sv4za
As filed with the Securities and Exchange Commission on
July 28, 2006
Registration
No. 333-133284
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
AMENDMENT NO. 4 TO
Form S-4
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
SELECT MEDICAL HOLDINGS CORPORATION
(Exact Name of Registrant as Specified in its Charter)
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Delaware |
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8060 |
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20-1764048 |
(State or other jurisdiction of
incorporation or organization) |
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(Primary Standard Industrial
Classification Code Number
of each Registrant) |
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(I.R.S. Employer
Identification No.) |
4716 Old Gettysburg Road, P.O. Box 2034
Mechanicsburg, Pennsylvania 17055
(717) 972-1100
(Address, Including Zip Code, and Telephone Number, Including
Area Code, of each Registrants Principal Executive
Offices)
Michael E. Tarvin, Esq.
Select Medical Holdings Corporation
4716 Old Gettysburg Road, P.O. Box 2034
Mechanicsburg, Pennsylvania 17055
(717) 972-1100
(Name, Address, Including Zip Code, and Telephone Number,
Including Area Code, of Agent for Service)
with a copy to:
Carmen J. Romano, Esq.
Dechert LLP
Cira Centre
2929 Arch Street
Philadelphia, PA 19104-2808
(215) 994-4000
Approximate date of commencement of proposed sale to the
public: As soon as practicable after the effective date of
this Registration Statement.
If the securities being registered on this form are being
offered in connection with the formation of a holding company
and there is compliance with General Instruction G, check
the following
box. o
If this form is filed to register additional securities for an
offering pursuant to Rule 462(b) under the Securities Act
of 1933, as amended (the Securities Act), check the
following box and list the Securities Act registration statement
number of the earlier effective registration statement for the
same
offering. o
If this form is a post-effective amendment filed pursuant to
Rule 462(d) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering. o
The Registrant hereby amends this Registration Statement on
such date or dates as may be necessary to delay its effective
date until the Registrant shall file a further amendment which
specifically states that this Registration Statement shall
thereafter become effective in accordance with Section 8(a)
of the Securities Act of 1933 or until the Registration
Statement shall become effective on such date as the Commission,
acting pursuant to said Section 8(a), may determine.
The
information in this prospectus is not complete and may be
changed. We may not sell these securities until the registration
statement filed with the Securities and Exchange Commission is
effective. This prospectus is not an offer to sell these
securities and we are not soliciting an offer to buy these
securities in any state where the offer or sale is not
permitted.
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SUBJECT TO
COMPLETION DATED JULY 28, 2006
PROSPECTUS
Select Medical Holdings
Corporation
Offer to Exchange
$175,000,000 principal amount of
our Senior Floating Rate Notes due 2015, which have been
registered under the Securities Act, for our
outstanding Senior Floating Rate Notes due 2015
We are offering to exchange new Senior Floating Rate Notes
due 2015, or the senior floating rate exchange notes, for our
currently outstanding Senior Floating Rate Notes due 2015,
or the outstanding senior floating rate notes. We refer to the
outstanding senior floating rate notes as the outstanding notes,
the senior floating rate 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.
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, ,
2006, 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 ,
2006.
TABLE OF CONTENTS
PROSPECTUS SUMMARY
The following summary contains basic information about us and
this offering. It is likely that this summary does not contain
all of the information that is important to you. You should read
the entire offering memorandum, including the risk factors and
the financial statements and related notes included elsewhere
herein, before making an investment decision.
Unless otherwise indicated or unless the context otherwise
requires, the term Holdings refers to Select Medical
Holdings Corporation, the term Select refers to
Select Medical Corporation (a wholly-owned subsidiary of
Holdings) and the terms our company, us,
we and our refer to Holdings together
with Select and its subsidiaries.
The Exchange Offer
On September 29, 2005, we completed a private offering of
$175.0 million in aggregate principal amount of senior
floating rate notes due 2015, referred to in this prospectus as
the outstanding notes. 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 205 days of the issuance of the outstanding notes.
You are entitled to exchange in this exchange offer your
outstanding notes for floating rate 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 and outpatient
rehabilitation clinics in the United States. As of
March 31, 2006, we operated 97 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 613 outpatient
rehabilitation clinics in 24 states and the District of
Columbia. 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 combined twelve months ended
December 31, 2005, we had net operating revenues of
$1,858.4 million, income from operations of
$119.1 million and a net loss of $27.9 million. For
the three months ended March 31, 2006, we had net operating
revenues of $479.7 million, income from operations of
$66.5 million and net income of $28.2 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, 2006,
approximately 75% of our net operating revenues were from our
specialty hospitals and approximately 25% were from our
outpatient rehabilitation business.
The Merger 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 Holdings (the
Merger). Holdings was formerly known as EGL Holding
Company. Holdings and EGL Acquisition Corp. were Delaware
corporations formed by Welsh, Carson, Anderson & Stowe
IX, LP (Welsh Carson), for purposes of engaging in
the Merger and the related transactions. 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. The Merger and related transactions are collectively
referred to in this prospectus as the Transactions.
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As a result of the Transactions, our assets and liabilities have
been adjusted to their fair value as of February 25, 2005.
We have also experienced an increase in our aggregate
outstanding indebtedness as a result of financing associated
with the Transactions. Accordingly, our amortization expense and
interest expense are higher in periods following the
Transactions. The excess of the total purchase price over the
fair value of our tangible and identifiable intangible assets of
$1.4 billion has been allocated to goodwill, which will be
the subject of an annual impairment test.
Corporate Information
Holdings is a corporation organized under the laws of the State
of Delaware. Our principal executive offices are 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
companys website can be located at
www.selectmedicalcorp.com. The information on our
companys website is not part of this prospectus.
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Summary of the Terms of the Exchange Offer
On September 29, 2005, we completed an offering of
$175.0 million in aggregate principal amount of senior
floating rate 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 entered
into an exchange and registration rights agreement with the
initial purchasers of the outstanding notes. Under the terms of
that agreement, we agreed to use commercially reasonable efforts
to consummate the exchange offer contemplated by this prospectus.
If we are not able to effect the exchange offer contemplated by
this prospectus, we 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. For a more complete description of the exchange offer,
see The Exchange Offer.
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Securities Offered |
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$175,000,000 in aggregate principal amount of senior
floating rate notes due 2015. |
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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,
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2006. 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 Holdings,
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
out- |
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standing 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 Holdings, |
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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 ,
2006 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 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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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 Holdings,
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. 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 |
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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. 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 Holdings Corporation. |
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Exchange notes |
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$175,000,000 in aggregate principal amount of senior
floating rate notes due 2015. |
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Maturity date |
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September 15, 2015. |
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Interest rate |
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The notes bear interest at a rate per annum, reset semi-annually
on each of the interest payment dates, equal to LIBOR plus
5.75%, as determined by the calculation agent appointed by us,
the initial trustee. According to this formula, the current
interest rate on the notes is 10.82%. Interest on overdue
principal accrues at a rate that is 1% higher than the then
applicable interest rate on the notes. |
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Interest payment dates |
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March 15 and September 15. |
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Optional redemption |
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We may redeem some or all of the notes prior to
September 15, 2009 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 September 15, 2008, we may redeem either
all remaining outstanding notes or up to 35% of the aggregate
principal amount of the notes at 100% of the aggregate principal
amount so redeemed plus a premium equal to the interest rate per
annum of the notes applicable on the date on which the notice of
redemption is given, plus accrued and unpaid interest, with the
proceeds of one or more equity offerings or equity contributions
to the equity capital of Holdings from the net proceeds of one
or more equity offerings by any direct or indirect parent of
Holdings, provided that either no notes remain outstanding
immediately following such redemption or at least 65% of the
originally issued aggregate principal amount of the notes
remains outstanding after such redemption and the redemption
occurs within 90 days of the date of the closing of such
equity offering or equity contribution. |
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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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The notes are not guaranteed by any of our subsidiaries. |
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Ranking |
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The notes are Holdings unsecured senior obligations and: |
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rank equally in right of payment to all of its
future senior indebtedness; |
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rank senior in right of payment to all of its
existing and future senior subordinated indebtedness and
subordinated indebtedness, including Holdings existing
10% senior subordinated notes due 2015; |
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are effectively subordinated in right of payment to
its secured debt to the extent of the value of the assets
securing such debt; and |
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are structurally subordinated to all liabilities and
other obligations (including preferred stock) of its current and
future subsidiaries, including Select. |
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As of March 31, 2006, Holdings, on an unconsolidated
basis, had total outstanding debt of $325.0 million
(excluding Holdings guarantee of the indebtedness under
Selects existing senior secured credit facility),
$150.0 million of which was subordinated to the notes. As
of March 31, 2006, Holdings had no other debt that was pari
passu with the notes. |
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Holdings is a guarantor of Selects existing senior
secured credit facility and has pledged 100% of the capital
stock of Select to secure such guarantee. |
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Holders of the notes will only be creditors of Holdings, and
not of its subsidiaries. As a result, all the existing and
future liabilities and other obligations of its subsidiaries,
including Select, and including any claims of trade creditors
and preferred stockholders of such subsidiaries, will be
effectively senior to the notes. The total consolidated balance
sheet liabilities of Select and its subsidiaries, as of
March 31, 2006, were $1,601.1 million, of which
$1,263.4 million constituted indebtedness (excluding
$22.5 million of letters of credit), including
$602.2 million of indebtedness under Selects existing
senior secured credit facility and $660.0 million of
Selects existing
75/8
% senior subordinated notes due 2015. |
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Holdings has guaranteed 100% of Selects obligations under
its existing senior credit facility, or $602.2 million as
of March 31, 2006. As of such date, Select also would have
been able to borrow up to an additional $249.5 million
under Selects existing senior secured credit facility
(after giving effect to the $22.5 million of letters of
credit then outstanding). Holdings and its restricted
subsidiaries may incur additional debt in the future, including
under Selects existing senior secured credit facility. |
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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 certain investments, |
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create certain liens, |
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sell certain 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, 2006, 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 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. We believe it is unlikely that a
significant market for the notes will develop. 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. The data
for the years ended December 31, 2003 and 2004, for the
period from January 1, 2005 through February 24, 2005 (the
Predecessor), and for the period from
February 25, 2005 through December 31, 2005 (the
Successor) have been derived from our audited
consolidated financial statements. We derived the historical
financial data for the period from February 25, 2005
through March 31, 2005 and for the three months ended
March 31, 2006 from our unaudited interim consolidated
financial statements. You should also read Selected
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 year ended December 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, and then applies certain
pro forma adjustments to give effect to the sale of the old
notes as of January 1, 2005. By definition, the Predecessor
and Successor results are not comparable due to the Merger and
the resulting change in basis.
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|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net operating revenues
|
|
$ |
1,341,657 |
|
|
$ |
1,601,524 |
|
|
$ |
277,736 |
|
|
|
$ |
1,580,706 |
|
|
$ |
1,858,442 |
|
|
$ |
188,386 |
|
|
$ |
479,743 |
|
Operating expenses(1)(2)
|
|
|
1,165,814 |
|
|
|
1,340,068 |
|
|
|
373,418 |
|
|
|
|
1,322,068 |
|
|
|
1,695,486 |
|
|
|
153,749 |
|
|
|
402,397 |
|
Depreciation and amortization
|
|
|
33,663 |
|
|
|
38,951 |
|
|
|
5,933 |
|
|
|
|
37,922 |
|
|
|
44,537 |
|
|
|
4,126 |
|
|
|
10,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
142,180 |
|
|
|
222,505 |
|
|
|
(101,615 |
) |
|
|
|
220,716 |
|
|
|
118,419 |
|
|
|
30,511 |
|
|
|
66,451 |
|
Loss on early retirement of debt(3)
|
|
|
|
|
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
|
|
|
Merger related charges(4)
|
|
|
|
|
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
|
|
|
Equity in income from joint ventures
|
|
|
824 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
1,096 |
|
|
|
267 |
|
|
|
|
1,092 |
|
|
|
1,359 |
|
|
|
103 |
|
|
|
|
|
Interest expense, net(5)
|
|
|
(24,499 |
) |
|
|
(30,716 |
) |
|
|
(4,128 |
) |
|
|
|
(101,441 |
) |
|
|
(133,919 |
) |
|
|
(10,967 |
) |
|
|
(32,659 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
118,505 |
|
|
|
192,885 |
|
|
|
(160,237 |
) |
|
|
|
120,367 |
|
|
|
(68,902 |
) |
|
|
19,647 |
|
|
|
33,792 |
|
Minority interests(6)
|
|
|
1,661 |
|
|
|
2,608 |
|
|
|
330 |
|
|
|
|
1,776 |
|
|
|
2,106 |
|
|
|
302 |
|
|
|
391 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
116,844 |
|
|
|
190,277 |
|
|
|
(160,567 |
) |
|
|
|
118,591 |
|
|
|
(71,008 |
) |
|
|
19,345 |
|
|
|
33,401 |
|
Income tax provision (benefit)
|
|
|
46,238 |
|
|
|
76,551 |
|
|
|
(59,794 |
) |
|
|
|
49,336 |
|
|
|
(22,536 |
) |
|
|
7,853 |
|
|
|
15,230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
70,606 |
|
|
|
113,726 |
|
|
|
(100,773 |
) |
|
|
|
69,255 |
|
|
$ |
(48,472 |
) |
|
|
11,492 |
|
|
|
18,171 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net
|
|
|
3,865 |
|
|
|
4,458 |
|
|
|
522 |
|
|
|
|
3,072 |
|
|
|
|
|
|
|
672 |
|
|
|
10,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
74,471 |
|
|
|
118,184 |
|
|
|
(100,251 |
) |
|
|
|
72,327 |
|
|
|
|
|
|
|
12,164 |
|
|
|
28,189 |
|
Less: Preferred stock dividends
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
23,519 |
|
|
|
|
|
|
|
2,924 |
|
|
|
5,488 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common stockholders
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
|
|
$ |
48,808 |
|
|
|
|
|
|
$ |
9,240 |
|
|
$ |
22,701 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
|
|
|
|
January 1, | |
|
|
February 25, | |
|
Period from | |
|
Three | |
|
|
Year Ended December 31, | |
|
through | |
|
|
through | |
|
February 25, | |
|
Months | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
through | |
|
Ended | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
March 31, 2005 | |
|
March 31, 2006 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
$ |
2,586 |
|
|
|
$ |
107,360 |
|
|
$ |
1,112 |
|
|
$ |
38,386 |
|
Cash Flow Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
$ |
246,248 |
|
|
$ |
174,276 |
|
|
$ |
19,056 |
|
|
|
$ |
38,155 |
|
|
$ |
(191,971 |
) |
|
$ |
(5,578 |
) |
Net cash used in investing activities
|
|
|
(261,452 |
) |
|
|
(28,959 |
) |
|
|
(110,757 |
) |
|
|
|
(110,054 |
) |
|
|
(3,339 |
) |
|
|
36,734 |
|
Net cash provided by (used in) financing activities
|
|
|
124,318 |
|
|
|
(63,959 |
) |
|
|
94 |
|
|
|
|
(48,604 |
) |
|
|
58,828 |
|
|
|
(53,201 |
) |
Balance Sheet Data (at end of period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
165,507 |
|
|
$ |
247,476 |
|
|
|
|
|
|
|
$ |
35,861 |
|
|
$ |
19,343 |
|
|
$ |
13,851 |
|
Working capital
|
|
|
188,380 |
|
|
|
313,715 |
|
|
|
|
|
|
|
|
77,556 |
|
|
|
157,071 |
|
|
|
65,809 |
|
Total assets
|
|
|
1,078,998 |
|
|
|
1,113,721 |
|
|
|
|
|
|
|
|
2,168,385 |
|
|
|
2,160,723 |
|
|
|
2,135,287 |
|
Total debt
|
|
|
367,503 |
|
|
|
354,590 |
|
|
|
|
|
|
|
|
1,628,889 |
|
|
|
1,580,824 |
|
|
|
1,570,327 |
|
Total stockholders equity
|
|
|
419,175 |
|
|
|
515,943 |
|
|
|
|
|
|
|
|
(244,658 |
) |
|
|
(288,076 |
) |
|
|
(219,921 |
) |
Selected Operating Data
The following table sets forth operating statistics for our
specialty hospitals and outpatient rehabilitation business for
each of the periods presented. The data in the table reflects
the changes in the number of specialty hospitals and outpatient
rehabilitation clinics Select operated 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 | |
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended | |
|
Ended | |
|
|
| |
|
March 31, | |
|
March 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
2005 | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Specialty hospital data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals start of period
|
|
|
72 |
|
|
|
83 |
|
|
|
86 |
|
|
|
86 |
|
|
|
101 |
|
|
Number of hospitals start-ups
|
|
|
8 |
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals acquired
|
|
|
4 |
|
|
|
|
|
|
|
17 |
|
|
|
17 |
|
|
|
|
|
|
Number of hospitals closed
|
|
|
(1 |
) |
|
|
(1 |
) |
|
|
(2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals end of period(7)
|
|
|
83 |
|
|
|
86 |
|
|
|
101 |
|
|
|
103 |
|
|
|
101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available licensed beds(8)
|
|
|
3,204 |
|
|
|
3,403 |
|
|
|
3,829 |
|
|
|
3,907 |
|
|
|
3,852 |
|
Admissions(9)
|
|
|
27,620 |
|
|
|
33,523 |
|
|
|
39,963 |
|
|
|
10,336 |
|
|
|
10,483 |
|
Patient days(10)
|
|
|
722,231 |
|
|
|
816,898 |
|
|
|
985,025 |
|
|
|
250,839 |
|
|
|
251,701 |
|
Average length of stay (days)(11)
|
|
|
26 |
|
|
|
24 |
|
|
|
25 |
|
|
|
25 |
|
|
|
25 |
|
Occupancy rate(12)
|
|
|
70 |
% |
|
|
67 |
% |
|
|
70 |
% |
|
|
71 |
% |
|
|
73 |
% |
Percent patient days Medicare(13)
|
|
|
76 |
% |
|
|
74 |
% |
|
|
75 |
% |
|
|
77 |
% |
|
|
73 |
% |
Outpatient rehabilitation data:(14)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics start of period
|
|
|
568 |
|
|
|
645 |
|
|
|
589 |
|
|
|
589 |
|
|
|
553 |
|
|
Number of clinics acquired
|
|
|
124 |
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics start-ups
|
|
|
27 |
|
|
|
19 |
|
|
|
22 |
|
|
|
9 |
|
|
|
1 |
|
|
Number of clinics closed/sold
|
|
|
(74 |
) |
|
|
(76 |
) |
|
|
(58 |
) |
|
|
(6 |
) |
|
|
(1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned end of period
|
|
|
645 |
|
|
|
589 |
|
|
|
553 |
|
|
|
592 |
|
|
|
553 |
|
Number of clinics managed end of period(15)
|
|
|
43 |
|
|
|
51 |
|
|
|
55 |
|
|
|
53 |
|
|
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total number of clinics
|
|
|
688 |
|
|
|
640 |
|
|
|
608 |
|
|
|
645 |
|
|
|
613 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Operating expenses include cost of services, general and
administrative expenses, and bad debt expenses. |
|
|
(2) |
Includes stock compensation expense related to the repurchase of
outstanding stock options in the Predecessor period from
January 1, 2005 through February 24, 2005,
compensation expense related to restricted stock, stock options
and long-term incentive compensation in the Successor period
from February 25, 2005 through December 31, 2005 and
compensation related to restricted stock and stock |
11
|
|
|
|
|
options in the Successor period from February 25, 2005
through March 31, 2005 and for the three months ended March
31, 2006. |
|
|
(3) |
In connection with the Merger, Select tendered for all of its
91/2% senior
subordinated notes due 2009 and all of its
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. |
|
|
(4) |
As a result of the Merger, Select 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
Selects directors and officers liability insurance policy
and other associated expenses. |
|
|
(5) |
Interest expense, net, equals interest expense minus interest
income. |
|
|
(6) |
Reflects interests held by other parties in subsidiaries,
limited liability companies and limited partnerships owned and
controlled by us. |
|
|
(7) |
As of December 31, 2005, Select owned 100% of the equity
interests in all of its hospitals except for one hospital that
had a 14% minority ownership, three hospitals that had a 2%
minority ownership and two hospitals that had a 7% minority
ownership. |
|
|
(8) |
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. |
|
|
(9) |
Admissions represent the number of patients admitted for
treatment. |
|
|
(10) |
Patient days represent the total number of days of care provided
to patients. |
|
(11) |
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. |
|
(12) |
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. |
|
(13) |
We calculate percent patient days Medicare by
dividing the number of Medicare patient days by the total number
of patient days. |
|
(14) |
Clinic data has been restated to remove the clinics operated by
CBIL, which is being reported as a discontinued operation. CBIL
operated 102, 101 and 109 clinics at December 31, 2003,
2004 and 2005, respectively and 108 clinics at
March 31, 2005. Occupational health clinics have been
reclassified from owned to managed clinics. |
|
(15) |
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 exchange 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.
Risk Related to Our Business
|
|
|
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 was 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, but in no event is
the Fiscal 2004 Percentage less than 25%. As of
December 31, 2005, 93 of our 97 long-term acute care
hospitals operated as HIHs. For the year ended December 31,
2005, approximately 56% of the Medicare admissions to these HIHs
were from host hospitals. For the year ended December 31,
2005, approximately 10% of these HIHs admitted 25% or fewer of
their Medicare patients from their host hospitals, approximately
34% of these HIHs admitted 50% or fewer of their Medicare
patients from their host hospitals, and approximately 74% of
these HIHs admitted 75% or fewer of their Medicare patients from
their host hospitals. The admissions data for the year ended
December 31, 2005 is not necessarily indicative of the
admissions mix these hospitals will experience in the future.
These new HIH regulations had 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 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 some of
our 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 Business
Specialty Hospitals
13
Recent Long-Term Acute Care Hospital Regulatory
Developments and Business Government
Regulations Overview of U.S. and State Government
Reimbursements Regulatory Changes.
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Government implementation of recent changes to
Medicares method of reimbursing our long-term acute care
hospitals will reduce our future net operating revenues and
profitability. |
All Medicare payments to our long-term acute care hospitals are
made in accordance with a prospective payment system
specifically applicable to long-term acute care hospitals,
referred to as LTCH-PPS. Under LTCH-PPS, a long-term
acute care hospital is paid a predetermined fixed amount
depending upon the long-term care diagnosis-related group, or
LTC-DRG, to which each patient is assigned. LTCH-PPS
includes special payment policies that adjust the payments for
some patients based on a variety of factors. On May 2,
2006, the Centers for Medicare & Medicaid Services
(known as CMS) released its final annual payment
rate updates for the 2007 LTCH-PPS rate year (affecting
discharges and cost reporting periods beginning on or after
July 1, 2006 and before July 1, 2007). The May 2006
final rule makes several changes to LTCH-PPS payment
methodologies.
For discharges occurring on or after July 1, 2006, the rule
changes the payment methodology for Medicare patients with a
length of stay less than or equal to five-sixths of the
geometric average length of stay for each LTC-DRG (referred to
as short-stay outlier or SSO cases).
Currently, payment for these patients is based on the lesser of
(1) 120 percent of the cost of the case;
(2) 120 percent of the LTC-DRG specific per diem
amount multiplied by the patients length of stay; or
(3) the full LTC-DRG payment. The final rule modifies the
limitation in clause (1) above to reduce payment for SSO
cases to 100 percent (rather than 120 percent) of the
cost of the case. The final rule also adds a fourth limitation,
capping payment for SSO cases at a per diem rate derived from
blending 120 percent of the LTC-DRG specific per diem
amount with a per diem rate based on the general acute care
hospital inpatient prospective payment system
(IPPS). Under this methodology, as a patients
length of stay increases, the percentage of the per diem amount
based upon the IPPS component will decrease and the percentage
based on the LTC-DRG component will increase.
In addition, for discharges occurring on or after July 1,
2006, the final rule provides for (i) a zero-percent update
for the 2007 LTCH-PPS rate year to the LTCH-PPS standard federal
rate used as a basis for LTCH-PPS payments; (ii) the
elimination of the surgical case exception to the three-day or
less interruption of stay policy, under which surgical exception
Medicare reimburses a general acute care hospital directly for
surgical services furnished to a long-term acute care hospital
patient during a brief interruption of stay from the long-term
acute care hospital, rather than requiring the long-term acute
care hospital to bear responsibility for such surgical services;
and (iii) increasing the costs that a long-term acute care
hospital must bear before Medicare will make additional payments
for a case under its high-cost outlier policy for the 2007
LTCH-PPS rate year.
CMS estimates that the changes in the May 2006 final rule will
result in an approximately 3.7 percent decrease in LTCH
Medicare payments-per-discharge as compared to the 2006 rate
year, largely attributable to the revised SSO payment
methodology. Based upon our historical Medicare patient volumes
and revenues, we expect that the May 2006 final rule will reduce
Medicare revenues associated with SSO cases and high cost
outlier cases to our long-term acute care hospitals by
approximately $30.0 million on an annual basis.
Additionally, had CMS updated the LTCH-PPS standard federal rate
by the 2007 estimated market basket index of 3.4 percent
rather than applying the zero-percent update, we estimate that
we would have received approximately $31.0 million in
additional annual Medicare revenues, based on our historical
Medicare patient volumes and revenues (such revenues would have
been paid to our hospitals for discharges beginning on or after
July 1, 2006). See Business Specialty
Hospitals Recent Long-Term Acute Care Hospital
Regulatory Developments and Business
Government Regulations Overview of U.S. and State
Government Reimbursements Long-term acute care
hospital Medicare reimbursement.
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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, 2006, all of our long-term acute care
hospitals were certified by Medicare as 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 result in our long-term acute care hospitals receiving
less Medicare
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reimbursement than they currently receive for their patient
services. In its preamble to the May 2006 final rule updating
the long-term acute care Medicare prospective payment system,
CMS discussed the contract that it has awarded 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 indicated that it expects RTIs final
report to be submitted to the agency in late Spring 2006. While
acknowledging that RTIs findings are expected to have a
substantial impact on future Medicare policy for long-term acute
care hospitals, CMS stated its belief that many of the specific
payment adjustment features of LTCH-PPS presently in place may
still be necessary and appropriate even with the development of
patient- and facility-level criteria for long-term acute care
hospitals. 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 or change the basis on which we are
paid 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
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, 2006, 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 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 issued a formal
response to the GAO study on June 24, 2005, in which it
concluded
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that the revised inpatient rehabilitation facility certification
standards, including the 75% test, were consistent with the
recommendations in the GAO report. In light of this
determination, the Secretary announced that CMS would
immediately begin enforcement of the revised certification
standards.
Subsequently, under the Deficit Reduction Act of 2005, enacted
on February 8, 2006, Congress extended the phase-in period
for the 75% test by maintaining the compliance threshold at 60%
(rather than increasing it to 65%) during the
12-month period
beginning on July 1, 2006. The compliance threshold then
increases to 65% for cost reporting periods beginning on or
after July 1, 2007 and again to 75% for cost reporting
periods beginning on or after July 1, 2008.
The inpatient rehabilitation facilities we acquired as part of
our Kessler acquisition in September 2003 may not have fully met
the historic standard. In order to achieve compliance with the
revised 75% test, 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
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. Congress allowed the therapy caps to go back into effect
on January 1, 2006. The inflation adjusted caps are $1,740
in 2006. As directed by Congress in the Deficit Reduction Act of
2005, CMS is implementing an exceptions process for therapy
expenses incurred in 2006. Under this process, a Medicare
enrollee may request an exception from the therapy caps if the
provision of therapy services is deemed to be medically
necessary. Therapy cap exceptions will be available
automatically for certain conditions and on a case-by-case basis
upon submission of documentation of medical necessity.
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 three months ended
March 31, 2006, we received approximately 8% of our
outpatient rehabilitation net operating revenues from Medicare.
See 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 56% of our net operating revenues for the three
months ended March 31, 2006 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. For instance, in its preamble to the
January 27, 2006 proposed rule updating the long-term acute
care hospital Medicare prospective payment system, CMS announced
that it is studying whether payment adjustments similar to those
adopted with respect to HIHs in 2004 should also be adopted with
respect to free-standing long-term acute care hospitals. Such
adjustments could include limiting payments to free-standing
long-term acute care hospitals to the extent that greater than
25% of a facilitys admissions come from a single general
acute care hospital. 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
Business Government Regulations.
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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
17
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, 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. In addition, in recent years we have experienced increased
competition for hospitals and clinics that would be suitable
acquisition candidates for us from financial buyers. This
increased competition could hamper our ability to acquire
companies because we are outbid, or such increased competition
may cause us to pay a higher price than we would otherwise pay
in a less competitive environment. Increased competition from
both strategic and financial buyers 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 in particular on our ability to retain
and motivate four key employees, Rocco A. Ortenzio, Robert A.
Ortenzio, Patricia A. Rice and Martin F. Jackson. We currently
have an employment agreement in place with Mr. Ortenzio,
Mr. Ortenzio and Ms. Rice and a change in control
agreement with Mr. Jackson. See
Management Employment Agreements. Each
also has a significant equity ownership in Holdings. See
Security Ownership of Certain Beneficial Owners and
Management. We have no reason to believe that we will lose
the services of any of these individuals in the foreseeable
future; however, we currently have no effective replacement for
each of these individuals, due to their experience, reputation
in the industry and special role in our operations. The loss of
the services of any of these individuals would disrupt
significant aspects of our business, 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
18
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 whistleblower lawsuits are not covered by insurance and
can involve significant monetary damages and award bounties to
private plaintiffs who successfully bring the suits. See
Legal Proceedings.
To mitigate our financial risk, we maintain professional
malpractice liability insurance and general liability insurance
coverages under a combination of policies with a total annual
aggregate limit of $30 million. Our insurance for the
professional liability coverage is written on a
claims-made basis and our commercial general
liability coverage is maintained on an occurrence
basis. These coverages are generally subject to a self-insured
retention of $2 million per medical incident for
professional liability claims and $2 million per occurrence
for general liability claims. In recent years, 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. In some instances, insurance underwriters will
no longer underwrite risk in certain states that have a history
of high medical malpractice awards. There can be no assurance
that in the future, malpractice insurance will be available in
certain states nor that we will be able to obtain insurance
coverage at a reasonable price. Since our professional liability
insurance is on a claims-made basis, any failure to obtain
malpractice insurance in any state in the future would increase
our exposure not only to claims arising in the future in such
state but to claims arising from injuries that may have already
occurred but which had not been reported during the period in
which we previously had insurance coverage in that state. In
addition, our insurance coverage does not cover punitive damages
and may not cover all claims against us. See
Business Government Regulations
Other Healthcare Regulations and Managements
Discussion and Analysis of Financial Condition and Results of
Operations Medical and Professional Malpractice
Insurance.
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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 Welsh Carson and Thoma Cressey 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 exchange notes.
Risks Related to the Notes
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The notes are non-investment grade, and the market price
for the notes may be volatile. |
The notes currently have non-investment grade ratings of Caa1
and B- under Moodys and Standard & Poors,
respectively. The notes may never be rated investment grade, and
if they are rated investment grade, the notes may not maintain
such rating. 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 exchange notes. The market for the exchange notes, if any,
may be subject to similar disruptions. Any such disruptions may
have a negative effect on you, as a holder of the exchange
notes, regardless of our prospects and financial performance. If
any of the exchange notes are traded after their initial
issuance, they may trade at a discount from the initial offering
price of the old notes. In addition to disruptions in the
non-investment grade debt market, factors that could cause the
notes to trade at a discount include an increase in interest
rates, a decline in economic conditions generally and a decline
in our financial condition.
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Holdings is the sole obligor under the notes. Our
subsidiaries, including Select, will not guarantee our
obligations under the notes and do not have any obligation with
respect to the notes; the notes will be structurally
subordinated to all indebtedness and other obligations of
Holdings subsidiaries, including Select. Holdings is a
holding company and therefore depends on its subsidiaries to
service its obligations under the notes and its other
indebtedness. Holdings ability to repay the notes depends
upon the performance of its subsidiaries and their ability to
make distributions. |
Holdings has no operations of its own and derives all of its
revenues and cash flow from its subsidiaries. None of
Holdings subsidiaries have guaranteed the notes.
Holdings subsidiaries are separate and distinct legal
entities and have no obligation, contingent or otherwise, to pay
any amounts due under the notes, or to make any funds available
therefore, whether by dividend, distribution, loan or other
payments, and the
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consequent rights of holders of notes to realize proceeds from
the sale of any of those subsidiaries assets will be
structurally subordinated to the claims of subsidiaries
creditors, including trade creditors and holders of debt of
those subsidiaries. As a result, the notes are structurally
subordinated to the prior payment of all of the debts (including
trade payables) of Holdings subsidiaries. Holdings
subsidiaries have a significant amount of indebtedness. The
total consolidated balance sheet liabilities of Select and its
subsidiaries, as of March 31, 2006, were
$1,601.1 million, of which $1,263.4 million
constituted indebtedness, including $602.2 of indebtedness
(excluding $22.5 million of letters of credit) under
Selects existing senior secured credit facility and
$660.0 million of Selects existing
75/8
% senior subordinated notes. All such indebtedness
will mature prior to the notes. In addition, as of such date,
Select also would have been able to borrow up to an additional
$249.5 million under Selects existing senior secured
credit facility. Holdings and its restricted subsidiaries may
incur additional debt in the future, including under
Selects existing senior secured credit facility.
You and the other holders of Holdings indebtedness and
liabilities are only entitled to participate in the assets of
Holdings subsidiaries remaining after the subsidiaries
have paid all of their debts and liabilities.
The following table summarizes our indebtedness at
December 31, 2005, and the effect such indebtedness is
expected to have on our liquidity and cash flow in future
periods.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at | |
|
Payments Due by Year | |
|
|
December 31, | |
|
| |
|
|
2005 | |
|
2006 | |
|
2007 | |
|
2008 | |
|
2009 | |
|
2010 | |
|
Thereafter | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Select:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Senior Secured Credit Facility
|
|
$ |
660,650 |
|
|
$ |
5,800 |
|
|
$ |
5,800 |
|
|
$ |
5,800 |
|
|
$ |
5,800 |
|
|
$ |
5,800 |
|
|
$ |
631,650 |
|
|
|
75/8
% Senior Subordinated Notes
|
|
|
660,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
660,000 |
|
|
|
Seller Notes
|
|
|
899 |
|
|
|
355 |
|
|
|
389 |
|
|
|
155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital Lease Obligations
|
|
|
359 |
|
|
|
197 |
|
|
|
162 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Debt Obligations
|
|
|
372 |
|
|
|
164 |
|
|
|
208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Debt
|
|
|
1,322,280 |
|
|
|
6,516 |
|
|
|
6,559 |
|
|
|
5,955 |
|
|
|
5,800 |
|
|
|
5,800 |
|
|
|
1,291,650 |
|
|
Interest(2)
|
|
|
|
|
|
|
90,972 |
|
|
|
90,572 |
|
|
|
90,169 |
|
|
|
89,802 |
|
|
|
89,445 |
|
|
|
228,758 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
1,322,280 |
|
|
$ |
97,488 |
|
|
$ |
97,131 |
|
|
$ |
96,124 |
|
|
$ |
95,602 |
|
|
$ |
95,245 |
|
|
$ |
1,520,408 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Holdings:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10% Senior Subordinated Notes(1)
|
|
$ |
131,609 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
131,609 |
|
|
|
Senior Floating Rate Notes
|
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Debt
|
|
|
306,609 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
306,609 |
|
|
Interest(2)
|
|
|
|
|
|
|
32,850 |
|
|
|
32,850 |
|
|
|
32,850 |
|
|
|
32,850 |
|
|
|
32,850 |
|
|
|
159,193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
306,609 |
|
|
$ |
32,850 |
|
|
$ |
32,850 |
|
|
$ |
32,850 |
|
|
$ |
32,850 |
|
|
$ |
32,850 |
|
|
$ |
465,802 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Reflects the balance sheet liability of Holdings senior
subordinated notes calculated in accordance with GAAP. The
balance sheet liability so reflected is less than the
$150.0 million aggregate principal amount of such notes
because such notes were issued with original issue discount
totaling $18.4 million. Interest on the senior subordinated
notes accrues on the full principal amount thereof and Holdings
will be obligated to repay the full principal amount thereof at
maturity or upon any mandatory or voluntary prepayment thereof. |
|
(2) |
The interest obligation was calculated using the average
interest rate for the quarter ended December 31, 2005 of
6.158% for the senior credit facility, the stated interest rate
for the
75/8
% senior subordinated notes and the 10% senior
subordinated notes, 10.2% for the senior floating rate notes and
6.0% for seller notes, capital lease obligations and other debt
obligations. |
Holdings depends on its subsidiaries, who conduct the operations
of the business, for dividends and other payments to generate
the funds necessary to meet its financial obligations, including
payments of principal and interest on the notes. However, none
of Holdings subsidiaries is obligated to make funds
available to it for payment on the notes. The terms of
Selects existing senior secured credit facility and the
terms of the indentures governing Selects existing
75/8
% senior subordinated notes restrict Select and its
subsidiaries from, in each case, paying dividends or otherwise
transferring its assets to Holdings. Such restrictions include,
among others, financial covenants, prohibition of dividends in
the event of a default and limitations on the total amount of
dividends. In addition, legal and contractual restrictions in
agreements governing other current and future indebtedness, as
well as financial condition and operating requirements of
Holdings subsidiaries,
20
currently limit and may, in the future, limit Holdings
ability to obtain cash from its subsidiaries. The earnings from,
or other available assets of Holdings subsidiaries may not
be sufficient to pay dividends or make distributions or loans to
enable Holdings to make payments in respect of the notes when
such payments are due. In addition, even if such earnings were
sufficient, we cannot assure you that the agreements governing
the current and future indebtedness of Holdings
subsidiaries will permit such subsidiaries to provide Holdings
with sufficient dividends, distributions or loans to fund
interest and principal payments on the notes offered hereby when
due.
The following table summarizes the amount of funds that Select
remitted to Holdings in the period from February 25, 2005
through December 31, 2005 and for the three months ended
March 31, 2006. As of March 31, 2006, Select had
remitted to Holdings all the funds it was permitted to remit to
Holdings through that date under the terms of Selects
senior secured credit facility and senior subordinated notes. We
expect in the future that Select will continue to remit to
Holdings the maximum amount that is permitted under the terms of
Selects senior secured credit facility and senior
subordinated notes, which includes amounts necessary to fund the
interest payments on the notes and our 10% senior subordinated
notes and other permitted payments.
|
|
|
|
|
|
|
|
|
|
|
Period from | |
|
|
|
|
February 25, 2005 | |
|
Three months | |
|
|
through | |
|
ended | |
|
|
December 31, | |
|
March 31, | |
|
|
2005(1) | |
|
2006(2) | |
|
|
| |
|
| |
|
|
(In thousands) | |
Funds remitted by Select to Holdings
|
|
$ |
24,441 |
|
|
$ |
15,733 |
|
|
|
(1) |
Funds are comprised of $14.5 million paid to certain members of
senior management of Select under the terms of our long-term
incentive compensation plan, $6.5 million to fund the interest
payment on our $150.0 million 10% senior subordinated notes and
$3.4 million in other general and administrative expenses
primarily related to the issuance of our $175.0 million senior
floating rate notes. |
|
(2) |
Funds are comprised of $7.5 million to fund the interest
payment on our $150.0 million 10% senior subordinated notes
and $8.2 million to fund the interest payment on our
$175.0 million senior floating rate notes. |
|
|
|
Our substantial indebtedness may limit the amount of cash
flow 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, 2006, we had approximately $1,570.3 million
of total indebtedness and a total debt to total capitalization
ratio of 0.9 to 1.0.
Our indebtedness could have important consequences to you. For
example, it:
|
|
|
|
|
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; |
|
|
|
increases our vulnerability to adverse general economic or
industry conditions; |
|
|
|
limits our flexibility in planning for, or reacting to, changes
in our business or the industries in which we operate; |
|
|
|
makes us more vulnerable to increases in interest rates, as
borrowings under Selects existing senior secured credit
facility and the notes are at variable rates; |
|
|
|
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 |
|
|
|
places us at a competitive disadvantage compared to our
competitors that have less indebtedness. |
See Unaudited Pro Forma Condensed Consolidated Financial
Information of Select, and Description of Certain
Other Indebtedness Selects existing senior secured
credit facility.
|
|
|
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. |
21
We and our subsidiaries may be able to incur additional
indebtedness in the future. Although Selects existing
senior secured credit facility, the indenture governing
Selects existing
75/8
% senior subordinated notes 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, 2006, Select had
$249.5 million of revolving loan availability under its
existing senior secured credit facility with $22.5 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 current debt levels, the substantial leverage
risks described above would increase. See Description of
the Notes and Description of Certain Other
Indebtedness Selects existing senior secured credit
facility.
|
|
|
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 of Select Liquidity
and capital resources and Description of Certain
Other Indebtedness Selects existing senior secured
credit facility.
|
|
|
The notes are not secured by our assets and the lenders
under Selects existing senior secured credit facility will
be entitled to remedies available to a secured lender, which
gives them priority over you to collect amounts due to
them. |
The notes will not be secured by any of our assets.
Selects existing senior secured credit facility is secured
by, among other things, a first priority pledge of all of
Selects capital stock, which is our only asset. If we
become insolvent or are liquidated, or if payment under
Selects existing senior secured credit facility or in
respect of any other secured indebtedness is accelerated, the
lenders under Selects existing senior secured credit
facility or holders of other secured 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 Selects existing
senior secured credit facility or other secured debt). These
remedies would include the ability to sell all of Selects
capital stock or substantially all of its assets and use the
proceeds from such sale or sales to repay the secured
indebtedness. This may leave no additional funds for Select to
distribute to us to enable us to satisfy our obligations under
the notes. As of March 31, 2006, Select had outstanding
$602.2 million of indebtedness (excluding
$22.5 million of letters of credit) under its existing
senior credit facility, and as of such date would have also been
able to borrow an additional $249.5 million under its
existing senior credit facility (after giving effect to
$22.5 million of letters of credit then outstanding.) See
Description of Certain Other Indebtedness
Selects existing senior secured credit facility and
Description of the Notes.
|
|
|
Restrictions imposed by Selects existing 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
Selects existing senior secured credit facility and the
indenture governing the notes may adversely affect our ability
to finance our future operations or
22
capital needs or engage in other business activities that may be
in our interest. For example, Selects existing senior
secured credit facility restricts, among other things,
Selects ability to:
|
|
|
|
|
incur, assume, permit to exist or guarantee additional debt and
issue or sell or permit any subsidiary to issue or sell
preferred stock; |
|
|
|
pay dividends or other distributions on, redeem, repurchase,
retire or cancel capital stock; |
|
|
|
purchase or acquire any debt or equity securities of, make any
loans or advances to, guarantee any obligation of, or make any
other investment in, any other company; |
|
|
|
incur or permit to exist certain liens on property or assets
owned or accrued or assign or sell any income or revenues with
respect to such property or assets; |
|
|
|
sell or otherwise transfer property or assets to, purchase or
otherwise receive property or assets from, or otherwise enter
into transactions with affiliates; |
|
|
|
merge, consolidate or amalgamate with another company or permit
any subsidiary to merge, consolidate or amalgamate with another
company; |
|
|
|
sell, transfer or otherwise dispose of assets, including any
equity interests; |
|
|
|
repay, redeem, repurchase, retire or cancel any subordinated
debt; |
|
|
|
incur capital expenditures; |
|
|
|
engage to any material extent in any business other than
business of the type currently conducted by Select or reasonably
related businesses; and |
|
|
|
incur obligations that restrict the ability of its subsidiaries
to incur or permit to exist any liens on its property or assets
or to make dividends or other payments to us. |
The indenture governing the notes includes similar restrictions.
See Description of the Notes. Selects existing
senior secured credit facility also requires it to maintain
certain interest expense coverage ratios and leverage ratios
which become more restrictive over time. For the four
consecutive fiscal quarters ended March 31, 2006, Select
was required to maintain an interest expense coverage ratio (its
ratio of consolidated EBITDA to cash interest expense) for the
prior four consecutive quarters of at least 2.00 to 1.00.
Selects interest expense coverage ratio was 2.96 to 1.00
for such period. As of March 31, 2006, Select was required
to maintain its leverage ratio (its ratio of total indebtedness
to consolidated EBITDA for the prior four consecutive fiscal
quarters) at less than 4.75 to 1.00. Selects leverage
ratio was 3.79 to 1.00 as of such date. Selects ability to
comply with these ratios in the future may be affected by events
beyond its control. A breach of any of these covenants or its
inability to comply with the required financial ratios could
result in a default under Selects existing senior secured
credit facility. In the event of any default under Selects
existing senior secured credit facility, the lenders under
Selects existing senior secured credit facility could
elect to terminate borrowing commitments and declare all
borrowings outstanding, together with accrued and unpaid
interest and other fees, to be due and payable, to require
Select to apply all of its available cash to repay these
borrowings or to prevent Select from making debt service
payments on its existing
75/8
% senior subordinated notes, any of which would be an
event of default under the notes. See Description of the
Notes and Description of Certain Other
Indebtedness Selects existing senior secured credit
facility and Selects existing senior
subordinated notes.
|
|
|
We may not have the funds to purchase the notes upon a
change of control as required by the indenture governing the
notes. This could result in the occurrence of an event of
default under our existing debt agreements and the acceleration
of some or all of our outstanding debt, which may result in our
having insufficient funds to repay the notes. |
If we were to experience a change of control as described under
Description of the 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. A change of control is defined as the
occurrence of any of the following:
|
|
|
|
|
a sale of all or substantially all of our assets; |
|
|
|
the adoption of a plan relating to our liquidation or
dissolution; |
23
|
|
|
|
|
the consummation of a transaction the result of which is that
any person (other than Welsh Carson, Thoma Cressey, Rocco
Ortenzio or Robert Ortenzio and their respective affiliates and
family members) become the beneficial owner of more than 40% of
the voting stock of Holdings; and |
|
|
|
the first day that a majority of the members of our Board of
Directors are not Continuing Directors as described under
Description of the Notes. |
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
Selects existing senior secured credit facility and other
indebtedness may not allow such repurchases. We currently do not
have sufficient funds on hand to pay for the required purchase
of the notes upon a change of control should the need arise.
Upon the occurrence of a change of control event, we may seek to
refinance the debt outstanding under Selects existing
senior secured credit facility, Selects existing
75/8
% senior subordinated notes 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
Notes Repurchase at the option of holders Change of
control.
In addition, a change of control would be an event of default
under Selects existing senior secured credit facility and
Selects existing
75/8%
senior subordinated notes. 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
Selects existing senior secured credit facility and
Selects existing
75/8
% senior subordinated notes and may constitute an event
of default under future 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.
|
|
|
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. We believe it
is unlikely that a significant market for the notes will develop.
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.
24
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.
FORWARD LOOKING STATEMENTS
This prospectus contains forward-looking statements 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:
|
|
|
|
|
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; |
|
|
|
additional changes in government reimbursement for our services
may have an adverse effect on our future net operating revenues
and profitability, such as the final regulations released by the
Centers for Medicare & Medicaid Services on May 2, 2006; |
|
|
|
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; |
|
|
|
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; |
|
|
|
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; |
|
|
|
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; |
|
|
|
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; |
|
|
|
integration of recently acquired operations and future
acquisitions may prove difficult or unsuccessful, use
significant resources or expose us to unforeseen liabilities; |
|
|
|
private third-party payors for our services may undertake future
cost containment initiatives that limit our future net operating
revenues and profitability; |
25
|
|
|
|
|
the failure to maintain established relationships with the
physicians in our markets could reduce our net operating
revenues and profitability; |
|
|
|
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.
26
THE EXCHANGE OFFER
General
Concurrently with the sale of the outstanding notes on
September 29, 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 205 days, and use commercially
reasonable efforts to cause to become effective on or prior to
295 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
325 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 Holdings; 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 Holdings; |
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is a broker-dealer who acquired outstanding notes directly from
us and not as a result of market making activities or other
trading activities; |
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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 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
27
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 ,
2006, 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, $175.0 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 ,
2006, 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. |
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.
28
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.
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.
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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-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
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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 |
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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; |
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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.
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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 |
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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 and requests for additional
copies of this prospectus or of the letter of transmittal should
be directed to the exchange agent addressed as follows:
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By Mail, Hand Delivery or Facsimile:
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U.S. Bank Trust National Association |
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Specialized Finance Group |
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60 Livingston Avenue |
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St. Paul, MN 55107 |
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Facsimile: (651) 495-8158 |
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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.
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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 Holdings. Holdings
was formally known as EGL Holding Company. Holdings and EGL
Acquisition Corp. were Delaware corporations formed by Welsh
Carson for purposes of engaging in the Merger and the related
transactions. 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.
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 Welsh
Carson and Thoma Cressey Equity Partners, Inc. (Thoma
Cressey), and certain other rollover investors
that participated in the Merger. We refer to those other
investors as the continuing investors. The
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, 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 Selects common stock which
were owned by the 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 Selects 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 the continuing
investors; |
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$344.2 million to repay existing indebtedness of
Select; 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 then
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 Welsh Carson and Thoma Cressey and a
rollover equity investment in Holdings of $152.0 million by
the 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; |
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borrowing of $580.0 million in term loans and
$200.0 million in revolving loans under Selects
senior secured credit facility; |
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existing cash on hand at Select of $131.1 million; and |
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the issuance by Select of $660.0 million in aggregate
principal amount of
75/8
% senior subordinated notes. |
In connection with the Merger, Select commenced tender offers to
acquire all of Selects
91/2% senior
subordinated notes due 2009 and all of Selects
71/2
% senior subordinated notes due 2013. Upon
completion of
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the tender offers on February 24, 2005, holders of all of
Selects
71/2% senior
subordinated notes and holders of approximately 96.7% of
Selects
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 the
continuing investors was recorded at the investors
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.
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USE OF PROCEEDS
This exchange offer is intended to satisfy certain of our
obligations under the exchange and registration rights
agreement, dated September 29, 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 consolidated capitalization
as of March 31, 2006 on an actual basis. You should read
this table in conjunction with our audited consolidated
financial statements and the related notes thereto included in
this prospectus.
|
|
|
|
|
|
|
|
As of March 31, | |
|
|
2006 | |
|
|
| |
|
|
(In millions) | |
Cash and cash equivalents
|
|
$ |
13.9 |
|
|
|
|
|
Debt:
|
|
|
|
|
|
Select:
|
|
|
|
|
|
Revolving credit facility(1)
|
|
$ |
28.0 |
|
|
Term loan facility(2)
|
|
|
574.2 |
|
|
75/8
% senior subordinated notes due 2015
|
|
|
660.0 |
|
|
Other debt
|
|
|
1.2 |
|
|
|
|
|
|
Total Select debt
|
|
|
1,263.4 |
|
|
|
|
|
|
Holdings:
|
|
|
|
|
|
Senior floating rate notes
|
|
|
175.0 |
|
|
10% senior subordinated notes due 2015(3)
|
|
|
131.9 |
|
|
|
|
|
|
Total Holdings debt
|
|
|
306.9 |
|
|
|
|
|
Total debt
|
|
|
1,570.3 |
|
Participating preferred stock
|
|
|
450.2 |
|
Total stockholders equity
|
|
|
(219.9 |
) |
|
|
|
|
Total capitalization
|
|
$ |
1,800.6 |
|
|
|
|
|
|
|
(1) |
The revolving credit facility is a part of Selects
existing senior secured credit facility and provides for
borrowings of up to $300.0 million of which
$249.5 million was available as of March 31, 2006 for
working capital and general corporate purposes (after giving
effect to $22.5 million of outstanding letters of credit at
March 31, 2006). |
|
(2) |
In connection with the Transactions, Select borrowed
$580 million in term loans under its existing senior
secured credit facility. Between February 24, 2005 and
March 31, 2006 Select repaid approximately
$5.8 million of its outstanding term loans. |
|
(3) |
Reflects the balance sheet liability of Holdings senior
subordinated notes calculated in accordance with GAAP. The
balance sheet liability so reflected is less than the
$150.0 million aggregate principal amount of such notes
because such notes were issued with original issue discount
totaling $18.1 million. Interest on the senior subordinated
notes accrues on the full principal amount thereof and Holdings
will be obligated to repay the full principal amount thereof at
maturity or upon any mandatory or voluntary prepayment thereof. |
36
SELECTED HISTORICAL CONSOLIDATED FINANCIAL DATA
You should read the following selected consolidated historical
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 elsewhere in this prospectus. The data
as of December 31, 2001, 2002, 2003, 2004 and 2005 and for
the years ended December 31, 2001, 2002, 2003 and 2004, for
the period from January 1, 2005 through February 24,
2005 (the Predecessor), and for the period from
February 25, 2005 through December 31, 2005 (the
Successor) have been derived from consolidated
financial statements audited by PricewaterhouseCoopers LLP, an
independent registered public accounting firm. We derived the
historical financial data for the period from February 25,
2005 through March 31, 2005 and for the three months ended
March 31, 2006 from our unaudited interim consolidated
financial statements. Consolidated balance sheets at
December 31, 2004 and 2005 and March 31, 2006 and the
related statements of operations, stockholders equity and
comprehensive income (loss), and cash flows for the years ended
December 31, 2003 and 2004, the period from January 1,
2005 through February 24, 2005, the period from
February 25, 2005 through March 31, 2005, the period
from February 25, 2005 through December 31, 2005 and
the three months ended March 31, 2006 and the related notes
appear elsewhere in this prospectus. 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.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
Period from | |
|
Three | |
|
|
|
|
January 1 | |
|
|
February 25 | |
|
February 25, | |
|
Months | |
|
|
Year Ended December 31, | |
|
through | |
|
|
through | |
|
through | |
|
Ended | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
March 31, | |
|
March 31, | |
|
|
2001 | |
|
2002 | |
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
2005 | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net operating revenues
|
|
$ |
921,692 |
|
|
$ |
1,086,894 |
|
|
$ |
1,341,657 |
|
|
$ |
1,601,524 |
|
|
$ |
277,736 |
|
|
|
$ |
1,580,706 |
|
|
$ |
188,386 |
|
|
$ |
479,743 |
|
Operating expenses(1)(2)
|
|
|
816,358 |
|
|
|
966,596 |
|
|
|
1,165,814 |
|
|
|
1,340,068 |
|
|
|
373,418 |
|
|
|
|
1,322,068 |
|
|
|
153,749 |
|
|
|
402,397 |
|
Depreciation and amortization
|
|
|
31,297 |
|
|
|
25,071 |
|
|
|
33,663 |
|
|
|
38,951 |
|
|
|
5,933 |
|
|
|
|
37,922 |
|
|
|
4,126 |
|
|
|
10,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
74,037 |
|
|
|
95,227 |
|
|
|
142,180 |
|
|
|
222,505 |
|
|
|
(101,615 |
) |
|
|
|
220,716 |
|
|
|
30,511 |
|
|
|
66,451 |
|
Loss on early retirement of debt(3)
|
|
|
(14,223 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(42,736 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Merger related charges(4)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(12,025 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in income from joint ventures
|
|
|
|
|
|
|
|
|
|
|
824 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,096 |
|
|
|
267 |
|
|
|
|
1,092 |
|
|
|
103 |
|
|
|
|
|
Interest expense, net(5)
|
|
|
(27,604 |
) |
|
|
(25,293 |
) |
|
|
(24,499 |
) |
|
|
(30,716 |
) |
|
|
(4,128 |
) |
|
|
|
(101,441 |
) |
|
|
(10,967 |
) |
|
|
(32,659 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
32,210 |
|
|
|
69,934 |
|
|
|
118,505 |
|
|
|
192,885 |
|
|
|
(160,237 |
) |
|
|
|
120,367 |
|
|
|
19,647 |
|
|
|
33,792 |
|
Minority interests(6)
|
|
|
2,135 |
|
|
|
1,404 |
|
|
|
1,661 |
|
|
|
2,608 |
|
|
|
330 |
|
|
|
|
1,776 |
|
|
|
302 |
|
|
|
391 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
30,075 |
|
|
|
68,530 |
|
|
|
116,844 |
|
|
|
190,277 |
|
|
|
(160,567 |
) |
|
|
|
118,591 |
|
|
|
19,345 |
|
|
|
33,401 |
|
Income tax provision (benefit)
|
|
|
2,185 |
|
|
|
26,822 |
|
|
|
46,238 |
|
|
|
76,551 |
|
|
|
(59,794 |
) |
|
|
|
49,336 |
|
|
|
7,853 |
|
|
|
15,230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
27,890 |
|
|
|
41,708 |
|
|
|
70,606 |
|
|
|
113,726 |
|
|
|
(100,773 |
) |
|
|
|
69,255 |
|
|
|
11,492 |
|
|
|
18,171 |
|
Income from discontinued operations, net of tax
|
|
|
1,791 |
|
|
|
2,523 |
|
|
|
3,865 |
|
|
|
4,458 |
|
|
|
522 |
|
|
|
|
3,072 |
|
|
|
672 |
|
|
|
10,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
29,681 |
|
|
|
44,231 |
|
|
|
74,471 |
|
|
|
118,184 |
|
|
|
(100,251 |
) |
|
|
|
72,327 |
|
|
|
12,164 |
|
|
|
28,189 |
|
|
Less: Preferred dividends
|
|
|
2,513 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
23,519 |
|
|
|
2,924 |
|
|
|
5,488 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common stockholders
|
|
$ |
27,168 |
|
|
$ |
44,231 |
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
|
|
$ |
48,808 |
|
|
$ |
9,240 |
|
|
$ |
22,701 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
24,011 |
|
|
$ |
43,183 |
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
$ |
2,586 |
|
|
|
$ |
107,360 |
|
|
$ |
1,112 |
|
|
$ |
38,386 |
|
Ratio of earnings to fixed charges(7)
|
|
|
1.5 |
x |
|
|
2.3 |
x |
|
|
3.1 |
x |
|
|
3.9 |
x |
|
|
n/a |
|
|
|
|
1.7 |
x |
|
|
2.0 |
x |
|
|
1.6 |
x |
Cash Flow Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
$ |
95,770 |
|
|
$ |
120,812 |
|
|
$ |
246,248 |
|
|
$ |
174,276 |
|
|
$ |
19,056 |
|
|
|
$ |
38,155 |
|
|
$ |
(191,971 |
) |
|
$ |
(5,578 |
) |
Net cash used in investing activities
|
|
|
(61,947 |
) |
|
|
(54,048 |
) |
|
|
(261,452 |
) |
|
|
(28,959 |
) |
|
|
(110,757 |
) |
|
|
|
(110,054 |
) |
|
|
(3,339 |
) |
|
|
36,734 |
|
Net cash provided by (used in) financing activities
|
|
|
(26,164 |
) |
|
|
(21,423 |
) |
|
|
124,318 |
|
|
|
(63,959 |
) |
|
|
94 |
|
|
|
|
(48,604 |
) |
|
|
58,828 |
|
|
|
(53,201 |
) |
Balance Sheet Data (at end of period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
10,703 |
|
|
$ |
56,062 |
|
|
$ |
165,507 |
|
|
$ |
247,476 |
|
|
|
|
|
|
|
$ |
35,861 |
|
|
$ |
19,343 |
|
|
$ |
13,851 |
|
Working capital
|
|
|
126,749 |
|
|
|
130,621 |
|
|
|
188,380 |
|
|
|
313,715 |
|
|
|
|
|
|
|
|
77,556 |
|
|
|
157,071 |
|
|
|
65,809 |
|
Total assets
|
|
|
650,845 |
|
|
|
739,059 |
|
|
|
1,078,998 |
|
|
|
1,113,721 |
|
|
|
|
|
|
|
|
2,168,385 |
|
|
|
2,160,723 |
|
|
|
2,135,287 |
|
Total debt
|
|
|
288,423 |
|
|
|
260,217 |
|
|
|
367,503 |
|
|
|
354,590 |
|
|
|
|
|
|
|
|
1,628,889 |
|
|
|
1,580,824 |
|
|
|
1,570,327 |
|
Total stockholders equity
|
|
|
234,284 |
|
|
|
286,418 |
|
|
|
419,175 |
|
|
|
515,943 |
|
|
|
|
|
|
|
|
(244,658 |
) |
|
|
(288,076 |
) |
|
|
(219,921 |
) |
37
|
|
(1) |
Operating expenses include cost of services, general and
administrative expenses, and bad debt expenses. |
|
(2) |
Includes stock compensation expense related to the repurchase of
outstanding stock options in the Predecessor period from
January 1, 2005 through February 24, 2005,
compensation expense related to restricted stock, stock options
and long-term incentive compensation in the Successor period
from February 25, 2005 through December 31, 2005 and
compensation related to restricted stock and stock options in
the Successor period from February 25, 2005 through
March 31, 2005 and for the three months ended
March 31, 2006. |
|
(3) |
In connection with the Merger, Select tendered for all of its
91/2% senior
subordinated notes due 2009 and all of its
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. |
|
(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 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. |
|
(5) |
Interest expense, net, equals interest expense minus interest
income. |
|
(6) |
Reflects interests held by other parties in subsidiaries,
limited liability companies and limited partnerships owned and
controlled by us. |
|
(7) |
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, capitalized interest,
interest related to discontinued operations, 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, and we would have had to generate additional
earnings of approximately $160.3 million to achieve a
coverage ratio of 1:1. |
38
UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL
INFORMATION
The following unaudited pro forma condensed consolidated
financial information 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 year ended December 31,
2005 give effect to the Transactions as if such events occurred
on January 1, 2005 and then applies certain pro forma
adjustments to give effect to the sale of the outstanding notes
described in this prospectus as of January 1, 2005. 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 and the sale of the outstanding notes
in fact occurred on the assumed dates or to project our results
of operations for any future date or future period. A pro forma
consolidated statement of operations for the three months ended
March 31, 2006 is not presented because the Transactions
and the sale of the outstanding notes are reflected in our
historical consolidated statement of operations for this period
which is contained herein. A pro forma balance sheet is not
presented because the Transactions and the sale of the
outstanding notes are reflected in our historical balance sheets
as of December 31, 2005 and March 31, 2006 that are
contained herein.
The Transactions are accounted for, and are 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. As a result of
a 26% continuing ownership interest by certain stockholders, 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 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. You should read our historical consolidated
financial statements and related notes thereto for further
description of the accounting for the Transactions found in this
prospectus.
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.
You should read our unaudited pro forma condensed consolidated
statements of operations and the related notes thereto in
conjunction with our historical consolidated financial
statements and related notes thereto and other information in
Selected Historical Consolidated Financial Data, and
Managements Discussion and Analysis of Financial
Condition and Results of Operations.
39
UNAUDITED PRO FORMA CONDENSED
CONSOLIDATED STATEMENT OF OPERATIONS
FOR THE YEAR ENDED DECEMBER 31, 2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
|
|
|
|
|
|
| |
|
| |
|
|
|
|
|
|
|
|
For the | |
|
For the | |
|
|
|
|
|
|
|
|
Period | |
|
Period | |
|
|
|
|
|
|
|
|
January 1 | |
|
February 25 | |
|
|
|
|
|
|
|
|
Through | |
|
Through | |
|
Year Ended | |
|
|
|
|
|
|
February 24, | |
|
December 31, | |
|
December 31, | |
|
|
|
|
|
|
2005 | |
|
2005 | |
|
2005 | |
|
Adjustments | |
|
Pro Forma | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
277,736 |
|
|
$ |
1,580,706 |
|
|
$ |
1,858,442 |
|
|
$ |
|
|
|
$ |
1,858,442 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
244,321 |
|
|
|
1,244,361 |
|
|
|
1,488,682 |
|
|
|
|
|
|
|
1,488,682 |
|
|
General and administrative
|
|
|
122,509 |
|
|
|
59,494 |
|
|
|
182,003 |
|
|
|
|
|
|
|
182,003 |
|
|
Bad debt expense
|
|
|
6,588 |
|
|
|
18,213 |
|
|
|
24,801 |
|
|
|
|
|
|
|
24,801 |
|
|
Depreciation and amortization
|
|
|
5,933 |
|
|
|
37,922 |
|
|
|
43,855 |
|
|
|
682 |
(1) |
|
|
44,537 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
379,351 |
|
|
|
1,359,990 |
|
|
|
1,739,341 |
|
|
|
682 |
|
|
|
1,740,023 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(101,615 |
) |
|
|
220,716 |
|
|
|
119,101 |
|
|
|
(682 |
) |
|
|
118,419 |
|
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 |
) |
|
Other income
|
|
|
267 |
|
|
|
1,092 |
|
|
|
1,359 |
|
|
|
|
|
|
|
1,359 |
|
|
Interest expense, net
|
|
|
(4,128 |
) |
|
|
(101,441 |
) |
|
|
(105,569 |
) |
|
|
(28,350 |
)(2) |
|
|
(133,919 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(160,237 |
) |
|
|
120,367 |
|
|
|
(39,870 |
) |
|
|
(29,032 |
) |
|
|
(68,902 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
330 |
|
|
|
1,776 |
|
|
|
2,106 |
|
|
|
|
|
|
|
2,106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(160,567 |
) |
|
|
118,591 |
|
|
|
(41,976 |
) |
|
|
(29,032 |
) |
|
|
(71,008 |
) |
Income tax expense (benefit)
|
|
|
(59,794 |
) |
|
|
49,336 |
|
|
|
(10,458 |
) |
|
|
(12,078 |
)(3) |
|
|
(22,536 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
$ |
(100,773 |
) |
|
$ |
69,255 |
|
|
$ |
(31,518 |
) |
|
$ |
(16,954 |
) |
|
$ |
(48,472 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
40
NOTES TO UNAUDITED PRO FORMA CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS
|
|
(1) |
Represents amortization on an incremental increase in
identifiable intangible assets of which $20.5 million would
be amortized over a five year life. |
|
(2) |
The adjustment to interest expense represents the elimination of
historical interest expense related to Selects
91/2%
and
71/2% senior
subordinated notes that were tendered in the Transactions. In
addition, the adjustment includes the recording of interest
expense for the Transactions and the sale of the outstanding
notes, as if such events had occurred as of January 1,
2005. The following presents the interest expense for the
75/8
% senior subordinated notes issued by Select and the
senior subordinated notes issued by Holdings in the
Transactions, the interest expense related to the senior
floating rate notes issued by Holdings in September 2005 and the
interest expense for Selects existing term loans and
revolving credit facility calculated based on the initial
principal amount outstanding using the following assumed
interest rates: |
|
|
|
|
|
|
|
|
|
|
|
Outstanding Principal | |
|
Interest Rate | |
|
|
| |
|
| |
|
|
(In thousands) | |
|
|
Existing revolving credit facility
|
|
$ |
200,000 |
|
|
|
6.620 |
% |
Existing term loans
|
|
|
580,000 |
|
|
|
6.090 |
% |
Senior subordinated notes
|
|
|
660,000 |
|
|
|
7.625 |
% |
Holdings senior subordinated notes
|
|
|
150,000 |
|
|
|
10.000 |
% |
Holdings senior floating rate notes
|
|
|
175,000 |
|
|
|
10.167 |
% |
The following table summarizes the pro forma interest expense
adjustment:
|
|
|
|
|
|
|
Year Ended | |
|
|
December 31, | |
|
|
2005(a) | |
|
|
| |
|
|
(In thousands) | |
Eliminate interest expense on
91/2
% senior subordinated notes
|
|
$ |
(2,457 |
) |
Eliminate interest expense on
71/2
% senior subordinated notes
|
|
|
(2,005 |
) |
Eliminate amortization of deferred financing fees from the
tendered
91/2%
and
71/2
% senior subordinated notes and former credit facility
|
|
|
(361 |
) |
Eliminate commitment fees related to former credit facility
|
|
|
(147 |
) |
Interest on existing revolving credit facility
|
|
|
2,023 |
|
Commitment fee on unused portion of credit facility
|
|
|
65 |
|
Interest on existing term loan facility
|
|
|
5,396 |
|
Interest on Selects senior subordinated notes
|
|
|
7,689 |
|
Interest on Holdings senior subordinated notes
|
|
|
2,292 |
|
Amortization of discount on Holdings senior subordinated
notes
|
|
|
321 |
|
Interest on Holdings senior floating rate notes
|
|
|
13,344 |
|
Amortization of deferred financing fees from senior subordinated
notes, senior floating rate notes and existing credit facility
|
|
|
1,510 |
|
Reduction of interest income related to use of existing cash to
fund the Transactions(b)
|
|
|
680 |
|
|
|
|
|
Pro forma interest adjustment
|
|
$ |
28,350 |
|
|
|
|
|
41
|
|
|
|
(a) |
The pro forma interest adjustment represents elimination of
historical amounts from January 1, 2005 to
February 24, 2005 and inclusion of pro forma amounts for
that same period, except for the interest on the senior floating
rate notes and the related amortization of deferred financing
fees which is pro forma for the period January 1, 2005
through September 29, 2005 (the issuance date). |
|
|
(b) |
The reduction in interest income is related to the use of
$131.1 million of Selects existing cash to fund the
Transactions. The interest rate used was 3.113% and represents
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 Selects revolving credit facility, Selects
term loan facility and Holdings senior floating rate notes
of approximately $1.2 million. |
|
|
(3) |
Represents the incremental tax effect of the adjustments based
upon Selects effective statutory tax rate of 41.6%. |
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 and outpatient
rehabilitation clinics in the United States. As of
March 31, 2006, we operated 97 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 613 outpatient
rehabilitation clinics in 24 states and the District of
Columbia. 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, Select merged with a wholly-owned
subsidiary of Holdings pursuant to which Select became a
wholly-owned subsidiary of Holdings. Holdings only asset is its
investment in Select. Holdings is owned by an investor group
that includes Welsh Carson, Thoma Cressey, and members of our
senior management. As a result of the Merger, Selects
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 the financing
transactions associated with the Merger. Accordingly,
amortization expense and interest expense are 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 $1.4 billion has been allocated to goodwill,
which will be the subject of an annual impairment test.
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 and to assist the reader in understanding our
operating performance and operating trends, the financial data
for the period after the Merger, February 25, 2005 through
December 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 year ended December 31, 2005. In addition, 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 year ended December 31, 2005 and 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, stock compensation expense, long-term
incentive compensation, depreciation and amortization have been
impacted. 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 $1,858.4 million
and $479.7 million for the combined year ended
December 31, 2005 and the three months ended March 31,
2006, respectively. Of this total, we earned approximately 74%
and 75% of our net operating revenues from our specialty
hospitals and approximately 26% and 25% from our outpatient
rehabilitation business for the combined year ended
December 31, 2005 and the three months ended March 31,
2006, 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 rehabilitation patients
are typically diagnosed with musculoskeletal impairments that
restrict their ability to perform normal activities of daily
living.
43
Recent Trends and Events
On March 1, 2006, we sold our wholly-owned subsidiary
Canadian Back Institute Limited (CBIL) for
approximately C$89.8 million in cash
(US$79.0 million). At the time of the sale, CBIL operated
109 outpatient rehabilitation clinics in seven Canadian
provinces. We conducted all of our Canadian operations through
CBIL. The purchase price is subject to a post-closing adjustment
based on the amount of net working capital and long term
liabilities of CBIL and its subsidiaries on the closing date.
The financial results of CBIL have been reclassified as
discontinued operations for all periods presented in this
prospectus, and its assets and liabilities have been
reclassified as held for sale on our December 31, 2005
balance sheet. As a result of this transaction, we have
recognized a gain on sale (net of tax) of $9.1 million in
our first quarter ended March 31, 2006.
On September 29, 2005, Holdings sold $175.0 million of
senior floating rate notes due 2015, which bear interest at a
rate per annum, reset semi-annually, equal to the
6-month LIBOR plus
5.75%. Interest is payable semi-annually in arrears on March 15
and September 15 of each year, with the principal due in full on
September 15, 2015. The floating notes are general
unsecured obligations and are not guaranteed by any of our
subsidiaries. The net proceeds of the issuance of the senior
floating rate notes, together with cash were used to reduce the
amount of preferred stock, to make a payment to participants in
our long-term cash incentive plan, and to pay related fees and
expenses.
|
|
|
First Quarter Ended March 31, 2006 |
For the three months ended March 31, 2006, our net
operating revenues increased 2.9% to $479.7 million
compared to $466.1 million for the combined three months
ended March 31, 2005. This increase in net operating
revenues was attributable to a 5.2% increase in our specialty
hospital net operating revenues offset by a 1.8% 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 realized
income from operations for the three months ended March 31,
2006 of $66.5 million compared to a loss from operations of
$71.1 million for the combined three months ended
March 31, 2005. The loss from operations for the combined
three months ended March 31, 2005 was attributable to the
stock compensation expense of $146.5 million which resulted
from the Merger. Interest expense for the three months ended
March 31, 2006 was $32.9 million compared to
$15.7 million for the combined three months ended
March 31, 2005. This increase resulted from the significant
increase in Merger related debt.
Our cash flow from operations used $5.6 million of cash for
the three months ended March 31, 2006.
|
|
|
Combined Year Ended December 31, 2005 |
For the combined year ended December 31, 2005, our net
operating revenues increased 16.0% to $1,858.4 million
compared to the year ended December 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 clinics. We had income
from operations for the combined year ended December 31,
2005 of $119.1 million compared to $222.5 million for
the year ended December 31, 2004. The decline in income
from operations was principally related to stock compensation
costs of $152.5 million and a long-term incentive
compensation payment of $14.5 million. For the combined
year ended December 31, 2005, we also incurred a loss on
early retirement of debt of $42.7 million related to the
repayment of our
71/2%
and
91/2
% senior subordinated notes and other expenses
related to the Merger of $12.0 million.
Our cash flow from operations provided $57.2 million of
cash for the combined year ended December 31, 2005, which
includes $186.0 million in cash expenses related to the
Merger.
44
On January 1, 2005, we acquired SemperCare, Inc., or
SemperCare, for approximately $100.0 million in cash.
SemperCare operated 17 long-term acute care hospitals in
11 states. 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 19.4%, income from
operations increased 56.5%, net income increased 58.7% 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 outpatient 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 May 2, 2006, CMS released its final annual payment rate
updates for the 2007 LTCH-PPS rate year (affecting discharges
and cost reporting periods beginning on or after July 1,
2006 and before July 1, 2007). The May 2006 final rule
makes several changes to LTCH-PPS payment methodologies and
amounts.
For discharges occurring on or after July 1, 2006, the rule
changes the payment methodology for Medicare patients with a
length of stay less than or equal to five-sixths of the
geometric average length of stay for each LTC-DRG (referred to
as short-stay outlier or SSO cases).
Currently, payment for these patients is based on the lesser of
(1) 120 percent of the cost of the case;
(2) 120 percent of the LTC-DRG specific per diem
amount multiplied by the patients length of stay; or
(3) the full LTC-DRG payment. The final rule modifies the
limitation in clause (1) above to reduce payment for SSO
cases to 100 percent (rather than 120 percent) of the
cost of the case. The final rule also adds a fourth limitation,
capping payment for SSO cases at a per diem rate derived from
blending 120 percent of the LTC-DRG specific per diem
amount with a per diem rate based on the general acute care
hospital inpatient prospective payment system
(IPPS). Under this methodology, as a patients
length of stay increases, the percentage of the per diem amount
based upon the IPPS component will decrease and the percentage
based on the LTC-DRG component will increase. The final rule
reflects a moderation of the SSO payment policy that CMS had
proposed in January 2006, which would have limited SSO payments
solely to an amount based on the IPPS.
In addition, for discharges occurring on or after July 1,
2006, the final rule provides for (i) a zero-percent update
for the 2007 LTCH-PPS rate year to the LTCH-PPS standard federal
rate used as a basis for LTCH-PPS payments; (ii) the
elimination of the surgical case exception to the three-day or
less interruption of stay policy, under which surgical exception
Medicare reimburses a general acute care hospital directly for
surgical services furnished to a long-term acute care hospital
patient during a brief interruption of stay from the long-term
acute care hospital, rather than requiring the long-term acute
care hospital to bear responsibility for such surgical services;
and (iii) increasing the costs that a long-term acute care
hospital must bear before Medicare will make additional payments
for a case under its high-cost outlier policy for the 2007
LTCH-PPS rate year.
CMS estimates that the changes in the May 2006 final rule will
result in an approximately 3.7 percent decrease in LTCH
Medicare payments-per-discharge as compared to the 2006 rate
year, largely attributable to the revised SSO payment
methodology. Based upon our historical Medicare patient volumes
and revenues, we expect that the May 2006 final rule will reduce
Medicare revenues associated with SSO cases and high cost
outlier cases to our long-term acute care hospitals by
approximately $30.0 million on an annual basis.
Additionally, had CMS updated the LTCH-PPS standard federal rate
by the 2007 estimated market basket index of 3.4 percent
rather than applying the zero-percent update, we estimate that
we would have received approximately $31.0 million in
additional annual Medicare revenues, based on our historical
Medicare patient volumes and revenues (such revenues would have
been paid to our hospitals for discharges beginning on or after
July 1, 2006).
45
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 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, but in no event is
the Fiscal 2004 Percentage less than 25%. 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 some of our facilities. We currently
anticipate that approximately 42% of our hospitals will not
require a move and 8% of our hospitals will be closed. At this
time we cannot predict with any certainty the impact on revenues
or operating expenses at the hospitals being moved. If CMS
implements certain additional regulatory changes that it has
proposed and discussed and that would affect long-term acute
care hospitals more generally, our plan would have to be further
modified. See Business Specialty
Hospitals.
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. As of March 31, 2006, we operated 97 long-term acute
care hospitals, 91 of which operated as HIHs.
Development of New Specialty Hospitals and Clinics
We expect to continue evaluating opportunities to develop new
long-term acute care hospitals, 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.
46
Net operating revenues generated directly from the Medicare
program from all segments represented approximately 56%, 50%,
and 48% of net operating revenues for the combined year ended
December 31, 2005 and for the years ended December 31,
2004 and 2003, respectively and approximately 56% and 57% of net
operating revenues for the three months ended March 31,
2006 and the combined three months ended March 31, 2005,
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 73%, 68%, and 69% of our specialty hospital
revenues for the combined year ended December 31, 2005 and
for the years ended December 31, 2004 and 2003,
respectively and approximately 72% and 74% of our specialty
hospital revenues for the three months ended March 31, 2006
and the combined three months ended March 31, 2005,
respectively were received in respect of services provided to
Medicare patients. For the year ended December 31, 2004 and
the combined year ended December 31, 2005, all of our
Medicare payments were paid under a prospective payment system.
For the year ended December 31, 2003, approximately 23%
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 2003. 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.
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.
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.
47
|
|
|
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, 2005, deductible, co-payments and
self-insured amounts owed by the patient accounted for
approximately 0.9% 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 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 (net of contractual allowances) 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 | |
|
|
2005 | |
|
|
| |
|
|
| |
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Over 90 | |
|
|
|
|
Over 90 | |
|
|
0-90 Days | |
|
Days | |
|
|
0-90 Days | |
|
Days | |
|
|
| |
|
| |
|
|
| |
|
| |
Medicare and Medicaid
|
|
$ |
88,174 |
|
|
$ |
20,182 |
|
|
|
$ |
111,707 |
|
|
$ |
24,141 |
|
Commercial insurance, and other
|
|
|
127,692 |
|
|
|
75,426 |
|
|
|
|
131,087 |
|
|
|
64,754 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total net accounts receivable
|
|
$ |
215,866 |
|
|
$ |
95,608 |
|
|
|
$ |
242,794 |
|
|
$ |
88,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 | |
|
|
2005 | |
|
|
| |
|
|
| |
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
0 to 90 days
|
|
|
69.3 |
% |
|
|
|
73.2 |
% |
91 to 180 days
|
|
|
11.2 |
% |
|
|
|
9.7 |
% |
181 to 365 days
|
|
|
9.9 |
% |
|
|
|
7.6 |
% |
Over 365 days
|
|
|
9.6 |
% |
|
|
|
9.5 |
% |
|
|
|
|
|
|
|
|
Total
|
|
|
100.0 |
% |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
48
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 | |
|
|
2005 | |
|
|
| |
|
|
| |
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
Insured receivables
|
|
|
98.3 |
% |
|
|
|
99.1 |
% |
Self-pay receivables (including deductible and copayments)
|
|
|
1.7 |
% |
|
|
|
0.9 |
% |
|
|
|
|
|
|
|
|
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 principle 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
quarterly and revise our estimates as necessary to take into
account additional information. As of March 31, 2006, we
had no reason to believe that material adjustments will occur to
such estimates. The estimation processes described above that we
use in recording our estimated losses have historically produced
accruals that have not required material adjustments. At
March 31, 2006 and December 31, 2005, we have recorded
a liability of $57.4 million and $55.7 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 $0.6 million
and $2.0 million for the three months ended March 31,
2006 and the combined year ended December 31, 2005,
respectively. Our future commitments are related to commercial
office space we lease for our corporate headquarters in
Mechanicsburg, Pennsylvania. These future commitments amount to
$16.6 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.
49
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.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined | |
|
|
|
|
Fiscal Year Ended | |
|
Combined | |
|
Three Months | |
|
Three Months | |
|
|
December 31, | |
|
Year Ended | |
|
Ended | |
|
Ended | |
|
|
| |
|
December 31, | |
|
March 31, | |
|
March 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
2005 | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Specialty hospital data(1):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals start of period
|
|
|
72 |
|
|
|
83 |
|
|
|
86 |
|
|
|
86 |
|
|
|
101 |
|
|
Number of hospital start-ups
|
|
|
8 |
|
|
|
4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals acquired
|
|
|
4 |
|
|
|
|
|
|
|
17 |
|
|
|
17 |
|
|
|
|
|
|
Number of hospitals closed
|
|
|
(1 |
) |
|
|
(1 |
) |
|
|
(2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of hospitals end of period
|
|
|
83 |
|
|
|
86 |
|
|
|
101 |
|
|
|
103 |
|
|
|
101 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available licensed beds
|
|
|
3,204 |
|
|
|
3,403 |
|
|
|
3,829 |
|
|
|
3,907 |
|
|
|
3,852 |
|
Admissions
|
|
|
27,620 |
|
|
|
33,523 |
|
|
|
39,963 |
|
|
|
10,336 |
|
|
|
10,483 |
|
Patient days
|
|
|
722,231 |
|
|
|
816,898 |
|
|
|
985,025 |
|
|
|
250,839 |
|
|
|
251,701 |
|
Average length of stay (days)
|
|
|
26 |
|
|
|
24 |
|
|
|
25 |
|
|
|
25 |
|
|
|
25 |
|
Net revenue per patient day(2)
|
|
$ |
1,173 |
|
|
$ |
1,306 |
|
|
$ |
1,357 |
|
|
$ |
1,330 |
|
|
$ |
1,405 |
|
Occupancy rate
|
|
|
70 |
% |
|
|
67 |
% |
|
|
70 |
% |
|
|
71 |
% |
|
|
73 |
% |
Percent patient days Medicare
|
|
|
76 |
% |
|
|
74 |
% |
|
|
75 |
% |
|
|
77 |
% |
|
|
73 |
% |
Outpatient rehabilitation data(3):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned start of period
|
|
|
568 |
|
|
|
645 |
|
|
|
589 |
|
|
|
589 |
|
|
|
553 |
|
|
Number of clinics acquired
|
|
|
124 |
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinic start-ups
|
|
|
27 |
|
|
|
19 |
|
|
|
22 |
|
|
|
9 |
|
|
|
1 |
|
|
Number of clinics closed/sold
|
|
|
(74 |
) |
|
|
(76 |
) |
|
|
(58 |
) |
|
|
(6 |
) |
|
|
(1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of clinics owned end of period
|
|
|
645 |
|
|
|
589 |
|
|
|
553 |
|
|
|
592 |
|
|
|
553 |
|
Number of clinics managed end of period
|
|
|
43 |
|
|
|
51 |
|
|
|
55 |
|
|
|
53 |
|
|
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total number of clinics (all) end of period
|
|
|
688 |
|
|
|
640 |
|
|
|
608 |
|
|
|
645 |
|
|
|
613 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of visits
|
|
|
3,865,637 |
|
|
|
3,621,129 |
|
|
|
3,308,620 |
|
|
|
863,173 |
|
|
|
784,839 |
|
Net revenue per visit(4)
|
|
$ |
87 |
|
|
$ |
90 |
|
|
$ |
89 |
|
|
$ |
90 |
|
|
$ |
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. |
|
(3) |
Clinic data has been restated to remove the clinics operated by
CBIL, which is being reported as a discontinued operation. CBIL
operated 102, 101 and 109 clinics at December 31, 2003,
2004 and 2005, respectively, and 108 clinics at March 31,
2005. Occupational health clinics have been reclassified from
owned to managed clinics. |
50
|
|
(4) |
Net revenue per visit is calculated by dividing outpatient
rehabilitation clinic revenue by the total number of visits. For
purposes of this computation, outpatient rehabilitation clinic
revenue does not include contract services revenue. |
Results of Operations
The following tables present the combined consolidated statement
of operations for the year ended December 31, 2005 and for
the three months ended March 31, 2005.
The financial data for the period after the Merger,
February 25, 2005 through December 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 consolidated
statement of operations for the year ended December 31,
2005.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from | |
|
Period from | |
|
|
|
|
January 1, | |
|
February 25, | |
|
|
|
|
2005 | |
|
2005 | |
|
|
|
|
through | |
|
through | |
|
Year Ended | |
|
|
February 24, | |
|
December 31, | |
|
December 31, | |
|
|
2005 | |
|
2005 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
Predecessor | |
|
Successor | |
|
Combined | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
277,736 |
|
|
$ |
1,580,706 |
|
|
$ |
1,858,442 |
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
244,321 |
|
|
|
1,244,361 |
|
|
|
1,488,682 |
|
|
General and administrative
|
|
|
122,509 |
|
|
|
59,494 |
|
|
|
182,003 |
|
|
Bad debt expense
|
|
|
6,588 |
|
|
|
18,213 |
|
|
|
24,801 |
|
|
Depreciation and amortization
|
|
|
5,933 |
|
|
|
37,922 |
|
|
|
43,855 |
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
379,351 |
|
|
|
1,359,990 |
|
|
|
1,739,341 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(101,615 |
) |
|
|
220,716 |
|
|
|
119,101 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
(42,736 |
) |
|
|
|
|
|
|
(42,736 |
) |
|
Merger related charges
|
|
|
(12,025 |
) |
|
|
|
|
|
|
(12,025 |
) |
|
Other income
|
|
|
267 |
|
|
|
1,092 |
|
|
|
1,359 |
|
|
Interest income
|
|
|
523 |
|
|
|
767 |
|
|
|
1,290 |
|
|
Interest expense
|
|
|
(4,651 |
) |
|
|
(102,208 |
) |
|
|
(106,859 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interests and income taxes
|
|
|
(160,237 |
) |
|
|
120,367 |
|
|
|
(39,870 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
330 |
|
|
|
1,776 |
|
|
|
2,106 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes
|
|
|
(160,567 |
) |
|
|
118,591 |
|
|
|
(41,976 |
) |
Income tax expense (benefit)
|
|
|
(59,794 |
) |
|
|
49,336 |
|
|
|
(10,458 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
(100,773 |
) |
|
|
69,255 |
|
|
|
(31,518 |
) |
Income from discontinued operations, net of tax
|
|
|
522 |
|
|
|
3,072 |
|
|
|
3,594 |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
72,327 |
|
|
$ |
(27,924 |
) |
|
|
|
|
|
|
|
|
|
|
51
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 consolidated
statement of operations for the three months ended
March 31, 2005.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period | |
|
|
|
|
Period from | |
|
from | |
|
|
|
|
January 1, | |
|
February 25, | |
|
Three | |
|
|
2005 | |
|
2005 | |
|
Months | |
|
|
through | |
|
through | |
|
Ended | |
|
|
February 24, | |
|
March 31, | |
|
March 31, | |
|
|
2005 | |
|
2005 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
Predecessor | |
|
Successor | |
|
Combined | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
277,736 |
|
|
$ |
188,386 |
|
|
$ |
466,122 |
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
244,321 |
|
|
|
140,527 |
|
|
|
384,848 |
|
|
General and administrative
|
|
|
122,509 |
|
|
|
8,664 |
|
|
|
131,173 |
|
|
Bad debt expense
|
|
|
6,588 |
|
|
|
4,558 |
|
|
|
11,146 |
|
|
Depreciation and amortization
|
|
|
5,933 |
|
|
|
4,126 |
|
|
|
10,059 |
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
379,351 |
|
|
|
157,875 |
|
|
|
537,226 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(101,615 |
) |
|
|
30,511 |
|
|
|
(71,104 |
) |
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
(42,736 |
) |
|
|
|
|
|
|
(42,736 |
) |
|
Merger related charges
|
|
|
(12,025 |
) |
|
|
|
|
|
|
(12,025 |
) |
|
Other income
|
|
|
267 |
|
|
|
103 |
|
|
|
370 |
|
|
Interest income
|
|
|
523 |
|
|
|
77 |
|
|
|
600 |
|
|
Interest expense
|
|
|
(4,651 |
) |
|
|
(11,044 |
) |
|
|
(15,695 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
(160,237 |
) |
|
|
19,647 |
|
|
|
(140,590 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
330 |
|
|
|
302 |
|
|
|
632 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
(160,567 |
) |
|
|
19,345 |
|
|
|
(141,222 |
) |
Income tax expense (benefit)
|
|
|
(59,794 |
) |
|
|
7,853 |
|
|
|
(51,941 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
(100,773 |
) |
|
|
11,492 |
|
|
|
(89,281 |
) |
Income from discontinued operations, net of tax
|
|
|
522 |
|
|
|
672 |
|
|
|
1,194 |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
12,164 |
|
|
$ |
(88,087 |
) |
|
|
|
|
|
|
|
|
|
|
52
The following table outlines selected operating data as a
percentage of net operating revenues, for the periods indicated:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year | |
|
|
|
Combined | |
|
|
|
|
Ended | |
|
Combined Year | |
|
Three Months | |
|
Three Months | |
|
|
December 31, | |
|
Ended | |
|
Ended | |
|
Ended | |
|
|
| |
|
December 31, | |
|
March 31, | |
|
March 31, | |
|
|
2003 | |
|
2004 | |
|
2005(1) | |
|
2005(1) | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Net operating revenues
|
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
100.0 |
% |
Cost of services(2)
|
|
|
79.8 |
|
|
|
77.8 |
|
|
|
80.1 |
|
|
|
82.6 |
|
|
|
80.3 |
|
General and administrative
|
|
|
3.3 |
|
|
|
2.9 |
|
|
|
9.8 |
|
|
|
28.1 |
|
|
|
2.6 |
|
Bad debt expense
|
|
|
3.8 |
|
|
|
3.0 |
|
|
|
1.3 |
|
|
|
2.4 |
|
|
|
1.0 |
|
Depreciation and amortization
|
|
|
2.5 |
|
|
|
2.4 |
|
|
|
2.4 |
|
|
|
2.2 |
|
|
|
2.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
10.6 |
|
|
|
13.9 |
|
|
|
6.4 |
|
|
|
(15.3 |
) |
|
|
13.8 |
|
Loss on early retirement of debt
|
|
|
|
|
|
|
|
|
|
|
(2.3 |
) |
|
|
(9.2 |
) |
|
|
|
|
Merger related charges
|
|
|
|
|
|
|
|
|
|
|
(0.7 |
) |
|
|
(2.6 |
) |
|
|
|
|
Equity in earnings from joint ventures
|
|
|
0.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
0.1 |
|
|
|
0.1 |
|
|
|
0.1 |
|
|
|
|
|
Interest expense, net
|
|
|
(1.9 |
) |
|
|
(1.9 |
) |
|
|
(5.7 |
) |
|
|
(3.2 |
) |
|
|
(6.8 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
8.8 |
|
|
|
12.1 |
|
|
|
(2.2 |
) |
|
|
(30.2 |
) |
|
|
7.0 |
|
Minority interests
|
|
|
0.1 |
|
|
|
0.2 |
|
|
|
0.1 |
|
|
|
0.1 |
|
|
|
0.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
8.7 |
|
|
|
11.9 |
|
|
|
(2.3 |
) |
|
|
(30.3 |
) |
|
|
6.9 |
|
Income tax (benefit)
|
|
|
3.4 |
|
|
|
4.8 |
|
|
|
(0.6 |
) |
|
|
(11.1 |
) |
|
|
3.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
5.3 |
|
|
|
7.1 |
|
|
|
(1.7 |
) |
|
|
(19.2 |
) |
|
|
3.7 |
|
Income from discontinued operations, net of tax
|
|
|
0.3 |
|
|
|
0.3 |
|
|
|
0.2 |
|
|
|
0.3 |
|
|
|
2.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
5.6 |
% |
|
|
7.4 |
% |
|
|
(1.5 |
)% |
|
|
(18.9 |
)% |
|
|
5.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
53
The following table summarizes selected financial data by
business segment, for the periods indicated:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended | |
|
Combined | |
|
% | |
|
% | |
|
Three Months Ended | |
|
|
|
|
December 31, | |
|
Year Ended | |
|
Change | |
|
Change | |
|
March 31, | |
|
|
|
|
| |
|
December 31, | |
|
2003- | |
|
2004- | |
|
| |
|
|
|
|
2003 | |
|
2004 | |
|
2005(1) | |
|
2004 | |
|
2005 | |
|
2005(1) | |
|
2006 | |
|
% Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
849,260 |
|
|
$ |
1,089,538 |
|
|
$ |
1,370,320 |
|
|
|
28.3 |
% |
|
|
25.8 |
% |
|
$ |
342,044 |
|
|
$ |
359,672 |
|
|
|
5.2 |
% |
|
Outpatient rehabilitation
|
|
|
478,553 |
|
|
|
498,830 |
|
|
|
480,711 |
|
|
|
4.2 |
|
|
|
(3.6 |
) |
|
|
121,455 |
|
|
|
119,290 |
|
|
|
(1.8 |
) |
|
Other(4)
|
|
|
13,844 |
|
|
|
13,156 |
|
|
|
7,411 |
|
|
|
(5.0 |
) |
|
|
(43.7 |
) |
|
|
2,623 |
|
|
|
781 |
|
|
|
(70.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
1,341,657 |
|
|
$ |
1,601,524 |
|
|
$ |
1,858,442 |
|
|
|
19.4 |
% |
|
|
16.0 |
% |
|
$ |
466,122 |
|
|
$ |
479,743 |
|
|
|
2.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
129,861 |
|
|
$ |
216,803 |
|
|
$ |
280,206 |
|
|
|
67.0 |
% |
|
|
29.2 |
% |
|
$ |
72,750 |
|
|
$ |
67,889 |
|
|
|
(6.7 |
)% |
|
Outpatient rehabilitation
|
|
|
53,159 |
|
|
|
57,777 |
|
|
|
56,052 |
|
|
|
8.7 |
|
|
|
(3.0 |
) |
|
|
15,730 |
|
|
|
11,468 |
|
|
|
(27.1 |
) |
|
Other(4)
|
|
|
(40,840 |
) |
|
|
(52,075 |
) |
|
|
(217,157 |
) |
|
|
(27.5 |
) |
|
|
(317.0 |
) |
|
|
(159,584 |
) |
|
|
(12,906 |
) |
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
142,180 |
|
|
$ |
222,505 |
|
|
$ |
119,101 |
|
|
|
56.5 |
% |
|
|
(46.5 |
)% |
|
$ |
(71,104 |
) |
|
$ |
66,451 |
|
|
|
N/M |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA:(3)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
145,650 |
|
|
$ |
236,181 |
|
|
$ |
307,339 |
|
|
|
62.2 |
% |
|
|
30.1 |
% |
|
$ |
79,127 |
|
|
$ |
74,718 |
|
|
|
(5.6 |
)% |
|
Outpatient rehabilitation
|
|
|
66,378 |
|
|
|
71,562 |
|
|
|
65,957 |
|
|
|
7.8 |
|
|
|
(7.8 |
) |
|
|
18,564 |
|
|
|
14,760 |
|
|
|
(20.5 |
) |
|
Other(4)
|
|
|
(36,185 |
) |
|
|
(46,287 |
) |
|
|
(43,362 |
) |
|
|
(27.9 |
) |
|
|
6.3 |
|
|
|
(12,197 |
) |
|
|
(11,186 |
) |
|
|
8.3 |
|
Adjusted EBITDA margins:(3)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
|
17.2 |
% |
|
|
21.7 |
% |
|
|
22.4 |
% |
|
|
26.2 |
% |
|
|
3.2 |
% |
|
|
23.1 |
% |
|
|
20.8 |
% |
|
|
(10.0 |
)% |
|
Outpatient rehabilitation
|
|
|
13.9 |
|
|
|
14.3 |
|
|
|
13.7 |
|
|
|
2.9 |
|
|
|
(4.2 |
) |
|
|
15.3 |
|
|
|
12.4 |
|
|
|
(19.0 |
) |
|
Other(4):
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/M |
|
|
|
N/ M |
|
|
|
N/M |
|
|
|
N/M |
|
Total assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
512,956 |
|
|
$ |
520,572 |
|
|
$ |
1,652,532 |
|
|
|
|
|
|
|
|
|
|
$ |
1,553,606 |
|
|
$ |
1,746,744 |
|
|
|
|
|
|
Outpatient rehabilitation
|
|
|
365,534 |
|
|
|
318,180 |
|
|
|
293,720 |
|
|
|
|
|
|
|
|
|
|
|
530,855 |
|
|
|
269,295 |
|
|
|
|
|
|
Other
|
|
|
200,508 |
|
|
|
274,969 |
|
|
|
222,133 |
|
|
|
|
|
|
|
|
|
|
|
76,262 |
|
|
|
119,248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
1,078,998 |
|
|
$ |
1,113,721 |
|
|
$ |
2,168,385 |
|
|
|
|
|
|
|
|
|
|
$ |
2,160,723 |
|
|
$ |
2,135,287 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment, net:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty hospitals
|
|
$ |
22,559 |
|
|
$ |
23,320 |
|
|
$ |
102,321 |
|
|
|
|
|
|
|
|
|
|
$ |
1,945 |
|
|
$ |
36,505 |
|
|
|
|
|
|
Outpatient rehabilitation
|
|
|
8,514 |
|
|
|
5,885 |
|
|
|
3,750 |
|
|
|
|
|
|
|
|
|
|
|
682 |
|
|
|
1,641 |
|
|
|
|
|
|
Other
|
|
|
4,779 |
|
|
|
3,421 |
|
|
|
3,875 |
|
|
|
|
|
|
|
|
|
|
|
1,071 |
|
|
|
240 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company
|
|
$ |
35,852 |
|
|
$ |
32,626 |
|
|
$ |
109,946 |
|
|
|
|
|
|
|
|
|
|
$ |
3,698 |
|
|
$ |
38,386 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following tables reconcile same hospitals information, for
the periods indicated:
|
|
|
|
|
|
|
|
|
|
|
|
Twelve Months Ended | |
|
|
December 31, | |
|
|
| |
|
|
2003 | |
|
2004 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
849,260 |
|
|
$ |
1,089,538 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/03
|
|
|
66,014 |
|
|
|
222,049 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
783,246 |
|
|
$ |
867,489 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
145,650 |
|
|
$ |
236,181 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/03
|
|
|
2,897 |
|
|
|
46,813 |
|
|
|
|
|
|
|
|
|
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 |
% |
54
|
|
|
|
|
|
|
|
|
|
|
|
Twelve Months Ended | |
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2005(1) | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
1,089,538 |
|
|
$ |
1,370,320 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/04
|
|
|
30,754 |
|
|
|
218,837 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
1,058,784 |
|
|
$ |
1,151,483 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
236,181 |
|
|
$ |
307,339 |
|
|
Less: Specialty hospitals opened, acquired or closed after 1/1/04
|
|
|
(4,591 |
) |
|
|
34,095 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store Adjusted EBITDA(3)
|
|
$ |
240,772 |
|
|
$ |
273,244 |
|
|
|
|
|
|
|
|
|
All specialty hospitals Adjusted EBITDA margin(3)
|
|
|
21.7 |
% |
|
|
22.4 |
% |
|
Specialty hospitals same store Adjusted EBITDA margin(3)
|
|
|
22.7 |
% |
|
|
23.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
March 31, | |
|
|
| |
|
|
2005(1) | |
|
2006 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net operating revenue
|
|
|
|
|
|
|
|
|
|
Specialty hospitals net operating revenue
|
|
$ |
342,044 |
|
|
$ |
359,672 |
|
|
Less: Specialty hospitals in development or closed after 1/1/05
|
|
|
6,028 |
|
|
|
204 |
|
|
|
|
|
|
|
|
|
Specialty hospitals same store net operating revenue
|
|
$ |
336,016 |
|
|
$ |
359,468 |
|
|
|
|
|
|
|
|
Adjusted EBITDA(3)
|
|
|
|
|
|
|
|
|
|
Specialty hospitals Adjusted EBITDA(3)
|
|
$ |
79,127 |
|
|
$ |
74,718 |
|
|
Less: Specialty hospitals in development or closed after 1/1/05
|
|
|
1,334 |
|
|
|
(377 |
) |
|
|
|
|
|
|
|
|
Specialty hospitals same store Adjusted EBITDA(3)
|
|
$ |
77,793 |
|
|
$ |
75,095 |
|
|
|
|
|
|
|
|
|
All specialty hospitals Adjusted EBITDA margin(3)
|
|
|
23.1 |
% |
|
|
20.8 |
% |
|
Specialty hospitals same store Adjusted EBITDA margin(3)
|
|
|
23.2 |
% |
|
|
20.9 |
% |
N/ M Not Meaningful
|
|
(1) |
To arrive at the combined year ended December 31, 2005, the
financial data for the period after the Merger,
February 25, 2005 through December 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 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). |
|
|
(2) |
Cost of services includes 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
expense, long-term incentive compensation, other income and
minority interest. We believe that the presentation of Adjusted
EBITDA is important to investors because Adjusted EBITDA is
commonly used as an analytical indicator of performance by
investors within the healthcare industry. 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, investing
or financing activities, or other financial statement |
55
|
|
|
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 a reconciliation of net
income to Adjusted EBITDA as utilized by us in reporting our
segment performance in accordance with SFAS No. 131. |
|
|
(4) |
Other includes the companys general and administrative
services, as well as businesses associated with the sale of home
medical equipment, orthotics, prosthetics, and
infusion/intravenous services. |
Three Months Ended March 31, 2006 Compared to Combined
Three Months Ended March 31, 2005
Our net operating revenues increased by 2.9% to
$479.7 million for the three months ended March 31,
2006 compared to $466.1 million for the combined three
months ended March 31, 2005.
Specialty Hospitals. Our specialty hospital net operating
revenues increased 5.2% to $359.7 million for the three
months ended March 31, 2006 compared to $342.0 million
for the combined three months ended March 31, 2005. Net
operating revenues for the specialty hospitals opened before
January 1, 2005 and operated by us throughout both periods
increased 7.0% to $359.5 million for the three months ended
March 31, 2006 from $336.0 million for the combined
three months ended March 31, 2005. This increase resulted
primarily from higher net revenue per patient day. We also
experienced a small increase in our patient days for these
hospitals of 1.9%.
Outpatient Rehabilitation. Our outpatient rehabilitation
net operating revenues declined 1.8% to $119.3 million for
the three months ended March 31, 2006 compared to
$121.5 million for the combined three months ended
March 31, 2005. The number of patient visits in our
outpatient rehabilitation clinics declined 9.1% for the three
months ended March 31, 2006 to 784,839 visits compared to
863,173 visits for the combined three months ended
March 31, 2005. The decrease in net operating revenues and
patient visits was principally related to a 6.6% decline in the
number of clinics we own and operate and a 2.7% decline in the
volume of visits per clinic. We are continuing to experience
declines in our patient visits in a number of markets that
result from physicians opening competing physical therapy
practices. Net revenue per visit in these clinics was $91 in
2006 and $90 in 2005.
Other. Our other revenues were $0.8 million for the
three months ended March 31, 2006 compared to
$2.6 million for the combined three months ended
March 31, 2005. The decline resulted from the sale of our
home medical equipment and infusion/intravenous service business
which we sold in May 2005.
Our operating expenses decreased by 23.7% to $402.4 million
for the three months ended March 31, 2006 compared to
$527.2 million for the combined three months ended
March 31, 2005. Our operating expenses include our cost of
services, general and administrative expense and bad debt
expense. The decrease in operating expenses was principally
related to the significant decline in stock compensation expense
for the three months ended March 31, 2006. In connection
with the Merger, we granted restricted stock awards to certain
key management employees. These awards generally vest over five
years. Effective at the time of the Merger, Holdings also
granted stock options to certain other key employees that vest
over five years. The fair value of restricted stock awards and
stock options vesting during the three months ended
March 31, 2006 was $0.9 million and for the period
from February 25, 2005 through March 31, 2005 was
$4.3 million which are included in general and
administrative expenses. Additionally, during the Predecessor
period of January 1, 2005 through February 25, 2005,
all of our then outstanding stock options were redeemed in
accordance with the Merger agreement. This resulted in a charge
of $142.2 million of which $115.0 million is included
in general and administrative expense and $27.2 million is
included in cost of services.
As a percentage of our net operating revenues, our operating
expenses were 83.9% for the three months ended March 31,
2006 compared to 113.1% for the combined three months ended
March 31, 2005. Cost of services as a percentage of
operating revenues was 80.3% for the three months ended
March 31, 2006 compared to 82.6% for the combined three
months ended March 31, 2005. These costs primarily reflect
our labor expenses. This reduction resulted from a decline in
our stock compensation costs offset by an increase in
56
our direct labor costs in both our specialty hospitals and
outpatient rehabilitation segments. This is primarily the result
of continued shortage of nursing staff and higher salaries for
physical and occupational therapists. Another component of cost
of services is facility rent expense, which was
$20.7 million for the three months ended March 31,
2006 compared to $20.4 million for the combined three
months ended March 31, 2005. During the same time period,
general and administrative expense declined in total, and as a
percentage of net operating revenues. General and administrative
expenses were 2.6% of net operating revenues for the three
months ended March 31, 2006 compared to 28.1% for the
combined three months ended March 31, 2005. Our general and
administrative expenses for the combined three months ended
March 31, 2005 included costs associated with the
SemperCare Corporate office that were not eliminated until the
second quarter of 2005 and stock compensation related to the
merger. Our bad debt expense as a percentage of net operating
revenues was 1.0% for the three months ended March 31, 2006
compared to 2.4% for the combined three months ended
March 31, 2005. This decrease in bad debt expense resulted
from continued improvement in our collection of non-Medicare
accounts receivable.
Specialty Hospitals. Adjusted EBITDA declined by 5.6% to
$74.7 million for the three months ended March 31,
2006 compared to $79.1 million for the combined three
months ended March 31, 2005. Our Adjusted EBITDA margins
declined to 20.8% for the three months ended March 31, 2006
from 23.1% for the combined three months ended March 31,
2005. The hospitals opened or acquired as of January 1,
2005 and operated throughout both periods had Adjusted EBITDA of
$75.1 million, a decrease of 3.5% over the Adjusted EBITDA
of these hospitals in 2005. This decrease in same store hospital
Adjusted EBITDA resulted from higher labor costs and costs of
purchased services. We have been unable to recover these
increased costs through higher revenues. Our Adjusted EBITDA
margin in these same store hospitals decreased to 20.9% for the
three months ended March 31, 2006 from 23.2% for the
combined three months ended March 31, 2005.
Outpatient Rehabilitation. Adjusted EBITDA decreased by
20.5% to $14.8 million for the three months ended
March 31, 2006 compared to $18.6 million for the
combined three months ended March 31, 2005. Our Adjusted
EBITDA margins declined to 12.4% for the three months ended
March 31, 2006 from 15.3% for the combined three months
ended March 31, 2005. The decline in Adjusted EBITDA was
the result of the decline in clinic visit volumes described
under Net Operating Revenue
Outpatient Rehabilitation above. Additionally, we are
experiencing increased labor costs for physical and occupational
therapists.
Other. The Adjusted EBITDA loss was $11.2 million
for the three months ended March 31, 2006 compared to a
loss of $12.2 million for the combined three months ended
March 31, 2005. This small decrease in the Adjusted EBITDA
loss was primarily the result of the decline in our general and
administrative expense.
|
|
|
Income (Loss) from Operations |
For the three months ended March 31, 2006 we experienced
income from operations of $66.5 million compared to a loss
from operations of $71.1 million for the combined three
months ended March 31, 2005. 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.
|
|
|
Loss on Early Retirement of Debt |
In connection with the Merger, Select commenced tender offers to
acquire all of its
91/2% senior
subordinated notes due 2009 and all of its
71/2% senior
subordinated notes due 2013. Upon completion of the tender
offers on February 24, 2005, all of the $175.0 million
of the
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
Selects Board of Directors to evaluate the Merger, legal
and accounting fees, costs
57
associated with the Hart-Scott-Rodino filing related 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.
Interest expense increased by $17.2 million to
$32.9 million for the three months ended March 31,
2006 from $15.7 million for the combined three months ended
March 31, 2005. The increase in interest expense is due to
the higher debt levels outstanding in the Successor periods
resulting from the Merger.
Minority interests in consolidated earnings was
$0.4 million for the three months ended March 31, 2006
compared to $0.6 million for the combined three months
ended March 31, 2005.
We recorded income tax expense of $15.2 million for the
three months ended March 31, 2006. The expense represented
an effective tax rate of 45.6%. We recorded an income tax
benefit of $59.8 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
was 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 are subject to valuation allowances.
We recorded income tax expense of $7.9 million for the
Successor period of February 25, 2005 through
March 31, 2005. The expense represented an effective tax
rate of 40.6%.
|
|
|
Income from Discontinued Operation, Net of Tax |
On March 1, 2006, we sold our wholly-owned subsidiary CBIL.
The operating results of CBIL have been reclassified and
reported as discontinued operations. We have recognized a gain
on sale (net of tax) of $9.1 million in our first quarter
ended March 31, 2006.
Combined Year Ended December 31, 2005 Compared to Year
Ended December 31, 2004
Our net operating revenues increased by 16.0% to
$1,858.4 million for the combined year ended
December 31, 2005 compared to $1,601.5 million for the
year ended December 31, 2004.
Specialty Hospitals. Our specialty hospital net operating
revenues increased 25.8% to $1,370.3 million for the
combined year ended December 31, 2005 compared to
$1,089.5 million for the year ended December 31, 2004.
Net operating revenues for the specialty hospitals opened before
January 1, 2004 and operated by us throughout both years
increased 8.8% to $1,151.5 million for the combined year
ended December 31, 2005 from $1,058.8 million for the
year ended December 31, 2004. This increase resulted from
both an increase in our patient days and higher net revenue per
patient day. Our patient days for these hospitals increased 5.0%
and our occupancy percentage increased to 72% for the combined
year ended December 31, 2005 compared to 69% for the year
ended December 31, 2004. The remaining increase of
$188.1 million resulted primarily from the acquisition of
the SemperCare facilities, which contributed $172.5 million
of net revenue growth.
Outpatient Rehabilitation. Our outpatient rehabilitation
net operating revenues declined 3.6% to $480.7 million for
the combined year ended December 31, 2005 compared to
$498.8 million for the year ended December 31, 2004.
The number of patient visits in our outpatient rehabilitation
clinics declined 7.7% for the combined year ended
December 31, 2005 to 3,518,740 visits compared to 3,810,284
visits for the year ended December 31, 2004. The decrease
in net operating revenues and patient visits was principally
related to a 6.1% decline in the number of clinics we operate
and a 1.6% decline in the volume of visits per clinic. Net
revenue per visit in these clinics was $90 in both 2005 and
2004. Offsetting the net operating revenue decline in our
outpatient rehabilitation clinics were increases in our contract
services revenues.
58
Other. Our other revenues were $7.4 million for the
combined year ended December 31, 2005 compared to
$13.2 million for the year ended December 31, 2004.
These revenues are principally related to the sales of
orthotics, prosthetics, home medical equipment, and
infusion/intravenous services. In May 2005, we sold the assets
of our home medical equipment and infusion/intravenous service
business, which resulted in the reduction in our other revenues.
Our operating expenses increased by 26.5% to
$1,695.5 million for the combined year ended
December 31, 2005 compared to $1,340.1 million for the
year ended December 31, 2004. Our operating expenses
include our cost of services, general and administrative expense
and bad debt expense. The increase in operating expenses was
related to the significant stock compensation costs we
recognized in 2005, a special long-term incentive compensation
payment paid to certain members of senior management and the
acquisition of SemperCare facilities on January 1, 2005. In
connection with the Merger, we granted restricted stock awards
to certain key management employees. These awards generally vest
over five years. Effective at the time of the Merger, we also
granted stock options to certain other key employees that vest
over five years. The fair value of restricted stock awards and
stock options vesting during the Successor period was
$10.3 million. Of this amount, $10.1 million is
included in general and administrative expense and
$0.2 million was included in cost of services.
Additionally, during the Predecessor period of January 1,
2005 through February 25, 2005 all of our then outstanding
stock options were redeemed in accordance with the Merger
agreement. This resulted in a charge of $142.2 million of
which $115.0 million is included in general and
administrative expense and $27.2 million is included in
cost of services.
As a result of the special dividend of $175.0 million paid
to our preferred stockholders on September 29, 2005,
certain members of senior management of Select became entitled
to a payment of $14.5 million under the terms of our
long-term incentive compensation plan that is included in
general and administrative expense.
As a percentage of our net operating revenues, our operating
expenses were 91.2% for the combined year ended
December 31, 2005 compared to 83.7% for the year ended
December 31, 2004. Cost of services as a percentage of
operating revenues was 80.1% for the combined year ended
December 31, 2005 compared to 77.8% for the year ended
December 31, 2004. This increase was due to higher labor
and operating costs in our outpatient division combined with
higher non-labor costs in our hospitals in addition to a
component of stock compensation recognized as cost of services.
Another component of cost of services is facility rent expense,
which was $81.6 million for the combined year ended
December 31, 2005 compared to $75.6 million for the
year ended December 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
increased to 9.8% for the combined year ended December 31,
2005 from 2.9% for the year ended December 31, 2004. This
increase in general and administrative expenses is the result of
an increase in our stock compensation costs and long-term
incentive compensation offset by a decline in our expense for
abandoned hospital development projects in 2005. Our bad debt
expense as a percentage of net operating revenues was 1.3% for
the combined year ended December 31, 2005 compared to 3.0%
for the year ended December 31, 2004. This decrease in bad
debt expense resulted from continued improvement in our
collection of non-Medicare accounts receivable.
Specialty Hospitals. Adjusted EBITDA increased by 30.1%
to $307.3 million for the combined year ended
December 31, 2005 compared to $236.2 million for the
year ended December 31, 2004. Our Adjusted EBITDA margins
increased to 22.4% for the combined year ended December 31,
2005 from 21.7% for the year ended December 31, 2004. The
hospitals opened before January 1, 2004 and operated
throughout both years had Adjusted EBITDA of
$273.2 million, an increase of 13.5% over the Adjusted
EBITDA of these hospitals in 2004. The increase in same store
hospitals Adjusted EBITDA resulted primarily from an
increase in net revenue per patient day and patient days.
Additionally, during 2005 we recorded a one-time benefit of
$3.8 million due to the reversal of an accrued patient care
liability as a result of the termination of this obligation. Our
Adjusted EBITDA margin in these same store hospitals increased
to 23.7% for the combined year ended December 31, 2005 from
22.7% for the year ended December 31, 2004.
59
Outpatient Rehabilitation. Adjusted EBITDA decreased by
7.8% to $66.0 million for the combined year ended
December 31, 2005 compared to $71.6 million for the
year ended December 31, 2004. Our Adjusted EBITDA margins
declined to 13.7% for the combined year ended December 31,
2005 from 14.3% for the year ended December 31, 2004. The
decline in Adjusted EBITDA was the result of the decline in
clinic visit volumes, described under Net
Operating Revenue Outpatient Rehabilitation
above, combined with higher labor costs.
Other. The Adjusted EBITDA loss, which primarily includes
our general and administrative expenses, was $43.4 million
for the combined year ended December 31, 2005 compared to a
loss of $46.3 million for the year ended December 31,
2004. This reduction in the Adjusted EBITDA loss was primarily
the result of the decline in our general and administrative
expenses.
|
|
|
Income (Loss) from Operations |
For the combined year ended December 31, 2005, we
experienced income from operations of $119.1 million
compared to income from operations of $222.5 million for
the year ended December 31, 2004. The lower income from
operations experienced for the combined year ended
December 31, 2005 resulted from the significant stock
compensation costs related to the Merger of $152.5 million
and an increase in depreciation and amortization of
$4.9 million, offset by the Adjusted EBITDA increases
described above. The stock compensation expense was comprised of
$142.2 million related to the cancellation 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 $10.3 million of stock compensation expense
related to shares of restricted stock that were issued in the
Successor period of February 25, 2005 through
December 31, 2005.
|
|
|
Loss on Early Retirement of Debt |
In connection with the Merger, Select commenced tender offers to
acquire all of its
91/2% senior
subordinated notes due 2009 and all of its
71/2% senior
subordinated notes due 2013. Upon completion of the tender
offers on February 24, 2005, all $175.0 million of the
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 of
$12.0 million in the Predecessor period of January 1,
2005 through February 24, 2005 directly related to the
Merger. This included the fees of the investment advisor hired
by the Special Committee of Selects Board of Directors to
evaluate the Merger, legal and accounting fees, costs associated
with the Hart-Scott-Rodino filing related 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.
Interest expense increased by $73.6 million to
$106.9 million for the combined year ended
December 31, 2005 from $33.3 million for the year
ended December 31, 2004. The increase in interest expense
is due to the higher debt levels outstanding in the Successor
period of February 25, 2005 through December 31, 2005.
During this Successor period we had approximately
$1.3 billion in additional debt compared to the same period
in 2004.
Minority interests in consolidated earnings was
$2.1 million for the combined year ended December 31,
2005 compared to $2.6 million for the year ended
December 31, 2004.
We recorded income tax benefit of $59.8 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
60
rate consisted of the statutory federal rate of 35% and a state
rate of 2.2%. The federal tax benefit was 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
were assigned valuation allowances. We recorded income tax
expense of $49.3 million for the Successor period of
February 25, 2005 through December 31, 2005. The
expense represented an effective tax rate of 41.6%. For the year
ended December 31, 2004 we recorded income tax expense of
$76.6 million. This expense represented an effective tax
rate of 40.2%.
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Income from Discontinued Operations, Net of Tax |
On March 1, 2006, we sold our wholly-owned subsidiary
Canadian Back Institute Limited (CBIL) for
approximately C$89.8 million in cash
(US$79.0 million). As of December 31, 2005, CBIL
operated 109 outpatient rehabilitation clinics in seven Canadian
provinces. We conducted all of our Canadian operations through
CBIL. The purchase price is subject to a post-closing adjustment
based on the amount of net working capital and long term
liabilities of CBIL and its subsidiaries on the closing date.
The financial results of CBIL have been reclassified as
discontinued operations for all periods presented in this
prospectus, and its assets and liabilities have been
reclassified as held for sale on our December 31, 2005
balance sheet.
On September 27, 2004, we sold the land, building and
certain other assets and liabilities associated with our only
skilled nursing facility for $11.6 million, which 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 19.4% to
$1,601.5 million for the year ended December 31, 2004
compared to $1,341.7 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. The increase in net revenue per patient day is
primarily attributable to the improved reimbursement we received
from Medicare under LTCH-PPS. 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 4.2% to $498.8 million for
the year ended December 31, 2004 compared to
$478.6 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 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 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 Select receives reimbursement from Medicare for
services provided to our subsidiaries. The decline was offset by
revenues related to the Kessler other businesses that are now
being reported under this category. These businesses
61
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
$1,340.1 million for the year ended December 31, 2004
compared to $1,165.8 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 86.9% for the year ended
December 31, 2003. Cost of services as a percentage of
operating revenues decreased to 77.8% 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 which is
primarily attributable to the improved reimbursement we received
under LTCH-PPS. Another component of cost of services is
facility rent expense, which was $75.6 million for the year
ended December 31, 2004 compared to $68.0 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 2.9% for
the year ended December 31, 2004 from 3.3% 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
3.0% for the year ended December 31, 2004 compared to 3.8%
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 $145.7 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 store hospitals 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
7.8% to $71.6 million for the year ended December 31,
2004 compared to $66.4 million for the year ended
December 31, 2003. Our Adjusted EBITDA margins increased to
14.3% for the year ended December 31, 2004 from 13.9% 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 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 56.5% to $222.5 million
for the year ended December 31, 2004 compared to
$142.2 million for the year ended December 31, 2003.
The increase in income from operations
62
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 $7.9 million to
$33.3 million for the year ended December 31, 2004
from $25.4 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
$2.6 million for the year ended December 31, 2004
compared to $1.7 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 $76.6 million for the
year ended December 31, 2004. The expense represented an
effective tax rate of 40.2%. We recorded income tax expense of
$46.2 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.
Liquidity and Capital Resources
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Three Months Ended March 31, 2006 and Combined Three
Months Ended March 31, 2005 |
Operating activities used $5.6 million of cash flow for the
three months ended March 31, 2006. 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. Our days sales outstanding
increased to 53 days at March 31, 2006, up from
52 days at December 31, 2005. The increase in days
sales outstanding is primarily related to the timing of the
Periodic Interim Payments we received from Medicare for the
services provided at our Specialty Hospitals.
Investing activities provided $36.7 million of cash flow
for the three months ended March 31, 2006. Investing
activities used $114.1 million of cash flow for the
combined three months ended March 31, 2005. The primary
source of cash in the three months ended March 31, 2006
resulted from the sale of CBIL of $76.8 million which was
offset by cash disbursements related to building improvements
and equipment purchases primarily associated with properties we
acquired in 2005. The primary use of cash for the combined three
months ended March 31, 2005 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.
Financing activities utilized $53.2 million of cash flow
for the three months ended March 31, 2006. The cash usage
resulted primarily from principal repayments on our credit
facility of $58.5 million. Financing activities provided
$58.9 million of cash for the combined three months ended
March 31, 2005. The Merger financing 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.
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Combined Year Ended December 31, 2005 and Years Ended
December 31, 2004 and 2003 |
Operating activities generated $57.2 million,
$174.3 million, and $246.2 million in cash during the
combined year ended December 31, 2005 and the years ended
December 31, 2004 and 2003, respectively. For
63
2005, our operating cash flow includes $186.0 million in
cash expenses related to the Merger. Our days sales outstanding
were 52 days at December 31, 2005. This is an increase
of four days from 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 discharged based calculation to better align
the Periodic Interim Payment methodology with the current
discharge based reimbursement system. As a result, we are no
longer receiving a periodic payment for those patients that have
not yet been discharged. The significant cash flow experienced
in 2004 and 2003 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 and 52 days at
December 31, 2003. 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.
Investing activities used $220.8 million,
$29.0 million and $261.5 million of cash flow for the
combined year ended December 31, 2005 and the years ended
December 31, 2004 and 2003, respectively. Of this amount,
we incurred earnout and acquisition related payments of
$111.6 million, $4.9 million and $228.2 million,
respectively in 2005, 2004 and 2003. In 2005, the SemperCare
acquisition accounted for $105.1 million of the
$111.6 million acquisition payments. The Kessler
acquisition costs, net of cash acquired, of $223.9 million
comprise most of the 2003 expenditures. The remaining
acquisition payments relate primarily to small acquisitions of
outpatient businesses. The earnout payments related principally
to obligations we assumed as part of our 1999 NovaCare
acquisition. Investing activities also used cash for the
purchases of property and equipment of $109.9 million,
$32.6 million and $35.9 million in the combined twelve
months of 2005, 2004 and 2003, respectively, which was related
principally to new hospital development and construction. During
2005 we purchased five properties that will be used to relocate
existing hospitals and one property for a new hospital. Each of
these properties require additional improvements to be made
before they become operational. Additionally, during 2005 we
began a major improvement and expansion of our rehabilitation
hospital in West Orange, New Jersey. During 2004, we sold our
only skilled nursing facility and our non-controlling interest
in a rehabilitation hospital for $15.6 million.
Financing activities used $48.5 million of cash for the
combined year ended December 31, 2005. The principal
financing activities were related to the Merger financing
discussed below. The excess proceeds from the Transactions were
used to pay Merger related costs, which include the cancellation
and cash-out of outstanding stock options. Additionally, during
2005 Select repaid $115.0 million of debt under its
revolver and $4.4 million of its term loan. During 2005,
Select paid dividends of $10.0 million to Holdings which it
used to fund interest payments on its debt. Cash overdrafts of
$19.4 million have provided additional financing cash.
Financing activities used $64.0 million of cash for the
year ended December 31, 2004. In 2004, this was principally
due to the repurchase of our common stock 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.
Financing activities provided $124.3 million of cash for
the year ended December 31, 2003. During 2003, Select 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 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.
64
Net working capital was $65.8 million at March 31, 2006 compared
to $77.6 million at December 31, 2005. The decrease in
working capital was principally related to the increase in
income tax payable that has resulted from the tax gain on the
sale of CBIL.
Net working capital was $77.6 million at December 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 Merger, on February 24, 2005 Select
borrowed $780.0 million under a new $880.0 million
senior secured credit facility and issued $660.0 million
75/8
% senior subordinated notes. At March 31, 2006,
Select had outstanding $602.2 million of indebtedness under
its senior credit facility, excluding $22.5 million of
letters of credit, with approximately $249.5 million of
additional borrowing capacity. As a result, our liquidity
requirements are significantly higher than they were before the
Merger due to our increased debt service obligations.
Selects 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 that will
terminate on February 24, 2011, 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 that matures on
February 24, 2012. |
Proceeds of the term loans and $200.0 million of revolving
loans, together with other sources of funds, were used to
finance the Merger. Proceeds of the revolving loans borrowed
after the closing date of the Merger, swingline loans and
letters of credit are used for working capital and general
corporate purposes.
The interest rates per annum applicable to loans, other than
swingline loans, under our 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 will be 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 for
revolving loans is currently (1) 1.00% for alternate base
rate loans and (2) 2.00% for adjusted LIBOR loans, subject
to change based upon the ratio of our total indebtedness to our
consolidated EBITDA (as defined in the credit agreement). 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. On June 13, 2005 we entered into
an interest rate swap transaction with an effective date of
August 22, 2005. The swap is being designated as a cash
flow hedge of forecasted LIBOR based variable rate interest
payments. The underlying variable rate debt is
$200.0 million and the swap is for a period of five years.
On February 24, 2005, EGL Acquisition Corp. issued and sold
$660.0 million in aggregate principal amount of
75/8
% senior subordinated notes due 2015, which Select
assumed in connection with the Merger. 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 EGL Acquisition Corp. and
U.S. Bank Trust National Association, as trustee.
Interest on the notes is payable semi-annually in arrears on
February 1 and August 1 of each year. The notes are
guaranteed by all of Selects wholly-owned 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
65
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 Holdings, 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.
On February 24, 2005, Holdings issued 10% senior
subordinated notes 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 senior subordinated
notes had preferred and common shares attached which were
recorded at the estimated fair market value on the date of
issuance. These shares were recorded as a discount to the senior
subordinate notes and are being amortized using the interest
method.
Selects
91/2% senior
subordinated notes due 2009 were issued in June 2001 in an
original aggregate principal amount of $175.0 million.
Select commenced a debt tender offer and redeemed
$169.3 million in aggregate principal amount of these notes
in connection with the Merger. On June 15, 2005, Select
redeemed the remaining $5.7 million outstanding principal
amount of
91/2
% senior subordinated notes due 2009 for a
redemption price of 104.750% of the principal amount plus
accrued and unpaid interest.
On September 29, 2005, we sold $175.0 million of
senior floating rate notes due 2015, which bear interest at a
rate per annum, reset semi-annually, equal to the
6-month LIBOR plus
5.75%. Interest is payable semi-annually in arrears on March 15
and September 15 of each year, with the principal due in full on
September 15, 2015. The floating rate notes are general
unsecured obligations and are not guaranteed by any of our
subsidiaries. The net proceeds of the issuance of the floating
rate notes, together with cash was used to reduce the amount of
preferred stock, to make a payment to participants in
Selects long-term incentive plan, and to pay related fees
and expenses.
In connection with this borrowing, Select entered into an
amendment to its senior credit facility. This amendment, among
other things, permitted us to incur this indebtedness and
permits Select to service this indebtedness. The amendment also
permitted us to use the net proceeds of the offering to make the
$175.0 million special dividend to its preferred
stockholders and to make a payment of $14.5 million to
certain members of our senior management under our long-term
incentive compensation plan.
We believe internally generated cash flows and borrowings of
revolving loans under Selects 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 the hospitals acquired in the
SemperCare acquisition. 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 42% of
our hospitals will not require a move and 8% of our hospitals
will be closed. At this time we cannot predict with any
certainty the impact on revenues or operating expenses at the
hospitals being moved. These relocation efforts will require us
to make additional capital expenditures above historic levels.
We currently expect to spend approximately $390 million on
capital expenditures over the next four years, including both
our ongoing maintenance capital expenditures and the capital
required for hospital relocations. At March 31, 2006, we
have outstanding commitments under construction contracts
related to improvements and renovations at six of our long-term
acute care properties and one of our inpatient rehabilitation
facilities totaling $30.6 million.
We relocated two of our HIH hospitals to free-standing buildings
in the first quarter of 2006 and relocated one of our HIH
hospitals to a free-standing building in the fourth quarter of
2005. We also continue to evaluate opportunities to develop new
long-term acute care hospitals, primarily in settings where the
new HIH regulations would have little or no impact, such as in
free-standing buildings. Additionally, we are evaluating
opportunities to develop free-standing inpatient rehabilitation
facilities similar to the four inpatient rehabilitation
facilities acquired through our September 2003 Kessler
acquisition. We also intend to open new outpatient
rehabilitation clinics in our current markets where we can
benefit from existing referral relation-
66
ships and brand awareness to produce incremental growth. From
time to time, we also intend to evaluate specialty hospital
acquisition opportunities that may enhance the scale of our
business and expand our geographic reach.
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Commitments and Contingencies |
The following table summarizes our contractual obligations at
December 31, 2005, and the effect such obligations are
expected to have on our liquidity and cash flow in future
periods.
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Payments Due by Year | |
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Contractual Obligations |
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Total | |
|
2006 | |
|
2007-2009 | |
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2010-2011 | |
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After 2011 | |
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(In thousands) | |
75/8
% Senior Subordinated Notes
|
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$ |
660,000 |
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|
$ |
|
|
|
$ |
|
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|
$ |
|
|
|
$ |
660,000 |
|
Senior Secured Credit Facility
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660,650 |
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|
|
5,800 |
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|
17,400 |
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|
637,450 |
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10% Senior Subordinated Notes(1)
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131,609 |
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131,609 |
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Senior Floating Rate Notes
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175,000 |
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|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
Seller Notes
|
|
|
899 |
|
|
|
355 |
|
|
|
544 |
|
|
|
|
|
|
|
|
|
Capital Lease Obligations
|
|
|
359 |
|
|
|
197 |
|
|
|
162 |
|
|
|
|
|
|
|
|
|
Other Debt Obligations
|
|
|
372 |
|
|
|
164 |
|
|
|
208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Debt
|
|
|
1,628,889 |
|
|
|
6,516 |
|
|
|
18,314 |
|
|
|
637,450 |
|
|
|
966,609 |
|
Interest(2)
|
|
|
1,003,161 |
|
|
|
123,822 |
|
|
|
369,093 |
|
|
|
227,309 |
|
|
|
282,937 |
|
Letters of Credit Outstanding
|
|
|
21,981 |
|
|
|
50 |
|
|
|
|
|
|
|
21,931 |
|
|
|
|
|
Purchase Obligations
|
|
|
5,469 |
|
|
|
2,400 |
|
|
|
3,069 |
|
|
|
|
|
|
|
|
|
Construction Contracts
|
|
|
43,958 |
|
|
|
43,958 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Naming, Promotional and Sponsorship Agreement
|
|
|
61,327 |
|
|
|
2,445 |
|
|
|
7,679 |
|
|
|
5,421 |
|
|
|
45,782 |
|
Operating Leases
|
|
|
199,556 |
|
|
|
73,020 |
|
|
|
106,476 |
|
|
|
17,814 |
|
|
|
2,246 |
|
Related Party Operating Leases
|
|
|
17,118 |
|
|
|
1,963 |
|
|
|
5,836 |
|
|
|
3,587 |
|
|
|
5,732 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Contractual Cash Obligations
|
|
$ |
2,981,459 |
|
|
$ |
254,174 |
|
|
$ |
510,467 |
|
|
$ |
913,512 |
|
|
$ |
1,303,306 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Reflects the balance sheet liability of Holdings senior
subordinated notes calculated in accordance with GAAP. The
balance sheet liability so reflected is less than the
$150.0 million aggregate principal amount of such notes
because such notes were issued with original issue discount
totaling $18.4 million. Interest on the senior subordinated
notes accrues on the full principal amount thereof and Holdings
will be obligated to repay the full principal amount thereof at
maturity or upon any mandatory or voluntary prepayment thereof. |
|
(2) |
The interest obligation was calculated using the average
interest rate for the quarter ended December 31, 2005 of
6.158% for the senior credit facility, the stated interest rate
for the
75/8
% senior subordinated notes and the 10% senior
subordinated notes, 10.2% for the senior floating rate notes and
6.0% for seller notes, capital lease obligations and other debt
obligations. |
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 cannot predict our ability to cover or
offset future cost increases.
Recent Accounting Pronouncements
In March 2006, the Financial Accounting Standards Board
(FASB) issued SFAS No. 156
Accounting for Servicing of Financial Assets, an
amendment of SFAS No. 140
(SFAS No. 156). This Statement requires
that all separately recognized servicing assets and servicing
liabilities be initially measured at fair
67
value, if practicable. The FASB concluded that fair value is the
most relevant measurement attribute for the initial recognition
of all servicing assets and servicing liabilities, because it
represents the best measure of future cash flows.
SFAS No. 156 permits, but does not require, the
subsequent measurement of servicing assets and servicing
liabilities at fair value. An entity that uses derivative
instruments to mitigate the risks inherent in servicing assets
and servicing liabilities is required to account for those
derivative instruments at fair value. Under this Statement, an
entity can elect subsequent fair value measurement of its
servicing assets and servicing liabilities by class, thus
simplifying its accounting and providing for income statement
recognition of the potential offsetting changes in fair value of
the servicing assets, servicing liabilities, and related
derivative instruments. An entity that elects to subsequently
measure servicing assets and servicing liabilities at fair value
is expected to recognize declines in fair value of the servicing
assets and servicing liabilities more consistently than by
reporting other-than-temporary impairments. The statement is
effective as of the beginning of an entitys first fiscal
year that begins after September 15, 2006 though early
adoption is permitted. We do not anticipate that the
implementation of this standard will have a material impact on
our financial position, results of operations or cash flows.
In February 2006, the Financial Accounting Standards Board
issued SFAS No. 155, Accounting for Certain
Hybrid Financial Instruments an amendment of FASB
Statements No. 133 and 140 (SFAS
No. 155). SFAS No. 155 simplifies the
accounting for certain hybrid financial instruments, eliminates
the FASBs interim guidance which provides that beneficial
interests in securitized financial assets are not subject to the
provisions of SFAS No. 133, Accounting for
Derivative Instruments and Hedging Activities, and
eliminates the restriction on the passive derivative instruments
that a qualifying special-purpose entity may hold.
SFAS No. 155 is effective for all financial
instruments acquired or issued after the beginning of an
entitys first fiscal year that begins after
September 15, 2006. We do not anticipate that the
implementation of this standard will have a material impact on
our financial position, results of operations or cash flows.
In May 2005, the Financial Accounting Standards Board issued
SFAS No. 154, Accounting Changes and Error
Corrections a replacement of APB Opinion No. 20
and FASB Statement No. 3 (SFAS
No. 154). This statement applies to all voluntary
changes in accounting principle and changes required by an
accounting pronouncement where no specific transition provisions
are included. SFAS No. 154 requires retrospective
application to prior periods financial statements of
changes in accounting principle, unless it is impracticable to
determine either the period-specific effects or the cumulative
effect of the change. Retrospective application is limited to
the direct effects of the change; the indirect effects should be
recognized in the period of the change. This statement carries
forward without changing the guidance contained in Opinion 20
for reporting the correction of an error in previously issued
financial statements and a change in accounting estimate.
However, SFAS No. 154 redefines restatement as the revising
of previously issued financial statements to reflect the
correction of an error. The provisions of SFAS No. 154 are
effective for accounting changes and correction of errors made
in fiscal periods that begin after December 15, 2005,
although early adoption is permitted.
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 did not 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.
68
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 153, Exchanges of Nonmonetary
Assets, an amendment of APB Opinion No. 29
(SFAS No. 153). 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 No. 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.
Quantitative and Qualitative Disclosures About Market Risk
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 Selects senior
secured credit facility and our senior floating rate notes. As
of March 31, 2006, Select had $574.2 million in term
loans outstanding and $28.0 million of revolving loans
outstanding under its senior secured credit facility, each
bearing interest at variable rates. On June 13, 2005, we
entered into an interest rate swap transaction. The effective
date of the swap transaction was August 22, 2005. We
entered into the swap transaction to mitigate the risks of
future variable rate interest payments associated with
Selects senior secured credit facility. The notional
amount of the interest rate swap is $200.0 million, the
underlying variable rate debt is associated with the senior
secured credit facility, and the swap is for a period of five
years. Each eighth point change in interest rates on the
variable rate portion of Selects senior secured credit
facility would result in a $0.5 million change in interest
expense.
In conjunction with the issuance of the senior floating rate
notes, we entered into a swap transaction to mitigate the risks
of future variable rate interest payments associated with this
debt. The notional amount of the interest rate swap is
$175.0 million and the swap is for a period of five years.
69
OUR BUSINESS
Company Overview
We are a leading operator of specialty hospitals and outpatient
rehabilitation clinics in the United States. As of
March 31, 2006, we operated 97 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 613 outpatient
rehabilitation clinics in 24 states and the District of
Columbia. 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 combined twelve months ended
December 31, 2005, we had net operating revenues of
$1,858.4 million, income from operations of
$119.1 million and a net loss of $27.9 million. For
the three months ended March 31, 2006, we had net operating
revenues of $479.7 million, income from operations of
$66.5 million and net income of $28.2 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, 2006,
approximately 75% of our net operating revenues were from our
specialty hospitals and approximately 25% were from our
outpatient rehabilitation business.
The Merger 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 Holdings. Holdings
was formerly known as EGL Holding Company. Holdings and EGL
Acquisition Corp. were Delaware corporations formed by Welsh
Carson for purposes of engaging in the Merger and the related
transactions. 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.
As a result of the Transactions, our assets and liabilities have
been adjusted to their fair value as of February 25, 2005.
We have also experienced an increase in our aggregate
outstanding indebtedness as a result of financing associated
with the Transactions. Accordingly, our amortization expense and
interest expense are higher in periods following the
Transactions. The excess of the total purchase price over the
fair value of our tangible and identifiable intangible assets of
$1.4 billion has been allocated to goodwill, which will be
the subject of an annual impairment test.
Specialty Hospitals
As of March 31, 2006, we operated 101 specialty hospitals.
Of this total, 97 operated as long-term acute care hospitals,
all of which were certified by the federal Medicare program 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, 2006, approximately 72% of the net operating
revenues of our specialty hospital segment came from Medicare
reimbursement. As of March 31, 2006, we operated a total of
3,852 available licensed beds and employed approximately 12,300
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
70
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, 2005:
|
|
|
|
|
|
|
|
Distribution | |
Medical Condition |
|
of Patients | |
|
|
| |
Respiratory disorder
|
|
|
33.0 |
% |
Neuromuscular disorder
|
|
|
31.9 |
|
Cardiac disorder
|
|
|
11.1 |
|
Wound care
|
|
|
8.1 |
|
Other
|
|
|
15.9 |
|
|
|
|
|
|
Total
|
|
|
100.0 |
% |
|
|
|
|
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.
When a patient is referred to one of our hospitals by a
physician, case manager, discharge planner, health maintenance
organization or insurance company, a clinical liaison along with
a Select case manager 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; and 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 or HIH 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 97 long-term acute care hospitals we operated
as of March 31, 2006, 91 were operated as hospitals within
hospitals and six were operated as free-standing facilities. As
a result of the HIH regulatory changes discussed in further
detail below, we have developed a plan that includes, among
other things, relocating certain of our facilities to
alternative settings, building or buying additional
free-standing facilities and closing some of our facilities. If
the Centers for Medicare & Medicaid Services, also
known as CMS, implements certain additional regulatory changes
that it has proposed and discussed and that would affect
long-term acute care hospitals more generally, our plan would
have to be further modified.
|
|
|
Recent Long-Term Acute Care Hospital Regulatory
Developments |
On August 11, 2004, 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
71
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 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 was 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, but in no event is
the Fiscal 2004 Percentage less than 25%. The new HIH
regulations also 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.
As of March 31, 2006, we operated 97 long-term acute care
hospitals, 91 of which operated as HIHs. 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 some of
our facilities. 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 the hospitals
acquired in the SemperCare acquisition.
All Medicare payments to our long-term acute care hospitals are
made in accordance with a new prospective payment system
specifically applicable to long-term acute care hospitals,
referred to as LTCH-PPS. Under LTCH-PPS, a long-term
acute care hospital is paid a predetermined fixed amount
depending upon the long-term care diagnosis-related group, or
LTC-DRG, to which each patient is assigned. LTCH-PPS
includes special payment policies that adjust the payments for
some patients based on a variety of factors.
On May 2, 2006, CMS released its final annual payment rate
updates for the 2007 LTCH-PPS rate year (affecting discharges
and cost reporting periods beginning on or after July 1,
2006 and before July 1, 2007). The May 2006 final rule
makes several changes to LTCH-PPS payment methodologies and
amounts.
For discharges occurring on or after July 1, 2006, the rule
changes the payment methodology for Medicare patients with a
length of stay less than or equal to five-sixths of the
geometric average length of stay for each LTC-DRG (referred to
as short-stay outlier or SSO cases).
Currently, payment for these patients is based on the lesser of
(1) 120 percent of the cost of the case;
(2) 120 percent of the LTC-DRG specific per diem
amount multiplied by the patients length of stay; or
(3) the full LTC-DRG payment. The final rule modifies the
limitation in clause (1) above to reduce payment for SSO
cases to 100 percent (rather than 120 percent) of the
cost of the case. The final rule also adds a fourth limitation,
capping payment for SSO cases at a per diem rate derived from
blending 120 percent of the LTC-DRG specific per diem
amount with a per diem rate based on the general acute care
hospital inpatient prospective payment system
(IPPS). Under this methodology, as a patients
length of stay increases, the percentage of the per diem amount
based upon the IPPS component will decrease and the percentage
based on the LTC-DRG component will increase. The final rule
reflects a moderation of the SSO payment policy that CMS had
proposed in January 2006, which would have limited SSO payments
solely to an amount based on the IPPS.
In addition, for discharges occurring on or after July 1,
2006, the final rule provides for (i) a zero-percent update
for the 2007 LTCH-PPS rate year to the LTCH-PPS standard federal
rate used as a basis for LTCH-PPS payments; (ii) the
elimination of the surgical case exception to the three-day or
less interruption of stay
72
policy, under which surgical exception Medicare reimburses a
general acute care hospital directly for surgical services
furnished to a long-term acute care hospital patient during a
brief interruption of stay from the long-term acute care
hospital, rather than requiring the long-term acute care
hospital to bear responsibility for such surgical services; and
(iii) increasing the costs that a long-term acute care
hospital must bear before Medicare will make additional payments
for a case under its high-cost outlier policy for the 2007
LTCH-PPS rate year.
CMS estimates that the changes in the May 2006 final rule will
result in an approximately 3.7 percent decrease in LTCH
Medicare payments-per-discharge as compared to the 2006 rate
year, largely attributable to the revised SSO payment
methodology. Based upon our historical Medicare patient volumes
and revenues, we expect that the May 2006 final rule will reduce
Medicare revenues associated with SSO cases and high cost
outlier cases to our long-term acute care hospitals by
approximately $30.0 million on an annual basis.
Additionally, had CMS updated the LTCH-PPS standard federal rate
by the 2007 estimated market basket index of 3.4 percent
rather than applying the zero-percent update, we estimate that
we would have received approximately $31.0 million in
additional annual Medicare revenues, based on our historical
Medicare patient volumes and revenues (such revenues would have
been paid to our hospitals for discharges beginning on or after
July 1, 2006).
See Business Government Regulations and
Managements Discussion and Analysis of Financial
Condition and Results of Operations Regulatory
Changes.
Outpatient Rehabilitation
As of March 31, 2006, we operated 613 clinics
throughout 24 states and the District of Columbia.
Typically, each of our clinics is located in a medical complex
or retail location. As of March 31, 2006, our outpatient
rehabilitation segment employed approximately 7,200 people.
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 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 89% 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,
2006) includes certain non-healthcare services.
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
73
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, 2006, JCAHO had accredited all but
one of our hospitals. This hospital has not yet undergone a
JCAHO survey. Each of our four inpatient rehabilitation
facilities has also received accreditation from the Commission
on Accreditation of Rehabilitation Facilities. See
Government Regulations
Licensure Accreditation.
Maintain operational and financial results under revised
Medicare 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.
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:
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optimizing staffing based on our occupancy and the clinical
needs of our patients; |
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centralizing administrative functions such as accounting,
finance, payroll, legal, reimbursement, compliance, human
resources and billing and collection; |
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standardizing management information systems to aid in financial
reporting as well as billing and collecting; and |
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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 continue
evaluating opportunities to develop new long-term acute care
hospitals, 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
74
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.
Pursue opportunistic acquisitions. In addition to our
development initiatives, we may grow our network of specialty
hospitals through opportunistic acquisitions, such as our
SemperCare acquisition, which we completed on January 1,
2005. 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,
2006, 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.
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.
75
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 | |
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Three Months | |
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December 31, | |
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Ended March 31, | |
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Net Operating Revenues by Payor Source(1) |
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2003 | |
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2004 | |
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2005(2) | |
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2005(2) | |
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2006 | |
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Medicare
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47.8 |
% |
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49.8 |
% |
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56.4 |
% |
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56.7 |
% |
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55.8 |
% |
Commercial insurance(3)
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44.9 |
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42.3 |
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37.2 |
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36.5 |
% |
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37.9 |
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Private and other(4)
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5.7 |
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5.7 |
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4.3 |
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4.8 |
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4.6 |
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Medicaid
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1.6 |
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2.2 |
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2.1 |
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2.0 |
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1.7 |
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Total
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100.0 |
% |
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100.0 |
% |
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100.0 |
% |
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100.0 |
% |
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100.0 |
% |
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(1) |
This table excludes the net operating revenues of our Canadian
operations which have been reclassified and reported as a
discontinued operation. |
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(2) |
To arrive at the combined fiscal year ended December 31,
2005, the net operating revenues for the period after the
Merger, February 25, 2005 through December 31, 2005
(Successor period), have 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, the net
operating revenues for the period after the Merger,
February 25, 2005 through March 31, 2005 (Successor
period), have been added to the net operating revenues for the
period from January 1, 2005 through February 24, 2005
(Predecessor period). |
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(3) |
Includes commercial healthcare insurance carriers, health
maintenance organizations, preferred provider organizations,
workers compensation and managed care programs. |
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(4) |
Includes self payors, contract management services and
non-patient related payments. Self pay revenues represent less
than 1% of total net operating revenues. |
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 fifteen
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 more than 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
Business Government Regulations
Overview of U.S. and State Government Reimbursements.
Although in recent years an increasing percentage of our net
operating revenues were generated from the Medicare program, a
significant amount 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
76
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.
Employees
As of March 31, 2006, we employed approximately 20,100
people throughout the United States. A total of approximately
13,300 of our employees are full time and the remaining
approximately 6,800 are part time employees. Outpatient,
contract therapy and physical rehabilitation and occupational
health employees totaled approximately 7,200 and inpatient
employees totaled approximately 12,300. 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.
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.
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,
77
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, 2006, JCAHO had accredited all
but one of our hospitals. This hospital has not yet undergone a
JCAHO survey. 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 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 fiscal years ended December 31,
2004 and December 31, 2005 and three months ended
March 31, 2006, we received approximately 50%, 56% and 56%,
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. Effective October 1, 2005, CMS expanded 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 patient 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
78
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 rental expense.
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, 2006, 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.
Recent Regulatory Developments. On August 11, 2004,
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 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 was 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, but in no event is the Fiscal 2004 Percentage less
than 25%. The new HIH regulations also established exceptions
79
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.
As of March 31, 2006, we operated 97 long-term acute care
hospitals, 91 of which operated as HIHs. 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 some of
our facilities. 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 the hospitals
acquired in the SemperCare acquisition.
On May 2, 2006, CMS released its final annual payment rate
updates for the 2007 LTCH-PPS rate year (affecting discharges
cost reporting periods beginning on or after July 1, 2006
and before July 1, 2007). The May 2006 final rule makes
several changes to LTCH-PPS payment methodologies and amounts.
For discharges occurring on or after July 1, 2006, the rule
changes the payment methodology for Medicare patients with a
length of stay less than or equal to five-sixths of the
geometric average length of stay for each LTC-DRG (referred to
as short-stay outlier or SSO cases).
Currently, payment for these patients is based on the lesser of
(1) 120 percent of the cost of the case;
(2) 120 percent of the LTC-DRG specific per diem
amount multiplied by the patients length of stay; or
(3) the full LTC-DRG payment. The final rule modifies the
limitation in clause (1) above to reduce payment for SSO
cases to 100 percent (rather than 120 percent) of the
cost of the case. The final rule also adds a fourth limitation,
capping payment for SSO cases at a per diem rate derived from
blending 120 percent of the LTC-DRG specific per diem
amount with a per diem rate based on the general acute care
hospital inpatient prospective payment system
(IPPS). Under this methodology, as a patients
length of stay increases, the percentage of the per diem amount
based upon the IPPS component will decrease and the percentage
based on the LTC-DRG component will increase. The final rule
reflects a moderation of the SSO payment policy that CMS had
proposed in January 2006, which would have limited SSO payments
solely to an amount based on the IPPS.
In addition, for discharges occurring on or after July 1,
2006, the final rule provides for (i) a zero-percent update
for the 2007 LTCH-PPS rate year to the LTCH-PPS standard federal
rate used as a basis for LTCH-PPS payments; (ii) the
elimination of the surgical case exception to the three-day or
less interruption of stay policy, under which surgical exception
Medicare reimburses a general acute care hospital directly for
surgical services furnished to a long-term acute care hospital
patient during a brief interruption of stay from the long-term
acute care hospital, rather than requiring the long-term acute
care hospital to bear responsibility for such surgical services;
and (iii) increasing the costs that a long-term acute care
hospital must bear before Medicare will make additional payments
for a case under its high-cost outlier policy for the 2007
LTCH-PPS rate year.
CMS estimates that the changes in the May 2006 final rule will
result in an approximately 3.7 percent decrease in LTCH
Medicare payments-per-discharge as compared to the 2006 rate
year, largely attributable to the revised SSO payment
methodology. Based upon our historical Medicare patient volumes
and revenues, we expect that the May 2006 final rule will reduce
Medicare revenues associated with SSO cases and high cost
outlier cases to our long-term acute care hospitals by
approximately $30.0 million on an annual basis.
Additionally, had CMS updated the LTCH-PPS standard federal rate
by the 2007 estimated market basket index of 3.4 percent
rather than applying the zero-percent update, we estimate that
we would have received approximately $31.0 million in
additional annual Medicare revenues, based on our historical
Medicare patient volumes and revenues (such revenues would have
been paid to our hospitals for discharges beginning on or after
July 1, 2006).
In the May 2006 final rule updating the LTCH-PPS, CMS noted that
it is studying whether payment adjustments similar to those
adopted with respect to HIHs in 2004 should also be adopted with
respect to free-standing long-term acute care hospitals. Such
adjustments could include limiting payments to free-standing
long-term acute care hospitals to the extent that greater than
25% of a facilitys admissions come from a single general
acute care hospital.
In the May 2006 final rule, CMS also discussed the contract it
has awarded to Research Triangle Institute, International, or
RTI, to examine recommendations made by the Medicare Payment
Advisory
80
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 indicated that it expects RTIs final
report to be submitted to the agency in late Spring 2006. While
acknowledging that RTIs findings are expected to have a
substantial impact on future Medicare policy for long-term acute
care hospitals, CMS stated its belief that many of the specific
payment adjustment features of LTCH-PPS presently in place may
still be necessary and appropriate even with the development of
patient- and facility-level criteria for long-term acute care
hospitals.
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 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
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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 inpatient rehabilitation facility.
The Secretary issued a formal response to the GAO study on
June 24, 2005, in which it concluded that the revised
inpatient rehabilitation facility certification standards,
including the 75% test, were not inconsistent with the
recommendations in the GAO report. In light of this
determination, the Secretary announced that CMS would
immediately begin enforcement of the revised certification
standards.
Subsequently, under the Deficit Reduction Act of 2005, enacted
on February 8, 2006, Congress extended the phase-in period
for the 75% test by maintaining the compliance threshold at 60%
(rather than increasing it to 65%) during the
12-month period
beginning on July 1, 2006. The compliance threshold then
increases to 65% for cost reporting periods beginning on or
after July 1, 2007 and again to 75% for cost reporting
periods beginning on or after July 1, 2008. 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 schools, physician directed clinics,
worksites, assisted living centers, hospitals and 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 re-imposed the
moratorium on the application of the therapy caps from the date
of enactment (December 8, 2003) through December 31,
2005. Congress allowed the therapy caps to go back into effect
on January 1, 2006. The inflation adjusted caps are $1,740
in 2006. As directed by Congress in the Deficit Reduction Act of
2005, CMS is implementing an exceptions process for therapy
expenses incurred in 2006. Under this process, a Medicare
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enrollee may request an exception from the therapy caps if the
provision of therapy services is deemed to be medically
necessary. Therapy cap exceptions will be available
automatically for certain conditions and on a case-by-case basis
upon submission of documentation of medical necessity.
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.
Specialty 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 specialty hospital net operating
revenues for the three months ended March 31, 2006.
Workers compensation. Workers compensation
programs accounted for approximately 22% of our revenue from
outpatient rehabilitation services for the three months ended
March 31, 2006. 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.
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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
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hospital within a hospital model for furnishing
long-term acute care hospital services and whether they 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 whether patients in
long-term acute care hospitals are receiving acute-level
services or could be cared for in skilled nursing facilities.
The 2006 Work Plan describes plans to study the accuracy of
Medicare payment for inpatient rehabilitation stays when patient
assessments are entered later than the required deadlines, to
study both inpatient rehabilitation facility and long-term acute
care hospital payments in order to determine whether they were
made in accordance with applicable regulations, including
policies on outlier payments and interrupted stays, and to study
physical and occupational therapy claims in order to determine
whether the services were medically necessary and adequately
documented. 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 17 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
electronic transactions and code sets, unique identifiers for
providers (referred to as National Provider Identifier or NPI),
employers, health plans and individuals, security and electronic
signatures, privacy and enforcement.
The Department of Health and Human Services has adopted
standards in three areas that most affect our operations.
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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.
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 14, 2003.
Standards for the security of electronic health information
require us to implement various administrative, physical and
technical safeguards to ensure the integrity and confidentiality
of electronic protected health information. We were required to
comply with the security standards by April 20, 2005.
The NPI will replace health care provider identifiers that are
in use today in standard transactions. Implementation of the NPI
will eliminate the need for health care providers to use
different identification numbers to identify themselves when
conducting standard transactions with multiple health plans. We
are required to comply with the use of NPIs in standard
transactions by May 23, 2007.
We maintain a HIPAA Committee that is charged with evaluating
and monitoring our compliance with HIPAA. The Committee monitors
HIPAAs regulations as they have been adopted to date and
as additional standards and modifications are adopted. Although
health information standards have had a significant effect on
the manner in which we handle health data and communicate with
payors, the cost of our compliance has not had a material
adverse effect on our business, financial condition or results
of operations. We cannot estimate the cost of compliance with
standards that have not been issued or finalized by the
Department of Health and Human Services.
Compliance Program
In late 1998, we voluntarily adopted our code of conduct. The
code is reviewed and amended as necessary 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 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.
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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 compliance program. In addition, the HIPAA
committee meets on a regular basis to review compliance with
HIPAA regulations and provides reports to the compliance
committee.
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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
85
accomplished through our toll free compliance hotline,
compliance e-mail
address 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.
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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.
Additionally all employees are required to re-certify compliance
with the code on an annual basis.
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Policies and Procedures Reflecting Compliance Focus
Areas |
We review our policies and procedures for our compliance program
from 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 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.
Our Investors
Welsh Carson is an investment partnership that was organized by
Welsh, Carson, Anderson & Stowe, one of the largest
private equity firms in the United States and the largest in the
world focused exclusively on investments in the healthcare
services, information and business services and communications
services industries. Since its founding in 1979, Welsh, Carson,
Anderson & Stowe has organized 14 private investment
partnerships with total capital of more than $13.0 billion
and has completed over 200 management buyouts and initial
investments.
Thoma Cressey is a leading private equity firm whose founders
and partners have a long record of successfully investing in
buyouts, recapitalizations, growth equity and going-private
transactions. With offices in Chicago, San Francisco and
Boston, Thoma Cressey currently manages over $1.0 billion
in capital in a series of private equity funds. The firm focuses
on investments in healthcare, business software and services and
consumer-related businesses. Investors in the Thoma Cressey
funds include some of the leading governmental and corporate
pension plans, financial institutions, university endowments and
national foundations.
Partnerships affiliated with Welsh Carson and Thoma Cressey were
among our initial investors in 1997 and a Welsh
Carson-affiliated partnership was once Selects largest
shareholder. Russell L. Carson, a founding partner of Welsh,
Carson, Anderson & Stowe, and Bryan C. Cressey, a
founding partner of Thoma Cressey, have been members of
Selects board of directors since its inception in 1997.
Corporate Information
Holdings is a corporation organized under the laws of the State
of Delaware. Our principal executive offices are 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
companys website can be located at
www.selectmedicalcorp.com. The information on our
companys website is not part of this prospectus.
Facilities
We currently lease most of our facilities, including clinics,
offices, specialty hospitals and our corporate headquarters. We
own each of our four inpatient rehabilitation facilities and
four of our long-term acute care hospitals. We also own three
facilities currently undergoing renovations that will house
future specialty hospitals.
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We lease all of our outpatient rehabilitation clinics and
related offices, which, as of March 31, 2006, included 613
outpatient rehabilitation clinics throughout the
United States. The outpatient rehabilitation clinics
generally have a five-year lease term and include options to
renew. We also lease the majority of our long-term acute care
hospital facilities except for the facilities described above.
As of March 31, 2006, we had 91 hospital within a hospital
leases and two free-standing building leases.
We generally seek a five-year lease for our long-term acute care
hospitals operated as HIHs, 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 92,145 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, 2006, this comprised 14
locations throughout the United States with approximately 87,035
square feet in total.
The following is a list of our hospitals and the number of beds
at each hospital as of March 31, 2006.
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Hospital Name |
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State | |
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Beds | |
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City | |
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Select Specialty Hospital Birmingham
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Birmingham |
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AL |
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38 |
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Select Specialty Hospital Fort Smith
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Fort Smith |
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AR |
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34 |
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Select Specialty Hospital Little Rock
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Little Rock |
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AR |
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43 |
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Select Specialty Hospital Little Rock/ BMC
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Little Rock |
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AR |
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37 |
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Select Specialty Hospital Pine Bluff
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Pine Bluff |
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AR |
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27 |
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Select Specialty Hospital Arizona (Mesa Campus)
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Mesa |
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AZ |
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37 |
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Select Specialty Hospital Arizona (Phoenix Downtown
Campus)
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Phoenix |
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AZ |
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33 |
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Select Specialty Hospital Phoenix
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Phoenix |
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AZ |
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48 |
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Select Specialty Hospital Arizona (Scottsdale Campus)
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Scottsdale |
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AZ |
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29 |
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Select Specialty Hospital Colorado Springs
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Colorado Springs |
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CO |
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30 |
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Select Specialty Hospital Denver
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Denver |
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CO |
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37 |
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Select Specialty Hospital Denver (South Campus)
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Denver |
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CO |
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28 |
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Select Specialty Hospital Wilmington
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Wilmington |
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DE |
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35 |
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Select Specialty Hospital Miami
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Miami |
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FL |
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40 |
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Select Specialty Hospital Orlando
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Orlando |
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FL |
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35 |
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Select Specialty Hospital Panama City
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Panama City |
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FL |
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30 |
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Select Specialty Hospital Atlanta
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Atlanta |
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GA |
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30 |
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Select Specialty Hospital Augusta
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Augusta |
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GA |
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35 |
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Select Specialty Hospital Augusta/ UH
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Augusta |
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GA |
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30 |
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Select Specialty Hospital Savannah
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Savannah |
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GA |
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30 |
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Select Specialty Hospital Honolulu
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Honolulu |
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HI |
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30 |
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Select Specialty Hospital Beech Grove
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Beech Grove |
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IN |
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40 |
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Select Specialty Hospital Bloomington
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Bloomington |
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IN |
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30 |
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Select Specialty Hospital Evansville
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Evansville |
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IN |
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35 |
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Select Specialty Hospital Fort Wayne
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Fort Wayne |
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IN |
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32 |
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Select Specialty Hospital Northwest Indiana
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Hammond |
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IN |
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70 |
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Select Specialty Hospital Indianapolis
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Indianapolis |
|
|
|
IN |
|
|
|
54 |
|
Select Specialty Hospital Kansas City
|
|
|
Kansas City |
|
|
|
KS |
|
|
|
34 |
|
Select Specialty Hospital Topeka
|
|
|
Topeka |
|
|
|
KS |
|
|
|
34 |
|
Select Specialty Hospital Wichita
|
|
|
Wichita |
|
|
|
KS |
|
|
|
35 |
|
87
|
|
|
|
|
|
|
|
|
|
|
|
|
Hospital Name |
|
|
|
State | |
|
Beds | |
|
|
City | |
|
| |
|
| |
Select Specialty Hospital Wichita (Central Campus)
|
|
|
Wichita |
|
|
|
KS |
|
|
|
30 |
|
Select Specialty Hospital Lexington
|
|
|
Lexington |
|
|
|
KY |
|
|
|
41 |
|
Select Specialty Hospital Baton Rouge
|
|
|
Baton Rouge |
|
|
|
LA |
|
|
|
32 |
|
Select Specialty Hospital New Orleans
|
|
|
Metairie |
|
|
|
LA |
|
|
|
31 |
|
Select Specialty Hospital Battle Creek
|
|
|
Battle Creek |
|
|
|
MI |
|
|
|
32 |
|
Select Specialty Hospital Northwest Detroit
|
|
|
Detroit |
|
|
|
MI |
|
|
|
36 |
|
Select Specialty Hospital Flint
|
|
|
Flint |
|
|
|
MI |
|
|
|
32 |
|
Select Specialty Hospital Kalamazoo
|
|
|
Kalamazoo |
|
|
|
MI |
|
|
|
25 |
|
Select Specialty Hospital Macomb County
|
|
|
Mount Clemens |
|
|
|
MI |
|
|
|
36 |
|
Select Specialty Hospital Western Michigam
|
|
|
Muskegon |
|
|
|
MI |
|
|
|
31 |
|
Select Specialty Hospital Pontiac
|
|
|
Pontiac |
|
|
|
MI |
|
|
|
30 |
|
Select Specialty Hospital Saginaw
|
|
|
Saginaw |
|
|
|
MI |
|
|
|
32 |
|
Select Specialty Hospital Wyandotte
|
|
|
Wyandotte |
|
|
|
MI |
|
|
|
35 |
|
Select Specialty Hospital Ann Arbor
|
|
|
Ypsilanti |
|
|
|
MI |
|
|
|
36 |
|
Select Specialty Hospital Western Missouri
|
|
|
Kansas City |
|
|
|
MO |
|
|
|
34 |
|
Select Specialty Hospital St. Louis
|
|
|
St. Louis |
|
|
|
MO |
|
|
|
33 |
|
Select Specialty Hospital Gulf Coast
|
|
|
Gulfport |
|
|
|
MS |
|
|
|
20 |
|
Select Specialty Hospital Jackson
|
|
|
Jackson |
|
|
|
MS |
|
|
|
53 |
|
Select Specialty Hospital Durham
|
|
|
Durham |
|
|
|
NC |
|
|
|
30 |
|
Select Specialty Hospital Winston-Salem
|
|
|
Winston-Salem |
|
|
|
NC |
|
|
|
42 |
|
Select Specialty Hospital Omaha (North Campus)
|
|
|
Omaha |
|
|
|
NE |
|
|
|
36 |
|
Select Specialty Hospital Omaha (South Campus)
|
|
|
Papillion |
|
|
|
NE |
|
|
|
40 |
|
Select Specialty Hospital Northeast New Jersey
|
|
|
Belleville |
|
|
|
NJ |
|
|
|
25 |
|
Kessler Institute for Rehabilitation (Welkind Campus)
|
|
|
Chester |
|
|
|
NJ |
|
|
|
72 |
|
Kessler Institute for Rehabilitation (East Campus)
|
|
|
East Orange |
|
|
|
NJ |
|
|
|
78 |
|
Kessler Institute for Rehabilitation (North Campus)
|
|
|
Saddle Brook |
|
|
|
NJ |
|
|
|
92 |
|
Kessler Institute for Rehabilitation (West Campus)
|
|
|
West Orange |
|
|
|
NJ |
|
|
|
80 |
|
Select Specialty Hospital Akron/ SHS
|
|
|
Akron |
|
|
|
OH |
|
|
|
34 |
|
Select Specialty Hospital Northeast Ohio (Akron
Campus)
|
|
|
Akron |
|
|
|
OH |
|
|
|
31 |
|
Select Specialty Hospital Northeast Ohio (Canton
Campus)
|
|
|
Canton |
|
|
|
OH |
|
|
|
30 |
|
Select Specialty Hospital Cincinnati
|
|
|
Cincinnati |
|
|
|
OH |
|
|
|
36 |
|
Select Specialty Hospital Columbus (Grant Campus)
|
|
|
Columbus |
|
|
|
OH |
|
|
|
30 |
|
Select Specialty Hospital Columbus (Mt. Carmel
Campus)
|
|
|
Columbus |
|
|
|
OH |
|
|
|
24 |
|
Select Specialty Hospital Columbus/ East
|
|
|
Columbus |
|
|
|
OH |
|
|
|
36 |
|
Select Specialty Hospital Columbus/ University (OSU
Campus)
|
|
|
Columbus |
|
|
|
OH |
|
|
|
26 |
|
Select Specialty Hospital Columbus/ University
(Riverside Campus)
|
|
|
Columbus |
|
|
|
OH |
|
|
|
25 |
|
Select Specialty Hospital Youngstown
|
|
|
Youngstown |
|
|
|
OH |
|
|
|
31 |
|
Select Specialty Hospital Zanesville
|
|
|
Zanesville |
|
|
|
OH |
|
|
|
35 |
|
Select Specialty Hospital Oklahoma City
|
|
|
Oklahoma City |
|
|
|
OK |
|
|
|
32 |
|
Select Specialty Hospital Oklahoma City/ East Campus
|
|
|
Oklahoma City |
|
|
|
OK |
|
|
|
44 |
|
Select Specialty Hospital Tulsa
|
|
|
Tulsa |
|
|
|
OK |
|
|
|
30 |
|
88
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Hospital Name |
|
|
|
State | |
|
Beds | |
|
|
City | |
|
| |
|
| |
Select Specialty Hospital Central Pennsylvania (Camp
Hill Campus)
|
|
|
Camp Hill |
|
|
|
PA |
|
|
|
31 |
|
Select Specialty Hospital Danville
|
|
|
Danville |
|
|
|
PA |
|
|
|
30 |
|
Select Specialty Hospital Erie
|
|
|
Erie |
|
|
|
PA |
|
|
|
50 |
|
Select Specialty Hospital Greensburg
|
|
|
Greensburg |
|
|
|
PA |
|
|
|
31 |
|
Select Specialty Hospital Johnstown
|
|
|
Johnstown |
|
|
|
PA |
|
|
|
39 |
|
Select Specialty Hospital Lancaster
|
|
|
Lancaster |
|
|
|
PA |
|
|
|
30 |
|
Select Specialty Hospital McKeesport
|
|
|
McKeesport |
|
|
|
PA |
|
|
|
30 |
|
Select Specialty Hospital Pittsburgh
|
|
|
Pittsburgh |
|
|
|
PA |
|
|
|
41 |
|
Select Specialty Hospital Pittsburgh/ UPMC
|
|
|
Pittsburgh |
|
|
|
PA |
|
|
|
32 |
|
Select Specialty Hospital Central Pennsylvania (York
Campus)
|
|
|
York |
|
|
|
PA |
|
|
|
23 |
|
Select Specialty Hospital Sioux Falls
|
|
|
Sioux Falls |
|
|
|
SD |
|
|
|
24 |
|
Select Specialty Hospital TriCities
|
|
|
Bristol |
|
|
|
TN |
|
|
|
33 |
|
Select Specialty Hospital Knoxville
|
|
|
Knoxville |
|
|
|
TN |
|
|
|
35 |
|
Select Specialty Hospital Knoxville (U.T. Campus)
|
|
|
Knoxville |
|
|
|
TN |
|
|
|
25 |
|
Select Specialty Hospital North Knoxville
|
|
|
Knoxville |
|
|
|
TN |
|
|
|
33 |
|
Select Specialty Hospital Memphis
|
|
|
Memphis |
|
|
|
TN |
|
|
|
37 |
|
Select Specialty Hospital Nashville
|
|
|
Nashville |
|
|
|
TN |
|
|
|
37 |
|
Select Specialty Hospital North Dallas
|
|
|
Carrollton |
|
|
|
TX |
|
|
|
30 |
|
Select Specialty Hospital Conroe
|
|
|
Conroe |
|
|
|
TX |
|
|
|
46 |
|
Select Specialty Hospital Dallas
|
|
|
Dallas |
|
|
|
TX |
|
|
|
25 |
|
Select Specialty Hospital South Dallas
|
|
|
DeSoto |
|
|
|
TX |
|
|
|
100 |
|
Select Specialty Hospital Houston (Houston Heights)
|
|
|
Houston |
|
|
|
TX |
|
|
|
130 |
|
Select Specialty Hospital Houston (Houston Medical
Center)
|
|
|
Houston |
|
|
|
TX |
|
|
|
86 |
|
Select Specialty Hospital Houston (Houston West)
|
|
|
Houston |
|
|
|
TX |
|
|
|
56 |
|
Select Specialty Hospital Longview
|
|
|
Longview |
|
|
|
TX |
|
|
|
32 |
|
Select Specialty Hospital Midland
|
|
|
Midland |
|
|
|
TX |
|
|
|
29 |
|
Select Specialty Hospital San Antonio
|
|
|
San Antonio |
|
|
|
TX |
|
|
|
44 |
|
Select Specialty Hospital Milwaukee (St. Lukes
Campus)
|
|
|
Milwaukee |
|
|
|
WI |
|
|
|
29 |
|
Select Specialty Hospital Milwaukee
|
|
|
West Allis |
|
|
|
WI |
|
|
|
34 |
|
Select Specialty Hospital Charleston
|
|
|
Charleston |
|
|
|
WV |
|
|
|
32 |
|
|
|
|
|
|
|
|
|
|
|
|
Total beds
|
|
|
|
|
|
|
|
|
|
|
3,852 |
|
|
|
|
|
|
|
|
|
|
|
89
Legal Proceedings
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 Select against Martin F. Jackson, Robert
A. Ortenzio, Rocco A. Ortenzio, Patricia A. Rice and Select. In
February 2005, the Court appointed James Shaver, Frank C.
Bagatta and Capital Invest, die Kapitalanlagegesellschaft der
Bank Austria Creditanstalt Gruppe GmbH 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 F. Jackson, Robert A. Ortenzio, Rocco A.
Ortenzio, Patricia A. Rice, and Select as defendants. The
amended complaint continues to allege, among other things,
failure to disclose adverse information regarding a potential
regulatory change affecting reimbursement for Selects
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 Select. The
amended complaint seeks, 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. In April 2006, the Court granted in part and denied
in part Select and the individual officers preliminary
motion to dismiss the amended complaint. Select and the
individual officers have answered the amended complaint and the
case has moved to the discovery and class certification phase.
We do not believe this claim will have a material adverse effect
on our financial position or results of operations. However, due
to the uncertain nature of such litigation, we cannot predict
the outcome of this matter.
We are subject to legal proceedings and claims that arise in the
ordinary course of our business, which include malpractice
claims covered under insurance policies. In our opinion, the
outcome of these actions will not have a material adverse effect
on our financial position or results of operations.
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 damages and are subject to various deductibles and
policy limits. Significant legal actions as well as the cost and
possible lack of available insurance could subject 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, usually unknown to
the defendant) for some time while the government decides
whether or not to intervene on behalf of a private qui tam
plaintiff (known as a relator) and take the lead in the
litigation. These lawsuits can involve significant monetary
damages and penalties and award bounties to private plaintiffs
who successfully bring the suits. A qui tam lawsuit against
Select 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 matters alleged by this
complaint. We have received subpoenas for patient records and
other documents apparently related to the federal
governments investigation. We believe 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 our
Las Vegas, Nevada subsidiary who were terminated by Select in
2001 and a former employee of our Florida subsidiary who we
asked to resign. Select 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 Select, we cannot
provide assurance that the government will not intervene in the
Nevada qui tam case or any other existing or future qui tam
lawsuit against us. While litigation is inherently uncertain, we
believe, based on our prior experiences with qui tam cases and
the limited information currently available to us, that this qui
tam action will not have a material adverse effect on us.
90
MANAGEMENT
Executive Officers and Directors
Holdings and Select 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
|
|
|
73 |
|
|
Director and Executive Chairman |
Robert A. Ortenzio
|
|
|
49 |
|
|
Director and Chief Executive Officer |
Russell L. Carson
|
|
|
62 |
|
|
Director |
David S. Chernow
|
|
|
49 |
|
|
Director |
Bryan C. Cressey
|
|
|
56 |
|
|
Director |
James E. Dalton, Jr.
|
|
|
63 |
|
|
Director |
Thomas A. Scully
|
|
|
48 |
|
|
Director |
Leopold Swergold
|
|
|
66 |
|
|
Director |
Sean M. Traynor
|
|
|
37 |
|
|
Director |
Patricia A. Rice
|
|
|
59 |
|
|
President and Chief Operating Officer |
David W. Cross
|
|
|
59 |
|
|
Senior Vice President and Chief Development Officer |
S. Frank Fritsch
|
|
|
54 |
|
|
Senior Vice President, Human Resources |
Martin F. Jackson
|
|
|
52 |
|
|
Senior Vice President and Chief Financial Officer |
James J. Talalai
|
|
|
44 |
|
|
Senior Vice President and Information Officer |
Michael E. Tarvin
|
|
|
46 |
|
|
Senior Vice President, General Counsel and Secretary |
Scott A. Romberger
|
|
|
46 |
|
|
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 served as a director 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
91
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 Capital Ltd., a
subsidiary of Citigroup, Inc., and served as its Chairman and
Chief Executive Officer from 1974 to 1978.
David S. Chernow served as a director from January 2002
until the consummation of the Transactions on February 24,
2005, and became a director of Select and Holdings on
August 10, 2005. Since July 2001, Mr. Chernow has
served as the President and Chief Executive Officer of Junior
Achievement, Inc., a nonprofit organization dedicated to the
education of young people. From 1999 to 2001, he was the
President of the Physician Services Group at US Oncology, Inc.
Mr. Chernow co-founded America Oncology Resources
(AOR) in 1992 and served as its Chief Development Officer
until the time of the merger which created US Oncology in 1999.
Bryan C. Cressey has served as a director 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.
James E. Dalton, Jr. served as a director since
December 2000 until the consummation of the Transactions on
February 24, 2005, and became a director of Select and
Holdings on August 10, 2005. Since January 1, 2006,
Mr. Dalton has been Chairman of Signature Hospital
Corporation. Since 2001, Mr. Dalton has served as President
of Edinburgh Associates, Inc. Mr. Dalton served as
President, Chief Executive Officer and as a director of Quorum
Health Group, Inc. from May 1, 1990 until it was acquired
by Triad Hospitals, Inc. in April 2001. Prior to joining Quorum,
he served as Regional Vice President, Southwest Region for
HealthTrust, Inc., as division Vice President of HCA, and as
Regional Vice President of HCA Management Company. He also
serves on the board of directors of U.S. Oncology, Inc. He
serves as a Trustee for the Universal Health Services Realty
Income Trust. Mr. Dalton is a Fellow of the American
College of Healthcare Executives.
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 General Partner with 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.
Leopold Swergold served as a director from May 2001 until
the consummation of the Transactions on February 24, 2005,
and became a director of Select and Holdings on August 10,
2005. In 1983, Mr. Swergold formed Swergold,
Chefitz & Company, a healthcare investment banking
firm. In 1989, Swergold, Chefitz & Company merged into
Furman Selz, an investment banking firm, where Mr. Swergold
served as Head of Healthcare Investment Banking and as a member
of the board of directors. In 1997, Furman Selz was acquired by
ING Groep N.V. of the Netherlands. From 1997 until 2004,
Mr. Swergold was a Managing Director of ING Furman Selz
Asset Management LLC, where he managed several healthcare
investment funds. Mr. Swergold also serves on the Board of
Trustees of Continuum Health Partners Inc., the holding company
for the Beth Israel Medical Center, St. Lukes
Roosevelt Medical Center and Long Island College Hospital.
Mr. Swergold serves as a director of Financial Federal
Corp., a New York Stock Exchange listed company.
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. He also serves as a director of Renal
Advantage Inc. and AGA Medical Corporation.
92
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.
James J. Talalai has served as our Senior Vice President
and Chief Information Officer since August 2001. He joined our
company in May 1997 and served in various leadership capacities
within Information Services. Prior to his tenure with Select,
Mr. Talalai was Director of Information Technology for
Horizon/ CMS Healthcare Corporation from 1995 to 1997. He also
served as Data Center Manager at Continental Medical Systems,
Inc. in the mid-1990s. During his career, Mr. Talalai has
held development positions with PHICO Insurance Company and with
Harrisburg HealthCare. Mr. Talalai currently serves as
Chairman of Information Technology Board of Advisors at the Penn
State Harrisburg campus.
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
93
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 registered public accountants.
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 other than non-employee directors
appointed by Welsh Carson and Thoma Cressey, 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.
Code of Ethics
We have adopted a written code of business conduct and ethics,
known as our code of conduct, which applies to all of our
directors, officers, and employees, including our chief
executive officer, our chief financial officer and our chief
accounting officer. Our code of conduct is available on our
Internet website, www.selectmedicalcorp.com. Our code of conduct
may also be obtained by contacting investor relations at
(717) 972-1100. Any amendments to our code of conduct or
waivers from the provisions of the code for our chief executive
officer, our chief financial officer and our chief accounting
officer will be disclosed on our Internet website promptly
following the date of such amendment or waiver.
Executive Compensation
The following table sets forth the remuneration paid by us for
the three fiscal years ended December 31, 2005 to the Chief
Executive Officer and our four most highly compensated executive
officers other than our Chief Executive Officer (Named
Executive Officers):
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Long-Term Compensation Awards | |
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Annual Compensation | |
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Awards | |
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Payouts | |
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Other | |
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Restricted | |
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Securities | |
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Name and |
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Annual | |
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Stock | |
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Underlying | |
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LTIP | |
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All Other | |
Principal Position |
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Year | |
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Salary | |
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Bonus | |
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Compensation(1) | |
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Awards | |
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Options | |
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Payouts | |
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Compensation(2) | |
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Rocco A. Ortenzio(3)
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2005 |
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$ |
824,000 |
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$ |
1,648,000 |
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$ |
115,763 |
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19,006,179 |
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3,561,721 |
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$ |
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Executive Chairman |
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2004 |
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824,000 |
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1,711,385 |
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1,550,000 |
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2003 |
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824,000 |
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1,648,000 |
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3,550,000 |
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Robert A. Ortenzio(3)
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2005 |
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824,000 |
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1,648,000 |
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56,792 |
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20,506,176 |
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4,986,409 |
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6,300 |
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Chief Executive Officer |
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2004 |
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824,000 |
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1,711,385 |
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1,250,000 |
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5,948 |
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2003 |
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824,000 |
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1,648,000 |
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2,060,000 |
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4,531 |
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Patricia A. Rice(3)
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2005 |
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592,250 |
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740,000 |
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94,452 |
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6,538,361 |
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2,137,032 |
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6,800 |
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President and Chief |
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2004 |
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592,250 |
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768,786 |
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215,000 |
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5,948 |
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Operating Officer |
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2003 |
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592,250 |
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740,000 |
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440,000 |
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4,531 |
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Martin F. Jackson
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2005 |
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371,315 |
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464,000 |
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3,269,181 |
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997,282 |
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6,300 |
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Senior Vice President |
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2004 |
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371,315 |
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481,476 |
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30,000 |
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5,948 |
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and Chief Financial Officer |
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2003 |
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360,500 |
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451,300 |
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340,000 |
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4,531 |
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S. Frank Fritsch
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2005 |
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275,834 |
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276,000 |
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1,133,316 |
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712,344 |
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5,250 |
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Senior Vice President, |
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2004 |
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275,834 |
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286,134 |
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59,000 |
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5,948 |
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Human Resources |
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2003 |
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267,800 |
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268,000 |
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123,500 |
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4,531 |
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94
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(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. |
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(2) |
All other compensation represents employer matching
contributions to the 401(k) plan. |
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(3) |
Other annual compensation represents the value of the personal
flights on the Companys corporate aircraft based on the
aggregate incremental costs of such flights to the Company. |
Option Grants In Last Fiscal Year
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Number of | |
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Percent of Total | |
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Securities | |
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Options | |
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Underlying | |
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Granted to | |
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Exercise | |
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Grant Date | |
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Options | |
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Employees in | |
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Price per | |
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Expiration | |
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Present | |
Name |
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Granted | |
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2005 | |
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Share | |
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Date | |
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Value | |
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Rocco A. Ortenzio
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Robert A. Ortenzio
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Patricia A. Rice
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Martin F. Jackson
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S. Frank Fritsch
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Options Exercised in Last Year and Year-End Option Value
Table(1)
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Number of Securities | |
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Value of Unexercised | |
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Underlying Unexercised | |
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In-the-Money | |
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Options Held at 2005 | |
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Options at 2005 | |
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Number of | |
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Year End | |
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Year End | |
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Options | |
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Amount | |
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Name |
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Exercised | |
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Realized | |
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Exercisable | |
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Unexercisable | |
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Exercisable | |
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Unexercisable | |
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Rocco A. Ortenzio
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Robert A. Ortenzio
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17,020 |
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$ |
204,580 |
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Patricia A. Rice
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30,720 |
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449,740 |
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Martin F. Jackson
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62,976 |
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927,037 |
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S. Frank Fritsch
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(1) |
All stock options outstanding under our Second Annual and
Related 1997 Stock Option Plan were cancelled in connection with
the Merger. Stock option holders received as consideration for
such cancellation a cash payment equal to (i) $18.00 minus
the exercise price of the option multiplied by (ii) the
number of unexercised vested and unvested shares subject to the
option. |
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
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
95
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 acknowledgements 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
96
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. On
November 8, 2005, Holdings amended and restated the equity
plan. The total number of shares of common stock available under
the amended and restated equity plan for the grant of stock
options is 22,724,598 shares in the aggregate, plus an
additional amount calculated from time to time equal to 10% of
Holdings total issued and outstanding shares of common
stock in excess of 227,245,979; provided that not more
than 25,000,000 shares are available for grant of incentive
stock options under the amended and restated equity plan. The
number of shares of stock available under the amended and
restated equity plan for grants of restricted stock has been
increased to 52,589,075 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 amended and
restated 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 amended and restated 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 amended and restated 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 amended and restated 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-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
amended and restated equity plan. The administrator of the
amended and restated equity plan has the authority to select
participants to receive awards of stock options or restricted
stock pursuant to the amended and restated 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 amended and restated 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
97
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 possesses 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 amended and
restated 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 amended and restated equity plan will terminate ten years
following its effective date but the board of directors of
Holdings may terminate the amended and restated equity plan at
any time in its sole discretion. The board of directors of
Holdings may amend the amended and restated equity plan subject
to restrictions requiring the approval of Welsh Carson.
Pursuant to the amended and restated equity plan, on
November 8, 2005 Holdings awarded to Rocco A. Ortenzio and
Robert A. Ortenzio restricted stock awards in the amount of
3,750,000 and 5,250,000 shares of Holdings common
stock, respectively. The restricted stock award granted to Rocco
A. Ortenzio is not subject to vesting, and the restricted stock
award granted to Robert A. Ortenzio is subject to ratable
monthly vesting over a three-year period from the date of grant.
Non-Employee Director Plan
On August 10, 2005 the board of directors of Holdings
authorized a director stock option plan (the Director
Plan) for non-employee directors, which was formally
approved on November 8, 2005. 250,000 shares of
Holdings common stock are reserved for awards under the
Director Plan.
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.
98
On August 10, 2005, the compensation committee of the board
of directors of Holdings allocated the available units in the
cash plan among the members of senior management of Holdings and
the Company as follows:
|
|
|
|
|
|
|
% Allocation of | |
|
|
Cash Plan | |
Name of Executive |
|
Units | |
|
|
| |
Robert A. Ortenzio
|
|
|
35 |
% |
Rocco A. Ortenzio
|
|
|
25 |
% |
Patricia A. Rice
|
|
|
15 |
% |
Martin F. Jackson
|
|
|
7 |
% |
James J. Talalai
|
|
|
5 |
% |
Michael E. Tarvin
|
|
|
5 |
% |
S. Frank Fritsch
|
|
|
5 |
% |
David W. Cross
|
|
|
3 |
% |
On September 29, 2005, Select paid $14.5 million to
management under the cash plan as a result of a special dividend
paid to holders of Holdings preferred stock with the
proceeds of the $175.0 million senior floating rate notes
issued by Holdings.
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 maximum number
of shares of common stock available under the plan is 599,975.
As of December 31, 2005, 120,208.18 shares of
Holdings participating preferred stock and
808,400 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.
99
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
MANAGEMENT
The following table sets forth information as of June 30,
2006, with respect to the beneficial ownership of the capital
stock of Holdings by (i) our chief executive officer and
each of the other 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 Holdings
outstanding capital stock. The determinations of beneficial
ownership set forth in the table below do not give effect to any
voting or other agreements set forth in the Stockholders
Agreement dated as of February 24, 2005 which is attached
as Exhibit 10.76 to the Registration Statement of which
this prospectus is a part.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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)
|
|
|
114,938,082 |
|
|
|
55.9 |
% |
|
|
16,877,179.59 |
|
|
|
76.1 |
% |
Thoma Cressey Equity Partners(3)
|
|
|
17,554,946 |
|
|
|
8.5 |
% |
|
|
2,610,400.84 |
|
|
|
11.8 |
% |
Rocco A. Ortenzio(4)
|
|
|
22,453,271 |
|
|
|
10.9 |
% |
|
|
921,500.59 |
|
|
|
4.2 |
% |
Robert A. Ortenzio(5)
|
|
|
21,651,873 |
|
|
|
10.5 |
% |
|
|
913,858.31 |
|
|
|
4.1 |
% |
Russell L. Carson
|
|
|
2,910,387 |
|
|
|
1.4 |
% |
|
|
432,771.36 |
|
|
|
2.0 |
% |
Bryan C. Cressey(6)
|
|
|
17,962,732 |
|
|
|
8.7 |
% |
|
|
2,671,038.22 |
|
|
|
12.1 |
% |
David S. Chernow(7)
|
|
|
20,000 |
|
|
|
* |
|
|
|
2,973.98 |
|
|
|
* |
|
James E. Dalton, Jr.
|
|
|
50,000 |
|
|
|
* |
|
|
|
7,434.94 |
|
|
|
* |
|
Thomas A. Scully(8)
|
|
|
130,255 |
|
|
|
* |
|
|
|
4,460.97 |
|
|
|
* |
|
Leopold Swergold
|
|
|
200,000 |
|
|
|
* |
|
|
|
29,739.78 |
|
|
|
* |
|
Sean M. Traynor
|
|
|
5,000 |
|
|
|
* |
|
|
|
743.49 |
|
|
|
* |
|
Patricia A. Rice(9)
|
|
|
6,898,361 |
|
|
|
3.4 |
% |
|
|
53,531.60 |
|
|
|
* |
|
S. Frank Fritsch(10)
|
|
|
1,448,482 |
|
|
|
* |
|
|
|
46,864.77 |
|
|
|
* |
|
Martin F. Jackson(11)
|
|
|
3,632,781 |
|
|
|
1.8 |
% |
|
|
54,066.93 |
|
|
|
* |
|
All directors and executive officers as a group(12) (sixteen
persons)
|
|
|
80,816,657 |
|
|
|
39.3 |
% |
|
|
5,167,691.68 |
|
|
|
23.3 |
% |
|
|
|
|
(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. |
|
|
(2) |
Represents (A) 80,857,183 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. Each of the following individuals are managing members of
WCAS IX Associates, LLC, the sole general partner of
WCAS IX, and WCAS CP IV Associates, LLC, the sole
general partner of WCAS Capital Partners IV, L.P.:
Patrick J. Welsh, Russell L. Carson, Bruce K.
Anderson, Thomas E. Mclnerney, Robert A. Minicucci,
Anthony J. de Nicola, Paul B. |
100
|
|
|
|
|
Queally, D. Scott Mackesy, Sanjay Swani, John D.
Clark, James R. Matthews, Sean M. Traynor, John
Almeida and Jonathan M. Rather. In addition, Thomas A.
Scully is also a managing member of WCAS CP IV
Associates, LLC. Each of the following individuals are
shareholders of WCAS Management Corporation: Patrick J.
Welsh, Russell L. Carson, Bruce K. Anderson,
Thomas E. Mclnerney and Robert A. Minicucci. The
principal executive offices of Welsh, Carson,
Anderson & Stowe are located at 320 Park Avenue,
Suite 2500, New York, New York 10022. |
|
|
(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 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, and
(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. The sole general partner of
each of Thoma Cressey Fund VII, L.P. and Thoma Cressey
Friends Fund VII, L.P. (collectively, Thoma Cressey
Fund VII) is TC Partners VII, L.P. (the
Fund VII GP). The sole general partner of
Fund VII GP is Thoma Cressey Equity Partners Inc. (the
Ultimate GP). The sole general partner of each
of Thoma Cressey Fund VI, L.P. and Thoma Cressey Friends
Fund VI, L.P. (collectively, Thoma Cressey
Fund VI) is TC Partners VI, L.P. (the
Fund VI GP). The sole general partner of
Fund VI GP is the Ultimate GP. The sole
shareholder of the Ultimate GP is Carl D. Thoma. The
officers of the Ultimate GP are Carl D. Thoma,
Bryan C. Cressey and Lee M. Mitchell. The principal
executive offices of the Ultimate GP are located at
233 South Wacher, Chicago, IL 60606. |
|
|
(4) |
In addition to shares held by Rocco A. Ortenzio in his
individual capacity, includes 5,000,000 common shares held by
the Robert A. Ortenzio Descendants Trust, of which
Mr. Rocco Ortenzio is a trustee. Mr. Rocco Ortenzio
disclaims beneficial ownership of shares held by the
Robert A. Ortenzio Descendants Trust except in his capacity
as a fiduciary of such trust. |
|
|
(5) |
In addition to shares held by Robert A. Ortenzio in his
individual capacity, 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. |
|
|
(6) |
In addition to shares owned by Bryan C. Cressey in his
individual capacity, 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. |
|
|
(7) |
Represents 20,000 common shares held by David S. Chernow and
Elizabeth A. Chernow as tenants in common. |
|
|
(8) |
Includes 100,255 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. |
|
|
(9) |
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. In addition to shares held by Patricia A. Rice in
her individual capacity, includes 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,
and 2,615,000 common shares owned by the 2005 Rice Family
Trust for which Ms. Rice acts as investment trustee. |
|
|
(10) |
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. |
101
|
|
(11) |
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. In addition to shares held by Martin F. Jackson in
his individual capacity, includes an aggregate 14,400 common
shares and 2,141.28 participating preferred shares owned by
Mr. Jacksons children who live in his household and
over which Mr. Jackson acts as custodian. |
|
(12) |
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. |
102
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Arrangements with Our Investors
In connection with the consummation of the Transactions, Welsh
Carson, Thoma Cressey 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, 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.
|
|
|
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 Welsh Carson, Thoma Cressey and their
co-investors. Upon consummation of the Merger, all rollover
shares were cancelled without payment of any merger
consideration.
In July 2005, Mr. Chernow purchased 2,973.98 shares of
preferred stock and 20,000 shares of common stock of
Holdings for an aggregate of $100,000; Mr. Dalton purchased
7,434.94 shares of preferred stock and 50,000 shares
of common stock of Holdings for an aggregate of $250,000; and
Mr. Swergold purchased 29,739.78 shares of preferred
stock and 200,000 shares of common stock for an aggregate
of $1,000,000.
On September 29, 2005, we paid $14.5 million to
certain members of senior management of Select under the cash
plan as a result of a special dividend paid to holders of
Holdings preferred stock with the proceeds of the $175
senior floating rate notes issued by Holdings.
|
|
|
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.
|
|
|
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 Welsh Carson,
Thoma Cressey (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.
103
|
|
|
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.
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, 2005, we paid to
these partnerships an aggregate amount of $1,965,521, 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 $1,963,017 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.
On August 10, 2005, we entered into a lease for
approximately 8,615 square feet of additional office space
at 4720 Old Gettysburg Road in Mechanicsburg, Pennsylvania (the
Additional Lease) with Old Gettysburg
Associates II, a general partnership owned by Rocco A.
Ortenzio, Robert A. Ortenzio, John M. Ortenzio and Select
Capital Corporation, a Pennsylvania corporation whose principal
office is located in Mechanicsburg, Pennsylvania.
Holdings has adopted a restricted stock and option plan, which
we refer to as the equity plan. Members of our management,
including some of those who participated in the Transactions as
continuing investors, received awards under the equity plan. The
equity plan was amended and restated in November 2005. Pursuant
to the amended and restated equity plan, on November 8,
2005 Holdings awarded to Rocco A. Ortenzio and Robert A.
Ortenzio restricted stock awards in the amount of 3,750,000 and
5,250,000 shares of Holdings common stock,
respectively. The restricted stock award granted to Rocco A.
Ortenzio is not subject to vesting, and the restricted stock
award granted to Robert A. Ortenzio is subject to ratable
monthly vesting over a three-year period from the date of grant.
See Executive Compensation Restricted Stock
and Option Plan.
|
|
|
Non-Employee Director Plan |
On August 10, 2005, the board of directors of Holdings
authorized a director stock option plan (the Director
Plan) for non-employee directors. 250,000 shares of
Holdings common stock were reserved for
104
awards under the Director Plan. On November 8, 2005, the
board of directors of Holdings formally approved the previously
authorized stock option plan for non-employee directors, under
which Holdings can issue options to purchase up to
250,000 shares of Holdings common stock. See
Executive Compensation Non-Employee Director
Plan.
|
|
|
Long-Term Cash Incentive Plan |
Holdings has adopted a long-term cash incentive plan, referred
to as the cash plan. Participants under the cash 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. On September 29, 2005, Select paid
$14.5 million to management under the cash plan as a result
of a special dividend paid to holders of Holdings preferred
stock with the proceeds of the $175.0 million senior
floating rate notes issued by Holdings. See Executive
Compensation Long-Term Cash Incentive Plan.
|
|
|
Employee Stock Purchase Plan |
Holdings has also adopted an employee stock purchase plan
pursuant to which specified employees of Select (other than
members of its senior management team) were given the
opportunity to purchase shares of Holdings preferred stock and
common stock. See Executive Compensation
Employee Stock Purchase Plan.
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Consulting Agreement with Director |
On January 1, 2004, Select entered into a consulting
agreement with Thomas A. Scully, a member of Selects board
of directors, the term of which expired on December 31,
2005 and was not renewed. Pursuant to the terms of the
consulting agreement, Mr. Scully provided regulatory advice
and government relations services to Select as directed by
Selects Chief Executive Officer. In exchange for his
services, Mr. Scully received annual compensation of
$75,000.
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DESCRIPTION OF CERTAIN OTHER INDEBTEDNESS
We summarize below the principal terms of the agreements that
govern Selects senior secured credit facility,
Selects senior subordinated notes and Holdings
senior subordinated notes. This summary is not a complete
description of all the terms of such agreements.
Selects Senior Secured Credit Facility
On February 24, 2005, Select entered into a senior secured
credit facility with a syndicate of financial institutions and
institutional lenders. Set forth below is a summary of the terms
of Selects senior secured credit facility.
Selects 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, Select 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 Selects senior secured credit
facility are subject to the satisfaction of required conditions,
including the absence of a default at the time of and after
giving effect to such borrowing and the accuracy of the
representations and warranties of the borrowers.
The interest rate applicable to loans, other than swingline
loans, under Selects senior secured credit facility are,
at its 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 the lenders are subject.
The applicable margin percentage was initially (1) 1.50%
for alternate base rate revolving loans and (2) 2.50% for
adjusted LIBOR revolving loans, subject to reduction based upon
the ratio of Selects total indebtedness to its
consolidated EBITDA (such term being used herein as defined in
the credit agreement). The applicable margin percentage is
currently (1) 1.00% for alternate base rate revolving loans
and (2) 2.00% for adjusted LIBOR revolving loans. The
applicable margin percentages 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 Select is required to
pay each lender a commitment fee in respect of any unused
commitments under the revolving credit facility, which is
currently 0.375% per annum subject to adjustment based upon
the ratio of Selects total indebtedness to its
consolidated EBITDA.
Subject to exceptions, Selects 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 Selects ratio of total
indebtedness to its consolidated EBITDA) of Selects annual
excess cash flow (as defined in the credit agreement); |
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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 Selects ratio of total
indebtedness to its 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. |
As of March 31, 2006, we had not been required to make any
mandatory prepayments under the senior secured credit facility.
Voluntary prepayments and commitment reductions are permitted,
in whole or in part, in minimum amounts without premium or
penalty, other than breakage costs with respect to adjusted
LIBOR rate loans in an amount equal to the difference between
the amount of interest that would have accrued on such principal
amount through the last day of the applicable interest period
had the prepayment or commitment reduction not occurred over the
amount of interest that would accrue on such principal amount
for such period at the interest rate the lender would bid, were
the lender to bid, at the beginning of such period for dollar
deposits of a comparable amount from other banks in the
eurodollar market.
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Amortization of Principal |
Selects senior secured credit facility requires scheduled
quarterly payments on the term loans each equal to 0.25%, or
$1.45 million, of the original principal amount of the term
loans for the first six years, with the balance paid in four
equal quarterly installments of $136.7 million thereafter.
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Collateral and Guarantors |
Selects senior secured credit facility is guaranteed by us
and substantially all of Selects current subsidiaries, and
will be guaranteed by substantially all of Selects future
subsidiaries and secured by substantially all of its existing
and future property and assets and by a pledge of its capital
stock and the capital stock of its subsidiaries.
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Restrictive Covenants and Other Matters |
Selects senior secured credit facility requires that it
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. For the four consecutive fiscal quarters
ended March 31, 2006, Select was required to maintain an
interest expense coverage ratio (its ratio of consolidated
EBITDA to cash interest expense) for the prior four consecutive
quarters of at least 2.00 to 1.00. Selects interest
expense coverage ratio was 2.96 to 1.00 for such period. As of
March 31, 2006, Select was required to maintain its
leverage ratio (its ratio of total indebtedness to consolidated
EBITDA for the prior four consecutive fiscal quarters) at less
than 4.75 to 1.00. Selects leverage ratio was 3.79 to 1.00
as of such date. In addition, Selects senior secured
credit facility includes negative covenants, subject to
significant exceptions, restricting or limiting its ability and
the ability of Holdings and its restricted subsidiaries, to,
among other things:
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incur, assume, permit to exist or guarantee additional debt and
issue or sell or permit any subsidiary to issue or sell
preferred stock; |
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pay dividends or other distributions on, redeem, repurchase,
retire or cancel capital stock; |
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purchase or acquire any debt or equity securities of, make any
loans or advances to, guarantee any obligation of, or make any
other investment in, any other company; |
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incur or permit to exist certain liens on property or assets
owned or accrued or assign or sell any income or revenues with
respect to such property or assets; |
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sell or otherwise transfer property or assets to, purchase or
otherwise receive property or assets from, or otherwise enter
into transactions with affiliates; |
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merge, consolidate or amalgamate with another company or permit
any subsidiary to merge, consolidate or amalgamate with another
company; |
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sell, transfer or otherwise dispose of assets, including any
equity interests; |
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repay, redeem, repurchase, retire or cancel any subordinated
debt; |
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incur capital expenditures; |
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engage to any material extent in any business other than
business of the type currently conducted by Select or reasonably
related businesses; and |
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incur obligations that restrict the ability of its subsidiaries
to incur or permit to exist any liens on its property or assets
or to make dividends or other payments to us. |
Selects senior secured credit facility also contains
certain representations and warranties, affirmative covenants
and events of default. The events of default payment defaults,
breaches 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 Selects senior secured credit facility to be in
full force and effect and any change of control. If such an
event of default occurs, the lenders under Selects senior
secured credit facility will be entitled to take various
actions, including the acceleration of amounts due under
Selects senior secured credit facility and all actions
permitted to be taken by a secured creditor.
Selects Senior Subordinated Notes
On February 24, 2005, Select issued $660.0 million of
senior subordinated notes due 2015. Selects
75/8% senior
subordinated notes bear interest at a stated rate of
75/8%.
Selects
75/8% senior
subordinated notes are unsecured senior subordinated obligations
and are subordinated in right of payment to all of its senior
indebtedness, including obligations under Selects senior
secured credit facility. All of Selects subsidiaries that
guarantee its senior secured credit facility and, as required by
the indenture governing Selects
75/8% senior
subordinated notes, specified future subsidiaries will guarantee
Selects
75/8% senior
subordinated notes on an unsecured senior subordinated basis.
Select may redeem some or all of Selects
75/8% senior
subordinated notes prior to February 1, 2010 at a price
equal to 100% of the principal amount plus accrued and unpaid
interest and a make-whole premium. Thereafter,
Select may redeem some or all of Selects
75/8% senior
subordinated notes at 103.813% of the principal amount plus
accrued and unpaid interest beginning on February 1, 2010,
102.542% of the principal amount plus accrued and unpaid
interest beginning on February 1, 2011, 101.271% of the
principal amount plus accrued and unpaid interest beginning
February 1, 2012 and 100.0% of the principal amount plus
accrued and unpaid interest beginning on February 1, 2013.
In addition, prior to February 1, 2008, Select may redeem
up to 35% of Selects
75/8% senior
subordinated notes from the proceeds of certain equity
offerings. If a change in control as defined in the indenture
occurs, Select must offer to repurchase Selects
75/8% senior
subordinated notes at 101% of the principal amount of the notes,
plus accrued and unpaid interest. Selects
75/8
% senior subordinated notes are subject to customary
negative covenants and restrictions on actions by Select and its
subsidiaries including, without limitation, restrictions on
additional indebtedness, investments, asset dispositions outside
the ordinary course of business, liens, the declaration or
payment of dividends and transactions with affiliates, among
other restrictions.
Holdings Senior Subordinated Notes
Concurrently with the consummation of the Transactions, Holdings
issued to WCAS Capital Partners IV, L.P., an investment fund
affiliated with Welsh Carson, which we refer to as WCAS CP IV,
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 our
senior subordinated notes due 2015, which we refer to as
Holdings senior subordinated notes, and an agreed-upon number of
shares of our preferred stock and common stock, for an aggregate
purchase price of $150.0 million. The proceeds from the
issuance of Holdings senior subordinated notes were contributed
by Holdings to Select as equity.
In connection with the issuance of the outstanding notes,
Holdings senior subordinated notes were amended and restated to,
among other things, subordinate them to the notes and extend
their maturity date to December 31, 2015, which is after
the scheduled maturity of each of Selects senior secured
credit facility, Selects
75/8
% senior subordinated notes and the notes.
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Selects senior secured credit facility and the indenture
governing Selects
75/8
% senior subordinated notes contain restrictions on
its ability to pay dividends or other distributions to Holdings
for the purpose of paying cash interest on the Holdings senior
subordinated notes. See Selects senior
secured credit facility and Description of the
Exchange Notes Certain covenants
Restricted payments. Holdings senior subordinated 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 Holdings senior subordinated notes (with the result
that such unpaid interest will have accrued at an effective rate
of 12% instead of 10%). Interest on Holdings senior subordinated
notes will be payable semi-annually in arrears.
Holdings senior subordinated notes may be prepaid, in whole or
in part, without premium or penalty. In addition, Holdings
senior subordinated notes are subject to mandatory prepayment in
the event of any change of control, initial public offering or
sale of all or substantially all of Holdings assets.
Selects senior secured credit facility and the indenture
governing Selects
75/8
% senior subordinated notes contain restrictions on
its ability to pay dividends or other distributions to Holdings
for the purpose of making principal payments on Holdings senior
subordinated notes. See Selects Senior
Secured Credit Facility and Description of the
Exchange Notes Certain Covenants
Restricted Payments. Holdings senior subordinated notes
are subordinate in right of payment to the notes offered hereby
and our guaranty of Selects senior secured credit facility
on the terms set forth in Holdings senior subordinated notes.
109
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 terms
Issuer, we and our refer
only to Select Medical Holdings Corporation and not to any of
our subsidiaries and (2) the term notes refers
to the $175.0 million in aggregate principal amount of our
senior floating rate notes due 2015 and the exchange notes.
We will issue the exchange notes under an indenture between
U.S. Bank National Association, as trustee, and us. The
terms of the notes will 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 Additional
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
The notes:
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are our general unsecured obligations; |
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are pari passu in right of payment to any of our senior
Indebtedness; and |
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are senior in right of payment to all of our existing and future
subordinated Indebtedness, including the Existing Subordinated
Issuer Notes. |
As of March 31, 2006, our total outstanding indebtedness
(excluding our guarantee of Selects obligations under the
Credit Agreement) on an unconsolidated basis was
$325.0 million, consisting of the notes and the Existing
Subordinated Issuer Notes. We have also guaranteed Selects
obligations under the Credit Agreement and have pledged 100% of
the capital stock of Select to secure such guarantee. We only
have a stockholders claim in the assets of its
subsidiaries. This stockholders claim is junior to the
claims that creditors of our subsidiaries have against those
subsidiaries. Holders of the notes are only creditors of ours,
and not of our subsidiaries. As a result, all the existing and
future liabilities of our subsidiaries, including any claims of
trade creditors, will be effectively senior to the notes. The
total balance sheet liabilities of our subsidiaries, including
Select, as of March 31, 2006, excluding unused commitments
under the Credit Agreement, was $1,902.2 million, including
$1,570.3 million of outstanding indebtedness. Additionally,
our subsidiaries have other liabilities, including contingent
liabilities, that may be significant.
All of our operations are conducted through our subsidiaries.
Therefore, our ability to service our debt, including the notes,
is dependent upon the earnings of our subsidiaries and their
ability to distribute those earnings as dividends, loans or
other payments to us. The terms of Selects existing debt
significantly restrict Selects ability to pay dividends or
make distributions or advances to us and any agreements entered
into in the future governing debt incurred by Select or its
subsidiaries is likely to contain similar restrictions. In
addition, certain laws restrict the ability of our subsidiaries
to pay dividends or make loans and advances to us.
Principal, Maturity and Interest
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
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issuance of disqualified stock and preferred stock. The
notes and any additional notes subsequently issued under the
indenture will be treated as a single class for all purposes
under the indenture, including waivers, amendments, redemptions
and offers to purchase. We issued notes in denominations of
$1,000 and integral multiples of $1,000. The notes will mature
on September 15, 2015.
The notes bear interest at a rate per annum, reset
semi-annually, equal to LIBOR plus 5.75%, as determined by the
calculation agent appointed by us (the Calculation
Agent), the initial trustee. Interest on the notes is
payable semi-annually in arrears on March 15 and
September 15. According to this formula, the current
interest rate on the notes is 10.82%. Interest on overdue
principal accrues at a rate that is 1% higher than the then
applicable interest rate on the notes. We will make each
interest payment to the holders of record on the immediately
preceding March 1 or September 1.
Interest on the notes will accrue from the date of original
issuance or, if interest has already been paid, from the date it
was most recently paid.
Set forth below is a summary of certain of the defined terms
used in the indenture relating to the notes.
Determination Date, with respect to an
Interest Period, is the second London Banking Day preceding the
first day of such Interest Period.
Interest Period means the period commencing
on and including an interest payment date and ending on and
including the day immediately preceding the next succeeding
interest payment date, with the exception that the first
Interest Period commenced on and included the Issue Date and
ended on and included March 14, 2006.
LIBOR, with respect to an Interest Period, is
the rate (expressed as a percentage per annum) for deposits in
U.S. dollars for a six-month period beginning on the second
London Banking Day after the Determination Date that appears on
Telerate Page 3750 as of 11:00 a.m., London time, on
the Determination Date. If Telerate Page 3750 does not
include such a rate or is unavailable on a Determination Date,
the Calculation Agent will request the principal London office
of each of four major banks in the London interbank market, as
selected by the Calculation Agent, to provide such banks
offered quotation (expressed as a percentage per annum), as of
approximately 11:00 a.m., London time, on such
Determination Date, to prime banks in the London interbank
market for deposits in a Representative Amount in
U.S. dollars for a six-month period beginning on the second
London Banking Day after the Determination Date. If at least two
such offered quotations are so provided, the rate for the
Interest Period will be the arithmetic mean of such quotations.
If fewer than two such quotations are so provided, the
Calculation Agent will request each of three major banks in New
York City, as selected by the Calculation Agent, to provide such
banks rate (expressed as a percentage per annum), as of
approximately 11:00 a.m., New York City time, on such
Determination Date, for loans in a Representative Amount in
U.S. dollars to leading European banks for a six-month
period beginning on the second London Banking Day after the
Determination Date. If at least two such rates are so provided,
the rate for the Interest Period will be the arithmetic mean of
such rates. If fewer than two such rates are so provided, then
the rate for the Interest Period will be the rate in effect with
respect to the immediately preceding Interest Period.
London Banking Day is any day on which
dealings in U.S. dollars are transacted or, with respect to
any future date, are expected to be transacted in the London
interbank market.
Representative Amount means a principal
amount of not less than $1,000,000 for a single transaction in
the relevant market at the relevant time.
Telerate Page 3750 means the display
designated as Page 3750 on the Moneyline
Telerate service or any successor service (or such other page as
may replace Page 3750 on that service or any successor
service).
The amount of interest for each day that the notes are
outstanding (the Daily Interest Amount) will be
calculated by dividing the interest rate in effect for such day
by 360 and multiplying the result by the principal amount of the
notes. The amount of interest to be paid on the notes for each
Interest Period will be calculated by adding the Daily Interest
Amounts for each day in the Interest Period.
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All percentages resulting from any of the above calculations
will be rounded, if necessary, to the nearest one hundred
thousandth of a percentage point, with five
one-millionths of a
percentage point being rounded upwards (e.g., 9.876545% (or
..09876545) being rounded to 9.87655% (or .0987655)) and all
dollar amounts used in or resulting from such calculations will
be rounded to the nearest cent (with one-half cent being rounded
upwards). The interest rate on the notes will in no event be
higher than the maximum rate permitted by New York law as the
same may be modified by United States law of general application.
The Calculation Agent will, upon the request of the holder of
any note, provide the interest rate then in effect with respect
to the notes. All calculations made by the Calculation Agent in
the absence of manifest error will be conclusive for all
purposes and binding on the Issuer and the holders of the notes.
Additional interest may accrue on the notes in certain
circumstances pursuant to the registration rights agreement.
Methods of Receiving Payments on the Notes
Principal of, premium, if any, and interest on the notes will be
payable, and the notes may be exchanged or transferred, at our
office or agency 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 our option, however, payment
of interest may be made by check mailed 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, we
will make such payment of principal of, premium, if any, and
interest on such holders notes in accordance with those
instructions. Payment of principal of, premium, if any, and
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. We may
change the paying agent or registrar without prior notice to the
holders of the notes, and we or any of our 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 we may
require payment of a sum sufficient to cover any transfer tax or
other similar governmental charge payable in connection
therewith. We will not be required to transfer or exchange any
note selected for redemption. Also, we will not be required to
transfer or exchange any note for a period of 15 days
before a selection of notes to be redeemed.
Optional Redemption
At any time prior to September 15, 2008, we may, on any one
or more occasions, redeem either all remaining outstanding notes
or up to 35% of the aggregate principal amount of notes issued
under the indenture at a redemption price of 100% of the
aggregate principal amount so redeemed plus a premium equal to
the interest rate per annum of the notes applicable on the date
on which the notice of redemption is given, plus accrued and
unpaid interest to the redemption date. The net cash proceeds
for any such redemption must be from one or more Equity
Offerings by us or a contribution to our equity capital (other
than Disqualified
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Stock) from the net proceeds of one or more Equity Offerings by
any direct or indirect parent of us (in each case, other than
Excluded Contributions); provided that:
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(1) either no notes remain outstanding immediately
following such redemption or at least 65% of the aggregate
principal amount of notes originally issued under the indenture
(excluding notes held by us and our 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. |
Except pursuant to the preceding paragraph and the second
succeeding paragraph, the notes will not be redeemable at our
option prior to September 15, 2009.
On or after September 15, 2009, we 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 on the notes redeemed, to the applicable
redemption date, if redeemed during the twelve-month period
beginning on September 15 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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2009
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102.00% |
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101.00% |
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2011 and thereafter
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100.00% |
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Before September 15, 2009, we 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 September 15, 2009 (exclusive of accrued
interest), plus (2) all scheduled interest payments due on
such note from the Make-Whole Redemption Date through
September 15, 2009, such interest payments to be determined
in accordance with the indenture assuming that LIBOR in effect
on the date of such redemption notice would be the applicable
LIBOR in effect through September 15, 2009, 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 September 15, 2009; provided, however, that
if the period from such
Make-Whole Redemption
Date to September 15, 2009 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
September 15, 2009 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.
Mandatory redemption
We are not required to make mandatory redemption or sinking fund
payments with respect to the notes.
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Repurchase at the Option of Holders
If a Change of Control occurs, each holder of notes will have
the right to require us 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, we will
offer a 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, we 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. We 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, we 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, we 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 us. |
The paying agent will promptly mail to each holder of notes
properly tendered the Change of Control Payment for such notes.
The trustee will also 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. We will publicly announce the results of
the Change of Control Offer on or as soon as practicable after
the Change of Control Payment Date.
If at the time of any Change of Control the terms of any
Indebtedness (other than the Existing Issuer Subordinated Notes
and any Permitted Refinancing Indebtedness in respect thereof)
of ours or of Select restrict or prohibit the purchase of notes
following such Change of Control, then prior to complying with
this covenant, but in any event within 90 days following
any Change of Control, we will either (1) repay in full all
such Indebtedness or (2) obtain the requisite consents
under the agreements governing such Indebtedness to permit the
repurchase of the notes. If we do not repay such Indebtedness or
obtain such consents, the Issuer will remain prohibited from
purchasing notes. In such case, our failure to comply with the
foregoing undertaking, after appropriate notice and lapse of
time, would result in an Event of Default under the indenture,
which would, in turn, constitute a default under such other
Indebtedness of ours or of Select.
The provisions described above that require us 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 we
repurchase or redeem the notes in the event of a takeover,
recapitalization or similar transaction.
We 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
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requirements set forth in the indenture applicable to a Change
of Control Offer made by us 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 us and our 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 us to
repurchase its notes as a result of a sale, lease, transfer,
conveyance or other disposition of less than all of the assets
of us and our Subsidiaries taken as a whole to another Person or
group may be uncertain.
We will not, and will not permit any of our Restricted
Subsidiaries to, consummate an Asset Sale unless:
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(1) we (or the Restricted Subsidiary, as the case may be)
receive 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 we or such Restricted
Subsidiary receive in the Asset Sale 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 our most recent
consolidated balance sheet, of us or any Restricted Subsidiary
(other than contingent liabilities and liabilities that are by
their terms subordinated to the notes) that are assumed by the
transferee of any such assets pursuant to a customary novation
agreement that releases us or such Restricted Subsidiary from
further liability; |
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(c) any securities, notes or other obligations received by
us or any such Restricted Subsidiary from such transferee that
are converted by us 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, we (or the applicable Restricted Subsidiary, as
the case may be) may apply such Net Proceeds at our option:
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(1) to repay Indebtedness (other than (x) Indebtedness
that is contractually subordinated to the notes and (y) any
intercompany Indebtedness between or among us and any of our
Restricted Subsidiaries) and, if the Indebtedness repaid is
revolving credit Indebtedness, to correspondingly reduce
commitments with respect thereto; provided that, if an
offer to purchase any such Indebtedness of Select or any
Restricted Subsidiary is made in accordance with the terms of
such Indebtedness, the obligation to repay such Indebtedness
will be deemed satisfied to the extent of the amount of the
offer, whether or not |
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accepted by the holders thereof, and the amount of Net Proceeds
will be reduced to the extent of the amount of the offer; |
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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 ours; |
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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 us or our 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, we 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, we will make an Asset Sale Offer to all
holders of notes and if we elect (or are 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, we 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.
Notwithstanding the foregoing provisions of this covenant, if at
the time we would be required to make an Asset Sale Offer, we do
not have access to the applicable Net Proceeds as a result of a
restriction permitted by the covenant described under
Dividend and Other Payment Restrictions
Affecting Restricted Subsidiaries, then we shall have no
obligation to make such Asset Sale Offer until such time as and
to the extent such restriction no longer applies and, as a
result of such lapse of such restriction, there is at least
$20.0 million in Net Proceeds from all Asset Sales that has
not been applied in accordance with this covenant as a result of
the application of this paragraph.
We 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, we will comply with the applicable
securities laws and regulations and will not be deemed to have
breached our obligations under the Asset Sale provisions of the
indenture by virtue of such compliance.
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.
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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.
Certain Covenants
We will not, and will not permit any of our 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 our or any of our Restricted
Subsidiaries Equity Interests (including, without
limitation, any payment in connection with any merger or
consolidation involving our or any of our Restricted
Subsidiaries or any payment under our Deferred Compensation Plan
to the extent such payment is funded with a dividend or
distribution that would have constituted a Restricted
Payment under the terms of the indenture governing the
Existing Select Notes) or to the direct or indirect holders of
our or any of our Restricted Subsidiaries Equity Interests
in their capacity as such (other than dividends or distributions
payable in Equity Interests (other than Disqualified Stock) of
ours); provided that the repurchase, redemption or other
acquisition or retirement for value of any Equity Interests of a
Restricted Subsidiary of ours 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 us) any Equity Interests of
ours or any other direct or indirect parent of ours; |
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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 that is contractually subordinated to the
notes (excluding any intercompany Indebtedness between or among
us and any of our 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 (other than the Existing Issuer Subordinated Notes
or any Permitted Refinancing Indebtedness in respect thereof)
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) we or such Restricted Subsidiary, as the case may be,
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 applicable 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; provided that for purposes of this
clause (2) only, any of our non-cash interest expense and
amortization of original issue discount and deferred financing
fees shall be excluded from the determination of the Fixed
Charge Coverage Ratio to the extent not already excluded
therefrom; and |
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(3) such Restricted Payment, together with the aggregate
amount of all other Restricted Payments made by us and our
Restricted Subsidiaries since February 24, 2005 (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 our Consolidated Net Income (excluding, for
purposes of calculating our Consolidated Net Income for purposes
of this clause (3)(a) only, any of our non-cash interest
expense and amortization of original issue discount and deferred
financing fees to the extent not already excluded from the
definition of Consolidated Net Income) for the period (taken as
one accounting period) from the beginning of the first full
fiscal quarter commencing after February 24, 2005 to the
end of our 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 (as
determined as set forth above) for such period is a deficit,
less 100% of such deficit); plus |
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(b) 100% of the aggregate Qualified Proceeds we received
since February 24, 2005 as a contribution to our equity
capital (other than Disqualified Stock) or from the issue or
sale of our Equity Interests (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 ours that have been converted
into or exchanged for such Equity Interests (other than Equity
Interests (or Disqualified Stock or debt securities) sold to a
Subsidiary of ours); plus |
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(c) an amount equal to the net reduction in Investments by
us and our Restricted Subsidiaries resulting from (A) the
sale or other disposition (other than to us or a Restricted
Subsidiary) of any Restricted Investment that was made after
February 24, 2005 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 ours
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 our interest in
such Subsidiary immediately prior to such redesignation and
(B) the aggregate amount of our Investments in such
Subsidiary that was previously treated as a Restricted Payment;
plus |
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(e) in the event we and/or any Restricted Subsidiary of
ours makes any Investment in a Person that, as a result of or in
connection with such Investment, becomes a Restricted Subsidiary
of ours, an amount equal to our existing Investment of and/or
the investment of any of our 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 ours) of, Equity
Interests of ours (other than Disqualified Stock) or from the
substantially concurrent contribution of equity capital to us
(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 ours that
is contractually subordinated to the notes 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 ours) of, Equity
Interests of ours (other than Disqualified Stock) or from the
substantially concurrent contribution of equity capital to us
(other than |
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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 ours or any Restricted Subsidiary of ours
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 ours or of any
Restricted Subsidiary of ours 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 ours 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 ours or of any
Restricted Subsidiary of ours held by any current or former
officer, director, employee or consultant of ours or any of our
Restricted Subsidiaries, and any dividend payment or other
distribution by us or a Restricted Subsidiary to any direct or
indirect parent holding company of ours utilized for the
repurchase, redemption or other acquisition or retirement for
value of any Equity Interests of such direct or indirect parent
holding company held by any current or former officer, director,
employee or consultant of ours or any of our Restricted
Subsidiaries or such 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
ours and, to the extent contributed to us as equity capital
(other than Disqualified Stock), Equity Interests of any direct
or indirect parent company of ours, in each case to members of
management, directors or consultants of ours, any of our
Subsidiaries or any direct or indirect parent company of ours
that occurs after February 24, 2005, 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 us and our Restricted Subsidiaries after
February 24, 2005, 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 that is
contractually subordinated to the notes 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
required pursuant to the terms thereof as a result of such |
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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, we
are 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; |
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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 ours or any of our 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 us or any Restricted Subsidiary to any direct or
indirect parent of ours, 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 us as equity capital (other than
Disqualified Stock), or |
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(b) by us, following the first initial public offering of
our common Equity Interests, to pay dividends of up to
6% per annum of the net proceeds received by or contributed
to us in such public offering (or any subsequent public offering
of common Equity Interests by us); (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) Restricted Payments described in the offering
memorandum for the notes under Use of Proceeds; |
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(17) all other payments made or to be made in connection
with the Transactions and all payments made to former
stockholders of Select 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
February 24, 2005; provided that after giving effect
to any such Restricted Payment, our Leverage Ratio is less than
or equal to 6.5 to 1.0 and |
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(19) so long as no Default has occurred and is continuing
or would be caused thereby, payments to any direct or indirect
parent company of ours in amounts and at times as would be
sufficient to permit such direct or indirect parent company of
ours to pay regularly scheduled or accrued interest (including
interest previously paid in kind or added to the
principal amount thereof) on any 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, any direct or indirect
parent company of ours, 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 Existing
Subordinated Issuer 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
Existing Subordinated Issuer Notes, as amended, modified,
restated, renewed or extended, 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 Existing Subordinated Issuer Notes, as amended, modified,
restated, renewed or extended, or such Indebtedness or preferred
stock being |
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amended or refinanced, and 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 us 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 our Board of Directors
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, we, in our 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 |
We will not, and will not permit any of our 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 we will not issue any
Disqualified Stock and will not permit any of our Restricted
Subsidiaries to issue any shares of preferred stock;
provided, however, that (x) we and our Restricted
Subsidiaries (other than Select and its Restricted Subsidiaries)
may incur Indebtedness (including Acquired Debt) or issue
Disqualified Stock or preferred stock, if our Fixed Charge
Coverage Ratio for our 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 2.00 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 and (y) Select and its Restricted
Subsidiaries may incur Indebtedness (including Acquired Debt) or
issue Disqualified Stock or preferred stock, if the Fixed Charge
Coverage Ratio of Select for Selects 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 2.00 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 us and/or any Restricted Subsidiary
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 our maximum potential
liability and our Restricted Subsidiaries thereunder) not to
exceed $1,000.0 million, less the aggregate amount
of all Net Proceeds of Asset Sales applied by us or any of our
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 us and our Restricted Subsidiaries of
the Existing Indebtedness; |
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(3) the incurrence by us of Indebtedness represented by the
notes to be issued on the Issue Date, replacement notes in
respect thereof, if any, and the Exchange Notes to be issued
pursuant to the registration rights agreement; |
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(4) the incurrence or issuance by us or any of our
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,
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 us or any of our 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 us or any of our Restricted
Subsidiaries of intercompany Indebtedness between or among us
and any of our Restricted Subsidiaries; provided,
however, that: |
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(a) if we are the obligor on such Indebtedness, such
Indebtedness must be expressly subordinated to the prior payment
in full in cash of all Obligations with respect to the notes,
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 us or a Restricted Subsidiary of ours and
(ii) any sale or other transfer of any such Indebtedness to
a Person that is not either us or a Restricted Subsidiary of
ours, will be deemed, in each case, to constitute a new
incurrence of such Indebtedness by us 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 our Restricted Subsidiaries
to us or to any of our 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 us or a Restricted Subsidiary of our, and |
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(b) any sale or other transfer of any such preferred stock
to a Person that is not either us or a Restricted Subsidiary of
ours, |
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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 us or any of our Restricted
Subsidiaries of Hedging Obligations in the ordinary course of
business; |
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(9) the guarantee by us or any Restricted Subsidiary of
Indebtedness of ours or a Restricted Subsidiary 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; |
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(10) the incurrence by us or any of our 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 us or any of our 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 ours 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 ours or
any Restricted Subsidiary; |
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(13) the incurrence of Indebtedness or the issuance of any
Disqualified Stock or preferred stock by any Restricted
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 us 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) we or such Restricted Subsidiary would be permitted to
incur at least $1.00 of additional Indebtedness pursuant to the
applicable Fixed Charge Coverage Ratio test set forth in the
first paragraph of this covenant; or |
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(b) our Fixed Charge Coverage Ratio after giving pro forma
effect to such acquisition or merger would be greater than our
actual Fixed Charge Coverage Ratio immediately prior to such
acquisition or merger; |
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(16) Indebtedness of ours 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 us or any of our
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; provided that after giving effect to any
incurrence of Indebtedness by us or our Restricted Subsidiaries
(other than Select and its Restricted Subsidiaries) under this
clause (18), our Leverage Ratio is less than or equal to
6.5 to 1.0; and |
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(19) the incurrence by us 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, we
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 Agreement
outstanding on the Issue Date will be deemed to have been
incurred in reliance on the exception
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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 our
Fixed Charges 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. |
Notwithstanding the foregoing, we will not, and will not permit
any of our Restricted Subsidiaries (other than Select and its
Restricted Subsidiaries) to incur any Indebtedness prior to
September 15, 2007, the proceeds of which are used to,
directly or indirectly, pay any dividend or make any other
payment or distribution on account of the Issuers Equity
Interests.
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Limitation on Certain Subordination Terms in Subordinated
Indebtedness |
We will not incur any Indebtedness that is contractually
subordinated to any other Indebtedness of ours, the
subordination provisions of which permit the payment to the
holders of such subordinated Indebtedness in the form of debt or
equity securities in lieu of cash unless (x) the provisions
thereof provide that such debt or equity securities may not be
distributed to the holder of such subordinated Indebtedness
pursuant to a plan of reorganization if the notes are treated as
part of the same class as such subordinated Indebtedness for
purposes of such plan of reorganization and (y) to the
extent that any note outstanding on the date of consummation of
any such plan of reorganization is not paid in full in cash on
such date, the holders of a majority in aggregate principal
amount of all such notes not so paid in full in cash have
consented to the terms of such plan of reorganization.
We will not, and will not permit any of our 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 of ours 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 at least an equal and ratable basis with our
obligations so secured (or, in the case of any Lien securing
Indebtedness that is contractually subordinated to the notes,
unless all payments due under the indenture and the notes are
secured by a Lien ranking prior to the Lien securing such
subordinated Indebtedness) 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 |
We will not, and will not permit any of our 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 us or any of our Restricted Subsidiaries, or
with respect to any other interest or participation in, or
measured by, its profits, or pay any indebtedness owed to us or
any of our Restricted Subsidiaries; |
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(2) make loans or advances to us or any of our Restricted
Subsidiaries; or |
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(3) sell, lease or transfer any of its properties or assets
to us or any of our Restricted Subsidiaries. |
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 and the notes; |
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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 us or any
of our 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 ours or any Restricted Subsidiary of ours
in any manner material to us or any Restricted Subsidiary of
ours; |
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(16) restrictions on the transfer of property or assets
required by any regulatory authority having jurisdiction over us
or any Restricted Subsidiary of ours or any of their businesses; |
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(17) any instrument or agreement governing Indebtedness or
preferred stock of Select or any of its Restricted Subsidiaries
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 such restrictions, taken as a whole, either
(i) are no more restrictive in the aggregate than those
contained in the Credit Agreement on the Issue Date or
(ii) will not materially impair Selects ability to
make dividends to us in an amount sufficient to make scheduled
payments of cash interest on the notes, in each case, as
determined in good faith by the Board of Directors whose
determination shall be conclusive; |
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(18) any encumbrance or restriction imposed on any
Subsidiary of ours that is of the type referred to in
clause (3) of the definition of Subsidiary by
(and for the benefit of) us 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, in creases, supplements, refundings,
replacements or refinancings are in the good faith judgment of
our 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 |
We 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 ours and our Restricted Subsidiaries
taken as a whole, in one or more related transactions, to
another Person, unless:
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(1) either: (a) we are the surviving entity; or
(b) the Person formed by or surviving any such
consolidation or merger (if other than us) 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 us) or the Person to
which such sale, assignment, transfer, conveyance or other
disposition has been made assumes all the obligations of our
under the notes, the indenture and the 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) we or the Person formed by or surviving any such
consolidation or merger (if other than us), or to which such
sale, assignment, transfer, conveyance or other disposition has
been made would, on the |
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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
our actual Fixed Charge Coverage Ratio immediately prior to such
transaction. |
In addition, we will not, directly or indirectly, lease all or
substantially all of our properties and assets and our
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 us with an Affiliate solely for the purpose
of our reincorporating 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 us and our 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 |
We will not, and will not permit any of our 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 ours 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 us or the relevant
Restricted Subsidiary than those that would have been obtained
in a comparable transaction by us or such Restricted Subsidiary
with an unrelated Person; and |
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(2) we deliver 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 our Board of Directors, together
with a certified copy of the resolutions of our Board of
Directors 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 us 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 us or any of our Restricted
Subsidiaries in the ordinary course of business and payments
pursuant thereto; |
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(2) transactions between or among us and our Restricted
Subsidiaries; |
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(3) transactions with a Person (other than an Unrestricted
Subsidiary of ours) that is an Affiliate of ours solely because
we own, 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 our Equity Interests (other than
Disqualified Stock) to Affiliates of ours; |
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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) payments by us or any of our 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 our Board of Directors 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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(8) loans (or cancellation of loans) or advances to
employees in the ordinary course of business; |
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(9) 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 us or our Restricted
Subsidiaries, as applicable, in the reasonable determination of
our Board of Directors, chief executive officer or chief
financial officer or our 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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(10) the existence of, or the performance by us or any
Restricted Subsidiary of their obligations, if any, under the
terms of, any subscription, registration rights or stockholders
agreement, partnership agreement or limited liability company
agreement to which we or any Restricted Subsidiary is a party as
of the Issue Date and which is disclosed under the caption
Certain Relationships and Related Transactions in
the offering memorandum for the notes and any similar agreements
which we, any Restricted Subsidiary, or any direct or indirect
parent company of ours may enter into thereafter; provided,
however, that the entering into by us or any Restricted
Subsidiary or the performance by us 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 our Board of
Directors, chief executive officer or chief financial officer; |
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(11) the Transactions, including all payments made or to be
made in connection with the Transactions as described in the
offering memorandum for the notes; |
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(12) any Qualified Receivables Transaction; |
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(13) Permitted Payments to Parent; |
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(14) any management, consulting, monitoring, financial
advisory, financing, underwriting or placement services or any
other investment banking, banking or similar services involving
us and any of our Restricted Subsidiaries (including without
limitation any payments in cash, Equity Interests or other
consideration made by us or any of our Restricted Subsidiaries
in connection therewith) on the one hand and the Permitted
Holders on the other hand, which services (and payments and
other transactions in connection therewith) are approved as fair
to us or such Restricted Subsidiary by a majority of the members
of our Board of Directors in good faith; |
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(15) the issuance of our Equity Interests (other than
Disqualified Stock) or any Restricted Subsidiary for
compensation purposes; |
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(16) any lease entered into between us or any Restricted
Subsidiary, as lessee and any Affiliate of ours, as lessor,
which is approved by a majority of the disinterested members of
our Board of Directors in good faith; |
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(17) intellectual property licenses in the ordinary course
of business; |
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(18) Existing Indebtedness and any other obligations
pursuant to an agreement existing on the Issue Date and
described in the offering memorandum for the notes, 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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(19) payments by us or any of our Restricted Subsidiaries
of reasonable insurance premiums to, and any borrowings or
dividends received from, any Captive Insurance
Subsidiary; and |
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(20) transactions in which we 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 us or such Restricted Subsidiary
from a financial point of view and which are approved by a
majority of the disinterested members of our Board of Directors
in good faith. |
We 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 us
and our Restricted Subsidiaries taken as a whole.
We will cause each Restricted Subsidiary that Guarantees any
Indebtedness of ours to, within 30 days of the date such
Guarantee is provided for such other Indebtedness of ours,
execute and deliver to the trustee for the notes a supplemental
indenture pursuant to which such Restricted Subsidiary will
guarantee payment of the notes (a Note
Guarantee) on the terms and conditions set forth in
the Indenture.
The Note Guarantee of a Guarantor will be automatically 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 giving effect to such transaction) a
Restricted Subsidiary of ours, if the sale or other disposition
of all or substantially all of the assets of that Guarantor
complies with the Asset Sales covenant described
above; |
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(2) if we designate any Restricted Subsidiary that is a
Guarantor as an Unrestricted Subsidiary in accordance with the
provisions of the indenture described below under
Designation of restricted and unrestricted
subsidiaries; |
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(3) in connection with any sale of Capital Stock of a
Guarantor to a Person that results in the Guarantor no longer
being a Subsidiary of ours, if the sale of such Capital Stock of
that Guarantor complies with the Asset Sales
provisions of the Indenture; |
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(4) if we exercise our Legal Defeasance option or our
Covenant Defeasance option as described under
Legal defeasance and covenant defeasance
or if our obligations under the Indenture are discharged in
accordance with the terms of the Indenture; or |
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(5) upon the release or discharge of the Guarantee by such
Restricted Subsidiary of Indebtedness of ours or the repayment
of the Indebtedness, in each case, which resulted in the
obligation to Guarantee the Notes. |
A Note Guarantee also will be automatically released upon the
applicable Subsidiary ceasing to be a Subsidiary as a result of
any foreclosure of any pledge or security interest securing such
other Indebtedness or other exercise of remedies in respect
thereof.
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Designation of Restricted and Unrestricted
Subsidiaries |
Our Board of Directors 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 us and our 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 us. 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 ours as an Unrestricted
Subsidiary will be evidenced to the trustee by filing with the
trustee a certified copy of a resolution of our Board of
Directors 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 ours 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, we will be in
default of such covenant. Our Board of Directors may at any time
designate any Unrestricted Subsidiary to be a Restricted
Subsidiary of ours; provided that such designation will
be deemed to be an incurrence of Indebtedness by a Restricted
Subsidiary of ours 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.
We will not, and will not permit any of our 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.
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Reports; Quarterly Earnings Calls |
(a) Whether or not required by the rules and regulations of
the SEC, so long as any notes are outstanding, we 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 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 |
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(2) 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. |
(b) So long as the notes are outstanding and prior to an
initial public offering of our common stock or any direct or
indirect parent company of ours, we will host, with the
participation of senior management, quarterly and annual
earnings conference calls within five business days after the
date on which quarterly and annual, as the case may be,
financial information is required to be furnished under the
indenture. Such earnings conference calls shall be made
reasonably accessible to all holders of notes and shall cover
such matters as would customarily be covered in quarterly or
annual earnings conference calls by an issuer with
130
securities registered under the Exchange Act. Notwithstanding
the foregoing, we shall be permitted to defer (or limit the
matters covered on) any such conference call if it shall have
determined, on the basis of advice of counsel, that for good and
valid legal reasons the hosting of the call at such time or the
discussion of such matters at such time would not be
appropriate; provided, however, that if such conference call is
otherwise still required under this paragraph (b), any such
deferred conference call will be held as soon as practicable
thereafter when such circumstances no longer make it
inappropriate to host the call.
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 will agree 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.
If at any time any direct or indirect parent company of ours
becomes a guarantor of the notes (there being no obligation of
any direct or indirect parent company of ours to do so), and
such parent company holds no material assets other than cash,
Cash Equivalents and the Capital Stock of ours or any direct or
indirect parent company of ours (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 our option, be those
of such parent company rather than us.
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 our fiscal year
ended December 31, 2005 by the filing with the SEC of the
Exchange Offer Registration Statement (as defined under
Exchange Offer; Registration Rights) within the time
period required under Exchange Offer; Registration
Rights, with such financial information that satisfies
Regulation S-X of
the Securities Act with respect to the fiscal year ended
December 31, 2005.
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 us or any of our 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 us or any of our Restricted Subsidiaries for
60 days after notice to us 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 us or any of
our Significant Subsidiaries (or the payment of which is
guaranteed by us or any of our 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 us or any Significant Subsidiary, the failure
by us 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; and |
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(7) certain events of bankruptcy or insolvency described in
the indenture with respect to us 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 us or any
Restricted Subsidiary of ours 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.
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.
We are required to deliver to the trustee annually a statement
regarding compliance with the indenture. Upon becoming aware of
any Default or Event of Default, we are required to deliver to
the trustee within 30 days a statement specifying such
Default or Event of Default.
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No Personal Liability of Directors, Officers, Employees and
Stockholders
No director, officer, employee, incorporator, stockholder,
member, partner or other holder of Equity Interests of ours, as
such, will have any liability for any obligations of ours under
the notes or the indenture 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
We may at any time, elect to have all obligations discharged
with respect to the outstanding notes (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) our 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 our obligations in connection
therewith; and |
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(4) the Legal Defeasance provisions of the indenture. |
In addition, we may, at our option and at any time, elect to
have our obligations 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
non-payment and bankruptcy, receivership, rehabilitation and
insolvency events with respect to us) 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) we 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 we 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, we must deliver to the
trustee an opinion of counsel reasonably acceptable to the
trustee confirming that (a) we have 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, we must deliver to
the trustee an opinion of counsel reasonably acceptable to the
trustee confirming that the holders of the outstanding notes
will not |
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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 we or any of our Subsidiaries is a party or by which we
or any of our Subsidiaries is bound; |
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(5) we must deliver to the trustee an officers
certificate stating that the deposit was not made by us with the
intent of preferring the holders of notes over the other
creditors of ours with the intent of defeating, hindering,
delaying or defrauding any creditors of us or others; and |
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(6) we 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 may be amended or supplemented with the
consent of the holders of at least a majority in 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).
Except as provided in the next three succeeding paragraphs, any
existing Default or Event of Default or compliance with any
provision of the indenture or the notes 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. |
134
Notwithstanding the preceding, without the consent of any holder
of notes, we, and the trustee may amend or supplement the
indenture or the notes:
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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 our obligations to
holders of notes in the case of a merger or consolidation or
sale of all or substantially all of our 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, 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 or the notes; |
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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 add Guarantees with respect to the notes; or |
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(9) to issue the notes. |
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 us, 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 we have 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 we are a party or by which we are bound; |
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(3) we have paid or caused to be paid all sums payable by
it under the indenture; and |
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(4) we have 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, we 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.
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Concerning the Trustee
If the trustee becomes a creditor of ours, 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.
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 the offering memorandum for the notes may
obtain a copy of the indenture without charge by writing to
Select Medical Holdings 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
us or a Restricted Subsidiary in a Permitted Business.
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 ours 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 us, formerly known as
EGL Holding Company, EGL Acquisition Corp. and Select, 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 us and our Restricted
Subsidiaries taken as a whole |
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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 our
Restricted Subsidiaries or the sale of Equity Interests in any
of our Restricted Subsidiaries (other than directors
qualifying Equity Interests or Equity Interests required by
applicable law to be held by a Person other than us 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 us and our
Restricted Subsidiaries; |
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(3) an issuance of Equity Interests by a Restricted
Subsidiary of ours to us or to a Restricted Subsidiary of ours; |
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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 us or any of our
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 us or any of our 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 ours 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.
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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
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 us or any of our Subsidiaries for the
sole purpose of insuring the business, facilities and/or
employees of us and our 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 us and
our 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 us; |
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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 our Voting Stock, measured by
voting power rather than number of shares, unless the Permitted
Holders are the Beneficial Owners of a greater percentage of our
Voting Stock; 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 our
Board of Directors 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 us
or any of our 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 |
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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 us or any direct or indirect parent of
ours or merger, recapitalization or acquisition transactions
made by us or any of our Restricted Subsidiaries, or any
Indebtedness incurred by us or any of our Restricted
Subsidiaries (in each case, whether or not successful);
plus |
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(8) all fees paid by us 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 us 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, other than any restrictions permitted under
the covenant described under Dividend and Other Payment
Restrictions Affecting Restricted Subsidiaries;
provided that 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; |
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(3) the cumulative effect of a change in accounting
principles will be excluded; |
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(4) any fees or expenses (including amortization of
deferred financing fees and expenses) incurred in connection
with the Transactions and the amortization of 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 ours 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 we or
any Restricted Subsidiary of ours makes a cash payment in
respect of such non-cash charge in any period, such cash payment
will (without duplication) be deducted from our Consolidated Net
Income 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. |
Consolidated Total Indebtedness means, as at
any date of determination, an amount equal to the sum of
(1) the aggregate amount of all outstanding Indebtedness of
us and the Restricted Subsidiaries and (2) the aggregate
amount of all outstanding Disqualified Stock of us and all
preferred stock of the Restricted Subsidiaries, with the amount
of such Disqualified Stock and preferred stock equal to the
greater of their respective voluntary or involuntary liquidation
preferences and maximum fixed repurchase prices, in each case
determined on a consolidated basis in accordance with GAAP.
For purposes hereof, the maximum fixed repurchase
price of any Disqualified Stock or preferred stock that
does not have a fixed repurchase price shall be calculated in
accordance with the terms of such Disqualified Stock or
preferred stock as if such Disqualified Stock or preferred stock
were purchased on any date on which Consolidated Total
Indebtedness shall be required to be determined pursuant to the
indenture, and if such price is based upon, or measured by, the
fair market value of such Disqualified Stock or preferred stock,
such fair market value shall be determined reasonably and in
good faith by our Board of Directors.
Continuing Directors means, as of any
date of determination, any member of our Board of Directors of
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 February 24, 2005, by and
among Select, as borrower, us, certain subsidiaries of Select,
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,
141
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 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 us or a Restricted
Subsidiary in connection with an Asset Sale that is designated
as Designated Noncash Consideration pursuant to an
officers certificate.
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 us 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 we may not repurchase such
Capital Stock unless we 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 us 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 ours that was formed under the laws of the United
States or any state of the United States or the District of
Columbia.
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 offering
of our Qualified Capital Stock of or any other direct or
indirect parent of ours.
Excluded Contributions means net cash
proceeds, marketable securities or Qualified Proceeds received
by us from (i) contributions to its equity capital (other
than Disqualified Stock) or (ii) the sale (other than to a
Subsidiary of ours or to any management equity plan or stock
option plan or any other management or employee benefit plan or
agreement of ours) of Equity Interests (other than Disqualified
Stock) of ours, 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, that are excluded from
142
the calculation set forth in clause (3) of the first
paragraph under Certain covenants
Restricted payments.
Existing Indebtedness means
Indebtedness, other than (x) the notes and
(y) Indebtedness under the Credit Agreement, existing on
the Issue Date.
Existing Subordinated Issuer Notes means
the $150.0 million aggregate principal amount of senior
subordinated notes due 2015 issued by the Issuer on
February 24, 2005, as amended and restated on
September 29, 2005.
Existing Select Notes means the
75/8
% senior subordinated notes due 2015 issued by
Select.
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 our Board of
Directors, chief executive officer or chief financial officer
(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). |
143
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 ours. 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 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 ours 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 we 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 us or a Restricted
Subsidiary of ours), 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 us and our Restricted
Subsidiaries expressed as a decimal; plus |
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(4) the amount of dividends paid by us and our Restricted
Subsidiaries pursuant to clause (19) of the covenant
described under Certain covenants
Restricted payments. |
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 February 24, 2005.
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 ours that executes a Note Guarantee pursuant to
the provisions of the indenture described under
Future guarantors, and their respective
successors and
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assigns, in each case, until the Note Guarantee of such Person
has been released in accordance with the provisions of the
indenture.
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. |
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 we or any Restricted Subsidiary of ours
sells or otherwise disposes of any Equity Interests of any
direct or indirect Restricted Subsidiary of ours such that,
after giving effect to any such sale or disposition, such Person
is no longer a Subsidiary of ours, we will be deemed to have
made an Investment on the date of any such sale or disposition
equal to the Fair Market Value of our 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 us or any Restricted
Subsidiary of ours of a Person that holds an Investment in a
third Person will be deemed to be an Investment by us 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
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).
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Issuers Deferred Compensation
Plan means the Select Medical Holdings
Corporation Long -Term Cash Incentive Plan in effect on the
Issue Date as amended from time to time and any replacement plan
adopted by us or any of our Restricted Subsidiaries which
provides for the right to receive payments to be made to
participants thereunder in amounts determined in relation to
amounts distributed to our direct or indirect equity holders.
Leverage Ratio means with respect to any
specified Person for any period, the ratio of
(1) Consolidated Total Indebtedness of such Person as of
the last day of such period to (2) Consolidated Adjusted
EBITDA of such Person for the most recent period of four fiscal
quarters for which financial statements of such Person are
available. 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
Leverage Ratio is being calculated and on or prior to the date
on which the event for which the calculation of the Leverage
Ratio is made (the Leverage Ratio Calculation
Date), then the Leverage 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 Leverage 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 Leverage Ratio 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 Leverage Ratio Calculation Date, will
be excluded; |
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(3) any Person that is a Restricted Subsidiary on the
Leverage Ratio Calculation Date will be deemed to have been a
Restricted Subsidiary at all times during such four-quarter
period; and |
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(4) any Person that is not a Restricted Subsidiary on the
Leverage Ratio Calculation Date will be deemed not to have been
a Restricted Subsidiary at any time during such four-quarter
period. |
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 ours.
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 us or any of our 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
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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 us, 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 us 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 us or
any other Restricted Subsidiary, provided that any net
proceeds of an Asset Sale by a Subsidiary that are subject to
restrictions on repatriation to us will not be considered Net
Proceeds for so long as such proceeds are subject to such
restrictions. |
Non-Recourse Debt means Indebtedness:
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(1) as to which neither we nor any of our 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 us or any of our 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 us or any of our 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 we and our 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 our other directors and
executive officers referred to under Certain Relationships
and Related Transactions Arrangements With our
investors in the offering memorandum for the notes and
each other director, officer or employee of ours who is a
continuing investor (as described under
Security Ownership) 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, our Capital Stock or any direct or indirect parent
company of ours; (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.
147
Permitted Investments means:
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(1) any Investment in us or in a Restricted Subsidiary of
ours; |
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(2) any Investment in Cash Equivalents; |
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(3) any Investment by us or any Restricted Subsidiary of
ours in a Person, if as a result of such Investment: |
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(a) such Person becomes a Restricted Subsidiary of ours; 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, us or a Restricted Subsidiary of ours; |
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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 ours; |
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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 our business 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 us 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 us 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 we or
any such Restricted Subsidiary deem 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 ours or any of its Restricted Subsidiaries in connection with
such officers or employees acquisition of shares of
our Capital Stock or Capital Stock of any direct or indirect
parent company of ours so long as no cash or other assets are
paid by us or any of our 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
us or the Restricted Subsidiary of ours 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 ours at the
date of the making of such Investment and such Person becomes a
Restricted Subsidiary of ours 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
Subsidiary of ours, 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 us or a Subsidiary of
ours 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 us or a Restricted Subsidiary of ours and
(ii) a majority of the Voting Stock of such Person is owned
by us, our Restricted Subsidiaries and/or other Persons that are
not our Affiliates; and |
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(19) Guarantees of our Indebtedness of us or the
Indebtedness of 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 Liens means:
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(1) Liens on our assets or any of the assets of our
Restricted Subsidiaries securing any Indebtedness (x) of a
Restricted Subsidiary (including any Guarantee by us in respect
thereof) that was permitted by the terms of the indenture to be
incurred or (y) of ours permitted under clauses (1),
(10) and (18) of the covenant described above under
Certain Covenants Incurrence of
Indebtedness and Issuance of Disqualified Stock and Preferred
Stock; |
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(2) Liens in favor of us or any Restricted Subsidiary; |
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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 us or
any Restricted Subsidiary of ours; 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 us or such Subsidiary; |
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(4) Liens on property (including Capital Stock) existing at
the time of acquisition of the property by us or any Restricted
Subsidiary of ours; 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 our business and the business of our Subsidiaries,
taken as a whole; |
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(11) Liens created for the benefit of (or to secure) the
notes; |
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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 our business
or the business of any Subsidiary of ours 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 our business and the business of
our 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 we 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 Restricted Subsidiaries
securing our Indebtedness or the Indebtedness of our 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 any direct or
indirect parent company of ours to be used by such direct or
indirect parent company of ours to pay (x) consolidated,
combined or similar federal, state and local taxes payable by
such parent company and directly attributable to (or arising as
a result of) the operations of us and our Subsidiaries and
(y) franchise or similar taxes and fees of such parent
company required to maintain 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 us and our Subsidiaries if we
were a corporation for federal, state and local tax purposes
plus (y) the actual amount of such franchise or similar
taxes and fees of such parent company required to maintain such
parent companys corporate or other existence and other
taxes, each as applicable; and |
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(b) such payments are used by 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 any direct or
indirect parent company of ours 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 such
parent company of ours as a direct or indirect holding company
for us 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 ours or any of our 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 ours or any of our 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 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 |
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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 us or the applicable Restricted Subsidiary who is
the obligor on the Indebtedness being renewed, refunded,
refinanced, replaced, defeased or discharged; or |
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(b) by any Restricted Subsidiary if the obligor on the
Indebtedness being renewed, refunded, refinanced, replaced,
defeased or discharged is a Restricted 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 or
Leverage Ratio Calculation Date, as the case may be, and
calculated on a basis that is consistent with
Regulation S-X
under the Securities Act as in effect and applied as of
February 24, 2005, (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 or Leverage Ratio
Calculation Date, as the case may be, 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 we reasonably determine 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 our
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 us or any of our Restricted
Subsidiaries of such Capital Stock, such Person becomes a
Restricted Subsidiary or such Person is merged or consolidated
into us 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.
152
Qualified Receivables Transaction means any
transaction or series of transactions entered into by us or any
of our Subsidiaries pursuant to which we or any of our
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
us or any of our Subsidiaries, which transfer may be effected
through us or one or more of our 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 us or any
of our 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
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
ours 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 our Board
of Directors (as provided below) as a Receivables Subsidiary
(A) no portion of the Indebtedness or any other Obligations
(contingent or otherwise) of which:
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(1) is guaranteed by us or any Subsidiary of ours
(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 us or any Subsidiary of
ours 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 ours or any
Subsidiary of ours (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 |
(B) with which neither we nor any Subsidiary of ours has
any material contract, agreement, arrangement or understanding
other than on terms no less favorable to us or such Subsidiary
than those that might be obtained at the time from Persons who
are not Affiliates of us, 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 we nor any
Subsidiary of ours has any obligation to maintain or preserve
such Subsidiarys financial condition or cause such
Subsidiary to achieve certain levels of operating results. Any
such designation by our Board of Directors will be evidenced to
the Trustee by filing with the Trustee a certified copy of the
resolution of our Board of Directors 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 ours 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 ours or any of our Restricted Subsidiaries (other than
intercompany Disqualified Stock); provided that such
Replacement Preferred Stock (i) is issued by us 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.
153
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.
Select means Select Medical Corporation, a
Delaware corporation.
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.
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 we or any Subsidiary of ours has an
exclusive management arrangement under which it manages the
business of such entity and whose financial statements are
consolidated with our 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). |
Total Assets means our total consolidated
assets and the total consolidated assets of our Restricted
Subsidiaries as set forth on the most recent consolidated
balance sheet of us and our Restricted Subsidiaries.
Transactions means (a) the transactions
contemplated by the Agreement and Plan of Merger, including the
borrowings under the Credit Agreement, the offering of the
Existing Select Notes and the issuance of the Existing
Subordinated Issuer Notes and the other related transactions
described under the heading The Transactions in the
offering memorandum for the Existing Select Notes, and
(b) other than for purposes of clause (17) of the
second paragraph of the covenant described under
Certain covenants Restricted
payments, the offering and sale of the notes, the use of
proceeds thereof as described in the offering memorandum for the
notes and the Exchange Offer.
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 ours that is designated by our Board of Directors of ours 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 |
154
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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 us or any Restricted
Subsidiary of ours unless the terms of any such agreement,
contract, arrangement or understanding are no less favorable to
us 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 we nor any of
our 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 ours or any of
our 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. |
155
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
156
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 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 therefore, 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. |
157
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 with 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.
158
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 generally 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
is 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.
159
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 consummation of the exchange offer, 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 Dechert LLP, Philadelphia, Pennsylvania.
EXPERTS
The consolidated financial statements as of December 31,
2005 (Successor) and 2004 (Predecessor) and for the Successor
period February 25, 2005 to December 31, 2005 and the
Predecessor periods January 1, 2005 to February 24,
2005 and for each of the two 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
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 100 F Street
N.E., 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 outstanding, we will furnish to the
trustee under the indenture governing the notes and to
Cede & Co., the
160
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, 2005
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, 2005.
161
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
SELECT MEDICAL HOLDINGS CORPORATION
CONSOLIDATED FINANCIAL STATEMENTS
WITH REPORT OF INDEPENDENT REGISTERED
PUBLIC ACCOUNTING FIRM
CONTENTS
SELECT MEDICAL HOLDINGS CORPORATION
AUDITED FINANCIAL STATEMENTS
Consolidated Financial Statements as of December 31,
2004 and 2005, for the Years Ended
December 31, 2003 and 2004, for the Period from January
1, 2005 to February 24, 2005 (Predecessor) and for the Period
from February 25, 2005 to December 31, 2005 (Successor)
SELECT MEDICAL HOLDINGS CORPORATION
UNAUDITED INTERIM FINANCIAL STATEMENTS
Consolidated Financial Statements as of March 31,
2006
and for the Three Months Ended March 31, 2006
F-1
Report of Independent Registered Public Accounting Firm
To the Board of Directors and Stockholders
of Select Medical Corporation:
In our opinion, the accompanying consolidated balance sheet and
the related consolidated statements of operations, statement of
changes in stockholders equity and comprehensive income
(loss) and statements of cash flows present fairly, in all
material respects, the financial position of Select Medical
Corporation and its subsidiaries at December 31, 2004
(Predecessor), and the results of their operations and their
cash flows for the period from January 1, 2005 through
February 24, 2005 (Predecessor), and for the years ended
December 31, 2004 (Predecessor) and 2003 (Predecessor) in
conformity with accounting principles generally accepted in the
United States of America. In addition, in our opinion, the
financial statement schedule included at Item 21(b)
presents fairly, in all material respects, the information set
forth therein when read in conjunction with the related
consolidated financial statements. These financial statements
and financial statement schedule are the responsibility of the
Companys management. Our responsibility is to express an
opinion on these financial statements and financial statement
schedule based on our audits. We conducted our audits of these
statements in accordance with the standards of the Public
Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in
the financial statements, assessing the accounting principles
used and significant estimates made by management, and
evaluating the overall financial statement presentation. We
believe that our audits provide a reasonable basis for our
opinion.
PricewaterhouseCoopers LLP
Philadelphia, PA
March 17, 2006
F-2
Report of Independent Registered Public Accounting Firm
To the Board of Directors and Stockholders
of Select Medical Holdings Corporation:
In our opinion, the accompanying consolidated balance sheet and
the related consolidated statement of operations, statement of
changes in stockholders equity and comprehensive income
(loss) and statement of cash flows present fairly, in all
material respects, the financial position of Select Medical
Holdings Corporation and its subsidiaries at December 31,
2005 (Successor), and the results of their operations and their
cash flows for the period from February 25, 2005 through
December 31, 2005 (Successor) in conformity with accounting
principles generally accepted in the United States of America.
In addition, in our opinion, the financial statement schedule
included at Item 21(b) presents fairly, in all material
respects, the information set forth therein when read in
conjunction with the related consolidated financial statements.
These financial statements and financial statement schedule are
the responsibility of the Companys management. Our
responsibility is to express an opinion on these financial
statements and financial statement schedule based on our audit.
We conducted our audit of these statements in accordance with
the standards of the Public Company Accounting Oversight Board
(United States). Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether
the financial statements are free of material misstatement. An
audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements,
assessing the accounting principles used and significant
estimates made by management, and evaluating the overall
financial statement presentation. We believe that our audit
provides a reasonable basis for our opinion.
PricewaterhouseCoopers LLP
Philadelphia, PA
March 17, 2006
F-3
Select Medical Holdings Corporation
Consolidated Balance Sheets
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Select | |
|
|
|
|
|
Medical | |
|
|
|
|
|
Corporation | |
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
December 31, | |
|
|
December 31, | |
|
|
2004 | |
|
|
2005 | |
|
|
| |
|
|
| |
|
|
(In thousands, except share and | |
|
|
per share amounts) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
247,476 |
|
|
|
$ |
35,861 |
|
|
|
Restricted cash
|
|
|
7,031 |
|
|
|
|
6,345 |
|
|
|
Accounts receivable, net of allowance for doubtful accounts of
$94,622 and $74,891 in 2004 and 2005, respectively
|
|
|
216,852 |
|
|
|
|
256,798 |
|
|
|
Current deferred tax asset
|
|
|
59,239 |
|
|
|
|
59,135 |
|
|
|
Other current assets
|
|
|
18,737 |
|
|
|
|
19,725 |
|
|
|
Prepaid taxes
|
|
|
|
|
|
|
|
4,110 |
|
|
|
Current assets held for sale
|
|
|
|
|
|
|
|
13,876 |
|
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
549,335 |
|
|
|
|
395,850 |
|
Property and equipment, net
|
|
|
165,336 |
|
|
|
|
248,541 |
|
Goodwill
|
|
|
302,069 |
|
|
|
|
1,305,210 |
|
Other identifiable intangibles
|
|
|
78,304 |
|
|
|
|
86,789 |
|
Other assets
|
|
|
18,677 |
|
|
|
|
70,607 |
|
Non-current assets held for sale
|
|
|
|
|
|
|
|
61,388 |
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
1,113,721 |
|
|
|
$ |
2,168,385 |
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
Bank overdrafts
|
|
$ |
|
|
|
|
$ |
19,355 |
|
|
|
Current portion of long-term debt and notes payable
|
|
|
3,557 |
|
|
|
|
6,516 |
|
|
|
Accounts payable
|
|
|
48,632 |
|
|
|
|
60,528 |
|
|
|
Accrued payroll
|
|
|
56,554 |
|
|
|
|
61,531 |
|
|
|
Accrued vacation
|
|
|
23,102 |
|
|
|
|
26,983 |
|
|
|
Accrued interest
|
|
|
6,472 |
|
|
|
|
36,028 |
|
|
|
Accrued professional liability
|
|
|
14,627 |
|
|
|
|
21,527 |
|
|
|
Accrued restructuring
|
|
|
4,924 |
|
|
|
|
390 |
|
|
|
Accrued other
|
|
|
60,012 |
|
|
|
|
69,046 |
|
|
|
Income taxes payable
|
|
|
4,474 |
|
|
|
|
|
|
|
|
Due to third party payors
|
|
|
13,266 |
|
|
|
|
12,175 |
|
|
|
Current liabilities held for sale
|
|
|
|
|
|
|
|
4,215 |
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
235,620 |
|
|
|
|
318,294 |
|
Long-term debt, net of current portion
|
|
|
351,033 |
|
|
|
|
1,622,373 |
|
Non-current deferred tax liability
|
|
|
4,458 |
|
|
|
|
19,438 |
|
Non-current liabilities held for sale
|
|
|
|
|
|
|
|
3,817 |
|
|
|
|
|
|
|
|
|
Total Liabilities
|
|
|
591,111 |
|
|
|
|
1,963,922 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
6,667 |
|
|
|
|
4,356 |
|
Preferred stock Authorized shares
25,000,000; Issued Shares 22,165,256.17 (liquidation
preference is $444,765 in 2005)
|
|
|
|
|
|
|
|
444,765 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
|
Common stock, $0.01 par value, 200,000,000 shares
authorized, 101,954,000 issued and outstanding (Predecessor) and
$0.001 par value, 250,000,000 shares authorized,
205,408,000 shares issued and outstanding (Successor)
|
|
|
1,020 |
|
|
|
|
205 |
|
|
Capital in excess of par
|
|
|
275,281 |
|
|
|
|
(299,028 |
) |
|
Retained earnings
|
|
|
230,535 |
|
|
|
|
48,808 |
|
|
Accumulated other comprehensive income
|
|
|
9,107 |
|
|
|
|
5,357 |
|
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
515,943 |
|
|
|
|
(244,658 |
) |
|
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
1,113,721 |
|
|
|
$ |
2,168,385 |
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-4
Select Medical Holdings Corporation
Consolidated Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Select Medical Corporation Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
Year Ended December 31, | |
|
|
|
|
|
|
|
| |
|
Period from | |
|
|
Period from | |
|
|
|
|
January 1 | |
|
|
February 25 | |
|
|
|
|
through | |
|
|
through | |
|
|
|
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
1,341,657 |
|
|
$ |
1,601,524 |
|
|
$ |
277,736 |
|
|
|
$ |
1,580,706 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
1,070,700 |
|
|
|
1,246,249 |
|
|
|
244,321 |
|
|
|
|
1,244,361 |
|
|
General and administrative
|
|
|
44,417 |
|
|
|
45,856 |
|
|
|
122,509 |
|
|
|
|
59,494 |
|
|
Bad debt expense
|
|
|
50,697 |
|
|
|
47,963 |
|
|
|
6,588 |
|
|
|
|
18,213 |
|
|
Depreciation and amortization
|
|
|
33,663 |
|
|
|
38,951 |
|
|
|
5,933 |
|
|
|
|
37,922 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
1,199,477 |
|
|
|
1,379,019 |
|
|
|
379,351 |
|
|
|
|
1,359,990 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
142,180 |
|
|
|
222,505 |
|
|
|
(101,615 |
) |
|
|
|
220,716 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
|
|
|
|
|
|
|
|
42,736 |
|
|
|
|
|
|
Merger related charges
|
|
|
|
|
|
|
|
|
|
|
12,025 |
|
|
|
|
|
|
Equity in earnings from joint ventures
|
|
|
(824 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
(1,096 |
) |
|
|
(267 |
) |
|
|
|
(1,092 |
) |
Interest income
|
|
|
(936 |
) |
|
|
(2,583 |
) |
|
|
(523 |
) |
|
|
|
(767 |
) |
Interest expense
|
|
|
25,435 |
|
|
|
33,299 |
|
|
|
4,651 |
|
|
|
|
102,208 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
118,505 |
|
|
|
192,885 |
|
|
|
(160,237 |
) |
|
|
|
120,367 |
|
Minority interest in consolidated subsidiary companies
|
|
|
1,661 |
|
|
|
2,608 |
|
|
|
330 |
|
|
|
|
1,776 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
116,844 |
|
|
|
190,277 |
|
|
|
(160,567 |
) |
|
|
|
118,591 |
|
Income tax expense (benefit)
|
|
|
46,238 |
|
|
|
76,551 |
|
|
|
(59,794 |
) |
|
|
|
49,336 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
70,606 |
|
|
|
113,726 |
|
|
|
(100,773 |
) |
|
|
|
69,255 |
|
Income from discontinued operations, net of tax
|
|
|
3,865 |
|
|
|
4,458 |
|
|
|
522 |
|
|
|
|
3,072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
74,471 |
|
|
|
118,184 |
|
|
|
(100,251 |
) |
|
|
|
72,327 |
|
Less: Accretion of dividends on preferred stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
23,519 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common stockholders
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
|
|
$ |
48,808 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-5
Select Medical Holdings Corporation
Consolidated Statement of Changes in Stockholders
Equity and Comprehensive Income (Loss)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
Common | |
|
Common | |
|
Capital in | |
|
|
|
Other | |
|
|
|
|
Stock | |
|
Stock Par | |
|
Excess of | |
|
Retained | |
|
Comprehensive | |
|
Comprehensive | |
|
|
Issued | |
|
Value | |
|
Par | |
|
Earnings | |
|
Income (Loss) | |
|
Income (Loss) | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Predecessor, Select Medical Corporation:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2002
|
|
|
93,352 |
|
|
$ |
934 |
|
|
$ |
235,716 |
|
|
$ |
50,155 |
|
|
$ |
(387 |
) |
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
74,471 |
|
|
|
|
|
|
$ |
74,471 |
|
|
Unrealized loss on available for sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(49 |
) |
|
|
(49 |
) |
|
Realized loss on interest rate swap
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
313 |
|
|
|
313 |
|
|
Changes in foreign currency translation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,197 |
|
|
|
5,197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 |
|
|
Unrealized loss on available for sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(4 |
) |
|
|
(4 |
) |
|
Realized loss on available for sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
53 |
|
|
|
53 |
|
|
Changes in foreign currency translation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,984 |
|
|
|
3,984 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 |
|
|
|
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(100,251 |
) |
|
|
|
|
|
$ |
(100,251 |
) |
|
Changes in foreign currency translation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(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 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capitalization of Successor Company at February 25, 2005
|
|
|
148,253 |
|
|
$ |
148 |
|
|
$ |
(310,092 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock
|
|
|
808 |
|
|
|
1 |
|
|
|
808 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance and vesting of restricted stock
|
|
|
56,347 |
|
|
|
56 |
|
|
|
10,247 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stock option expense
|
|
|
|
|
|
|
|
|
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accretion of dividends on preferred stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(23,519 |
) |
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
72,327 |
|
|
|
|
|
|
$ |
72,327 |
|
|
|
Unrealized gain on interest rate swap
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
3,539 |
|
|
|
3,539 |
|
|
|
Changes in foreign currency translation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,818 |
|
|
|
1,818 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
77,684 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2005
|
|
|
205,408 |
|
|
$ |
205 |
|
|
$ |
(299,028 |
) |
|
$ |
48,808 |
|
|
$ |
5,357 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-6
Select Medical Holdings Corporation
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Select Medical Corporation | |
|
|
|
|
|
Predecess | |
|
or | |
|
|
Successor | |
|
|
| |
|
| |
|
|
| |
|
|
For the Year Ended | |
|
|
|
|
|
|
|
December 31, | |
|
Period from | |
|
|
Period from | |
|
|
| |
|
January 1 through | |
|
|
February 25 through | |
|
|
2003 | |
|
2004 | |
|
February 24, 2005 | |
|
|
December 31, 2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
|
|
$ |
72,327 |
|
Adjustments to reconcile net income (loss) to net cash provided
by (used in) operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
34,957 |
|
|
|
39,912 |
|
|
|
6,177 |
|
|
|
|
39,060 |
|
|
Provision for bad debts
|
|
|
51,428 |
|
|
|
48,986 |
|
|
|
6,661 |
|
|
|
|
18,600 |
|
|
Loss on early retirement of debt (non-cash)
|
|
|
|
|
|
|
|
|
|
|
7,977 |
|
|
|
|
|
|
|
Non cash compensation expense
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10,312 |
|
|
Amortization of debt discount
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
881 |
|
|
Other non cash expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
810 |
|
|
Deferred income taxes
|
|
|
6,837 |
|
|
|
10,803 |
|
|
|
(63,863 |
) |
|
|
|
19,822 |
|
|
Minority interests
|
|
|
2,402 |
|
|
|
3,448 |
|
|
|
469 |
|
|
|
|
3,018 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
8,838 |
|
|
|
(22,864 |
) |
|
|
(48,976 |
) |
|
|
|
(2,908 |
) |
|
|
Other current assets
|
|
|
(5,047 |
) |
|
|
8,594 |
|
|
|
1,816 |
|
|
|
|
312 |
|
|
|
Other assets
|
|
|
4,898 |
|
|
|
2,778 |
|
|
|
(622 |
) |
|
|
|
4,887 |
|
|
|
Accounts payable
|
|
|
17,499 |
|
|
|
(13,980 |
) |
|
|
5,250 |
|
|
|
|
1,879 |
|
|
|
Due to third-party payors
|
|
|
21,228 |
|
|
|
(52,296 |
) |
|
|
667 |
|
|
|
|
(1,757 |
) |
|
|
Accrued expenses
|
|
|
19,337 |
|
|
|
3,069 |
|
|
|
199,909 |
|
|
|
|
(152,336 |
) |
|
|
Income taxes
|
|
|
9,400 |
|
|
|
27,642 |
|
|
|
3,842 |
|
|
|
|
23,248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
246,248 |
|
|
|
174,276 |
|
|
|
19,056 |
|
|
|
|
38,155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(35,852 |
) |
|
|
(32,626 |
) |
|
|
(2,586 |
) |
|
|
|
(107,360 |
) |
Earnout payments
|
|
|
(464 |
) |
|
|
(2,983 |
) |
|
|
|
|
|
|
|
|
|
Restricted cash
|
|
|
|
|
|
|
(7,031 |
) |
|
|
108 |
|
|
|
|
578 |
|
Proceeds from sale of discontinued operations
|
|
|
|
|
|
|
11,554 |
|
|
|
|
|
|
|
|
|
|
Proceeds from sale of membership interests
|
|
|
|
|
|
|
4,064 |
|
|
|
|
|
|
|
|
|
|
Proceeds from disposal of assets
|
|
|
2,595 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisition of businesses, net of cash acquired
|
|
|
(227,731 |
) |
|
|
(1,937 |
) |
|
|
(108,279 |
) |
|
|
|
(3,272 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(261,452 |
) |
|
|
(28,959 |
) |
|
|
(110,757 |
) |
|
|
|
(110,054 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from senior floating rate notes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
Equity investment
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
574,042 |
|
Proceeds from senior credit facility
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
780,000 |
|
Proceeds from
75/8
% senior subordinated notes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
660,000 |
|
Proceeds from 10% senior subordinated notes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
150,000 |
|
Repayment of senior subordinated notes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(350,000 |
) |
Payment of deferred financing costs
|
|
|
(5,922 |
) |
|
|
|
|
|
|
|
|
|
|
|
(60,269 |
) |
Costs associated with equity investment
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(8,686 |
) |
Issuance of
71/2
% senior subordinated notes
|
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net repayments on senior credit facility debt
|
|
|
(65,627 |
) |
|
|
(8,483 |
) |
|
|
|
|
|
|
|
(119,350 |
) |
Principal payments on seller and other debt
|
|
|
(3,721 |
) |
|
|
(3,904 |
) |
|
|
(528 |
) |
|
|
|
(4,161 |
) |
Repurchases of common stock and options
|
|
|
|
|
|
|
(48,058 |
) |
|
|
|
|
|
|
|
(1,687,994 |
) |
Payment of preferred stock dividends
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(175,000 |
) |
Proceeds from issuance of common stock
|
|
|
28,613 |
|
|
|
18,623 |
|
|
|
1,023 |
|
|
|
|
|
|
Payment of common stock dividends
|
|
|
(3,066 |
) |
|
|
(9,209 |
) |
|
|
|
|
|
|
|
|
|
Proceeds from (repayment of) bank overdrafts
|
|
|
307 |
|
|
|
(11,427 |
) |
|
|
|
|
|
|
|
19,355 |
|
Distributions to minority interests
|
|
|
(1,266 |
) |
|
|
(1,501 |
) |
|
|
(401 |
) |
|
|
|
(1,541 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
124,318 |
|
|
|
(63,959 |
) |
|
|
94 |
|
|
|
|
(48,604 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
331 |
|
|
|
611 |
|
|
|
(149 |
) |
|
|
|
644 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
109,445 |
|
|
|
81,969 |
|
|
|
(91,756 |
) |
|
|
|
(119,859 |
) |
Cash and cash equivalents at beginning of period
|
|
|
56,062 |
|
|
|
165,507 |
|
|
|
247,476 |
|
|
|
|
155,720 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
165,507 |
|
|
$ |
247,476 |
|
|
$ |
155,720 |
|
|
|
$ |
35,861 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental Cash Flow Information
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash paid for interest
|
|
$ |
20,229 |
|
|
$ |
30,677 |
|
|
$ |
10,630 |
|
|
|
$ |
59,725 |
|
|
Cash paid for taxes
|
|
$ |
33,344 |
|
|
$ |
42,134 |
|
|
$ |
1,502 |
|
|
|
$ |
10,712 |
|
The accompanying notes are an integral part of this statement.
F-7
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
|
|
1. |
Organization and Significant Accounting Policies |
Select Medical Holdings Corporation (Holdings) was
formed in October 2004. On February 24, 2005, Select
Medical Corporation (Select), merged with a
subsidiary of Holdings, formerly known as EGL Holding Company,
which resulted in Select becoming a wholly owned subsidiary of
Holdings. Holdings, Select and its subsidiaries are referred to
herein as the Company. 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
Companys financial position and results of operations
following the Merger are presented as Successor
financial statements. Due to the revaluation of assets as a
result of purchase accounting associated with the Merger, the
pre-merger financial statements are not comparable with those
after the Merger in certain respects.
The Company provides long-term acute care hospital services and
inpatient acute rehabilitative hospital care through its
specialty hospital segment and provides physical, occupational,
and speech rehabilitation services through its outpatient
rehabilitation segment. 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 83, 86 and 101 specialty hospitals at
December 31, 2003, 2004 and 2005, respectively. At
December 31, 2003, 2004 and 2005, the Company operated 790,
741 and 717 outpatient clinics, respectively. At
December 31, 2003, 2004 and 2005, the Company had
operations in Canada, the District of Columbia and 37, 36 and
35 states, respectively. On December 23, 2005, the
Company agreed to sell all of the issued and outstanding shares
of its wholly-owned subsidiary, Canadian Back Institute Limited
(Footnote 3). Outpatient clinics operated by this
subsidiary were 102, 101 and 109 at December 31, 2003, 2004
and 2005, respectively. The sale was completed on March 1,
2006.
|
|
|
Merger and Related Transactions |
On February 24, 2005, the Merger transaction was
consummated and Select became a wholly owned subsidiary of
Holdings. Holdings is owned by an investor group that includes
Welsh, Carson, Anderson & Stowe, IX, LP (Welsh
Carson), Thoma Cressey Equity Partners, Inc. (Thoma
Cressey) and members of the Companys senior
management. In the transaction, all of the former stockholders
(except for certain members of management and other rollover
investors) of Select received $18.00 per share in cash for
common stock of Select. Holders of stock options issued by
Select 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, Selects common
stock was delisted from the New York Stock Exchange. The Merger
and related transactions are referred to 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 of Select, approximately $344.2 million to
repay existing indebtedness and approximately
$119.2 million to pay related fees and expenses.
F-8
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Merger transactions were financed by:
|
|
|
|
|
a cash common and preferred equity investment in Holdings by
Welsh Carson and other equity investors of $570.0 million; |
|
|
|
a senior subordinated notes offering by Holdings of
$150.0 million; |
|
|
|
borrowing by Select of $580.0 million in term loans and
$200.0 million on the revolving loan facility under its
senior secured credit facility; |
|
|
|
the issuance by Select of $660.0 million in aggregate
principle amount of
75/8
% senior subordinated notes; and |
|
|
|
$131.1 million of cash on hand at Select at the closing
date. |
The Merger transactions were accounted for under the purchase
method of accounting prescribed in Statement of Financial
Accounting Standards (SFAS) No. 141,
Business Combinations,
(SFAS No. 141). As a result of a 26%
continuing ownership interest in Holdings by certain
stockholders (Continuing Stockholders), 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 Stockholders 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 Stockholders historical
basis, stockholders equity of Holdings has been reduced by
$449.5 million.
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. In accordance
with the provisions of SFAS No. 142, Goodwill
and Other Intangible Assets
(SFAS No. 142), no amortization of
indefinite-lived intangible assets or goodwill has been
recorded. The factors that were considered when determining the
purchase price and that resulted in goodwill included the
long-term growth and earnings prospects for Select. Holdings
believed that as a private company, the management of Select
would be better able to concentrate on the regulatory changes
affecting its business and make long-term investment and
operational decisions that would be harder to execute as a
public company, where there is greater focus on
quarter-to-quarter performance.
F-9
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
A summary of the Merger transactions is presented below (in
thousands):
|
|
|
|
|
Equity contributions
|
|
$ |
570,000 |
|
Exchange of shares of Select for equity of Holdings at
$18.00 per share
|
|
|
151,992 |
|
|
|
|
|
Aggregate equity contribution
|
|
|
721,992 |
|
Continuing shareholders basis adjustment
|
|
|
(449,510 |
) |
|
|
|
|
Equity contribution, net
|
|
|
272,482 |
|
Merger expenses paid
|
|
|
(8,686 |
) |
Proceeds from borrowings
|
|
|
1,590,000 |
|
|
|
|
|
Purchase price allocated
|
|
$ |
1,853,796 |
|
|
|
|
|
Fair value of net tangible assets acquired:
|
|
|
|
|
Cash
|
|
$ |
34,484 |
|
Accounts receivable
|
|
|
280,891 |
|
Current deferred tax asset
|
|
|
69,858 |
|
Other current assets
|
|
|
20,955 |
|
Property and equipment
|
|
|
177,634 |
|
Non-current deferred tax asset
|
|
|
31,879 |
|
Other assets
|
|
|
12,970 |
|
Current liabilities
|
|
|
(267,831 |
) |
Long-term debt
|
|
|
(7,052 |
) |
Minority interest in consolidated subsidiary companies
|
|
|
(6,661 |
) |
|
|
|
|
Net tangible assets acquired
|
|
|
347,127 |
|
Capitalized debt issuance costs
|
|
|
55,392 |
|
Intangible assets acquired
|
|
|
92,988 |
|
Goodwill
|
|
|
1,358,289 |
|
|
|
|
|
|
|
$ |
1,853,796 |
|
|
|
|
|
Unaudited pro forma statements of operations for the years ended
December 31, 2003, December 31, 2004, and
December 31, 2005 as if the Merger occurred as of
January 1, 2003 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
1,341,657 |
|
|
$ |
1,601,524 |
|
|
$ |
1,858,442 |
|
Net income (loss)
|
|
|
22,419 |
|
|
|
66,749 |
|
|
|
(39,044 |
) |
In connection with the Merger, merger related charges of
$152.5 million related to stock compensation expense which
were comprised of $142.2 million related to the purchase of
all Selects vested and unvested outstanding stock options
in connection with the Merger in the Predecessor period of
January 1, 2005 through February 24, 2005 and an
additional $10.3 million of stock compensation cost related
to Holdings restricted stock that was issued in the
Successor period February 25, 2005 through
December 31, 2005. Also incurred were costs of
$42.7 million related to the early extinguishment of
Selects
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
incurred. These charges consisted of the fees of the investment
advisor hired by the Special Committee of Selects Board of
Directors to evaluate the Merger, legal and accounting fees,
costs associated with the
Hart-Scott-Rodino filing
F-10
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
and costs associated with purchasing a six year extended
reporting period under Selects 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 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.
|
|
|
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.
The Company revised the classification of restricted cash from
cash flows from financing activities to cash flows from
investing activities for the year ended December 31, 2004.
|
|
|
Accounts Receivable and Allowance for Doubtful
Accounts |
Substantially all of the Companys accounts receivable are
related to providing healthcare services to patients. Collection
of these accounts receivable is the Companys primary
source of cash and is critical to its operating performance. The
Companys 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 the Companys net accounts receivable
balance. At December 31, 2005, deductible, co-payments and
self-insured amounts owed by the patient accounted for
approximately 0.9% of the net accounts receivable balance before
doubtful accounts. The Companys general policy is to
verify insurance coverage prior to the date of admission for a
patient admitted to the Companys hospitals or in the case
of the Companys outpatient rehabilitation clinics, the
Company verifies insurance coverage prior to their first therapy
visit. The Companys estimate for the 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 historical
F-11
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
cash collections experience. Collections are impacted by the
effectiveness of the Companys collection efforts with
non-governmental payors and regulatory or administrative
disruptions with the fiscal intermediaries that pay the
Companys governmental receivables.
The Company believes that it collects substantially all of its
third-party insured receivables (net of contractual allowances)
which include receivables from governmental agencies. To date,
the Company believes there has not been a material difference
between bad debt allowances and the ultimate historical
collection rates on accounts receivables. The Company reviews
its 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.
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
|
|
3 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 No. 142, Goodwill and
Other Intangible Assets (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.
F-12
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
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, non-compete agreements,
certificates of need, accreditation and contract therapy
relationships. Management believes that the estimated useful
lives established are reasonable based on the economic factors
applicable to each of the intangible assets.
The approximate useful life of each class of intangible asset is
as follows:
|
|
|
Goodwill
|
|
Indefinite |
Trademarks
|
|
Indefinite |
Certificates of need
|
|
Indefinite |
Accreditation
|
|
Indefinite |
Non-compete agreements
|
|
6 7 years |
Contract therapy relationships
|
|
5 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.
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, principally Medicare and Medicaid, 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 principle 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 2005 respectively, the Company had
recorded a liability of $44.4 million and
$55.7 million related to these programs. These amounts
include accrued professional liability which is reported
separately on the Companys balance sheet.
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
F-13
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
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.
The Company adopted Financial Accounting Standards
No. 123R, Share-Based Payment
(SFAS No. 123R) in the Successor period beginning on
February 25, 2005. As permitted by SFAS No. 123R
under the Modified Prospective Application transition method the
Company has chosen to apply APB Opinion No. 25,
Accounting for Stock Issued to Employees
(APB No. 25) and related interpretations in
accounting for its stock option plans in the Predecessor period
from January 1, 2005 through February 24, 2005 and the
years ended December 31, 2003 and 2004 and accordingly, no
compensation cost has been recognized for options granted under
the Predecessor stock option plans.
The fair value of each option grant under the Predecessor plans
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, volatility of 45% in 2004 and
2003, an expected life of four years from the date of vesting
and a risk free interest rate of 3.1% in 2004 and 2003.
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 income was as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pred | |
|
ecessor | |
|
|
| |
|
| |
|
|
For the Year Ended | |
|
|
|
|
December 31, | |
|
Period from January 1, | |
|
|
| |
|
through February 24, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts) | |
Net income available to common stockholders as
reported
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
Add: Stock-based employee compensation cost, net of related tax
effects, included in the determination of net income as reported
|
|
|
|
|
|
|
|
|
|
|
87,927 |
|
Deduct: Total stock based employee compensation expense
determined under fair value based method for all awards, net of
related tax effects
|
|
|
(19,376 |
) |
|
|
(21,069 |
) |
|
|
(14,931 |
) |
|
|
|
|
|
|
|
|
|
|
Net income available to common stockholders pro forma
|
|
$ |
55,095 |
|
|
$ |
97,115 |
|
|
$ |
(27,255 |
) |
|
|
|
|
|
|
|
|
|
|
Weighted average grant-date fair value(1)
|
|
|
6.64 |
|
|
|
6.42 |
|
|
|
|
|
|
|
(1) |
No stock options were granted in the period from January 1,
2005 through February 24, 2005. |
The table above has been revised to include information for the
period from January 1, 2005 through February 24, 2005.
Refer to Footnote 10 Stock Option and
Restricted Stock Plans for information on the Successor
stock option and restricted stock plans.
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
F-14
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
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% and 50% of the Companys
consolidated net operating revenues for the years ended
December 31, 2003 and 2004, respectively and 52% for the
period January 1 through February 24, 2005 and 57% for the
period February 25 through December 31, 2005. Approximately
39% and 44% of the Companys gross accounts receivable at
December 31, 2004 and 2005, respectively, 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.
|
|
|
Other Comprehensive Income (Loss) |
The Company used 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 accumulated other comprehensive income (loss) and
was a gain of $9.1 million and $1.8 million at
December 31, 2004 and 2005, respectively. Also, included in
other comprehensive income (loss) at December 31, 2005 a
gain of $3.5 million on the interest rate swap, net of tax
of $2.5 million.
|
|
|
Financial Instruments and Hedging |
Effective January 1, 2001, the Company adopted
SFAS No. 133 Accounting for Derivative
Instruments and Hedging Activities (SFAS
No. 133). 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 has entered into interest rate
swaps to manage interest rate risk on a portion of its long-term
borrowings. Interest rate swaps that qualify for hedge treatment
in accordance with SFAS No. 133 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. For derivative instruments that do not
qualify for hedge treatment gains or losses are recognized
through the consolidated statement of operations.
The Company did not have any interest rate swap arrangements at
December 31, 2003 and 2004. Refer to Footnote 14 for
information regarding swaps entered into during 2005.
|
|
|
Recent Accounting Pronouncements |
In February 2006, the FASB issued SFAS No. 155,
Accounting for Certain Hybrid Financial
Instruments an amendment of FASB Statements
No. 133 and 140 (SFAS No. 155).
SFAS No. 155
F-15
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
simplifies the accounting for certain hybrid financial
instruments, eliminates the FASBs interim guidance which
provides that beneficial interests in securitized financial
assets are not subject to the provisions of
SFAS No. 133, Accounting for Derivative
Instruments and Hedging Activities, and eliminates the
restriction on the passive derivative instruments that a
qualifying special-purpose entity may hold.
SFAS No. 155 is effective for all financial
instruments acquired or issued after the beginning of an
entitys first fiscal year that begins after
September 15, 2006. The Company does not anticipate that
the implementation of this standard will have a material impact
on its financial position, results of operations or cash flows.
In June 2005, the Emerging Issues Task Force (EITF)
reached a consensus on Issue No. 05-6, Determining
the Amortization Period for Leasehold Improvements, which
requires that leasehold improvements acquired in a business
combination or purchased subsequent to the inception of a lease
be amortized over the lesser of the useful life of the assets or
a term that includes renewals that are reasonably assured at the
date of the business combination or purchase. EITF No. 05-6
is effective for periods beginning after June 29, 2005. The
provisions of this consensus did not have a material impact on
the Companys financial position, results of operations or
cash flows.
In May 2005, the Financial Accounting Standards Board issued
SFAS No. 154, Accounting Changes and Error
Corrections a replacement of APB Opinion No. 20
and FASB Statement No. 3
(SFAS No. 154). This statement applies to
all voluntary changes in accounting principles and changes
required by an accounting pronouncement where no specific
transition provisions are included. SFAS No. 154
requires retrospective application to prior periods
financial statements of changes in accounting principles, unless
it is impracticable to determine either the period-specific
effects or the cumulative effect of the change. Retrospective
application is limited to the direct effects of the change; the
indirect effects should be recognized in the period of the
change. This statement carries forward without changing the
guidance contained in Opinion 20 for reporting the correction of
an error in previously issued financial statements and a change
in accounting estimate. However, SFAS No. 154
redefines restatement as the revision of previously issued
financial statements to reflect the correction of an error. The
provisions of SFAS No. 154 are effective for
accounting changes and correction of errors made in fiscal
periods that begin after December 15, 2005, although early
adoption is permitted. The Company does not anticipate that the
implementation of this standard will have a material impact on
its financial position, results of operations or cash flows.
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 did not 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 did not have a material impact on the
Companys financial position and results of operations.
F-16
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
In December 2004, the Financial Accounting Standards Board
issued SFAS No. 153, Exchanges of Nonmonetary
Assets, an amendment of APB Opinion No. 29
(SFAS No. 153). 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 No. 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 did not have a material
impact on the Companys financial position and results of
operations.
Certain reclassifications have been made to the prior
years consolidated financial statements to conform to
current year presentation.
|
|
|
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. The
excess of the amount of the purchase price over the net asset
value, including identifiable intangible assets, was allocated
to goodwill. The factors that were considered when determining
the purchase price that resulted in goodwill included its future
earnings potential, its nationally recognized clinical expertise
and the general and administrative cost savings opportunities
that could be achieved by utilizing Selects
infrastructure. 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 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. 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 repurchased minority interests of
certain subsidiaries for $3.2 million in cash.
|
|
|
For the Year Ended December 31, 2004 |
The Company acquired controlling interests in three outpatient
therapy businesses. The Company also repurchased minority
interests of certain subsidiaries. Total consideration for these
transactions totaled $2.1 million including
$1.9 million in cash and $0.2 million in notes issued.
F-17
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
For the Year Ended December 31, 2005 |
Effective as of January 1, 2005, the Company acquired
SemperCare Inc. for approximately $100.0 million in cash.
The acquisition consisted of 17 long-term acute care hospitals
in 11 states. All of the SemperCare facilities are operated
as hospitals within hospitals. The factors that were considered
when determining the purchase price that resulted in goodwill
included the earnings growth potential for these long-term acute
care hospitals, general and administrative cost savings
opportunities that could be achieved by utilizing Selects
infrastructure and additional development opportunities in
certain states with Certificate of Need regulations.
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
|
|
|
22,143 |
|
Other current assets
|
|
|
4,718 |
|
Property and equipment
|
|
|
9,265 |
|
Other assets
|
|
|
242 |
|
Current liabilities
|
|
|
(14,150 |
) |
Long-term debt
|
|
|
(1,203 |
) |
|
|
|
|
Net tangible assets acquired
|
|
|
21,015 |
|
Intangible assets acquired
|
|
|
2,000 |
|
Goodwill
|
|
|
82,070 |
|
|
|
|
|
|
|
$ |
105,085 |
|
|
|
|
|
The Company also acquired interests in three outpatient therapy
businesses. The Company also repurchased minority interests of
certain subsidiaries. Total consideration for these transactions
totaled $6.5 million in cash.
Information with respect to businesses acquired in purchase
transactions is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Year Ended | |
|
January 1 | |
|
|
February 25, | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Cash paid (net of cash acquired)
|
|
$ |
227,731 |
|
|
$ |
1,937 |
|
|
$ |
108,279 |
|
|
|
$ |
3,276 |
|
Notes issued
|
|
|
316 |
|
|
|
214 |
|
|
|
|
|
|
|
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
228,047 |
|
|
|
2,151 |
|
|
|
108,279 |
|
|
|
|
3,336 |
|
Liabilities assumed
|
|
|
36,513 |
|
|
|
573 |
|
|
|
19,924 |
|
|
|
|
148 |
|
Restructuring reserve (note 6)
|
|
|
16,213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
280,773 |
|
|
|
2,724 |
|
|
|
128,203 |
|
|
|
|
3,484 |
|
Fair value of assets acquired, principally accounts receivable
and property and equipment
|
|
|
126,406 |
|
|
|
227 |
|
|
|
41,295 |
|
|
|
|
165 |
|
Trademark
|
|
|
21,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Non-compete agreement
|
|
|
24,000 |
|
|
|
|
|
|
|
2,000 |
|
|
|
|
|
|
Minority interest liabilities relieved
|
|
|
1,405 |
|
|
|
1,069 |
|
|
|
|
|
|
|
|
666 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost in excess of fair value of net assets acquired (goodwill)
|
|
$ |
107,962 |
|
|
$ |
1,428 |
|
|
$ |
84,908 |
|
|
|
$ |
2,653 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-18
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The following pro forma unaudited results of operations have
been prepared assuming the acquisition of Kessler Rehabilitation
Corporation and SemperCare Inc. 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 | |
|
2004 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
1,571,865 |
|
|
$ |
1,756,083 |
|
Net income
|
|
|
58,615 |
|
|
|
126,036 |
|
|
|
3. |
Discontinued Operations and Assets and Liabilities Held For
Sale |
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 years ended December 31, 2003 and 2004.
Previously, the operating results of this facility were included
in the Companys specialty hospitals segment. No gain or
loss was recognized on the sale.
On December 23, 2005, the Company agreed to sell all of the
issued and outstanding shares of its wholly-owned subsidiary,
Canadian Back Institute Limited, (CBIL). The sale
was completed on March 1, 2006 for approximately
C$89.8 million (US $79.0 million). CBIL operated
approximately 109 outpatient rehabilitation clinics in seven
Canadian provinces. The Company operated all of its Canadian
activity through CBIL. The purchase price is subject to
adjustment based on the amount of net working capital and long
term liabilities of CBIL and its subsidiaries on the closing
date. CBILs assets and liabilities have been classified as
held for sale at December 31, 2005 and its operating
results have been classified as discontinued operations and cash
flows have been included with continuing operations for the
years ended December 31, 2003, 2004 and 2005. Previously,
the operating results of this subsidiary were included in the
Companys outpatient rehabilitation segment.
F-19
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The major classes of assets and liabilities included in the
consolidated balance sheet for December 31, 2005 relating
to CBILs assets and liabilities held for sale are as
follows:
|
|
|
|
|
|
|
|
December 31, | |
|
|
2005 | |
|
|
| |
|
|
(In thousands) | |
Current assets held for sale:
|
|
|
|
|
|
Accounts receivable, net
|
|
$ |
9,334 |
|
|
Other current assets
|
|
|
4,542 |
|
|
|
|
|
|
Total current assets held for sale
|
|
$ |
13,876 |
|
|
|
|
|
Non-current assets held for sale:
|
|
|
|
|
|
Property, plant and equipment, net
|
|
$ |
3,461 |
|
|
Goodwill allocated to business
|
|
|
57,252 |
|
|
Other assets
|
|
|
675 |
|
|
|
|
|
|
Total non-current assets held for sale
|
|
$ |
61,388 |
|
|
|
|
|
Current liabilities held for sale:
|
|
|
|
|
|
Current portion of long-term debt
|
|
$ |
477 |
|
|
Accrued other
|
|
|
3,738 |
|
|
|
|
|
|
Total current liabilities held for sale
|
|
$ |
4,215 |
|
|
|
|
|
Long-term liabilities:
|
|
|
|
|
|
Long-term debt, net of current portion
|
|
$ |
731 |
|
|
Other long-term liabilities
|
|
|
3,086 |
|
|
|
|
|
|
Total non current liabilities held for sale
|
|
$ |
3,817 |
|
|
|
|
|
Summarized income statement information relating to discontinued
operations of the skilled nursing facility and CBIL are as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Year Ended | |
|
January 1 | |
|
|
February 25, | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
55,116 |
|
|
$ |
69,699 |
|
|
$ |
10,051 |
|
|
|
$ |
60,161 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations before income tax expense
|
|
|
6,388 |
|
|
|
8,019 |
|
|
|
950 |
|
|
|
|
8,130 |
|
Income tax expense(1)
|
|
|
2,523 |
|
|
|
3,561 |
|
|
|
428 |
|
|
|
|
5,058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net of tax
|
|
$ |
3,865 |
|
|
$ |
4,458 |
|
|
$ |
522 |
|
|
|
$ |
3,072 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The period from February 25 through December 31, 2005
includes income tax of $1.4 million related to
undistributed earnings of the Companys foreign subsidiary
that were previously permanently reinvested. |
Also occurring in 2004 were the sale of all the Companys
membership rights in four limited liability companies. Total
consideration for these sales was $4.1 million. No gain or
loss was recognized on the sales.
F-20
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
4. |
Property and Equipment |
Property and equipment consists of the following:
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
December 31, | |
|
|
| |
|
|
| |
|
|
2004 | |
|
|
2005 | |
|
|
| |
|
|
| |
|
|
(In thousands) | |
Land
|
|
$ |
11,996 |
|
|
|
$ |
17,599 |
|
Leasehold improvements
|
|
|
90,919 |
|
|
|
|
46,242 |
|
Buildings
|
|
|
46,044 |
|
|
|
|
55,281 |
|
Furniture and equipment
|
|
|
159,240 |
|
|
|
|
85,946 |
|
Construction-in-progress
|
|
|
973 |
|
|
|
|
67,778 |
|
|
|
|
|
|
|
|
|
|
|
|
309,172 |
|
|
|
|
272,846 |
|
Less: accumulated depreciation and amortization
|
|
|
143,836 |
|
|
|
|
24,305 |
|
|
|
|
|
|
|
|
|
Total property and equipment
|
|
$ |
165,336 |
|
|
|
$ |
248,541 |
|
|
|
|
|
|
|
|
|
Property and equipment cost were adjusted to fair market value
on February 24, 2005 as a result of the Merger and the
accumulated depreciation and amortization balance was eliminated.
On August 11, 2004, the Centers for Medicare &
Medicaid Services (CMS) published final regulations
applicable to long-term acute care hospitals that are operated
as hospitals within hospitals (HIHs).
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. During the
Successor period ended December 31, 2005, the Company,
through one of its wholly owned subsidiaries, purchased five
freestanding facilities and one property for a new hospital for
a total purchase price of $54.6 million.
Depreciation expense was $29.0 million and
$33.1 million for the years ended December 31, 2003
and 2004, respectively and $5.3 million for the period from
January 1, through February 24, 2005 and
$30.4 million for the period from February 25, 2005
through December 31, 2005.
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.
The Company performed its annual impairment test as of
October 1, 2005 on its specialty hospital and outpatient
rehabilitation reporting units. Due to the fair value of the
Companys reporting units being greater than the carrying
value, no loss on impairment was recognized.
F-21
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The fair values of the identifiable intangibles acquired and the
amount of goodwill recorded as a result of the Merger were
determined based on valuation analysis. Intangible assets
consist of the following:
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
As of December 31, 2004 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(In thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Non-compete agreement
|
|
$ |
24,000 |
|
|
$ |
(4,571 |
) |
|
|
|
|
|
|
|
Indefinite-lived intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
302,069 |
|
|
|
|
|
Trademarks
|
|
|
58,875 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
360,944 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
| |
|
|
As of December 31, 2005 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(In thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Contract therapy relationships
|
|
$ |
20,456 |
|
|
$ |
(3,409 |
) |
Non-compete agreements
|
|
|
20,809 |
|
|
|
(3,100 |
) |
|
|
|
|
|
|
|
Total
|
|
$ |
41,265 |
|
|
$ |
(6,509 |
) |
|
|
|
|
|
|
|
Indefinite-lived intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
1,305,210 |
|
|
|
|
|
Trademarks
|
|
|
47,058 |
|
|
|
|
|
Certificates of need
|
|
|
3,083 |
|
|
|
|
|
Accreditations
|
|
|
1,892 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
1,357,243 |
|
|
|
|
|
|
|
|
|
|
|
|
Amortization expense for intangible assets with finite lives
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
| |
|
| |
|
|
For the Year | |
|
Period from | |
|
Period from | |
|
|
Ended | |
|
January 1 | |
|
February 25 | |
|
|
December 31, | |
|
through | |
|
through | |
|
|
| |
|
February 24, | |
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Amortization expense
|
|
$ |
948 |
|
|
$ |
3,429 |
|
|
$ |
576 |
|
|
$ |
6,509 |
|
Estimated amortization expense for intangible assets for each of
the five years commencing January 1, 2006 will be
approximately $7.8 million in 2006 through 2010 and
primarily relates to the amortization of the value associated
with the non-compete agreements entered into in connection with
the acquisitions of Kessler Rehabilitation Corporation and
SemperCare Inc. and the value assigned to the Companys
contract therapy relationships. The useful lives of the Kessler
non-compete, SemperCare non-compete and the Companys
contract therapy relationships are approximately six, seven and
five years, respectively.
F-22
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The changes in the carrying amount of goodwill for the
Companys reportable segments for the years ended
December 31, 2004 and 2005 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Predecessor:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of January 1, 2004
|
|
$ |
180,011 |
|
|
$ |
125,656 |
|
|
$ |
584 |
|
|
$ |
306,251 |
|
Sale of discontinued operations
|
|
|
(2,693 |
) |
|
|
|
|
|
|
|
|
|
|
(2,693 |
) |
Sale 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 |
|
Goodwill acquired during the year
|
|
|
82,070 |
|
|
|
2,838 |
|
|
|
|
|
|
|
84,908 |
|
Income tax benefits recognized
|
|
|
|
|
|
|
(936 |
) |
|
|
|
|
|
|
(936 |
) |
Translation adjustment
|
|
|
|
|
|
|
(880 |
) |
|
|
|
|
|
|
(880 |
) |
Other
|
|
|
260 |
|
|
|
|
|
|
|
|
|
|
|
260 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of February 24, 2005
|
|
$ |
258,297 |
|
|
$ |
126,540 |
|
|
$ |
584 |
|
|
$ |
385,421 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
February 25, 2005, beginning balance resulting from Merger
|
|
|
1,225,780 |
|
|
|
132,509 |
|
|
|
|
|
|
|
1,358,289 |
|
Deferred tax adjustments related to merger
|
|
|
(6,441 |
) |
|
|
6,269 |
|
|
|
|
|
|
|
(172 |
) |
Goodwill acquired during year
|
|
|
2,270 |
|
|
|
383 |
|
|
|
|
|
|
|
2,653 |
|
Translation adjustment
|
|
|
|
|
|
|
1,951 |
|
|
|
|
|
|
|
1,951 |
|
Goodwill allocated to assets held for sale
|
|
|
|
|
|
|
(57,252 |
) |
|
|
|
|
|
|
(57,252 |
) |
Other
|
|
|
167 |
|
|
|
(426 |
) |
|
|
|
|
|
|
(259 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2005
|
|
$ |
1,221,776 |
|
|
$ |
83,434 |
|
|
|
|
|
|
$ |
1,305,210 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6. |
Restructuring Reserves |
The Company recorded a restructuring reserve of
$5.7 million 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 $16.2 million 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.
F-23
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The following summarizes the Companys restructuring
activity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Lease | |
|
|
|
|
|
|
Termination Costs | |
|
Severance | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
January 1, 2003 Predecessor
|
|
$ |
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 Predecessor
|
|
|
5,805 |
|
|
|
4,570 |
|
|
|
10,375 |
|
Amounts paid in 2004
|
|
|
(2,580 |
) |
|
|
(2,871 |
) |
|
|
(5,451 |
) |
|
|
|
|
|
|
|
|
|
|
December 31, 2004 Predecessor
|
|
|
3,225 |
|
|
|
1,699 |
|
|
|
4,924 |
|
Amounts paid during the period from January 1 through
February 24, 2005
|
|
|
(197 |
) |
|
|
(392 |
) |
|
|
(589 |
) |
|
|
|
|
|
|
|
|
|
|
February 24, 2005 Predecessor
|
|
|
3,028 |
|
|
|
1,307 |
|
|
|
4,335 |
|
Amounts paid during the period from February 25 through
December 31, 2005
|
|
|
(2,638 |
) |
|
|
(1,307 |
) |
|
|
(3,945 |
) |
|
|
|
|
|
|
|
|
|
|
December 31, 2005 Successor
|
|
$ |
390 |
|
|
$ |
|
|
|
$ |
390 |
|
|
|
|
|
|
|
|
|
|
|
The Company expects to pay out the remaining lease termination
costs through 2007.
|
|
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 | |
|
|
2005 | |
|
|
(Predecessor) | |
|
|
(Successor) | |
|
|
| |
|
|
| |
|
|
(In thousands) | |
91/2
% Senior Subordinated Notes
|
|
$ |
175,000 |
|
|
|
$ |
|
|
71/2
% Senior Subordinated Notes
|
|
|
175,000 |
|
|
|
|
|
|
75/8
% Senior Subordinated Notes
|
|
|
|
|
|
|
|
660,000 |
|
Senior secured credit facility
|
|
|
|
|
|
|
|
660,650 |
|
10% senior subordinated notes
|
|
|
|
|
|
|
|
131,609 |
|
Senior floating rate notes
|
|
|
|
|
|
|
|
175,000 |
|
Seller notes
|
|
|
3,406 |
|
|
|
|
899 |
|
Other
|
|
|
1,184 |
|
|
|
|
731 |
|
|
|
|
|
|
|
|
|
Total debt
|
|
|
354,590 |
|
|
|
|
1,628,889 |
|
Less: current maturities
|
|
|
3,557 |
|
|
|
|
6,516 |
|
|
|
|
|
|
|
|
|
Total long-term debt
|
|
$ |
351,033 |
|
|
|
$ |
1,622,373 |
|
|
|
|
|
|
|
|
|
|
|
|
Senior Secured Credit Facility |
Selects senior secured credit facility provides for senior
secured financing of up to $880.0 million, consisting of:
|
|
|
|
|
A $300.0 million revolving credit facility that will
terminate on February 24, 2011 including both a letter of
credit sub facility and a swingline loan sub facility and; |
F-24
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
|
|
A $580.0 million term loan facility that matures on
February 24, 2012 that was drawn at the closing of the
Merger. |
The interest rates per annum applicable to loans, other than
swingline loans, under Selects senior secured credit
facility is, at Selects 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 Selects lenders are subject. The
applicable margin percentage for revolving loans is currently
(1) 1.00% for alternate base rate loans and (2) 2.00%
for adjusted LIBOR loans subject to change based upon the ratio
of Selects total indebtedness to its consolidated EBITDA
(as defined in the credit agreement). 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 December 31, 2005 was 5.4%.
On the last business day of each calendar quarter Select is
required to pay a commitment fee in respect of any unused
commitment under the revolving credit facility. The annual
commitment fee is currently 0.375% and is subject to adjustment
based upon the ratio of Selects total indebtedness to its
consolidated EBITDA (as defined in the credit agreement).
Availability under the revolving credit facility at
December 31, 2005 was approximately $193.0 million.
Select is authorized to issue up to $50.0 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 ratio tests. Approximately
$22.0 million in letters of credit were outstanding at
December 31, 2005.
The senior secured credit facility requires scheduled quarterly
payments on the term loans each equal to $1.45 million per
quarter through December 31, 2010, with the balance of the
term loans paid in four equal quarterly installments thereafter.
The senior secured credit facility requires Select 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 December 31, 2005,
Select is in compliance with all debt covenants in the senior
secured credit facility.
Selects senior secured credit facility is guaranteed by
Holdings and substantially all of Selects current
subsidiaries, and will be guaranteed by substantially all of
Selects future subsidiaries and secured by substantially
all of its existing and future property and assets and by a
pledge of its capital stock and the capital stock of its
subsidiaries.
F-25
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
Senior Subordinated Notes |
On February 24, 2005, EGL Acquisition Corp. sold
$660.0 million of its
75/8
% Senior Subordinated Notes (the Notes)
due 2015 which Select assumed in the Merger. The net proceeds of
the offering were used to finance a portion of the Merger
consideration as discussed in Note 1, refinance certain of
Selects existing indebtedness, and pay related fees and
expenses. The Notes are unconditionally guaranteed on a senior
subordinated basis by all of Selects wholly-owned domestic
subsidiaries (the Subsidiary Guarantors). Certain of
Selects 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 Selects existing and future
senior subordinated indebtedness and senior to all of
Selects existing and future subordinated indebtedness. The
Notes were not guaranteed by Holdings.
On and after February 1, 2010, Select will be entitled at
its option to redeem all or a portion of the 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, Select may at its option on one
or more occasions with the net cash proceeds from certain equity
offerings, redeem the 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.
Select 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 Select, each holder
of the Notes shall have the right to require Select 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.
The indenture governing the Notes contains customary events of
default and affirmative and negative covenants that, among other
things, limit Selects 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.
|
|
|
71/2% Senior
Subordinated Notes |
On August 12, 2003, Select 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. Upon consummation of the Merger, the
notes were repurchased.
F-26
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
91/2% Senior
Subordinated Notes |
On June 11, 2001 Select issued
91/2% Senior
Subordinated Notes due 2009 in an original aggregate principal
amount of $175.0 million. The net proceeds relating to the
91/2% Senior
Subordinated Notes were used to repay debt under Selects
then existing senior credit facility and to repay its then
existing 10% Senior Subordinated Notes. Upon consummation
of the Merger, Select repurchased $169.3 million in
aggregate principal amount of the
91/2% Senior
Subordinated Notes, representing approximately 97% of the
outstanding principal amount of such notes. The remaining
$5.8 million of the
91/2
% Senior Subordinated Notes were redeemed by Select
on June 15, 2005.
|
|
|
Senior Floating Rate Notes |
On September 29, 2005, Holdings, whose sole asset is its
investment in Select, issued $175.0 million of Senior
Floating Rate Notes, due 2015 (the Holdings Notes).
The Holdings Notes are senior unsecured obligations of Holdings
and bear interest at a floating rate, reset semi-annually, equal
to 6-month LIBOR plus
5.75 percent. Simultaneously with the financing, the
Company entered into an interest rate swap arrangement,
effectively fixing the interest rate of the notes. The Holdings
Notes are not guaranteed by Select or any of its subsidiaries.
Payment of interest expense on the Holdings Notes is expected to
be funded through periodic dividends from Select. The terms of
Selects existing senior secured credit facility, as well
as the indenture governing the
75/8
% Senior Subordinated Notes, and certain other
agreements, restrict Select and certain of its subsidiaries from
making payments or transferring assets to Holdings, including
dividends, loans or other distributions. Such restrictions
include prohibition of dividends in an event of default and
limitations on the total amount of dividends paid to Holdings.
In the event these agreements do not permit such subsidiaries to
provide Holdings with sufficient distributions to fund interest
and principal payments on the Holdings Notes when due, Holdings
may default on its notes unless other sources of funding are
available.
Proceeds from the offering were used to pay a special dividend
of $175.0 million to stockholders of Holdings in September
2005. The payment of the special dividend triggered a payment
obligation of $14.5 million under Holdings long-term
incentive compensation plan, which was paid in September 2005
(see Note 9).
Prior to September 15, 2009, Holdings may redeem all or a
portion of the Holdings Notes at a price equal to 100% of the
principal amount plus accrued and unpaid interest to the
redemption date and a make-whole premium.
Thereafter, Holdings may redeem some or all of the Holdings
Notes at the redemption prices set forth below:
|
|
|
|
|
Year |
|
Redemption Price | |
|
|
| |
2009
|
|
|
102.00 |
% |
2010
|
|
|
101.00 |
% |
2011
|
|
|
100.00 |
% |
Prior to September 15, 2008, Holdings may redeem either all of
the outstanding Holdings Notes or up to 35% of the aggregate
principal amount of the Holdings Notes with the proceeds of one
or more equity offerings at a redemption price equal to par plus
the coupon on the Holdings Notes at the time notice of
redemption is given.
Holdings is not required to make any mandatory redemption or
sinking fund payments with respect to the Holdings Notes.
However, upon the occurrence of any change of control of
Holdings, each holder of the Holdings Notes shall have the right
to require Holdings to repurchase such 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-27
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The indenture governing the Holdings Notes contains customary
events of default and affirmative and negative covenants that,
among other things, limit Holdings ability and the ability
of its restricted subsidiaries, including Select, to: incur
additional indebtedness and issue or sell preferred stock; pay
dividends on, redeem or repurchase capital stock; make certain
investments; create certain liens; sell certain assets; incur
obligations that restrict the ability of its subsidiaries to
made dividends or other payments; guarantee indebtedness; engage
in transactions with affiliates; create or designate
unrestricted subsidiaries; and consolidate, merge or transfer
all or substantially all of its assets and the assets of its
subsidiaries on a consolidated basis.
|
|
|
10% Senior Subordinated Notes |
On February 24, 2005, Holdings issued 10% senior
subordinated notes 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 senior subordinated
notes had preferred and common shares attached which were
recorded at the estimated fair market value on the date of
issuance. These shares were recorded as a discount to the senior
subordinated notes and are amortized using the interest method.
Maturities of the Companys long-term debt for the years
after 2005 are approximately as follows (in thousands):
|
|
|
|
|
2006
|
|
$ |
6,516 |
|
2007
|
|
|
6,559 |
|
2008
|
|
|
5,955 |
|
2009
|
|
|
5,800 |
|
2010
|
|
|
5,800 |
|
2011 and beyond
|
|
|
1,598,259 |
|
On February 23, 2004, the Predecessors Board of
Directors authorized a program to repurchase up to
$80.0 million of its common stock. 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 did not purchase
any of its stock under its share repurchase program during the
pendency of the Merger, which is described in Footnote 1.
Holdings is authorized to issue 25,000,000 shares of
participating preferred stock. Holdings issued
22,165,256.17 shares of participating preferred stock
during the Successor period ended December 31, 2005 for
$596.2 million. The participating preferred stock accrues
dividends at an annual dividend rate of 5%, compounded quarterly
on March 31, June 30, September 30 and
December 31 of each year. Dividends earned during the
Successor period ended December 31, 2005 amounted to
$23.5 million and were charged against retained earnings.
Each share of participating preferred stock is entitled to one
vote on all matters submitted to stockholders of Holdings. The
participating preferred stock ranks senior to the common stock
with respect to dividend rights and rights upon liquidation. The
liquidation preference is equal to the original cost of a share
of the preferred stock ($26.90 per share) plus all accrued and
unpaid dividends thereon less the amount of any previously
declared and paid special dividends.
F-28
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
In connection with Holdings issuance of the Holdings
Notes, Holdings paid in September 2005 a special dividend of
$175.0 million, which included $17.9 million of
accreted dividends, on the preferred stock (see Note 7).
Upon the redemption of the participating preferred stock
occurring due to a change of control or the conversion and
redemption of the participating preferred stock occurring due to
a sale of common stock of Holdings through a public offering,
each holder of participating preferred stock will receive cash
equal to the original cost of a share of the preferred stock
($26.90 per share) plus all accrued and unpaid dividends thereon
less the amount of any previously declared and paid special
dividends and a number of shares of common stock equal to the
number of participating preferred shares owned.
As part of the Merger, common stock of the Predecessor was
retired. Holdings is authorized to issue 250,000,000 shares
of $0.001 par value common stock. Holdings issued
205,408,342 shares of common stock in the Successor period
ended December 31, 2005 of which 56,346,996 shares
were related to restricted stock grants (see Note 10).
|
|
9. |
Long-Term Incentive Compensation |
On June 2, 2005, Holdings adopted a Long-Term Cash
Incentive Plan (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 the Company,
provide competitive incentive compensation opportunities and
further align the interests of participating key employees with
Holdings stockholders.
Payment of cash benefits is based upon (i) the value of the
Company upon a change of control or upon qualified initial
public offering 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 the Company, no expense for any award is reflected
in the Companys financial statements.
As a result of the special dividend of $175.0 million paid
to Holdings preferred stockholders on September 29,
2005, certain provisions of Holdings long-term incentive
compensation plan were met and resulted in a payment of
$14.5 million to certain senior management of the Company.
The expense of $14.5 million in long-term compensation was
included in general and administrative expense in the period
from February 25, 2005 through December 31, 2005.
|
|
10. |
Stock Option and Restricted Stock Plans |
|
|
|
Predecessor Stock Option Plans |
All stock options related to the Predecessor stock incentive
plans (Select Medical Corporation Second Amended and Restated
1997 Stock Option Plan and the 2002 Non-Employee Directors
Plan) were canceled in connection with the Merger. Stock option
holders received as consideration 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). Select paid a total of
$142.2 million in cash to stock option holders to cancel
these options. Of this amount, $115.0 million was paid to
individuals that are classified as general and administrative
positions and $27.2 million to individuals classified as
cost of services positions.
F-29
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
Successor Stock Option and Restricted Stock Plans |
The Company adopted Financial Accounting Standards
No. 123R, Share-Based Payment
(SFAS No. 123R) in the Successor period beginning on
February 25, 2005. Holdings 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.
On August 10, 2005, Holdings adopted a Director Stock
Option Plan (Director Plan) for non-employee
directors. 250,000 shares of common stock have been
reserved for awards under the Director Plan. As of
August 10, 2005, options to
purchase 60,000 shares of common stock were issued to
non-employee directors under the new Director Plan.
Shares of common stock relating to expired or terminated options
may again be subject to an option under the Director Plan,
subject to limited restrictions, including any limitation
required by the Internal Revenue Code. The Director Plan
provides for grants of non-qualified stock options. The purposes
of the director plan are to attract and retain qualified
non-employees to serve on our board of directors and to enhance
the future growth of the Company by aligning such persons
interests with those of Holdings stockholders.
The compensation committee of Holdings board of directors
administers the Director Plan. If there is no compensation
committee, Holdings board of directors shall administer
the Director Plan.
The Director Plan will terminate ten years following its
effective date. The board of directors may amend the Director
Plan, subject to certain limitations.
Holdings granted 56,346,996 shares of common stock of
Holdings as restricted stock awards during the period from
February 25, 2005 through December 31, 2005. These
awards range in value from $0.34 to $0.50 per share and
generally vest over five years with a term not to exceed ten
years. The fair value of the restricted stock awards were
determined by using the price exchanged for common stock of
Holdings that occurred in close proximity to the issuance of
restricted stock awards and then applying an estimated discount
for the lack of control and lack of marketability attributes of
the restricted stock. Both the discount for lack of control and
the discount for lack of marketability were estimated by using
two methodologies to yield a range of results. The estimated
range of discount for lack of control is 10% to 20% and the
range of discount for lack of marketability is 35% to 40%.
Compensation expense for each of the next five years, based on
restricted stock awards granted as of December 31, 2005, is
estimated to be as follows (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2006 | |
|
2007 | |
|
2008 | |
|
2009 | |
|
2010 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Compensation expense
|
|
$ |
3,759 |
|
|
$ |
3,759 |
|
|
$ |
2,173 |
|
|
$ |
1,155 |
|
|
$ |
204 |
|
Effective at the time of the Merger, Holdings granted stock
options for shares of common stock to certain employees
amounting to options to purchase 1,984,450 shares at
an exercise price of $1.00 per share. In addition, on
August 10, 2005 Holdings granted 60,000 options to
non-employee directors under the 2005 Equity Incentive Plan for
Non-Employee Directors. The options generally vest over five
years and have an option term not to exceed 10 years. The
fair value of an option to purchase one share was estimated to
be $0.03. 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%.
For the stock compensation expense recognized in the period from
February 25, 2005 through December 31, 2005 related to
the stock option and restricted stock plans, $10.1 million
was associated with individuals that are classified as general
and administrative positions and $0.2 million with
individuals classified as cost of services positions.
F-30
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Significant components of the Companys tax provision from
continuing operations for the years ended December 31, 2003
and 2004 and the period from January 1 through February 24,
2005 and the period from February 25 through December 31,
2005 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Year Ended | |
|
January 1 | |
|
|
February 25 | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Current:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Federal
|
|
$ |
33,172 |
|
|
$ |
53,742 |
|
|
$ |
3,632 |
|
|
|
$ |
26,585 |
|
|
State and local
|
|
|
6,229 |
|
|
|
12,006 |
|
|
|
437 |
|
|
|
|
2,929 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current
|
|
|
39,401 |
|
|
|
65,748 |
|
|
|
4,069 |
|
|
|
|
29,514 |
|
Deferred
|
|
|
6,837 |
|
|
|
10,803 |
|
|
|
(63,863 |
) |
|
|
|
19,822 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income tax provision
|
|
$ |
46,238 |
|
|
$ |
76,551 |
|
|
$ |
(59,794 |
) |
|
|
$ |
49,336 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The differences between the expected income tax provision from
continuing operations and income taxes computed at the federal
statutory rate of 35% were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
For the Year | |
|
Period from | |
|
|
Period from | |
|
|
Ended | |
|
January 1 | |
|
|
February 25 | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
Expected federal tax rate
|
|
|
35.0 |
% |
|
|
35.0 |
% |
|
|
35.0 |
% |
|
|
|
35.0 |
% |
State and local taxes, net of federal benefit
|
|
|
3.3 |
|
|
|
3.1 |
|
|
|
4.6 |
|
|
|
|
5.7 |
|
Other permanent differences
|
|
|
1.3 |
|
|
|
0.8 |
|
|
|
|
|
|
|
|
3.4 |
|
Valuation allowance
|
|
|
|
|
|
|
1.3 |
|
|
|
(1.5 |
) |
|
|
|
(1.4 |
) |
Other
|
|
|
|
|
|
|
|
|
|
|
(0.9 |
) |
|
|
|
(1.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
39.6 |
% |
|
|
40.2 |
% |
|
|
37.2 |
% |
|
|
|
41.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-31
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
A summary of deferred tax assets and liabilities is as follows:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
Predecessor | |
|
Successor | |
|
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Deferred tax assets current
|
|
|
|
|
|
|
|
|
Allowance for doubtful accounts
|
|
$ |
37,846 |
|
|
$ |
29,845 |
|
Compensation and benefit related accruals
|
|
|
15,813 |
|
|
|
19,020 |
|
Malpractice insurance
|
|
|
1,082 |
|
|
|
9,717 |
|
Restructuring reserve
|
|
|
1,959 |
|
|
|
201 |
|
Patient care reserve
|
|
|
1,595 |
|
|
|
|
|
Net operating loss carryforwards
|
|
|
|
|
|
|
4,822 |
|
Other accruals, net
|
|
|
944 |
|
|
|
1,890 |
|
|
|
|
|
|
|
|
Net deferred tax asset current
|
|
|
59,239 |
|
|
|
65,495 |
|
|
|
|
|
|
|
|
Deferred tax assets non current
|
|
|
|
|
|
|
|
|
Expenses not currently deductible for tax
|
|
|
199 |
|
|
|
212 |
|
Net operating loss carry forwards
|
|
|
14,289 |
|
|
|
16,050 |
|
Restricted Stock Options
|
|
|
|
|
|
|
(4,413 |
) |
Interest rate swap
|
|
|
|
|
|
|
(2,520 |
) |
Depreciation and amortization
|
|
|
(8,440 |
) |
|
|
(23,166 |
) |
|
|
|
|
|
|
|
Net deferred tax asset (liability) non current
|
|
|
6,048 |
|
|
|
(13,837 |
) |
|
|
|
|
|
|
|
Net deferred tax asset before valuation allowance
|
|
|
65,287 |
|
|
|
51,658 |
|
Valuation allowance
|
|
|
(10,506 |
) |
|
|
(11,961 |
) |
|
|
|
|
|
|
|
|
|
$ |
54,781 |
|
|
$ |
39,697 |
|
|
|
|
|
|
|
|
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 $40.0 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):
|
|
|
|
|
2006
|
|
$ |
|
|
2007
|
|
|
|
|
2008
|
|
|
|
|
2009
|
|
|
|
|
Thereafter through 2019
|
|
|
4,530 |
|
As a result of the acquisition of Kessler Rehabilitation
Corporation and SemperCare, Inc., the Company is subject to the
provisions of Section 382 of the Internal Revenue Code
which provide for annual limitations
F-32
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
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 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 $386.0 million with various expirations.
|
|
12. |
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 30% 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
$4.9 million and $6.8 million during the years ended
December 31, 2003 and 2004, respectively and
$1.2 million for the period from January 1 through
February 24, 2005 and $7.0 million for the period from
February 25 through December 31, 2005.
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 $0.1 million 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, stock compensation
expense, long-term incentive compensation, depreciation and
amortization, equity in earnings from joint ventures, income
from discontinued operations, loss on early retirement of debt,
Merger related charges, other income and minority interest.
The following table summarizes selected financial data for the
Companys reportable segments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Year Ended December 31, 2003 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
849,260 |
|
|
$ |
478,553 |
|
|
$ |
13,844 |
|
|
$ |
1,341,657 |
|
Adjusted EBITDA
|
|
|
145,650 |
|
|
|
66,378 |
|
|
|
(36,185 |
) |
|
|
175,843 |
|
Total assets
|
|
|
512,956 |
|
|
|
365,534 |
|
|
|
200,508 |
|
|
|
1,078,998 |
|
Capital expenditures
|
|
|
22,559 |
|
|
|
8,514 |
|
|
|
4,779 |
|
|
|
35,852 |
|
F-33
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Year Ended December 31, 2004 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
1,089,538 |
|
|
$ |
498,830 |
|
|
$ |
13,156 |
|
|
$ |
1,601,524 |
|
Adjusted EBITDA
|
|
|
236,181 |
|
|
|
71,562 |
|
|
|
(46,287 |
) |
|
|
261,456 |
|
Total assets
|
|
|
520,572 |
|
|
|
318,180 |
|
|
|
274,969 |
|
|
|
1,113,721 |
|
Capital expenditures
|
|
|
23,320 |
|
|
|
5,885 |
|
|
|
3,421 |
|
|
|
32,626 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Period from January 1 through February 24, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
202,465 |
|
|
$ |
73,344 |
|
|
$ |
1,927 |
|
|
$ |
277,736 |
|
Adjusted EBITDA
|
|
|
44,343 |
|
|
|
9,848 |
|
|
|
(7,660 |
) |
|
|
46,531 |
|
Total assets
|
|
|
903,208 |
|
|
|
239,019 |
|
|
|
89,186 |
|
|
|
1,231,413 |
|
Capital expenditures
|
|
|
1,163 |
|
|
|
408 |
|
|
|
1,015 |
|
|
|
2,586 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
Period from February 25 through December 31, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
1,167,855 |
|
|
$ |
407,367 |
|
|
$ |
5,484 |
|
|
$ |
1,580,706 |
|
Adjusted EBITDA
|
|
|
262,996 |
|
|
|
56,109 |
|
|
|
(35,702 |
) |
|
|
283,403 |
|
Total assets(1)
|
|
|
1,652,532 |
|
|
|
293,720 |
|
|
|
222,133 |
|
|
|
2,168,385 |
|
Capital expenditures
|
|
|
101,158 |
|
|
|
3,342 |
|
|
|
2,860 |
|
|
|
107,360 |
|
|
|
(1) |
The outpatient rehabilitation segment includes
$75.3 million in assets held for sale relating to the sale
of the Companys Canadian subsidiary (Footnote 3). |
F-34
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
A reconciliation of net income (loss) to Adjusted EBITDA is as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Year Ended | |
|
January 1 | |
|
|
February 25 | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Net income (loss)
|
|
$ |
74,471 |
|
|
$ |
118,184 |
|
|
$ |
(100,251 |
) |
|
|
$ |
72,327 |
|
Income from discontinued operations
|
|
|
(3,865 |
) |
|
|
(4,458 |
) |
|
|
(522 |
) |
|
|
|
(3,072 |
) |
Income tax expense (benefit)
|
|
|
46,238 |
|
|
|
76,551 |
|
|
|
(59,794 |
) |
|
|
|
49,336 |
|
Minority interest
|
|
|
1,661 |
|
|
|
2,608 |
|
|
|
330 |
|
|
|
|
1,776 |
|
Interest expense, net
|
|
|
24,499 |
|
|
|
30,716 |
|
|
|
4,128 |
|
|
|
|
101,441 |
|
Other income
|
|
|
|
|
|
|
(1,096 |
) |
|
|
(267 |
) |
|
|
|
(1,092 |
) |
Equity in earnings from joint ventures
|
|
|
(824 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Merger related charges
|
|
|
|
|
|
|
|
|
|
|
12,025 |
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
|
|
|
|
|
|
|
|
42,736 |
|
|
|
|
|
|
Depreciation and amortization
|
|
|
33,663 |
|
|
|
38,951 |
|
|
|
5,933 |
|
|
|
|
37,922 |
|
Long-term incentive compensation(1)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,453 |
|
Stock compensation expense(2)
|
|
|
|
|
|
|
|
|
|
|
142,213 |
|
|
|
|
10,312 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA
|
|
$ |
175,843 |
|
|
$ |
261,456 |
|
|
$ |
46,531 |
|
|
|
$ |
283,403 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Included in general and administrative expenses on the
Companys consolidated statement of operations. |
|
(2) |
For the period from January 1 through February 24,
2005 $115.0 million was paid to individuals that are
classified as general and administrative positions and
$27.2 million to individuals classified as cost of services
positions. For the period from February 25 through
December 31, 2005, $10.1 million was associated with
individuals classified as general and administrative positions
and $0.2 million with individuals classified as cost of
services positions. Refer to footnote 10 for more
information. |
|
|
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. On June 13, 2005, the
Company entered into an interest rate swap agreement to hedge
the Companys interest rate risk for a portion of
Selects term loans. The effective date of the swap
transaction was August 22, 2005. The swap is designated as
a cash flow hedge of forecasted LIBOR based variable rate
interest payments. The notional amount of the interest rate swap
is $200.0 million, and the underlying variable rate debt is
associated with Selects senior secured credit facility.
The variable interest rate of the debt was 6.1% and the fixed
rate of the swap was 6.0% at December 31, 2005. The swap is
for a period of five years, with resets on February 22,
May 22, August 22 and November 22 of each year.
On September 19, 2005, the Company entered into an
additional interest rate swap agreement. The effective date of
the swap transaction was September 29, 2005. The swap is
designated as a cash flow hedge of forecasted LIBOR based
variable rate interest payments. The notional amount of the
interest rate swap is $175.0 million, and the underlying
variable rate debt is associated with the $175.0 million
senior floating rate
F-35
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
notes due 2015. The swap is for a period of four years, with
semi-annual resets on March 15 and September 15 of each year.
The interest rate swaps have been designated hedges and qualify
under the provision of SFAS No. 133 as effective
hedges. The interest rate swaps are reflected at fair value in
the consolidated balance sheet as of December 31, 2005 and
the related gains of $3.5 million, net of tax, are recorded
in stockholders equity as a component of other
comprehensive income for the Successor period ended
December 31, 2005. The Company will test for
ineffectiveness whenever financial statements are issued or at
least every three months using the Hypothetical Derivative
Method.
Borrowings under Selects senior secured 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.
The carrying value for the
75/8
% Senior Subordinated Notes was $660.0 million
at December 2005, and the estimated fair value was
$632.8 million at December 31, 2005.
The carrying value for the senior floating rate notes was
$175.0 million at December 31, 2005 and the estimated
fair value was $175.2 million at December 31, 2005.
|
|
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 $1.5 million and $1.9 million
during the years ended December 31, 2003 and 2004,
respectively and $0.3 million for the period from
January 1, 2005 through February 24, 2005
(Predecessor) and $1.7 million for the period from
February 25, 2005 through December 31, 2005
(Successor) to the affiliated companies.
As of December 31, 2005, future rental commitments under
outstanding agreements with the affiliated companies are
approximately as follows (in thousands):
|
|
|
|
|
2006
|
|
$ |
1,963 |
|
2007
|
|
|
1,992 |
|
2008
|
|
|
2,001 |
|
2009
|
|
|
1,843 |
|
2010
|
|
|
1,816 |
|
Thereafter
|
|
|
7,503 |
|
|
|
|
|
|
|
$ |
17,118 |
|
|
|
|
|
F-36
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
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, 2005 are approximately as follows (in
thousands):
|
|
|
|
|
2006
|
|
$ |
73,020 |
|
2007
|
|
|
53,473 |
|
2008
|
|
|
34,108 |
|
2009
|
|
|
18,895 |
|
2010
|
|
|
9,047 |
|
Thereafter
|
|
|
11,013 |
|
|
|
|
|
|
|
$ |
199,556 |
|
|
|
|
|
Total rent expense for operating leases, including cancelable
leases, for the years ended December 31, 2003 and 2004 was
approximately $90.9 million and $102.3 million,
respectively and for the period from January 1, 2005
through February 24, 2005 (Predecessor) was
$18.0 million and for the period from February 25,
2005 through December 31, 2005 (Successor) was
$96.7 million.
Facility rent expense for the years ended December 31, 2003
and 2004 was approximately $68.0 million and
$75.6 million, respectively and for the period from January
1, 2005 through February 24, 2005 (Predecessor) was
$13.6 million and for the period from February 25, 2005
through December 31, 2005 (Successor) was
$68.0 million.
The Company acquired a long-term obligation to care for an
indigent, ventilator dependent, quadriplegic individual through
its acquisition of Kessler Rehabilitation Corporation. In
September 2005, the Company recorded a one time benefit of
$3.8 million related to the termination of this liability.
In March 2000, the Company entered into three-year employment
agreements with three of its executive officers. Under these
agreements, the three executive officers currently receive a
combined total annual salary of $2.1 million subject to
adjustment by the Companys Board of Directors. The
employment agreements also contain a change in control provision
and provide that the three executive officers will receive
long-term disability insurance. 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.
In addition in June 1997, the Company entered into an employment
agreement with a member of senior management and in March 2000,
the Company entered into a change in control agreement with two
members of senior management.
A subsidiary of the Company has entered into a naming,
promotional and sponsorship agreement with an NFL team and for
the teams headquarters complex that requires a payment of
$2.4 million in 2006. Each successive annual payment
increases by 2.3% through 2025. The naming, promotional and
sponsorship agreement is in effect until 2025.
F-37
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
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 Select against Martin F. Jackson, Robert
A. Ortenzio, Rocco A. Ortenzio, Patricia A. Rice and Select. In
February 2005, the Court appointed James Shaver, Frank C.
Bagatta and Capital Invest, die Kapitalanlagegesellschaft der
Bank Austria Creditanstalt Gruppe GmbH 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 F. Jackson, Robert A. Ortenzio, Rocco A.
Ortenzio, Patricia A. Rice, and Select as defendants. The
amended complaint continues to allege, among other things,
failure to disclose adverse information regarding a potential
regulatory change affecting reimbursement for Selects
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 Select. The
amended complaint seeks, 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. In April 2006, the Court granted in part and denied
in part Select and the individual officers preliminary
motion to dismiss the amended complaint. Select and the
individual officers will have answered the amended complaint and
the case has moved to the discovery and class certification
phase. The Company does not believe this claim will have a
material adverse effect on its financial position or results of
operations. However, due to the uncertain nature of such
litigation, the Company cannot predict the outcome of this
matter.
The Company is subject to legal proceedings and claims that
arise in the ordinary course of its business, which include
malpractice claims covered under 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 and are subject to various deductibles and policy
limits. Significant legal actions as well as the cost and
possible lack of available insurance could subject the Company
to substantial uninsured liabilities.
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, usually unknown to
the defendant) for some time while the government decides
whether or not to intervene on behalf of a private qui tam
plaintiff (known as a relator) and take the lead in the
litigation. These lawsuits can involve significant monetary
damages and penalties and award bounties to private plaintiffs
who successfully bring the suits. A qui tam lawsuit against
Select 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 matters alleged by
this complaint. The Company has received subpoenas for patient
records and other documents apparently related to the federal
governments investigation. 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 Select in 2001 and a former employee of the Companys
Florida subsidiary who the Company asked to resign. Select 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
F-38
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
not to intervene in two previous qui tam lawsuits filed against
Select, the Company cannot provide assurance that the government
will not intervene in the Nevada qui tam case or any other
existing or future qui tam lawsuit against the Company. While
litigation is inherently uncertain, the Company believes, based
on its prior experiences with qui tam cases and the limited
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, 2003, 2004 and
2005:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
|
|
Period from | |
|
|
Period from | |
|
|
For the Year Ended | |
|
January 1 | |
|
|
February 25 | |
|
|
December 31, | |
|
through | |
|
|
through | |
|
|
| |
|
February 24, | |
|
|
December 31, | |
|
|
2003 | |
|
2004 | |
|
2005 | |
|
|
2005 | |
|
|
| |
|
| |
|
| |
|
|
| |
|
|
(In thousands) | |
Notes issued with acquisitions (Note 2)
|
|
$ |
316 |
|
|
$ |
214 |
|
|
$ |
|
|
|
|
$ |
60 |
|
Liabilities assumed with acquisitions (Note 2)
|
|
|
36,513 |
|
|
|
573 |
|
|
|
19,924 |
|
|
|
|
148 |
|
Tax benefit of stock option exercises
|
|
|
25,059 |
|
|
|
13,044 |
|
|
|
1,507 |
|
|
|
|
|
|
On December 23, 2005 the Company entered into an
acquisition agreement to sell its wholly-owned subsidiary,
Canadian Back Institute Limited (CBIL). The sale was
completed on March 1, 2006 for approximately
C$89.8 million (US $79.0 million). CBIL operated
approximately 109 outpatient rehabilitation clinics in seven
Canadian provinces. The Company conducted all of its Canadian
activity through CBIL. The financial results of CBIL have been
reclassified as discontinued operations in our statement of
operations for all periods presented and its assets and
liabilities have been reclassified as held for sale in our
December 31, 2005 balance sheet (see Footnote 3).
|
|
19. |
Selected Quarterly Financial Data (Unaudited) |
The table below sets forth selected unaudited financial data for
each quarter of the last two years.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
| |
|
|
First Quarter | |
|
Second Quarter | |
|
Third Quarter | |
|
Fourth Quarter | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Year ended December 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net revenues
|
|
$ |
403,830 |
|
|
$ |
400,503 |
|
|
$ |
393,467 |
|
|
$ |
403,724 |
|
|
Income from operations
|
|
|
56,922 |
|
|
|
56,466 |
|
|
|
53,215 |
|
|
|
55,902 |
|
|
|
Income from continuing operations
|
|
|
28,591 |
|
|
|
29,092 |
|
|
|
27,186 |
|
|
|
28,857 |
|
|
Income from discontinued operations, net of tax
|
|
|
979 |
|
|
|
1,879 |
|
|
|
631 |
|
|
|
969 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
29,570 |
|
|
$ |
30,971 |
|
|
$ |
27,817 |
|
|
$ |
29,826 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-39
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Successor | |
|
|
| |
|
|
| |
|
|
Period from | |
|
|
Period from | |
|
|
|
|
January 1 | |
|
|
February 25 | |
|
|
|
|
through | |
|
|
through | |
|
|
|
|
February 24, | |
|
|
March 31, | |
|
|
|
|
2005 | |
|
|
2005 | |
|
Second Quarter | |
|
Third Quarter | |
|
Fourth Quarter | |
|
|
| |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Year ended December 31, 2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net revenues
|
|
$ |
277,736 |
|
|
|
$ |
188,386 |
|
|
$ |
473,704 |
|
|
$ |
460,658 |
|
|
$ |
457,958 |
|
|
Income (loss) from operations
|
|
|
(101,615 |
) |
|
|
|
30,511 |
|
|
|
71,606 |
|
|
|
53,751 |
|
|
|
64,848 |
|
|
|
|
Income (loss) from continuing operations
|
|
|
(100,773 |
) |
|
|
|
11,492 |
|
|
|
25,311 |
|
|
|
14,306 |
|
|
|
18,146 |
|
|
Income from discontinued operations, net of tax
|
|
|
522 |
|
|
|
|
672 |
|
|
|
1,634 |
|
|
|
1,061 |
|
|
|
(295 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
|
$ |
12,164 |
|
|
$ |
26,945 |
|
|
$ |
15,367 |
|
|
$ |
17,851 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-40
Select Medical Holdings Corporation
Consolidated Balance Sheets
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
March 31, | |
|
|
2005 | |
|
2006 | |
|
|
| |
|
| |
|
|
(Unaudited) | |
|
|
(In thousands, except share | |
|
|
and per share amounts) | |
ASSETS |
Current Assets:
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
35,861 |
|
|
$ |
13,851 |
|
|
Restricted cash
|
|
|
6,345 |
|
|
|
5,908 |
|
|
Accounts receivable, net of allowance for doubtful accounts of
$74,891 and $70,202 in 2005 and 2006, respectively
|
|
|
256,798 |
|
|
|
285,138 |
|
|
Prepaid income taxes
|
|
|
4,110 |
|
|
|
|
|
|
Current deferred tax asset
|
|
|
59,135 |
|
|
|
56,550 |
|
|
Current assets held for sale
|
|
|
13,876 |
|
|
|
|
|
|
Other current assets
|
|
|
19,725 |
|
|
|
19,447 |
|
|
|
|
|
|
|
|
Total Current Assets
|
|
|
395,850 |
|
|
|
380,894 |
|
Property and equipment, net
|
|
|
248,541 |
|
|
|
277,888 |
|
Goodwill
|
|
|
1,305,210 |
|
|
|
1,318,111 |
|
Other identifiable intangibles
|
|
|
86,789 |
|
|
|
85,259 |
|
Other assets held for sale
|
|
|
61,388 |
|
|
|
|
|
Other assets
|
|
|
70,607 |
|
|
|
73,135 |
|
|
|
|
|
|
|
|
Total Assets
|
|
$ |
2,168,385 |
|
|
$ |
2,135,287 |
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Current Liabilities:
|
|
|
|
|
|
|
|
|
|
Bank overdrafts
|
|
$ |
19,355 |
|
|
$ |
25,906 |
|
|
Current portion of long-term debt and notes payable
|
|
|
6,516 |
|
|
|
6,425 |
|
|
Accounts payable
|
|
|
60,528 |
|
|
|
64,243 |
|
|
Accrued payroll
|
|
|
61,531 |
|
|
|
49,312 |
|
|
Accrued vacation
|
|
|
26,983 |
|
|
|
28,717 |
|
|
Accrued interest
|
|
|
36,028 |
|
|
|
15,509 |
|
|
Accrued professional liability
|
|
|
21,527 |
|
|
|
22,332 |
|
|
Accrued restructuring
|
|
|
390 |
|
|
|
340 |
|
|
Accrued other
|
|
|
69,046 |
|
|
|
70,897 |
|
|
Income taxes payable
|
|
|
|
|
|
|
18,570 |
|
|
Due to third party payors
|
|
|
12,175 |
|
|
|
12,834 |
|
|
Current liabilities held for sale
|
|
|
4,215 |
|
|
|
|
|
|
|
|
|
|
|
|
Total Current Liabilities
|
|
|
318,294 |
|
|
|
315,085 |
|
Long-term debt, net of current portion
|
|
|
1,622,373 |
|
|
|
1,563,902 |
|
Non-current deferred tax liability
|
|
|
19,438 |
|
|
|
23,192 |
|
Non-current liabilities held for sale
|
|
|
3,817 |
|
|
|
|
|
|
|
|
|
|
|
|
Total Liabilities
|
|
|
1,963,922 |
|
|
|
1,902,179 |
|
Commitments and Contingencies
|
|
|
|
|
|
|
|
|
Minority interest in consolidated subsidiary companies
|
|
|
4,356 |
|
|
|
2,781 |
|
Preferred stock (liquidation preference is $444,765 and $450,248
in 2005 and 2006, respectively)
|
|
|
444,765 |
|
|
|
450,248 |
|
Stockholders Equity:
|
|
|
|
|
|
|
|
|
|
Common stock, $0.001 par value, 250,000,000 shares
authorized, 205,508,000 shares issued &
outstanding in 2005 and 2006
|
|
|
205 |
|
|
|
206 |
|
|
Capital in excess of par
|
|
|
(299,028 |
) |
|
|
(298,082 |
) |
|
Retained earnings
|
|
|
48,808 |
|
|
|
71,509 |
|
|
Accumulated other comprehensive income
|
|
|
5,357 |
|
|
|
6,446 |
|
|
|
|
|
|
|
|
Total Stockholders Equity
|
|
|
(244,658 |
) |
|
|
(219,921 |
) |
|
|
|
|
|
|
|
Total Liabilities and Stockholders Equity
|
|
$ |
2,168,385 |
|
|
$ |
2,135,287 |
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-41
Select Medical Holdings Corporation
Consolidated Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
| |
|
| |
|
|
Period from | |
|
Period from | |
|
|
|
|
January 1 | |
|
February 25 | |
|
|
|
|
through | |
|
through | |
|
Three Months | |
|
|
February 24, | |
|
March 31, | |
|
Ended | |
|
|
2005 | |
|
2005 | |
|
March 31, 2006 | |
|
|
| |
|
| |
|
| |
|
|
(Unaudited) | |
|
|
(In thousands) | |
Net operating revenues
|
|
$ |
277,736 |
|
|
$ |
188,386 |
|
|
$ |
479,743 |
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of services
|
|
|
244,321 |
|
|
|
140,527 |
|
|
|
385,197 |
|
|
General and administrative
|
|
|
122,509 |
|
|
|
8,664 |
|
|
|
12,200 |
|
|
Bad debt expense
|
|
|
6,588 |
|
|
|
4,558 |
|
|
|
5,000 |
|
|
Depreciation and amortization
|
|
|
5,933 |
|
|
|
4,126 |
|
|
|
10,895 |
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
379,351 |
|
|
|
157,875 |
|
|
|
413,292 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations
|
|
|
(101,615 |
) |
|
|
30,511 |
|
|
|
66,451 |
|
Other income and expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
(42,736 |
) |
|
|
|
|
|
|
|
|
Merger related charges
|
|
|
(12,025 |
) |
|
|
|
|
|
|
|
|
Other income
|
|
|
267 |
|
|
|
103 |
|
|
|
|
|
Interest income
|
|
|
523 |
|
|
|
77 |
|
|
|
222 |
|
Interest expense
|
|
|
(4,651 |
) |
|
|
(11,044 |
) |
|
|
(32,881 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before minority
interests and income taxes
|
|
|
(160,237 |
) |
|
|
19,647 |
|
|
|
33,792 |
|
Minority interest in consolidated subsidiary companies
|
|
|
330 |
|
|
|
302 |
|
|
|
391 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes
|
|
|
(160,567 |
) |
|
|
19,345 |
|
|
|
33,401 |
|
Income tax expense (benefit)
|
|
|
(59,794 |
) |
|
|
7,853 |
|
|
|
15,230 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
|
|
|
(100,773 |
) |
|
|
11,492 |
|
|
|
18,171 |
|
Income from discontinued operations, net of tax (includes
pre-tax gain of $13,950 in 2006)
|
|
|
522 |
|
|
|
672 |
|
|
|
10,018 |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
12,164 |
|
|
$ |
28,189 |
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-42
Select Medical Holdings Corporation
Consolidated Statement of Changes in Stockholders
Equity and Comprehensive Income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
Common | |
|
Common | |
|
Capital in | |
|
|
|
Other | |
|
|
|
|
Stock | |
|
Stock Par | |
|
Excess of | |
|
Retained | |
|
Comprehensive | |
|
Comprehensive | |
|
|
Issued | |
|
Value | |
|
Par | |
|
Earnings | |
|
Income | |
|
Income | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Unaudited) | |
|
|
(In thousands) | |
Balance at December 31, 2005
|
|
|
205,408 |
|
|
$ |
205 |
|
|
$ |
(299,028 |
) |
|
$ |
48,808 |
|
|
$ |
5,357 |
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28,189 |
|
|
|
|
|
|
$ |
28,189 |
|
|
Unrealized gain on interest rate swap, net of tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,907 |
|
|
|
2,907 |
|
|
Changes in foreign currency translation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,013 |
|
|
|
1,013 |
|
|
Sale of foreign subsidiary
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,831 |
) |
|
|
(2,831 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
29,278 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Restricted stock issuance
|
|
|
100 |
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vesting of restricted stock
|
|
|
|
|
|
|
|
|
|
|
943 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stock option expense
|
|
|
|
|
|
|
|
|
|
|
3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accretion of dividends on preferred stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,488 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at March 31, 2006
|
|
|
205,508 |
|
|
$ |
206 |
|
|
$ |
(298,082 |
) |
|
$ |
71,509 |
|
|
$ |
6,446 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of this statement.
F-43
Select Medical Holdings Corporation
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
| |
|
| |
|
|
Period from | |
|
Period from | |
|
|
|
|
January 1 | |
|
February 25 | |
|
Three Months | |
|
|
through | |
|
through | |
|
Ended | |
|
|
February 24, | |
|
March 31, | |
|
March 31, | |
|
|
2005 | |
|
2005 | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
|
(Unaudited) | |
|
|
(In thousands) | |
Operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
12,164 |
|
|
$ |
28,189 |
|
Adjustments to reconcile net income (loss) to net cash provided
by (used in) operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
6,177 |
|
|
|
4,248 |
|
|
|
11,071 |
|
|
Provision for bad debts
|
|
|
6,661 |
|
|
|
4,609 |
|
|
|
5,087 |
|
|
Gain from sale of business
|
|
|
|
|
|
|
|
|
|
|
(13,950 |
) |
|
Loss on early retirement of debt
|
|
|
7,977 |
|
|
|
|
|
|
|
|
|
|
Non-cash compensation expense
|
|
|
|
|
|
|
4,326 |
|
|
|
946 |
|
|
Amortization of debt discount
|
|
|
|
|
|
|
|
|
|
|
281 |
|
|
Minority interests
|
|
|
469 |
|
|
|
462 |
|
|
|
731 |
|
|
Changes in operating assets and liabilities, net of effects from
acquisition of businesses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(48,976 |
) |
|
|
(35,716 |
) |
|
|
(34,211 |
) |
|
|
Other current assets
|
|
|
1,816 |
|
|
|
(590 |
) |
|
|
(105 |
) |
|
|
Other assets
|
|
|
(622 |
) |
|
|
(1,056 |
) |
|
|
1,798 |
|
|
|
Accounts payable
|
|
|
5,250 |
|
|
|
3,769 |
|
|
|
3,569 |
|
|
|
Due to third-party payors
|
|
|
667 |
|
|
|
(209 |
) |
|
|
659 |
|
|
|
Accrued interest
|
|
|
(4,839 |
) |
|
|
8,456 |
|
|
|
(20,519 |
) |
|
|
Accrued expenses
|
|
|
204,748 |
|
|
|
(198,253 |
) |
|
|
(8,466 |
) |
|
|
Income and deferred taxes
|
|
|
(60,021 |
) |
|
|
5,819 |
|
|
|
19,342 |
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
19,056 |
|
|
|
(191,971 |
) |
|
|
(5,578 |
) |
|
|
|
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
|
(2,586 |
) |
|
|
(1,112 |
) |
|
|
(38,386 |
) |
Proceeds from sale of business, net
|
|
|
|
|
|
|
|
|
|
|
76,806 |
|
Earnout payments
|
|
|
|
|
|
|
|
|
|
|
(100 |
) |
Restricted cash
|
|
|
108 |
|
|
|
(12 |
) |
|
|
437 |
|
Acquisition of businesses, net of cash acquired
|
|
|
(108,279 |
) |
|
|
(2,215 |
) |
|
|
(2,023 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) investing activities
|
|
|
(110,757 |
) |
|
|
(3,339 |
) |
|
|
36,734 |
|
|
|
|
|
|
|
|
|
|
|
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 |
) |
|
|
|
|
Net repayment on credit facility
|
|
|
|
|
|
|
|
|
|
|
(58,450 |
) |
Costs associated with equity investment of Holdings
|
|
|
|
|
|
|
(8,686 |
) |
|
|
|
|
Principal payments on seller and other debt
|
|
|
(528 |
) |
|
|
(2,578 |
) |
|
|
(425 |
) |
Repurchases of common stock and options
|
|
|
|
|
|
|
(1,687,994 |
) |
|
|
|
|
Proceeds from issuance of common stock
|
|
|
1,023 |
|
|
|
|
|
|
|
|
|
Proceeds from bank overdrafts
|
|
|
|
|
|
|
|
|
|
|
6,551 |
|
Distributions to minority interests
|
|
|
(401 |
) |
|
|
(466 |
) |
|
|
(877 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
94 |
|
|
|
58,828 |
|
|
|
(53,201 |
) |
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents
|
|
|
(149 |
) |
|
|
105 |
|
|
|
35 |
|
|
|
|
|
|
|
|
|
|
|
Net decrease in cash and cash equivalents
|
|
|
(91,756 |
) |
|
|
(136,377 |
) |
|
|
(22,010 |
) |
Cash and cash equivalents at beginning of period
|
|
|
247,476 |
|
|
|
155,720 |
|
|
|
35,861 |
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$ |
155,720 |
|
|
$ |
19,343 |
|
|
$ |
13,851 |
|
|
|
|
|
|
|
|
|
|
|
Supplemental Cash Flow Information:
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash paid for interest
|
|
$ |
10,630 |
|
|
$ |
380 |
|
|
$ |
51,830 |
|
Cash paid for income taxes
|
|
$ |
1,502 |
|
|
$ |
2,305 |
|
|
$ |
489 |
|
The accompanying notes are an integral part of this statement.
F-44
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
Select Medical Holdings Corporation (Holdings) was
formed in October 2004. On February 24, 2005, Select
Medical Corporation (Select), merged with a
subsidiary of Holdings, formerly known as EGL Holding Company,
which resulted in Select becoming a wholly owned subsidiary of
Holdings. Holdings, Select and its subsidiaries are referred to
herein as the Company. 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
Companys financial position and results of operations
following the Merger are presented as Successor
financial statements. Due to the revaluation of assets as a
result of purchase accounting associated with the Merger, the
pre-merger financial statements are not comparable with those
after the Merger in certain respects.
The unaudited condensed consolidated financial statements of the
Company as of March 31, 2006 (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, 2006
(Successor) have been prepared in accordance with generally
accepted accounting principles. In the opinion of management,
such information contains all 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 three months ended March 31,
2006 are not necessarily indicative of the results to be
expected for the full fiscal year ending December 31, 2006.
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, 2005 contained in the
Companys
Form S-4 filed
with the Securities and Exchange Commission on April 13,
2006.
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.
The Company revised the classification of restricted cash from
cash flows from financing activities to cash flows from
investing activities for the periods of January 1, 2005 to
February 24, 2005 (Predecessor) and February 25, 2005
To March 31, 2005 (Successor). In addition, certain
reclassifications have been made to the prior years
consolidated financial statements to conform to current year
presentation.
|
|
|
Recent Accounting Pronouncements |
In March 2006, the Financial Accounting Standards Board
(FASB) issued SFAS No. 156
Accounting for Servicing of Financial Assets an amendment
of SFAS No. 140
(SFAS No. 156). This Statement requires
that all separately recognized servicing assets and servicing
liabilities be initially measured at fair value, if practicable.
The FASB concluded that fair value is the most relevant
measurement attribute for the initial recognition of all
servicing assets and servicing liabilities, because it
represents the best measure of future cash flows.
SFAS No. 156 permits, but does not require, the
subsequent measurement of servicing
F-45
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
assets and servicing liabilities at fair value. An entity that
uses derivative instruments to mitigate the risks inherent in
servicing assets and servicing liabilities is required to
account for those derivative instruments at fair value. Under
this Statement, an entity can elect subsequent fair value
measurement of its servicing assets and servicing liabilities by
class, thus simplifying its accounting and providing for income
statement recognition of the potential offsetting changes in
fair value of the servicing assets, servicing liabilities, and
related derivative instruments. An entity that elects to
subsequently measure servicing assets and servicing liabilities
at fair value is expected to recognize declines in fair value of
the servicing assets and servicing liabilities more consistently
than by reporting other-than-temporary impairments. The
statement is effective as of the beginning of an entitys
first fiscal year that begins after September 15, 2006
though early adoption is permitted. The Company does not
anticipate that the implementation of this standard will have a
material impact on its financial position, results of operations
or cash flows.
In February 2006, the FASB issued SFAS No. 155,
Accounting for Certain Hybrid Financial
Instruments an amendment of FASB Statements
No. 133 and No. 140
(SFAS No. 155). SFAS No. 155
simplifies the accounting for certain hybrid financial
instruments, eliminates the FASBs interim guidance which
provides that beneficial interests in securitized financial
assets are not subject to the provisions of
SFAS No. 133, Accounting for Derivative
Instruments and Hedging Activities, and eliminates the
restriction on the passive derivative instruments that a
qualifying special-purpose entity may hold.
SFAS No. 155 is effective for all financial
instruments acquired or issued after the beginning of an
entitys first fiscal year that begins after
September 15, 2006. The Company does not anticipate that
the implementation of this standard will have a material impact
on its financial position, results of operations or cash flows.
In May 2005, the Financial Accounting Standards Board issued
SFAS No. 154, Accounting Changes and Error
Corrections a replacement of APB Opinion No. 20
and FASB Statement No. 3
(SFAS No. 154). This statement applies to
all voluntary changes in accounting principles and changes
required by an accounting pronouncement where no specific
transition provisions are included. SFAS No. 154
requires retrospective application to prior periods
financial statements of changes in accounting principles, unless
it is impracticable to determine either the period-specific
effects or the cumulative effect of the change. Retrospective
application is limited to the direct effects of the change; the
indirect effects should be recognized in the period of the
change. This statement carries forward without changing the
guidance contained in APB Opinion No. 20, Accounting
Changes for reporting the correction of an error in
previously issued financial statements and a change in
accounting estimate. However, SFAS No. 154 redefines
restatement as the revision of previously issued financial
statements to reflect the correction of an error. The provisions
of SFAS No. 154 are effective for accounting changes
and correction of errors made in fiscal periods that begin after
December 15, 2005, although early adoption is permitted.
F-46
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Intangible assets consist of the following:
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
| |
|
|
As of March 31, 2006 | |
|
|
| |
|
|
Gross Carrying | |
|
Accumulated | |
|
|
Amount | |
|
Amortization | |
|
|
| |
|
| |
|
|
(In thousands) | |
Amortized intangible assets
|
|
|
|
|
|
|
|
|
Contract therapy relationships
|
|
$ |
20,456 |
|
|
$ |
(4,432 |
) |
Non-compete agreements
|
|
|
20,809 |
|
|
|
(4,030 |
) |
|
|
|
|
|
|
|
Total
|
|
$ |
41,265 |
|
|
$ |
(8,462 |
) |
|
|
|
|
|
|
|
Indefinite-lived intangible assets
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$ |
1,318,111 |
|
|
|
|
|
Trademarks
|
|
|
47,058 |
|
|
|
|
|
Certificates of need
|
|
|
3,506 |
|
|
|
|
|
Accreditations
|
|
|
1,892 |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
1,370,567 |
|
|
|
|
|
|
|
|
|
|
|
|
Amortization expense for intangible assets with finite lives
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
Successor | |
|
|
| |
|
| |
|
|
Period from | |
|
Period from | |
|
|
|
|
January 1 | |
|
February 25 | |
|
|
|
|
through | |
|
through | |
|
For the Three | |
|
|
February 24, | |
|
March 31, | |
|
Months Ended | |
|
|
2005 | |
|
2005 | |
|
March 31, 2006 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Amortization expense
|
|
$ |
576 |
|
|
$ |
904 |
|
|
$ |
1,953 |
|
Estimated amortization expense for intangible assets for each of
the five years commencing January 1, 2006 will be
approximately $7.8 million in 2006 through 2010 and
primarily relates to the amortization of the value associated
with the non-compete agreements entered into in connection with
the acquisitions of Kessler Rehabilitation Corporation and
SemperCare Inc. and the value assigned to the Companys
contract therapy relationships. The useful lives of the Kessler
non-compete, SemperCare non-compete and the Companys
contract therapy relationships are approximately six, seven and
five years, respectively.
The changes in the carrying amount of goodwill for the
Companys reportable segments for the three months ended
March 31, 2006 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance as of December 31, 2005
|
|
$ |
1,221,776 |
|
|
$ |
83,434 |
|
|
$ |
1,305,210 |
|
Tax adjustments related to Merger
|
|
|
112 |
|
|
|
10,800 |
|
|
|
10,912 |
|
Goodwill acquired during year
|
|
|
|
|
|
|
593 |
|
|
|
593 |
|
Earnouts
|
|
|
|
|
|
|
100 |
|
|
|
100 |
|
Other
|
|
|
|
|
|
|
1,296 |
|
|
|
1,296 |
|
|
|
|
|
|
|
|
|
|
|
Balance as of March 31, 2006
|
|
$ |
1,221,888 |
|
|
$ |
96,223 |
|
|
$ |
1,318,111 |
|
|
|
|
|
|
|
|
|
|
|
F-47
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
In conjunction with recording the gain on sale of the Canadian
Back Institute Limited (CBIL) (Note 6), the
Company determined that deferred taxes should have been recorded
as of the date of the Merger related to differences between the
Companys book and tax investment basis in CBIL. This
adjustment was recorded in the first quarter of 2006 and is not
considered to be material on a qualitative or quantitative basis.
|
|
4. |
Accumulated Other Comprehensive Income |
The components of accumulated other comprehensive income at
December 31, 2005 consist of cumulative translation
adjustment gains of $1.8 million, associated with the
Companys Canadian subsidiary which was sold on
March 1, 2006 (Note 6) and a gain of
$3.5 million, net of tax of $2.5 million on an
interest rate swap transaction. At March 31, 2006 other
comprehensive income consisted of a gain of $6.4 million,
net of tax of $5.1 million, on an interest rate swap
transaction.
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. All
other primarily includes the Companys general and
administrative services. 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 expense, depreciation and amortization,
income from discontinued operations, loss on early retirement of
debt, merger related charges, other income and minority interest.
The following table summarizes selected financial data for the
Companys reportable segments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
Period from January 1 through February 24, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
202,781 |
|
|
$ |
73,344 |
|
|
$ |
1,611 |
|
|
$ |
277,736 |
|
Adjusted EBITDA
|
|
|
44,384 |
|
|
|
9,848 |
|
|
|
(7,701 |
) |
|
|
46,531 |
|
Total assets
|
|
|
904,754 |
|
|
|
239,019 |
|
|
|
87,640 |
|
|
|
1,231,413 |
|
Capital expenditures
|
|
|
1,165 |
|
|
|
408 |
|
|
|
1,013 |
|
|
|
2,586 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
Period from February 25 through March 31, 2005 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
139,263 |
|
|
$ |
48,111 |
|
|
$ |
1,012 |
|
|
$ |
188,386 |
|
Adjusted EBITDA
|
|
|
34,743 |
|
|
|
8,716 |
|
|
|
(4,496 |
) |
|
|
38,963 |
|
Total assets
|
|
|
1,553,606 |
|
|
|
530,855 |
|
|
|
76,262 |
|
|
|
2,160,723 |
|
Capital expenditures
|
|
|
780 |
|
|
|
274 |
|
|
|
58 |
|
|
|
1,112 |
|
F-48
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Successor | |
|
|
For the Three Months Ended March 31, 2006 | |
|
|
| |
|
|
Specialty | |
|
Outpatient | |
|
|
|
|
Hospitals | |
|
Rehabilitation | |
|
All Other | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
359,672 |
|
|
$ |
119,290 |
|
|
$ |
781 |
|
|
$ |
479,743 |
|
Adjusted EBITDA
|
|
|
74,718 |
|
|
|
14,760 |
|
|
|
(11,186 |
) |
|
|
78,292 |
|
Total assets
|
|
|
1,746,744 |
|
|
|
269,295 |
|
|
|
119,248 |
|
|
|
2,135,287 |
|
Capital expenditures
|
|
|
36,505 |
|
|
|
1,641 |
|
|
|
240 |
|
|
|
38,386 |
|
A reconciliation of net income (loss) to Adjusted EBITDA is as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
|
|
| |
|
Successor | |
|
|
Period from | |
|
| |
|
|
January 1 | |
|
Period from | |
|
|
|
|
through | |
|
February 25 | |
|
For the Three | |
|
|
February 24, | |
|
through March 31, | |
|
Months Ended | |
|
|
2005 | |
|
2005 | |
|
March 31, 2006 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net income (loss)
|
|
$ |
(100,251 |
) |
|
$ |
12,164 |
|
|
$ |
28,189 |
|
Income from discontinued operations
|
|
|
(522 |
) |
|
|
(672 |
) |
|
|
(10,018 |
) |
Income tax expense (benefit)
|
|
|
(59,794 |
) |
|
|
7,853 |
|
|
|
15,230 |
|
Minority interest
|
|
|
330 |
|
|
|
302 |
|
|
|
391 |
|
Interest expense, net
|
|
|
4,128 |
|
|
|
10,967 |
|
|
|
32,659 |
|
Other income
|
|
|
(267 |
) |
|
|
(103 |
) |
|
|
|
|
Merger-related charges
|
|
|
12,025 |
|
|
|
|
|
|
|
|
|
Loss on early retirement of debt
|
|
|
42,736 |
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
5,933 |
|
|
|
4,126 |
|
|
|
10,895 |
|
Stock compensation expense(1)
|
|
|
142,213 |
|
|
|
4,326 |
|
|
|
946 |
|
|
|
|
|
|
|
|
|
|
|
Adjusted EBITDA
|
|
$ |
46,531 |
|
|
$ |
38,963 |
|
|
$ |
78,292 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
For the period from January 1 through February 24,
2005, the period from February 25 through March 31,
2005, and for the three months ended March 31, 2006,
$115.0 million, $4.3 million and $0.9 million of
stock compensation expense was included in general and
administrative expense on the Companys consolidated
statement of operations, respectively. For the period from
January 1 through February 24, 2005,
$27.2 million of stock compensation expense was included in
cost of services on the Companys consolidated statement of
operations. |
|
|
6. |
Discontinued Operations |
On December 23, 2005, the Company agreed to sell all of the
issued and outstanding shares of its wholly-owned subsidiary,
Canadian Back Institute Limited, (CBIL) for
approximately C$89.8 million (US$79.0 million). The
sale was completed on March 1, 2006. CBIL operated 109
outpatient rehabilitation clinics in seven Canadian provinces.
The Company operated all of its Canadian activity through CBIL.
The purchase price is subject to adjustment based on the amount
of net working capital and long term liabilities of CBIL and its
subsidiaries on the closing date. CBILs assets and
liabilities have been classified as held for sale at
December 31, 2005 and its operating results have been
classified as discontinued operations and cash flows have been
included with continuing operations for the period from
January 1, 2005 through February 24, 2005, the period
from February 25, 2005 through March 31, 2005 and the
three months ended March 31, 2006.
F-49
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Previously, the operating results of this subsidiary were
included in the Companys outpatient rehabilitation segment.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor | |
|
|
|
|
|
|
| |
|
|
|
|
Period from | |
|
Successor | |
|
|
January 1 | |
|
| |
|
|
through | |
|
Period from | |
|
For the Two Months | |
|
|
February 24, | |
|
February 25 through | |
|
Ended February 28, | |
|
|
2005 | |
|
March 31, 2005 | |
|
2006 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net revenue
|
|
$ |
10,051 |
|
|
$ |
6,726 |
|
|
$ |
12,902 |
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations before income tax expense,
including gain of $13,950
|
|
|
950 |
|
|
|
1,155 |
|
|
|
15,547 |
|
Income tax expense
|
|
|
428 |
|
|
|
483 |
|
|
|
5,529 |
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net of tax
|
|
$ |
522 |
|
|
$ |
672 |
|
|
$ |
10,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
7. |
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 Select against Martin F. Jackson, Robert
A. Ortenzio, Rocco A. Ortenzio, Patricia A. Rice and Select. In
February 2005, the Court appointed James Shaver, Frank C.
Bagatta and Capital Invest, die Kapitalanlagegesellschaft der
Bank Austria Creditanstalt Gruppe GmbH 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 F. Jackson, Robert A. Ortenzio, Rocco A.
Ortenzio, Patricia A. Rice, and Select as defendants. The
amended complaint continues to allege, among other things,
failure to disclose adverse information regarding a potential
regulatory change affecting reimbursement for Selects
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 Select. The
amended complaint seeks, 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. The Court granted in part and denied in part Select and
the individual officers preliminary motion to dismiss the
amended complaint. Select and the individual officers have
answered the amended complaint and the case has moved to the
discovery and class certification phase. The Company does not
believe this claim will have a material adverse effect on its
financial position or results of operations, due to the
uncertain nature of such litigation. However, the Company cannot
predict the outcome of this matter.
The Company is subject to legal proceedings and claims that
arise in the ordinary course of its business, which include
malpractice claims covered under 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
F-50
Select Medical Holdings Corporation
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
policies also do not generally cover punitive damages and are
subject to various deductibles and policy limits. Significant
legal actions as well as the cost and possible lack of available
insurance could subject the Company to substantial uninsured
liabilities.
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, usually unknown to
the defendant) for some time while the government decides
whether or not to intervene on behalf of a private qui tam
plaintiff (known as a relator) and take the lead in the
litigation. These lawsuits can involve significant monetary
damages and penalties and award bounties to private plaintiffs
who successfully bring the suits. A qui tam lawsuit against
Select 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 matters alleged by
this complaint. The Company has received subpoenas for patient
records and other documents apparently related to the federal
governments investigation. 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 Select in 2001 and a former employee of the Companys
Florida subsidiary who the Company asked to resign. Select 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 Select, the Company cannot provide
assurance that the government will not intervene in the Nevada
qui tam case or any other existing or future qui tam lawsuit
against the Company. While litigation is inherently uncertain,
the Company believes, based on its prior experiences with qui
tam cases and the limited information currently available to the
Company, that this qui tam action will not have a material
adverse effect on the Company.
The Company has entered into a number of construction contracts
for renovation of the real estate it has recently purchased and
the major renovation at one of its rehabilitation hospitals.
Outstanding commitments under these contracts approximate
$30.6 million at March 31, 2006.
F-51
Select Medical Holdings Corporation
$175,000,000 Senior Floating Rate Notes due 2015
PROSPECTUS
Until ,
2006, all dealers that effect transactions in these securities,
whether or not participating in this offering, may be required
to deliver a prospectus.
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
|
|
Item 20. |
Indemnification of Directors, Officers, Managers and
Members |
Select Medical Holdings Corporation, the issuer of the exchange
notes, is a corporation incorporated under the laws of the State
of Delaware. Section 102(b)(7) of the Delaware General
Corporation Law permits a corporation to include in its
certificate of incorporation a provision eliminating or limiting
the personal liability of a director to the corporation or its
stockholders for monetary damages for breach of fiduciary duty
as a director, provided, however, that such provision shall not
eliminate or limit the liability of a director (i) for any
breach of the directors duty of loyalty to the corporation
or its stockholders, (ii) for acts or omissions not in good
faith or which involve intentional misconduct or a knowing
violation of law, (iii) under Section 174 of the
Delaware General Corporation Law, which relates to unlawful
payment of dividends and unlawful stock purchases and
redemptions, or (iv) for any transaction from which the
director derived an improper personal benefit.
Section 145 of the Delaware General Corporation Law
provides that a corporation may indemnify any persons who were,
are or are threatened to be made, parties to any threatened,
pending or completed action, suit or proceeding, whether civil,
criminal, administrative or investigative (other than an action
by or in the right of such corporation), by reason of the fact
that such person is or was an officer, director, employee or
agent of such corporation, or is or was serving at the request
of such corporation as a director, officer, employee or agent of
another corporation, partnership, joint venture, trust or other
enterprise. The indemnity may include expense (including
attorneys fees), judgments, fines and amounts paid in
settlement actually and reasonably incurred by such person in
connection with such action, suit or proceeding, provided such
person acted in good faith and in a manner he reasonably
believed to be in or not opposed to the corporations best
interests and, with respect to any criminal action or
proceeding, had no reasonable cause to believe that his conduct
was unlawful.
Section 145 of the Delaware General Corporation Law further
authorizes a corporation to purchase and maintain insurance on
behalf of any person who is or was a director, officer, employee
or agent of the corporation, or is or was serving at the request
of the corporation as a director, officer, employee or agent of
another corporation or enterprise, against any liability
asserted against him and incurred by him in any such capacity,
arising out of his status as such, whether or not the
corporation would otherwise have the power to indemnify him
under Section 145 of the Delaware General Corporation Law.
Consistent with Section 145 of the Delaware General
Corporation Law, Article V of the bylaws of Select Medical
Holdings Corporation provides that Select Medical Holdings
Corporation will indemnify any present or former director or
officer of Select Medical Holdings Corporation against those
expenses which are actually and reasonably incurred in
connection with any action, suit or proceeding, pending or
threatened, in which such person may be involved by reason of
being or having been a director or officer of the corporation.
In accordance with Section 102(b)(7) of the Delaware
General Corporation Law, Article Sixth of the certificate
of incorporation of Select Medical Holdings Corporation provides
that directors shall not be personally liable for monetary
damages for breaches of their fiduciary duty as directors,
except to the extent exculpation from liability is not permitted
under the Delaware law as in effect at the time such liability
is determined. No amendment to or repeal of Article Sixth
of the certificate of incorporation will apply to or have any
effect on the liability or alleged liability of any director for
or with respect to any acts or omissions of such director
occurring prior to such amendment or repeal.
Under Article V of Select Medical Holdings
Corporations bylaws, Select Medical Holdings Corporation
shall purchase and maintain insurance on behalf of its
directors, officers, employees, or agents against any
liabilities asserted against such persons whether or not Select
Medical Holdings Corporation would have the power to indemnify
such persons against such liability under the provisions of
Article V. Select Medical Holdings Corporation carries
standard directors and officers liability coverage for its
directors and officers and the directors and officers of its
subsidiaries. Subject to certain limitations and exclusions, the
policies
II-1
reimburse Select Medical Holdings Corporation for liabilities
indemnified by Select Medical Holdings Corporation and indemnify
directors and officers against additional liabilities not
indemnified by Select Medical Holdings Corporation.
|
|
Item 21. |
Exhibits and Financial Statement Schedules |
(a) Exhibits. The exhibits incorporated by reference
or filed as part of this prospectus are set forth in the
attached Exhibit Index.
(b) Financial Statement Schedules.
VALUATION AND QUALIFYING ACCOUNTS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at | |
|
Charged to | |
|
|
|
|
|
Balance at | |
|
|
Beginning | |
|
Cost and | |
|
|
|
|
|
End | |
Description |
|
of Year | |
|
Expenses | |
|
Acquisitions(A) | |
|
Deductions(B) | |
|
of Year | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Combined year ended December 31, 2005 allowance for
doubtful accounts
|
|
$ |
94,622 |
|
|
$ |
24,801 |
|
|
$ |
7,847 |
|
|
$ |
(52,379 |
) |
|
$ |
74,891 |
|
Year ended December 31, 2004 allowance for doubtful accounts
|
|
$ |
111,517 |
|
|
$ |
48,522 |
|
|
$ |
|
|
|
$ |
(65,417 |
) |
|
$ |
94,622 |
|
Year ended December 31, 2003 allowance for doubtful accounts
|
|
$ |
79,815 |
|
|
$ |
51,320 |
|
|
$ |
30,574 |
|
|
$ |
(50,192 |
) |
|
$ |
111,517 |
|
Combined year ended December 31, 2005 income tax valuation
allowance
|
|
$ |
10,506 |
|
|
$ |
2,322 |
|
|
$ |
823 |
|
|
$ |
(1,690 |
) |
|
$ |
11,961 |
|
Year ended December 31, 2004 income tax valuation allowance
|
|
$ |
4,520 |
|
|
$ |
3,386 |
|
|
$ |
2,600 |
|
|
$ |
|
|
|
$ |
10,506 |
|
Year ended December 31, 2003 income tax valuation allowance
|
|
$ |
2,862 |
|
|
$ |
|
|
|
$ |
1,658 |
|
|
$ |
|
|
|
$ |
4,520 |
|
|
|
(A) |
Represents opening balance sheet reserves resulting from
purchase accounting entries. |
|
|
(B) |
Allowance for doubtful accounts deductions represent write-offs
against the reserve for 2003 and 2004. In 2005, allowance for
doubtful accounts deductions represent write-offs against the
reserve of $52.1 million and $0.3 million reclassed to
assets held for sale due to the sale of the Companys
Canadian subsidiary. Income tax valuation allowance deductions
primarily represent the reversal of valuation allowances because
the Company believes certain deferred tax items will be realized. |
Exhibit Index
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
2 |
.1 |
|
Agreement and Plan of Merger and Reorganization, dated as of
November 19, 2004, by and among Select Medical Corporation,
Camp Hill Acquisition Corp., SemperCare, Inc. and Jeffrey J.
Collinson, as stockholders agent, incorporated by
reference to Exhibit 2.1 of Select Medical
Corporations current report on Form 8-K filed
November 23, 2004. |
|
3 |
.1 |
|
Amended and Restated Certificate of Incorporation of Select
Medical Corporation, incorporated by reference to
Exhibit 3.1 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
3 |
.2 |
|
Amended and Restated Bylaws of Select Medical Corporation,
incorporated by reference to Exhibit 3.2 of Select Medical
Corporations Form S-4 filed June 15, 2005. |
|
|
3 |
.3 |
|
Amended and Restated Certificate of Incorporation of Select
Medical Holdings Corporation. |
|
3 |
.4 |
|
Amended and Restated Bylaws of Select Medical Holdings
Corporation. |
|
|
4 |
.1 |
|
Indenture governing
91/2
% Senior Subordinated Notes due 2009 among Select
Medical Corporation, the Subsidiary Guarantors named therein and
State Street Bank and Trust Company, N.A., dated June 11,
2001, incorporated by reference to Exhibit 4.1 of Select
Medical Corporations Registration Statement on
Form S-4 (Reg. No. 333-63828). |
II-2
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
4 |
.2 |
|
Form of
91/2
% Senior Subordinated Notes due 2009 (included in
Exhibit 4.1), incorporated by reference to Exhibit 4.2
of Select Medical Corporations Form S-4 filed
June 15, 2005. |
|
|
4 |
.3 |
|
Eighth Supplemental Indenture governing
91/2
% Senior Subordinated Notes due 2009 among Select
Medical Corporation, the Subsidiary Guarantors named therein and
.S. Bank Trust National Association, dated February 4,
2005, incorporated by reference to Exhibit 4.3 of Select
Medical Corporations Form S-4 filed June 15,
2005. |
|
4 |
.4 |
|
Indenture governing
75/8
% Senior Subordinated Notes due 2015 among Select Medical
Corporation, the Guarantors named therein and U.S. Band
Trust national Association, dated February 24, 2005,
incorporated by reference to Exhibit 4.4 of Select Medical
Corporations Form S-4 filed June 15, 2005. |
|
|
4 |
.5 |
|
Form of
75/8
% Senior Subordinated Notes due 2015 (included in
Exhibit 4.4), incorporated by reference to Exhibit 4.5
of Select Medical Corporations Form S-4 filed
June 15, 2005. |
|
|
4 |
.6 |
|
Exchange and Registration Rights Agreement, dated as of
February 24, 2005, by and among Select Medical Corporation,
the Guarantors named therein, Merrill Lynch, Pierce,
Fenner & Smith Incorporated, J.P. Morgan
Securities, Inc., Wachovia Capital Markets, LLC, CIBC World
Markets Corp. and PNC Capital Markets, Inc., incorporated by
reference to Exhibit 4.6 of Select Medical
Corporations Firm S-4 filed June 15, 2005. |
|
|
4 |
.7 |
|
Indenture governing Senior Floating Rate Notes due 2015 among
Select Medical Holdings Corporation and U.S. Bank
Trust National Association, dated September 29,
2005. |
|
|
4 |
.8 |
|
Form of Senior Floating Rate Notes due 2015 (included in
Exhibit 4.7). |
|
|
4 |
.9 |
|
Exchange and Registration Rights Agreement, dated as of
September 29, 2005, by and among Select Medical Holdings
Corporation, Merrill Lynch, Pierce, Fenner & Smith
Incorporated, J.P. Morgan Securities Inc., Wachovia Capital
Markets, LLC, CIBC World Markets Corp. and PNC Capital Markets,
Inc. |
|
|
5 |
.1 |
|
Form of Opinion of Dechert LLP as to the validity of the Senior
Floating Rate Notes. |
|
|
10 |
.1 |
|
Credit Agreement, dated as of February 24, 2005, among
Select Medical Holding Corporation, select Medical Corporation,
as Borrower, the Lenders party thereto, JPMorgan Chase Bank,
N.A., as Administrative Agent and Collateral Agent, Wachovia
Bank, National Association, as Syndication Agent and Merrill
Lynch, Pierce, Fenner & Smith Incorporated and CIBC
Inc., as Co-Documentation Agents, incorporated by reference to
Exhibit 10.1 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.2 |
|
Guarantee and Collateral Agreement, dated as of
February 24, 2005 , among Select Medical Holdings
Corporation, Select Medical Corporation, the Subsidiaries of
Select identified therein and JPMorgan Chase Bank, N.A., as
Collateral Agent, incorporated by reference to Exhibit 10.2
of Select Medical Corporations Form S-4 filed
June 15, 2005. |
|
|
10 |
.3 |
|
Amended and Restated Senior Management Agreement dated as of
May 7, 1997 between Select Medical Corporation, John
Ortenzio, Martin Ortenzio, Select Investments II, Select
Partners, L.P. and Rocco Ortenzio, incorporated by reference to
Exhibit 10.34 of Select Medical Corporations
Registration Statement on Form S-1 (Reg. No, 333-48856). |
|
|
10 |
.4 |
|
Amendment No. 1 dated as of January 1, 2000 to Amended
and Restated Senior Management Agreement dated May 7, 1997
between Select Medical Corporation and Rocco A. Ortenzio,
incorporated by reference to Exhibit 10.35 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.5 |
|
Employment Agreement dated as of March 1, 2000 between
Select Medical Corporation and Rocco A. Ortenzio, incorporated
by reference to Exhibit 10.16 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-488566). |
|
|
10 |
.6 |
|
Amendment dated as of August 8, 2000 to Employment
Agreement dated as of March 1, 2000 between Select Medical
Corporation and Rocco A. Ortenzio, incorporated by reference to
Exhibit 10.17 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
II-3
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
10 |
.7 |
|
Amendment No. 2 dated as of February 23, 2001 to
Employment Agreement dated as of March 1, 2000 between
Select Medical Corporation and Rocco A. Ortenzio,
incorporated by reference to Exhibit 10.47 of Select
Medical Corporations Form S-1 filed March 30,
2001 (Reg. No. 333-48856). |
|
|
10 |
.8 |
|
Amendment No. 3 dated as of April 24, 2001 to Employment
Agreement dated as of March 1, 2000 between Select Medial
Corporation and Rocco A. Ortenzio, incorporated by reference to
Exhibit 10.50 of Select Medical Corporations
Form S-4 filed June 26, 2001 (Reg. No. 333-63828). |
|
10 |
.9 |
|
Amendment No. 4 to Employment Agreement dated as of
September 17, 2001 between Select Medical Corporation and
Rocco A. Ortenzio, incorporated by reference to
Exhibit 10.52 of Select Medical Corporations Annual
Report on Form 10-K for the fiscal year ended
December 31, 2001. |
|
|
10 |
.10 |
|
Amendment No. 5 to Employment Agreement dated as of
February 24, 2005 between Select Medical Corporation and
Rocco A. Ortenzio, incorporated by reference to
Exhibit 10.10 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.11 |
|
Employment Agreement, dated as of March 1, 2000, between
Select Medical Corporation and Robert A. Ortenzio, incorporated
by reference to Exhibit 10.14 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.12 |
|
Amendment to Employment Agreement, dated as of August 8,
2000, between Select Medical Corporation and Robert A. Ortenzio,
incorporated by reference to Exhibit 10.15 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.13 |
|
Amendment No. 2 to Employment Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
Robert A. Ortenzio, incorporated by reference to
Exhibit 10.48 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.14 |
|
Amendment No. 3 to Employment Agreement, dated as of
September 17, 2001, between Select Medical Corporation and
Robert A. Ortenzio, incorporated by reference to
Exhibit 10.53 of Select Medical Corporations Annual
Report on Form 10-K for the fiscal year ended
December 31, 2001. |
|
|
10 |
.15 |
|
Amendment No. 4 to Employment Agreement, dated as of
December 10, 2004, between Select Medical Corporation and
Robert A. Ortenzio, incorporated by reference to
Exhibit 99.3 of Select Medical Corporations
Form 8-K (Reg. No. 001-31441). |
|
|
10 |
.16 |
|
Amendment No. 5 to Employment Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
Robert A. Ortenzio, incorporated by reference to
Exhibit 10.16 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.17 |
|
Employment Agreement, dated as of March 1, 2000, between
Select Medical Corporation and Patricia A. Rice, incorporated by
reference to Exhibit 10.19 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.18 |
|
Amendment to Employment Agreement, dated as of August 8,
2000, between Select Medical Corporation and Patricia A. Rice,
incorporated by reference to Exhibit 10.20 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.19 |
|
Amendment No. 2 to Employment Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
Patricia A. Rice, incorporated by reference to
Exhibit 10.49 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.20 |
|
Amendment No. 3 to Employment Agreement, dated as of
December 10, 2004, between Select Medical Corporation and
Patricia A. Rice, incorporated by reference to Exhibit 99.2
of Select Medical Corporations Form 8-K (Reg.
No. 001-31441). |
|
|
10 |
.21 |
|
Amendment No. 4 to Employment Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
Patricia A. Rice, incorporated by reference to
Exhibit 10.21 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.22 |
|
Change of Control Agreement, dated as of March 1, 2000,
between Select Medical Corporation and Martin F. Jackson,
incorporated by reference to Exhibit 10.11 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.23 |
|
Amendment to Change of Control Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
Martin F. Jackson, incorporated by reference to
Exhibit 10.52 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
II-4
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
10 |
.24 |
|
Second Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
Martin F. Jackson, incorporated by reference to
Exhibit 10.24 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.25 |
|
Employment Agreement dated as of December 16, 1998 between
Select Medical Corporation and David W. Cross, incorporated by
reference to Exhibit 10.8 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.26 |
|
First Amendment dated as of October 15, 2000 to Employment
Agreement dated as of December 16, 1998 between Select
Medical Corporation and David W. Cross, incorporated by
reference to Exhibit 10.33 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.27 |
|
Change of Control Agreement dated as of November 21, 2001
between Select Medical Corporation and David W. Cross,
incorporated by reference to Exhibit 10.61 of Select
Medical Corporations Annual Report on Form 10-K for
the fiscal year ended December 31, 2001. |
|
|
10 |
.28 |
|
Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
David W. Cross, incorporated by reference to Exhibit 10.28
of Select Medical Corporations Form S-4 filed
June 15, 2005. |
|
|
10 |
.29 |
|
Other Senior Management Agreement, dated as of June 2,
1997, between Select Medical Corporation and S. Frank Fritsch,
incorporated by reference to Exhibit 10.9 of Select Medical
Corporations Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.30 |
|
Change of Control Agreement, dated as of March 1, 2000,
between Select Medical Corporation and S. Frank Fritsch,
incorporated by reference to Exhibit 10.10 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.31 |
|
Amendment to Change of Control Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
S. Frank Fritsch, incorporated by reference to
Exhibit 10.53 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.32 |
|
Second Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
S. Frank Fritsch, incorporated by reference to
Exhibit 10.32 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.33 |
|
Change of Control Agreement, dated as of March 1, 2000,
between Select Medical Corporation and James J. Talalai,
incorporated by reference to Exhibit 10.58 of Select
Medical Corporations Annual Report on Form 10-K for
the fiscal year ended December 31, 2001. |
|
|
10 |
.34 |
|
Amendment to Change of Control Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
James J. Talalai, incorporated by reference to
Exhibit 10.59 of Select Medical Corporations Annual
Report on Form 10-K for the fiscal year ended
December 31, 2001. |
|
|
10 |
.35 |
|
Second Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
James J. Talalai, incorporated by reference to
Exhibit 10.35 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.36 |
|
Other Senior Management Agreement, dated as of March 28,
1997, between Select Medical Corporation and Michael E. Tarvin,
incorporated by reference to Exhibit 10.21 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.37 |
|
Change of Control Agreement, dated as of March 1, 2000,
between Select Medical Corporation and Michael E. Tarvin,
incorporated by reference to Exhibit 10.22 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.38 |
|
Amendment to Change of Control Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
Michael E. Tarvin, incorporated by reference to
Exhibit 10.54 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.39 |
|
Second Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
Michael E. Tarvin, incorporated by reference to
Exhibit 10.39 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
II-5
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
10 |
.40 |
|
Change of Control Agreement, dated as of March 1, 2000,
between Select Medical Corporation and Scott A. Romberger,
incorporated by reference to Exhibit 10.56 of Select
Medical Corporations Annual Report on Form 10-K for
the fiscal year ended December 31, 2001. |
|
|
10 |
.41 |
|
Amendment to Change of Control Agreement, dated as of
February 23, 2001, between Select Medical Corporation and
Scott A. Romberger, incorporated by reference to
Exhibit 10.57 of Select Medical Corporations Annual
Report on Form 10-K for the fiscal year ended
December 31, 2001. |
|
|
10 |
.42 |
|
Second Amendment to Change of Control Agreement, dated as of
February 24, 2005, between Select Medical Corporation and
Scott A. Romberger, incorporated by reference to
Exhibit 10.42 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.43 |
|
Fifth Amendment to Employment Agreement, dated as of
April 18, 2005, between Select Medical Corporation and
David W. Cross, incorporated by reference to Exhibit 10.43
of Select Medical Corporations Form S-4 filed
June 15, 2005. |
|
|
10 |
.44 |
|
Consulting Agreement, dated as of January 1, 2004, between
Select Medical Corporation and Thomas A. Scully, incorporated by
reference to Exhibit 10.1 of Select Medical
Corporations quarterly report on Form 10-Q for the
fiscal quarter ended March 31, 2004. |
|
|
10 |
.45 |
|
First Amendment to Consulting Agreement, dated as of
April 18, 2005, between Select Medical Corporation and
Thomas A. Scully, incorporated by reference to
Exhibit 10.45 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.46 |
|
Amendment No. 5 to Employment Agreement, dated as of
April 27, 2005, between Select Medical Corporation and
Patricia A. Rice, incorporated by reference to
Exhibit 10.46 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
10 |
.47 |
|
Office Lease Agreement dated as of May 18, 1999 between
Select Medical Corporation and Old Gettysburg Associates I,
incorporated by reference to Exhibit 10.24 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.48 |
|
First Addendum dated June 1999 to Office Lease Agreement dated
as of May 18, 1999 between Select Medical Corporation and
Old Gettysburg Associates I, incorporated by reference to
Exhibit 10.25 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.49 |
|
Second Addendum dated as of February 1, 2000 to Office
Lease Agreement dated as of May 18, 1999 between Select
Medical Corporation and Old Gettysburg Associates I,
incorporated by reference to Exhibit 10.26 of Select
Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.50 |
|
Office Lease Agreement dated as of June 17, 1999 between
Select Medical Corporation and Old Gettysburg
Associates III, incorporated by reference to
Exhibit 10.27 of Select Medical Corporations
Registration Statement on Form S-1 (Reg.
No. 333-48856). |
|
|
10 |
.51 |
|
Third Addendum dated as of May 17, 2001 to Office Lease
Agreement dated as of May 18, 1999 between Select Medical
Corporation and Old Gettysburg Associates I, incorporated
by reference to Exhibit 10.52 of Select Medical
Corporations Registration Statement on Form S-4 (Reg.
No. 333-63828). |
|
|
10 |
.52 |
|
Office Lease Agreement dated as of May 15, 2001 by and
between Select Medical Corporation and Old Gettysburg
Associates II, incorporated by reference to
Exhibit 10.53 of Select Medical Corporations
Registration Statement on Form S-4 (Reg.
No. 333-63828). |
|
|
10 |
.53 |
|
Fourth Addendum to Lease Agreement dated as of September 1,
2001 by and between Old Gettysburg Associates and Select Medical
Corporation, incorporated by reference to Exhibit 10.54 of
Select Medical Corporations Annual Report on
Form 10-K for the fiscal year ended December 31, 2001. |
|
|
10 |
.54 |
|
First Addendum to Lease Agreement by and between Old Gettysburg
Associates II and Select Medical Corporation, dated as of
February 26, 2002, incorporated by reference to
Exhibit 10.2 of Select Medical Corporations Quarterly
Report on Form 10-Q for the quarter ended June 30,
2002. |
II-6
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
10 |
.55 |
|
Second Addendum to Lease Agreement by and between Old Gettysburg
Associates II and Select Medical Corporation, dated as of
February 26, 2002, incorporated by reference to
Exhibit 10.3 of Select Medical Corporations Quarterly
Report on Form 10-Q for the quarter ended June 30,
2002. |
|
|
10 |
.56 |
|
Third Addendum to Lease Agreement by and between Old Gettysburg
Associates II and Select Medical Corporation, dated as of
February 26, 2002, incorporated by reference to
Exhibit 10.4 of Select Medical Corporations Quarterly
Report on Form 10-Q for the quarter ended June 30,
2002. |
|
|
10 |
.57 |
|
Office Lease Agreement dated as of October 29, 2003 by and
between Select Medical Corporation and Old Gettysburg
Associates, incorporated by reference to Exhibit 10.74 of
Select Medical Corporations annual report on
Form 10-K for the fiscal year ended December 31, 2003. |
|
|
10 |
.58 |
|
Office Lease Agreement dated as of October 29, 2003 by and
between Select Medical Corporation and Old Gettysburg
Associates II, incorporated by reference to
Exhibit 10.74 of Select Medical Corporations annual
report on Form 10-K for the fiscal year ended
December 31, 2003. |
|
|
10 |
.59 |
|
Fifth Addendum to Lease Agreement, dated as of February 19,
2004, by and between Old Gettysburg Associates and Select
Medical Corporation, incorporated by reference to
Exhibit 10.59 of Select Medical Corporations
Form S-4 filed June 15, 2005. |
|
|
10 |
.60 |
|
Office Lease Agreement dated as of March 19, 2004 by and
between Select Medical Corporation and Old Gettysburg
Associates II, incorporated by reference to
Exhibit 10.3 of Select Medical Corporations quarterly
report on Form 10-Q for the fiscal quarter ended
March 31, 2004. |
|
|
10 |
.61 |
|
Office Lease Agreement dated as of March 19, 2004 by and
between Select Medical Corporation and Old Gettysburg
Associates, incorporated by reference to Exhibit 10.4 of
Select Medical Corporations quarterly report on
Form 10-Q for the fiscal quarter ended March 31, 2004. |
|
|
10 |
.62 |
|
Naming, Promotional and Sponsorship Agreement dated as of
October 1, 1997 between NovaCare, Inc. and the Philadelphia
Eagles Limited Partnership, assumed by Select Medical
Corporation in a Consent and Assumption Agreement dated
November 19, 1999 by and among NovaCare, Inc., Select
Medical Corporation and the Philadelphia Eagles Limited
Partnership, incorporated by reference to Exhibit 10.36 of
Select Medical Corporations Registration Statement on
Form S-1 (Reg. No. 333-48856). |
|
|
10 |
.63 |
|
First Amendment to Naming, Promotional and Sponsorship
Agreement, dated as of January 1, 2004, between Select
Medical Corporation and Philadelphia Eagles, LLC, incorporated
by reference to Exhibit 10.63 of Select Medical
Corporations Form S-4 filed June 15, 2005. |
|
|
10 |
.64 |
|
Office Lease Agreement dated August 10, 2005 among Old
Gettysburg Associates II and Select Medical Corporation,
dated August 10, 2005, incorporated by reference to
Exhibit 10.1 of Select Medical Corporations current
report on Form 8-K filed August 10, 2005. |
|
|
10 |
.65 |
|
Amended and Restated Select Medical Holdings Corporation 2005
Equity Incentive Plan, incorporated by reference to
Exhibit 10.1 of Select Medical Corporations current
report on Form 8-K filed November 8, 2005. |
|
|
10 |
.66 |
|
Select Medical Holdings Corporation 2005 Equity Incentive Plan
for Non-Employee Directors, incorporated by reference to
Exhibit 10.2 of Select Medical Corporations current
report on Form 8-K filed November 8, 2005. |
|
|
10 |
.67 |
|
Acquisition Agreement between Select Medical Corporation, SLMC
Finance Corporation and Callisto Capital L.P., dated
December 23, 2005, incorporated by reference to
Exhibit 2.2 of Select Medical Corporations current
report on Form 8-K filed December 23, 2005. |
|
|
10 |
.68 |
|
Amendment to the Acquisition Agreement, dated as of
February 9, 2006, among Select Medical Corporation, SLMC
Finance Corporation, Callisto Capital L.P. and Canadian Back
Institute Limited, incorporated by reference to Exhibit 2.1
of Select Medical Corporations current report on
Form 8-K filed February 9, 2006. |
|
|
10 |
.69 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of WCAS Capital Partners IV, L.P., amended and restated as of
September 29, 2005. |
|
|
10 |
.70 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of Rocco A. Ortenzio, amended and restated as of
September 29, 2005. |
II-7
|
|
|
|
|
Exhibit |
|
|
Number |
|
Document |
|
|
|
|
|
10 |
.71 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of Robert A. Ortenzio, amended and restated as of
September 29, 2005. |
|
|
10 |
.72 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of John M. Ortenzio, amended and restated as of
September 29, 2005. |
|
|
10 |
.73 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of Martin J. Ortenzio, amended and restated as of
September 29, 2005. |
|
|
10 |
.74 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of Martin J. Ortenzio Descendants Trust, amended and
restated as of September 29, 2005. |
|
|
10 |
.75 |
|
10% Senior Subordinated Note due December 31, 2015 in favor
of Ortenzio Family Foundation, amended and restated as of
September 29, 2005. |
|
|
10 |
.76 |
|
Stockholders Agreement, dated as of February 24, 2005, by
and among Select Medical Holdings Corporation, Welsh, Carson,
Anderson & Stowe IX, L.P., WCAS Capital
Partners IV, L.P., and each of the other individuals and
entities from time to time named therein. |
|
10 |
.77 |
|
Registration Rights Agreement, dated as of February 24,
2005, among Select Medical Holdings Corporation, Welsh, Carson,
Anderson & Stowe IX, L.P., WCAS Capital
Partners IV, L.P., each of the entities and individuals
listed on Schedule I thereto and each of the other entities
and individuals from time to time listed on Schedule II
thereto. |
|
|
10 |
.78 |
|
Registration Rights Agreement, dated as of February 24,
2005, between Select Medical Holdings Corporation, WCAS Capital
Partners IV, L.P., Rocco A. Ortenzio, Robert A.
Ortenzio, John M. Ortenzio, Martin J. Ortenzio,
Martin J. Ortenzio Descendants Trust and Ortenzio Family
Foundation. |
|
12 |
.1 |
|
Statement of Ratio of Earnings to Fixed Charges. |
|
|
21 |
.1 |
|
Subsidiaries of Select Medical Holdings Corporation. |
|
|
23 |
.1 |
|
Consent of Dechert LLP (see Exhibit 5.1). |
|
|
23 |
.2 |
|
Consent of PricewaterhouseCoopers LLP. |
|
|
24 |
.1 |
|
Powers of Attorney (see signature pages to the Registration
Statement). |
|
|
25 |
.1 |
|
Statement on Form T-1 as to the eligibility of the
Trustee. |
|
|
99 |
.1 |
|
Form of Letter of Transmittal. |
|
|
99 |
.2 |
|
Form of Notice of Guaranteed Delivery. |
(a) The undersigned registrant hereby undertakes:
|
|
|
(1) To file, during any period in which offers or sales are
being made, a post-effective amendment to this registration
statement: |
|
|
|
(i) to include any prospectus required by
Section 10(a)(3) of the Securities Act; |
|
|
(ii) to reflect in the prospectus any facts or events
arising after the effective date of the registration statement
(or the most recent post-effective amendment thereof) which,
individually or in the aggregate, represent a fundamental change
in the information set forth in the registration statement.
Notwithstanding the foregoing, any increase or decrease in
volume of securities offered (if the total dollar value of
securities offered would not exceed that which was registered)
and any deviation from the low or high end of the estimated
maximum offering range may be reflected in the form of
prospectus filed with the Commission pursuant to
Rule 424(b) if, in the aggregate, the changes in volume and
price represent no more that a 20 percent change in the
maximum aggregate offering price set forth in the
Calculation of Registration Fee table in the
effective registration statement; and |
II-8
|
|
|
(iii) to include any material information with respect to
the plan of distribution not previously disclosed in the
registration statement or any material change to such
information in the registration statement; |
|
|
|
(2) That, for the purpose of determining any liability
under the Securities Act, each such post-effective amendment
shall be deemed to be a new registration statement relating to
the securities offered therein, and the offering of such
securities at that time shall be deemed to be the initial bona
fide offering thereof; and |
|
|
(3) To remove from registration by means of a
post-effective amendment any of the securities being registered
which remain unsold at the termination of the offering. |
(b) The registrant hereby undertakes to respond to requests
for information that is incorporated by reference into the
prospectus pursuant to Item 4, 10(b), 11 or 13 of
Form S-4, within
one business day of receipt of such request, and to send the
incorporated documents by first class mail or equally prompt
means. This includes information contained in documents filed
subsequent to the effective date of the registration statement
through the date of responding to the request.
(c) The undersigned registrant hereby undertakes to supply
by means of a post-effective amendment all information
concerning a transaction, and the company being acquired
involved therein, that was not the subject of and included in
the registration statement when it became effective.
(d) Insofar as indemnification for liabilities arising
under Securities Act of 1933 may be permitted to directors,
officers and controlling persons of the registrant pursuant to
the foregoing provisions, or otherwise, the registrant has been
advised that in the opinion of the Securities and Exchange
Commission such indemnification is against public policy as
expressed in the Securities Act of 1933 and is, therefore,
unenforceable. In the event that a claim for indemnification
against such liabilities (other than the payment by the
registrant of expenses incurred or paid by a director, officer
or controlling person of the registrant in the successful
defense of any action, suit or proceeding) is asserted by such
director, officer or controlling person in connection with the
securities being registered, the registrant will, unless in the
opinion of its counsel the matter has been settled by
controlling precedent, submit to a court of appropriate
jurisdiction the question whether such indemnification by it is
against public policy as expressed in the Securities Act of 1933
and will be governed by the final adjudication of such issue.
(e) The undersigned registrant hereby undertakes as
follows: that prior to any public reoffering of the securities
registered hereunder through use of a prospectus which is a part
of this registration statement, by any person or party who is
deemed to be an underwriter within the meaning of
Rule 145(c), the issuer undertakes that such reoffering
prospectus will contain the information called for by the
applicable registration form with respect to reofferings by
persons who may be deemed underwriters, in addition to the
information called for by the other Items of the applicable form.
(f) The undersigned registrant hereby undertakes that every
prospectus (i) that is filed pursuant to the immediately
preceding paragraph or (ii) that purports to meet the
requirements of Section 10(a)(3) of the Securities Act of
1933 and is used in connection with an offering of securities
subject to Rule 415, will be filed as a part of an
amendment to the registration statement and will not be used
until such amendment is effective, and that, for purposes of
determining any liability under the Securities Act of 1933, each
such post-effective amendment shall be deemed to be a new
registration statement relating to the securities offered
therein, and the offering of such securities at that time shall
be deemed to be the initial bona fide offering thereof.
II-9
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
Registrant has duly caused this Registration Statement on
Form S-4 to be
signed on its behalf by the undersigned, thereunto duly
authorized, on this 28th day of July, 2006.
|
|
|
SELECT MEDICAL HOLDINGS CORPORATION |
|
|
|
|
By: |
/s/ Michael E. Tarvin
|
|
|
|
|
|
Michael E. Tarvin |
|
Senior Vice President, General Counsel and Secretary |
Pursuant to the requirements of the Securities Act of 1933, this
Registration Statement has been signed by the following persons
in the capacities indicated on July 28, 2006.
|
|
|
|
|
Name |
|
Title |
|
|
|
|
/s/ Rocco A. Ortenzio
Rocco A. Ortenzio |
|
Director and Executive Chairman |
|
*
Robert A. Ortenzio |
|
Director and Chief Executive Officer
(principal executive officer) |
|
/s/ Martin F. Jackson
Martin F. Jackson |
|
Senior Vice President and Chief Financial Officer
(principal financial officer) |
|
/s/ Scott A. Romberger
Scott A. Romberger |
|
Vice President, Chief Accounting Officer and Controller
(principal accounting officer) |
|
*
Russell L. Carson |
|
Director |
|
*
David S. Chernow |
|
Director |
|
Bryan
C. Cressey |
|
Director |
|
*
James E. Dalton, Jr. |
|
Director |
|
*
Thomas A. Scully |
|
Director |
|
*
Leopold Swergold |
|
Director |
|
*
Sean M. Traynor |
|
Director |
|
*By: |
|
/s/ Michael E. Tarvin
Attorney-in-fact |
|
|
II-10