Table of Contents

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 


 

FORM 10-Q

 

(Mark One)

 

x                QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended SeptemberJune 30, 20132014

 

OR

 

o                   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from           to           

 

Commission file number 1-10670

 

HANGER, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

 

84-0904275

(State or other jurisdiction of

 

(IRS Employer Identification No.)

incorporation or organization)

 

 

 

10910 Domain Drive, Suite 300, Austin, TX

 

78758

(Address of principal executive offices)

 

(Zip Code)

 

Registrant’s telephone number, including area code: (512) 777-3800

 

 

Former name, former address and former fiscal year, if changed since last report.

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days: Yes x No o

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files.) Yes x No o

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one).

 

Large accelerated filer x

 

Accelerated filer o

 

 

 

Non-accelerated filer o

 

Smaller reporting company o

 

Indicate by check mark whether the registrant is a shell company as defined in Rule 12b-2 of the Exchange Act. Yes o No x

 

As of NovemberAugust 1, 2013 34,767,8822014 35,290,946 shares of common stock, $.01 par value per share, were outstanding.

 

 

 



Table of Contents

 

HANGER, INC.

 

INDEX

 

 

 

Page No.

 

 

 

Part I.

FINANCIAL INFORMATION (unaudited)

 

 

 

 

Item 1.

Consolidated Financial Statements

 

 

 

 

 

Consolidated Balance Sheets — SeptemberJune 30, 20132014 and December 31, 20122013

1

 

 

 

 

Consolidated Statements of Income and Comprehensive Income for the Three and NineSix Month periods ended SeptemberJune 30, 20132014 and 20122013

3

 

 

 

 

Consolidated Statements of Cash Flows for the NineSix Months Ended SeptemberJune 30, 20132014 and 20122013

4

 

 

 

 

Notes to Consolidated Financial Statements

5

 

 

 

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

1716

 

 

 

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

2625

 

 

 

Item 4.

Controls and Procedures

26

 

 

 

Part II.

OTHER INFORMATION

 

Item 1.

Legal Proceedings

27

 

 

 

Item 1A.

Risk Factors

2726

 

 

 

Item 6.

Exhibits

2928

 

 

 

SIGNATURES

 

3029

 



Table of Contents

 

HANGER, INC.

CONSOLIDATED BALANCE SHEETS

(Dollars in thousands)

(Unaudited)

 

 

September 30,

 

December 31,

 

 

2013

 

2012

 

 

June 30,

 

December 31,

 

 

 

 

 

 

 

2014

 

2013

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT ASSETS

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

7,216

 

$

19,211

 

 

$

4,902

 

$

9,860

 

Restricted cash

 

 

3,120

 

Accounts receivable, less allowance for doubtful accounts of $8,358 and $7,526 in 2013 and 2012, respectively

 

176,663

 

165,668

 

Accounts receivable, less allowance for doubtful accounts of $11,268 and $10,022 in 2014 and 2013, respectively

 

205,325

 

185,769

 

Inventories

 

144,374

 

127,295

 

 

158,957

 

141,518

 

Prepaid expenses, other assets, and income taxes receivable

 

14,560

 

15,673

 

 

21,147

 

15,519

 

Deferred income taxes

 

31,115

 

27,685

 

 

30,381

 

30,298

 

Total current assets

 

373,928

 

358,652

 

 

420,712

 

382,964

 

 

 

 

 

 

 

 

 

 

 

PROPERTY, PLANT AND EQUIPMENT

 

 

 

 

 

 

 

 

 

 

Land

 

794

 

794

 

 

794

 

794

 

Buildings

 

8,896

 

8,896

 

 

26,466

 

15,397

 

Furniture and fixtures

 

20,382

 

19,582

 

 

17,034

 

15,855

 

Machinery and equipment

 

61,178

 

60,364

 

 

64,301

 

61,707

 

Equipment leased to third parties under operating leases

 

33,224

 

34,827

 

 

36,144

 

34,142

 

Leasehold improvements

 

81,708

 

74,615

 

 

90,469

 

85,176

 

Computer and software

 

99,974

 

98,186

 

Computers

 

36,066

 

33,216

 

Software

 

63,974

 

55,734

 

Total property, plant and equipment, gross

 

306,156

 

297,264

 

 

335,248

 

302,021

 

Less accumulated depreciation

 

190,193

 

182,803

 

 

192,598

 

175,223

 

Total property, plant and equipment, net

 

115,963

 

114,461

 

 

142,650

 

126,798

 

 

 

 

 

 

 

 

 

 

 

INTANGIBLE ASSETS

 

 

 

 

 

 

 

 

 

 

Goodwill

 

678,215

 

674,774

 

 

715,656

 

681,547

 

Customer list and other intangible assets, less accumulated amortization of $25,607 and $20,643 in 2013 and 2012, respectively

 

58,638

 

64,281

 

Other intangible assets, less accumulated amortization of $31,018 and $27,375 in 2014 and 2013, respectively

 

62,517

 

58,021

 

Total intangible assets, net

 

736,853

 

739,055

 

 

778,173

 

739,568

 

 

 

 

 

 

 

 

 

 

 

OTHER ASSETS

 

 

 

 

 

 

 

 

 

 

Debt issuance costs, net

 

8,994

 

14,033

 

 

7,703

 

8,564

 

Other assets

 

12,261

 

11,126

 

 

15,321

 

13,766

 

Total other assets

 

21,255

 

25,159

 

 

23,024

 

22,330

 

 

 

 

 

 

 

 

 

 

 

TOTAL ASSETS

 

$

1,247,999

 

$

1,237,327

 

 

$

1,364,559

 

$

1,271,660

 

 

The accompanying notes are an integral part of the consolidated financial statements.

 

1



Table of Contents

 

HANGER, INC.

CONSOLIDATED BALANCE SHEETS

(Dollars in thousands, except share and per share amounts)thousands)

(Unaudited)

 

 

September 30,

 

December 31,

 

 

2013

 

2012

 

 

June 30,

 

December 31,

 

 

 

 

 

 

 

2014

 

2013

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT LIABILITIES

 

 

 

 

 

 

 

 

 

 

Current portion of long-term debt

 

$

13,673

 

$

11,082

 

 

$

23,638

 

$

15,998

 

Accounts payable

 

32,339

 

28,923

 

 

31,815

 

36,729

 

Accrued expenses

 

30,391

 

22,357

 

Accrued expenses and other current liabilities

 

26,339

 

24,923

 

Accrued interest payable

 

5,772

 

3,041

 

 

2,049

 

1,898

 

Accrued compensation related costs

 

33,991

 

41,784

 

 

23,051

 

36,331

 

Total current liabilities

 

116,166

 

107,187

 

 

106,892

 

115,879

 

 

 

 

 

 

 

 

 

 

 

LONG-TERM LIABILITIES

 

 

 

 

 

 

 

 

 

 

Long-term debt, less current portion

 

457,384

 

509,564

 

 

516,251

 

452,261

 

Deferred income taxes

 

76,480

 

77,730

 

 

76,784

 

76,545

 

Other liabilities

 

40,869

 

39,752

 

 

58,589

 

46,755

 

Total liabilities

 

690,899

 

734,233

 

 

758,516

 

691,440

 

 

 

 

 

 

 

 

 

 

 

COMMITMENTS AND CONTINGENCIES (Note H)

 

 

 

 

 

COMMITMENTS AND CONTINGENCIES (Note I)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

Common stock, $.01 par value; 60,000,000 shares authorized, 36,032,368 and 35,617,884 shares issued and outstanding at 2013 and 2012, respectively

 

360

 

356

 

Common stock, $.01 par value; 60,000,000 shares authorized, 36,373,545 and 36,113,202 shares issued and outstanding at June 30, 2014 and December 31, 2013, respectively

 

364

 

361

 

Additional paid-in capital

 

288,860

 

280,084

 

 

299,927

 

292,722

 

Accumulated other comprehensive loss

 

(1,919

)

(1,919

)

 

(1,020

)

(1,020

)

Retained earnings

 

270,455

 

225,229

 

 

307,428

 

288,813

 

 

557,756

 

503,750

 

 

606,699

 

580,876

 

Treasury stock at cost (141,154 shares at 2013 and 2012)

 

(656

)

(656

)

Treasury stock at cost (141,154 shares at 2014 and 2013)

 

(656

)

(656

)

Total shareholders’ equity

 

557,100

 

503,094

 

 

606,043

 

580,220

 

 

 

 

 

 

 

 

 

 

 

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

 

$

1,247,999

 

$

1,237,327

 

 

$

1,364,559

 

$

1,271,660

 

 

The accompanying notes are an integral part of the consolidated financial statements.

 

2



Table of Contents

 

HANGER, INC.

CONSOLIDATED STATEMENTS OF INCOME

AND COMPREHENSIVE INCOME

For the Three and NineSix Months Ended SeptemberJune 30,

(Dollars in thousands, except share and per share amounts)

(Unaudited)

 

Three Months Ended

 

Nine Months Ended

 

 

Three Months Ended

 

Six Months Ended

 

 

September 30,

 

September 30,

 

 

June 30,

 

June 30,

 

 

2013

 

2012

 

2013

 

2012

 

 

2014

 

2013

 

2014

 

2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

$

271,053

 

$

242,536

 

$

768,201

 

$

704,794

 

 

$

275,854

 

$

267,798

 

$

511,459

 

$

497,148

 

Material costs

 

79,401

 

73,109

 

226,585

 

212,706

 

 

81,822

 

79,446

 

149,167

 

147,184

 

Personnel costs

 

94,768

 

84,135

 

277,897

 

248,723

 

 

102,755

 

93,176

 

199,186

 

183,129

 

Other operating expenses

 

47,754

 

41,210

 

136,434

 

125,099

 

 

52,741

 

49,022

 

98,341

 

88,680

 

Depreciation and amortization

 

9,224

 

8,709

 

28,019

 

25,432

 

 

12,133

 

9,510

 

22,332

 

18,795

 

Income from operations

 

39,906

 

35,373

 

99,266

 

92,834

 

 

$

26,403

 

$

36,644

 

$

42,433

 

$

59,360

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

6,017

 

7,751

 

21,502

 

23,212

 

 

$

6,201

 

7,708

 

12,299

 

15,485

 

Extinguishment of debt

 

 

 

6,645

 

 

 

 

6,645

 

 

6,645

 

Income before taxes

 

33,889

 

27,622

 

71,119

 

69,622

 

 

20,202

 

22,291

 

30,134

 

37,230

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for income taxes

 

12,230

 

10,278

 

25,891

 

26,257

 

 

7,583

 

8,212

 

11,518

 

13,661

 

Net income

 

$

21,659

 

$

17,344

 

$

45,228

 

$

43,365

 

 

$

12,619

 

$

14,079

 

$

18,616

 

$

23,569

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

Comprehensive income

 

$

21,659

 

$

17,344

 

$

45,228

 

$

43,365

 

 

$

12,619

 

$

14,079

 

$

18,616

 

$

23,569

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic Per Common Share Data

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

0.62

 

$

0.50

 

$

1.30

 

$

1.27

 

 

$

0.36

 

$

0.40

 

$

0.53

 

$

0.68

 

Shares used to compute basic per common share amounts

 

34,902,103

 

34,362,757

 

34,783,419

 

34,224,756

 

 

35,469,769

 

34,849,659

 

35,319,944

 

34,724,077

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted Per Common Share Data

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

0.61

 

$

0.50

 

$

1.28

 

$

1.25

 

 

$

0.35

 

$

0.40

 

$

0.52

 

$

0.67

 

Shares used to compute diluted per common share amounts

 

35,401,273

 

35,002,351

 

35,315,897

 

34,817,680

 

 

35,591,764

 

35,307,697

 

35,470,170

 

35,225,871

 

 

The accompanying notes are an integral part of the consolidated financial statements.

 

3



Table of Contents

 

HANGER, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

For the NineSix Months Ended SeptemberJune 30,

(Dollars in thousands)

(Unaudited)

 

2013

 

2012

 

 

2014

 

2013

 

 

 

 

 

 

 

 

 

 

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

 

 

Net income

 

$

45,228

 

$

43,365

 

 

$

18,616

 

$

23,569

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Adjustments to reconcile net income to net cash (used in) provided by operating activities:

 

 

 

 

 

(Gain)/Loss on disposal of assets

 

(5,570

)

5

 

 

(939

)

169

 

Reduction of seller notes and earnouts

 

(363

)

(971

)

 

(318

)

(57

)

Provision for doubtful accounts

 

8,545

 

6,580

 

 

8,808

 

4,591

 

Provision for deferred income taxes

 

(2,564

)

(1,031

)

 

358

 

(2,564

)

Depreciation and amortization

 

28,019

 

25,432

 

 

22,332

 

18,795

 

Amortization of debt issuance costs

 

8,703

 

2,589

 

 

861

 

8,273

 

Compensation expense on stock options and restricted stock units

 

6,398

 

6,100

 

Compensation expense on restricted stock units

 

5,265

 

4,060

 

Changes in operating assets and liabilities, net of effects of acquired companies:

 

 

 

 

 

 

 

 

 

 

Accounts receivable

 

(14,586

)

(10,266

)

 

(23,564

)

(7,712

)

Inventories

 

(14,676

)

(13,995

)

 

(14,467

)

(7,940

)

Prepaid expenses, other current assets, and income taxes

 

5,028

 

(337

)

Prepaid expenses, other assets, and income taxes receivable

 

(5,104

)

(2,746

)

Accounts payable

 

4,581

 

670

 

 

(6,430

)

7,611

 

Accrued expenses and accrued interest payable

 

5,421

 

4,192

 

Accrued expenses, accrued interest payable

 

1,080

 

(202

)

Accrued compensation related costs

 

(9,584

)

(5,970

)

 

(13,772

)

(18,612

)

Other

 

3,946

 

2,642

 

 

(211

)

409

 

Net cash provided by operating activities

 

68,526

 

59,005

 

Net cash (used in) provided by operating activities

 

(7,485

)

27,644

 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

Purchase of property, plant and equipment (net of acquisitions)

 

(24,429

)

(23,439

)

 

(20,248

)

(15,939

)

Purchase of equipment leased to third parties under operating leases

 

(3,041

)

(1,438

)

 

(1,438

)

(2,106

)

Acquisitions (net of cash acquired)

 

(5,695

)

(14,266

)

 

(34,201

)

(4,741

)

Restricted cash

 

3,120

 

(3,120

)

Purchase of company-owned life insurance investment

 

(2,294

)

 

Proceeds from sale of property, plant and equipment

 

4,595

 

 

 

1,079

 

894

 

Net cash used in investing activities

 

(25,450

)

(42,263

)

 

(57,102

)

(21,892

)

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

Borrowings under term loan

 

225,000

 

 

 

 

225,000

 

Repayment of term loan

 

(294,706

)

 

 

(2,813

)

(293,300

)

Borrowings under revolving credit agreement

 

163,000

 

(2,950

)

 

228,000

 

120,000

 

Repayments under revolving credit agreement

 

(137,000

)

 

 

(163,000

)

(65,000

)

Repayment of seller’s notes and other contingent considerations

 

(9,168

)

(3,416

)

 

(3,765

)

(4,042

)

Repayment of capital lease obligations

 

(808

)

(545

)

 

(754

)

(411

)

Deferred financing costs

 

(3,665

)

 

 

 

(3,665

)

Excess tax benefit from stock-based compensation

 

2,214

 

685

 

Excess tax benefit from stock based compensation

 

1,875

 

2,159

 

Proceeds from issuance of common stock

 

1,628

 

2,206

 

 

86

 

1,628

 

Purchase and retirement of treasury stock

 

(1,566

)

 

 

 

(1,566

)

Net cash used in financing activities

 

(55,071

)

(4,020

)

Net cash provided by (used in) financing activities

 

59,629

 

(19,197

)

 

 

 

 

 

 

 

 

 

 

Decrease in cash and cash equivalents

 

(11,995

)

12,722

 

 

(4,958

)

(13,445

)

Cash and cash equivalents, at beginning of period

 

19,211

 

42,896

 

 

9,860

 

19,211

 

Cash and cash equivalents, at end of period

 

$

7,216

 

$

55,618

 

 

$

4,902

 

$

5,766

 

 

SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION:

 

 

 

 

 

 

Cash paid during the period for:

 

 

 

 

 

Interest

 

16,299

 

16,902

 

Income taxes (net of refunds)

 

21,033

 

22,106

 

 

 

 

 

 

 

Non-cash financing and investing activities:

 

 

 

 

 

Issuance of restricted stock units

 

10,990

 

5,452

 

Issuance of notes in connections with acquistisions

 

675

 

7,625

 

SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION:

Cash paid during the period for:

 

 

 

 

 

Interest

 

10,537

 

13,105

 

Income taxes (net of refunds)

 

11,538

 

14,973

 

 

 

 

 

 

 

Non-cash financing and investing activities:

 

 

 

 

 

Issuance of restricted stock units

 

9,561

 

9,617

 

Issuance of notes in connections with acquisitions

 

12,900

 

300

 

Capital lease obligations

 

10,717

 

220

 

 

The accompanying notes are an integral part of the consolidated financial statements.

 

4



Table of Contents

 

HANGER, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

NOTE A — BASIS OF PRESENTATION

 

The accompanying unaudited interim consolidated financial statements as of September 30, 2013, and for the three and nine month periods ended September 30, 2013 and 2012 have been prepared by Hanger, Inc. (the “Company”) pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial reporting. These consolidated statements are unauditedinformation and inwith the opinioninstructions to Form 10-Q and Article 10 of management, include all adjustments (consisting of normal recurring adjustmentsregulation S-X, and, accruals) considered necessary for a fair statement of the Company’s financial position, results of operations and cash flows for such periods. The year-end consolidated data was derived from audited financial statements but doestherefore, do not include all disclosuresof the information and footnotes required by accounting principles generally accepted in the United States of America (“GAAP”). Certain information and footnote disclosures normally included inU.S. GAAP for complete financial statements prepared in accordance with GAAP have been condensed or omitted. The results of operations for the three and nine month periods ended September 30, 2013 are not necessarily indicative of the results to be expected for the full fiscal year.

statements.  These unaudited consolidated financial statements should be read in conjunction with the audited consolidated financial statements ofin the Company and notes thereto included in theCompany’s Annual Report on Form 10-K for the year ended December 31, 2012,2013, previously filed bywith the CompanySecurities and Exchange Commission (“SEC”).

In the opinion of the Company’s management, the information contained herein reflects all adjustments necessary for a fair statement of the Company’s results of operations, financial position and cash flows. All such adjustments are of a normal, recurring nature.  The results of operations for the interim period are not necessarily indicative, if annualized, of those to be expected for the full year.

A detailed description of the Company’s significant accounting policies and management judgments is located in the audited consolidated financial statements for the year ended December, 2013, included in the Company’s Form 10-K filed with the SEC.

NOTE B — SIGNIFICANT ACCOUNTING POLICIES

PrinciplesIn the second quarter and first six months of Consolidation

The consolidated financial statements include the accounts of2014, the Company recorded certain adjustments that relate to prior periods totaling $1.9 million and its wholly-owned subsidiaries. All intercompany transactions and balances$2.4 million, respectively.  The most significant adjustment relates to the recording of depreciation expense of $1.4 million in the second quarter of 2014 of equipment that should have been eliminatedfully depreciated in prior years.  The Company recorded these amounts in the accompanying financial statements.

second quarter and first six months of 2014 as the Company believes the adjustments are immaterial to both current and prior periods.

 

Revision of Previously Reported Consolidated Financial Information

 

During the third quarter 2013, the Company corrected an error in the classification of certain components of bad debt expense (the “2013 Revision”).expense. Hanger previously classified the reserves related to the write-off of older accounts receivable balances due from commercial and government payors as bad debt expense, which was reported as Other Operating Expense in its financial statements, instead of as a reduction of sales. Management has assessed the materiality of the errorsclassification error on previously reported periods and concluded the impact was not material to any of the prior annual or quarterly consolidated financial statements. The errorsreclassification error had no impact on previously reported net income, balance sheet totals or the operating cash flows for any of the periods. The impact of the adjustmentreclassification lowers sales and reduces Other Operating Expenses by equal and offsetting amounts in the Consolidated Statements of Income and Comprehensive Income and the Provision for doubtful accounts and Change in accounts receivable by equal and offsetting amounts in the Consolidated Statements of Cash Flows. Further, the Company has historically included the reserve for contra revenue in its presentation of the Allowance for doubtful accounts on the Consolidated Balance Sheets and the net change in the reserve for contra revenue in the Provision for doubtful accounts on the Consolidated Statements of Cash Flows and the Schedule II Valuation and Qualifying Accounts included in the Company’s Annual Report on Form 10-K. The Company has revised that presentation for all periods to only include the reserve for doubtful accounts and the related activity in the reserve for doubtful accounts in those respective balances.  The impacts of the revisions on Net sales are included in the results of the Patient Care Services segment in Note K.

During the fourth quarter of 2012, the Company identified adjustments necessary to correct prior periods for the overstatement of the value of work-in-process inventory at December 31, 2011 and 2010. The Company assessed the materiality of the errors on previously reported periods and concluded the impact was not material to any prior annual consolidated financial statements. Management, however, deemed the impact of this error on the consolidated financial statements for the three months ended March 31, 2012 and 2011 to be material and restated the first quarter 2012 and 2011 financial results (“2012 Restatement”) in the restated Quarterly Report on Form 10-Q/A, filed with the SEC on March 22, 2013 (the “Amended Filing”) and revised the consolidated financial statements for the three and six month periods ended June 30, 2012 in the Second Quarter 2013 Report on Form 10Q. These errors had no impact on operating cash flows for any of the periods. The impact of the errors is included in the results of the Patient Care Services segment in Note K. The 2012 Restatement did not have an impact on the Consolidated Balance Sheets as of September 30, 2012 or the Consolidated Statement of Income and Comprehensive Income or the Consolidated Statement of Cash Flows for the three month period ended September 30, 2012.

The impact of the 2013 Revision on the Consolidated Statements of Income and Comprehensive Income and the Consolidated Statements of Cash Flows for the three months ended March 31, 2013, the three and six months ended June 30, 2013, the three months ended March 31, 2012, the three and six months ended June 30, 2012, the three and nine months ended September 30, 2012, the annual periods ended 2010, 2011 and 2012, and Schedule II Valuation and Qualifying Accounts for the annual periods 2010, 2011 and 2012 are shown below.  The impact of the 2012 Restatement resulted in a revision to the Consolidated Statements of Income and Comprehensive Income and the Consolidated Statement of Cash Flows for the nine month period ended September 30, 2012 which is included within the respective table below.

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Table of Contents

Impact of 2013 Revision to previously reported 2013 consolidated interim results

 

 

Three Months Ended
March 31, 2013

 

Three Months Ended
June 30, 2013

 

Six Months Ended
June 30, 2013

 

 

 

 

 

 

 

As Previously

 

 

 

As Previously

 

 

 

As Previously

 

 

 

 

 

 

 

(in thousands)

 

 Reported

 

As Revised

 

 Reported

 

As Revised

 

 Reported

 

As Revised

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated Statements of Income and Comprehensive Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

$

233,535

 

$

229,350

 

$

273,735

 

$

267,798

 

$

507,270

 

$

497,148

 

 

 

 

 

Other operating expenses*

 

$

43,843

 

$

39,658

 

$

54,959

 

$

49,022

 

$

98,802

 

$

88,680

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated Statements of Cash Flows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

$

5,229

 

$

1,657

 

 

 

 

 

$

14,905

 

$

4,591

 

 

 

 

 

Change in accounts receivable

 

$

3,644

 

$

7,216

 

 

 

 

 

$

(18,026

)

$

(7,712

)

 

 

 

 


* The Other operating expense balance for the three months ended March 31, 2013 includes $0.1 million of acquisition expenses previously reported as a separate caption in the presentation of the Consolidated Statements of Income and Comprehensive Income.

Impact of 2013 Revision to previously reported 2012 consolidated interim results

 

 

Three Months Ended
March 31, 2012

 

Three Months Ended
June 30, 2012

 

Six Months Ended
June 30, 2012

 

Three Months Ended
September 30, 2012

 

 

 

As Previously

 

 

 

As Previously

 

 

 

As Previously

 

 

 

As Previously

 

 

 

(in thousands)

 

Reported

 

As Revised

 

Reported

 

As Revised

 

Reported

 

As Revised

 

Reported

 

As Revised

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated Statements of Income and Comprehensive Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

$

218,091

 

$

214,355

 

$

251,754

 

$

247,902

 

$

469,845

 

$

462,257

 

$

243,503

 

$

242,536

 

Other operating expenses*

 

$

40,219

 

$

36,483

 

$

51,256

 

$

47,404

 

$

91,475

 

$

83,887

 

$

42,177

 

$

41,210

 

Consolidated Statement of Cash Flows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

$

4,723

 

$

907

 

 

 

 

 

$

12,925

 

$

4,462

 

 

 

 

 

Change in accounts receivable

 

$

851

 

$

4,667

 

 

 

 

 

$

(16,190

)

$

(7,727

)

 

 

 

 


* The Other operating expense balance for the three months ended March 31, 2012 includes $0.1 million of acquisition expenses previously reported as a separate caption in the presentation of the Consolidated Statements of Income and Comprehensive Income.

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Table of Contents

Impact of 2013 Revision and 2012 Restatement to previously reported 2012 consolidated interim results

 

 

Nine Months Ended
September 30, 2012

 

(in thousands, except per share amounts)

 

As Previously
Reported

 

As Revised

 

 

 

 

 

 

 

Consolidated Statements of Income and Comprehensive Income

 

 

 

 

 

Net sales

 

$

713,349

 

$

704,794

 

Material costs

 

$

210,107

 

$

212,706

 

Personnel costs

 

$

251,189

 

$

248,723

 

Other operating expenses

 

$

135,566

 

$

125,099

 

Income from operations

 

$

91,055

 

$

92,834

 

Income before taxes

 

$

67,843

 

$

69,622

 

Provision for income taxes

 

$

25,558

 

$

26,257

 

Net income

 

$

42,285

 

$

43,365

 

Basic earnings per share

 

$

1.24

 

$

1.27

 

Diluted earnings per share

 

$

1.21

 

$

1.25

 

 

 

 

 

 

 

Consolidated Statement of Cash Flows

 

 

 

 

 

Provision for doubtful accounts

 

$

15,926

 

$

6,580

 

Change in accounts receivable

 

$

(19,612

)

$

(10,266

)

Impact of 2013 Revision to previously reported consolidated annual results

 

 

Year Ended
December 31, 2010

 

Year Ended
December 31, 2011

 

Year Ended
December 31, 2012

 

(in thousands)

 

As Previously
Reported

 

As Revised

 

As Previously
Reported

 

As Revised

 

As Previously
Reported

 

As Revised

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated Statements of Income and Comprehensive Income

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

$

817,379

 

$

808,766

 

$

918,539

 

$

907,794

 

$

985,550

 

$

974,429

 

Other operating expenses

 

$

165,158

 

$

156,545

 

$

177,910

 

$

167,165

 

$

188,868

 

$

177,747

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated Statements of Cash Flows

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

$

20,276

 

$

7,252

 

$

24,837

 

$

9,396

 

$

19,773

 

$

9,589

 

Change in accounts receivable

 

$

(31,041

)

$

(18,017

)

$

(42,024

)

$

(26,583

)

$

(40,443

)

$

(30,259

)

Impact of 2013 Revision to previously reported Schedule II Allowance for doubtful accounts table

Year
(In thousands)

 

Classification

 

Balance at
beginning of year

 

Additions
Charged to Costs
and Expenses

 

Write-offs

 

Balance at
end of year

 

2012

 

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

 

 

Previously reported

 

$

22,028

 

$

19,773

 

$

20,422

 

$

21,379

 

 

 

Revised

 

$

7,236

 

$

9,589

 

$

9,299

 

$

7,526

 

 

 

 

 

 

 

 

 

 

 

 

 

2011

 

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

 

 

Previously reported

 

$

16,686

 

$

22,101

 

$

16,759

 

$

22,028

 

 

 

Revised

 

$

5,153

 

$

9,396

 

$

7,313

 

$

7,236

 

 

 

 

 

 

 

 

 

 

 

 

 

2010

 

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

 

 

Previously reported

 

$

10,526

 

$

20,276

 

$

14,116

 

$

16,686

 

 

 

Revised

 

$

4,286

 

$

7,252

 

$

6,385

 

$

5,153

 

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the 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 original maturities of three months or less at the date of purchase to be cash equivalents.  The Company maintains cash balances in excess of Federal Deposit Insurance Corporation limits at certain financial institutions.

Restricted Cash

Restricted cash has statutory or contractual restrictions that prevent it from being used in the Company’s operations.  As of December 31, 2012, the Company agreed to restrict $3.1 million of cash to serve as collateral for its Workers’ Compensation program.  In August of 2013, the Company substituted a letter of credit for the restricted cash to serve as collateral for its Worker’s Compensation program, and the cash balances used as collateral were transferred to the Company’s operating accounts.

Credit Risk

The Company primarily provides O&P (orthotics and prosthetics) devices and services and products throughout the United States of America and is reimbursed by the patients, third-party insurers, governmentally funded health insurance programs, and, for those products distributed through the Products & Services business, by independent O&P providers. The Company also provides advanced rehabilitation technology and clinical programs to skilled nursing facilities in the United States primarily through operating leases. The Company performs ongoing credit evaluations of its Products & Services segment customers. Accounts receivable are not collateralized. The ability of the Company’s debtors to meet their obligations is dependent upon their financial stability which could be affected by future legislation and regulatory actions. Additionally, the Company maintains reserves for potential losses from these receivables that historically have been within management’s expectations.

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Table of Contents

Inventories

Inventories in the Patient Care segment consisting principally of raw materials and work-in-process, which amounted to $113.7 million and $96.6 million as of September 30, 2013 and December 31, 2012, respectively, are valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. The Company applies the gross profit method on a patient care clinic basis in this segment’s inventory to determine ending inventory at the end of each interim period. On October 31, which is the date of the Company’s annual physical inventory, the Company values the inventory at lower of cost or market using the first-in first-out method and includes work-in-process consisting of materials, labor and overhead which is valued based on established standards for the stage of completion of each custom order. Adjustments to reconcile the physical inventory to the Company’s books are treated as changes in accounting estimates and are recorded in the fourth quarter. The October 31 inventory is subsequently adjusted during interim periods to apply the gross profit method described above.

Inventories in the Products & Services segments consist principally of finished goods which are stated at the lower of cost or market using the first-in, first-out method for all reporting periods and are valued based on perpetual records.

Fair Value Measurements

The Company follows the authoritative guidance for financial assets and liabilities, which establishes a framework for measuring fair value and requires enhanced disclosures about fair value measurements. The authoritative guidance requires disclosure about how fair value is determined for assets and liabilities and establishes a hierarchy by which these assets and liabilities must be categorized, based on significant levels of inputs as follows:

Level 1unadjusted quoted prices for identical assets or liabilities in active markets accessible by the Company

Level 2inputs that are observable in the marketplace other than those inputs classified as Level 1

Level 3inputs that are unobservable in the marketplace and significant to the valuation

The determination of where assets and liabilities fall within this hierarchy is based upon the lowest level of input that is significant to the fair value measurement.

Financial Instruments

Assets measured at fair value on a recurring basis as of September 30, 2013 and December 31, 2012, are $2.5 million and $11.0 million, respectively, and are comprised of cash equivalent money market investments. The money market investments are based on Level 1 observable market prices and are equivalent to one dollar. The carrying value of the Company’s short-term financial instruments, such as receivables and payables, approximate their fair values based on the short-term maturities of these instruments. During the second quarter of 2013, the Company refinanced its credit facilities by replacing its $300.0 million Term Loan and $100.0 million Revolving Credit Facility with a $225.0 million Term Loan Facility and a $200.0 million Revolving Credit Facility. See Note F for further information.

·The carrying values of the Company’s outstanding Term Loans as of September 30, 2013 and December 31, 2012, were $223.6 million and $293.3 million, respectively. The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

·The carrying values of the Company’s outstanding Revolving Credit Facilities as of September 30, 2013 and December 31, 2012, were $26.0 million and $0 million, respectively.  The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

·The carrying value of the Senior Notes was $200.0 million as of September 30, 2013 and December 31, 2012.  The fair value of the Senior Notes, based on a Level 1 quoted market price, was $213.0 million and $211.5 million as of September 30, 2013 and December 31, 2012.

·Seller Notes are recorded at contractual carrying values of $21.5 million and $27.3 million as of September 30, 2013 and December 31, 2012, respectively, and carrying value approximates fair value for similar debt in all material respects.  The Company estimates fair value of the seller notes with a discounted cash flow model using unobservable rates and has determined these represent Level 3 measurements.

Revenue Recognition

Revenues in the Company’s Patient Care segment are derived from the sale of O&P devices and the maintenance and repair of existing devices. Revenues are recorded based upon contracts with commercial insurance companies and government agencies, net of contractual adjustments and discounts.  Individual patients are generally responsible for deductible and/or co-payments.  Revenues are recorded when the patient has accepted and received the device.  Revenues from maintenance and repairs are recognized when the service is provided.

The Company estimates an allowance for disallowed sales primarily for commercial & governmental contractual adjustments and discounts not identified at the time of sale.  The allowance is estimated based upon historical experience. Additions to the allowance are reported as a reduction of Net sales.

The Company estimates an allowance for doubtful accounts to estimate uncollectible accounts due primarily from individual patients.  The allowance is estimated based upon historical experience.  Bad debt expense is reported within Other operating expenses.

Revenues in the Company’s Products & Services segment are derived from the distribution of O&P devices to customers and leasing rehabilitation technology combined with clinical therapy programs, education and training.  Distribution revenues are recorded upon the shipment of products, in accordance with the terms of the invoice, net of merchandise returns received. Discounted sales are recorded at net realizable value. Leasing revenues are recognized based upon the contractual terms of the agreements, which contain negotiated pricing and service levels with terms ranging from one to five years, and are generally billed to the Company’s customers monthly.

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Table of Contents

Property, Plant and Equipment

Property, plant and equipment are recorded at cost less accumulated depreciation, with the exception of assets acquired through acquisitions, which are initially recorded at fair value. Equipment acquired under capital leases is recorded at the lower of fair market value or the present value of the future minimum lease payments. The cost and related accumulated depreciation of assets sold, retired or otherwise disposed of are removed from the respective accounts, and any resulting gains or losses are included in the Consolidated Statements of Income and Comprehensive Income.

Goodwill and Other Intangible Assets

Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. The Company assesses goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset.  There were no impairment indicators since the last annual impairment test on October 1, 2012.

Income Taxes

The Company recognizes deferred income tax liabilities and assets for the expected future tax consequences of events that have been included in the financial statements or tax returns. Deferred income tax liabilities and assets are determined based on the difference between the financial statements and the tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The Company recognizes a valuation allowance on the deferred tax assets if it is more likely than not that the assets will not be realized in future years. Significant accounting judgment is required in determining the provision for income taxes and related accruals, deferred tax assets and liabilities. The Company believes that its tax positions are consistent with applicable tax law, but certain positions may be challenged by taxing authorities. In the ordinary course of business, there are transactions and calculations where the ultimate tax outcome is uncertain. In addition, the Company is subject to periodic audits and examinations by the Internal Revenue Service and other state and local taxing authorities. Although the Company believes that its estimates are reasonable, actual results could differ from these estimates.

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Table of Contents

Segment Information

The Company applies a “management” approach to disclosure of segment information. The management approach designates the internal organization that is used by management for making operating decisions and assessing performance as the basis of the Company’s operating segments. During the first quarter of 2013, the Company assessed and updated their operating segments to align with how the business is managed and determined their reportable segments are the same as their operating segments. The description of the Company’s segments and the disclosure of segment information are presented in Note K.

 

Recent Accounting Pronouncements

 

In July 2012, the FASB issued ASU 2012-02, “Testing Indefinite-Lived Intangibles for Impairment”. This ASU amended guidance that simplifies how entities test indefinite-lived intangible assets other than goodwill for impairment.  After assessment of certain qualitative factors, if it is determined to be more likely than not that an indefinite-lived asset is impaired, entities must perform the quantitative impairment test.  Otherwise, the quantitative test becomes optional.  The amended guidance was effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012.  The Company adopted this new guidance in the first quarter of 2013, and the adoption did not have a material impact on the Company’s condensed consolidated financial statements.

In February 2013, the FASB issued ASU 2013-2, “Other Comprehensive Income.” This ASU amends ASC 220, “Comprehensive Income,” and supersedes ASU 2011-05 “Presentation of Comprehensive Income” and ASU 2011-12 “Comprehensive Income,” to require reclassification adjustments from other comprehensive income to be presented either in the financial statements or in the notes to the financial statements. The standard does not change the current requirements for reporting net income or other comprehensive income in financial statements. However, the guidance requires an entity to provide enhanced disclosures to present separately by component reclassifications out of accumulated other comprehensive income. The amendments in this ASU were effective prospectively for reporting periods beginning after December 15, 2012. The Company has adopted this guidance and its implementation did not have a material impact on its consolidated financial statements.

In July 2013, the FASB issued new accounting guidance2013-11, “Income Taxes” that requires that unrecognized tax benefits be classified as an offset to deferred tax assets to the extent of any net operating loss carryforwards, similar tax loss carryforwards, or tax credit carryforwards available at the reporting date in the applicable tax jurisdiction to settle any additional income taxes that would result from the disallowance of a tax position. An exception would apply if the tax law of the tax jurisdiction does not require the Company to use, and it does not intend to use, the deferred tax asset for such purpose. This guidance is effective for reporting periods beginning after December 15, 2013. The Company doesadopted this guidance and its implementation did not expecthave a material impact on the Company’s Condensed Consolidated Financial Statements.

In May 2014, the FASB issued ASU 2014-09, “Revenue from Contracts with Customers”, which clarifies existing accounting literature relating to how and when a company recognizes revenue. Under ASU 2014-09, a company will recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods and services. This guidance is effective for reporting periods beginning after December 15, 2016. The Company is in the process of determining what impact, if any, the adoption of these provisionsthis ASU will have on its financial position, results of operations and cash flows.

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Table of Contents

NOTE B — FAIR VALUE MEASUREMENTS

Assets measured at fair value on a recurring basis as of June 30, 2014 and December 31, 2013, are $2.6 million and $7.7 million, respectively, and are composed of cash equivalent money market investments. The money market investments are based on Level 1 observable market prices and are equivalent to have a material effectone dollar. The carrying value of the Company’s short-term financial instruments, such as receivables and payables, approximate their fair values based on the consolidated financial statements.short-term maturities of these instruments. During the second quarter of 2013, the Company refinanced its credit facilities by replacing its $300.0 million Term Loan and $100.0 million Revolving Credit Facility with a $225.0 million Term Loan Facility and a $200.0 million Revolving Credit Facility. See Note H for further information.

 

NOTE C — ACCOUNTS RECEVIABLE

The Company reports accounts receivable at estimated net realizable amounts generated for products delivered and services rendered from federal and state managed health care plans, commercial insurance companies and patients.  Collections of these accounts receivable are the Company’s primary source of cash and are critical to the Company’s operating performance.  The Company estimates uncollectible patient accounts primarily based upon its experience in historical collections from individual patients.  Bad debt expense is reported within Other operating expenses within the Consolidated Statement of Income and Comprehensive Income.  At June 30, 2014 and December 31, 2013, net accounts receivable included the allowance for doubtful accounts of $11.3 million and $10.0 million respectively.

NOTE D — GOODWILL AND OTHER INTANGIBLE ASSETS

 

The Company completes its annual goodwill and indefinite lived intangible impairment analysis in the fourth quarter of each year. The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step quantitative goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  No triggering events have transpired since December 31, 2012.  October 1, 2013.

Goodwill allocated to the Company’s operating segments for the ninesix months ended SeptemberJune 30, 20132014 and for the year ended 20122013 are as follows:

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Total

 

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

Additions due to acquisitions

 

3,562

 

 

3,562

 

 

30,281

 

3,778

 

34,059

 

Adjustments

 

(121

)

 

(121

)

 

(63

)

113

 

50

 

Balance at September 30, 2013

 

$

541,933

 

$

136,282

 

$

678,215

 

Balance at June 30, 2014

 

$

575,483

 

$

140,173

 

$

715,656

 

 

 

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2011

 

$

474,166

 

$

135,318

 

$

609,484

 

Additions due to acquisitions

 

63,849

 

964

 

64,813

 

Contingent considerations (1)

 

477

 

 

477

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 


(1) Contingent considerations relates to acquisitions completed prior to the adoption of ASC 805.

The balances related to intangible assets as of September 30, 2013 and December 31, 2012 are as follows:

(In thousands)

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 

Additions due to acquisitions

 

7,317

 

 

7,317

 

Adjustments

 

(544

)

 

(544

)

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

 

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Table of Contents

 

 

 

September 30, 2013

 

December 31, 2012

 

(In thousands)

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer Lists

 

$

46,072

 

$

(10,628

)

$

35,444

 

$

48,044

 

$

(7,846

)

$

40,198

 

Trade Name

 

9,932

 

(197

)

9,735

 

9,070

 

 

9,070

 

Patents and Other Intangibles

 

28,241

 

(14,782

)

13,459

 

27,810

 

(12,797

)

15,013

 

 

 

$

84,245

 

$

(25,607

)

$

58,638

 

$

84,924

 

$

(20,643

)

$

64,281

 

The balances related to intangible assets as of June 30, 2014 and December 31, 2013 are as follows:

 

 

June 30, 2014

 

December 31, 2013

 

(In thousands)

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer Lists

 

$

53,227

 

$

(13,841

)

$

39,386

 

$

46,932

 

$

(11,627

)

$

35,305

 

Trade Name

 

11,822

 

(510

)

11,312

 

10,023

 

(264

)

9,759

 

Patents and Other Intangibles

 

28,486

 

(16,667

)

11,819

 

28,441

 

(15,484

)

12,957

 

 

 

$

93,535

 

$

(31,018

)

$

62,517

 

$

85,396

 

$

(27,375

)

$

58,021

 

 

Customer lists are amortized over their estimated period of benefit, generally 10 to 14 years.  The majority of value associated to trade names is identified as an indefinite lived intangible asset, which is assessed for impairment on an annual basis as discussed in Note B.basis. Trade names not identified as an indefinite lived intangible asset are amortized over their estimated period of benefit of approximately 1 to 3 year.5 years.  Patents are amortized using the straight-line method over 5 years.  Total intangible amortization expenses were $5.0$3.8 million and $3.8$3.3 million for the ninesix months ended SeptemberJune 30, 20132014 and SeptemberJune 30, 2012,2013, respectively.  The weighted average life of the additions to customer lists, patents and other intangibles is 7.710 years.

 

NOTE DE INVENTORIES

 

Patient Care—Inventories recorded using the gross profit method primarilyat Hanger Clinic, Dosteon and Cares, which consists of raw materials, work-in-process and finished goods, amounted to $122.3 million and $109.2 million at June 30, 2014 and December 31, 2013, respectively. Inventories in Hanger’s Clinics, which amounted to $111.9 million and $99.0 million at June 30, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process held byinventory valued based on the Patient Care segment.  Inventoriesgross profit method, which approximates lower of cost or market using the perpetualfirst-in first-out method. Inventories in the Dosteon business amounted to $9.2 million and $8.9 million at June 30, 2014 and December 31, 2013, respectively, and consisted principally of raw materials. As of June 30, 2014, the Dosteon inventories were valued based on the gross profit method, primarily consistswhich approximates lower of cost or market using the first-in first-out method. Inventories in the Cares business amounted to $1.2 million and $1.3 million as of June 30, 2014 and December 31, 2013, respectively, consisted principally of finished goods heldand are valued at the lower of cost or market using the first-in first-out method based on perpetual records.

Hanger Clinic and Dosteon do not maintain a perpetual inventory system. On October 31st of each year the company performs an annual physical inventory of all inventories in Hanger Clinics. Dosteon counted its inventories on December 31, 2013 and October 31, 2012. The Company values the raw materials and work-in-process inventory counted at October 31 at lower of cost or market using the first-in first-out method. Hanger Clinic work-in-process inventory consists of materials, labor and overhead which is valued based on established standards for the stage of completion of each custom order. Material, labor and overhead costs are determined at the individual clinic or groups of clinics level. Adjustments to reconcile the Hanger Clinic and Dosteon physical inventory are treated as changes in accounting estimates and are recorded in the fourth quarter.  In the fourth quarter of 2013 the Company recorded a decrease to inventory of $2.3 million based on this reconciliation.

For Hanger Clinics, the October 31st inventory is subsequently adjusted at each quarterly and annual reporting period end by applying the Productsgross profit method. As it relates to materials, the Company generally applies the gross profit method to individual clinics or groups of clinics for material costs. Labor and Services segment.  A descriptionoverhead and other aspects of the Company’sgross profit method are completed on a Hanger Clinic-wide basis. A similar approach is applied to Dosteon inventory, valuation methodologies are presented in Note B.as applicable.

 

(In thousands)

 

September 30, 2013

 

December 31, 2012

 

Raw materials

 

$

45,150

 

$

41,372

 

Work in process

 

70,053

 

56,931

 

Finished goods

 

29,171

 

28,992

 

 

 

$

144,374

 

$

127,295

 

Products & Services—Inventories consisted principally of finished goods, which are stated at the lower of cost or market using the first-in, first-out method for all reporting periods and are valued based on perpetual records.

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Table of Contents

Inventories as of June 30, 2014 and December 31, 2013 are as follows:

(In thousands)

 

June 30, 2014

 

December 31, 2013

 

 

 

 

 

 

 

Raw materials

 

$

44,639

 

$

40,970

 

Work in process

 

76,358

 

66,832

 

Finished goods

 

37,960

 

33,716

 

 

 

$

158,957

 

$

141,518

 

 

NOTE EF PROPERTY PLANT & EQUIPMENT

Property, plant and equipment are recorded at cost less accumulated depreciation, with the exception of assets acquired through acquisitions, which are initially recorded at fair value. Equipment acquired under capital leases is recorded at the lower of fair market value or the present value of the future minimum lease payments. The cost and related accumulated depreciation of assets sold, retired or otherwise disposed of are removed from the respective accounts, and any resulting gains or losses are included in the Consolidated Statements of Income and Comprehensive Income.

During the second quarter of 2014, the Company re-evaluated its policy regarding the maximum economic useful life of key software systems.  Due to the anticipated life of such systems, historical usage of similar assets, and the significant investment that would be required to replace the software which would make it unlikely for the Company to quickly replace, the Company determined such software could have an economic useful life of up to 10 years.  Historically, the Company’s policy provided for a maximum economic useful life for computer and software equipment of 5 years.  As of June 30, 2014, no software with an estimated useful life of greater than 5 years has been placed into service nor has the economic useful of any software previously placed into service been changed.

Depreciation is computed for financial reporting purposes using the straight-line method over the estimated useful lives of the related assets, which is generally as follows:

Estimated life

Asset class

(in years)

Furniture and fixtures

5

Machinery and equipment

5

Computers

5

Software

5 - 10

Buildings

10 - 40

Assets under capital leases

Shorter of 10 or lease term

Leasehold improvements

Shorter of 10 or lease term

Capital Lease Obligations

Included within the Buildings line item were $21.9 million and $10.9 million of buildings recorded under capital leases, as of June 30, 2014 and December 31, 2013, respectively.  Accumulated depreciation on these capital leases were $1.8 million and $0.9 million, as of June 30, 2014 and December 31, 2013, respectively.  The annual future minimum lease payments as of June 30, 2014 under the lease agreements are $1.5 million, $3.0 million, $3.1 million, $3.2 million, $3.2 million, $17.3 million for the years ending December 31, 2014, 2015, 2016, 2017, 2018 and thereafter.  These future minimum lease payments include $10.2 million of interest.

Long-Lived Asset Impairment

The Company evaluates the carrying value of long-lived assets to be held and used whenever events or changes in circumstance indicate that the carrying amount may not be recoverable. The carrying value of a long-lived asset group is not recoverable and is considered impaired if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset. The Company measures impairment as the amount by which the carrying value exceeds the fair market value. Fair market value is determined primarily using the projected future cash flows discounted at a rate commensurate with the risk involved. Losses on long-lived assets to be disposed of are generally determined in a similar manner, except that fair market values are reduced for the cost to dispose. There were no long-lived asset impairments or indicators of impairment for the periods ended June 30, 2014 and December 31, 2013.

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Table of Contents

NOTE G — ACQUISITIONS

 

During the ninesix months ended SeptemberJune 30, 2013,2014, the Company acquired five O&Pnine companies, operating a total of 1232 patient care clinics. The aggregate purchase price for these O&P businesses was $8.0$47.6 million. Of this aggregate purchase price, $0.7$12.9 million consisted of promissory notes, $1.2$0.6 million was made up of contingent consideration payable within the next two years and $34.2 million was paid in cash. The excess of purchase price over the aggregate fair value was recorded as goodwill. The Company preliminarily allocated the purchase price to the individual assets acquired and liabilities assumed, consisting of $4.4 million accounts receivable, $3.0 million inventory, $34.1 million of goodwill, $7.6 million of definite lived intangibles, $1.5 million of indefinite lived intangibles, fixed assets and other assets of $6.5 million and accounts payable and other liabilities of $9.3 million. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material.  The value of the goodwill from these acquisitions can be attributed to a number of business factors including, but not limited to expected revenue and cash flow growth in future years. Contingent consideration is reported as other liabilities on the Company’s Consolidated Balance Sheet. The Company elected to treat all of these acquisitions as asset acquisitions for tax purposes resulting in all of the Q2 recorded goodwill as being amortizable for tax purposes. The expenses incurred related to these acquisitions were insignificant and were included in Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

During the six months ended June 30, 2013, the Company acquired two O&P companies, operating a total of nine patient care clinics. The aggregate purchase price for these O&P businesses was $6.9 million. Of this aggregate purchase price, $0.3 million consisted of promissory notes, $1.8 million is made up of contingent consideration payable within the next two years and $5.6$4.8 million was paid in cash. Contingent consideration is reported as other liabilities on the Company’s consolidated balance sheet. The Company recorded approximately $3.6$2.7 million of goodwill related to these acquisitions, and the expenses incurred related to these acquisitions were insignificant and were included in other operating expenses.

During the nine months ended September 30, 2012, the Company acquired 14 O&P companies, operating a total of 21 patient care clinics. The aggregate purchase price for these O&P businesses was $21.8 million. Of this aggregate purchase price, $7.6 million consisted of promissory notes, $1.6 million was made up of contingent consideration payable within the next five years, and $12.6 million was paid in cash. Contingent consideration is reported as other liabilities on the Company’s consolidated balance sheet. The Company recorded approximately $13.6 million of goodwill related to these acquisitions, and the expenses incurred related to this acquisition were insignificant and were included in otherOther operating expenses.

 

The results of operations for these acquisitions are included in the Company’s results of operations from the date of acquisition. Pro forma results would not be materially different.

In connection with contingent consideration agreements, with acquisitions completed prior to adoption of the revised authoritative guidance effective for business combinations for which the acquisition date was on or after the beginning of the first annual reporting period beginning on or after December 15, 2008, the Company made payments of $0$0.6 million and $0.5 million during the nine months ended September 30, 2013 and 2012, respectively. The Company has accounted for these amounts as additional purchase price, resulting in an increase in goodwill. For acquisitions completed subsequent to adoption of revised authoritative guidance, the Company made payments in connection with contingent consideration agreements of $1.9$0.9 million in the first ninesix months of 2014 and 2013, and $1.3 million in the same period of 2012.respectively. As of SeptemberJune 30, 20132014 the Company has accrued a total of $4.1$2.4 million related to contingent consideration.consideration provisions related to acquisitions made in prior periods.

 

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Table of Contents

NOTE FH — LONG TERM DEBT

 

Long-term debt consists of the following:

 

 

September 30,

 

December 31,

 

 

June 30,

 

December 31,

 

(In thousands)

 

2013

 

2012

 

 

2014

 

2013

 

 

 

 

 

 

Revolving Credit Facility

 

$

26,000

 

$

 

 

$

90,000

 

$

25,000

 

Term Loan

 

223,594

 

293,300

 

 

219,375

 

222,188

 

7 1/8 % Senior Notes due 2018

 

200,000

 

200,000

 

 

200,000

 

200,000

 

Subordinated seller notes, non-collateralized, net of unamortized discount with principal and interest payable in either monthly, quarterly or annual installments at effective interest rates ranging from 2.00% to 4.00%, maturing through November 2018

 

21,463

 

27,346

 

 

30,514

 

21,071

 

Total Debt

 

471,057

 

520,646

 

 

539,889

 

468,259

 

Less current portion

 

(13,673

)

(11,082

)

 

(23,638

)

(15,998

)

Long Term Debt

 

$

457,384

 

$

509,564

 

 

$

516,251

 

$

452,261

 

 

Refinancing

 

During the second quarter of 2013 the Company refinanced its bank credit facilities through a new 5 year credit agreementCredit Agreement that increased its senior secured facilities to an aggregate principal amount of up to $425.0 million from $400.0 million previously.  The new credit agreementCredit Agreement includes a $200.0 million revolving credit facility and a $225.0 million term loan facility. Each new facility matures on June 17, 2018 and is subject to a leveraged-based pricing grid, with initial pricing of LIBOR plus 1.75%.  In conjunction with the refinancing, the Company incurred a pre-tax non-cash charge of approximately $6.6 million during the second quarter of 2013 related to the write-off of existing debt issuance costs associated with its previous credit agreement.  No prepayment penalties were incurred.

 

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Table of Contents

Revolving Credit Facility

 

The $200.0 million Revolving Credit Facility matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  As of SeptemberJune 30, 2013,2014, the Company had $170.4$106.4 million available under this facility. The outstanding amounts outstandingborrowed under the Revolving Credit Facility as of SeptemberJune 30, 20132014 were $26.0$90 million, net ofincluding standby letters of credit of approximately $3.6 million. The obligations under the Revolving Credit Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

The carrying values of the Company’s outstanding Revolving Credit Facilities as of June 30, 2014 and December 31, 2013, were $90.0 million and $25.0 million, respectively.  The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

Term Loan Facility

 

The Term Loan Facility, of which $223.6$219.4 million is outstanding, matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  Quarterly principal payments ranging from 0.625% to 3.750%3.75% of the initial principal borrowed are required throughout the life of the Term Loan, commencing September 30, 2013.Loan.  From time to time, mandatory prepayments may be required as a result of certain additional debt incurrences, certain asset sales, or other events as defined in the Credit Agreement. No such mandatory prepayments werehave been required during the third quarter of 2013.under our Term Loan Agreement to date. The obligations under the Term Loan Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

The carrying values of the Company’s outstanding Term Loans as of June 30, 2014 and December 31, 2013, were $219.4 million and $222.2 million, respectively. The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

71/8% Senior Notes

 

The 7 1/8 % Senior Notes mature November 15, 2018, and are senior indebtedness, which isand are guaranteed on a senior unsecured basis by all of the Company’s subsidiaries. Interest is payable semi-annually on May 15 and November 15 of each year.

 

On or prior to November 15, 2013, the Company may redeem up to 35% of the aggregate principal amount of the notes at a redemption price of 107.125% of the principal amount thereof additional interest to the redemption date with the proceeds of a public offering of its equity securities. Also, priorPrior to November 15, 2014, the Company may redeem all or some of the notes at a redemption price of 103.6% allof outstanding principal amount plus and amount equal to the unaccrued interest that would otherwise have become due from the redemption date through November 15, 2014.  On or after November 15, 2014, the Company may redeem all or a part of the notes with a premium, as described in further detail in the Company’s Annual Report on form 10-K for the year ended December 31, 2012.2013.

 

12



TableThe carrying value of Contentsthe Senior Notes was $200.0 million as of June 30, 2014 and December 31, 2013.  The fair value of the Senior Notes was $210.0 million and $213.3 million as of June 30, 2014 and December 31, 2013, respectively.  The Company has determined the fair value of the Senior Notes based on market observable inputs and has therefore concluded these are Level 2 measurements.

Seller Notes

Seller Notes are recorded at contractual carrying values of $30.5 million and $21.1 million as of June 30, 2014 and December 31, 2013, respectively, and carrying value approximates fair value for similar debt in all material respects.  The Company estimates fair value of the seller notes with a discounted cash flow model using unobservable rates and has determined these represent Level 3 measurements.

Subsidiary Guarantees

 

The Revolving Credit Facility,and Term Loan Facilities and the 7 1/8 % Senior Notes are guaranteed by all of the Company’s subsidiaries. Separate condensed consolidating information is not included asbecause Hanger, Inc., the parent company, does not have independent assets or operations. The guarantees are full and unconditional and joint and several. There are no restrictions on the ability of the Company’s subsidiaries to transfer cash to the Company or to co-guarantors.

10



Table of Contents

 

Debt Covenants

 

The terms of the Senior Notes, the Revolving Credit Facility, and the Term Loan Facility limit the Company’s ability to, among other things, purchase capital assets, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities, and engage in mergers, consolidations and certain sales of assets. The credit agreementCredit Agreement requires compliance with various covenants including but not limited to (i) minimum consolidated interest coverage ratio of 3.50:1.00 and (ii) maximum total leverage ratio of 4.00:1.00. As of SeptemberJune 30, 2013,2014, the Company was in compliance with all covenants under these debt agreements.

 

NOTE GI COMMITMENTS AND CONTINGENT LIABILITIES

 

Contingencies

 

The Company is subject to legal proceedings and claims which arise from time to time in the ordinary course of its business, including additional contingent payments under business purchase agreements.  In the opinion of management, the amount of ultimate liability, if any, with respect to these actions, will not have a materially adverse effect on the financial position, liquidity or results of operations of the Company.

 

The Company is in a highly regulated industry and receives regulatory agency inquiries from time to time in the ordinary course of its business, including inquiries relating to the Company’s billing activities. To date these inquiries have not resulted in material liabilities, but no assurance can be given that future regulatory agencies’ inquiries will be consistent with the results to date or that any discrepancies identified during a regulatory review will not have a material adverse effect on the Company’s consolidated financial statements.

 

On May 20, 2013, the Staff of the SEC’s Division of Enforcement informed the Company that it was conducting an investigation of the Company and made a request for a voluntary production of documents and information concerning the Company’s calculations of bad debt expense and allowance for doubtful accounts.  The Company is cooperating fully with the SEC Staff.

Guarantees and Indemnifications

 

In the ordinary course of its business, the Company may enter into service agreements with service providers in which it agrees to indemnify or limit the service provider against certain losses and liabilities arising from the service provider’s performance of the agreement. The Company has reviewed its existing contracts containing indemnification or clauses of guarantees and does not believe that its potential liability under such agreements is material to the Company’s operations.financial position.

Purchase Agreements

Effective April 2, 2014 the Company entered into a 5 year purchase commitment with $3.0 million of minimum future commitments outstanding as of June 30, 2014.

 

NOTE HJ REVENUE RECOGNITION

Revenues in the Company’s Patient Care segment are derived from the sale of O&P devices and products and the maintenance and repair of existing devices. Revenues from maintenance and repairs are recognized when the service is provided. Revenues from the sale of devices and products are recorded when the patient has accepted and received the device or product and are recorded net of known and estimated future contractual adjustments and discounts. Contractual adjustments and discounts are recorded as contra-revenue within net sales on the Consolidated Statement of Income and Comprehensive Income. Medicare and Medicaid regulations and the various agreements we have with other third-party payors under which these contractual adjustments and discounts are calculated are complex and are subject to interpretation. Therefore, the devices and related services authorized and provided, and the related reimbursement, are subject to interpretation and adjustment that could result in payments that differ from our estimates. Additionally, updated regulations and pay schedules, and contract renegotiations, occur frequently, necessitating regular review and assessment of the estimation process by management.

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of June 30, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $27.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to revenue growth resulting from both same clinic sales growth and clinic acquisitions, and changes in reimbursement trends. Individual patients are generally responsible for deductible and/or co-payments. The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

Revenues in the Company’s Products & Services segment are derived from the distribution of O&P devices and the leasing of rehabilitation technology combined with clinical therapy programs, education and training. Distribution revenues are recorded upon the shipment of products, in accordance with the terms of the invoice, net of estimated returns. Discounted sales are recorded at net realizable value. Leasing revenues are recognized based upon the contractual terms of the agreements, which contain negotiated pricing and service levels with terms ranging from one to five years, and are generally billed to the Company’s customers monthly.

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Table of Contents

NOTE K — NET INCOME PER COMMON SHARE

 

Basic per common share amounts are computed using the weighted average number of common shares outstanding during the year. Diluted per common share amounts are computed using the weighted average number of common shares outstanding during the year and dilutive potential common shares. Dilutive potential common shares consist of stock options and restricted stock unitsshares and are calculated using the treasury stock method.

Net Anti-dilutive shares are insignificant and do not impact the income per share is computed as follows:

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Table of Contents

 

 

Three Months Ended

 

Nine Months Ended

 

 

 

September 30,

 

September 30,

 

(In thousands, except share and per share data) 

 

2013

 

2012

 

2013

 

2012

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

21,659

 

$

17,344

 

$

45,228

 

$

43,365

 

 

 

 

 

 

 

 

 

 

 

Shares of common stock outstanding used to compute basic per common share amounts

 

34,902,103

 

34,362,757

 

34,783,419

 

34,224,756

 

Effect of dilutive restricted stock units and options (1)

 

499,170

 

639,594

 

532,478

 

592,924

 

Shares used to compute dilutive per common share amounts

 

35,401,273

 

35,002,351

 

35,315,897

 

34,817,680

 

 

 

 

 

 

 

 

 

 

 

Basic income per share

 

$

0.62

 

$

0.50

 

$

1.30

 

$

1.27

 

Diluted income per share

 

$

0.61

 

$

0.50

 

$

1.28

 

$

1.25

 


(1) There were no anti-dilutive optionscalculation for the three or nine month periodsand six months ended SeptemberJune 30, 2014 and 2013, and 2012.respectively.

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

(In thousands, except share and per share data)

 

2014

 

2013

 

2014

 

2013

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

12,619

 

$

14,079

 

$

18,616

 

$

23,569

 

 

 

 

 

 

 

 

 

 

 

Shares of common stock outstanding used to compute basic per common share amounts

 

35,469,769

 

34,849,659

 

35,319,944

 

34,724,077

 

Effect of dilutive restricted stock and options (1)

 

121,995

 

458,038

 

150,226

 

501,794

 

Shares used to compute dilutive per common share amounts

 

35,591,764

 

35,307,697

 

35,470,170

 

35,225,871

 

 

 

 

 

 

 

 

 

 

 

Basic income per share

 

$

0.36

 

$

0.40

 

$

0.53

 

$

0.68

 

Diluted income per share

 

$

0.35

 

$

0.40

 

$

0.52

 

$

0.67

 

 

NOTE IL — SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)

 

The Company’s unfunded noncontributory defined benefit plan (the “Plan”) covers certain senior executives, is administered by the Company and calls for annual payments upon retirement based on years of service and final average salary. Benefit costcosts and liability balances are calculated based on certain assumptions including benefits earned, discount rates, interest costs, mortality rates and other factors. Actual results that differ from the assumptions are accumulated and amortized over future periods, affecting the recorded obligation and expense in future periods.

 

The following assumptions were used in the calculation of the net benefit cost and obligation:obligation at June 30, 2014 and 2013 is as follows:

 

 

2013

 

2012

 

 

2014

 

2013

 

Discount rate

 

3.25

%

3.90

%

 

4.03

%

3.25

%

Average rate of increase in compensation

 

3.00

%

3.00

%

 

3.00

%

3.00

%

 

The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect the Company’sour benefit obligation and future expenses. The change in the Plan’s net benefit obligation for the ninesix months ended SeptemberJune 30, 20132014 and 2012:2013:

 

(In thousands)

 

 

 

Net benefit cost accrued at December 31, 2012

 

$

22,377

 

 

(In thousands)

 

Net benefit cost accrued at December 31, 2013

 

$

20,952

 

Service cost

 

735

 

 

259

 

Interest cost

 

519

 

 

397

 

Payments

 

(1,246

)

 

(1,247

)

Net benefit cost accrued at September 30, 2013

 

$

22,385

 

Net benefit cost accrued at June 30, 2014

 

$

20,361

 

 

(In thousands)

 

 

 

Net benefit cost accrued at December 31, 2011

 

$

20,230

 

 

(In thousands)

 

Net benefit cost accrued at December 31, 2012

 

$

22,377

 

Service cost

 

690

 

 

415

 

Interest cost

 

570

 

 

346

 

Payments

 

(705

)

 

(705

)

Net benefit cost accrued at September 30, 2012

 

$

20,785

 

Net benefit cost accrued at June 30, 2013

 

$

22,433

 

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NOTE JM - STOCK-BASED COMPENSATION

The Company utilizes the authoritative guidance using the modified prospective method. Compensation expense for all awards granted is calculated according to the provisions of such guidance.

 

On May 13, 2010, the shareholders of the Company approved the 2010 Omnibus Incentive Plan (the “2010 Plan”), which replaced and suspended future grants under the Amended and Restated 2002 Stock Incentive and Bonus Plan (the “2002 Plan”) and the 2003 Non-Employee Directors’ Stock Incentive Plan (the “2003 Plan.  AwardsPlan”). No new awards have been granted under the 2002 Plan or the 2003 Plan since that date; however, awards granted under either the 2002 Plan or the 2003 Plan that were outstanding on May 13, 2010 remain outstanding and continue to be subject to all of the terms and conditions of the 2002 Plan or the 2003 Plan, as applicable.

 

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The 2010 Plan provides that 2.5 million shares of common stockCommon Stock are reserved for issuance, subject to adjustment as set forth in the 2010 Plan; provided, however, that only 1.5 million shares may be issued pursuant to the exercise of incentive stock options. Of these 2.5 million shares, 2.0 million are shares that are newly authorized for issuance under the 2010 Plan and 0.5 million are unissued shares not subject to awards that have been carried over from the shares previously authorized for issuance under the terms of the 2002 Plan and the 2003 Plan. Unless earlier terminated by the Board of Directors, the 2010 Plan will remain in effect until the earlier of (i) the date that is ten years from the date the plan is approved by the Company’s shareholders, which is ten years from the effective date for the 2010 plan, namely May 13, 2020, or (ii) the date all shares reserved for issuance have been issued.

 

As of SeptemberJune 30, 2013,2014, of the 2.5 million shares of common stock authorized for issuance under the Company’s 2010 Plan, approximately 1.51.9 million shares have been issued.issued, 0.3 million shares have been cancelled and 0.9 million shares are available for issue. During the first ninesix months of 2013,2014, the Company issued approximately 0.40.3 million shares of restricted stock units under the 2010 Plan. The total fair value of these grants is $12.1$11.0 million. Total unrecognized share-based compensation cost related to unvested restricted stock units was approximately $16.1$22.9 million as of SeptemberJune 30, 20132014 and is expected to be expensed as compensation expense over approximately four years.years as the units vest.

 

For the ninesix months ended SeptemberJune 30, 20132014 and 2012,2013, the Company has included approximately $6.4$5.3 million and $6.1$4.1 million, respectively, for share-based compensation cost in the accompanying condensed consolidated statements of income for the 2002, 2003 and 2010 Plans.Plan. Compensation expense relates to restricted stock unit grants.grants under that plan.

 

NOTE KN — SEGMENT AND RELATED INFORMATION

 

During the first quarter of 2013, the Company assessed and updated their operating segments to align with how the business is managed and determined their reportable segments are the same as their operating segments.  The Company has identified two operating segments and both performance evaluation and resource allocation decisions are determined based on each operating segment’s income from operations.  The operating segments are described further below:

 

Patient Care —This segment consists of (i) the Company’s owned and operated patient care clinics and other O&P operations and (ii) its contracting and network management business.  The patient care clinics provide services to design and fit O&P devices to patients. These clinics also instruct patients in the use, care and maintenance of the devices. The principal reimbursement sources for the Company’s services are:

 

·                  Commercial and other, which consist of individuals, rehabilitation providers, private insurance companies, HMOs, PPOs, hospitals, vocational rehabilitation, workers’ compensation programs and similar sources;

 

·                  Medicare, a federally funded health insurance program providing health insurance coverage for persons aged 65 or older and certain disabled persons, which provides reimbursement for O&P products and services based on prices set forth in published fee schedules forwith 10 regional service areas;pricing areas for prosthetics & orthotics and by state for DME;

 

·                  Medicaid, a health insurance program jointly funded by federal and state governments providing health insurance coverage for certain persons in financial need, regardless of age, which may supplement Medicare benefits for financially needy persons aged 65 or older; and

 

·                  U.S. Department of Veterans Affairs.

 

The Company estimates that government reimbursement, comprisedcomposed of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 40.5%40.7% and 40.8%40.6%, of the Company’s net sales for the ninesix months ended SeptemberJune 30, 20132014 and 2012,2013, respectively.

 

The Company’s contract and network management business is the only network management company dedicated solely to serving the O&P market and is focused on managing the O&P services of national and regional insurance companies. The CompanyIt partners with healthcare insurance companies by securing a national or regional contract either as a preferred provider or to manage their O&P network of providers. The Company’s network now includes approximately 1,1501,170 O&P provider locations, including over 400 independent providers. As of SeptemberJune 30, 2013,2014, the Company had 5758 contracts with national and regional providers.

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Products & Services—This segment consists of the Company’s distribution business, which distributes and fabricates O&P products and components for both the O&P industry and the Company’s own patient care clinics, and the Company’sits rehabilitation solutions business. RehabilitationThe rehabilitation solutions business leases rehabilitation equipment and provides evidence-based clinical programs to post-acute rehabilitation service providers. This segment also develops emerging neuromuscular technologies for the O&P and rehabilitation markets.

 

15



Table of Contents

Other — This consists of corporate overhead and includes unallocated expense such as personnel costs, professional fees and corporate officesoffice expenses.

 

The accounting policies of the segments are the same as those describedthe Company’s accounting policies which are located in the summary of “Significant Accounting Policies” in Note B to theaudited consolidated financial statements.statements included in the Company’s Form 10-K for the year ended December 31, 2013 filed with the SEC.

 

Summarized financial information concerning the Company’s operating segments is shown in the following table. Intersegment sales mainly include sales of O&P components from the Products & Services segment to the Patient Care segment and were made at prices whichthat approximate market values.

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

221,057

 

$

49,996

 

$

 

$

 

$

271,053

 

Intersegments

 

 

58,030

 

 

(58,030

)

 

Depreciation and amortization

 

4,090

 

3,029

 

2,105

 

 

9,224

 

Income (loss) from operations

 

38,189

 

16,723

 

(14,742

)

(264

)

39,906

 

Interest (income) expense

 

7,729

 

3,338

 

(5,050

)

 

6,017

 

Extinguishment of debt

 

 

 

 

 

 

Income (loss) before taxes

 

30,460

 

13,385

 

(9,692

)

(264

)

33,889

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30, 2012

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

199,499

 

$

43,037

 

$

 

$

 

$

242,536

 

Intersegments

 

 

53,941

 

 

(53,941

)

 

Depreciation and amortization

 

3,492

 

3,173

 

2,044

 

 

8,709

 

Income (loss) from operations

 

36,221

 

10,051

 

(10,086

)

(813

)

35,373

 

Interest (income) expense

 

7,520

 

2,236

 

(2,005

)

 

7,751

 

Income (loss) before taxes

 

28,701

 

7,815

 

(8,081

)

(813

)

27,622

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

635,237

 

$

132,964

 

$

 

$

 

$

768,201

 

Intersegments

 

 

167,963

 

 

(167,963

)

 

Depreciation and amortization

 

12,223

 

9,575

 

6,221

 

 

28,019

 

Income (loss) from operations

 

105,198

 

37,263

 

(42,389

)

(806

)

99,266

 

Interest (income) expense

 

23,154

 

10,011

 

(11,663

)

 

21,502

 

Extinguishment of debt

 

 

 

6,645

 

 

6,645

 

Income (loss) before taxes

 

82,044

 

27,252

 

(37,371

)

(806

)

71,119

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

11,071

 

2,271

 

14,128

 

 

27,470

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30, 2012

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

576,414

 

$

128,380

 

$

 

$

 

$

704,794

 

Intersegments

 

 

156,500

 

 

(156,500

)

 

Depreciation and amortization

 

10,306

 

9,207

 

5,919

 

 

25,432

 

Income (loss) from operations

 

100,551

 

29,275

 

(35,734

)

(1,258

)

92,834

 

Interest (income) expense

 

22,657

 

6,771

 

(6,216

)

 

23,212

 

Income (loss) before taxes

 

77,894

 

22,504

 

(29,518

)

(1,258

)

69,622

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

9,181

 

2,233

 

13,463

 

 

24,877

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

September 30, 2013

 

1,485,779

 

376,184

 

 

(613,964

)

1,247,999

 

December 31, 2012

 

1,389,223

 

336,318

 

 

(488,214

)

1,237,327

 

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Table of Contents

(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

231,894

 

$

43,960

 

$

 

$

 

$

275,854

 

Intersegment

 

 

48,372

 

 

(48,372

)

 

Depreciation and amortization

 

6,597

 

3,081

 

2,455

 

 

12,133

 

Income (loss) from operations

 

33,605

 

12,309

 

(19,200

)

(311

)

26,403

 

Interest (income) expense

 

7,968

 

3,684

 

(5,451

)

 

6,201

 

Income (loss) before taxes

 

25,637

 

8,625

 

(13,749

)

(311

)

20,202

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

225,154

 

$

42,644

 

$

 

$

 

$

267,798

 

Intersegment

 

 

58,850

 

 

(58,850

)

 

Depreciation and amortization

 

4,067

 

3,343

 

2,100

 

 

9,510

 

Income (loss) from operations

 

41,621

 

11,064

 

(15,762

)

(279

)

36,644

 

Interest (income) expense

 

7,674

 

3,338

 

(3,304

)

 

7,708

 

Extinguishment of Debt

 

 

 

6,645

 

 

6,645

 

Income (loss) before taxes

 

33,947

 

7,726

 

(19,103

)

(279

)

22,291

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

427,524

 

$

83,935

 

$

 

$

 

$

511,459

 

Intersegment

 

 

97,927

 

 

(97,927

)

 

Depreciation and amortization

 

11,476

 

6,036

 

4,820

 

 

22,332

 

Income (loss) from operations

 

55,880

 

22,977

 

(35,895

)

(529

)

42,433

 

Interest (income) expense

 

15,924

 

7,375

 

(11,000

)

 

12,299

 

Income (loss) before taxes

 

39,956

 

15,602

 

(24,895

)

(529

)

30,134

 

 

 

 

 

 

 

 

 

 

 

 

 

PP&E Additions

 

9,336

 

3,251

 

9,099

 

 

21,686

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months ended June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

414,181

 

$

82,967

 

$

 

$

 

$

497,148

 

Intersegment

 

 

109,933

 

 

(109,933

)

 

Depreciation and amortization

 

8,133

 

6,546

 

4,116

 

 

18,795

 

Income (loss) from operations

 

67,010

 

20,539

 

(27,647

)

(542

)

59,360

 

Interest (income) expense

 

15,424

 

6,673

 

(6,612

)

 

15,485

 

Extinguishment of Debt

 

 

 

6,645

 

 

6,645

 

Income (loss) before taxes

 

51,586

 

13,866

 

(27,680

)

(542

)

37,230

 

 

 

 

 

 

 

 

 

 

 

 

 

PP&E Additions

 

6,944

 

1,221

 

9,880

 

 

18,045

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

June 30, 2014

 

1,567,564

 

430,910

 

 

(633,915

)

1,364,559

 

December 31, 2013

 

1,502,721

 

408,628

 

 

(639,689

)

1,271,660

 

15



Table of Contents

 

ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

Overview

 

The following is a discussion of our results of operations and financial condition for the periods described below. This discussion should be read in conjunction with the consolidated financial statements included in this report. Our discussion of our results of operations and financial condition includes various forward-looking statements about our markets, the demand for our products and services and our future results. These statements are based on our current expectations, which are inherently subject to risks and uncertainties. Refer to risk factors disclosed in Part II, Item 1A of this filing as well as the risk factors disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 20122013 for further discussion of risks and uncertainties. Our actual results and the timing of certain events may differ materially from those indicated in the forward looking statements.

 

Business Overview

 

General

 

The goal of Hanger, Inc. (the “Company”) is to be the world’s premier provider of services and products that enhance human physical capabilities. Built on the legacy of James Edward Hanger, the first amputee of the American Civil War, Hanger is steeped in 150 years of clinical excellence and innovation. We provide orthotic and prosthetic (O&P) patient care services, distribute O&P devices and components, manage O&P networks and provide rehabilitativetherapeutic solutions to the broader post-acute market. For the three and nine month periods ended September 30, 2013, our net sales were $271.1 million and $768.2 million, respectively, and we recorded net income of $21.7 million and $45.2 million, respectively.  For the three and nine month periods ended September 30, 2012, our net sales were $242.5 million and $704.8 million, respectively, and we recorded net income of $17.3 million and $43.4 million, respectively.

We have two segments—operating segments — Patient Care and Products & Services.

Our Patient Care segment is comprisedcomposed of our patient care clinics,Hanger Clinic, Cares, Dosteon, other related O&P businesses and our contracting network management business.  Through this segment, we (i) are the largest owner and operator of orthotic and prosthetic patient care clinics in the United States and (ii) manage an O&P provider network of approximately 1,170 clinics that coordinates all aspects of O&P patient care for insurance companies. We operate in excess of 740770 O&P patient care clinics located in 45 states and the District of Columbia and six strategically located distribution facilities. For the three and nine month periodssix months ended SeptemberJune 30, 2013,2014, net sales to customers attributable to our Patient Care segment were $221.1$231.9 million and $635.2 million, respectively.  For the three and nine month periods ended September 30, 2012, net sales to customers attributable to our Patient Care segment were $199.5 million and $576.4$427.5 million, respectively.

 

Our Products & Services segment is comprisedcomposed of our distribution business, one of the largest distributors of O&P products in the United States, and our rehabilitative solutions business. Our distribution facilities in California, Florida, Georgia, Illinois, Pennsylvania and Texas allow us to deliver products to the vast majority of our distributions customers in the United States within two business days.

Our rehabilitative solutions business develops specialized rehabilitation technologies and is a leading provider of evidence-based clinical programs for post-acute rehabilitation, servingrehabilitation.  The business serves more than 4,2005,000 long-term care facilities and other sub-acute rehabilitation providers throughout the U.S.United States. This segment also develops neuromuscular technologies through independent research. For the three and ninesix month periods ended SeptemberJune 30, 2013,2014, net sales to customers attributed to ourthe Products & Services segment were $50.0$44.0 million and $133.0 million, respectively. For the three and nine month periods ended September 30, 2012, net sales to customers attributed to Products & Services segment were $43.0 million and $128.4$84.0 million, respectively. See Note KN for our consolidated financial statements contained herein for further information related to our segments.

 

For the three months and six months ended June 30, 2014, our net sales were $275.9 million and $511.5 million and we recorded net income of $12.6 million and $18.6 million. For the three months and six months ended June 30, 2013, our net sales were $267.8 million and $497.1 million and we recorded net income of $14.1 million and $23.6 million.

Industry Overview

 

We estimate that approximately $4.3$4.4 billion is spent in the United States each year for orthotic and prosthetic products and services. OurWe estimate that our Patient Care segment currently capturesaccounts for approximately 20% share of that market byshare, providing a comprehensive portfolio of orthotic, prosthetic and post-operative solutions to patients in acute, post-acute and patient care clinic settings.

 

The traditional O&P patient care industry is highly fragmented and is characterized by local, independent O&P businesses, with the majority of these businesses generally having a single facility with annual revenues of less than $1.0 million. We do not believe that any single competitor accounts for more than 2% of the country’s total estimated O&P patient care clinic revenues.

 

The industry is characterized by stable, recurring revenues, primarily resulting from new patients as well as the need for periodic replacement and modification of existing O&P devices. We believe the average replacement time for orthotic devices is one to three years, while the average replacement time for prosthetic devices is three to five years. We expect the demand for O&P services to continue

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to grow as a result of several key trends, including the aging of the U.S. population, resulting in an increase in the prevalence of disease associated disability, and the demand for new and advanced replacement devices.

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Table of Contents

 

We estimate that approximately $2.1 billion is spent in the United States each year, principally by care providers, for O&P products, components, devices and supplies. Our Products & Services segment distributes O&P products, components, devices and supplies to independent customers and to our patient care clinics. Ourclinics, and our distribution sales account for approximately 5% of the market outside of the Company.

 

We estimate the market for rehabilitation technologies, integrated clinical programs and therapist training in skilled nursing facilities (SNF) to be approximately $240 million annually.  We estimate that we currently provide these products and services to approximately 30% of the estimated 15,700 SNFs located in the U.S. We estimate the market for rehabilitation technologies, clinical programs and training within the broader post-acute rehabilitation markets to be approximately $600 million. Currently, our goods and services are only provided to a small portion of this larger category.category; however, we believe significant demand exists for future expansion.

 

Business Description

 

Patient Care

 

Our Patient Care segment which is comprisedcomposed of Hanger Clinic, Cares, Dosteon, other related O&P businesses and our contracting network management business.  Through this segment, we (i) are the largest owner and operator of orthotic and prosthetic patient care clinics in the United States and other(ii) manage an O&P operations and our contracting andprovider network management business, providesof approximately 1,170 clinics that coordinates all aspects of O&P patient care for insurance companies.  As of June 30, 2014, Hanger Clinic provided O&P patient care services through over 740770 patient care clinics and over 1,2751,342 clinicians in 45 states and the District of Columbia. Substantially all of our clinicians are certified, or are candidates for formal certification, by the O&P industry certifying boards. Our patient care clinics also employ highly trained technical personnel who assist in the provision of services to patients and who fabricate various O&P devices, as well as office administrators who schedule patient visits, obtain approvals from payors and bill and collect for services rendered.

 

In our orthotics business, we design, fabricate, fit and maintain a wide range of custom-made braces and other devices (such as spinal, knee and sports-medicine braces) that provide external support to patients suffering from musculoskeletal disorders, such as ailments of the back, extremities or joints due to injuries from sports or other activities.joints. In our prosthetics business, we design, fabricate, fit and maintain custom-made artificial limbs for patients who are without limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer or congenital disorders. O&P devices are increasingly becoming more technologically advanced and are custom-designed to add functionality and comfort to patients’ lives, shorten the rehabilitation process and lower the cost of rehabilitation.

Patients are typically referred to our patient care clinicsHanger Clinic by an attending physician who determines a patient’s treatment and writes a prescription. Our clinicians then consult with both the referring physician and the patient with a view toward assisting in the design of a customan orthotic or prosthetic device to meet the patient’s needs.

The fitting process often involves several stages in order to successfully achieve desired functional and cosmetic results.  These customCustom devices are fabricated and fitted by our skilled technicians using computer scans or plaster castings, measurements and designs made by our clinicians. Frequently, our proprietary Insignia scanning system is used to measure the patient’s limb.and design devices. The proprietary Insignia laser scanning system imagesscans the patient and produces a very accurate computer generated representationimage of the patient’s residual limb, which resultsresulting in a faster turnaround offor the orthotic or prostheticpatient’s device and a more professional overall experience.

In order to provide timely service to our patients, we employ technical personnel and maintain laboratories at many of our patient care clinics. We have earned a strong reputation within the O&P industry for the development and use of innovative technology in our products, which has increased patient comfort and capability and can significantly enhance the rehabilitation process.

The quality of our services and the success of our technological advances have generated broad media coverage, building our brand equity among payors, patients and referring physicians.  A listing of our principal reimbursement sources for our services is describedare:

·Commercial private payors and other, which consist of individuals, rehabilitation providers, commercial insurance companies, HMOs, PPOs, hospitals, vocational rehabilitation, workers’ compensation programs and similar sources;

·Medicare, a federally funded health insurance program providing health insurance coverage for persons aged 65 or older and certain disabled persons, which provides reimbursement for O&P products and services based on prices set forth in Note Kpublished fee schedules with 10 regional pricing areas for prosthetics and orthotics and by state for DME;

·Medicaid, a health insurance program jointly funded by federal and state governments providing health insurance coverage for certain persons based upon financial need, regardless of the Notes to Consolidated Financial Statements included elsewhere in this report.age, which may supplement Medicare benefits for financially needy persons aged 65 or older; and

·U.S. Department of Veterans Affairs.

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Government reimbursement, comprisedcomposed of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 40.5%40.7% and 40.8%40.6% of our net sales for the ninesix months ended SeptemberJune 30, 20132014 and 2012,2013, respectively. These payors set maximum reimbursement levels for O&P services and products using a series of codes which designate the type of product and service being delivered.products. Medicare prices are adjusted each year based on the Consumer Price Index-Urban (“CPIU”) unless Congress acts to change or eliminate the adjustment. The CPIU is adjusted further by an efficiency factor (“the Productivity Adjustment” or “the MFP adjustment”) in order to determine the final rate adjustment each year. The Medicare price increase/(decreases)increases for 2014 and 2013 2012,were 1.0% and 2011were 0.8%, 2.4%, and (0.1%), respectively. There can be no assurance that future changes will not reduce reimbursements for O&P services and products from these sources.

 

We enter into contracts with third-party payors that allow us to perform O&P services for a referred patient and be paid under the contract with the third-party payor. These contracts typically have a stated term of one to three year contracts with commercial and other payors to provide O&P services to referred patients.years.  These contracts generally may be terminated without cause by either party on 60 to 90 days’ notice or on 30 days’ notice if we have not complied with certain licensing, certification, program standards, Medicare or Medicaid requirements or other regulatory requirements. Reimbursement for services is typically based on a fee schedule negotiated with the third-party payor that reflects various factors, including geographic area and number of persons covered.

 

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Our contract and network management business, known as Linkia, is the only network management company dedicated solely to serving the O&P market for national and regional insurance companies. We partner with healthcare insurance companies either as a preferred provider or to manage their O&P network of providers. Our network now includes approximately 1,1501,170 O&P provider locations, including over 400 independent providers. As of SeptemberJune 30, 2013,2014, we had 5758 contracts with national and regional providers.

 

Products & Services

 

Our Products & Services segment was created in the first quarter of 2013 through the combination of our previously reported Distribution segment and Therapeutic Solutions segment. Through our distribution business,wholly-owned subsidiary, Southern Prosthetic Supply (SPS), we distribute O&P components both to independent customers and to our own patient care clinics.  We also provide rehabilitative solutions to the O&P market and the post-acute rehabilitation market while being a leading manufacturer and distributor of therapeutic footwear for diabetic patients in the podiatric market. Our distributionThis business maintains over 26,000 individual SKUs in inventory, which are manufactured by more than 375 different vendors. OurSPS’s SureFit subsidiary is also a leading fabricator and distributor of therapeutic footwear for diabetic patients in the podiatric market.  SPS’s National Labs subsidiary fabricates O&P devices both for our O&P clinics and for independent O&P clinics. SPS’s distribution facilities in California, Florida, Georgia, Illinois, Pennsylvania, and Texas allow us to deliver products via ground shipment to the vast majority of our clients in the United States within two business days.

 

Our distribution business enables us to:

 

·                  centralize our purchasing and thus lower our material costs by negotiating purchasing discounts from manufacturers;

 

·                  manage our patient care clinic inventory levels and improve inventory turns;

 

·                  improvemanage inventory quality;quality control;

 

·                  encourage our patient care clinics to use the most clinically appropriate products; and

 

·                  coordinate new product development efforts with key vendor “partners”.“partners.”

 

Marketing of our services is conducted on a national basis through a dedicated sales force, print and e-commerce catalogues, and exhibits at industry and medical meetings and conventions. We direct specialized catalogues to segments of the healthcare industry, such as orthopedic surgeons, physical and occupational therapists, and podiatrists.

 

OurThrough our wholly-owned subsidiary, Accelerated Care Plus (“ACP”), we believe our rehabilitative solutions business is the nation’s leading provider of rehabilitation technologies and integrated clinical programs to rehabilitation and post-acute providers. Our unique value proposition is to provide our customers with a full-service “total solutions” approach encompassing proven medical technology; evidence basedtechnology, evidence-based clinical programs, and continuouscontinued onsite therapist education and training. Our services support increasingly advanced treatment options for a broader patient population and more medically complex conditions. We serve more than 4,2005,000 skilled nursing facilities nationwide, including 2122 of the 25 largest national providers.

 

We also have a product development business specializing in the commercialization of emerging products in the O&P and Rehabilitationrehabilitation markets. Working with inventors under licensing and consulting agreements, we commercialize the design, obtain regulatory approvals, develop clinical protocols for the technology, and then introduce the devices to the marketplace through a variety of distribution channels. We currently have two commercial products: the WalkAide System which benefits patients with a condition referred to as drop foot, and the V-Hold, which is active vacuum technology used in lower extremity prosthetic devices.devices, and the WalkAide system, which benefits patients with a condition referred to as foot drop. The V-

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Hold is primarily sold through our patient care clinics. Research and development expenses, which were reported in Other operating expenses on our Consolidated Statements of Income and Comprehensive Income for the six months ended June 30, 2014 and 2013 were $0.2 million and $0.3 million, respectively.

 

Critical Accounting Policies and Estimates

 

Our analysis and discussion of our financial condition and results of operations is based upon our consolidated financial statementsConsolidated Financial Statements that have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”).GAAP. The preparation of financial statements in conformity with GAAP 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 the reported amounts of revenues and expenses during the reporting period.  GAAP provides the framework from which to make these estimates, assumptions and disclosures. We have chosen accounting policies within GAAP that management believes are appropriate to accurately and fairly report our operating results and financial position in a consistent manner.  Management regularly assesses these policies in light of current and forecasted economic conditions. OurActual results may differ materially from these estimates and judgments under different assumptions.

Information with respect to the Company’s accounting policies are statedis contained in Note B toin the consolidated financial statements included elsewhere in this report.Company’s Annual Report on Form 10-K for the year ended December 31, 2013, as filed with the SEC. We believe the following accounting policies are critical to understanding our results of operations and the more significant judgments and estimates used in the preparation of our consolidated financial statements.

19



Table of ContentsConsolidated Financial Statements.

 

·                  Revenue Recognition:  Revenues in the Company’s Patient Care segment are derived from the sale of O&P devices and the maintenance and repair of existing devices. Revenues are recorded based upon contracts with commercial insurance companies, government agencies, net of contractual adjustments and discounts.  Individual patients are generally responsible for deductible and/or co-payments.  Revenues are recorded when the patient has accepted and received the device.  Revenues from maintenance and repairs are recognized when the service is provided. Revenues from the sale of devices are recorded when the patient has accepted and received the device and recorded net of known and estimated future contractual adjustments and discounts. Contractual adjustments and discounts are recorded as contra-revenue within net sales on the Consolidated Statement of Income and Comprehensive Income. Medicare and Medicaid regulations and the various agreements we have with other third-party payors under which these contractual adjustments and discounts are calculated are complex and are subject to interpretation. Therefore, the devices and related services authorized and provided, and the related reimbursement, are subject to interpretation and adjustment that could result in payments that differ from our estimates. Additionally, updated regulations and pay schedules, and contract renegotiations, occur frequently, necessitating regular review and assessment of the estimation process by management.

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of June 30, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $27.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to revenue growth, resulting from both same clinic sales growth and clinic acquisitions, and changes in reimbursement trends. Individual patients are generally responsible for deductible and/or co-payments. The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

 

Revenues in the Company’s Products & Services segment are derived from the distribution of O&P devices to customers and the leasing of rehabilitation technology, combined with clinical therapy programs, education and training. Distribution revenues are recorded upon the shipment of products, in accordance with the terms of the invoice, net of merchandise returns received.estimated returns. Discounted sales are recorded at net realizable value. Leasing revenues are recognized based upon the contractual terms of the agreements, which contain negotiated pricing and service levels with terms ranging from one to five years, and are generally billed to the Company’s customers monthly.

 

·                  Net Accounts Receivable: CertainWe report accounts receivable may beat estimated net realizable amounts generated for products delivered and services rendered from federal, state, managed care health plans, commercial insurance companies and patients.  Collections of these accounts receivable are our primary source of cash and are critical to our operating performance.  We estimate uncollectible even if properly pre-authorized and billed. The Company estimates an allowance for disallowed salespatient accounts primarily for commercial & governmental contractual adjustments and discounts not identified at the time of sale.  The allowance is estimated based upon its experience in historical experience. Additions to the allowance are reported as a reduction of Net sales. The Company estimates an allowance for doubtful accounts to estimate uncollectible accounts due primarilycollections from individual patients.  The allowance is estimated based upon historical experience.  Bad debt expense is reported within Other operating expenses.expenses within the Consolidated Statement of Income and Comprehensive Income.  At June 30, 2014 and December 31, 2013, net accounts receivable reflected an allowance for doubtful accounts of $11.3 million and $10.0 million, respectively.

 

Accounts receivable balances are periodically evaluated to assess collectability.  On a quarterly basis, we evaluate cash collections, accounts receivable balances and write-off activity to assess the adequacy19



Table of the allowance for doubtful accounts. Additionally, an evaluation of collectability of receivable balances older than 180 days is performed at our O&P clinics at least semi-annually, the results of which are used in the next allowance analysis. From time to time, we may outsource the collection of such accounts to collection agencies after internal collection efforts are exhausted.Contents

 

The following represents the composition of our accounts receivable balance by type of payor:

 

September 30, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30, 2014

 

 

 

 

 

 

 

 

 

(In thousands)

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

44,325

 

$

11,157

 

$

13,282

 

$

68,764

 

 

$

46,095

 

$

14,568

 

$

20,990

 

$

81,653

 

Private pay

 

3,839

 

3,138

 

6,696

 

13,673

 

 

5,008

 

3,462

 

4,002

 

12,472

 

Medicaid

 

11,976

 

3,806

 

4,872

 

20,654

 

 

13,394

 

4,589

 

6,650

 

24,633

 

Medicare

 

29,479

 

6,069

 

18,195

 

53,742

 

 

33,041

 

9,056

 

29,352

 

71,449

 

VA

 

2,340

 

462

 

400

 

3,201

 

 

3,074

 

953

 

828

 

4,855

 

Products & Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trade accounts receivable

 

16,254

 

3,512

 

5,221

 

24,987

 

 

11,535

 

3,905

 

6,091

 

21,531

 

 

$

108,213

 

$

28,144

 

$

48,666

 

$

185,021

 

 

$

112,147

 

$

36,533

 

$

67,913

 

$

216,593

 

 

December 31, 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2013

 

 

 

 

 

 

 

 

 

(In thousands)

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

51,658

 

$

10,468

 

$

12,249

 

$

74,375

 

 

$

52,899

 

$

12,092

 

$

14,507

 

$

79,498

 

Private pay

 

5,437

 

4,545

 

5,783

 

15,765

 

 

3,991

 

3,413

 

5,751

 

13,155

 

Medicaid

 

11,812

 

3,181

 

3,228

 

18,221

 

 

11,876

 

4,122

 

5,282

 

21,280

 

Medicare

 

27,433

 

5,611

 

9,029

 

42,073

 

 

30,587

 

7,097

 

20,918

 

58,602

 

VA

 

2,082

 

558

 

324

 

2,964

 

 

2,589

 

565

 

463

 

3,617

 

Products & Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trade accounts receivable

 

12,556

 

3,149

 

4,091

 

19,796

 

 

11,541

 

3,370

 

4,728

 

19,639

 

 

$

110,978

 

$

27,512

 

$

34,704

 

$

173,194

 

 

$

113,483

 

$

30,659

 

$

51,649

 

$

195,791

 

 

·                  Inventories:  Patient Care—Inventories in the Patient Care segment, consistingat Hanger Clinics, Dosteon and Cares, which consist of raw materials, work-in-process and finished goods, amounted to $122.3 million and $109.2 million at June 30, 2014 and December 31, 2013, respectively. Inventories at Hanger Clinic, which amounted to $111.9 million and $99.0 million at June 30, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process areinventory valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. The Company appliesInventories in the Dosteon business amounted to $9.2 million and $8.9 million at June 30, 2014 and December 31, 2013, respectively, and consisted principally of raw materials. As of June 30, 2014, the Dosteon inventories were valued based on the gross profit method, on a patient care clinic basiswhich approximates lower of cost or market using the first-in, first-out method. Inventories in this segment’s inventorythe Cares business amounted to determine ending inventory$1.2 million and $1.3 million as of June 30, 2014 and December 31, 2013, respectively, consists principally of finished goods and are valued at the endlower of each interim period.cost or market using the first-in first-out method based on perpetual records.

Hanger Clinic and Dosteon do not maintain a perpetual inventory system. On October 31st, of each year a physical inventory is taken. Thean annual physical inventory of all inventories in Hanger Clinic is performed. Dosteon counted its inventories on December 31, 2013 and October 31, 2012. The Company values the raw materials and work-in-process inventory counted at October 31 at lower of cost or market using the first-in, first-out method and includesmethod. Hanger Clinic work-in-process consistinginventory consists of materials, labor and overhead which is valued based on established standards for the stage of completion of each custom order. Material, labor and overhead costs are determined at the individual clinic or groups of clinics level. Adjustments to reconcile theHanger Clinic and Dosteon physical inventory to our books are treated as changes in accounting estimates and are recorded in the fourth quarter. TheIn the fourth quarter of 2013 the Company recorded a decrease to inventory of $2.3 million in 2013 based on this reconciliation.

For Hanger Clinic, the October 31stinventory is subsequently adjusted during interim periodsat each quarterly and annual reporting period end by applying the gross profit method. As it relates to applymaterials, the Company generally applies the gross profit method described above.to individual clinics or groups of clinics for material costs. Labor and overhead and other aspects of the gross profit method are completed on a Hanger Clinic-wide basis. A similar approach is applied to Dosteon inventory, as applicable.

 

Inventories in the Products & Services segments consistServices—Inventories consisted principally of finished goods, which are stated at the lower of cost or market using the first-in, first-out method for all reporting periods and are valued based on perpetual records.

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·                  Goodwill and Other Intangible Assets:  Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. We assess goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first

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assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset. There were no impairment indicators since our last annual impairment test on October 1, 2012.2013.

Definite-lived trade name intangible assets are amortized over their estimated period of benefit of approximately 1 to 5 years. Approximately $10.6 million of the value of trade names is identified as an indefinite-lived intangible asset within the Products & Services segment and its fair value is annually assessed for impairment in the Company’s fiscal fourth quarter. The Company estimates fair value utilizing a relief-from-royalty method valuation model, and the 2013 assessment estimated the fair value is greater than carrying value. However, the estimated fair value is not substantially in excess of the carrying value. A key assumption in the relief-from-royalty method is projected future revenue. If actual future revenues fall below projection, the estimated fair value could be significantly impacted and an impairment charge may be necessary.

 

Non-compete agreements are recorded when we enter into the agreement, and are amortized, using the straight-line method, over their terms ranging from five to seven years. Other definite-lived intangible assets are recorded at costfair value and are amortized, using the straight-line method, over their estimated useful lives of up to 14 years. Whenever the facts and circumstances indicate that the carrying amounts of these intangibles may not be recoverable, we review and assess the future cash flows expected to be generated from the related intangible for possible impairment.  Any impairment would be recognized as a charge to operating results and a reduction in the carrying value of the intangible asset.

 

·                  Income taxes:  We are required to estimate income taxes in each of the jurisdictions in which we operate. This process involves estimating the actual current tax liability together with assessing temporary differences in recognition of income (loss) for tax and accounting purposes. These differences result in deferred tax assets and liabilities, which are included in the Consolidated Balance Sheet. We then assess the likelihood that the deferred tax assets will be recovered from future taxable income and, to the extent that we believe that recovery is not more likely than not, we establish a valuation allowance against the deferred tax asset.

 

We recognize liabilities for uncertain tax positions based on a two-step process. The first step requires us to determine if the weight of available evidence indicates that the tax position has met the threshold for recognition; therefore, we must evaluate whether it is more likely than not that the position will be sustained on audit, including resolution of any related appeals or litigation processes. The second step requires us, if the recognition threshold is met, to measure the tax benefit of the tax position taken, or expected to be taken, in an income tax return as the largest amount that is more than 50% likely of being realized upon ultimate settlement. This measurement step is inherently complex and requires subjective estimations of such amounts to determine the probability of various possible outcomes. We re-evaluate the uncertain tax positions each quarter based on factors including, but not limited to, changes in facts or circumstances, changes in tax law, expirations of statutes of limitation, effectively settled issues under audit, and new audit activity. Such a change in recognition or measurement would result in the recognition of a tax benefit or an additional charge to the tax provision in the period.

 

Although we believe the measurement of our liabilities for uncertain tax positions is reasonable, no assurance can be given that the final outcome of these matters will not be different than what is reflected in the historical income tax provisions and accruals. If additional taxes are assessed as a result of an audit or litigation, it could have a material effect on the income tax provision and net income in the period or periods for which that determination is made. We operate within multiple taxing jurisdictions and are subject to audit in these jurisdictions. These audits can involve complex issues which may require an extended period of time to resolve and could result in additional assessments of income tax. We believe adequateappropriate provisions for income taxes have been made for all periods.periods consistent with the policy outlined above.

 

Guidance and Outlook

 

The Company has updatedlowered its 20132014 full-year adjusted diluted EPS guidance to a range of between $1.60 and $1.70.  Based on the results of the second quarter, the Company now believes that the conditions that resulted in lower same-center sales in the second quarter will continue to impact its sales and operations for the remainder of 2014, resulting in the lower sales and earnings projections for the year. The Company now expects that same center sales for the second half of 2014 will be flat to down 2%. Consequently, the Company is revising its same center sales for the full year to a range of a decline of 1% to 2%.  The reduction in earnings projections principally reflects lower same center sales in the Patient Care segment, and to a lesser degree the impact on sales and collections of the Janus roll-out, costs incurred to remediate the Company’s previously reported material weaknesses and investments the Company is making in its processes and control environment. The Company lowered 2014 full-year net sales guidance to a range of between $1.045$1.050 and $1.055 billion, which represents growth$1.080 billion. The expectation of between 7% and 8% compared to 2012. This range reflects the estimated effect of the previously discussed revision on full year 2013 net sales. The net sales guidance assumes 3% to 4%negative same center sales growth in the Patient Care segmentwill be partially offset by additional acquisitions which will drive incremental revenues for the year.  The Company expects full year 2013 net sales in its Products & Services segment to increase slightly forremainder of the year, notwithstanding the segment’s strong net sales growth in the third quarter of 2013. The segment’s strong Q3 2013 net sales results included the benefit of an accelerated one-time sale that the Company had anticipated would occur across the third and fourth quarters of 2013. The Company is also narrowing its range of guidance for adjusted diluted earnings per share to between $2.08 and $2.11 for 2013, excluding certain tax benefits, costs related to the implementation of Janus of approximately $0.03, acquisition costs, and debt issuance cost associated with the June 2013 refinancing of the Company’s bank credit facilities.  The Company expects that adjusted operating margin expansion for the yearbut will be in the range of 20 to 40 basis points. The Company anticipates generating cash flow from operations of between $90 million and $100 million in 2013 and investing a total of $35 million to $40 million in capital additions.  The Company continues its acquisition program with a goal of closing acquisitions that total approximately $20 million in annualized revenues in 2013.not provide

 

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significant earnings over that period due to their initial integration costs.  Reflecting the lower than expected first half results, the impact of the reimbursement environment on working capital, the Company has adjusted its expectation of 2014 cash flow from operations to a range of between $40 and $50 million.  The Company now anticipates acquiring O&P operations in 2014 with annualized net sales of between $50 and $60 million, and plans to invest between $40 and $50 million in capital additions during the year.  The Company’s previous full-year 2014 guidance issued on May 5, 2014 was to achieve revenues of $1.100 to $1.120 billion, adjusted diluted EPS of $2.01 and $2.11, patient care same center sales of 2% to 4%, and cash flow from operations of $80 to $90 million.

Over the past two quarters we’ve been carefully evaluating the results of our Dosteon and CARES businesses and have determined that parts of these businesses do not provide strategic long-term value.  We are in the process of evaluating restructuring alternatives for these businesses. It is anticipated that any restructuring alternative implemented would have minimal impact on sales and earnings in the 2014 calendar year.  The potential impact of this restructuring is not included in the Company’s 2014 guidance.

 

Results of Operations

 

The following table sets forth for the periods indicated certain items from our consolidated statements of income and comprehensive income as a percentage of our net sales:

 

 

Three Months Ended

 

Nine Months Ended

 

 

Three Months Ended

 

Six Months Ended

 

 

September 30,

 

September 30,

 

 

June 30,

 

June 30,

 

 

2013

 

2012

 

2013

 

2012

 

 

2014

 

2013

 

2014

 

2013

 

 

(Unaudited)

 

(Unaudited)

 

(Unaudited)

 

(Unaudited)

 

 

(Unaudited)

 

(Unaudited)

 

(Unaudited)

 

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

100.0

%

100.0

%

100.0

%

100.0

%

 

100.0

%

100.0

%

100.0

%

100.0

%

Material costs

 

29.3

 

30.1

 

29.5

 

30.2

 

 

29.7

 

29.7

 

29.2

 

29.6

 

Personnel costs

 

35.0

 

34.7

 

36.2

 

35.3

 

 

37.2

 

34.8

 

38.9

 

36.9

 

Other operating expenses

 

17.6

 

17.0

 

17.7

 

17.7

 

 

19.1

 

18.3

 

19.2

 

17.8

 

Depreciation and amortization

 

3.4

 

3.6

 

3.6

 

3.6

 

 

4.4

 

3.5

 

4.4

 

3.8

 

Income from operations

 

14.7

 

14.6

 

13.0

 

13.2

 

 

9.6

 

13.7

 

8.3

 

11.9

 

Interest expense, net

 

2.2

 

3.2

 

2.8

 

3.3

 

 

2.3

 

2.9

 

2.4

 

3.1

 

Extinguishment of debt

 

 

 

0.9

 

 

 

 

2.5

 

 

1.3

 

Income before taxes

 

12.5

 

11.4

 

9.3

 

9.9

 

 

7.3

 

8.3

 

5.9

 

7.5

 

Provision for income taxes

 

4.5

 

4.2

 

3.4

 

3.7

 

 

2.7

 

3.0

 

2.3

 

2.8

 

Net income

 

8.0

%

7.2

%

5.9

%

6.2

%

 

4.6

%

5.3

%

3.6

%

4.7

%

 

Three Months Ended SeptemberJune 30, 20132014 Compared to the Three Months Ended SeptemberJune 30, 20122013

 

Net Sales.  Net sales for the three month period ended SeptemberJune 30, 20132014 increased $28.6$8.1 million, or 11.8%3.0%, to $271.1$275.9 million compared to $242.5$267.8 million for the same period of 2012.2013.  This increase was due to a $21.6$6.8 million, or 10.8%3.0%, increase in the Patient Care segment, and a $7.0$1.3 million, or 16.2%,3.1 %, increase in the Products & Services segment.  The $21.6$6.8 million increase in Patient Care segment sales was comprised ofdue principally to a $7.4$10.6 million or 3.8%, increase from acquired O&P facilities, partially offset by a $(3.2) million reduction in same center sales. The reduction in same center sales withwas caused by a number of factors most notably a pronounced slow-down in the remaining $14.2 millionauthorization process for commercial claims, the continued growth in large deductible insurance plans which is having an impact on the replacement cycle for our existing patients, an increase driven by acquisitions.in the reserve for disallowed sales and to a lesser degree the Janus roll-out is impacting sales while our employees are trained and adjust to the new workflow. The 16.2%3.1% increase in the Products & Services segment sales was the result of stronger sales results compared against relatively weak results in the similar period during 2012. as well as the impact of a one-time equipment sale within the segment.2013.

 

Material Costs.  Material Costs for the three month period ended SeptemberJune 30, 20132014 was $79.4$81.8 million, an increase of $6.3$2.4 million over $73.1$79.4 million for the three month period ended SeptemberJune 30, 2012, primarily2013, due to sales growth. Material costs as a percentage of net sales decreased 0.8% primarily due to a change in the mix of sales favoring the Patient Care segment, which has lower costs, and a reduction in product cost resulting from an effort to further improve the movement of materials.increased sales.

 

Personnel Costs.  Personnel costs for the three month period ended SeptemberJune 30, 20132014 increased by $10.7$9.6 million to $94.8$102.8 million from $84.1$93.2 million for the three month period ended SeptemberJune 30, 2012.2013. Approximately $1.5$3.6 million of the increase was due to annual merit increases as well as increased benefit costs, $5.9$5.2 million of the increase was due to the impact of O&P acquisitions and the remaining increase was due to an extra day of labor in 2013 as well as additions to support our infrastructure to support growth.material weakness remediation efforts.

 

Other Operating Expenses. Other operating expenses, comprisedcomposed primarily of professional fees, facility costs, bad debt expense, incentive compensation, and reimbursable employee expenses, increased $6.6$3.7 million to $47.8$52.7 million, for the three month period

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ended June 30, 2014 compared to $49.0 million, for the three month period ended SeptemberJune 30, 2013 compared to $41.2 million, for the three month period ended September 30, 2012.  Approximately $1.9 million of the2013.  The increase was due principally to acquisitions, $0.9 million due to an increase in rent expenses, and the remaining balance was generally due to increased software license fees associated with our growth.acquisitions.

 

Depreciation and Amortization. Depreciation and amortization for the three month period ended SeptemberJune 30, 20132014 increased $0.5$2.6 million, to $9.2$12.1 million, compared to $8.7$9.5 million for the three month period ended SeptemberJune 30, 2012.2013. The increase was primarily due to leasehold improvements and additionalincreased capital expenditures overrelated to growth, the last 12 months.impact of acquisitions and a $1.4 million write-off of demo equipment that was deemed to have reached the end of its useful life.

 

Income from Operations.  Income from operations increased $4.5decreased $10.2 million, to $39.9$26.4 million, for the three month period ended SeptemberJune 30, 20132014 compared to $35.4$36.6 million for the three month period ended SeptemberJune 30, 20122013 due primarily to increased sales volume.

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Interest Expense.  Interest expense decreased $1.8$1.5 million, to $6.0$6.2 million, for the three month period ended SeptemberJune 30, 2013,2014, compared to $7.8$7.7 million, for the three month period ended SeptemberJune 30, 2012.2013. The decrease resulted from the interest savings from the refinancing that occurred in the second quarter of 2013 as well as a reduction of outstanding borrowings.

 

Provision for Income Taxes.  The provision for income taxes for the three month period ended SeptemberJune 30, 20132014 was $12.2$7.6 million, or 36.1%37.5% of pre-tax income, compared to $10.3$8.2 million, or 37.2%36.8% of pre-tax income, for the three months ended SeptemberJune 30, 2012.2013. The effective tax rate consists principally of the 35% federal statutory tax rate and state income taxes, less permanent tax differences.  The 2013 period has a lower effective tax rate primarily due to the reinstatement of the Federal Research and Development Tax Credit and other permanent differences.which expired in 2014.

 

Net Income.  Net income increased $4.4decreased $1.5 million, to $21.7$12.6 million, for the three month period ended SeptemberJune 30, 2013,2014, from $17.3$14.1 million for the three month period ended SeptemberJune 30, 2012, primarily due to higher sales volume and reduced material costs.2013.

 

NineSix Months Ended SeptemberJune 30, 20132014 Compared to the NineSix Months Ended SeptemberJune 30, 20122013

 

Net Sales.  Net sales for the ninesix month period ended SeptemberJune 30, 20132014 increased $63.4$14.4 million, or 9.0%2.9%, to $768.2$511.5 million compared to $704.8$497.1 million for the same period of 2012.2013.  The sales increase was driven by a $15.9$ 13.4 million, or 2.8%,3.2 %, increase in same center sales in the Patient Care segment a $42.9 million increase from acquired entities, as well as a $4.6$ 1.0 million, or 3.6%1.2 % increase in sales in the Products & Services segment. The $13.4 million increase in Patient Care segment sales was due principally to a $20.6 million increase from acquired O&P facilities, partially offset by a $(6.1) million reduction in same center sales. The decline in sales in the Patient care segment was due to a combination of the impact of severe weather on our central and eastern zones particularly in the first quarter, as well as many of the same factors mentioned in the discussion of the second quarter.  The 1.2 % increase in the Products & Services segment sales was the result of stronger sales results compared against relatively weak results in the similar period during 2013.

 

Material Costs.  Material Costs for the ninesix month period ended SeptemberJune 30, 20132014 was $226.6$149.2 million, an increase of $13.9$2.0 million from $212.7$147.2 million for the ninesix month period ended SeptemberJune 30, 2012,2013, primarily due to the sales growth.increase. Material costs as a percentage of net sales decreased 0.7%0.4% primarily due to a change in the mix of sales favoring the Patient Care segment, which has lower costs and a reduction in product cost resulting from an effort to further improve the movementconcentration of materials.purchases to vendors who offer lower pricing.

 

Personnel Costs.  Personnel costs for the ninesix month period ended SeptemberJune 30, 20132014 increased by $29.2$16.1 million to $277.9$199.2 million from $248.7$183.1 million for the ninesix month period ended SeptemberJune 30, 2012.2013. Approximately $6.8$5.6 million of the increase was due to annual merit increases and other benefit changes, $17.1$9.7 million of the increase was due to the impact of O&P acquisitions and the remaining increase was due to additional headcount to support growth in our business.material weakness remediation efforts.

 

Other Operating Expenses.  Other operating expenses, comprisedwhich composed primarily of professional fees, facility costs, bad debt expense, incentive compensation, and reimbursable employee expenses, increased $11.3$9.6 million, or 10.8% to $136.4$98.3 million for the ninesix month period ended SeptemberJune 30, 20132014 compared to $125.1$88.7 million for the ninesix month period ended SeptemberJune 30, 2012.  However, other operating expenses as a percentage of sales did not increase.2013.  Approximately $5.3$2.8 million of the increase was due to acquisitions, $2.8$4.2 million was due to an increase in rent expenses,bad debt expense and the remaining balance of the change was principally due to expenses such as software licenses fees that support our growth.a decrease in other operating income.

 

Depreciation and Amortization. Depreciation and amortization for the ninesix month period ended SeptemberJune 30, 20132014 increased $2.6$3.5 million, to $28.0$22.3 million, compared to $25.4$18.8 million for the ninesix month period ended SeptemberJune 30, 2012.2013. The increase was primarily due to leasehold improvements, and additional capital expenditures.expenditures as well as the write-off of demo equipment discussed in the discussion of the quarter.

 

Income from Operations.  Income from operations increased $6.5decreased $17.0 million, to $99.3$42.4 million, for the ninesix months ended SeptemberJune 30, 20132014 compared to $92.8$59.4 million for the ninesix months ended SeptemberJune 30, 20122013 due primarily to increased sales volume.factors discussed above.

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Interest Expense.  Interest expense decreased $1.7$3.2 million, to $21.5$12.3 million, for the ninesix month period ended SeptemberJune 30, 2013,2014, compared to $23.2$15.5 million, for the ninesix month period ended SeptemberJune 30, 2012.2013.  The decrease is attributed to the interest savings from the refinancing that occurred in the second quarter of 2013 as well as a reduction of outstanding borrowings.2013.

 

Extinguishment of Debt. In conjunction with our bank credit facility refinancing, in the second quarter of 2013, we incurred a charge of approximately $6.6 million related to the write-off existing debt issuance cost associated with our previous credit agreements.  There were no similar charges in the same period of 2012.

 

Provision for Income Taxes.  The provision for income taxes for the ninesix months ended SeptemberJune 30, 20132014 was $25.9$11.5 million, or 36.4%38.2% of pre-tax income, compared to $26.3$13.7 million, or 37.7%36.7% of pre-tax income, for the ninesix month period ended SeptemberJune 30, 2012.2013. The effective tax rate consists principally of the 35% federal statutory tax rate andin addition to state income taxes, less permanent tax differences.  The 2013 period has a lower effective tax rate primarily due to the reinstatement of the Federal Research and Development Tax Credit and other permanent differences.which expired in 2014.

Net Income.  Net income increased $1.8decreased $5.0 million, to $45.2$18.6 million, for ninesix month period ended SeptemberJune 30, 2013,2014, from $43.4$23.6 million for the ninesix month period ended SeptemberJune 30, 2012, due primarily to increased sales.

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Table of Contents2013.

 

Financial Condition, Liquidity and Capital Resources

 

Liquidity and Capital ResourcesCash Flows

 

Our workingWorking capital increased by $47.3 million to $313.8 million at SeptemberJune 30, 2013 was $257.8 million,2014 compared to $251.5$266.5 million at December 31, 2012.June 30, 2013. The increase in working capital is primarily due to increases in inventories, accounts receivable and other current assets.  The increases arewas primarily due to the organic growthincrease in accounts receivable and inventory balances.  The increase in accounts receivable was caused by a combination of Medicare prepayment and RAC audits which caused our Medicare receivables over 120 days old to increase by $14.0 million year over year and the business, acquisitions completedroll out of our new billing system which has increased our receivable balances while our employees are trained and become more familiar with the new workflow associated with the system. Inventory balances also increased as our work in 2012 andprocess has grown due to a combination of the impact of Medicare audit related receivables.  Daysacquisitions and a slowdown in the authorization process which has increased the length of time it take to deliver a patients device.  For these same reasons, day’s sales outstanding (“DSO”), which is the number of days between the billing date of O&P services and the date of receipt of payment thereof, for the ninesix months ended SeptemberJune 30, 20132014 increased to 6172 days from 6059 days for the same period last year, and excludes theyear.  The impact of acquired accounts receivable.the Janus rollout on outstanding receivable balances should recover over time as our employees become more familiar with the new processes and workflows. However, the balances outstanding on Medicare audits will continue to grow until action is taken by the government to speed up the appeals process. At June 30, 2014 and December 31, 2013, we had approximately $19.2 million and $15.2 million of claims subject to pending Medicare audits, respectively. The increase in DSO is primarily relatedinventory balances was caused in part by acquisitions as well as a slowdown in authorizations by commercial payors which increases the time it takes to an increasedeliver a job in accounts receivable subjectprocess to Medicare audits.

Cash Flowsthe patient and consequently increases our work in process balances.

 

Net cash (used in)/provided by operating activities was $68.5$(7.5) million and $27.6 million for the ninesix month period ended SeptemberJune 30, 2014 and 2013, compared to $59.0 million for the same period in the prior year.respectively. The increasedecrease in cash provided by operating activities in the current year resulted primarily from improved cash earnings along with net decreasethe growth in cash used for changes in operating assets and liabilities.working capital discussed above.

 

Net cash used in investing activities was $25.5$57.1 million for the ninesix month period ended SeptemberJune 30, 2013,2014, compared to $42.3$21.9 million in the prior year. In the first ninesix months of 2013,2014, we purchased fivenine O&P companies for $5.7$34.2 million, net of cash acquired.acquired; made property, plant and equipment purchases of a net $20.2 million; and purchased $2.3 million of company owned life insurance. During the same period in 2012,2013, we acquired 142 patient care clinics for $14.3$4.7 million, net of cash acquired.  Additionally, in 2013,2014, we invested $27.5$21.7 million in capital assets principally associated with the roll out of  Janus, compared to $24.9$18.0 million for the same period in 2012.2013.

 

Net cash used inprovided by/ (used in) financing activities was $55.1$59.6 million and $4.0$(19.2) million for the ninesix month periods ended SeptemberJune 30, 20132014 and 2012,2013, respectively. For the ninesix month period ended SeptemberJune 30, 2014 we: (i) repaid $2.8 million related to term loan borrowings; (ii) borrowed $228.0 million and repaid $163.0 million under our revolving credit agreement to fund daily operations; and (iii) made $3.8 of required repayments of promissory notes issued in connection with acquisitions (“Seller Notes”). For the six month period ended June 30, 2013 we: (i) borrowed $225.0 million related to term loan borrowings; (ii) repaid $294.7$293.3 million related to term loan borrowings; (iii) borrowed $163.0$120.0 million under our revolving credit agreement; (iv) repaid $137.0$65.0 million under the revolving credit agreement; (v) made $9.2$4.0 million of required repayments of promissory notes issued in connection with acquisitions (“Seller Notes”); and (vi) received $1.6 million of proceeds from employee stock compensation plan awards.  For the nine month period ended September 30, 2012 we: (i) repaid $2.9 million related to term loan borrowings under our credit facilities; (ii) made $3.4 million of required repayments of promissory notes issued in connection with acquisitions (“Seller Notes”); and (iii) received $2.2 million of proceeds from employee stock compensation plan awards.

Debt

Long-term debt consisted of the following:

 

 

September 30,

 

December 31,

 

(In thousands)

 

2013

 

2012

 

 

 

 

 

 

 

Revolving Credit Facility

 

$

26,000

 

$

 

Term Loan

 

223,594

 

293,300

 

7 1/8 % Senior Notes due 2018

 

200,000

 

200,000

 

Subordinated seller notes, non-collateralized, net of unamortized discount with principal and interest payable in either monthly, quarterly or annual installments at effective interest rates ranging from 2.00% to 4.00%, maturing through November 2018

 

21,463

 

27,346

 

Total Debt

 

471,057

 

520,646

 

Less current portion

 

(13,673

)

(11,082

)

Long Term Debt

 

$

457,384

 

$

509,564

 

Refinancing

During the second quarter of 2013 the Company refinanced its bank credit facilities through a new 5 year credit agreement that increased its senior secured facilities to an aggregate principal amount of up to $425.0 million from $400.0 million previously.  The new credit agreement includes a $200.0 million revolving credit facility and a $225.0 million term loan facility. Each new facility matures on June 17, 2018 and is subject to a leveraged-based pricing grid, with initial pricing of LIBOR plus 1.75%.  In conjunction with the refinancing, the Company incurred a pre-tax non-cash charge of approximately $6.6 million during the second quarter of 2013 related to the write-off of existing debt issuance costs associated with its previous credit agreement.  No prepayment penalties were incurred.

 

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Revolving Credit Facility

The $200.0 million Revolving Credit Facility matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  As of September 30, 2013, the Company had $170.4 million available under this facility. The amounts outstanding under the Revolving Credit Facility as of September 30, 2013 were $26.0 million, net of standby letters of credit of approximately $3.6 million. The obligations under the Revolving Credit Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

Term Loan

The Term Loan Facility, of which $223.6 million is outstanding, matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  Quarterly principal payments ranging from 0.625% to 3.750% are required throughout the life of the Term Loan, commencing September 30, 2013.  From time to time, mandatory prepayments may be required as a result of certain additional debt incurrences, certain asset sales, or other events as defined in the Credit Agreement. No such mandatory prepayments were required during the third quarter of 2013. The obligations under the Term Loan Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

71/8% Senior Notes

The 7 1/8 % Senior Notes mature November 15, 2018 and are senior indebtedness, which is guaranteed on a senior unsecured basis by all of the Company’s subsidiaries. Interest is payable semi-annually on May 15 and November 15 of each year.

On or prior to November 15, 2013, the Company may redeem up to 35% of the aggregate principal amount of the notes at a redemption price of 107.125% of the principal amount thereof additional interest to the redemption date with the proceeds of a public offering of its equity securities.  Also, prior to November 15, 2014, the Company may redeem all or some of the notes at a redemption price of 103.6% all to interest that would have become due from the redemption date through November 15, 2014.  On or after November 15, 2014, the Company may redeem all or a part of the notes with a premium, as described in further detail in the Company’s Annual Report on form 10-K for the year ended December 31, 2012.

Subsidiary Guarantees

The Revolving Credit Facility, Term Loan Facilities and the 7 1/8 % Senior Notes are guaranteed by all of the Company’s subsidiaries. Separate condensed consolidating information is not included as the parent company does not have independent assets or operations. The guarantees are full and unconditional and joint and several. There are no restrictions on the ability of the Company’s subsidiaries to transfer cash to the Company or to co-guarantors.

Debt Covenants

The terms of the Senior Notes, the Revolving Credit Facility, and the Term Loan Facility limit the Company’s ability to, among other things, purchase capital assets, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities, and engage in mergers, consolidations and certain sales of assets. The credit agreement requires compliance with various covenants including but not limited to (i) minimum consolidated interest coverage ratio of 3.50:1.00 and (ii) maximum total leverage ratio of 4.00:1.00. As of September 30, 2013, the Company was in compliance with all covenants under these debt agreements.

General

 

As of SeptemberJune 30, 2013, $249.62014, $309.4 million, or 53.0%57%, of our total debt of $471.1$539.9 million was subject to variable interest rates based on a LIBOR plus 1.75%.rates.  We believe that, based on current levels of operations and anticipated growth, cash generated from operations, together with other available sources of liquidity, including borrowings available under the Revolving Credit Facility, will be sufficient for at least the next twelve months to fund our operations including anticipated capital expenditures, to fund our acquisition plans and to make required payments of principal and interest on our debt.

 

Obligations and Commercial Commitments

 

The following table sets forth our contractual obligations and commercial commitments as of SeptemberJune 30, 20132014 (unaudited):

 

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Table of Contents

 

Payments Due by Period

 

 

 

 

 

 

Payments Due by Period

 

 

 

 

 

(In thousands)

 

Remainder of 2013

 

2014

 

2015

 

2016

 

2017

 

Thereafter

 

Total

 

 

Remainder of 2014

 

2015

 

2016

 

2017

 

2018

 

Thereafter

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Long-term debt

 

$

2,973

 

$

16,516

 

$

21,605

 

$

22,979

 

$

28,626

 

$

378,358

 

$

471,057

 

 

$

11,221

 

$

25,791

 

$

26,370

 

$

31,621

 

$

443,960

 

$

926

 

$

539,889

 

Interest payments on long-term debt (1)

 

8,330

 

19,021

 

18,559

 

18,048

 

17,537

 

14,381

 

95,876

 

 

16,800

 

19,140

 

18,816

 

18,637

 

15,303

 

26

 

88,722

 

Operating leases

 

12,547

 

43,750

 

32,913

 

25,726

 

19,841

 

38,554

 

173,331

 

 

51,880

 

42,392

 

34,654

 

27,694

 

20,224

 

39,598

 

216,442

 

Capital leases

 

120

 

619

 

628

 

649

 

589

 

1,935

 

4,540

 

 

1,639

 

3,343

 

3,337

 

3,414

 

3,366

 

17,274

 

32,373

 

Other long-term obligations (2)

 

4,788

 

13,621

 

10,056

 

2,878

 

2,752

 

230

 

34,325

 

 

5,671

 

7,732

 

4,325

 

4,024

 

2,407

 

9,092

 

33,251

 

Total contractual cash obligations

 

$

28,758

 

$

93,527

 

$

83,761

 

$

70,280

 

$

69,345

 

$

433,458

 

$

779,129

 

 

$

87,211

 

$

98,398

 

$

87,502

 

$

85,390

 

$

485,260

 

$

66,916

 

$

910,677

 

 


(1)Interest projections were based on the assumptions that the future interest rate for the Revolving Credit Facility and Term Loan will remain at the current rate of 1.93%1.9%.

(2)Other long-term obligations include purchase commitments, commitments under our SERP plan, in addition to IT and telephone contracts. Refer to Note K of the Company’s Annual Report on Form 10-K for additional disclosure on the SERP plan.

 

Forward Looking Statements

 

This report contains forward-looking statements setting forth our beliefs or expectations relating to future revenues, contracts and operations, and certain legal proceedings. Actual results may differ materially from projected or expected results due to changes in the demand for our O&P products and services, uncertainties relating to the results of operations or recently acquired O&P patient care clinics, our ability to enter into and derive benefits from managed-care contracts, our ability to successfully attract and retain qualified O&P clinicians, federal laws governing the health-carehealth care industry, uncertainties inherent in incomplete investigations and legal proceedings, governmental policies affecting O&P operations and other risks and uncertainties generally affecting the health-carehealth care industry. Readers are cautioned not to put undue reliance on forward-looking statements.  Refer to risk factors disclosed in Part II, Item 1A of this filing as well as the risk factors disclosed in our Annual Report on Form 10-K for the year ended December 31, 20122013 for discussion of risks and uncertainties. We disclaim any intent or obligation to publicly update these forward-looking statements, whether as a result of new information, future events or otherwise.

 

ITEM 3.                                                Quantitative and Qualitative Disclosures about Market Risk

 

Our future financial result is subject to a variety of risks, including interest rate risk.  As of SeptemberJune 30, 2013,2014, the interest expense arising from the $249.6$309.4 million of outstanding borrowings under both our Term Loan Facility and our Revolver are subject to variable interest rates, partially offset by interest income subject to variable interest rates generated from our $2.5$2.6 million of cash equivalents.  As of SeptemberJune 30, 2013,2014, we had $221.5$230.5 million of fixed rate debt which includes our 7 1/8 % Senior Notes and Subordinated Seller Notes.

 

Presented below is an analysis of our financial instruments as of SeptemberJune 30, 20132014 that are sensitive to changes in interest rates. The table demonstrates the changes in estimated annual cash flow related to the outstanding balance under the Revolving and Term Loan Facilities,Facility, calculated for an instantaneous parallel shift in interest rates, plus or minus 50 basis points (“BPS”), 100 BPS and 150 BPS. As of SeptemberJune 30, 2013,2014, the interest rate on the Revolving and Term Loan facilities was 1.93%1.91% based on a LIBOR rate of 0.18%0.16% and the applicable margin of 1.75%.

 

 

Annual Interest Expense Given an Interest
Rate Decrease of X Basis Points

 

No Change
in Interest

 

Annual Interest Expense Given an
Interest Rate Increase of X Basis Points

 

Cash Flow Risk

 

(150 BPS)

 

(100 BPS)

 

(50 BPS)

 

Rates

 

50 BPS

 

100 BPS

 

150 BPS

 

 

Annual Interest Expense Given an Interest
Rate Decrease of X Basis Points

 

No Change
in Interest

 

Annual Interest Expense Given an
Interest Rate Increase of X Basis Points

 

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(150 BPS)

 

(100 BPS)

 

(50 BPS)

 

Rates

 

50 BPS

 

100 BPS

 

150 BPS

 

Revolving and Term Loan

 

$

4,375

 

$

4,380

 

$

4,385

 

$

4,832

 

$

6,068

 

$

7,303

 

$

8,539

 

 

$

5,429

 

$

5,439

 

$

5,449

 

$

5,919

 

$

7,453

 

$

8,987

 

$

10,521

 

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ITEM 4.                                                Controls and Procedures

 

Disclosure Controls and Procedures

 

The Company’s disclosure controls and procedures are designed to provide reasonable assurance that information required to be disclosed by it in its periodic reports filed with the Securities and Exchange Commission is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms and to ensure that information required to be disclosed in the reports filed under the Exchange Act was accumulated and communicated to management, including the Company’s Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosures. Based on an evaluation of the Company’s disclosure controls and procedures conducted by the Company’s Chief Executive Officer and Chief Financial Officer, such officers concluded that the Company’s disclosure controls and procedures were not effective as of SeptemberJune 30, 20132014 as a result of the following material weaknessweaknesses in our internal controls over financial reporting relatingreporting.  Specifically, the Company did not design and/or maintain effective controls over i) raw materials to ensure items are priced using the first in first out method resulting from the identification of inaccurate prices utilized in the valuation of our inventory quantities on hand based on physical observation;  ii) the accuracy of the stage of completion in valuing work-in-process inventory resulting from the identification of data input errors from our physical inventory observation used in the valuation of our work-in-process inventory; and iii) certain key assumptions used in the valuation of work-in-process inventory resulting from the identification of inaccurate or imprecise data used in the development of these assumptions.  Additional details are discussed in our Annual Report on Form 10-K for the year ended December 31, 2012,2013, under Part II, Item 9A. The Company has implemented remediation procedures as described in further detail in the following paragraph.

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Table of Contents9-A.

 

Status of Remediation of Material Weakness

 

As of SeptemberJune 30, 2013, we have implemented procedures designed to address2014, the material weaknessweaknesses disclosed in our Annual Report on Form 10-K for the year ended December 31, 2012 related2013, are not remediated.  These material weaknesses relate to the proper valuationCompany’s annual physical inventory, and therefore the Company will not be able to verify remediation until the fourth quarter of work-in-process inventory. Management has implemented additional quarterly reviews, analysis and calculations surrounding the valuation2014 after completion of the work-in-processannual physical inventory to account forat Hanger Clinic, at the changing sales volume from periodearliest.  The Company is working to period. Management believes these measures will remediate the material weakness identified inweaknesses and has begun by taking steps to plan and implement additional measures to remediate the Form 10-K Annual report.underlying causes of the material weaknesses. The additional measures are primarily the continued development and implementation of formal policies, improved processes and documentation of procedures and controls, additional training of finance and operational personnel, the hiring of additional finance personnel and the engagement of external subject matter experts. The Company’s actions are subject to ongoing senior management review, as well as audit committee oversight.  As the Company continues to evaluate and work to improve its internal control over financial reporting, management may determine to take additional measures to address thisthese material weakness or determine to modify the remediation steps described above.

 

Changes in Internal Control Over Financial Reporting

 

In accordance with Rule 13a-15(d) under the Securities Exchange Act of 1934, management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, determined that there were no changes in the Company’s internal control over financial reporting, beyond those in-process remediation processesefforts discussed above, that occurred during the threesix months ended SeptemberJune 30, 2013,2014, that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

Part II.  Other Information

ITEM 1.  LEGAL PROCEEDINGS.

We are subject to legal proceedings and claims which arise from time to time in the ordinary course of our business, including additional payments under business purchase agreements. In the opinion of our management, the amount of ultimate liability, if any, with respect to these actions will not have a materially adverse effect on the financial position, liquidity or results of our operations.

We are in a highly regulated industry and receive regulatory agency inquiries from time to time in the ordinary course of our business, including inquiries relating to our billing activities. To date these inquiries have not resulted in material liabilities, but no assurance can be given that future regulatory agencies’ inquiries will be consistent with the results to date or that any discrepancies identified during a regulatory review will not have a material adverse effect on our consolidated financial statements.

On May 20, 2013, the Staff of the SEC’s Division of Enforcement informed us that it was conducting an investigation of the Company and made a request for a voluntary production of documents and information concerning our calculations of bad debt expense and allowance for doubtful accounts.  We are cooperating fully with the SEC Staff.

 

ITEM 1A.  RISK FACTORS.

 

Part I, Item 1A (“Risk Factors”) of the Company’s Annual Report on Form 10-K for the year ended December 31, 20122013 sets forth information relating to important risks and uncertainties that could materially adversely affect the Company’s business, financial condition or operating results. Those risk factors continue to be relevant to an understanding of the Company’s business, financial condition and operating results.  Certain of those risk factors have been updated in this Form 10-Q to provide updated information, as set forth below. References to “we,” “our” and “us” in these risk factors refer to the Company.

 

Changes in government reimbursement levels could adversely affect our net sales, cash flows and profitability.

 

We derived 40.5%40.7% and 40.8%40.6% of our net sales for the ninesix months ended SeptemberJune 30, 20132014 and 2012,2013, respectively, from reimbursements for O&P services and products from programs administered by Medicare, Medicaid and the U.S. Department of Veterans Affairs.  Each of these programs set maximum reimbursement levels for O&P services and products. If these agencies reduce reimbursement levels for O&P services and products in the future, our net sales could substantially decline. In addition, the percentage of our net sales derived from these sources may increase as the portion of the U.S. population over age 65 continues to grow, making us more vulnerable to reimbursement reductions by these organizations. Reduced government reimbursement levels could result in reduced

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private payor reimbursement levels because fee schedules of certain third-party payors are indexed to Medicare. Furthermore, the healthcare industry is experiencing a trend towards cost containment as government and other third-party payors seek to impose lower reimbursement rates and negotiate reduced contract rates with service providers. This trend could adversely affect our net sales. For example, a number of states have reduced their Medicaid reimbursement rates for O&P services and products, or have reduced Medicaid eligibility, and others are in the process of reviewing Medicaid reimbursement policies generally, including for prosthetic and orthotic devices. Additionally, Medicare provides for reimbursement for O&P products and services based on prices set forth in fee schedules for ten regional service areas. Medicare prices are adjusted each year based on the Consumer Price Index— Urban (“CPIU”) unless Congress acts to change or eliminate the adjustment. The Medicare price increases/(decreases) for 2014, 2013 and 2012 and 2011 were 1.0%, 0.8%, and 2.4%, and (0.1%) respectively. The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, March 23, 2010 (“PPACA”) changed the Medicare inflation factors applicable to O&P (and other) suppliers.

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The annual updates for years subsequent to 2011 are based on the percentage increase in the CPI-U for the 12-month period ending with June of the previous year. Section 3401(m) of PPACA required that for 2011 and each subsequent year, the fee schedule update factor based on the CPI-U for the 12-month period ending with June of the previous year is to be adjusted by the annual economy-wide private nonfarm business multifactory productivity (“the MFP Adjustment”). The MFP Adjustment may result in that percentage increase being less than zero for a year and may result in payment rates for a year being less than such payment rates for the preceding year. CMS has not yet issued a final rule implementing these adjustments for years beyond 2011, but has indicated in a proposed rule that it will do so as part of the annual program instructions to the O&P fee schedule updates. See 75 Fed. Reg. 40040, 40122, et seq. (July 13, 2010). If the U.S. Congress were to legislate additional modifications to the Medicare fee schedules, our net sales from Medicare and other payors could be adversely and materially affected.

 

The Budget Control Act of 2011 required, among other things, mandatory across-the-board reductions in Federal spending, or “sequestration.” While delayed by the American Taxpayer Relief Act of 2012, President Obama issued a sequestration order on March 1, 2013. For services provided on or after April 1, 2013, Medicare fee-for-service claim payments, including those for DMEPOS (durable medical equipment (DME), prosthetics, orthotics, and supplies,) as well as claims under the DME Competitive Bidding Program, are reduced by 2 percent.  This is a claims payment adjustment with limited impact on the Company (approximately $1.7$1.1 million through Septemberfor the six months ending June 30, 2013) 2014); no permanent reductions in the Medicare DMEPOS fee schedule have been made as a result of sequestration, therefore reimbursements from Medicaid, the VA and commercial payers who use the Medicare fee schedule as a basis for reimbursement have not been impacted.

 

In addition to the risks to our Patient Care segment businesses discussed above, changes in government reimbursement levels could also adversely affect the net sales, cash flows and profitability of our Products & Services segment business. In particular, a significant majority of ACP’s sales at ACP involve devices and related services provided to skilled nursing facilities (SNFs) and similar businesses. Reductions in government reimbursement levels to SNFs could cause such SNFs to reduce or cancel their use of ACP’s devices and modalities, negatively impacting net sales, cash flows and profitability. For example, in July 2011 CMS announced an across the board reduction of approximately 10% in SNF reimbursement levels, negatively impacting the demand for ACP’s devices and treatment modalities. We cannot predict whether any other modifications to reimbursement levels will be implemented, or if implemented what form any modifications might take.

 

Our substantial indebtedness could impair our financial conditionWe face periodic reviews, audits and our ability to fulfill our obligationsinvestigations under our indebtedness.contracts with federal and state government agencies, and these audits could have adverse findings that may negatively impact our business.

 

We have substantial debt. As of September 30, 2013,contract with various federal and state governmental agencies to provide O&P services. Pursuant to these contracts, we had approximately $471.1 million of total indebtednessare subject to various governmental reviews, audits and $26.0 million borrowed underinvestigations to verify our Revolving Credit Facility.

The level of our indebtednesscompliance with the contracts and applicable laws and regulations. Any adverse review, audit or investigation could have important consequences to us.  For example, our substantial indebtedness could:result in:

 

·                  make it more difficult for usrefunding of amounts we have been paid pursuant to satisfy our obligations;government contracts;

 

·                  increase our vulnerability to adverse general economicimposition of fines, penalties and industry conditions;other sanctions on us;

 

·                  require us to dedicate a substantial portionloss of our cash flow from operationsright to payments on our debt, thereby reducing the availability of our cash flow to fund working capital, capital expenditures and other general corporate requirements;participate in various federal programs;

 

·                  limitdamage to our flexibilityreputation in planning for,various markets; or reacting to, changes in our business and the industry in which we operate;

 

·                  place us at a competitive disadvantage compared tomaterial and/or adverse effects on our competitors that have proportionately less debt;business, financial condition and results of operations.

 

·make it more difficult for us to borrow money for working capital, capital expenditures, acquisitions or other purposes;

·limit our ability to refinance indebtedness, or the associated costs may increase; and

·expose us to the risk of increased interest rates with respect to that portion of our debt that has a variable rate of interest.

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In recent years we have seen a significant increase in Medicare audits, including Recovery Audit Contractor or RAC audits, Comprehensive/Error Rate Testing or CERT audits and Medicare Administrative Contractor (MAC) prepayment audits.  Additionally, substantial delays have developed in the audit adjudication process, particularly in administrative law appeals. At June 30, 2014 and December 31, 2013, we had approximately $19.2 million and $15.2 million of claims subject to pending Medicare audits, respectively.  Through December 31, 2013, our success rate on these audits at final adjudication (the Administrative Law Judge hearing) was approximately 90%.  Nevertheless, Medicare audits could have a material and adverse effect on our business financial condition and result of operations, particularly if our success rate at final adjudication were to decline.

 

ITEM 6.                                                Exhibits

 

(a)                                 Exhibits.  The following exhibits are filed herewith:

 

Exhibit No.

 

Document

 

 

 

10.1

Letter Agreement, dated April 7, 2014, among George E. McHenry, the Company and Hanger Prosthetics & Orthotics, Inc. (Incorporated herein by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by the Registrant on April, 7 2014).

31.1

 

Written Statement of the Chief Executive Officer Pursuant to Section Section��302 of the Sarbanes-Oxley Act of 2002.

 

 

 

31.2

 

Written Statement of the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

32

 

Written Statement of the Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, As Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

 

 

101

 

The following financial information from the Company’s Quarterly Report on Form 10-Q, for the period ended SeptemberJune 30, 2013,2014, formatted in eXtensible Business Reporting Language: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Cash Flows, (iv) Notes to Consolidated Financial Statements (1)

 


(1)

 

Pursuant to Rule 406T of Regulation S-T, the Interactive Data Files hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, are deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

HANGER, INC.

 

 

 

 

Dated: November 8, 2013August 11, 2014

/s/Vinit K. Asar

 

Vinit K. Asar

 

President and

 

Chief Executive Officer

 

(Principal Executive Officer)

 

 

 

 

Dated: November 8, 2013August 11, 2014

/s/George E. McHenry

 

George E. McHenry

 

Executive Vice President and Chief Financial Officer

 

(Principal Financial Officer and Principal Accounting Officer)

 

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