Attached files
file | filename |
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8-K - FORM 8-K - KINDRED HEALTHCARE, INC | d86052d8k.htm |
EX-99.2 - EX-99.2 - KINDRED HEALTHCARE, INC | d86052dex992.htm |
EX-23.2 - EX-23.2 - KINDRED HEALTHCARE, INC | d86052dex232.htm |
EX-23.1 - EX-23.1 - KINDRED HEALTHCARE, INC | d86052dex231.htm |
EX-99.3 - EX-99.3 - KINDRED HEALTHCARE, INC | d86052dex993.htm |
Exhibit 99.1
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
TABLE OF CONTENTS
Page | ||||
Report of Independent Registered Public Accounting Firm |
2 | |||
Consolidated Financial Statements: |
||||
Consolidated Statement of Operations and Comprehensive Income (Loss) for the year ended December 31, 2014 |
3 | |||
Consolidated Balance Sheet as of December 31, 2014 |
4 | |||
Consolidated Statement of Shareholders Equity for the year ended December 31, 2014 |
5 | |||
Consolidated Statement of Cash Flows for the year ended December 31, 2014 |
6 | |||
Notes to Consolidated Financial Statements |
7 |
1
Report of Independent Registered Public Accounting Firm
To the Board of Directors of Kindred Healthcare, Inc.:
In our opinion, the accompanying consolidated balance sheet and the related consolidated statements of operations and comprehensive income (loss), of shareholders equity and of cash flows present fairly, in all material respects, the financial position of Centerre Healthcare Corporation and its subsidiaries at December 31, 2014, and the results of their operations and their cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America. These financial statements are the responsibility of the Companys management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit of these statements 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. An audit 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, and evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.
/s/ PricewaterhouseCoopers LLP
Louisville, Kentucky
September 15, 2015
2
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
FOR THE YEAR ENDED DECEMBER 31, 2014
Revenues |
$ | 169,792,927 | ||
|
|
|||
Salaries, wages and benefits |
66,135,579 | |||
Supplies |
8,161,981 | |||
Rent |
18,289,616 | |||
Other operating expenses |
10,053,010 | |||
General and administrative expenses (exclusive of depreciation expense included below) |
68,129,927 | |||
Other income, net |
(152,695 | ) | ||
Depreciation |
3,159,350 | |||
Interest expense |
738,254 | |||
|
|
|||
174,515,022 | ||||
|
|
|||
Loss before income taxes and equity investment earnings |
(4,722,095 | ) | ||
Benefit for income taxes |
(4,688,066 | ) | ||
|
|
|||
Loss before equity investment earnings |
(34,029 | ) | ||
Equity investment earnings |
1,423,191 | |||
|
|
|||
Net income |
1,389,162 | |||
Earnings attributable to noncontrolling interests |
(12,020,515 | ) | ||
|
|
|||
Loss attributable to Centerre |
(10,631,353 | ) | ||
Other comprehensive income |
| |||
|
|
|||
Comprehensive loss attributable to Centerre |
$ | (10,631,353 | ) | |
|
|
See accompanying notes.
3
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEET
AS OF DECEMBER 31, 2014
ASSETS | ||||
Current assets: |
||||
Cash and cash equivalents |
$ | 47,510,477 | ||
Accounts receivable less allowance for loss of $2,850,372 |
28,807,945 | |||
Inventories |
1,447,056 | |||
Deferred tax assets |
154,531 | |||
Income tax receivable |
586,810 | |||
Other |
2,736,488 | |||
|
|
|||
81,243,307 | ||||
Property and equipment, at cost: |
||||
Buildings |
2,354,175 | |||
Equipment |
24,809,540 | |||
|
|
|||
27,163,715 | ||||
Accumulated depreciation |
(12,256,020 | ) | ||
|
|
|||
14,907,695 | ||||
Investment in subsidiary |
2,765,331 | |||
Goodwill |
51,654,000 | |||
Intangible assets |
84,226 | |||
Deferred tax assets |
12,972,583 | |||
Other |
251,679 | |||
|
|
|||
Total assets (a) |
$ | 163,878,821 | ||
|
|
|||
LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK AND EQUITY | ||||
Current liabilities: |
||||
Accounts payable |
$ | 3,839,809 | ||
Accrued expenses related party |
3,418,186 | |||
Salaries, wages and other compensation |
27,927,891 | |||
Payable to Kindred Healthcare, Inc. |
38,403,779 | |||
Other accrued liabilities |
2,720,467 | |||
Revolving line of credit |
2,498,740 | |||
Notes payable and capital lease obligations due within one year |
1,365,007 | |||
|
|
|||
80,173,879 | ||||
Notes payable and capital lease obligations |
1,568,972 | |||
Deferred rent and other liabilities |
6,888,200 | |||
Commitments and contingencies (Note 4) |
||||
Series C redeemable convertible preferred stock, $0.001 par value; authorized 23,034,850 shares; 23,029,287 shares issued and outstanding |
17,472,527 | |||
Series B redeemable convertible preferred stock, $0.001 par value; authorized 47,710,560 shares; 38,423,291 shares issued and outstanding |
29,287,602 | |||
Series A/A-1 redeemable convertible preferred stock, $0.001 par value; authorized 11,645,143 shares; 10,798,948 shares issued and outstanding |
9,409,186 | |||
Equity: |
||||
Shareholders equity: |
||||
Common stock, $0.001 par value; authorized 95,504,666 shares; 4,561,750 shares issued and outstanding |
4,561 | |||
Additional paid-in capital |
2,204,588 | |||
Accumulated deficit |
(28,086,781 | ) | ||
|
|
|||
(25,877,632 | ) | |||
Noncontrolling interests |
44,956,087 | |||
|
|
|||
Total equity |
19,078,455 | |||
|
|
|||
Total liabilities (a), redeemable convertible preferred stock and equity |
$ | 163,878,821 | ||
|
|
(a) | The Corporations consolidated assets as of December 31, 2014 include total assets of variable interest entities of $118.1 million, which can only be used to settle the obligations of the variable interest entities. The Corporations consolidated liabilities as of December 31, 2014 include total liabilities of variable interest entities of $27.2 million. See Note 1 of the notes to consolidated financial statements. |
See accompanying notes.
4
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF SHAREHOLDERS EQUITY
FOR THE YEAR ENDED DECEMBER 31, 2014
Attributable to Centerre shareholders | ||||||||||||||||||||||||
Common stock shares |
Common stock par value |
Additional paid-in capital |
Accumulated deficit |
Noncontrolling interests |
Total | |||||||||||||||||||
Balances, December 31, 2013 |
4,555,500 | $ | 4,555 | $ | 2,174,182 | $ | (17,360,932 | ) | $ | 27,936,721 | $ | 12,754,526 | ||||||||||||
Accretion of stock issuance costs |
| | | (37,761 | ) | | (37,761 | ) | ||||||||||||||||
Issuance of common stock in connection with employee benefit plans |
6,250 | 6 | 1,306 | | | 1,312 | ||||||||||||||||||
Stock-based compensation costs |
| | 29,100 | | | 29,100 | ||||||||||||||||||
Contributions made by noncontrolling interests |
| | | | 18,560,232 | 18,560,232 | ||||||||||||||||||
Distributions to noncontrolling interests |
| | | | (13,561,381 | ) | (13,561,381 | ) | ||||||||||||||||
Net income (loss) |
| | | (10,631,353 | ) | 12,020,515 | 1,389,162 | |||||||||||||||||
Other |
| | | (56,735 | ) | | (56,735 | ) | ||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
Balances, December 31, 2014 |
4,561,750 | $ | 4,561 | $ | 2,204,588 | $ | (28,086,781 | ) | $ | 44,956,087 | $ | 19,078,455 | ||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes.
5
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED DECEMBER 31, 2014
Cash flows from operating activities: |
||||
Net income |
$ | 1,389,162 | ||
Adjustments to reconcile net income to net cash provided by operating activities: |
||||
Depreciation |
3,159,350 | |||
Amortization of loan issuance costs |
143,455 | |||
Amortization of stock-based compensation costs |
29,100 | |||
Provision for doubtful accounts |
1,735,093 | |||
Deferred income taxes |
(4,718,762 | ) | ||
Deferred rent |
1,463,749 | |||
Equity investment earnings |
(1,423,191 | ) | ||
Distributions from equity method subsidiary |
1,186,444 | |||
Other |
3,481 | |||
Change in operating assets and liabilities: |
||||
Accounts receivable |
(10,942,315 | ) | ||
Inventories and other assets |
(2,314,840 | ) | ||
Accounts payable |
3,080,030 | |||
Accrued expenses related party |
(1,669,072 | ) | ||
Other accrued liabilities |
29,001,422 | |||
|
|
|||
Net cash provided by operating activities |
20,123,106 | |||
|
|
|||
Cash flows from investing activities: |
||||
Purchases of property and equipment |
(6,905,148 | ) | ||
Other, net |
(175,458 | ) | ||
|
|
|||
Net cash used in investing activities |
(7,080,606 | ) | ||
|
|
|||
Cash flows from financing activities: |
||||
Net proceeds from borrowings under line of credit |
998,740 | |||
Proceeds on notes payable |
5,252,264 | |||
Repayment of notes payable and capital lease obligations |
(2,808,223 | ) | ||
Issuance of common stock in connection with employee benefit plans |
1,312 | |||
Acquisition deposit from Kindred Healthcare, Inc. |
20,037,017 | |||
Contributions made by noncontrolling interests |
1,906,232 | |||
Distributions to noncontrolling interests |
(13,561,381 | ) | ||
|
|
|||
Net cash provided by financing activities |
11,825,961 | |||
|
|
|||
Change in cash and cash equivalents |
24,868,461 | |||
Cash and cash equivalents at beginning of period |
22,642,016 | |||
|
|
|||
Cash and cash equivalents at end of period |
$ | 47,510,477 | ||
|
|
|||
Supplemental information: |
||||
Interest payments |
$ | 508,695 | ||
Income tax payments |
387,500 | |||
Capital lease additions to property and equipment |
827,648 | |||
Note paid by Kindred Healthcare, Inc. |
13,625,000 | |||
Non-cash contributions made by noncontrolling interests |
16,654,000 |
See accompanying notes.
6
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 ACCOUNTING POLICIES
Reporting entity
Centerre Healthcare Corporation (the Corporation) is a national company dedicated to developing and operating inpatient rehabilitation hospitals (IRFs) in partnership with leading acute hospitals. The Corporation was incorporated in the state of Delaware in 1999.
On January 1, 2015, Kindred Healthcare, Inc. (Kindred) completed the acquisition of the Corporation for a purchase price of approximately $195,000,000 in cash.
Basis of presentation
The consolidated financial statements include all subsidiaries that the Corporation controls, including variable interest entities (VIEs) for which the Corporation is the primary beneficiary. All intercompany transactions have been eliminated.
The Corporation has a partnership interest in and provides certain management services for fourteen IRFs located in Pennsylvania, Missouri, Texas, Wisconsin, Oklahoma, Ohio and Indiana. Of these, three were in development stages and were not opened and operating as of December 31, 2014. See Note 11.
The consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles (GAAP) and include amounts based upon the estimates and judgments of management. Actual amounts may differ from those estimates.
Variable interest entities
The Corporation follows the provisions of the authoritative guidance for determining whether an entity is a VIE. In order to determine if the Corporation is a primary beneficiary of a VIE for financial reporting purposes, it must consider whether it has the power to direct activities of the VIE that most significantly impact the performance of the VIE and whether it has the obligation to absorb losses or the right to receive returns that would be significant to the VIE. The Corporation consolidates a VIE when it is the primary beneficiary.
Each entity operating one of the IRFs is subject to a partnership and a management services agreement with the Corporation. Under GAAP, the Corporation determined that all of the entities qualify as VIEs and that the Corporation is the primary beneficiary in all but one arrangement. The Corporation holds an equity interest and acts as manager in each of the entities. Through the management services agreement, the Corporation is delegated necessary responsibilities to provide management services, administrative services and direction of the day-to-day operations. Based on the Corporations assessment of the most significant activities of the IRFs, the manager has the ability to direct the majority of those activities of the entities except for one entity accounted for using the equity method.
The analysis upon which the consolidation determination rests is complex, involves uncertainties, and requires significant judgment on various matters, some of which could be subject to different interpretations.
7
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 1 ACCOUNTING POLICIES (Continued)
Variable interest entities (Continued)
The Corporations subsidiary ownership percentages as of December 31, 2014 are as follows:
Subsidiary |
Percentage |
Method |
||||||
Lancaster Rehabilitation Hospital, LLP (Lancaster) |
50.00 | % | Consolidation | |||||
Mercy Rehabilitation Hospital - St. Louis, LLC (St. Louis) |
50.50 | % | Consolidation | |||||
Madison Rehabilitation Hospital, LLC |
49.90 | % | Consolidation | |||||
Rehabilitation Hospital of Wisconsin, LLC (RHOW) |
51.00 | % | Consolidation | |||||
Texas Rehabilitation Hospital of Fort Worth, LLC |
70.00 | % | Consolidation | |||||
Mercy Rehabilitation Hospital, LLC (OKC) |
50.50 | % | Consolidation | |||||
Beachwood RH, LLC (Beachwood) |
55.00 | % | Consolidation | |||||
Community Health Network Rehabilitation Hospital, LLC |
49.00 | % | Consolidation | |||||
St. Mary Rehabilitation Hospital, LLP (SMRH) |
41.00 | % | Consolidation | |||||
Mercy Rehabilitation Hospital Springfield, LLC (Springfield) |
50.50 | % | Consolidation | |||||
Baptist Memorial Rehabilitation Hospital, G.P. (Baptist) |
45.00 | % | Consolidation | |||||
Texas Rehabilitation Hospital of Arlington, LLC |
51.00 | % | Consolidation | |||||
Avon RH, LLC |
55.00 | % | Consolidation | |||||
MHS-CHC I, LP (Methodist) |
31.00 | % | Equity Method |
The carrying amounts and classifications of the assets and liabilities of the consolidated VIEs as of December 31, 2014 are as follows:
Assets: |
||||
Current assets: |
||||
Cash and cash equivalents |
$ | 19,449,198 | ||
Accounts receivable, net |
28,163,368 | |||
Inventories |
1,447,056 | |||
Other |
2,445,689 | |||
|
|
|||
51,505,311 | ||||
Property and equipment, net |
14,581,484 | |||
Goodwill |
51,654,000 | |||
Intangible assets |
84,226 | |||
Other |
228,708 | |||
|
|
|||
Total assets |
$ | 118,053,729 | ||
|
|
|||
Liabilities: |
||||
Current liabilities: |
||||
Accounts payable |
$ | 2,701,254 | ||
Accrued expenses related party |
5,453,591 | |||
Salaries, wages and other compensation |
4,567,476 | |||
Other accrued liabilities |
2,669,794 | |||
Revolving line of credit |
2,498,740 | |||
Notes payable and capital lease obligations due within one year |
1,365,007 | |||
|
|
|||
19,255,862 | ||||
Notes payable and capital lease obligations |
1,568,972 | |||
Deferred rent and other liabilities |
6,333,513 | |||
|
|
|||
Total liabilities |
$ | 27,158,347 | ||
|
|
8
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 1 ACCOUNTING POLICIES (Continued)
Recently issued accounting requirements
In February 2015, the Financial Accounting Standards Board (the FASB) issued authoritative guidance which changes the evaluation of certain legal entities for consolidation. Specifically, the amendments (i) modify the evaluation of whether limited partnerships and similar legal entities are VIEs or voting interest entities, (ii) eliminate the presumption that a general partner should consolidate a limited partnership, (iii) affect the consolidation analysis of reporting entities that are involved with VIEs, particularly those that have fee arrangements and related party relationships and (iv) provide a scope exception from consolidation guidance for reporting entities with interests in legal entities in certain investment funds. The guidance is effective for all interim and annual reporting periods beginning after December 15, 2015. Early adoption is permitted for all entities. The amendments are not expected to have a material impact on the Corporations business, financial position, results of operations or liquidity.
In January 2015, the FASB issued authoritative guidance to eliminate from GAAP the concept of extraordinary items. The FASB issued this update as part of its initiative to reduce complexity in accounting standards, also referred to as the Simplification Initiative. The guidance is effective for all interim and annual reporting periods beginning after December 15, 2015. Early adoption is permitted for all entities. The guidance will not have an impact on the Corporations business, financial position, results of operations or liquidity.
In August 2014, the FASB issued authoritative guidance requiring management to evaluate whether there are conditions and events that raise substantial doubt about the entitys ability to continue as a going concern and to provide disclosures in certain circumstances. The guidance is effective for annual and interim periods beginning after December 15, 2016. The Corporation does not expect this guidance to have a material impact on its consolidated financial statements.
In June 2014, the FASB issued authoritative guidance which changes the requirements for accounting for share-based payments when the terms of an award provide that a performance target could be achieved after the requisite service period. This guidance is effective for annual and interim periods beginning on or after December 15, 2015. The adoption of this standard is not expected to have a material impact on the Corporations business, financial position, results of operations or liquidity.
In May 2014, the FASB issued authoritative guidance which changes the requirements for recognizing revenue when entities enter into contracts with customers. Under the new provisions, an entity will recognize revenue when it transfers promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. It also requires more detailed disclosures to enable users of financial statements to understand the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. In July 2015, the FASB finalized a one year deferral of the new revenue standard with an updated effective date for annual and interim periods beginning on or after December 15, 2017. Entities are not permitted to adopt the standard earlier than the original effective date, which is on or after December 31, 2016. The Corporation is still assessing this guidance.
In April 2014, the FASB issued authoritative guidance which changes the requirements for reporting discontinued operations. A disposal of a component of an entity or a group of components of an entity is required to be reported in discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on an entitys operations and financial results when any of the following occurs: (1) the component or group of components meets the criteria to be classified as held for sale, (2) the component or group of components is disposed of by sale, or (3) the component or group of components is disposed of other than by sale (for example, abandonment). The entity shall present separately, for each comparative period, the assets and liabilities of the discontinued operation in the statement of financial position. In addition to the required disclosures for discontinued operations, entities also will be required to provide disclosures about a disposal of an individually significant component of an entity that does not qualify for discontinued operations presentation in the financial statements. The guidance also states an entity shall expand disclosures about significant continuing involvement with a discontinued operation, until the results of operations of the discontinued operation are no longer presented in the statement of operations. The guidance is applicable prospectively for all disposals that occur within annual periods beginning on or after December 15, 2014 and early adoption is permitted. The adoption of the guidance is not expected to have a material impact on the Corporations business, financial position, results of operations or liquidity.
Revenues
The IRFs recognize revenues in the period in which services are performed. Accounts receivable primarily consist of amounts due from third-party payors and patients. Amounts the IRFs receive for treatment of patients covered by governmental programs such as Medicare and Medicaid and other third-party payors such as health maintenance organizations, preferred provider organizations and other private insurers are generally less than the IRFs established billing rates. Accordingly, the revenues and accounts receivable reported in the consolidated financial statements are recorded at the net amount expected to be received.
9
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 1 ACCOUNTING POLICIES (Continued)
Revenues (Continued)
The IRFs derive a significant portion of their revenues from Medicare, Medicaid and other payors that receive discounts from their established billing rates. The IRFs estimate the total amount of these discounts to prepare their financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The IRFs estimate the allowance for contractual discounts on a patient-specific basis given their interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the IRFs estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the consolidated statement of operations and comprehensive income (loss).
Self-pay revenues are derived primarily from patients who do not have any form of third-party healthcare coverage. The revenues associated with self-pay patients are generally reported at the IRFs gross charges. The IRFs evaluate these patients, after the patients medical condition is determined to be stable, for their ability to pay based upon federal and state poverty guidelines, qualifications for Medicaid or other governmental assistance programs, as well as the IRFs policy for charity/indigent care.
A summary of revenues by payor type follows:
Year ended December 31, 2014 |
||||
Medicare |
$ | 100,743,765 | ||
Other |
69,049,162 | |||
|
|
|||
$ | 169,792,927 | |||
|
|
The Corporations management recognizes that revenues and receivables from government agencies are significant to the IRFs operations, but it does not believe that there are significant credit risks associated with these governmental agencies. The Corporations management does not believe that there are any other significant concentrations of revenues from any particular payor that would subject the IRFs to any significant credit risks in the collection of their accounts receivable.
Charity care
The IRFs provide care without charge to certain patients who qualify under their charity care policies. For the year ended December 31, 2014, the IRFs provided charity care services with direct and indirect costs of $1,067,173, which was estimated using the average cost per patient day. The IRFs do not report a charity care patients charges in revenues or in the provision for doubtful accounts, as it is the IRFs policy not to pursue collection of amounts related to services provided to these patients.
Cash and cash equivalents
Cash and cash equivalents include highly liquid investments with an original maturity of three months or less when purchased.
The Corporation maintains cash and cash equivalents on deposit at banks in excess of federally insured amounts. The Corporation has not experienced any losses in such accounts and management believes it is not exposed to any significant credit risk related to cash and cash equivalents.
Cash and cash equivalents include $20,037,017 for an acquisition deposit from Kindred. See Note 9.
Accounts receivable
Accounts receivable primarily consist of amounts due from third-party payors and patients. The IRFs ability to collect outstanding receivables is critical to its results of operations and cash flows. To provide for accounts receivable that could become uncollectible in the future, the IRFs establish an allowance for doubtful accounts to reduce the carrying value of such receivables to their estimated net realizable value. The primary uncertainty of such allowances lies with uninsured patient receivables and deductibles, co-payments or other amounts due from individual patients.
10
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 1 ACCOUNTING POLICIES (Continued)
Accounts receivable (Continued)
The IRFs policy to record an allowance for doubtful accounts is based upon a percentage of net receivables by age of balance after discharge date. The IRFs have an established process to determine the adequacy of the allowance for doubtful accounts that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for doubtful accounts. Some of the analytical tools that the IRFs utilize include, but are not limited to, historical cash collection experience, revenue trends by payor classification and revenue days in accounts receivable. Individual patient accounts receivable are written off after collection efforts have been followed in accordance with the IRFs policies.
The provision for doubtful accounts totaled $1,735,093 for 2014 and is presented net of revenues in the accompanying consolidated statement of operations and comprehensive income (loss).
Cost report settlements
Revenue under third-party payor agreements is subject to audit and retroactive adjustment. Provisions for estimated third-party payor settlements are provided in the period the related services are rendered. Differences between the estimated amounts accrued and interim and final settlements are reported in operations in the year of settlement. Adjustments relating to tentative or final settlements to estimated reimbursement amounts resulted in an increase in net patient service revenue of $395,061 for the year ended December 31, 2014. Cost report settlement balances of $650,785 and $516,445 are included in accounts receivable and other current liabilities, respectively, in the accompanying consolidated financial statements.
Inventories
Inventories consist primarily of operating supplies used in the direct or indirect treatment of patients and are stated at the lower of cost (first-in, first-out) or market.
Property and equipment
Property and equipment are recorded at cost. Depreciation is recognized using the straight-line method over the estimated useful lives of equipment which range from 3 to 15 years. Leasehold improvements are amortized over the shorter of the estimated useful life or the respective lease term. Depreciation expense, computed by the straight-line method, was $3,159,350 for the year ended December 31, 2014.
Expenditures for repairs, maintenance and minor renewals are charged to income as incurred. Expenditures, including the cost of parts and internal labor, which improve an asset or extend its estimated useful life, are capitalized. When equipment is retired or otherwise disposed of, the related cost and accumulated depreciation or amortization are removed from the accounts and any gain or loss is included in operations.
The carrying value of property and equipment is assessed for recoverability by management based on analysis of future undiscounted cash flows expected to result from the use and expected disposition of the asset. An impairment loss is recognized if the carrying amount of the asset is not recoverable and exceeds its fair value. Management believes there has been no impairment at December 31, 2014.
Goodwill and intangible assets
In conjunction with the initial capitalization of each IRF, the other partner typically contributes its previously existing rehabilitation line of business. These contributions do not include significant tangible assets or liabilities. The fair values of the contributed businesses are recognized as goodwill. A summary of goodwill and intangible assets follows:
Goodwill | Intangible assets |
Total | ||||||||||
Balances, December 31, 2013 |
$ | 35,000,000 | $ | 84,226 | $ | 35,084,226 | ||||||
Additions |
16,654,000 | | 16,654,000 | |||||||||
|
|
|
|
|
|
|||||||
Balances, December 31, 2014 |
$ | 51,654,000 | $ | 84,226 | $ | 51,738,226 | ||||||
|
|
|
|
|
|
In conjunction with the capitalization of SMRH, Springfield and Baptist in 2014, the other partners contributed their previously existing rehabilitation lines of business, with total fair value of $16,654,000.
11
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 1 ACCOUNTING POLICIES (Continued)
Goodwill and intangible assets (Continued)
Goodwill is reviewed for impairment annually or more frequently if certain indicators arise. The Corporation may perform a qualitative assessment or move directly to the quantitative assessment if it is more efficient or if impairment indicators exist. The Corporation applied the qualitative assessment and determined that it was more likely than not that the fair value was greater than the carrying amount at December 31, 2014. Subsequent to completing the annual qualitative goodwill impairment test, no indications of impairment were identified. Indefinite-lived intangible assets consist of costs to obtain certificates of need for two of the IRFs.
Fair value measurements
Fair value is a market-based measurement, not an entity-specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, fair value accounting standards establish a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity including quoted market prices in active markets for identical assets (Level 1), or significant other observable inputs (Level 2) and the reporting entitys own assumptions about market participant assumptions (Level 3). The Corporation did not have any fair value measurements using significant unobservable inputs (Level 3) as of December 31, 2014.
Stock option accounting
The Corporation recognizes compensation expense in its consolidated financial statements using a Black-Scholes option valuation model for non-vested stock options. See Note 7.
Other information
The Corporation has performed an evaluation of subsequent events through September 15, 2015. See Note 11.
NOTE 2 INCOME TAXES
The provision (benefit) for income taxes is based upon the Corporations annual reported income or loss for each respective accounting period. The Corporation recognizes an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets and liabilities and their reported amounts in the financial statements. These temporary differences will result in taxable or deductible amounts in future years when the reported amounts of the assets are recovered or liabilities are settled. The Corporation also recognizes as deferred tax assets the future tax benefits from net operating losses (NOLs) and capital loss carryforwards. A valuation allowance is provided for these deferred tax assets if it is more likely than not that some portion or all of the net deferred tax assets will not be realized.
Benefit for income taxes consists of the following:
Year ended December 31, 2014 |
||||
Current provision |
$ | 30,696 | ||
Deferred tax benefit |
(4,718,762 | ) | ||
|
|
|||
$ | (4,688,066 | ) | ||
|
|
Reconciliation of federal statutory tax benefit to the benefit for income taxes follows:
Year ended December 31, 2014 |
||||
Income tax benefit at federal rate |
$ | (1,605,512 | ) | |
State income tax |
(297,157 | ) | ||
Noncontrolling interest / equity investment |
(3,603,090 | ) | ||
Transaction costs |
704,980 | |||
Other items, net |
112,713 | |||
|
|
|||
$ | (4,688,066 | ) | ||
|
|
12
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 2 INCOME TAXES (Continued)
Other items consist of compensation and other permanent differences, including meals, entertainment and lobbying, which are deemed immaterial.
A summary of net deferred income tax assets (liabilities) by source included in the accompanying consolidated balance sheet follows:
Year ended December 31, 2014 | ||||||||
Assets | Liabilities | |||||||
Property and equipment |
$ | 81,535 | $ | | ||||
Net operating losses |
10,322,865 | | ||||||
Partnership income |
1,129,513 | | ||||||
Compensation |
154,758 | | ||||||
Other |
1,449,817 | | ||||||
|
|
|
|
|||||
13,138,488 | $ | | ||||||
|
|
|||||||
Reclassification of deferred tax liabilities |
| |||||||
|
|
|||||||
Net deferred tax assets |
13,138,488 | |||||||
Valuation allowance |
(11,374 | ) | ||||||
|
|
|||||||
$ | 13,127,114 | |||||||
|
|
Deferred income taxes totaling $154,531 at December 31, 2014, were classified as current assets, and deferred income taxes totaling $12,972,583 at December 31, 2014, were classified as noncurrent assets.
The deferred income tax assets result primarily from federal and state net operating loss carryforwards. At December 31, 2014, the Corporation had $29,072,687 of net operating loss carryforwards available to offset future taxable income. The losses have a carryforward period of no more than 20 years and begin to expire in 2025 and may be subject to other limitations. Net operating loss carryforwards of $10,285,423 were generated during 2014.
13
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 3 DEBT
In anticipation of the 2015 acquisition of the Corporation, Kindred paid off a $13,625,000 note on the Corporations behalf on December 31, 2014. The note had initial availability of $15,000,000. Interest was based on a variable rate of one-month LIBOR plus 2.8% with the final installment originally due in October 2016.
Lines of credit consist of the following at December 31, 2014:
Line of credit with an availability of $1,750,000, with interest payable monthly at a variable rate based on the blended rate of interest borne by one of the partners, St. Mercy Medical Center, (4.6% at December 31, 2014) with principal balance due at maturity in August 2015, secured by the assets of SMRH. |
$ | 1,500,000 | ||
Line of credit with an availability of $1,500,000, with interest payable monthly at an index rate of Prime less 0.5% (2.75% at December 31, 2014) with principal balance due at maturity in April 2015, secured by the assets of Springfield. |
998,740 | |||
|
|
|||
$ | 2,498,740 | |||
|
|
SMRHs variable rate revolving line of credit with availability of $1,750,000 is expected to be repaid in September 2015.
Springfields variable rate revolving line of credit with availability of $1,500,000 was repaid with proceeds from a note payable in April 2015.
Beachwood had a variable rate revolving line of credit with availability of $1,500,000, all of which was outstanding at December 31, 2013. On May 31, 2014, the line of credit was repaid with proceeds from a note payable.
Baptist, Lancaster and RHOW had lines of credit with availability of $1,500,000, $1,000,000 and $750,000 at December 31, 2014, respectively. There were no borrowings outstanding as of December 31, 2014. The $1,500,000 line of credit incurs interest monthly on outstanding borrowings at the prime rate less 0.5% (2.75% at December 31, 2014). The $1,000,000 line of credit incurs interest monthly on outstanding borrowings at 30-day LIBOR plus 120 basis points, floating, with a floor of 3.00% (3.00% at December 31, 2014). The $750,000 line of credit incurs interest monthly on outstanding borrowings at the prime rate (3.25% at December 31, 2014).
14
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 3 DEBT (Continued)
Notes payable and capital lease obligations consist of the following at December 31, 2014:
Note payable due in monthly installments of $43,320, which includes principal and interest based on a fixed rate of 2.50% with final installment due in May 2017. Secured by substantially all assets of Beachwood. |
$ | 1,217,215 | ||
Note payable due in monthly installments of $32,489, which includes principal and interest based on a fixed rate of 2.30% with final installment due in October 2015. Secured by substantially all assets of St. Louis. |
321,805 | |||
Note payable due in monthly installments of $21,313, which includes principal and interest based on a fixed rate of 2.30% with final installment due in October 2015. Secured by substantially all assets of OKC. |
211,032 | |||
Note payable due in monthly installments of $12,000, which includes principal and interest based on a fixed rate of 6.0%, with final installment due in May 2015. Secured by substantially all assets of RHOW. |
53,248 | |||
Capital lease obligation with monthly payments of $3,399, which includes principal and interest based on a fixed rate of 9.88% with final installment due in March 2016. Secured by equipment. |
47,777 | |||
Capital lease obligation with monthly payments of $5,408, which includes principal and interest based on a fixed rate of 6.7% with final installment due in August 2019. Secured by equipment. |
259,460 | |||
Capital lease obligation with monthly payments of $3,950, which includes principal and interest based on a fixed rate of 6.1875% with final installment due in September 2017. Secured by equipment. |
119,590 | |||
Capital lease obligation with monthly payments of $5,857, which includes principal and interest based on a fixed rate of 10.0% with final installment due in May 2018. Secured by equipment. |
198,537 | |||
Capital lease obligation with monthly payments of $2,442, which includes principal and interest based on a fixed rate of 6.7%, with final installment due in June 2019. Secured by equipment. |
113,573 | |||
Capital lease obligation with monthly payments of $4,610, which includes principal and interest based on a fixed rate of 6.7% with final installment due in April 2019. Secured by equipment. |
205,355 | |||
Capital lease obligation with monthly payments of $3,704, which includes principal and interest based on a fixed rate of 6.0%, with final installment due in September 2019. Secured by equipment. |
183,335 | |||
Capital lease obligation with monthly payments of $829, which includes principal and interest based on a fixed rate of 11.98%, with final installment due in May 2015. Secured by equipment. |
3,052 | |||
|
|
|||
2,933,979 | ||||
Obligations due within one year |
(1,365,007 | ) | ||
|
|
|||
$ | 1,568,972 | |||
|
|
15
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 3 DEBT (Continued)
The Corporations lines of credit and notes payable have certain financial covenant requirements of which the Corporation was in compliance at December 31, 2014.
The following table summarizes scheduled maturities of long-term debt for the years 2015 through 2019:
Lines of credit |
Notes payable |
Capital lease obligations |
Total | |||||||||||||
2015 |
$ | 2,498,740 | $ | 1,080,715 | $ | 284,292 | $ | 3,863,747 | ||||||||
2016 |
| 507,354 | 270,137 | 777,491 | ||||||||||||
2017 |
| 215,231 | 267,717 | 482,948 | ||||||||||||
2018 |
| | 204,949 | 204,949 | ||||||||||||
2019 |
| | 103,584 | 103,584 |
The fair value of the Corporations debt (level 2) approximated book value as of December 31, 2014.
NOTE 4 COMMITMENTS AND CONTINGENCIES
Legal The Corporation is, from time to time, subject to various claims and legal actions arising in the normal course of business. In the opinion of management, any such claims and actions will be either adequately covered by insurance or will not have a material adverse effect on the Corporations financial position, results of operations or liquidity.
Payors Laws and regulations governing Medicare, Medicaid, and other payor health care programs are complex and subject to interpretation. The IRFs management believes that the IRFs are in compliance with all applicable laws and regulations in all material respects. Compliance with such laws and regulations is subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from the Medicare, Medicaid, and other payor health care programs.
The Centers for Medicare and Medicaid Services (CMS) have implemented a Recovery Audit Contractors (RAC) program. The purpose of the program is to reduce improper Medicare and Medicaid payments through the detection and recovery of overpayments. CMS has engaged subcontractors to perform these audits and they are being compensated on a contingency basis based on the amount of overpayments that are recovered. While management believes that all Medicare and Medicaid billings are proper and adequate support is maintained, certain aspects of Medicare and Medicaid billing, coding and support are subject to interpretation and may be viewed differently by the RAC auditors than by IRF management. During 2014 certain of the IRFs experienced claim recoveries by RAC auditors. Management has appealed these recoveries and anticipates a 90% favorable outcome based upon historical data from the Administrative Law Judge (ALJ). The applicable IRFs have recorded a reserve of approximately $105,000 for estimated unfavorable outcomes of these appeals within the allowance for doubtful accounts at December 31, 2014. As of December 31, 2014, there were no RAC claims that have not been recovered and are awaiting review by the ALJ. As these claims have not been recovered, and the amount of recovery, if any, is unknown, management has not recorded any reserves related to these claims or potential RAC audit at this time. During 2015, additional claims of approximately $381,000 have been recovered by RAC auditors and appealed by management.
Leases The Corporation leases its corporate offices and IRFs through long-term operating leases expiring at various dates through 2029. Certain leases contain escalating lease payments. The Corporations facility rent expense, on a straight-line basis, and equipment rent expense for 2014 was $18,289,616.
Future minimum payments under non-cancelable operating leases are as follows:
2015 |
$ | 19,045,460 | ||
2016 |
19,349,894 | |||
2017 |
19,587,082 | |||
2018 |
19,795,000 | |||
2019 |
20,134,000 | |||
Thereafter |
172,776,000 | |||
|
|
|||
Total |
$ | 270,687,436 | ||
|
|
16
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 5 PREFERRED STOCK
Series A preferred stock was issued in 2002. Subsequent to the issuance of the Series A preferred stock the investors entered into a note and warrant purchase agreements whereby the Series A investors loaned certain monies to the Corporation in exchange for promissory notes and warrants. All warrants were converted to Series A stock. In 2005, all accrued dividends related to Series A preferred stock were converted into Series A-1 preferred stock.
In June 2005, the Corporation issued its Series B preferred stock to existing and new investors. As part of that transaction, the promissory notes dated December 30, 2004 were converted (principal and interest) into shares of Series B preferred stock.
Series C preferred stock was issued to existing investors in 2008 and 2011, as part of a qualified equity financing in accordance with the bridge loan agreement. A Qualified Equity Financing is defined as the first sale of preferred stock of the Corporation following the date of the note purchase agreement that results in cash proceeds to the Corporation (excluding the conversion of the bridge loans) of at least $5 million. The outstanding principal and accrued interest under the bridge loans was converted into Series C preferred stock during 2008.
BVP Affiliates Fund Limited and Baird Venture Partners Limited (collectively, Baird), invested in Series A preferred stock, Series A-1 preferred stock and Series B preferred stock. Baird did not invest in the Series C preferred stock and as a result of the provisions of the Series C stock purchase agreement the previous classes of preferred stock held by Baird were converted to common stock during 2008 on a one-for-one basis.
In 2007, warrants were issued to holders pursuant to the Corporations bridge loans and warrant purchase agreements. Each lender was issued warrants amounting to 20% of the principal amount of the bridge loan issued to such lender. Each warrant shall be exercisable for that number of shares of common stock at an exercise price of $0.01. The warrants expire in July 2017. Deferred rent and other liabilities in the accompanying consolidated balance sheet included $216,483 for warrants as of December 31, 2014.
Voting
Each holder of preferred stock has voting rights equal to an equivalent number of shares of common into which it is convertible.
Conversion
Each share of preferred stock may at the option of the shareholder be converted at any time into shares of common stock by dividing the original issue price by the conversion price, as defined, subject to adjustments under specific circumstances. Each share of preferred stock automatically converts into the number of shares of common stock into which such shares are convertible immediately upon the earlier of: 1) the closing of an initial public offering which results in gross cash proceeds to the Corporation of $30,000,000 or 2) 60% of the consent of the holders of preferred stock. The preferred stock is redeemable at the option of the holder upon written notice to the Corporation of the intent to convert previously held preferred shares into common shares.
Redemption
At any time after October 10, 2016, the holders of not less than sixty percent (60%) of the then outstanding shares of Series A/A-1 preferred stock, Series B preferred stock and Series C preferred stock, voting together as a single class, on an as-converted basis (the Preferred 60% Majority), may elect to have the Corporation redeem their Series A/A-1 preferred stock, Series B preferred stock and Series C preferred stock at the preferred stock redemption price (defined below) by delivering written notice of such election (the Redemption Election) to the Corporation.
The Preferred Stock Redemption Price payable with respect to each share of preferred stock shall be equal to the greater of (i) the fair market value (determined without any discount for minority interest, restrictions on transfer, lack of marketability or similar factors) of such share of Series A/A-1 preferred stock, Series B preferred stock and Series C preferred stock on the date the Redemption Election is received by this Corporation, or (ii) the Original Series A/A-1 Issue Price in the case of the Series A/A-1 preferred stock, the Original Series B Issue Price in the case of the Series B preferred stock, and the Original Series C Issue Price in the case of the Series C preferred stock (as adjusted for any stock splits, stock dividends, recapitalizations or the like), in each case plus all declared but unpaid dividends on each share of preferred stock after the date hereof to be redeemed. The Corporation is recording accretion of stock issuance costs through October 2016 based on the original issue prices.
17
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 5 PREFERRED STOCK (Continued)
Dividends
Holders of Series C preferred stock shall be entitled to receive noncumulative dividends at the per annum rate of 8%, out of any assets legally available thereof, prior to and in preference to any declaration or payment of any dividend of the Series A preferred stock, Series A-1 preferred stock, Series B preferred stock or common stock of the Corporation.
Holders of Series A preferred stock, Series A-1 preferred stock and Series B preferred stock shall be entitled to receive noncumulative dividends at the per annum rate of 8%, out of any assets legally available thereof, prior to and in preference to any declaration or payment of any dividend on the common stock of the Corporation.
Only declared but unpaid dividends, of which there are none as of December 31, 2014, are reflected within the consolidated financial statements.
The holders of preferred stock are also entitled to participate in dividends on common stock on an as-if converted basis.
Liquidation Preference
In the event of any dissolution, liquidation or winding up of the affairs of the Corporation, the holders of Series C preferred stock shall be entitled to receive, prior to and in preference to any distribution of any of the assets of the Corporation to all other holders of the Corporations securities, an amount per share equal to the sum of the original issue price plus all declared but unpaid dividends on those shares, or $0.7636 per share at December 31, 2014.
After the payment in full to the holders of the Series C preferred stock, the holders of Series A preferred stock, Series A-1 preferred stock and Series B preferred stock shall be entitled to receive, prior to and in preference to any distribution of any of the assets of the Corporation to all other holders of the Corporations securities other than to the holders of Series C preferred stock, an amount per share equal to the sum of the original issue price plus all declared but unpaid dividends on those shares, or $1.00 per share for Series A preferred stock and Series A-1 preferred stock and $0.7636 per share for Series B preferred stock at December 31, 2014.
After payment of the liquidation preference, any remaining assets of the Corporation are distributed pro rata among the holders of the preferred stock and holders of the common stock. If upon the occurrence of such event, the assets and funds distributed among the preferred stock holders is insufficient to permit the payment to such holders of the full preferential amount, the entire assets and funds of this Corporation legally available for distribution shall be distributed ratably among the holders of the preferred stock in proportion to the full proportional amount that each such holder is otherwise entitled to receive.
After payment has been made to the preferred stock shareholders, the remaining assets legally available for distribution shall be distributed among the holders of the preferred stock on an as-converted basis and common stock pro rata based on the number of shares of common stock held by each.
Upon acquisition of Centerre by Kindred in 2015, the preferred shareholders were given a cash settlement.
NOTE 6 COMMON STOCK
The Corporations certificate of incorporation as amended authorizes the Corporation to issue 95,504,666 shares of $0.001 par value common stock.
Each share of common stock is entitled to one vote. The holders of common stock are also entitled to receive dividends whenever funds are legally available, as and when declared by the Board of Directors, subject to the prior rights of holders of all classes of stock outstanding.
NOTE 7 STOCK OPTION PLAN
In 2002, the Corporation adopted the 2002 Stock Option Plan (the Plan). The Plan provides for the granting of stock options to employees, outside directors and consultants of the Corporation. Options granted under the Plan may be either incentive stock options or nonqualified stock options. Incentive stock options (ISO) may be granted only to company employees (including officers and directors who are also employees). Non-qualified stock options (NSO) may be granted to Corporation employees and outside directors and consultants. All stock options have four year terms and expire ten years from the date of grant. The Corporation has reserved shares of common stock for issuance under the Plan.
18
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 7 STOCK OPTION PLAN (Continued)
In anticipation of the 2015 acquisition of the Corporation by Kindred, all outstanding stock options were cancelled on December 31, 2014. The Corporation recorded expense of $22,834,996 mainly related to the cancellation of stock options in general and administrative expenses in the accompanying consolidated statement of operations and comprehensive income (loss), which is to be paid in cash subsequent to December 31, 2014.
Stock option activity for the year ended December 31, 2014 is summarized as follows:
Shares under option |
Option price per share |
Weighted average exercise price |
||||||||||
Balances, December 31, 2013 |
7,711,412 | $ | 0.04 to $0.21 | $ | 0.12 | |||||||
Granted |
250,000 | 0.28 | 0.28 | |||||||||
Exercised |
(6,250 | ) | 0.21 | 0.21 | ||||||||
Cancelled |
(7,955,162 | ) | $ | 0.04 to $0.28 | 0.16 | |||||||
|
|
|||||||||||
Balances, December 31, 2014 |
| $ | 0.00 | $ | 0.00 | |||||||
|
|
The fair value of each option award is estimated on the date of grant using a Black-Scholes option valuation model that uses the following assumptions: 1) expected volatility; 2) expected term (in years); and 3) risk free rate. Expected volatility is based on selected public healthcare companies. The expected term of options granted is based on the vesting period. The risk-free rate for each option is based on the U.S. Treasury yield curve in effect at the time of the grant. The fair value of the options granted during 2014 was $0.075 per share. For the year ending December 31, 2014, stock compensation expense amounted to $29,100. Cash received from stock option exercises in 2014 totaled $1,312.
NOTE 8 EQUITY METHOD INVESTMENT
Condensed financial data for the Corporations equity method investment as of December 31, 2014 is as follows:
Condensed statement of operations: |
||||
Net patient and other revenue |
$ | 20,630,207 | ||
Total operating expenses |
16,039,268 | |||
|
|
|||
Net income |
$ | 4,590,939 | ||
|
|
|||
Condensed balance sheet: |
||||
Current assets |
$ | 5,462,839 | ||
Non-current assets |
395,133 | |||
|
|
|||
Total assets |
$ | 5,857,972 | ||
|
|
|||
Current liabilities |
$ | 962,001 | ||
Non-current liabilities |
631,634 | |||
Partners capital |
4,264,337 | |||
|
|
|||
Total liabilities and partners capital |
$ | 5,857,972 | ||
|
|
NOTE 9 RELATED PARTY TRANSACTIONS
The Corporation provides certain management services to Methodist. Methodist pays the Corporation a fixed monthly management fee and also reimburses the Corporation for direct general and administrative expenses, as well as healthcare benefits. These additional expenditures are reimbursed to the Corporation at cost. Management fee revenue received from Methodist during 2014 was $347,960 and is presented within revenues in the accompanying consolidated statement of operations and comprehensive income (loss). The amount receivable from Methodist as of December 31, 2014 amounted to $49,099.
19
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 9 RELATED PARTY TRANSACTIONS (Continued)
The payable of $38,403,779 to Kindred in the accompanying consolidated balance sheet relates to the acquisition of the Corporation by Kindred on January 1, 2015. The payable is comprised of $20,037,017 for an acquisition deposit, $13,625,000 used to pay off a note on December 31, 2014 and $4,741,762 for acquisition costs.
NOTE 10 CONDENSED CONSOLIDATING FINANCIAL INFORMATION
The accompanying condensed consolidating financial information has been prepared and presented pursuant to SEC Regulation S-X, Rule 3-10, Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered. The equity method has been used with respect to the parent companys investment in subsidiaries.
On December 18, 2014, Kindred completed a private placement of $750 million aggregate principal amount of 8.00% Senior Notes due 2020 (the Notes due 2020) and $600 million aggregate principal amount of 8.75% Senior Notes due 2023 (the Notes due 2023 and, together with the Notes due 2020, the Notes) through its 100% owned subsidiary Kindred Escrow Corp. II (the Escrow Issuer). The Notes were issued pursuant to the indentures, each dated as of December 18, 2014 (the Indentures), between the Escrow Issuer and Wells Fargo Bank, National Association, as trustee (the Trustee). On February 2, 2015, pursuant to the first supplemental indentures, each dated as of February 2, 2015 (the Supplemental Indentures), among Kindred, the subsidiary guarantors named therein and the Trustee, Kindred assumed all of Escrow Issuers obligations under the Notes and the Indenture and the subsidiary guarantors (including Centerre Healthcare Corporation and certain of its subsidiaries) became parties to the Indentures. The Escrow Issuer was concurrently merged with and into Kindred.
The following condensed consolidating financial data present the financial position of the parent company/guarantor and the non-guarantor subsidiaries as of December 31, 2014, and the respective results of operations and cash flows for the year ended December 31, 2014. The parent company is the only guarantor.
Condensed Consolidating Statement of Operations
Year ended December 31, 2014 | ||||||||||||||||
Parent company/ guarantor |
Non-guarantor subsidiaries |
Consolidating and eliminating adjustments |
Consolidated | |||||||||||||
Revenues |
$ | 5,633,026 | $ | 168,966,130 | $ | (4,806,229 | ) | $ | 169,792,927 | |||||||
|
|
|
|
|
|
|
|
|||||||||
Salaries, wages and benefits |
| 66,135,579 | | 66,135,579 | ||||||||||||
Supplies |
| 8,161,981 | | 8,161,981 | ||||||||||||
Rent |
265,563 | 18,024,053 | | 18,289,616 | ||||||||||||
Other operating expenses |
275,000 | 14,584,239 | (4,806,229 | ) | 10,053,010 | |||||||||||
General and administrative expenses |
35,902,966 | 32,226,961 | | 68,129,927 | ||||||||||||
Other income, net |
| (152,695 | ) | | (152,695 | ) | ||||||||||
Depreciation |
151,253 | 3,008,097 | | 3,159,350 | ||||||||||||
Interest expense |
552,210 | 186,044 | | 738,254 | ||||||||||||
Equity in net income of affiliates |
(16,191,637 | ) | | 16,191,637 | | |||||||||||
|
|
|
|
|
|
|
|
|||||||||
20,955,355 | 142,174,259 | 11,385,408 | 174,515,022 | |||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Income (loss) before income taxes and equity investment earnings |
(15,322,329 | ) | 26,791,871 | (16,191,637 | ) | (4,722,095 | ) | |||||||||
Provision (benefit) for income taxes |
(4,690,976 | ) | 2,910 | | (4,688,066 | ) | ||||||||||
|
|
|
|
|
|
|
|
|||||||||
Income (loss) before equity investment earnings |
(10,631,353 | ) | 26,788,961 | (16,191,637 | ) | (34,029 | ) | |||||||||
Equity investment earnings |
| 1,423,191 | | 1,423,191 | ||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Net income (loss) |
(10,631,353 | ) | 28,212,152 | (16,191,637 | ) | 1,389,162 | ||||||||||
Earnings attributable to noncontrolling interests |
| (12,020,515 | ) | | (12,020,515 | ) | ||||||||||
|
|
|
|
|
|
|
|
|||||||||
Income (loss) attributable to Centerre |
(10,631,353 | ) | 16,191,637 | (16,191,637 | ) | (10,631,353 | ) | |||||||||
Other comprehensive income |
| | | | ||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Comprehensive income (loss) attributable to Centerre |
$ | (10,631,353 | ) | $ | 16,191,637 | $ | (16,191,637 | ) | $ | (10,631,353 | ) | |||||
|
|
|
|
|
|
|
|
20
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 10 CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)
Condensed Consolidating Balance Sheet
As of December 31, 2014 | ||||||||||||||||
Parent company/ guarantor |
Non-guarantor subsidiaries |
Consolidating and eliminating adjustments |
Consolidated | |||||||||||||
ASSETS | ||||||||||||||||
Current assets: |
||||||||||||||||
Cash and cash equivalents |
$ | 28,061,279 | $ | 19,449,198 | $ | | $ | 47,510,477 | ||||||||
Accounts receivable, net |
644,577 | 28,163,368 | | 28,807,945 | ||||||||||||
Inventories |
| 1,447,056 | | 1,447,056 | ||||||||||||
Deferred tax assets |
154,531 | | | 154,531 | ||||||||||||
Receivable related party |
4,800,736 | | (4,800,736 | ) | | |||||||||||
Income tax receivable |
598,302 | | (11,492 | ) | 586,810 | |||||||||||
Other |
290,799 | 2,445,689 | | 2,736,488 | ||||||||||||
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34,550,224 | 51,505,311 | (4,812,228 | ) | 81,243,307 | ||||||||||||
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Property and equipment, net |
326,211 | 14,581,484 | | 14,907,695 | ||||||||||||
Investment in subsidiaries |
45,939,295 | 2,765,331 | (45,939,295 | ) | 2,765,331 | |||||||||||
Goodwill |
| 51,654,000 | | 51,654,000 | ||||||||||||
Intangible assets |
| 84,226 | | 84,226 | ||||||||||||
Deferred tax assets |
12,972,583 | | | 12,972,583 | ||||||||||||
Other |
22,971 | 228,708 | | 251,679 | ||||||||||||
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$ | 93,811,284 | $ | 120,819,060 | $ | (50,751,523 | ) | $ | 163,878,821 | ||||||||
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LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK AND EQUITY | ||||||||||||||||
Current liabilities: |
||||||||||||||||
Accounts payable |
$ | 1,138,555 | $ | 2,701,254 | $ | | $ | 3,839,809 | ||||||||
Accrued expenses related party |
| 8,218,922 | (4,800,736 | ) | 3,418,186 | |||||||||||
Salaries, wages and other compensation |
23,360,415 | 4,567,476 | | 27,927,891 | ||||||||||||
Payable to Kindred Healthcare, Inc. |
38,403,779 | | | 38,403,779 | ||||||||||||
Other accrued liabilities |
62,165 | 2,658,302 | | 2,720,467 | ||||||||||||
Income tax payable |
| 11,492 | (11,492 | ) | | |||||||||||
Revolving line of credit |
| 2,498,740 | | 2,498,740 | ||||||||||||
Notes payable and capital lease obligations due within one year |
| 1,365,007 | | 1,365,007 | ||||||||||||
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62,964,914 | 22,021,193 | (4,812,228 | ) | 80,173,879 | ||||||||||||
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Notes payable and capital lease obligations |
| 1,568,972 | | 1,568,972 | ||||||||||||
Deferred rent and other liabilities |
554,687 | 6,333,513 | | 6,888,200 | ||||||||||||
Commitments and contingencies |
||||||||||||||||
Redeemable convertible preferred stock |
56,169,315 | | | 56,169,315 | ||||||||||||
Equity: |
||||||||||||||||
Shareholders equity |
(25,877,632 | ) | 45,939,295 | (45,939,295 | ) | (25,877,632 | ) | |||||||||
Noncontrolling interests |
| 44,956,087 | | 44,956,087 | ||||||||||||
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(25,877,632 | ) | 90,895,382 | (45,939,295 | ) | 19,078,455 | |||||||||||
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$ | 93,811,284 | $ | 120,819,060 | $ | (50,751,523 | ) | $ | 163,878,821 | ||||||||
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21
CENTERRE HEALTHCARE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
NOTE 10 CONDENSED CONSOLIDATING FINANCIAL INFORMATION (Continued)
Condensed Consolidating Statement of Cash Flows
Year ended December 31, 2014 | ||||||||||||||||
Parent company/ guarantor |
Non-guarantor subsidiaries |
Consolidating and eliminating adjustments |
Consolidated | |||||||||||||
Net cash provided by (used in) operating activities |
$ | (2,666,282 | ) | $ | 22,789,388 | $ | | $ | 20,123,106 | |||||||
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Cash flows from investing activities: |
||||||||||||||||
Purchases of property and equipment |
(292,965 | ) | (6,612,183 | ) | | (6,905,148 | ) | |||||||||
Other, net |
| (175,458 | ) | | (175,458 | ) | ||||||||||
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Net cash used in investing activities |
(292,965 | ) | (6,787,641 | ) | | (7,080,606 | ) | |||||||||
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Cash flows from financing activities: |
||||||||||||||||
Net proceeds from borrowings under line of credit |
| 998,740 | | 998,740 | ||||||||||||
Proceeds on notes payable |
3,752,264 | 1,500,000 | | 5,252,264 | ||||||||||||
Repayment of notes payable and capital lease obligations |
(1,465,050 | ) | (1,343,173 | ) | | (2,808,223 | ) | |||||||||
Issuance of common stock in connection with employee benefit plans |
1,312 | | | 1,312 | ||||||||||||
Acquisition deposit from Kindred |
20,037,017 | | | 20,037,017 | ||||||||||||
Contributions made by noncontrolling interests |
| 1,906,232 | | 1,906,232 | ||||||||||||
Distributions to noncontrolling interests |
| (13,561,381 | ) | | (13,561,381 | ) | ||||||||||
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Net cash provided by (used in) financing activities |
22,325,543 | (10,499,582 | ) | | 11,825,961 | |||||||||||
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Change in cash and cash equivalents |
19,366,296 | 5,502,165 | | 24,868,461 | ||||||||||||
Cash and cash equivalents at beginning of period |
8,694,983 | 13,947,033 | | 22,642,016 | ||||||||||||
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Cash and cash equivalents at end of period |
$ | 28,061,279 | $ | 19,449,198 | $ | | $ | 47,510,477 | ||||||||
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NOTE 11 SUBSEQUENT EVENTS
As disclosed in Note 1, Kindred acquired the Corporation effective January 1, 2015.
From January 1, 2015 through September 15, 2015, the Corporation made contributions of $1,814,922 to the consolidated IRFs.
From January 1, 2015 through September 15, 2015, the consolidated IRFs declared and paid cash distributions of $30,310,670 to its members, of which the Corporation received $16,151,780.
From January 1, 2015 through September 15, 2015, Methodist declared and paid cash distributions of $1,456,765 to the Corporation.
The Corporation opened the IRF for Texas Rehabilitation Hospital of Arlington, LLC in July 2015.
NOTE 12 OTHER INFORMATION
Balance at beginning of period |
Charged to costs and expenses |
Deductions or payments |
Balance at end of period |
|||||||||||||
Allowance for loss on accounts receivable |
$ | 1,441,540 | $ | 1,735,093 | $ | (326,261 | ) | $ | 2,850,372 | |||||||
Allowance for deferred taxes |
11,374 | | | 11,374 |
22