2010 compared to base salaries in 2009 based on our performance in 2010.
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2009 Incentive Bonus Plan. Our 2009 Incentive Bonus Plan is designed to reward our employees for the achievement of 2009 EBITDA goals related to the business. EBITDA represents actual earnings before interest, taxes, depreciation and amortization and certain other adjustments as set forth in the Plan. The bonus payment for our Chief Executive Officer is governed by his employment agreement and is wholly dependent on the achievement of certain EBITDA targets. Pursuant to his employment agreement, our target annual incentive bonus for our Chief Executive Officer is 100% of his base salary in the event that our actual EBITDA is 100% of our budgeted EBITDA; he may earn an annual incentive bonus of up to a maximum 150% of his base salary in the event that our actual EBITDA is 110% of our budgeted EBITDA but also may earn nothing in the event that financial milestones are not achieved. The bonus plan for Kevin Hogge, Philip Herschman, Jerome Rhodes and James Hudak is based on our overall achievement of our EBITDA targets (target bonus assumes our actual EBITDA is 100% of budgeted EBITDA and the maximum bonus assumes that our actual EBITDA is 110% or greater than budgeted EBITDA) and individual contributions. These officers have a target annual incentive bonus of 50% of base salary; they may earn a maximum annual incentive bonus of up to 75% of base salary but may also earn nothing in the event our financial milestones are not achieved. The bonus is paid after completion of our annual audit and the officer must be an employee at such time to receive a bonus payment.
If our actual EBITDA is less than 92.5% of our budgeted EBITDA, then the bonus pool is zero provided that the Compensation Committee may authorize bonuses in their sole discretion. In the event that our actual EBITDA for the year is less than 100% of our budgeted EBITDA but greater than 92.5% then the bonus pool may be prorated. If our actual EBITDA is greater than 100%, the Compensation Committee, in its discretion, may increase the bonus pool amount by up to 50% of the base bonus pool and employees would be eligible to earn an additional bonus. Ultimately, all bonus payment amounts are in the discretion of the Compensation Committee. Consistent with our focus on pay for performance, additional amounts can be earned when actual EBITDA exceeds our budgeted EBITDA. Actual EBITDA was less than 100% of budgeted EBITDA. The bonus amounts were in the discretion of the Compensation Committee. The Compensation Committee determined that discretionary bonuses would be provided to reward and provide future motivation for employees who had achieved or partially achieved their goals and for individual performance. The Compensation Committee approved an aggregate year end bonus pool of $2,434,000 (excluding special retention bonuses, sales commissions etc.) to be allocated and distributed based on performance by the CEO.
Equity Based Compensation. We believe that equity compensation is a critical tool in aligning the interests of our stockholders and executive officers in building share value and in retaining key executives. We have designed an equity plan that promotes the achievement of both short-term and long-term business objectives which are aligned with our strategic plan. We have elected to use stock options as the equity compensation vehicle.
Upon consummation of the Bain Merger, our parent company established the 2006 Executive Incentive Plan and the 2006 Management Incentive Plan. Options issued pursuant to the 2006 Executive Incentive Plan vest based, in part, on the passage of time and in part on the achievement of performance objectives. At the time of the Bain Merger, state securities laws restricted our use of performance based option plans. As a result, our parent company adopted the 2006 Management Incentive Plan pursuant to which options vest over a five year period. In 2007, the state securities laws were amended to allow for broader use of performance based plans. Our parent company established the 2007 Incentive Plan in September 2007. This plan is identical to our 2006 Executive Incentive Plan. These plans provide for the granting of either incentive stock options or nonincentive stock options to our key employees, directors, consultants and advisors. In determining the number of options to be granted to employees, we take into account the individuals position, scope of responsibility, ability to affect profits and shareholder value and the individuals historic and recent performance and the value of the stock options in relation to other elements of total compensation. All of our executive officers and generally any employee with profit and loss responsibility received options under the 2006 Executive Incentive Plan. All current options are granted under the 2007 Incentive Plan. Each option is an option to purchase a unit which consists of nine shares of Class A Stock and one share of Class L Stock. The options are exercisable only for whole units and cannot be separately exercised for the individual classes of stock. The grant date of the stock options is always the date of approval of the grants.
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All stock options under our plans have the following features: the term of grant does not exceed 10 years, the grant price is not less than the fair market value on the date of grant, repricing of options is prohibited, unless approved by the shareholders, vesting is generally over a five year period and options generally will remain exercisable for three months following the participants termination of service other than for cause, except that if service terminates as a result of the participants death or disability, the option generally will remain exercisable for twelve months, but in any event not beyond the expiration of its term. In general, options granted under the Executive Plan and 2007 Incentive Plan vest and become exercisable at the rate of 10% on the one year anniversary of the date of grant and 5% on each six-month anniversary thereafter until 50% of the options granted are vested. An additional 25% shall vest upon our stock price reaching a certain level during a sale event or at certain times after an initial public offering. An additional 25% shall vest over a five year time horizon upon our EBITDA reaching certain levels or in the event that our stock price reaches a certain level during a sale event or at certain times after an initial public offering. In general, options granted under the Management Plan vest and become exercisable at the rate of 20% on the one year anniversary of the date of grant and 10% on each six-month anniversary thereafter until 100% of the options granted are vested.
Our parent company does not have a formal policy requiring stock ownership by management. However, our senior executives, including all named executive officers that were present at the time of the Bain Merger, have committed significant personal capital to CRC. In connection with the closing of the Bain Merger and the acquisition of Aspen Education Group, and pursuant to a rollover and subscription agreement, certain members of our management, including all of the named executive officers that were present at the time of the Bain Merger, converted options to purchase stock of our predecessor company into options to purchase stock of Holdings.
Other Compensation Information. We provide employees, including our named executive officers, with a variety of other benefits, including medical, dental and vision plans, life insurance and holidays and vacation. These benefits are generally provided to employees on a company-wide basis. We do not offer any retirement plans to our directors or executive officers, other than the 401(k) plan generally available to employees. In accordance with the terms of the our 401(k) plan, for a portion of 2009 we matched, in cash, 25% of amounts contributed to that plan by each plan participant, up to 6% of eligible pay. The matching contribution made by us is subject to vesting, based on continued employment, with 25% scheduled to vest on each of the four anniversaries of the employees date of hire. In February 2009, we amended the terms of our 401(k) plan to eliminate any company match to amounts contributed by employees to their 401(k) plans.
In connection with the Aspen Acquisition, we acquired a non-qualified Insured Security Option Plan (the ISOP) which was available to certain key employees of Aspen Education Group, our youth division (now part of our healthy living division). This plan was available to Mr. Elliot Sainer. The ISOP permits these employees to defer on an after-tax basis a portion of their salary or bonus each calendar year. Under the ISOP, we could make discretionary contributions to these employee accounts, up to $6,000 per employee. Additionally, we may also make additional discretionary contributions to these employee accounts to simulate the pre-tax benefits of our 401(k) plan. We discontinued these discretionary contributions for employee contributions made after the 2007 plan year.
Accounting and Tax Implications
The accounting and tax treatment of particular forms of compensation do not materially affect the Compensation Committees compensation decisions. However, we evaluate the effect of such accounting and tax treatment on an ongoing basis and will make appropriate modifications to compensation policies where appropriate.
Compensation Committee Report
The following report of the Compensation Committee is included in accordance with the rules and regulations of the Securities and Exchange Commission. It is not incorporated by reference into any of our registration statements under the Securities Act of 1933, as amended.
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Compensation Committee Report
The Committee has reviewed and discussed the Compensation Discussion and Analysis (CD&A) with management. Based upon the review and discussions, the Committee recommended to the Board of Directors, and the Board approved, that the CD&A be included in the Form 10-K for the year ended December 31, 2009.
Respectfully submitted on March 24, 2010 by the members of the Compensation Committee of the Board of Directors.
Dr. Barry Karlin
John Connaughton
Steven Barnes
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Summary Compensation Table
The following table summarizes the compensation paid to our Chief Executive Officer, Chief Financial Officer and our three other most highly compensated executive officers, whom we refer to as our named executive officers, for the years ended December 31, 2009, December 31, 2008 and December 31, 2007.
Name and |
Year | Salary ($) (1) |
Bonus ($) |
Stock Awards |
Option Awards ($) (2) |
Non-equity Incentive Plan Compensation |
Change in Pension Value and Nonqualified Deferred Compensation Earnings |
All other Compensation ($) |
Total ($) | |||||||||||
Dr. Barry W. Karlin |
2009 | 642,735 | | | | 200,000 | (3) | | 33,335 | (6) | 876,070 | |||||||||
Chairman and Chief Executive Officer |
2008 | 616,515 | | | | | | 39,077 | (7) | 655,592 | ||||||||||
2007 | 595,346 | | | | 175,000 | (5) | | 38,580 | (8) | 808,926 | ||||||||||
James Hudak |
2009 | 307,395 | | | | 93,000 | (3) | | 10,865 | (9) | 411,260 | |||||||||
Chief Administrative Office |
2008 | 124,097 | | | 1,071,400 | | | 3,796 | (10) | 1,199,293 | ||||||||||
2007 | | | | | | | | | ||||||||||||
Philip L. Herschman |
2009 | 307,395 | | | | 80,000 | (3) | | 2,867 | (11) | 390,262 | |||||||||
President, Healthy Living Division |
2008 | 294,855 | | | | | | 2,852 | (12) | 297,707 | ||||||||||
2007 | 284,730 | | | | 55,591 | (5) | | 2,500 | (12) | 342,821 | ||||||||||
Jerome E. Rhodes |
2009 | 307,395 | | | 110,000 | (3) | | 11,771 | (13) | 429,166 | ||||||||||
President, Recovery Division |
2008 | 294,855 | | | | 27,000 | (4) | | 13,308 | (14) | 335,163 | |||||||||
2007 | 284,730 | | | | 60,591 | (5) | | 13,118 | (14) | 358,439 | ||||||||||
Kevin Hogge |
2009 | 307,395 | | | | 75,000 | (3) | | 6,127 | (15) | 388,522 | |||||||||
Chief Financial Officer, Vice President and Treasurer |
2008 | 294,855 | | | | | | 9,004 | (16) | 303,859 | ||||||||||
2007 | 284,730 | | | | 55,591 | (5) | | 2,500 | (12) | 342,821 |
(1) | Actual salaries for our named executive officers were as follows: Barry Karlin$618,930 and for each of James Hudak, Kevin Hogge, Jerome E. Rhodes, Philip Herschman$296,010. The numbers listed above reflect a pay cycle attributable to 2008 but paid in 2009. |
(2) | The amounts included in this column reflect the compensation costs associated with stock option awards recognized as expense in our financial statements in accordance with SFAS 123(R). Under SFAS 123(R), the full grant date fair value of the option awards is recognized over a five year period. For a discussion of the assumptions made in the valuation, please see Note 12 to our Consolidated Financial Statements. |
(3) | 2009 annual incentive bonus paid in February 2010. Bonuses paid pursuant to the 2009 Incentive Bonus Plan are accrued in the year earned and paid in the following year. |
(4) | 2008 annual incentive bonus paid in March 2009. Bonuses paid pursuant to the 2008 Incentive Bonus Plan are accrued in the year earned and paid in the following year. |
(5) | 2007 annual incentive bonus paid in March 2008. Bonuses paid pursuant to the 2007 Incentive Bonus Plan are accrued in the year earned and paid in the following year. |
(6) | Represents $12,650 for premium costs on a life insurance policy for which the beneficiaries are his family, $20,060 in medical, dental, vision and life insurance contributions, and $625 in company contributions pursuant to our 401(k) Plan for 2009. |
(7) | Represents $12,000 for premium costs on a life insurance policy for which the beneficiaries are his family, $23,630 in medical, dental and vision contributions, and $3,375 in company contributions pursuant to our 401(k) Plan for 2008. |
(8) | Represents $12,650 for premium costs on a life insurance policy for which the beneficiaries are his family, $22,680 in medical, dental and vision contributions, and $3,250 in company contributions pursuant to our 401(k) Plan for 2007. |
(9) | Represents $10,865 in medical, dental, vision and life insurance contributions for 2009. |
(10) | Represents $3,796 in medical, dental and vision contributions for 2008. |
(11) | Represents $88 in life insurance contributions and $2,779 in company contributions pursuant to our 401(k) Plan. |
(12) | Represents company contributions pursuant to our 401(k) Plan. |
(13) | Represents $10,800 in car allowance during 2009, $88 in life insurance contributions and $883 in company contributions pursuant to our 401(k) Plan for 2009. |
(14) | Represents $10,400 in car allowance during 2008 and 2007. In addition, represents $2,836 and $2,718 in company contributions pursuant to our 401(k) Plan for 2008 and 2007, respectively. |
(15) | Represents $5,272 in medical, dental, vision and life insurance contributions and $853 in company contributions pursuant to our 401(k) Plan for 2009. |
(16) | Represents $5,345 in medical, dental and vision contributions and $3,586 in company contributions pursuant to our 401(k) Plan for 2008. |
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Grants of Plan-Based Awards in 2009
The following table contains information concerning grants of plan-based awards to our named executive officers during 2009:
Name |
Grant Date (2) |
Estimated Possible Payouts Under |
Estimated Future Payouts Under |
All Other Stock Awards: Number of Shares of Stock or Units (#) |
All Other Option Awards: Number of Securities Underlying Options (#) |
Exercise or Base Price of Option Awards ($/Sh) |
Grant Date Fair Value of Stock and Option Awards ($) | |||||||||||||||
Threshold ($) |
Target ($) |
Maximum ($) |
Threshold (#) |
Target (#) |
Maximum (#) |
|||||||||||||||||
Dr. Barry Karlin |
1/1/09 | 0 | 618,930 | 928,395 | | | | | | | | |||||||||||
Philip Herschman |
1/1/09 | 0 | 148,005 | 222,007 | | | | | | | | |||||||||||
Jerome Rhodes |
1/1/09 | 0 | 148,005 | 222,007 | | | | | | | | |||||||||||
Kevin Hogge |
1/1/09 | 0 | 148,005 | 222,007 | | | | | | | | |||||||||||
James Hudak |
1/1/09 | 0 | 148,005 | 222,007 | | | | | | | |
NOTES TO TABLE:
(1) | Amounts reflect cash awards pursuant to our 2009 Incentive Bonus Plan to which our named executive officers are eligible. Pursuant to our 2009 Incentive Bonus Plan, the amounts are based on the achievement of the EBITDA targets for the period January 1, 2009 through December 31, 2009. The Target amount equals 100% of achievement of the target and the Maximum amount assumes that our actual EBITDA exceeded 110% of budgeted EBITDA. The threshold amount equals 92.5% of achievement of the target; provided however, that they Compensation Committee, in their discretion, may award bonuses if there is 92.5% or less achievement of the targets. For the year ended December 31, 2009 Actual EBITDA was less than 100% of budgeted EBITDA. Bonus amounts were in the discretion of the Compensation Committee. See the Summary Compensation Table for bonuses received by our named executive officers. |
(2) | The grant date provided is the date that the plan year began for the 2009 Incentive Bonus Plan. |
The material terms of our stock option awards, 2009 Incentive Bonus Plan and our employment agreement with Dr. Barry Karlin are described in Compensation Discussion and Analysis.
Outstanding Equity Awards at Fiscal Year-End 2009
The following table sets forth certain information with respect to the value of all unexercised options and unvested stock awards previously awarded to our named executive officers as of December 31, 2009.
Option Awards (1) | Stock Awards | |||||||||||||||||||
Name |
Number of Securities Underlying Unexercised Options Exercisable (#) |
Number of Securities Underlying Unexercised Options Unexercisable (#) |
Equity Incentive Plan Awards: Number of Securities Underlying Unexercised Unearned Options (#) |
Option Exercise Price ($) |
Option Expiration Date |
Number of Shares or Units of Stock That Have Not Vested (#) |
Market Value of Shares or Units of Stock That Have Not Vested ($) |
Equity Incentive Plan Awards: Number of Unearned Shares, Units or Other Rights That Have Not Vested (#) |
Equity Incentive Plan Awards: Market or Payout Value of unearned Shares, Units or Other Rights That Have Not Vested ($) | |||||||||||
Dr. Barry Karlin |
65,148 | (2)(3) | 104,024 | (2) | | 90.00 | 2/6/16 | | | | | |||||||||
61,554 | (4) | | | 8.77 | 12/14/14 | | | | | |||||||||||
Philip Herschman |
16,373 | (2)(3) | 26,142 | (2) | | 90.00 | 2/6/16 | | | | | |||||||||
11,079 | (4) | | | 8.77 | 12/14/14 | | | | | |||||||||||
Jerome Rhodes |
16,373 | (2)(3) | 26,142 | (2) | | 90.00 | 2/6/16 | | | | | |||||||||
11,079 | (4) | | | 8.77 | 12/14/14 | | | | | |||||||||||
Kevin Hogge |
16,373 | (2)(3) | 26,142 | (2) | | 90.00 | 2/6/16 | | | | | |||||||||
11,079 | (4) | | | 8.77 | 12/14/14 | | | | | |||||||||||
James Hudak |
2,000 | (5) | 18,000 | | 112.287 | 09/11/17 | | | | |
NOTES TO TABLE:
(1) | All information in this table relates to nonqualified stock options. We have not granted any incentive stock options or stock appreciation rights. Each option is an option to purchase one Unit consisting of 9 shares of Class A Common Stock and one share of Class L Common Stock. |
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(2) | Option issued pursuant to the 2006 Executive Incentive Plan. The exercisable options include all options that have vested. All unexercisable options have not yet vested. Pursuant to such plan, options vest as follows: (i) 50% of the option (the Tranche 1 Options) is time based and vests over five years with 20% vesting on February 6, 2007, one year from the date of grant, and 10% of the remaining balance vesting every 6 months thereafter, (ii) 25% of the option is performance based and vests based on the attainment of a certain value of the Company (the Tranche 2 Options), as discussed in the Compensation Discussion and Analysis and (iii) the remaining 25% (the Tranche 3 Options) of the option is performance based and vests on the attainment of certain annual goals for the Company during the 5 year period beginning January 1, 2006, as discussed in the Compensation Discussion and Analysis. |
(3) | Vested options represents 50% of the Tranche 1 Options vesting based on time and 14.04% of the Tranche 3 Options vesting based on achievement of EBITDA milestones. |
(4) | Rollover options are fully vested. To the extent that outstanding options were not cancelled in the Bain Merger, such options converted into fully vested options to purchase equity units in our parent company. Each rollover option is an option to purchase one Unit consisting of 9 shares of Class A Common Stock and 1 share of Class L Common Stock. |
(5) | Vested options represents 50% of the Tranche 1 Options vesting based on time. |
Option Exercises and Stock Vested in 2009
The following table sets forth information about stock options exercised by the named executives in fiscal year 2009 and stock awards that vested or were paid in fiscal year 2009 to the named executives.
Name |
Option Awards Number of Shares Acquired on Exercise (#) |
Value Realized on Exercise ($) |
Stock Awards Number of Shares Acquired on Vesting (#) |
Value Realized on Vesting ($) | ||||
Dr. Barry Karlin |
| | | | ||||
Philip Herschman |
| | | | ||||
Jerome Rhodes |
| | | | ||||
Kevin Hogge |
| | | | ||||
James Hudak |
| | | |
Pension Benefits
None of the Named Executive Officers receive nonqualified deferred compensation benefits.
Potential Payments Upon Termination or a Change in Control
Employment Agreement
Pursuant to our employment agreement with Dr. Karlin, in the event of Dr. Karlins termination without cause or his resignation for good reason (both defined in his employment agreement), we must pay Dr. Karlin a lump sum equal to his base salary for a period of 36 months and provided further that if Dr. Karlin signs a general release of all claims, we shall also pay to Dr. Karlin for a period of 18 months all premiums due for COBRA premiums for Dr. Karlin and his insured dependents, and all premiums relating to his life insurance policy, an aggregate amount of approximately $1.9 million calculated as of December 31, 2009. In the event of a termination due to death, disability or cause or if Dr. Karlin resigns without good reason, we must pay Dr. Karlin any base salary earned but not paid through the date of termination, any vacation time accrued but not used through the date of termination, any bonus compensation earned but unpaid on the date of termination and any business expenses incurred but un-reimbursed on the date of termination.
We have no employment agreements with Kevin Hogge, James Hudak, Philip Herschman or Jerome Rhodes.
2009 Incentive Bonus Plan
An employee was only eligible to receive a bonus pursuant to the 2009 Annual Incentive Bonus plan if such employee was an employee of CRC or a subsidiary of CRC at the time of bonus payout in February 2010.
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Stock Options
In general, option grants under the Executive Plan and 2007 Incentive Plan stipulate that in the event of a change in control of our parent company in which Bain Capital achieves liquidity, up to 100% of the options will vest; provided however, that options that did not vest in years prior to the change of control because of the failure to attain the EBITDA targets do not vest upon the change of control unless the stock price reaches $360 per unit in a change of control transaction. In general, option grants under the Management Plan stipulate that in the event of a change in control of our parent company in which Bain Capital achieves liquidity, up to 100% of the options will vest. In the event of a change of control in which Bain Capital does not achieve liquidation, options issued to our executive officers will fully vest in the event that there is a termination or constructive termination of employment of the executive within 12 months after the change in control.
The successor entity may assume or continue in effect options outstanding under the Executive Plan or Management Plan or substitute substantially equivalent options for the successors stock. Any options which are not assumed or continued in connection with a change in control or exercised prior to the change in control will terminate effective as of the time of the change in control. The Executive Plan and Management Plan also authorize the administrator to treat as satisfied any vesting condition in the event of a change of control.
Restrictions Upon Termination or a Change of Control
During the course of employment and for a period of 18 months following the end of employment, Dr. Karlin may not participate in any other chemical or alcohol dependency business or any behavioral health business in a field in which we have plans to become engaged. For the same period, Dr. Karlin may also not solicit any of our employees, customers, referral sources or suppliers.
Director Compensation
None of our directors except General Barry McCaffrey and Elliot Sainer receive compensation for serving as a director. The members of our board of directors are not separately compensated for their services as directors, other than reimbursement for out-of-pocket expenses incurred in connection with rendering such services.
Effective September 30, 2007, Elliot Sainer retired as President of our youth division (now part of our healthy living division). As a result of Mr. Sainers retirement, the employment provisions of the employment agreement between the Company and Elliot Sainer terminated as of September 30, 2007. Mr. Sainer received $0.7 million in payment paid over the 18 month period following his termination as defined in his employment agreement. Of the 166,284 options for Class A common shares and 18,476 options for Class L common shares held by Mr. Sainer during his employment, 116,399 options for Class A common shares and 12,933 options for Class L common shares were cancelled, which had an aggregate weighted average fair value of $769,525. Mr. Sainer will continue to serve as a member of the Board of Directors of the Company. Additionally, as of the effective date of his retirement, the Company retained Mr. Sainer in the capacity as a consultant. The following table contains compensation received by General Barry McCaffrey and Elliot Sainer during the year ended December 31, 2009 for serving as a director of, and providing consulting services to, CRC and Holdings.
Name |
Fees Earned or Paid in Cash ($) |
Stock Awards ($) |
Option Awards ($) |
Non-Equity Incentive Plan Compensation ($) |
Change in Pension Value and Nonqualified Deferred Compensation Earnings ($) |
All Other Compensation ($) |
Total ($) | |||||||
General Barry McCaffrey |
120,000 | | | | | | 120,000 | |||||||
Elliot Sainer |
48,000 | | | | | 132,340 | 180,340 |
NOTES TO TABLE:
(1) | General McCaffrey receives a salary of $10,000 per month for consulting services rendered to us. He does not receive cash payments for attendance at board meetings. |
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(2) | Following his retirement as President of our youth division (now part of our healthy living division), Elliot Sainer received a consulting fee of $4,000 per month for consulting services rendered to us. Items under All Other Compensation consist of payments made to Mr. Sainer in 2009 pursuant to his Employment Agreement. He does not receive cash payments for attendance at board meetings. |
Compensation Committee Interlocks and Insider Participation
Our Compensation Committee is currently comprised of Messrs. Connaughton, Barnes and Karlin. Dr. Barry Karlin is the chief executive officer of CRC and the Group. Messrs. Connaughton and Barnes have not been at any time an officer or employee of CRC or an affiliate of CRC. During 2009, we had no compensation committee interlocksmeaning that it was not the case that an executive officer of ours served as a director or member of the compensation committee of another entity and an executive officer of the other entity served as a director or member of our Compensation Committee.
ITEM 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters |
Beneficial Ownership
All of our outstanding common stock is held by our parent company. Our parent companys outstanding capital stock consists of Class A common shares and Class L common shares.
The table below sets forth, as of March 1, 2010, the number and percentage of shares of our parent companys common stock beneficially owned by (i) each person known by us to beneficially own more than 5% of the outstanding shares of common stock of our parent company, (ii) each of our directors, (iii) each of our named executive officers and (iv) all our directors and executive officers as a group.
Notwithstanding the beneficial ownership of common stock presented below, our stockholders agreement governs the stockholders exercise of their voting rights with respect to election of directors and certain other material events. The parties to our stockholders agreement have agreed to vote their shares to elect the board of directors as set forth therein. In addition, our stockholders agreement governs certain stockholders exercise of voting rights with respect to effecting a change of control transaction. See Certain Relationships and Related Party Transactions.
The amounts and percentages of shares beneficially owned are reported on the basis of SEC regulations governing the determination of beneficial ownership of securities. Under SEC rules, a person is deemed to be a beneficial owner of a security if that person has or shares voting power or investment power, which includes the power to dispose of or to direct the disposition of such security. A person is also deemed to be a beneficial owner of any securities of which that person has a right to acquire beneficial ownership within 60 days. Securities that can be so acquired are deemed to be outstanding for purposes of computing such persons ownership percentage, but not for purposes of computing any other persons percentage. Under these rules, more than one person may be deemed to be a beneficial owner of the same securities and a person may be deemed to be a beneficial owner of securities as to which such person has no economic interest.
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Except as described in the agreements mentioned above or as otherwise indicated in a footnote, each of the beneficial owners listed has, to our knowledge, sole voting and investment power with respect to the indicated shares of common stock. Unless otherwise indicated in a footnote, the address for each individual listed below is c/o CRC Health Corporation, 20400 Stevens Creek Boulevard, Suite 600, Cupertino, California 95014.
Name and Address |
Shares of Class A Common Stock |
Percent of Class A Common Stock |
Shares of Class L Common Stock |
Percent of Class L Common Stock |
||||||
Bain Capital Partners VIII, L.P. and Related Funds (1) |
32,547,498 | 93.5 | % | 3,616,388 | 93.5 | % | ||||
Dr. Barry W. Karlin (2) |
1,216,458 | 3.5 | % | 135,162 | 3.5 | % | ||||
James Hudak (3) |
27,000 | * | 3,000 | * | ||||||
Philip L. Herschman (4) |
266,207 | * | 29,579 | * | ||||||
Jerome E. Rhodes (5) |
266,207 | * | 29,579 | * | ||||||
Kevin Hogge (6) |
266,207 | * | 29,579 | * | ||||||
Barry R. McCaffrey (7) |
5,846 | * | 650 | * | ||||||
Elliot Sainer (8) |
69,753 | * | 7,750 | * | ||||||
Steven Barnes (9) |
| | | | ||||||
John Connaughton (9) |
| | | | ||||||
Chris Gordon (9) |
| | | | ||||||
All directors and executive officers as a group |
2,141,940 | 6.2 | % | 240,994 | 6.2 | % |
* | indicates less than 1% of common stock |
(1) | Represents shares owned by the following groups of investment funds affiliated with Bain Capital Partners, LLC: (i) 27,861,389.88 shares of Class A common stock and 3,095,709.94 shares of Class L common stock owned by Bain Capital Fund VIII, LLC, a Delaware limited liability company (BCF VIII), whose sole member is Bain Capital Fund VIII, L.P., a Cayman Islands exempted limited partnership (BCF VIII Cayman), whose sole general partner is Bain Capital Partners VIII, L.P., a Cayman Islands exempted limited partnership (BCP VIII), whose sole general partner is Bain Capital Investors, LLC, a Delaware limited liability company (BCI); (ii) 3,666,862.04 shares of Class A common stock and 407,429.12 shares of Class L common stock owned by Bain Capital VIII Coinvestment Fund, LLC, a Delaware limited liability company (BC VIII Coinvest), whose sole member is Bain Capital VIII Coinvestment Fund, L.P., a Cayman Islands exempted limited partnership (BC VIII Coinvest Cayman), whose sole general partner is BCP VIII; (iii) 10,287.59 shares of Class A common stock and 1,143.08 shares of Class L common stock owned by BCIP Associates-G (BCIP-G), whose managing partner is BCI; (iv) 787,645.94 shares of Class A common stock and 69,256.98 shares of Class L common stock owned by BCIP Associates III, LLC, a Delaware limited liability company (BCIP IIP), whose sole member is BCIP Associates III, a Cayman Islands partnership (BCIP III Cayman), whose managing partner is BCI; (v) 118,584 shares of Class A common stock and 31,435.32 shares of Class L common stock owned by BCIP T Associates III, LLC a Delaware limited liability company (BCIP T III), whose sole member is BCIP Trust Associates III, a Cayman Islands partnership (BCIP T III Cayman), whose managing partner is BCI; (vi) 65,975.32 shares of Class A common stock and 9,482.95 shares of Class L common stock owned by BCIP Associates III-B, LLC, a Delaware limited liability company (BCIP III-B), whose sole member is BCIP Associates III-B, a Cayman Islands partnership (BCIP III-B Cayman), whose managing partner is BCI and (vii) 36,754 shares of Class A common stock and 1,931.37 shares of Class L common stock owned by BCIP T Associates III-B, LLC, a Delaware limited liability company (BCIP T III-B and together with BCF VIII, BC VIII Coinvest, BCIP-G, BCIP III, BCIP T III and BCIP III-B, the Bain Funds), whose sole member is BCIP Trust Associates III-B, a Cayman Islands partnership (BCIP T III-B Cayman), whose sole general partner is BCI. |
BCF VIII Cayman, BCP VIII and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCF VIII. BCF VIII Cayman, BCP VIII and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
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BCF VIII Coinvest Cayman, BCP VIII and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCP VIII Coinvest. BCF VIII Coinvest Cayman, BCP VIII and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCIP-G. BCI disclaims beneficial ownership of such shares except to the extent of their pecuniary interest therein.
BCIP III Cayman and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCIP III. BCIP III Cayman and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
BCIP T III Cayman and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCIP T III. BCIP T III Cayman and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
BCIP III-B Cayman and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCIP III-B. BCIP III-B Cayman and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
BCIP T III-B Cayman and BCI, by virtue of the relationships described above, may be deemed to beneficially own the shares held by BCIP T III-B. BCIP T II1-B Cayman and BCI disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein.
(2) | Represents options to purchase 135,162 Units consisting of 1,216,458 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 135,162 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(3) | Represents options to purchase 3,000 Units consisting of 27,000 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 3,000 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(4) | Represents options to purchase 29,579 Units consisting of 266,207 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 29,579 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(5) | Represents options to purchase 29,579 Units consisting of 266,207 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 29,579 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(6) | Represents options to purchase 29,579 Units consisting of 266,207 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 29,579 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(7) | Represents options to purchase 650 Units consisting of 5,846 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 650 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(8) | Represents options to purchase 7,750 Units consisting of 69,753 shares of Class A common stock issuable pursuant to options exercisable within 60 days and 7,750 shares of Class L common stock issuable pursuant to options exercisable within 60 days. |
(9) | Mr. Barnes, Mr. Connaughton and Mr. Gordon are each a managing director of Bain Capital Partners, LLC. They disclaim any beneficial ownership of any shares beneficially owned by any entity affiliated with Bain Capital Partners, LLC in which they do not have a pecuniary interest. Mr. Barnes, Mr. Connaughton and Mr. Gordon each have an address c/o Bain Capital Partners, LLC, 111 Huntington Avenue, Boston, Massachusetts 02199. |
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Securities Authorized for Issuance Under Equity Compensation Plans
The following table summarizes the securities authorized for issuance as of December 31, 2009 under our 2006 Executive Incentive Plan, our 2006 Management Incentive Plan, and our 2007 Incentive Plan, the number of shares of our Class A common stock and Class L common stock issuable upon the exercise of outstanding options, the weighted average exercise price of such options and the number of additional shares of our common stock still authorized for issuance under such plans. Each of the 2006 Executive Incentive Plan, our 2006 Management Incentive Plan and our 2007 Incentive Plan have been approved by our shareholders.
(a) Number of securities to be issued upon exercise of outstanding options, warrants and rights |
(b) Weighted-average exercise price of outstanding options, warrants and rights |
(c) Number of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a)) |
||||||||||||||||
Plan Category |
Class A common stock |
Class L common stock |
Class A common stock |
Class L common stock |
Class A common stock |
Class L common stock |
||||||||||||
2006 Executive Incentive Plan |
5,022,740 | (1) | 558,083 | (1) | $ | 0.84 | $ | 65.90 | | (2) | | (2) | ||||||
2006 Management Incentive Plan |
423,694 | 47,077 | $ | 1.21 | $ | 83.53 | | (2) | | (2) | ||||||||
2007 Incentive Plan |
753,459 | 83,723 | $ | 1.45 | $ | 91.31 | | (2) | | (2) | ||||||||
Equity compensation plans not approved by security holders |
| | | | | |
(1) | This amount consists of 1,058,594 shares of Class A common stock and 117,622 shares of Class L common stock that were issued in connection with rolled over options at the time of the Bain Merger and Aspen Acquisition. It also includes 3,964,146 shares of Class A common stock and 440,461 shares of Class L common stock issued pursuant to the 2006 Executive Incentive Plan. |
(2) | The number of securities remaining available for future issuance under either the 2007 Incentive Plan, the 2006 Executive Incentive Plan or the 2006 Management Incentive Plan is an aggregate of 588,357 shares of Class A common stock and 65,367 shares of Class L common stock. |
ITEM 13. | Certain Relationships and Related Transactions and Director Independence |
Pursuant to our Code of Conduct, all employees and directors (including our named executive officers) who have, or whose immediate family members have, any financial interests in other entities where such involvement is or may appear to cause a conflict of interest situation are required to report to us the conflict. If the conflict involves a director or executive officer or is considered material, the situation will be reviewed by the audit committee. The audit committee will determine whether a conflict exists or will exist, and if so, what action should be taken to resolve the conflict or potential conflict.
Arrangements with Our Investors
On February 6, 2006, investment funds managed by Bain Capital Partners, LLC and certain members of our management entered into a stockholders agreement related to the purchase of shares of capital stock of Holdings. The stockholders agreement contains agreements among the parties with respect to the election of our directors and the directors of our direct parent company, restrictions on the issuance or transfer of shares, including tag-along rights and drag-along rights, other special corporate governance provisions (including the right to approve various corporate actions), registration rights (including customary indemnification provisions) and call options. Three of our directors, Steven Barnes, John Connaughton and Chris Gordon, hold the position of managing director or principal with Bain Capital Partners, LLC.
Rollover of Certain Management Equity Interests
In connection with the closing of the Bain Merger on February 6, 2006, and pursuant to a rollover and subscription agreement, certain members of our management converted options to purchase stock of our
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predecessor company into options to purchase stock of Holdings with an aggregate value of approximately $9.1 million. Dr. Barry W. Karlin, Jerome E. Rhodes, Kevin Hogge, Philip L. Herschman, and Pamela B. Burke converted options with a value of $5.0 million, $0.9 million, $0.9 million, $0.9 million, $ , $ and $125,000, respectively.
In connection with the closing of the Aspen Acquisition on November 17, 2006 and pursuant to a rollover and subscription agreement, certain employees of Aspen Education Group, Inc. converted options to purchase stock of Aspen Education Group, Inc. into options to purchase stock of the Group with an aggregate value of approximately $1.8 million. Mr. Elliot Sainer converted options with a value of $0.6 million.
Management Agreement
Upon the consummation of the Bain Merger, we and our parent companies entered into a management agreement with an affiliate of Bain Capital Partners, LLC pursuant to which such entity or its affiliates will provide management services. Pursuant to such agreement, an affiliate of Bain Capital Partners, LLC will receive an aggregate annual management fee of $2.0 million, and reimbursement for out-of-pocket expenses incurred in connection with the Transactions prior to the closing of the Transactions and in connection with the provision of services pursuant to the agreement. In addition, pursuant to such agreement, an affiliate of Bain Capital Partners, LLC also received aggregate transaction fees of approximately $7.2 million in connection with services provided by such entity related to the Transactions. The management agreement has a five year, evergreen term; however, in certain circumstances, such as an initial public offering or change of control of Holdings, we may terminate the management agreement and buy out our remaining obligations under the agreement to Bain Capital Partners, LLC and its affiliates. In addition, the management agreement provides that an affiliate of Bain Capital Partners, LLC may receive fees in connection with certain subsequent financing and acquisition transactions. In connection with the Aspen Acquisition and the related amending and restating of our then existing senior secured credit facility, an affiliate of Bain Capital Partners, LLC received aggregate transaction fees of $3,200,000. The management agreement includes customary indemnification provisions in favor of Bain Capital Partners, LLC and its affiliates.
Director Independence
CRC is a privately held corporation. None of our directors meet the standards for independent directors of a national stock exchange.
ITEM 14. | Principal Accountant Fees and Services |
For the fiscal years ended December 31, 2009 and December 31, 2008, Deloitte & Touche LLP, and its affiliates, the Companys independent registered public accounting firm and principal accountant, billed the fees set forth below (in thousands).
Year Ended December 31, 2009 |
Year Ended December 31, 2008 | |||||
Audit Fees (1) |
$ | 1,800 | $ | 1,577 | ||
Audit-Related Fees |
| | ||||
Tax Fees (2) |
| | ||||
All Other Fees (3) |
| | ||||
Total Fees |
$ | 1,800 | $ | 1,577 | ||
(1) | Audit Fees billed in the fiscal years ended December 31, 2009 and 2008 represented fees for the following services: the audit of the Companys annual financial statements, reviews of the Companys quarterly financial statements, and other services normally provided in connection with statutory and regulatory filings. |
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(2) | The Company did not incur any Tax Fees for the years ended December 31, 2009 and 2008 with its principal independent registered accounting firm. |
(3) | The Company did not incur any All Other Fees in the fiscal years ended December 31, 2009 and 2008 with its principal independent registered accounting firm. |
The audit committee was formed in May 2006. All audit and non-audit services performed after such date have been pre-approved by the audit committee.
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ITEM 15. | Exhibits and Financial Statement Schedules |
(a) Financial Statements
The financial statements are filed as part of this Annual Report on Form 10-K under Item 8Financial Statements and Supplementary Data.
(b) Financial Statement Schedules
Financial statement schedules have been omitted since they are either not required, not applicable, or the information is presented in the consolidated financial statements and the notes thereto in Item 8 above.
(c) Exhibit Index
2.1 | Agreement and Plan of Merger among CRCA Holdings, Inc., CRCA Merger Corporation and CRC Health Group, Inc. dated as of October 8, 2005 (incorporated by reference to Exhibit 2.1 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
2.1a | Agreement and Plan of Merger dated as of September 22, 2006, by and among Aspen Education Group, Inc., Frazier Healthcare II, L.P., as Shareholders Representative, Madrid Merger Corporation and CRC Health Corporation (incorporated by reference to Exhibit 2.1 of Form 8-K (File No. 333-135172) filed September 28, 2006) | |
3.1 | Certificate of Incorporation of CRC Health Corporation, with amendments (incorporated by reference to Exhibit 3.1 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
3.2 | By-Laws of CRC Health Corporation (incorporated by reference to Exhibit 3.3 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
4.1 | Indenture, dated as of February 6, 2006, by and among CRCA Merger Corporation, CRC Health Corporation, the Guarantors named therein and U.S. Bank National Association, as Trustee, with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form S-4 (File No. 333-135172) filed June 21, 2006) | |
4.1a | First Supplemental Indenture dated as of July 7, 2006, by and among CRC Health Corporation, the Guarantors named therein, the New Guarantors named therein and U.S. Bank National Association, as Trustee, with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.4 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
4.1b | Second Supplemental Indenture dated as of September 28, 2006, by and among CRC Health Corporation, the Guarantors named therein, the New Guarantors named therein and U.S. Bank National Association, as Trustee, with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-Q filed November 14, 2006) | |
4.1c | Third Supplemental Indenture dated as of October 24, 2006, by and among CRC Health Corporation, the Guarantors named therein, the New Guarantors named therein and U.S. Bank National Association, as Trustee, with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-Q filed November 14, 2006) | |
4.1d | Fourth Supplemental Indenture dated as of November 17, 2006 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, the New Guarantors named therein and U.S. Bank National Association, as trustee with respect to the 10 3/4 % Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) |
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4.1e | Fifth Supplemental Indenture dated as of April 27, 2007 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, the New Guarantors named therein and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-Q filed May 15, 2007) | |
4.1f | Sixth Supplemental Indenture dated as of July 26, 2007 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, the New Guarantors named therein and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-Q filed November 13, 2007) | |
4.1g | Seventh Supplemental Indenture dated as of May 23, 2008 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, the New Guarantors named therein and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016 (incorporated by reference to Exhibit 4.1 of Form 10-Q filed August 13, 2008) | |
4.1h | Release of Guarantee dated as of July 25, 2008 by and among US Bank National Association, as Trustee, CRC Health Corporation, Adirondack Leadership Expeditions, LLC and LoneStar Expeditions, Inc. (incorporated by reference to 4.1 of Form 10-Q filed November 14, 2008). | |
4.1i | Eighth Supplemental Indenture dated as of November , 2008 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, CRC Holdings, LLC, a Delaware limited liability company (the New Guarantor) and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016 (Incorporated by reference to Exhibit 4.1H of Form 10K filed March 27, 2009). | |
4.1j | Ninth Supplemental Indenture dated as of April , 2009 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, CRC Holdings, LLC, a Delaware limited liability company (the New Guarantor) and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016 (Incorporated by reference to Exhibit 4.li of Form 10Q filed May 15 , 2009). | |
4.1k | Tenth Supplemental Indenture dated as of December , 2009 among CRC Health Corporation, a Delaware corporation (the Company), the Guarantors, CRC Holdings, LLC, a Delaware limited liability company (the New Guarantor) and U.S. Bank National Association, as trustee with respect to the 10 3/4% Senior Subordinated Notes due 2016. | |
4.2 | Registration Rights Agreement, dated as of February 6, 2006, by and among CRCA Merger Corporation, CRC Health Corporation, the Guarantors named therein and the Initial Purchasers named therein (incorporated by reference to Exhibit 4.2 of Form S-4 (File No. 333-135172) filed June 21, 2006) | |
4.3 | Form of 10 3/4% Senior Subordinated Notes due 2016 (contained in Exhibit 4.1) (incorporated by reference to Exhibit 4.3 of Form S-4 (File No. 333-135172) filed June 21, 2006) | |
10.1 | Credit Agreement, dated as of February 6, 2006, by and among CRC Health Group, Inc. (to be renamed CRC Health Corporation), CRC Intermediate Holdings, Inc., Citibank, N.A., the other lenders party thereto, JPMorgan Chase Bank, N.A., as syndication agent and Merrill Lynch, Pierce, Fenner & Smith Incorporated and Credit Suisse as co-documentation agents and Citigroup Global Markets Inc. and J.P. Morgan Securities Inc. as co-lead arrangers and joint bookrunners (incorporated by reference to Exhibit 10.1 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.1a | Amendment No. 1 to Credit Agreement, dated as of May 19, 2006 among CRC Intermediate Holdings, Inc., CRC Health Corporation and Citibank, N.A. in its capacity as administrative agent for the Lenders and as collateral agent for the Secured Parties (incorporated by reference to Exhibit 10.15 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.1b | AMENDMENT AGREEMENT, dated as of November 17, 2006 among CRC Health Group, Inc., CRC Health Corporation, the Subsidiary Guarantors, as defined therein, and Citibank, N.A., in its capacity as administrative agent for the Lenders and as collateral agent for the Secured Parties, and the lenders party hereto and under the Credit Agreement dated as of February 6, 2006 (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) |
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10.1c | AMENDED AND RESTATED CREDIT AGREEMENT (Agreement) entered into as of November 17, 2006, among CRC Health Group, Inc., CRC Health Corporation, Citibank, N.A., as administrative agent, collateral agent, swing line lender and L/C issuer, each lender from time to time party thereto, JPMorgan, Chase Bank, N.A., as Syndication Agent, and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as documentation agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.1d | AMENDMENT NO. 2 to Credit Agreement dated as of April 16, 2007, among CRC HEALTH GROUP, INC., a Delaware corporation (Holdings), CRC HEALTH CORPORATION, a Delaware corporation (the Borrower), CITIBANK, N.A., in its capacity as administrative agent for the Lenders and as collateral agent for the Secured Parties (incorporated by reference to Exhibit 10.1 of Form 10-Q filed May 15, 2007) | |
10.2 | Security Agreement, dated as of February 6, 2006, between CRC Health Group, Inc. (to be renamed CRC Health Corporation), CRC Intermediate Holdings, Inc., the Subsidiaries identified therein and Citibank, N.A., as administrative agent (incorporated by reference to Exhibit 10.2 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.2a | Form of SUPPLEMENT NO. 1 dated as of June 22, 2006, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Intermediate Holdings, Inc., and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Collateral Agent for the Secured Parties as defined therein (Incorporated by reference to Exhibit 4.li of Form 10K filed April 2, 2007). | |
10.2b | Form of SUPPLEMENT NO. 2 dated as of June 22, 2006, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Intermediate Holdings, Inc., and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Collateral Agent for the Secured Parties as defined therein (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.2c | Form of SUPPLEMENT NO. 3 dated as of September 27, 2006, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.) and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Collateral Agent for the Secured Parties as defined therein (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.2d | Form of SUPPLEMENT NO. 4 dated as of October 18, 2006, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.) and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Collateral Agent for the Secured Parties as defined therein (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.2e | SUPPLEMENT NO. 5 dated as of November 17, 2006, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.2f | SUPPLEMENT NO. 6 dated as of April 27, 2007, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (incorporated by reference to Exhibit 10.2 of Form 10-Q filed May 15, 2007) | |
10.2g | SUPPLEMENT NO. 7 dated as of July 26, 2007, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007) |
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10.2h | SUPPLEMENT NO. 8 dated as of May 23, 2008, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (incorporated by reference to Exhibit 10.2 of Form 10-Q filed August 13, 2008) | |
10.2i | SUPPLEMENT NO. 9 dated as of November , 2008, to the Security Agreement dated as of February 6, 2006 among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (Incorporated by reference to Exhibit 10.2i of Form 10K filed March 27, 2009) | |
10.2j | Form of SUPPLEMENT NO. 10 dated as of April 27, 2009 to the Security Agreement among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein (Incorporated by reference to Exhibit 10.2j of Form 10Q filed May 15, 2009) | |
10.2k | Form of SUPPLEMENT NO. 11 dated as of December , 2009 to the Security Agreement among CRC Health Corporation (f/k/a CRC Health Group, Inc.), CRC Health Group, Inc. (f/k/a/ CRCA Holdings, Inc.), and the Subsidiaries of the Borrower identified therein and Citibank, N.A., as collateral Agent for the Secured Parties, as defined therein | |
10.3 | Guarantee Agreement, dated as of February 6, 2006, among CRC Health Group, Inc. (to be renamed CRC Health Corporation), CRC Intermediate Holdings, Inc., the Subsidiaries named therein and Citibank, N.A. as administrative agent (incorporated by reference to Exhibit 10.3 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.3a | Form of SUPPLEMENT NO. 1 dated as of June 22, 2006, to the Guarantee Agreement dated as of February 6, 2006, among CRC Intermediate Holdings, Inc., CRC Health Corporation, the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.3b | Form of SUPPLEMENT NO. 2 dated as of June 22, 2006, to the Guarantee Agreement dated as of February 6, 2006, among CRC Intermediate Holdings, Inc., CRC Health Corporation, the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.3c | Form of SUPPLEMENT NO. 3 dated as of September 27, 2006, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.3d | Form of SUPPLEMENT NO. 4 dated as of October 18, 2006, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower identified therein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.3e | SUPPLEMENT NO. 5 dated as of November 17, 2006, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007) | |
10.3f | SUPPLEMENT NO. 6 dated as of April 27, 2007, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.2 of Form 10-Q filed May 15, 2007) | |
10.3g | SUPPLEMENT NO. 7 dated as of July 26, 2007, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007) |
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10.3h | SUPPLEMENT NO. 8 dated as of May 23, 2008, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.2 of Form 10-Q filed August 13, 2008) | |
10.3i | SUPPLEMENT NO. 9 dated as of November , 2008, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.3i of Form 10-Q filed August 13, 2008). | |
10.3i | Release of Guarantee and Collateral Dated as of July 25, 2008 by and among Citibank, NA, as Administrative Agent and Collateral Agent, CRC Health Corporation, Adirondack Leadership Expeditions, LLC and LoneStar Expeditions, Inc. (incorporated by reference to Exhibit 10.3i of Form 10-Q filed November 14, 2008). | |
10.3j | Form of SUPPLEMENT NO. 10 dated as of April 27, 2009, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent (incorporated by reference to Exhibit 10.2 of Form 10-Q filed May 15, 2007) | |
10.3k | Form of SUPPLEMENT NO. 11 dated as of December , 2009, to the Guarantee Agreement dated as of February 6, 2006, among CRC Health Group, Inc., CRC Health Corporation, the Subsidiaries of the Borrower, as defined herein and Citibank, N.A., as Administrative Agent | |
10.4 | Management Agreement dated as of February 6, 2006, by and among CRCA Holdings, Inc. (to be renamed CRC Health Group, Inc.), CRC Intermediate Holdings, Inc., CRCA Merger Corporation and Bain Capital Partners, LLC (incorporated by reference to Exhibit 10.4 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.5 | Employment Agreement between Dr. Barry W. Karlin, CRC Health Group, Inc. and CRC Health Corporation, dated February 6, 2006 (incorporated by reference to Exhibit 10.5 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.6 | Stockholders Agreement among CRC Health Group, Inc. (f/k/a CRCA Holdings, Inc.), CRC Intermediate Holdings, Inc., CRC Health Corporation (f/k/a CRC Health Group, Inc.), the Investors, Other Investors, and Managers named therein, dated as of February 6, 2006 (incorporated by reference to Exhibit 10.6 of Form S-4 (File No. 333-1351712) filed June 21, 2006) | |
10.6a | Amended and Restated Stockholders Agreement among CRC Health Group, Inc. (f/k/a CRCA Holdings, Inc.), CRC Intermediate Holdings, Inc., CRC Health Corporation (f/k/a CRC Health Group, Inc.), the Investors, Other Investors, and Managers named therein, dated as of February 6, 2006 and as amended and restated on August 13, 2008 (incorporated by reference to Exhibit 10.6a of Form 10-K filed March 27, 2009). | |
10.7 | Form of Executive Letter Agreement re: Fair Market Value Determination of Shares dated February 6, 2006 (incorporated by reference to Exhibit 10.7 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.8 | 2006 Executive Incentive Plan of CRC Health Group, Inc. (incorporated by reference to Exhibit 10.8 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.8a | 2006 Executive Incentive Plan of CRC Health Group, Inc., as amended (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* | |
10.9 | 2006 Management Incentive Plan of CRC Health Group, Inc. (incorporated by reference to Exhibit 10.9 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.9a | 2006 Management Incentive Plan of CRC Health Group, Inc., as amended (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* |
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10.10 | Form of Senior Executive Option Certificate (incorporated by reference to Exhibit 10.10 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.10a | Form of 2007 Senior Executive Option Certificate, as amended (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* | |
10.11 | Form of Executive Option Certificate (incorporated by reference to Exhibit 10.11 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.11a | Form of 2007 Executive Option Certificate, as amended (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* | |
10.11b | Form of Amended and Restated 2007 Executive Option Certificate (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007)* | |
10.11c | Form of Amended and Restated Executive Option Certificate (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007)* | |
10.12 | Form of Management Time Vesting Option Certificate (incorporated by reference to Exhibit 10.12 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.13 | Form of Substitute Option Certificate (incorporated by reference to Exhibit 10.13 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.14 | Rollover and Subscription Agreement, dated as of February 6, 2006, between CRCA Holdings, Inc. and the investors in CRC Health Group, Inc. listed therein (incorporated by reference to Exhibit 10.14 of Form S-4 (File No. 333-1351712) filed June 21, 2006)* | |
10.15 | EMPLOYMENT AGREEMENT dated as of February 1, 2004, between Aspen Education Group, Inc. and Elliot A. Sainer (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* | |
10.16 | FIRST AMENDMENT TO EMPLOYMENT AGREEMENT, dated as of November 17, 2006, made and entered into by and between Aspen Education Group, Inc. and Elliot A Sainer (incorporated by reference to Exhibit 4.1 of Form 10-K filed April 2, 2007)* | |
10.17 | 2007 Incentive Plan of CRC Health Group, Inc. (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007)* | |
10.18 | Form of 2007 Incentive Plan Option Certificate (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007)* | |
10.18a | Form of 2008 Incentive Plan Option Certificate (Incorporated by reference to Exhibit 10.18a of form 10K filed April 7, 2008) | |
10.19 | Agreement dated as of September 20, 2007 between Elliot A. Sainer, CRC Health Group, Inc., CRC Health Corporation and Aspen Education Group (incorporated by reference to Exhibit 10.2 of Form 10-Q filed November 13, 2007)* | |
12 | Statement of Computation of Ratio of Earnings to Fixed Charges | |
21 | Subsidiaries of CRC Health Corporation | |
31.1 | Rule 13a-14(a)/15d-14(a) Certification of Principal Executive Officer | |
31.2 | Rule 13a-14(a)/15d-14(a) Certification of Principal Financial Officer and Principal Accounting Officer | |
32.1 | Section 1350 Certification of Principal Executive Officer | |
32.2 | Section 1350 Certification of Principal Financial Officer and Principal Accounting Officer |
| Filed herewith. |
| Furnished herewith. |
* | Management contract or compensatory plan or arrangement. |
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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.
Date: March 24, 2010
CRC HEALTH CORPORATION (Registrant) | ||
By | /s/ KEVIN HOGGE | |
Kevin Hogge, Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer and duly authorized signatory) |
Pursuant to the requirements of Section 13 or Section 15(d) of the Securities Exchange Act of 1934, this report has been signed by the following persons in the capacities indicated on March 24, 2010
Signature |
Title | |
Principal Executive Officer: |
||
/s/ DR. BARRY W. KARLIN |
Chairman and Chief Executive Officer | |
Dr. Barry W. Karlin | ||
Principal Financial and Accounting Officer: |
||
/s/ KEVIN HOGGE |
Chief Financial Officer | |
Kevin Hogge | ||
/s/ STEVEN BARNES |
Director | |
Steven Barnes | ||
/s/ JOHN CONNAUGHTON |
Director | |
John Connaughton | ||
/s/ CHRIS GORDON |
Director | |
Chris Gordon | ||
/s/ BARRY R. MCCAFFREY |
Director | |
Barry R. McCaffrey | ||
/s/ ELLIOT SAINER |
Director | |
Elliot Sainer |
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