e424b3
Filed Pursuant to Rule 424B3
Registration No. 333-125846
PROSPECTUS
Select Medical Corporation
Offer to Exchange
$660,000,000 principal amount of our
75/8% Senior
Subordinated Notes due 2015, which have been registered under
the Securities Act, for our outstanding
75/8% Senior
Subordinated Notes due 2015
We are offering to exchange new
75/8% Senior
Subordinated Notes due 2015, or the senior subordinated exchange
notes, for our currently outstanding
75/8% Senior
Subordinated Notes due 2015, or the outstanding senior
subordinated notes. We refer to the outstanding senior
subordinated notes as the outstanding notes, the senior
subordinated exchange notes as the exchange notes, and the
outstanding notes and the exchange notes collectively as the
notes. The exchange notes are substantially identical to the
outstanding notes, except that the exchange notes have been
registered under the federal securities laws, are not subject to
transfer restrictions and are not entitled to certain
registration rights relating to the outstanding notes. The
exchange notes will represent the same debt as the outstanding
notes and we will issue the exchange notes under the same
indenture as the outstanding notes. We are also hereby offering
the subsidiary guarantees of the exchange notes for guarantees
of the outstanding notes described herein.
The principal features of the exchange offer are as follows:
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The exchange offer expires at 5:00 p.m., New York City
time, on, July 26, 2005, unless extended. We do not
currently intend to extend the expiration date of the exchange
offer. |
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The exchange offer is not subject to any condition other than
that the exchange offer not violate applicable law or any
applicable interpretation of the Staff of the Securities and
Exchange Commission. |
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We will exchange the exchange notes for all outstanding notes
that are validly tendered and not validly withdrawn prior to the
expiration of the exchange offer. |
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You may withdraw tendered outstanding notes at any time prior to
the expiration of the exchange offer. |
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We do not intend to apply for listing of the exchange notes on
any securities exchange or automated quotation system. |
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We will not receive any proceeds from the exchange offer. We
will pay all expenses incurred by us in connection with the
exchange offer and the issuance of the exchange notes. |
You should consider carefully the risk factors beginning on
page 13 of this prospectus before participating in the
exchange offer.
Neither the U.S. Securities and Exchange Commission nor
any other federal or state agency has approved or disapproved of
these securities to be distributed in the exchange offer, nor
have any of these organizations determined that this prospectus
is truthful or complete. Any representation to the contrary is a
criminal offense.
The date of this Prospectus is June 24, 2005.
[Inside Front Cover]
This prospectus incorporates important business and financial
information about the company that is not included or delivered
with this prospectus. This information is available without
charge to security holders upon written or oral request.
Any requests for business and financial information incorporated
but not included in this prospectus should be sent to Select
Medical Corporation, 4716 Old Gettysburg Road, P.O.
Box 2034, Mechanicsburg, Pennsylvania, 17055 Attn: General
Counsel. To obtain timely delivery, holders of outstanding notes
must request the information no later than five business days
before July 26, 2005, the date they must make their
investment decision.
TABLE OF CONTENTS
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Prospectus Summary
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1 |
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Risk Factors
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13 |
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Industry and Market Data
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25 |
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Forward Looking Statements
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25 |
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The Exchange Offer
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27 |
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The Transactions
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34 |
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Use of Proceeds
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36 |
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Capitalization
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36 |
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Selected Historical Consolidated Financial Data
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37 |
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Unaudited Pro Forma Condensed Consolidated Financial Information
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39 |
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Managements Discussion and Analysis of Financial Condition
and Results of Operations
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43 |
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Our Business
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67 |
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Management
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88 |
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Security Ownership of Certain Beneficial Owners and Management
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97 |
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Certain Relationships and Related Transactions
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100 |
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Description of Certain Other Indebtedness
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103 |
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Description of the Exchange Notes
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106 |
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Material U.S. Federal Income Tax Considerations
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155 |
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Plan of Distribution
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159 |
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Legal Matters
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159 |
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Experts
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159 |
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Available Information
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159 |
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Index to Consolidated Financial Statements
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F-1 |
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PROSPECTUS SUMMARY
This summary does not contain all of the information that is
important to you. Please review this prospectus in its entirety,
including the risk factors and our financial statements and the
related notes included elsewhere herein, before you decide to
invest.
Unless the context otherwise requires, the terms
Select, our company, us,
we and our refer to Select Medical
Corporation together with its subsidiaries, and the terms
Holdings and our parent refer to our
parent company, Select Medical Holdings Corporation, a Delaware
corporation which was formerly known as EGL Holding Company.
Select Medical Corporation became a wholly owned subsidiary of
Holdings on February 24, 2005 as a result of a merger of
EGL Acquisition Corp., a subsidiary of Holdings, with and into
Select Medical Corporation, with Select Medical Corporation
continuing as the surviving corporation. Unless otherwise noted,
references to pro forma and other financial terms
have the meanings set forth under Summary
Consolidated Financial and Other Data.
The Exchange Offer
On February 24, 2005, EGL Acquisition Corp. completed a
private offering of $660.0 million in aggregate principal
amount of
75/8% senior
subordinated notes due 2015, referred to in this prospectus as
the outstanding notes. The outstanding notes became our
obligations when EGL Acquisition Corp. was merged into Select on
February 24, 2005. We entered into an exchange and
registration rights agreement with the initial purchasers in the
private offering in which we agreed, among other things, to file
the registration statement of which this prospectus forms a part
within 150 days of the issuance of the outstanding notes.
You are entitled to exchange in this exchange offer your
outstanding notes for
75/8% senior
subordinated notes due 2015 (referred to in this prospectus as
the exchange notes), which have been registered under the
federal securities laws and have substantially identical terms
as the outstanding notes, except for the elimination of certain
transfer restrictions and registration rights. You should read
the discussion under the heading Summary
Description of the Exchange Notes and Description of
the Exchange Notes for further information regarding the
exchange notes.
Our Business
Company Overview
We are a leading operator of specialty hospitals in the United
States. We are also a leading operator of outpatient
rehabilitation clinics in the United States and Canada. As of
March 31, 2005, we operated 99 long-term acute care
hospitals in 26 states, four acute medical rehabilitation
hospitals, which are certified by Medicare as inpatient
rehabilitation facilities, in New Jersey and 753 outpatient
rehabilitation clinics in 25 states, the District of
Columbia and seven Canadian provinces. We also provide medical
rehabilitation services on a contract basis at nursing homes,
hospitals, assisted living and senior care centers, schools and
worksites. We began operations in 1997 under the leadership of
our current management team, including our co-founders, Rocco A.
Ortenzio and Robert A. Ortenzio, both of whom have significant
experience in the healthcare industry. Under this leadership, we
have grown our business through internal development initiatives
and strategic acquisitions.
The Transactions
On February 24, 2005, pursuant to a merger agreement among
EGL Acquisition Corp., Holdings and Select, EGL Acquisition
Corp. was merged with and into Select. Select continued as the
surviving corporation in the merger and as a wholly owned
subsidiary of Holdings. Holdings and EGL Acquisition Corp. were
Delaware corporations formed at the direction of Welsh, Carson,
Anderson & Stowe IX, L.P. (Welsh Carson)
for purposes of engaging in the merger and related transactions.
In the merger, Selects then-existing stockholders (other
than rollover stockholders) and option holders were paid a total
purchase price of
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approximately $1,827.7 million. The merger and related
transactions are collectively referred to in this prospectus as
the Transactions and are more fully described below
in The Transactions.
The merger was financed by:
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a cash equity investment in Holdings by an investor group lead
by our sponsors Welsh Carson and Thoma Cressey Equity Partners
Inc. (Thoma Cressey), |
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a rollover investment in Holdings by our continuing investors
including members of our senior management team and certain of
our directors, |
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Holdings issuance and sale of senior subordinated notes,
preferred stock and common stock to WCAS Capital Partners
IV, L.P., an investment fund affiliated with Welsh Carson, Rocco
A. Ortenzio, Robert A. Ortenzio and certain other investors who
are members of or affiliated with the Ortenzio family, |
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borrowings by us under our new senior secured credit facility, |
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a portion of our cash on hand, and |
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the issuance of the outstanding notes. |
In connection with the merger, we commenced tender offers to
acquire all of our
91/2% senior
subordinated notes due 2009 and all of our
71/2% senior
subordinated notes due 2013. In connection with each such tender
offer we sought consents to eliminate substantially all of the
restrictive covenants and make other amendments to the
indentures governing such notes. Upon the completion of the
tender offers on February 24, 2005, holders of all of our
71/2% senior
subordinated notes and holders of approximately 96.7% of our
91/2% senior
subordinated notes had delivered consents and tendered their
notes in connection with such tender offers and consent
solicitations. See The Transactions.
As a result of the Transactions, the majority of our assets and
liabilities were adjusted to their fair value as of
February 25, 2005. The excess of the total purchase price
over the fair value of our tangible and identifiable intangible
assets was allocated to goodwill, which is the subject of an
annual impairment test. Additionally, pursuant to Financial
Accounting Standards Board Emerging Issues Task Force Issue
No. 88-16 Basis in Leveraged Buyout
Transactions, a portion of the equity related to our
continuing stockholders was recorded at the stockholders
predecessor basis and a corresponding portion of the fair value
of the acquired assets was reduced accordingly. By definition,
our statements of financial position and results of operations
subsequent to the Transactions are not comparable to the same
statements for the periods prior to the Transactions due to the
resulting change in basis. See Unaudited Pro Forma
Condensed Consolidated Financial Information.
Corporate Information
Select Medical Corporation is a corporation organized under the
laws of the State of Delaware with principal executive offices
located at 4716 Old Gettysburg Road, P.O. Box 2034,
Mechanicsburg, Pennsylvania 17055. Our telephone number at our
principal executive offices is (717) 972-1100. Our
worldwide web address is www.selectmedicalcorp.com. The
information on our website is not part of this prospectus.
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Summary of the Terms of the Exchange Offer
On February 24, 2005, we completed an offering of
$660.0 million in aggregate principal amount of
75/8%
senior subordinated notes due 2015, which was exempt from
registration under the Securities Act.
We sold the outstanding notes to certain initial purchasers, who
subsequently resold the outstanding notes to qualified
institutional buyers pursuant to Rule 144A under the
Securities Act and to non-U.S. persons outside the United States
in reliance on Regulation S under the Securities Act.
In connection with the sale of the outstanding notes, we and the
subsidiary guarantors entered into an exchange and registration
rights agreement with the initial purchasers of the outstanding
notes. Under the terms of that agreement, we each agreed to use
commercially reasonable efforts to consummate the exchange offer
contemplated by this prospectus.
If we and the subsidiary guarantors are not able to effect the
exchange offer contemplated by this prospectus, we and the
subsidiary guarantors will use commercially reasonable efforts
to file and cause to become effective a shelf registration
statement relating to the resales of the outstanding notes.
The following is a brief summary of the terms of the exchange
offer. Certain of the terms and conditions described below are
subject to important limitations and exceptions. For a more
complete description of the exchange offer, see The
Exchange Offer.
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Securities Offered |
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$660,000,000 in aggregate principal amount of
75/8% senior
subordinated notes due 2015. We are also hereby offering to
exchange the guarantees of the exchange notes for guarantees of
outstanding notes as described herein. |
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Exchange Offer |
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The exchange notes are being offered in exchange for a like
principal amount of outstanding notes. We will accept any and
all outstanding notes validly tendered and not withdrawn prior
to 5:00 p.m., New York City time, on July 26, 2005.
Holders may tender some or all of their outstanding notes
pursuant to the exchange offer. However, each of the outstanding
notes may be tendered only in integral multiples of $1,000 in
principal amount. The form and terms of each of the exchange
notes are the same as the form and terms of each of the
outstanding notes except that: |
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the exchange notes have been registered under the
federal securities laws and will not bear any legend restricting
their transfer; |
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each of the exchange notes bear different CUSIP
numbers than the applicable outstanding notes; and |
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the holders of the exchange notes will not be
entitled to certain rights under the exchange and registration
rights agreement, including the provisions for an increase in
the interest rate on the applicable outstanding notes in some
circumstances. |
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Resale |
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Based on an interpretation by the Staff of the SEC set forth in
no-action letters issued to third parties, we believe that the
exchange notes may be offered for resale, resold and otherwise
transferred by you without compliance with the registration and
prospectus delivery provisions of the Securities Act provided
that: |
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you are acquiring the exchange notes in the ordinary
course of your business; |
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you have not participated in, do not intend to
participate in, and have no arrangement or understanding with
any person to participate in the distribution of exchange
notes; and |
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you are not an affiliate of Select,
within the meaning of Rule 405 of the Securities Act. |
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Each participating broker-dealer that receives exchange notes
for its own account during the exchange offer in exchange for
outstanding notes that were acquired as a result of
market-making or other trading activity must acknowledge that it
will deliver a prospectus in connection with any resale of the
exchange notes. Prospectus delivery requirements are discussed
in greater detail in the section captioned Plan of
Distribution. Any holder of outstanding notes who: |
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is an affiliate of Select, |
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does not acquire exchange notes in the ordinary
course of its business, or |
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tenders in the exchange offer with the intention to
participate, or for the purpose of participating, in a
distribution of exchange notes, |
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cannot rely on the aforementioned position of the Staff of the
SEC enunciated in Exxon Capital Holdings Corporation, Morgan
Stanley & Co. Incorporated or similar no-action letters
and, in the absence of an exemption, must comply with the
registration and prospectus delivery requirements of the
Securities Act in connection with the resale of the exchange
notes. |
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Expiration Date |
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The exchange offer will expire at 5:00 p.m., New York City
time on July 26, 2005 unless we decide to extend the
exchange offer. We may extend the exchange offer for the
outstanding notes. Any outstanding notes not accepted for
exchange for any reason will be returned without expense to the
tendering holders promptly after expiration or termination of
the exchange offer. |
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Conditions to the Exchange Offer |
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The exchange offer is subject to certain customary conditions,
some of which may be waived by us. |
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Procedures for Tendering Outstanding Notes |
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If you wish to accept the exchange offer, you must complete,
sign and date the letter of transmittal, or a facsimile of the
letter of transmittal, in accordance with the instructions
contained in this prospectus and in the letter of transmittal.
You should then mail or otherwise deliver the letter of
transmittal, or facsimile, together with the outstanding notes
to be exchanged and any other required documentation, to the
exchange agent at the address set forth in this prospectus and
in the letter of transmittal. If you hold outstanding notes
through The Depository Trust Company, or DTC, and wish to
participate in the exchange offer, you must comply with the
Automated Tender Offer Program procedures of DTC, by which you
will agree to be bound by the applicable letter of transmittal. |
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By executing or agreeing to be bound by the letter of
transmittal, you will represent to us that, among other things: |
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any exchange notes to be received by you will be
acquired in the ordinary course of business; |
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you have no arrangement or understanding with any
person to participate in the distribution (within the meaning of
the Securities Act) of exchange notes in violation of the
provisions of the Securities Act; |
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you are not an affiliate (within the
meaning of Rule 405 under the Securities Act) of Select, or
if you are an affiliate, you will comply with any applicable
registration and prospectus delivery requirements of the
Securities Act; and |
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if you are a broker-dealer that will receive
exchange notes for your own account in exchange for applicable
outstanding notes that were acquired as a result of
market-making or other trading activities, then you will deliver
a prospectus in connection with any resale of such exchange
notes. |
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See The Exchange Offer Procedures for
Tendering and Plan of Distribution. |
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Effect of Not Tendering in the Exchange Offer |
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Any outstanding notes that are not tendered or that are tendered
but not accepted will remain subject to the restrictions on
transfer. Since the outstanding notes have not been registered
under the federal securities laws, they bear a legend
restricting their transfer absent registration or the
availability of a specific exemption from registration. Upon the
completion of the exchange offer, we will have no further
obligations to register, and we do not currently anticipate that
we will register, the outstanding notes not exchanged in this
exchange offer under the Securities Act. |
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Special Procedures for Beneficial Owners |
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If you are a beneficial owner of outstanding notes that are not
registered in your name, and you wish to tender outstanding
notes in the exchange offer, you should contact the registered
holder promptly and instruct the registered holder to tender on
your behalf. If you wish to tender on your own behalf, you must,
prior to completing and executing the applicable letter of
transmittal and delivering your outstanding notes, either make
appropriate arrangements to register ownership of the
outstanding notes in your name or obtain a properly completed
bond power from the registered holder. |
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Guaranteed Delivery Procedures |
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If you wish to tender your outstanding notes and your
outstanding notes are not immediately available or you cannot
deliver your outstanding notes, the applicable letter of
transmittal or any other documents required by the applicable
letter of transmittal or comply with the applicable procedures
under DTCs Automated Tender Offer Program prior to the
expiration date, you must tender your outstanding notes
according to the guaranteed delivery procedures set forth in
this prospectus under The Exchange Offer
Guaranteed Delivery Procedures. |
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Interest on the Exchange Notes and the Outstanding Notes |
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The exchange notes will bear interest at their respective
interest rates from the most recent interest payment date to
which interest has been paid on the outstanding notes or, if no
interest has been paid, from February 24, 2005. Interest on
the outstanding notes accepted for exchange will cease to accrue
upon the issuance of the exchange notes. |
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Withdrawal Rights |
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Tenders of outstanding notes may be withdrawn at any time prior
to 5:00 p.m., New York City time, on the expiration date. |
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Material United States Federal Income Tax Considerations |
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The exchange of outstanding notes for exchange notes in the
exchange offer is not a taxable event for U.S. federal
income tax purposes. Please read the section of this prospectus
captioned Material U.S. Federal Income Tax
Considerations for more information on tax consequences of
the exchange offer. |
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Use of Proceeds |
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We will not receive any cash proceeds from the issuance of
exchange notes pursuant to the exchange offer. |
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Exchange Agent |
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U.S. Bank Trust National Association, the trustee
under the indenture governing the outstanding notes, is serving
as exchange agent in connection with the exchange offer. The
address and telephone number of the exchange agent are set forth
under the heading The Exchange Offer Exchange
Agent. |
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Summary Description of the Exchange Notes
The brief summary below describes the principal terms of the
exchange notes. Some of the terms described below are subject to
important limitations and exceptions. The Description of
the Exchange Notes section of this prospectus contains a
more detailed description of the terms of the exchange notes.
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Issuer |
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Select Medical Corporation. |
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Exchange notes |
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$660,000,000 in aggregate principal amount of
75/8% senior
subordinated notes due 2015. |
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Maturity date |
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February 1, 2015. |
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Interest payment dates |
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February 1 and August 1, beginning August 1, 2005. |
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Optional redemption |
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We may redeem some or all of the notes prior to February 1,
2010 at a price equal to 100% of the principal amount thereof,
plus accrued and unpaid interest and a make-whole
premium. Thereafter, we may redeem some or all of the notes at
the redemption prices set forth in this prospectus. See
Description of the Exchange Notes Optional
Redemption. |
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Equity offering optional redemption |
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At any time before February 1, 2008, we may redeem up to
35% of the aggregate principal amount of the notes at 107.625%
of the principal amount thereof, plus accrued and unpaid
interest, with the proceeds of one or more equity offerings so
long as at least 65% of the originally issued aggregate
principal amount of the notes remains outstanding after such
redemption. |
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Change of control |
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Upon the occurrence of certain change of control events, we will
be required to offer to repurchase all or a portion of the notes
at a purchase price equal to 101% of the principal amount of the
notes, plus accrued and unpaid interest. See Description
of the Exchange Notes Repurchase at the Option of
Holders Change of Control. |
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Guarantees |
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All of our existing and future restricted domestic subsidiaries,
other than certain non-guarantor subsidiaries, guarantee the
notes on an unsecured senior subordinated basis. |
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Ranking |
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The notes are our unsecured senior subordinated obligations and: |
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rank junior to all of our existing and future senior
indebtedness, which includes indebtedness under our new senior
secured credit facility; |
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rank equally with all of our existing and future
senior subordinated indebtedness; |
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rank senior to all of our existing and future
subordinated indebtedness; and |
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are effectively subordinated to all of our existing
and future secured obligations to the extent of the value of the
assets securing such obligations, including indebtedness under
our new senior secured credit facility, and to all of the
existing and future liabilities of our subsidiaries that do not
guarantee the notes. |
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Similarly, the guarantees of the notes by our subsidiaries: |
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rank junior to all of the existing and future senior
indebtedness of such subsidiaries, which includes the subsidiary
guarantees of our new senior secured credit facility; |
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rank equally with all of the existing and future
senior subordinated indebtedness of such subsidiaries; |
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rank senior to all of the existing and future
subordinated indebtedness of such subsidiaries; and |
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are effectively subordinated to all of the existing
and future secured obligations of such subsidiaries to the
extent of the value of the assets securing such obligations,
including the subsidiary guarantees of our new senior secured
credit facility, and to all of the existing and future
liabilities of our subsidiaries that do not guarantee the notes. |
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As of March 31, 2005, we and our subsidiaries that are
guarantors of the notes had approximately $782.9 million of
senior debt outstanding to which the notes were subordinated and
our subsidiaries that are not guaranteeing the notes had total
assets and total liabilities of $49.3 million and
$10.3 million, respectively. See Description of the
Exchange Notes Subordination. |
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Certain covenants |
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The indenture governing the notes contains covenants that, among
other things, limit our ability and the ability of our
restricted subsidiaries to: |
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incur additional indebtedness and issue or sell
preferred stock, |
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pay dividends on, redeem or repurchase our capital
stock, |
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make investments, |
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create certain liens, |
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sell assets, |
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incur obligations that restrict the ability of our
subsidiaries to make dividend or other payments to us, |
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guarantee indebtedness, |
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engage in transactions with affiliates, |
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create or designate unrestricted
subsidiaries, and |
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consolidate, merge or transfer all or substantially
all of our assets and the assets of our subsidiaries on a
consolidated basis. |
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As of March 31, 2005, all of our subsidiaries were
restricted subsidiaries, as defined in the indenture. These
covenants are subject to important exceptions and
qualifications. See Risk Factors Risks Related
to the Notes and Description of the Exchange
Notes. |
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No established market for the exchange notes |
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The exchange notes generally will be freely transferable but
will also be new securities for which there will not initially
be a market. Accordingly, we cannot assure you that a market for
the exchange |
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notes will develop or make any representation as to the
liquidity of any market. We do not intend to apply for the
listing of the exchange notes on any securities exchange or
automated dealer quotation system. The initial purchasers
advised us that they intend to make a market in the exchange
notes. However, they are not obligated to do so, and any market
making with respect to the exchange notes may be discontinued at
any time without notice. See Plan of Distribution. |
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Tax consequences |
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For a discussion of certain U.S. federal income tax
consequences of an investment in the exchange notes, see
Material U.S. Federal Income Tax
Considerations. You should consult your own tax advisor to
determine the federal, state, local and other tax consequences
of an investment in the exchange notes. |
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Risk factors |
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See Risk Factors beginning on page 13 of this
prospectus for a discussion of factors you should carefully
consider before deciding to invest in the exchange notes. |
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Summary Consolidated Financial and Other Data
You should read the summary consolidated financial and other
data below in conjunction with our consolidated financial
statements and the accompanying notes and Unaudited Pro
Forma Condensed Consolidated Financial Information. All of
these materials are contained later in this prospectus. We
derived the historical financial data for the years ended
December 31, 2002, 2003 and 2004, and as of
December 31, 2002, 2003 and 2004 from our audited
consolidated financial statements. We derived the historical
financial data for the three months ended March 31, 2004,
the period from January 1, 2005 through February 24,
2005 and the period from February 25, 2005 through
March 31, 2005, and as of March 31, 2004 and 2005,
from our unaudited interim consolidated financial statements.
You should also read Selected Historical Consolidated
Financial Data and the accompanying
Managements Discussion and Analysis of Financial
Condition and Results of Operations. The unaudited pro
forma condensed consolidated statement of operations data for
the three months ended March 31, 2005 present results of
operations before cumulative effects of accounting changes and
are pro forma for the Transactions as if the Transactions had
been completed on January 1, 2005. The unaudited pro forma
condensed consolidated statement of operations data for the year
ended December 31, 2004 present results of operations
before cumulative effects of accounting changes and are pro
forma for the Transactions, as if the Transactions had been
completed on January 1, 2004. By definition, our statements
of financial position and results of operations subsequent to
the Transactions are not comparable to the same statements for
the periods prior to the Transactions due to the resulting
change in basis.
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Predecessor | |
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Successor | |
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|
|
Three | |
|
Period from | |
|
|
Period from | |
|
Pro Forma | |
|
|
Year Ended December 31, | |
|
Months | |
|
January 1, | |
|
|
February 25, | |
|
Three Months | |
|
|
| |
|
Ended | |
|
through | |
|
|
through | |
|
Ended | |
|
|
|
|
2004 Pro | |
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
March 31, | |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
Forma(1) | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
2005(1) | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net operating revenues
|
|
$ |
1,126,559 |
|
|
$ |
1,392,366 |
|
|
$ |
1,660,791 |
|
|
$ |
1,660,791 |
|
|
$ |
418,469 |
|
|
$ |
287,787 |
|
|
|
$ |
195,112 |
|
|
$ |
482,899 |
|
Operating expenses(2)
|
|
|
999,280 |
|
|
|
1,207,913 |
|
|
|
1,389,281 |
|
|
|
1,389,281 |
|
|
|
348,997 |
|
|
|
239,573 |
|
|
|
|
154,573 |
|
|
|
394,146 |
|
Stock compensation associated with the merger(3)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
142,213 |
|
|
|
|
4,326 |
|
|
|
146,539 |
|
Depreciation and amortization
|
|
|
25,836 |
|
|
|
34,654 |
|
|
|
39,977 |
|
|
|
46,391 |
|
|
|
10,197 |
|
|
|
6,177 |
|
|
|
|
4,248 |
|
|
|
11,494 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
101,443 |
|
|
|
149,799 |
|
|
|
231,533 |
|
|
|
225,119 |
|
|
|
59,275 |
|
|
|
(100,176 |
) |
|
|
|
31,965 |
|
|
|
(69,280 |
) |
Loss on early retirement of debt(4)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
|
|
(42,736 |
) |
Merger related charges(5)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
|
|
(12,025 |
) |
Equity in income from joint ventures
|
|
|
|
|
|
|
824 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net(6)
|
|
|
(26,614 |
) |
|
|
(25,404 |
) |
|
|
(31,051 |
) |
|
|
(95,997 |
) |
|
|
(9,053 |
) |
|
|
(4,211 |
) |
|
|
|
(9,559 |
) |
|
|
(24,050 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
74,829 |
|
|
|
125,219 |
|
|
|
200,482 |
|
|
|
129,122 |
|
|
|
50,222 |
|
|
|
(159,148 |
) |
|
|
|
22,406 |
|
|
|
(148,091 |
) |
Minority interests(7)
|
|
|
2,022 |
|
|
|
2,402 |
|
|
|
3,448 |
|
|
|
3,448 |
|
|
|
1,006 |
|
|
|
469 |
|
|
|
|
462 |
|
|
|
931 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
72,807 |
|
|
|
122,817 |
|
|
|
197,034 |
|
|
|
125,674 |
|
|
|
49,216 |
|
|
|
(159,617 |
) |
|
|
|
21,944 |
|
|
|
(149,022 |
) |
Income tax provision (benefit)
|
|
|
28,576 |
|
|
|
48,597 |
|
|
|
79,602 |
|
|
|
50,772 |
|
|
|
19,793 |
|
|
|
(59,366 |
) |
|
|
|
8,871 |
|
|
|
(54,658 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
44,231 |
|
|
|
74,220 |
|
|
|
117,432 |
|
|
$ |
74,902 |
|
|
|
29,423 |
|
|
|
(100,251 |
) |
|
|
|
13,073 |
|
|
$ |
(94,364 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net
|
|
|
|
|
|
|
251 |
|
|
|
752 |
|
|
|
|
|
|
|
147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
44,231 |
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
|
|
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
43,183 |
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
|
|
|
|
$ |
7,762 |
|
|
$ |
2,586 |
|
|
|
$ |
1,112 |
|
|
|
|
|
Ratio of earnings to fixed charges(8)
|
|
|
2.3 |
x |
|
|
3.1 |
x |
|
|
3.9 |
x |
|
|
|
|
|
|
3.8 |
x |
|
|
n/a |
|
|
|
|
2.7 |
x |
|
|
|
|
Cash Flow Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
$ |
120,812 |
|
|
$ |
246,248 |
|
|
$ |
174,276 |
|
|
|
|
|
|
$ |
76,529 |
|
|
$ |
19,056 |
|
|
|
$ |
(191,971 |
) |
|
|
|
|
Net cash used in investing activities
|
|
|
(54,048 |
) |
|
|
(261,452 |
) |
|
|
(21,928 |
) |
|
|
|
|
|
|
(11,177 |
) |
|
|
(110,865 |
) |
|
|
|
(3,327 |
) |
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
(21,423 |
) |
|
|
124,318 |
|
|
|
(70,990 |
) |
|
|
|
|
|
|
(20,042 |
) |
|
|
202 |
|
|
|
|
58,816 |
|
|
|
|
|
Balance Sheet Data (at end of period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
56,062 |
|
|
$ |
165,507 |
|
|
$ |
247,476 |
|
|
|
|
|
|
$ |
210,784 |
|
|
|
|
|
|
|
$ |
19,343 |
|
|
|
|
|
Working capital
|
|
|
130,621 |
|
|
|
188,380 |
|
|
|
313,715 |
|
|
|
|
|
|
|
210,878 |
|
|
|
|
|
|
|
|
157,965 |
|
|
|
|
|
Total assets
|
|
|
739,059 |
|
|
|
1,078,998 |
|
|
|
1,113,721 |
|
|
|
|
|
|
|
1,116,986 |
|
|
|
|
|
|
|
|
2,169,424 |
|
|
|
|
|
Total debt
|
|
|
260,217 |
|
|
|
367,503 |
|
|
|
354,590 |
|
|
|
|
|
|
|
364,744 |
|
|
|
|
|
|
|
|
1,450,097 |
|
|
|
|
|
Total stockholders equity
|
|
|
286,418 |
|
|
|
419,175 |
|
|
|
515,943 |
|
|
|
|
|
|
|
440,760 |
|
|
|
|
|
|
|
|
449,584 |
|
|
|
|
|
10
Selected Operating Data
The following table sets forth operating statistics for our
specialty hospitals and our outpatient rehabilitation business
for each of the periods presented. The data in the table
reflects the changes in the number of long-term acute care
hospitals and outpatient rehabilitation clinics we operate that
resulted from acquisitions, start-up activities and closures.
The operating statistics reflect data for the period of time
these operations were managed by us. Further information on our
acquisition activities can be found in Managements
Discussion and Analysis of Financial Condition and Results of
Operations Operating Statistics and the notes
to our consolidated financial statements.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
Year Ended December 31, | |
|
March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
|
|
(Dollars in thousands) | |
|
|
Specialty hospital data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals start of period
|
|
|
64 |
|
|
|
72 |
|
|
|
83 |
|
|
|
83 |
|
|
|
86 |
|
|
Number of hospital start-ups
|
|
|
8 |
|
|
|
8 |
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
Number of hospitals acquired
|
|
|
|
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
|
17 |
|
|
Number of hospitals closed
|
|
|
|
|
|
|
(1 |
) |
|
|
(1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals end of period(9)
|
|
|
72 |
|
|
|
83 |
|
|
|
86 |
|
|
|
83 |
|
|
|
103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available licensed beds(10)
|
|
|
2,594 |
|
|
|
3,204 |
|
|
|
3,403 |
|
|
|
3,256 |
|
|
|
3,907 |
|
Admissions(11)
|
|
|
21,065 |
|
|
|
27,620 |
|
|
|
33,523 |
|
|
|
8,738 |
|
|
|
10,336 |
|
Patient days(12)
|
|
|
619,322 |
|
|
|
722,231 |
|
|
|
816,898 |
|
|
|
212,727 |
|
|
|
250,839 |
|
Average length of stay (days)(13)
|
|
|
30 |
|
|
|
26 |
|
|
|
24 |
|
|
|
25 |
|
|
|
25 |
|
Occupancy rate(14)
|
|
|
71 |
% |
|
|
70 |
% |
|
|
67 |
% |
|
|
72 |
% |
|
|
71 |
% |
Percent patient days Medicare(15)
|
|
|
76 |
% |
|
|
76 |
% |
|
|
74 |
% |
|
|
75 |
% |
|
|
77 |
% |
Outpatient rehabilitation data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics start of period
|
|
|
664 |
|
|
|
679 |
|
|
|
758 |
|
|
|
758 |
|
|
|
705 |
|
|
Number of clinics acquired
|
|
|
14 |
|
|
|
125 |
|
|
|
5 |
|
|
|
2 |
|
|
|
7 |
|
|
Number of clinics start-ups
|
|
|
49 |
|
|
|
30 |
|
|
|
20 |
|
|
|
4 |
|
|
|
9 |
|
|
Number of clinics closed/sold
|
|
|
(48 |
) |
|
|
(76 |
) |
|
|
(78 |
) |
|
|
(23 |
) |
|
|
(6 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned end of period
|
|
|
679 |
|
|
|
758 |
|
|
|
705 |
|
|
|
741 |
|
|
|
715 |
|
Number of clinics managed end of period(16)
|
|
|
58 |
|
|
|
32 |
|
|
|
36 |
|
|
|
36 |
|
|
|
38 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total number of clinics
|
|
|
737 |
|
|
|
790 |
|
|
|
741 |
|
|
|
777 |
|
|
|
753 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Our recent acquisition of SemperCare, Inc. does not meet the
significance thresholds under Rule S-X and accordingly is
excluded from the Unaudited Pro Forma Condensed Consolidated
Financial Information. See Managements Discussion
and Analysis of Financial Condition and Results of
Operations Recent Trends and Events
SemperCare Acquisition. |
|
|
(2) |
Operating expenses include cost of services, general and
administrative expenses, and bad debt expenses. |
|
|
(3) |
Consists of stock compensation expense related to the repurchase
of outstanding stock options in the Predecessor period from
January 1, 2005 through February 24, 2005 and
compensation expense related to restricted stock and a warrant
that were issued in the Successor period from February 25,
2005 through March 31, 2005. |
|
|
(4) |
In connection with the merger, we tendered for all of our
91/2% senior
subordinated notes due 2009 and all of our
71/2% senior
subordinated notes due 2013. The loss in the Predecessor period
of January 1, 2005 through February 24, 2005 consists
of the tender premium cost of $34.8 million and the
remaining write-off of unamortized deferred financing costs of
$7.9 million. |
11
|
|
|
|
(5) |
As a result of the merger, we incurred costs in the Predecessor
period of January 1, 2005 through February 24, 2005
directly related to the merger. This included the cost of the
investment advisor hired by the Special Committee of the Board
of Directors to evaluate the merger, legal and accounting fees,
costs associated with the Hart-Scott-Rodino filing relating to
the merger, cost associated with purchasing a six year extended
reporting period under our directors and officers liability
insurance policy and other associated expenses. |
|
|
(6) |
Net interest equals interest expense minus interest income. |
|
|
(7) |
Reflects interests held by other parties in subsidiaries,
limited liability companies and limited partnerships owned and
controlled by us. |
|
|
(8) |
For purposes of computing the ratio of earnings to fixed
charges, earnings consist of income (loss) from continuing
operations before income taxes, fixed charges, minority interest
in income of subsidiaries, and income (loss) from unconsolidated
joint ventures. Fixed charges include preferred dividend
requirements of subsidiaries, deemed dividends on preferred
stock conversion, interest expense, and the portion of operating
rents that is deemed representative of an interest factor. For
the period January 1, 2005 through February 24, 2005
(Predecessor period), the ratio coverage was less than 1:1. We
would have had to generate additional earnings of approximately
$159.1 million to achieve a coverage ratio of 1:1. |
|
|
(9) |
As of March 31, 2005, we owned 100% of the equity interests
in all of our hospitals except for two hospitals that had a 14%
minority owner, three hospitals that had a 3% minority owner and
two hospitals that had a 9% minority owner. |
|
|
(10) |
Available licensed beds are the number of beds that are licensed
with the appropriate state agency and which are readily
available for patient use at the end of the period indicated. |
|
(11) |
Admissions represent the number of patients admitted for
treatment. |
|
(12) |
Patient days represent the total number of days of care provided
to patients. |
|
(13) |
Average length of stay (days) represents the average number
of days patients stay in our hospitals per admission, calculated
by dividing total patient days by the number of discharges for
the period. |
|
(14) |
We calculate occupancy rate by dividing the average daily number
of patients in our hospitals by the weighted average number of
available licensed beds over the period indicated. |
|
(15) |
We calculate percent patient days Medicare by
dividing the number of Medicare patient days by the total number
of patient days. |
|
(16) |
Managed clinics are clinics that we operate through long-term
management arrangements and clinics operated through
unconsolidated joint ventures. |
12
RISK FACTORS
Investing in the notes involves a number of risks and
uncertainties, many of which are beyond our control. You should
carefully consider each of the risks and uncertainties we
describe below and all of the other information in this
prospectus before deciding to invest in the notes. The risks and
uncertainties we describe below are not the only ones we face.
Additional risks and uncertainties that we do not currently know
about or that we currently believe to be immaterial may also
adversely affect our business, operations, financial condition
or financial results.
Risks Related to Our Businesses
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Compliance with recent changes in federal regulations
applicable to long-term acute care hospitals operated as
hospitals within hospitals or as
satellites will result in increased capital
expenditures and may have an adverse effect on our future net
operating revenues and profitability. |
On August 11, 2004, the Centers for Medicare &
Medicaid Services, also known as CMS, published final
regulations applicable to long-term acute care hospitals that
are operated as hospitals within hospitals or as
satellites (collectively referred to as
HIHs). HIHs are separate hospitals located in space
leased from, and located in, general acute care hospitals, known
as host hospitals. Effective for hospital cost
reporting periods beginning on or after October 1, 2004,
the final regulations, subject to certain exceptions, provide
lower rates of reimbursement to HIHs for those Medicare patients
admitted from their hosts that are in excess of a specified
percentage threshold. For HIHs opened after October 1,
2004, the Medicare admissions threshold has been established at
25%. For HIHs that meet specified criteria and were in existence
as of October 1, 2004, including all of our existing HIHs,
the Medicare admissions thresholds will be phased-in over a
four-year period starting with hospital cost reporting periods
beginning on or after October 1, 2004, as follows:
(i) for discharges during the cost reporting period
beginning on or after October 1, 2004 and before
October 1, 2005, the Medicare admissions threshold is the
Fiscal 2004 Percentage (as defined below) of Medicare
discharges admitted from the host hospital; (ii) for
discharges during the cost reporting period beginning on or
after October 1, 2005 and before October 1, 2006, the
Medicare admissions threshold is the lesser of the Fiscal
2004 Percentage of Medicare discharges admitted from the
host hospital or 75%; (iii) for discharges during the cost
reporting period beginning on or after October 1, 2006 and
before October 1, 2007, the Medicare admissions threshold
is the lesser of the Fiscal 2004 Percentage of Medicare
discharges admitted from the host hospital or 50%; and
(iv) for discharges during cost reporting periods beginning
on or after October 1, 2007, the Medicare admissions
threshold is 25%. As used above, Fiscal
2004 Percentage means, with respect to any HIH, the
percentage of all Medicare patients discharged by such HIH
during its cost reporting period beginning on or after
October 1, 2003 and before October 1, 2004 who were
admitted to such HIH from its host hospital. As of
December 31, 2004, 78 of our 82 long-term acute care
hospitals operated as HIHs. For the year ended December 31,
2004, approximately 60% of the Medicare admissions to our HIHs
were from host hospitals. For the year ended December 31,
2004, approximately 9% of our HIHs admitted 25% or fewer of
their Medicare patients from their host hospitals, approximately
31% of our HIHs admitted 50% or fewer of their Medicare patients
from their host hospitals, and approximately 78% of our HIHs
admitted 75% or fewer of their Medicare patients from their host
hospitals. There are several factors that should be taken into
account in evaluating this admissions data. First, the
admissions data for the year ended December 31, 2004 is not
necessarily indicative of the admissions mix these hospitals
will experience in the future. Second, admissions data for the
year ended December 31, 2004 includes four hospitals that
were open for less than one year, and the data from these
hospitals may not be indicative of the admissions mix these
hospitals will experience over a longer period of time. Third,
admissions data for the year ended December 31, 2004 does
not include admissions data for the hospitals recently acquired
in the SemperCare acquisition. See Managements
Discussion and Analysis of Financial Condition and Results of
Operations Recent Trends and Events
SemperCare Acquisition.
We currently anticipate that these new HIH regulations will have
only a negligible impact on our 2005 financial results but could
have a significant negative impact on our financial results
thereafter. In order to minimize the more significant impact of
the HIH regulations in 2006 and future years, we have developed
a business plan and strategy in each of our markets to adapt to
the HIH regulations and maintain our companys
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current business. Our transition plan includes managing
admissions at existing HIHs, relocating certain HIHs to leased
spaces in smaller host hospitals in the same markets,
consolidating HIHs in certain of our markets, relocating certain
of our facilities to alternative settings, building or buying
free-standing facilities and closing a small number of
facilities. There can be no assurance that we can successfully
implement such changes to our existing HIH business model or
successfully control the capital expenditures associated with
such changes. As a result, our ability to operate our long-term
acute care hospitals effectively and our net operating revenues
and profitably may be adversely affected. For example, because
physicians generally direct the majority of hospital admissions,
our net operating revenues and profitability may decline if the
relocation efforts for certain of our HIHs adversely affect our
relationships with the physicians in those communities. See
Our Business Specialty Hospitals
Recent HIH Regulatory Changes and Our
Business Government Regulations Overview
of U.S. and State Government Reimbursements
Regulatory Changes.
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If our long-term acute care hospitals fail to maintain
their certifications as long-term acute care hospitals or if our
facilities operated as HIHs fail to qualify as hospitals
separate from their host hospitals, our net operating revenues
and profitability may decline. |
As of March 31, 2005, 97 of our 99 long-term acute care
hospitals were certified by Medicare as long-term acute care
hospitals, and two more were in the process of becoming
certified as Medicare long-term acute care hospitals. If our
long-term acute care hospitals fail to meet or maintain the
standards for certification as long-term acute care hospitals,
namely minimum average length of patient stay, they will receive
payments under the prospective payment system applicable to
general acute care hospitals rather than payment under the
system applicable to long-term acute care hospitals. Payments at
rates applicable to general acute care hospitals would likely
result in our long-term acute care hospitals receiving less
Medicare reimbursement than they currently receive for their
patient services. In its preamble to the May 6, 2005 final
rule updating the long-term acute care Medicare prospective
payment system, CMS confirmed that it had awarded a contract to
Research Triangle Institute, International (RTI) to
examine recent recommendations made by the Medicare Payment
Advisory Commission, or MedPAC, concerning how long-term acute
care hospitals are defined and differentiated from other types
of Medicare providers. MedPAC is an independent federal body
that advises Congress on issues affecting the Medicare program.
In its June 2004 Report to Congress, MedPAC
recommended the adoption by CMS of new facility staffing and
services criteria and patient clinical characteristics and
treatment requirements for long-term acute care hospitals in
order to ensure that only appropriate patients are admitted to
these facilities. CMS anticipates making RTIs findings
available in the proposed prospective payment system update to
be published in early 2006. Although CMS has so far declined to
impose the MedPAC recommended criteria, the agency has stated
that if RTIs analysis suggests that changes should be made
affecting long-term acute care hospital payments, discharges or
certification criteria, statutory or regulatory modifications to
implement these changes may be required. Failure to meet
existing long-term acute care certification criteria or
implementation of additional criteria that would limit the
population of patients eligible for our hospitals services
could adversely affect our net operating revenues and
profitability.
Nearly all of our long-term acute care hospitals operate as HIHs
and as a result are subject to additional Medicare criteria that
require certain indications of separateness from the host
hospital. If any of our long-term acute care HIHs fail to meet
the separateness requirements, they will be reimbursed at the
lower general acute care hospital rate, which would likely cause
our net operating revenues and profitability to decrease. See
Our Business Government
Regulations Overview of U.S. and State Government
Reimbursements Long-term acute care hospital
Medicare reimbursement.
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Implementation of modifications to the admissions policies
for our inpatient rehabilitation facilities as required in order
to achieve compliance with Medicare regulations may result in a
loss of patient volume at these hospitals and, as a result, may
reduce our future net operating revenues and
profitability. |
As of March 31, 2005, our four acute medical rehabilitation
hospitals were certified by Medicare as inpatient rehabilitation
facilities. Under the historic inpatient rehabilitation
facility, or IRF, certification criteria that had been in effect
since 1983, in order to qualify as an IRF, a hospital was
required to satisfy
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certain operational criteria as well as demonstrate that, during
its most recent 12-month cost reporting period, it served an
inpatient population of whom at least 75% required intensive
rehabilitation services for one or more of ten conditions
specified in the regulations (referred to as the 75%
test). In 2002, CMS became aware that its various
contractors were using inconsistent methods to assess compliance
with the 75% test and that many inpatient rehabilitation
facilities were not in compliance with the 75% test. In
response, in June 2002, CMS suspended enforcement of the 75%
test and, on September 9, 2003, proposed modifications to
the regulatory standards for certification as an IRF.
Notwithstanding concerns stated by the industry and Congress in
late 2003 and early 2004 about the adverse impact that
CMSs proposed changes and renewed enforcement efforts
might have on access to inpatient rehabilitation facility
services, and notwithstanding Congressional requests that CMS
delay implementation of or changes to the 75% test for
additional study of clinically appropriate certification
criteria, on May 7, 2004, CMS adopted a final rule that
made significant changes to the certification standard. CMS
temporarily lowered the 75% compliance threshold to 50%, with a
gradual increase back to 75% over the course of a four-year
period. CMS also expanded from 10 to 13 the number of medical
conditions used to determine compliance with the 75% test (or
any phase-in percentage) and finalized the conditions under
which comorbidities may be used to satisfy the 75% test.
Finally, CMS changed the timeframe used to determine a
providers compliance with the inpatient rehabilitation
facility criteria including the 75% test so that any changes in
a facilitys certification based on compliance with the 75%
test may be made effective in the cost reporting period
immediately following the review period for determining
compliance. Congress temporarily suspended enforcement of the
75% test when it enacted the Consolidated Appropriations Act,
2005, which requires the Secretary of Health and Human Services
to respond within 60 days to a report by the Government
Accountability Office, or GAO, on the standards for defining
inpatient rehabilitation services before the Secretary may
terminate a hospitals designation as an inpatient
rehabilitation facility for failure to meet the 75% test. The
GAO issued its report on April 22, 2005, and recommended
that CMS, based on further research, refine the 75% test to
describe more thoroughly the subgroups of patients within the
qualifying conditions that are appropriate for care in an
inpatient rehabilitation facility. The Secretary has not yet
issued a formal response to the GAO report. The inpatient
rehabilitation facilities we acquired as part of our Kessler
acquisition in September 2003 may not have fully met the
historic standard. If the revised 75% test is ultimately
enforced without further modifications, in order to achieve
compliance with the new certification standard, it may be
necessary for us to implement more restrictive admissions
policies at our inpatient rehabilitation facilities and not
admit patients whose diagnoses fall outside the specified
conditions. Such policies may result in decreased patient
volumes, which could have a negative effect on the financial
performance of these facilities. See Our
Business Government Regulations Overview
of U.S. and State Government Reimbursements
Inpatient rehabilitation facility Medicare reimbursement.
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Implementation of annual caps that limit the amounts that
can be paid for outpatient therapy services rendered to any
Medicare beneficiary may reduce our future net operating
revenues and profitability. |
Our outpatient rehabilitation clinics receive payments from the
Medicare program under a fee schedule. Congress has established
annual caps that limit the amounts that can be paid (including
deductible and coinsurance amounts) for outpatient therapy
services rendered to any Medicare beneficiary. These annual caps
were to go into effect on January 1, 1999, however, after
their adoption, Congress imposed a moratorium on the caps
through 2002, and then re-imposed the moratorium for 2004 and
2005. Upon the expiration of the moratorium, we believe these
therapy caps could have an adverse effect on the net operating
revenues we generate from providing outpatient rehabilitation
services to Medicare beneficiaries, to the extent that such
patients receive services for which total payments would exceed
the annual caps. For the year ended December 31, 2004, we
received approximately 9% of our outpatient rehabilitation net
operating revenues from Medicare. See Our
Business Government Regulations Overview
of U.S. and State Government Reimbursements
Outpatient rehabilitation services Medicare reimbursement.
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If there are changes in the rates or methods of government
reimbursements for our services, our net operating revenues and
profitability could decline. |
Approximately 48% of our net operating revenues for the year
ended December 31, 2004 came from the highly regulated
federal Medicare program. In recent years, through legislative
and regulatory actions, the federal government has made
substantial changes to various payment systems under the
Medicare program. Additional changes to these payment systems,
including modifications to the conditions on qualification for
payment and the imposition of enrollment limitations on new
providers, may be proposed or could be adopted, either in
Congress or by CMS. Because of the possibility of adoption of
these kinds of proposals, the availability, methods and rates of
Medicare reimbursements for services of the type furnished at
our facilities could change at any time. Some of these changes
and proposed changes could adversely affect our business
strategy, operations and financial results. In addition, there
can be no assurance that any increases in Medicare reimbursement
rates established by CMS will fully reflect increases in our
operating costs.
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We conduct business in a heavily regulated industry, and
changes in regulations or violations of regulations may result
in increased costs or sanctions that reduce our net operating
revenues and profitability. |
The healthcare industry is subject to extensive federal, state
and local laws and regulations relating to:
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facility and professional licensure, including certificates of
need; |
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conduct of operations, including financial relationships among
healthcare providers, Medicare fraud and abuse, and physician
self-referral; |
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addition of facilities and services and enrollment of newly
developed facilities in the Medicare program; and |
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payment for services. |
Recently, 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, physician
ownership and joint ventures involving hospitals. In the future,
different interpretations or enforcement of these laws and
regulations could subject our current practices to allegations
of impropriety or illegality or could require us to make changes
in our facilities, equipment, personnel, services and capital
expenditure programs, increase our operating expenses and reduce
our operating revenues. If we fail to comply with these
extensive laws and government regulations, we could become
ineligible to receive government program reimbursement, suffer
civil or criminal penalties or be required to make significant
changes to our operations. In addition, we could be forced to
expend considerable resources responding to an investigation or
other enforcement action under these laws or regulations. See
Our Business Government Regulations.
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Integrating SemperCare into our company structure may
strain our resources and prove to be difficult. |
On January 1, 2005, we acquired SemperCare, Inc., or
SemperCare, which operated 17 long-term acute care hospitals in
11 states. Six of the SemperCare facilities are in markets
that overlapped with other Select hospital markets. The
expansion of our business and operations resulting from the
recent SemperCare acquisition may strain our administrative,
operational and financial resources. The continued integration
of SemperCare into our business will require substantial time,
effort, attention and dedication of management resources and may
distract our management from our existing business in
unpredictable ways and may take longer than anticipated. The
integration process could create a number of potential
challenges and adverse consequences for us, including the
difficulty and expense of integrating acquired personnel into
our existing business, the difficulty and expense of integrating
SemperCares billing and information systems with ours, the
possible unexpected loss of key employees, customers or
suppliers, a possible loss of net operating revenues or an
increase in operating or other costs and the assumption of
liabilities and exposure to unforeseen liabilities of
SemperCare. Additionally, all of the SemperCare facilities are
HIHs, and while we expect to transition these facilities to
adapt to the new HIH regulations within a similar timeframe and
using strategies similar to those
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that we will use to transition our existing hospitals, there can
be no assurance that such transition will be successful. These
types of challenges and uncertainties could have an adverse
effect on our business, financial condition and results of
operations. We may not be able to manage the combined operations
and assets effectively or realize any anticipated benefits of
the SemperCare acquisition, including a reduction of corporate
overhead expenses.
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Future acquisitions may use significant resources, may be
unsuccessful and could expose us to unforeseen
liabilities. |
As part of our growth strategy, we may pursue acquisitions of
specialty hospitals and outpatient rehabilitation clinics.
Acquisitions may involve significant cash expenditures, debt
incurrence, additional operating losses and expenses that could
have a material adverse effect on our financial condition and
results of operations. Acquisitions involve numerous risks,
including:
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the difficulty and expense of integrating acquired personnel
into our business; |
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diversion of managements time from existing operations; |
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potential loss of key employees or customers of acquired
companies; and |
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assumption of the liabilities and exposure to unforeseen
liabilities of acquired companies, including liabilities for
failure to comply with healthcare regulations. |
We cannot assure you that we will succeed in obtaining financing
for acquisitions at a reasonable cost, or that such financing
will not contain restrictive covenants that limit our operating
flexibility. We also may be unable to operate acquired hospitals
and outpatient rehabilitation clinics profitably or succeed in
achieving improvements in their financial performance.
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Future cost containment initiatives undertaken by private
third-party payors may limit our future net operating revenues
and profitability. |
Initiatives undertaken by major insurers and managed care
companies to contain healthcare costs affect the profitability
of our specialty hospitals and outpatient rehabilitation
clinics. These payors attempt to control healthcare costs by
contracting with hospitals and other healthcare providers to
obtain services on a discounted basis. We believe that this
trend may continue and may limit reimbursements for healthcare
services. If insurers or managed care companies from whom we
receive substantial payments reduce the amounts they pay for
services, our profit margins may decline, or we may lose
patients if we choose not to renew our contracts with these
insurers at lower rates.
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If we fail to maintain established relationships with the
physicians in our markets, our net operating revenues may
decrease. |
Our success is, in part, dependent upon the admissions and
referral practices of the physicians in the communities our
hospitals and our outpatient rehabilitation clinics serve, and
our ability to maintain good relations with these physicians.
Physicians referring patients to our hospitals and clinics are
generally not our employees and, in many of the markets that we
serve, most physicians have admitting privileges at other
hospitals and are free to refer their patients to other
providers. If we are unable to successfully cultivate and
maintain strong relationships with these physicians, our
hospitals admissions and clinics businesses may
decrease, and our net operating revenues may decline.
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Shortages in qualified nurses or therapists could increase
our operating costs significantly. |
Our specialty hospitals are highly dependent on nurses for
patient care and our outpatient rehabilitation clinics are
highly dependant on therapists for patient care. The
availability of qualified nurses and therapists nationwide has
declined in recent years, and the salaries for nurses and
therapists have risen accordingly. We cannot assure you we will
be able to attract and retain qualified nurses or therapists in
the future. Additionally,
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the cost of attracting and retaining nurses and therapists may
be higher than we anticipate, and as a result, our profitability
could decline.
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Competition may limit our ability to acquire hospitals and
clinics and adversely affect our growth. |
We have historically faced limited competition in acquiring
specialty hospitals and outpatient rehabilitation clinics, but
we may face heightened competition in the future. Our
competitors may acquire or seek to acquire many of the hospitals
and clinics that would be suitable acquisition candidates for
us. This could limit our ability to grow by acquisitions or make
our cost of acquisitions higher and therefore decrease our
profitability.
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If we fail to compete effectively with other hospitals,
clinics and healthcare providers, our net operating revenues and
profitability may decline. |
The healthcare business is highly competitive, and we compete
with other hospitals, rehabilitation clinics and other
healthcare providers for patients. If we are unable to compete
effectively in the specialty hospital and outpatient
rehabilitation businesses, our net operating revenues and
profitability may decline. Many of our specialty hospitals
operate in geographic areas where we compete with at least one
other hospital that provides similar services. Our outpatient
rehabilitation clinics face competition from a variety of local
and national outpatient rehabilitation providers. Other
outpatient rehabilitation clinics in markets we serve may have
greater name recognition and longer operating histories than our
clinics. The managers of these clinics may also have stronger
relationships with physicians in their communities, which could
give them a competitive advantage for patient referrals.
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Our business operations could be significantly disrupted
if we lose key members of our management team. |
Our success depends to a significant degree upon the continued
contributions of our senior officers and key employees, both
individually and as a group. Our future performance will be
substantially dependent on our ability to retain and motivate
these individuals. The loss of the services of any of our senior
officers or key employees, particularly our executive officers
named in Management Executive Officers and
Directors, could prevent us from successfully executing
our business strategy and could have a material adverse affect
on our results of operations.
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Significant legal actions as well as the cost and possible
lack of available insurance could subject us to substantial
uninsured liabilities. |
In recent years, physicians, hospitals and other healthcare
providers have become subject to an increasing number of legal
actions alleging malpractice, product liability or related legal
theories. Many of these actions involve large claims and
significant defense costs. We are also subject to lawsuits under
a federal whistleblower statute designed to combat fraud and
abuse in the healthcare industry. These lawsuits can involve
significant monetary damages and award bounties to private
plaintiffs who successfully bring the suits. See Our
Business Legal Proceedings Other Legal
Proceedings.
We maintain professional malpractice liability insurance and
general liability insurance coverage. As a result of unfavorable
pricing and availability trends in the professional liability
insurance market and the insurance market in general, the cost
and risk sharing components of professional liability coverage
have changed dramatically. Many insurance underwriters have
become more selective in the insurance limits and types of
coverage they will provide as a result of rising settlement
costs and the significant failures of some nationally known
insurance underwriters. In some instances, insurance
underwriters will no longer issue new policies in certain states
that have a history of high medical malpractice awards. As a
result, we have experienced substantial changes in our medical
and professional malpractice insurance program. Among other
things, in order to obtain malpractice insurance at a reasonable
cost, we are required to assume substantial self-insured
retentions for our professional liability claims. A self-insured
retention is a minimum amount of damages and expenses (including
legal fees) that we must pay for each claim. We use actuarial
methods to
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determine the value of the losses that may occur within this
self-insured retention level. Our insurance agreements require
us to post letters of credit or set aside cash in a trust
arrangement in an amount equal to the estimated losses that we
assumed for previous policy years. Because of the high retention
levels, we cannot predict with certainty the actual amount of
the losses we will assume and pay. To the extent that subsequent
claims information varies from loss estimates, the liabilities
will be adjusted to reflect current loss data. There can be no
assurance that in the future malpractice insurance will be
available at a reasonable price or that we will not have to
further increase our levels of self-insurance. In addition, our
insurance coverage does not cover punitive damages and may not
cover all claims against us. See Our Business
Government Regulations Other Healthcare
Regulations and Managements Discussion and
Analysis of Financial Condition and Results of
Operations Medical and Professional Malpractice
Insurance.
Risks Related to the Notes
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Our substantial indebtedness may limit the amount of cash
flow that is available to invest in the ongoing needs of our
business, which could prevent us from generating the future cash
flow needed to fulfill our obligations under the notes. |
We have a substantial amount of indebtedness. As of
March 31, 2005, we had approximately $1.5 billion of
total indebtedness and a total debt to total capitalization
ratio of 0.76 to 1.0.
Our indebtedness could have important consequences to you. For
example, it:
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requires us to dedicate a substantial portion of our cash flow
from operations to payments on our indebtedness, reducing the
availability of our cash flow to fund working capital, capital
expenditures, development activity, acquisitions and other
general corporate purposes; |
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increases our vulnerability to adverse general economic or
industry conditions; |
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limits our flexibility in planning for, or reacting to, changes
in our business or the industries in which we operate; |
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makes us more vulnerable to increases in interest rates, as
borrowings under our new senior secured credit facility are at
variable rates; |
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limits our ability to obtain additional financing in the future
for working capital or other purposes, such as raising the funds
necessary to repurchase all notes tendered to us upon the
occurrence of specified changes of control in our
ownership; or |
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places us at a competitive disadvantage compared to our
competitors that have less indebtedness. |
See Capitalization, Unaudited Pro Forma
Condensed Consolidated Financial Information, and
Description of Certain Other Indebtedness Our
New Senior Secured Credit Facility.
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Despite our substantial level of indebtedness, we and our
subsidiaries may be able to incur additional indebtedness. This
could further exacerbate the risks described above. |
We and our subsidiaries may be able to incur additional
indebtedness in the future. Although our new senior secured
credit facility and the indenture governing the notes each
contain restrictions on the incurrence of additional
indebtedness, these restrictions are subject to a number of
qualifications and exceptions, and the indebtedness incurred in
compliance with these restrictions could be substantial. Also,
these restrictions do not prevent us or our subsidiaries from
incurring obligations that do not constitute indebtedness. As of
March 31, 2005, we had $83.6 million of revolving loan
availability under our new senior secured credit facility with
$16.4 million in outstanding letters of credit, all of
which are senior to the notes. To the extent new debt is added
to our and our subsidiaries currently anticipated debt
levels, the substantial leverage risks described above would
increase. See Description of the Exchange Notes and
Description of Certain Other Indebtedness Our
New Senior Secured Credit Facility.
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To service our indebtedness and meet our other ongoing
liquidity needs, we will require a significant amount of cash.
Our ability to generate cash depends on many factors beyond our
control, including possible changes in government reimbursement
rates or methods. If we cannot generate the required cash, we
may not be able to make the required payments under the
notes. |
Our ability to make payments on our indebtedness, including the
notes, and to fund our planned capital expenditures and our
other ongoing liquidity needs will depend on our ability to
generate cash in the future. Our future financial results will
be subject to substantial fluctuations upon a significant change
in government reimbursement rates or methods. We cannot assure
you that our business will generate sufficient cash flow from
operations to enable us to pay our indebtedness, including our
indebtedness in respect of the notes, or to fund our other
liquidity needs. Our inability to pay our debts would require us
to pursue one or more alternative strategies, such as selling
assets, refinancing or restructuring our indebtedness or selling
equity capital. However, we cannot assure you that any
alternative strategies will be feasible at the time or provide
adequate funds to allow us to pay our debts as they come due and
fund our other liquidity needs. Also, some alternative
strategies would require the prior consent of our senior secured
lenders, which we may not be able to obtain. See
Managements Discussion and Analysis of Financial
Condition and Results of Operations Liquidity and
Capital Resources and Description of Certain Other
Indebtedness Our New Senior Secured Credit
Facility.
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Your right to receive payments on the notes is junior to
our senior indebtedness and the senior indebtedness of the
subsidiary guarantors. Further, the notes and the subsidiary
guarantees are effectively subordinated to all liabilities of
our non-guarantor subsidiaries. |
The notes and the subsidiary guarantees are subordinated to the
prior payment in full of our and the subsidiary guarantors
respective current and future senior indebtedness. As of
March 31, 2005, we had approximately $782.9 million of
indebtedness to which the notes would have been subordinated.
Because of the subordination provisions of the notes, in the
event of the bankruptcy, liquidation or dissolution of our
company or any subsidiary guarantor, our assets or the assets of
such subsidiary guarantor would be available to pay obligations
under the notes only after all payments had been made on our
senior indebtedness or the senior indebtedness of such
subsidiary guarantor. Sufficient assets may not remain after all
these payments have been made to make any payments on the notes.
In addition, all payments on the notes and the subsidiary
guarantees thereof will be prohibited in the event of a payment
default on our senior indebtedness (including borrowings under
our new senior secured credit facility) and, for limited
periods, upon the occurrence of other defaults under our new
senior secured credit facility.
The notes are structurally subordinated to all of the
liabilities of our subsidiaries that do not guarantee the notes.
In the event of a bankruptcy, liquidation or dissolution of any
of our non-guarantor subsidiaries, holders of their debt, their
trade creditors and holders of their preferred equity will
generally be entitled to payment on their claims from assets of
those subsidiaries before any assets are made available for
distribution to us. Although the indenture governing the notes
contains limitations on the incurrence of additional
indebtedness and the issuance of preferred stock by us and our
restricted subsidiaries, such limitation is subject to a number
of significant exceptions. Moreover, the indenture governing the
notes does not impose any limitation in the incurrence by our
restricted subsidiaries of liabilities that do not constitute
indebtedness under the indenture. The aggregate net operating
revenues and income from operations for the three months ended
March 31, 2005 of our subsidiaries that are not
guaranteeing the notes were $60.6 million and
$9.5 million, respectively, and at March 31, 2005,
those subsidiaries had total assets and total liabilities of
$49.3 million and $10.3 million, respectively. See
Description of the Exchange Notes
Subordination and Description of the Exchange
Notes Certain Covenants Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock. See also Description of the Exchange
Notes Subsidiary Guarantees and the condensed
consolidating financial information included in the notes to our
consolidated financial statements included herein.
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The notes are not secured by our assets nor those of our
subsidiaries and the lenders under our new senior secured credit
facility are entitled to remedies available to a secured lender,
which gives them priority over the note holders to collect
amounts due to them. |
In addition to being subordinated to all of our existing and
future senior indebtedness, the notes and the related subsidiary
guarantees are not secured by any of our or our
subsidiaries assets and therefor are effectively
subordinated to the claims of our secured debt holders to the
extent of the value of the assets securing our secured debt. Our
obligations under our new senior secured credit facility are
secured by, among other things, a first priority pledge of our
capital stock and the capital stock of our domestic
subsidiaries, up to 65% of the capital stock of certain of our
foreign subsidiaries and by substantially all of the assets of
our company and each of our existing and subsequently acquired
or organized domestic subsidiaries. If we become insolvent or
are liquidated, or if payment under our new senior secured
credit facility or in respect of any other secured senior
indebtedness is accelerated, the lenders under our new senior
secured credit facility or holders of other secured senior
indebtedness will be entitled to exercise the remedies available
to a secured lender under applicable law (in addition to any
remedies that may be available under documents pertaining to our
new senior secured credit facility or the other senior debt). In
addition, we and or the subsidiary guarantors may incur
additional secured senior indebtedness, the holders of which are
also entitled to the remedies available to a secured lender. See
Description of Certain Other Indebtedness Our
New Senior Secured Credit Facility and Description
of the Exchange Notes.
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Restrictions imposed by our new senior secured credit
facility and the indenture governing the notes limit our ability
to engage in or enter into business, operating and financing
arrangements, which could prevent us from taking advantage of
potentially profitable business opportunities. |
The operating and financial restrictions and covenants in our
debt instruments, including our new senior secured credit
facility and the indenture governing the notes, may adversely
affect our ability to finance our future operations or capital
needs or engage in other business activities that may be in our
interest. For example, our new senior secured credit facility
restricts our and our subsidiaries ability to, among other
things:
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incur or guarantee additional debt and issue or sell preferred
stock; |
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pay dividends on, redeem or repurchase our capital stock; |
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make certain acquisitions or investments; |
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incur or permit to exist certain liens; |
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enter into transactions with affiliates; |
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merge, consolidate or amalgamate with another company; |
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transfer or otherwise dispose of assets; |
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redeem subordinated debt; |
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incur capital expenditures; |
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incur contingent obligations; |
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incur obligations that restrict the ability of our subsidiaries
to make dividends or other payments to us; and |
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create or designate unrestricted subsidiaries. |
The indenture governing the notes includes similar restrictions.
See Description of the Exchange Notes. Our new
senior secured credit facility also requires us to comply with
certain financial covenants which become more restrictive over
time. Our ability to comply with these ratios may be affected by
events beyond our control. A breach of any of these covenants or
our inability to comply with the required financial ratios could
result in a default under our new senior secured credit
facility. In the event of any default under our new senior
secured credit facility, the lenders under our new senior
secured credit facility could elect to
21
terminate borrowing commitments and declare all borrowings
outstanding, together with accrued and unpaid interest and other
fees, to be due and payable, to require us to apply all of our
available cash to repay these borrowings or to prevent us from
making debt service payments on the notes, any of which would be
an event of default under the notes. See Description of
the Exchange Notes and Description of Certain Other
Indebtedness Our New Senior Secured Credit
Facility.
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We may not have the funds to purchase the notes upon a
change of control as required by the indenture governing the
notes. |
If we were to experience a change of control as described under
Description of the Exchange Notes, we would be
required to make an offer to purchase all of the notes then
outstanding at 101% of their principal amount, plus accrued and
unpaid interest to the date of purchase. The source of funds for
any purchase of the notes would be our available cash or cash
generated from other sources, including borrowings, sales of
assets, sales of equity or funds provided by our existing or new
stockholders. We cannot assure you that any of these sources
will be available or sufficient to make the required repurchase
of the notes, and restrictions in our new senior secured credit
facility may not allow such repurchases. Upon the occurrence of
a change of control event, we may seek to refinance the debt
outstanding under our new senior secured credit facility and the
notes. However, it is possible that we will not be able to
complete such refinancing on commercially reasonable terms or at
all. In such event, we would not have the funds necessary to
finance the required change of control offer. See
Description of the Exchange Notes Repurchase
at the Option of Holders Change of Control.
In addition, a change of control would be an event of default
under our new senior secured credit facility. Any future credit
agreement or other agreements relating to our senior debt to
which we become a party may contain similar provisions. Our
failure to purchase the notes upon a change of control under the
indenture would constitute an event of default under the
indenture. This default would, in turn, constitute an event of
default under our new senior secured credit facility and may
constitute an event of default under future senior debt, any of
which may cause the related debt to be accelerated after any
applicable notice or grace periods. If debt were to be
accelerated, we might not have sufficient funds to repurchase
the notes and repay the debt.
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Federal and state statutes could allow courts, under
specific circumstances, to void the subsidiary guarantees,
subordinate claims in respect of the notes and require note
holders to return payments received from subsidiary
guarantors. |
Under U.S. bankruptcy law and comparable provisions of
state fraudulent transfer laws, a court could void a subsidiary
guarantee or claims related to the notes or subordinate a
subsidiary guarantee to all of our other debts or to all other
debts of a subsidiary guarantor if, among other things, we or a
subsidiary guarantor, at the time we or such subsidiary
guarantor incurred the indebtedness evidenced by its subsidiary
guarantee:
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intended to hinder, delay or defraud any present or future
creditor or received less than reasonably equivalent value or
fair consideration for the incurrence of such
indebtedness; and |
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the subsidiary guarantor was insolvent or rendered insolvent by
reason of such incurrence; |
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the subsidiary guarantor was engaged in a business or
transaction for which the subsidiary guarantors remaining
assets constituted unreasonably small capital; or |
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the subsidiary guarantor intended to incur, or believed that it
would incur, debts beyond the subsidiary guarantors
ability to pay such debts as they mature. |
In addition, a court could void any payment by a subsidiary
guarantor pursuant to the notes or a subsidiary guarantee and
require that payment to be returned to such subsidiary guarantor
or to a fund for the benefit of the creditors of the subsidiary
guarantor.
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The measures of insolvency for purposes of fraudulent transfer
laws will vary depending upon the governing law in any
proceeding to determine whether a fraudulent transferred has
occurred. Generally, however, a subsidiary guarantor would be
considered insolvent if:
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the sum of its debts, including contingent liabilities, was
greater than the fair saleable value of all of its assets; |
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the present fair saleable value of its assets was less than the
amount that would be required to pay its probable liability on
its existing debts, including contingent liabilities, as they
become absolute and mature; or |
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it could not pay its debts as they become due. |
On the basis of historical financial information, our operating
history and other factors, we believe that, in connection with
the issuance of the outstanding notes, we and each subsidiary
guarantor, after giving effect to its subsidiary guarantee of
the notes, were not rendered insolvent, did not have
insufficient capital for the business in which we are or it is
engaged and did not incur debts beyond our or its ability to pay
such debts as they mature. There can be no assurance, however,
as to what standard a court would apply in making such
determinations or that a court would agree with our or the
subsidiary guarantors conclusions in this regard.
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There may be no active trading market for the exchange
notes. |
The exchange notes will constitute a new issue of securities for
which there will be no established trading market. We do not
intend to list the exchange notes on any national securities
exchange or to seek the admission of the exchange notes for
quotation through the National Association of Securities Dealers
Automated Quotation System. Although the initial purchasers
advised us that they intend to make a market in the exchange
notes, they are not obligated to do so and may discontinue such
market making activity at any time without notice. In addition,
market making activity will be subject to the limits imposed by
the Securities Act and the Securities Exchange Act of 1934, as
amended, or the Exchange Act, and may be limited during the
exchange offer and the pendency of any shelf registration
statement. There can be no assurance as to the development or
liquidity of any market for the exchange notes, the ability of
the holders of the exchange notes to sell their exchange notes
or the price at which the holders would be able to sell their
exchange notes.
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The market price for the notes may be volatile. |
Historically, the market for non-investment grade debt has been
subject to disruptions that have caused substantial volatility
in the prices of securities similar to the notes. The market for
the notes, if any, may be subject to similar disruptions. Any
such disruptions may adversely affect the value of your notes.
Risk Relating to Our Structure
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We depend on distributions from our operating subsidiaries
to pay the interest on the notes. Contractual or legal
restrictions applicable to our subsidiaries could limit
distributions from them. |
We are a holding company and derive all of our operating income
from, and hold substantially all of our assets through, our
subsidiaries. The effect of this structure is that we depend on
the earnings of our subsidiaries, and the distribution, loan or
other payment to us of these earnings to meet our obligations,
including those under our new senior secured credit facility,
the notes offered hereby and any of our other debt obligations.
Our subsidiaries ability to make payments to us depends
upon their operating results and is also subject to applicable
law and contractual restrictions. Some of our subsidiaries may
become subject to loan agreements and indentures that restrict
the sale of assets and significantly restrict or prohibit the
payment of dividends or the making of distributions, loans or
other payments to stockholders and members. The indenture
governing the notes permits our subsidiaries to incur debt with
similar prohibitions and restrictions in the future. Provisions
of law, like those requiring that dividends be paid only out of
surplus, and provisions of our senior indebtedness can also
limit the ability of our subsidiaries to make distributions,
loans or other payments to us. See Description of Certain
Other Indebtedness Our New Senior Secured Credit
Facility.
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The interests of our principal stockholder may conflict
with your interests as a holder of the notes. |
An investor group led by our sponsors owns substantially all of
the outstanding equity securities of our parent. Welsh Carson
controls a majority of the voting power of such outstanding
equity securities and therefore ultimately controls all of our
affairs and policies, including the election of our board of
directors, the approval of certain actions such as amending our
charter, commencing bankruptcy proceedings and taking certain
corporate actions (including, without limitation, incurring
debt, issuing stock, selling assets and engaging in mergers and
acquisitions), and appointing members of our management. Welsh
Carsons interests in exercising control over our business
may conflict with your interests as a holder of the notes.
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INDUSTRY AND MARKET DATA
Throughout this prospectus we rely on and refer to information
and statistics regarding the healthcare industry. We obtained
this information and these statistics from various third-party
sources, discussions with our customers and our own internal
estimates. We believe that these sources and estimates are
reliable, but we have not independently verified them and cannot
guarantee their accuracy or completeness.
FORWARD LOOKING STATEMENTS
This prospectus contains forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995
regarding, among other things, our financial condition, results
of operations, plans, objectives, future performance and
business. All statements contained in this document other than
historical information are forward-looking statements.
Forward-looking statements include, but are not limited to,
statements that represent our beliefs concerning future
operations, strategies, financial results or other developments,
and contain words and phrases such as may,
expects, believes,
anticipates, estimates,
should, or similar expressions. Because these
forward-looking statements are based on estimates and
assumptions that are subject to significant business, economic
and competitive uncertainties, many of which are beyond our
control or are subject to change, actual results could be
materially different. Although we believe that our plans,
intentions and expectations reflected in or suggested by these
forward-looking statements are reasonable, we cannot assure you
that we will achieve or realize these plans, intentions or
expectations. Forward-looking statements are inherently subject
to risks, uncertainties and assumptions. Important factors that
could cause actual results to differ materially from the
forward-looking statements include, but are not limited to:
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compliance with the Medicare hospital within a
hospital regulation changes will require increased capital
expenditures and may have an adverse effect on our future net
operating revenues and profitability; |
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the failure of our long-term acute care hospitals to maintain
their status as such may cause our net operating revenues and
profitability to decline; |
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the failure of our facilities operated as hospitals within
hospitals to qualify as hospitals separate from their host
hospitals may cause our net operating revenues and profitability
to decline; |
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implementation of modifications to the admissions policies for
our inpatient rehabilitation facilities, as required to achieve
compliance with Medicare guidelines, may result in a loss of
patient volume at these hospitals and, as a result, may reduce
our future net operating revenues and profitability; |
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implementation of annual caps that limit the amounts that can be
paid for outpatient therapy services rendered to any Medicare
beneficiary may reduce our future net operating revenues and
profitability; |
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additional changes in government reimbursement for our services
may have an adverse effect on our future net operating revenues
and profitability; |
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changes in applicable regulations or a government investigation
or assertion that we have violated applicable regulations may
result in increased costs or sanctions that reduce our net
operating revenues and profitability; |
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integration of recently acquired operations and future
acquisitions may prove difficult or unsuccessful, use
significant resources or expose us to unforeseen liabilities; |
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private third-party payors for our services may undertake future
cost containment initiatives that limit our future net operating
revenues and profitability; |
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the failure to maintain established relationships with the
physicians in our markets could reduce our net operating
revenues and profitability; |
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shortages in qualified nurses or therapists could increase our
operating costs significantly; |
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competition may limit our ability to grow and result in a
decrease in our net operating revenues and profitability; |
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the loss of key members of our management team could
significantly disrupt our operations; and |
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the effect of claims asserted against us or lack of adequate
available insurance could subject us to substantial uninsured
liabilities. |
Consequently, such forward-looking statements should be regarded
solely as our current plans, estimates and beliefs. You should
review carefully the section captioned Risk Factors
in this prospectus for a more complete discussion of the risks
of an investment in the notes.
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THE EXCHANGE OFFER
General
Concurrently with the sale of the outstanding notes on
February 24, 2005, we entered into an exchange and
registration rights agreement with the initial purchasers of the
outstanding notes, which requires us to file a registration
statement under the Securities Act with respect to the exchange
notes and, upon the effectiveness of the registration statement,
offer to the holders of the outstanding notes the opportunity to
exchange their outstanding notes for a like principal amount of
exchange notes. The exchange notes will be issued without a
restrictive legend and generally may be reoffered and resold
without registration under the Securities Act. The exchange and
registration rights agreement further provides that we must
(i) file on or prior to 150 days, and use commercially
reasonable efforts to cause to become effective on or prior to
240 days, from the date of the original issue of the
outstanding notes, the registration statement of which this
prospectus is a part with respect to the exchange of the
outstanding notes for the exchange notes to be issued in the
exchange offer and (ii) use commercially reasonable efforts
to cause the exchange offer to be completed on or prior to
270 days from the original issue of the outstanding notes.
Except as described below, upon the completion of the exchange
offer, our obligations with respect to the registration of the
outstanding notes and the exchange notes will terminate. A copy
of the exchange and registration rights agreement has been filed
as an exhibit to the registration statement of which this
prospectus is a part. Following the completion of the exchange
offer, holders of outstanding notes not tendered will not have
any further registration rights other than as set forth in the
paragraphs below, and the outstanding notes will continue to be
subject to certain restrictions on transfer.
In order to participate in the exchange offer, a holder must
represent to us, among other things, that:
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the exchange notes acquired pursuant to the exchange offer are
being obtained in the ordinary course of business of the holder; |
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the holder does not have an arrangement or understanding with
any person to participate in the distribution of the exchange
notes; |
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the holder is not an affiliate, as defined under
Rule 405 under the Securities Act, of Select; and |
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if the holder is a broker-dealer that will receive exchange
notes for its own account in exchange for outstanding notes that
were acquired as a result of market-making or other trading
activities, then the holder will deliver a prospectus in
connection with any resale of such exchange notes. |
Under certain circumstances specified in the exchange and
registration rights agreement, we may be required to file a
shelf registration statement covering resales of the
outstanding notes pursuant to Rule 415 under the Securities
Act.
Based on an interpretation by the SECs staff set forth in
no-action letters issued to third parties unrelated to us, we
believe that, with the exceptions set forth below, the exchange
notes issued in the exchange offer may be offered for resale,
resold and otherwise transferred by the holder of exchange notes
without compliance with the registration and prospectus delivery
requirements of the Securities Act, unless the holder:
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is an affiliate, within the meaning of Rule 405
under the Securities Act, of Select; |
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is a broker-dealer who purchased outstanding notes directly from
us for resale under Rule 144A or Regulation S or any
other available exemption under the Securities Act; |
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acquired the exchange notes other than in the ordinary course of
the holders business; |
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has an arrangement with any person to engage in the distribution
of the exchange notes; or |
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is prohibited by any law or policy of the SEC from participating
in the exchange offer. |
Any holder who tenders in the exchange offer for the purpose of
participating in a distribution of the exchange notes cannot
rely on this interpretation by the SECs staff and must
comply with the registration and
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prospectus delivery requirements of the Securities Act in
connection with a secondary resale transaction. Each
broker-dealer that receives exchange notes for its own account
in exchange for outstanding notes, where such outstanding notes
were acquired by such broker-dealer as a result of market making
activities or other trading activities, must acknowledge that it
will deliver a prospectus in connection with any resale of such
exchange note. See Plan of Distribution.
Broker-dealers who acquired outstanding notes directly from us
and not as a result of market making activities or other trading
activities may not rely on the staffs interpretations
discussed above or participate in the exchange offer, and must
comply with the prospectus delivery requirements of the
Securities Act in order to sell the outstanding notes.
Terms of the Exchange Offer
Upon the terms and subject to the conditions set forth in this
prospectus and in the letter of transmittal, we will accept any
and all outstanding notes validly tendered and not withdrawn
prior to 5:00 p.m., New York City time, on July 26,
2005, or such date and time to which we extend the offer. We
will issue $1,000 in principal amount of exchange notes in
exchange for each $1,000 principal amount of outstanding notes
accepted in the exchange offer. Holders may tender some or all
of their outstanding notes pursuant to the exchange offer.
However, outstanding notes may be tendered only in integral
multiples of $1,000 in principal amount.
The exchange notes will evidence the same debt as the
outstanding notes and will be issued under the terms of, and
entitled to the benefits of, the indenture relating to the
outstanding notes.
As of the date of this prospectus, $660.0 million in
aggregate principal amount of outstanding notes were
outstanding, and there was one registered holder, a nominee of
The Depository Trust Company. This prospectus, together with the
letter of transmittal, is being sent to the registered holder
and to others believed to have beneficial interests in the
outstanding notes. We intend to conduct the exchange offer in
accordance with the applicable requirements of the Exchange Act
and the rules and regulations of the SEC promulgated under the
Exchange Act.
We will be deemed to have accepted validly tendered outstanding
notes when, as and if we have given oral or written notice
thereof to U.S. Bank Trust National Association, the
exchange agent. The exchange agent will act as agent for the
tendering holders for the purpose of receiving the exchange
notes from us. If any tendered outstanding notes are not
accepted for exchange because of an invalid tender, the
occurrence of certain other events set forth under the heading
Conditions to the Exchange Offer,
certificates for any such unaccepted outstanding notes will be
returned, without expense, to the tendering holder of those
outstanding notes promptly after the expiration date unless the
exchange offer is extended.
Holders who tender outstanding notes in the exchange offer will
not be required to pay brokerage commissions or fees or, subject
to the instructions in the letter of transmittal, transfer taxes
with respect to the exchange of outstanding notes in the
exchange offer. We will pay all charges and expenses, other than
certain applicable taxes, applicable to the exchange offer. See
Fees and Expenses.
Expiration Date; Extensions; Amendments
The expiration date shall be 5:00 p.m., New York City time,
on July 26, 2005, unless we, in our sole discretion, extend
the exchange offer, in which case the expiration date shall be
the latest date and time to which the exchange offer is
extended. In order to extend the exchange offer, we will notify
the exchange agent and each registered holder of any extension
by oral or written notice prior to 9:00 a.m., New York City
time, on the next business day after the previously scheduled
expiration date and will also disseminate notice of any
extension by press release or other public announcement prior to
9:00 a.m., New York City time on such date. We reserve the
right, in our sole discretion:
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to delay accepting any outstanding notes, to extend the exchange
offer or, if any of the conditions set forth under
Conditions to the Exchange Offer shall
not have been satisfied, to terminate the exchange offer, by
giving oral or written notice of that delay, extension or
termination to the exchange agent, or |
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to amend the terms of the exchange offer in any manner. |
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In the event that we make a fundamental change to the terms of
the exchange offer, we will file a post-effective amendment to
the registration statement. In the event that we make a material
change in the exchange offer, including the waiver of a material
condition, we will extend the expiration date of the exchange
offer so that at least five business days remain in the exchange
offer following notice of the material change.
Procedures for Tendering
Only a holder of outstanding notes may tender the outstanding
notes in the exchange offer. Except as set forth under
Book-Entry Transfer, to tender in the
exchange offer a holder must complete, sign and date the letter
of transmittal, or a copy of the letter of transmittal, have the
signatures on the letter of transmittal guaranteed if required
by the letter of transmittal and mail or otherwise deliver the
letter of transmittal or copy to the exchange agent prior to the
expiration date. In addition:
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certificates for the outstanding notes must be received by the
exchange agent along with the letter of transmittal prior to the
expiration date, or |
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a timely confirmation of a book-entry transfer, or a book-entry
confirmation, of the outstanding notes, if that procedure is
available, into the exchange agents account at The
Depository Trust Company, which we refer to as the book-entry
transfer facility, following the procedure for book-entry
transfer described below, must be received by the exchange agent
prior to the expiration date, or you must comply with the
guaranteed delivery procedures described below. |
To be tendered effectively, the letter of transmittal and the
required documents must be received by the exchange agent at the
address set forth under Exchange Agent
prior to the expiration date.
Your tender, if not withdrawn prior to 5:00 p.m., New York
City time, on the expiration date, will constitute an agreement
between you and us in accordance with the terms and subject to
the conditions set forth herein and in the letter of transmittal.
The method of delivery of outstanding notes and the letter of
transmittal and all other required documents to the exchange
agent is at your election and risk. Instead of delivery by mail,
it is recommended that you use an overnight or hand delivery
service. In all cases, sufficient time should be allowed to
assure delivery to the exchange agent before the expiration
date. No letter of transmittal or outstanding notes should be
sent to us. You may request your broker, dealer, commercial
bank, trust company or nominee to effect these transactions for
you.
Any beneficial owner whose outstanding notes are registered in
the name of a broker, dealer, commercial bank, trust company, or
other nominee and who wishes to tender should contact the
registered holder promptly and instruct the registered holder to
tender on the beneficial owners behalf. If the beneficial
owner wishes to tender on its own behalf, the beneficial owner
must, prior to completing and executing the letter of
transmittal and delivering the owners outstanding notes,
either make appropriate arrangements to register ownership of
the outstanding notes in the beneficial owners name or
obtain a properly completed bond power from the registered
holder. The transfer of registered ownership may take
considerable time.
Signatures on a letter of transmittal or a notice of withdrawal,
as the case may be, must be guaranteed by an eligible
guarantor institution within the meaning of
Rule 17Ad-15 under the Exchange Act unless outstanding
notes tendered pursuant thereto are tendered:
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by a registered holder who has not completed the box entitled
Special Issuance Instruction or Special
Delivery Instructions on the letter of transmittal, or |
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for the account of an eligible guarantor institution. |
If signatures on a letter of transmittal or a notice of
withdrawal, as the case may be, are required to be guaranteed,
the guarantee must be by any eligible guarantor institution that
is a member of or participant in the Securities Transfer Agents
Medallion Program, the New York Stock Exchange Medallion
Signature Program or an eligible guarantor institution.
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If the letter of transmittal is signed by a person other than
the registered holder of any outstanding notes listed in the
letter of transmittal, the outstanding notes must be endorsed or
accompanied by a properly completed bond power, signed by the
registered holder as that registered holders name appears
on the outstanding notes.
If the letter of transmittal or any outstanding notes or bond
powers are signed by any trustee, executor, administrator,
guardian, attorney-in-fact or officer, such person should so
indicate when signing, and evidence satisfactory to us of their
authority to so act must be submitted with the letter of
transmittal unless waived by us.
All questions as to the validity, form, eligibility, including
time of receipt, acceptance, and withdrawal of tendered
outstanding notes will be determined by us in our sole
discretion, which determination will be final and binding. We
reserve the absolute right to reject any and all outstanding
notes not properly tendered or any outstanding notes our
acceptance of which would, in the opinion of our counsel, be
unlawful. We also reserve the right to waive any defects,
irregularities or conditions of tender as to particular
outstanding notes. Our interpretation of the terms and
conditions of the exchange offer, including the instructions in
the letter of transmittal, will be final and binding on all
parties. Unless waived, any defects or irregularities in
connection with tenders of outstanding notes must be cured
within such time as we shall determine. Although we intend to
notify holders of defects or irregularities with respect to
tenders of outstanding notes, neither we, the exchange agent,
nor any other person shall incur any liability for failure to
give that notification. Tenders of outstanding notes will not be
deemed to have been made until such defects or irregularities
have been cured or waived. Any outstanding notes received by the
exchange agent that are not properly tendered and as to which
the defects or irregularities have not been cured or waived will
be returned by the exchange agent to the tendering holders,
unless otherwise provided in the letter of transmittal, promptly
following the expiration date, unless the exchange offer is
extended.
In addition, we reserve the right in our sole discretion to
purchase or make offers for any outstanding notes that remain
outstanding after the expiration date or, as set forth under
Conditions to the Exchange Offer, to
terminate the exchange offer and, to the extent permitted by
applicable law, purchase outstanding notes in the open market,
in privately negotiated transactions, or otherwise. The terms of
any such purchases or offers could differ from the terms of the
exchange offer.
In all cases, issuance of exchange notes for outstanding notes
that are accepted for exchange in the exchange offer will be
made only after timely receipt by the exchange agent of
certificates for such outstanding notes or a timely book-entry
confirmation of such outstanding notes into the exchange
agents account at the book-entry transfer facility, a
properly completed and duly executed letter of transmittal or,
with respect to The Depository Trust Company and its
participants, electronic instructions in which the tendering
holder acknowledges its receipt of and agreement to be bound by
the letter of transmittal, and all other required documents. If
any tendered outstanding notes are not accepted for any reason
set forth in the terms and conditions of the exchange offer or
if outstanding notes are submitted for a greater principal
amount than the holder desires to exchange, such unaccepted or
non-exchanged outstanding notes will be returned without expense
to the tendering holder or, in the case of outstanding notes
tendered by book-entry transfer into the exchange agents
account at the book-entry transfer facility according to the
book-entry transfer procedures described below, those
non-exchanged outstanding notes will be credited to an account
maintained with that book-entry transfer facility, in each case,
promptly after the expiration or termination of the exchange
offer.
Each broker-dealer that receives exchange notes for its own
account in exchange for outstanding notes, where those
outstanding notes were acquired by such broker-dealer as a
result of market making activities or other trading activities,
must acknowledge that it will deliver a prospectus in connection
with any resale of those exchange notes. See Plan of
Distribution.
Book-Entry Transfer
The exchange agent will make a request to establish an account
with respect to the outstanding notes at the book-entry transfer
facility for purposes of the exchange offer promptly after the
date of this prospectus, and any financial institution that is a
participant in the book-entry transfer facilitys systems
may make book-
30
entry delivery of outstanding notes being tendered by causing
the book-entry transfer facility to transfer such outstanding
notes into the exchange agents account at the book-entry
transfer facility in accordance with that book-entry transfer
facilitys procedures for transfer. However, although
delivery of outstanding notes may be effected through book-entry
transfer at the book-entry transfer facility, the letter of
transmittal or copy of the letter of transmittal, with any
required signature guarantees and any other required documents,
must, in any case other than as set forth in the following
paragraph, be transmitted to and received by the exchange agent
at the address set forth under Exchange
Agent on or prior to the expiration date or the guaranteed
delivery procedures described below must be complied with.
The Depository Trust Companys Automated Tender Offer
Program is the only method of processing exchange offers through
The Depository Trust Company. To accept the exchange offer
through the Automated Tender Offer Program, participants in The
Depository Trust Company must send electronic instructions to
The Depository Trust Company through The Depository Trust
Companys communication system instead of sending a signed,
hard copy letter of transmittal. The Depository Trust Company is
obligated to communicate those electronic instructions to the
exchange agent. To tender outstanding notes through the
Automated Tender Offer Program, the electronic instructions sent
to The Depository Trust Company and transmitted by The
Depository Trust Company to the exchange agent must contain the
character by which the participant acknowledges its receipt of
and agrees to be bound by the letter of transmittal.
Guaranteed Delivery Procedures
If a registered holder of the outstanding notes desires to
tender outstanding notes and the outstanding notes are not
immediately available, or time will not permit that
holders outstanding notes or other required documents to
reach the exchange agent prior to 5:00 p.m., New York City
time, on the expiration date, or the procedure for book-entry
transfer cannot be completed on a timely basis, a tender may be
effected if:
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the tender is made through an eligible guarantor institution; |
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|
prior to 5:00 p.m., New York City time, on the expiration
date, the exchange agent receives from that eligible guarantor
institution a properly completed and duly executed letter of
transmittal or a facsimile of a duly executed letter of
transmittal and notice of guaranteed delivery, substantially in
the form provided by us, by telegram, fax transmission, mail or
hand delivery, setting forth the name and address of the holder
of outstanding notes and the amount of the outstanding notes
tendered and stating that the tender is being made by guaranteed
delivery, the certificates for all physically tendered
outstanding notes, in proper form for transfer, or a book-entry
confirmation, as the case may be, will be deposited by the
eligible guarantor institution with the exchange agent; and |
|
|
|
the certificates for all physically tendered outstanding notes,
in proper form for transfer, or a book-entry confirmation, as
the case may be, are received by the exchange agent within five
business days after the date of execution of the notice of
guaranteed delivery. |
Withdrawal Rights
Tenders of outstanding notes may be withdrawn at any time prior
to 5:00 p.m., New York City time, on the expiration date.
For a withdrawal of a tender of outstanding notes to be
effective, a written or, for The Depository Trust Company
participants, electronic Automated Tender Offer Program
transmission, notice of withdrawal, must be received by the
exchange agent at its address set forth under
Exchange Agent prior to 5:00 p.m.,
New York City time, on the expiration date. Any such notice
of withdrawal must:
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|
specify the name of the person having deposited the outstanding
notes to be withdrawn, whom we refer to as the depositor; |
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|
identify the outstanding notes to be withdrawn, including the
certificate number or numbers and principal amount of such
outstanding notes; |
31
|
|
|
|
|
be signed by the holder in the same manner as the original
signature on the letter of transmittal by which such outstanding
notes were tendered, including any required signature
guarantees, or be accompanied by documents of transfer
sufficient to have the trustee register the transfer of such
outstanding notes into the name of the person withdrawing the
tender; and |
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|
|
specify the name in which any such outstanding notes are to be
registered, if different from that of the depositor. |
All questions as to the validity, form, eligibility and time of
receipt of such notices will be determined by us, whose
determination shall be final and binding on all parties. Any
outstanding notes so withdrawn will be deemed not to have been
validly tendered for exchange for purposes of the exchange
offer. Any outstanding notes which have been tendered for
exchange, but which are not exchanged for any reason, will be
returned to the holder of those outstanding notes without cost
to that holder promptly after withdrawal, rejection of tender,
or termination of the exchange offer. Properly withdrawn
outstanding notes may be retendered by following one of the
procedures under Procedures for
Tendering at any time on or prior to the expiration date.
Conditions to the Exchange Offer
Notwithstanding any other provision of the exchange offer, we
will not be required to accept for exchange, or to issue
exchange notes in exchange for, any outstanding notes and may
terminate or amend the exchange offer if at any time before the
expiration of the exchange offer, we determine that the exchange
offer violates applicable law, any applicable interpretation of
the staff of the SEC or any order of any governmental agency or
court of competent jurisdiction.
The foregoing conditions are for our sole benefit and may be
asserted by us regardless of the circumstances giving rise to
any such condition or may be waived by us in whole or in part at
any time and from time to time. The failure by us at any time to
exercise any of the foregoing rights shall not be deemed a
waiver of any of those rights and each of those rights shall be
deemed an ongoing right which may be asserted at any time and
from time to time.
In addition, we will not accept for exchange any outstanding
notes tendered, and no exchange notes will be issued in exchange
for those outstanding notes, if at such time any stop order
shall be threatened or in effect with respect to the
registration statement of which this prospectus constitutes a
part or the qualification of the indenture under the
Trust Indenture Act of 1939. In any of those events we are
required to use every reasonable effort to obtain the withdrawal
of any stop order at the earliest possible time.
Effect of Not Tendering
Holders of outstanding notes who do not exchange their
outstanding notes for exchange notes in the exchange offer will
remain subject to the restrictions on transfer of such
outstanding notes:
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|
|
|
|
as set forth in the legend printed on the outstanding notes as a
consequence of the issuance of the outstanding notes pursuant to
the exemptions from, or in transactions not subject to, the
registration requirements of the Securities Act and applicable
state securities laws; and |
|
|
|
otherwise set forth in the prospectus distributed in connection
with the private offering of the outstanding notes. |
Exchange Agent
All executed letters of transmittal should be directed to the
exchange agent. U.S. Bank Trust National Association
has been appointed as exchange agent for the exchange offer.
Questions, requests for assistance
32
and requests for additional copies of this prospectus or of the
letter of transmittal should be directed to the exchange agent
addressed as follows:
|
|
|
By Mail, Hand Delivery or Facsimile:
|
|
U.S. Bank Trust National Association |
|
|
Specialized Finance Group |
|
|
60 Livingston Avenue |
|
|
St. Paul, MN 55107 |
|
|
Facsimile: (651) 495-8158 |
Originals of all documents sent by facsimile should be sent
promptly by registered or certified mail, by hand or by
overnight delivery service.
Fees and Expenses
We will not make any payments to brokers, dealers or others
soliciting acceptances of the exchange offer. The principal
solicitation is being made by mail; however, additional
solicitations may be made in person or by telephone by our
officers and employees. The estimated cash expenses to be
incurred in connection with the exchange offer will be paid by
us and will include fees and expenses of the exchange agent,
accounting, legal, printing and related fees and expenses.
Transfer Taxes
Holders who tender their outstanding notes for exchange will not
be obligated to pay any transfer taxes in connection with that
tender or exchange, except that holders who instruct us to
register exchange notes in the name of, or request that
outstanding notes not tendered or not accepted in the exchange
offer be returned to, a person other than the registered
tendering holder will be responsible for the payment of any
applicable transfer tax on those outstanding notes.
33
THE TRANSACTIONS
On February 24, 2005, EGL Acquisition Corp. was merged with
and into Select, with Select continuing as the surviving
corporation and a wholly owned subsidiary of Select Medical
Holdings Corporation. Select Medical Holdings Corporation was
formally known as EGL Holding Company and is referred to in this
prospectus as Holdings. The merger was completed pursuant to an
agreement and plan of merger, dated as of October 17, 2004,
among EGL Acquisition Corp., Holdings and Select. Holdings and
EGL Acquisition Corp. were Delaware corporations formed by Welsh
Carson for purposes of engaging in the merger and the related
transactions described below.
Upon the consummation of the merger, Select became a wholly
owned subsidiary of Holdings and all of the capital stock of
Holdings was owned by an investor group that includes our
sponsors, Welsh Carson and Thoma Cressey, and certain other
rollover investors that participated in the merger.
We refer to those other investors as the continuing
investors. Our continuing investors include Rocco A.
Ortenzio, our Executive Chairman and the chairman of our board
of directors, Robert A. Ortenzio, our Chief Executive Officer
and a member of our board of directors, certain other investors
who are members of or affiliated with the Ortenzio family,
certain individuals affiliated with Welsh Carson, including
Russell L. Carson, a member of our board of directors and a
founding general partner of Welsh, Carson, Anderson &
Stowe, Bryan C. Cressey, a member of our board of directors and
a founding partner of Thoma Cressey, various investment funds
affiliated with Thoma Cressey, Patricia A. Rice, our President
and Chief Operating Officer, Martin F. Jackson, our Senior Vice
President and Chief Financial Officer, S. Frank Fritsch, our
Senior Vice President, Human Resources, Michael E. Tarvin, our
Senior Vice President, General Counsel and Secretary, James J.
Talalai, our Senior Vice President and Chief Information
Officer, and Scott A. Romberger, our Vice President, Controller
and Chief Accounting Officer. Immediately prior to the merger,
shares of our common stock which were owned by our continuing
investors were contributed to Holdings in exchange for equity
securities of Holdings. For purposes of such exchange, these
rollover shares were valued at $152.0 million in the
aggregate, or $18.00 per share (the per share merger
consideration). Upon consummation of the merger, these rollover
shares were cancelled without payment of any merger
consideration.
The amount of funds and rollover equity used to consummate the
Transactions was $2,443.1 million, including:
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|
$1,827.7 million to pay our then existing stockholders
(other than rollover stockholders) and option holders all
amounts due under the merger agreement; |
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|
$152.0 million of rollover equity from our continuing
investors; |
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|
$344.2 million to repay existing indebtedness; and |
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|
$119.2 million to pay related fees and expenses, including
premiums, consent fees and interest payable in connection with
the tender offers and consent solicitations for our existing
senior subordinated notes. |
The Transactions were financed by:
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|
a cash equity investment in Holdings of $570.0 million by
an investor group led by our sponsors (the net proceeds of which
were contributed by Holdings to us) and a rollover equity
investment in Holdings of $152.0 million by our continuing
investors; |
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|
Holdings issuance and sale of senior subordinated notes,
preferred stock and common stock to WCAS Capital Partners IV,
L.P., an investment fund affiliated with Welsh Carson, Rocco A.
Ortenzio, Robert A. Ortenzio and certain other investors who are
members of or affiliated with the Ortenzio family, for an
aggregate purchase price of $150.0 million (the net
proceeds of which were contributed by Holdings to us); |
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|
borrowings by us of $580.0 million in term loans and
$200.0 million in revolving loans under our new senior
secured credit facility; |
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|
existing cash on hand of $131.1 million; and |
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|
the issuance of $660.0 million in aggregate principal
amount of the outstanding notes. |
34
In connection with the merger, we commenced tender offers to
acquire all of our
91/2% senior
subordinated notes due 2009 and all of our
71/2% senior
subordinated notes due 2013. In connection with each such tender
offer we sought consents to eliminate substantially all of the
restrictive covenants and make other amendments to the
indentures governing such notes. Upon completion of the tender
offers on February 24, 2005, holders of all of our
71/2% senior
subordinated notes and holders of approximately 96.7% of our
91/2% senior
subordinated notes had delivered consents and tendered their
notes in connection with such tender offers and consent
solicitations.
As a result of the Transactions, the majority of our assets and
liabilities were adjusted to their fair value as of
February 25, 2005. The excess of the total purchase price
over the fair value of our tangible and identifiable intangible
assets was allocated to goodwill, which is the subject of an
annual impairment test. Additionally, pursuant to Financial
Accounting Standards Board Emerging Issues Task Force Issue
No. 88-16 Basis in Leveraged Buyout
Transactions, a portion of the equity related to our
continuing stockholders was recorded at the stockholders
predecessor basis and a corresponding portion of the fair value
of the acquired assets was reduced accordingly. By definition,
our statements of financial position and results of operations
subsequent to the Transactions are not comparable to the same
statements for the periods prior to the Transactions due to the
resulting change in basis. See Unaudited Pro Forma
Condensed Consolidated Financial Information.
35
USE OF PROCEEDS
This exchange offer is intended to satisfy certain of our
obligations under the exchange and registration rights
agreement, dated February 24, 2005, by and among us and the
initial purchasers of the outstanding notes. We will not receive
any proceeds from the issuance of the exchange notes in the
exchange offer. In exchange for each of the exchange notes, we
will receive outstanding notes in like principal amount. We will
retire or cancel all of the outstanding notes tendered in the
exchange offer. Accordingly, issuance of the exchange notes will
not result in any change in our capitalization.
CAPITALIZATION
The following table sets forth our capitalization as of
March 31, 2005 on an actual basis. You should read this
table in conjunction with our unaudited and audited consolidated
financial statements and the related notes thereto included in
this prospectus.
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As of March 31, | |
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|
2005 | |
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| |
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|
(Dollars in millions) | |
Cash and cash equivalents
|
|
$ |
19.3 |
|
Debt:
|
|
|
|
|
|
New revolving credit facility(1)
|
|
|
200.0 |
|
|
New term loan facility(1)
|
|
|
580.0 |
|
|
91/2% senior
subordinated notes due 2009
|
|
|
5.8 |
|
|
Outstanding notes
|
|
|
660.0 |
|
|
Other debt and capital leases
|
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|
4.3 |
|
|
|
|
|
Total debt
|
|
|
1,450.1 |
|
Total stockholders equity
|
|
|
449.6 |
|
|
|
|
|
Total capitalization
|
|
$ |
1,899.7 |
|
|
|
|
|
|
|
(1) |
Total revolving loan availability under our new senior secured
credit facility is $300.0 million. Upon consummation of the
Transactions, we borrowed $200.0 million in revolving loans
to provide a portion of the funds required to consummate the
Transactions. In addition, approximately $16.4 million of
letters of credit were outstanding under our new senior secured
credit facility. |
36
SELECTED HISTORICAL CONSOLIDATED FINANCIAL DATA
You should read the following selected historical consolidated
financial data in conjunction with our consolidated financial
statements and the accompanying notes. You should also read
Managements Discussion and Analysis of Financial
Condition and Results of Operations. All of these
materials are contained in this prospectus. The data as of
December 31, 2000, 2001, 2002, 2003 and 2004 and for the
years ended December 31, 2000, 2001, 2002, 2003 and 2004
have been derived from consolidated financial statements audited
by PricewaterhouseCoopers LLP, an independent registered public
accounting firm. Consolidated balance sheets at
December 31, 2003 and 2004 and the related statements of
operations, stockholders equity and cash flows for the
years ended December 31, 2002, 2003 and 2004 and the
related notes appear elsewhere in this prospectus. The data for
the three months ended March 31, 2004, the period from
January 1, 2005 through February 24, 2005 and the
period from February 25, 2005 through March 31, 2005
have been derived from unaudited consolidated financial
statements also contained in this prospectus and which, in the
opinion of management, include all adjustments, consisting only
of normal recurring adjustments, necessary for a fair
presentation of the results for the unaudited interim period. By
definition, our statements of financial position and results of
operations subsequent to the Transactions are not comparable to
the same statements for the periods prior to the Transactions
due to the resulting change in basis.
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|
Predecessor | |
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Successor | |
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| |
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| |
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Three | |
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Period from | |
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Period from | |
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|
Months | |
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January 1, | |
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February 25 | |
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|
Year Ended December 31, | |
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Ended | |
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through | |
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|
through | |
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| |
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March 31, | |
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February 24, | |
|
|
March 31, | |
|
|
2000 | |
|
2001 | |
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
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| |
|
| |
|
| |
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| |
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| |
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| |
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| |
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| |
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(Dollars in thousands) | |
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Consolidated Statement of Operations Data:
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|
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|
|
|
|
|
|
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|
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|
|
|
|
|
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|
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|
|
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|
Net operating revenues
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|
$ |
805,897 |
|
|
$ |
958,956 |
|
|
$ |
1,126,559 |
|
|
$ |
1,392,366 |
|
|
$ |
1,660,791 |
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|
$ |
418,469 |
|
|
$ |
287,787 |
|
|
|
$ |
195,112 |
|
Operating expenses(1)
|
|
|
714,227 |
|
|
|
846,938 |
|
|
|
999,280 |
|
|
|
1,207,913 |
|
|
|
1,389,281 |
|
|
|
348,997 |
|
|
|
239,573 |
|
|
|
|
154,573 |
|
Stock compensation associated with the merger(2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
142,213 |
|
|
|
|
4,326 |
|
Depreciation and amortization
|
|
|
30,401 |
|
|
|
32,290 |
|
|
|
25,836 |
|
|
|
34,654 |
|
|
|
39,977 |
|
|
|
10,197 |
|
|
|
6,177 |
|
|
|
|
4,248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
Income (loss) from operations
|
|
|
61,269 |
|
|
|
79,728 |
|
|
|
101,443 |
|
|
|
149,799 |
|
|
|
231,533 |
|
|
|
59,275 |
|
|
|
(100,176 |
) |
|
|
|
31,965 |
|
Loss on early retirement of debt(3)
|
|
|
(6,247 |
) |
|
|
(14,223 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
Merger related charges(4)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
Equity in earnings from joint ventures
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
824 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
(35,187 |
) |
|
|
(29,209 |
) |
|
|
(26,614 |
) |
|
|
(25,404 |
) |
|
|
(31,051 |
) |
|
|
(9,053 |
) |
|
|
(4,211 |
) |
|
|
|
(9,559 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
19,835 |
|
|
|
36,296 |
|
|
|
74,829 |
|
|
|
125,219 |
|
|
|
200,482 |
|
|
|
50,222 |
|
|
|
(159,148 |
) |
|
|
|
22,406 |
|
Minority interests(5)
|
|
|
4,144 |
|
|
|
3,491 |
|
|
|
2,022 |
|
|
|
2,402 |
|
|
|
3,448 |
|
|
|
1,006 |
|
|
|
469 |
|
|
|
|
462 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
15,691 |
|
|
|
32,805 |
|
|
|
72,807 |
|
|
|
122,817 |
|
|
|
197,034 |
|
|
|
49,216 |
|
|
|
(159,617 |
) |
|
|
|
21,944 |
|
Income tax provision (benefit)
|
|
|
9,979 |
|
|
|
3,124 |
|
|
|
28,576 |
|
|
|
48,597 |
|
|
|
79,602 |
|
|
|
19,793 |
|
|
|
(59,366 |
) |
|
|
|
8,871 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
5,712 |
|
|
|
29,681 |
|
|
|
44,231 |
|
|
|
74,220 |
|
|
|
117,432 |
|
|
|
29,423 |
|
|
|
(100,251 |
) |
|
|
|
13,073 |
|
Income from discontinued operations, net of tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
251 |
|
|
|
752 |
|
|
|
147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
5,712 |
|
|
|
29,681 |
|
|
|
44,231 |
|
|
|
74,471 |
|
|
|
118,184 |
|
|
|
29,570 |
|
|
|
(100,251 |
) |
|
|
|
13,073 |
|
Less: Preferred dividends
|
|
|
8,780 |
|
|
|
2,513 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common stockholders
|
|
$ |
(3,068 |
) |
|
$ |
27,168 |
|
|
$ |
44,231 |
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
22,430 |
|
|
$ |
24,011 |
|
|
$ |
43,183 |
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
$ |
7,762 |
|
|
$ |
2,586 |
|
|
|
$ |
1,112 |
|
Ratio of earnings to fixed charges(6)
|
|
|
n/a |
|
|
|
1.6 |
x |
|
|
2.3 |
x |
|
|
3.1 |
x |
|
|
3.9 |
x |
|
|
3.8 |
x |
|
|
n/a |
|
|
|
|
2.7 |
x |
Cash Flow Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
$ |
22,513 |
|
|
$ |
95,770 |
|
|
$ |
120,812 |
|
|
$ |
246,248 |
|
|
$ |
174,276 |
|
|
$ |
76,529 |
|
|
$ |
19,056 |
|
|
|
$ |
(191,971 |
) |
Net cash provided by (used in) investing activities
|
|
|
14,197 |
|
|
|
(61,947 |
) |
|
|
(54,048 |
) |
|
|
(261,452 |
) |
|
|
(21,928 |
) |
|
|
(11,177 |
) |
|
|
(110,865 |
) |
|
|
|
(3,327 |
) |
Net cash provided by (used in) financing activities
|
|
|
(37,616 |
) |
|
|
(26,164 |
) |
|
|
(21,423 |
) |
|
|
124,318 |
|
|
|
(70,990 |
) |
|
|
(20,042 |
) |
|
|
202 |
|
|
|
|
58,816 |
|
Consolidated Balance Sheet Data (at end of period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
3,151 |
|
|
$ |
10,703 |
|
|
$ |
56,062 |
|
|
$ |
165,507 |
|
|
$ |
247,476 |
|
|
$ |
210,784 |
|
|
|
|
|
|
|
$ |
19,343 |
|
Working capital
|
|
|
105,567 |
|
|
|
126,749 |
|
|
|
130,621 |
|
|
|
188,380 |
|
|
|
313,715 |
|
|
|
210,878 |
|
|
|
|
|
|
|
|
157,965 |
|
Total assets
|
|
|
586,800 |
|
|
|
650,845 |
|
|
|
739,059 |
|
|
|
1,078,998 |
|
|
|
1,113,721 |
|
|
|
1,116,986 |
|
|
|
|
|
|
|
|
2,169,424 |
|
Total debt
|
|
|
302,788 |
|
|
|
288,423 |
|
|
|
260,217 |
|
|
|
367,503 |
|
|
|
354,590 |
|
|
|
364,744 |
|
|
|
|
|
|
|
|
1,450,097 |
|
Preferred stock
|
|
|
129,573 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
48,498 |
|
|
|
234,284 |
|
|
|
286,418 |
|
|
|
419,175 |
|
|
|
515,943 |
|
|
|
440,760 |
|
|
|
|
|
|
|
|
449,584 |
|
|
|
(1) |
Operating expenses include cost of services, general and
administrative expenses and bad debt expenses. |
footnotes continued on following page
37
|
|
(2) |
Consists of stock compensation expense related to the repurchase
of outstanding stock options in the Predecessor period of
January 1, 2005 through February 24, 2005 and
compensation expenses related to restricted stock and a warrant
that were issued in the Successor period of February 25,
2005 through March 31, 2005. |
|
(3) |
Reflects the write-off of deferred financing costs that resulted
from the refinancing of our senior credit facilities in
September 2000. Also reflects the write-off of deferred
financing costs and discounts resulting from the repayment of
indebtedness with the proceeds from our initial public offering
in April 2001 and our
91/2% senior
subordinated notes offering in June 2001. In connection with the
merger on February 24, 2005, we tendered for all of our
91/2% senior
subordinated notes due 2009 and all of our
71/2% senior
subordinated notes due 2013. The loss in the Successor period of
February 25, 2005 through March 31, 2005 consists of
the tender premium cost of $34.8 million and the write-off
of the remaining unamortized deferred financing costs of
$7.9 million. |
|
(4) |
As a result of the merger, we incurred costs in the Predecessor
period of January 1, 2005 through February 24, 2005
directly related to the merger. This included the cost of the
investment advisor hired by the Special Committee of our Board
of Directors to evaluate the merger, legal and accounting fees,
costs associated with the Hart-Scott-Rodino filing relating to
the merger, cost associated with purchasing a six year extended
reporting period under our directors and officers liability
insurance policy and other associated expenses. |
|
(5) |
Reflects interests held by other parties in subsidiaries,
limited liability companies and limited partnerships owned and
controlled by us. |
|
(6) |
For purposes of computing the ratio of earnings to fixed
charges, earnings consist of income (loss) from continuing
operations before income taxes, fixed charges, minority interest
in income of subsidiaries and income (loss) from unconsolidated
joint ventures. Fixed charges include preferred dividend
requirements of subsidiaries, deemed dividends on preferred
stock conversion, interest expense and the portion of operating
rents that is deemed representative of an interest factor. In
2000, and the period from January 1, 2005 through
February 24, 2005, the ratio coverage was less than 1:1. We
would have had to generate additional earnings of approximately
$4.3 million in 2000, and $159.1 million in the period
from January 1, 2005 through February 24, 2005 to
achieve a coverage ratio of 1:1. |
38
UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL
INFORMATION
The following unaudited pro forma condensed consolidated
financial data has been derived by the application of pro forma
adjustments to our historical consolidated statements of
operations. The unaudited pro forma condensed consolidated
statements of operations for the three months ended
March 31, 2005 give effect to the Transactions as if such
events occurred on January 1, 2005. The unaudited pro forma
condensed consolidated statements of operations for the year
ended December 31, 2004 give effect to the Transaction as
if such events occurred on January 1, 2004. The unaudited
pro forma condensed consolidated statements of operations is for
comparative purposes only and does not purport to represent what
our results of operations would actually have been had the
Transactions in fact occurred on the assumed dates or to project
our results of operations for any future date or future period.
A pro forma balance sheet is not presented because the
Transactions are fully reflected in our historical balance sheet
as of March 31, 2005 that is contained herein.
The acquisition of Select by Holdings is accounted for, and is
presented in the pro forma condensed consolidated statements of
operations, under the purchase method of accounting prescribed
in Statement of Financial Accounting Standards
(SFAS) No. 141, Business Combinations,
with intangible assets recorded in accordance with
SFAS No. 142, Goodwill and Other Intangible
Assets (FAS 142). The excess purchase price over net
tangible and intangible assets acquired and liabilities assumed
has been allocated to goodwill. The fair values of tangible and
identifiable intangible assets acquired were determined based on
preliminary valuation information. We continue to obtain
additional information necessary to finalize the determination
of the fair value of the assets acquired. In accordance with the
provisions of SFAS 142, identifiable intangibles are
amortized over their estimated life and no amortization of
indefinite-lived intangible assets or goodwill will be recorded.
Assumptions underlying the pro forma adjustments are described
in the accompanying notes, which should be read in conjunction
with these unaudited pro forma condensed consolidated statements
of operations. The actual purchase accounting adjustments
described in the accompanying notes were made as of the closing
date of the Transactions. Revisions to the preliminary purchase
price allocation of the Transactions may have an impact on the
unaudited pro forma condensed consolidated statements of
operations contained herein.
You should read our unaudited pro forma condensed consolidated
statements of operations and the related note thereto in
conjunction with our historical consolidated financial
statements and related notes thereto and other information in
Select Consolidated Financial Information, and
Managements Discussion and Analysis of Financial
Condition and Results of Operations.
39
UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF
OPERATIONS
FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Historical | |
|
Adjustments | |
|
Pro Forma | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
1,660,791 |
|
|
$ |
|
|
|
$ |
1,660,791 |
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
1,294,903 |
|
|
|
|
|
|
|
1,294,903 |
|
|
General and administrative
|
|
|
45,856 |
|
|
|
|
|
|
|
45,856 |
|
|
Bad debt expense
|
|
|
48,522 |
|
|
|
|
|
|
|
48,522 |
|
|
Depreciation and amortization
|
|
|
39,977 |
|
|
|
6,414 |
(1) |
|
|
46,391 |
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
1,429,258 |
|
|
|
6,414 |
|
|
|
1,435,672 |
|
|
|
|
|
|
|
|
|
|
|
Income from operations
|
|
|
231,533 |
|
|
|
(6,414 |
) |
|
|
225,119 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
(31,051 |
) |
|
|
(64,946 |
)(2) |
|
|
(95,997 |
) |
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before minority interests and
income taxes
|
|
|
200,482 |
|
|
|
(71,360 |
) |
|
|
129,122 |
|
Minority interest in consolidated subsidiary companies
|
|
|
3,448 |
|
|
|
|
|
|
|
3,448 |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
197,034 |
|
|
|
(71,360 |
) |
|
|
125,674 |
|
Income tax expense
|
|
|
79,602 |
|
|
|
(28,830 |
)(3) |
|
|
50,772 |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
117,432 |
|
|
$ |
(42,530 |
) |
|
$ |
74,902 |
|
|
|
|
|
|
|
|
|
|
|
40
UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF
OPERATIONS
FOR THE THREE MONTHS ENDED MARCH 31, 2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
|
|
|
|
|
|
| |
|
| |
|
Combined | |
|
|
|
|
|
|
For the Period | |
|
For the Period | |
|
Three | |
|
|
|
|
|
|
January 1 | |
|
February 25 | |
|
Months | |
|
|
|
|
|
|
through | |
|
through | |
|
Ended | |
|
|
|
|
|
|
February 24, | |
|
March 31, | |
|
March 31, | |
|
|
|
|
|
|
2005 | |
|
2005 | |
|
2005 | |
|
Adjustments | |
|
Pro Forma | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
287,787 |
|
|
$ |
195,112 |
|
|
$ |
482,899 |
|
|
$ |
|
|
|
$ |
482,899 |
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
225,428 |
|
|
|
145,608 |
|
|
|
371,036 |
|
|
|
|
|
|
|
371,036 |
|
|
Stock compensation associated with merger
|
|
|
142,213 |
|
|
|
4,326 |
|
|
|
146,539 |
|
|
|
|
|
|
|
146,539 |
|
|
General and administrative
|
|
|
7,484 |
|
|
|
4,356 |
|
|
|
11,840 |
|
|
|
|
|
|
|
11,840 |
|
|
Bad debt expense
|
|
|
6,661 |
|
|
|
4,609 |
|
|
|
11,270 |
|
|
|
|
|
|
|
11,270 |
|
|
Depreciation and amortization
|
|
|
6,177 |
|
|
|
4,248 |
|
|
|
10,425 |
|
|
|
1,069 |
(1) |
|
|
11,494 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
387,963 |
|
|
|
163,147 |
|
|
|
551,110 |
|
|
|
1,069 |
|
|
|
552,179 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(100,176 |
) |
|
|
31,965 |
|
|
|
(68,211 |
) |
|
|
(1,069 |
) |
|
|
(69,280 |
) |
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
(42,736 |
) |
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
|
(42,736 |
) |
|
Merger related charges
|
|
|
(12,025 |
) |
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
|
(12,025 |
) |
|
Interest expense, net
|
|
|
(4,211 |
) |
|
|
(9,559 |
) |
|
|
(13,770 |
) |
|
|
(10,280 |
)(2) |
|
|
(24,050 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(159,148 |
) |
|
|
22,406 |
|
|
|
(136,742 |
) |
|
|
(11,349 |
) |
|
|
(148,091 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
469 |
|
|
|
462 |
|
|
|
931 |
|
|
|
|
|
|
|
931 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(159,617 |
) |
|
|
21,944 |
|
|
|
(137,673 |
) |
|
|
(11,349 |
) |
|
|
(149,022 |
) |
Income tax expense (benefit)
|
|
|
(59,366 |
) |
|
|
8,871 |
|
|
|
(50,495 |
) |
|
|
(4,163 |
)(3) |
|
|
(54,658 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
13,073 |
|
|
$ |
(87,178 |
) |
|
|
(7,186 |
) |
|
$ |
(94,364 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
41
NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED
STATEMENTS OF OPERATIONS
(1) Represents amortization on an incremental increase in
identifiable intangible assets of which $32.1 million would
be amortized over a five year life.
(2) The adjustment to interest expense represents the
elimination of historical interest expense related to the
91/2%
and
71/2% senior
subordinated notes that were tendered. In addition, the
adjustment includes the recording of interest expense for the
Transactions, as if the Transactions had occurred as of the
beginning of the respective periods presented. The following
presents the interest expense for the senior subordinated notes
being offered hereby calculated based upon the interest rate and
principal amount outstanding and the interest expense for the
new term loans and revolving credit facility are calculated
based on the principal amount outstanding and interest rates:
|
|
|
|
|
|
|
|
|
|
|
Outstanding | |
|
|
|
|
Principal | |
|
Interest Rate | |
|
|
| |
|
| |
|
|
(In thousands) | |
|
|
New revolving credit facility
|
|
$ |
200,000 |
|
|
|
5.4145 |
% |
New term loans
|
|
|
580,000 |
|
|
|
4.6300 |
% |
Senior subordinated notes
|
|
|
660,000 |
|
|
|
7.6250 |
% |
The following table summarizes the Transactions pro forma
interest expense adjustment (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended | |
|
Ended | |
|
|
December 31, | |
|
March 31, | |
|
|
2004 | |
|
2005(a) | |
|
|
| |
|
| |
Eliminate interest expense on
91/2% senior
subordinated notes
|
|
$ |
(16,079 |
) |
|
$ |
(2,457 |
) |
Eliminate interest expense on
71/2% senior
subordinated notes
|
|
|
(13,125 |
) |
|
|
(2,005 |
) |
Eliminate amortization of deferred financing fees from the
tendered
91/2%
and
71/2% senior
subordinated notes and existing credit facility
|
|
|
(2,169 |
) |
|
|
(361 |
) |
Eliminate commitment fees related to former credit facility
|
|
|
(1,054 |
) |
|
|
(147 |
) |
Interest on new revolving credit facility
|
|
|
10,829 |
|
|
|
1,654 |
|
Commitment fee on unused portion of credit facility
|
|
|
424 |
|
|
|
70 |
|
Interest on new term loan facility
|
|
|
26,854 |
|
|
|
4,103 |
|
Interest on senior subordinated notes
|
|
|
50,325 |
|
|
|
7,689 |
|
Amortization of deferred financing fees from senior subordinated
notes and new credit facility
|
|
|
7,302 |
|
|
|
1,217 |
|
Reduction of interest income related to use of existing cash to
fund transaction(b)
|
|
|
1,639 |
|
|
|
517 |
|
|
|
|
|
|
|
|
Transaction pro forma interest adjustment
|
|
$ |
64,946 |
|
|
$ |
10,280 |
|
|
|
|
|
|
|
|
|
|
(a) |
Transaction pro forma interest adjustment for the three months
ended March 31, 2005 represents elimination of historical
amounts from January 1, 2005 through February 24, 2005
and inclusion of pro forma amounts for that same period. |
|
|
|
(b) |
|
The reduction in interest income is related to the use of
$131.1 million of Selects existing cash to fund the
transaction. The interest rates used were 1.250% and 2.369% for
the year ended December 31, 2004 and the three months ended
March 31, 2005, respectively, and represent the average
interest rate earned by us during the period presented. |
An increase or decrease in 12.5 basis points would result
in an increase or decrease of annual interest expense associated
with the new revolving credit facility and the new term loan
facility of approximately $1.0 million.
(3) Represents the incremental tax effect of the
adjustments based upon our effective statutory tax rate as
follows:
|
|
|
|
|
Time Period |
|
Tax Rate | |
|
|
| |
Year Ended December 31, 2004
|
|
|
40.4 |
% |
Three Months Ended March 31, 2005
|
|
|
36.7 |
% |
42
MANAGEMENTS DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
You should read this discussion together with our
consolidated financial statements and the accompanying notes and
Selected Historical Consolidated Financial Data
included elsewhere in this prospectus.
Overview
We are a leading operator of specialty hospitals in the United
States. We are also a leading operator of outpatient
rehabilitation clinics in the United States and Canada. As of
March 31, 2005, we operated 99 long-term acute care
hospitals in 26 states, four acute medical rehabilitation
hospitals, which are certified by Medicare as inpatient
rehabilitation facilities, in New Jersey and 753 outpatient
rehabilitation clinics in 25 states, the District of
Columbia and seven Canadian provinces. We also provide medical
rehabilitation services on a contract basis at nursing homes,
hospitals, assisted living and senior care centers, schools and
work sites. We began operations in 1997 under the leadership of
our current management team.
On February 24, 2005, we consummated a merger with a wholly
owned subsidiary of Select Medical Holdings Corporation
(Holdings) pursuant to which we became a wholly
owned subsidiary of Holdings. Holdings is owned by an investor
group that includes affiliates of Welsh Carson and Thoma Cressey
and members of our senior management. This merger is discussed
in more detail herein. As a result of the merger, a majority of
our assets and liabilities have been adjusted to their fair
value as of the closing. We have also experienced an increase in
our aggregate outstanding indebtedness as a result of financing
transactions associated with the merger. Accordingly, our
amortization expense and interest expense is higher in periods
following the merger. The excess of the total purchase price
over the fair value of our tangible and identifiable intangible
assets of $1.3 billion has been allocated to goodwill,
which will be the subject of an annual impairment test. In
determining the total economic consideration to use for
financial accounting purposes, we have applied guidance found in
Financial Accounting Standards Board Emerging Issues Task Force
Issue No. 88-16 Basis in Leveraged Buyout
Transactions. This has resulted in a portion of the equity
related to our continuing stockholders to be recorded at the
stockholders predecessor basis and a corresponding portion
of the acquired assets to be recorded likewise.
Although the Predecessor and Successor results are not
comparable by definition due to the merger and the resulting
change in basis, for ease of comparison in the following
discussion, the financial data for the period after the merger,
February 25, 2005 through March 31, 2005 (Successor
period), has been added to the financial data for the period
from January 1, 2005 through February 24, 2005
(Predecessor period), to arrive at the combined three months
ended March 31, 2005. The combined data is referred to
herein as the combined three months ended March 31, 2005.
As a result of the merger, interest expense, loss on early
retirement of debt, merger related charges, depreciation and
amortization have been impacted. No other statement of
operations data has been affected as a result of the merger.
Accordingly, we believe this combined presentation is a
reasonable means of presenting our operating results.
We manage our company through two business segments, our
specialty hospital segment and our outpatient rehabilitation
segment. We had net operating revenues of $1,660.8 million
and $482.9 million for the year ended December 31,
2004 and the combined three months ended March 31, 2005,
respectively. Of this total, we earned approximately 66% and 71%
of our net operating revenues from our specialty hospitals and
approximately 34% and 29% from our outpatient rehabilitation
business for the year ended December 31, 2004 and the
combined three months ended March 31, 2005, respectively.
Our specialty hospital segment consists of hospitals designed to
serve the needs of long-term stay acute patients and hospitals
designed to serve patients that require intensive medical
rehabilitation care. Patients in our long-term acute care
hospitals typically suffer from serious and often complex
medical conditions that require a high degree of care. Patients
in our inpatient rehabilitation facilities typically suffer from
debilitating injuries, including traumatic brain and spinal cord
injuries, and require rehabilitation care in the form of
physical and vocational rehabilitation services. Our outpatient
rehabilitation business consists of clinics and contract
services that provide physical, occupational and speech
rehabilitation services. Our outpatient
43
rehabilitation patients are typically diagnosed with
musculoskeletal impairments that restrict their ability to
perform normal activities of daily living.
Recent Trends and Events
|
|
|
First Quarter Ended March 31, 2005 |
For the combined three months ended March 31, 2005, our net
operating revenues increased 15.4% to $482.9 million
compared to the three months ended March 31, 2004. This
increase in net operating revenues was principally attributable
to our acquisition of SemperCare, Inc. on January 1, 2005
and the growth in net operating revenues at our same store
hospitals. This growth in net operating revenue was offset by a
decline in our outpatient rehabilitation net operating revenues
that resulted from a decline in the number of clinics we operate
and in the volume of visits occurring at the operating clinics.
We incurred a loss from operations for the combined three months
ended March 31, 2005 of $68.2 million that was
attributable to the stock compensation costs associated with the
merger. Excluding the stock compensation costs associated with
the merger of $146.5 million, income from operations would
have been $78.3 million compared to $59.3 million for
the three months ended March 31, 2004. This increase is
also principally attributable to the growth in income at our
same store hospitals and the income generated from the recently
acquired SemperCare hospitals. For the combined three months
ended March 31, 2005, we also incurred a loss of early
retirement of debt of $42.7 million related to the tender
of our
71/2%
and
91/2% senior
subordinated notes and other expenses related to our merger of
$12.0 million.
Our cash flow from operations used $172.9 million of cash
for the combined three months ended March 31, 2005, which
includes $186.0 million in cash expenses related to the
merger. Excluding the merger related expenses, operating
activities would have provided $13.1 million of cash flow.
On January 1, 2005, we acquired SemperCare, Inc., or
SemperCare, for approximately $100 million in cash. The
purchase price for the SemperCare acquisition is subject to an
upward or downward adjustment based on the level of
SemperCares net working capital on the closing date of the
acquisition. SemperCare operated 17 long-term acute care
hospitals in 11 states. Six of the SemperCare facilities
are in markets that overlap with other of our hospital markets.
All of the SemperCare facilities are HIHs, and we expect to
transition these facilities to adapt to the new HIH regulations
within a similar time frame and using strategies similar to
those that we will use to transition our other HIHs.
|
|
|
Year Ended December 31, 2004 |
In 2004 our net operating revenues increased 19.3%, income from
operations increased 54.6%, net income increased 58.7% and
diluted earnings per share increased 54.2% over 2003. Our
specialty hospital segment was the primary source of this
growth. In our specialty hospital segment we experienced growth
resulting from the addition of four inpatient rehabilitation
facilities acquired through our September 2003 acquisition of
Kessler Rehabilitation Corporation, growth from our hospitals
opened in 2003 and 2004, and an increase in our revenue per
patient day in our same store hospitals. Our outpatient segment
experienced growth related primarily to the full year effect of
the Kessler clinics in 2004. We also continued to experience
significant cash flow from operations resulting from our growth
in net income and a continued reduction in accounts receivable
days outstanding.
Regulatory Changes
On August 11, 2004, the Centers for Medicare &
Medicaid Services, also known as CMS, published final
regulations applicable to long-term acute care hospitals that
are operated as hospitals within hospitals or as
satellites (collectively referred to as
HIHs). HIHs are separate hospitals located in space
leased from, and located in, general acute care hospitals, known
as host hospitals. Effective for hospital cost
reporting periods beginning on or after October 1, 2004,
subject to certain exceptions, the final regulations provide
lower rates of reimbursement to HIHs for those Medicare patients
admitted from their hosts that are in excess of a
44
specified percentage threshold. For HIHs opened after
October 1, 2004, the Medicare admissions threshold has been
established at 25%. For HIHs that meet specified criteria and
were in existence as of October 1, 2004, including all of
our existing HIHs, the Medicare admissions thresholds will be
phased-in over a four-year period starting with hospital cost
reporting periods beginning on or after October 1, 2004, as
follows: (i) for discharges during the cost reporting
period beginning on or after October 1, 2004 and before
October 1, 2005, the Medicare admissions threshold is the
Fiscal 2004 Percentage (as defined below) of Medicare
discharges admitted from the host hospital; (ii) for
discharges during the cost reporting period beginning on or
after October 1, 2005 and before October 1, 2006, the
Medicare admissions threshold is the lesser of the Fiscal
2004 Percentage of Medicare discharges admitted from the
host hospital or 75%; (iii) for discharges during the cost
reporting period beginning on or after October 1, 2006 and
before October 1, 2007, the Medicare admissions threshold
is the lesser of the Fiscal 2004 Percentage of Medicare
discharges admitted from the host hospital or 50%; and
(iv) for discharges during cost reporting periods beginning
on or after October 1, 2007, the Medicare admissions
threshold is 25%. As used above, Fiscal
2004 Percentage means, with respect to any HIH, the
percentage of all Medicare patients discharged by such HIH
during its cost reporting period beginning on or after
October 1, 2003 and before October 1, 2004 who were
admitted to such HIH from its host hospital.
At December 31, 2004, we operated 82 long-term acute care
hospitals. Of this total, 78 operated as HIHs. At March 31,
2005 we operated 99 long-term acute care hospitals, 95 of which
operated as HIHs. For the year ended December 31, 2004,
approximately 60% of the Medicare admissions to our HIHs were
from host hospitals. For the year ended December 31, 2004,
approximately 9% of our HIHs admitted 25% or fewer of their
Medicare patients from their host hospitals, approximately 31%
of our HIHs admitted 50% or fewer of their Medicare patients
from their host hospitals, and approximately 78% of our HIHs
admitted 75% or fewer of their Medicare patients from their host
hospitals. There are several factors that should be taken into
account in evaluating this admissions data. First, the
admissions data for the year ended December 31, 2004 is not
necessarily indicative of the admissions mix these hospitals
will experience in the future. Second, admissions data for the
year ended December 31, 2004 includes four hospitals that
were open for less than one year, and the data from these
hospitals may not be indicative of the admissions mix these
hospitals will experience over a longer period of time. Third,
admissions data for the year ended December 31, 2004 does
not include admissions data for the hospitals recently acquired
in the SemperCare acquisition.
Our existing HIHs will be substantially unaffected by the new
HIH regulations until cost reporting periods beginning on or
after October 1, 2005, when the 75% limitation on Medicare
host admissions is implemented. Thus, the HIH regulations had no
effect on our 2004 financial results. Our HIHs have cost
reporting periods that commence on various dates throughout the
calendar year. Consequently, any effect of the new admissions
thresholds on our HIHs may be delayed depending on when a
particular HIHs cost reporting period begins. For example,
although approximately 22% of our HIHs open at December 31,
2004 admitted more than 75% of their Medicare patients from
their host hospitals during the year ended December 31,
2004, only three of such HIHs have cost reporting periods that
will begin after October 1, 2005 and before
December 31, 2005. As a result, the HIH regulations should
have only a minimal impact on our 2005 financial results.
In order to minimize the more significant impact of the HIH
regulations in 2006 and future years, we have developed a
business plan and strategy in each of our markets to adapt to
the HIH regulations and maintain our companys current
business. Our transition plan includes managing admissions at
existing HIHs, relocating certain HIHs to leased spaces in
smaller host hospitals in the same markets, consolidating HIHs
in certain of our markets, relocating certain of our facilities
to alternative settings, building or buying free-standing
facilities and closing a small number of facilities. We
currently anticipate that approximately 50% of our hospitals
will not require a move.
The new HIH regulations established exceptions to the Medicare
admissions thresholds with respect to patients who reach
outlier status at the host hospital, HIHs located in
MSA-dominant hospitals or HIHs located in rural
areas.
45
Development of New Specialty Hospitals and Clinics
Historically our goal had been to open approximately eight to
ten new long-term acute care hospitals each year, utilizing
primarily our hospital within a hospital model. As a
result of the regulatory changes published by CMS on
August 11, 2004, we opened four long-term acute care
hospitals in 2004. We expect to open four new long-term acute
care hospitals in 2005, primarily in settings where the new HIH
regulations would have little or no impact, for example, in
free-standing buildings. Additionally, we are evaluating
opportunities to develop free-standing inpatient rehabilitation
facilities similar to the four inpatient rehabilitation
facilities acquired through our September 2003 Kessler
acquisition. We also intend to open new outpatient
rehabilitation clinics in our current markets where we can
benefit from existing referral relationships and brand awareness
to produce incremental growth.
Critical Accounting Matters
Our net operating revenues are derived from a number of sources,
including commercial, managed care, private and governmental
payors. Our net operating revenues include amounts estimated by
management to be reimbursable from each of the applicable payors
and the federal Medicare program. Amounts we receive for
treatment of patients are generally less than the standard
billing rates. We account for the differences between the
estimated reimbursement rates and the standard billing rates as
contractual adjustments, which we deduct from gross revenues to
arrive at net operating revenues.
Net operating revenues generated directly from the Medicare
program from all segments represented approximately 48%, 46% and
40% of net operating revenues for the years ended
December 31, 2004, 2003 and 2002, respectively, and
approximately 55% and 48% of net operating revenues for the
combined three months ended March 31, 2005 and the three
months ended March 31, 2004, respectively. The increase in
the percentage of our revenues generated from the Medicare
program is due to the growth in the number of specialty
hospitals and their higher respective share of Medicare revenues
generated in this segment of our business compared to our
outpatient rehabilitation segment.
Approximately 68%, 69% and 63% of our specialty hospital
revenues for the years ended December 31, 2004, 2003 and
2002, respectively, and approximately 74% and 69% of our
specialty hospital revenues for the combined three months ended
March 31, 2005 and the three months ended March 31,
2004, respectively, were received in respect of services
provided to Medicare patients. For the year ended
December 31, 2004 and the combined three months ended
March 31, 2005, all of our Medicare payments are being paid
under a prospective payment system. For the years ended
December 31, 2003 and 2002, approximately 23% and 92%,
respectively, were paid by Medicare under a full cost-based
reimbursement methodology. Payments made under a cost-based
reimbursement methodology are subject to final cost report
settlements based on administrative review and audit by third
parties. An annual cost report was filed for each provider to
report the cost of providing services and to settle the
difference between the interim payments we receive and final
costs. We record adjustments to the original estimates in the
periods that such adjustments become known. Historically these
adjustments have not been significant. Substantially all of our
Medicare cost reports are settled through 2002. Because our
routine payments from Medicare are different than the final
reimbursement due to us under the cost based reimbursement
system, we record a receivable or payable for the difference.
The LTCH-PPS regulations also refined the criteria that must be
met in order for a hospital to be certified as a long-term acute
care hospital. For cost reporting periods beginning on or after
October 1, 2002, a long-term acute care hospital must have
an average inpatient length of stay for Medicare patients
(including both Medicare covered and non-covered days) of
greater than 25 days. Previously, average lengths of stay
were measured with respect to all patients.
While the implementation of LTCH-PPS is intended to be revenue
neutral to the industry, our long-term acute care hospitals
experienced enhanced financial performance in 2003 due to our
low cost operating model and the high acuity of our patient
population.
46
Most of our specialty hospitals receive bi-weekly periodic
interim payments (PIP) from Medicare instead of
being paid on an individual claim basis. Under a PIP payment
methodology, Medicare estimates a hospitals claim volume
based on historical trends and periodically reconciles the
differences between the actual claim data and the estimated
payments. At each balance sheet date, we record the difference
between our actual claims and the PIP payments as a receivable
or payable from third-party payors on our balance sheet.
For 2003 and 2004, other revenue primarily
represents amounts we have received for other services, which
include sales of home medical equipment, orthotics, prosthetics,
infusion/intravenous services and computer software. In 2002,
other revenue primarily represented amounts the
Medicare program reimbursed us for a portion of our corporate
expenses that are related to our long-term acute care hospital
operations. Under the LTCH-PPS, we no longer are specifically
reimbursed for the portion of our corporate costs related to the
provision of Medicare services in our long-term acute care
hospitals. Instead, we receive from Medicare a pre-determined
fixed amount assigned to the applicable LTC-DRG, which is
intended to reflect the average cost of treating such a patient,
including corporate costs. As a result of this change in our
revenue stream, in 2003 we began allocating corporate
departmental costs that are directly related to our long-term
acute care hospital operations to our specialty hospital segment
to better match the cost with the revenues for this segment.
This allocation has not had any adverse impact on the
profitability or margins of this segment, due to the expected
increase in net revenue this segment has experienced under
LTCH-PPS. In addition to the Medicare revenue we recorded in
2003, we also reported as other revenue amounts we
received for other services, which include sales of home medical
equipment, orthotics, prosthetics and infusion/intravenous
services. These other services were acquired as part of our
acquisition of Kessler.
Net operating revenues include amounts estimated by us to be
reimbursable by Medicare and Medicaid under prospective payment
systems and provisions of cost-reimbursement and other payment
methods. In addition, we are reimbursed by non-governmental
payors using a variety of payment methodologies. Amounts we
receive for treatment of patients covered by these programs are
generally less than the standard billing rates. Contractual
allowances are calculated and recorded through our internally
developed systems. Within our hospital segment our billing
system automatically calculates estimated Medicare reimbursement
and associated contractual allowances. For non-governmental
payors, we manually calculate the contractual allowance for each
patient based upon the contractual provisions associated with
the specific payor. In our outpatient segment, we perform
provision testing, using internally developed systems, whereby
we monitor a payors historical paid claims data and
compare it against the associated gross charges. This difference
is determined as a percentage of gross charges and is applied
against gross billing revenue to determine the contractual
allowances for the period. Additionally, these contractual
percentages are applied against the gross receivables on the
balance sheet to determine that adequate contractual reserves
are maintained for the gross accounts receivables reported on
the balance sheet. We account for any difference as additional
contractual adjustments deducted from gross revenues to arrive
at net operating revenues in the period that the difference is
determined. The estimation processes described above and used in
recording our contractual adjustments have historically yielded
consistent and reliable results.
|
|
|
Allowance for Doubtful Accounts |
Substantially all of our accounts receivable are related to
providing healthcare services to patients. Collection of these
accounts receivable is our primary source of cash and is
critical to our operating performance. Our primary collection
risks relate to non-governmental payors who insure these
patients and deductibles, co-payments and self-insured amounts
owed by the patient. Deductible, co-payments and self-insured
amounts are an immaterial portion of our net accounts receivable
balance. At December 31, 2004, deductible, co-payments and
self-insured amounts owed by the patient accounted for
approximately 1.7% of our net accounts receivable balance before
doubtful accounts. Our general policy is to verify insurance
coverage prior to the date of admission for a patient admitted
to our hospitals or in the case of our outpatient rehabilitation
clinics, we verify insurance coverage prior to their first
therapy visit. Our estimate for the
47
allowance for doubtful accounts is calculated by generally
reserving as uncollectible all governmental accounts over
365 days and non-governmental accounts over 180 days
from discharge. This method is monitored based on our historical
cash collections experience. Collections are impacted by the
effectiveness of our collection efforts with non-governmental
payors and regulatory or administrative disruptions with the
fiscal intermediaries that pay our governmental receivables.
We estimate bad debts for total accounts receivable within each
of our operating units. We believe our policies have resulted in
reasonable estimates determined on a consistent basis. We
believe that we collect substantially all of our third-party
insured receivables which includes receivables from governmental
agencies. To date, we believe there has not been a material
difference between our bad debt allowances and the ultimate
historical collection rates on accounts receivables. We review
our overall reserve adequacy by monitoring historical cash
collections as a percentage of net revenue less the provision
for bad debts.
Uncollected accounts are written off the balance sheet when they
are turned over to an outside collection agency, or when
management determines that the balance is uncollectible,
whichever occurs first.
The following table is an aging of our net (after allowances for
contractual adjustments but before doubtful accounts) accounts
receivable (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
|
|
Over | |
|
|
|
Over | |
|
|
0-90 Days | |
|
90 Days | |
|
0-90 Days | |
|
90 Days | |
|
|
| |
|
| |
|
| |
|
| |
Medicare and Medicaid
|
|
$ |
88,174 |
|
|
$ |
20,182 |
|
|
$ |
87,089 |
|
|
$ |
28,490 |
|
Commercial insurance, and other
|
|
|
127,691 |
|
|
|
75,426 |
|
|
|
114,392 |
|
|
|
111,717 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total net accounts receivable
|
|
$ |
215,865 |
|
|
$ |
95,608 |
|
|
$ |
201,481 |
|
|
$ |
140,207 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The approximate percentage of total net accounts receivable
(after allowance for contractual adjustments but before doubtful
accounts) summarized by aging categories is as follows:
|
|
|
|
|
|
|
|
|
|
|
As of December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
0 to 90 days
|
|
|
69.3% |
|
|
|
59.0% |
|
91 to 180 days
|
|
|
11.2% |
|
|
|
11.6% |
|
180 to 365 days
|
|
|
9.9% |
|
|
|
10.0% |
|
Over 365 days
|
|
|
9.6% |
|
|
|
19.4% |
|
|
|
|
|
|
|
|
Total
|
|
|
100.0% |
|
|
|
100.0% |
|
|
|
|
|
|
|
|
The approximate percentage of total net accounts receivable
(after allowance for contractual adjustments but before doubtful
accounts) summarized by payor is as follows:
|
|
|
|
|
|
|
|
|
|
|
As of December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
Insured receivables
|
|
|
98.3% |
|
|
|
97.9% |
|
Self-pay receivables (including deductible and copayments)
|
|
|
1.7% |
|
|
|
2.1% |
|
|
|
|
|
|
|
|
Total
|
|
|
100.0% |
|
|
|
100.0% |
|
|
|
|
|
|
|
|
Under a number of our insurance programs, which include our
employee health insurance program and certain components under
our property and casualty insurance program, we are liable for a
portion of our losses. In these cases we accrue for our losses
under an occurrence based principal whereby we estimate the
losses that will be incurred by us in a given accounting period
and accrue that estimated liability. Where we have substantial
exposure, we utilize actuarial methods in estimating the losses.
In cases where we have minimal exposure, we will estimate our
losses by analyzing historical trends. We monitor these programs
48
quarterly and revise our estimates as necessary to take into
account additional information. At March 31, 2005 and
December 31, 2004, we have recorded a liability of
$48.4 million and $44.4 million, respectively, for our
estimated losses under these insurance programs.
Related Party Transactions
We are party to various rental and other agreements with
companies affiliated with us through common ownership. Our
payments to these related parties amounted to $0.4 million
and $1.9 million for the combined three months ended
March 31, 2005 and the year ended December 31, 2004,
respectively. Our future commitments are related to commercial
office space we lease for our corporate headquarters in
Mechanicsburg, Pennsylvania. These future commitments amount to
$18.0 million through 2014. These transactions and
commitments are described more fully in the notes to our
consolidated financial statements included herein. See also
Certain Relationships and Related Transactions.
Operating Statistics
The following table sets forth operating statistics for our
specialty hospitals and our outpatient rehabilitation clinics
for each of the periods presented. The data in the table reflect
the changes in the number of specialty hospitals and outpatient
rehabilitation clinics we operate that resulted from
acquisitions, start-up activities, closures and consolidations.
The operating statistics reflect data for the period of time
these operations were managed by us.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
Three Months Ended | |
|
|
December 31, | |
|
March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Specialty hospital data(1):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals start of period
|
|
|
64 |
|
|
|
72 |
|
|
|
83 |
|
|
|
83 |
|
|
|
86 |
|
|
Number of hospital start-ups
|
|
|
8 |
|
|
|
8 |
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
Number of hospitals acquired
|
|
|
|
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
|
17 |
|
|
Number of hospitals closed
|
|
|
|
|
|
|
(1 |
) |
|
|
(1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals end of period
|
|
|
72 |
|
|
|
83 |
|
|
|
86 |
|
|
|
83 |
|
|
|
103 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available licensed beds
|
|
|
2,594 |
|
|
|
3,204 |
|
|
|
3,403 |
|
|
|
3,256 |
|
|
|
3,907 |
|
Admissions
|
|
|
21,065 |
|
|
|
27,620 |
|
|
|
33,523 |
|
|
|
8,738 |
|
|
|
10,336 |
|
Patient days
|
|
|
619,322 |
|
|
|
722,231 |
|
|
|
816,898 |
|
|
|
212,727 |
|
|
|
250,839 |
|
Average length of stay (days)
|
|
|
30 |
|
|
|
26 |
|
|
|
24 |
|
|
|
25 |
|
|
|
25 |
|
Net revenue per patient day(2)
|
|
$ |
1,009 |
|
|
$ |
1,173 |
|
|
$ |
1,306 |
|
|
$ |
1,243 |
|
|
$ |
1,330 |
|
Occupancy rate
|
|
|
71 |
% |
|
|
70 |
% |
|
|
67 |
% |
|
|
72 |
% |
|
|
71 |
% |
Percent patient days Medicare
|
|
|
76 |
% |
|
|
76 |
% |
|
|
74 |
% |
|
|
75 |
% |
|
|
77 |
% |
Outpatient rehabilitation data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned start of
period
|
|
|
664 |
|
|
|
679 |
|
|
|
758 |
|
|
|
758 |
|
|
|
705 |
|
|
Number of clinics acquired
|
|
|
14 |
|
|
|
125 |
|
|
|
5 |
|
|
|
2 |
|
|
|
7 |
|
|
Number of clinic start-ups
|
|
|
49 |
|
|
|
30 |
|
|
|
20 |
|
|
|
4 |
|
|
|
9 |
|
|
Number of clinics closed/sold
|
|
|
(48 |
) |
|
|
(76 |
) |
|
|
(78 |
) |
|
|
(23 |
) |
|
|
(6 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned end of period
|
|
|
679 |
|
|
|
758 |
|
|
|
705 |
|
|
|
741 |
|
|
|
715 |
|
Number of clinics managed end of period
|
|
|
58 |
|
|
|
32 |
|
|
|
36 |
|
|
|
36 |
|
|
|
38 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total number of clinics (all) end of period
|
|
|
737 |
|
|
|
790 |
|
|
|
741 |
|
|
|
777 |
|
|
|
753 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of visits (U.S.)
|
|
|
3,841,841 |
|
|
|
4,027,768 |
|
|
|
3,810,284 |
|
|
|
1,004,106 |
|
|
|
915,822 |
|
Net revenue per visit (U.S.)(3)
|
|
$ |
86 |
|
|
$ |
87 |
|
|
$ |
90 |
|
|
$ |
91 |
|
|
$ |
91 |
|
|
|
(1) |
Specialty hospitals consist of long-term acute care hospitals
and inpatient rehabilitation facilities. |
|
(2) |
Net revenue per patient day is calculated by dividing specialty
hospital patient service revenues by the total number of patient
days. |
49
|
|
(3) |
Net revenue per visit (U.S.) is calculated by dividing
outpatient rehabilitation clinic revenue by the total number of
visits. For purposes of this computation, outpatient
rehabilitation clinic revenue does not include our Canadian
subsidiary and contract services revenue. |
Results of Operations
The following table presents the combined consolidated statement
of operations for the three months ended March 31, 2005.
The financial data for the period after the merger,
February 25, 2005 through March 31, 2005 (Successor
period), has been added to the financial data for the period
from January 1, 2005 through February 24, 2005
(Predecessor period), to arrive at the combined three months
ended March 31, 2005.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
|
|
|
|
March 31, 2005 | |
|
|
|
|
|
|
| |
|
|
Predecessor | |
|
Successor | |
|
Combined | |
|
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenues
|
|
$ |
287,787 |
|
|
$ |
195,112 |
|
|
$ |
482,899 |
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
225,428 |
|
|
|
145,608 |
|
|
|
371,036 |
|
|
Stock compensation associated with merger
|
|
|
142,213 |
|
|
|
4,326 |
|
|
|
146,539 |
|
|
General and administrative
|
|
|
7,484 |
|
|
|
4,356 |
|
|
|
11,840 |
|
|
Bad debt expense
|
|
|
6,661 |
|
|
|
4,609 |
|
|
|
11,270 |
|
|
Depreciation and amortization
|
|
|
6,177 |
|
|
|
4,248 |
|
|
|
10,425 |
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
387,963 |
|
|
|
163,147 |
|
|
|
551,110 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(100,176 |
) |
|
|
31,965 |
|
|
|
(68,211 |
) |
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
42,736 |
|
|
|
|
|
|
|
42,736 |
|
|
Merger related charges
|
|
|
12,025 |
|
|
|
|
|
|
|
12,025 |
|
|
Interest income
|
|
|
(523 |
) |
|
|
(77 |
) |
|
|
(600 |
) |
|
Interest expense
|
|
|
4,734 |
|
|
|
9,636 |
|
|
|
14,370 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(159,148 |
) |
|
|
22,406 |
|
|
|
(136,742 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
469 |
|
|
|
462 |
|
|
|
931 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(159,617 |
) |
|
|
21,944 |
|
|
|
(137,673 |
) |
Income tax expense (benefit)
|
|
|
(59,366 |
) |
|
|
8,871 |
|
|
|
(50,495 |
) |
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
13,073 |
|
|
$ |
(87,178 |
) |
|
|
|
|
|
|
|
|
|
|
50
The following table outlines, for the periods indicated,
selected operating data as a percentage of net operating
revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
Three Months Ended | |
|
|
December 31, | |
|
March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005(1) | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Net operating revenues
|
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
Cost of services(2)
|
|
|
81.9 |
|
|
|
79.8 |
|
|
|
78.0 |
|
|
|
77.8 |
|
|
|
76.9 |
|
Stock compensation associated with merger
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
30.3 |
|
General and administrative
|
|
|
3.5 |
|
|
|
3.2 |
|
|
|
2.8 |
|
|
|
2.8 |
|
|
|
2.4 |
|
Bad debt expense
|
|
|
3.3 |
|
|
|
3.7 |
|
|
|
2.9 |
|
|
|
2.8 |
|
|
|
2.3 |
|
Depreciation and amortization
|
|
|
2.3 |
|
|
|
2.5 |
|
|
|
2.4 |
|
|
|
2.4 |
|
|
|
2.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
9.0 |
|
|
|
10.8 |
|
|
|
13.9 |
|
|
|
14.2 |
|
|
|
(14.1 |
) |
Loss on early retirement of debt
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8.9 |
|
Equity in earnings from joint ventures
|
|
|
|
|
|
|
(0.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Merger related charges
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2.4 |
|
Interest expense, net
|
|
|
2.4 |
|
|
|
1.8 |
|
|
|
1.8 |
|
|
|
2.2 |
|
|
|
2.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
6.6 |
|
|
|
9.1 |
|
|
|
12.1 |
|
|
|
12.0 |
|
|
|
(28.3 |
) |
Minority interests
|
|
|
0.2 |
|
|
|
0.2 |
|
|
|
0.2 |
|
|
|
0.3 |
|
|
|
0.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
6.4 |
|
|
|
8.9 |
|
|
|
11.9 |
|
|
|
11.7 |
|
|
|
(28.5 |
) |
Income tax (benefit)
|
|
|
2.5 |
|
|
|
3.6 |
|
|
|
4.8 |
|
|
|
4.7 |
|
|
|
(10.5 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
3.9 |
|
|
|
5.3 |
|
|
|
7.1 |
|
|
|
7.0 |
|
|
|
(18.0 |
) |
Income from discontinued operations, net of tax
|
|
|
|
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
3.9 |
% |
|
|
5.3 |
% |
|
|
7.1 |
% |
|
|
7.0 |
% |
|
|
(18.0 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following table summarizes selected financial data by
business segment, for the periods indicated:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
|
|
|
|
Three Months Ended | |
|
|
|
|
December 31, | |
|
|
|
|
|
March 31, | |
|
|
|
|
| |
|
% Change | |
|
% Change | |
|
| |
|
|
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2002-2003 | |
|
2003-2004 | |
|
2004 | |
|
2005(1) | |
|
% Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
|
|
|
|
|
(Dollars in thousands) | |
|
|
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
625,238 |
|
|
$ |
849,261 |
|
|
$ |
1,089,538 |
|
|
|
35.8 |
% |
|
|
28.3 |
% |
|
$ |
269,379 |
|
|
$ |
341,511 |
|
|
|
26.8 |
% |
|
Outpatient rehabilitation
|
|
|
485,101 |
|
|
|
529,262 |
|
|
|
558,097 |
|
|
|
9.1 |
|
|
|
5.4 |
|
|
|
145,664 |
|
|
|
138,232 |
|
|
|
(5.1 |
) |
|
Other
|
|
|
16,220 |
|
|
|
13,843 |
|
|
|
13,156 |
|
|
|
(14.7 |
) |
|
|
(5.0 |
) |
|
|
3,426 |
|
|
|
3,156 |
|
|
|
(7.9 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
1,126,559 |
|
|
$ |
1,392,366 |
|
|
$ |
1,660,791 |
|
|
|
23.6 |
% |
|
|
19.3 |
% |
|
$ |
418,469 |
|
|
$ |
482,899 |
|
|
|
15.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
57,975 |
|
|
$ |
129,861 |
|
|
$ |
216,803 |
|
|
|
124.0 |
% |
|
|
66.9 |
% |
|
$ |
53,070 |
|
|
$ |
72,762 |
|
|
|
37.1 |
% |
|
Outpatient rehabilitation
|
|
|
70,342 |
|
|
|
60,778 |
|
|
|
66,805 |
|
|
|
(13.6 |
) |
|
|
9.9 |
|
|
|
19,339 |
|
|
|
19,174 |
|
|
|
(0.9 |
) |
|
Other
|
|
|
(26,874 |
) |
|
|
(40,840 |
) |
|
|
(52,075 |
) |
|
|
(52.0 |
) |
|
|
(27.5 |
) |
|
|
(13,134 |
) |
|
|
(160,147 |
) |
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
101,443 |
|
|
$ |
149,799 |
|
|
$ |
231,533 |
|
|
|
47.7 |
% |
|
|
54.6 |
% |
|
$ |
59,275 |
|
|
$ |
(68,211 |
) |
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA(3):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
70,891 |
|
|
$ |
145,649 |
|
|
$ |
236,181 |
|
|
|
105.5 |
% |
|
|
62.2 |
% |
|
$ |
57,907 |
|
|
$ |
79,055 |
|
|
|
36.5 |
% |
|
Outpatient rehabilitation
|
|
|
81,136 |
|
|
|
74,988 |
|
|
|
81,616 |
|
|
|
(7.6 |
) |
|
|
8.8 |
|
|
|
22,908 |
|
|
|
21,823 |
|
|
|
(4.7 |
) |
|
Other
|
|
|
(24,748 |
) |
|
|
(36,184 |
) |
|
|
(46,287 |
) |
|
|
(46.2 |
) |
|
|
(27.9 |
) |
|
|
(11,343 |
) |
|
|
(12,125 |
) |
|
|
(6.9 |
) |
51
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
|
|
|
|
Three Months Ended | |
|
|
|
|
December 31, | |
|
|
|
|
|
March 31, | |
|
|
|
|
| |
|
% Change | |
|
% Change | |
|
| |
|
|
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2002-2003 | |
|
2003-2004 | |
|
2004 | |
|
2005(1) | |
|
% Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
|
|
|
|
|
(Dollars in thousands) | |
|
|
Adjusted EBITDA margins(3):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
|
11.3 |
% |
|
|
17.2 |
% |
|
|
21.7 |
% |
|
|
52.2 |
% |
|
|
26.2 |
% |
|
|
21.5 |
% |
|
|
23.1 |
% |
|
|
7.4 |
% |
|
Outpatient rehabilitation
|
|
|
16.7 |
|
|
|
14.2 |
|
|
|
14.6 |
|
|
|
(15.0 |
) |
|
|
2.8 |
|
|
|
15.7 |
|
|
|
15.8 |
|
|
|
0.6 |
|
|
Other
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
Total assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
332,737 |
|
|
$ |
512,956 |
|
|
$ |
520,572 |
|
|
|
|
|
|
|
|
|
|
$ |
479,559 |
|
|
$ |
1,552,031 |
|
|
|
|
|
|
Outpatient rehabilitation
|
|
|
326,763 |
|
|
|
365,534 |
|
|
|
318,180 |
|
|
|
|
|
|
|
|
|
|
|
390,823 |
|
|
|
530,855 |
|
|
|
|
|
|
Other
|
|
|
79,559 |
|
|
|
200,508 |
|
|
|
274,969 |
|
|
|
|
|
|
|
|
|
|
|
246,604 |
|
|
|
86,538 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
739,059 |
|
|
$ |
1,078,998 |
|
|
$ |
1,113,721 |
|
|
|
|
|
|
|
|
|
|
$ |
1,116,986 |
|
|
$ |
2,169,424 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment, net:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
28,791 |
|
|
$ |
22,559 |
|
|
$ |
23,320 |
|
|
|
|
|
|
|
|
|
|
$ |
3,878 |
|
|
$ |
1,943 |
|
|
|
|
|
|
Outpatient rehabilitation
|
|
|
12,637 |
|
|
|
8,514 |
|
|
|
5,885 |
|
|
|
|
|
|
|
|
|
|
|
1,746 |
|
|
|
682 |
|
|
|
|
|
|
Other
|
|
|
1,755 |
|
|
|
4,779 |
|
|
|
3,421 |
|
|
|
|
|
|
|
|
|
|
|
2,138 |
|
|
|
1,073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
43,183 |
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
|
|
|
|
|
|
|
|
$ |
7,762 |
|
|
$ |
3,698 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following tables reconcile same hospitals information:
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2002 | |
|
2003 | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
625,238 |
|
|
$ |
849,261 |
|
|
Less: Specialty hospitals opened and acquired after 1/1/02
|
|
|
6,480 |
|
|
|
120,925 |
|
|
|
Closed specialty hospital
|
|
|
4,636 |
|
|
|
1,537 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
614,122 |
|
|
$ |
726,799 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
70,891 |
|
|
$ |
145,649 |
|
|
Less: Specialty hospitals opened and acquired after 1/1/02
|
|
|
(5,829 |
) |
|
|
21,416 |
|
|
|
Closed specialty hospital
|
|
|
143 |
|
|
|
206 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store Adjusted EBITDA(3)
|
|
$ |
76,577 |
|
|
$ |
124,027 |
|
|
|
|
|
|
|
|
|
All specialty hospitals Adjusted EBITDA margin(3)
|
|
|
11.3 |
% |
|
|
17.2 |
% |
|
Specialty hospitals same store Adjusted EBITDA margin(3)
|
|
|
12.5 |
% |
|
|
17.1 |
% |
52
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2003 | |
|
2004 | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
849,261 |
|
|
$ |
1,089,538 |
|
|
Less: Specialty hospitals opened and acquired after 1/1/03
|
|
|
56,320 |
|
|
|
216,356 |
|
|
|
Closed specialty hospital
|
|
|
9,695 |
|
|
|
5,693 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
783,246 |
|
|
$ |
867,489 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
145,649 |
|
|
$ |
236,181 |
|
|
Less: Specialty hospitals opened and acquired after 1/1/03
|
|
|
2,868 |
|
|
|
48,896 |
|
|
|
Closed specialty hospital
|
|
|
28 |
|
|
|
(2,083 |
) |
|
|
|
|
|
|
|
|
Specialty hospitals same store Adjusted EBITDA(3)
|
|
$ |
142,753 |
|
|
$ |
189,368 |
|
|
|
|
|
|
|
|
|
All specialty hospitals Adjusted EBITDA margin(3)
|
|
|
17.2 |
% |
|
|
21.7 |
% |
|
Specialty hospitals same store Adjusted EBITDA margin(3)
|
|
|
18.2 |
% |
|
|
21.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2004 | |
|
2005(1) | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
269,379 |
|
|
$ |
341,511 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/04
|
|
|
1,985 |
|
|
|
48,674 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
267,394 |
|
|
$ |
292,837 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
57,907 |
|
|
$ |
79,055 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/04
|
|
|
(663 |
) |
|
|
7,314 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store Adjusted EBITDA(3)
|
|
$ |
58,570 |
|
|
$ |
71,741 |
|
|
|
|
|
|
|
|
|
All specialty hospitals Adjusted EBITDA margin(3)
|
|
|
21.5 |
% |
|
|
23.1 |
% |
|
Specialty hospitals same store Adjusted EBITDA margin(3)
|
|
|
21.9 |
% |
|
|
24.5 |
% |
N/ M Not Meaningful.
|
|
(1) |
The financial data for the period after the merger,
February 25, 2005 through March 31, 2005 (Successor
period), has been added to the financial data for the period
from January 1, 2005 through February 24, 2005
(Predecessor period), to arrive at the combined three months
ended March 31, 2005. |
|
(2) |
Cost of services include salaries, wages and benefits, operating
supplies, lease and rent expense and other operating costs. |
|
(3) |
We define Adjusted EBITDA as net income before interest, income
taxes, depreciation and amortization, income from discontinued
operations, loss on early retirement of debt, equity in income
from joint ventures, merger related charges, stock compensation
associated with merger, and minority interest. We believe that
the presentation of Adjusted EBITDA is important to investors
because Adjusted EBITDA is used by management to evaluate
financial performance and determine resource allocation for each
of our operating units. Adjusted EBITDA is not a measure of
financial performance under generally accepted accounting
principles. Items excluded from Adjusted EBITDA are significant
components in understanding and assessing financial performance.
Adjusted EBITDA should not be considered in isolation or as an
alternative to, or substitute for, net income, cash flows
generated by operations, |
53
|
|
|
investing or financing activities, or other financial statement
data presented in the consolidated financial statements as
indicators of financial performance or liquidity. Because
Adjusted EBITDA is not a measurement determined in accordance
with generally accepted accounting principles and is thus
susceptible to varying calculations, Adjusted EBITDA as
presented may not be comparable to other similarly titled
measures of other companies. See footnote 13 to our audited
consolidated financial statements for the year ended
December 31, 2004 and footnote 10 to our interim
consolidated financial statements for the period ended
March 31, 2005 for a reconciliation of net income to
Adjusted EBITDA as utilized by us in reporting our segment
performance in accordance with SFAS No. 131. |
Combined Three Months Ended March 31, 2005 Compared to
Three Months Ended March 31, 2004
Our net operating revenues increased by 15.4% to
$482.9 million for the combined three months ended
March 31, 2005 compared to $418.5 million for the
three months ended March 31, 2004.
Specialty Hospitals. Our specialty hospital net operating
revenues increased 26.8% to $341.5 million for the combined
three months ended March 31, 2005 compared to
$269.4 million for the three months ended March 31,
2004. Net operating revenues for the specialty hospitals opened
before January 1, 2004 and operated by us throughout both
periods increased 9.5% to $292.8 million for the combined
three months ended March 31, 2005 from $267.4 million
for the three months ended March 31, 2004. This increase
resulted primarily from higher net revenue per patient day. Our
patient days for these hospitals increased 2.0%. Additionally,
our occupancy percentage increased to 74% for the combined three
months ended March 31, 2005 compared to 72% for the three
months ended March 31, 2004. The remaining increase of
$46.7 million resulted primarily from the acquisition of
the SemperCare facilities, which contributed $42.1 million
of net revenue growth.
Outpatient Rehabilitation. Our outpatient rehabilitation
net operating revenues declined 5.1% to $138.2 million for
the combined three months ended March 31, 2005 compared to
$145.7 million for the three months ended March 31,
2004. The number of patient visits in our U.S. based
outpatient rehabilitation clinics declined 8.8% for the combined
three months ended March 31, 2005 to 915,822 visits
compared to 1,004,106 visits for the three months ended
March 31, 2004. The decrease in net operating revenues and
patient visits was principally related to a 3.5% decline in the
number of clinics we own and operate and a 3.8% decline in the
volume of visits per clinic at our U.S. locations. Net
revenue per visit in these clinics was $91 in both 2005 and 2004.
Other. Our other revenues were $3.2 million for the
combined three months ended March 31, 2005 compared to
$3.4 million for the three months ended March 31, 2004.
Our operating expenses increased by 12.9% to $394.1 million
for the combined three months ended March 31, 2005 compared
to $349.0 million for the three months ended March 31,
2004. Our operating expenses include our cost of services,
general and administrative expense and bad debt expense. The
increase in operating expenses was principally related to the
acquisition of SemperCare facilities on January 1, 2005. As
a percentage of our net operating revenues, our operating
expenses were 81.6% for the combined three months ended
March 31, 2005 compared to 83.4% for the three months ended
March 31, 2004. Cost of services as a percentage of
operating revenues decreased to 76.9% for the combined three
months ended March 31, 2005 from 77.8% for the three months
ended March 31, 2004. These costs primarily reflect our
labor expenses. This decrease resulted because we experienced a
larger rate of growth in our specialty hospital revenues
compared to the growth in our specialty hospital cost of
services. Another component of cost of services is facility rent
expense, which was $21.7 million for the combined three
months ended March 31, 2005 compared to $19.7 million
for the three months ended March 31, 2004. This increase is
principally related to the SemperCare hospitals we acquired on
January 1, 2005. During the same time period, general and
administrative expense as a percentage of net operating revenues
declined to 2.4% for the combined three months ended
March 31, 2005 from 2.8% for the three months ended
March 31, 2004. This decrease in
54
general and administrative expenses as a percentage of net
operating revenue is the result of a growth in net operating
revenues of 15.4% that exceeded the growth in our general and
administrative costs which were 1.9%. Our bad debt expense as a
percentage of net operating revenues was 2.3% for the combined
three months ended March 31, 2005 compared to 2.8% for the
three months ended March 31, 2004. This decrease in bad
debt expense resulted from an improvement in the composition and
aging of our accounts receivable.
Specialty Hospitals. Adjusted EBITDA increased by 36.5%
to $79.1 million for the combined three months ended
March 31, 2005 compared to $57.9 million for the three
months ended March 31, 2004. Our Adjusted EBITDA margins
increased to 23.1% for the combined three months ended
March 31, 2005 from 21.5% for the three months ended
March 31, 2004. The hospitals opened before January 1,
2004 and operated throughout both periods had Adjusted EBITDA of
$71.7 million, an increase of 22.5% over the Adjusted
EBITDA of these hospitals in 2004. This increase in same
hospital Adjusted EBITDA resulted from an increase in revenue
per patient day that exceeded our increase in cost per patient
day and an increase in our patient days. Our Adjusted EBITDA
margin in these same store hospitals increased to 24.5% for the
combined three months ended March 31, 2005 from 21.9% for
the three months ended March 31, 2004.
Outpatient Rehabilitation. Adjusted EBITDA decreased by
4.7% to $21.8 million for the combined three months ended
March 31, 2005 compared to $22.9 million for the three
months ended March 31, 2004. Our Adjusted EBITDA margins
increased to 15.8% for the combined three months ended
March 31, 2005 from 15.7% for the three months ended
March 31, 2004. The decline in Adjusted EBITDA was the
result of the decline in number of clinics we operate and the
decline in clinic visit volumes described under
Net Operating Revenue Outpatient
Rehabilitation above.
Other. The Adjusted EBITDA loss was $12.1 million
for the combined three months ended March 31, 2005 compared
to a loss of $11.3 million for the three months ended
March 31, 2004. This small increase in the Adjusted EBITDA
loss was primarily the result of the decline in the
profitability at one of our ancillary businesses.
|
|
|
Income (Loss) from Operations |
For the combined three months ended March 31, 2005 we
experienced a loss from operations of $68.2 million
compared to income from operations of $59.3 million for the
three months ended March 31, 2004. The loss from operations
experienced for the combined three months ended March 31,
2005 resulted from the significant stock compensation costs
recorded related to the merger of $146.5 million offset by
the Adjusted EBITDA increases described above. The stock
compensation expense was comprised of $142.2 million
related to the repurchase of all vested and unvested outstanding
stock options in accordance with the terms of the merger
agreement in the Predecessor period of January 1, 2005
through February 24, 2005 and an additional
$4.3 million of stock compensation expense related to
restricted stock and a warrant that were issued in the Successor
period of February 25, 2005 through March 31, 2005.
|
|
|
Loss on early retirement of debt |
In connection with the merger, we commenced tender offers to
acquire all of our
91/2% senior
subordinated notes due 2009 and all of our
71/2% senior
subordinated notes due 2013. Upon completion of the tender
offers on February 24, 2005, all of the $175.0 million
of
71/2% senior
subordinated notes were tendered and $169.3 million of the
$175.0 million of
91/2% notes
were tendered. The loss consists of the tender premium cost of
$34.8 million and the remaining unamortized deferred
financing costs of $7.9 million.
As a result of the merger, we incurred costs in the Predecessor
period of January 1, 2005 through February 24, 2005
directly related to the merger. This included the cost of the
investment advisor hired by the Special Committee of our Board
of Directors to evaluate the merger, legal and accounting fees,
costs associated with the Hart-Scott-Rodino filing relating to
the merger, cost associated with purchasing a six year
55
extended reporting period under our directors and officers
liability insurance policy and other associated expenses.
Interest expense increased by $5.0 million to
$14.4 million for the combined three months ended
March 31, 2005 from $9.4 million for the three months
ended March 31, 2004. The increase in interest expense is
due to the higher debt levels outstanding in the Successor
period of February 25, 2005 through March 31, 2005.
During this Successor period we had approximately
$1.1 billion in additional debt.
Minority interests in consolidated earnings was
$0.9 million for the combined three months ended
March 31, 2005 compared to $1.0 million for the three
months ended March 31, 2004.
We recorded income tax benefit of $59.4 million for the
Predecessor period of January 1, 2005 through
February 24, 2005. The tax benefit represented an effective
tax benefit rate of 37.2%. This effective tax benefit rate
consisted of the statutory Federal rate of 35% and a state rate
of 2.2%. The Federal tax benefit will be carried forward and
used to offset our Federal tax throughout the remainder of 2005.
Because of the differing state tax rules related to net
operating losses, a portion of these state net operating losses
received valuation allowances. We recorded income tax expense of
$8.9 million for the Successor period of February 25,
2005 through March 31, 2005. The expense represented an
effective tax rate of 40.4%. For the three months ended
March 31, 2004 we recorded income tax expense of
$19.8 million. This expense represented an effective tax
rate of 40.2%.
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Income from discontinued operation, net of tax |
On September 27, 2004 we sold the land, building and
certain other assets and liabilities associated with our only
skilled nursing facility that we acquired as part of the Kessler
acquisition in September 2003. The operating results of the
skilled nursing facility have been reclassified and reported as
discontinued operations.
Year Ended December 31, 2004 Compared to Year Ended
December 31, 2003
Our net operating revenues increased by 19.3% to
$1,660.8 million for the year ended December 31, 2004
compared to $1,392.4 million for the year ended
December 31, 2003.
Specialty Hospitals. Our specialty hospital net operating
revenues increased 28.3% to $1,089.5 million for the year
ended December 31, 2004 compared to $849.3 million for
the year ended December 31, 2003. Net operating revenues
for the specialty hospitals opened before January 1, 2003
and operated by us throughout both periods increased 10.8% to
$867.5 million for the year ended December 31, 2004
from $783.2 million for the year ended December 31,
2003. This increase resulted primarily from higher net revenue
per patient day, offset by a decline in our patient days and
occupancy rates. Our patient days and occupancy rates declined
primarily as a result of additional admissions criteria
implemented in our long-term acute care hospitals. The remaining
increase of $155.9 million resulted from the acquisition of
the Kessler facilities, which contributed $96.3 million of
net revenue growth, and the internal development of new
specialty hospitals that commenced operations in 2003 and 2004.
Outpatient Rehabilitation. Our outpatient rehabilitation
net operating revenues increased 5.4% to $558.1 million for
the year ended December 31, 2004 compared to
$529.3 million for the year ended December 31, 2003.
The increase in net operating revenues was principally related
to the acquisition of the Kessler operations. The number of
patient visits in our U.S. based outpatient rehabilitation
clinics declined 5.4% for the year ended December 31, 2004
to 3,810,284 visits compared to 4,027,768 visits for the year
ended December 31, 2003. Net revenue per visit in these
clinics was $90 in 2004 compared to $87 in 2003. Excluding
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the effects of the Kessler operations in both periods, visits
declined 11.0%. The majority of this decline is related to
clinic closures. In addition, during the first and second
quarters of 2004 various market factors such as elimination of
unprofitable contracts and competition from referring physicians
who are now developing their own rehabilitation therapy
practices contributed to the decline.
Other. Our other revenues declined to $13.2 million
for the year ended December 31, 2004 compared to
$13.8 million for the year ended December 31, 2003.
The principal reason for the decline is the conversion of our
long-term acute care hospitals to LTCH-PPS and the associated
changes in how we get reimbursed for the services which was
$8.7 million in 2003. The decline was offset by revenues
related to the Kessler other businesses that are now being
reported under this category. These businesses generated
approximately $7.9 million of incremental net operating
revenues in 2004. See Critical Accounting
Matters Sources of Revenue for a further
discussion of this change.
Our operating expenses increased by 15.0% to
$1,389.3 million for the year ended December 31, 2004
compared to $1,207.9 million for the year ended
December 31, 2003. Our operating expenses include our cost
of services, general and administrative expense and bad debt
expense. The increase in operating expenses was principally
related to the acquisition of Kessler and the internal
development of new specialty hospitals that commenced operations
in 2003 and 2004. As a percentage of our net operating revenues,
our operating expenses were 83.7% for the year ended
December 31, 2004 compared to 86.7% for the year ended
December 31, 2003. Cost of services as a percentage of
operating revenues decreased to 78.0% for the year ended
December 31, 2004 from 79.8% for the year ended
December 31, 2003. These costs primarily reflect our labor
expenses. This decrease resulted because we experienced a larger
rate of growth in our specialty hospital revenues compared to
the growth in our specialty hospital cost of services. Another
component of cost of services is facility rent expense, which
was $80.4 million for the year ended December 31, 2004
compared to $74.3 million for the year ended
December 31, 2003. This increase is principally related to
our new hospitals that opened during 2003 and 2004 and the rent
expense for the acquired Kessler clinics. During the same time
period, general and administrative expense as a percentage of
net operating revenues declined to 2.8% for the year ended
December 31, 2004 from 3.2% for the year ended
December 31, 2003. This decrease in general and
administrative expenses as a percentage of net operating revenue
is the result of a growth in net operating revenues that
exceeded the growth in our general and administrative costs. Our
bad debt expense as a percentage of net operating revenues was
2.9% for the year ended December 31, 2004 compared to 3.7%
for the year ended December 31, 2003. This decrease in bad
debt expense resulted from an improvement in the composition and
aging of our accounts receivable.
Specialty Hospitals. Adjusted EBITDA increased by 62.2%
to $236.2 million for the year ended December 31, 2004
compared to $145.6 million for the year ended
December 31, 2003. Our Adjusted EBITDA margins increased to
21.7% for the year ended December 31, 2004 from 17.2% for
the year ended December 31, 2003. The hospitals opened
before January 1, 2003 and operated throughout both periods
had Adjusted EBITDA of $189.4 million, an increase of 32.7%
over the Adjusted EBITDA of these hospitals in 2003. This
increase in same hospital Adjusted EBITDA resulted from an
increase in revenue per patient day that exceeded our increase
in cost per patient day. Our Adjusted EBITDA margin in these
same store hospitals increased to 21.8% for the year ended
December 31, 2004 from 18.2% for the year ended
December 31, 2003.
Outpatient Rehabilitation. Adjusted EBITDA increased by
8.8% to $81.6 million for the year ended December 31,
2004 compared to $75.0 million for the year ended
December 31, 2003. Our Adjusted EBITDA margins increased to
14.6% for the year ended December 31, 2004 from 14.2% for
the year ended December 31, 2003. This Adjusted EBITDA
margin increase was primarily the result of three factors.
First, the acquired Kessler outpatient operations experienced
negative margins in 2003, which had the effect of lowering the
overall margins for the segment in 2003. We consolidated or
closed many of the underperforming
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clinics in 2004. Second, we experienced lower bad debt expense
in 2004. Third, the increases previously described were offset
by an increase in labor costs due to increased competition for
hiring therapists.
Other. The Adjusted EBITDA loss was $46.3 million
for the year ended December 31, 2004 compared to a loss of
$36.2 million for the year ended December 31, 2003.
This increase in the Adjusted EBITDA loss was primarily the
result of the decline in hospital reimbursements for corporate
support costs of $8.7 million (See
Critical Accounting Matters
Sources of Revenue) and an increase in our general and
administrative expenses of $1.4 million.
Income from operations increased 54.6% to $231.5 million
for the year ended December 31, 2004 compared to
$149.8 million for the year ended December 31, 2003.
The increase in income from operations resulted from the
Adjusted EBITDA increases described above, and was offset by an
increase in depreciation and amortization expense of
$5.3 million. The increase in depreciation and amortization
expense resulted primarily from the additional depreciation
associated with acquired Kessler assets, the amortization of the
Kessler non-compete agreement, and increases in depreciation on
fixed asset additions that are principally related to new
hospital and clinic development.
Interest expense increased by $7.3 million to
$33.6 million for the year ended December 31, 2004
from $26.3 million for the year ended December 31,
2003. The increase in interest expense is due to the higher debt
levels outstanding in 2004 compared to 2003 resulting from the
issuance of $175.0 million of
71/2% senior
subordinated notes due 2013 on August 12, 2003, offset by a
reduction in borrowings under our senior credit facility. The
lower debt levels on our senior credit facility resulted from
scheduled term amortization payments and principal pre-payments.
All repayments have been made with cash flows generated through
operations.
Minority interests in consolidated earnings increased to
$3.4 million for the year ended December 31, 2004
compared to $2.4 million for the year ended
December 31, 2003. This increase is the result of the
improved profitability of these jointly owned entities.
We recorded income tax expense of $79.6 million for the
year ended December 31, 2004. The expense represented an
effective tax rate of 40.4%. We recorded income tax expense of
$48.6 million for the year ended December 31, 2003.
This expense represented an effective tax rate of 39.6%. The
increase in the tax rate is the result of a larger portion of
our net income in states with higher tax rates and the
non-deductibility of certain expenses.
Year Ended December 31, 2003 Compared to Year Ended
December 31, 2002
Our net operating revenues increased by 23.6% to
$1,392.4 million for the year ended December 31, 2003
compared to $1,126.6 million for the year ended
December 31, 2002.
Specialty Hospitals. Our specialty hospital net operating
revenues increased 35.8% to $849.3 million for the year
ended December 31, 2003 compared to $625.2 million for
the year ended December 31, 2002. Net operating revenues
for the specialty hospitals opened before January 1, 2002
and operated throughout both periods increased 18.3% to
$726.8 million for the year ended December 31, 2003
from $614.1 million for the year ended December 31,
2002. This increase resulted primarily from higher net revenue
per patient day, which is primarily attributable to the improved
reimbursement we are receiving from Medicare under the LTCH-PPS.
Our patient days and occupancy rates for these hospitals were
consistent in both periods. The remaining increase of
$111.4 million resulted from the acquisition of the Kessler
facilities, which contributed
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$43.9 million of net revenue, and the internal development
of new specialty hospitals that commenced operations in 2002 and
2003.
Outpatient Rehabilitation. Our outpatient rehabilitation
net operating revenues increased 9.1% to $529.3 million for
the year ended December 31, 2003 compared to
$485.1 million for the year ended December 31, 2002.
The number of patient visits in our U.S. based outpatient
rehabilitation clinics increased 4.8% for the year ended
December 31, 2003 to 4,027,768 visits compared to 3,841,841
visits for the year ended December 31, 2002. Net revenue
per visit in these clinics was $87 in 2003 compared to $86 in
2002. The increase in net operating revenues was related to the
acquisition of the Kessler operations, which contributed
$23.0 million of net operating revenue, the consolidation
of clinics that we previously managed and clinics that we
acquired during 2002 and 2003, and changes in the economic
environment that are reducing the number of therapy visits.
These macro-economic trends affecting therapy visit volumes
include increasing patient co-pays and a decline in the number
of approved visits for a patient. Excluding the effects of the
previously managed clinics and the recently acquired clinics
(including the Kessler clinics), net operating revenues for the
year ended December 31, 2003 would have been
$493.2 million, and the number of U.S. based visits
would have been 3,741,717.
Other. Our other revenues declined to $13.8 million
for the year ended December 31, 2003 compared to
$16.2 million for the year ended December 31, 2002.
The principal reason for the decline is the conversion of our
long-term acute care hospitals to LTCH-PPS and the associated
changes in how we get reimbursed for the services we provide.
The decline was offset by revenues related to the other
businesses we acquired as part of our Kessler acquisition that
are now being reported under this category. These businesses
generated approximately $3.6 million of revenues in 2003.
We expect this revenue item to continue declining throughout
2004. See Critical Accounting
Matters Sources of Revenue for a further
discussion of this change.
Our operating expenses increased by 20.9% to
$1,207.9 million for the year ended December 31, 2003
compared to $999.3 million for the year ended
December 31, 2002. Our operating expenses include our cost
of services, general and administrative expense and bad debt
expense. The increase in operating expenses was principally
related to the acquisition of Kessler, the internal development
of new specialty hospitals that commenced operations in 2002 and
2003, costs associated with increased patient volumes and the
consolidation of previously managed clinics. As a percentage of
our net operating revenues, our operating expenses were 86.7%
for the year ended December 31, 2003 compared to 88.7% for
the year ended December 31, 2002. Cost of services as a
percentage of operating revenues decreased to 79.8% for the year
ended December 31, 2003 from 81.9% for the year ended
December 31, 2002. These costs primarily reflect our labor
expenses. This decrease resulted because we experienced a larger
rate of growth in our specialty hospital revenues compared to
the growth in our specialty hospital cost of services. Another
component of cost of services is facility rent expense, which
was $74.3 million for the year ended December 31, 2003
compared to $66.4 million for the year ended
December 31, 2002. This increase is principally related to
our new hospitals that opened during 2002 and 2003 and the rent
expense for the acquired Kessler clinics. During the same time
period, general and administrative expense as a percentage of
net operating revenues declined to 3.2% for the year ended
December 31, 2003 from 3.5% for the year ended
December 31, 2002. This decrease in general and
administrative expenses as a percentage of net operating revenue
is the result of a growth in net operating revenues that
exceeded the growth in our general and administrative costs. Our
bad debt expense as a percentage of net operating revenues was
3.7% for the year ended December 31, 2003 compared to 3.3%
for the year ended December 31, 2002. This increase in bad
debt expense resulted primarily from two factors. First, we
experienced a migration of some of our accounts receivable to
older aging categories where we significantly reduce our
estimates of net realizable value. Second, the transition to the
new LTCH-PPS payment mechanism in our long-term acute care
hospitals has caused uncertainty associated with collections
from payors that insure patients co-payments and Medicare
supplemental coverage.
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Specialty Hospitals. Specialty hospital Adjusted EBITDA
increased by 105.5% to $145.6 million for the year ended
December 31, 2003 compared to $70.9 million for the
year ended December 31, 2002. Our specialty hospital
Adjusted EBITDA margins increased to 17.2% for the year ended
December 31, 2003 from 11.3% for the year ended
December 31, 2002. The hospitals opened before
January 1, 2002 and operated throughout both periods had
Adjusted EBITDA of $124.0 million, an increase of 62.0%
over the Adjusted EBITDA of these hospitals in 2002. This
increase in same hospital Adjusted EBITDA resulted from an
increase in revenue per patient day, which is primarily
attributable to the improved reimbursement we are receiving from
Medicare under LTCH-PPS. Our Adjusted EBITDA margin in these
same store hospitals increased to 17.1% for the year ended
December 31, 2003 from 12.5% for the year ended
December 31, 2002.
Outpatient Rehabilitation. Outpatient rehabilitation
Adjusted EBITDA decreased by 7.6% to $75.0 million for the
year ended December 31, 2003 compared to $81.1 million
for the year ended December 31, 2002. Our outpatient
rehabilitation Adjusted EBITDA margins decreased to 14.2% for
the year ended December 31, 2003 from 16.7% for the year
ended December 31, 2002. This Adjusted EBITDA margin
decline was primarily the result of two factors. First, the
acquired Kessler outpatient operations, which have historically
had lower income from operations than our outpatient
rehabilitation clinics, experienced negative margins for the
year. The negative margins were primarily due to severance
expense from staff reductions related to our consolidation and
integration plan. Second, in January 2003 we began consolidating
a group of clinics that we previously managed, which had the
effect of further compressing margins.
Other. The Adjusted EBITDA loss was $36.2 million
for the year ended December 31, 2003 compared to a loss of
$24.7 million for the year ended December 31, 2002.
This decrease in Adjusted EBITDA was primarily the result of the
decline in Medicare reimbursements for corporate support costs
of $6.2 million resulting from the implementation of
LTCH-PPS (See Critical Accounting
Matters Sources of Revenue) and an increase in
our general and administrative expenses of $5.0 million.
Income from operations increased 47.7% to $149.8 million
for the year ended December 31, 2003 compared to
$101.4 million for the year ended December 31, 2002.
The increase in income from operations resulted from the
Adjusted EBITDA increases described above, and was offset by an
increase in depreciation and amortization expense of
$8.8 million. The increase in depreciation and amortization
expense resulted primarily from the additional depreciation
associated with the acquired Kessler assets, the amortization of
the value of the seven year non-compete agreement that we
received from Kesslers selling stockholder, and increases
in depreciation on fixed asset additions that are principally
related to new hospital and clinic development.
Interest expense decreased by $0.9 million to
$26.3 million for the year ended December 31, 2003
from $27.2 million for the year ended December 31,
2002. The decline in interest expense is due to the lower debt
levels outstanding in 2003 compared to 2002 on our credit
facility and a lower effective interest rate in 2003. The lower
debt levels resulted from scheduled term amortization payments
and principal pre-payments that we have made under our credit
facility. All repayments have been made with cash flows
generated through operations. These reductions were offset by
the incremental interest that resulted from the issuance of
$175 million of
71/2% senior
subordinated notes in August 2003.
Minority interests in consolidated earnings increased to
$2.4 million for the year ended December 31, 2003
compared to $2.0 million for the year ended
December 31, 2002. This increase resulted from the improved
profitability of our outpatient rehabilitation subsidiaries with
minority interests. See Liquidity and Capital
Resources.
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We recorded income tax expense of $48.6 million for the
year ended December 31, 2003. The expense represented an
effective tax rate of 39.6%. We recorded income tax expense of
$28.6 million for the year ended December 31, 2002,
representing an effective tax rate of 39.3%. The effective tax
rates in both 2003 and 2002 approximate the federal and state
statutory tax rates. The increase in the tax rate is the result
of a larger portion of our net income being earned in states
with higher tax rates.
Liquidity and Capital Resources
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Three Months Ended March 31, 2005 and 2004 |
Operating activities used $172.9 million for the combined
three months ended March 31, 2005 which includes
$186.0 million in cash expenses related to the merger.
Excluding the merger related expenses, operating activities
would have provided $13.1 million of cash flow. This
adjusted operating cash flow of $13.1 million is below our
recent historical trends due to a significant increase in our
accounts receivable balance. Our days sales outstanding
increased to 58 days at March 31, 2005, up from
48 days at December 31, 2004. The increase in days
sales outstanding is primarily the result of a change in the way
Medicare calculates our Periodic Interim Payments in our
Specialty Hospitals. Medicare changed from a per day based
calculation to a discharge based calculation to better align the
Periodic Interim Payment methodology with the current discharged
based reimbursement system. As a result, we are no longer
receiving a periodic payment for those patients still in the
hospital through our periodic interim payments. For the three
months ended March 31, 2004, operating activities provided
$76.5 million of cash flow. Our cash flow from operations
in this period benefited from strong collections of our accounts
receivable, the timing of our payments from Medicare and our
deferral of estimated tax payments. Our accounts receivable days
outstanding were 49 days at March 31, 2004.
Investing activities used $114.2 million of cash flow for
the combined three months ended March 31, 2005. The primary
use of cash related to the acquisition of SemperCare, which used
$105.1 million in cash. The remaining use of cash was
primarily related to purchases of property and equipment of
$3.7 million and other acquisition related payments of
$5.4 million. For the three months ended March 31,
2004, investing activities used $11.2 million of cash flow.
This usage resulted from purchases of property and equipment of
$7.8 million, $3.0 million in earn out payments and
$0.4 million in acquisition costs.
Financing activities provided $59.0 million of cash for the
combined three months ended March 31, 2005. The merger
financing discussed below was the primary contributor of this
cash flow. These excess proceeds from the merger financing were
used to pay merger related costs, which includes the
cancellation and cash-out of outstanding stock options. For the
three months ended March 31, 2004, financing activities
utilized $20.0 million of cash. This principally related to
the repurchase of our common stock during the quarter in
accordance with the stock repurchase program we announced on
February 23, 2004.
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Years Ended December 31, 2004, 2003, and 2002 |
Operating activities generated $174.3 million,
$246.2 million, and $120.8 million in cash during the
years ended December 31, 2004, 2003 and 2002, respectively.
The significant increase in cash flow experienced in 2004 and
2003 compared to 2002 is attributable to improved operating
income and significant reductions in our accounts receivable
days outstanding. Our accounts receivable days outstanding were
48 days at December 31, 2004 compared to 52 days
at December 31, 2003 and 73 days at December 31,
2002. This reduction has resulted from improvements we
implemented in our business office operations which includes a
focused effort to resolve problematic accounts in a timely
manner and improved pre-admission policies to validate insurance
coverage. In 2004, a one day change in our accounts receivable
days outstanding had a $4.6 million effect on operating
cash flows.
Investing activities used $21.9 million,
$261.5 million and $54.0 million of cash flow for the
years ended December 31, 2004, 2003 and 2002, respectively.
Of this amount, we incurred earnout and acquisition related
payments of $4.9 million, $228.2 million and
$10.9 million, respectively in 2004, 2003 and 2002. The
Kessler acquisition costs, net of cash acquired, of
$223.9 million comprise most of the 2003 expenditures. The
earnout
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payments related principally to obligations we assumed as part
of our 1999 NovaCare acquisition. Acquisition payments related
to amounts we paid for new business acquisitions. This usage
also resulted from purchases of property and equipment of
$32.6 million, $35.9 million and $43.2 million in
2004, 2003 and 2002, respectively, which was related principally
to new hospital development.
Financing activities used $71.0 million and
$21.4 million of cash for the years ended December 31,
2004 and 2002, respectively. In 2004, this was principally due
to the repurchase of our common stock during in accordance with
the stock repurchase program we announced on February 23,
2004. During 2004, we repurchased a total of
3,399,400 shares at a cost, including fees and commissions,
of $48.1 million. Additionally, during 2004, we repaid all
outstanding balances under our credit facility of
$8.5 million and repaid $3.9 million of seller and
other debt. Cash dividend payments in 2004 were
$9.2 million. Additionally, during 2004 we had
$18.6 million of cash flow from the issuance of common
stock under our stock option plans. In 2002, the use of cash was
due principally to the repayment of our credit facility and
seller debt.
Financing activities provided $124.3 million of cash for
the year ended December 31, 2003. During 2003, we sold
$175.0 million of
71/2% senior
subordinated notes due 2013. The net proceeds from the sale were
approximately $169.4 million after deducting discounts,
commissions and expenses of the offering, and were used to
finance a portion of the Kessler acquisition. Deferred financing
costs associated with the offering were $5.9 million.
During 2003, we repaid $65.6 million of credit facility
debt and $3.7 million of seller and other debt. In December
2003, we declared and paid our companys first ever common
stock cash dividend of $0.03 per share, which resulted in
an aggregate payment to our stockholders of $3.1 million.
In 2003 we received $28.6 million of proceeds from the
issuance of stock related to the exercise of employee stock
options and stock warrants.
Net working capital was $158.0 million at March 31,
2005 compared to $313.7 million at December 31, 2004.
This decrease in working capital was principally related to the
use of cash to fund merger costs, offset by an increase in
accounts receivable.
Net working capital increased to $313.7 million at
December 31, 2004 compared to $188.4 million at
December 31, 2003. This increase in working capital was
principally related to an increase in cash and a reduction in
amounts due to third party payors. The reduction in amounts due
to third-party payors was a result of filing and settling cost
reports and refinements in the bi-weekly payments we receive
from our Medicare fiscal intermediary related to our Medicare
patients.
In connection with the Transactions, on February 24, 2005
we borrowed $780.0 million under a new $880.0 million
senior secured credit facility and issued $660.0 million
principal amount of our outstanding notes. See The
Transactions. At March 31, 2005 we had outstanding
$1.45 billion in aggregate indebtedness, excluding
$16.4 million of letters of credit, with approximately
$83.6 million of additional borrowing capacity under our
new senior secured credit facility. As a result, our liquidity
requirements will be significantly higher in future periods due
to our increased debt service obligations then they were in
prior years. For the year ended December 31, 2004, on a pro
forma basis after giving effect to the Transactions, our
interest expense would have been $96.9 million.
On February 24, 2005, we entered into a new senior secured
credit facility with a syndicate of financial institutions and
institutional lenders. Our new senior secured credit facility
provides for senior secured financing of up to
$880.0 million, consisting of:
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a $300.0 million revolving loan facility with a maturity of
six years, including both a letter of credit sub-facility and a
swingline loan sub-facility, and |
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a $580.0 million term loan facility with a maturity of
seven years. |
Proceeds of the term loans and $200.0 million of revolving
loans, together with other sources of funds described under
The Transactions, were used to finance the
Transactions. Proceeds of the revolving loans borrowed after the
closing date of the Transactions, swingline loans and letters of
credit will be used for working capital and general corporate
purposes.
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The interest rates per annum applicable to loans, other than
swingline loans, under our new senior secured credit facility
are, at our option, equal to either an alternate base rate or an
adjusted LIBOR rate for a one, two, three or six month interest
period, or a nine or twelve month period if available, in each
case, plus an applicable margin percentage. The alternate base
rate is the greater of (1) JPMorgan Chase Bank, N.A.s
prime rate and (2) one-half of 1% over the weighted average
of rates on overnight Federal funds as published by the Federal
Reserve Bank of New York. The adjusted LIBOR rate will be
determined by reference to settlement rates established for
deposits in dollars in the London interbank market for a period
equal to the interest period of the loan and the maximum reserve
percentages established by the Board of Governors of the United
States Federal Reserve to which our lenders are subject. The
applicable margin percentage is (1) 1.50% for alternate
base rate revolving loans and (2) 2.50% for adjusted LIBOR
rate revolving loans, subject to reduction beginning
approximately six months after the closing based upon the ratio
of our total indebtedness to our consolidated EBITDA (as defined
in the credit agreement governing our new senior secured credit
facility). The applicable margin percentages for the term loans
are (1) 0.75% for alternate base rate loans and
(2) 1.75% for adjusted LIBOR loans. See
Interest Rate Risks.
For a summary of the terms of our new senior secured credit
facility, see Description of Certain Other
Indebtedness Our New Senior Secured Credit
Facility.
On February 24, 2005, we issued and sold
$660.0 million in aggregate principal amount of our
outstanding
75/8% senior
subordinated notes due 2015. The net proceeds of the offering
were used to finance a portion of the funds needed to consummate
the merger with EGL Acquisition Corp. The notes were issued
under an indenture between us and U.S. Bank
Trust National Association, as trustee. Interest on the
notes is payable semiannually in arrears on February 1 and
August 1 of each year, commencing August 1, 2005. The
notes are guaranteed by all of our wholly-owned domestic
subsidiaries, subject to certain exceptions. On or after
February 1, 2010, the notes may be redeemed at our option,
in whole or in part, at redemption prices that decline annually
to 100% on and after February 1, 2013, plus accrued and
unpaid interest. Prior to February 1, 2008, we may at our
option on one or more occasions with the net cash proceeds from
certain equity offerings redeem the outstanding notes in an
aggregate principal amount not to exceed 35% of the aggregate
principal amount originally issued at a redemption price of
107.625%, plus accrued and unpaid interest to the redemption
date.
Upon a change of control of our company (as defined in the
indenture governing the notes), each holder of notes may require
us to repurchase all or any portion of the holders notes
at a purchase price equal to 101% of the principal amount plus
accrued and unpaid interest to the date of purchase.
Our
91/2% senior
subordinated notes due 2009 were issued in June 2001 in an
original aggregate principal amount of $175.0 million. We
commenced a debt tender offer and redeemed $169.3 million
in aggregate principal amount of these notes in connection with
the Transactions. See The Transactions. On
June 15, 2005, we redeemed the remaining $5.7 million
outstanding principal amount of our
91/2% senior
subordinated notes due 2009 for a redemption price of 104.750%
of the principal amount plus accrued and unpaid interest.
We believe internally generated cash flows and borrowings of
revolving loans under our new senior secured credit facility
will be sufficient to finance operations for at least the next
twelve months.
As a result of the recently enacted HIH regulations, we
currently anticipate that we will need to relocate approximately
50% of our long-term acute care hospitals over the next five
years, including certain of our hospitals acquired in the
SemperCare acquisition. This process will include relocating
certain HIHs to leased spaces in smaller host hospitals in the
same markets, consolidating HIHs in certain of our markets,
relocating certain of our HIHs to alternative settings, building
or buying free-standing facilities. These relocation efforts
will require us to spend additional capital above historic
levels. We currently expect to spend approximately
$500 million on capital expenditures over the next five
years, including both our ongoing maintenance capital
expenditures and the capital required for hospital relocations.
In the year ended December 31, 2004, we opened four
long-term acute care hospitals and closed one existing hospital.
We expect to open four new long-term acute care hospitals in
2005, primarily in settings
63
where the HIH regulations would have little or no impact, such
as in free-standing buildings. Additionally, we are evaluating
opportunities to develop free-standing inpatient rehabilitation
facilities similar to the four inpatient rehabilitation
facilities acquired through our September 2003 Kessler
acquisition. We also intend to open new outpatient
rehabilitation clinics in our current markets where we can
benefit from existing referral relationships and brand awareness
to produce incremental growth. From time to time, we also intend
to evaluate specialty hospital acquisition opportunities that
may enhance the scale of our business and expand our geographic
reach.
|
|
|
Commitments and Contingencies |
The following table summarizes our contractual obligations at
December 31, 2004, and the effect such obligations are
expected to have on our liquidity and cash flow in future
periods.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments Due by Year | |
|
|
| |
Contractual Obligations |
|
Total | |
|
2005 | |
|
2006-2008 | |
|
2009-2010 | |
|
After 2010 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
(Dollars in thousands) | |
|
|
91/2% Senior
Subordinated Notes
|
|
$ |
175,000 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
175,000 |
|
|
$ |
|
|
71/2% Senior
Subordinated Notes
|
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
Seller Notes
|
|
|
3,406 |
|
|
|
2,782 |
|
|
|
624 |
|
|
|
|
|
|
|
|
|
Capital Lease Obligations
|
|
|
252 |
|
|
|
119 |
|
|
|
133 |
|
|
|
|
|
|
|
|
|
Other Debt Obligations
|
|
|
932 |
|
|
|
656 |
|
|
|
276 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Debt
|
|
|
354,590 |
|
|
|
3,557 |
|
|
|
1,033 |
|
|
|
175,000 |
|
|
|
175,000 |
|
Letters of Credit Outstanding
|
|
|
15,125 |
|
|
|
15,125 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase Obligations
|
|
|
7,470 |
|
|
|
3,131 |
|
|
|
4,013 |
|
|
|
326 |
|
|
|
|
|
Patient Care Obligation(1)
|
|
|
3,234 |
|
|
|
246 |
|
|
|
739 |
|
|
|
494 |
|
|
|
1,755 |
|
Naming, Promotional and Sponsorship Agreement
|
|
|
35,219 |
|
|
|
1,498 |
|
|
|
4,494 |
|
|
|
3,100 |
|
|
|
26,127 |
|
Operating Leases
|
|
|
225,886 |
|
|
|
73,039 |
|
|
|
123,239 |
|
|
|
16,070 |
|
|
|
13,538 |
|
Related Party Operating Leases
|
|
|
18,018 |
|
|
|
1,731 |
|
|
|
5,401 |
|
|
|
3,369 |
|
|
|
7,517 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Contractual Cash Obligations
|
|
$ |
659,542 |
|
|
$ |
98,327 |
|
|
$ |
138,919 |
|
|
$ |
198,359 |
|
|
$ |
223,937 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
For a description of this obligation, see Note 16 to our
consolidated audited financial statements for the year ended
December 31, 2004. |
64
The following table summarizes our contractual obligations pro
forma for the Transactions at December 31, 2004, and the
effect such obligations are expected to have on our liquidity
and cash flow in future periods.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments Due by Year | |
|
|
| |
Contractual Obligations |
|
Total | |
|
2005 | |
|
2006-2008 | |
|
2009-2010 | |
|
After 2010 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
(Dollars in thousands) | |
|
|
75/8% Senior
Subordinated Notes
|
|
$ |
660,000 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
660,000 |
|
Term loans
|
|
|
580,000 |
|
|
|
4,350 |
|
|
|
17,400 |
|
|
|
11,600 |
|
|
|
546,650 |
|
Borrowing on revolver
|
|
|
200,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
200,000 |
|
91/2% Senior
Subordinated Notes
|
|
|
5,750 |
|
|
|
|
|
|
|
|
|
|
|
5,750 |
|
|
|
|
|
Seller Notes
|
|
|
3,406 |
|
|
|
2,782 |
|
|
|
624 |
|
|
|
|
|
|
|
|
|
Capital Lease Obligations
|
|
|
252 |
|
|
|
119 |
|
|
|
133 |
|
|
|
|
|
|
|
|
|
Other Debt Obligations
|
|
|
932 |
|
|
|
656 |
|
|
|
276 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Debt
|
|
|
1,450,340 |
|
|
|
7,907 |
|
|
|
18,433 |
|
|
|
17,350 |
|
|
|
1,406,650 |
|
Letters of Credit Outstanding
|
|
|
15,125 |
|
|
|
15,025 |
|
|
|
100 |
|
|
|
|
|
|
|
|
|
Purchase Obligations
|
|
|
7,470 |
|
|
|
3,131 |
|
|
|
4,013 |
|
|
|
326 |
|
|
|
|
|
Patient Care Obligation(1)
|
|
|
3,234 |
|
|
|
246 |
|
|
|
739 |
|
|
|
494 |
|
|
|
1,755 |
|
Naming, Promotional and Sponsorship Agreement
|
|
|
35,219 |
|
|
|
1,498 |
|
|
|
4,494 |
|
|
|
3,100 |
|
|
|
26,127 |
|
Operating Leases
|
|
|
225,886 |
|
|
|
73,039 |
|
|
|
123,239 |
|
|
|
16,070 |
|
|
|
13,538 |
|
Related Party Operating Leases
|
|
|
18,018 |
|
|
|
1,731 |
|
|
|
5,401 |
|
|
|
3,369 |
|
|
|
7,517 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Contractual Cash Obligations
|
|
$ |
1,755,292 |
|
|
$ |
102,577 |
|
|
$ |
156,419 |
|
|
$ |
40,709 |
|
|
$ |
1,455,587 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
For a description of this obligation, see Note 16 to our
consolidated audited financial statements for the year ended
December 31, 2004. |
Medical and Professional Malpractice Insurance
In recent years, physicians, hospitals and other healthcare
providers have become subject to an increasing number of legal
actions alleging malpractice, product liability or related legal
theories. Many of these actions involve large claims and
significant defense costs. To protect ourselves from the cost of
these claims, we maintain professional malpractice liability
insurance and general liability insurance in amounts and with
deductibles that we believe to be sufficient for our operations.
Unfavorable pricing and availability trends have emerged in the
professional liability insurance market and the insurance market
in general that have caused the cost of professional liability
coverage to increase dramatically. Many insurance underwriters
have become more selective in the insurance limits and types of
coverage they will provide as a result of rising settlement
costs and the significant failures of some nationally known
insurance underwriters. In some instances, insurance
underwriters will no longer issue new policies in certain states
that have a history of high medical malpractice awards.
Physicians who refer patients to our facilities are facing
similar difficulties obtaining malpractice insurance at a
reasonable cost, which could adversely impact the number of our
referrals. As a result, we experienced substantial changes in
our medical and professional malpractice insurance program
beginning in 2003. Specifically, we have been required to assume
substantial self-insured retentions for our professional
liability claims. A self-insured retention is a minimum amount
of damages and expenses (including legal fees) that we must pay
for each claim. We use actuarial methods to estimate the value
of the losses that may occur within this self-insured retention
level and we are required under our insurance agreements to post
a letter of credit or set aside cash in trust funds to
securitize the estimated losses that we will assume. Because of
the high retention levels, we cannot predict with absolute
certainty the actual amount of the losses we will assume and
pay. To the extent that subsequent claims information varies
from loss estimates, the liabilities will be adjusted to reflect
current loss data. There can be no assurance that in the
65
future malpractice insurance will be available at a reasonable
price or that we will not have to further increase our levels of
self-insurance.
Inflation
The healthcare industry is labor intensive. Wages and other
expenses increase during periods of inflation and when labor
shortages occur in the marketplace. In addition, suppliers pass
along rising costs to us in the form of higher prices. We have
implemented cost control measures, including our case and
resource management program, to curtail increases in operating
costs and expenses. We have, to date, offset increases in
operating costs by increasing reimbursement for services and
expanding services. However, we cannot predict our ability to
cover or offset future cost increases.
Interest Rate Risks
We are subject to interest rate risk in connection with our
long-term indebtedness. Our principal interest rate exposure
relates to the loans outstanding under our new senior secured
credit facility. As of March 31, 2005, we had
$580.0 million in term loans outstanding and
$200.0 million of revolving loans outstanding under our new
senior secured credit facility, each bearing interest at
variable rates. Each eighth point change in interest rates would
result in a $1.0 million change in interest expense on our
new term loans. Our new revolving loan facility provides for
borrowings of up to $300.0 million. Assuming an outstanding
balance of $200.0 million is drawn on our revolver, each
eighth point change in interest rates would result in a
$0.3 million change in interest expense on our new
revolving loan facility. In the future, we may enter into
interest rate swaps, involving exchange of floating for fixed
rate interest payments, to reduce interest rate volatility.
Recent Accounting Pronouncements
In March 2005, the Financial Accounting Standards Board issued
interpretation (FIN) No. 47, Accounting for
Conditional Asset Retirement Obligations an
interpretation of FASB Statement No. 143. The
statement clarifies that the term conditional asset retirement
obligation, as used in SFAS No. 143, Accounting
for Asset Retirement Obligations, refers to a legal
obligation to perform an asset retirement activity in which the
timing and (or) method of settlement are conditional on a
future event that may or may not be within the control of the
entity. This interpretation also clarifies when an entity would
have sufficient information to reasonably estimate the fair
value of an asset retirement obligation. The effective date of
this interpretation is no later than the end of the fiscal year
ending after December 15, 2005. The adoption of
FIN No. 47 is not expected to have a material impact
on our financial position and results of operations.
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 123R (revised 2004), Share-Based
Payment. This Statement is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation, and supersedes APB Opinion No. 25,
Accounting for Stock Issued to Employees, and its
related implementation guidance. SFAS No. 123R
requires that compensation cost relating to share-based payment
transactions be recognized in financial statements. That cost
will be measured based on the fair value of the equity or
liability instruments issued. The provisions of this statement
are effective for us beginning at our next annual reporting
period beginning January 1, 2006, however, we have adopted
SFAS No. 123R in the Successor period beginning on
February 25, 2005. The adoption of SFAS No. 123R had
an immaterial impact on our financial position and results of
operations.
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 153, Exchanges of Nonmonetary
Assets, an amendment of APB Opinion No. 29. The
guidance in APB Opinion No. 29, Accounting for
Nonmonetary Transactions, is based on the principle that
exchanges of nonmonetary assets should be measured based on the
fair value of assets exchanged. The guidance in that Opinion,
however, included certain exceptions to that principle. This
Statement amends Opinion 29 to eliminate the exception for
nonmonetary exchanges of similar productive assets that do not
have commercial substance. A nonmonetary exchange has commercial
substance if the future cash flows of the entity are expected to
change significantly as a result of the exchange.
SFAS No. 153 is effective for nonmonetary exchanges
occurring in fiscal periods beginning after June 15, 2005.
The adoption of SFAS No. 153 is not expected to have a
material impact on our financial position and results of
operations.
66
OUR BUSINESS
Company Overview
We are a leading operator of specialty hospitals in the United
States. We are also a leading operator of outpatient
rehabilitation clinics in the United States and Canada. As of
March 31, 2005, we operated 99 long-term acute care
hospitals in 26 states, four acute medical rehabilitation
hospitals, which are certified by Medicare as inpatient
rehabilitation facilities, in New Jersey and 753 outpatient
rehabilitation clinics in 25 states, the District of
Columbia and seven Canadian provinces. We also provide medical
rehabilitation services on a contract basis at nursing homes,
hospitals, assisted living and senior care centers, schools and
worksites. We began operations in 1997 under the leadership of
our current management team, including our co-founders, Rocco A.
Ortenzio and Robert A. Ortenzio, both of whom have significant
experience in the healthcare industry. Under this leadership, we
have grown our business through internal development initiatives
and strategic acquisitions. For the three months ended
March 31, 2005, we had net operating revenues of
$482.9 million.
We manage our company through two business segments, our
specialty hospital segment and our outpatient rehabilitation
segment. For the three months ended March 31, 2005,
approximately 71% of our net operating revenues were from our
specialty hospitals and approximately 29% were from our
outpatient rehabilitation business.
Specialty Hospitals
As of March 31, 2005, we operated 103 specialty hospitals.
Of this total, 99 operated as long-term acute care hospitals, 97
of which were certified by the federal Medicare program as
long-term acute care hospitals, and two of which were in the
process of becoming certified as long-term acute care hospitals.
The remaining four specialty hospitals are certified by the
federal Medicare program as inpatient rehabilitation facilities.
For the three months ended March 31, 2005, approximately
74% of the net operating revenues of our specialty hospital
segment came from Medicare reimbursement. As of March 31,
2005, we operated a total of 3,907 available licensed beds and
employed approximately 11,800 people in our specialty hospital
segment, with the majority being registered or licensed nurses,
respiratory therapists, physical therapists, occupational
therapists and speech therapists.
Patients are admitted to our specialty hospitals from general
acute care hospitals. These patients have specialized needs, and
serious and often complex medical conditions such as respiratory
failure, neuromuscular disorders, traumatic brain and spinal
cord injuries, stroke, cardiac disorders, non-healing wounds,
renal disorders and cancer. These patients generally require a
longer length of stay than patients in a general acute care
hospital and benefit from being treated in a specialty hospital
that is designed to meet their unique medical needs. Below is a
table that shows the distribution by medical condition (based on
primary diagnosis) of patients in our hospitals for the year
ended December 31, 2004:
|
|
|
|
|
|
|
|
Distribution | |
Medical Condition |
|
of Patients | |
|
|
| |
Neuromuscular disorder
|
|
|
34 |
% |
Respiratory disorder
|
|
|
30 |
|
Cardiac disorder
|
|
|
12 |
|
Wound care
|
|
|
8 |
|
Other
|
|
|
16 |
|
|
|
|
|
|
Total
|
|
|
100 |
% |
We believe that we provide our services on a more cost-effective
basis than a typical general acute care hospital because we
provide a much narrower range of services. We believe that our
services are therefore attractive to healthcare payors who are
seeking to provide the most cost-effective level of care to
their enrollees. Additionally, we continually seek to increase
our admissions by expanding and improving our relationships with
the physicians and general acute care hospitals that refer
patients to our facilities.
67
When a patient is referred to one of our hospitals by a
physician, case manager, health maintenance organization or
insurance company, a nurse liaison makes an assessment to
determine the care required. Based on the determinations reached
in this clinical assessment, an admission decision is made by
the attending physician.
Upon admission, an interdisciplinary team reviews a new
patients condition. The interdisciplinary team comprises a
number of clinicians and may include any or all of the
following: an attending physician; a specialty nurse; a
physical, occupational or speech therapist; a respiratory
therapist; a dietician; a pharmacist; or a case manager. Upon
completion of an initial evaluation by each member of the
treatment team, an individualized treatment plan is established
and implemented. The case manager coordinates all aspects of the
patients hospital stay and serves as a liaison with the
insurance carriers case management staff when appropriate.
The case manager communicates progress, resource utilization,
and treatment goals between the patient, the treatment team and
the payor.
Each of our specialty hospitals has an onsite management team
consisting of a chief executive officer, a director of clinical
services and a director of provider relations. These teams
manage local strategy and day-to-day operations, including
oversight of clinical care and treatment. They also assume
primary responsibility for developing relationships with the
general acute care providers and clinicians in our markets that
refer patients to our specialty hospitals. We provide our
hospitals with centralized accounting, payroll, legal,
reimbursement, human resources, compliance, management
information systems, billing and collecting services. The
centralization of these services improves efficiency and permits
hospital staff to spend more time on patient care.
We operate most of our long-term acute care hospitals using a
hospital within a hospital model. A long-term acute
care hospital that operates as a hospital within a hospital
leases space from a general acute care host hospital
and operates as a separately-licensed hospital within the host
hospital in contrast to a long-term acute care hospital that
owns or operates a free-standing facility. Of the 99 long-term
acute care hospitals we operated as of March 31, 2005, 95
were operated as hospitals within hospitals and four were
operated as free-standing facilities.
|
|
|
Recent HIH Regulatory Changes |
On August 11, 2004, the Centers for Medicare &
Medicaid Services, also known as CMS, published final
regulations applicable to long-term acute care hospitals that
are operated as hospitals within hospitals or as
satellites (collectively referred to as HIHs). These
HIH regulations became effective for hospital cost reporting
periods beginning on or after October 1, 2004. Subject to
certain exceptions, under these HIH regulations, HIHs will
receive lower rates of reimbursement for Medicare patients
admitted from their hosts that are in excess of specified
percentages. For new HIHs, the Medicare admissions threshold has
been established at 25%. For HIHs that meet specified criteria
and were in existence as of October 1, 2004, including all
of our existing HIHs, the Medicare admissions thresholds will be
phased-in over a four-year period starting with hospital cost
reporting periods beginning on or after October 1, 2004,
according to the following schedule:
|
|
|
|
|
|
|
Threshold of Medicare Discharges | |
Cost Reporting Period Beginning on or After: |
|
Admitted from Host Hospital | |
|
|
| |
October 1, 2004
|
|
|
Fiscal 2004 Percentage (as defined below) |
|
October 1, 2005
|
|
|
Lesser of Fiscal 2004 Percentage or 75% |
|
October 1, 2006
|
|
|
Lesser of Fiscal 2004 Percentage or 50% |
|
October 1, 2007
|
|
|
25% |
|
As used in this prospectus, Fiscal
2004 Percentage means, with respect to any HIH, the
percentage of all Medicare patients discharged by such HIH
during its cost reporting period beginning on or after
October 1, 2003 and before October 1, 2004 who were
admitted to such HIH from its host hospital. In no event will
the Fiscal 2004 Percentage be less than 25% when evaluating
any cost reporting period beginning on or after October 1,
2004.
68
For the year ended December 31, 2004 approximately 60% of
all Medicare admissions to our HIHs were from host hospitals.
For the same time period, the percentages of our HIHs that
admitted less than or equal to 25%, 50% and 75% of their
Medicare admissions from their host hospitals were as follows:
|
|
|
|
|
|
|
Percentage of Our HIHs Meeting Such Criteria | |
Percentage of Medicare Admissions from Host Hospital |
|
for the Year Ended December 31, 2004 | |
|
|
| |
25% or less
|
|
|
9 |
% |
50% or less
|
|
|
31 |
% |
75% or less
|
|
|
78 |
% |
Our existing HIHs will be substantially unaffected by these new
HIH regulations until cost reporting periods beginning on or
after October 1, 2005. In addition, because our HIHs have
cost reporting periods that commence on various dates throughout
the calendar year, the effect of the new admissions thresholds
on any particular HIH may be delayed depending on when the
particular HIHs cost reporting period begins. For example,
although approximately 22% of our HIHs that were open as of
December 31, 2004 admitted more than 75% of their Medicare
patients from their host hospitals during the year ended
December 31, 2004, only three of such HIHs have cost
reporting periods that will begin after October 1, 2005 and
before December 31, 2005.
As a result of the phase-in described above, the HIH regulations
will have only a minimal impact on our 2005 financial results.
The effect of these HIH regulations on our business and
financial results will become more significant in 2006 and have
an even greater impact in 2007 and in subsequent years. In order
to minimize the more significant impact of the HIH regulations
in 2006 and future years, we have developed a business plan and
strategy in each of our markets to adapt to the HIH regulations
and maintain our companys current business. Our transition
plan includes managing admissions at existing HIHs, relocating
certain HIHs to leased spaces in smaller host hospitals in the
same markets, consolidating HIHs in certain of our markets,
relocating certain of our facilities to alternative settings,
building or buying free-standing facilities and closing a small
number of facilities. We currently anticipate that approximately
50% of our long-term acute care hospitals will not require a
move. We believe that we will be able to accomplish our strategy
to adapt to the HIH regulations with minimal disruption to our
business. Our team has experience relocating long-term acute
care hospitals having successfully relocated eight hospitals
since 2000 with minimal disruption to our business. In addition,
our team has a proven development track record having developed
48 new long-term acute care hospitals since our inception.
See Our Business Government Regulations
and Managements Discussion and Analysis of Financial
Condition and Results of Operations Regulatory
Changes.
Outpatient Rehabilitation
As of March 31, 2005, we operated 753 clinics throughout
25 states, the District of Columbia and seven Canadian
provinces. As of March 31, 2005, our outpatient
rehabilitation segment employed approximately 8,500 people.
Typically, each of our clinics is located in a medical complex
or retail location.
In our clinics and through our contractual relationships, we
provide physical, occupational and speech rehabilitation
programs and services. We also provide certain specialized
programs such as hand therapy or sports performance enhancement
that treat sports and work related injuries, musculoskeletal
disorders, chronic or acute pain and orthopedic conditions. The
typical patient in one of our clinics suffers from
musculoskeletal impairments that restrict his or her ability to
perform normal activities of daily living. These impairments are
often associated with accidents, sports injuries, strokes, heart
attacks and other medical conditions. Our rehabilitation
programs and services are designed to help these patients
minimize physical and cognitive impairments and maximize
functional ability. We also design services to prevent
short-term disabilities from becoming chronic conditions. Our
rehabilitation services are provided by our professionals
including licensed physical therapists, occupational therapists,
speech-language pathologists and respiratory therapists.
Outpatient rehabilitation patients are generally referred or
directed to our clinics by a physician, employer or health
insurer who believes that a patient, employee or member can
benefit from the level of therapy we
69
provide in an outpatient setting. We believe that our services
are attractive to healthcare payors who are seeking to provide
the most cost-effective level of care to their enrollees. In
addition to providing therapy in our outpatient clinics, we
provide medical rehabilitation management services on a contract
basis at nursing homes, hospitals, schools, assisted living and
senior care centers and worksites. In our outpatient
rehabilitation segment, approximately 90% of our net operating
revenues come from commercial payors, including healthcare
insurers, managed care organizations and workers
compensation programs, and contract management services. The
balance of our reimbursement is derived from Medicare and other
government sponsored programs.
Other Services
Other services (which accounted for less than 1% of our net
operating revenues in the three months ended March 31,
2005) include home medical equipment, orthotics, prosthetics,
oxygen and ventilator systems, infusion/intravenous and certain
non-healthcare services.
Our Competitive Strengths
Leading market position. Since beginning our operations
in 1997, we believe that we have developed a reputation as a
high quality, cost-effective healthcare provider in the markets
we serve. We are a leading operator of specialty hospitals for
long-term stay patients in the United States and a leading
operator of outpatient rehabilitation clinics in the United
States and Canada. As of March 31, 2005, we operated 99
long-term acute care hospitals with 3,585 available licensed
beds in 26 states, four inpatient rehabilitation facilities
with 322 beds in New Jersey, and 753 outpatient rehabilitation
clinics in 25 states, the District of Columbia and seven
Canadian provinces. Our leadership position allows us to attract
patients, aids us in our marketing efforts to payors and
referral sources and helps us negotiate favorable payor
contracts.
Experienced and proven management team with a significant
equity investment. Prior to co-founding Select, our
Executive Chairman founded and operated three other healthcare
companies focused on rehabilitation services. Our five senior
operations executives have an average of 27 years of
experience in the healthcare industry. In addition, 12 of our 17
corporate officers worked together at Continental Medical
Systems, Inc., a developer and operator of inpatient
rehabilitation facilities that was managed under the leadership
of Rocco A. Ortenzio and Robert A. Ortenzio from its inception
in 1986 until it was sold in 1995. Their extensive experience in
this industry and their proven ability to adapt to regulatory
and reimbursement changes will be of great value as we
reposition many of our long-term acute care hospitals to respond
to the new HIH regulations. In addition, our senior management
team has a significant investment in Select through the
aggregate equity and debt investments of approximately
$74.2 million made by them in connection with the merger.
Furthermore, members of our senior management team are entitled
to participate in our parents equity and long-term cash
incentive plans. See The Transactions and
Certain Relationships and Related Transactions.
Proven financial performance and strong cash flow. We
have established a track record of improving the performance of
the facilities we operate. A significant reason for our strong
operating performance over the past several years has been our
disciplined approach to growth and intense focus on cash flow
generation and debt reduction:
|
|
|
|
|
net operating revenues and income from operations have grown
from $456.0 million and $20.3 million, respectively,
for the fiscal year ended December 31, 1999 to
$1,660.8 million and $231.5 million, respectively, for
the fiscal year ended December 31, 2004; and |
|
|
|
accounts receivable days outstanding have decreased from 119 as
of December 31, 1999 to 58 as of March 31, 2005; |
We intend to pursue a strategy of reducing leverage and believe
that our future operating cash flow will provide the opportunity
to do so.
Significant scale and diversity. By building significant
scale in our specialty hospital and outpatient rehabilitation
clinic businesses, we have been able to leverage our operating
costs by centralizing administra-
70
tive functions at our corporate office. We believe that our size
improves our ability to negotiate favorable outpatient contracts
with commercial insurers. Additionally, we believe our strength
in two attractive segments of the healthcare industry allows us
to diversify business risk and reduce our exposure to any single
governmental or commercial reimbursement source. Furthermore,
our broad geographic reach helps diversify our business and
reduce our exposure to risk associated with any single state or
other geographic region.
Demonstrated facility development expertise. From our
inception through March 31, 2005, we have developed 48 new
long-term acute care hospitals and 206 outpatient rehabilitation
clinics. These initiatives have demonstrated our ability to
effectively identify new opportunities and implement start-up
plans.
Successful history of long-term acute care relocations.
We have successfully completed the relocation of eight long-term
acute care hospitals since 2000 with minimal disruption to our
business. In each case these relocations have been successful
from a financial and operational standpoint. We believe our
experience and success with these moves will benefit us as we
adapt to the new HIH regulations.
Experience in successfully completing and integrating
acquisitions. From our inception in 1997 through
March 31, 2005, we completed five significant acquisitions
for approximately $697 million in aggregate consideration.
We believe that we have significantly improved the operating
performance of the facilities we have acquired by applying our
standard operating practices to the acquired businesses.
Specialty Hospital Strategy
Provide high quality care and service. We believe that
our patients benefit from our experience in addressing complex
medical and rehabilitation needs. To effectively address the
nature of our patients medical conditions, we have
developed specialized treatment programs focused solely on their
needs. We have also implemented specific staffing models that
are designed to ensure that patients have access to the
necessary level of clinical attention. We believe that by
focusing on quality care and service we develop brand loyalty in
our markets allowing us to retain patients and strengthen our
relationships with physicians, employers, and health insurers.
Our treatment and staffing programs benefit patients because
they give our clinicians access to the regimens that we have
found to be most effective in treating various conditions such
as respiratory failure, non-healing wounds, brain and spinal
cord injuries, strokes and neuromuscular disorders. In addition,
we combine or modify these programs to provide a treatment plan
tailored to meet a patients unique needs.
The quality of the patient care we provide is continually
monitored using several measures, including patient, payor and
physician satisfaction, as well as clinical outcomes. Quality
measures are collected monthly and reported quarterly and
annually. In order to benchmark ourselves against other
healthcare organizations, we have contracted with outside
vendors to collect our clinical and patient satisfaction
information and compare it to other healthcare organizations.
The information collected is reported back to each hospital, to
the corporate office, and directly to the Joint Commission on
Accreditation of Healthcare Organizations, commonly known as
JCAHO. As of March 31, 2005, JCAHO had accredited all but
two of our hospitals. These two hospitals have not yet undergone
a JCAHO survey. Each of our four inpatient rehabilitation
facilities have also received accreditation from the Commission
on Accreditation of Rehabilitation Facilities. See
Government Regulations
Licensure Accreditation.
Maintain operational and financial results under the revised
Medicare HIH regulations. As a result of the regulatory
changes published by CMS on August 11, 2004, much of our
effort in the near-term will be focused on implementing
strategic initiatives at our existing hospitals. These
initiatives will include managing admissions at existing HIHs,
relocating certain HIHs to leased spaces in smaller host
hospitals in the same markets, relocating certain of our
facilities to alternative settings and building or buying
free-standing facilities. We believe that there is sufficient
time during the phase-in period to meet the requirements of the
new HIH regulations while maintaining our existing business.
71
Reduce operating costs. We continually seek to improve
operating efficiency and reduce costs at our hospitals by
standardizing operations and centralizing key administrative
functions. These initiatives include:
|
|
|
|
|
optimizing staffing based on our occupancy and the clinical
needs of our patients; |
|
|
|
centralizing administrative functions such as accounting,
payroll, legal, reimbursement, compliance, human resources and
billing and collection; |
|
|
|
standardizing management information systems to aid in financial
reporting as well as billing and collecting; and |
|
|
|
participating in group purchasing arrangements to receive
discounted prices for pharmaceuticals and medical supplies. |
Increase higher margin commercial volume. We typically
receive higher reimbursement rates from commercial insurers than
we do from the federal Medicare program. As a result, we work to
expand relationships with insurers to increase commercial
patient volume. We believe that commercial payors seek to
contract with our hospitals because we offer patients high
quality and cost-effective care. Although the level of care we
provide is complex and staff intensive, we typically have lower
relative operating expenses than a general acute care hospital
because we provide a much narrower range of patient services at
our hospitals. As a result of our lower relative costs, we offer
more attractive rates to commercial payors. We also offer
commercial enrollees customized treatment programs not typically
offered in general acute care hospitals.
Develop new specialty hospitals. We expect to open four
long-term acute care hospitals in 2005, primarily in settings
where the new HIH regulations would have little or no impact,
for example, in free-standing buildings. Additionally, we are
evaluating opportunities to develop free-standing inpatient
rehabilitation facilities similar to the four inpatient
rehabilitation facilities acquired through our September 2003
Kessler acquisition.
We have a dedicated development team with significant market
experience. When we target a new market, the development team
conducts an extensive review of local market referral patterns
and commercial insurance to determine the general reimbursement
trends and payor mix. Ultimately, when we determine a location
or sign a lease for our planned space, the project is
transitioned to our start-up team, which is experienced in
preparing a specialty hospital for opening. The start-up team
oversees facility improvements, equipment purchases, licensure
procedures, and the recruitment of a full-time management team.
After the facility is opened, responsibility for its management
is transitioned to this new management team and our corporate
operations group.
During the period from January 1, 2001 to March 31,
2005, we completed the development and opening of the following
30 long-term acute care hospitals:
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Licensed Beds | |
|
|
|
|
|
|
|
|
(as of March 31, | |
Hospital Name |
|
City | |
|
State | |
|
Opening Date | |
|
2005) | |
|
|
| |
|
| |
|
| |
|
| |
SSH-Birmingham
|
|
|
Birmingham |
|
|
|
AL |
|
|
|
February 2001 |
|
|
|
38 |
|
SSH-Jefferson Parish
|
|
|
New Orleans |
|
|
|
LA |
|
|
|
February 2001 |
|
|
|
41 |
|
SSH-Pontiac
|
|
|
Pontiac |
|
|
|
MI |
|
|
|
June 2001 |
|
|
|
30 |
|
SSH-Camp Hill
|
|
|
Camp Hill |
|
|
|
PA |
|
|
|
June 2001 |
|
|
|
31 |
|
SSH-Wyandotte
|
|
|
Wyandotte |
|
|
|
MI |
|
|
|
September 2001 |
|
|
|
35 |
|
SSH-Charleston
|
|
|
Charleston |
|
|
|
WV |
|
|
|
December 2001 |
|
|
|
32 |
|
SSH-Northwest Detroit
|
|
|
Detroit |
|
|
|
MI |
|
|
|
December 2001 |
|
|
|
36 |
|
SSH-Scottsdale
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|
|
Scottsdale |
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|
|
AZ |
|
|
|
December 2001 |
|
|
|
29 |
|
SSH-Bloomington
|
|
|
Bloomington |
|
|
|
IN |
|
|
|
December 2001 |
|
|
|
30 |
|
SSH-Phoenix-Downtown
|
|
|
Phoenix |
|
|
|
AZ |
|
|
|
December 2001 |
|
|
|
33 |
|
SSH-Central Pennsylvania
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|
|
York |
|
|
|
PA |
|
|
|
June 2002 |
|
|
|
23 |
|
SSH-Saginaw
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|
|
Saginaw |
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|
|
MI |
|
|
|
June 2002 |
|
|
|
32 |
|
72
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Licensed Beds | |
|
|
|
|
|
|
|
|
(as of March 31, | |
Hospital Name |
|
City | |
|
State | |
|
Opening Date | |
|
2005) | |
|
|
| |
|
| |
|
| |
|
| |
SSH-South Dallas
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|
|
DeSoto |
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|
|
TX |
|
|
|
July 2002 |
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|
|
100 |
|
SSH-Jackson
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|
|
Jackson |
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|
|
MS |
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|
|
July 2002 |
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|
|
40 |
|
SSH-Milwaukee (St. Lukes Campus)
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|
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Milwaukee |
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|
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WI |
|
|
|
October 2002 |
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|
|
29 |
|
SSH-Lexington
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|
|
Lexington |
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|
|
KY |
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|
|
October 2002 |
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|
|
41 |
|
SSH-Denver (South Campus)
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|
|
Denver |
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|
|
CO |
|
|
|
November 2002 |
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|
|
28 |
|
SSH-Miami
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|
|
Miami |
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|
|
FL |
|
|
|
December 2002 |
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|
|
40 |
|
SSH-Augusta (Central Campus)
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|
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Augusta |
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|
|
GA |
|
|
|
May 2003 |
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|
|
35 |
|
SSH-Conroe
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|
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Conroe |
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TX |
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|
|
June 2003 |
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|
|
46 |
|
SSH-Durham
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Durham |
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|
|
NC |
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|
|
June 2003 |
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|
|
30 |
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SSH-Knoxville (U.T. Campus)
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|
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Knoxville |
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TN |
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|
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June 2003 |
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|
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25 |
|
SSH-Zanesville
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|
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Zanesville |
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|
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OH |
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|
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July 2003 |
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|
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35 |
|
SSH-Omaha (North Campus)
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|
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Omaha |
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|
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NE |
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|
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August 2003 |
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|
|
36 |
|
SSH-Northeast Ohio (Canton Campus)
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Canton |
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|
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OH |
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|
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November 2003 |
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|
|
30 |
|
SSH-Wichita (Central Campus)
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Wichita |
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|
|
KS |
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|
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December 2003 |
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|
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30 |
|
SSH-Honolulu(1)
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Honolulu |
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HI |
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June 2004 |
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30 |
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SSH-Danville
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Danville |
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PA |
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June 2004 |
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30 |
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SSH-Columbus/ Grant (Mt. Carmel Campus)
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Columbus |
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OH |
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June 2004 |
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24 |
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SSH-Western Missouri(1)
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Kansas City |
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MO |
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|
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July 2004 |
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|
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34 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
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|
|
|
|
|
|
|
|
|
|
|
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|
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1,053 |
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|
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|
|
|
|
|
|
|
|
|
|
|
|
(1) |
As of March 31, 2005, certification as a long-term acute
care hospital was pending, subject to successful completion of a
start-up period and/or surveys by the applicable licensure or
certifying agencies. See Government
Regulations Licensure
Certification. |
Pursue opportunistic acquisitions. In addition to our
development initiatives, we may grow our network of specialty
hospitals through opportunistic acquisitions, such as our
recently completed SemperCare acquisition. We adhere to
selective criteria in our acquisition analysis and have
historically been able to obtain assets for what we believe are
attractive valuations. When we acquire a hospital or a group of
hospitals, a team of our professionals is responsible for
formulating and executing an integration plan. We have generally
been able to increase margins at acquired facilities by adding
clinical programs that attract commercial payors, centralizing
administrative functions and implementing our standardized
staffing models and resource management programs. From our
inception in 1997 through March 31, 2005, we have acquired
and integrated 58 hospitals. All of these hospitals now share
our centralized billing and standardized management information
systems. All of our acquired hospitals participate in our
centralized purchasing program.
Outpatient Rehabilitation Strategy
Provide high quality care and service. We are focused on
providing a high level of service to our patients throughout
their entire course of treatment. To measure satisfaction with
our service we have developed surveys for both patients and
physicians. Our clinics utilize the feedback from these surveys
to continuously refine and improve service levels. We believe
that by focusing on quality care and offering a high level of
customer service we develop brand loyalty in our markets. This
loyalty allows us to retain patients and strengthen our
relationships with the physicians, employers, and health
insurers in our markets who refer or direct additional patients
to us.
73
Increase market share. Our goal is to be a leading
provider of outpatient rehabilitation services in our local
markets. Having a strong market share in our local markets
allows us to benefit from heightened brand awareness, economies
of scale and increased leverage when negotiating payor
contracts. To increase our market share, we seek to expand our
services and programs and to continue to provide high quality
care and strong customer service in order to generate loyalty
with patients and referral sources.
Expand rehabilitation programs and services. We assess
the healthcare needs of our markets and implement programs and
services targeted to meet the demands of the local community. In
designing these programs we benefit from the knowledge we gain
through our national network of clinics. This knowledge is used
to design programs that optimize treatment methods and measure
changes in health status, clinical outcomes and patient
satisfaction.
Optimize the profitability of our payor contracts. Before
we enter into a new contract with a commercial payor, we
evaluate it with the aid of our contract management system. We
assess potential profitability by evaluating past and projected
patient volume, clinic capacity, and expense trends. Each
contract we enter into is continually re-evaluated to determine
how it is affecting our profitability. We create a retention
strategy for each of the top performing contracts and a
renegotiation strategy for contracts that do not meet our
defined criteria.
Maintain strong employee relations. We believe that the
relationships between our employees and the referral sources in
their communities are critical to our success. Our referral
sources, such as physicians and healthcare case managers, send
their patients to our clinics based on three factors: the
quality of our care, the service we provide and their
familiarity with our therapists. We seek to retain and motivate
our therapists by implementing a performance-based bonus
program, a defined career path with the ability to be promoted
from within, timely communication on company developments, and
internal training programs. We also focus on empowering our
employees by giving them a high degree of autonomy in
determining local market strategy. This management approach
reflects the unique nature of each market in which we operate
and the importance of encouraging our employees to assume
responsibility for their clinics performance.
Sources of Net Operating Revenues
The following table presents the approximate percentages by
source of net operating revenue received for healthcare services
we provided for the periods indicated:
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|
Fiscal Year Ended | |
|
Three Months | |
|
|
December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
Net Operating Revenues by Payor Source |
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005(1) | |
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| |
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| |
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| |
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| |
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| |
Medicare
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|
|
40.3 |
% |
|
|
46.0 |
% |
|
|
48.0 |
% |
|
|
47.5 |
% |
|
|
54.7 |
% |
Commercial insurance(2)
|
|
|
49.1 |
|
|
|
43.2 |
|
|
|
40.8 |
|
|
|
42.4 |
|
|
|
35.3 |
|
Private and other(3)
|
|
|
9.5 |
|
|
|
9.2 |
|
|
|
9.1 |
|
|
|
8.1 |
|
|
|
8.1 |
|
Medicaid
|
|
|
1.1 |
|
|
|
1.6 |
|
|
|
2.1 |
|
|
|
2.0 |
|
|
|
1.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Total
|
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The net operating revenues for the period after the merger,
February 25, 2005 through March 31, 2005 (Successor
period), has been added to the net operating revenues for the
period from January 1, 2005 through February 24, 2005
(Predecessor period), to arrive at the combined three months
ended March 31, 2005. |
|
(2) |
Includes commercial healthcare insurance carriers, health
maintenance organizations, preferred provider organizations,
workers compensation and managed care programs. |
|
(3) |
Includes self payors, Canadian revenues, contract management
services and non-patient related payments. Self pay revenues
represent less than 1% of total net operating revenues. |
74
Although in recent years an increasing percentage of our net
operating revenues were generated from the Medicare program, a
majority of our net operating revenues continue to come from
private payor sources. These sources include insurance
companies, workers compensation programs, health
maintenance organizations, preferred provider organizations,
other managed care companies, and employers, as well as by
patients directly. Patients are generally not responsible for
any difference between customary charges for our services and
amounts paid by Medicare and Medicaid programs, insurance
companies, workers compensation companies, health
maintenance organizations, preferred provider organizations, and
other managed care companies, but are responsible for services
not covered by these programs or plans, as well as for
deductibles and co-insurance obligations of their coverage. The
amount of these deductibles and co-insurance obligations has
increased in recent years. Collection of amounts due from
individuals is typically more difficult than collection of
amounts due from government or business payors. To further
reduce their healthcare costs, most insurance companies, health
maintenance organizations, preferred provider organizations, and
other managed care companies have negotiated discounted fee
structures or fixed amounts for hospital services performed,
rather than paying healthcare providers the amounts billed. Our
results of operations may be negatively affected if these
organizations are successful in negotiating further discounts.
Medicare is a federal program that provides medical insurance
benefits to persons age 65 and over, some disabled persons,
and persons with end-stage renal disease. Medicaid is a
federal-state funded program, administered by the states, which
provides medical benefits to individuals who are unable to
afford healthcare. All of our hospitals are currently certified
as Medicare providers. Our outpatient rehabilitation clinics
regularly receive Medicare payments for their services.
Additionally, our specialty hospitals participate in thirteen
state Medicaid programs. Amounts received under the Medicare and
Medicaid programs are generally less than the customary charges
for the services provided. In recent years, there have been
significant changes made to the Medicare and Medicaid programs.
Since nearly half of our revenues come from patients under the
Medicare program, our ability to operate our business
successfully in the future will depend in large measure on our
ability to adapt to changes in the Medicare program. See
Government Regulations Overview of
U.S. and State Government Reimbursements.
Employees
As of March 31, 2005, we employed approximately 20,900
people throughout the United States and Canada. A total of
approximately 13,700 of our employees are full time and the
remaining approximately 7,200 are part time employees.
Outpatient, contract therapy and physical rehabilitation and
occupational health employees totaled approximately 8,500 and
inpatient employees totaled approximately 11,800. The remaining
approximately 600 employees were in corporate management,
administration and other services.
Competition
We compete on the basis of pricing, the quality of the patient
services we provide and the results that we achieve for our
patients. The primary competitive factors in the long-term acute
care and inpatient rehabilitation businesses include quality of
services, charges for services and responsiveness to the needs
of patients, families, payors and physicians. Other companies
operate long-term acute care hospitals and inpatient
rehabilitation facilities that compete with our hospitals,
including large operators of similar facilities, such as Kindred
Healthcare Inc. and HealthSouth Corporation. The competitive
position of any hospital is also affected by the ability of its
management to negotiate contracts with purchasers of group
healthcare services, including private employers, managed care
companies, preferred provider organizations and health
maintenance organizations. Such organizations attempt to obtain
discounts from established hospital charges. The importance of
obtaining contracts with preferred provider organizations,
health maintenance organizations and other organizations which
finance healthcare, and its effect on a hospitals
competitive position, vary from market to market, depending on
the number and market strength of such organizations.
75
Our outpatient rehabilitation clinics face competition
principally from locally owned and managed outpatient
rehabilitation clinics in the communities they serve. Many of
these clinics have longer operating histories and greater name
recognition in these communities than our clinics, and they may
have stronger relations with physicians in these communities on
whom we rely for patient referrals. In addition, HealthSouth
Corporation, which operates more outpatient rehabilitation
clinics in the United States than we do, competes with us in a
number of our markets.
Government Regulations
The healthcare industry is required to comply with many laws and
regulations at the federal, state and local government levels.
These laws and regulations require that hospitals and outpatient
rehabilitation clinics meet various requirements, including
those relating to the adequacy of medical care, equipment,
personnel, operating policies and procedures, maintenance of
adequate records, compliance with building codes and
environmental protection and healthcare fraud and abuse. These
laws and regulations are extremely complex and, in many
instances, the industry does not have the benefit of significant
regulatory or judicial interpretation. If we fail to comply with
applicable laws and regulations, we could suffer civil or
criminal penalties, including the loss of our licenses to
operate and our ability to participate in the Medicare, Medicaid
and other federal and state healthcare programs.
Facility licensure. Our healthcare facilities are subject
to state and local licensing regulations ranging from the
adequacy of medical care to compliance with building codes and
environmental protection laws. In order to assure continued
compliance with these various regulations, governmental and
other authorities periodically inspect our facilities.
Some states still require us to get approval under certificate
of need regulations when we create, acquire or expand our
facilities or services. If we fail to show public need and
obtain approval in these states for our facilities, we may be
subject to civil or even criminal penalties, lose our facility
license or become ineligible for reimbursement if we proceed
with our development or acquisition of the new facility or
service.
Professional licensure and corporate practice. Healthcare
professionals at our hospitals and outpatient rehabilitation
clinics are required to be individually licensed or certified
under applicable state law. We take steps to ensure that our
employees and agents possess all necessary licenses and
certifications. In some states, business corporations such as
ours are restricted from practicing therapy through the direct
employment of therapists. In those states, in order to comply
with the restrictions imposed, we either contract to obtain
therapy services from an entity permitted to employ therapists,
or we manage the physical therapy practice owned by licensed
therapists through which the therapy services are provided.
Certification. In order to participate in the Medicare
program and receive Medicare reimbursement, each facility must
comply with the applicable regulations of the United States
Department of Health and Human Services relating to, among other
things, the type of facility, its equipment, its personnel and
its standards of medical care, as well as compliance with all
applicable state and local laws and regulations. All of our
specialty hospitals participate in the Medicare program. In
addition, we provide the majority of our outpatient
rehabilitation services through clinics certified by Medicare as
rehabilitation agencies or rehab agencies.
Accreditation. Our hospitals receive accreditation from
the Joint Commission on Accreditation of Healthcare
Organizations, a nationwide commission which establishes
standards relating to the physical plant, administration,
quality of patient care and operation of medical staffs of
hospitals. As of March 31, 2005, JCAHO had accredited all
but two of our hospitals. These two hospitals have not yet
undergone a JCAHO survey. Generally, our hospitals must be in
operation for at least six months before they are eligible for
accreditation. Each of our four inpatient rehabilitation
facilities has also received accreditation from the Commission
on Accreditation of Rehabilitation Facilities, an independent,
not-for-profit organization which
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reviews and grants accreditation for rehabilitation facilities
that meet established standards for service and quality.
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Overview of U.S. and State Government
Reimbursements |
Medicare. The Medicare program reimburses healthcare
providers for services furnished to Medicare beneficiaries,
which are generally persons age 65 and older, those who are
chronically disabled, and those suffering from end stage renal
disease. The program is governed by the Social Security Act of
1965 and is administered primarily by the Department of Health
and Human Services and the Centers for Medicare &
Medicaid Services. For the year ended December 31, 2004 and
the three months ended March 31, 2005, we received
approximately 48% and 55%, respectively, of our revenue from
Medicare.
The Medicare program reimburses various types of providers,
including long-term acute care hospitals, inpatient
rehabilitation facilities and outpatient rehabilitation
providers, using different payment methodologies. The Medicare
reimbursement systems for long-term acute care hospitals,
inpatient rehabilitation facilities and outpatient
rehabilitation providers, as described below, are different than
the system applicable to general acute care hospitals. For
general acute care hospitals, Medicare inpatient costs are
reimbursed under a prospective payment system under which a
hospital receives a fixed payment amount per discharge (adjusted
for area wage differences) using diagnosis related groups,
commonly referred to as DRGs. The general acute care hospital
DRG payment rate is based upon the national average cost of
treating a Medicare patients condition in that type of
facility. Although the average length of stay varies for each
DRG, the average stay of all Medicare patients in a general
acute care hospital is approximately six days. Thus, the
prospective payment system for general acute care hospitals
creates an economic incentive for those hospitals to discharge
medically complex Medicare patients as soon as clinically
possible. CMS has recently proposed to expand its post-acute
care transfer policy under which general acute care hospitals
are paid on a per diem basis rather than the full DRG rate if a
hospital is discharged early to certain post-acute care
settings, including long-term acute care hospitals. The
expansion of this policy to patients in a greater number of DRGs
could cause general acute care hospitals to delay discharging
those patients to our long-term acute care hospitals.
Long-term acute care hospital Medicare reimbursement. The
Medicare payment system for long-term acute care hospitals has
been changed to a new prospective payment system specifically
applicable to long-term acute care hospitals, which is referred
to as LTCH-PPS. LTCH-PPS was established by final regulations
published on August 30, 2002 by CMS, and applies to
long-term care hospitals for their cost reporting periods
beginning on or after October 1, 2002. Ultimately, when
LTCH-PPS is fully implemented, each patient discharged from a
long-term acute care hospital will be assigned to a distinct
long-term care diagnosis-related group, which is referred to as
an LTC-DRG, and a long-term acute care hospital will generally
be paid a predetermined fixed amount applicable to the assigned
LTC-DRG (adjusted for area wage differences). The payment amount
for each LTC-DRG is intended to reflect the average cost of
treating a Medicare patient assigned to that LTC-DRG in a
long-term acute care hospital. LTCH-PPS also includes special
payment policies that adjust the payments for some patients
based on the patients length of stay, the facilitys
costs, whether the patient was discharged and readmitted and
other factors. As required by Congress, LTC-DRG payment rates
have been set to maintain budget neutrality with total
expenditures that would have been made under the previous
reasonable cost-based payment system.
The LTCH-PPS regulations also refined the criteria that must be
met in order for a hospital to be certified as a long-term acute
care hospital. For cost reporting periods beginning on or after
October 1, 2002, a long-term acute care hospital must have
an average inpatient length of stay for Medicare patients
(including both Medicare covered and non-covered days) of
greater than 25 days. Previously, average lengths of stay
were measured with respect to all patients.
Prior to becoming subject to LTCH-PPS, a long-term acute care
hospital is paid on the basis of Medicare reasonable costs per
case, subject to limits. Under this cost-based reimbursement
system, costs accepted for reimbursement depend on a number of
factors, including necessity, reasonableness, related party
principles and relatedness to patient care. Qualifying costs
under Medicares cost reimbursement system typically
include all operating costs and also capital costs that include
interest expense, depreciation, amortization, and
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rental expense. Non-qualifying costs include marketing costs.
Under the cost-based reimbursement system, a long-term acute
care hospital is subject to per discharge payment limits. During
a long-term acute care hospitals initial operations,
Medicare payment is capped at the average national target rate
established by the Tax Equity and Fiscal Responsibility Act of
1982, commonly known as TEFRA. After the second year of
operations, payment is subject to a target amount based on the
lesser of the hospitals cost-per-discharge or the national
ceiling in the applicable base year. Legislation enacted in
December 2000, the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000, increased the target
amount by 25% and the national ceiling by 2% for cost reporting
periods beginning after October 1, 2000.
Prior to qualifying under the payment system applicable to
long-term acute care hospitals, a new long-term acute care
hospital initially receives payments under the general acute
care hospital DRG-based reimbursement system. The long-term
acute care hospital must continue to be paid under this system
for a minimum of six months while meeting certain Medicare
long-term acute care hospital requirements, the most significant
requirement being an average Medicare length of stay of more
than 25 days.
LTCH-PPS is being phased-in over a five-year transition period,
during which a long-term care hospitals payment for each
Medicare patient will be a blended amount consisting of set
percentages of the LTC-DRG payment rate and the hospitals
reasonable cost-based reimbursement. The LTC-DRG payment rate is
20% for a hospitals cost reporting period beginning on or
after October 1, 2002, and will increase by 20% for each
cost reporting period thereafter until the hospitals cost
reporting period beginning on or after October 1, 2006,
when the hospital will be paid solely on the basis of LTC-DRG
payment rates. A long-term acute care hospital may elect to be
paid solely on the basis of LTC-DRG payment rates (and not be
subject to the transition period) at the start of any of its
cost reporting periods during the transition period.
As of March 31, 2005, all 97 of our eligible long-term
acute care hospitals have implemented LTCH-PPS. We have elected
to be paid solely on the basis of LTC-DRG payments for all 97 of
these hospitals. The remaining two hospitals will be paid under
LTCH-PPS upon obtaining their long-term acute care hospital
certification.
While the implementation of LTCH-PPS is intended to be revenue
neutral to the industry, our hospitals experienced enhanced
financial performance in 2003 and 2004 due to our low cost
operating model and the high acuity of our patient population.
Regulatory changes. On August 11, 2004, the Centers
for Medicare & Medicaid Services, also known as CMS,
published final regulations applicable to long-term acute care
hospitals that are operated as hospitals within
hospitals or as satellites (collectively
referred to as HIHs). HIHs are separate hospitals located in
space leased from, and located in, general acute care hospitals,
known as host hospitals. Effective for hospital cost
reporting periods beginning on or after October 1, 2004,
the final regulations, subject to certain exceptions, provide
lower rates of reimbursement to HIHs for those Medicare patients
admitted from their hosts that are in excess of a specified
percentage threshold. For HIHs opened after October 1,
2004, the Medicare admissions threshold has been established at
25%. For HIHs that meet specified criteria and were in existence
as of October 1, 2004, including all of our existing HIHs,
the Medicare admissions thresholds will be phased-in over a
four-year period starting with hospital cost reporting periods
beginning on or after October 1, 2004, as follows:
(i) for discharges during the cost reporting period
beginning on or after October 1, 2004 and before
October 1, 2005, the Medicare admissions threshold is the
Fiscal 2004 Percentage of Medicare discharges admitted from
the host hospital; (ii) for discharges during the cost
reporting period beginning on or after October 1, 2005 and
before October 1, 2006, the Medicare admissions threshold
is the lesser of the Fiscal 2004 Percentage of Medicare
discharges admitted from the host hospital or 75%;
(iii) for discharges during the cost reporting period
beginning on or after October 1, 2006 and before
October 1, 2007, the Medicare admissions threshold is the
lesser of the Fiscal 2004 Percentage of Medicare discharges
admitted from the host hospital or 50%; and (iv) for
discharges during cost reporting periods beginning on or after
October 1, 2007, the Medicare admissions threshold is 25%.
At December 31, 2004, we operated 82 long-term acute care
hospitals. Of this total, 78 operated as HIHs. For the year
ended December 31, 2004, approximately 60% of the Medicare
admissions to our HIHs were from host hospitals. For the year
ended December 31, 2004, approximately 9% of our HIHs
admitted
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25% or fewer of their Medicare patients from their host
hospitals, approximately 31% of our HIHs admitted 50% or fewer
of their Medicare patients from their host hospitals, and
approximately 78% of our HIHs admitted 75% or fewer of their
Medicare patients from their host hospitals. There are several
factors that should be taken into account in evaluating this
admissions data. First, the admissions data for the year ended
December 31, 2004 is not necessarily indicative of the
admissions mix these hospitals will experience in the future.
Second, admissions data for the year ended December 31,
2004 includes four hospitals that were open for less than one
year, and the data from these hospitals may not be indicative of
the admissions mix these hospitals will experience over a longer
period of time. Third, admissions data for the year ended
December 31, 2004 does not include admissions data for the
hospitals recently acquired in the SemperCare acquisition. See
Managements Discussion and Analysis of Financial
Condition and Results of Operations Recent Trends
and Events SemperCare Acquisition.
The new Medicare host admission thresholds are phased in over a
four-year period. Our existing HIHs will be substantially
unaffected by the new HIH regulations until cost reporting
periods beginning on or after October 1, 2005, when the
threshold on Medicare host admissions drops to 75%. Thus, the
HIH regulations had no effect on our 2004 financial results. Our
HIHs have cost reporting periods that commence on various dates
throughout the calendar year. Consequently, any effect of the
new admissions thresholds on our HIHs may be delayed depending
on when a particular HIHs cost reporting period begins.
For example, although approximately 22% of our HIHs open at
December 31, 2004 admitted more than 75% of their Medicare
patients from their host hospitals during the year ended
December 31, 2004, only three of such HIHs have cost
reporting periods that will begin after October 1, 2005 and
before December 31, 2005. As a result, the HIH regulations
should have only a minimal impact on our 2005 financial results.
In order to minimize the more significant impact of the HIH
regulations in 2006 and for the subsequent years, we have
developed a business plan and strategy in each of our markets to
adapt to the HIH regulations and maintain our companys
current business. Our transition plan includes managing
admissions at existing HIHs, relocating certain HIHs to leased
spaces in smaller host hospitals in the same markets,
consolidating HIHs in certain of our markets, relocating certain
of our facilities to alternative settings, building or buying
free-standing facilities and closing a small number of
facilities.
The new HIH regulations established exceptions to the Medicare
admissions thresholds with respect to patients who reach
outlier status at the host hospital, HIHs located in
MSA-dominant hospitals and HIHs located in rural
areas. In its preamble to the May 6, 2005 final rule
updating the LTCH-PPS, CMS also confirmed that it had awarded a
contract to Research Triangle Institute (RTI) to
examine recent recommendations concerning how long-term acute
care hospitals are defined and differentiated from other types
of Medicare providers made by the Medicare Payment Advisory
Commission, or MedPAC. MedPAC is an independent federal body
that advises Congress on issues affecting the Medicare program.
In its June 2004 Report to Congress, MedPAC
recommended the adoption by CMS of new facility staffing and
services criteria and patient clinical characteristics and
treatment requirements for long-term acute care hospitals in
order to ensure that only appropriate patients are admitted to
these facilities. CMS anticipates making RTIs findings
available in the proposed LTCH-PPS update to be published in
early 2006. Although CMS as so far declined to impose the MedPAC
recommended criteria, the agency has stated that if RTIs
analysis suggests that changes should be made affecting LTCH
payments, discharges or certification criteria, statutory or
regulatory modifications to implement those changes may be
required.
Inpatient rehabilitation facility Medicare reimbursement.
Our acute medical rehabilitation hospitals are certified as
inpatient rehabilitation facilities by the Medicare program, and
are subject to a prospective payment system for services
provided to each discharged Medicare beneficiary. Prior to
January 1, 2002, inpatient rehabilitation facilities were
paid on the basis of Medicare reasonable costs per case, subject
to limits under TEFRA. For cost reporting periods beginning on
or after January 1, 2002, inpatient rehabilitation
facilities are paid under a new prospective payment system
specifically applicable to this provider type, which is referred
to as IRF-PPS. Under the IRF-PPS, each patient
discharged from an inpatient rehabilitation facility is assigned
to a case-mix group or IRF-CMG containing patients
with similar clinical problems that are expected to require
similar amounts of resources. An inpatient rehabilitation
facility is generally paid a predetermined fixed amount
applicable to the assigned IRF-CMG (subject to applicable case
adjustments
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related to length of stay and facility level adjustments for
location and low income patients). The payment amount for each
IRF-CMG is intended to reflect the average cost of treating a
Medicare patients condition in an inpatient rehabilitation
facility relative to patients with conditions described by other
IRF-CMGs. The IRF-PPS also includes special payment policies
that adjust the payments for some patients based on the
patients length of stay, the facilitys costs,
whether the patient was discharged and readmitted and other
factors. As required by Congress, IRF-CMG payments rates have
been set to maintain budget neutrality with total expenditures
that would have been made under the previous reasonable cost
based system. The IRF-PPS was phased-in over a transition period
in 2002. For cost reporting periods beginning on or after
January 1, 2002 and before October 1, 2002, an
inpatient rehabilitation facilitys payment for each
Medicare patient was a blended amount consisting of
662/3%
of the IRF-PPS payment rate and
331/3%
of the hospitals reasonable cost based reimbursement. For
cost reporting periods beginning on or after October 1,
2002, inpatient rehabilitation facilities are paid solely on the
basis of the IRF-PPS payment rate.
Although the IRF-PPS regulations did not change the criteria
that must be met in order for a hospital to be certified as an
inpatient rehabilitation facility, CMS adopted a separate final
rule on May 7, 2004 that made significant changes to those
criteria. The new inpatient rehabilitation facility
certification criteria became effective for cost reporting
periods beginning on or after July 1, 2004.
Under the historic IRF certification criteria that had been in
effect since 1983, in order to qualify as an IRF, a hospital was
required to satisfy certain operational criteria as well as
demonstrate that, during its most recent 12-month cost reporting
period, it served an inpatient population of whom at least 75%
required intensive rehabilitation services for one or more of
ten conditions specified in regulation (referred to as the
75% test). In 2002, CMS became aware that its
various contractors were using inconsistent methods to assess
compliance with the 75% test and that the percentage of
inpatient rehabilitation facilities in compliance with the 75%
test might be low. In response, in June 2002, CMS suspended
enforcement of the 75% test and, on September 9, 2003,
proposed modifications to the regulatory standards for
certification as an inpatient rehabilitation facility. In
addition, during 2003, several CMS contractors, including the
contractor overseeing our inpatient rehabilitation facilities,
promulgated draft local medical review policies that would
change the guidelines used to determine the medical necessity
for inpatient rehabilitation care.
Notwithstanding concerns stated by the industry and Congress in
late 2003 and early 2004 about the adverse impact that
CMSs proposed changes and renewed enforcement efforts
might have on access to inpatient rehabilitation facility
services, and notwithstanding Congressional requests that CMS
delay implementation of or changes to the 75% test for
additional study of clinically appropriate certification
criteria, CMS adopted four major changes to the 75% test in its
May 7, 2004 final rule. First, CMS temporarily lowered the
75% compliance threshold, as follows: (i) 50% for cost
reporting periods beginning on or after July 1, 2004 and
before July 1, 2005; (ii) 60% for cost reporting
periods beginning on or after July 1, 2005 and before
July 1, 2006; (iii) 65% for cost reporting periods
beginning on or after July 1, 2006 and before July 1,
2007; and (iv) 75% for cost reporting periods beginning on
or after July 1, 2007. Second, CMS modified and expanded
from 10 to 13 the medical conditions used to determine whether a
hospital qualifies as an inpatient rehabilitation facility.
Third, the agency finalized the conditions under which
comorbidities can be used to verify compliance with the 75%
test. Fourth, CMS changed the timeframe used to determine
compliance with the 75% test from the most recent 12-month
cost reporting period to the most recent,
consecutive, and appropriate 12-month period, with the
result that a determination of non-compliance with the
applicable compliance threshold will affect the facilitys
certification for its cost reporting period that begins
immediately after the 12-month review period.
Congress temporarily suspended CMS enforcement of the 75% test
under the Consolidated Appropriations Act, 2005, enacted on
December 8, 2004. The Act requires the Secretary of Health
and Human Services to respond within 60 days to a study by
the Government Accountability Office, or GAO, on the standards
for defining inpatient rehabilitation services before the
Secretary may use funds appropriated under the Act to
redesignate as a general acute care hospital any hospital that
was certified as an inpatient rehabilitation facility on or
before June 30, 2004 as a result of the hospitals
failure to meet the 75% test. The GAO issued its study on
April 22, 2005, and recommended that CMS, based on further
research, refine the 75% test to describe more thoroughly the
subgroups of patients within the qualifying conditions that are
appropriate for care in an
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inpatient rehabilitation facility. The Secretary has not yet
issued a formal response to the GAO study. If the revised 75%
test is ultimately enforced without further modifications,
during the years while the new standard is being phased-in, it
will be necessary for us to reassess and change our inpatient
admissions standards. Such changes may include more restrictive
admissions policies. Stricter admissions standards may result in
reduced patient volumes at our inpatient rehabilitation
facilities, which, in turn, may result in lower net operating
revenue and net income for these operations.
Outpatient rehabilitation services Medicare
reimbursement. We provide the majority of our outpatient
rehabilitation services in our rehabilitation clinics. Through
our contract services agreements, we also provide outpatient
rehabilitation services in the following settings:
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schools; |
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physician-directed clinics; |
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worksites; |
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assisted living centers; |
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hospitals; and |
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skilled nursing facilities. |
Most of our outpatient rehabilitation services are provided in
rehabilitation agencies and through our inpatient rehabilitation
facilities.
Prior to January 1, 1999, outpatient therapy services,
including physical therapy, occupational therapy, and
speech-language pathology, were reimbursed on the basis of the
lower of 90% of reasonable costs or actual charges. Beginning on
January 1, 1999, the Balanced Budget Act of 1997 (the
BBA) required that outpatient therapy services be
reimbursed on a fee schedule, subject to annual limits.
Outpatient therapy providers receive a fixed fee for each
procedure performed, which is adjusted by the geographical area
in which the facility is located.
The BBA also imposed annual per Medicare beneficiary caps
beginning January 1, 1999 that limited Medicare coverage to
$1,500 for outpatient rehabilitation services (including both
physical therapy and speech-language pathology services) and
$1,500 for outpatient occupational health services, including
deductible and coinsurance amounts. The caps were to be
increased beginning in 2002 by application of an inflation
index. Subsequent legislation imposed a moratorium on the
application of these limits for the years 2000, 2001 and 2002.
With the expiration of the moratorium, CMS implemented the caps
beginning on September 1, 2003. The Medicare Prescription
Drug, Improvement and Modernization Act, signed by President
Bush on December 8, 2003 (MMA), re-imposed the
moratorium on the application of the therapy caps from the date
of MMAs enactment through December 31, 2005.
Historically, outpatient rehabilitation services have been
subject to scrutiny by the Medicare program for, among other
things, medical necessity for services, appropriate
documentation for services, supervision of therapy aides and
students and billing for group therapy. CMS has issued guidance
to clarify that services performed by a student are not
reimbursed even if provided under line of sight
supervision of the therapist. Likewise, CMS has reiterated that
Medicare does not pay for services provided by aides regardless
of the level of supervision. CMS also has issued instructions
that outpatient physical and occupational therapy services
provided simultaneously to two or more individuals by a
practitioner should be billed as group therapy services.
Payment for rehabilitation services furnished to patients of
skilled nursing facilities has been affected by the
establishment of a Medicare prospective payment system and
consolidated billing requirement for skilled nursing facilities.
The resulting pressure on skilled nursing facilities to reduce
their costs by negotiating lower payments to therapy providers,
such as our contract therapy services, and the inability of the
therapy providers to bill the Medicare program directly for
their services have tended to reduce the amounts that
rehabilitation providers can receive for services furnished to
many skilled nursing facility residents.
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Long-term acute care hospital Medicaid reimbursement. The
Medicaid program is designed to provide medical assistance to
individuals unable to afford care. The program is governed by
the Social Security Act of 1965 and administered and funded
jointly by each individual state government and CMS. Medicaid
payments are made under a number of different systems, which
include cost based reimbursement, prospective payment systems or
programs that negotiate payment levels with individual
hospitals. In addition, Medicaid programs are subject to
statutory and regulatory changes, administrative rulings,
interpretations of policy by the state agencies and certain
government funding limitations, all of which may increase or
decrease the level of program payments to our hospitals.
Medicaid payments accounted for approximately 2% of our
long-term acute care net operating revenues for the year ended
December 31, 2004.
Workers compensation. Workers compensation
programs accounted for approximately 19% of our revenue from
outpatient rehabilitation services for the year ended
December 31, 2004. Workers compensation is a state
mandated, comprehensive insurance program that requires
employers to fund or insure medical expenses, lost wages and
other costs resulting from work related injuries and illnesses.
Workers compensation benefits and arrangements vary on a
state-by-state basis and are often highly complex. In some
states, payment for services covered by workers
compensation programs are subject to cost containment features,
such as requirements that all workers compensation
injuries be treated through a managed care program, or the
imposition of payment caps. In addition, these workers
compensation programs may impose requirements that affect the
operations of our outpatient rehabilitation services.
The Canada Health Act governs the publicly funded Canadian
healthcare system, and provides for federal funding to be
transferred to provincial health systems. Our Canadian
outpatient rehabilitation clinics receive approximately 44% of
their funding through workers compensation benefits, which
are administered by provincial workers compensation
boards. The workers compensation boards assess
employers fees based on their industry and past claims
history. These fees are then distributed independently by each
provincial workers compensation board as payments for
healthcare services. Therefore, the payments each of our
rehabilitation clinics receive for similar services can vary
substantially because of the different reimbursement guidelines
in each province. Additional funding sources for our Canadian
clinics are commercial insurance programs, direct payment
contribution and publicly funded healthcare sources. For the
year ended December 31, 2004, we derived approximately 3.5%
of our total net operating revenues from our operations in
Canada.
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Other Healthcare Regulations |
Fraud and abuse enforcement. Various federal laws
prohibit the submission of false or fraudulent claims, including
claims to obtain payment under Medicare, Medicaid and other
government healthcare programs. Penalties for violation of these
laws include civil and criminal fines, imprisonment and
exclusion from participation in federal and state healthcare
programs. In recent years, federal and state government agencies
have increased the level of enforcement resources and activities
targeted at the healthcare industry. In addition, the federal
False Claims Act allows an individual to bring lawsuits on
behalf of the government, in what are known as qui tam or
whistleblower actions, alleging false or fraudulent
Medicare or Medicaid claims or other violations of the statute.
The use of these private enforcement actions against healthcare
providers has increased dramatically in the recent past, in part
because the individual filing the initial complaint is entitled
to share in a portion of any settlement or judgment. See
Legal Proceedings Other Legal
Proceedings.
From time to time, various federal and state agencies, such as
the Office of the Inspector General of the Department of Health
and Human Services, issue a variety of pronouncements, including
fraud alerts, the Office of Inspector Generals Annual Work
Plan and other reports, identifying practices that may be
subject to heightened scrutiny. These pronouncements can
identify issues relating to long-term acute care hospitals,
inpatient rehabilitation facilities or outpatient rehabilitation
services or providers. For example, the Office of Inspector
Generals 2004 Work Plan describes the governments
intention to study providers use of the hospital
within a hospital model for furnishing long-term acute
care hospital services and whether they
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comply with the 5% limitation on discharges to the host hospital
that are subsequently readmitted to the hospital within a
hospital. The 2005 Work Plan describes plans to study the
accuracy of Medicare payments for inpatient rehabilitation stays
when patient assessments are entered later than the required
deadlines and to study whether patients in long-term acute care
hospitals are receiving acute-level services or could be cared
for in skilled nursing facilities. We monitor government
publications applicable to us and focus a portion of our
compliance efforts towards these areas targeted for enforcement.
We endeavor to conduct our operations in compliance with
applicable laws, including healthcare fraud and abuse laws. If
we identify any practices as being potentially contrary to
applicable law, we will take appropriate action to address the
matter, including, where appropriate, disclosure to the proper
authorities.
Remuneration and fraud measures. The federal
anti-kickback statute prohibits some business
practices and relationships under Medicare, Medicaid and other
federal healthcare programs. These practices include the
payment, receipt, offer or solicitation of remuneration in
connection with, to induce, or to arrange for, the referral of
patients covered by a federal or state healthcare program.
Violations of the anti-kickback law may be punished by a
criminal fine of up to $50,000 or imprisonment for each
violation, or both, civil monetary penalties of $50,000 and
damages of up to three times the total amount of remuneration,
and exclusion from participation in federal or state healthcare
programs.
Section 1877 of the Social Security Act, commonly known as
the Stark Law, prohibits referrals for designated
health services by physicians under the Medicare and Medicaid
programs to other healthcare providers in which the physicians
have an ownership or compensation arrangement unless an
exception applies. Sanctions for violating the Stark Law include
civil monetary penalties of up to $15,000 per prohibited
service provided, assessments equal to three times the dollar
value of each such service provided and exclusion from the
Medicare and Medicaid programs and other federal and state
healthcare programs. The statute also provides a penalty of up
to $100,000 for a circumvention scheme. In addition, many states
have adopted or may adopt similar anti-kickback or
anti-self-referral statutes. Some of these statutes prohibit the
payment or receipt of remuneration for the referral of patients,
regardless of the source of the payment for the care.
Provider-based status. The designation
provider-based refers to circumstances in which a
subordinate facility (e.g., a separately certified Medicare
provider, a department of a provider or a satellite facility) is
treated as part of a provider for Medicare payment purposes. In
these cases, the services of the subordinate facility are
included on the main providers cost report and
overhead costs of the main provider can be allocated to the
subordinate facility, to the extent that they are shared. We
operate 19 specialty hospitals that are treated as
provider-based satellites of certain of our other facilities,
certain of our outpatient rehabilitation services are operated
as departments of our inpatient rehabilitation facilities, and
we provide rehabilitation management and staffing services to
hospital rehabilitation departments that may be treated as
provider-based. These facilities are required to satisfy certain
operational standards in order to retain their provider-based
status.
Health information practices. In addition to broadening
the scope of the fraud and abuse laws, the Health Insurance
Portability and Accountability Act of 1996, commonly known as
HIPAA, also mandates, among other things, the adoption of
standards for the exchange of electronic health information in
an effort to encourage overall administrative simplification and
enhance the effectiveness and efficiency of the healthcare
industry. If we fail to comply with the standards, we could be
subject to criminal penalties and civil sanctions. Among the
standards that the Department of Health and Human Services has
adopted or will adopt pursuant to HIPAA are standards for the
following:
|
|
|
|
|
electronic transactions and code sets; |
|
|
|
unique identifiers for providers, employers, health plans and
individuals; |
|
|
|
security and electronic signatures; |
|
|
|
privacy; and |
|
|
|
enforcement. |
83
Although HIPAA was intended ultimately to reduce administrative
expenses and burdens faced within the healthcare industry, the
law has brought about significant and, in some cases, costly
changes.
The Department of Health and Human Services has adopted
standards in three areas that most affect our operations. First,
standards relating to electronic transactions and code sets
require the use of uniform standards for common healthcare
transactions, including healthcare claims information, plan
eligibility, referral certification and authorization, claims
status, plan enrollment and disenrollment, payment and
remittance advice, plan premium payments and coordination of
benefits. We were required to comply with these requirements by
October 16, 2003.
Second, standards relating to the privacy of individually
identifiably health information govern our use and disclosure of
protected health information, and require us to impose those
rules, by contract, on any business associate to whom such
information is disclosed. We were required to comply with these
standards by April 21, 2003.
Third, standards for the security of electronic health
information which were issued on February 20, 2003 require
us to implement various administrative, physical and technical
safeguards to ensure the integrity and confidentiality of health
information. We were required to comply with the security
standards by April 20, 2005.
We maintain a HIPAA implementation committee that is charged
with evaluating and implementing HIPAA. The implementation
committee monitors HIPAAs regulations as they have been
adopted to date and as additional standards and modifications
are adopted. At this time, we anticipate that we will be able to
fully comply with those HIPAA requirements that have been
adopted. However, we cannot at this time estimate the cost of
such compliance, nor can we estimate the cost of compliance with
standards that have not yet been issued or finalized by the
Department of Health and Human Services. Although the new health
information standards are likely to have a significant effect on
the manner in which we handle health data and communicate with
payors, based on our current knowledge, we believe that the cost
of our compliance will not have a material adverse effect on our
business, financial condition or results of operations.
Compliance Program
In late 1998, we voluntarily adopted our code of conduct, which
has recently been amended and is the basis for our company-wide
compliance program. Our written code of conduct provides
guidelines for principles and regulatory rules that are
applicable to our patient care and business activities. These
guidelines are implemented by a compliance officer, a director
of compliance and a director of clinical compliance who assist
the compliance officer, a compliance committee and
subcommittees, and employee education and training. We also have
established a reporting system, auditing and monitoring
programs, and a disciplinary system as a means for enforcing the
codes policies.
|
|
|
Operating Our Compliance Program |
We focus on integrating compliance responsibilities with
operational functions. We recognize that our compliance with
applicable laws and regulations depends upon individual employee
actions as well as company operations. As a result, we have
adopted an operations team approach to compliance. Our corporate
executives, with the assistance of corporate experts, designed
the programs of the compliance committee. We utilize facility
leaders for employee-level implementation of our code of
conduct. This approach is intended to reinforce our company-wide
commitment to operate in accordance with the laws and
regulations that govern our business.
Our compliance committee is made up of members of our senior
management and in-house counsel. The compliance committee meets
on a quarterly basis and reviews the activities, reports and
operation of our
84
compliance program. In addition, the HIPAA committee meets on a
regular basis to review compliance with HIPAA regulations.
|
|
|
Compliance Issue Reporting |
In order to facilitate our employees ability to report
known, suspected or potential violations of our code of conduct,
we have developed a system of anonymous reporting. This
anonymous reporting may be accomplished through our toll free
compliance hotline or our compliance post office box. The
compliance officer and the compliance committee are responsible
for reviewing and investigating each compliance incident in
accordance with the compliance departments investigation
policy.
|
|
|
Compliance Monitoring and Auditing/ Comprehensive Training
and Education |
Monitoring reports and the results of compliance for each of our
business segments are reported to the compliance committee on a
quarterly basis. We train and educate our employees regarding
the code of conduct, as well as the legal and regulatory
requirements relevant to each employees work environment.
New and current employees are required to sign a compliance
certification form certifying that the employee has read,
understood, and has agreed to abide by the code of conduct.
|
|
|
Policies and Procedures Reflecting Compliance Focus
Areas |
We review our policies and procedures for our compliance program
from to time to time in order to improve operations and to
ensure compliance with requirements of standards, laws and
regulations and to reflect the on-going compliance focus areas
which have been identified by the compliance committee.
In addition to and in support of the efforts of our compliance
department, during 2001 we established an internal audit
function. The compliance officer also manages the combined
Compliance and Audit Department and meets with the Audit
Committee of the Board of Directors on a quarterly basis to
discuss audit results.
Facilities
We currently lease most of our facilities, including clinics,
offices, specialty hospitals and our corporate headquarters. We
own each of our inpatient rehabilitation facilities and our
176,000 square foot long-term acute care hospital located
in Houston, Texas.
We lease all of our clinics and related offices, which, as of
March 31, 2005, included 753 outpatient rehabilitation
clinics throughout the United States and Canada. The outpatient
rehabilitation clinics generally have a five-year lease term and
include options to renew. We also lease all of our long-term
acute care hospital facilities except for the facility located
in Houston, Texas that is described above. As of March 31,
2005, we had 95 hospital within a hospital leases and three
free-standing building leases.
We generally seek a five-year lease for our long-term acute care
hospitals, with an additional five-year renewal at our option.
We lease our corporate headquarters from companies owned by a
related party affiliated with us through common ownership or
management. Our corporate headquarters is approximately
83,530 square feet and is located in Mechanicsburg,
Pennsylvania. We lease several other administrative spaces
related to administrative and operational support functions. As
of March 31, 2005, this comprised 19 locations
throughout the United States with approximately
126,739 square feet in total.
Legal Proceedings
|
|
|
Purported Class Action Lawsuits |
On August 24, 2004, Clifford C. Marsden and Ming Xu filed a
purported class action complaint in the United States District
Court for the Eastern District of Pennsylvania on behalf of the
public stockholders of
85
our company against Martin Jackson, Robert A. Ortenzio, Rocco A.
Ortenzio, Patricia Rice and us. In February 2005, James Shaver,
Frank C. Bagatta and Capital Invest, die
Kapitalanlagegesellschaft der Bank Austria Creditanstalt Gruppe
GmbH were appointed as lead plaintiffs (Lead
Plaintiffs).
On April 19, 2005, Lead Plaintiffs filed an amended
complaint, purportedly on behalf of a class of shareholders of
Select, against Martin Jackson, Robert A. Ortenzio, Rocco A.
Ortenzio, Patricia Rice, and us as defendants. The amended
complaint continues to allege, among other things, failure to
disclose adverse information regarding a potential regulatory
change affecting reimbursement for our services applicable to
long-term acute care hospitals operated as hospitals within
hospitals, and the issuance of false and misleading statements
about our financial outlook. The amended complaint continues to
seek, among other things, damages in an unspecified amount,
interest and attorneys fees. We believe that the
allegations in the amended complaint are without merit and
intend to vigorously defend against this action.
On October 18, 2004, Garco Investments, LLP filed a
purported class action complaint in the Court of Chancery of the
State of Delaware, New Castle County, which is herein referred
to as the Court, on behalf of our unaffiliated stockholders
against Russell L. Carson, David S. Chernow, Bryan C. Cressey,
James E. Dalton, Jr., Meyer Feldberg, Robert A. Ortenzio,
Rocco A. Ortenzio, Thomas A. Scully, Leopold Swergold and LeRoy
S. Zimmerman, who are all of our directors, us and Welsh,
Carson, Anderson & Stowe. On November 3, 2004,
Terrence C. Davey filed a purported class action complaint in
the Court, on behalf of our unaffiliated stockholders against
all of our directors, us and Welsh, Carson, Anderson &
Stowe. On November 18, 2004, the Court entered an Order of
Consolidation which, among other things, consolidated the
above-mentioned actions under the caption In re: Select Medical
Corporation Shareholders Litigation, Consolidated C.A.
No. 755-N and appointed co-lead plaintiffs counsel.
On December 20, 2004, plaintiffs Garco Investments LLP and
Terence C. Davey filed an Amended Consolidated Complaint in the
Court, purportedly on behalf of our unaffiliated stockholders
against all of our directors, us and Welsh Carson
Anderson & Stowe. The amended complaint alleges, among
other things, that the defendants have breached their fiduciary
duties owed to the plaintiffs and our stockholders in connection
with the proposed going private transaction, that the proposed
merger consideration is not fair or adequate, and that the
defendants failed to disclose and/or misrepresented material
information in the proxy statement relating to the merger and/or
disseminated a stale fairness opinion by Banc of
America Securities LLC. The complaint seeks, among other things,
to enjoin the defendants from completing the merger or,
alternatively, to rescind the merger (if complete) or award
rescissory damages in an unspecified amount, and to require
issuance of corrective and/or supplemental disclosures and an
update of the stale fairness opinion.
As a result of arms-length settlement negotiations among
counsel in the Delaware consolidated lawsuit, on
January 21, 2005 the parties executed a stipulation of
settlement which recognizes, among other things, that the
allegations of the amended complaint were a material factor in
causing us to make certain additional disclosures in the proxy
statement, and that those disclosures, and the other terms set
forth in the stipulation of settlement (which is on file with
the Court) are a fair and reasonable means by which to resolve
the action. On June 1, 2005, the Court, following a
hearing, granted final approval of the settlement.
We carry director and officer insurance covering these purported
class action lawsuits, and while we do not believe these claims
will have a material adverse effect on our financial position or
results of operations, due to the uncertain nature of such
litigation, we cannot predict the outcome of these matters.
We are subject to legal proceedings and claims that arise in the
ordinary course of our business, which include malpractice
claims covered under our insurance policies. In our opinion, the
outcome of these actions will not have a material adverse effect
on the financial position or results of operations of our
company.
To cover claims arising out of the operations of our hospitals
and outpatient rehabilitation facilities, we maintain
professional malpractice liability insurance and general
liability insurance. We also maintain umbrella liability
insurance covering claims which, due to their nature or amount,
are not covered by or not fully covered by our other insurance
policies. These insurance policies also do not generally cover
punitive
86
damages. See Risk Factors Significant legal
actions as well as the cost and possible lack of available
insurance could subject us to substantial uninsured
liabilities.
Health care providers are often subject to lawsuits under the
qui tamprovisions of the federal False Claims Act. Qui
tam lawsuits typically remain under seal (hence, unknown to
the defendant) for some time while the government decides
whether or not to intervene on behalf of a private qui tam
plaintiff (known as a relator) and take the lead in the
litigation. A qui tam lawsuit against our company has
been filed in the United States District Court for the District
of Nevada, but because the action is still under seal, we do not
know the details of the allegations or the relief sought. As is
required by law, the federal government is conducting an
investigation of this complaint to determine if it will
intervene in the case. We have received subpoenas for patient
records and other documents apparently related to the federal
governments investigation of matters alleged in this
qui tam complaint. We believe that that this
investigation involves the billing practices of certain of our
subsidiaries that provide outpatient services to beneficiaries
of Medicare and other federal health care programs. The three
relators in this qui tam lawsuit are two former employees
of our Las Vegas, Nevada subsidiary who were terminated by us in
2001 and a former employee of our Florida subsidiary who we
asked to resign. We sued the former Las Vegas employees in state
court in Nevada in 2001 for, among other things, return of
misappropriated funds, and our lawsuit has recently been
transferred to the federal court in Las Vegas. While the
government has investigated but chosen not to intervene in two
previous qui tam lawsuits filed against our company, we
cannot assure you that the government will not intervene in this
case. However, we believe, based on our prior experiences with
qui tam cases and the information currently available to
us, that this qui tam action will not have a material
adverse effect on our company.
87
MANAGEMENT
Executive Officers and Directors
Holdings and our company have identical boards of directors. The
following table sets forth information about our directors and
executive officers as of the date of this prospectus:
|
|
|
|
|
|
|
Name |
|
Age | |
|
Position(s) |
|
|
| |
|
|
Rocco A. Ortenzio
|
|
|
72 |
|
|
Director and Executive Chairman |
Robert A. Ortenzio
|
|
|
48 |
|
|
Director and Chief Executive Officer |
Russell L. Carson
|
|
|
61 |
|
|
Director |
Bryan C. Cressey
|
|
|
55 |
|
|
Director |
Thomas A. Scully
|
|
|
47 |
|
|
Director |
Sean M. Traynor
|
|
|
36 |
|
|
Director |
Patricia A. Rice
|
|
|
58 |
|
|
President and Chief Operating Officer |
David W. Cross
|
|
|
58 |
|
|
Senior Vice President and Chief Development Officer |
S. Frank Fritsch
|
|
|
53 |
|
|
Senior Vice President, Human Resources |
Martin F. Jackson
|
|
|
51 |
|
|
Senior Vice President and Chief Financial Officer |
James J. Talalai
|
|
|
43 |
|
|
Senior Vice President and Chief Information Officer |
Michael E. Tarvin
|
|
|
45 |
|
|
Senior Vice President, General Counsel and Secretary |
Scott A. Romberger
|
|
|
45 |
|
|
Vice President, Controller and Chief Accounting Officer |
Set forth below is a brief description of the business
experience of each of our directors and executive officers:
Rocco A. Ortenzio co-founded our company and has served
as Executive Chairman since September 2001. He became a director
of Holdings upon consummation of the Transactions. He served as
Chairman and Chief Executive Officer from February 1997
until September 2001. In 1986, he co-founded Continental Medical
Systems, Inc., and served as its Chairman and Chief Executive
Officer until July 1995. In 1979, Mr. Ortenzio founded
Rehab Hospital Services Corporation, and served as its Chairman
and Chief Executive Officer until June 1986. In 1969,
Mr. Ortenzio founded Rehab Corporation and served as its
Chairman and Chief Executive Officer until 1974.
Mr. Ortenzio is the father of Robert A. Ortenzio, our Chief
Executive Officer.
Robert A. Ortenzio co-founded our company and has served
as a director since February 1997. He became a director of
Holdings upon consummation of the Transactions.
Mr. Ortenzio has served as our Chief Executive Officer
since January 1, 2005 and as our President and Chief
Executive Officer from September 2001 to January 1, 2005.
Mr. Ortenzio also served as our President and Chief
Operating Officer from February 1997 to September 2001. He was
an Executive Vice President and a director of Horizon/ CMS
Healthcare Corporation from July 1995 until July 1996. In 1986,
Mr. Ortenzio co-founded Continental Medical Systems, Inc.,
and served in a number of different capacities, including as a
Senior Vice President from February 1986 until April 1988, as
Chief Operating Officer from April 1988 until July 1995, as
President from May 1989 until August 1996 and as Chief Executive
Officer from July 1995 until August 1996. Before co-founding
Continental Medical Systems, Inc., he was a Vice President of
Rehab Hospital Services Corporation. Mr. Ortenzio is the
son of Rocco A. Ortenzio, our Executive Chairman.
Russell L. Carson has been a director of our company
since February 1997 and became a director of Holdings upon
consummation of the Transactions. He co-founded Welsh, Carson,
Anderson & Stowe in 1978 and has focused on healthcare
investments. Mr. Carson has been a general partner of Welsh,
Carson, Anderson & Stowe since 1979. Welsh, Carson,
Anderson & Stowe has created 14 institutionally funded
limited partnerships with total capital of more than
$13 billion and has invested in more than
200 companies. Before co-founding Welsh, Carson,
Anderson & Stowe, Mr. Carson was employed by
Citicorp Venture
88
Capital Ltd., a subsidiary of Citigroup, Inc., and served as its
Chairman and Chief Executive Officer from 1974 to 1978.
Bryan C. Cressey has been a director of our company since
February 1997 and became a director of Holdings upon
consummation of the Transactions. He has been a partner at Thoma
Cressey Equity Partners since its founding in June 1998 and
prior to that time was a principal, partner and co-founder of
Golder, Thoma, Cressey and Rauner, the predecessor of GTCR
Golder Rauner, LLC, since 1980. He also serves as a director and
chairman of Belden CDT Inc. and several private companies.
Thomas A. Scully has been a director of our company since
February 2004 and became a director of Holdings upon
consummation of the Transactions. Since January 1, 2004, he
has served as Senior Counsel to the law firm of
Alston & Bird and as a Senior Advisor to Welsh, Carson
Anderson & Stowe. From May 2001 to December 2003,
Mr. Scully served as Administrator of the Centers for
Medicare & Medicaid Services, or CMS. CMS is
responsible for the management of Medicare, Medicaid, SCHIP and
other national healthcare initiatives. Before joining CMS,
Mr. Scully served as President and Chief Executive Officer
of the Federation of American Hospitals from January 1995 to May
2001.
Sean M. Traynor joined our board of directors following
the consummation of the Transactions and has been a director of
Holdings since October 2004. Mr. Traynor is a general
partner of Welsh, Carson, Anderson & Stowe where he
focuses on investments in healthcare as well as the information
and business services industries. Prior to joining Welsh Carson
in April 1999, Mr. Traynor worked in the healthcare and
insurance investment banking groups at BT Alex.Brown after
spending three years with Coopers & Lybrand.
Mr. Traynor earned his bachelors degree from
Villanova University in 1991 and his MBA from the Wharton School
of Business in 1996.
Patricia A. Rice has served as our President and Chief
Operating Officer since January 1, 2005. Prior thereto, she
served as our Executive Vice President and Chief Operating
Officer since January 2002 and as our Executive Vice President
of Operations from November 1999 to January 2002. She served as
Senior Vice President of Hospital Operations from December 1997
to November 1999. She was Executive Vice President of the
Hospital Operations Division for Continental Medical Systems,
Inc. from August 1996 until December 1997. Prior to that time,
she served in various management positions at Continental
Medical Systems, Inc. from 1987 to 1996.
David W. Cross has served as our Senior Vice President
and Chief Development Officer since December 1998. Before
joining us, he was President and Chief Executive Officer of
Intensiva Healthcare Corporation from 1994 until we acquired it.
Mr. Cross was a founder, the President and Chief Executive
Officer, and a director of Advanced Rehabilitation Resources,
Inc., and served in each of these capacities from 1990 to 1993.
From 1987 to 1990, he was Senior Vice President of Business
Development for RehabCare Group, Inc., a publicly traded
rehabilitation care company, and in 1993 and 1994 served as
Executive Vice President and Chief Development Officer of
RehabCare Group, Inc. Mr. Cross currently serves on the
board of directors of Odyssey Healthcare, Inc., a hospice health
care company.
S. Frank Fritsch has served as our Senior Vice
President of Human Resources since November 1999. He served as
our Vice President of Human Resources from June 1997 to November
1999. Prior to June 1997, he was Senior Vice
President Human Resources for Integrated Health
Services from May 1996 until June 1997. Prior to that time,
Mr. Fritsch was Senior Vice President Human
Resources for Continental Medical Systems, Inc. from August 1992
to April 1996. From 1980 to 1992, Mr. Fritsch held senior
human resources positions with Mercy Health Systems, Rorer
Pharmaceuticals, ARA Mark and American Hospital Supply
Corporation.
Martin F. Jackson has served as our Senior Vice President
and Chief Financial Officer since May 1999. Mr. Jackson
previously served as a Managing Director in the Health Care
Investment Banking Group for CIBC Oppenheimer from January 1997
to May 1999. Prior to that time, he served as Senior Vice
President, Health Care Finance with McDonald & Company
Securities, Inc. from January 1994 to January 1997. Prior to
1994, Mr. Jackson held senior financial positions with Van
Kampen Merritt, Touche Ross, Honeywell and LNard
Associates. He also serves as a director of several private
companies.
89
James J. Talalai has served as our Senior Vice President
and Chief Information Officer since August 2001. He served as
our Vice President and Chief Information Officer from November
1999 to August 2001. Prior to that time, he served as Vice
President of Information Services from October 1998 to November
1999, and served as Director of Information Services since May
1997. He was Director, Information Technology for Horizon/ CMS
Healthcare Corporation from 1995 to 1997. He also served as Data
Center Manager at Continental Medical Systems, Inc. from 1994 to
1995.
Michael E. Tarvin has served as our Senior Vice
President, General Counsel and Secretary since November 1999. He
served as our Vice President, General Counsel and Secretary from
February 1997 to November 1999. He was Vice
President Senior Counsel of Continental Medical
Systems from February 1993 until February 1997. Prior to that
time, he was Associate Counsel of Continental Medical Systems
from March 1992. Mr. Tarvin was an associate at the
Philadelphia law firm of Drinker Biddle & Reath, LLP
from September 1985 until March 1992.
Scott A. Romberger has served as our Vice President and
Controller since February 1997. In addition, he became Chief
Accounting Officer in December, 2000. Prior to February 1997, he
was Vice President Controller of Continental Medical
Systems from January 1991 until January 1997. Prior to that
time, he served as Acting Corporate Controller and Assistant
Controller of Continental Medical Systems from June 1990 and
December 1988, respectively. Mr. Romberger is a certified
public accountant and was employed by a national accounting firm
from April 1985 until December 1988.
Board Committees
Our board directs the management of our business and affairs as
provided by Delaware law and conducts its business through
meetings of the full board of directors and two standing
committees: the audit committee and the compensation committee.
In addition, from time to time, other committees may be
established under the direction of the board of directors when
necessary to address specific issues.
The compensation committee reviews and makes recommendations to
the board regarding the compensation to be provided to our
Executive Chairman, Chief Executive Officer and our directors.
In addition, the compensation committee reviews compensation
arrangements for our other executive officers. The compensation
committee also administers our equity compensation plans.
The audit committee reviews and monitors our corporate financial
reporting, external audits, internal control functions and
compliance with laws and regulations that could have a
significant effect on our financial condition or results of
operations. In addition, the audit committee has the
responsibility to consider and appoint, and to review fee
arrangements with, our independent auditors.
Director Compensation
We do not pay cash compensation to our employee directors;
however they are reimbursed for the expenses they incur in
attending meetings of the board or board committees.
Non-employee directors receive cash compensation in the amount
of $6,000 per quarter, and the following for all meetings
attended other than audit committee meetings: $1,500 per
board meeting, $300 per telephonic board meeting,
$500 per committee meeting held in conjunction with a board
meeting and $1,000 per committee meeting held independent
of a board meeting. For audit committee meetings attended, all
members receive the following: $2,000 per audit committee
meeting and $1,000 per telephonic audit committee meeting.
All non-employee directors are also reimbursed for the expenses
they incur in attending meetings of the board or board
committees.
90
Executive Compensation
The following table sets forth the remuneration paid by us for
the three fiscal years ended December 31, 2004 to the Chief
Executive Officer and our four most highly compensated executive
officers other than our Chief Executive Officer (Named
Executive Officers):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-Term | |
|
|
|
|
|
|
|
|
|
|
|
|
Compensation | |
|
|
|
|
|
|
|
|
Awards | |
|
|
|
|
|
|
Annual Compensation |
|
| |
|
|
|
|
|
|
|
|
Securities | |
|
|
|
|
|
|
|
|
Other Annual |
|
Underlying | |
|
All Other | |
Name and Principal Position |
|
Year | |
|
Salary | |
|
Bonus | |
|
Compensation(1) |
|
Options | |
|
Compensation | |
|
|
| |
|
| |
|
| |
|
|
|
| |
|
| |
Rocco A. Ortenzio
|
|
|
2004 |
|
|
$ |
824,000 |
|
|
$ |
1,711,385 |
|
|
$ |
|
|
|
|
1,550,000 |
|
|
$ |
|
|
|
Executive Chairman
|
|
|
2003 |
|
|
|
824,000 |
|
|
|
1,648,000 |
|
|
|
|
|
|
|
3,550,000 |
|
|
|
|
|
|
|
|
|
2002 |
|
|
|
800,000 |
|
|
|
640,000 |
|
|
|
|
|
|
|
3,120,000 |
|
|
|
|
|
Robert A. Ortenzio(2)
|
|
|
2004 |
|
|
|
824,000 |
|
|
|
1,711,385 |
|
|
|
|
|
|
|
1,250,000 |
|
|
|
5,948 |
|
|
Chief Executive Officer
|
|
|
2003 |
|
|
|
824,000 |
|
|
|
1,648,000 |
|
|
|
|
|
|
|
2,060,000 |
|
|
|
4,531 |
|
|
|
|
|
2002 |
|
|
|
800,000 |
|
|
|
640,000 |
|
|
|
|
|
|
|
2,270,000 |
|
|
|
5,500 |
|
Patricia A. Rice(2)
|
|
|
2004 |
|
|
|
592,250 |
|
|
|
768,786 |
|
|
|
|
|
|
|
215,000 |
|
|
|
5,948 |
|
|
President and Chief |
|
|
2003 |
|
|
|
592,250 |
|
|
|
740,000 |
|
|
|
|
|
|
|
440,000 |
|
|
|
4,531 |
|
|
Operating Officer
|
|
|
2002 |
|
|
|
575,000 |
|
|
|
345,000 |
|
|
|
|
|
|
|
600,000 |
|
|
|
5,500 |
|
Martin F. Jackson(3)
|
|
|
2004 |
|
|
|
371,315 |
|
|
|
481,476 |
|
|
|
|
|
|
|
30,000 |
|
|
|
5,948 |
|
|
Senior Vice President |
|
|
2003 |
|
|
|
360,500 |
|
|
|
451,300 |
|
|
|
|
|
|
|
340,000 |
|
|
|
4,531 |
|
|
and Chief Financial
|
|
|
2002 |
|
|
|
350,000 |
|
|
|
175,000 |
|
|
|
|
|
|
|
400,000 |
|
|
|
25,500 |
|
|
Officer
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
S. Frank Fritsch(2)
|
|
|
2004 |
|
|
|
275,834 |
|
|
|
286,134 |
|
|
|
|
|
|
|
59,000 |
|
|
|
5,948 |
|
|
Senior Vice President, |
|
|
2003 |
|
|
|
267,800 |
|
|
|
268,000 |
|
|
|
|
|
|
|
123,500 |
|
|
|
4,531 |
|
|
Human Resources
|
|
|
2002 |
|
|
|
242,000 |
|
|
|
117,000 |
|
|
|
|
|
|
|
185,200 |
|
|
|
5,500 |
|
|
|
(1) |
The value of certain perquisites and other personal benefits is
not included because it did not exceed for any officer in the
table above the lesser of either $50,000 or 10% of the total
annual salary and bonus reported for such officer. |
|
(2) |
All other compensation represents employer matching
contributions to the 401(k) plan. |
|
(3) |
All other compensation for Martin F. Jackson includes employer
matching contributions to the 401(k) plan in the amounts of
$5,948, $4,531 and $5,500 in fiscal 2004, fiscal 2003 and fiscal
2002, respectively. All other compensation also includes the
forgiveness of principal in the amounts of $20,000 in fiscal
2002 in connection with a loan we made to Mr. Jackson in
1999 for the purpose of purchasing shares of our common stock. |
Option Grants In Last Fiscal Year(1)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of | |
|
Percent of Total | |
|
|
|
|
|
|
|
|
Securities | |
|
Options | |
|
|
|
|
|
|
|
|
Underlying | |
|
Granted to | |
|
|
|
|
|
|
|
|
Options | |
|
Employees in | |
|
Exercise Price | |
|
|
|
Grant Date Present | |
Name |
|
Granted(2) | |
|
2004 | |
|
per Share | |
|
Expiration Date | |
|
Value(3) | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Rocco A. Ortenzio
|
|
|
950,000 |
|
|
|
24.9 |
% |
|
$ |
15.50 |
|
|
|
2/09/2014 |
|
|
$ |
5,315,060 |
|
|
|
|
600,000 |
|
|
|
15.7 |
|
|
|
14.00 |
|
|
|
8/09/2014 |
|
|
|
3,181,740 |
|
Robert A. Ortenzio
|
|
|
750,000 |
|
|
|
19.7 |
|
|
|
15.50 |
|
|
|
2/09/2014 |
|
|
|
5,269,600 |
|
|
|
|
500,000 |
|
|
|
13.1 |
|
|
|
14.00 |
|
|
|
8/09/2014 |
|
|
|
3,287,899 |
|
Patricia A. Rice
|
|
|
65,000 |
|
|
|
1.7 |
|
|
|
15.50 |
|
|
|
2/09/2014 |
|
|
|
491,157 |
|
|
|
|
150,000 |
|
|
|
3.9 |
|
|
|
13.86 |
|
|
|
5/10/2014 |
|
|
|
1,105,236 |
|
Martin F. Jackson
|
|
|
30,000 |
|
|
|
0.8 |
|
|
|
14.00 |
|
|
|
8/09/2014 |
|
|
|
211,677 |
|
S. Frank Fritsch
|
|
|
50,000 |
|
|
|
1.3 |
|
|
|
15.50 |
|
|
|
2/09/2014 |
|
|
|
377,813 |
|
|
|
|
9,000 |
|
|
|
0.2 |
|
|
|
13.86 |
|
|
|
5/10/2014 |
|
|
|
66,314 |
|
91
|
|
(1) |
All options listed herein were accelerated and canceled in
connection with the Transactions in exchange for the right to
receive $18.00 in cash less the exercise price of the option.
Upon consummation of the Transactions certain of our Named
Executive Officers and certain other executive officers received
options to purchase Holdings common stock pursuant to our
parents new equity incentive plan. See
New Restricted Stock and Option Plan and
Security Ownership of Certain Beneficial Owners and
Management. |
|
(2) |
All options were granted under our Second Amended and Restated
1997 Stock Option Plan. We granted options at an exercise price
equal to or greater than the fair market value of our common
stock on the date of grant, as determined by our Board of
Directors. The plan was terminated upon consummation of the
Transactions. |
|
(3) |
Based on the Black-Scholes option pricing model adapted for use
in valuing executive stock options. The actual value, if any, an
executive may realize will depend upon the excess of the stock
price over the exercise price on the day the option is
exercised, so there is no assurance that the value realized by
an executive will be at or near the value estimated by the
Black-Scholes model. |
Option Exercises in Last Year and Year-End Option Value
Table(1)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of Securities | |
|
Value of Unexercised | |
|
|
|
|
|
|
Underlying Unexercised | |
|
In-the-Money | |
|
|
|
|
|
|
Options Held at 2004 | |
|
Options at 2004 | |
|
|
Number of | |
|
|
|
Year End | |
|
Year End(2) | |
|
|
Options | |
|
Amount | |
|
| |
|
| |
Name |
|
Exercised | |
|
Realized | |
|
Exercisable | |
|
Unexercisable | |
|
Exercisable | |
|
Unexercisable | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Rocco A. Ortenzio
|
|
|
1,342,000 |
|
|
$ |
13,708,340 |
|
|
|
7,778,000 |
|
|
|
|
|
|
$ |
39,348,060 |
|
|
$ |
|
|
Robert A. Ortenzio
|
|
|
800,000 |
|
|
|
8,369,850 |
|
|
|
2,400,003 |
|
|
|
3,779,997 |
|
|
|
20,239,820 |
|
|
|
18,669,880 |
|
Patricia A. Rice
|
|
|
237,120 |
|
|
|
2,645,424 |
|
|
|
88,003 |
|
|
|
1,080,599 |
|
|
|
266,260 |
|
|
|
7,359,738 |
|
Martin F. Jackson
|
|
|
|
|
|
|
|
|
|
|
259,424 |
|
|
|
651,954 |
|
|
|
2,500,318 |
|
|
|
4,748,633 |
|
S. Frank Fritsch
|
|
|
97,056 |
|
|
|
1,092,868 |
|
|
|
24,701 |
|
|
|
344,025 |
|
|
|
74,464 |
|
|
|
2,559,933 |
|
|
|
(1) |
All shares of common stock issued upon exercise of the options
listed herein were converted in the Transactions into the right
to receive $18.00 in cash or were contributed to Holdings in
exchange for equity securities of Holdings. See The
Transactions. Upon consummation of the Transactions
certain of the named executive officers and certain other
officers received options to purchase common stock pursuant to
our parents new stock option plan. See
New Restricted Stock and Option Plan and
Security Ownership of Certain Beneficial Owners and
Management. |
|
(2) |
Based on our stocks closing price on the New York Stock
Exchange on December 31, 2004, less the exercise price,
multiplied by the number of shares underlying the option. Such
amounts may not be realized. Actual values which may be
realized, if any, upon any exercise of such options will be
based on the market price of the common stock at the time of any
such exercise and thus are dependent upon future performance of
the stock. |
Employment Agreements
Set forth below is a brief description of the employment
agreements and other compensation arrangements that we have with
our Named Executive Officers.
In March 2000, we entered into three-year employment agreements
with three of our executive officers, Rocco A. Ortenzio, Robert
A. Ortenzio and Patricia A. Rice. These agreements were amended
on August 8, 2000, February 23, 2001, and, with
respect to Rocco Ortenzio, April 24, 2001, and, with
respect to Messrs. Rocco and Robert Ortenzio,
September 17, 2001. Additionally, we further amended the
employment agreements for Patricia A. Rice and Robert A.
Ortenzio effective as of January 1, 2005 to change
Ms. Rices title to President and Chief Operating
Officer and change Mr. Ortenzios title to Chief
Executive Officer. Under these agreements, Messrs. Rocco
and Robert Ortenzio are to be paid an annual salary of $800,000
and Ms. Rice is to be paid a salary of $500,000, subject to
adjustment by our Board of Directors. In addition, these
92
executives are eligible for bonus compensation. The compensation
committee has increased each of such executives salary on
several occasions subsequent to entering their employment
agreements. The employment agreements also provide that the
executive officers will receive long-term disability insurance.
In the event Rocco A. Ortenzios employment is terminated
due to his disability, we must make salary continuation payments
to him equal to 100% of his annual base salary for ten years
after his date of termination or until he is physically able to
become gainfully employed in an occupation consistent with his
education, training and experience. We are also obligated to
make disability payments to Robert A. Ortenzio and Patricia A.
Rice for the same period; however, payments to them must equal
50% of their annual base salary. In addition, Rocco A. Ortenzio
and Robert A. Ortenzio are each entitled to six weeks paid
vacation. Patricia A. Rice is entitled to four weeks paid
vacation.
Under the terms of each of these executive officers
employment agreements, their employment term began on
March 1, 2000 and expired on March 1, 2003. At the end
of each 12-month period beginning March 1, 2000, however,
the term of each employment agreement automatically extends for
an additional year unless one of the executives or we give
written notice to the other not less than three months prior to
the end of that 12-month period that we or they do not want the
term of the employment agreement to continue. Each of these
agreements was extended for an additional year on March 1
of 2001, 2002, 2003, 2004 and 2005. Thus, in the absence of
written notice given by one of the executives or us, the
remaining term of each employment agreement will be three years
from each anniversary of March 1, 2000. In each employment
agreement, for the term of the agreement and for two years after
the termination of employment, the executive may not participate
in any business that competes with us within a twenty-five mile
radius of any of our hospitals or outpatient rehabilitation
clinics. The executive also may not solicit any of our employees
for one year after the termination of the executives
employment.
Each of these three employment agreements also contains a change
of control provision. If, within the one-year period immediately
following a change of control of Select, we terminate Rocco A.
Ortenzio or Robert A. Ortenzio without cause or Rocco A.
Ortenzio or Robert A. Ortenzio terminates his employment
agreement for any reason, we are obligated to pay them a lump
sum cash payment equal to their base salary plus bonus for the
previous three completed calendar years. If, within the one-year
period immediately following a change of control of Select,
Patricia A. Rice terminates her employment for certain specified
reasons or, within the five-year period immediately following a
change of control, is terminated without cause, has her
compensation reduced from that in effect prior to the change of
control or is relocated to a location more than 25 miles
from Mechanicsburg, Pennsylvania, we are obligated to pay her a
lump sum cash payment equal to her base salary plus bonus for
the previous three completed calendar years. In addition, if any
of these executives are terminated within one year of a change
of control, all of their unvested and unexercised stock options
will vest as of the date of termination. A change in control is
generally defined to include: (i) the acquisition by a
person or group, other than our current stockholders who own 12%
or more of the common stock, of more than 50% of our total
voting shares; (ii) a business combination following which
there is an increase in share ownership by any person or group,
other than the executive or any group of which the executive is
a part, by an amount equal to or greater than 33% of our total
voting shares; (iii) our current directors, or any director
elected after the date of the respective employment agreement
whose election was approved by a majority of the then current
directors, cease to constitute at least a majority of our board;
(iv) a business combination following which our
stockholders cease to own shares representing more than 50% of
the voting power of the surviving corporation; or (v) a
sale of substantially all of our assets other than to an entity
controlled by our shareholders prior to the sale.
Notwithstanding the foregoing, no change in control will be
deemed to have occurred unless the transaction provides our
stockholders with a specified level of consideration. Otherwise,
if any of the executives services are terminated by us
other than for cause or they terminate their employment for good
reason, we are obligated to pay them a pro-rated bonus for the
year of termination equal to the product of the target bonus
established for that year, or if no target bonus is established
the bonus paid or payable to them for the year prior to their
termination, in either case multiplied by the fraction of the
year of termination they were employed. In addition, we would
also be obligated to pay these executives their base salary as
of the date of termination for the balance of the term of the
agreement and all vested and unexercised stock options will vest
immediately. Upon completion of the Transactions, these
executive officers entered into amendments to their employment
agreements which contained acknowl-
93
edgements that the merger would not trigger any change of
control payments under their employments agreements.
In June 1997, we entered into a senior management agreement with
S. Frank Fritsch, which remains in effect until terminated by
either us or Mr. Fritsch. Under this agreement,
Mr. Fritsch is entitled to an annual salary of $130,000,
subject to adjustment from time to time by the compensation
committee of our board of directors. The compensation committee
has increased Mr. Fritschs salary on several
occasions subsequent to entering that agreement. The
compensation committee may also in its discretion award
incentive compensation to Mr. Fritsch. Further,
Mr. Fritsch is entitled to any employment and fringe
benefits under our policies as they exist from time to time and
which are made available to our senior executive employees.
During the employment term and for two years after the
termination of his employment, Mr. Fritsch may not solicit
any of our customers or employees or participate in any business
that competes with us in the United States.
In March 2000, we entered into change of control agreements with
Mr. Fritsch and Martin F. Jackson, which were each amended
on February 23, 2001. These agreements provide that if
within a five-year period immediately following a change of
control of our company, we terminate Mr. Fritsch or
Mr. Jackson without cause, reduce either of their
compensation from that in effect prior to the change of control
or relocate Mr. Fritsch or Mr. Jackson to a location
more than 25 miles from Mechanicsburg, Pennsylvania, we are
obligated to pay the affected individual a lump sum cash payment
equal to his base salary plus bonus for the previous three
completed calendar years. If at the time we terminate
Mr. Fritsch or Mr. Jackson without cause or
Mr. Fritsch or Mr. Jackson terminates his employment
for good reason in connection with a change in control,
Mr. Fritsch or Mr. Jackson has been employed by us for
less than three years, we must pay the terminated individual
three times his average total annual cash compensation (base
salary and bonus) for his years of service. In addition, the
agreements provide that all unvested stock options will vest
upon termination. A change in control has the same definition as
in the employment agreements of Rocco A. Ortenzio, Robert A.
Ortenzio and Patricia A. Rice, as described above. Upon
completion of the Transactions, Mr. Fritsch and
Mr. Jackson entered into amendments to their change of
control agreements which contained acknowledgements that the
merger would not trigger any change of control
payments under their change of control agreements.
Restricted Stock and Option Plan
Holdings adopted a 2005 Equity Incentive Plan which became
effective contemporaneously with the consummation of the
Transactions, which we refer to as the equity plan. The total
number of shares of common stock for which options or awards may
be granted under the equity plan for the grant of stock options
is 33,067,575 shares in the aggregate plus an additional
amount, calculated from time to time, equal to 15% of
Holdings total issued and outstanding shares of common
stock in excess of 218,245,979; provided that not more
than 25,000,000 shares may be delivered upon incentive
stock options granted under the equity plan. The number of
shares of stock available under the equity plan for issuance of
restricted stock is 43,589,075 shares in the aggregate.
Shares of common stock relating to expired or terminated options
may again be subject to an option or award under the equity
plan, subject to limited restrictions, including any limitation
required by the United States Internal Revenue Code of 1986, as
amended (referred to below as the Code). In addition, upon the
exercise of a stock option, the number of shares underlying the
option will be added to the total number of shares with respect
to which stock options may be granted; provided that all
the applicable securities law requirements and listing
requirements, if any, have been satisfied. The equity plan
provides for the grants of incentive stock options, within the
meaning of Section 422 of the Code, to selected employees,
and for grants of non-qualified stock options and awards and
restricted stock awards to selected employees, directors or
consultants. The purposes of the equity plan are to attract and
retain the best available personnel, provide additional
incentives to our employees, directors and consultants and to
promote the success of our business.
The compensation committee of the board of directors of Holdings
administers the equity plan which, from and after the date
Holdings registers any class of its equity securities under the
Securities Exchange Act of 1934, as amended, will be comprised
of at least two members of the board of directors who are non-
94
employee directors and outside directors within the meaning of
the Code. If there is no compensation committee, the board of
directors, within the meaning of applicable securities laws,
will administer the equity plan. The administrator of the equity
plan has the authority to select participants to receive awards
of stock options or restricted stock pursuant to the equity
plan. The administrator also has the authority to determine the
time of receipt, the types of awards and number of shares
covered by awards, and to establish the terms, conditions and
other provisions of the awards under the equity plan.
In general, the exercise price of any stock option granted is
set by the administrator, but in no event will be less than 100%
of the fair market value of the underlying shares at the time of
grant. Stock options may be subject to terms and conditions,
including vesting provisions, set forth by the administrator.
The exercise price of any incentive stock option granted to an
employee who possess more than 10% of the total combined voting
power of all classes of our shares within the meaning of
Section 422(b)(6) of the Code must be at least 110% of the
fair market value of the underlying share at the time the option
is granted. Furthermore, the aggregate fair market value of
shares of common stock that may be exercisable for the first
time under an incentive stock option by an employee during any
calendar year may not exceed $100,000. The term of any incentive
stock option cannot exceed ten years from the date of grant.
Shares of restricted stock granted under the equity plan may not
be sold, assigned, transferred, pledged or otherwise encumbered
by the participant until the satisfaction of conditions set by
the administrator and may be subject to forfeiture or repurchase
by our company prior to the satisfaction of conditions set by
the administrator.
The equity plan will terminate ten years following its effective
date but the board of directors of Holdings may terminate the
equity plan at any time in its sole discretion. The board of
directors of Holdings may amend the equity plan subject to
restrictions requiring the approval of Welsh Carson.
Long-Term Cash Incentive Plan
On June 2, 2005, Holdings adopted a Long-Term Cash
Incentive Plan, which we refer to as the cash plan. The total
number of units available under the cash plan for awards may not
exceed 100,000. If any awards are terminated, forfeited or
cancelled, units granted under such awards are available for
award again under the cash plan. The purposes of the cash plan
are to attract and retain key employees, motivate participating
key employees to achieve the long-range goals of our company,
provide competitive incentive compensation opportunities and
further align the interests of participating key employees with
Holdings stockholders.
The compensation committee of the board of directors of Holdings
administers the cash plan. If there is no compensation
committee, the board of directors will administer the cash plan.
The administrator of the cash plan has the authority, in its
sole discretion, to select participants to receive awards of
units. The administrator also has the authority to determine the
time of receipt, the types of awards and number of units
conveyed by awards, and to establish the terms, conditions and
other provisions of the awards under the cash plan. Except as
otherwise provided in a participants unit award agreement,
a participant will forfeit all such units granted upon
termination of employment for any reason other than for death or
disability.
Payment of cash benefits is based upon (i) the value of our
company upon a change of control of Holdings or upon qualified
initial public offering of Holdings or (ii) a redemption of
Holdings preferred stock or special dividends paid on
Holdings preferred stock. Until the occurrence of an event
that would trigger the payment of cash on any outstanding units
is deemed probable by us, no expense for any award is reflected
in our financial statements.
Employee Stock Purchase Plan
On April 1, 2005, Holdings adopted an Employee Stock
Purchase Plan, which we refer to as the stock plan, pursuant to
which specified employees of our company (other than members of
our senior management team) have been given the opportunity to
purchase shares of Holdings preferred stock and common stock.
The maximum number of shares of participating preferred stock
available under the stock plan is 89,216 and the
95
maximum number of shares of common stock available under the
plan is 599,975. As of June 1, 2005, 66,676.59 shares
of Holdings participating preferred stock and
448,400 shares of Holdings common stock were issued
to employees under the stock plan. The purposes of the stock
plan are to attract and retain the best available personnel,
provide additional incentives to our employees and to promote
the success of our business.
The board of directors of Holdings administers the stock plan.
The administrator of the stock plan has the authority to sell to
any employee shares of stock in such quantity, at such price and
on such terms, subject to the terms and conditions set forth in
the stock plan, as the administrator may determine in its sole
discretion.
96
SECURITY OWNERSHIP OF CERTAIN
BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth information as of June 2,
2005, with respect to the beneficial ownership of our
parents capital stock by (i) our chief executive
officer and each of the other named executive officers set forth
below, (ii) each of our directors, (iii) all of our
directors and executive officers as a group and (iv) each
holder of five percent (5%) or more of any class of our
parents outstanding capital stock.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Participating | |
|
Percent of | |
|
|
|
|
Percent of | |
|
Preferred Shares | |
|
Outstanding | |
|
|
Common Shares | |
|
Outstanding | |
|
Beneficially | |
|
Participating | |
Name of Beneficial Owner(1) |
|
Beneficially Owned | |
|
Common Shares | |
|
Owned | |
|
Preferred Shares | |
|
|
| |
|
| |
|
| |
|
| |
Welsh, Carson, Anderson & Stowe(2)
|
|
|
114,938,181 |
|
|
|
58.7 |
% |
|
|
16,877,179.59 |
|
|
|
77.1 |
% |
Thoma Cressey Equity Partners(3)
|
|
|
17,962,732 |
|
|
|
9.2 |
% |
|
|
2,671,038.22 |
|
|
|
12.2 |
% |
Rocco A. Ortenzio(4)
|
|
|
17,838,968 |
|
|
|
9.1 |
% |
|
|
978,853.33 |
|
|
|
4.5 |
% |
Robert A. Ortenzio(5)
|
|
|
16,401,873 |
|
|
|
8.4 |
% |
|
|
913,858.31 |
|
|
|
4.2 |
% |
Russell L. Carson(6)
|
|
|
2,910,387 |
|
|
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1.5 |
% |
|
|
432,771.36 |
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|
2.0 |
% |
Bryan C. Cressey(7)
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|
17,962,732 |
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|
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9.2 |
% |
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|
2,671,038.22 |
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12.2 |
% |
Thomas A. Scully(8)
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|
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130,256 |
|
|
|
* |
|
|
|
4,460.97 |
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* |
|
Sean M. Traynor(9)
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|
|
5,000 |
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|
|
* |
|
|
|
743.49 |
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* |
|
Patricia A. Rice(10)
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|
|
4,283,361 |
|
|
|
2.2 |
% |
|
|
53,531.60 |
|
|
|
* |
|
S. Frank Fritsch(11)
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|
|
1,448,482 |
|
|
|
* |
|
|
|
46,864.77 |
|
|
|
* |
|
Martin F. Jackson(12)
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|
|
3,632,781 |
|
|
|
1.9 |
% |
|
|
54,066.93 |
|
|
|
* |
|
All directors and named executive officers as a group(13)
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|
|
83,818,143 |
|
|
|
33.0 |
% |
|
|
4,009,907.10 |
|
|
|
23.6 |
% |
|
|
|
|
(1) |
Unless otherwise indicated, the address of each of the
beneficial owners identified is 4716 Old Gettysburg Road, P.O.
Box 2034, Mechanicsburg, Pennsylvania 17055. |
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(2) |
Represents (A) 80,857,283 common shares and 12,023,373.01
participating preferred shares held by WCAS IX over which WCAS
IX has sole voting and investment power, (B) 15,000 common
shares and 2,230.48 participating preferred shares held by WCAS
Management Corporation, over which WCAS Management Corporation
has sole voting and investment power, (C) 3,623,302 common
shares and 538,780.97 participating preferred shares held by
WCAS Capital Partners IV, L.P., over which WCAS Capital Partners
IV, L.P. has sole voting and investment power, (D) an
aggregate 8,246,203 common shares and 1,226,213.10 participating
preferred shares held by individuals who are general partners of
WCAS IX Associates LLC, the sole general partner of WCAS IX
and/or otherwise employed by an affiliate of Welsh, Carson,
Anderson & Stowe, and (E) an aggregate 22,196,394
common shares and 3,086,582.03 participating preferred shares
held by other co-investors, over which WCAS IX has sole voting
power. WCAS IX Associates LLC, the sole general partner of WCAS
IX and the individuals who serve as general partners of WCAS IX
Associates LLC, including Russell L. Carson, and Sean M.
Traynor, may be deemed to beneficially own the shares
beneficially owned by WCAS IX. Such persons disclaim beneficial
ownership of such shares. The principal executive offices of
Welsh, Carson, Anderson & Stowe are located at 320 Park
Avenue, Suite 2500, New York, New York 10022. |
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(3) |
Represents (A) 7,480,145 common shares and 1,112,289.19
participating preferred shares held by Thoma Cressey
Fund VI, L.P. over which Thoma Cressey Fund VI, L.P.
has shared voting and investment power, (B) 74,801 common
shares and 11,122.80 participating preferred shares held by
Thoma Cressey Friends Fund VI, L.P., over which Thoma Cressey
Friends Fund VI, L.P. has shared |
97
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voting and investment power, (C) 9,846,200 common shares
and 1,464,118.96 participating preferred shares held by Thoma
Cressey Fund VII, L.P., over which Thoma Cressey
Fund VII, L.P. has shared voting and investment power,
(D) 153,800 common shares and 22,869.89 participating
preferred shares held by Thoma Cressey Friends Fund VII,
L.P., over which Thoma Cressey Friends Fund VII, L.P. has
shared voting and investment power and (E) 407,786 common shares
and 60,637.38 participating preferred shares held by
Mr. Cressey. Mr. Cressey is a principal of Thoma
Cressey Equity Partners Inc. The principal address of Thoma
Cressey Equity Partners Inc. is 9200 Sears Tower, 233 South
Wacker Drive, Chicago, IL 60606. |
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(4) |
Includes 385,697 common shares held by the Ortenzio Family
Foundation of which Mr. Ortenzio is a trustee. Does not
include 5,000,000 common shares held by The Robert A. Ortenzio
Descendants Trust of which Mr. Ortenzio is a trustee. Does not
include 2,615,000 common shares held by The 2005 Rice
Family Trust of which Mr. Ortenzio is a trustee. |
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(5) |
Includes 10,256,176 common shares which are subject to
restrictions on transfer set forth in a restricted stock award
agreement entered into at the time of the consummation of the
Transactions. Does not include 5,000,000 common shares held by
The Robert A. Ortenzio Descendants Trust of which Mr. Ortenzio
is a trustee. Does not include 2,615,000 common shares held
by The 2005 Rice Family Trust of which Mr. Ortenzio is a
trustee. Does not include 4,000,000 common shares held by
The Rocco A. Ortenzio Descendants Trust of which Mr. Ortenzio is
a trustee. |
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(6) |
Does not include 80,857,283 common shares and 12,023,373.01
participating preferred shares owned by WCAS IX, 15,000 common
shares and 2,230.48 participating preferred shares owned by
WCAS Management Corporation or 3,623,302 common shares and
538,780.97 participating preferred shares owned by WCAS Capital
Partners IV, L.P. Mr. Carson, as a general partner of WCAS
IX and WCAS Capital Partners IV, L.P. and as an officer of WCAS
Management Corporation, may be deemed to beneficially own the
shares beneficially owned by WCAS IX, WCAS Management
Corporation and WCAS Capital Partners IV, L.P. Mr. Carson
disclaims beneficial ownership of such shares. |
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(7) |
Includes (A) 7,480,145 common shares and 1,112,289.19
participating preferred shares held by Thoma Cressey
Fund VI, L.P., (B) 74,801 common shares and 11,122.80
participating preferred shares held by Thoma Cressey Friends
Fund VI, L.P., (C) 9,846,200 common shares and
1,464,118.96 participating preferred shares held by Thoma
Cressey Fund VII, L.P., and (D) 153,800 common shares
and 22,869.89 participating preferred shares held by Thoma
Cressey Friends Fund VII, L.P. Mr. Cressey is a
principal of Thoma Cressey Equity Partners Inc. Mr. Cressey
may be deemed to beneficially own the shares beneficially owned
by Thoma Cressey Fund VI, L.P., Thoma Cressey Friends
Fund VI, L.P., Thoma Cressey Fund VII, L.P. and Thoma
Cressey Friends Fund VII, L.P. Mr. Cressey disclaims
beneficial ownership of such shares. The principal address of
Mr. Cressey is 9200 Sears Tower, 233 South Wacker
Drive, Chicago, IL 60606. |
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(8) |
Includes 100,256 common shares which are subject to restrictions
on transfer set forth in a restricted stock award agreement
entered into at the time of the consummation of the Transactions. |
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(9) |
Does not include 80,857,283 common shares and 12,023,373.01
participating preferred shares owned by WCAS IX, 15,000 common
shares and 2,230.48 participating preferred shares owned by
WCAS Management Corporation or 3,623,302 common shares and
538,780.97 participating preferred shares owned by WCAS Capital
Partners IV, L.P. Mr. Traynor, as a general partner of WCAS
IX and WCAS Capital Partners IV, L.P. and as an officer of
WCAS Management Corporation, may be deemed to beneficially own
the shares beneficially owned by WCAS IX, WCAS Management
Corporation and WCAS Capital Partners IV, L.P. Mr. Traynor
disclaims beneficial ownership of such shares. |
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(10) |
Includes 3,923,361 common shares which are subject to
restrictions on transfer set forth in a restricted stock award
agreement entered into at the time of the consummation of the
Transactions and 360,000 common shares and 53,531.60
participating preferred shares owned by The Patricia Ann Rice
Living Trust for which Ms. Rice acts as a trustee. |
98
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(11) |
Includes 1,133,316 common shares which are subject to
restrictions on transfer set forth in a restricted stock award
agreement entered into at the time of the consummation of the
Transactions. |
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(12) |
Includes 3,269,181 common shares which are subject to
restrictions on transfer set forth in a restricted stock award
agreement entered into at the time of the consummation of the
Transactions. Includes 14,400 common shares owned by
Mr. Jacksons children who live in his household and over
which Mr. Jackson acts as custodian. |
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(13) |
Does not include 80,857,283 common shares and 12,023,373.01
participating preferred shares owned by WCAS IX, 15,000 common
shares and 2,230.48 participating preferred shares owned by
WCAS Management Corporation or 3,623,302 common shares and
538,780.97 participating preferred shares owned by WCAS Capital
Partners IV, L.P. Includes an aggregate 18,722,290 common shares
which are subject to restrictions on transfer set forth in
restricted stock award agreements entered into at the time of
the consummation of the Transactions. |
99
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Arrangements with Our Investors
In connection with the consummation of the Transactions, our
sponsors and their co-investors and our continuing investors,
including Rocco A. Ortenzio, Robert A. Ortenzio, Russell L.
Carson and other individuals affiliated with Welsh Carson, Bryan
C. Cressey, various investment funds affiliated with Thoma
Cressey, Patricia A. Rice, Martin F. Jackson, S. Frank Fritsch,
Michael E. Tarvin, James J. Talalai and Scott A. Romberger,
entered into agreements with Holdings as described below.
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Stock Subscription and Exchange Agreement |
Pursuant to a stock subscription and exchange agreement, in
connection with the Transactions the investors purchased shares
of Holdings preferred stock and common stock for an
aggregate purchase price of $570.0 million in cash plus
rollover shares of Select common stock (with such rollover
shares being valued at $152.0 million in the aggregate, or
$18.00 per share, for such purposes). Our continuing
investors purchased shares of Holdings stock at the same price
and on the same terms as our sponsors and their co-investors.
Upon consummation of the merger, all rollover shares were
cancelled without payment of any merger consideration.
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Stockholders Agreement and Equity Registration Rights
Agreement |
The stockholders agreement entered into by Holdings
investors in connection with the Transactions contains certain
restrictions on the transfer of equity securities of Holdings
and provides certain stockholders with certain preemptive and
information rights. Pursuant to the registration rights
agreement, Holdings granted certain of our investors rights to
require Holdings to register shares of common stock under the
Securities Act.
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Securities Purchase Agreement and Debt Registration Rights
Agreement |
In connection with the Transactions, Holdings, WCAS Capital
Partners IV, L.P., Rocco A. Ortenzio, Robert A. Ortenzio and
certain other investors who are members of or affiliated with
the Ortenzio family entered into a securities purchase agreement
pursuant to which they purchased senior subordinated notes and
shares of preferred and common stock from Holdings for an
aggregate $150.0 million purchase price. In connection with
such investment, these investors entered into the stockholders
and registration rights agreements referred to under
Stockholders Agreement and Equity Registration
Rights Agreement with respect to the Holdings equity
securities acquired by them and a separate registration rights
agreement with Holdings that granted these investors rights to
require Holdings to register the senior subordinated notes
acquired by them under the Securities Act under certain
circumstances.
In connection with the Transactions, an aggregate
$24.6 million in financing fees was paid to our sponsors
(or affiliates thereof) and to certain of our other continuing
investors in connection with the Transactions and we reimbursed
Welsh Carson and its affiliates for their out-of-pocket expenses
in connection with the Transactions.
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Restricted Stock Award Agreement |
On June 2, 2005, Holdings and Rocco A. Ortenzio entered
into a Restricted Stock Award Agreement, pursuant to which a
warrant previously granted to Mr. Ortenzio was cancelled
and Mr. Ortenzio was awarded shares of Holdings
common stock.
100
Other Arrangements with Directors and Executive Officers
We lease our corporate office space at 4716, 4718 and 4720 Old
Gettysburg Road, Mechanicsburg, Pennsylvania, from Old
Gettysburg Associates, Old Gettysburg Associates II and Old
Gettysburg Associates III. Old Gettysburg Associates and
Old Gettysburg Associates III are general partnerships that
are owned by Rocco A. Ortenzio, Robert A. Ortenzio and John M.
Ortenzio. Old Gettysburg Associates II is a general
partnership owned by Rocco A. Ortenzio, Robert A. Ortenzio, John
M. Ortenzio and Select Capital Corporation, a Pennsylvania
corporation whose principal offices are located in
Mechanicsburg, Pennsylvania. Rocco A. Ortenzio, Robert A.
Ortenzio, Martin J. Ortenzio and John M. Ortenzio each own 25%
of Select Capital Corporation. We obtained independent
appraisals at the time we executed leases with these
partnerships which support the amount of rent we pay for this
space. In the year ended December 31, 2004, we paid to
these partnerships an aggregate amount of $1,901,285, for office
rent, for various improvements to our office space and
miscellaneous expenses. Our current lease for 43,919 square
feet of office space at 4716 Old Gettysburg Road and our lease
for 12,225 square feet of office space at 4718 Old
Gettysburg Road expire on December 31, 2014. On
May 15, 2001 we entered into a lease for 7,214 square
feet of additional office space at 4720 Old Gettysburg Road in
Mechanicsburg, Pennsylvania which expires on December 31,
2014. We amended this lease on February 26, 2002 to add a
net of 4,200 square feet of office space. On
October 29, 2003, we entered into leases for an additional
3,008 square feet of office space at 4718 Old Gettysburg
Road for a five year initial term at $17.40 per square
foot, and an additional 8,644 square feet of office space
at 4720 Old Gettysburg Road for a five year initial term at
$18.01 per square foot. We currently pay approximately
$1,713,277 per year in rent for the office space leased
from these three partnerships. We amended our lease for office
space at 4718 Old Gettysburg Road on February 19, 2004 to
relinquish a net of 695 square feet of office space. On
March 19, 2004, we entered into leases for an additional
2,436 square feet of office space at 4718 Old
Gettysburg Road from Old Gettysburg Associates for a three year
initial term at $19.31 per square foot, and an additional
2,579 square feet of office space at 4720 Old Gettysburg
Road from Old Gettysburg Associates II for a five year
initial term at $18.85 per square foot.
Holdings has adopted a restricted stock and option plan. Members
of our management, including some of those who participated in
the Transactions as continuing investors, received awards under
this plan. Rocco A. Ortenzio received 25% of the restricted
stock issuable pursuant to this plan and Robert A. Ortenzio
received 35% of the restricted stock issuable pursuant to this
plan. See Management Restricted Stock and
Option Plan.
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Long-Term Cash Incentive Plan |
Holdings has adopted a long-term cash incentive plan.
Participants under this plan will receive cash payments in
respect of awards issued under the plan to the extent Holdings
exceeds targeted returns on invested equity as of a liquidity
event, such as a sale of our company or an initial public
offering by Holdings, within a specified number of years or upon
the redemption of Holdings preferred stock or special
dividends on Holdings preferred stock. See
Management Long-Term Cash Incentive Plan.
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Employee Stock Purchase Plan |
Holdings has also adopted an employee stock purchase plan
pursuant to which specified employees of our company (other than
members of our senior management team) were given the
opportunity to purchase shares of Holdings preferred stock and
common stock. See Management Employee Stock
Purchase Plan.
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Consulting Agreement with Director |
On January 1, 2004, we entered into a consulting agreement
with Thomas A. Scully, a member of our board of directors.
Pursuant to the terms of the consulting agreement,
Mr. Scully agreed to provide regulatory
101
advice and government relations services to our company as
directed by our Chief Executive Officer. In exchange for his
services, Mr. Scully is entitled to annual compensation of
$75,000. The consulting agreement can be terminated by either
party without cause upon 30 days prior written notice
to the other party. We may also terminate the consulting
agreement for cause upon the occurrence of certain specified
events. On April 18, 2005, we entered into an amendment to
Mr. Scullys consulting agreement which extended the
term of the agreement to December 31, 2005.
102
DESCRIPTION OF CERTAIN OTHER INDEBTEDNESS
We summarize below the principal terms of the agreements that
govern our new senior secured credit facility, any of our senior
subordinated notes that were not acquired in the tender offers
described under The Transactions and Holdings
senior subordinated notes. This summary is not a complete
description of all the terms of such agreements.
Our New Senior Secured Credit Facility
On February 24, 2005, we entered into a new senior secured
credit facility with a syndicate of financial institutions and
institutional lenders. Set forth below is a summary of the terms
of our new senior secured credit facility.
Our new senior secured credit facility provides for senior
secured financing of up to $880.0 million, consisting of:
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a $300.0 million revolving credit facility with a maturity
of six years, including both a letter of credit sub-facility and
a swingline loan sub-facility, and |
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a $580.0 million term loan facility with a maturity of
seven years. |
In addition, we may request additional tranches of term loans or
increases to the revolving credit facility in an aggregate
amount not exceeding $100.0 million, subject to certain
conditions and receipt of commitments by existing or additional
financial institutions or institutional lenders.
All borrowings under our new senior secured credit facility are
subject to the satisfaction of customary conditions, including
the absence of a default and the accuracy of representations and
warranties.
The interest rate applicable to loans, other than swingline
loans, under our new senior secured credit facility are, at our
option, equal to either an alternate base rate or an adjusted
LIBOR rate for a one, two, three or six month interest period,
or a nine or twelve month period if available, in each case,
plus an applicable margin. The alternate base rate is the
greater of (1) JPMorgan Chase Bank, N.A.s prime rate
and (2) one-half of 1% over the weighted average of rates
on overnight Federal funds as published by the Federal Reserve
Bank of New York. The adjusted LIBOR rate is determined by
reference to settlement rates established for deposits in
dollars in the London interbank market for a period equal to the
interest period of the loan and the maximum reserve percentages
established by the Board of Governors of the United States
Federal Reserve to which our lenders are subject.
The applicable margin is initially (1) 1.50% for alternate
base rate revolving loans and (2) 2.50% for adjusted LIBOR
revolving loans, subject to reduction beginning approximately
six months after the closing of the Transactions based upon the
ratio of our total indebtedness to our consolidated EBITDA (such
term being used herein as defined in the credit agreement
governing our new senior secured credit facility). The
applicable margins for the term loans are (1) 0.75% for
alternative base rate loans and (2) 1.75% for adjusted
LIBOR loans.
Swingline loans will bear interest at the interest rate
applicable to alternate base rate revolving loans.
On the last day of each calendar quarter we are required to pay
each lender a commitment fee in respect of any unused
commitments under the revolving credit facility, which is
initially 0.50% per annum for the first six months and
thereafter is subject to adjustment based upon the ratio of our
total indebtedness to our consolidated EBITDA.
103
Subject to exceptions, our new senior secured credit facility
requires mandatory prepayments of term loans in amounts equal to:
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50% (as may be reduced based on our ratio of total indebtedness
to consolidated EBITDA) of our annual excess cash flow (as
defined in the credit agreement governing our new senior secured
credit facility); |
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100% of the net cash proceeds from asset sales and casualty and
condemnation events, subject to reinvestment rights and certain
other exceptions; |
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50% (as may be reduced based on our ratio of total indebtedness
to consolidated EBITDA) of the net cash proceeds from specified
issuances of equity securities; and |
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100% of the net cash proceeds from certain incurrences of debt. |
Voluntary prepayments and commitment reductions are permitted,
in whole or in part, in minimum amounts without premium or
penalty, other than customary breakage costs with respect to
adjusted LIBOR rate loans.
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Amortization of Principal |
Our new senior secured credit facility requires scheduled
quarterly payments on the term loans each equal to 0.25% of the
original principal amount of the term loans for the first six
years, with the balance paid in four equal quarterly
installments thereafter.
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Collateral and Guarantors |
Our new senior secured credit facility is guaranteed by our
parent and substantially all of our current domestic
subsidiaries, and will be guaranteed by substantially all of our
future domestic subsidiaries and secured by substantially all of
our existing and future property and assets and by a pledge of
our capital stock, the capital stock of our domestic
subsidiaries and up to 65% of the capital stock of certain of
our foreign subsidiaries.
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Restrictive Covenants and Other Matters |
Our new senior secured credit facility requires that we comply
on a quarterly basis with certain financial covenants, including
a minimum interest coverage ratio test and a maximum leverage
ratio test, which financial covenants become more restrictive
over time. In addition, our new senior secured credit facility
includes negative covenants, subject to significant exceptions,
restricting or limiting our ability and the ability of our
parent and restricted subsidiaries, to, among other things:
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incur, assume or permit to exist additional indebtedness or
guarantees; |
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incur liens and engage in sale and leaseback transactions; |
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make capital expenditures; |
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make loans and investments; |
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declare dividends, make payments or redeem or repurchase capital
stock; |
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engage in mergers, acquisitions and other business combinations; |
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prepay, redeem or purchase certain indebtedness including the
notes; |
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amend or otherwise alter terms of our indebtedness including the
notes; |
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enter into agreements limiting subsidiary distributions; |
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sell assets; |
104
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transact with affiliates; and |
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alter the business that we conduct. |
Our new senior secured credit facility contains certain
customary representations and warranties, affirmative covenants
and events of default, including payment defaults, breach of
representations and warranties, covenant defaults,
cross-defaults to certain indebtedness, certain events of
bankruptcy, certain events under ERISA, material judgments,
actual or asserted failure of any guaranty or security document
supporting our new senior secured credit facility to be in full
force and effect and change of control. If such an event of
default occurs, the lenders under our new senior secured credit
facility will be entitled to take various actions, including the
acceleration of amounts due under our new senior secured credit
facility and all actions permitted to be taken by a secured
creditor.
Non-Tendered Senior Subordinated Notes
Our
91/2% senior
subordinated notes due 2009 were issued pursuant to an indenture
on June 11, 2001 in an original aggregate principal amount
of $175.0 million, of which $5.7 million remained
outstanding as of March 31, 2005. Interest on these notes
accrues at
91/2% per
annum, payable semi-annually in arrears on each June 15 and
December 15 to the holders of record of such notes as of each
June 1 and December 1 immediately preceding each such
respective payment date.
In connection with the Transactions, we commenced a debt tender
offer to acquire all of these existing senior subordinated notes
and obtain consents to eliminate substantially all of the
restrictive covenants and make other amendments to the indenture
governing such notes. Pursuant to a debt tender offer, we
purchased approximately 96.7% of our
91/2% senior
subordinated notes at a price of $1,066.56 per $1,000
principal amount plus accrued and unpaid interest. On
June 15, 2005, we redeemed the remaining $5.7 million
outstanding principal amount of our
91/2%
senior subordinated notes for a redemption price of 104.750% of
the principal amount plus accrued and unpaid interest.
Holding Company Notes
Concurrently with the consummation of the Transactions, Holdings
issued to WCAS Capital Partners IV, L.P., an investment fund
affiliated with Welsh Carson, and Rocco A. Ortenzio, Robert A.
Ortenzio and certain other investors who are members of or
affiliated with the Ortenzio family, $150.0 million in
aggregate principal amount of Holdings senior subordinated
notes and 573,171.23 shares of its participating preferred
stock and 3,854,577 shares of its common stock, for an
aggregate purchase price of $150.0 million. The proceeds
from this issuance of holding company notes, preferred stock and
common stock was contributed by Holdings to Select as equity.
The holding company notes will mature on the tenth anniversary
of their issuance.
Our new senior secured credit facility and the indenture
governing the notes offered hereby contain certain restrictions
on our ability to pay dividends to Holdings for the purpose of
paying cash interest on the holding company notes. See
Our New Senior Secured Credit Facility
and Description of the Exchange Notes Certain
Covenants Restricted Payments. The holding
company notes bear interest at a rate of 10% per annum,
except that if any interest payment is not paid in cash, such
unpaid amount will be multiplied by 1.2 and added to the
outstanding principal amount of the holding company notes (with
the result that such unpaid interest will have accrued at an
effective rate of 12% instead of 10%). Interest on the holding
company notes will be payable semi-annually in arrears.
The holding company notes may be prepaid, in whole or in part,
without premium or penalty. In addition, the holding company
notes are subject to mandatory prepayment in the event of any
change of control, initial public offering or sale of all or
substantially all the assets of Holdings. Our new senior secured
credit facility and the indenture governing the notes contain
certain restrictions on our ability to pay dividends to Holdings
for the purpose of making principal payments on the holding
company notes. The holding company notes are subordinate in
right of payment to Holdings guaranty of our new senior
secured credit facility on the terms set forth in the holding
company notes.
105
DESCRIPTION OF THE EXCHANGE NOTES
You can find the definitions of certain terms used in this
description under the subheading Certain
Definitions. In this description, (1) the term
Issuer refers only to Select Medical Corporation and
not to any of its subsidiaries and (2) the term
notes refers to the $660.0 million in aggregate
principal amount of the Issuers
75/8% senior
subordinated notes due 2015 and the exchange notes.
The Issuer issued the outstanding notes, and will issue the
exchange notes, under an indenture, dated as of
February 24, 2005, among the Issuer, the Guarantors and
U.S. Bank Trust National Association, as trustee. The
terms of the notes include those stated in the indenture and
those made part of the indenture by reference to the Trust
Indenture Act of 1939, as amended (the Trust Indenture
Act).
The terms of the exchange notes are identical in all material
respects to the outstanding notes except that upon completion of
the exchange offer, the exchange notes will be registered under
the Securities Act and free of any covenants regarding exchange
registration rights.
The following description is a summary of the material
provisions of the indenture. It does not restate the indenture
in its entirety. We urge you to read the indenture because the
indenture, and not this description, defines your rights as
holders of the notes. Copies of the indenture are available as
set forth below under Available
Information. Certain defined terms used in this
description but not defined below under
Certain Definitions have the meanings
assigned to them in the indenture.
The registered holder of a note will be treated as the owner of
it for all purposes. Only registered holders will have rights
under the indenture.
Brief Description of the Notes and the Subsidiary Guarantees
of the Notes
The notes:
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are general unsecured obligations of the Issuer; |
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are subordinated in right of payment to all existing and future
Senior Debt of the Issuer, including Indebtedness under the
Credit Agreement; |
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are pari passu in right of payment to any senior
subordinated Indebtedness of the Issuer; |
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are senior in right of payment to any future subordinated
Indebtedness of the Issuer; and |
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are unconditionally guaranteed by each of the Guarantors on a
senior subordinated basis. |
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The Subsidiary Guarantees of the Notes |
The notes are guaranteed by all of the Issuers current
Domestic Subsidiaries other than those that are Non-Guarantor
Subsidiaries. Future Restricted Subsidiaries (other than
Non-Guarantor Subsidiaries) that are guarantors under the Credit
Agreement will also become guarantors of the notes.
The guarantee of each Guarantor of the notes:
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is a general unsecured obligation of that Guarantor; |
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is subordinated in right of payment to all existing and future
Senior Debt of that Guarantor, including guarantees of
Indebtedness under the Credit Agreement; |
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is pari passu in right of payment with any senior
subordinated Indebtedness of that Guarantor; and |
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is senior in right of payment to any future subordinated
Indebtedness of that Guarantor. |
As of March 31, 2005, the Issuer and the Guarantors had
total Senior Debt of $782.9 million, including
$780.0 million of borrowings under the Credit Agreement. As
indicated above and as discussed in detail below
106
under the caption Subordination,
payments on the notes and under the guarantees are subordinated
to the payment of Senior Debt. The indenture permits us and the
Guarantors to incur additional Senior Debt.
The Non-Guarantor Subsidiaries do not guarantee the notes. In
the event of a bankruptcy, liquidation or reorganization of any
of the Non-Guarantor Subsidiaries, the Non-Guarantor
Subsidiaries will pay the holders of their debt and their trade
creditors before they will be able to distribute any of their
assets to us. As a result, the notes are effectively
subordinated in right of payment to all Indebtedness and other
liabilities and commitments (including trade payables and lease
obligations) of the Non-Guarantor Subsidiaries. The
Non-Guarantor Subsidiaries held $49.3 million of our
consolidated assets as of March 31, 2005. As of
March 31, 2005, the Non-Guarantor Subsidiaries had
approximately $10.3 million of total liabilities (excluding
debt owing to the Issuer and its Subsidiaries). See Risk
Factors Risks Related to the Notes Your
right to receive payments on the notes is junior to our senior
indebtedness and the senior indebtedness of the subsidiary
guarantors. Further, the notes and the subsidiary guarantees are
effectively subordinated to all liabilities of our non-guarantor
subsidiaries. For more detail about the revenues and
assets of certain of our Non-Guarantor Subsidiaries, see the
condensed consolidating financial information included in the
notes to our consolidated financial statements included
elsewhere in this prospectus.
The Subsidiaries described in clause (w) of the definition
of Non-Guarantor Subsidiaries below under
Certain Definitions are Non-Guarantor
Subsidiaries. In addition, other Subsidiaries of the Issuer may
become Non-Guarantor Subsidiaries. See the definition of
Non-Guarantor Subsidiaries under
Certain Definitions below.
Certain of our Non-Guarantor Subsidiaries may guarantee, and may
pledge their assets to secure, the Issuers obligations
under the Credit Agreement. As of March 31, 2005, all of
our Subsidiaries were Restricted Subsidiaries.
However, under the circumstances described below under the
caption Certain Covenants
Designation of Restricted and Unrestricted Subsidiaries,
we are permitted to designate certain of our Subsidiaries as
Unrestricted Subsidiaries. Our Unrestricted
Subsidiaries will not be subject to many of the restrictive
covenants in the indenture and will not guarantee the notes.
Principal, Maturity and Interest
On the Issue Date, we issued $660.0 million in aggregate
principal amount of notes. We may issue additional notes other
than the notes under the indenture from time to time. Any
issuance of additional notes other than the notes is subject to
all of the covenants in the indenture, including the covenant
described below under the caption Certain
Covenants Incurrence of Indebtedness and Issuance of
Disqualified Stock and Preferred Stock. The notes issued
on the Issue Date are, and any additional notes subsequently
issued under the indenture will be, treated as a single class
for all purposes under the indenture, including, without
limitation, waivers, amendments, redemptions and offers to
purchase. We issued notes in denominations of $1,000 and
integral multiples of $1,000. The notes mature on
February 1, 2015.
Interest on the notes accrues at the rate of
75/8% per
annum and is payable semiannually in arrears on February 1 and
August 1, commencing on August 1, 2005. Interest on
overdue principal, interest and Additional Interest, if any,
accrues at a rate that is 1% higher than the then applicable
interest rate on the notes. The Issuer will make each interest
payment to the holders of record on the immediately preceding
January 15 or July 15.
Interest on the notes accrues from the date of original issuance
or, if interest has already been paid, from the date it was most
recently paid. Interest is computed on the basis of a 360-day
year comprised of twelve 30-day months.
Methods of Receiving Payments on the Notes
Principal of, premium, if any, and interest and Additional
Interest on the notes will be payable, and the notes may be
exchanged or transferred, at the office or agency of the Issuer
in the Borough of Manhattan, The City of New York (which
initially will be an office of an affiliate of the trustee in
New York, New York); at the option of the Issuer, however,
payment of interest and Additional Interest may be made by check
mailed
107
to the address of the holders as such address appears in the
register of holders, and in addition, if a holder of at least
$1.0 million in aggregate principal amount of notes has
given wire transfer instructions to us prior to the record date
for a payment, the Issuer will make such payment of principal
of, premium, if any, and interest and Additional Interest on
such holders notes in accordance with those instructions.
Payment of principal of, premium, if any, and interest and
Additional Interest on, notes in global form registered in the
name of or held by DTC or any successor depositary or its
nominee will be made by wire transfer of immediately available
funds to such depositary or its nominee, as the case may be, as
the registered holder of such global note.
Paying Agent and Registrar for the Notes
The trustee currently acts as paying agent and registrar. The
Issuer may change the paying agent or registrar without prior
notice to the holders of the notes, and the Issuer or any of its
Subsidiaries may act as paying agent or registrar.
Transfer and Exchange
A holder may transfer or exchange notes in accordance with the
provisions of the indenture. The registrar and the trustee may
require a holder, among other things, to furnish appropriate
endorsements and transfer documents in connection with a
transfer of notes. No service charge will be made for any
registration of transfer or exchange of notes, but the Issuer
may require payment of a sum sufficient to cover any transfer
tax or other similar governmental charge payable in connection
therewith. The Issuer is not required to transfer or exchange
any note selected for redemption. Also, the Issuer is not
required to transfer or exchange any note for a period of
15 days before a selection of notes to be redeemed.
Subsidiary Guarantees
The notes are guaranteed by each of the Issuers current
Domestic Subsidiaries, other than those that are Non-Guarantor
Subsidiaries, as long as they remain Restricted Subsidiaries.
Future Restricted Subsidiaries (other than Non-Guarantor
Subsidiaries) that are guarantors under the Credit Agreement
will also become guarantors of the notes. The Subsidiary
Guarantees are joint and several obligations of the Guarantors.
Each Subsidiary Guarantee is subordinated to the prior payment
in full of all Senior Debt of that Guarantor. The obligations of
each Guarantor under its Subsidiary Guarantee are limited as
necessary to prevent that Subsidiary Guarantee from constituting
a fraudulent conveyance under applicable law. See Risk
Factors Risks Related to the Notes
Federal and state statutes could allow courts, under certain
circumstances, to void the subsidiary guarantees, subordinate
claims in respect of the notes and require note holders to
return payments received from subsidiary guarantors. A
Guarantor may not sell or otherwise dispose of all or
substantially all of its assets to, or consolidate with or merge
with or into (whether or not such Guarantor is the surviving
Person) another Person, other than the Issuer or another
Guarantor, unless:
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(1) immediately after giving effect to that transaction, no
Default or Event of Default exists; and |
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(2) either: |
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(a) the Person (if other than the Issuer or a Guarantor)
acquiring the property in any such sale or disposition or the
Person (if other than the Issuer or a Guarantor) formed by or
surviving any such consolidation or merger assumes all the
obligations of that Guarantor under the indenture, its
Subsidiary Guarantee and the exchange and registration rights
agreement pursuant to a supplemental indenture satisfactory to
the trustee; or |
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(b) such transaction does not violate the Asset
Sale provisions of the indenture and the Net Proceeds of
such sale or other disposition are applied in accordance with
the applicable provisions of the indenture. |
The Subsidiary Guarantee of a Guarantor will be released:
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(1) in connection with any sale or other disposition of all
or substantially all of the assets of that Guarantor (including
by way of merger or consolidation) to a Person that is not
(either before or after |
108
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giving effect to such transaction) the Issuer or a Restricted
Subsidiary of the Issuer (other than a Non-Guarantor
Subsidiary), if the sale or other disposition does not violate
the Asset Sale provisions of the indenture; |
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(2) in connection with any sale or other disposition of all
of the Capital Stock of that Guarantor to a Person that is not
(either before or after giving effect to such transaction) the
Issuer or a Restricted Subsidiary of the Issuer (other than a
Non-Guarantor Subsidiary), if the sale or other disposition does
not violate the Asset Sale provisions of the
indenture; |
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(3) if the Issuer designates any Restricted Subsidiary that
is a Guarantor to be an Unrestricted Subsidiary or a
Non-Guarantor Subsidiary in accordance with the applicable
provisions of the indenture; |
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(4) if that Guarantor is released from its guarantee under
the Credit Agreement; or |
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(5) upon legal defeasance, covenant defeasance or
satisfaction and discharge of the indenture as provided below
under the captions Legal Defeasance and
Covenant Defeasance and Satisfaction and
Discharge. |
If any Guarantor is released from its Subsidiary Guarantee, any
of its Subsidiaries that are Guarantors will be released from
their Subsidiary Guarantees, if any.
See Repurchase at the Option of
Holders Asset Sales.
Subordination
The payment of all Obligations in respect of the notes will be
subordinated to the prior payment in full in cash of all Senior
Debt of the Issuer, including Senior Debt of the Issuer incurred
after the Issue Date.
The holders of Senior Debt of the Issuer are entitled to receive
payment in full in cash of all Obligations due in respect of
such Senior Debt (including interest after the commencement of
any bankruptcy proceeding at the rate specified in the
applicable Senior Debt, whether or not such interest is an
allowable claim) before the holders of notes are entitled to
receive any payment (by setoff or otherwise) with respect to the
notes (except that holders of notes may receive and retain
Permitted Junior Securities and payments made from either of the
trusts described under Legal Defeasance and
Covenant Defeasance and Satisfaction and
Discharge), in the event of any distribution to creditors
of the Issuer:
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(1) in a liquidation or dissolution of the Issuer; |
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(2) in a bankruptcy, reorganization, insolvency,
receivership or similar proceeding relating to the Issuer or its
property; |
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(3) in an assignment for the benefit of the Issuers
creditors; or |
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(4) in any marshaling of the Issuers assets and
liabilities. |
The Issuer also may not make any payment (by setoff or
otherwise) in respect of the notes or acquire or redeem the
notes for cash or property or otherwise (except in Permitted
Junior Securities or from the trusts described under
Legal Defeasance and Covenant Defeasance
and Satisfaction and Discharge) if:
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(1) a payment default on Designated Senior Debt occurs and
is continuing beyond any applicable grace period; or |
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(2) any other default occurs and is continuing on any
Designated Senior Debt that permits holders of that Designated
Senior Debt to accelerate its maturity and the trustee receives
a notice of such default (a Payment Blockage Notice)
from a representative of the holders of any Designated Senior
Debt. |
Payments on the notes may and will be resumed:
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(a) in the case of a payment default, upon the date on
which such default is cured or waived; and |
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(b) in the case of a nonpayment default, upon the earlier
of the date on which such nonpayment default is cured or waived
or 179 days after the date on which the applicable Payment
Blockage Notice is |
109
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received, unless the maturity of any Designated Senior Debt has
been accelerated or a payment default exists on any Designated
Senior Debt. |
No new Payment Blockage Notice may be delivered unless and until:
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(1) 360 days have elapsed since the delivery of the
immediately prior Payment Blockage Notice; and |
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(2) all scheduled payments of principal, interest and
premium and Additional Interest, if any, on the notes that have
come due have been paid in full in cash. |
No nonpayment default that existed or was continuing on the date
of delivery of any Payment Blockage Notice to the trustee will
be, or be made, the basis for a subsequent Payment Blockage
Notice unless such default has been cured or waived for a period
of not less than 90 days.
If the trustee or any holder of the notes receives a payment
(including a payment by a Guarantor under its Subsidiary
Guarantee) in respect of the notes (except in Permitted Junior
Securities or from the trusts described under
Legal Defeasance and Covenant Defeasance
and Satisfaction and Discharge) when:
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(1) the payment is prohibited by these subordination
provisions; and |
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(2) the trustee or the holder has actual knowledge that the
payment is prohibited, the trustee or the holder, as the case
may be, will hold the payment in trust for the benefit of the
holders of Senior Debt. Upon the proper written request of the
holders of Senior Debt, the trustee or the holder, as the case
may be, will deliver the amounts in trust to the holders of
Senior Debt or their proper representative. |
The Issuer must promptly notify holders of Senior Debt of the
Issuer if payment on the notes is accelerated because of an
Event of Default.
The obligations of each Guarantor under its Subsidiary Guarantee
will be subordinated to the Senior Debt of that Guarantor on the
same basis as the notes are subordinated to the Senior Debt of
the Issuer.
As a result of the subordination provisions described above, in
the event of a bankruptcy, liquidation or reorganization of the
Issuer or a Guarantor, holders of notes may recover less ratably
than creditors of the Issuer or that Guarantor, as applicable,
who are holders of Senior Debt. As a result of the obligation to
deliver amounts received in trust to holders of Senior Debt,
holders of notes may recover less ratably than trade creditors
of the Issuer or a Guarantor. See Risk Factors
Risks Related to the Notes Your right to receive
payments on the notes is junior to our senior indebtedness and
the senior indebtedness of the subsidiary guarantors. Further,
the notes and the subsidiary guarantees are effectively
subordinated to all liabilities of our non-guarantor
subsidiaries.
Optional Redemption
At any time prior to February 1, 2008, the Issuer may, on
any one or more occasions, redeem up to 35% of the aggregate
principal amount of notes issued under the indenture at a
redemption price of 107.625% of the principal amount, plus
accrued and unpaid interest and Additional Interest, if any, to
the redemption date, with the net cash proceeds of one or more
Equity Offerings by the Issuer or a contribution to the equity
capital of the Issuer (other than Disqualified Stock) from the
net proceeds of one or more Equity Offerings by Holdings or any
other direct or indirect parent of the Issuer (in each case,
other than Excluded Contributions); provided that:
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(1) at least 65% of the aggregate principal amount of notes
originally issued under the indenture (excluding notes held by
the Issuer and its Subsidiaries) remains outstanding immediately
after the occurrence of such redemption; and |
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(2) the redemption occurs within 90 days of the date
of the closing of such Equity Offering or equity contribution. |
110
Except pursuant to the preceding paragraph and the second
succeeding paragraph, the notes will not be redeemable at the
Issuers option prior to February 1, 2010.
On or after February 1, 2010, the Issuer may redeem all or
a part of the notes upon not less than 30 nor more than
60 days notice, at the redemption prices (expressed
as percentages of principal amount) set forth below plus accrued
and unpaid interest and Additional Interest, if any, on the
notes redeemed, to the applicable redemption date, if redeemed
during the twelve-month period beginning on February 1 of the
years indicated below, subject to the rights of holders of notes
on the relevant record date to receive interest on the relevant
interest payment date:
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Year |
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Percentage | |
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2010
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103.813 |
% |
2011
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102.542 |
% |
2012
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101.271 |
% |
2013 and thereafter
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100.000 |
% |
Before February 1, 2010, the Issuer may also redeem all or
any portion of the notes upon not less than 30 nor more than
60 days prior notice, at a redemption price equal to
100% of the principal amount thereof plus the Applicable Premium
as of, and accrued and unpaid interest thereon, if any, to, the
date of redemption (a Make-Whole
Redemption Date).
Applicable Premium means, with respect to any
note on any Make-Whole Redemption Date, the greater of
(i) 1.0% of the principal amount of such note and
(ii) the excess of (A) the present value at such
Make-Whole Redemption Date of (1) the redemption price
of such note at February 1, 2010 (exclusive of accrued
interest), plus (2) all scheduled interest payments due on
such note from the Make-Whole Redemption Date through
February 1, 2010, computed using a discount rate equal to
the Treasury Rate at such Make-Whole Redemption Date, plus
50 basis points over (B) the principal amount of such
note.
Treasury Rate means, with respect to any
Make-Whole Redemption Date, the yield to maturity at the
time of computation of United States Treasury securities with a
constant maturity (as compiled and published in the most recent
Federal Reserve Statistical Release H.15(519) that has become
publicly available at least two business days prior to such
Make-Whole Redemption Date (or, if such Statistical Release
is no longer published, any publicly available source of similar
market data)) most nearly equal to the period from such
Make-Whole Redemption Date to February 1, 2010;
provided, however, that if the period from such
Make-Whole Redemption Date to February 1, 2010 is not
equal to the constant maturity of a United States Treasury
security for which a weekly average yield is given, the Treasury
Rate shall be obtained by linear interpolation (calculated to
the nearest one-twelfth of a year) from the weekly average
yields of United States Treasury securities for which such
yields are given, except that if the period from such Make-Whole
Redemption Date to February 1, 2010 is less than one
year, the weekly average yield on actually traded United States
Treasury securities adjusted to a constant maturity of one year
shall be used.
Unless the Issuer defaults in the payment of the redemption
price, interest and Additional Interest will cease to accrue on
the notes or portions thereof called for redemption on the
applicable redemption date.
Mandatory Redemption
The Issuer is not required to make mandatory redemption or
sinking fund payments with respect to the notes.
Repurchase at the Option of Holders
If a Change of Control occurs, each holder of notes will have
the right to require the Issuer to repurchase all or any part
(equal to $1,000 or an integral multiple of $1,000) of that
holders notes pursuant to a Change of Control Offer on the
terms set forth in the indenture. In the Change of Control
Offer, the Issuer will offer a
111
Change of Control Payment in cash equal to 101% of the aggregate
principal amount of notes repurchased plus accrued and unpaid
interest and Additional Interest, if any, on the notes
repurchased to the date of purchase, subject to the rights of
holders of notes on the relevant record date to receive interest
due on the relevant interest payment date. Within 30 days
following any Change of Control, the Issuer will mail a notice
to each holder describing the transaction or transactions that
constitute the Change of Control and offering to repurchase
notes on the Change of Control Payment Date specified in the
notice, which date will be no earlier than 30 days and no
later than 60 days from the date such notice is mailed,
pursuant to the procedures required by the indenture and
described in such notice. The Issuer will comply with the
requirements of Rule 14e-1 under the Exchange Act and any
other securities laws and regulations thereunder to the extent
those laws and regulations are applicable in connection with the
repurchase of the notes as a result of a Change of Control. To
the extent that the provisions of any securities laws or
regulations conflict with the Change of Control provisions of
the indenture, the Issuer will comply with the applicable
securities laws and regulations and will not be deemed to have
breached its obligations under the Change of Control provisions
of the indenture by virtue of such compliance.
On the Change of Control Payment Date, the Issuer will, to the
extent lawful:
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(1) accept for payment all notes or portions of notes
properly tendered pursuant to the Change of Control Offer; |
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(2) deposit with the paying agent an amount equal to the
Change of Control Payment in respect of all notes or portions of
notes properly tendered; and |
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(3) deliver or cause to be delivered to the trustee the
notes properly accepted together with an officers
certificate stating the aggregate principal amount of notes or
portions of notes being purchased by the Issuer. |
The paying agent will promptly mail to each holder of notes
properly tendered the Change of Control Payment for such notes,
and the trustee will promptly authenticate and mail (or cause to
be transferred by book entry) to each holder a new note equal in
principal amount to any unpurchased portion of the notes
surrendered, if any. The Issuer will publicly announce the
results of the Change of Control Offer on or as soon as
practicable after the Change of Control Payment Date.
Prior to complying with any of the provisions of this
Change of Control covenant, but in any event within
90 days following a Change of Control, the Issuer will
either repay all its outstanding Senior Debt or obtain the
requisite consents, if any, under all agreements governing its
outstanding Senior Debt to permit the repurchase of notes
required by this covenant.
The provisions described above that require the Issuer to make a
Change of Control Offer following a Change of Control will be
applicable whether or not any other provisions of the indenture
are applicable. Except as described above with respect to a
Change of Control, the indenture does not contain provisions
that permit the holders of the notes to require that the Issuer
repurchase or redeem the notes in the event of a takeover,
recapitalization or similar transaction.
The Issuer will not be required to make a Change of Control
Offer upon a Change of Control if (1) a third party makes
the Change of Control Offer in the manner, at the times and
otherwise in compliance with the requirements set forth in the
indenture applicable to a Change of Control Offer made by the
Issuer and purchases all notes properly tendered and not
withdrawn under the Change of Control Offer or (2) notice
of redemption has been given pursuant to the indenture as
described above under the caption Optional
Redemption, unless and until there is a default in payment
of the applicable redemption price.
The definition of Change of Control includes a phrase relating
to the direct or indirect sale, lease, transfer, conveyance or
other disposition of all or substantially all of the
properties or assets of the Issuer and its Subsidiaries taken as
a whole. Although there is a limited body of case law
interpreting the phrase substantially all, there is
no precise established definition of the phrase under applicable
law. Accordingly, the ability of a holder of notes to require
the Issuer to repurchase its notes as a result of a sale, lease,
transfer,
112
conveyance or other disposition of less than all of the assets
of the Issuer and its Subsidiaries taken as a whole to another
Person or group may be uncertain.
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, consummate an Asset Sale unless:
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(1) the Issuer (or the Restricted Subsidiary, as the case
may be) receives consideration at the time of the Asset Sale at
least equal to the Fair Market Value of the assets or Equity
Interests issued or sold or otherwise disposed of; and |
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(2) at least 75% of the consideration received in the Asset
Sale by the Issuer or such Restricted Subsidiary is in the form
of cash. For purposes of this paragraph (2), each of the
following will be deemed to be cash: |
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(a) Cash Equivalents; |
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(b) any liabilities, as shown on the Issuers most
recent consolidated balance sheet, of the Issuer or any
Restricted Subsidiary (other than contingent liabilities and
liabilities that are by their terms subordinated to the notes or
any Subsidiary Guarantee) that are assumed by the transferee of
any such assets pursuant to a customary novation agreement that
releases the Issuer or such Restricted Subsidiary from further
liability; |
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(c) any securities, notes or other obligations received by
the Issuer or any such Restricted Subsidiary from such
transferee that are converted by the Issuer or such Restricted
Subsidiary into cash within 180 days of receipt, to the
extent of the cash received in that conversion; |
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(d) any Designated Noncash Consideration the Fair Market
Value of which, when taken together with all other Designated
Noncash Consideration received pursuant to this clause (d)
(and not subsequently converted into Cash Equivalents that are
treated as Net Proceeds of an Asset Sale), does not exceed
$30.0 million since the Issue Date, with the Fair Market
Value of each item of Designated Noncash Consideration being
measured at the time received and without giving effect to
subsequent changes in value; and |
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(e) any stock or assets of the kind referred to in
clauses (2) or (4) of the second succeeding paragraph. |
Notwithstanding the foregoing, the 75% limitation referred to in
clause (2) above shall not apply to any Asset Sale in which
the cash or Cash Equivalents portion of the consideration
received therefrom, determined in accordance with the foregoing
provision, is equal to or greater than what the after-tax
proceeds would have been had such Asset Sale complied with the
aforementioned 75% limitation.
Within 365 days after the receipt of any Net Proceeds from
an Asset Sale, the Issuer (or the applicable Restricted
Subsidiary, as the case may be) may apply such Net Proceeds at
its option:
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(1) to repay Senior Debt and, if the Senior Debt repaid is
revolving credit Indebtedness, to correspondingly reduce
commitments with respect thereto; |
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(2) to acquire all or substantially all of the assets of,
or any Capital Stock of, another Permitted Business, if, after
giving effect to any such acquisition of Capital Stock, the
Permitted Business is or becomes a Restricted Subsidiary of the
Issuer; |
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(3) to make a capital expenditure with respect to a
Permitted Business; or |
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(4) to acquire Additional Assets; |
provided that the requirements of clauses (2)
through (4) above shall be deemed to be satisfied if an
agreement (including a lease, whether a capital lease or an
operating lease) committing to make the acquisitions or
expenditures referred to in any of clauses (2) through
(4) above is entered into by the Issuer or
113
its Restricted Subsidiary within 365 days after the receipt
of such Net Proceeds and such Net Proceeds are applied in
accordance with such agreement.
Pending the final application of any Net Proceeds, the Issuer
may temporarily reduce revolving credit borrowings or otherwise
invest the Net Proceeds in any manner that is not prohibited by
the indenture.
Any Net Proceeds from Asset Sales that are not applied or
invested as provided in the third paragraph of this covenant
will constitute Excess Proceeds. When the aggregate
amount of Excess Proceeds exceeds $20.0 million, within ten
business days thereof, the Issuer will make an Asset Sale Offer
to all holders of notes and if the Issuer elects (or is required
by the terms of such other pari passu Indebtedness), all
holders of other Indebtedness that is pari passu with the
notes. The offer price in any Asset Sale Offer will be equal to
100% of the principal amount plus accrued and unpaid interest
and Additional Interest, if any, to the date of purchase, and
will be payable in cash. If any Excess Proceeds remain after
consummation of an Asset Sale Offer, the Issuer may use those
Excess Proceeds for any purpose not otherwise prohibited by the
indenture. If the aggregate principal amount of notes and other
pari passu Indebtedness tendered into such Asset Sale
Offer exceeds the amount of Excess Proceeds, the trustee will
select the notes and such other pari passu Indebtedness
to be purchased on a pro rata basis. Upon completion of
each Asset Sale Offer, the amount of Excess Proceeds will be
reset at zero.
The Issuer will comply with the requirements of Rule 14e-1
under the Exchange Act and any other securities laws and
regulations thereunder to the extent those laws and regulations
are applicable in connection with each repurchase of notes
pursuant to an Asset Sale Offer. To the extent that the
provisions of any securities laws or regulations conflict with
the Asset Sale provisions of the indenture, the Issuer will
comply with the applicable securities laws and regulations and
will not be deemed to have breached its obligations under the
Asset Sale provisions of the indenture by virtue of such
compliance.
The agreements governing the Issuers outstanding Senior
Debt in existence on the Issue Date will restrict the Issuer
from purchasing any notes, and also provide that certain change
of control or asset sale events with respect to the Issuer or
repurchases of or other prepayments in respect of the notes
would constitute a default under those agreements. Any future
credit agreements or other agreements relating to Senior Debt to
which the Issuer becomes a party may contain similar
restrictions and provisions. In the event a Change of Control or
Asset Sale occurs at a time when the Issuer is prohibited from
purchasing notes, the Issuer could seek the consent of its
senior lenders to the purchase of notes or could attempt to
refinance the borrowings that contain such prohibition. If the
Issuer does not obtain such consent or repay such borrowings,
the Issuer will remain prohibited from purchasing notes. In such
case, the Issuers failure to purchase tendered notes would
constitute an Event of Default under the indenture which would,
in turn, constitute a default under the agreements governing the
Issuers Senior Debt. In such circumstances, the
subordination provisions in the indenture would likely restrict
payments to the holders of notes.
Selection and Notice
If less than all of the notes are to be redeemed at any time,
the trustee will select notes for redemption on a pro rata basis
unless otherwise required by law or applicable stock exchange
requirements.
No notes of $1,000 or less can be redeemed in part. Notices of
redemption will be mailed by first class mail at least 30 but
not more than 60 days before the redemption date to each
holder of notes to be redeemed at its registered address, except
that redemption notices may be mailed more than 60 days
prior to a redemption date if the notice is issued in connection
with a defeasance of the notes or a satisfaction and discharge
of the indenture. Notices of redemption may not be conditional.
If any note is to be redeemed in part only, the notice of
redemption that relates to that note will state the portion of
the principal amount of that note that is to be redeemed. A new
note in principal amount equal to the unredeemed portion of the
original note will be issued in the name of the holder of notes
upon cancellation of the original note. Notes called for
redemption become due on the date fixed for redemption. On and
after the redemption date, interest and Additional Interest will
cease to accrue on notes or portions of notes called for
redemption.
114
Certain Covenants
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, directly or indirectly:
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(A) declare or pay any dividend or make any other payment
or distribution on account of the Issuers or any of its
Restricted Subsidiaries Equity Interests (including,
without limitation, any payment in connection with any merger or
consolidation involving the Issuer or any of its Restricted
Subsidiaries) or to the direct or indirect holders of the
Issuers or any of its Restricted Subsidiaries Equity
Interests in their capacity as such (other than dividends or
distributions payable in Equity Interests (other than
Disqualified Stock) of the Issuer); provided that the
repurchase, redemption or other acquisition or retirement for
value of any Equity Interests of a Restricted Subsidiary of the
Issuer shall not constitute a Restricted Payment; |
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(B) purchase, redeem or otherwise acquire or retire for
value (including, without limitation, in connection with any
merger or consolidation involving the Issuer) any Equity
Interests of the Issuer, Holdings or any other direct or
indirect parent of the Issuer; |
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(C) make any payment on or with respect to, or purchase,
repurchase, redeem, defease or otherwise acquire or retire for
value any Indebtedness of the Issuer or any Guarantor that is
contractually subordinated to the notes or to any Subsidiary
Guarantee (excluding any intercompany Indebtedness between or
among the Issuer and any of its Restricted Subsidiaries), except
(i) a payment of interest or principal at the Stated
Maturity thereof or (ii) the purchase, repurchase,
redemption, defeasance or other acquisition or retirement of any
such subordinated Indebtedness purchased in anticipation of
satisfying a sinking fund obligation, principal installment or
payment at final maturity, in each case within one year of the
date of such purchase, repurchase, redemption, defeasance or
other acquisition or retirement; or |
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(D) make any Restricted Investment; |
(all such payments and other actions set forth in these
clauses (A) through (D) above being collectively
referred to as Restricted Payments), unless,
at the time of and after giving effect to such Restricted
Payment:
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(1) no Default or Event of Default has occurred and is
continuing or would occur as a consequence of such Restricted
Payment; |
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(2) the Issuer would, at the time of such Restricted
Payment and after giving pro forma effect thereto as if such
Restricted Payment had been made at the beginning of the
applicable four-quarter period, have been permitted to incur at
least $1.00 of additional Indebtedness pursuant to the Fixed
Charge Coverage Ratio test set forth in the first paragraph of
the covenant described below under the caption
Incurrence of Indebtedness and Issuance of
Disqualified Stock and Preferred Stock; and |
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(3) such Restricted Payment, together with the aggregate
amount of all other Restricted Payments made by the Issuer and
its Restricted Subsidiaries since the Issue Date (excluding
Restricted Payments permitted by clauses (2), (3), (4),
(5), (6), (7), (8), (9), (11), (12), (13), (14), (15), (16),
(17), (18) and (19) of the next succeeding paragraph),
is less than the sum, without duplication, of: |
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(a) 50% of the Consolidated Net Income of the Issuer for
the period (taken as one accounting period) from the beginning
of the first fiscal quarter commencing after the Issue Date to
the end of the Issuers most recently ended fiscal quarter
for which internal financial statements are available at the
time of such Restricted Payment (or, if such Consolidated Net
Income for such period is a deficit, less 100% of such deficit);
plus |
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(b) 100% of the aggregate Qualified Proceeds received by
the Issuer since the Issue Date as a contribution to its equity
capital (other than Disqualified Stock) or from the issue or
sale of Equity Interests of the Issuer (other than Disqualified
Stock and Excluded Contributions) or from the issue or sale of
convertible or exchangeable Disqualified Stock or convertible or
exchangeable debt securities of the Issuer that have been
converted into or exchanged for such Equity Interests (other |
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than Equity Interests (or Disqualified Stock or debt securities)
sold to a Subsidiary of the Issuer); plus |
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(c) an amount equal to the net reduction in Investments by
the Issuer and its Restricted Subsidiaries resulting from
(A) the sale or other disposition (other than to the Issuer
or a Restricted Subsidiary) of any Restricted Investment that
was made after the Issue Date and (B) repurchases,
redemptions and repayments of such Restricted Investments and
the receipt of any dividends or distributions from such
Restricted Investments; plus |
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(d) to the extent that any Unrestricted Subsidiary of the
Issuer designated as such after the Issue Date is redesignated
as a Restricted Subsidiary after the Issue Date, an amount equal
to the lesser of (A) the Fair Market Value of the
Issuers interest in such Subsidiary immediately prior to
such redesignation and (B) the aggregate amount of the
Issuers Investments in such Subsidiary that was previously
treated as a Restricted Payment; plus |
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(e) in the event the Issuer and/or any Restricted
Subsidiary of the Issuer makes any Investment in a Person that,
as a result of or in connection with such Investment, becomes a
Restricted Subsidiary of the Issuer, an amount equal to the
existing Investment of the Issuer and/or any of its Restricted
Subsidiaries in such Person that was previously treated as a
Restricted Payment. |
The preceding provisions will not prohibit:
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(1) the payment of any dividend or other distribution or
the consummation of any irrevocable redemption within
60 days after the date of declaration of the dividend or
giving of the redemption notice, as the case may be, if at the
date of declaration or notice, the dividend or redemption
payment would have complied with the provisions of the indenture; |
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(2) the making of any Restricted Payment in exchange for,
or out of the net cash proceeds of the substantially concurrent
sale (other than to a Restricted Subsidiary of the Issuer) of,
Equity Interests of the Issuer (other than Disqualified Stock)
or from the substantially concurrent contribution of equity
capital to the Issuer (other than Disqualified Stock); provided
that the amount of any such net cash proceeds that are utilized
for any such Restricted Payment will be excluded from
clause (3) (b) of the preceding paragraph; |
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(3) the repurchase, redemption, defeasance or other
acquisition or retirement for value of Indebtedness of the
Issuer or any Guarantor that is contractually subordinated to
the notes or to any Subsidiary Guarantee with the net cash
proceeds from a substantially concurrent incurrence of Permitted
Refinancing Indebtedness, or from the substantially concurrent
sale (other than to a Restricted Subsidiary of the Issuer) of,
Equity Interests of the Issuer (other than Disqualified Stock)
or from the substantially concurrent contribution of equity
capital to the Issuer (other than Disqualified Stock); provided
that the amount of any such net cash proceeds that are utilized
for any such Restricted Payment will be excluded from
clause (3) (b) of the preceding paragraph; |
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(4) the declaration and payment of regularly scheduled or
accrued dividends to holders of any class or series of
Disqualified Stock of the Issuer or any Restricted Subsidiary of
the Issuer which Disqualified Stock was issued after the Issue
Date in accordance with the provisions of the covenant described
below under the caption Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock; |
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(5) the repurchase, redemption or other acquisition or
retirement for value of Disqualified Stock of the Issuer or any
Restricted Subsidiary of the Issuer made by exchange for, or out
of the proceeds of the substantially concurrent sale of
Replacement Preferred Stock that is permitted to be incurred
pursuant to the covenant described below under
Incurrence of Indebtedness and Issuance of
Disqualified Stock and Preferred Stock; |
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(6) the payment of any dividend (or any similar
distribution) by a Restricted Subsidiary of the Issuer to the
holders of its Equity Interests on a pro rata basis; |
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(7) the repurchase, redemption or other acquisition or
retirement for value of any Equity Interests of the Issuer or
any Restricted Subsidiary of the Issuer held by any current or
former officer, director, employee or consultant of the Issuer
or any of its Restricted Subsidiaries, and any dividend payment
or other distribution by the Issuer or a Restricted Subsidiary
to Holdings or any other direct or indirect parent holding
company of the Issuer utilized for the repurchase, redemption or
other acquisition or retirement for value of any Equity
Interests of Holdings or such other direct or indirect parent
holding company held by any current or former officer, director,
employee or consultant of the Issuer or any of its Restricted
Subsidiaries or Holdings or such other parent holding company,
in each case, pursuant to any equity subscription agreement,
stock option agreement, shareholders agreement or similar
agreement or benefit plan of any kind; provided that the
aggregate price paid for all such repurchased, redeemed,
acquired or retired Equity Interests may not exceed
$5.0 million in any fiscal year (it being understood,
however, that unused amounts permitted to be paid pursuant to
this proviso are available to be carried over to subsequent
fiscal years); provided further that such amount in any fiscal
year may be increased by an amount not to exceed: |
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(a) the cash proceeds from the sale of Equity Interests of
the Issuer and, to the extent contributed to the Issuer as
equity capital (other than Disqualified Stock), Equity Interests
of Holdings or any other direct or indirect parent company of
the Issuer, in each case to members of management, directors or
consultants of the Issuer, any of its Subsidiaries, Holdings or
any other direct or indirect parent company of the Issuer that
occurs after the Issue Date, to the extent the cash proceeds
from the sale of such Equity Interests have not otherwise been
applied to the payment of Restricted Payments by virtue of
clause (3) (b) of the preceding paragraph, and
excluding Excluded Contributions, plus |
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(b) the cash proceeds of key man life insurance policies
received by the Issuer and its Restricted Subsidiaries after the
Issue Date, less |
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(c) the amount of any Restricted Payments previously made
pursuant to clauses (a) and (b) of this
clause (7); |
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(8) the repurchase of Equity Interests deemed to occur upon
the exercise of options, rights or warrants to the extent such
Equity Interests represent a portion of the exercise price of
those options, rights or warrants; |
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(9) the repurchase, redemption, defeasance or other
acquisition or retirement for value of Indebtedness of the
Issuer or any Guarantor that is contractually subordinated to
the notes or to any Subsidiary Guarantee with any Excess
Proceeds that remain after consummation of an Asset Sale Offer; |
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(10) so long as no Default has occurred and is continuing
or would be caused thereby, after the occurrence of a Change of
Control and within 60 days after the completion of the
offer to repurchase the notes pursuant to the covenant described
above under Repurchase at the Option of
Holders Change of Control (including the
purchase of the notes tendered), any purchase or redemption of
Indebtedness that is contractually subordinated to the notes or
to any Subsidiary Guarantee required pursuant to the terms
thereof as a result of such Change of Control at a purchase or
redemption price not to exceed 101% of the outstanding principal
amount thereof, plus any accrued and unpaid interest; provided,
however, the Issuer would be able to incur at least $1.00 of
additional Indebtedness pursuant to the Fixed Charge Coverage
Ratio test set forth in the first paragraph of the covenant
described below under the Caption Incurrence
of Indebtedness and Issuance of Disqualified Stock and Preferred
Stock below after giving pro forma effect to such
Restricted Payment; |
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(11) cash payments in lieu of fractional shares issuable as
dividends on preferred stock or upon the conversion of any
convertible debt securities of the Issuer or any of its
Restricted Subsidiaries; |
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(12) Permitted Payments to Parent; |
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(13) so long as no default has occurred and is continuing
or would be caused thereby, the payment: |
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(a) by the Issuer or any Restricted Subsidiary to Holdings
or any other direct or indirect parent of the Issuer, which
payment is used by the Person receiving such payment, following
the first initial public offering of common Equity Interests by
such Person, to pay dividends of up to 6% per annum of the
net proceeds received by such Person in such public offering (or
any subsequent public offering of common Equity Interests of
such Person) that are contributed to the Issuer as equity
capital (other than Disqualified Stock), or |
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(b) by the Issuer, following the first initial public
offering of common Equity Interests by the Issuer, to pay
dividends of up to 6% per annum of the net proceeds
received by or contributed to the Issuer in such public offering
(or any subsequent public offering of common Equity Interests by
the Issuer); (excluding, in the case of both clause (a) and
clause (b), public offerings of common Equity Interests
registered on Form S-8 and any other public sale to the
extent the proceeds thereof are Excluded Contributions); |
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(14) Investments that are made with Excluded Contributions; |
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(15) distributions or payments of Receivables Fees; |
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(16) payment of fees and reimbursement of other expenses to
the Permitted Holders and/or their Affiliates in connection with
the Transactions as described above under the caption
Certain Relationships and Related Transactions; |
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(17) all other payments made or to be made in connection
with the Transactions as described in this prospectus and all
payments made to former stockholders of the Issuer who have
validly exercised appraisal rights in connection with the
Transactions; |
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(18) so long as no Default has occurred and is continuing
or would be caused thereby, other Restricted Payments in an
aggregate amount not to exceed $50.0 million since the
Issue Date; and |
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(19) so long as no Default has occurred and is continuing
or would be caused thereby, payments to Holdings or any other
direct or indirect parent company of the Issuer in amounts and
at times as would be sufficient to permit Holdings (or such
other direct or indirect parent company of the Issuer) to pay
(a) regularly scheduled or accrued interest on the Holdings
Notes (including interest previously paid in-kind or
added to the principal amount thereof) as in effect on the Issue
Date and (b) (i) regularly scheduled or accrued interest
(including interest previously paid in kind or added
to the principal amount thereof) on the Holdings Notes, as
amended, modified, restated, renewed or extended from time to
time but only to the extent that (x) the principal amount
of the Holdings Notes, as so amended, modified, restated,
renewed or extended does not exceed $150.0 million (plus
the amount of interest thereon previously paid in
kind or added to the principal amount thereof) and
(y) the interest rate of the Holdings Notes, as so amended,
modified, restated, renewed or extended does not exceed the
interest rate of the Holdings Notes on the Issue Date, or
(ii) regularly scheduled or accrued interest (including
interest previously paid in kind or added to the
principal amount thereof) on any other Indebtedness of, or
regularly scheduled or accrued dividends (including dividends
previously paid in kind or added to the liquidation
preference thereof) on any preferred stock of, Holdings or any
other direct or indirect parent company of the Issuer, in each
case, which is issued in exchange for, or the net proceeds of
which are used to repay, repurchase, redeem, defease or
otherwise refinance the Holdings Notes as amended, modified,
restated, renewed or extended (or any such Indebtedness or
preferred stock previously issued), but only to the extent that
(x) the principal amount (or accreted value, if applicable)
of such Indebtedness or the initial liquidation preference of
such preferred stock, does not exceed the principal amount (or
accreted value, if applicable) or liquidation preference of, the
Holdings Notes, as amended, modified, restated, renewed or
extended (within the limitations set forth in clause (i)
above), or such Indebtedness or preferred stock being amended or
refinanced and (y) the interest rate or dividend rate on
such Indebtedness or preferred stock does not exceed the
interest rate or dividend rate, as applicable, on the Holdings
Notes, as amended, modified, restated, renewed or extended
(within the limitations set forth in clause (i) above), or
such Indebtedness or preferred stock being amended or
refinanced, and |
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subject to the preceding clauses (x) and (y), any
amendment, modification, restatement, renewal or extension of
such Indebtedness or preferred stock; |
The amount of all Restricted Payments (other than cash) will be
the Fair Market Value on the date of the Restricted Payment of
the asset(s) or securities proposed to be transferred or issued
by the Issuer or such Restricted Subsidiary, as the case may be,
pursuant to the Restricted Payment. The Fair Market Value of any
assets or securities that are required to be valued by this
covenant will, if the fair market value thereof exceeds
$20.0 million, be determined by the Board of Directors of
the Issuer whose resolution with respect thereto will be
delivered to the trustee.
For purposes of determining compliance with the provisions set
forth above, in the event that a Restricted Payment meets the
criteria of more than one of the types of Restricted Payments
described in the above clauses, the Issuer, in its sole
discretion, may order and classify, and from time to time may
reorder and reclassify, such Restricted Payment if it would have
been permitted at the time such Restricted Payment was made and
at the time of any such reclassification.
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Incurrence of Indebtedness and Issuance of Disqualified
Stock and Preferred Stock |
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, directly or indirectly, create, incur, issue,
assume, guarantee or otherwise become directly or indirectly
liable, contingently or otherwise, with respect to
(collectively, incur) any Indebtedness
(including Acquired Debt), and the Issuer will not issue any
Disqualified Stock and will not permit any of its Restricted
Subsidiaries to issue any shares of preferred stock;
provided, however, that the Issuer and the Guarantors may
incur Indebtedness (including Acquired Debt) or issue
Disqualified Stock or preferred stock, if the Fixed Charge
Coverage Ratio for the Issuers most recently ended four
full fiscal quarters for which internal financial statements are
available immediately preceding the date on which such
additional Indebtedness is incurred or such Disqualified Stock
or such preferred stock is issued, as the case may be, would
have been at least 2.0 to 1, determined on a pro forma
basis (including a pro forma application of the net proceeds
therefrom), as if the additional Indebtedness had been incurred
or the Disqualified Stock or the preferred stock had been
issued, as the case may be, at the beginning of such
four-quarter period.
The first paragraph of this covenant will not prohibit the
incurrence of any of the following items of Indebtedness or the
issuance of any of the following items of Disqualified Stock or
preferred stock (collectively, Permitted
Debt):
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(1) the incurrence by the Issuer and/or any Guarantor (and
the Guarantee thereof by the Guarantors and the Non-Guarantor
Subsidiaries) of Indebtedness under the Credit Agreement and
other Credit Facilities entered into after the date of the
Credit Agreement in an aggregate principal amount at any one
time outstanding under this clause (1) (with letters of
credit being deemed to have a principal amount equal to the
maximum potential liability of the Issuer and its Restricted
Subsidiaries thereunder) not to exceed $1,000.0 million,
less the aggregate amount of all Net Proceeds of Asset Sales
applied by the Issuer or any of its Restricted Subsidiaries
since the Issue Date to repay any term Indebtedness under a
Credit Facility or to repay any revolving credit Indebtedness
under a Credit Facility and effect a corresponding commitment
reduction thereunder pursuant to the covenant described above
under the caption Repurchase at the Option of
Holders Asset Sales; |
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(2) the incurrence by the Issuer and its Restricted
Subsidiaries of the Existing Indebtedness after giving effect to
the Transactions; |
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(3) the incurrence by the Issuer and the Guarantors of
Indebtedness represented by the notes to be issued on the Issue
Date, replacement notes in respect thereof, if any, and the
related Subsidiary Guarantees and the Exchange Notes and related
Subsidiary Guarantees to be issued pursuant to the exchange and
registration rights agreement; |
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(4) the incurrence or issuance by the Issuer or any of its
Restricted Subsidiaries of Indebtedness (including Capital Lease
Obligations), Disqualified Stock or preferred stock, in each
case, incurred or issued for the purpose of financing all or any
part of the purchase price or cost of design, construction, |
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lease, installation or improvement of property, plant or
equipment used or useful in a Permitted Business, in an
aggregate principal amount, including all Permitted Refinancing
Indebtedness and Replacement Preferred Stock incurred to renew,
refund, refinance, replace, defease or discharge any
Indebtedness incurred pursuant to this clause (4), not to
exceed $40.0 million at any time outstanding; |
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(5) the incurrence by the Issuer or any of its Restricted
Subsidiaries of Permitted Refinancing Indebtedness or
Replacement Preferred Stock in exchange for, or the net proceeds
of which are used to renew, refund, refinance, replace, defease
or discharge any Indebtedness (other than intercompany
Indebtedness) or any Disqualified Stock or preferred stock that
was permitted by the indenture to be incurred under the first
paragraph of this covenant or clauses (2), (3), (4), (5),
(13), (15), (17) or (18) of this paragraph; |
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(6) the incurrence by the Issuer or any of its Restricted
Subsidiaries of intercompany Indebtedness between or among the
Issuer and any of its Restricted Subsidiaries; provided,
however, that: |
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(a) if the Issuer or any Guarantor is the obligor on such
Indebtedness and the payee is not the Issuer or a Guarantor,
such Indebtedness must be expressly subordinated to the prior
payment in full in cash of all Obligations with respect to the
notes, in the case of the Issuer or the Subsidiary Guarantee, in
the case of a Guarantor, except to the extent such subordination
would violate any applicable law, rule or regulation; and |
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(b) (i) any subsequent issuance or transfer of Equity
Interests that results in any such Indebtedness being held by a
Person other than the Issuer or a Restricted Subsidiary of the
Issuer and (ii) any sale or other transfer of any such
Indebtedness to a Person that is not either the Issuer or a
Restricted Subsidiary of the Issuer, will be deemed, in each
case, to constitute a new incurrence of such Indebtedness by the
Issuer or such Restricted Subsidiary, as the case may be, which
new incurrence is not permitted by this clause (6); |
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(7) the issuance by any of the Issuers Restricted
Subsidiaries to the Issuer or to any of its Restricted
Subsidiaries of shares of preferred stock; provided, however,
that: |
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(a) any subsequent issuance or transfer of Equity Interests
that results in any such preferred stock being held by a Person
other than the Issuer or a Restricted Subsidiary of the
Issuer, and |
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(b) any sale or other transfer of any such preferred stock
to a Person that is not either the Issuer or a Restricted
Subsidiary of the Issuer, |
will be deemed, in each case, to constitute a new issuance of
such preferred stock by such Restricted Subsidiary which new
issuance is not permitted by this clause (7);
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(8) the incurrence by the Issuer or any of its Restricted
Subsidiaries of Hedging Obligations in the ordinary course of
business; |
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(9) the guarantee: |
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(a) by the Issuer or any of the Guarantors of Indebtedness
of the Issuer or a Restricted Subsidiary of the Issuer that was
permitted to be incurred by another provision of this covenant;
provided that if the Indebtedness being guaranteed is
subordinated to or pari passu with the notes, then the guarantee
shall be subordinated or pari passu, as applicable, to the same
extent as the Indebtedness guaranteed; and |
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(b) by any Non-Guarantor Subsidiary of Indebtedness of a
Non-Guarantor Subsidiary; |
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(10) the incurrence by the Issuer or any of its Restricted
Subsidiaries of Indebtedness in respect of workers
compensation claims, self-insurance obligations, bankers
acceptances, letters of credit, performance bonds, surety bonds,
appeal bonds or other similar bonds in the ordinary course of
business; provided, however, that upon the drawing of letters of
credit for reimbursement obligations, including with respect to
workers compensation claims, or the incurrence of other
Indebtedness with respect to |
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reimbursement type obligations regarding workers
compensation claims, such obligations are reimbursed within
30 days following such drawing or incurrence; |
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(11) the incurrence by the Issuer or any of its Restricted
Subsidiaries of Indebtedness arising from the honoring by a bank
or other financial institution of a check, draft or similar
instrument inadvertently (except in the case of daylight
overdrafts) drawn against insufficient funds in the ordinary
course of business, so long as such Indebtedness is extinguished
within five business days; |
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(12) the incurrence of Indebtedness arising from agreements
of the Issuer or a Restricted Subsidiary providing for
indemnification, adjustment of purchase price, holdback,
contingency payment obligations or similar obligations, in each
case, incurred or assumed in connection with the disposition or
acquisition of any business, assets or Capital Stock of the
Issuer or any Restricted Subsidiary; |
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(13) the incurrence of Indebtedness or the issuance of any
Disqualified Stock or preferred stock by (i) any
Non-Guarantor Subsidiary of the Issuer, in an amount not to
exceed $15.0 million at any time outstanding; provided that
after giving effect to such incurrence or issuance, the Issuer
would be permitted to incur at least $1.00 of additional
Indebtedness pursuant to the Fixed Charge Coverage Ratio test
set forth in the first paragraph of this covenant and
(ii) any Foreign Subsidiary, in an amount not to exceed
$10.0 million at any time outstanding; |
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(14) the incurrence of Indebtedness resulting from
endorsements of negotiable instruments for collection in the
ordinary course of business; |
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(15) Indebtedness, Disqualified Stock or preferred stock of
Persons that are acquired by the Issuer or any Restricted
Subsidiary (including by way of merger or consolidation) in
accordance with the terms of the indenture; provided that such
Indebtedness, Disqualified Stock or preferred stock is not
incurred in contemplation of such acquisition or merger; and
provided, further, that after giving effect to such acquisition
or merger, either |
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(a) the Issuer would be permitted to incur at least $1.00
of additional Indebtedness pursuant to the Fixed Charge Coverage
Ratio; or |
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(b) the Issuers Fixed Charge Coverage Ratio after
giving pro forma effect to such acquisition or merger would be
greater than the Issuers actual Fixed Charge Coverage
Ratio immediately prior to such acquisition or merger; |
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(16) Indebtedness of the Issuer or a Restricted Subsidiary
in respect of netting services, overdraft protection and
otherwise in connection with deposit accounts; provided that
such Indebtedness remains outstanding for ten business days or
less; |
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(17) the incurrence by a Receivables Subsidiary of
Indebtedness in a Qualified Receivables Transaction; |
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(18) the incurrence or issuance by the Issuer or any of its
Restricted Subsidiaries of additional Indebtedness, Disqualified
Stock or preferred stock in an aggregate principal amount (or
accreted value or liquidation preference, as applicable) at any
time outstanding, including all Permitted Refinancing
Indebtedness and all Replacement Preferred Stock incurred to
renew, refund, refinance, replace, defease or discharge any
Indebtedness, Disqualified Stock and preferred stock incurred or
issued pursuant to this clause (18), not to exceed
$100.0 million; and |
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(19) the incurrence by the Issuer or any of its Restricted
Subsidiaries of Indebtedness in the form of loans from a Captive
Insurance Subsidiary. |
For purposes of determining compliance with this
Incurrence of Indebtedness and Issuance of Disqualified
Stock and Preferred Stock covenant, in the event that an
item of proposed Indebtedness meets the criteria of more than
one of the categories of Permitted Debt described in
clauses (1) through (19) above, or is entitled to be
incurred pursuant to the first paragraph of this covenant, the
Issuer will be permitted to classify such item of Indebtedness
on the date of its incurrence, or later reclassify all or a
portion of such item of Indebtedness, in any manner that
complies with this covenant except that Indebtedness under the
Credit
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Agreement outstanding on the Issue Date will be deemed to have
been incurred in reliance on the exception provided by
clause (1) of the definition of Permitted Debt above. The
accrual of interest, the accretion or amortization of original
issue discount, the payment of interest on any Indebtedness in
the form of additional Indebtedness with the same terms, the
reclassification of preferred stock as Indebtedness due to a
change in accounting principles, and the payment of dividends on
Disqualified Stock or preferred stock in the form of additional
shares of the same class of Disqualified Stock or preferred
stock will not be deemed to be an incurrence of Indebtedness or
an issuance of Disqualified Stock or preferred stock for
purposes of this covenant; provided, in each such case,
that the amount thereof is included in Fixed Charges of the
Issuer as accrued (other than the reclassification of preferred
stock as Indebtedness due to a change in accounting principles).
The amount of any Indebtedness outstanding as of any date will
be:
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(1) the accreted value of the Indebtedness, in the case of
any Indebtedness issued with original issue discount; |
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(2) the principal amount of the Indebtedness, in the case
of any other Indebtedness; and |
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(3) in respect of Indebtedness of another Person secured by
a Lien on the assets of the specified Person, the lesser of: |
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(a) the Fair Market Value of such assets at the date of
determination; and |
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(b) the amount of the Indebtedness of the other Person. |
The Issuer will not incur, create, issue, assume, guarantee or
otherwise become liable for any Indebtedness that is
contractually subordinate or junior in right of payment to any
Senior Debt of the Issuer and senior in right of payment to the
notes. No Guarantor will incur, create, issue, assume, guarantee
or otherwise become liable for any Indebtedness that is
contractually subordinate or junior in right of payment to the
Senior Debt of such Guarantor and senior in right of payment to
such Guarantors Subsidiary Guarantee. No such Indebtedness
will be considered to be senior by virtue of being secured on a
first or junior priority basis.
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to create, incur, assume or otherwise cause or
suffer to exist or become effective any Lien of any kind (other
than Permitted Liens) securing Indebtedness upon any of their
property or assets, now owned or hereafter acquired, unless all
payments due under the indenture and the notes are secured on an
equal and ratable basis with the obligations so secured until
such time as such obligations are no longer secured by a Lien.
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Dividend and Other Payment Restrictions Affecting
Restricted Subsidiaries |
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, directly or indirectly, create or permit to
exist or become effective any consensual encumbrance or
restriction on the ability of any Restricted Subsidiary to:
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(1) pay dividends or make any other distributions on its
Capital Stock to the Issuer or any of its Restricted
Subsidiaries, or with respect to any other interest or
participation in, or measured by, its profits, or pay any
indebtedness owed to the Issuer or any of its Restricted
Subsidiaries; |
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(2) make loans or advances to the Issuer or any of its
Restricted Subsidiaries; or |
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(3) sell, lease or transfer any of its properties or assets
to the Issuer or any of its Restricted Subsidiaries. |
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However, the preceding restrictions will not apply to
encumbrances or restrictions existing under or by reason of:
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(1) agreements governing Existing Indebtedness and the
Credit Agreement as in effect on the Issue Date; |
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(2) the indenture, the notes and the Subsidiary Guarantees; |
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(3) applicable law, rule, regulation or order; |
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(4) any instrument or agreement governing Indebtedness or
Capital Stock of a Restricted Subsidiary acquired by the Issuer
or any of its Restricted Subsidiaries as in effect at the time
of such acquisition (except to the extent such Indebtedness or
Capital Stock was incurred in connection with or in
contemplation of such acquisition), which encumbrance or
restriction is not applicable to any Person, or the properties
or assets of any Person, other than the Person or any of its
Subsidiaries, or the property or assets of the Person or any of
its Subsidiaries, so acquired; provided that, in the case of
Indebtedness, such Indebtedness was permitted by the terms of
the indenture to be incurred; |
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(5) customary non-assignment provisions in contracts,
leases, subleases, licenses and sublicenses entered into in the
ordinary course of business; |
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(6) customary restrictions in leases (including capital
leases), security agreements or mortgages or other purchase
money obligations for property acquired in the ordinary course
of business that impose restrictions on the property purchased
or leased of the nature described in clause (3) of the
preceding paragraph; |
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(7) any agreement for the sale or other disposition of all
or substantially all the Capital Stock or the assets of a
Restricted Subsidiary that restricts distributions by that
Restricted Subsidiary pending the sale or other disposition; |
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(8) any instrument or agreement governing Permitted
Refinancing Indebtedness; provided that the restrictions
contained therein are not materially more restrictive, taken as
a whole, than those contained in the agreements governing the
Indebtedness being refinanced; |
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(9) Liens permitted to be incurred under the provisions of
the covenant described above under the caption
Liens that limit the right of the debtor
to dispose of the assets subject to such Liens; |
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(10) provisions limiting the disposition or distribution of
assets or property in joint venture agreements, asset sale
agreements, sale-leaseback agreements, stock sale agreements and
other similar agreements, which limitation is applicable only to
the assets that are the subject of such agreements; |
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(11) restrictions on cash or other deposits or net worth
imposed by customers under contracts entered into in the
ordinary course of business; |
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(12) customary provisions imposed on the transfer of
copyrighted or patented materials; |
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(13) customary provisions restricting dispositions of real
property interests set forth in any reciprocal easement
agreements of the Issuer or any Restricted Subsidiary; |
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(14) Indebtedness or other contractual requirements of a
Receivables Subsidiary in connection with a Qualified
Receivables Transaction; provided that such restrictions apply
only to such Receivables Subsidiary; |
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(15) contracts entered into in the ordinary course of
business, not relating to any Indebtedness, and that do not,
individually or in the aggregate, detract from the value of
property or assets of the Issuer or any Restricted Subsidiary of
the Issuer in any manner material to the Issuer or any
Restricted Subsidiary of the Issuer; |
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(16) restrictions on the transfer of property or assets
required by any regulatory authority having jurisdiction over
the Issuer or any Restricted Subsidiary of the Issuer or any of
their businesses; |
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(17) any instrument or agreement governing Indebtedness or
preferred stock (i) of any Foreign Subsidiary, (ii) of
the Issuer or any Restricted Subsidiary that is incurred or
issued subsequent to the Issue Date and not in violation of the
covenant described under Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock; provided that (x) in the case of preferred
stock and Indebtedness (other than Senior Debt), such
encumbrances and restrictions are not materially more
restrictive in the aggregate than the restrictions contained in
the Indenture and (y) in the case of Senior Debt, are not
materially more restrictive in the aggregate than the
restrictions contained in the Credit Agreement and (iii) of
any Restricted Subsidiary; provided that in the case of this
clause (iii), (x) the total amount of Indebtedness
outstanding under any agreement entered into in reliance on this
clause (iii) does not, at the time any such agreement is
entered into, exceed 1% of Total Assets and (y) after
giving effect to the incurrence of such Indebtedness or
preferred stock, the Issuer would be permitted to incur at least
$1.00 of additional Indebtedness pursuant to the Fixed Charge
Coverage Ratio test set forth in the first paragraph of the
Incurrence of Indebtedness and Issuance of Disqualified
Stock and Preferred Stock covenant; |
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(18) any encumbrance or restriction imposed on any
Subsidiary of the Issuer that is of the type referred to in
clause (3) of the definition of Subsidiary by
(and for the benefit of) the Issuer or a Restricted
Subsidiary; and |
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(19) any amendments, modifications, restatements, renewals,
increases, supplements, refundings, replacements or refinancings
of the Indebtedness, preferred stock, Liens, agreements,
contracts, licenses, leases, subleases, instruments or
obligations referred to in clauses (1), (2),
(4) through (15), (17) and (18) above; provided,
however, that such amendments, modifications, restatements,
renewals, increases, supplements, refundings, replacements or
refinancings are in the good faith judgment of the Issuers
Board of Directors, whose determination shall be conclusive, not
materially more restrictive, taken as a whole, than those
restrictions contained in the Indebtedness, preferred stock,
Liens, agreements, contracts, licenses, leases, subleases,
instruments or obligations referred to in clauses (1), (2),
(4) through (15), (17) and (18) above, as
applicable prior to such amendment, modification, restatement,
renewal, increase, supplement, refunding, replacement or
refinancing. |
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Merger, Consolidation or Sale of Assets |
The Issuer will not, directly or indirectly:
(1) consolidate or merge with or into another Person
(whether or not the Issuer is the surviving corporation); or
(2) sell, assign, transfer, convey or otherwise dispose of
all or substantially all of the properties or assets of the
Issuer and its Restricted Subsidiaries taken as a whole, in one
or more related transactions, to another Person, unless:
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(1) either: (a) the Issuer is the surviving entity; or
(b) the Person formed by or surviving any such
consolidation or merger (if other than the Issuer) or to which
such sale, assignment, transfer, conveyance or other disposition
has been made is an entity organized or existing under the laws
of the United States, any state of the United States or the
District of Columbia; |
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(2) the Person formed by or surviving any such
consolidation or merger (if other than the Issuer) or the Person
to which such sale, assignment, transfer, conveyance or other
disposition has been made assumes all the obligations of the
Issuer under the notes, the indenture and the exchange and
registration rights agreement pursuant to agreements reasonably
satisfactory to the trustee; provided, however, that at all
times, a corporation organized and existing under the laws of
the United States of America, any State thereof or the District
of Columbia must be a co-issuer or the issuer of the notes if
such surviving Person is not a corporation; |
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(3) immediately after such transaction, no Default or Event
of Default exists; and |
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(4) the Issuer or the Person formed by or surviving any
such consolidation or merger (if other than the Issuer), or to
which such sale, assignment, transfer, conveyance or other
disposition has been made |
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would, on the date of such transaction after giving pro forma
effect thereto and any related financing transactions as if the
same had occurred at the beginning of the applicable
four-quarter period: |
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(a) be permitted to incur at least $1.00 of additional
Indebtedness pursuant to the Fixed Charge Coverage Ratio test
set forth in the first paragraph of the covenant described above
under the caption Incurrence of Indebtedness
and Issuance of Disqualified Stock and Preferred
Stock; or |
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(b) have a Fixed Charge Coverage Ratio that is greater than
the actual Fixed Charge Coverage Ratio of the Issuer immediately
prior to such transaction. |
In addition, the Issuer will not, directly or indirectly, lease
all or substantially all of the properties and assets of it and
its Restricted Subsidiaries taken as a whole, in one or more
related transactions, to any other Person. Clauses (3) and
(4) above will not apply to:
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(1) a merger of the Issuer with an Affiliate solely for the
purpose of reincorporating the Issuer in another jurisdiction; |
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(2) any consolidation or merger, or any sale, assignment,
transfer, conveyance, lease or other disposition of assets
between or among the Issuer and its Restricted
Subsidiaries; and |
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(3) transfers of accounts receivable and related assets of
the type specified in the definition of Qualified Receivables
Transaction (or a fractional undivided interest therein) by a
Receivables Subsidiary in a Qualified Receivables Transaction. |
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Transactions with Affiliates |
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, make any payment to, or sell, lease, transfer
or otherwise dispose of any of its properties or assets to, or
purchase any property or assets from, or enter into or make or
amend any transaction, contract, agreement, understanding, loan,
advance or guarantee with, or for the benefit of, any Affiliate
of the Issuer involving aggregate consideration in excess of
$5.0 million (each, an Affiliate
Transaction), unless:
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(1) the Affiliate Transaction is on terms that, taken as a
whole, are not materially less favorable to the Issuer or the
relevant Restricted Subsidiary than those that would have been
obtained in a comparable transaction by the Issuer or such
Restricted Subsidiary with an unrelated Person; and |
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(2) the Issuer delivers to the trustee: |
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(a) with respect to any Affiliate Transaction or series of
related Affiliate Transactions involving aggregate consideration
in excess of $20.0 million, an officers certificate
certifying that such Affiliate Transaction complies with this
covenant and that such Affiliate Transaction has been approved
by a majority of the members of the Board of Directors of the
Issuer, together with a certified copy of the resolutions of the
Board of Directors of the Issuer approving such Affiliate
Transaction or Affiliate Transactions; and |
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(b) with respect to any Affiliate Transaction or series of
related Affiliate Transactions involving aggregate consideration
in excess of $30.0 million, an opinion as to the fairness
to the Issuer or such Restricted Subsidiary of such Affiliate
Transaction from a financial point of view issued by an
accounting, appraisal or investment banking firm of national
standing. |
The following items will not be deemed to be Affiliate
Transactions and, therefore, will not be subject to the
provisions of the prior paragraph:
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(1) any employment agreement, employee benefit plan,
officer or director indemnification agreement or any similar
arrangement entered into by the Issuer or any of its Restricted
Subsidiaries in the ordinary course of business and payments
pursuant thereto; |
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(2) transactions between or among the Issuer and/or its
Restricted Subsidiaries; |
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(3) transactions with a Person (other than an Unrestricted
Subsidiary of the Issuer) that is an Affiliate of the Issuer
solely because the Issuer owns, directly or through a Restricted
Subsidiary, an Equity Interest in, or controls, such Person; |
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(4) payment of reasonable directors fees; |
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(5) any issuance of Equity Interests (other than
Disqualified Stock) of the Issuer to Affiliates of the Issuer; |
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(6) Permitted Investments or Restricted Payments that do
not violate the provisions of the indenture described above
under the caption Restricted Payments; |
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(7) payment of fees and the reimbursement of other expenses
to the Permitted Holders and/or their Affiliates in connection
with the Transactions as described above under the caption
Certain Relationships and Related Transactions; |
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(8) payments by the Issuer or any of its Restricted
Subsidiaries to Welsh Carson, Anderson & Stowe IX,
L.P., Thoma Cressey Equity Partners and/or any of their
Affiliates for any financial advisory, financing, underwriting
or placement services or in respect of other investment banking
activities, including, without limitation, in connection with
acquisitions or divestitures, which payments are approved by the
majority of the disinterested members of the Board of Directors
of the Issuer in good faith in an aggregate amount for all such
fees not to exceed 2.00% of the aggregate transaction value in
respect of which such services are rendered; |
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(9) loans (or cancellation of loans) or advances to
employees in the ordinary course of business; |
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(10) transactions with customers, suppliers, contractors,
joint venture partners or purchasers or sellers of goods or
services, in each case which are in the ordinary course of
business (including, without limitation, pursuant to joint
venture agreements) and otherwise in compliance with the terms
of the indenture, and which are fair to the Issuer or its
Restricted Subsidiaries, as applicable, in the reasonable
determination of the Board of Directors, chief executive officer
or chief financial officer of the Issuer or its Restricted
Subsidiaries, as applicable, or are on terms at least as
favorable as might reasonably have been obtained at such time
from an unaffiliated party; |
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(11) the existence of, or the performance by the Issuer or
any Restricted Subsidiary of their obligations, if any, or
obligations of Holdings under the terms of, any subscription,
registration rights or stockholders agreement, partnership
agreement or limited liability company agreement to which
Holdings, the Issuer or any Restricted Subsidiary is a party as
of the Issue Date and which is disclosed above under the caption
Certain Relationships and Related Transactions and
any similar agreements which the Issuer, any Restricted
Subsidiary, Holdings or any other direct or indirect parent
company of the Issuer may enter into thereafter; provided,
however, that the entering into by the Issuer or any Restricted
Subsidiary or the performance by the Issuer or any Restricted
Subsidiary of obligations under any future amendment to any such
existing agreement or under any similar agreement entered into
after the Issue Date will only be permitted by this clause to
the extent that the terms of any such amendment or new
agreement, taken as a whole, are not materially disadvantageous
to the holders of the notes, as determined in good faith by the
Board of Directors, chief executive officer or chief financial
officer of the Issuer; |
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(12) the Transactions, including all payments made or to be
made in connection with the Transactions as described in this
prospectus; |
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(13) any Qualified Receivables Transaction; |
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(14) Permitted Payments to Parent; |
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(15) any management, consulting, monitoring, financial
advisory, financing, underwriting or placement services or any
other investment banking, banking or similar services involving
the Issuer and any of its Restricted Subsidiaries (including
without limitation any payments in cash, Equity Interests or
other consideration made by the Issuer or any of its Restricted
Subsidiaries in connection therewith) on the one |
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hand and the Permitted Holders on the other hand, which services
(and payments and other transactions in connection therewith)
are approved as fair to the Issuer or such Restricted Subsidiary
by a majority of the members of the Board of Directors of the
Issuer in good faith; |
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(16) the issuance of Equity Interests (other than
Disqualified Stock) in the Issuer or any Restricted Subsidiary
for compensation purposes; |
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(17) any lease entered into between the Issuer or any
Restricted Subsidiary, as lessee and any Affiliate of the
Issuer, as lessor, which is approved by a majority of the
disinterested members of the Board of Directors of the Issuer in
good faith; |
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(18) intellectual property licenses in the ordinary course
of business; |
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(19) Existing Indebtedness and any other obligations
pursuant to an agreement existing on the Issue Date and
described in the prospectus, including any amendment thereto (so
long as such amendment is not disadvantageous to the holders of
the notes in any material respect); |
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(20) payments by the Issuer or any of its Restricted
Subsidiaries of reasonable insurance premiums to, and any
borrowings or dividends received from, any Captive Insurance
Subsidiary; and |
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(21) transactions in which the Issuer or any Restricted
Subsidiary delivers to the trustee a letter from an accounting,
appraisal or investment banking firm of national standing
stating that such transaction is fair to the Issuer or such
Restricted Subsidiary from a financial point of view and which
are approved by a majority of the disinterested members of the
Board of Directors of the Issuer in good faith. |
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, engage in any business other than Permitted
Businesses, except to such extent as would not be material to
the Issuer and its Restricted Subsidiaries taken as a whole.
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Additional Subsidiary Guarantees |
If the Issuer or any of its Restricted Subsidiaries, acquires or
creates another Subsidiary, other than a Non-Guarantor
Subsidiary, after the Issue Date that guarantees Indebtedness
under the Credit Agreement, then that newly acquired or created
Subsidiary will become a Guarantor and execute a supplemental
indenture and deliver an opinion of counsel to the trustee
within 30 business days of the date on which it was acquired or
created.
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Designation of Restricted and Unrestricted
Subsidiaries |
The Board of Directors of the Issuer may designate any
Restricted Subsidiary to be an Unrestricted Subsidiary if that
designation would not cause a Default. If a Restricted
Subsidiary is designated as an Unrestricted Subsidiary, the
aggregate Fair Market Value of all outstanding Investments owned
by the Issuer and its Restricted Subsidiaries in the Subsidiary
designated as an Unrestricted Subsidiary will be deemed to be an
Investment made as of the time of the designation and will
reduce the amount available for Restricted Payments under the
covenant described above under the caption
Restricted Payments or under one or more
clauses of the definition of Permitted Investments, as
determined by the Issuer. That designation will only be
permitted if the Investment would be permitted at that time and
if the Restricted Subsidiary otherwise meets the definition of
an Unrestricted Subsidiary.
Any designation of a Subsidiary of the Issuer as an Unrestricted
Subsidiary will be evidenced to the trustee by filing with the
trustee a certified copy of a resolution of the Board of
Directors of the Issuer giving effect to such designation and an
officers certificate certifying that such designation
complied with the preceding conditions and was permitted by the
covenant described above under the caption
Restricted Payments. If, at any time,
any Unrestricted Subsidiary would fail to meet the preceding
requirements as an Unrestricted Subsidiary, it will thereafter
cease to be an Unrestricted Subsidiary for purposes of the
indenture and any Indebtedness of such Subsidiary will be deemed
to be incurred by a Restricted Subsidiary of the
127
Issuer as of such date and, if such Indebtedness is not
permitted to be incurred as of such date under the covenant
described under the caption Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock, the Issuer will be in default of such covenant. The
Board of Directors of the Issuer may at any time designate any
Unrestricted Subsidiary to be a Restricted Subsidiary of the
Issuer; provided that such designation will be deemed to
be an incurrence of Indebtedness by a Restricted Subsidiary of
the Issuer of any outstanding Indebtedness of such Unrestricted
Subsidiary, and such designation will only be permitted if
(1) such Indebtedness is permitted under the covenant
described under the caption Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock, and (2) no Default or Event of Default would
be in existence following such designation.
The Issuer will not, and will not permit any of its Restricted
Subsidiaries to, directly or indirectly, pay or cause to be paid
any consideration to or for the benefit of any holder of notes
for or as an inducement to any consent, waiver or amendment of
any of the terms or provisions of the indenture or the notes
unless such consideration is offered to be paid and is paid to
all holders of the notes that consent, waive or agree to amend
in the time frame set forth in the solicitation documents
relating to such consent, waiver or agreement.
Whether or not required by the rules and regulations of the SEC,
so long as any notes are outstanding, the Issuer will furnish to
the trustee and to Cede & Co., the nominee of DTC and
the holders of notes:
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(1) all quarterly and annual financial information that
would be required to be contained in a filing with the SEC on
Forms 10-Q and 10-K, if the Issuer were required to file
such Forms, including a Managements Discussion and
Analysis of Financial Condition and Results of Operations
that describes the Issuers consolidated financial
condition and results of operation and, with respect to the
annual information only, a report thereon by the Issuers
independent registered public accountants, and |
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(2) all current reports that would be required to be filed
with the SEC on Form 8-K if the Issuer were required to
file such reports. |
The Issuer may satisfy its obligation to furnish such
information to the trustee and Cede & Co. at any time
by filing such information with the SEC. In addition, the Issuer
will agree that, for so long as any notes remain outstanding,
the Issuer will furnish to any beneficial owner of notes or to
any prospective purchaser of notes in connection with any sale
thereof, upon their request, the information required to be
delivered pursuant to Rule 144A(d) (4) under the
Securities Act.
If at any time Holdings (or any other direct or indirect parent
company of the Issuer) becomes a guarantor of the notes (there
being no obligation of Holdings or any other direct or indirect
parent company of the Issuer to do so), and Holdings (or such
other parent company) holds no material assets other than cash,
Cash Equivalents and the Capital Stock of the Issuer, Holdings
or any other direct or indirect parent company of the Issuer
(and performs the related incidental activities associated with
such ownership) and complies with the requirements of
Rule 3-10 of Regulation S-X promulgated by the SEC (or
any successor provision), the reports, information and other
documents required to be furnished to the trustee and
Cede & Co. or filed with the SEC pursuant to this
covenant may, at the option of the Issuer, be those of Holdings
(or such other parent company) rather than the Issuer.
Notwithstanding the foregoing, such requirements shall be deemed
satisfied with respect to the furnishing of the information
described in clause (1) of the first paragraph under this
section captioned Reports for the
Issuers fiscal year ended December 31, 2004 by the
filing with the SEC this exchange offer registration statement
with such financial information that satisfies
Regulation S-X of the Securities Act with respect to the
fiscal year ended December 31, 2004.
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Events of Default and Remedies
Each of the following is an Event of Default:
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(1) default for 30 days in the payment when due of
interest on, or Additional Interest, if any, with respect to,
the notes, whether or not prohibited by the subordination
provisions of the indenture; |
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(2) default in the payment when due (at maturity, upon
redemption or otherwise) of the principal of, or premium, if
any, on, the notes, whether or not prohibited by the
subordination provisions of the indenture; |
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(3) failure by the Issuer or any of its Restricted
Subsidiaries to comply with the provisions described above under
the caption Certain Covenants
Merger, Consolidation or Sale of Assets; |
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(4) failure by the Issuer or any of its Restricted
Subsidiaries for 60 days after notice to the Issuer by the
trustee or the holders of at least 25% in aggregate principal
amount of the notes then outstanding voting as a single class to
comply with any of the other agreements in the indenture; |
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(5) default under any mortgage, indenture or instrument
under which there may be issued or by which there may be secured
or evidenced any Indebtedness for money borrowed by the Issuer
or any of its Significant Subsidiaries (or the payment of which
is guaranteed by the Issuer or any of its Significant
Subsidiaries), whether such Indebtedness or Guarantee now
exists, or is created after the Issue Date, if that default; |
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(a) is caused by a failure to pay principal at the final
Stated Maturity of such Indebtedness (a Payment
Default); or |
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(b) results in the acceleration of such Indebtedness prior
to its express maturity; |
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and, in each case, the principal amount of such Indebtedness,
together with the principal amount of any other such
Indebtedness under which there has been a Payment Default or the
maturity of which has been so accelerated, aggregates
$25.0 million or more; |
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(6) with respect to any judgment or decree for the payment
of money (net of any amount covered by insurance issued by a
reputable and creditworthy insurer that has not contested
coverage or reserved rights with respect to an underlying claim)
in excess of $25.0 million or its foreign currency
equivalent against the Issuer or any Significant Subsidiary, the
failure by the Issuer or such Significant Subsidiary, as
applicable, to pay such judgment or decree, which judgment or
decree has remained outstanding for a period of 60 days
after such judgment or decree became final and nonappealable
without being paid, discharged, waived or stayed; |
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(7) except as permitted by the indenture, any Subsidiary
Guarantee of any Significant Subsidiary is declared to be
unenforceable or invalid by any final and nonappealable judgment
or decree or ceases for any reason to be in full force and
effect, or any Guarantor that is a Significant Subsidiary or any
Person acting on behalf of any Guarantor that is a Significant
Subsidiary denies or disaffirms its obligations in writing under
its Subsidiary Guarantee and such Default continues for
10 days after receipt of the notice specified in the
indenture; and |
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(8) certain events of bankruptcy or insolvency described in
the indenture with respect to the Issuer or any Subsidiary that
is a Significant Subsidiary. |
In the case of an Event of Default arising from certain events
of bankruptcy or insolvency, with respect to the Issuer or any
Restricted Subsidiary of the Issuer that is a Significant
Subsidiary, all outstanding notes will become due and payable
immediately without further action or notice. If any other Event
of Default occurs and is continuing, the trustee or the holders
of at least 25% in aggregate principal amount of the then
outstanding notes may declare all the notes to be due and
payable immediately; provided that so long as any
Indebtedness permitted to be incurred under the Credit Agreement
is outstanding, such acceleration will not be effective until
the earlier of (1) the acceleration of such Indebtedness
under the Credit Agreement or (2) five business days after
receipt by the Issuer of written notice of such acceleration.
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Subject to certain limitations, holders of a majority in
aggregate principal amount of the then outstanding notes may
direct the trustee in its exercise of any trust or power. The
trustee may withhold from holders of the notes notice of any
continuing Default or Event of Default if it determines that
withholding notice is in their interest, except a Default or
Event of Default relating to the payment of principal, interest
or premium or Additional Interest, if any.
Subject to the provisions of the indenture relating to the
duties of the trustee, in case an Event of Default occurs and is
continuing, the trustee will be under no obligation to exercise
any of the rights or powers under the indenture at the request
or direction of any holders of notes unless such holders have
offered to the trustee reasonable indemnity or security against
any loss, liability or expense. Except to enforce the right to
receive payment of principal, premium, if any, or interest or
Additional Interest, if any, when due, no holder of a note may
pursue any remedy with respect to the indenture or the notes
unless:
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(1) such holder has previously given the trustee notice
that an Event of Default is continuing; |
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(2) holders of at least 25% in aggregate principal amount
of the then outstanding notes have requested the trustee to
pursue the remedy; |
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(3) such holders have offered the trustee reasonable
security or indemnity against any loss, liability or expense; |
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(4) the trustee has not complied with such request within
60 days after the receipt of the request and the offer of
security or indemnity; and |
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(5) holders of a majority in aggregate principal amount of
the then outstanding notes have not given the trustee a
direction inconsistent with such request within such 60-day
period. |
The holders of a majority in aggregate principal amount of the
then outstanding notes by notice to the trustee may, on behalf
of the holders of all of the notes, rescind an acceleration or
waive any existing Default or Event of Default and its
consequences under the indenture except a continuing Default or
Event of Default in the payment of interest or premium or
Additional Interest, if any, on, or the principal of, the notes.
The Issuer is required to deliver to the trustee annually a
statement regarding compliance with the indenture. Upon becoming
aware of any Default or Event of Default, the Issuer is required
to deliver to the trustee within 30 days a statement
specifying such Default or Event of Default.
No Personal Liability of Directors, Officers, Employees and
Stockholders
No director, officer, employee, incorporator, stockholder,
member, partner or other holder of Equity Interests of the
Issuer or any Guarantor, as such, will have any liability for
any obligations of the Issuer or the Guarantors under the notes,
the indenture, the Subsidiary Guarantees or for any claim based
on, in respect of, or by reason of, such obligations or their
creation. Each holder of notes by accepting a note waives and
releases all such liability. The waiver and release are part of
the consideration for issuance of the notes. The waiver may not
be effective to waive liabilities under the federal securities
laws.
Legal Defeasance and Covenant Defeasance
The Issuer may at any time, elect to have all of its obligations
discharged with respect to the outstanding notes and all
obligations of the Guarantors discharged with respect to their
Subsidiary Guarantees (Legal Defeasance)
except for:
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(1) the rights of holders of outstanding notes to receive
payments in respect of the principal of, or interest or premium
and Additional Interest, if any, on, such notes when such
payments are due from the trust referred to below; |
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(2) the Issuers obligations with respect to the notes
concerning issuing temporary notes, registration of notes,
mutilated, destroyed, lost or stolen notes and the maintenance
of an office or agency for payment and money for security
payments held in trust; |
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(3) the rights, powers, trusts, duties and immunities of
the trustee, and the Issuers and the Guarantors
obligations in connection therewith; and |
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(4) the Legal Defeasance provisions of the indenture. |
In addition, the Issuer may, at its option and at any time,
elect to have the obligations of the Issuer and the Guarantors
released (Covenant Defeasance) with respect
to the covenants described under Repurchase at
the Option of Holders Change of Control,
Repurchase at the Option of
Holders Asset Sales and Certain
Covenants and with respect to certain Events of Default
(including bankruptcy default with respect to Significant
Subsidiaries, cross-default and judgment default) and thereafter
any omission to comply with those covenants will not constitute
a Default or Event of Default with respect to the notes. In the
event Covenant Defeasance occurs, certain events (not including
nonpayment and bankruptcy, receivership, rehabilitation and
insolvency events with respect to the Issuer) described under
Events of Default and Remedies will no
longer constitute an Event of Default with respect to the notes.
In order to exercise either Legal Defeasance or Covenant
Defeasance:
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(1) the Issuer must irrevocably deposit with the trustee,
in trust, for the benefit of the holders of the notes, cash in
U.S. dollars, non-callable Government Securities, or a
combination of cash in U.S. dollars and non-callable
Government Securities, in amounts as will be sufficient, in the
opinion of a nationally recognized investment bank, appraisal
firm or firm of independent public accountants, to pay the
principal of, or interest and premium and Additional Interest,
if any, on, the outstanding notes on the stated date for payment
thereof or on the applicable redemption date, as the case may
be, and the Issuer must specify whether the notes are being
defeased to such stated date for payment or to a particular
redemption date; |
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(2) in the case of Legal Defeasance, the Issuer must
deliver to the trustee an opinion of counsel reasonably
acceptable to the trustee confirming that (a) the Issuer
has received from, or there has been published by, the Internal
Revenue Service a ruling or (b) since the Issue Date, there
has been a change in the applicable federal income tax law, in
either case to the effect that, and based thereon such opinion
of counsel will confirm that, the holders of the outstanding
notes will not recognize income, gain or loss for federal income
tax purposes as a result of such Legal Defeasance and will be
subject to federal income tax on the same amounts, in the same
manner and at the same times as would have been the case if such
Legal Defeasance had not occurred; |
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(3) in the case of Covenant Defeasance, the Issuer must
deliver to the trustee an opinion of counsel reasonably
acceptable to the trustee confirming that the holders of the
outstanding notes will not recognize income, gain or loss for
federal income tax purposes as a result of such Covenant
Defeasance and will be subject to federal income tax on the same
amounts, in the same manner and at the same times as would have
been the case if such Covenant Defeasance had not occurred; |
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(4) such Legal Defeasance or Covenant Defeasance will not
result in a breach or violation of, or constitute a default
under, any material agreement (including, without limitation,
the Credit Agreement) or instrument (other than the indenture)
to which the Issuer or any of its Subsidiaries is a party or by
which the Issuer or any of its Subsidiaries is bound; |
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(5) the Issuer must deliver to the trustee an
officers certificate stating that the deposit was not made
by the Issuer with the intent of preferring the holders of notes
over the other creditors of the Issuer with the intent of
defeating, hindering, delaying or defrauding any creditors of
the Issuer or others; and |
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(6) the Issuer must deliver to the trustee an
officers certificate and an opinion of counsel, each
stating that all conditions precedent relating to the Legal
Defeasance or the Covenant Defeasance have been complied with. |
Amendment, Supplement and Waiver
Except as provided in the next three succeeding paragraphs, the
indenture or the notes or the Subsidiary Guarantees may be
amended or supplemented with the consent of the holders of at
least a majority in
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aggregate principal amount of the notes then outstanding
(including, without limitation, consents obtained in connection
with a purchase of, or tender offer or exchange offer for,
notes), and any existing Default or Event of Default or
compliance with any provision of the indenture or the notes or
the Subsidiary Guarantees may be waived with the consent of the
holders of a majority in aggregate principal amount of the then
outstanding notes (including, without limitation, consents
obtained in connection with a purchase of, or tender offer or
exchange offer for, notes).
Without the consent of each holder of notes affected, an
amendment, supplement or waiver may not (with respect to any
notes held by a non-consenting holder):
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(1) reduce the principal amount of notes whose holders must
consent to an amendment, supplement or waiver; |
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(2) reduce the principal of or change the fixed maturity of
any note or alter the provisions with respect to the optional
redemption of the notes as described under the caption
Optional Redemption (other than
provisions relating to the notice period for consummating an
optional redemption of the notes); |
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(3) reduce the rate of or change the time for payment of
interest, including default interest, on any note; |
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(4) waive a Default or Event of Default in the payment of
principal of, or interest or premium, or Additional Interest, if
any, on, the notes (except a rescission of acceleration of the
notes by the holders of at least a majority in aggregate
principal amount of the then outstanding notes and a waiver of
the payment default that resulted from such acceleration); |
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(5) make any note payable in money other than that stated
in the notes; |
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(6) make any change in the provisions of the indenture
relating to waivers of past Defaults or the rights of holders of
notes to receive payments of principal of, or interest or
premium or Additional Interest, if any, on, the notes; or |
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(7) make any change in the preceding amendment and waiver
provisions. |
In addition, any amendment to, or waiver of, the provisions of
the indenture relating to subordination that adversely affects
the rights of the holders of the notes will require the consent
of the holders of at least
662/3%
in aggregate principal amount of notes then outstanding.
Notwithstanding the preceding, without the consent of any holder
of notes, the Issuer, the Guarantors and the trustee may amend
or supplement the indenture or the notes or the Subsidiary
Guarantees:
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(1) to cure any ambiguity, defect or inconsistency; |
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(2) to provide for uncertificated notes in addition to or
in place of certificated notes; |
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(3) to provide for the assumption of the Issuers or a
Guarantors obligations to holders of notes and Subsidiary
Guarantees in the case of a merger or consolidation or sale of
all or substantially all of the Issuers or such
Guarantors assets, as applicable; |
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(4) to make any change that would provide any additional
rights or benefits to the holders of notes or that does not
adversely affect the legal rights under the indenture of any
such holder; |
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(5) to comply with requirements of the SEC in order to
effect or maintain the qualification of the indenture under the
Trust Indenture Act; |
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(6) to conform the text of the indenture, the Subsidiary
Guarantees or the notes to any provision of this Description of
the Notes to the extent that such provision in this Description
of the Notes was intended to be a verbatim recitation of a
provision of the indenture, the Subsidiary Guarantees or the
notes; |
132
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(7) to provide for the issuance of additional notes in
accordance with the limitations set forth in the indenture as of
the Issue Date; |
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(8) to allow any Guarantor to execute a supplemental
indenture and/or a Subsidiary Guarantee with respect to the
notes; or |
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(9) to issue the Notes. |
However, except as provided in clause (6) of the
immediately preceding paragraph, no amendment may be made to the
subordination provisions of the indenture (including the
definitions of Senior Debt and Designated
Senior Debt) that adversely affects the rights of any
holder of Senior Debt of the Issuer then outstanding unless the
holders of such Senior Debt (or any group or representative
thereof authorized to give a consent) consent to such change.
Satisfaction and Discharge
The indenture will be discharged and will cease to be of further
effect as to all notes issued thereunder, when:
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(a) all notes that have been authenticated, except lost,
stolen or destroyed notes that have been replaced or paid and
notes for whose payment money has been deposited in trust and
thereafter repaid to the Issuer, have been delivered to the
trustee for cancellation; or |
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(b) all notes that have not been delivered to the trustee
for cancellation have become due and payable by reason of the
mailing of a notice of redemption or otherwise or will become
due and payable within one year and the Issuer or any Guarantor
has irrevocably deposited or caused to be deposited with the
trustee as trust funds in trust solely for the benefit of the
holders, cash in U.S. dollars, non-callable Government
Securities, or a combination of cash in U.S. dollars and
non-callable Government Securities, in amounts as will be
sufficient, without consideration of any reinvestment of
interest, to pay and discharge the entire Indebtedness on the
notes not delivered to the trustee for cancellation for
principal, premium and Additional Interest, if any, and accrued
interest to the date of maturity or redemption; |
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(2) no Default or Event of Default has occurred and is
continuing on the date of the deposit (other than a Default or
Event of Default resulting from the borrowing of funds to be
applied to such deposit) and the deposit will not result in a
breach or violation of, or constitute a default under, any other
instrument to which the Issuer or any Guarantor is a party or by
which the Issuer or any Guarantor is bound; |
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(3) the Issuer or any Guarantor has paid or caused to be
paid all sums payable by it under the indenture; and |
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(4) the Issuer has delivered irrevocable instructions to
the trustee under the indenture to apply the deposited money
toward the payment of the notes at maturity or on the redemption
date, as the case may be. |
In addition, the Issuer must deliver an officers
certificate and an opinion of counsel to the trustee stating
that all conditions precedent to satisfaction and discharge have
been satisfied.
Concerning the Trustee
If the trustee becomes a creditor of the Issuer or any
Guarantor, the indenture limits the right of the trustee to
obtain payment of claims in certain cases, or to realize on
certain property received in respect of any such claim as
security or otherwise. The trustee will be permitted to engage
in other transactions; however, if it acquires any conflicting
interest it must eliminate such conflict within 90 days,
apply to the SEC for permission to continue as trustee (if the
indenture has been qualified under the Trust Indenture Act) or
resign.
133
The holders of a majority in aggregate principal amount of the
then outstanding notes will have the right to direct the time,
method and place of conducting any proceeding for exercising any
remedy available to the trustee, subject to certain exceptions.
The indenture provides that in case an Event of Default occurs
and is continuing, the trustee will be required, in the exercise
of its power, to use the degree of care of a prudent man in the
conduct of his own affairs. Subject to such provisions, the
trustee will be under no obligation to exercise any of its
rights or powers under the indenture at the request of any
holder of notes, unless such holder has offered to the trustee
security and indemnity satisfactory to it against any loss,
liability or expense.
Additional Information
Anyone who receives this prospectus may obtain a copy of the
indenture without charge by writing to Select Medical
Corporation, 4716 Gettysburg Road, P.O. Box 2034,
Mechanicsburg, Pennsylvania 17055, Attention: Chief Financial
Officer.
Certain Definitions
Set forth below are certain defined terms used in the indenture.
Reference is made to the indenture for a full disclosure of all
defined terms used therein, as well as any other capitalized
terms used herein for which no definition is provided.
Acquired Debt means, with respect to any
specified Person:
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(1) Indebtedness of any other Person existing at the time
such other Person is merged with or into or became a Restricted
Subsidiary of such specified Person, whether or not such
Indebtedness is incurred in connection with, or in contemplation
of, such other Person merging with or into, or becoming a
Restricted Subsidiary of, such specified Person; and |
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(2) Indebtedness secured by a Lien encumbering any asset
acquired by such specified Person. |
Additional Assets means any property or
assets (other than Indebtedness and Capital Stock) to be used by
the Issuer or a Restricted Subsidiary in a Permitted Business.
Additional Interest means all Additional
Interest then owing pursuant to the exchange and registration
rights agreement.
Affiliate of any specified Person means any
other Person directly or indirectly controlling or controlled by
or under direct or indirect common control with such specified
Person. For purposes of this definition, control, as
used with respect to any Person, means the possession, directly
or indirectly, of the power to direct or cause the direction of
the management or policies of such Person, whether through the
ownership of voting securities, by agreement or otherwise;
provided that (except in the case of the use of the term
Affiliate in the definition of Permitted Holders),
beneficial ownership of 10% or more of the Voting Stock of a
Person will be deemed to be control. For purposes of this
definition, the terms controlling, controlled
by and under common control with have
correlative meanings. No Person in whom a Receivables Subsidiary
makes an Investment in connection with a Qualified Receivables
Transaction will be deemed to be an Affiliate of the Issuer or
any of its Subsidiaries solely by reason of such Investment.
Agreement and Plan of Merger means the
Agreement and Plan of Merger by and among Holdings, EGL
Acquisition Corp. and the Issuer, dated as of October 17,
2004.
Asset Sale means:
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(1) the sale, lease (other than operating leases),
conveyance or other disposition of any assets or rights outside
of the ordinary course of business; provided that the sale,
lease, conveyance or other disposition of all or substantially
all of the assets of the Issuer and its Restricted Subsidiaries
taken as a whole will be governed by the provisions of the
indenture described above under the caption
Repurchase at the Option of
Holders Change of Control and/or the
provisions described above under the caption
Certain Covenants Merger,
Consolidation or Sale of Assets and not by the provisions
of the Asset Sale covenant; and |
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(2) the issuance of Equity Interests in any of the
Issuers Restricted Subsidiaries or the sale of Equity
Interests in any of its Restricted Subsidiaries (other than
directors qualifying Equity Interests or Equity Interests
required by applicable law to be held by a Person other than the
Issuer or a Restricted Subsidiary). |
Notwithstanding the preceding, none of the following items will
be deemed to be an Asset Sale:
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(1) any single transaction or series of related
transactions that involves assets having a Fair Market Value of
less than $5.0 million; |
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(2) a transfer of assets between or among the Issuer and
its Restricted Subsidiaries; |
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(3) an issuance of Equity Interests by a Restricted
Subsidiary of the Issuer to the Issuer or to a Restricted
Subsidiary of the Issuer; |
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(4) the sale or lease of products, services or accounts
receivable (including at a discount) in the ordinary course of
business and any sale or other disposition of damaged, worn out,
negligible, surplus or obsolete assets in the ordinary course of
business; |
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(5) the sale or other disposition of Cash Equivalents; |
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(6) a Restricted Payment that does not violate the covenant
described above under the caption Certain
Covenants Restricted Payments or a Permitted
Investment; |
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(7) a sale and leaseback transaction with respect to any
assets within 180 days of the acquisition of such assets; |
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(8) any exchange of like-kind property of the type
described in Section 1031 of the Code for use in a
Permitted Business; |
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(9) the sale or disposition of any assets or property
received as a result of a foreclosure by the Issuer or any of
its Restricted Subsidiaries on any secured Investment or any
other transfer of title with respect to any secured Investment
in default; |
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(10) the licensing of intellectual property in the ordinary
course of business or in accordance with industry practice; |
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(11) the sale, lease, conveyance, disposition or other
transfer of (a) the Capital Stock of, or any Investment in,
any Unrestricted Subsidiary or (b) Permitted Investments
made pursuant to clause (15) of the definition thereof; |
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(12) surrender or waiver of contract rights or the
settlement, release or surrender of contract, tort or other
claims of any kind; |
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(13) leases or subleases to third persons in the ordinary
course of business that do not interfere in any material respect
with the business of the Issuer or any of its Restricted
Subsidiaries; |
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(14) sales of accounts receivable and related assets of the
type specified in the definition of Qualified Receivables
Transaction to a Receivables Subsidiary for the Fair Market
Value thereof, less amounts required to be established as
reserves and customary discounts pursuant to contractual
agreements with entities that are not Affiliates of the Issuer
entered into as part of a Qualified Receivables
Transaction; and |
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(15) transfers of accounts receivable and related assets of
the type specified in the definition of Qualified Receivables
Transaction (or a fractional undivided interest therein) by a
Receivables Subsidiary in a Qualified Receivables Transaction. |
Asset Sale Offer has the meaning assigned to
that term in the indenture governing the notes.
Beneficial Owner has the meaning assigned to
such term in Rule 13d-3 and Rule 13d-5 under the
Exchange Act, except that in calculating the beneficial
ownership of any particular person (as that term is
used in Section 13(d)(3) of the Exchange Act), such
person will be deemed to have beneficial ownership
135
of all securities that such person has the right to
acquire by conversion or exercise of other securities, whether
such right is currently exercisable or is exercisable only after
the passage of time.
Board of Directors means:
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(1) with respect to a corporation, the board of directors
of the corporation or any committee thereof duly authorized to
act on behalf of such board; |
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(2) with respect to a partnership, the Board of Directors
of the general partner of the partnership; |
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(3) with respect to a limited liability company, the
managing member or members or any controlling committee of
managing members thereof; and |
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(4) with respect to any other Person, the board or
committee of such Person serving a similar function. |
Capital Lease Obligation means, at the time
any determination is to be made, the amount of the liability in
respect of a capital lease that would at that time be required
to be capitalized on a balance sheet prepared in accordance with
GAAP, and the Stated Maturity thereof shall be the date of the
last payment of rent or any other amount due under such lease
prior to the first date upon which such lease may be prepaid by
the lessee without payment of a penalty.
Capital Stock means:
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(1) in the case of a corporation, corporate stock; |
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(2) in the case of an association or business entity, any
and all shares, interests, participations, rights or other
equivalents (however designated) of corporate stock; |
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(3) in the case of a partnership or limited liability
company, partnership interests (whether general or limited) or
membership interests; and |
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(4) any other interest or participation that confers on a
Person the right to receive a share of the profits and losses
of, or distributions of assets of, the issuing Person, but
excluding from all of the foregoing any debt securities
convertible into Capital Stock, whether or not such debt
securities include any right of participation with Capital Stock. |
Captive Insurance Subsidiary means a
Subsidiary established by the Issuer or any of its Subsidiaries
for the sole purpose of insuring the business, facilities and/or
employees of the Issuer and its Subsidiaries.
Cash Equivalents means:
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(1) United States dollars or, in the case of any Restricted
Subsidiary which is not a Domestic Subsidiary, any other
currencies held from time to time in the ordinary course of
business; |
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(2) securities issued or directly and fully guaranteed or
insured by the United States government or any agency or
instrumentality of the United States government (provided that
the full faith and credit of the United States is pledged in
support of those securities) having maturities of not more than
12 months from the date of acquisition; |
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(3) direct obligations issued by any state of the United
States of America or any political subdivision of any such
state, or any public instrumentality thereof, in each case
having maturities of not more than 12 months from the date
of acquisition; |
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(4) certificates of deposit and eurodollar time deposits
with maturities of 12 months or less from the date of
acquisition, bankers acceptances with maturities not
exceeding 12 months and overnight bank deposits, in each
case, with any lender party to the Credit Agreement or with any
domestic commercial bank that has capital and surplus of not
less than $500.0 million; |
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(5) repurchase obligations with a term of not more than one
year for underlying securities of the types described in
clauses (2) and (4) above entered into with any
financial institution meeting the qualifications specified in
clause (4) above; |
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(6) commercial paper having one of the two highest ratings
obtainable from Moodys Investors Service, Inc. or
Standard & Poors Rating Services and, in each
case, maturing within 12 months after the date of
acquisition; |
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(7) Indebtedness or preferred stock issued by Persons with
a rating of A or higher from Standard &
Poors Rating Services or A2 or higher from
Moodys Investors Service, Inc. with maturities of
12 months or less from the date of acquisition; and |
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(8) money market funds at least 95% of the assets of which
constitute Cash Equivalents of the kinds described in
clauses (1) through (6) of this definition. |
Change of Control means the occurrence of any
of the following:
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(1) the direct or indirect sale, lease, transfer,
conveyance or other disposition (other than by way of merger or
consolidation), in one or a series of related transactions, of
all or substantially all of the properties or assets of the
Issuer and its Subsidiaries taken as a whole to any
person (as that term is used in Section 13(d)
of the Exchange Act) other than Permitted Holders; |
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(2) the adoption of a plan relating to the liquidation or
dissolution of the Issuer; |
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(3) the consummation of any transaction (including, without
limitation, any merger or consolidation), the result of which is
that any person (as defined above), other than
Permitted Holders, becomes the Beneficial Owner, directly or
indirectly, of more than 40% of the Voting Stock of the Issuer,
measured by voting power rather than number of shares, unless
the Permitted Holders are the Beneficial Owners of a greater
percentage of the Voting Stock of the Issuer; provided, however,
for purposes of this clause (3), each Person will be deemed
to beneficially own any Voting Stock of another Person held by
one or more of its Subsidiaries; or |
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(4) the first day on which a majority of the members of the
Board of Directors of the Issuer are not Continuing Directors. |
Change of Control Offer has the meaning
assigned to that term in the indenture governing the notes.
Consolidated Adjusted EBITDA means, with
respect to any specified Person for any period (the
Measurement Period), the Consolidated Net
Income of such Person for such period plus, without
duplication and to the extent deducted in determining such
Consolidated Net Income, the amounts for such period of:
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(1) the Fixed Charges of such Person and its Restricted
Subsidiaries for the Measurement Period; plus |
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(2) the consolidated income tax expense of such Person and
its Restricted Subsidiaries for the Measurement Period; plus |
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(3) the consolidated depreciation expense of such Person
and its Restricted Subsidiaries for the Measurement Period; plus |
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(4) the consolidated amortization expense of such Person
and its Restricted Subsidiaries for the Measurement Period; plus |
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(5) fees, costs and expenses paid or payable in cash by the
Issuer or any of its Subsidiaries during the Measurement Period
in connection with the Transactions (including, without
limitation, retention payments paid as an incentive to retained
employees in connection with the Transactions); plus |
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(6) other non-cash expenses and charges for the Measurement
Period reducing Consolidated Net Income (excluding any such
non-cash item to the extent representing an accrual or reserve
for potential cash items in any future period or amortization of
a prepaid cash item that was paid in a prior period); plus |
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(7) any non-recurring out-of-pocket expenses or charges for
the Measurement Period relating to any offering of Equity
Interests by the Issuer, Holdings or any other direct or
indirect parent of the Issuer |
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or merger, recapitalization or acquisition transactions made by
the Issuer or any of its Restricted Subsidiaries, or any
Indebtedness incurred by the Issuer or any of its Restricted
Subsidiaries (in each case, whether or not successful); plus |
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(8) all fees paid by the Issuer pursuant to
clauses (8) and (15) of the covenant described under
Certain Covenants Transactions with
Affiliates; plus |
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(9) Consolidated Net Income attributable to minority
interests of a Restricted Subsidiary (less the amount of any
mandatory cash distribution with respect to any minority
interest other than in connection with a proportionate
discretionary cash distribution with respect to the interest
held by the Issuer or any Restricted Subsidiary); plus |
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(10) the amount of any restructuring charges or reserves
(which, for the avoidance of doubt, shall include retention,
severance, systems establishment cost, contract termination
costs, including future lease commitments, and costs to
consolidate facilities and relocate employees); minus |
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(11) without duplication, other non-cash items (other than
the accrual of revenue in accordance with GAAP consistently
applied in the ordinary course of business) increasing
Consolidated Net Income for the Measurement Period (excluding
any such non-cash item to the extent it represents the reversal
of an accrual or reserve for potential cash item in any prior
period). |
Consolidated Net Income means, with respect
to any specified Person for any period, the aggregate of the Net
Income of such specified Person and its Restricted Subsidiaries
for such period, on a consolidated basis, determined in
accordance with GAAP; provided that:
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(1) the Net Income (but not loss) of any other Person that
is not a Restricted Subsidiary of such specified Person or that
is accounted for by the equity method of accounting will be
included only to the extent of the amount of dividends or
similar distributions paid in cash to the specified Person or a
Restricted Subsidiary of the specified Person; |
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(2) the Net Income of any Restricted Subsidiary of such
specified Person will be excluded to the extent that the
declaration or payment of dividends or other distributions by
that Restricted Subsidiary of that Net Income is not at the date
of determination permitted without any prior governmental
approval (that has not been obtained) or, directly or
indirectly, by operation of the terms of its charter or any
agreement, instrument, judgment, decree, order, statute, rule or
governmental regulation applicable to that Restricted Subsidiary
or its stockholders; provided that (i) for purposes of
clause (3) (a) of the first paragraph of the covenant
described under Certain Covenants
Restricted Payments, Consolidated Net Income of such
Person shall be increased by the amount of dividends or
distributions or other payments that are actually paid in cash
to (or to the extent converted into cash by) such Person or a
Restricted Subsidiary thereof (subject to provisions of this
clause (2)) during such period, to the extent not
previously included therein and (ii) for all other purposes
under the indenture, Consolidated Net Income of such Person
shall be increased by the lesser of (x) the amount of
dividends or distributions or other payments that are actually
paid in cash to (or to the extent converted into cash by) such
Person or a Restricted Subsidiary thereof (subject to the
provisions of this clause (2)) during such period, to the
extent not previously included therein and (y) the amount
by which Consolidated Net Income of such Person was reduced in
such period as a result of the operation of this clause (2); |
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(3) the cumulative effect of a change in accounting
principles will be excluded; |
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(4) the amortization of any premiums, fees or expenses
incurred in connection with the Transactions or any amounts
required or permitted by Accounting Principles Board Opinions
Nos. 16 (including non-cash write-ups and non-cash charges
relating to inventory and fixed assets, in each case arising in
connection with the Transactions) and 17 (including non-cash
charges relating to intangibles and goodwill), in each case in
connection with the Transactions, will be excluded; |
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(5) any gain or loss, together with any related provision
for taxes on such gain or loss, realized in connection with:
(a) any Asset Sale; or (b) the disposition of any
securities by such Person or any of its |
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Restricted Subsidiaries or the extinguishment of any
Indebtedness of such Person or any of its Restricted
Subsidiaries will be excluded; |
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(6) any extraordinary gain or loss, together with any
related provision for taxes on such extraordinary gain or loss
will be excluded; |
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(7) income or losses attributable to discontinued
operations (including, without limitation, operations disposed
during such period whether or not such operations were
classified as discontinued) will be excluded; |
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(8) all extraordinary gains and losses will be excluded; |
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(9) any non-cash charges (i) attributable to applying
the purchase method of accounting in accordance with GAAP,
(ii) resulting from the application of FAS 142 or
FAS 144, and (iii) relating to the amortization of
intangibles resulting from the application of FAS 141, will
be excluded; |
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(10) all non-cash charges relating to employee benefit or
other management or stock compensation plans of the Issuer or a
Restricted Subsidiary (excluding any such non-cash charge to the
extent that it represents an accrual of or reserve for cash
expenses in any future period or amortization of a prepaid cash
expense incurred in a prior period) will be excluded to the
extent that such non-cash charges are deducted in computing such
Consolidated Net Income; provided, further, that if the Issuer
or any Restricted Subsidiary of the Issuer makes a cash payment
in respect of such non-cash charge in any period, such cash
payment will (without duplication) be deducted from the
Consolidated Net Income of the Issuer for such period; and |
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(11) all unrealized gains and losses relating to hedging
transactions and mark-to-market of Indebtedness denominated in
foreign currencies resulting from the application of FAS 52
shall be excluded. |
Continuing Directors means, as of any date of
determination, any member of the Board of Directors of the
Issuer who:
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(1) was a member of such Board of Directors on the Issue
Date; or |
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(2) was nominated for election or elected to such Board of
Directors with the approval of a majority of the Continuing
Directors who were members of such Board of Directors at the
time of such nomination or election; or |
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(3) was designated or appointed with the approval of
Permitted Holders holding a majority of the Voting Stock of all
of the Permitted Holders. |
Credit Agreement means that certain Credit
Agreement, dated as of the Issue Date, by and among the Issuer,
as borrower, Holdings, certain subsidiaries of the Issuer,
JPMorgan Chase Bank, N.A., as administrative agent, and various
lenders providing for up to $580.0 million of term loans
and $300.0 million of revolving credit borrowings,
including any related notes, Guarantees, collateral documents,
instruments and agreements executed in connection therewith,
and, in each case, as amended, restated, modified, renewed,
refunded, replaced (whether upon or after termination or
otherwise) or refinanced by any other Indebtedness (including by
means of sales of debt securities and including any amendment,
restatement, modification, renewal, refunding, replacement or
refinancing that increases the amount borrowed thereunder or
extends the maturity thereof) in whole or in part from time to
time.
Credit Facilities means, one or more debt
facilities (including, without limitation, the Credit Agreement)
or commercial paper facilities, in each case, with banks or
other institutional lenders providing for revolving credit
loans, term loans, receivables financing (including through the
sale of receivables to such lenders or to special purpose
entities formed to borrow from such lenders against such
receivables) or letters of credit or any other Indebtedness, in
each case, as amended, restated, modified, renewed, refunded,
replaced (whether upon or after termination or otherwise) or
refinanced (including by means of sales of debt securities and
including any amendment, restatement, modification, renewal,
refunding, replacement or refinancing that
139
increases the amount borrowed thereunder or extends the maturity
thereof) in whole or in part from time to time.
Default means any event that is, or with the
passage of time or the giving of notice or both would be, an
Event of Default.
Designated Noncash Consideration means any
non-cash consideration received by the Issuer or a Restricted
Subsidiary in connection with an Asset Sale that is designated
as Designated Noncash Consideration pursuant to an
officers certificate.
Designated Senior Debt means:
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(1) any Indebtedness outstanding under the Credit
Agreement; and |
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(2) any other Senior Debt permitted under the indenture the
principal amount of which is $25.0 million or more and that
has been designated by the Issuer as Designated Senior
Debt. |
Disqualified Stock means any Capital Stock
that, by its terms (or by the terms of any security into which
it is convertible, or for which it is exchangeable, in each
case, at the option of the holder of the Capital Stock), or upon
the happening of any event, matures or is mandatorily
redeemable, pursuant to a sinking fund obligation or otherwise,
or redeemable at the option of the holder of the Capital Stock,
in whole or in part, on or prior to the date that is
90 days after the date on which the notes mature.
Notwithstanding the preceding sentence, (x) any Capital
Stock that would constitute Disqualified Stock solely because
the holders of the Capital Stock have the right to require the
Issuer or the Subsidiary that issued such Capital Stock to
repurchase such Capital Stock upon the occurrence of a change of
control or an asset sale will not constitute Disqualified Stock
if the terms of such Capital Stock provide that the Issuer may
not repurchase such Capital Stock unless the Issuer would be
permitted to do so in compliance with the covenant described
under Certain Covenants Restricted
Payments, (y) any Capital Stock that would constitute
Disqualified Stock solely as a result of any redemption feature
that is conditioned upon, and subject to, compliance with the
covenant described above under Certain
Covenants Restricted Payments will not
constitute Disqualified Stock and (z) any Capital Stock
issued to any plan for the benefit of employees will not
constitute Disqualified Stock solely because it may be required
to be repurchased by the Issuer or the Subsidiary that issued
such Capital Stock in order to satisfy applicable statutory or
regulatory obligations. The amount of Disqualified Stock deemed
to be outstanding at any time for purposes of the indenture will
be the maximum amount that the Issuer and its Restricted
Subsidiaries may become obligated to pay upon the maturity of,
or pursuant to any mandatory redemption provisions of, such
Disqualified Stock, exclusive of accrued dividends.
Domestic Subsidiary means any Restricted
Subsidiary of the Issuer that was formed under the laws of the
United States or any state of the United States or the District
of Columbia or that guarantees any Indebtedness of the Issuer
under the Credit Agreement.
Equity Interests means Capital Stock and all
warrants, options or other rights to acquire Capital Stock (but
excluding any debt security that is convertible into, or
exchangeable for, Capital Stock).
Equity Offering means a public or private
offering of Qualified Capital Stock of the Issuer, Holdings or
any other direct or indirect parent of the Issuer.
Exchange Offer has the meaning set forth for
such term in the exchange and registration rights agreement.
Exchange Notes means the notes issued in the
Exchange Offer pursuant to the exchange and registration rights
agreement.
Excluded Contributions means net cash
proceeds, marketable securities or Qualified Proceeds received
by the Issuer from (i) contributions to its equity capital
(other than Disqualified Stock) or (ii) the sale (other
than to a Subsidiary of the Issuer or to any management equity
plan or stock option plan or any other management or employee
benefit plan or agreement of the Issuer) of Equity Interests
(other than Disqualified Stock) of the Issuer, in each case
designated as Excluded Contributions pursuant to an
officers certificate on the date such capital
contributions are made or the date such Equity Interests are
sold, as the case may be,
140
that are excluded from the calculation set forth in
clause (3) of the first paragraph under
Certain Covenants Restricted
Payments.
Existing Indebtedness means Indebtedness,
other than the notes and Indebtedness under the Credit
Agreement, existing on the Issue Date after giving effect to the
Transactions.
Fair Market Value means the value that would
be paid by a willing buyer to an unaffiliated willing seller in
a transaction not involving distress or necessity of either
party, determined in good faith by the Board of Directors, chief
executive officer or chief financial officer of the Issuer
(unless otherwise provided in the indenture).
Fixed Charge Coverage Ratio means with
respect to any specified Person for any period, the ratio of the
Consolidated Adjusted EBITDA of such Person for such period to
the Fixed Charges of such Person for such period. In the event
that the specified Person or any of its Restricted Subsidiaries
incurs, assumes, guarantees, repays, repurchases, redeems,
defeases or otherwise discharges any Indebtedness (other than
ordinary working capital borrowings) or issues, repurchases or
redeems preferred stock or Disqualified Stock subsequent to the
commencement of the period for which the Fixed Charge Coverage
Ratio is being calculated and on or prior to the date on which
the event for which the calculation of the Fixed Charge Coverage
Ratio is made (the Calculation Date), then
the Fixed Charge Coverage Ratio will be calculated giving pro
forma effect to such incurrence, assumption, Guarantee,
repayment, repurchase, redemption, defeasance or other discharge
of Indebtedness, or such issuance, repurchase or redemption of
preferred stock or Disqualified Stock, and the use of the
proceeds therefrom, as if the same had occurred at the beginning
of the applicable four-quarter reference period.
In addition, for purposes of calculating the Fixed Charge
Coverage Ratio:
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(1) Investments, acquisitions, mergers, consolidations and
dispositions that have been made by the specified Person or any
of its Restricted Subsidiaries, or any Person or any of its
Restricted Subsidiaries acquired by, merged or consolidated with
the specified Person or any of its Restricted Subsidiaries, and
including any related financing transactions and including
increases in ownership of Restricted Subsidiaries, during the
four-quarter reference period or subsequent to such reference
period and on or prior to the Calculation Date will be given pro
forma effect, including giving effect to Pro Forma Cost Savings,
as if they had occurred on the first day of the four-quarter
reference period; |
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(2) the Consolidated Adjusted EBITDA attributable to
discontinued operations, as determined in accordance with GAAP,
and operations or businesses (and ownership interests therein)
disposed of prior to the Calculation Date, will be excluded; |
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(3) the Fixed Charges attributable to discontinued
operations, as determined in accordance with GAAP, and
operations or businesses (and ownership interests therein)
disposed of prior to the Calculation Date, will be excluded, but
only to the extent that the obligations giving rise to such
Fixed Charges will not be obligations of the specified Person or
any of its Restricted Subsidiaries following the Calculation
Date; |
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(4) any Person that is a Restricted Subsidiary on the
Calculation Date will be deemed to have been a Restricted
Subsidiary at all times during such four-quarter period; |
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(5) any Person that is not a Restricted Subsidiary on the
Calculation Date will be deemed not to have been a Restricted
Subsidiary at any time during such four-quarter period; and |
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(6) if any Indebtedness bears a floating rate of interest,
the interest expense on such Indebtedness will be calculated as
if the rate in effect on the Calculation Date had been the
applicable rate for the entire period (taking into account any
Hedging Obligation applicable to such Indebtedness). |
For purposes of this definition, whenever pro forma effect is
given to a transaction, the pro forma calculations shall be made
in good faith by a responsible financial or accounting officer
of the Issuer. For purposes of determining whether any
Indebtedness constituting a Guarantee may be incurred, the
interest on the Indebtedness to be guaranteed shall be included
in calculating the Fixed Charge Coverage Ratio on a pro
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forma basis. Interest on a Capitalized Lease Obligation shall be
deemed to accrue at an interest rate reasonably determined by a
responsible financial or accounting officer of the Issuer to be
the rate of interest implicit in such Capitalized Lease
Obligation in accordance with GAAP. For purposes of making the
computation referred to above, interest on any Indebtedness
under a revolving credit facility computed on a pro forma basis
shall be computed based upon the average daily balance of such
Indebtedness during the applicable period. Interest on
Indebtedness that may optionally be determined at an interest
rate based upon a factor of a prime or similar rate, a
eurocurrency interbank offered rate, or other rate, shall be
deemed to have been based upon the rate actually chosen, or, if
none, then based upon such optional rate chosen as the Issuer
may designate.
Fixed Charges means, with respect to any
specified Person for any period, the sum, without duplication,
of:
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(1) the consolidated interest expense of such Person and
its Restricted Subsidiaries for such period, net of interest
income, whether paid or accrued, including, without limitation,
original issue discount, non-cash interest payments, the
interest component of any deferred payment obligations, the
interest component of all payments associated with Capital Lease
Obligations, commissions, discounts and other fees and charges
incurred in respect of letter of credit or bankers
acceptance financings, and net of the effect of all cash
payments made or received pursuant to Hedging Obligations in
respect of interest rates, and excluding amortization of
deferred financing costs; plus |
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(2) any interest on Indebtedness of another Person that is
guaranteed by such Person or one of its Restricted Subsidiaries
or secured by a Lien on assets of such Person or one of its
Restricted Subsidiaries, but only to the extent that such
Guarantee or Lien is called upon; plus |
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(3) the product of (A) all cash dividends paid on any
series of preferred stock of such Person or any of its
Restricted Subsidiaries (other than to the Issuer or a
Restricted Subsidiary of the Issuer), in each case, determined
on a consolidated basis in accordance with GAAP multiplied by
(B) a fraction, the numerator of which is one and the
denominator of which is one minus the then current combined
federal, state and local statutory tax rate of the Issuer and
its Restricted Subsidiaries expressed as a decimal; plus |
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(4) the amount of dividends paid by the Issuer and its
Restricted Subsidiaries pursuant to clause (19) of the
covenant described under Certain
Covenants Restricted Payments. |
Foreign Subsidiary means any Restricted
Subsidiary of the Issuer that is not incorporated under the laws
of the United States of America, any State thereof or the
District of Columbia.
GAAP means generally accepted accounting
principles set forth in the opinions and pronouncements of the
Accounting Principles Board of the American Institute of
Certified Public Accountants and statements and pronouncements
of the Financial Accounting Standards Board or in such other
statements by such other entity as have been approved by a
significant segment of the accounting profession, which are in
effect on the Issue Date.
Government Securities means direct
obligations of, or obligations guaranteed by, the United States
of America (including any agency or instrumentality thereof) and
the payment for which the United States pledges its full faith
and credit.
Guarantee means a guarantee other than by
endorsement of negotiable instruments for collection in the
ordinary course of business, direct or indirect, in any manner
including, without limitation, by way of a pledge of assets or
through letters of credit or reimbursement agreements in respect
thereof, of all or any part of any Indebtedness (whether arising
by virtue of partnership arrangements, or by agreements to
keep-well, to purchase assets, goods, securities or services, to
take or pay or to maintain financial statement conditions or
otherwise).
Guarantors means each Restricted Subsidiary
of the Issuer that executes a Subsidiary Guarantee in accordance
with the provisions of the indenture, and their respective
successors and assigns, in each case, until the Subsidiary
Guarantee of such Person has been released in accordance with
the provisions of the indenture.
142
Hedging Obligations means, with respect to
any specified Person, the obligations of such Person under:
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(1) interest rate swap agreements (whether from fixed to
floating or from floating to fixed), interest rate cap
agreements and interest rate collar agreements; |
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(2) other agreements or arrangements designed to manage
interest rates or interest rate risk; and |
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(3) other agreements or arrangements designed to protect
such Person against fluctuations in currency exchange rates or
commodity prices. |
Holdings means Select Medical Holdings
Corporation, a Delaware corporation, formerly known as EGL
Holding Company.
Holdings Notes mean $150.0 million
aggregate principal amount of senior subordinated notes due 2015
issued by Holdings on the Issue Date.
Indebtedness means, with respect to any
specified Person, the principal and premium (if any) of any
indebtedness of such Person (excluding accrued expenses and
trade payables), whether or not contingent:
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(1) in respect of borrowed money; |
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(2) evidenced by bonds, notes, debentures or similar
instruments or letters of credit (or reimbursement agreements in
respect thereof) (other than letters of credit issued in respect
of trade payables); |
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(3) in respect of bankers acceptances; |
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(4) representing Capital Lease Obligations; |
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(5) representing the balance deferred and unpaid of the
purchase price of any property or services due more than twelve
months after such property is acquired or such services are
completed (except any such balance that constitutes a trade
payable or similar obligation to a trade creditor); or |
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(6) representing the net obligations under any Hedging
Obligations, |
if and to the extent any of the preceding items (other than
letters of credit, and Hedging Obligations) would appear as a
liability upon a balance sheet of the specified Person prepared
in accordance with GAAP. In addition, the term
Indebtedness includes all Indebtedness of others
secured by a Lien on any asset of the specified Person (whether
or not such Indebtedness is assumed by the specified Person)
and, to the extent not otherwise included, the Guarantee by the
specified Person of any Indebtedness of any other Person.
Investment Affiliate means, as to any Person,
any other Person which directly or indirectly is in control of,
is controlled by, or is under common control with such Person
and is organized by such Person (or any Person controlling such
Person) primarily for making equity or debt investments.
Investments means, with respect to any
Person, all direct or indirect investments by such Person in
other Persons (including Affiliates) in the forms of loans
(including Guarantees or other obligations), advances or capital
contributions (excluding commission, travel, relocation and
similar advances to officers and employees made in the ordinary
course of business), purchases or other acquisitions for
consideration of Indebtedness, Equity Interests or other
securities, together with all items that are or would be
classified as investments on a balance sheet prepared in
accordance with GAAP. If the Issuer or any Restricted Subsidiary
of the Issuer sells or otherwise disposes of any Equity
Interests of any direct or indirect Restricted Subsidiary of the
Issuer such that, after giving effect to any such sale or
disposition, such Person is no longer a Subsidiary of the
Issuer, the Issuer will be deemed to have made an Investment on
the date of any such sale or disposition equal to the Fair
Market Value of the Issuers Investments in such Subsidiary
that were not sold or disposed of in an amount determined as
provided in the penultimate paragraph of the covenant described
above under the caption Certain
Covenants Restricted Payments. The acquisition
by the Issuer or any Restricted Subsidiary of the Issuer of a
Person that holds an Investment in a third Person will be deemed
to be an Investment by the Issuer or such Restricted Subsidiary
in such third Person in an amount equal to the Fair Market Value
of the Investments held by the acquired Person in such third
Person in an amount determined as provided in the penultimate
paragraph of the covenant described above under the caption
Certain
143
Covenants Restricted Payments. The outstanding
amount of any Investment shall be the original cost thereof,
reduced by all returns on such Investment (including dividends,
interest, distributions, returns of principal and profits on
sale).
Issue Date means February 24, 2005.
Lien means, with respect to any asset, any
mortgage, lien, pledge, charge, security interest or encumbrance
of any kind in respect of such asset, whether or not filed,
recorded or otherwise perfected under applicable law, including
any conditional sale or other title retention agreement, any
lease in the nature thereof, any option or other agreement to
sell or give a security interest in and any filing of or
agreement to give any financing statement under the Uniform
Commercial Code (or equivalent statutes) of any jurisdiction.
Net Income means, with respect to any
specified Person, the net income (loss) of such Person,
determined in accordance with GAAP and before any reduction in
respect of preferred stock dividends.
Net Proceeds means the aggregate cash
proceeds received by the Issuer or any of its Restricted
Subsidiaries in respect of any Asset Sale (including, without
limitation, any cash received upon the sale or other disposition
of any non-cash consideration received in any Asset Sale), net
of the direct costs relating to such Asset Sale, including,
without limitation, legal, accounting and investment banking
fees, payments made in order to obtain a necessary consent or
required by applicable law, and sales commissions, and any
relocation expenses incurred as a result of the Asset Sale,
taxes paid or payable as a result of the Asset Sale, including
taxes resulting from the transfer of the proceeds of such Asset
Sale to the Issuer, in each case, after taking into account:
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(1) any available tax credits or deductions and any tax
sharing arrangements; |
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(2) amounts required to be applied to the repayment of
Indebtedness secured by a Lien on the asset or assets that were
the subject of such Asset Sale; |
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(3) any reserve for adjustment in respect of the sale price
of such asset or assets established in accordance with GAAP; |
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(4) any reserve for adjustment in respect of any
liabilities associated with the asset disposed of in such
transaction and retained by the Issuer or any Restricted
Subsidiary after such sale or other disposition thereof; |
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(5) any distributions and other payments required to be
made to minority interest holders in Subsidiaries or joint
ventures as a result of such Asset Sale; and |
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(6) in the event that a Restricted Subsidiary consummates
an Asset Sale and makes a pro rata payment of dividends to all
of its stockholders from any cash proceeds of such Asset Sale,
the amount of dividends paid to any stockholder other than the
Issuer or any other Restricted Subsidiary, provided that any net
proceeds of an Asset Sale by a Non-Guarantor Subsidiary that are
subject to restrictions on repatriation to the Issuer will not
be considered Net Proceeds for so long as such proceeds are
subject to such restrictions. |
Non-Guarantor Subsidiaries means (v) any
Unrestricted Subsidiary, (w) each of the Subsidiaries of
Select Medical Corporation that was in existence on the Issue
Date and was not, on the Issue Date prior to giving effect to
the Transactions, a guarantor of Select Medical
Corporations
71/2% senior
subordinated notes due 2013 as set forth on a schedule to the
indenture governing the notes offered hereby for so long as they
are not Wholly Owned Subsidiaries, (x) any Receivables
Subsidiary, (y) any Subsidiary of the Issuer that does not
guarantee the Issuers Obligations under the Credit
Agreement and (z) in addition to the foregoing, any other
non-Wholly Owned Subsidiary of the Issuer, (1) the Equity
Interests of which are owned by (i) the Issuer and/or its
Restricted Subsidiaries and/or (ii) any other Persons that
were or are interested (other than solely in the capacity as an
equity holder of such non-Wholly Owned Subsidiary) in any
facility owned or operated by such non-Wholly Owned Subsidiary,
such as physicians, physician groups or other medical
professionals and/or other Persons (such as acute care
hospitals, hospital systems or foundations) in
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the community in which any such facility is located and
(2) that has assets that, at the time of designation,
together with the assets of all other Non Guarantor Subsidiaries
designated pursuant to this clause (z), represent no more
than 20% of the Total Assets. The Board of Directors of the
Issuer may designate any Restricted Subsidiary as a
Non-Guarantor Subsidiary by filing with the trustee a certified
copy of a resolution of such Board of Directors giving effect to
such designation and an officers certificate certifying as
to the applicable clause of the definition of Non-Guarantor
Subsidiaries that warrants such designation.
Non-Recourse Debt means Indebtedness:
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(1) as to which neither the Issuer nor any of its
Restricted Subsidiaries (a) provides credit support of any
kind (including any undertaking, agreement or instrument that
would constitute Indebtedness), or (b) is directly or
indirectly liable as a guarantor or otherwise; and |
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(2) as to which the lenders have been notified in writing
or have agreed in writing (in the agreement relating thereto or
otherwise) that they will not have any recourse to the stock or
assets of the Issuer or any of its Restricted Subsidiaries
except as permitted by the definition of Unrestricted
Subsidiary. |
Obligations means any principal, interest,
penalties, fees, indemnifications, reimbursements, damages and
other liabilities payable under the documentation governing any
Indebtedness.
Permitted Business means (i) any
business engaged in by the Issuer or any of its Restricted
Subsidiaries on the Issue Date, and (ii) any business or
other activities that are reasonably similar, ancillary,
complementary or related to, or a reasonable extension,
development or expansion of, the businesses in which the Issuer
and its Restricted Subsidiaries are engaged on the Issue Date.
Permitted Holder means (A) Welsh Carson,
Anderson & Stowe IX, L.P., WCAS Capital Partners IV,
L.P., Thoma Cressey Fund VI, L.P., Thoma Cressey
Fund VII, L.P., and their respective Investment
Affiliates and (B) (i) any officer, director,
employee, member, partner or stockholder of the manager or
general partner (or the general partner of the general partner)
of any of the Persons referred to in clause (A),
(ii) Rocco A. Ortenzio, Robert A. Ortenzio and each of the
other directors and executive officers of the Issuer referred to
under Certain Relationships and Related
Transactions Arrangements With Our Investors
and each other director, officer or employee of the Issuer who
is a continuing investor (as described under
The Transactions) as of the Issue Date;
(iii) the spouses, ancestors, siblings, descendants
(including children or grandchildren by adoption) and the
descendants of any of the siblings of the Persons referred to in
clause (i) or (ii); (iv) in the event of the
incompetence or death of any of the Persons described in any of
clauses (i) through (iii), such Persons estate,
executor, administrator, committee or other personal
representative, in each case who at any particular date shall be
the Beneficial Owner or have the right to acquire, directly or
indirectly, Capital Stock of the Issuer or Holdings (or any
other direct or indirect parent company of the Issuer);
(v) any trust created for the benefit of the Persons
described in any of clauses (i) through (iv) or any
trust for the benefit of any such trust; or (vi) any Person
controlled by any of the Persons described in any of the
clauses (i) through (v). For purposes of this definition,
control, as used with respect to any Person, shall
mean the possession, directly or indirectly, of the power to
direct or cause the direction of the management and policies of
such Person, whether through ownership of voting securities or
by contract or otherwise.
Permitted Investments means:
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(1) any Investment in the Issuer or in a Restricted
Subsidiary of the Issuer; |
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(2) any Investment in Cash Equivalents; |
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(3) any Investment by the Issuer or any Restricted
Subsidiary of the Issuer in a Person, if as a result of such
Investment: |
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(a) such Person becomes a Restricted Subsidiary of the
Issuer; or |
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(b) such Person, in one transaction or a series of
transactions, is merged, consolidated or amalgamated with or
into, or transfers or conveys substantially all of its assets
to, or is liquidated into, the Issuer or a Restricted Subsidiary
of the Issuer; |
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(4) any Investment made as a result of the receipt of
non-cash consideration from an Asset Sale that was made pursuant
to and in compliance with the covenant described above under the
caption Repurchase at the Option of
Holders Asset Sales; |
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(5) any Investment solely in exchange for the issuance of
Equity Interests (other than Disqualified Stock) of the Issuer; |
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(6) any Investments received in compromise, settlement or
resolution of (A) obligations of trade debtors or customers
that were incurred in the ordinary course of business of the
Issuer or any of its Restricted Subsidiaries, including pursuant
to any plan of reorganization or similar arrangement upon the
bankruptcy or insolvency of any trade debtor or customer,
(B) litigation, arbitration or other disputes with Persons
who are not Affiliates or (C) as a result of a foreclosure
by the Issuer or any Restricted Subsidiary with respect to any
secured Investment or other transfer of title with respect to
any secured Investment in default; |
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(7) Investments represented by Hedging Obligations entered
into to protect against fluctuations in interest rates, exchange
rates and commodity prices; |
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(8) any Investment in payroll, travel and similar advances
to cover business-related travel expenses, moving expenses or
other similar expenses, in each case incurred in the ordinary
course of business; |
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(9) Investments in receivables owing to the Issuer or any
Restricted Subsidiary if created or acquired in the ordinary
course of business and payable or dischargeable in accordance
with customary trade terms; provided, however, that such trade
terms may include such concessionary trade terms as the Issuer
or any such Restricted Subsidiary deems reasonable under the
circumstances; |
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(10) Investments in prepaid expenses, negotiable
instruments held for collection and lease, utility and workers
compensation, performance and similar deposits entered into as a
result of the operations of the business in the ordinary course
of business; |
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(11) obligations of one or more officers or other employees
of the Issuer or any of its Restricted Subsidiaries in
connection with such officers or employees
acquisition of shares of Capital Stock of the Issuer or Capital
Stock of Holdings (or any other direct or indirect parent
company of the Issuer) so long as no cash or other assets are
paid by the Issuer or any of its Restricted Subsidiaries to such
officers or employees in connection with the acquisition of any
such obligations; |
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(12) loans or advances to and guarantees provided for the
benefit of employees made in the ordinary course of business of
the Issuer or the Restricted Subsidiary of the Issuer in an
aggregate principal amount not to exceed $5.0 million at
any one time outstanding; |
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(13) Investments existing as on the Issue Date or an
Investment consisting of any extension, modification or renewal
of any Investment existing as of the Issue Date (excluding any
such extension, modification or renewal involving additional
advances, contributions or other investments of cash or property
or other increases thereof unless it is a result of the accrual
or accretion of interest or original issue discount or
payment-in-kind pursuant to the terms, as of the Issue Date, of
the original Investment so extended, modified or renewed); |
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(14) repurchases of the notes; |
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(15) other Investments in any Person having an aggregate
Fair Market Value (measured on the date each such Investment was
made and without giving effect to subsequent changes in value),
when taken together with all other Investments made pursuant to
this clause (15) that are at the time outstanding not
to exceed $50.0 million; provided, however, that if any
Investment pursuant to this clause (15) is made in any
Person that is not a Restricted Subsidiary of the Issuer at the
date of the making of such Investment and such Person becomes a
Restricted Subsidiary of the Issuer after such date, such
Investment shall thereafter be deemed to have been made pursuant
to clause (1) above and shall cease to have been made
pursuant to this clause (15) for so long as such
Person continues to be a Restricted Subsidiary (it being
understood that if such Person thereafter ceases to be a
Restricted |
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Subsidiary of the Issuer, such Investment will again be deemed
to have been made pursuant to this clause (15)); |
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(16) the acquisition by a Receivables Subsidiary in
connection with a Qualified Receivables Transaction of Equity
Interests of a trust or other Person established by such
Receivables Subsidiary to effect such Qualified Receivables
Transaction; and any other Investment by the Issuer or a
Subsidiary of the Issuer in a Receivables Subsidiary or any
Investment by a Receivables Subsidiary in any other Person in
connection with a Qualified Receivables Transaction customary
for such transactions; |
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(17) payments to any Captive Insurance Subsidiary in an
amount equal to (i) the capital required under the
applicable laws or regulations of the jurisdiction in which such
Captive Insurance Subsidiary is formed or determined by
independent actuaries as prudent and necessary capital to
operate such Captive Insurance Subsidiary plus (ii) any
reasonable general corporate and overhead expenses of such
Captive Insurance Subsidiary; |
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(18) Investments in joint ventures in an amount not to
exceed $80.0 million outstanding at any time; provided that
(i) substantially all of the business activities of any
such joint venture consists of owning or operating facilities of
the Issuer or a Restricted Subsidiary of the Issuer and
(ii) a majority of the Voting Stock of such Person is owned
by the Issuer, its Restricted Subsidiaries and/or other Persons
that are not Affiliates of the Issuer; and |
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(19) Guarantees of Indebtedness of the Issuer or a
Restricted Subsidiary permitted under the covenant entitled
Certain Covenants Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock and performance guarantees in the ordinary course of
business. |
Permitted Junior Securities means:
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(1) Equity Interests in the Issuer or any Guarantor; or |
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(2) unsecured debt securities that are subordinated to all
Senior Debt and any debt securities issued in exchange for
Senior Debt to substantially the same extent as, or to a greater
extent than, the notes and the Subsidiary Guarantees are
subordinated to Senior Debt under the indenture (including, in
the case of Senior Debt under the Credit Facilities, with
respect to payment blockage and turnover, and the maturity and
weighted average life to maturity of which are at least six
months greater than that of the Senior Debt and debt securities
issued in exchange for Senior Debt). |
Permitted Liens means:
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(1) Liens on assets of the Issuer or any of its Restricted
Subsidiaries securing Senior Debt that was permitted by the
terms of the indenture to be incurred; |
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(2) Liens in favor of the Issuer or the Guarantors; |
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(3) Liens on property or assets of a Person, plus renewals
and extensions of such Liens, existing at the time such Person
is merged with or into, consolidated with or acquired by the
Issuer or any Restricted Subsidiary of the Issuer; provided that
such Liens were in existence prior to the contemplation of such
merger, consolidation or acquisition and do not extend to any
assets other than those of the Person merged into, consolidated
with or acquired by the Issuer or such Subsidiary; |
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(4) Liens on property (including Capital Stock) existing at
the time of acquisition of the property by the Issuer or any
Restricted Subsidiary of the Issuer; provided that such Liens
were in existence prior to, such acquisition, and not incurred
in contemplation of, such acquisition; |
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(5) Liens (including deposits and pledges) to secure the
performance of public or statutory obligations, progress
payments, surety or appeal bonds, performance bonds or other
obligations of a like nature incurred in the ordinary course of
business; |
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(6) Liens to secure Indebtedness (including Capital Lease
Obligations) permitted by clause (4) of the second
paragraph of the covenant entitled Certain
Covenants Incurrence of Indebtedness and |
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Issuance of Disqualified Stock and Preferred Stock
covering only the assets acquired, constructed or improved with
or financed by such Indebtedness; |
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(7) Liens existing on the Issue Date, plus renewals and
extensions of such Liens; |
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(8) Liens for taxes, assessments or governmental charges or
claims that are not yet delinquent or that are being contested
in good faith by appropriate proceedings promptly instituted and
diligently concluded; provided that any reserve or other
appropriate provision as is required in conformity with GAAP has
been made therefor; |
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(9) Liens imposed by law, such as carriers,
warehousemens, landlords, materialmens,
laborers, employees, suppliers and
mechanics Liens, in each case, incurred in the ordinary
course of business; |
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(10) survey exceptions, title defects, encumbrances,
easements or reservations of, or rights of others for, licenses,
rights-of-way, sewers, electric lines, telegraph and telephone
lines and other similar purposes, or zoning or other
restrictions as to the use of real property that do not
materially interfere with the ordinary conduct of the business
of the Issuer and its Subsidiaries, taken as a whole; |
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(11) Liens created for the benefit of (or to secure) the
notes (or the Subsidiary Guarantees); |
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(12) Liens to secure any Permitted Refinancing Indebtedness
permitted to be incurred under the indenture; provided, however,
that: |
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(a) the new Lien shall be limited to all or part of the
same property and assets that secured or, under the written
agreements pursuant to which the original Lien arose, could
secure the original Indebtedness (plus improvements and
accessions to, such property or proceeds or distributions
thereof); and |
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(b) the Indebtedness secured by the new Lien is not
increased to any amount greater than the sum of (x) the
outstanding principal amount, or, if greater, committed amount,
of the Permitted Refinancing Indebtedness and (y) an amount
necessary to pay any fees and expenses, including premiums,
related to such renewal, refunding, refinancing, replacement,
defeasance or discharge; |
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(13) Liens incurred in the ordinary course of business of
the Issuer or any Subsidiary of the Issuer with respect to
obligations that do not exceed $10.0 million at any one
time outstanding; |
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(14) Liens incurred in connection with a Qualified
Receivables Transaction (which, in the case of the Issuer and
its Restricted Subsidiaries (other than Receivables
Subsidiaries) shall be limited to receivables and related assets
referred to in the definition of Qualified Receivables
Transaction); |
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(15) security for the payment of workers
compensation, unemployment insurance, other social security
benefits or other insurance-related obligations (including, but
not limited to, in respect of deductibles, self-insured
retention amounts and premiums and adjustments thereto) entered
into in the ordinary course of business; |
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(16) deposits or pledges in connection with bids, tenders,
leases and contracts (other than contracts for the payment of
money) entered into in the ordinary course of business; |
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(17) zoning restrictions, easements, licenses,
reservations, provisions, encroachments, encumbrances,
protrusion permits, servitudes, covenants, conditions, waivers,
restrictions on the use of property or minor irregularities of
title (and with respect to leasehold interests, mortgages,
obligations, liens and other encumbrances incurred, created,
assumed or permitted to exist and arising by, through or under a
landlord or owner of the leased property, with or without
consent of the lessee), in each case, not materially interfering
with the ordinary conduct of the business of the Issuer and its
Subsidiaries, taken as a whole; |
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(18) leases, subleases, licenses or sublicenses to third
parties entered into in the ordinary course of business; |
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(19) Liens securing Hedging Obligations entered into to
protect against fluctuations in interest rates, exchange rates
and commodity prices; |
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(20) Liens arising out of judgments, decrees, orders or
awards in respect of which the Issuer shall in good faith be
prosecuting an appeal or proceedings for review which appeal or
proceedings shall not have been finally terminated, or if the
period within which such appeal or proceedings may be initiated
shall not have expired; |
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(21) Liens on Capital Stock of an Unrestricted Subsidiary
that secure Indebtedness or other obligation of such
Unrestricted Subsidiary; |
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(22) Liens on the assets of Non-Guarantor Subsidiaries
securing Indebtedness of the Issuer or the Restricted
Subsidiaries that were permitted by the terms of the indenture
to be incurred; |
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(23) Liens arising from filing Uniform Commercial Code
financing statements regarding leases; |
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(24) Liens (i) of a collection bank arising under
Section 4-210 of the Uniform Commercial Code on items in
the course of collection and (ii) in favor of banking
institution encumbering deposits (including the right of
set-off) and which are within the general parameters customary
in the banking industry; and |
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(25) Liens encumbering reasonable customary initial
deposits and margin deposits and similar Liens attaching to
brokerage accounts incurred in the ordinary course of business
and not for speculative purposes. |
Permitted Payments to Parent means:
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(1) payments, directly or indirectly, to Holdings or any
other direct or indirect parent company of the Issuer to be used
by Holdings (or any other direct or indirect parent company of
the Issuer) to pay (x) consolidated, combined or similar
Federal, state and local taxes payable by Holdings (or such
parent company) and directly attributable to (or arising as a
result of) the operations of the Issuer and its Subsidiaries and
(y) franchise or similar taxes and fees of Holdings (or
such parent company) required to maintain Holdings (or
such parent companys) corporate or other existence and
other taxes; provided that: |
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(a) the amount of such dividends, distributions or advances
paid shall not exceed the amount (x) that would be due with
respect to a consolidated, combined or similar Federal, state or
local tax return that included the Issuer and its Subsidiaries
if the Issuer were a corporation for Federal, state and local
tax purposes plus (y) the actual amount of such franchise
or similar taxes and fees of Holdings (or such parent company)
required to maintain Holdings (or such parent
companys) corporate or other existence and other taxes,
each as applicable; and |
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(b) such payments are used by Holdings (or such parent
company) for such purposes within 90 days of the receipt of
such payments; and |
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(2) payments, directly or indirectly, to Holdings or any
other direct or indirect parent company of the Issuer if the
proceeds thereof are used to pay general corporate and overhead
expenses (including salaries and other compensation of
employees) incurred in the ordinary course of its business or of
the business of Holdings or such other parent company of the
Issuer as a direct or indirect holding company for the Issuer or
used to pay fees and expenses (other than to Affiliates)
relating to any unsuccessful debt or equity financing. |
Permitted Refinancing Indebtedness means any
Indebtedness of the Issuer or any of its Restricted Subsidiaries
issued in exchange for, or the net proceeds of which are used to
extend, renew, refund, refinance, replace, defease or discharge
other Indebtedness of the Issuer or any of its Restricted
Subsidiaries (other than intercompany Indebtedness); provided
that:
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(1) the principal amount (or accreted value, if applicable)
of such Permitted Refinancing Indebtedness does not exceed the
principal amount (or accreted value, if applicable) of the
Indebtedness |
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extended, renewed, refunded, refinanced, replaced, defeased or
discharged (plus all accrued interest on the Indebtedness and
the amount of all fees, commissions, discounts and expenses,
including premiums, incurred in connection therewith); |
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(2) either (a) such Permitted Refinancing Indebtedness
has a final maturity date later than the final maturity date of,
and has a Weighted Average Life to Maturity equal to or greater
than the Weighted Average Life to Maturity of, the Indebtedness
being extended, renewed, refunded, refinanced, replaced,
defeased or discharged or (b) all scheduled payments on or
in respect of such Permitted Refinancing Indebtedness (other
than interest payments) shall be at least 91 days following
the final scheduled maturity of the notes; |
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(3) if the Indebtedness being extended, renewed, refunded,
refinanced, replaced, defeased or discharged is subordinated in
right of payment to the notes, such Permitted Refinancing
Indebtedness is subordinated in right of payment to the notes on
terms at least as favorable to the holders of notes as those
contained in the documentation governing the Indebtedness being
extended, renewed, refunded, refinanced, replaced, defeased or
discharged; and |
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(4) such Indebtedness is incurred |
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(a) by the Issuer or by the Restricted Subsidiary who is
the obligor on the Indebtedness being renewed, refunded,
refinanced, replaced, defeased or discharged; |
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(b) by any Guarantor if the obligor on the Indebtedness
being renewed, refunded, refinanced, replaced, defeased or
discharged is a Guarantor; or |
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(c) by any Non-Guarantor Subsidiary if the obligor on the
Indebtedness being renewed, refunded, refinanced, replaced,
defeased or discharged is a Non-Guarantor Subsidiary. |
Person means any individual, corporation,
partnership, joint venture, association, joint-stock company,
trust, unincorporated organization, limited liability company or
government or other entity.
Pro Forma Cost Savings means, with respect to
any period, the reduction in net costs and related adjustments
that (i) were directly attributable to an acquisition,
merger, consolidation or disposition that occurred during the
four-quarter reference period or subsequent to the four-quarter
reference period and on or prior to the Calculation Date and
calculated on a basis that is consistent with
Regulation S-X under the Securities Act as in effect and
applied as of the Issue Date, (ii) were actually
implemented by the business that was the subject of any such
acquisition, merger, consolidation or disposition within
12 months after the date of the acquisition, merger,
consolidation or disposition and prior to the Calculation Date
that are supportable and quantifiable by the underlying
accounting records of such business or (iii) relate to the
business that is the subject of any such acquisition, merger,
consolidation or disposition and that the Issuer reasonably
determines are probable based upon specifically identifiable
actions to be taken within 12 months of the date of the
acquisition, merger, consolidation or disposition and, in the
case of each of (i), (ii) and (iii), are described, as
provided below, in an officers certificate, as if all such
reductions in costs had been effected as of the beginning of
such period. Pro Forma Cost Savings described above shall be
accompanied by an officers certificate delivered to the
trustee from the Issuers chief financial officer that
outlines the specific actions taken or to be taken, the net cost
savings achieved or to be achieved from each such action and
that, in the case of clause (iii) above, such savings have
been determined to be probable.
Qualified Capital Stock means any Capital
Stock that is not Disqualified Stock.
Qualified Proceeds means any of the following
or any combination of the following:
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(1) Cash Equivalents; |
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(2) the Fair Market Value of assets that are used or useful
in the Permitted Business; and |
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(3) the Fair Market Value of the Capital Stock of any
Person engaged primarily in a Permitted Business if, in
connection with the receipt by the Issuer or any of its
Restricted Subsidiaries of such |
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Capital Stock, such Person becomes a Restricted Subsidiary or
such Person is merged or consolidated into the Issuer or any
Restricted Subsidiary; |
provided that (i) for purposes of clause (3) of
the first paragraph under Certain
Covenants Restricted Payments, Qualified
Proceeds shall not include Excluded Contributions and
(ii) the amount of Qualified Proceeds shall be reduced by
the amount of payments made in respect of the applicable
transaction which are permitted under clause (8) of the
covenant described under Certain
Covenants Limitation on Transactions with
Affiliates.
Qualified Receivables Transaction means any
transaction or series of transactions entered into by the Issuer
or any of its Subsidiaries pursuant to which the Issuer or any
of its Subsidiaries sells, conveys or otherwise transfers, or
grants a security interest, to:
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(1) a Receivables Subsidiary (in the case of a transfer by
the Issuer or any of its Subsidiaries, which transfer may be
effected through the Issuer or one or more of its
Subsidiaries); and |
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(2) if applicable, any other Person (in the case of a
transfer by a Receivables Subsidiary), |
in each case, in any accounts receivable (including health care
insurance receivables), instruments, chattel paper, general
intangibles and similar assets (whether now existing or arising
in the future, the Receivables) of the Issuer
or any of its Subsidiaries, and any assets related thereto,
including, without limitation, all collateral securing such
Receivables, all contracts, contract rights and all guarantees
or other obligations in respect of such Receivables, proceeds of
such Receivables and any other assets, which are customarily
transferred or in respect of which security interests are
customarily granted in connection with receivables financings
and asset securitization transactions of such type, together
with any related transactions customarily entered into in a
receivables financings and asset securitizations, including
servicing arrangements.
Receivables Fees means distributions or
payments made directly or by means of discounts with respect to
any participation interest issued or sold in connection with,
and other fees paid to a Person that is not a Restricted
Subsidiary in connection with, any Qualified Receivables
Transaction.
Receivables Subsidiary means a Subsidiary of
the Issuer which engages in no activities other than in
connection with the financing of accounts receivable and in
businesses related or ancillary thereto and that is designated
by the Board of Directors of the Issuer (as provided below) as a
Receivables Subsidiary
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(A) no portion of the Indebtedness or any other Obligations
(contingent or otherwise) of which: |
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(1) is guaranteed by the Issuer or any Subsidiary of the
Issuer (excluding guarantees of Obligations (other than the
principal of, and interest on, Indebtedness) pursuant to
representations, warranties, covenants and indemnities entered
into in the ordinary course of business in connection with a
Qualified Receivables Transaction); |
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(2) is recourse to or obligates the Issuer or any
Subsidiary of the Issuer in any way other than pursuant to
representations, warranties, covenants and indemnities
customarily entered into in connection with a Qualified
Receivables Transaction; or |
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(3) subjects any property or asset of the Issuer or any
Subsidiary of the Issuer (other than accounts receivable and
related assets as provided in the definition of Qualified
Receivables Transaction), directly or indirectly, contingently
or otherwise, to the satisfaction thereof, other than pursuant
to representations, warranties, covenants and indemnities
customarily entered into in connection with a Qualified
Receivables Transaction; and |
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(B) with which neither the Issuer nor any Subsidiary of the
Issuer has any material contract, agreement, arrangement or
understanding other than on terms no less favorable to the
Issuer or such Subsidiary than those that might be obtained at
the time from Persons who are not Affiliates of the Issuer,
other than as may be customary in a Qualified Receivables
Transaction including for fees payable in the ordinary course of
business in connection with servicing accounts receivable; and
(C) with which neither the Issuer nor any Subsidiary of the
Issuer has any obligation to maintain or preserve such
Subsidiarys financial condition or cause such Subsidiary
to achieve certain levels of operating results. |
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Any such designation by the Board of Directors of the Issuer
will be evidenced to the Trustee by filing with the Trustee a
certified copy of the resolution of the Board of Directors of
the Issuer giving effect to such designation and an
officers certificate certifying that such designation
complied with the foregoing conditions. |
Replacement Preferred Stock means any
Disqualified Stock of the Issuer or any of its Restricted
Subsidiaries issued in exchange for, or the net proceeds of
which are used to renew, refund, refinance, replace or discharge
any Disqualified Stock of the Issuer or any of its Restricted
Subsidiaries (other than intercompany Disqualified Stock);
provided that such Replacement Preferred Stock
(i) is issued by the Issuer or by the Restricted Subsidiary
who is the Issuer of the Disqualified Stock being redeemed,
refunded, refinanced, replaced or discharged, and (ii) does
not have an initial liquidation preference in excess of the
liquidation preference plus accrued and unpaid dividends on the
Disqualified Stock being redeemed, refunded, refinanced,
replaced or discharged.
Restricted Investment means an Investment
other than a Permitted Investment.
Restricted Subsidiary of a Person means any
Subsidiary of the referent Person that is not an Unrestricted
Subsidiary.
Senior Debt means:
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(1) all Indebtedness of the Issuer or any Guarantor
outstanding under the Credit Agreement or under any other Credit
Facilities (including post-petition interest at the rate
provided in the documentation with respect thereto, whether or
not allowed as a claim in any bankruptcy proceeding), and all
Hedging Obligations and Treasury Management Obligations with
respect thereto; |
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(2) any other Indebtedness of the Issuer or any Guarantor
permitted to be incurred under the terms of the indenture,
unless the instrument under which such Indebtedness is incurred
expressly provides that it is on a parity with or subordinated
in right of payment to the notes or any Subsidiary
Guarantee; and |
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(3) all Obligations with respect to the items listed in the
preceding clauses (1) and (2). |
Notwithstanding anything to the contrary in the preceding,
Senior Debt will not include:
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(1) any liability for federal, state, local or other taxes
owed or owing by the Issuer or the Guarantors; |
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(2) any intercompany Indebtedness of the Issuer or any of
its Subsidiaries to the Issuer or any of its Affiliates; |
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(3) any trade payables; |
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(4) the portion of any Indebtedness that is incurred in
violation of the indenture (but only to the extent so incurred);
provided that Indebtedness outstanding under Credit Facilities
will not cease to be Senior Debt as a result of this
clause (4) if the lenders or agents thereunder obtained a
representation from the Issuer or any of its Subsidiaries on the
date such Indebtedness was incurred to the effect that such
Indebtedness was not prohibited by the indenture; |
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(5) Indebtedness which is classified as non-recourse in
accordance with GAAP or any unsecured claim arising in respect
thereof by reason of the application of Section 1111(b)
(1) of the Bankruptcy Code; or |
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(6) Disqualified Stock. |
Significant Subsidiary means any Subsidiary
that would be a significant subsidiary as defined in
Article 1, Rule 1-02 of Regulation S-X,
promulgated pursuant to the Securities Act, as such Regulation
is in effect on the Issue Date. For purposes of determining
whether an Event of Default has occurred, if any group of
Restricted Subsidiaries as to which a particular event has
occurred and is continuing at any time would be, taken as a
whole, a Significant Subsidiary then such event
shall be deemed to have occurred with respect to a Significant
Subsidiary.
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Stated Maturity means, with respect to any
installment of interest or principal on any series of
Indebtedness, the date on which the payment of interest or
principal was scheduled to be paid in the documentation
governing such Indebtedness as of the Issue Date, and will not
include any contingent obligations to repay, redeem or
repurchase any such interest or principal prior to the date
originally scheduled for the payment thereof.
Subsidiary means, with respect to any
specified Person:
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(1) any corporation, association or other business entity
of which more than 50% of the total voting power of shares of
Capital Stock entitled (without regard to the occurrence of any
contingency and after giving effect to any voting agreement or
stockholders agreement that effectively transfers voting
power) to vote in the election of directors, managers or
trustees of the corporation, association or other business
entity is at the time owned or controlled, directly or
indirectly, by that Person or one or more of the other
Subsidiaries of that Person (or a combination thereof); |
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(2) any partnership (a) the sole general partner or
the managing general partner of which is such Person or a
Subsidiary of such Person or (b) the only general partners
of which are that Person or one or more Subsidiaries of that
Person (or any combination thereof); and |
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(3) any third party professional corporation or similar
business entity with which the Issuer or any Subsidiary of the
Issuer has an exclusive management arrangement under which it
manages the business of such entity and whose financial
statements are consolidated with the Issuers financial
statements for financial reporting purposes (it being understood
that the limitations set forth in clause (2) of the
definition of Consolidated Net Income shall not apply to any
such entity). |
Subsidiary Guarantee means the Guarantee by
each Guarantor of the Issuers obligations under the
indenture and the notes, executed pursuant to the provisions of
the indenture.
Total Assets means the total consolidated
assets of the Issuer and its Restricted Subsidiaries as set
forth on the most recent consolidated balance sheet of the
Issuer and its Restricted Subsidiaries.
Transactions means the transactions
contemplated by the Agreement and Plan of Merger, including the
borrowings under the Credit Agreement, the offering of the notes
and the issuance of Holdings Notes and the other related
transactions described under the heading The
Transactions in this prospectus.
Treasury Management Obligations means
obligations under any agreement governing the provision of
treasury or cash management services, including deposit
accounts, funds transfer, automated clearinghouse, zero balance
accounts, returned check concentration, controlled disbursement,
lockbox, account reconciliation and reporting and trade finance
services. Treasury Management Obligations shall not constitute
Indebtedness.
Unrestricted Subsidiary means any Subsidiary
of the Issuer that is designated by the Board of Directors of
the Issuer as an Unrestricted Subsidiary pursuant to a
resolution of the Board of Directors and any Subsidiary of an
Unrestricted Subsidiary, but only to the extent that such
Subsidiary:
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(1) has no Indebtedness other than Non-Recourse Debt;
provided that this clause (1) shall be deemed to be
satisfied for so long as the total amount of Indebtedness of all
Unrestricted Subsidiaries that is not Non-Recourse Debt does not
exceed, measured as of the date of incurrence thereof, 1% of
Total Assets; |
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(2) except with respect to any Indebtedness permitted by
clause (1), is not party to any agreement, contract,
arrangement or understanding with the Issuer or any Restricted
Subsidiary of the Issuer unless the terms of any such agreement,
contract, arrangement or understanding are no less favorable to
the Issuer or such Restricted Subsidiary than those permitted
under the covenant described above under the caption
Certain Covenants Transactions
with Affiliates; |
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(3) is a Person with respect to which neither the Issuer
nor any of its Restricted Subsidiaries has any direct or
indirect obligation to maintain or preserve such Persons
financial condition or to cause such Person to achieve any
specified levels of operating results; and |
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(4) has not guaranteed or otherwise directly or indirectly
provided credit support for any Indebtedness of the Issuer or
any of its Restricted Subsidiaries. |
Voting Stock of any specified Person as of
any date means the Capital Stock of such Person that is at the
time entitled to vote in the election of the Board of Directors
of such Person.
Weighted Average Life to Maturity means, when
applied to any Indebtedness at any date, the number of years
obtained by dividing:
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(1) the sum of the products obtained by multiplying
(a) the amount of each then remaining installment, sinking
fund, serial maturity or other required payments of principal,
including payment at final maturity, in respect of the
Indebtedness, by (b) the number of years (calculated to the
nearest one-twelfth) that will elapse between such date and the
making of such payment; by |
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(2) the then outstanding principal amount of such
Indebtedness. |
Wholly Owned Subsidiary of any specified
Person means a Subsidiary of such Person all of the outstanding
Capital Stock or other ownership interest of which (other than
directors qualifying shares) will at that time be owned by
such Person or by one or more Wholly Owned Subsidiaries of such
person.
154
MATERIAL U.S. FEDERAL INCOME TAX CONSIDERATIONS
U.S. Federal Income Tax Considerations
The following discussion is a summary of the material
U.S. federal income tax consequences relevant to the
purchase, ownership and disposition of the notes, but does not
purport to be a complete analysis of all potential tax effects.
This discussion is based upon the U.S. Internal Revenue
Code of 1986, as amended (the Code),
U.S. Treasury Regulations issued thereunder, Internal
Revenue Service rulings and pronouncements and judicial
decisions now in effect, all of which are subject to change at
any time. Any such change may be applied retroactively in a
manner that could adversely affect a holder of the notes and the
continued validity of this summary. This discussion does not
address all of the U.S. federal income tax consequences
that may be relevant to a holder in light of such holders
particular circumstances or to holders subject to special rules,
such as certain financial institutions, U.S. expatriates,
tax-exempt entities, insurance companies, holders whose
functional currency is not the U.S. dollar, dealers in
securities or currencies, traders in securities, persons holding
the notes as part of a straddle, hedge,
conversion transaction within the meaning of Section 1258
of the Code or other integrated transaction within the meaning
of Section 1.1275-6 of the U.S. Treasury Regulations.
In addition, this discussion is limited to persons purchasing
the notes for cash at original issue and at their issue
price within the meaning of Section 1273 of the Code
(i.e., the first price at which a substantial amount of notes
are sold to the public for cash). Moreover, the effect of any
applicable state, local or foreign tax laws is not discussed.
The discussion deals only with notes held as capital assets
within the meaning of Section 1221 of the Code.
As used in this section, a U.S. Holder means a beneficial
owner of a note that is:
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an individual citizen or resident of the United States,
including an alien individual who is a lawful permanent resident
of the United States or meets the substantial
presence test under Section 7701(b) of the Code; |
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a corporation (including an entity taxable as a corporation for
U.S. federal income tax purposes) created or organized in
or under the laws of the United States, any state thereof or the
District of Columbia; |
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an estate the income of which is subject to U.S. federal
income taxation regardless of its source; or |
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a trust if (1) a U.S. court can exercise primary
supervision over the administration of the trust and one or more
U.S. persons have the authority to control all substantial
decisions of the trust, or (2) the trust was in existence
on August 20, 1996, was treated as a U.S. person prior
to such date and has elected to continue to be treated as a
U.S. person |
If a partnership or other entity taxable as a partnership holds
the notes, the tax treatment of a partner generally will depend
on the status of the partner and the activities of the
partnership. Such partner should consult its tax advisor as to
the tax consequences of the partnership purchasing, owning and
disposing of the notes.
PROSPECTIVE INVESTORS SHOULD CONSULT THEIR OWN TAX ADVISORS
WITH REGARD TO THE APPLICATION OF THE TAX CONSEQUENCES DISCUSSED
BELOW TO THEIR PARTICULAR SITUATIONS AS WELL AS THE APPLICATION
OF ANY STATE, LOCAL, FOREIGN OR OTHER TAX LAWS, INCLUDING GIFT
AND ESTATE TAX LAWS.
United States Holders
Payments of stated interest on the notes generally will be
taxable to a U.S. Holder as ordinary income at the time
that such payments are received or accrued in accordance with
such U.S. Holders method of tax accounting. Under the
terms of the notes, we are obligated to pay holders amounts in
excess of stated interest
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or principal on the notes upon a change in control. Although the
matter is not free from doubt, we intend to take the position
that the these payments represent remote contingencies or that
certain other exceptions would apply, and, accordingly, that any
such amounts, if paid, should be taxable as ordinary interest
income at the time they are received or accrued in accordance
with a holders regular accounting method. Our
determination that these contingencies are remote will be
binding on a holder unless it explicitly discloses its contrary
position to the Internal Revenue Service (the IRS)
in the manner required by applicable U.S. Treasury
Regulations. Our determination, however, is not binding on the
IRS, and if the IRS successfully challenged this determination,
a U.S. holder could be required to accrue interest income
on the notes at a rate higher than the stated interest rate on
the notes and other tax consequences of ownership and
disposition of the notes would be different from those described
herein. The remainder of this discussion assumes no such
position is taken or sustained. In the event a contingency
occurs, it would affect the amount and timing of the income
recognized by a U.S. Holder. If we pay a premium pursuant
to the optional redemption or change of control provisions,
U.S. Holders will be required to recognize such amounts as
income. You should consult your own tax advisor with regard to
the potential application of these rules.
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Sale, Exchange or Retirement of the Notes |
A U.S. Holder will recognize gain or loss on the sale,
exchange (other than for exchange notes pursuant to the exchange
offer, as discussed below, or in a tax-free transaction),
redemption, retirement or other taxable disposition of a note
equal to the difference between the amount realized upon the
disposition (less a portion allocable to any accrued and unpaid
interest, which will be taxable as ordinary income if not
previously included in such holders income) and the
U.S. Holders adjusted tax basis in the note. A
U.S. Holders adjusted basis in a note generally will
be the U.S. Holders cost therefor, less any principal
payments received by such holder. This gain or loss generally
will be a capital gain or loss and will be long-term capital
gain or loss if the U.S. Holder has held the note for more
than one year. Otherwise, such gain or loss will be a short-term
capital gain or loss. The tax treatment of the receipt of any
make-whole premium upon certain optional redemptions of the
notes is unclear and U.S. holders are urged to consult
their tax advisors regarding the tax treatment of any such
payment.
The exchange offer of the outstanding notes for substantially
identical securities registered under the Securities Act will
not constitute a taxable exchange. See The Exchange
Offer. As a result, (i) a U.S. Holder should not
recognize a taxable gain or loss as a result of exchanging such
Holders note, (ii) the holding period of the note
should include the holding period of the notes exchanged
therefore and (iii) the adjusted tax basis of the notes
received should be the same adjusted basis of the notes
exchanged therefore immediately before such exchange.
A U.S. Holder may be subject to a backup withholding tax
(currently 28%) upon the receipt of interest and principal
payments on the notes or upon the receipt of proceeds upon the
sale or other disposition of such notes. Certain holders
(including, among others, corporations and certain tax- exempt
organizations) generally are not subject to backup withholding.
A U.S. Holder will be subject to the backup withholding tax
if such holder is not otherwise exempt and such holder:
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fails to furnish its taxpayer identification number
(TIN) which, for an individual, is ordinarily his or
her social security number; |
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furnishes an incorrect TIN; |
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is notified by the IRS that it has failed to properly report
payments of interest or dividends; or |
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fails to certify under penalties of perjury that it has
furnished a correct TIN and that the IRS has not notified the
U.S. Holder that it is subject to backup withholding. |
156
U.S. Holders should consult their personal tax advisor
regarding their qualification for an exemption from backup
withholding and the procedures for obtaining such an exemption,
if applicable. Backup withholding is not an additional tax and
taxpayers may use amounts withheld as a credit against their
U.S. federal income tax liability or may claim a refund as
long as they timely provide certain information to the IRS.
Non-U.S. Holders
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Definition of Non-U.S. Holders |
A non-U.S. Holder is a beneficial owner of the notes who is
not a U.S. Holder or a partnership.
Interest paid to a non-U.S. Holder will not be subject to
U.S. federal withholding tax provided that:
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such holder does not directly or indirectly, actually or
constructively, own 10% or more of the total combined voting
power of all of our classes of stock; |
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such holder is not a controlled foreign corporation that is
related to us through stock ownership; |
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such holder is not a bank that received such notes on an
extension of credit made pursuant to a loan agreement entered
into in the ordinary course of its trade or business; and |
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either (1) the non-U.S. Holder certifies in a
statement provided to us or our paying agent, under penalties of
perjury, that it is not a United States person
within the meaning of the Code and provides its name and address
(generally on IRS Form W-8BEN or applicable successor
form), or (2) a securities clearing organization, bank or
other financial institution that holds customers
securities in the ordinary course of its trade or business and
holds the notes on behalf of the non-U.S. Holder certifies
to us or our paying agent under penalties of perjury that it has
received from the non-U.S. Holder a statement, under
penalties of perjury, that such holder is not a United
States person and provides us or our paying agent with a
copy of such statement or (3) the non-U.S. Holder
holds its notes through a qualified intermediary and
certain conditions are satisfied. |
Even if the above conditions are not met, a non-U.S. Holder
may be entitled to a reduction in, or exemption from,
withholding tax on interest under a tax treaty between the
United States and the non-U.S. Holders country of
residence. To claim a reduction or exemption under a tax treaty,
a non-U.S. Holder generally must complete IRS
Form W-8BEN and claim the reduction or exemption on the
form. In some cases, a non-U.S. Holder may instead be
permitted to provide documentary evidence of its claim to the
intermediary or a qualified intermediary may have some or all of
the necessary evidence in its files.
The certification requirements described above may require a
non-U.S. Holder that provides an IRS form, or that claims
the benefit of an income tax treaty, to also provide its
U.S. TIN.
Prospective investors should consult their tax advisors
regarding the certification requirements for
non-U.S. persons.
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Sale or Other Taxable Disposition of Notes |
A non-U.S. Holder generally will not be subject to
U.S. federal income tax or withholding tax on gain
recognized on the sale, exchange, redemption, retirement or
other disposition of a note. However, a non-U.S. Holder may
be subject to tax on such gain if the gain is effectively
connected to a U.S. trade or business or, if an income tax
treaty applies, attributable to a U.S. permanent
establishment, as described below, or if such holder is an
individual who was present in the United States for
183 days or more in the taxable year of the disposition and
certain other conditions are met, in which case such holder may
have to pay a U.S. federal income tax of 30% (or, if
applicable, a lower treaty rate) on such gain.
157
U.S. Trade or Business
If interest or gain from a disposition of the notes is
effectively connected with a non-U.S. Holders conduct
of a U.S. trade or business, or if an income tax treaty
applies and the non-U.S. holder maintains a
U.S. permanent establishment to which the
interest or gain is generally attributable, the
non-U.S. Holder may be subject to U.S. federal income
tax on the interest or gain on a net basis in the same manner as
if it were a U.S. Holder. If interest income received with
respect to the notes is taxable on a net basis, the withholding
tax described above will not apply (assuming an appropriate
certification is provided). A foreign corporation that is a
holder of a note also may be subject to a branch profits tax
equal to 30% of its effectively connected earnings and profits
for the taxable year, subject to certain adjustments, unless it
qualifies for a lower rate under an applicable income tax
treaty. A non-U.S. Holder will not be considered to be
engaged in a U.S. trade or business solely by reason of
holding notes.
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Backup Withholding and Information Reporting |
Backup withholding likely will not apply to payments made by us
or our paying agents, in their capacities as such, to a
non-U.S. Holder of a note if the holder has provided the
required certification that it is not a United States person as
described above. However, certain information reporting may
still apply with respect to interest payments even if
certification is provided. Payments of the proceeds from a
disposition by a non-U.S. Holder of a note made to or
through a foreign office of a broker will not be subject to
information reporting or backup withholding, except that
information reporting (but generally not backup withholding) may
apply to those payments if the broker is:
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a United States person; |
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a controlled foreign corporation for U.S. federal income
tax purposes; |
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a foreign person 50% or more whose gross income is effectively
connected with a U.S trade or business for a specified
three-year period; or |
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a foreign partnership, if at any time during its tax year, one
or more of its partners are United States persons, as defined in
Treasury Regulations, who in the aggregate hold more than 50% of
the income or capital interest in the partnership or if, at any
time during its tax year, the foreign partnership is engaged in
a U.S. trade or business. |
Payment of the proceeds from a disposition by a
non-U.S. Holder of a note made to or through the
U.S. office of a broker generally is subject to information
reporting and backup withholding unless the holder or beneficial
owner has provided the required certification that it is not a
United States person as described above.
Non-U.S. Holders should consult their own tax advisors
regarding the application of withholding and backup withholding
in their particular circumstances and the availability of and
procedure for obtaining an exemption from withholding and backup
withholding under current U.S. Treasury Regulations. In
this regard, the current U.S. Treasury Regulations provide
that a certification may not be relied upon if we or our agent
(or other payor) knows or has reason to know that the
certification may be false. Any amounts withheld under the
backup withholding rules from payments to a non-U.S. Holder
will be allowed as a credit against the holders
U.S. federal income tax liability or may be claimed as a
refund, provided the required information is furnished timely to
the IRS.
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PLAN OF DISTRIBUTION
Each broker-dealer that receives exchange notes for its own
account pursuant to the exchange offer must acknowledge that it
will deliver a prospectus in connection with any resale of such
exchange notes. This prospectus, as it may be amended or
supplemented from time to time, may be used by a broker-dealer
in connection with resales of exchange notes received in
exchange for outstanding notes where such outstanding notes were
acquired as a result of market-making activities or other
trading activities. We have agreed that, for a period of up to
180 days after the expiration date, we will make this
prospectus, as amended or supplemented, available to any
broker-dealer for use in connection with any such resales.
We will not receive any proceeds from any sale of exchange notes
by broker-dealers. Exchange notes received by broker-dealers for
their own account pursuant to the exchange offer may be sold
from time to time in one or more transactions in the
over-the-counter market, in negotiated transactions, through the
writing of options on the exchange notes or a combination of
such methods of resale, at market prices prevailing at the time
of resale, at prices related to such prevailing market prices or
negotiated prices. Any such resale may be made directly to
purchasers or to or through brokers or dealers who may receive
compensation in the form of commissions or concessions from any
such broker-dealer and/or the purchasers of any such exchange
notes. Any broker-dealer that resells exchange notes that were
received by it for its own account pursuant to the exchange
offer and any broker or dealer that participates in a
distribution of such exchange notes may be deemed to be an
underwriter within the meaning of the Securities Act
and any profit on any such resale of exchange notes and any
commissions or concessions received by any such persons may be
deemed to be underwriting compensation under the Securities Act.
The letter of transmittal states that by acknowledging that it
will deliver and by delivering a prospectus, a broker-dealer
will not be deemed to admit that it is an
underwriter within the meaning of the Securities Act.
The initial purchasers of the outstanding notes have advised us
that following completion of the exchange offer they intend to
make a market in the exchange notes to be issued in the exchange
offer; however, the initial purchasers are under no obligation
to do so and any market activities with respect to the exchange
notes may be discontinued at any time.
LEGAL MATTERS
Certain legal matters in connection with this offering will be
passed upon for us by Ropes & Gray LLP, New York, New
York.
EXPERTS
The consolidated financial statements as of December 31,
2004 and December 31, 2003 and for each of the three years
in the period ended December 31, 2004 included in this
prospectus have been so included in reliance on the report of
PricewaterhouseCoopers LLP, an independent registered public
accounting firm, given on the authority of said firm as experts
in auditing and accounting.
AVAILABLE INFORMATION
Prior to the Transactions, we filed annual, quarterly and
current reports and other information with the SEC. After
effectiveness of the registration statement of which this
prospectus is part, we will again file such reports and
information with the SEC. Our filings with the SEC are also
available to the public from the SECs website at
http://www.sec.gov. These reports do not constitute a
part of this prospectus, and we are not incorporating by
reference any of the reports we file with the SEC or send to our
shareholders. The public may read and copy any reports or other
information that we file with the SEC in the SECs public
reference room at 450 Fifth Street, N.W.,
Washington, D.C. 20549. The public may obtain information
on the public reference room by calling the SEC at
1-800-SEC-0330.
In addition, pursuant to the indenture governing the notes, we
agreed that, subject to certain exceptions described therein,
whether or not required by the rules and regulations of the SEC,
so long as any notes are
159
outstanding, we will furnish to the trustee under the indenture
governing the notes and to Cede & Co., the nominee of
DTC and the holders of notes, (i) all quarterly and annual
financial information that would be required to be contained in
a filing with the SEC on Forms 10-Q and 10-K, if we were
required to file such Forms, including a Managements
Discussion and Analysis of Financial Condition and Results of
Operations that describes our consolidated financial
condition and results of operation and, with respect to the
annual information only, a report thereon by our independent
registered public accountants and (ii) all current reports
that would be required to be filed with the SEC on Form 8-K
if we were required to file such reports. We may satisfy our
obligation to furnish such information to the trustee and
Cede & Co. at any time by filing such information with
the SEC. In addition, we have agreed that, for so long as any
notes remain outstanding, we will furnish to any beneficial
owner of notes or to any prospective purchaser of notes in
connection with any sale thereof, upon their request, the
information required to be delivered pursuant to
Rule 144A(d)(4) under the Securities Act. Notwithstanding
the foregoing, such requirements shall be deemed satisfied with
respect to the furnishing of the information described in
(i) above for our fiscal year ended December 31, 2004
by our filing with the SEC of the registration statement of
which this prospectus is part with such financial information
that satisfies Regulation S-X of the Securities Act with
respect to the fiscal year ended December 31, 2004.
160
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
SELECT MEDICAL CORPORATION
CONSOLIDATED FINANCIAL STATEMENTS
WITH REPORT OF INDEPENDENT ACCOUNTANTS
CONTENTS
|
|
|
|
|
Select Medical Corporation Audited Financial Statements
|
|
|
|
Consolidated Financial Statements as of December 31,
2003 and 2004 and for the years ended December 31, 2002,
2003 and 2004
|
|
|
|
|
Report of Independent Accountants
|
|
F-2 |
|
|
Consolidated Balance Sheets
|
|
F-3 |
|
|
Consolidated Statements of Operations
|
|
F-4 |
|
|
Consolidated Statements of Changes in Stockholders Equity
and Comprehensive Income (Loss)
|
|
F-5 |
|
|
Consolidated Statements of Cash Flows
|
|
F-6 |
|
|
Notes to Consolidated Financial Statements
|
|
F-7 |
|
Select Medical Corporation Unaudited Interim Financial
Statements
|
|
|
|
Consolidated Financial Statements as of March 31, 2005
and for the periods from January 1, 2005 to
February 24, 2005 (Predecessor) and February 25, 2005
to March 31, 2005 (Successor)
|
|
|
|
|
Consolidated Balance Sheets
|
|
F-42 |
|
|
Consolidated Statements of Operations
|
|
F-43 |
|
|
Consolidated Statements of Changes in Stockholders Equity
and Comprehensive Income (Loss)
|
|
F-44 |
|
|
Consolidated Statements of Cash Flows
|
|
F-45 |
|
|
Notes to Consolidated Financial Statements
|
|
F-46 |
F-1
REPORT OF INDEPENDENT AUDITOR
To the Board of Directors and Stockholders of Select Medical
Corporation:
In our opinion, the accompanying consolidated balance sheets and
the related consolidated statement of operations, changes in
stockholders equity and comprehensive income (loss) and
cash flows present fairly, in all material respects, the
financial position of Select Medical Corporation and its
subsidiaries at December 31, 2004 and December 31,
2003, and the results of their operations and their cash flows
for each of the three years in the period ended
December 31, 2004 in conformity with accounting principles
generally accepted in the United States of America. These
consolidated financial statements are the responsibility of the
Companys management. Our responsibility is to express an
opinion on these consolidated financial statements based on our
audits. We conducted our audits of these statements in
accordance with auditing standards generally accepted in the
United States of America. 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
audits provide a reasonable basis for our opinion.
/s/ PricewaterhouseCoopers LLP
Philadelphia, PA
February 22, 2005
F-2
Select Medical Corporation
Consolidated Balance Sheets
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands, except share | |
|
|
and per share amounts) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
247,476 |
|
|
$ |
165,507 |
|
|
Restricted cash
|
|
|
7,031 |
|
|
|
|
|
|
Accounts receivable, net of allowance for doubtful accounts of
$94,622 and $111,517 in 2004 and 2003, respectively
|
|
|
216,852 |
|
|
|
230,171 |
|
|
Current deferred tax asset
|
|
|
59,239 |
|
|
|
61,699 |
|
|
Other current assets
|
|
|
18,737 |
|
|
|
27,689 |
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
549,335 |
|
|
|
485,066 |
|
Property and equipment, net
|
|
|
165,336 |
|
|
|
174,902 |
|
Goodwill
|
|
|
302,069 |
|
|
|
306,251 |
|
Trademarks
|
|
|
58,875 |
|
|
|
58,875 |
|
Intangible assets
|
|
|
19,429 |
|
|
|
22,876 |
|
Non-current deferred tax asset
|
|
|
|
|
|
|
6,603 |
|
Other assets
|
|
|
18,677 |
|
|
|
24,425 |
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
1,113,721 |
|
|
$ |
1,078,998 |
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
Bank overdrafts
|
|
$ |
|
|
|
$ |
11,427 |
|
|
Current portion of long-term debt and notes payable
|
|
|
3,557 |
|
|
|
10,267 |
|
|
Accounts payable
|
|
|
48,632 |
|
|
|
59,569 |
|
|
Accrued payroll
|
|
|
56,554 |
|
|
|
53,260 |
|
|
Accrued vacation
|
|
|
23,102 |
|
|
|
21,529 |
|
|
Accrued professional liability
|
|
|
14,627 |
|
|
|
12,777 |
|
|
Accrued restructuring
|
|
|
4,924 |
|
|
|
10,375 |
|
|
Accrued other
|
|
|
66,484 |
|
|
|
65,531 |
|
|
Income taxes payable
|
|
|
4,474 |
|
|
|
|
|
|
Due to third party payors
|
|
|
13,266 |
|
|
|
51,951 |
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
235,620 |
|
|
|
296,686 |
|
Long-term debt, net of current portion
|
|
|
351,033 |
|
|
|
357,236 |
|
Non-current deferred tax liability
|
|
|
4,458 |
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities
|
|
|
591,111 |
|
|
|
653,922 |
|
Commitments and Contingencies (Note 16)
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
6,667 |
|
|
|
5,901 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
Common stock $.01 par value: Authorized
shares 200,000,000 in 2004 and 2003, Issued
shares 101,954,000 and 102,219,000 in 2004 and 2003,
respectively
|
|
|
1,020 |
|
|
|
1,022 |
|
|
Capital in excess of par
|
|
|
275,281 |
|
|
|
291,519 |
|
|
Retained earnings
|
|
|
230,535 |
|
|
|
121,560 |
|
|
Accumulated other comprehensive income
|
|
|
9,107 |
|
|
|
5,074 |
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
515,943 |
|
|
|
419,175 |
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
1,113,721 |
|
|
$ |
1,078,998 |
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-3
Select Medical Corporation
Consolidated Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts) | |
Net operating revenues
|
|
$ |
1,660,791 |
|
|
$ |
1,392,366 |
|
|
$ |
1,126,559 |
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
1,294,903 |
|
|
|
1,112,176 |
|
|
|
922,553 |
|
|
General and administrative
|
|
|
45,856 |
|
|
|
44,417 |
|
|
|
39,409 |
|
|
Bad debt expense
|
|
|
48,522 |
|
|
|
51,320 |
|
|
|
37,318 |
|
|
Depreciation and amortization
|
|
|
39,977 |
|
|
|
34,654 |
|
|
|
25,836 |
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
1,429,258 |
|
|
|
1,242,567 |
|
|
|
1,025,116 |
|
|
|
|
|
|
|
|
|
|
|
Income from operations
|
|
|
231,533 |
|
|
|
149,799 |
|
|
|
101,443 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings from joint ventures
|
|
|
|
|
|
|
824 |
|
|
|
|
|
|
Interest income
|
|
|
2,583 |
|
|
|
936 |
|
|
|
596 |
|
|
Interest expense
|
|
|
(33,634 |
) |
|
|
(26,340 |
) |
|
|
(27,210 |
) |
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before minority interests and
income taxes
|
|
|
200,482 |
|
|
|
125,219 |
|
|
|
74,829 |
|
Minority interest in consolidated subsidiary companies
|
|
|
3,448 |
|
|
|
2,402 |
|
|
|
2,022 |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
197,034 |
|
|
|
122,817 |
|
|
|
72,807 |
|
Income tax expense
|
|
|
79,602 |
|
|
|
48,597 |
|
|
|
28,576 |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
117,432 |
|
|
|
74,220 |
|
|
|
44,231 |
|
Income from discontinued operations, net of tax
|
|
|
752 |
|
|
|
251 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
|
|
|
|
|
|
|
|
|
|
Net income per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per share from continuing operations
|
|
$ |
1.15 |
|
|
$ |
0.76 |
|
|
$ |
0.48 |
|
|
Income per share from discontinued operations
|
|
|
0.01 |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share
|
|
$ |
1.16 |
|
|
$ |
0.76 |
|
|
$ |
0.48 |
|
|
|
|
|
|
|
|
|
|
|
Diluted
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per share from continuing operations
|
|
$ |
1.10 |
|
|
$ |
0.72 |
|
|
$ |
0.45 |
|
|
Income per share from discontinued operations
|
|
|
0.01 |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share
|
|
$ |
1.11 |
|
|
$ |
0.72 |
|
|
$ |
0.45 |
|
|
|
|
|
|
|
|
|
|
|
Dividends per share
|
|
$ |
0.09 |
|
|
$ |
0.03 |
|
|
$ |
|
|
Weighted average shares outstanding:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
|
102,165 |
|
|
|
97,452 |
|
|
|
92,928 |
|
|
Diluted
|
|
|
106,529 |
|
|
|
103,991 |
|
|
|
98,256 |
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-4
Select Medical Corporation
Consolidated Statements of Changes in Stockholders
Equity and Comprehensive Income (Loss)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other | |
|
|
|
|
|
|
Common | |
|
Capital in | |
|
|
|
|
|
Comprehensive | |
|
|
|
|
Common | |
|
Stock Par | |
|
Excess of | |
|
Retained | |
|
Treasury | |
|
Income | |
|
Comprehensive | |
|
|
Shares | |
|
Value | |
|
Par | |
|
Earnings | |
|
Stock | |
|
(Loss) | |
|
Income | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance at December 31, 2001
|
|
|
92,976 |
|
|
$ |
930 |
|
|
$ |
230,884 |
|
|
$ |
5,924 |
|
|
$ |
(1,560 |
) |
|
$ |
(1,894 |
) |
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
44,231 |
|
|
|
|
|
|
|
|
|
|
$ |
44,231 |
|
|
Other comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,507 |
|
|
|
1,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
45,738 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock
|
|
|
1,298 |
|
|
|
12 |
|
|
|
4,089 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Retirement of treasury stock
|
|
|
(922 |
) |
|
|
(8 |
) |
|
|
(1,552 |
) |
|
|
|
|
|
|
1,560 |
|
|
|
|
|
|
|
|
|
|
Valuation of non-employee options
|
|
|
|
|
|
|
|
|
|
|
56 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax benefit of stock option exercises
|
|
|
|
|
|
|
|
|
|
|
2,239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2002
|
|
|
93,352 |
|
|
|
934 |
|
|
|
235,716 |
|
|
|
50,155 |
|
|
|
|
|
|
|
(387 |
) |
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
74,471 |
|
|
|
|
|
|
|
|
|
|
$ |
74,471 |
|
|
Other comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,461 |
|
|
|
5,461 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
79,932 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock
|
|
|
8,867 |
|
|
|
88 |
|
|
|
28,525 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash dividends
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3,066 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Valuation of non-employee options
|
|
|
|
|
|
|
|
|
|
|
2,219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax benefit of stock option exercises
|
|
|
|
|
|
|
|
|
|
|
25,059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2003
|
|
|
102,219 |
|
|
|
1,022 |
|
|
|
291,519 |
|
|
|
121,560 |
|
|
|
|
|
|
|
5,074 |
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
118,184 |
|
|
|
|
|
|
|
|
|
|
$ |
118,184 |
|
|
Other comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,033 |
|
|
|
4,033 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
122,217 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock
|
|
|
3,134 |
|
|
|
32 |
|
|
|
18,591 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash dividends
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,209 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Repurchase of common stock
|
|
|
(3,399 |
) |
|
|
(34 |
) |
|
|
(48,024 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Valuation of non-employee options
|
|
|
|
|
|
|
|
|
|
|
151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax benefit of stock option exercises
|
|
|
|
|
|
|
|
|
|
|
13,044 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2004
|
|
|
101,954 |
|
|
$ |
1,020 |
|
|
$ |
275,281 |
|
|
$ |
230,535 |
|
|
$ |
|
|
|
$ |
9,107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-5
Select Medical Corporation
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
39,912 |
|
|
|
34,957 |
|
|
|
25,836 |
|
|
Provision for bad debts
|
|
|
48,986 |
|
|
|
51,428 |
|
|
|
37,318 |
|
|
Deferred income taxes
|
|
|
10,803 |
|
|
|
6,837 |
|
|
|
8,878 |
|
|
Minority interests
|
|
|
3,448 |
|
|
|
2,402 |
|
|
|
2,022 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(22,864 |
) |
|
|
8,838 |
|
|
|
(53,893 |
) |
|
|
Other current assets
|
|
|
8,594 |
|
|
|
(5,047 |
) |
|
|
(387 |
) |
|
|
Other assets
|
|
|
2,778 |
|
|
|
4,898 |
|
|
|
2,671 |
|
|
|
Accounts payable
|
|
|
(13,980 |
) |
|
|
17,499 |
|
|
|
3,887 |
|
|
|
Due to third-party payors
|
|
|
(52,296 |
) |
|
|
21,228 |
|
|
|
12,979 |
|
|
|
Accrued expenses
|
|
|
3,069 |
|
|
|
19,337 |
|
|
|
22,456 |
|
|
|
Income taxes
|
|
|
27,642 |
|
|
|
9,400 |
|
|
|
14,814 |
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
174,276 |
|
|
|
246,248 |
|
|
|
120,812 |
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(32,626 |
) |
|
|
(35,852 |
) |
|
|
(43,183 |
) |
Proceeds from sale of discontinued operations
|
|
|
11,554 |
|
|
|
|
|
|
|
|
|
Proceeds from sale of membership interests
|
|
|
4,064 |
|
|
|
|
|
|
|
|
|
Proceeds from disposal of assets
|
|
|
|
|
|
|
2,595 |
|
|
|
|
|
Earnout payments
|
|
|
(2,983 |
) |
|
|
(464 |
) |
|
|
(928 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
(1,937 |
) |
|
|
(227,731 |
) |
|
|
(9,937 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(21,928 |
) |
|
|
(261,452 |
) |
|
|
(54,048 |
) |
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of
71/2% Senior
Subordinated Notes
|
|
|
|
|
|
|
175,000 |
|
|
|
|
|
Net repayments on credit facility debt
|
|
|
(8,483 |
) |
|
|
(65,627 |
) |
|
|
(22,672 |
) |
Principal payments on seller and other debt
|
|
|
(3,904 |
) |
|
|
(3,721 |
) |
|
|
(6,173 |
) |
Restricted cash
|
|
|
(7,031 |
) |
|
|
|
|
|
|
|
|
Proceeds from issuance of common stock
|
|
|
18,623 |
|
|
|
28,613 |
|
|
|
4,101 |
|
Repurchase of common stock
|
|
|
(48,058 |
) |
|
|
|
|
|
|
|
|
Payment of common stock dividends
|
|
|
(9,209 |
) |
|
|
(3,066 |
) |
|
|
|
|
Proceeds from (payments of) bank overdrafts
|
|
|
(11,427 |
) |
|
|
307 |
|
|
|
5,038 |
|
Payment of deferred financing costs
|
|
|
|
|
|
|
(5,922 |
) |
|
|
(67 |
) |
Distributions to minority interests
|
|
|
(1,501 |
) |
|
|
(1,266 |
) |
|
|
(1,650 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
(70,990 |
) |
|
|
124,318 |
|
|
|
(21,423 |
) |
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
611 |
|
|
|
331 |
|
|
|
18 |
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents
|
|
|
81,969 |
|
|
|
109,445 |
|
|
|
45,359 |
|
Cash and cash equivalents at beginning of period
|
|
|
165,507 |
|
|
|
56,062 |
|
|
|
10,703 |
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
247,476 |
|
|
$ |
165,507 |
|
|
$ |
56,062 |
|
|
|
|
|
|
|
|
|
|
|
Supplemental Cash Flow Information
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash paid for interest
|
|
$ |
30,677 |
|
|
$ |
20,229 |
|
|
$ |
24,858 |
|
Cash paid for income taxes
|
|
$ |
42,134 |
|
|
$ |
33,344 |
|
|
$ |
5,352 |
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-6
Select Medical Corporation
Notes to Consolidated Financial Statements
|
|
1. |
Organization and Significant Accounting Policies |
Select Medical Corporation and its subsidiaries (the
Company) was formed in December 1996 and commenced
operations during February 1997 upon the completion of its first
acquisition. The Company provides long-term acute care hospital
services and inpatient acute rehabilitative hospital care
through its Select Specialty Hospital division and provides
physical, occupational, and speech rehabilitation services
through its outpatient divisions. The Companys specialty
hospital segment consists of hospitals designed to serve the
needs of acute patients and hospitals designed to serve patients
that require intensive medical rehabilitation care. Patients in
the Companys long-term acute care hospitals typically
suffer from serious and often complex medical conditions that
require a high degree of care. Patients in the Companys
acute medical rehabilitation hospitals typically suffer from
debilitating injuries including traumatic brain and spinal cord
injuries, and require rehabilitation care in the form of
physical, psychological, social and vocational rehabilitation
services. The Companys outpatient rehabilitation business
consists of clinics and contract services that provide physical,
occupational and speech rehabilitation services. The
Companys outpatient rehabilitation patients are typically
diagnosed with musculoskeletal impairments that restrict their
ability to perform normal activities of daily living. The
Company operated 86, 83 and 72 specialty hospitals at
December 31, 2004, 2003 and 2002, respectively. At
December 31, 2004, 2003 and 2002, the Company operated 741,
790 and 737 outpatient clinics, respectively. At
December 31, 2004, 2003 and 2002, the Company had
operations in Canada, the District of Columbia and 36, 37 and
37 states, respectively.
Certain reclassifications have been made to prior-year amounts
in order to conform to the current-year presentation.
|
|
|
Principles of Consolidation |
The consolidated financial statements include the accounts of
the Company, its majority owned subsidiaries, limited liability
companies and limited partnerships the Company and its
subsidiaries control through ownership of general and limited
partnership or membership interests. All significant
intercompany balances and transactions are eliminated in
consolidation.
The preparation of financial statements in conformity with
generally accepted accounting principles requires management to
make estimates and assumptions that affect the reported amounts
of assets and liabilities and disclosure of contingent assets
and liabilities at the date of the financial statements and
reported amounts of revenues and expenses during the reporting
period. Actual results could differ from those estimates.
|
|
|
Cash and Cash Equivalents |
The Company considers all highly liquid investments with a
maturity of three months or less when purchased to be cash
equivalents. Cash equivalents are stated at cost which
approximates market value.
Restricted cash consists of cash used to establish a trust fund,
as required by the Companys insurance program, for the
purpose of paying professional and general liability losses and
expenses incurred by the Company.
F-7
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Property and equipment are stated at cost net of accumulated
depreciation. Depreciation and amortization are computed using
the straight-line method over the estimated useful lives of the
assets or the term of the lease, as appropriate. The general
range of useful lives is as follows:
|
|
|
|
|
Leasehold improvements
|
|
|
5 years |
|
Furniture and equipment
|
|
|
5 20 years |
|
Buildings
|
|
|
40 years |
|
In accordance with Statement of Financial Accounting Standards
No. 144, Accounting for the Impairment or Disposal of
Long-Lived Assets (SFAS No 144), the Company reviews
the realizability of long-lived assets whenever events or
circumstances occur which indicate recorded costs may not be
recoverable.
|
|
|
Concentration of Credit Risk |
Financial instruments that potentially subject the Company to
concentration of credit risk consist primarily of cash balances
and trade receivables. The Company invests its excess cash with
large financial institutions. The Company grants unsecured
credit to its patients, most of whom reside in the service area
of the Companys facilities and are insured under
third-party payor agreements. Because of the geographic
diversity of the Companys facilities and non-governmental
third-party payors, Medicare represents the Companys only
concentration of credit risk.
Deferred income taxes reflect the net tax effects of temporary
differences between the carrying amounts of assets and
liabilities for financial reporting purposes and the amounts
used for income tax purposes. Management provides a valuation
allowance for net deferred tax assets when it is more likely
than not that a portion of such net deferred tax assets will not
be recovered.
Effective January 1, 2002, the Company adopted Statement of
Financial Accounting Standards (SFAS) No. 142,
Goodwill and Other Intangible Assets. Under
SFAS No. 142, goodwill and other intangible assets
with indefinite lives are no longer subject to periodic
amortization but are instead reviewed annually, or more
frequently if impairment indicators arise. These reviews require
the Company to estimate the fair value of its identified
reporting units and compare those estimates against the related
carrying values. For each of the reporting units, the estimated
fair value is determined utilizing the expected present value of
the future cash flows of the units.
Identifiable assets and liabilities acquired in connection with
business combinations accounted for under the purchase method
are recorded at their respective fair values. Deferred income
taxes have been recorded to the extent of differences between
the fair value and the tax basis of the assets acquired and
liabilities assumed. Company management has allocated the
intangible assets between identifiable intangibles and goodwill.
Intangible assets other than goodwill primarily consist of the
values assigned to trademarks and non-compete agreements.
Management believes that the estimated useful lives established
at the dates of each transaction were reasonable based on the
economic factors applicable to each of the businesses.
F-8
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
The useful life of each class of intangible asset is as follows:
|
|
|
|
|
Goodwill
|
|
|
Indefinite |
|
Trademarks
|
|
|
Indefinite |
|
Non-compete agreements
|
|
|
7 years |
|
In accordance with Statement of Financial Accounting Standards
No. 144, Accounting for the Impairment or Disposal of
Long-Lived Assets (SFAS No 144), the Company reviews
the realizability of long-lived assets, certain intangible
assets and goodwill whenever events or circumstances occur which
indicate recorded costs may not be recoverable. In addition, the
Company also analyzes the recovery of long-lived assets on an
enterprise basis.
If the expected future cash flows (undiscounted) are less
than the carrying amount of such assets, the Company recognizes
an impairment loss for the difference between the carrying
amount of the assets and their estimated fair value.
|
|
|
Due to Third-Party Payors |
Due to third-party payors represents the difference between
amounts received under interim payment plans from third-party
payors for services rendered and amounts estimated to be
reimbursed by those third-party payors upon settlement of cost
reports.
Under a number of the Companys insurance programs, which
include the Companys employee health insurance program,
its workers compensation insurance programs and certain
components under its property and casualty insurance program,
the Company is liable for a portion of its losses. In these
cases the Company accrues for its losses under an occurrence
based principal whereby the Company estimates the losses that
will be incurred in a respective accounting period and accrues
that estimated liability. Where the Company has substantial
exposure, actuarial methods are utilized in estimating the
losses. In cases where the Company has minimal exposure, losses
are estimated by analyzing historical trends. These programs are
monitored quarterly and estimates are revised as necessary to
take into account additional information. At December 31,
2004 and 2003 respectively, the Company had recorded a liability
of $44.4 million and $29.8 million related to these
programs.
The interests held by other parties in subsidiaries, limited
liability companies and limited partnerships owned and
controlled by the Company are reported on the consolidated
balance sheets as minority interests. Minority interests
reported in the consolidated statements of operations reflect
the respective interests in the income or loss of the
subsidiaries, limited liability companies and limited
partnerships attributable to the other parties, the effect of
which is removed from the Companys consolidated results of
operations.
Treasury stock is carried at cost, determined by the first-in,
first-out method. During 2002, the Company retired
922,000 shares of treasury stock.
As permitted by Statement of Financial Accounting Standards
No. 123R, Accounting for Stock Based
Compensation (SFAS No. 123), the Company has
chosen to apply APB Opinion No. 25, Accounting for
F-9
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Stock Issued to Employees (APB 25) and related
interpretations in accounting for its Plans. Accordingly, no
compensation cost has been recognized for options granted under
the Plans.
The fair value of each option grant is estimated on the date of
the grant using the Black-Scholes option pricing model assuming
dividend yield of 0.20% in 2004 and no dividend yield in 2003
and 2002, volatility of 45% in 2004 and 2003, and 39% in 2002,
an expected life of four years from the date of vesting and a
risk free interest rate of 3.1% in 2004 and 2003 and 3.4% in
2002.
For purposes of pro forma disclosures, the estimated fair value
of the options is amortized to expense over the options
vesting period. The Companys pro forma net earnings and
earnings per share were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share | |
|
|
amounts) | |
Net income available to common stockholders as
reported
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
Deduct: Total stock based employee compensation expense
determined under fair value based method for all awards, net of
related tax effects
|
|
|
21,069 |
|
|
|
19,376 |
|
|
|
10,326 |
|
|
|
|
|
|
|
|
|
|
|
Net income available to common stockholders pro forma
|
|
$ |
97,115 |
|
|
$ |
55,095 |
|
|
$ |
33,905 |
|
|
|
|
|
|
|
|
|
|
|
Weighted average grant-date fair value
|
|
|
6.42 |
|
|
|
6.64 |
|
|
|
3.54 |
|
Basic earnings per share as reported
|
|
|
1.16 |
|
|
|
0.76 |
|
|
|
0.48 |
|
Basic earnings per share pro forma
|
|
|
0.95 |
|
|
|
0.57 |
|
|
|
0.36 |
|
Diluted earnings per share as reported
|
|
|
1.11 |
|
|
|
0.72 |
|
|
|
0.45 |
|
Diluted earnings per share pro forma
|
|
|
0.91 |
|
|
|
0.53 |
|
|
|
0.35 |
|
Net operating revenues consists primarily of patient and
contract therapy revenues and are recognized as services are
rendered.
Patient service revenue is reported net of provisions for
contractual allowances from third-party payors and patients. The
Company has agreements with third-party payors that provide for
payments to the Company at amounts different from its
established rates. The differences between the estimated program
reimbursement rates and the standard billing rates are accounted
for as contractual adjustments, which are deducted from gross
revenues to arrive at net operating revenues. Payment
arrangements include prospectively determined rates per
discharge, reimbursed costs, discounted charges, per diem and
per visit payments. Retroactive adjustments are accrued on an
estimated basis in the period the related services are rendered
and adjusted in future periods as final settlements are
determined. Accounts receivable resulting from such payment
arrangements are recorded net of contractual allowances.
A significant portion of the Companys net operating
revenues are generated directly from the Medicare program. Net
operating revenues generated directly from the Medicare program
represented approximately 48%, 46% and 40% of the
Companys consolidated net operating revenues for the years
ended December 31, 2004, 2003 and 2002, respectively.
Approximately 35% of the Companys gross accounts
receivable at December 31, 2004 and 2003 are from this
payor source. As a provider of services to the Medicare program,
the Company is subject to extensive regulations. The inability
of any of the Companys specialty hospitals or clinics to
comply with regulations can result in changes in that specialty
hospitals or clinics net operating revenues
generated from the Medicare program.
Contract therapy revenues are comprised primarily of billings
for services rendered to nursing homes, hospitals, schools and
other third parties under the terms of contractual arrangements
with these entities.
F-10
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
|
Other Comprehensive Income (Loss) |
The Company uses the local currency as the functional currency
for its Canadian operations. All assets and liabilities of
foreign operations are translated into U.S. dollars at
year-end exchange rates. Income statement items are translated
at average exchange rates prevailing during the year. The
resulting translation adjustments impacting comprehensive income
(loss) are recorded as a separate component of
stockholders equity. The cumulative translation adjustment
is included in other comprehensive income (loss) and was a gain
of $9,107,000 at December 31, 2004, a gain of $5,123,000 at
December 31, 2003, and a loss of $74,000 at
December 31, 2002, respectively. Also, included in other
comprehensive income (loss) at December 31, 2003 were
unrealized losses on available-for-sales securities of $49,000,
net of tax. Following is a reconciliation of net income to
comprehensive income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net income
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
Unrealized losses on available for sale securities
|
|
|
(4 |
) |
|
|
(49 |
) |
|
|
|
|
Realized losses on available for sale securities
|
|
|
53 |
|
|
|
|
|
|
|
|
|
Realized loss on interest rate swap
|
|
|
|
|
|
|
313 |
|
|
|
1,264 |
|
Changes in foreign currency translation
|
|
|
3,984 |
|
|
|
5,197 |
|
|
|
243 |
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
$ |
122,217 |
|
|
$ |
79,932 |
|
|
$ |
45,738 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financial Instruments and Hedging |
Effective January 1, 2001, the Company adopted
SFAS No. 133. Since the Company had no derivative
financial instruments at January 1, 2001, there was no
cumulative effect upon adoption. The Company has in the past
entered into derivatives to manage interest rate and foreign
exchange risks. Derivatives are limited in use and not entered
into for speculative purposes. The Company enters into interest
rate swaps to manage interest rate risk on a portion of its
long-term borrowings. Interest rate swaps are reflected at fair
value in the consolidated balance sheet and the related gains or
losses are deferred in stockholders equity as a component
of other comprehensive income. These deferred gains or losses
are then amortized as an adjustment to interest expense over the
same period in which the related interest payments being hedged
are recognized in income. The Company did not have any interest
rate swap arrangements at December 31, 2004 and 2003. At
December 31, 2002 the fair value of the interest rate swap
arrangement was $313,000. To the extent that any derivative
instrument is not designated as a hedge under
SFAS No. 133, the gains and losses are recognized in
income based on fair market value and is included in other
comprehensive income (loss).
|
|
|
Basic and Diluted Net Income Per Share |
Basic net income per common share is based on the weighted
average number of shares of common stock outstanding during each
year. Diluted net income per common share is based on the
weighted average number of shares of common stock outstanding
during each year, adjusted for the effect of common stock
equivalents arising from the assumed exercise of stock options
and warrants, if dilutive.
|
|
|
Recent Accounting Pronouncements |
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 123R (revised 2004), Share-Based
Payment. This Statement is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation, and supersedes APB Opinion No. 25,
Accounting for Stock Issued to Employees, and its
related implementation guidance. SFAS No. 123R
requires that compensation cost relating to share-based
F-11
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
payment transactions be recognized in financial statements. That
cost will be measured based on the fair value of the equity or
liability instruments issued. The provisions of this statement
are effective as of the beginning of the first interim or annual
reporting period that begins after June 15, 2005. As
disclosed in footnote 3, the Company has signed a merger
agreement with EGL Holding Company and EGL Acquisition Corp. As
part of the merger, all outstanding options will be redeemed and
the current stock option plan will be terminated. The
transaction is expected to be completed in the first quarter of
2005.
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 153, Exchanges of Nonmonetary
Assets, an amendment of APB Opinion No. 29. The
guidance in APB Opinion No. 29, Accounting for
Nonmonetary Transactions, is based on the principle that
exchanges of nonmonetary assets should be measured based on the
fair value of assets exchanged. The guidance in that Opinion,
however, included certain exceptions to that principle. This
Statement amends Opinion 29 to eliminate the exception for
nonmonetary exchanges of similar productive assets that do not
have commercial substance. A nonmonetary exchange has commercial
substance if the future cash flows of the entity are expected to
change significantly as a result of the exchange.
SFAS No. 153 is effective for nonmonetary exchanges
occurring in fiscal periods beginning after June 15, 2005.
The adoption of SFAS No. 153 is not expected to have a
material impact on our financial position and results of
operations.
|
|
2. |
Acquisitions, Disposal and Management Services Agreements |
|
|
|
For the Year Ended December 31, 2004 |
The Company acquired controlling interests in three outpatient
therapy businesses. Outpatient therapy acquisitions consisted of
Anita Lorelli Physiotherapy Clinic, Inc. on February 2,
2004, Ocean Bay Occupational Medicine Center, P.C. on
April 30, 2004 and Maximum Potential Rehab, Inc. on
July 26, 2004. The Company also completed the repurchase of
part of the minority interests of Metro Therapy, Inc. Total
consideration for these transactions totaled $2.1 million
including $1.9 million in cash and $0.2 million in
notes issued.
On September 27, 2004, the Company sold the land, building
and certain other assets and liabilities associated with its
only skilled nursing facility for approximately
$11.6 million which approximates the carrying value of the
skilled nursing facilitys assets. The skilled nursing
facility was acquired as part of the Kessler acquisition in
September 2003. The operating results of the skilled nursing
facility have been reclassified and reported as discontinued
operations for the year ended December 31, 2003.
Previously, the operating results of this facility were included
in the Companys Specialty Hospitals segment. No gain or
loss was recognized on the sale. Summarized income statement
information relating to discontinued operations is as follows:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
10,432 |
|
|
$ |
4,407 |
|
|
|
|
|
|
|
|
Income from discontinued operations before income tax expense
|
|
|
1,262 |
|
|
|
415 |
|
Income tax expense
|
|
|
510 |
|
|
|
164 |
|
|
|
|
|
|
|
|
Income from discontinued operations, net of tax
|
|
$ |
752 |
|
|
$ |
251 |
|
|
|
|
|
|
|
|
Also occurring in 2004 were the sale of all the Companys
membership rights in Millennium Rehab Services, LLC on
March 31, 2004, Kessler-Adventist Rehabilitation Hospital,
LLC and Kessler-Adventist Rehabilitation Services, LLC on
April 1, 2004 and The Center for Health and Fitness at
Palisades, LLC on August 31, 2004. Total consideration for
these sales was $4.1 million. No gain or loss was
recognized on the sales.
F-12
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
|
For the Year Ended December 31, 2003 |
On September 2, 2003, the Company completed the acquisition
of all of the outstanding stock of Kessler Rehabilitation
Corporation from the Henry H. Kessler Foundation, Inc. for
$223.9 million in cash, net of cash acquired and
$1.7 million of assumed indebtedness and $16.2 million
in liabilities related to the planned restructuring. The
purchase was funded through a combination of the proceeds from
the issuance of
71/2% Senior
Subordinated Notes due 2013 and existing cash. The purchase
price has been allocated to net assets acquired and liabilities
assumed based on valuation studies subject to resolution of
purchase price adjustments. The excess of the amount of the
purchase price over the net asset value, including identifiable
intangible assets, was allocated to goodwill. The results of
operations of Kessler Rehabilitation Corporation have been
included in the Companys consolidated financial statements
since September 1, 2003. Kessler Rehabilitation Corporation
operates acute medical rehabilitation hospitals and outpatient
clinics. The Company has included the operations of
Kesslers four acute medical rehabilitation hospitals in
its specialty hospital segment. Kesslers outpatient
clinics and onsite contract rehabilitation services have been
included in the Companys outpatient rehabilitation
segment. Kesslers only skilled nursing facility was sold
on September 27, 2004 and has been reported as discontinued
operations. Kesslers other services, which include sales
of home medical equipment, orthotics, prosthetics, and
infusion/intravenous services and corporate support costs, have
been included in the all other category.
In addition during 2003, the Company acquired controlling
interests in two outpatient therapy businesses. Outpatient
therapy acquisitions consisted of Vanguard Health
Services, P.C. on January 31, 2003 and Excel
Rehabilitation Services, LLP on March 1, 2003. Total
consideration for these acquisitions totaled $0.9 million
including $0.6 million in cash and $0.3 million in
notes issued.
During 2003, the Company completed the repurchase of all of the
minority interests of Rehab Advantage Therapy Services, LLC and
Select Management Services, LLC and part of the minority
interests of Select Specialty Hospital Mississippi
Gulf Coast, Inc. for $3.2 million in cash.
|
|
|
For the Year Ended December 31, 2002 |
During 2002, the Company acquired controlling interests in seven
outpatient therapy businesses. Outpatient therapy acquisitions
consisted of Healthcare Motivations, Inc. on April 8, 2002,
Pacific Coast Rehabilitation Physiotherapist Corporation on
May 22, 2002, Physiotherapy Moncton Inc. and Canadian Back
Rehabilitation Centre Limited both acquired on July 31,
2002, Halifax Physiotherapy and Sports Injuries Clinic Limited
on September 30, 2002 and 1217406 Ontario Limited and
Workplace Wellness both acquired on October 31, 2002. Total
consideration for these acquisitions was $11.8 million
including $9.9 million in cash and $1.9 million in
notes issued.
F-13
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Information with respect to businesses acquired in purchase
transactions is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Cash paid (net of cash acquired)
|
|
$ |
1,937 |
|
|
$ |
227,731 |
|
|
$ |
9,937 |
|
Notes issued
|
|
|
214 |
|
|
|
316 |
|
|
|
1,864 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,151 |
|
|
|
228,047 |
|
|
|
11,801 |
|
Liabilities assumed
|
|
|
573 |
|
|
|
36,513 |
|
|
|
345 |
|
Restructuring reserve (note 6)
|
|
|
|
|
|
|
16,213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,724 |
|
|
|
280,773 |
|
|
|
12,146 |
|
Fair value of assets acquired, principally accounts receivable
and property and equipment
|
|
|
227 |
|
|
|
126,406 |
|
|
|
4,191 |
|
Trademark
|
|
|
|
|
|
|
21,000 |
|
|
|
|
|
Non-compete agreement
|
|
|
|
|
|
|
24,000 |
|
|
|
|
|
Minority interest liabilities relieved
|
|
|
1,069 |
|
|
|
1,405 |
|
|
|
70 |
|
|
|
|
|
|
|
|
|
|
|
Cost in excess of fair value of net assets acquired (goodwill)
|
|
$ |
1,428 |
|
|
$ |
107,962 |
|
|
$ |
7,885 |
|
|
|
|
|
|
|
|
|
|
|
The following pro forma unaudited results of operations have
been prepared assuming the acquisition of Kessler Rehabilitation
Corporation occurred at the beginning of the periods presented.
The acquisitions of the other businesses acquired are not
reflected in this pro forma as their impact is not material.
These results are not necessarily indicative of results of
future operations nor of the results that would have actually
occurred had the acquisition been consummated as of the
beginning of the period presented.
|
|
|
|
|
|
|
|
|
|
|
Pro Forma Unaudited Results | |
|
|
of Operations | |
|
|
| |
|
|
For the Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
|
(In thousands, except per | |
|
|
share data) | |
Net revenue
|
|
$ |
1,539,580 |
|
|
$ |
1,340,588 |
|
|
|
|
|
|
|
|
Net income before cumulative effect of accounting change
|
|
|
62,834 |
|
|
|
47,521 |
|
|
|
|
|
|
|
|
Net income
|
|
|
62,834 |
|
|
|
22,207 |
|
|
|
|
|
|
|
|
Basic income per common share before cumulative effect of
accounting change
|
|
$ |
0.64 |
|
|
$ |
0.51 |
|
Basic income per common share
|
|
$ |
0.64 |
|
|
$ |
0.24 |
|
Diluted income per common share before cumulative effect of
accounting change
|
|
$ |
0.60 |
|
|
$ |
0.48 |
|
Diluted income per common share
|
|
$ |
0.60 |
|
|
$ |
0.23 |
|
On October 18, 2004, the Company announced that it signed
an agreement to merge with a subsidiary of EGL Holding Company.
EGL Holding Company is a new company formed by an investment
group led by Welsh, Carson, Anderson & Stowe, a private
equity firm focused on investments in the healthcare sector, and
including Thoma Cressey Equity Partners, a private equity firm
and an existing stockholder of the Company, and certain members
of the Companys management, including Rocco A. Ortenzio
and Robert A. Ortenzio.
F-14
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Under the terms of the merger agreement, each share of the
Companys common stock, other than certain shares held by
the stockholders participating in the buying group, will be
converted into the right to receive $18.00 per share in
cash.
The closing of the transaction is subject to various conditions
contained in the merger agreement, including the approval by the
holders of a majority of the Companys shares (other than
the stockholders continuing in EGL Holding Company), the closing
of financing arrangements as set forth in bank commitment
letters that have been received by EGL Holding Company, the
closing of tender offers for and consent solicitations with
respect to the Companys public debt securities and other
customary conditions. The closing is expected to occur during
the first quarter of 2005.
|
|
4. |
Property and Equipment |
Property and equipment consists of the following:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Land
|
|
$ |
11,996 |
|
|
$ |
14,559 |
|
Leasehold improvements
|
|
|
90,919 |
|
|
|
81,134 |
|
Buildings
|
|
|
46,044 |
|
|
|
50,498 |
|
Furniture and equipment
|
|
|
159,240 |
|
|
|
142,664 |
|
Construction-in-progress
|
|
|
973 |
|
|
|
548 |
|
|
|
|
|
|
|
|
|
|
|
309,172 |
|
|
|
289,403 |
|
Less: accumulated depreciation and amortization
|
|
|
143,836 |
|
|
|
114,501 |
|
|
|
|
|
|
|
|
Total property and equipment
|
|
$ |
165,336 |
|
|
$ |
174,902 |
|
|
|
|
|
|
|
|
Effective January 1, 2002, the Company adopted
SFAS No. 142. Under SFAS No. 142, goodwill
and other intangible assets with indefinite lives are no longer
subject to periodic amortization but are instead reviewed
annually, or more frequently if impairment indicators arise.
These reviews require the Company to estimate the fair value of
its identified reporting units and compare those estimates
against the related carrying values. For each of the reporting
units, the estimated fair value is determined utilizing the
expected present value of the future cash flows of the units.
Amortization expense for intangible assets with finite lives was
$3,429,000, $948,000 and $665,000 for the year ended
December 31, 2004, 2003 and 2002, respectively. Estimated
amortization expense for intangible assets for each of the five
years commencing January 1, 2005 will be approximately
$3,429,000 per year and primarily relates to the
amortization of the non-compete agreement associated with the
Kessler acquisition. This estimated amortization expense is
subject to change based upon any additional intangible assets
with finite lives associated with the Merger as discussed in
note 3.
F-15
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Intangible assets consist of the following:
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2004 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(In thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Non-compete agreement
|
|
$ |
24,000 |
|
|
$ |
(4,571 |
) |
|
|
|
|
|
|
|
Unamortized intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
302,069 |
|
|
|
|
|
Trademarks
|
|
|
58,875 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
360,944 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2003 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(In thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Non-compete agreement
|
|
$ |
24,000 |
|
|
$ |
(1,124 |
) |
Management services agreements
|
|
|
1,081 |
|
|
|
(1,081 |
) |
|
|
|
|
|
|
|
Total
|
|
$ |
25,081 |
|
|
$ |
(2,205 |
) |
|
|
|
|
|
|
|
Unamortized intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
306,251 |
|
|
|
|
|
Trademarks
|
|
|
58,875 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
365,126 |
|
|
|
|
|
|
|
|
|
|
|
|
The changes in the carrying amount of goodwill for the
Companys reportable segments for the years ended
December 31, 2004 and 2003 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance as of January 1, 2003
|
|
$ |
84,391 |
|
|
$ |
111,912 |
|
|
$ |
584 |
|
|
$ |
196,887 |
|
Goodwill acquired during year
|
|
|
95,620 |
|
|
|
12,342 |
|
|
|
|
|
|
|
107,962 |
|
Income tax benefits recognized
|
|
|
|
|
|
|
(3,745 |
) |
|
|
|
|
|
|
(3,745 |
) |
Earn-out payments
|
|
|
|
|
|
|
464 |
|
|
|
|
|
|
|
464 |
|
Translation adjustment
|
|
|
|
|
|
|
4,706 |
|
|
|
|
|
|
|
4,706 |
|
Other
|
|
|
|
|
|
|
(23 |
) |
|
|
|
|
|
|
(23 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2003
|
|
|
180,011 |
|
|
|
125,656 |
|
|
|
584 |
|
|
|
306,251 |
|
Sale of discontinued operations
|
|
|
(2,693 |
) |
|
|
|
|
|
|
|
|
|
|
(2,693 |
) |
Assignment of membership interests
|
|
|
(1,351 |
) |
|
|
|
|
|
|
|
|
|
|
(1,351 |
) |
Income tax benefits recognized
|
|
|
|
|
|
|
(5,492 |
) |
|
|
|
|
|
|
(5,492 |
) |
Earn-out payments
|
|
|
|
|
|
|
2,983 |
|
|
|
|
|
|
|
2,983 |
|
Translation adjustment
|
|
|
|
|
|
|
1,999 |
|
|
|
|
|
|
|
1,999 |
|
Other
|
|
|
|
|
|
|
372 |
|
|
|
|
|
|
|
372 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2004
|
|
$ |
175,967 |
|
|
$ |
125,518 |
|
|
$ |
584 |
|
|
$ |
302,069 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-16
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
6. |
Restructuring Reserves |
The Company recorded a restructuring reserve of $5,743,000 in
1999 related to the NovaCare acquisition. The reserves primarily
included costs associated with workforce reductions of
162 employees in 1999 and lease buyouts in accordance with
the Companys qualified restructuring plan. During 2000,
the Company revised its estimates for the NovaCare termination
costs, severance liabilities and the anticipated closure of two
central billing offices related to the NovaCare acquisition. The
reserves for the billing office closures primarily included
costs associated with lease buyouts and workforce reductions of
67 employees. These changes in estimates have been reflected as
an adjustment to the purchase price of NovaCare.
In 2003, the Company recorded a $16,213,000 restructuring
reserve in connection with the acquisition of Kessler
Rehabilitation Corporation which was accounted for as additional
purchase price. The reserves primarily included costs associated
with workforce reductions of 36 employees and lease buyouts in
accordance with the Companys restructuring plan.
The following summarizes the Companys restructuring
activity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Lease | |
|
|
|
|
|
|
Termination | |
|
|
|
|
|
|
Costs | |
|
Severance | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
January 1, 2002
|
|
$ |
1,687 |
|
|
$ |
132 |
|
|
$ |
1,819 |
|
Amounts paid in 2002
|
|
|
(899 |
) |
|
|
(120 |
) |
|
|
(1,019 |
) |
|
|
|
|
|
|
|
|
|
|
December 31, 2002
|
|
|
788 |
|
|
|
12 |
|
|
|
800 |
|
2003 acquisition restructuring costs
|
|
|
5,886 |
|
|
|
10,327 |
|
|
|
16,213 |
|
Amounts paid in 2003
|
|
|
(869 |
) |
|
|
(5,769 |
) |
|
|
(6,638 |
) |
|
|
|
|
|
|
|
|
|
|
December 31, 2003
|
|
|
5,805 |
|
|
|
4,570 |
|
|
|
10,375 |
|
Amounts paid in 2004
|
|
|
(2,580 |
) |
|
|
(2,871 |
) |
|
|
(5,451 |
) |
|
|
|
|
|
|
|
|
|
|
December 31, 2004
|
|
$ |
3,225 |
|
|
$ |
1,699 |
|
|
$ |
4,924 |
|
|
|
|
|
|
|
|
|
|
|
The Company expects to pay out the remaining lease termination
costs through 2007 and severance through 2005.
|
|
7. |
Long-Term Debt and Notes Payable |
The components of long-term debt and notes payable are shown in
the following table:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
91/2% Senior
Subordinated Notes
|
|
$ |
175,000 |
|
|
$ |
175,000 |
|
71/2% Senior
Subordinated Notes
|
|
|
175,000 |
|
|
|
175,000 |
|
Senior credit facility
|
|
|
|
|
|
|
8,483 |
|
Seller notes
|
|
|
3,406 |
|
|
|
7,174 |
|
Other
|
|
|
1,184 |
|
|
|
1,846 |
|
|
|
|
|
|
|
|
Total debt
|
|
|
354,590 |
|
|
|
367,503 |
|
Less: current maturities
|
|
|
3,557 |
|
|
|
10,267 |
|
|
|
|
|
|
|
|
Total long-term debt
|
|
$ |
351,033 |
|
|
$ |
357,236 |
|
|
|
|
|
|
|
|
F-17
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
On August 12, 2003, the Company issued and sold
$175.0 million of
71/2% Senior
Subordinated Notes due 2013. The net proceeds of the
71/2% Senior
Subordinated Notes offering together with existing cash were
used to complete the acquisition of Kessler Rehabilitation
Corporation. The
71/2% Senior
Subordinated Notes are fully and unconditionally guaranteed on a
senior subordinated basis by all of the Companys wholly
owned domestic subsidiaries (the Subsidiary
Guarantors). Certain of the Companys subsidiaries
did not guarantee the
71/2% Senior
Subordinated Notes (the Non-Guarantor Subsidiaries).
The guarantees of the
71/2% Senior
Subordinated Notes are subordinated in right of payment to all
existing and future senior indebtedness of the Subsidiary
Guarantors, including any borrowings or guarantees by those
subsidiaries under the senior credit facility. The
71/2% Senior
Subordinated Notes rank equally in right of payment with all of
the Companys existing and future senior subordinated
indebtedness, including the existing
91/2% senior
subordinated notes, and senior to all of the Companys
existing and future subordinated indebtedness. The Subsidiary
Guarantors are the same for both the
71/2%
and the
91/2% Senior
Subordinated Notes.
On June 11, 2001, the Company issued and sold
$175.0 million in aggregate principle amount of
91/2% Senior
Subordinated Notes due June 15, 2009. The net proceeds
relating to the
91/2% Senior
Subordinated Notes were used to repay debt under the
Companys senior credit facility and to repay
10% Senior Subordinated Notes. The
91/2% Senior
Subordinated Notes are fully and unconditionally guaranteed,
jointly and severally, by the Subsidiary Guarantors. The
Non-Guarantor Subsidiaries did not guarantee the notes.
The senior credit facility consists of a term portion of
approximately $8.5 million at December 31, 2003 and a
revolving credit portion of approximately $152.4 million.
The term portion was paid in full during 2004. The term debt
began quarterly amortization in September 2001, with a final
maturity date of September 2005. The revolving commitment also
matures in September 2005. Borrowings under the facility bear
interest at either LIBOR or Prime rate, plus applicable margins
based on financial covenant ratio tests. Borrowings bore
interest at approximately 5.6% at December 31, 2003. A
commitment fee of .375% to .5% per annum is charged on the
unused portion of the credit facility. Availability under the
revolving credit facility at December 31, 2004 was
approximately $137.3 million. The credit facility is
collateralized by substantially all of the tangible and
intangible assets of the Company and its domestic subsidiaries,
including all of the capital stock of its domestic subsidiaries
and 65% of the capital stock of its direct foreign subsidiaries
and includes restrictions on certain payments by the Company,
including dividend payments, minimum net worth requirements and
other covenants. The Company is authorized to issue up to
$25.0 million in letters of credit. Letters of credit
reduce the capacity under the revolving credit facility and bear
interest at applicable margins based on financial covenant ratio
tests. Approximately $15.1 million and $10.6 million
in letters of credit were issued at December 31, 2004 and
2003, respectively.
The Seller Notes relate to the acquisition of related businesses
and require periodic payments of principal and interest that
mature on various dates through 2007. Also, certain of the notes
contain minimum net worth requirements.
Maturities of long-term debt for the years after 2005 are
approximately as follows (in thousands):
|
|
|
|
|
2006
|
|
$ |
814 |
|
2007
|
|
|
184 |
|
2008
|
|
|
35 |
|
2009
|
|
|
175,000 |
|
2010 and beyond
|
|
|
175,000 |
|
F-18
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
On February 23, 2004, the Companys Board of Directors
authorized a program to repurchase up to $80.0 million of
its common stock. The program will remain in effect until
August 31, 2005, unless extended or cancelled by the Board
of Directors. The extent to which the Company repurchases its
shares and the timing of any purchases will depend on prevailing
market conditions and other corporate considerations. The
Company anticipates funding for this program to come from
available corporate funds, including cash on hand and future
cash flow. The repurchased shares will be immediately retired.
During the year ended December 31, 2004, the Company
repurchased and retired a total of 3,399,400 shares at a
cost, including fees and commissions, of $48.1 million. The
Company has not and will not purchase any of its stock under its
share repurchase program during the pendency of the proposed
merger, which is described in footnote 3.
On September 17, 2001, the Companys Board of
Directors adopted a Shareholder Rights Plan (the Rights Plan).
Under the Rights Plan, rights were distributed as a dividend at
the rate of one right for each share of common stock of the
Company held by the shareholders of record as of the close of
business on October 2, 2001. Until the occurrence of
certain events, the rights are represented by and traded in
tandem with the common stock. As a result of the 2-for-1 split
of the Companys common stock that was effected on
December 23, 2003, under the terms of the Rights Plan, each
share of common stock now represents and trades in tandem with
1/2
of a right. Each right will separate and entitle the
shareholders to buy stock upon an occurrence of certain takeover
or stock accumulation events. Should any person or group
(Acquiring Person) acquire beneficial ownership of 15% or more
of the Companys common stock, each right not held by the
Acquiring Person becomes the right to purchase, at an exercise
price of $104, that number of shares of the Companys
common stock that at the time of the transaction, have a market
value of twice the exercise price. In addition, if after a
person or group becomes an Acquiring Person the Company merges,
consolidates or engages in a similar transaction in which it
does not survive, each holder has a flip-over right
to buy discounted stock in the acquiring company. Certain of our
principal stockholders will not be and cannot become an
Acquiring Person and will not be counted as affiliates or
associates of any other person in determining whether such
person is an Acquiring Person under the Rights Plan.
Under certain circumstances, the rights are redeemable by the
Company at a price of $0.0005 per right. Further, if any
person or group becomes an Acquiring Person, the Board of
Directors has the option to exchange one share of common stock
for each right held by any Person other than the Acquiring
Person. The rights expire on September 17, 2011.
On November 11, 2003, the Companys Board of Directors
approved a 2-for-1 split of its common stock. The stock split
was effected in the form of a 100% stock dividend that was paid
on December 23, 2003 to shareholders of record on
December 5, 2003. All common issued and outstanding share
and per share information has been retroactively restated to
reflect the effects of this 2-for-1 stock split.
The Companys 1997 Stock Option Plan (the Plan) provides
for the granting of options to purchase shares of Company stock
to certain executives, employees and directors.
Options under the Plan carry various restrictions. Under the
Plan, certain options granted to employees will be qualified
incentive stock options within the meaning of Section 422A
of the Internal Revenue Code and other options will be
considered nonqualified stock options. Both incentive stock
options and nonqualified
F-19
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
stock options may be granted for no less than market value at
the day of the grant and expire no later than ten years after
the date of the grant.
Originally under the Plan, options to acquire up to
11,520,000 shares of the stock could be granted. On
February 22, 2001, the Plan was amended and restated to
provide for the issuance of up to 11,520,000 shares of
common stock plus any additional amount necessary to make the
total shares available for issuance under the Plan equal to the
sum of 11,520,000 plus 14% of the total issued and outstanding
common stock in excess of 69,120,000 shares, subject to
adjustment for stock splits, stock dividends and similar changes
in capitalization.
On April 11, 2002, the Companys Board of Directors
adopted the Select Medical Corporation Second Amended and
Restated 1997 Stock Option Plan, which was approved by the
stockholders on May 13, 2002. The amended plan provides for
the grant of non-qualified stock options to key employees to
purchase an additional 6,000,000 shares of common stock. A
substantial portion of these options are Performance Accelerated
Vesting Options. The Performance Accelerated Vesting Options
will vest and become exercisable on the seventh anniversary of
the grant of such options, but the vesting schedule for these
options will be accelerated if the Company meets or exceeds its
performance-based targets of earnings per share (EPS) and
return on equity (ROE). The EPS target for 2002 was $0.42 and
for each subsequent year, the EPS target will be calculated by
increasing the immediately preceding years EPS target by
fifteen percent. The ROE target for 2002 was 13.5%, and for each
subsequent year the ROE target shall be determined by increasing
the target percentage for the immediately preceding year by .5%.
Twenty percent (20%) of a grant of Performance Accelerated
Vesting Options shall vest and become exercisable after the
completion of each fiscal year in which the Company meets or
exceeds both its earnings per share and return on equity
targets. No accelerated vesting shall occur in years in which
the Company fails to meet either of its targets. In addition, if
the Company meets both of these targets in 2002, 2003 and 2004,
and the Companys earnings per share for fiscal year 2004
is greater than or equal to $0.61, then all Performance
Accelerated Vesting Options will become fully vested and
immediately exercisable. Due to the Company meeting its
performance-based targets of EPS and ROE in 2002, 2003 and 2004,
20% of the Performance Accelerated Vesting Options vested
subsequent to December 31, 2002, 20% vested subsequent to
December 31, 2003 and the remainder of the outstanding
options vested subsequent to December 31, 2004. Total
options available for grant under the Second Amended and
Restated 1997 Stock Option Plan were 22,117,000 and 22,154,000
at December 31, 2004 and 2003, respectively.
Transactions and other information related to the Second Amended
and Restated 1997 Stock Option Plan are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average | |
|
|
Price per Share | |
|
Shares | |
|
Exercise Price | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts) | |
Balance, December 31, 2001
|
|
$ |
0.87 to 8.53 |
|
|
|
12,516 |
|
|
$ |
4.40 |
|
|
Granted
|
|
|
6.33 to 7.63 |
|
|
|
8,900 |
|
|
|
7.44 |
|
|
Exercised
|
|
|
3.04 to 5.88 |
|
|
|
(1,298 |
) |
|
|
3.16 |
|
|
Forfeited
|
|
|
3.04 to 8.53 |
|
|
|
(470 |
) |
|
|
6.07 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2002
|
|
$ |
0.87 to 8.53 |
|
|
|
19,648 |
|
|
$ |
5.82 |
|
|
Granted
|
|
|
16.50 to 6.68 |
|
|
|
7,899 |
|
|
|
15.12 |
|
|
Exercised
|
|
|
0.87 to 8.53 |
|
|
|
(6,313 |
) |
|
|
4.35 |
|
|
Forfeited
|
|
|
3.04 to 16.50 |
|
|
|
(333 |
) |
|
|
5.46 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2003
|
|
$ |
3.04 to 16.50 |
|
|
|
20,901 |
|
|
$ |
9.78 |
|
|
Granted
|
|
|
13.86 to 15.50 |
|
|
|
3,704 |
|
|
|
14.74 |
|
|
Exercised
|
|
|
3.04 to 14.53 |
|
|
|
(3,135 |
) |
|
|
5.94 |
|
|
Forfeited
|
|
|
3.04 to 16.50 |
|
|
|
(498 |
) |
|
|
8.85 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2004
|
|
$ |
3.04 to 16.50 |
|
|
|
20,972 |
|
|
$ |
11.25 |
|
|
|
|
|
|
|
|
|
|
|
F-20
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Additional information with respect to the outstanding options
as of December 31, 2004, 2003, 2002 and 2001 for the Second
Amended and Restated 1997 Stock Option Plan is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Range of Exercise Prices | |
|
|
| |
|
|
$0.87-$5.88 | |
|
$6.33-$7.53 | |
|
$7.63-$10.25 | |
|
$14.53-$16.50 | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands except per share amounts) | |
Number outstanding at December 31, 2001
|
|
|
12,306 |
|
|
|
96 |
|
|
|
114 |
|
|
|
|
|
Options outstanding weighted average remaining contractual life
|
|
|
8.4 |
|
|
|
9.9 |
|
|
|
9.7 |
|
|
|
|
|
Number of exercisable
|
|
|
6,222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Number outstanding at December 31, 2002
|
|
|
10,777 |
|
|
|
2,016 |
|
|
|
6,855 |
|
|
|
|
|
Options outstanding weighted average remaining contractual life
|
|
|
7.5 |
|
|
|
9.2 |
|
|
|
9.4 |
|
|
|
|
|
Number of exercisable
|
|
|
6,538 |
|
|
|
1,034 |
|
|
|
2,119 |
|
|
|
|
|
Number outstanding at December 31, 2003
|
|
|
4,817 |
|
|
|
2,033 |
|
|
|
6,280 |
|
|
|
7,771 |
|
Options outstanding weighted average remaining contractual life
|
|
|
6.9 |
|
|
|
8.2 |
|
|
|
8.4 |
|
|
|
9.7 |
|
Number of exercisable
|
|
|
2,297 |
|
|
|
1,253 |
|
|
|
2,597 |
|
|
|
3,550 |
|
Number outstanding at December 31, 2004
|
|
|
2,496 |
|
|
|
1,438 |
|
|
|
5,726 |
|
|
|
11,312 |
|
Options outstanding weighted average remaining contractual life
|
|
|
5.8 |
|
|
|
7.3 |
|
|
|
7.4 |
|
|
|
8.9 |
|
Number of exercisable
|
|
|
1,577 |
|
|
|
964 |
|
|
|
3,186 |
|
|
|
6,197 |
|
On February 12, 2002, the Companys Board of Directors
adopted the 2002 Non-Employee Directors Plan, which was
amended on April 11, 2002, and approved by the stockholders
on May 13, 2002. Under the terms of the Non-Employee
Directors Plan, directors who are not employees of the
Company may be granted non-qualified stock options to purchase
up to 500,000 shares of the Companys common stock
(such number being subject to adjustment under the terms of the
plan), at a price of not less than 100% of the market price on
the date the option is granted. Options expire no later than ten
years after the date of grant.
Transactions and other information related to the 2002
Non-Employee Directors Plan are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted Average | |
|
|
Price per Share | |
|
Shares | |
|
Exercise Price | |
|
|
| |
|
| |
|
| |
|
|
(In thousands except per share amounts) | |
Balance, December 31, 2001
|
|
$ |
|
|
|
|
|
|
|
$ |
|
|
|
Granted
|
|
|
7.02 |
|
|
|
56 |
|
|
|
7.02 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2002
|
|
|
7.02 |
|
|
|
56 |
|
|
|
7.02 |
|
|
Granted
|
|
|
6.68 to 14.53 |
|
|
|
78 |
|
|
|
8.69 |
|
|
Exercised
|
|
|
7.02 |
|
|
|
3 |
|
|
|
7.02 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2003
|
|
|
6.68 to 14.53 |
|
|
|
131 |
|
|
|
8.01 |
|
|
Granted
|
|
|
15.50 |
|
|
|
111 |
|
|
|
15.50 |
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2004
|
|
$ |
6.68 to 15.50 |
|
|
|
242 |
|
|
$ |
11.44 |
|
|
|
|
|
|
|
|
|
|
|
F-21
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Additional information with respect to the outstanding options
as of December 31, 2004, 2003 and 2002 for the 2002
Non-employee Directors Plan is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$6.68 | |
|
$7.02 | |
|
$14.53 | |
|
$15.50 | |
|
|
| |
|
| |
|
| |
|
| |
Number outstanding at December 31, 2002
|
|
|
|
|
|
|
56 |
|
|
|
|
|
|
|
|
|
Options outstanding weighted average remaining contractual life
|
|
|
|
|
|
|
9.12 |
|
|
|
|
|
|
|
|
|
Number of excercisable
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number outstanding at December 31, 2003
|
|
|
58 |
|
|
|
53 |
|
|
|
20 |
|
|
|
|
|
Options outstanding weighted average remaining contractual life
|
|
|
9.14 |
|
|
|
8.12 |
|
|
|
9.61 |
|
|
|
|
|
Number of excercisable
|
|
|
|
|
|
|
8 |
|
|
|
|
|
|
|
|
|
Number outstanding at December 31, 2004
|
|
|
58 |
|
|
|
53 |
|
|
|
20 |
|
|
|
111 |
|
Options outstanding weighted average remaining contractual life
|
|
|
8.14 |
|
|
|
7.12 |
|
|
|
8.61 |
|
|
|
9.11 |
|
Number of excercisable
|
|
|
12 |
|
|
|
20 |
|
|
|
4 |
|
|
|
|
|
Significant components of the Companys tax provision for
the years ended December 31, 2004, 2003 and 2002 are as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Current:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Federal
|
|
$ |
54,147 |
|
|
$ |
33,307 |
|
|
$ |
14,345 |
|
|
State and local
|
|
|
12,111 |
|
|
|
6,258 |
|
|
|
3,599 |
|
|
Foreign
|
|
|
3,051 |
|
|
|
2,359 |
|
|
|
1,754 |
|
|
|
|
|
|
|
|
|
|
|
Total current
|
|
|
69,309 |
|
|
|
41,924 |
|
|
|
19,698 |
|
Deferred
|
|
|
10,803 |
|
|
|
6,837 |
|
|
|
8,878 |
|
|
|
|
|
|
|
|
|
|
|
Total income tax provision(1)
|
|
$ |
80,112 |
|
|
$ |
48,761 |
|
|
$ |
28,576 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Includes amounts associated with discontinued operations |
The difference between the expected income tax provision at the
federal statutory rate of 35% and the income tax expense
recognized in the financial statements is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
Expected federal tax rate
|
|
|
35.0 |
% |
|
|
35.0 |
% |
|
|
35.0 |
% |
State and local taxes, net of federal benefit
|
|
|
3.1 |
|
|
|
3.0 |
|
|
|
2.9 |
|
Other permanent differences
|
|
|
0.8 |
|
|
|
1.2 |
|
|
|
0.5 |
|
Foreign taxes
|
|
|
0.3 |
|
|
|
0.4 |
|
|
|
0.5 |
|
Valuation Allowance
|
|
|
1.2 |
|
|
|
|
|
|
|
|
|
Other
|
|
|
|
|
|
|
|
|
|
|
0.4 |
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
40.4 |
% |
|
|
39.6 |
% |
|
|
39.3 |
% |
|
|
|
|
|
|
|
|
|
|
Undistributed earnings of the Companys foreign subsidiary
are permanently reinvested. Accordingly, no deferred taxes have
been provided on these earnings.
F-22
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
A summary of deferred tax assets and liabilities is as follows:
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Deferred tax assets current
|
|
|
|
|
|
|
|
|
Allowance for doubtful accounts
|
|
$ |
37,846 |
|
|
$ |
42,991 |
|
Compensation and benefit related accruals
|
|
|
15,813 |
|
|
|
10,897 |
|
Malpractice insurance
|
|
|
1,082 |
|
|
|
1,246 |
|
Restructuring reserve
|
|
|
1,959 |
|
|
|
3,319 |
|
Patient care reserve
|
|
|
1,595 |
|
|
|
|
|
Other accruals, net
|
|
|
944 |
|
|
|
3,246 |
|
|
|
|
|
|
|
|
Net deferred tax asset current
|
|
|
59,239 |
|
|
|
61,699 |
|
|
|
|
|
|
|
|
Deferred tax assets non current
|
|
|
|
|
|
|
|
|
Expenses not currently deductible for tax
|
|
|
199 |
|
|
|
1,079 |
|
Net operating loss carry forwards
|
|
|
14,289 |
|
|
|
9,624 |
|
Depreciation and amortization
|
|
|
(8,440 |
) |
|
|
420 |
|
|
|
|
|
|
|
|
Net deferred tax asset non current
|
|
|
6,048 |
|
|
|
11,123 |
|
|
|
|
|
|
|
|
Net deferred tax asset before valuation allowance
|
|
|
65,287 |
|
|
|
72,822 |
|
Valuation allowance
|
|
|
(10,506 |
) |
|
|
(4,520 |
) |
|
|
|
|
|
|
|
Deferred tax asset
|
|
$ |
54,781 |
|
|
$ |
68,302 |
|
|
|
|
|
|
|
|
The valuation allowance is primarily attributable to the
uncertainty regarding the realization of state net operating
losses and other net deferred tax assets of loss entities. The
net deferred tax assets of approximately $54.8 million
consist of: items which have been recognized for financial
reporting purposes, but which will reduce tax on returns to be
filed in the future and include the use of net operating loss
carryforwards. The Company has performed the required assessment
of positive and negative evidence regarding the realization of
the net deferred tax assets in accordance with
SFAS No. 109, Accounting for Income Taxes.
This assessment included a review of legal entities with three
years of cumulative losses, estimates of projected future
taxable income and the impact of tax-planning strategies that
management plans to implement. Although realization is not
assured, based on the Companys assessment, it has
concluded that it is more likely than not that such assets, net
of the existing valuation allowance, will be realized.
Net operating loss carry forwards expire as follows (in
thousands):
|
|
|
|
|
2005
|
|
$ |
97 |
|
2006
|
|
|
|
|
2007
|
|
|
|
|
2008
|
|
|
|
|
Thereafter through 2019
|
|
$ |
2,716 |
|
As a result of the acquisition of American Transitional
Hospitals, Inc. and Kessler Rehabilitation Corporation, the
Company is subject to the provisions of Section 382 of the
Internal Revenue Code which provide for annual limitations on
the deductibility of acquired net operating losses and certain
tax deductions. These limitations apply until the earlier of
utilization or expiration of the net operating losses.
Additionally, if
F-23
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
certain substantial changes in the Companys ownership
should occur, there would be an annual limitation on the amount
of the carryforwards that can be utilized.
The Company has total state net operating losses of
approximately $248.0 million with various expirations.
|
|
11. |
Retirement Savings Plan |
The Company sponsors a defined contribution retirement savings
plan for substantially all of its employees. Employees may elect
to defer up to 15% of their salary. The Company matches 50% of
the first 6% of compensation employees contribute to the plan.
The employees vest in the employer contributions over a
three-year period beginning on the employees hire date.
The expense incurred by the Company related to this plan was
$6,833,000, $4,893,000, and $4,922,000 during the years ended
December 31, 2004, 2003 and 2002, respectively.
A subsidiary of the Company sponsored a defined contribution
savings plan in 2003 for substantially all eligible employees
who have reached 21 years of age and have completed one
year of service. Employees may elect to defer up to 15% of their
salary. The subsidiary matches 50% of the first 4% of
compensation employees contribute to the plan. The employees
vest in the employer contributions over a five-year period
beginning on the employees hire date. The expense incurred
by the subsidiary related to this plan was $118,000 for the year
ended December 31, 2003.
SFAS No. 131, Disclosure about Segments of an
Enterprise and Related Information, establishes standards
for reporting information about operating segments and related
disclosures about products and services, geographic areas and
major customers.
The Companys segments consist of (i) specialty
hospitals and (ii) outpatient rehabilitation. All other
represents amounts associated with corporate activities and
businesses associated with home medical equipment, orthotics,
prosthetics, infusion/intravenous services and computer
software. The accounting policies of the segments are the same
as those described in the summary of significant accounting
policies. The Company evaluates performance of the segments
based on Adjusted EBITDA. Adjusted EBITDA is defined as net
income (loss) before interest, income taxes, depreciation and
amortization, equity in earnings from joint ventures, income
from discontinued operations and minority interest.
The following table summarizes selected financial data for the
Companys reportable segments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2004 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
1,089,538 |
|
|
$ |
558,097 |
|
|
$ |
13,156 |
|
|
$ |
1,660,791 |
|
Adjusted EBITDA
|
|
|
236,181 |
|
|
|
81,616 |
|
|
|
(46,287 |
) |
|
|
271,510 |
|
Total assets
|
|
|
520,572 |
|
|
|
318,180 |
|
|
|
274,969 |
|
|
|
1,113,721 |
|
Capital expenditures
|
|
|
23,320 |
|
|
|
5,885 |
|
|
|
3,421 |
|
|
|
32,626 |
|
F-24
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2003 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
849,260 |
|
|
$ |
529,262 |
|
|
$ |
13,844 |
|
|
$ |
1,392,366 |
|
Adjusted EBITDA
|
|
|
145,650 |
|
|
|
74,988 |
|
|
|
(36,185 |
) |
|
|
184,453 |
|
Total assets
|
|
|
512,956 |
|
|
|
365,534 |
|
|
|
200,508 |
|
|
|
1,078,998 |
|
Capital expenditures
|
|
|
22,559 |
|
|
|
8,514 |
|
|
|
4,779 |
|
|
|
35,852 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2002 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
625,238 |
|
|
$ |
485,101 |
|
|
$ |
16,220 |
|
|
$ |
1,126,559 |
|
Adjusted EBITDA
|
|
|
70,891 |
|
|
|
81,136 |
|
|
|
(24,748 |
) |
|
|
127,279 |
|
Total assets
|
|
|
332,737 |
|
|
|
326,763 |
|
|
|
79,559 |
|
|
|
739,059 |
|
Capital expenditures
|
|
|
28,791 |
|
|
|
12,637 |
|
|
|
1,755 |
|
|
|
43,183 |
|
A reconciliation of net income to Adjusted EBITDA is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net income
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
Income tax expense
|
|
|
79,602 |
|
|
|
48,597 |
|
|
|
28,576 |
|
Minority interest
|
|
|
3,448 |
|
|
|
2,402 |
|
|
|
2,022 |
|
Interest expense
|
|
|
33,634 |
|
|
|
26,340 |
|
|
|
27,210 |
|
Interest income
|
|
|
(2,583 |
) |
|
|
(936 |
) |
|
|
(596 |
) |
Equity in earnings from joint ventures
|
|
|
|
|
|
|
(824 |
) |
|
|
|
|
Income from discontinued operations
|
|
|
(752 |
) |
|
|
(251 |
) |
|
|
|
|
Depreciation and amortization
|
|
|
39,977 |
|
|
|
34,654 |
|
|
|
25,836 |
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA
|
|
$ |
271,510 |
|
|
$ |
184,453 |
|
|
$ |
127,279 |
|
|
|
|
|
|
|
|
|
|
|
Under SFAS No. 128, Earnings per Share
(EPS), the Companys granting of certain stock options and
warrants resulted in potential dilution of basic EPS. The
following table sets forth for the periods indicated the
calculation of net income per share in the Companys
consolidated Statement of Operations and the differences between
basic weighted average shares outstanding and diluted weighted
average shares outstanding used to compute diluted EPS:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands except per share | |
|
|
amounts) | |
Numerator:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
117,432 |
|
|
$ |
74,220 |
|
|
$ |
44,231 |
|
|
Income from discontinued operations, net of tax
|
|
|
752 |
|
|
|
251 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
118,184 |
|
|
$ |
74,471 |
|
|
$ |
44,231 |
|
|
|
|
|
|
|
|
|
|
|
F-25
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands except per share | |
|
|
amounts) | |
Denominator:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Denominator for basic earnings per share-weighted average shares
|
|
|
102,165 |
|
|
|
97,452 |
|
|
|
92,928 |
|
|
Effect of dilutive securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a) Stock options
|
|
|
4,364 |
|
|
|
5,853 |
|
|
|
3,178 |
|
|
b) Warrants
|
|
|
|
|
|
|
686 |
|
|
|
2,150 |
|
|
|
|
|
|
|
|
|
|
|
Denominator for diluted earnings per share-adjusted weighted
average shares
|
|
|
106,529 |
|
|
|
103,991 |
|
|
|
98,256 |
|
|
|
|
|
|
|
|
|
|
|
Basic income per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
1.15 |
|
|
$ |
0.76 |
|
|
$ |
0.48 |
|
|
Income from discontinued operations
|
|
|
.01 |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
1.16 |
|
|
$ |
0.76 |
|
|
$ |
0.48 |
|
|
|
|
|
|
|
|
|
|
|
Diluted income per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
1.10 |
|
|
$ |
0.72 |
|
|
$ |
0.45 |
|
|
Income from discontinued operations
|
|
|
.01 |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
1.11 |
|
|
$ |
0.72 |
|
|
$ |
0.45 |
|
|
|
|
|
|
|
|
|
|
|
The following amounts are shown here for informational and
comparative purposes only, since their inclusion would be
anti-dilutive (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
Stock options
|
|
|
4,512 |
|
|
|
2,336 |
|
|
|
7,398 |
|
|
|
14. |
Fair Value of Financial Instruments |
Financial instruments include cash and cash equivalents, notes
payable and long-term debt. The carrying amount of cash and cash
equivalents approximates fair value because of the short-term
maturity of these instruments.
The Company is exposed to the impact of interest rate changes.
The Companys objective is to manage the impact of the
interest rate changes on earnings and cash flows and on the
market value of its borrowings. The Company entered into an
interest rate swap in March 2001 which became effective in April
2001. The swap originally matured in March 2005. In January
2002, the swap maturity date was amended to March 2003. The
variable interest rate of the debt was 4.4% and the fixed rate
of the swap was 8.1% at December 31, 2002. The differential
to be paid or received from the counterparty in the agreement is
recorded as interest expense as rates reset. The net settlement
resulted in a $2.1 million increase in interest expense in
2002.
The interest rate swap has been designated as a hedge and
qualified under the provision of SFAS No. 133 as an
effective hedge under the short-cut method. Accordingly, the
change in the fair value for the year ended December 31,
2002 was recorded in other comprehensive income.
Borrowings under the credit facility which are not subject to
the swap have variable rates that reflect currently available
terms and conditions for similar debt. The carrying amount of
this debt is a reasonable estimate of fair value.
F-26
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
The
91/2% Senior
Subordinated Notes and the
71/2% Senior
Subordinated Notes, which were issued and sold on June 11,
2001 and August 12, 2003, respectively, are traded in
public markets. The carrying value for both the
91/2% Senior
Subordinated Notes and the
71/2% Senior
Subordinated Notes was $175.0 million at December 2004 and
2003. The estimated fair value of the
91/2% Senior
Subordinated Notes was $187.7 million and
$192.1 million at December 31, 2004 and 2003,
respectively. The estimated fair value of the
71/2% Senior
Subordinated Notes was $197.8 million and
$185.5 million at December 31, 2004 and 2003,
respectively.
|
|
15. |
Related Party Transactions |
The Company is party to various rental and other agreements with
companies owned by a related party affiliated through common
ownership or management. The Company made rental and other
payments aggregating $1,902,000, $1,525,000, and $1,434,000
during the years ended December 31, 2004, 2003 and 2002,
respectively, to the affiliated companies.
As of December 31, 2004, future rental commitments under
outstanding agreements with the affiliated companies are
approximately as follows (in thousands):
|
|
|
|
|
2005
|
|
$ |
1,731 |
|
2006
|
|
|
1,795 |
|
2007
|
|
|
1,783 |
|
2008
|
|
|
1,823 |
|
2009
|
|
|
1,660 |
|
Thereafter
|
|
|
9,226 |
|
|
|
|
|
|
|
$ |
18,018 |
|
|
|
|
|
In September 2002, the Company acquired Select Air II
Corporation for consideration of $2,456,000 and in November
2002, the Company acquired Select Transport, Inc. for
consideration of $1,007,850, in each case from a related party.
|
|
16. |
Commitments and Contingencies |
The Company leases facilities and equipment from unrelated
parties under operating leases. Minimum future lease obligations
on long-term non-cancelable operating leases in effect at
December 31, 2004 are approximately as follows (in
thousands):
|
|
|
|
|
2005
|
|
$ |
73,039 |
|
2006
|
|
|
56,938 |
|
2007
|
|
|
41,229 |
|
2008
|
|
|
25,072 |
|
2009
|
|
|
12,742 |
|
Thereafter
|
|
|
16,866 |
|
|
|
|
|
|
|
$ |
225,886 |
|
|
|
|
|
Total rent expense for operating leases for the years ended
December 31 2004, 2003 and 2002 was approximately
$107,098,000, $95,188,000, and $85,215,000, respectively.
F-27
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
The Company acquired a long-term obligation to care for an
indigent, ventilator dependent, quadriplegic individual through
its acquisition of Kessler Rehabilitation Corporation. The
Company has utilized actuarial methods in estimating and
recording its liability for the care of this individual. Changes
in variables utilized in estimating this liability such as life
expectancy, level of medical care and medical care costs can
have a significant effect on the estimated liability. The
Company monitors these variables and makes periodic adjustments
to the estimated liability as appropriate. The estimated cost
for this individuals care was $3.2 million and
$3.5 million at December 31, 2004 and 2003,
respectively.
In March 2000, the Company entered into three-year employment
agreements with three of its executive officers. Under these
agreements, the three executive officers will receive a combined
total annual salary of $2,100,000 subject to adjustment by the
Companys Board of Directors. At the end of each 12-month
period beginning March 1, 2000, the term of each employment
agreement automatically extends for an additional year unless
one of the executives or the Company gives written notice to the
other not less than three months prior to the end of that
12-month period that they do not want the term of the employment
agreement to continue.
A subsidiary of the Company has entered into a naming,
promotional and sponsorship agreement for a sports complex. The
naming, promotional and sponsorship agreement is in effect until
2026. The subsidiary is required to make payments in accordance
with the contract terms over 25 years ranging from
$1,400,000 to $1,963,000 per year and provide physical
therapy and training services.
On August 24, 2004, Clifford C. Marsden and Ming Xu filed a
purported class action complaint in the United States District
Court for the Eastern District of Pennsylvania on behalf of the
public stockholders of the Company against Martin Jackson,
Robert A. Ortenzio, Rocco A. Ortenzio, Patricia Rice and the
Company. The complaint alleges, among other things, failure to
disclose adverse information regarding a potential regulatory
change affecting reimbursement for the Companys services
applicable to long-term acute care hospitals operated as
hospitals within hospitals, and the issuance of false and
misleading statements about the financial outlook of the
Company. The complaint seeks, among other things, damages in an
unspecified amount, interest and attorneys fees. On
November 9, 2004, the Court has not yet ruled on that
motion. The Company believes that the allegations in the
complaint are without merit and intends to vigorously defend
against this action.
On October 18, 2004, Garco Investments, LLP filed a
purported class action complaint in the Court of Chancery of the
State of Delaware, New Castle County (the Court) on
behalf of the unaffiliated stockholders of the Company against
Russell L. Carson, David S. Chernow, Bryan C. Cressey, James E.
Dalton, Jr., Meyer Feldberg, Robert A. Ortenzio, Rocco A.
Ortenzio, Thomas A. Scully, Leopold Swergold and LeRoy S.
Zimmerman, who are all of the Companys directors, the
Company and Welsh, Carson, Anderson & Stowe. On
November 3, 2004, Terrence C. Davey filed a purported class
action complaint in the Court, on behalf of the Companys
unaffiliated stockholders against all of the Companys
directors, the Company and Welsh, Carson, Anderson &
Stowe. On November 18, 2004, the Court entered an Order of
Consolidation which, among other things, consolidated the
above-mentioned actions under the caption In re: Select Medical
Corporation Shareholders Litigation, Consolidated C.A.
No. 755-N and appointed co-lead plaintiffs counsel.
On December 20, 2004, plaintiffs Garco Investments LLP and
Terence C. Davey filed an Amended Consolidated Complaint in the
Court, purportedly on behalf of the Companys unaffiliated
stockholders
F-28
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
against all of the Companys directors, the Company and
Welsh, Carson, Anderson & Stowe. The amended complaint
alleges, among other things, that the defendants have breached
their fiduciary duties owed to the plaintiffs and the
Companys stockholders in connection with the proposed
going private transaction, that the proposed merger
consideration is not fair or adequate, and that the defendants
failed to disclose and/or misrepresented material information in
the proxy statement relating to the merger and/or disseminated a
stale fairness opinion by Banc of America Securities
LLC. The complaint seeks, among other things, to enjoin the
defendants from completing the merger or, alternatively, to
rescind the merger (if complete) or award rescissory damages in
an unspecified amount, and to require issuance of corrective
and/or supplemental disclosures and an update of the
stale fairness opinion.
As a result of arms-length settlement negotiations among
counsel in the Delaware consolidated lawsuit, on
January 21, 2005 the parties executed a stipulation of
settlement which recognizes, among other things, that the
allegations of the amended complaint were a material factor in
causing the Company to make certain additional disclosures in
the proxy statement, and that those disclosures, and the other
terms set forth in the stipulation of settlement (which is on
file with the Court) are a fair and reasonable means by which to
resolve the action. The proposed settlement is subject to final
approval by the Court, and therefore may not be final at the
time the Company consummates the merger. The Court has scheduled
a hearing for March 24, 2005 to consider, among other
things, whether to approve the proposed settlement. If the
proposed settlement is ultimately not approved by the Court, the
litigation could proceed and the plaintiffs could seek the
relief sought in their amended complaint. As a result, we can
make no assurance that the proposed settlement will be completed
on the terms described above. The Company believes that the
allegations in the amended complaint are without merit and
intend to vigorously defend against this action if we are unable
to reach a settlement that is finally approved by the Court.
The Company carries director and officer insurance covering
these purported class actions lawsuits, while the Company does
not believe these claims will have a material adverse effect on
our financial position or results of operations, due to the
uncertain nature of such litigation, the Company cannot predict
the outcome of these matters.
The Company is subject to legal proceedings and claims that
arise in the ordinary course of its business, which include
malpractice claims covered under our insurance policies. In the
Companys opinion, the outcome of these actions will not
have a material adverse effect on the financial position or
results of operations of the Company.
To cover claims arising out of the operations of the
Companys hospitals and outpatient rehabilitation
facilities, the Company maintains professional malpractice
liability insurance and general liability insurance. The Company
also maintains umbrella liability insurance covering claims
which, due to their nature or amount, are not covered by or not
fully covered by the Companys other insurance policies.
These insurance policies also do not generally cover punitive
damages. Significant legal actions as well as the cost and
possible lack of available insurance could subject us to
substantial uninsured liabilities.
Health care providers are often subject to lawsuits under the
qui tam provisions of the federal False Claims Act.
Qui tam lawsuits typically remain under seal (hence,
unknown to the defendant) for some time while the government
decides whether or not to intervene on behalf of a private
qui tam plaintiff (known as a relator) and take the lead
in the litigation. A qui tam lawsuit against the Company
has been filed in the United States District Court for the
District of Nevada, but because the action is still under seal,
the Company does not know the details of the allegations or the
relief sought. As is required by law, the federal government is
conducting an investigation of this complaint to determine if it
will intervene in the case. The Company has received a subpoena
for patient records and other documents apparently related to
the federal governments investigation of matters alleged
in this qui tam complaint. The Company believes that
these investigations relate to the Medicare outpatient billing
practices of certain of the Companys subsidiaries. The
three relators in this qui tam lawsuit are two former
employees of the Companys Las Vegas, Nevada
F-29
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
subsidiary who were terminated by the Company in 2001 and a
former employee of the Companys Florida subsidiary who the
Company asked to resign. The Company sued the former Las Vegas
employees in state court in Nevada in 2001 for, among other
things, return of misappropriated funds, and the Companys
lawsuit has recently been transferred to the federal court in
Las Vegas. While the government has investigated but chosen not
to intervene in two previous qui tam lawsuits filed
against the Company, the Company cannot provide assurance that
the government will not intervene in this case. However, the
Company believes, based on its prior experiences with qui tam
cases and the information currently available to the
Company, that this qui tam action will not have a
material adverse effect on the Company.
|
|
17. |
Supplemental Disclosures of Cash Flow Information |
Non-cash investing and financing activities are comprised of the
following for the years ended December 31, 2004, 2003 and
2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
Description of Transaction |
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Notes issued with acquisitions (Note 2)
|
|
$ |
214 |
|
|
$ |
316 |
|
|
$ |
1,864 |
|
Liabilities assumed with acquisitions (Note 2)
|
|
|
573 |
|
|
|
36,513 |
|
|
|
345 |
|
Tax benefit of stock option exercises
|
|
$ |
13,044 |
|
|
$ |
25,059 |
|
|
$ |
2,239 |
|
In connection with the proposed merger as discussed in
note 3, the Company has commenced tender offers to acquire
all of its existing
91/2% senior
subordinated notes due 2009 and all of its existing
71/2% senior
subordinated notes due 2013. In connection with each such tender
offer the Company is seeking consents to eliminate substantially
all of the restrictive covenants and make other amendments to
the indentures governing such notes. The consummation of the
merger is conditioned upon a majority of the aggregate principal
amount of each such series of outstanding notes being tendered
and consenting to the proposed amendments. As of
February 2, 2005, the Company received the consent of a
100% and 97% of the holders of the
71/2%
and
91/2% senior
subordinated notes, respectively. As a result, the Company has
received the consents necessary to amend the indentures
governing the
91/2%
and the
71/2% senior
subordinated notes.
On February 3, 2005, the Company sold $660.0 million
of
75/8%
Senior Subordinated Notes (the Notes) due 2015. The
net proceeds of the offering will be used to provide a portion
of the funds necessary to finance the Companys previously
announced merger with an affiliate of Welsh, Carson,
Anderson & Stowe IX, L.P. as discussed in note 3,
refinance certain of Selects existing indebtedness, and
pay related fees and expenses. The simultaneous completion of
the merger is one of the conditions to the offering. The Company
anticipates completing the offering in February 2005. The Notes
are fully and unconditionally guaranteed on a senior
subordinated basis by all of the Companys wholly owned
domestic subsidiaries (the Subsidiary Guarantors).
Certain of the Companys subsidiaries did not guarantee the
Notes (the Non-Guarantor Subsidiaries). The
guarantees of the Notes are subordinated in right of payment to
all existing and future senior indebtedness of the Subsidiary
Guarantors, including any borrowings or guarantees by those
subsidiaries under the senior credit facility. The Notes rank
equally in right of payment with all of the Companys
existing and future senior subordinated indebtedness, including
the existing
91/2% senior
subordinated notes, and senior to all of the Companys
existing and future subordinated indebtedness.
F-30
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Effective as of January 1, 2005, the Company acquired
SemperCare Inc. for approximately $100.0 million in cash.
The purchase price for the SemperCare acquisition is subject to
an upward or downward adjustment based on the level of
SemperCares net working capital on the closing date of the
acquisition. SemperCare is based in Plano, Texas and operates 17
long-term acute care hospitals in 11 states. All of the
SemperCare facilities are operated as hospitals within hospitals.
|
|
19. |
Financial Information for Subsidiary Guarantors and
Non-Guarantor Subsidiaries |
The Company conducts a significant portion of its business
through its subsidiaries. Presented below is condensed
consolidating financial information for the Company, the
Subsidiary Guarantors and the Non-Guarantor Subsidiaries at
December 31, 2004 and 2003 and for the years ended
December 31, 2004, 2003 and 2002. All Subsidiary Guarantors
were wholly-owned as of the date of the registration of the debt
offerings as described in note 7.
On January 1, 2003, the Company purchased the outstanding
minority interests of Rehab Advantage Therapy Services, LLC and
Select Management Services, LLC. The operations of these
businesses through December 31, 2002 have been included as
Non-Guarantor Subsidiaries. The operations of the businesses
(through a 100% owned subsidiary) commencing on January 1,
2003 have been included as Guarantor Subsidiaries.
The equity method has been used by the Company with respect to
investments in subsidiaries. The equity method has been used by
Subsidiary Guarantors with respect to investments in
Non-Guarantor Subsidiaries. Separate financial statements for
Subsidiary Guarantors are not presented.
The following table sets forth the Non-Guarantor Subsidiaries at
December 31, 2004:
|
|
|
Caritas Rehab Services, LLC
Canadian Back Institute Limited and
its subsidiaries
Cupertino Medical Center, P.C.
Elizabethtown Physical Therapy
Jeff Ayres, PT Therapy Center, Inc.
Jeffersontown Physical Therapy, LLC
Kentucky Orthopedic Rehabilitation, LLC
Kessler Core PT, OT and Speech Therapy at New
York, LLC
Langhorne, P.C.
Lester OSM, P.C.
Louisville Physical Therapy, P.S.C.
Medical Information Management Systems, LLC
Metropolitan West Physical Therapy and Sports
Medicine Services Inc.
Metro Therapy, Inc.
MKJ Physical Therapy, Inc.
New York Physician Services, P.C. |
|
North Andover Physical Therapy, Inc.
OccuMed East, P.C.
Ohio Occupational Health, P.C., Inc.
Partners in Physical Therapy, PLLC
Philadelphia Occupational Health, P.C.
Rehabilitation Physician Services, P.C
Robinson & Associates, P.C.
Select Specialty Hospital
Central Pennsylvania, L.P.
Select Specialty Hospital Houston, L.P.
Select Specialty Hospital Mississippi Gulf
Coast, Inc.
Sprint Physical Therapy, P.C.
Therex, P.C.
TJ Corporation I, L.L.C.
U.S. Regional Occupational Health II, P.C.
U.S. Regional Occupational Health II of New
Jersey, P.C. |
F-31
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Balance Sheet
December 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Select Medical | |
|
|
|
|
|
|
|
|
|
|
Corporation | |
|
|
|
|
|
|
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
161,704 |
|
|
$ |
74,641 |
|
|
$ |
11,131 |
|
|
$ |
|
|
|
$ |
247,476 |
|
|
Restricted cash
|
|
|
7,031 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,031 |
|
|
Accounts receivable, net
|
|
|
29 |
|
|
|
201,399 |
|
|
|
15,424 |
|
|
|
|
|
|
|
216,852 |
|
|
Current deferred tax asset
|
|
|
8,962 |
|
|
|
46,172 |
|
|
|
4,105 |
|
|
|
|
|
|
|
59,239 |
|
|
Other current assets
|
|
|
2,896 |
|
|
|
11,222 |
|
|
|
4,619 |
|
|
|
|
|
|
|
18,737 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
180,622 |
|
|
|
333,434 |
|
|
|
35,279 |
|
|
|
|
|
|
|
549,335 |
|
Property and equipment, net
|
|
|
8,038 |
|
|
|
139,610 |
|
|
|
17,688 |
|
|
|
|
|
|
|
165,336 |
|
Investment in affiliates
|
|
|
564,136 |
|
|
|
59,403 |
|
|
|
|
|
|
|
(623,539 |
)(a) |
|
|
|
|
Goodwill
|
|
|
5,853 |
|
|
|
244,927 |
|
|
|
51,289 |
|
|
|
|
|
|
|
302,069 |
|
Trademark
|
|
|
|
|
|
|
58,875 |
|
|
|
|
|
|
|
|
|
|
|
58,875 |
|
Other intangibles
|
|
|
|
|
|
|
19,429 |
|
|
|
|
|
|
|
|
|
|
|
19,429 |
|
Other assets
|
|
|
12,439 |
|
|
|
5,003 |
|
|
|
1,235 |
|
|
|
|
|
|
|
18,677 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
771,088 |
|
|
$ |
860,681 |
|
|
$ |
105,491 |
|
|
$ |
(623,539 |
) |
|
$ |
1,113,721 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current portion of long-term debt and notes payable
|
|
$ |
1,380 |
|
|
$ |
1,674 |
|
|
$ |
503 |
|
|
$ |
|
|
|
$ |
3,557 |
|
|
Accounts payable
|
|
|
1,646 |
|
|
|
39,643 |
|
|
|
7,343 |
|
|
|
|
|
|
|
48,632 |
|
|
Intercompany accounts
|
|
|
139,392 |
|
|
|
(140,606 |
) |
|
|
1,214 |
|
|
|
|
|
|
|
|
|
|
Accrued payroll
|
|
|
493 |
|
|
|
55,956 |
|
|
|
105 |
|
|
|
|
|
|
|
56,554 |
|
|
Accrued vacation
|
|
|
2,528 |
|
|
|
18,957 |
|
|
|
1,617 |
|
|
|
|
|
|
|
23,102 |
|
|
Accrued medical malpractice
|
|
|
14,627 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,627 |
|
|
Accrued restructuring
|
|
|
|
|
|
|
4,924 |
|
|
|
|
|
|
|
|
|
|
|
4,924 |
|
|
Accrued other
|
|
|
12,472 |
|
|
|
50,570 |
|
|
|
3,442 |
|
|
|
|
|
|
|
66,484 |
|
|
Income taxes payable
|
|
|
(27,767 |
) |
|
|
43,561 |
|
|
|
(11,320 |
) |
|
|
|
|
|
|
4,474 |
|
|
Due to third party payors
|
|
|
6,068 |
|
|
|
8,372 |
|
|
|
(1,174 |
) |
|
|
|
|
|
|
13,266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
150,839 |
|
|
|
83,051 |
|
|
|
1,730 |
|
|
|
|
|
|
|
235,620 |
|
Long-term debt, net of current portion
|
|
|
105,058 |
|
|
|
229,485 |
|
|
|
16,490 |
|
|
|
|
|
|
|
351,033 |
|
Noncurrent deferred tax liability
|
|
|
(752 |
) |
|
|
4,395 |
|
|
|
815 |
|
|
|
|
|
|
|
4,458 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
255,145 |
|
|
|
316,931 |
|
|
|
19,035 |
|
|
|
|
|
|
|
591,111 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
414 |
|
|
|
6,253 |
|
|
|
|
|
|
|
6,667 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
|
1,020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,020 |
|
|
Capital in excess of par
|
|
|
275,281 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
275,281 |
|
|
Retained earnings
|
|
|
230,535 |
|
|
|
218,749 |
|
|
|
49,351 |
|
|
|
(268,100 |
)(b) |
|
|
230,535 |
|
|
Subsidiary investment
|
|
|
|
|
|
|
324,587 |
|
|
|
30,852 |
|
|
|
(355,439 |
)(a) |
|
|
|
|
|
Accumulated other comprehensive loss
|
|
|
9,107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9,107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
515,943 |
|
|
|
543,336 |
|
|
|
80,203 |
|
|
|
(623,539 |
) |
|
|
515,943 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
771,088 |
|
|
$ |
860,681 |
|
|
$ |
105,491 |
|
|
$ |
(623,539 |
) |
|
$ |
1,113,721 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of investments in subsidiaries. |
|
|
|
(b) |
|
Elimination of investments in subsidiaries earnings. |
F-32
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Twelve Months Ended December 31, 2004 | |
|
|
| |
|
|
Select Medical | |
|
|
|
Non- | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenues
|
|
$ |
134 |
|
|
$ |
1,424,087 |
|
|
$ |
236,570 |
|
|
$ |
|
|
|
$ |
1,660,791 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
1,100,646 |
|
|
|
194,257 |
|
|
|
|
|
|
|
1,294,903 |
|
|
General and administrative
|
|
|
44,494 |
|
|
|
1,362 |
|
|
|
|
|
|
|
|
|
|
|
45,856 |
|
|
Bad debt expense
|
|
|
|
|
|
|
47,841 |
|
|
|
681 |
|
|
|
|
|
|
|
48,522 |
|
|
Depreciation and amortization
|
|
|
2,349 |
|
|
|
32,937 |
|
|
|
4,691 |
|
|
|
|
|
|
|
39,977 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
46,843 |
|
|
|
1,182,786 |
|
|
|
199,629 |
|
|
|
|
|
|
|
1,429,258 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(46,709 |
) |
|
|
241,301 |
|
|
|
36,941 |
|
|
|
|
|
|
|
231,533 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
26,736 |
|
|
|
(26,652 |
) |
|
|
(84 |
) |
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(100,099 |
) |
|
|
96,659 |
|
|
|
3,440 |
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
(1,367 |
) |
|
|
(1,048 |
) |
|
|
(168 |
) |
|
|
|
|
|
|
(2,583 |
) |
Interest expense
|
|
|
10,858 |
|
|
|
20,043 |
|
|
|
2,733 |
|
|
|
|
|
|
|
33,634 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before minority interests and income taxes
|
|
|
17,163 |
|
|
|
152,299 |
|
|
|
31,020 |
|
|
|
|
|
|
|
200,482 |
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
249 |
|
|
|
3,199 |
|
|
|
|
|
|
|
3,448 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
17,163 |
|
|
|
152,050 |
|
|
|
27,821 |
|
|
|
|
|
|
|
197,034 |
|
Income tax expense
|
|
|
12,208 |
|
|
|
62,340 |
|
|
|
5,054 |
|
|
|
|
|
|
|
79,602 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
4,955 |
|
|
|
89,710 |
|
|
|
22,767 |
|
|
|
|
|
|
|
117,432 |
|
Income from discontinued operations, net of tax
|
|
|
|
|
|
|
752 |
|
|
|
|
|
|
|
|
|
|
|
752 |
|
Equity in earnings of subsidiaries
|
|
|
113,229 |
|
|
|
17,965 |
|
|
|
|
|
|
|
(131,194 |
)(a) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
118,184 |
|
|
$ |
108,427 |
|
|
$ |
22,767 |
|
|
$ |
(131,194 |
) |
|
$ |
118,184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income (loss) from consolidated
subsidiaries. |
F-33
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Twelve Months Ended December 31, 2004 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
118,184 |
|
|
$ |
108,427 |
|
|
$ |
22,767 |
|
|
$ |
(131,194 |
)(a) |
|
$ |
118,184 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
2,349 |
|
|
|
32,872 |
|
|
|
4,691 |
|
|
|
|
|
|
|
39,912 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
48,305 |
|
|
|
681 |
|
|
|
|
|
|
|
48,986 |
|
|
Deferred income taxes
|
|
|
(1,164 |
) |
|
|
11,483 |
|
|
|
484 |
|
|
|
|
|
|
|
10,803 |
|
|
Minority interests
|
|
|
|
|
|
|
249 |
|
|
|
3,199 |
|
|
|
|
|
|
|
3,448 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
(113,229 |
) |
|
|
(17,965 |
) |
|
|
|
|
|
|
131,194 |
(a) |
|
|
|
|
|
|
Intercompany
|
|
|
61,633 |
|
|
|
(52,738 |
) |
|
|
(8,895 |
) |
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
3 |
|
|
|
(33,463 |
) |
|
|
10,596 |
|
|
|
|
|
|
|
(22,864 |
) |
|
|
Other current assets
|
|
|
1,277 |
|
|
|
2,726 |
|
|
|
4,591 |
|
|
|
|
|
|
|
8,594 |
|
|
|
Other assets
|
|
|
1,286 |
|
|
|
1,783 |
|
|
|
(291 |
) |
|
|
|
|
|
|
2,778 |
|
|
|
Accounts payable
|
|
|
(6,813 |
) |
|
|
(7,585 |
) |
|
|
418 |
|
|
|
|
|
|
|
(13,980 |
) |
|
|
Due to third-party payors
|
|
|
|
|
|
|
(53,475 |
) |
|
|
1,179 |
|
|
|
|
|
|
|
(52,296 |
) |
|
|
Accrued expenses
|
|
|
(575 |
) |
|
|
3,346 |
|
|
|
298 |
|
|
|
|
|
|
|
3,069 |
|
|
|
Income taxes
|
|
|
35,034 |
|
|
|
(843 |
) |
|
|
(6,549 |
) |
|
|
|
|
|
|
27,642 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
97,985 |
|
|
|
43,122 |
|
|
|
33,169 |
|
|
|
|
|
|
|
174,276 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(3,194 |
) |
|
|
(26,181 |
) |
|
|
(3,251 |
) |
|
|
|
|
|
|
(32,626 |
) |
Proceeds from sale of discontinued operations
|
|
|
|
|
|
|
11,554 |
|
|
|
|
|
|
|
|
|
|
|
11,554 |
|
Earnout payments
|
|
|
|
|
|
|
(2,983 |
) |
|
|
|
|
|
|
|
|
|
|
(2,983 |
) |
Proceeds from sale of membership interests
|
|
|
|
|
|
|
4,064 |
|
|
|
|
|
|
|
|
|
|
|
4,064 |
|
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
|
|
|
|
(1,937 |
) |
|
|
|
|
|
|
(1,937 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(3,194 |
) |
|
|
(13,546 |
) |
|
|
(5,188 |
) |
|
|
|
|
|
|
(21,928 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany debt reallocation
|
|
|
21,415 |
|
|
|
(12,197 |
) |
|
|
(9,218 |
) |
|
|
|
|
|
|
|
|
Net repayments on credit facility debt
|
|
|
|
|
|
|
|
|
|
|
(8,483 |
) |
|
|
|
|
|
|
(8,483 |
) |
Principal payments on seller and other debt
|
|
|
|
|
|
|
(3,616 |
) |
|
|
(288 |
) |
|
|
|
|
|
|
(3,904 |
) |
Restricted cash
|
|
|
(7,031 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(7,031 |
) |
Repurchases of common stock
|
|
|
(48,058 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(48,058 |
) |
Proceeds from issuance of common stock
|
|
|
18,623 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18,623 |
|
Payment of common stock dividends
|
|
|
(9,209 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,209 |
) |
Repayment of bank overdrafts
|
|
|
(11,427 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(11,427 |
) |
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(1,501 |
) |
|
|
|
|
|
|
(1,501 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
(35,687 |
) |
|
|
(15,813 |
) |
|
|
(19,490 |
) |
|
|
|
|
|
|
(70,990 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
611 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
611 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents
|
|
|
59,715 |
|
|
|
13,763 |
|
|
|
8,491 |
|
|
|
|
|
|
|
81,969 |
|
Cash and cash equivalents at beginning of period
|
|
|
101,989 |
|
|
|
60,878 |
|
|
|
2,640 |
|
|
|
|
|
|
|
165,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
161,704 |
|
|
$ |
74,641 |
|
|
$ |
11,131 |
|
|
$ |
|
|
|
$ |
247,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-34
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Balance Sheet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2003 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
101,989 |
|
|
$ |
60,878 |
|
|
$ |
2,640 |
|
|
$ |
|
|
|
$ |
165,507 |
|
|
Accounts receivable, net
|
|
|
32 |
|
|
|
203,438 |
|
|
|
26,701 |
|
|
|
|
|
|
|
230,171 |
|
|
Current deferred tax asset
|
|
|
12,900 |
|
|
|
46,783 |
|
|
|
2,016 |
|
|
|
|
|
|
|
61,699 |
|
|
Other current assets
|
|
|
4,173 |
|
|
|
14,306 |
|
|
|
9,210 |
|
|
|
|
|
|
|
27,689 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
119,094 |
|
|
|
325,405 |
|
|
|
40,567 |
|
|
|
|
|
|
|
485,066 |
|
Property and equipment, net
|
|
|
8,232 |
|
|
|
148,336 |
|
|
|
18,334 |
|
|
|
|
|
|
|
174,902 |
|
Investment in affiliates
|
|
|
393,552 |
|
|
|
59,582 |
|
|
|
|
|
|
|
(453,134 |
)(a) |
|
|
|
|
Goodwill
|
|
|
5,854 |
|
|
|
252,379 |
|
|
|
48,018 |
|
|
|
|
|
|
|
306,251 |
|
Trademark
|
|
|
|
|
|
|
58,875 |
|
|
|
|
|
|
|
|
|
|
|
58,875 |
|
Other intangibles
|
|
|
|
|
|
|
22,876 |
|
|
|
|
|
|
|
|
|
|
|
22,876 |
|
Non-current deferred tax asset
|
|
|
1,951 |
|
|
|
5,634 |
|
|
|
(982 |
) |
|
|
|
|
|
|
6,603 |
|
Other assets
|
|
|
13,725 |
|
|
|
9,756 |
|
|
|
944 |
|
|
|
|
|
|
|
24,425 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
542,408 |
|
|
$ |
882,843 |
|
|
$ |
106,881 |
|
|
$ |
(453,134 |
) |
|
$ |
1,078,998 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bank overdrafts
|
|
$ |
11,427 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
11,427 |
|
|
Current portion of long-term debt and notes payable
|
|
|
460 |
|
|
|
9,264 |
|
|
|
543 |
|
|
|
|
|
|
|
10,267 |
|
|
Accounts payable
|
|
|
8,459 |
|
|
|
44,185 |
|
|
|
6,925 |
|
|
|
|
|
|
|
59,569 |
|
|
Intercompany accounts
|
|
|
(14,028 |
) |
|
|
13,725 |
|
|
|
303 |
|
|
|
|
|
|
|
|
|
|
Accrued payroll
|
|
|
1,112 |
|
|
|
52,009 |
|
|
|
139 |
|
|
|
|
|
|
|
53,260 |
|
|
Accrued vacation
|
|
|
2,277 |
|
|
|
17,701 |
|
|
|
1,551 |
|
|
|
|
|
|
|
21,529 |
|
|
Accrued medical malpractice
|
|
|
|
|
|
|
12,777 |
|
|
|
|
|
|
|
|
|
|
|
12,777 |
|
|
Accrued restructuring
|
|
|
|
|
|
|
10,375 |
|
|
|
|
|
|
|
|
|
|
|
10,375 |
|
|
Accrued other
|
|
|
27,306 |
|
|
|
35,049 |
|
|
|
3,176 |
|
|
|
|
|
|
|
65,531 |
|
|
Due to third party payors
|
|
|
1,657 |
|
|
|
52,647 |
|
|
|
(2,353 |
) |
|
|
|
|
|
|
51,951 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
38,670 |
|
|
|
247,732 |
|
|
|
10,284 |
|
|
|
|
|
|
|
296,686 |
|
Long-term debt, net of current portion
|
|
|
84,563 |
|
|
|
237,185 |
|
|
|
35,488 |
|
|
|
|
|
|
|
357,236 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
123,233 |
|
|
|
484,917 |
|
|
|
45,772 |
|
|
|
|
|
|
|
653,922 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
362 |
|
|
|
5,539 |
|
|
|
|
|
|
|
5,901 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
|
1,022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,022 |
|
|
Capital in excess of par
|
|
|
291,519 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
291,519 |
|
|
Retained earnings
|
|
|
121,560 |
|
|
|
110,322 |
|
|
|
26,584 |
|
|
|
(136,906 |
)(b) |
|
|
121,560 |
|
|
Subsidiary investment
|
|
|
|
|
|
|
287,242 |
|
|
|
28,986 |
|
|
|
(316,228 |
)(a) |
|
|
|
|
|
Accumulated other comprehensive income
|
|
|
5,074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,074 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
419,175 |
|
|
|
397,564 |
|
|
|
55,570 |
|
|
|
(453,134 |
) |
|
|
419,175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
542,408 |
|
|
$ |
882,843 |
|
|
$ |
106,881 |
|
|
$ |
(453,134 |
) |
|
$ |
1,078,998 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of investments in subsidiaries. |
|
(b) |
Elimination of investments in subsidiaries earnings. |
F-35
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2003 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
8,689 |
|
|
$ |
1,171,602 |
|
|
$ |
212,075 |
|
|
$ |
|
|
|
$ |
1,392,366 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
931,085 |
|
|
|
181,091 |
|
|
|
|
|
|
|
1,112,176 |
|
|
General and administrative
|
|
|
40,525 |
|
|
|
3,892 |
|
|
|
|
|
|
|
|
|
|
|
44,417 |
|
|
Bad debt expense
|
|
|
|
|
|
|
40,555 |
|
|
|
10,765 |
|
|
|
|
|
|
|
51,320 |
|
|
Depreciation and amortization
|
|
|
2,354 |
|
|
|
28,108 |
|
|
|
4,192 |
|
|
|
|
|
|
|
34,654 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
42,879 |
|
|
|
1,003,640 |
|
|
|
196,048 |
|
|
|
|
|
|
|
1,242,567 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(34,190 |
) |
|
|
167,962 |
|
|
|
16,027 |
|
|
|
|
|
|
|
149,799 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
25,015 |
|
|
|
(25,033 |
) |
|
|
18 |
|
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(125,527 |
) |
|
|
122,929 |
|
|
|
2,598 |
|
|
|
|
|
|
|
|
|
Equity in earnings from joint ventures
|
|
|
|
|
|
|
(824 |
) |
|
|
|
|
|
|
|
|
|
|
(824 |
) |
Interest income
|
|
|
(554 |
) |
|
|
(379 |
) |
|
|
(3 |
) |
|
|
|
|
|
|
(936 |
) |
Interest expense
|
|
|
7,861 |
|
|
|
14,286 |
|
|
|
4,193 |
|
|
|
|
|
|
|
26,340 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before minority interests and
income taxes
|
|
|
59,015 |
|
|
|
56,983 |
|
|
|
9,221 |
|
|
|
|
|
|
|
125,219 |
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
231 |
|
|
|
2,171 |
|
|
|
|
|
|
|
2,402 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
59,015 |
|
|
|
56,752 |
|
|
|
7,050 |
|
|
|
|
|
|
|
122,817 |
|
Income tax expense
|
|
|
24,962 |
|
|
|
20,145 |
|
|
|
3,490 |
|
|
|
|
|
|
|
48,597 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
34,053 |
|
|
|
36,607 |
|
|
|
3,560 |
|
|
|
|
|
|
|
74,220 |
|
Income from discontinued operations, net of tax
|
|
|
|
|
|
|
251 |
|
|
|
|
|
|
|
|
|
|
|
251 |
|
Equity in earnings of subsidiaries
|
|
|
40,418 |
|
|
|
(53 |
) |
|
|
|
|
|
|
(40,365 |
)(a) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
74,471 |
|
|
$ |
36,805 |
|
|
$ |
3,560 |
|
|
$ |
(40,365 |
) |
|
$ |
74,471 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income (loss) from consolidated
subsidiaries. |
F-36
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2003 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
74,471 |
|
|
$ |
36,805 |
|
|
$ |
3,560 |
|
|
$ |
(40,365 |
)(a) |
|
$ |
74,471 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
2,354 |
|
|
|
28,411 |
|
|
|
4,192 |
|
|
|
|
|
|
|
34,957 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
40,663 |
|
|
|
10,765 |
|
|
|
|
|
|
|
51,428 |
|
|
Deferred taxes
|
|
|
(2 |
) |
|
|
6,878 |
|
|
|
(39 |
) |
|
|
|
|
|
|
6,837 |
|
|
Minority interests
|
|
|
|
|
|
|
231 |
|
|
|
2,171 |
|
|
|
|
|
|
|
2,402 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
(40,418 |
) |
|
|
53 |
|
|
|
|
|
|
|
40,365 |
(a) |
|
|
|
|
|
|
Intercompany
|
|
|
(12,056 |
) |
|
|
16,424 |
|
|
|
(4,368 |
) |
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(317 |
) |
|
|
9,712 |
|
|
|
(557 |
) |
|
|
|
|
|
|
8,838 |
|
|
|
Other current assets
|
|
|
(6,301 |
) |
|
|
463 |
|
|
|
791 |
|
|
|
|
|
|
|
(5,047 |
) |
|
|
Other assets
|
|
|
(1,790 |
) |
|
|
6,591 |
|
|
|
97 |
|
|
|
|
|
|
|
4,898 |
|
|
|
Accounts payable
|
|
|
5,922 |
|
|
|
10,341 |
|
|
|
1,236 |
|
|
|
|
|
|
|
17,499 |
|
|
|
Due to third-party payors
|
|
|
13,293 |
|
|
|
5,797 |
|
|
|
2,138 |
|
|
|
|
|
|
|
21,228 |
|
|
|
Accrued expenses
|
|
|
9,339 |
|
|
|
7,232 |
|
|
|
2,766 |
|
|
|
|
|
|
|
19,337 |
|
|
|
Income taxes
|
|
|
12,606 |
|
|
|
|
|
|
|
(3,206 |
) |
|
|
|
|
|
|
9,400 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
57,101 |
|
|
|
169,601 |
|
|
|
19,546 |
|
|
|
|
|
|
|
246,248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(4,690 |
) |
|
|
(27,353 |
) |
|
|
(3,809 |
) |
|
|
|
|
|
|
(35,852 |
) |
Proceeds from disposal of assets
|
|
|
2,400 |
|
|
|
195 |
|
|
|
|
|
|
|
|
|
|
|
2,595 |
|
Earnout payments
|
|
|
|
|
|
|
(464 |
) |
|
|
|
|
|
|
|
|
|
|
(464 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
(227,541 |
) |
|
|
(190 |
) |
|
|
|
|
|
|
(227,731 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(2,290 |
) |
|
|
(255,163 |
) |
|
|
(3,999 |
) |
|
|
|
|
|
|
(261,452 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany debt reallocation
|
|
|
(111,696 |
) |
|
|
121,961 |
|
|
|
(10,265 |
) |
|
|
|
|
|
|
|
|
Issuance of 7.5% Senior Subordinated Notes
|
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
Payment of deferred financing costs
|
|
|
(5,922 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,922 |
) |
Net repayments on credit facility debt
|
|
|
(61,657 |
) |
|
|
|
|
|
|
(3,970 |
) |
|
|
|
|
|
|
(65,627 |
) |
Principal payments on seller and other debt
|
|
|
(110 |
) |
|
|
(3,543 |
) |
|
|
(68 |
) |
|
|
|
|
|
|
(3,721 |
) |
Proceeds from issuance of common stock
|
|
|
28,613 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28,613 |
|
Payment of common stock dividends
|
|
|
(3,066 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3,066 |
) |
Repayment of bank overdrafts
|
|
|
307 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
307 |
|
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(1,266 |
) |
|
|
|
|
|
|
(1,266 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
21,469 |
|
|
|
118,418 |
|
|
|
(15,569 |
) |
|
|
|
|
|
|
124,318 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
331 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
331 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
76,611 |
|
|
|
32,856 |
|
|
|
(22 |
) |
|
|
|
|
|
|
109,445 |
|
Cash and cash equivalents at beginning of period
|
|
|
25,378 |
|
|
|
28,022 |
|
|
|
2,662 |
|
|
|
|
|
|
|
56,062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
101,989 |
|
|
$ |
60,878 |
|
|
$ |
2,640 |
|
|
$ |
|
|
|
$ |
165,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-37
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2002 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
14,902 |
|
|
$ |
918,376 |
|
|
$ |
193,281 |
|
|
$ |
|
|
|
$ |
1,126,559 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
761,361 |
|
|
|
161,192 |
|
|
|
|
|
|
|
922,553 |
|
|
General and administrative
|
|
|
39,409 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
39,409 |
|
|
Bad debt expense
|
|
|
|
|
|
|
31,946 |
|
|
|
5,372 |
|
|
|
|
|
|
|
37,318 |
|
|
Depreciation and amortization
|
|
|
1,709 |
|
|
|
18,805 |
|
|
|
5,322 |
|
|
|
|
|
|
|
25,836 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
41,118 |
|
|
|
812,112 |
|
|
|
171,886 |
|
|
|
|
|
|
|
1,025,116 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(26,216 |
) |
|
|
106,264 |
|
|
|
21,395 |
|
|
|
|
|
|
|
101,443 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
22,219 |
|
|
|
(22,697 |
) |
|
|
478 |
|
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(52,395 |
) |
|
|
49,441 |
|
|
|
2,954 |
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
(445 |
) |
|
|
(150 |
) |
|
|
(1 |
) |
|
|
|
|
|
|
(596 |
) |
Interest expense
|
|
|
7,982 |
|
|
|
14,477 |
|
|
|
4,751 |
|
|
|
|
|
|
|
27,210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(3,577 |
) |
|
|
65,193 |
|
|
|
13,213 |
|
|
|
|
|
|
|
74,829 |
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
74 |
|
|
|
1,948 |
|
|
|
|
|
|
|
2,022 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(3,577 |
) |
|
|
65,119 |
|
|
|
11,265 |
|
|
|
|
|
|
|
72,807 |
|
Income tax expense
|
|
|
445 |
|
|
|
25,628 |
|
|
|
2,503 |
|
|
|
|
|
|
|
28,576 |
|
Equity in earnings of subsidiaries
|
|
|
48,253 |
|
|
|
6,239 |
|
|
|
|
|
|
|
(54,492 |
)(a) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
44,231 |
|
|
$ |
45,730 |
|
|
$ |
8,762 |
|
|
$ |
(54,492 |
) |
|
$ |
44,231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income from consolidated
subsidiaries. |
F-38
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2002 | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
44,231 |
|
|
$ |
45,730 |
|
|
$ |
8,762 |
|
|
$ |
(54,492 |
)(a) |
|
$ |
44,231 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
1,709 |
|
|
|
18,805 |
|
|
|
5,322 |
|
|
|
|
|
|
|
25,836 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
31,946 |
|
|
|
5,372 |
|
|
|
|
|
|
|
37,318 |
|
|
Deferred taxes
|
|
|
(890 |
) |
|
|
9,966 |
|
|
|
(198 |
) |
|
|
|
|
|
|
8,878 |
|
|
Minority interests
|
|
|
|
|
|
|
74 |
|
|
|
1,948 |
|
|
|
|
|
|
|
2,022 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
(48,253 |
) |
|
|
(6,239 |
) |
|
|
|
|
|
|
54,492 |
(a) |
|
|
|
|
|
|
Intercompany
|
|
|
(34,226 |
) |
|
|
35,562 |
|
|
|
(1,336 |
) |
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(206 |
) |
|
|
(44,503 |
) |
|
|
(9,184 |
) |
|
|
|
|
|
|
(53,893 |
) |
|
|
Other current assets
|
|
|
(924 |
) |
|
|
916 |
|
|
|
(379 |
) |
|
|
|
|
|
|
(387 |
) |
|
|
Other assets
|
|
|
559 |
|
|
|
1,318 |
|
|
|
794 |
|
|
|
|
|
|
|
2,671 |
|
|
|
Accounts payable
|
|
|
(553 |
) |
|
|
3,321 |
|
|
|
1,119 |
|
|
|
|
|
|
|
3,887 |
|
|
|
Due to third-party payors
|
|
|
17,815 |
|
|
|
(3,373 |
) |
|
|
(1,463 |
) |
|
|
|
|
|
|
12,979 |
|
|
|
Accrued expenses
|
|
|
5,810 |
|
|
|
17,375 |
|
|
|
(729 |
) |
|
|
|
|
|
|
22,456 |
|
|
|
Income taxes
|
|
|
16,250 |
|
|
|
|
|
|
|
(1,436 |
) |
|
|
|
|
|
|
14,814 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
1,322 |
|
|
|
110,898 |
|
|
|
8,592 |
|
|
|
|
|
|
|
120,812 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(1,722 |
) |
|
|
(35,643 |
) |
|
|
(5,818 |
) |
|
|
|
|
|
|
(43,183 |
) |
Earnout payments
|
|
|
|
|
|
|
(928 |
) |
|
|
|
|
|
|
|
|
|
|
(928 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
(6,573 |
) |
|
|
(3,364 |
) |
|
|
|
|
|
|
(9,937 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(1,722 |
) |
|
|
(43,144 |
) |
|
|
(9,182 |
) |
|
|
|
|
|
|
(54,048 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany debt reallocation
|
|
|
36,312 |
|
|
|
(42,134 |
) |
|
|
5,822 |
|
|
|
|
|
|
|
|
|
Net repayments on credit facility debt
|
|
|
(19,703 |
) |
|
|
|
|
|
|
(2,969 |
) |
|
|
|
|
|
|
(22,672 |
) |
Principal payments on seller and other debt
|
|
|
(480 |
) |
|
|
(5,684 |
) |
|
|
(9 |
) |
|
|
|
|
|
|
(6,173 |
) |
Proceeds from issuance of common stock
|
|
|
4,101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,101 |
|
Proceeds from bank overdrafts
|
|
|
5,038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,038 |
|
Payment of deferred financing costs
|
|
|
(67 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(67 |
) |
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(1,650 |
) |
|
|
|
|
|
|
(1,650 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
25,201 |
|
|
|
(47,818 |
) |
|
|
1,194 |
|
|
|
|
|
|
|
(21,423 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents
|
|
|
24,819 |
|
|
|
19,936 |
|
|
|
604 |
|
|
|
|
|
|
|
45,359 |
|
Cash and cash equivalents at beginning of period
|
|
|
559 |
|
|
|
8,086 |
|
|
|
2,058 |
|
|
|
|
|
|
|
10,703 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
25,378 |
|
|
$ |
28,022 |
|
|
$ |
2,662 |
|
|
$ |
|
|
|
$ |
56,062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-39
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
20 |
Selected Quarterly Financial Data (Unaudited) |
The table below sets forth selected unaudited financial data for
each quarter of the last two years.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
First | |
|
Second | |
|
Third | |
|
Fourth | |
|
|
Quarter | |
|
Quarter | |
|
Quarter | |
|
Quarter | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts) | |
Year ended December 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net revenues
|
|
$ |
418,469 |
|
|
$ |
415,237 |
|
|
$ |
407,570 |
|
|
$ |
419,515 |
|
|
Income from operations
|
|
|
59,275 |
|
|
|
59,111 |
|
|
|
54,963 |
|
|
|
58,184 |
|
|
Income from continuing operations
|
|
|
29,423 |
|
|
|
30,462 |
|
|
|
27,671 |
|
|
|
29,876 |
|
|
Income (loss) from discontinued operations, net of tax
|
|
|
147 |
|
|
|
509 |
|
|
|
146 |
|
|
|
(50 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
29,570 |
|
|
$ |
30,971 |
|
|
$ |
27,817 |
|
|
$ |
29,826 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per common share from continuing operations
|
|
$ |
0.29 |
|
|
$ |
0.30 |
|
|
$ |
0.27 |
|
|
$ |
0.29 |
|
|
|
Income per common share from discontinued operations
|
|
|
N/M |
|
|
|
0.01 |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
0.29 |
|
|
$ |
0.31 |
|
|
$ |
0.27 |
|
|
$ |
0.29 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per common share from continuing operations
|
|
$ |
0.27 |
|
|
$ |
0.29 |
|
|
$ |
0.26 |
|
|
$ |
0.28 |
|
|
|
Income per common share from discontinued operations
|
|
|
N/M |
|
|
|
0.01 |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
0.27 |
|
|
$ |
0.30 |
|
|
$ |
0.26 |
|
|
$ |
0.28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-40
Select Medical Corporation
Notes to Consolidated Financial
Statements (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
First Quarter | |
|
Second Quarter | |
|
Third Quarter | |
|
Fourth Quarter | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts) | |
Year ended December 31, 2003
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net revenues
|
|
$ |
312,307 |
|
|
$ |
326,218 |
|
|
$ |
352,402 |
|
|
$ |
401,439 |
|
|
Income from operations
|
|
|
30,838 |
|
|
|
36,847 |
|
|
|
36,905 |
|
|
|
45,209 |
|
|
Income from continuing operations
|
|
|
14,454 |
|
|
|
18,631 |
|
|
|
18,595 |
|
|
|
22,540 |
|
|
Income from discontinued operations,
net of tax
|
|
|
|
|
|
|
|
|
|
|
18 |
|
|
|
233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
14,454 |
|
|
$ |
18,631 |
|
|
$ |
18,613 |
|
|
$ |
22,773 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per common share from continuing operations
|
|
$ |
0.15 |
|
|
$ |
0.20 |
|
|
$ |
0.19 |
|
|
$ |
0.22 |
|
|
|
Income per common share from discontinued operations
|
|
|
|
|
|
|
|
|
|
|
N/M |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
0.15 |
|
|
$ |
0.20 |
|
|
$ |
0.19 |
|
|
$ |
0.22 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income per common share from continuing operations
|
|
$ |
0.15 |
|
|
$ |
0.18 |
|
|
$ |
0.18 |
|
|
$ |
0.21 |
|
|
|
Income per common share from discontinued operations
|
|
|
|
|
|
|
|
|
|
|
N/M |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per common share
|
|
$ |
0.15 |
|
|
$ |
0.18 |
|
|
$ |
0.18 |
|
|
$ |
0.21 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-41
Select Medical Corporation
Consolidated Balance Sheets
Unaudited
(In thousands, except share and per share amounts)
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
December 31, | |
|
|
March 31, | |
|
|
2004 | |
|
|
2005 | |
|
|
| |
|
|
| |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
247,476 |
|
|
|
$ |
19,343 |
|
|
Restricted cash
|
|
|
7,031 |
|
|
|
|
6,935 |
|
|
Accounts receivable, net of allowance for doubtful accounts of
$94,622 and $107,375 in 2004 and 2005, respectively
|
|
|
216,852 |
|
|
|
|
312,155 |
|
|
Current deferred tax asset
|
|
|
59,239 |
|
|
|
|
70,033 |
|
|
Other current assets
|
|
|
18,737 |
|
|
|
|
21,560 |
|
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
549,335 |
|
|
|
|
430,026 |
|
Advances to Holdings
|
|
|
|
|
|
|
|
10,491 |
|
Property and equipment, net
|
|
|
165,336 |
|
|
|
|
178,899 |
|
Goodwill
|
|
|
302,069 |
|
|
|
|
1,341,807 |
|
Other identifiable intangibles
|
|
|
78,304 |
|
|
|
|
79,954 |
|
Non-current deferred tax asset
|
|
|
|
|
|
|
|
61,334 |
|
Other assets
|
|
|
18,677 |
|
|
|
|
66,913 |
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
1,113,721 |
|
|
|
$ |
2,169,424 |
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
|
Current portion of long-term debt and notes payable
|
|
$ |
3,557 |
|
|
|
$ |
8,978 |
|
|
Accounts payable
|
|
|
48,632 |
|
|
|
|
63,778 |
|
|
Accrued payroll
|
|
|
56,554 |
|
|
|
|
56,144 |
|
|
Accrued vacation
|
|
|
23,102 |
|
|
|
|
26,275 |
|
|
Accrued professional liability
|
|
|
14,627 |
|
|
|
|
15,433 |
|
|
Accrued restructuring
|
|
|
4,924 |
|
|
|
|
4,067 |
|
|
Accrued other
|
|
|
66,484 |
|
|
|
|
78,935 |
|
|
Income taxes payable
|
|
|
4,474 |
|
|
|
|
4,727 |
|
|
Due to third party payors
|
|
|
13,266 |
|
|
|
|
13,724 |
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
235,620 |
|
|
|
|
272,061 |
|
Long-term debt, net of current portion
|
|
|
351,033 |
|
|
|
|
1,441,119 |
|
Non-current deferred tax liability
|
|
|
4,458 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities
|
|
|
591,111 |
|
|
|
|
1,713,180 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
6,667 |
|
|
|
|
6,660 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
|
Common stock, $0.01 par value, 200,000,000 shares
authorized, 101,954,000 issued and outstanding (Predecessor) and
$0.01 par value, 100 shares issued and outstanding
(Successor)
|
|
|
1,020 |
|
|
|
|
|
|
|
Capital in excess of par
|
|
|
275,281 |
|
|
|
|
435,493 |
|
|
Retained earnings
|
|
|
230,535 |
|
|
|
|
13,073 |
|
|
Accumulated other comprehensive income
|
|
|
9,107 |
|
|
|
|
1,018 |
|
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
515,943 |
|
|
|
|
449,584 |
|
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
1,113,721 |
|
|
|
$ |
2,169,424 |
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-42
Select Medical Corporation
Consolidated Statements of Operations
(Unaudited)
(In thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
Quarter | |
|
January 1 | |
|
|
February 25 | |
|
|
Ended | |
|
through | |
|
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
|
| |
Net operating revenues
|
|
$ |
418,469 |
|
|
$ |
287,787 |
|
|
|
$ |
195,112 |
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
325,745 |
|
|
|
225,428 |
|
|
|
|
145,608 |
|
|
Stock compensation associated with merger
|
|
|
|
|
|
|
142,213 |
|
|
|
|
4,326 |
|
|
General and administrative
|
|
|
11,613 |
|
|
|
7,484 |
|
|
|
|
4,356 |
|
|
Bad debt expense
|
|
|
11,639 |
|
|
|
6,661 |
|
|
|
|
4,609 |
|
|
Depreciation and amortization
|
|
|
10,197 |
|
|
|
6,177 |
|
|
|
|
4,248 |
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
359,194 |
|
|
|
387,963 |
|
|
|
|
163,147 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
59,275 |
|
|
|
(100,176 |
) |
|
|
|
31,965 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
|
|
|
|
42,736 |
|
|
|
|
|
|
Merger related charges
|
|
|
|
|
|
|
12,025 |
|
|
|
|
|
|
Interest income
|
|
|
(365 |
) |
|
|
(523 |
) |
|
|
|
(77 |
) |
Interest expense
|
|
|
9,418 |
|
|
|
4,734 |
|
|
|
|
9,636 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
50,222 |
|
|
|
(159,148 |
) |
|
|
|
22,406 |
|
Minority interest in consolidated subsidiary companies
|
|
|
1,006 |
|
|
|
469 |
|
|
|
|
462 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
49,216 |
|
|
|
(159,617 |
) |
|
|
|
21,944 |
|
Income tax expense (benefit)
|
|
|
19,793 |
|
|
|
(59,366 |
) |
|
|
|
8,871 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
29,423 |
|
|
|
(100,251 |
) |
|
|
|
13,073 |
|
Income from discontinued operations, net of tax
|
|
|
147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-43
Select Medical Corporation
Consolidated Statement of Changes in Stockholders
Equity and Comprehensive Income
(Unaudited)
(In thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
Common | |
|
Common | |
|
Capital in | |
|
|
|
Other | |
|
|
|
|
Stock | |
|
Stock Par | |
|
Excess of | |
|
Retained | |
|
Comprehensive | |
|
Comprehensive | |
|
|
Issued | |
|
Value | |
|
Par | |
|
Earnings | |
|
Income | |
|
Income | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Predecessor:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2004
|
|
|
101,954 |
|
|
$ |
1,020 |
|
|
$ |
275,281 |
|
|
$ |
230,535 |
|
|
$ |
9,107 |
|
|
|
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(100,251 |
) |
|
|
|
|
|
$ |
(100,251 |
) |
|
Other comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,019 |
) |
|
|
(1,019 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(101,270 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock
|
|
|
267 |
|
|
|
3 |
|
|
|
1,020 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repurchase of non-employee options
|
|
|
|
|
|
|
|
|
|
|
(1,617 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax benefit of stock option exercises
|
|
|
|
|
|
|
|
|
|
|
1,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at February 24, 2005
|
|
|
102,221 |
|
|
$ |
1,023 |
|
|
$ |
276,191 |
|
|
$ |
130,284 |
|
|
$ |
8,088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
Common | |
|
Common |
|
Capital in | |
|
|
|
Other | |
|
|
|
|
Stock | |
|
Stock Par |
|
Excess of | |
|
Retained | |
|
Comprehensive | |
|
Comprehensive | |
|
|
Issued | |
|
Value |
|
Par | |
|
Earnings | |
|
Income | |
|
Income | |
|
|
| |
|
|
|
| |
|
| |
|
| |
|
| |
Successor:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capitalization of Successor company at February 25, 2005
|
|
|
|
|
|
|
|
|
|
$ |
431,167 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
13,073 |
|
|
|
|
|
|
$ |
13,073 |
|
|
Other comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,018 |
|
|
|
1,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
14,091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Contribution related to restricted stock award issuances by
Holdings
|
|
|
|
|
|
|
|
|
|
|
3,944 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Contribution related to warrant issuance by Holdings
|
|
|
|
|
|
|
|
|
|
|
382 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at March 31, 2005
|
|
|
|
|
|
$ |
|
|
|
$ |
435,493 |
|
|
$ |
13,073 |
|
|
$ |
1,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-44
Select Medical Corporation
Consolidated Statements of Cash Flows
(Unaudited)
(In thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
Quarter | |
|
January 1 | |
|
|
February 25 | |
|
|
Ended | |
|
through | |
|
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
|
| |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
10,429 |
|
|
|
6,177 |
|
|
|
|
4,248 |
|
|
Provision for bad debts
|
|
|
11,741 |
|
|
|
6,661 |
|
|
|
|
4,609 |
|
|
Loss on early retirement of debt
|
|
|
|
|
|
|
7,977 |
|
|
|
|
|
|
|
Non cash compensation expense
|
|
|
|
|
|
|
|
|
|
|
|
4,326 |
|
|
Minority interests
|
|
|
1,006 |
|
|
|
469 |
|
|
|
|
462 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(1,147 |
) |
|
|
(48,976 |
) |
|
|
|
(35,716 |
) |
|
|
Other current assets
|
|
|
215 |
|
|
|
1,816 |
|
|
|
|
(590 |
) |
|
|
Other assets
|
|
|
1,255 |
|
|
|
(622 |
) |
|
|
|
(1,250 |
) |
|
|
Accounts payable
|
|
|
(11,042 |
) |
|
|
5,250 |
|
|
|
|
3,769 |
|
|
|
Due to third-party payors
|
|
|
19,523 |
|
|
|
667 |
|
|
|
|
(209 |
) |
|
|
Accrued expenses
|
|
|
(3,756 |
) |
|
|
199,909 |
|
|
|
|
(191,047 |
) |
|
|
Income taxes
|
|
|
18,735 |
|
|
|
(60,021 |
) |
|
|
|
6,354 |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
76,529 |
|
|
|
19,056 |
|
|
|
|
(191,971 |
) |
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(7,762 |
) |
|
|
(2,586 |
) |
|
|
|
(1,112 |
) |
Earnout payments
|
|
|
(2,977 |
) |
|
|
|
|
|
|
|
|
|
Acquisition of businesses, net of cash acquired
|
|
|
(438 |
) |
|
|
(108,279 |
) |
|
|
|
(2,215 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(11,177 |
) |
|
|
(110,865 |
) |
|
|
|
(3,327 |
) |
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity investment by Holdings
|
|
|
|
|
|
|
|
|
|
|
|
720,000 |
|
Proceeds from credit facility
|
|
|
|
|
|
|
|
|
|
|
|
780,000 |
|
Proceeds from senior subordinated notes
|
|
|
|
|
|
|
|
|
|
|
|
660,000 |
|
Repayment of senior subordinated notes
|
|
|
|
|
|
|
|
|
|
|
|
(344,250 |
) |
Deferred financing costs
|
|
|
|
|
|
|
|
|
|
|
|
(57,198 |
) |
Costs associated with equity investment of Holdings
|
|
|
|
|
|
|
|
|
|
|
|
(8,686 |
) |
Net repayments on credit facility debt
|
|
|
(1,212 |
) |
|
|
|
|
|
|
|
|
|
Principal payments on seller and other debt
|
|
|
(1,635 |
) |
|
|
(528 |
) |
|
|
|
(2,578 |
) |
Repurchases of common stock and options
|
|
|
(19,852 |
) |
|
|
|
|
|
|
|
(1,687,994 |
) |
Proceeds from issuance of common stock
|
|
|
9,610 |
|
|
|
1,023 |
|
|
|
|
|
|
Payment of common stock dividends
|
|
|
(3,113 |
) |
|
|
|
|
|
|
|
|
|
Repayment of bank overdrafts
|
|
|
(3,569 |
) |
|
|
|
|
|
|
|
|
|
Restricted cash
|
|
|
|
|
|
|
108 |
|
|
|
|
(12 |
) |
Distributions to minority interests
|
|
|
(271 |
) |
|
|
(401 |
) |
|
|
|
(466 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
(20,042 |
) |
|
|
202 |
|
|
|
|
58,816 |
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
(33 |
) |
|
|
(149 |
) |
|
|
|
105 |
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
45,277 |
|
|
|
(91,756 |
) |
|
|
|
(136,377 |
) |
Cash and cash equivalents at beginning of period
|
|
|
165,507 |
|
|
|
247,476 |
|
|
|
|
155,720 |
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
210,784 |
|
|
$ |
155,720 |
|
|
|
$ |
19,343 |
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental Cash Flow Information:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash paid for interest
|
|
$ |
7,369 |
|
|
$ |
10,630 |
|
|
|
$ |
380 |
|
Cash paid for income taxes
|
|
$ |
2,104 |
|
|
$ |
1,502 |
|
|
|
$ |
2,305 |
|
The accompanying notes are an integral part of this statement.
F-45
Select Medical Corporation
Notes to Consolidated Financial Statements (Unaudited)
1. Basis of Presentation
On October 18, 2004, Select Medical Corporation (the
Company) entered into a merger agreement with Select
Medical Holdings Corporation (Holdings), formerly
known as EGL Holding Company, and EGL Acquisition Corp. as
discussed in Note 2, resulting in the Company becoming a
wholly owned subsidiary of Holdings. Generally accepted
accounting principles require that any amounts recorded or
incurred (such as goodwill and compensation expense) by the
parent as a result of the merger or for the benefit of the
subsidiary be pushed down and recorded in the
companys consolidated financial statements. The
Companys financial position and results of operations
prior to the merger are presented separately in the consolidated
financial statements as Predecessor financial
statements, while the financial position and results of
operations following the merger are presented as
Successor financial statements. Due to the change in
basis as a result of the merger, the pre-merger financial
statements are not comparative with those after the merger.
The unaudited condensed consolidated financial statements of the
Company as of March 31, 2005 (Successor) and for the
periods of January 1, 2005 to February 24, 2005
(Predecessor) and February 25, 2005 to March 31, 2005
(Successor) and the three months ended March 31, 2004
(Predecessor), have been prepared in accordance with generally
accepted accounting principles. In the opinion of management,
such information contains all adjustments, consisting only of
normal recurring adjustments, necessary for a fair statement of
the results for such periods. All significant intercompany
transactions and balances have been eliminated. The results of
operations for the periods of January 1, 2005 to
February 24, 2005 and February 25, 2005 through
March 31, 2005 are not necessarily indicative of the
results to be expected for the full fiscal year ending
December 31, 2005.
Certain information and disclosures normally included in the
notes to consolidated financial statements have been condensed
or omitted as permitted by the rules and regulations of the
Securities and Exchange Commission, although the Company
believes the disclosure is adequate to make the information
presented not misleading. The accompanying unaudited
consolidated financial statements should be read in conjunction
with the consolidated financial statements and notes thereto for
the year ended December 31, 2004.
|
|
2. |
Merger and Related Transactions |
On February 24, 2005, the merger transaction was
consummated and the Company became a wholly owned subsidiary of
Holdings. Holdings is owned by an investor group that includes
affiliates of Welsh Carson and Thoma Cressey and members of the
Companys senior management. The merger transaction was
valued at approximately $2.3 billion. In the transaction,
all of the former stockholders (except for certain members of
management and rollover investors) of Select Medical Corporation
received $18.00 per share in cash for common stock of the
Company. Holders of stock options issued by the Company received
cash equal to (a) $18.00 minus the exercise price of the
option multiplied by (b) the number of shares subject to
the options. After the merger, the Companys common stock
was delisted from the New York Stock Exchange and the Company
became a privately held company. The merger and related
transactions are referred to in this report as the
Merger.
The funds necessary to consummate the Merger were approximately
$2,291.1 million, including approximately
$1,827.7 million to pay the then current stockholders and
option holders, approximately $344.2 million to repay
existing indebtedness and approximately $119.2 million to
pay related fees and expenses.
The Merger transactions were financed by:
|
|
|
|
|
a cash investment in common and preferred equity in Holdings by
Welsh, Carson, Anderson & Stowe IX, L.P. and other
equity investors of $570.0 million, which funds were
contributed to the Company; |
F-46
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
|
|
|
|
|
a senior subordinated notes offering by Holdings of
$150.0 million, which funds were contributed to the Company; |
|
|
|
borrowing by the Company of $580.0 million in term loans
and $200.0 million on the revolving loan facility under its
new senior secured credit facility; |
|
|
|
the issuance by the Company of $660.0 million in aggregate
principle amount of
75/8%
senior subordinated notes; and |
|
|
|
$131.1 million of cash on hand at the closing date. |
The Merger transactions were accounted for under the purchase
method of accounting prescribed in Statement of Financial
Accounting Standards No. 141, Business
Combinations, (SFAS No. 141). As a result of a
26% continuing ownership interest in the Company by certain
shareholders (Continuing Shareholders), 74% of the
purchase price was allocated to the assets and liabilities
acquired at their respective fair values with the remaining 26%
recorded at the Continuing Shareholders historical book
values as of the date of the acquisition in accordance with
Emerging Issues Task Force Issue No. 88-16 Basis in
Leveraged Buyout Transactions (EITF 88-16). As a result of
the carryover of the Continuing Shareholders historical
basis, shareholders equity of the Company has been reduced
by $440.8 million with a corresponding reduction in the
amount assigned to long-lived assets, including goodwill.
The purchase price, including transaction-related fees, was
allocated to the Companys tangible and identifiable
intangible assets and liabilities based upon estimates of fair
value, with the remainder allocated to goodwill. The Company has
made a preliminary allocation of the purchase price. The Company
continues to obtain information to refine the fair values of the
assets acquired and the liabilities assumed. The Company expects
to finalize the allocation of the purchase price during the
second quarter of 2005. In accordance with the provisions of
SFAS No. 142, no amortization of indefinite-lived
intangible assets or goodwill will be recorded.
F-47
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
A summary of the Merger transactions is presented below (dollars
in thousands):
|
|
|
|
|
Cash contributions from Holdings
|
|
$ |
720,000 |
|
Exchange of shares of predecessor company for shares of Holdings
(at $18.00 per share)
|
|
|
151,992 |
|
|
|
|
|
Aggregate equity contribution
|
|
|
871,992 |
|
Continuing shareholders basis adjustment
|
|
|
(440,825 |
) |
|
|
|
|
Equity contribution, net
|
|
|
431,167 |
|
Proceeds from borrowings
|
|
|
1,440,000 |
|
|
|
|
|
Purchase price allocated
|
|
$ |
1,871,167 |
|
|
|
|
|
Fair value of net tangible assets acquired:
|
|
|
|
|
Cash
|
|
$ |
34,484 |
|
Accounts receivable
|
|
|
280,891 |
|
Other current assets
|
|
|
90,813 |
|
Property and equipment
|
|
|
181,108 |
|
Non-current deferred tax asset
|
|
|
68,508 |
|
Other assets
|
|
|
21,655 |
|
Current liabilities
|
|
|
(267,832 |
) |
Long-term debt
|
|
|
(7,052 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
(6,661 |
) |
|
|
|
|
Net tangible assets acquired
|
|
|
395,914 |
|
Capitalized debt issuance costs
|
|
|
55,392 |
|
Intangible assets acquired
|
|
|
80,504 |
|
Goodwill
|
|
|
1,339,357 |
|
|
|
|
|
|
|
$ |
1,871,167 |
|
|
|
|
|
Unaudited pro forma statements of operations for the three
months ended March 31, 2004 and 2005 as if the Merger
occurred as of January 1, 2004 follows (dollars in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months | |
|
|
For the Three Months | |
|
|
Ended March 31, | |
|
|
Ended March 31, | |
|
|
2004 | |
|
|
2005 | |
|
|
| |
|
|
| |
Net revenue
|
|
$ |
418,469 |
|
|
|
$ |
482,899 |
|
Net income (loss)
|
|
|
18,981 |
|
|
|
|
(94,365 |
) |
In connection with the Merger, the Company incurred charges of
$146.5 million related to stock compensation expense which
were comprised of $142.2 million related to the purchase of
all vested and unvested outstanding stock options in accordance
with the terms of the merger agreement in the Predecessor period
of January 1, 2005 through February 24, 2005 and an
additional $4.3 million of stock compensation cost related
to restricted stock and a warrant that were issued in the
Successor period February 25, 2005 through March 31,
2005. Also incurred were costs of $42.7 million related to
the early extinguishment of the Companys
91/2%
and
71/2%
senior subordinated notes which consisted of a tender premium
cost of $34.8 million and the remaining unamortized
deferred financing costs of $7.9 million. In addition,
$12.0 million of other merger related charges were
recognized. These charges consisted of costs related to an
investment advisor hired by the Special Committee of the
Companys Board of Directors to evaluate the merger, legal
and accounting fees, costs associated with the Hart-Scott-Rodino
filing, and cost associated with purchasing a six year extended
reporting period under the Companys directors and officers
liability insurance policy.
The carrying value of the reported goodwill is subject to
impairment tests under the requirements of
SFAS No. 142. Goodwill was allocated to each of the
Companys reporting units based on their fair values at
F-48
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
the date of the Merger. The Company performs impairment tests on
an ongoing basis at least annually, or more frequently with
respect to assets for which there are any impairment indicators.
If the expected future cash flows (undiscounted) are less
than the carrying amount of such assets, the Company recognizes
an impairment loss for the difference between the carrying
amount of the assets and their estimated fair value.
The preparation of consolidated financial statements in
conformity with generally accepted accounting principles
requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of
the financial statements and reported amounts of revenues and
expenses during the reporting period. Actual results may differ
from those estimates.
|
|
|
Recent Accounting Pronouncements |
In March 2005, the Financial Accounting Standards Board issued
interpretation (FIN) No. 47, Accounting for
Conditional Asset Retirement Obligations An
Interpretation of FASB Statement No. 143. The
statement clarifies that the term conditional asset retirement
obligation, as used in SFAS No. 143, Accounting
for Asset Retirement Obligations, refers to a legal
obligation to perform as asset retirement activity in which the
timing and (or) method of settlement are conditional on a
future event that may or may not be within the control of the
entity. This interpretation also clarifies when an entity would
have sufficient information to reasonably estimate the fair
value of an asset retirement obligation. The effective date of
this interpretation is no later than the end of the fiscal year
ending after December 15, 2005. The adoption of
FIN No. 47 is not expected to have a material impact
on the Companys financial position and results of
operations.
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 123R (revised 2004), Share-Based
Payment. This Statement is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation, and supersedes APB Opinion No. 25,
Accounting for Stock Issued to Employees, and its
related implementation guidance. SFAS No. 123R
requires that compensation cost relating to share-based payment
transactions be recognized in financial statements. That cost
will be measured based on the fair value of the equity or
liability instruments issued. The provisions of this statement
are effective for the Company at the beginning of its next
annual reporting period beginning January 1, 2006; however
the Company has adopted SFAS No. 123R in the Successor
period beginning on February 25, 2005. The adoption of SFAS
No. 123R had an immaterial impact on the Companys
financial position and results of operations.
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 153, Exchanges of Nonmonetary
Assets, an Amendment of APB Opinion No. 29. The
guidance in APB Opinion No. 29, Accounting for
Nonmonetary Transactions, is based on the principle that
exchanges of nonmonetary assets should be measured based on the
fair value of assets exchanged. The guidance in that Opinion,
however, included certain exceptions to that principle. This
Statement amends Opinion 29 to eliminate the exception for
nonmonetary exchanges of similar productive assets that do not
have commercial substance. A nonmonetary exchange has commercial
substance if the future cash flows of the entity are expected to
change significantly as a result of the exchange.
SFAS No. 153 is effective for nonmonetary exchanges
occurring in fiscal periods beginning after June 15, 2005.
The adoption of SFAS No. 153 is not expected to have a
material impact on the Companys financial position and
results of operations.
F-49
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
All stock options related to the Predecessor Stock Incentive
Plans were canceled and redeemed in connection with the Merger.
Stock option holders received a cash payment equal to
(i) $18.00 minus the exercise price of the option
multiplied by (ii) the number of unexercised shares subject
to the option (whether vested or not).
Holdings, the Companys Parent, adopted the Select Medical
Holdings Corporation 2005 Equity Incentive Plan (the Plan). The
equity incentive plan provides for grants of restricted stock
and stock options of Holdings. Because the Plan is for the
benefit of the Company, any compensation expense related to
awards under the plan are reflected in the Companys
financial statements, with a corresponding credit to additional
paid-in-capital to reflect this contribution by Holdings.
Holdings granted 42,904,727 shares of common stock of
Holdings as restricted stock awards during the period from
February 25, 2005 through March 31, 2005. These awards
have a fair value of $14.6 million and generally vest over
five years with a term not to exceed ten years. Compensation
expense for each of the next five years, based on restricted
stock awards granted as of March 31, 2005, is estimated to
be as follows (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2005 | |
|
2006 | |
|
2007 | |
|
2008 | |
|
2009 | |
|
Thereafter | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Compensation expense
|
|
$ |
6,095 |
|
|
$ |
2,868 |
|
|
$ |
2,868 |
|
|
$ |
1,427 |
|
|
$ |
1,139 |
|
|
$ |
190 |
|
During the period February 25, 2005 to March 31, 2005
(Successor), Holdings granted stock options for shares of common
stock to certain employees amounting to 2,100,000 options with
an exercise price of $1.00 per share. The options generally
vest over five years and have an option term not to exceed
10 years. The fair value of an option granted is estimated
to be $0.13. The fair value of the options granted was estimated
using the Black-Scholes option pricing model assuming an
expected volatility of 45%, no dividend yield, an expected life
of 3.5 years and a risk free rate of 3.65%.
In addition, subsequent to closing, a warrant was issued to a
Company executive for 4,358,910 shares of Holdings
stock with a fair value of $382,000. The warrant immediately
vested with a term not to exceed ten years.
As permitted by Statement of Financial Accounting Standards
No. 123, Accounting for Stock Based
Compensation (SFAS No. 123), the Company has
chosen to apply APB Opinion No. 25, Accounting for
Stock Issued to Employees (APB 25) and related
interpretations in accounting for its Plans in the Predecessor
period from January 1, 2005 through February 24, 2005
and accordingly, no compensation cost has been recognized for
options granted under the Predecessor Plans.
F-50
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
For purposes of pro forma disclosures, the estimated fair value
of the options is expensed over the options vesting
period. The Companys pro forma net earnings and earnings
per share assuming compensation costs had been recognized
consistent with the fair value method under
SFAS No. 123 were as follows:
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
|
|
Period from | |
|
|
For the Three | |
|
January 1 | |
|
|
Months Ended | |
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net income (loss) as reported
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
Deduct: Total stock based employee compensation expense
determined under fair value based method for all awards, net of
related tax effects
|
|
|
6,529 |
|
|
|
1,760 |
|
|
|
|
|
|
|
|
Net income (loss) pro forma
|
|
$ |
23,041 |
|
|
$ |
(102,011 |
) |
|
|
|
|
|
|
|
Weighted average grant-date fair value
|
|
|
4.14 |
|
|
|
4.48 |
|
|
|
5. |
Accumulated Other Comprehensive Income (Loss) |
The components of accumulated other comprehensive income (loss)
at March 31, 2005 (Successor) and December 31, 2004
(Predecessor) consist of cumulative translation adjustment gains
of $1,018,000 and $9,107,000, respectively, associated with the
Companys Canadian operations. Following is a
reconciliation of net income to comprehensive income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Three | |
|
January 1 | |
|
|
February 25 | |
|
|
Months Ended | |
|
through | |
|
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
|
| |
|
|
(Dollars in thousands) | |
Net income (loss)
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
Changes in foreign currency translation
|
|
|
(1,460 |
) |
|
|
(1,019 |
) |
|
|
|
1,018 |
|
Unrealized loss on available for sale securities
|
|
|
(4 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income (loss)
|
|
$ |
28,106 |
|
|
$ |
(101,270 |
) |
|
|
$ |
14,091 |
|
|
|
|
|
|
|
|
|
|
|
|
The fair values of the identifiable intangibles acquired and the
amount of goodwill recorded as a result of the Merger were
determined based on a preliminary valuation analysis. The
Company continues to obtain additional information necessary to
determine the fair value of assets acquired and the amount of
goodwill recorded as a result of the Merger. Adjustments, if
any, will be considered a result of the Merger and may result in
additional adjustments to the purchase price allocation and the
amount of goodwill.
Amortization expense for intangible assets with finite lives
follows (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Three | |
|
January 1 | |
|
|
February 25 | |
|
|
Months Ended | |
|
through | |
|
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
|
| |
|
|
(Dollars in thousands) | |
Amortization
|
|
$ |
857 |
|
|
$ |
576 |
|
|
|
$ |
904 |
|
F-51
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Estimated amortization expense for intangible assets for each of
the five years commencing January 1, 2005 will be
approximately $9,220,000 in 2005 and $10,320,000 in 2006 through
2009 and primarily relates to the amortization of the value
associated with the non-compete agreement associated with the
acquisition of Kessler Rehabilitation Corporation and SemperCare
Inc. and the value assigned to the Companys contract
therapy relationships.
Intangible assets consist of the following:
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
| |
|
|
As of March 31, 2005 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Contract therapy relationships
|
|
$ |
32,070 |
|
|
$ |
(550 |
) |
Non-Compete agreements
|
|
|
20,852 |
|
|
|
(354 |
) |
|
|
|
|
|
|
|
|
Total
|
|
$ |
52,922 |
|
|
$ |
(904 |
) |
|
|
|
|
|
|
|
Unamortized intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
1,341,807 |
|
|
|
|
|
Trademarks
|
|
|
21,000 |
|
|
|
|
|
Certificates of need
|
|
|
4,148 |
|
|
|
|
|
Accreditation
|
|
|
2,788 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
1,369,743 |
|
|
|
|
|
|
|
|
|
|
|
|
The following summarizes the Companys restructuring
activity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Lease | |
|
|
|
|
|
|
Termination | |
|
|
|
|
|
|
Costs | |
|
Severance | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
January 1, 2005 (Predecessor)
|
|
$ |
3,225 |
|
|
$ |
1,699 |
|
|
$ |
4,924 |
|
Amounts paid in 2005
|
|
|
(272 |
) |
|
|
(585 |
) |
|
|
(857 |
) |
|
|
|
|
|
|
|
|
|
|
March 31, 2005 (Successor)
|
|
$ |
2,953 |
|
|
$ |
1,114 |
|
|
$ |
4,067 |
|
|
|
|
|
|
|
|
|
|
|
The Company expects to pay out the remaining lease termination
costs through 2007 and severance related to workforce reductions
of 36 employees through 2005.
F-52
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
As of March 31, 2005 the Companys long-term
indebtedness consisted of the following (in thousands):
|
|
|
|
|
|
|
March 31, | |
|
|
2005 | |
|
|
| |
Senior credit facility
|
|
$ |
780,000 |
|
75/8% Senior
subordinated notes
|
|
|
660,000 |
|
91/2% Senior
subordinated notes
|
|
|
5,750 |
|
Seller notes
|
|
|
2,120 |
|
Other
|
|
|
2,227 |
|
|
|
|
|
Total debt
|
|
|
1,450,097 |
|
Less: current maturities
|
|
|
8,978 |
|
|
|
|
|
Total long-term debt
|
|
$ |
1,441,119 |
|
|
|
|
|
|
|
|
Senior Secured Credit Facility |
The Companys senior secured credit facility provides for
senior secured financing of up to $880.0 million,
consisting of:
|
|
|
|
|
a $300.0 million revolving credit facility,
$200.0 million of which was drawn at the closing of the
Merger and is outstanding as of March 31, 2005 that will
terminate in six years including both a letter of credit sub
facility and a swing line loan sub facility and; |
|
|
|
a $580.0 million term loan facility with a maturity of
seven years that was drawn at the closing of the Merger. |
The interest rates per annum applicable to loans, other than
swingline loans, under the Companys new senior secured
credit facility is, at the Companys option, equal to
either an alternate base rate or an adjusted LIBOR rate for a
one, two, three or six month interest period, or a nine or
twelve month period if available, in each case, plus an
applicable margin percentage. The alternate base rate is the
greater of (1) JPMorgan Chase Bank, N.A.s prime rate
and (2) one half of 1% over the weighted average of rates
on overnight Federal funds as published by the Federal Reserve
Bank of New York. The adjusted LIBOR rate is determined by
reference to settlement rates established for deposits in
dollars in the London interbank market for a period equal to the
interest period of the loan and the maximum reserve percentages
established by the Board of Governors of the United States
Federal Reserve to which the Companys lenders are subject.
The applicable margin percentage is initially (1) 1.50% for
alternate base rate revolving loans and (2) 2.50% for
adjusted LIBOR rate revolving loans, subject to reduction
beginning approximately six months after the closing based upon
the ratio of the Companys total indebtedness to its
consolidated EBITDA (as defined in the credit agreement
governing the Companys new senior secured credit
facility). The applicable margin percentages for the term loans
are (1) 0.75% for alternate base rate loans and
(2) 1.75% for adjusted LIBOR loans. The average interest
rate for the period from February 25, 2005 to
March 31, 2005 was 4.82%.
On the last business day of each calendar quarter the Company is
required to pay a commitment fee in respect of any unused
commitment under the revolving credit facility. The commitment
fee is currently 0.50% and is subject to adjustment based upon
the ratio of the Companys total indebtedness to the
Companys consolidated EBITDA.
Beginning June 30, 2005, the senior secured credit facility
requires scheduled quarterly payments on the term loans each
equal to $1.5 million for the first six years, with the
balance paid in four equal quarterly installments thereafter.
F-53
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
The senior secured credit facility requires the Company to
comply on a quarterly basis with certain financial covenants,
including an interest coverage ratio test and a maximum leverage
ratio test, which financial covenants will become more
restrictive over time. In addition, the senior secured credit
facility includes various negative covenants, including with
respect to indebtedness, liens, investments, permitted
businesses and transactions and other matters as well as certain
customary representations and warranties, affirmative covenants
and events of default including payment defaults, breach of
representations and warranties, covenant defaults, cross
defaults to certain indebtedness, certain events of bankruptcy,
certain events under ERISA, material judgments, actual or
asserted failure of any guaranty or security document supporting
the senior secured credit facility to be in full force and
effect and change of control. If such an event of default
occurs, the lenders under the senior secured credit facility are
entitled to take various actions, including the acceleration of
amounts due under the senior secured credit facility and all
actions permitted to be taken by a secured creditor. As of
March 31, 2005, the Company is in compliance with all debt
covenants.
|
|
|
Senior Subordinated Notes |
On February 24, 2005, the Company sold $660.0 million
of
75/8% Senior
Subordinated Notes (the Notes) due 2015. The net
proceeds of the offering was used to finance a portion of the
Companys Merger as discussed in Note 2, refinance
certain of the Companys existing indebtedness, and pay
related fees and expenses. The Notes are unconditionally
guaranteed on a senior subordinated basis by all of the
Companys wholly owned domestic subsidiaries (the
Subsidiary Guarantors). Certain of the
Companys subsidiaries did not guarantee the Notes (the
Non-Guarantor Subsidiaries). The guarantees of the
Notes are subordinated in right of payment to all existing and
future senior indebtedness of the Subsidiary Guarantors,
including any borrowings or guarantees by those subsidiaries
under the senior credit facility. The Notes rank equally in
right of payment with all of the Companys existing and
future senior subordinated indebtedness, including the existing
91/2% senior
subordinated notes and senior to all of the Companys
existing future subordinated indebtedness.
On and after February 1, 2010, the Company will be entitled
at its option to redeem all or a portion of the senior
subordinated notes at the following redemption prices (expressed
in percentages of principal amount on the redemption date), plus
accrued interest to the redemption date, if redeemed during the
12-month period commencing on February
1st
of the years set forth below:
|
|
|
|
|
Year |
|
Redemption Price | |
|
|
| |
2010
|
|
|
103.813 |
% |
2011
|
|
|
102.542 |
% |
2012
|
|
|
101.271 |
% |
2013 and thereafter
|
|
|
100.000 |
% |
Prior to February 1, 2008, the Company may at its option on
one or more occasions, with the net cash proceeds from certain
equity offerings, redeem the senior subordinated notes in an
aggregate principal amount not to exceed 35% of the aggregate
principal amount originally issued at a redemption price
(expressed as a percentage of principal amount on the redemption
date) of 107.625% plus accrued and unpaid interest to the
redemption date.
The Company is not required to make any mandatory redemption or
sinking fund payments with respect to the Notes. However, upon
the occurrence of any change of control of the Company, each
holder of the Notes shall have the right to require the Company
to repurchase such holders notes at a purchase price in
cash equal to 101% of the principal amount thereof on the date
of purchase plus accrued and unpaid interest, if any, to the
date of purchase.
F-54
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
The indenture governing the Notes contains customary events of
default and affirmative and negative covenants that, among other
things, limit the Companys ability and the ability of its
restricted subsidiaries to incur or guarantee additional
indebtedness, pay dividends or make other equity distributions,
purchase or redeem capital stock, make certain investments,
enter into arrangements that restrict dividends from
subsidiaries, transfer and sell assets, engage in certain
transactions with affiliates and effect a consolidation or
merger.
|
|
|
Registration Rights Agreement |
In connection with the offering of the Notes, the Company
entered into a registration rights agreement with the initial
purchasers. Under the terms of that agreement, it was agreed
that the Company would:
|
|
|
|
|
file within 150 days of February 24, 2005 a
registration statement with respect to an offer to exchange the
Notes for new registered notes of the Company having
substantially identical terms. Other than with respect to
transfer restrictions and registration rights, referred to as
subordinated exchange notes; |
|
|
|
cause such registration statement to be declared effective prior
to 240 days after February 3, 2005; and |
|
|
|
consummate such exchange offer within 270 days after
February 3, 2005. |
If the Company fails to meet any of these requirements, it will
constitute a default under the registration rights agreement and
the Company would be required to pay additional interest on the
Notes of up to 0.25% per annum for the first 90-day period
after any such default. This default interest rate will increase
by an additional 0.25% per annum with respect to each
subsequent 90-day period until all defaults have been cured, up
to a maximum additional interest rate of 1.0% per annum.
|
|
|
Non-Tendered
91/2% Senior
Subordinated Notes |
The Company issued senior subordinated notes on June 11,
2001 in an original aggregate principal amount of $175,000,000.
In connection with the Merger, the Company commenced a tender
offer to acquire all of the Companys existing
91/2% senior
subordinated notes due 2009, obtain holder consent to eliminate
substantially all of the restrictive covenants and make other
amendments to the indenture governing such notes. Upon
consummation of the Merger, the Company had received the
consents necessary to amend the indentures governing the
91/2% senior
subordinated notes and had repaid $169,250,000 in aggregate
principal amount of the Companys existing
91/2% senior
subordinated notes, representing approximately 97% of the
outstanding principal of such notes.
|
|
|
Future Principle Obligations |
Maturities of long-term debt for the years after 2005 are
approximately as follows (in thousands):
|
|
|
|
|
2006
|
|
$ |
5,300 |
|
2007
|
|
|
5,984 |
|
2008
|
|
|
5,835 |
|
2009
|
|
|
11,550 |
|
2010 and beyond
|
|
|
1,412,450 |
|
As part of the Merger, common stock of the Predecessor was
retired. On February 24, 2005 the Company was capitalized
by an equity contribution from Holdings with a value of
$431.2 million.
F-55
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
The Companys segments consist of (i) specialty
hospitals and (ii) outpatient rehabilitation. The
accounting policies of the segments are the same as those
described in the summary of significant accounting policies. The
Company evaluates performance of the segments based on Adjusted
EBITDA. Adjusted EBITDA is defined as net income (loss) before
interest, income taxes, stock compensation associated with
merger, depreciation and amortization, income from discontinued
operations, loss on early retirement of debt, merger related
charges and minority interest.
The following table summarizes selected financial data for the
Companys reportable segments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
Three Months Ended March 31, 2004 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net revenue
|
|
$ |
269,379 |
|
|
$ |
145,664 |
|
|
$ |
3,426 |
|
|
$ |
418,469 |
|
Adjusted EBITDA
|
|
|
57,907 |
|
|
|
22,908 |
|
|
|
(11,343 |
) |
|
|
69,472 |
|
Total assets
|
|
|
479,559 |
|
|
|
390,823 |
|
|
|
246,604 |
|
|
|
1,116,986 |
|
Capital expenditures
|
|
|
3,878 |
|
|
|
1,746 |
|
|
|
2,138 |
|
|
|
7,762 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
Period from January 1 through February 24, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net revenue
|
|
$ |
202,465 |
|
|
$ |
83,395 |
|
|
$ |
1,927 |
|
|
$ |
287,787 |
|
Adjusted EBITDA
|
|
|
44,343 |
|
|
|
11,531 |
|
|
|
(7,660 |
) |
|
|
48,214 |
|
Total assets
|
|
|
782,119 |
|
|
|
281,505 |
|
|
|
105,212 |
|
|
|
1,168,836 |
|
Capital expenditures
|
|
|
1,163 |
|
|
|
408 |
|
|
|
1,015 |
|
|
|
2,586 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
| |
|
|
Period from February 25 through March 31, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net revenue
|
|
$ |
139,046 |
|
|
$ |
54,837 |
|
|
$ |
1,229 |
|
|
$ |
195,112 |
|
Adjusted EBITDA
|
|
|
34,712 |
|
|
|
10,292 |
|
|
|
(4,465 |
) |
|
|
40,539 |
|
Total assets
|
|
|
1,552,031 |
|
|
|
530,855 |
|
|
|
86,538 |
|
|
|
2,169,424 |
|
Capital expenditures
|
|
|
780 |
|
|
|
274 |
|
|
|
58 |
|
|
|
1,112 |
|
F-56
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
A reconciliation of net income to Adjusted EBITDA is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Three | |
|
January 1 | |
|
|
February 25 | |
|
|
Months Ended | |
|
through | |
|
|
through | |
|
|
March 31, | |
|
February 24, | |
|
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
|
| |
|
|
(Dollars in thousands) | |
Net income (loss)
|
|
$ |
29,570 |
|
|
$ |
(100,251 |
) |
|
|
$ |
13,073 |
|
Income tax expense (benefit)
|
|
|
19,793 |
|
|
|
(59,366 |
) |
|
|
|
8,871 |
|
Minority interest
|
|
|
1,006 |
|
|
|
469 |
|
|
|
|
462 |
|
Interest expense, net
|
|
|
9,053 |
|
|
|
4,211 |
|
|
|
|
9,559 |
|
Merger related charges
|
|
|
|
|
|
|
12,025 |
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
|
|
|
|
42,736 |
|
|
|
|
|
|
Income from discontinued operations
|
|
|
(147 |
) |
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
10,197 |
|
|
|
6,177 |
|
|
|
|
4,248 |
|
Stock compensation associated with merger
|
|
|
|
|
|
|
142,213 |
|
|
|
|
4,326 |
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA
|
|
$ |
69,472 |
|
|
$ |
48,214 |
|
|
|
$ |
40,539 |
|
|
|
|
|
|
|
|
|
|
|
|
Effective as of January 1, 2005, the Company acquired
SemperCare Inc. for approximately $100.0 million in cash.
The purchase price for the SemperCare acquisition is subject to
an upward or downward adjustment based on the level of
SemperCares net working capital on the closing date of the
acquisition. The acquisition consisted of 17 long-term
acute care hospitals in 11 states. All of the SemperCare
facilities are operated as hospitals within hospitals.
Information with respect to the purchase transaction is as
follows (in thousands):
|
|
|
|
|
Cash paid, net of cash acquired
|
|
$ |
105,085 |
|
Fair value of net tangible assets acquired:
|
|
|
|
|
Accounts receivable
|
|
|
21,846 |
|
Other current assets
|
|
|
4,093 |
|
Property and equipment
|
|
|
9,308 |
|
Other assets
|
|
|
814 |
|
Current liabilities
|
|
|
(14,270 |
) |
Long-term Debt
|
|
|
(893 |
) |
|
|
|
|
Net tangible assets acquired
|
|
|
20,898 |
|
Intangible assets acquired
|
|
|
2,000 |
|
Goodwill
|
|
|
82,187 |
|
|
|
|
|
|
|
$ |
105,085 |
|
|
|
|
|
The following pro forma unaudited results of operations have
been prepared assuming the acquisition of SemperCare occurred at
the beginning of the period presented. The acquisitions of the
other businesses acquired are not reflected in this pro forma,
as their impact is not material. These results are not
necessarily
F-57
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
indicative of the results of future operations nor of the
results that would have actually occurred had the acquisition
been consummated as of the beginning of the period presented.
|
|
|
|
|
|
|
For the Three Months | |
|
|
Ended March 31, | |
|
|
2004 | |
|
|
| |
Net revenue
|
|
$ |
452,381 |
|
Net income
|
|
$ |
31,208 |
|
|
|
12. |
Discontinued Operations |
On September 27, 2004, the Company sold the land, building
and certain other assets and liabilities associated with its
only skilled nursing facility for approximately
$11.6 million. The skilled nursing facility was acquired as
part of the Kessler acquisition in September 2003. The operating
results of the skilled nursing facility have been reclassified
and reported as discontinued operations for the three months
ended March 31, 2004. Previously, the operating results of
this facility were included in the Companys Specialty
Hospitals segment. Summarized income statement information
relating to discontinued operations is as follows:
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
Three Months | |
|
|
Ended | |
|
|
March 31, | |
|
|
2004 | |
|
|
| |
|
|
(Dollars in | |
|
|
thousands) | |
Net revenue
|
|
$ |
3,524 |
|
|
|
|
|
Income from discontinued operations before income tax expense
|
|
$ |
245 |
|
Income tax expense
|
|
|
98 |
|
|
|
|
|
Income from discontinued operations
|
|
$ |
147 |
|
|
|
|
|
|
|
13. |
Commitments and Contingencies |
On August 24, 2004, Clifford C. Marsden and Ming Xu filed a
purported class action complaint in the United States District
Court for the Eastern District of Pennsylvania on behalf of the
public stockholders of the Company against Martin Jackson,
Robert A. Ortenzio, Rocco A. Ortenzio, Patricia Rice and the
Company. In February 2005, the Court appointed James Shaver,
Frank C. Bagatta and Capital Invest, die
Kapitalanlagegesellschaft der Bank Austria Creditanstalt Gruppe
GmbH lead plaintiffs (Lead Plaintiffs).
On April 19, 2005, Lead Plaintiffs filed an amended
complaint, purportedly on behalf of a class of shareholders of
the Company, against Martin Jackson, Robert A. Ortenzio, Rocco
A. Ortenzio, Patricia Rice, and the Company as defendants. The
amended complaint continues to allege, among other things,
failure to disclose adverse information regarding a potential
regulatory change affecting reimbursement for the Companys
services applicable to long-term acute care hospitals operated
as hospitals within hospitals, and the issuance of false and
misleading statements about the financial outlook of the
Company. The amended complaint continues to seek, among other
things, damages in an unspecified amount, interest and
attorneys fees. The Company believes that the allegations
in the amended complaint are without merit and intends to
vigorously defend against this action.
On October 18, 2004, Garco Investments, LLP filed a
purported class action complaint in the Court of Chancery of the
State of Delaware, New Castle County (the Court) on
behalf of the unaffiliated stockholders of the Company against
Russell L. Carson, David S. Chernow, Bryan C. Cressey, James E.
F-58
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Dalton, Jr., Meyer Feldberg, Robert A. Ortenzio, Rocco A.
Ortenzio, Thomas A. Scully, Leopold Swergold and LeRoy S.
Zimmerman, who are all of the Companys directors, the
Company and Welsh, Carson, Anderson & Stowe. On
November 3, 2004, Terrence C. Davey filed a purported class
action complaint in the Court, on behalf of the Companys
unaffiliated stockholders against all of the Companys
directors, the Company and Welsh, Carson, Anderson &
Stowe. On November 18, 2004, the Court entered an Order of
Consolidation which, among other things, consolidated the
above-mentioned actions under the caption In re: Select Medical
Corporation Shareholders Litigation, Consolidated C.A.
No. 755-N and appointed co-lead plaintiffs counsel.
On December 20, 2004, plaintiffs Garco Investments LLP and
Terence C. Davey filed an Amended Consolidated Complaint in the
Court, purportedly on behalf of the Companys unaffiliated
stockholders against all of the Companys directors, the
Company and Welsh, Carson, Anderson & Stowe. The
amended complaint alleges, among other things, that the
defendants have breached their fiduciary duties owed to the
plaintiffs and the Companys stockholders in connection
with the proposed going private transaction, that the proposed
merger consideration is not fair or adequate, and that the
defendants failed to disclose and/or misrepresented material
information in the proxy statement relating to the merger and/or
disseminated a stale fairness opinion by Banc of
America Securities LLC. The complaint seeks, among other things,
to enjoin the defendants from completing the merger or,
alternatively, to rescind the merger (if complete) or award
rescissory damages in an unspecified amount, and to require
issuance of corrective and/or supplemental disclosures and an
update of the stale fairness opinion.
As a result of arms-length settlement negotiations among
counsel in the Delaware consolidated lawsuit, on
January 21, 2005 the parties executed a stipulation of
settlement which recognizes, among other things, that the
allegations of the amended complaint were a material factor in
causing the Company to make certain additional disclosures in
the proxy statement, and that those disclosures, and the other
terms set forth in the stipulation of settlement (which is on
file with the Court) are a fair and reasonable means by which to
resolve the action. On June 1, 2005, the Court, following a
hearing, granted final approval of the settlement.
The Company carries director and officer insurance covering
these purported class actions lawsuits. While the Company does
not believe these claims will have a material adverse effect on
our financial position or results of operations, due to the
uncertain nature of such litigation, the Company cannot predict
the outcome of these matters.
The Company is subject to legal proceedings and claims that
arise in the ordinary course of its business, which include
malpractice claims covered under our insurance policies. In the
Companys opinion, the outcome of these actions will not
have a material adverse effect on the financial position or
results of operations of the Company.
To cover claims arising out of the operations of the
Companys hospitals and outpatient rehabilitation
facilities, the Company maintains professional malpractice
liability insurance and general liability insurance. The Company
also maintains umbrella liability insurance covering claims
which, due to their nature or amount, are not covered by or not
fully covered by the Companys other insurance policies.
These insurance policies also do not generally cover punitive
damages. Significant legal actions as well as the cost and
possible lack of available insurance could subject us to
substantial uninsured liabilities.
Health care providers are often subject to lawsuits under the
qui tam provisions of the federal False Claims Act.
Qui tam lawsuits typically remain under seal (hence,
unknown to the defendant) for some time while the government
decides whether or not to intervene on behalf of a private
qui tam plaintiff (known as a relator) and take the lead
in the litigation. A qui tam lawsuit against the Company
has been filed in the United States District Court for the
District of Nevada, but because the action is still under seal,
the Company does not know the details of the allegations or the
relief sought. As is required by law, the federal government is
conducting an investigation of this complaint to determine if it
will intervene in the case. The
F-59
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Company has received subpoenas for patient records and other
documents apparently related to the federal governments
investigation of matters alleged in this qui tam
complaint. The Company believes that this investigation involves
the billing practices of certain of its subsidiaries that
provide outpatient services to beneficiaries of Medicare and
other federal health care programs. The three relators in this
qui tam lawsuit are two former employees of the
Companys Las Vegas, Nevada subsidiary who were terminated
by the Company in 2001 and a former employee of the
Companys Florida subsidiary who the Company asked to
resign. The Company sued the former Las Vegas employees in state
court in Nevada in 2001 for, among other things, return of
misappropriated funds, and the Companys lawsuit has
recently been transferred to the federal court in Las Vegas.
While the government has investigated but chosen not to
intervene in two previous qui tam lawsuits filed against
the Company, the Company cannot provide assurance that the
government will not intervene in this case. However, the Company
believes, based on its prior experiences with qui tam
cases and the information currently available to the Company,
that this qui tam action will not have a material adverse
effect on the Company.
|
|
14. |
Financial Information for Subsidiary Guarantors and
Non-Guarantor Subsidiaries |
The
75/8%
and the
91/2% Senior
Subordinated Notes are fully and unconditionally guaranteed on a
senior subordinated basis by all of the Companys wholly
owned domestic subsidiaries (the Subsidiary
Guarantors). Certain of the Companys subsidiaries
did not guarantee the
75/8%
and the
91/2% Senior
Subordinated Notes (the Non-Guarantor Subsidiaries).
The Subsidiary Guarantors are the same for both the
75/8%
and the
91/2% Senior
Subordinated Notes.
The Company conducts a significant portion of its business
through its subsidiaries. Presented below is condensed
consolidating financial information for the Company, the
Subsidiary Guarantors and the Non-Guarantor Subsidiaries at
December 31, 2004 and March 31, 2005 and for the
period January 1, 2005 through February 24, 2005
(Successor), February 25, 2005 through March 31, 2005
(Predecessor) and the three months ended March 31, 2004.
The equity method has been used by the Company with respect to
investments in subsidiaries. The equity method has been used by
Subsidiary Guarantors with respect to investments in
Non-Guarantor Subsidiaries. Separate financial statements for
Subsidiary Guarantors are not presented.
F-60
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
The following table sets forth the Non-Guarantor Subsidiaries at
March 31, 2005:
|
|
|
Caritas Rehab Services, LLC
|
|
North Andover Physical Therapy, Inc. |
Canadian Back Institute Limited and its subsidiaries
|
|
OccuMed East, P.C. |
Cupertino Medical Center, P.C.
|
|
Ohio Occupational Health, P.C., Inc. |
Elizabethtown Physical Therapy
|
|
Partners in Physical Therapy, PLLC |
Jeff Ayres, PT Therapy Center, Inc.
|
|
Philadelphia Occupational Health, P.C. |
Jeffersontown Physical Therapy, LLC
|
|
Rehabilitation Physician Services, P.C |
Kentucky Orthopedic Rehabilitation, LLC
|
|
Robinson & Associates, P.C. |
Kessler Core PT, OT and Speech Therapy at
|
|
Select Specialty Hospital Central |
New York, LLC
|
|
Pennsylvania, L.P. |
Langhorne, P.C.
|
|
Select Specialty Hospital Houston, L.P. |
Lester OSM, P.C.
|
|
Select Specialty Hospital Mississippi |
Louisville Physical Therapy, P.S.C.
|
|
Gulf Coast, Inc. |
Medical Information Management Systems, LLC
|
|
Sprint Physical Therapy, P.C. |
Metropolitan West Physical Therapy and
|
|
Therex, P.C. |
Sports Medicine Services Inc.
|
|
TJ Corporation I, L.L.C. |
Metro Therapy, Inc.
|
|
U.S. Regional Occupational Health II, P.C. |
MKJ Physical Therapy, Inc.
|
|
U.S. Regional Occupational Health II of |
New York Physician Services, P.C.
|
|
New Jersey, P.C. |
F-61
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Balance Sheet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2005 | |
|
|
| |
|
|
Successor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
8,712 |
|
|
$ |
2,815 |
|
|
$ |
7,816 |
|
|
$ |
|
|
|
$ |
19,343 |
|
|
Restricted cash
|
|
|
6,935 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6,935 |
|
|
Accounts receivable, net
|
|
|
134 |
|
|
|
295,459 |
|
|
|
16,562 |
|
|
|
|
|
|
|
312,155 |
|
|
Current deferred tax asset
|
|
|
15,430 |
|
|
|
50,762 |
|
|
|
3,841 |
|
|
|
|
|
|
|
70,033 |
|
|
Other current assets
|
|
|
1,914 |
|
|
|
15,379 |
|
|
|
4,267 |
|
|
|
|
|
|
|
21,560 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
33,125 |
|
|
|
364,415 |
|
|
|
32,486 |
|
|
|
|
|
|
|
430,026 |
|
Property and equipment, net
|
|
|
7,687 |
|
|
|
154,188 |
|
|
|
17,024 |
|
|
|
|
|
|
|
178,899 |
|
Investment in affiliates
|
|
|
564,136 |
|
|
|
61,103 |
|
|
|
|
|
|
|
(625,239 |
)(a) |
|
|
|
|
Advance to Holdings
|
|
|
10,491 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10,491 |
|
Goodwill
|
|
|
|
|
|
|
1,341,807 |
|
|
|
|
|
|
|
|
|
|
|
1,341,807 |
|
Other identifiable intangibles
|
|
|
|
|
|
|
79,954 |
|
|
|
|
|
|
|
|
|
|
|
79,954 |
|
Non-current deferred tax asset
|
|
|
55,131 |
|
|
|
7,701 |
|
|
|
(1,498 |
) |
|
|
|
|
|
|
61,334 |
|
Other assets
|
|
|
61,511 |
|
|
|
4,134 |
|
|
|
1,268 |
|
|
|
|
|
|
|
66,913 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
732,081 |
|
|
$ |
2,013,302 |
|
|
$ |
49,280 |
|
|
$ |
(625,239 |
) |
|
$ |
2,169,424 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current portion of long-term debt and notes payable
|
|
$ |
1,380 |
|
|
$ |
7,118 |
|
|
$ |
480 |
|
|
$ |
|
|
|
$ |
8,978 |
|
|
Accounts payable
|
|
|
2,018 |
|
|
|
54,781 |
|
|
|
6,979 |
|
|
|
|
|
|
|
63,778 |
|
|
Intercompany accounts
|
|
|
(941,501 |
) |
|
|
941,191 |
|
|
|
310 |
|
|
|
|
|
|
|
|
|
|
Accrued payroll
|
|
|
986 |
|
|
|
54,684 |
|
|
|
474 |
|
|
|
|
|
|
|
56,144 |
|
|
Accrued vacation
|
|
|
2,794 |
|
|
|
21,457 |
|
|
|
2,024 |
|
|
|
|
|
|
|
26,275 |
|
|
Accrued professional liability
|
|
|
15,433 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15,433 |
|
|
Accrued restructuring
|
|
|
|
|
|
|
4,067 |
|
|
|
|
|
|
|
|
|
|
|
4,067 |
|
|
Accrued other
|
|
|
12,047 |
|
|
|
64,526 |
|
|
|
2,362 |
|
|
|
|
|
|
|
78,935 |
|
|
Income taxes payable
|
|
|
(17,099 |
) |
|
|
34,566 |
|
|
|
(12,740 |
) |
|
|
|
|
|
|
4,727 |
|
|
Due to third party payors
|
|
|
6,050 |
|
|
|
15,094 |
|
|
|
(7,420 |
) |
|
|
|
|
|
|
13,724 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
(917,892 |
) |
|
|
1,197,484 |
|
|
|
(7,531 |
) |
|
|
|
|
|
|
272,061 |
|
Long-term debt, net of current portion
|
|
|
1,200,389 |
|
|
|
222,895 |
|
|
|
17,835 |
|
|
|
|
|
|
|
1,441,119 |
|
Noncurrent deferred tax liability
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
282,497 |
|
|
|
1,420,379 |
|
|
|
10,304 |
|
|
|
|
|
|
|
1,713,180 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
403 |
|
|
|
6,257 |
|
|
|
|
|
|
|
6,660 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital in excess of par
|
|
|
435,493 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
435,493 |
|
|
Retained earnings
|
|
|
13,073 |
|
|
|
15,906 |
|
|
|
2,158 |
|
|
|
(18,064 |
)(b) |
|
|
13,073 |
|
|
Subsidiary investment
|
|
|
|
|
|
|
576,614 |
|
|
|
30,561 |
|
|
|
(607,175 |
)(a) |
|
|
|
|
|
Accumulated other comprehensive income
|
|
|
1,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
449,584 |
|
|
|
592,520 |
|
|
|
32,719 |
|
|
|
(625,239 |
) |
|
|
449,584 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
732,081 |
|
|
$ |
2,013,302 |
|
|
$ |
49,280 |
|
|
$ |
(625,239 |
) |
|
$ |
2,169,424 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of investments in subsidiaries. |
|
|
|
(b) |
|
Elimination of investments in subsidiaries earnings. |
F-62
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Period January 1 through February 24, 2005 | |
|
|
| |
|
|
Predecessor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenues
|
|
$ |
28 |
|
|
$ |
248,857 |
|
|
$ |
38,902 |
|
|
$ |
|
|
|
$ |
287,787 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
193,323 |
|
|
|
32,105 |
|
|
|
|
|
|
|
225,428 |
|
|
Stock compensation associated with merger
|
|
|
142,213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
142,213 |
|
|
General and administrative
|
|
|
6,931 |
|
|
|
553 |
|
|
|
|
|
|
|
|
|
|
|
7,484 |
|
|
Bad debt expense
|
|
|
|
|
|
|
6,223 |
|
|
|
438 |
|
|
|
|
|
|
|
6,661 |
|
|
Depreciation and amortization
|
|
|
371 |
|
|
|
5,025 |
|
|
|
781 |
|
|
|
|
|
|
|
6,177 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
149,515 |
|
|
|
205,124 |
|
|
|
33,324 |
|
|
|
|
|
|
|
387,963 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(149,487 |
) |
|
|
43,733 |
|
|
|
5,578 |
|
|
|
|
|
|
|
(100,176 |
) |
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
6,261 |
|
|
|
(6,221 |
) |
|
|
(40 |
) |
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(213,822 |
) |
|
|
213,436 |
|
|
|
386 |
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
42,736 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
42,736 |
|
Merger related charges
|
|
|
12,025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12,025 |
|
Interest income
|
|
|
(294 |
) |
|
|
(229 |
) |
|
|
|
|
|
|
|
|
|
|
(523 |
) |
Interest expense
|
|
|
1,433 |
|
|
|
2,953 |
|
|
|
348 |
|
|
|
|
|
|
|
4,734 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
2,174 |
|
|
|
(166,206 |
) |
|
|
4,884 |
|
|
|
|
|
|
|
(159,148 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
7 |
|
|
|
462 |
|
|
|
|
|
|
|
469 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
2,174 |
|
|
|
(166,213 |
) |
|
|
4,422 |
|
|
|
|
|
|
|
(159,617 |
) |
Income tax expense (benefit)
|
|
|
130 |
|
|
|
(59,937 |
) |
|
|
441 |
|
|
|
|
|
|
|
(59,366 |
) |
Equity in earnings of subsidiaries
|
|
|
(102,295 |
) |
|
|
3,192 |
|
|
|
|
|
|
|
99,103 |
(a) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
(103,084 |
) |
|
$ |
3,981 |
|
|
$ |
99,103 |
|
|
$ |
(100,251 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income (loss) from consolidated
subsidiaries. |
F-63
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Period February 25 through March 31, 2005 | |
|
|
| |
|
|
Successor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenues
|
|
$ |
3 |
|
|
$ |
173,417 |
|
|
$ |
21,692 |
|
|
$ |
|
|
|
$ |
195,112 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
128,338 |
|
|
|
17,270 |
|
|
|
|
|
|
|
145,608 |
|
|
Stock compensation associated with merger
|
|
|
4,326 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,326 |
|
|
General and administrative
|
|
|
4,060 |
|
|
|
296 |
|
|
|
|
|
|
|
|
|
|
|
4,356 |
|
|
Bad debt expense
|
|
|
|
|
|
|
4,443 |
|
|
|
166 |
|
|
|
|
|
|
|
4,609 |
|
|
Depreciation and amortization
|
|
|
213 |
|
|
|
3,657 |
|
|
|
378 |
|
|
|
|
|
|
|
4,248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
8,599 |
|
|
|
136,734 |
|
|
|
17,814 |
|
|
|
|
|
|
|
163,147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(8,596 |
) |
|
|
36,683 |
|
|
|
3,878 |
|
|
|
|
|
|
|
31,965 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
4,259 |
|
|
|
(4,238 |
) |
|
|
(21 |
) |
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(16,522 |
) |
|
|
15,967 |
|
|
|
555 |
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
(64 |
) |
|
|
(13 |
) |
|
|
|
|
|
|
|
|
|
|
(77 |
) |
Interest expense
|
|
|
7,649 |
|
|
|
1,833 |
|
|
|
154 |
|
|
|
|
|
|
|
9,636 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(3,918 |
) |
|
|
23,134 |
|
|
|
3,190 |
|
|
|
|
|
|
|
22,406 |
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
64 |
|
|
|
398 |
|
|
|
|
|
|
|
462 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(3,918 |
) |
|
|
23,070 |
|
|
|
2,792 |
|
|
|
|
|
|
|
21,944 |
|
Income tax expense (benefit)
|
|
|
(372 |
) |
|
|
8,609 |
|
|
|
634 |
|
|
|
|
|
|
|
8,871 |
|
Equity in earnings of subsidiaries
|
|
|
16,619 |
|
|
|
1,445 |
|
|
|
|
|
|
|
(18,064 |
)(a) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
13,073 |
|
|
$ |
15,906 |
|
|
$ |
2,158 |
|
|
$ |
(18,064 |
) |
|
$ |
13,073 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income (loss) from consolidated
subsidiaries. |
F-64
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Period January 1 through February 24, 2005 | |
|
|
| |
|
|
Predecessor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
(103,084 |
) |
|
$ |
3,981 |
|
|
$ |
99,103 |
(a) |
|
$ |
(100,251 |
) |
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
371 |
|
|
|
5,025 |
|
|
|
781 |
|
|
|
|
|
|
|
6,177 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
6,223 |
|
|
|
438 |
|
|
|
|
|
|
|
6,661 |
|
|
Loss on early retirement of debt
|
|
|
7,977 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,977 |
|
|
Minority interests
|
|
|
|
|
|
|
7 |
|
|
|
462 |
|
|
|
|
|
|
|
469 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
102,295 |
|
|
|
(3,192 |
) |
|
|
|
|
|
|
(99,103 |
)(a) |
|
|
|
|
|
|
Intercompany
|
|
|
(9,314 |
) |
|
|
12,090 |
|
|
|
(2,776 |
) |
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(133 |
) |
|
|
(47,567 |
) |
|
|
(1,276 |
) |
|
|
|
|
|
|
(48,976 |
) |
|
|
Other current assets
|
|
|
1,899 |
|
|
|
(374 |
) |
|
|
291 |
|
|
|
|
|
|
|
1,816 |
|
|
|
Other assets
|
|
|
8,375 |
|
|
|
(9,045 |
) |
|
|
48 |
|
|
|
|
|
|
|
(622 |
) |
|
|
Accounts payable
|
|
|
(296 |
) |
|
|
6,128 |
|
|
|
(582 |
) |
|
|
|
|
|
|
5,250 |
|
|
|
Due to third-party payors
|
|
|
|
|
|
|
3,953 |
|
|
|
(3,286 |
) |
|
|
|
|
|
|
667 |
|
|
|
Accrued expenses
|
|
|
47,203 |
|
|
|
152,793 |
|
|
|
(87 |
) |
|
|
|
|
|
|
199,909 |
|
|
|
Income taxes
|
|
|
(59,190 |
) |
|
|
|
|
|
|
(831 |
) |
|
|
|
|
|
|
(60,021 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
(1,064 |
) |
|
|
22,957 |
|
|
|
(2,837 |
) |
|
|
|
|
|
|
19,056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(305 |
) |
|
|
(2,045 |
) |
|
|
(236 |
) |
|
|
|
|
|
|
(2,586 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
(105,092 |
) |
|
|
(3,187 |
) |
|
|
|
|
|
|
(108,279 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(305 |
) |
|
|
(107,137 |
) |
|
|
(3,423 |
) |
|
|
|
|
|
|
(110,865 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany debt reallocation
|
|
|
(2,964 |
) |
|
|
63 |
|
|
|
2,901 |
|
|
|
|
|
|
|
|
|
Principal payments on seller and other debt
|
|
|
|
|
|
|
(528 |
) |
|
|
|
|
|
|
|
|
|
|
(528 |
) |
Restricted cash
|
|
|
108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
108 |
|
Proceeds from issuance of common stock
|
|
|
1,023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,023 |
|
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(401 |
) |
|
|
|
|
|
|
(401 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
(1,833 |
) |
|
|
(465 |
) |
|
|
2,500 |
|
|
|
|
|
|
|
202 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
(149 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(149 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net decrease in cash and cash equivalents
|
|
|
(3,351 |
) |
|
|
(84,645 |
) |
|
|
(3,760 |
) |
|
|
|
|
|
|
(91,756 |
) |
Cash and cash equivalents at beginning of period
|
|
|
161,704 |
|
|
|
74,641 |
|
|
|
11,131 |
|
|
|
|
|
|
|
247,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
158,353 |
|
|
$ |
(10,004 |
) |
|
$ |
7,371 |
|
|
$ |
|
|
|
$ |
155,720 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-65
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Period February 25 through March 31, 2005 | |
|
|
| |
|
|
Successor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation (Parent | |
|
Subsidiary | |
|
Non-Guarantor | |
|
|
|
|
Company Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
13,073 |
|
|
$ |
15,906 |
|
|
$ |
2,158 |
|
|
$ |
(18,064 |
)(a) |
|
$ |
13,073 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
213 |
|
|
|
3,657 |
|
|
|
378 |
|
|
|
|
|
|
|
4,248 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
4,443 |
|
|
|
166 |
|
|
|
|
|
|
|
4,609 |
|
|
Non-cash compensation expense
|
|
|
4,326 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,326 |
|
|
Minority interests
|
|
|
|
|
|
|
64 |
|
|
|
398 |
|
|
|
|
|
|
|
462 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
(16,619 |
) |
|
|
(1,445 |
) |
|
|
|
|
|
|
18,064 |
(a) |
|
|
|
|
|
|
Intercompany
|
|
|
(118,035 |
) |
|
|
114,494 |
|
|
|
3,541 |
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
28 |
|
|
|
(35,882 |
) |
|
|
138 |
|
|
|
|
|
|
|
(35,716 |
) |
|
|
Other current assets
|
|
|
(917 |
) |
|
|
266 |
|
|
|
61 |
|
|
|
|
|
|
|
(590 |
) |
|
|
Other assets
|
|
|
(57,447 |
) |
|
|
56,278 |
|
|
|
(81 |
) |
|
|
|
|
|
|
(1,250 |
) |
|
|
Accounts payable
|
|
|
668 |
|
|
|
2,883 |
|
|
|
218 |
|
|
|
|
|
|
|
3,769 |
|
|
|
Due to third-party payors
|
|
|
|
|
|
|
2,751 |
|
|
|
(2,960 |
) |
|
|
|
|
|
|
(209 |
) |
|
|
Accrued expenses
|
|
|
(46,063 |
) |
|
|
(144,767 |
) |
|
|
(217 |
) |
|
|
|
|
|
|
(191,047 |
) |
|
|
Income taxes
|
|
|
6,935 |
|
|
|
|
|
|
|
(581 |
) |
|
|
|
|
|
|
6,354 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
(213,838 |
) |
|
|
18,648 |
|
|
|
3,219 |
|
|
|
|
|
|
|
(191,971 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(313 |
) |
|
|
(230 |
) |
|
|
(569 |
) |
|
|
|
|
|
|
(1,112 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
(2,215 |
) |
|
|
|
|
|
|
|
|
|
|
(2,215 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(313 |
) |
|
|
(2,445 |
) |
|
|
(569 |
) |
|
|
|
|
|
|
(3,327 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity investment by Holdings
|
|
|
720,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
720,000 |
|
Proceeds from credit facility
|
|
|
780,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
780,000 |
|
Proceeds from senior subordinated notes
|
|
|
660,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
660,000 |
|
Repayment of senior subordinated notes
|
|
|
(344,250 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(344,250 |
) |
Deferred financing costs
|
|
|
(57,198 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(57,198 |
) |
Costs associated with equity investment of Holdings
|
|
|
(8,686 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(8,686 |
) |
Intercompany debt reallocation
|
|
|
2,545 |
|
|
|
(845 |
) |
|
|
(1,700 |
) |
|
|
|
|
|
|
|
|
Principal payments on seller and other debt
|
|
|
|
|
|
|
(2,539 |
) |
|
|
(39 |
) |
|
|
|
|
|
|
(2,578 |
) |
Restricted cash
|
|
|
(12 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(12 |
) |
Repurchases of common stock
|
|
|
(1,687,994 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,687,994 |
) |
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(466 |
) |
|
|
|
|
|
|
(466 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
64,405 |
|
|
|
(3,384 |
) |
|
|
(2,205 |
) |
|
|
|
|
|
|
58,816 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
(149,641 |
) |
|
|
12,819 |
|
|
|
445 |
|
|
|
|
|
|
|
(136,377 |
) |
Cash and cash equivalents at beginning of period
|
|
|
158,353 |
|
|
|
(10,004 |
) |
|
|
7,371 |
|
|
|
|
|
|
|
155,720 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
8,712 |
|
|
$ |
2,815 |
|
|
$ |
7,816 |
|
|
$ |
|
|
|
$ |
19,343 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-66
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended March 31, 2004 | |
|
|
| |
|
|
Predecessor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net operating revenues
|
|
$ |
22 |
|
|
$ |
361,892 |
|
|
$ |
56,555 |
|
|
$ |
|
|
|
$ |
418,469 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
|
|
|
|
278,812 |
|
|
|
46,933 |
|
|
|
|
|
|
|
325,745 |
|
|
General and administrative
|
|
|
11,073 |
|
|
|
540 |
|
|
|
|
|
|
|
|
|
|
|
11,613 |
|
|
Bad debt expense
|
|
|
|
|
|
|
11,198 |
|
|
|
441 |
|
|
|
|
|
|
|
11,639 |
|
|
Depreciation and amortization
|
|
|
467 |
|
|
|
8,616 |
|
|
|
1,114 |
|
|
|
|
|
|
|
10,197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
11,540 |
|
|
|
299,166 |
|
|
|
48,488 |
|
|
|
|
|
|
|
359,194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(11,518 |
) |
|
|
62,726 |
|
|
|
8,067 |
|
|
|
|
|
|
|
59,275 |
|
Other (income) and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany interest and royalty fees
|
|
|
7,526 |
|
|
|
(7,512 |
) |
|
|
(14 |
) |
|
|
|
|
|
|
|
|
Intercompany management fees
|
|
|
(21,526 |
) |
|
|
20,717 |
|
|
|
809 |
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
(269 |
) |
|
|
(96 |
) |
|
|
|
|
|
|
|
|
|
|
(365 |
) |
Interest expense
|
|
|
3,307 |
|
|
|
5,206 |
|
|
|
905 |
|
|
|
|
|
|
|
9,418 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(556 |
) |
|
|
44,411 |
|
|
|
6,367 |
|
|
|
|
|
|
|
50,222 |
|
Minority interest in consolidated subsidiary companies
|
|
|
|
|
|
|
87 |
|
|
|
919 |
|
|
|
|
|
|
|
1,006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(556 |
) |
|
|
44,324 |
|
|
|
5,448 |
|
|
|
|
|
|
|
49,216 |
|
Income tax expense
|
|
|
1,119 |
|
|
|
17,441 |
|
|
|
1,233 |
|
|
|
|
|
|
|
19,793 |
|
Equity in earnings of subsidiaries
|
|
|
31,245 |
|
|
|
2,433 |
|
|
|
|
|
|
|
(33,678 |
)(a) |
|
|
|
|
Income from discontinued operations, net of tax
|
|
|
|
|
|
|
147 |
|
|
|
|
|
|
|
|
|
|
|
147 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
29,570 |
|
|
$ |
29,463 |
|
|
$ |
4,215 |
|
|
$ |
(33,678 |
) |
|
$ |
29,570 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in net income (loss) from consolidated
subsidiaries. |
F-67
Select Medical Corporation
Notes to Consolidated Financial Statements
(Unaudited) (Continued)
Select Medical Corporation
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended March 31, 2004 | |
|
|
| |
|
|
Predecessor | |
|
|
| |
|
|
Select Medical | |
|
|
|
|
Corporation | |
|
|
|
Non- | |
|
|
|
|
(Parent Company | |
|
Subsidiary | |
|
Guarantor | |
|
|
|
|
Only) | |
|
Guarantors | |
|
Subsidiaries | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
29,570 |
|
|
$ |
29,463 |
|
|
$ |
4,215 |
|
|
$ |
(33,678 |
)(a) |
|
$ |
29,570 |
|
Adjustments to reconcile net income to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
467 |
|
|
|
8,848 |
|
|
|
1,114 |
|
|
|
|
|
|
|
10,429 |
|
|
Provision for bad debts
|
|
|
|
|
|
|
11,300 |
|
|
|
441 |
|
|
|
|
|
|
|
11,741 |
|
|
Minority interests
|
|
|
|
|
|
|
87 |
|
|
|
919 |
|
|
|
|
|
|
|
1,006 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in earnings of subsidiaries
|
|
|
(31,245 |
) |
|
|
(2,433 |
) |
|
|
|
|
|
|
33,678 |
(a) |
|
|
|
|
|
|
Intercompany
|
|
|
64,116 |
|
|
|
(50,173 |
) |
|
|
(13,943 |
) |
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(17 |
) |
|
|
(13,060 |
) |
|
|
11,930 |
|
|
|
|
|
|
|
(1,147 |
) |
|
|
Other current assets
|
|
|
(2,954 |
) |
|
|
(2,058 |
) |
|
|
5,227 |
|
|
|
|
|
|
|
215 |
|
|
|
Other assets
|
|
|
1,201 |
|
|
|
118 |
|
|
|
(64 |
) |
|
|
|
|
|
|
1,255 |
|
|
|
Accounts payable
|
|
|
(7,471 |
) |
|
|
(3,420 |
) |
|
|
(151 |
) |
|
|
|
|
|
|
(11,042 |
) |
|
|
Due to third-party payors
|
|
|
4,183 |
|
|
|
19,516 |
|
|
|
(4,176 |
) |
|
|
|
|
|
|
19,523 |
|
|
|
Accrued expenses
|
|
|
(4,467 |
) |
|
|
1,651 |
|
|
|
(940 |
) |
|
|
|
|
|
|
(3,756 |
) |
|
|
Income taxes
|
|
|
18,117 |
|
|
|
|
|
|
|
618 |
|
|
|
|
|
|
|
18,735 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
71,500 |
|
|
|
(161 |
) |
|
|
5,190 |
|
|
|
|
|
|
|
76,529 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(2,075 |
) |
|
|
(4,861 |
) |
|
|
(826 |
) |
|
|
|
|
|
|
(7,762 |
) |
Earnout payments
|
|
|
|
|
|
|
(2,977 |
) |
|
|
|
|
|
|
|
|
|
|
(2,977 |
) |
Acquisition of businesses, net of cash acquired
|
|
|
|
|
|
|
|
|
|
|
(438 |
) |
|
|
|
|
|
|
(438 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(2,075 |
) |
|
|
(7,838 |
) |
|
|
(1,264 |
) |
|
|
|
|
|
|
(11,177 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intercompany debt reallocation
|
|
|
2,211 |
|
|
|
(1,759 |
) |
|
|
(452 |
) |
|
|
|
|
|
|
|
|
Net repayments on credit facility debt
|
|
|
|
|
|
|
|
|
|
|
(1,212 |
) |
|
|
|
|
|
|
(1,212 |
) |
Principal payments on seller and other debt
|
|
|
|
|
|
|
(1,515 |
) |
|
|
(120 |
) |
|
|
|
|
|
|
(1,635 |
) |
Repurchases of common stock
|
|
|
(19,852 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(19,852 |
) |
Proceeds from issuance of common stock
|
|
|
9,610 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9,610 |
|
Payment of common stock dividends
|
|
|
(3,113 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3,113 |
) |
Repayment of bank overdrafts
|
|
|
(3,569 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3,569 |
) |
Distributions to minority interests
|
|
|
|
|
|
|
|
|
|
|
(271 |
) |
|
|
|
|
|
|
(271 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
(14,713 |
) |
|
|
(3,274 |
) |
|
|
(2,055 |
) |
|
|
|
|
|
|
(20,042 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
(33 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(33 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
54,679 |
|
|
|
(11,273 |
) |
|
|
1,871 |
|
|
|
|
|
|
|
45,277 |
|
Cash and cash equivalents at beginning of period
|
|
|
101,989 |
|
|
|
60,878 |
|
|
|
2,640 |
|
|
|
|
|
|
|
165,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
156,668 |
|
|
$ |
49,605 |
|
|
$ |
4,511 |
|
|
$ |
|
|
|
$ |
210,784 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
Elimination of equity in earnings of subsidiary. |
F-68
Select Medical Corporation
$660,000,000
75/8% Senior
Subordinated Notes due 2015
PROSPECTUS
Until October 24, 2005, all dealers that effect
transactions in these securities, whether or not participating
in this offering, may be required to deliver a prospectus. This
is in addition to the dealers obligation to deliver a
prospectus when acting as underwriters with respect to their
unsold allotments or subscriptions.