SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(MARK ONE)
☒ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE QUARTERLY PERIOD ENDED March 31,June 30, 2019
OR
☐ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE TRANSITION PERIOD FROM TO _____
COMMISSION FILE NUMBER 1-11151
U.S. PHYSICAL THERAPY, INC.
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
NEVADA | | 76-0364866 |
(STATE OR OTHER JURISDICTION OF INCORPORATION OR ORGANIZATION) | | (I.R.S. EMPLOYER IDENTIFICATION NO.) |
1300 WEST SAM HOUSTON PARKWAY SOUTH, SUITE 300, HOUSTON, TEXAS | | 77042 |
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) | | (ZIP CODE) |
REGISTRANT’S TELEPHONE NUMBER, INCLUDING AREA CODE: (713) 297-7000
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 ☐ No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and such files). ☒ Yes ☐ No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ☐ |
| Accelerated filer | ☒ |
Non-accelerated filer | ☐ | (Do not check if a smaller reporting company) | Smaller reporting company | ☐ |
| | | Emerging growth company | ☐ |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). ☐ Yes ☒ No
Securities registered pursuant to Section 12(b) of the Act:
Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
Common Stock, $.01 par value
| USPH
| New York Stock Exchange
|
As of May 6,August 8, 2019, the number of shares outstanding (issued less treasury stock) of the registrant’s common stock, par value $.01 per share, was: 12,761,092.12,773,878.
PART I—FINANCIAL INFORMATION - UNAUDITED
Item 1. | | 3 |
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Item 2. | | 2527 |
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Item 3. | | 3239 |
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Item 4. | | 3239 |
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PART II—OTHER INFORMATION | |
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Item 1.
| Legal Proceedings | 3340
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Item 6. | | 3340
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| Certifications | |
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS (IN THOUSANDS, EXCEPT SHARE DATA)
| | March 31, 2019 | | | December 31, 2018 | | |
ASSETS | | (unaudited) | | | | | | June 30, 2019 (unaudited) | | December 31, 2018 | |
Current assets: | | | | | | | | | | | |
Cash and cash equivalents | | $ | 20,238 | | | $ | 23,368 | | | $ | 34,859 | | | $ | 23,368 | |
Patient accounts receivable, less allowance for doubtful accounts of $2,692 and $2,672, respectively | | | 48,443 | | | | 44,751 | | |
Patient accounts receivable, less allowance for doubtful accounts of $2,666 and $2,672, respectively | | | | 44,923 | | | | 44,751 | |
Accounts receivable - other | | | 7,237 | | | | 6,742 | | | | 10,724 | | | | 6,742 | |
Receivable, net - sale and purchase of partnership interests | | | | 9,401 | | | | - | |
Other current assets | | | 5,238 | | | | 4,353 | | | | 7,102 | | | | 4,353 | |
Total current assets | | | 81,156 | | | | 79,214 | | | | 107,009 | | | | 79,214 | |
Fixed assets: | | | | | | | | | | | | | | | | |
Furniture and equipment | | | 53,267 | | | | 52,611 | | | | 52,831 | | | | 52,611 | |
Leasehold improvements | | | 33,089 | | | | 31,712 | | | | 31,020 | | | | 31,712 | |
Fixed assets, gross | | | 86,356 | | | | 84,323 | | | | 83,851 | | | | 84,323 | |
Less accumulated depreciation and amortization | | | 65,197 | | | | 64,154 | | | | 63,829 | | | | 64,154 | |
Fixed assets, net | | | 21,159 | | | | 20,169 | | | | 20,022 | | | | 20,169 | |
Operating lease right-of-use assets | | | 77,870 | | | | - | | | | 74,930 | | | | - | |
Goodwill | | | 293,338 | | | | 293,525 | | | | 303,549 | | | | 293,525 | |
Other identifiable intangible assets, net | | | 48,125 | | | | 48,828 | | | | 50,055 | | | | 48,828 | |
Other assets | | | 1,439 | | | | 1,430 | | | | 1,445 | | | | 1,430 | |
Total assets | | $ | 523,087 | | | $ | 443,166 | | | $ | 557,010 | | | $ | 443,166 | |
| | | | | | | | | | | | | | | | |
LIABILITIES, REDEEMABLE NON-CONTROLLING INTERESTS, USPH SHAREHOLDERS’ EQUITY AND NON-CONTROLLING INTERESTS | | | | | | | | | | | | | | | | |
Current liabilities: | | | | | | | | | | | | | | | | |
Accounts payable - trade | | $ | 1,894 | | | $ | 2,019 | | | $ | 2,426 | | | $ | 2,019 | |
Accrued expenses | | | 39,237 | | | | 38,493 | | | | 31,346 | | | | 38,493 | |
Current portion of operating lease liabilities | | | 26,733 | | | | - | | | | 22,558 | | | | - | |
Current portion of notes payable | | | 1,066 | | | | 1,434 | | | | 690 | | | | 1,434 | |
Total current liabilities | | | 68,930 | | | | 41,946 | | | | 57,020 | | | | 41,946 | |
Notes payable, net of current portion | | | 516 | | | | 402 | | | | 4,316 | | | | 402 | |
Revolving line of credit | | | 29,000 | | | | 38,000 | | | | 62,000 | | | | 38,000 | |
Deferred taxes | | | 9,872 | | | | 9,012 | | | | 12,284 | | | | 9,012 | |
Deferred rent | | | - | | | | 2,159 | | | | - | | | | 2,159 | |
Operating lease liabilities, net of current portion | | | 55,834 | | | | - | | | | 56,711 | | | | - | |
Other long-term liabilities | | | 566 | | | | 829 | | | | 566 | | | | 829 | |
Total liabilities | | | 164,718 | | | | 92,348 | | | | 192,897 | | | | 92,348 | |
| | | | | | | | | | | | | | | | |
Redeemable non-controlling interests | | | 137,196 | | | | 133,943 | | | | 133,366 | | | | 133,943 | |
| | | | | | | | | | | | | | | | |
U.S. Physical Therapy, Inc. ("USPH") shareholders’ equity: | | | | | | | | | |
U.S. Physical Therapy, Inc. (“USPH”) shareholders’ equity: | | | | | | | | | |
Preferred stock, $.01 par value, 500,000 shares authorized, no shares issued and outstanding | | | - | | | | - | | | | - | | | | - | |
Common stock, $.01 par value, 20,000,000 shares authorized, 14,975,829 and 14,899,233 shares issued, respectively | | | 149 | | | | 149 | | |
Common stock, $.01 par value, 20,000,000 shares authorized, 14,989,350 and 14,899,233 shares issued, respectively | | | | 149 | | | | 149 | |
Additional paid-in capital | | | 82,295 | | | | 80,028 | | | | 84,125 | | | | 80,028 | |
Retained earnings | | | 168,952 | | | | 167,396 | | | | 176,610 | | | | 167,396 | |
Treasury stock at cost, 2,214,737 shares | | | (31,628 | ) | | | (31,628 | ) | | | (31,628 | ) | | | (31,628 | ) |
Total USPH shareholders’ equity | | | 219,768 | | | | 215,945 | | | | 229,256 | | | | 215,945 | |
Non-controlling interests | | | 1,405 | | | | 930 | | | | 1,491 | | | | 930 | |
Total USPH shareholders' equity and non-controlling interests | | | 221,173 | | | | 216,875 | | |
Total liabilities, redeemable non-controlling interests, USPH shareholders' equity and non-controlling interests | | $ | 523,087 | | | $ | 443,166 | | |
Total USPH shareholders’ equity and non-controlling interests | | | | 230,747 | | | | 216,875 | |
Total liabilities, redeemable non-controlling interests, USPH shareholders’ equity and non-controlling interests | | | $ | 557,010 | | | $ | 443,166 | |
See notes to consolidated financial statements.
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF NET INCOME (IN THOUSANDS, EXCEPT PER SHARE DATA)
(unaudited)
| | For the Three Months Ended | | | Three Months Ended | | | Six Months Ended | |
| | March 31, 2019 | | | March 31, 2018 | | | June 30, 2019 | | | June 30, 2018 | | | June 30, 2019 | | | June 30, 2018 | |
| | | | | | | | | | | | | | | | | | |
Net patient revenues | | $ | 106,650 | | | $ | 100,552 | | | $ | 113,363 | | | $ | 105,989 | | | $ | 220,013 | | | $ | 206,541 | |
Other revenues | | | 9,581 | | | | 7,790 | | | | 13,010 | | | | 9,109 | | | | 22,591 | | | | 16,899 | |
Net revenues | | | 116,231 | | | | 108,342 | | | 126,373 | | | 115,098 | | | 242,604 | | | 223,440 | |
Operating costs: | | | | | | | | | | | | | | | | | | | | |
Salaries and related costs | | | 66,267 | | | | 62,279 | | | 70,669 | | | 64,607 | | | 136,936 | | | 126,886 | |
Rent, supplies, contract labor and other | | | 22,044 | | | | 21,776 | | | 23,026 | | | 22,168 | | | 45,070 | | | 43,944 | |
Provision for doubtful accounts | | | 1,206 | | | | 1,061 | | | 1,240 | | | 1,151 | | | 2,446 | | | 2,212 | |
Closure costs | | | (4 | ) | | | 12 | | | | 13 | | | | 18 | | | | 9 | | | | 30 | |
Total operating costs | | | 89,513 | | | | 85,128 | | | | 94,948 | | | | 87,944 | | | | 184,461 | | | | 173,072 | |
| | | | | | | | | | | | | | | | | | | | |
Gross profit | | | 26,718 | | | | 23,214 | | | 31,425 | | | 27,154 | | | 58,143 | | | 50,368 | |
| | | | | | | | | | | | | | | | | | | | |
Corporate office costs | | | 11,293 | | | | 10,163 | | | | 11,527 | | | | 10,128 | | | | 22,820 | | | | 20,291 | |
Operating income | | | 15,425 | | | | 13,051 | | | 19,898 | | | 17,026 | | | 35,323 | | | 30,077 | |
| | | | | | | | | | | | | | | | | | | | |
Other income and expense | | | | | | | | | | | | | |
Gain on sale of partnership interest | | | 5,823 | | | - | | | 5,823 | | | - | |
Interest and other income, net | | | 16 | | | | 32 | | | 4 | | | 22 | | | 20 | | | 54 | |
Interest expense - debt and other | | | (358 | ) | | | (553 | ) | |
Interest expense | | | | (607 | ) | | | (545 | ) | | | (965 | ) | | | (1,098 | ) |
| | | | | | | | | | | | | | | | | | | | |
Income before taxes | | | 15,083 | | | | 12,530 | | | 25,118 | | | 16,503 | | | 40,201 | | | 29,033 | |
| | | | | | | | | | | | | | | | | | | | |
Provision for income taxes | | | 2,708 | | | | 2,476 | | | | 5,318 | | | | 3,267 | | | | 8,026 | | | | 5,743 | |
| | | | | | | | | | | | | | | | | | | | |
Net income | | | 12,375 | | | | 10,054 | | | 19,800 | | | 13,236 | | | 32,175 | | | 23,290 | |
| | | | | | | | | | | | | | | | | | | | |
Less: net income attributable to non-controlling interests: | | | | | | | | | | | | | | | | | | | | |
Non-controlling interests - permanent equity | | | (1,537 | ) | | | (1,201 | ) | | (1,802 | ) | | (1,380 | ) | | (3,339 | ) | | (2,581 | ) |
Redeemable non-controlling interests - temporary equity | | | (2,395 | ) | | | (1,736 | ) | | | (3,378 | ) | | | (2,610 | ) | | | (5,773 | ) | | | (4,346 | ) |
| | | (3,932 | ) | | | (2,937 | ) | | | (5,180 | ) | | | (3,990 | ) | | | (9,112 | ) | | | (6,927 | ) |
| | | | | | | | | | | | | | | | | | | | |
Net income attributable to USPH shareholders | | $ | 8,443 | | | $ | 7,117 | | | $ | 14,620 | | | $ | 9,246 | | | $ | 23,063 | | | $ | 16,363 | |
| | | | | | | | | | | | | | | | | | | | |
Basic and diluted earnings per share attributable to USPH shareholders | | $ | 0.39 | | | $ | 0.27 | | | $ | 0.85 | | | $ | 0.48 | | | $ | 1.24 | | | $ | 0.74 | |
| | | | | | | | | | | | | | | | | | | | |
Shares used in computation - basic and diluted | | | 12,707 | | | | 12,616 | | | | 12,767 | | | | 12,677 | | | | 12,738 | | | | 12,647 | |
| | | | | | | | | | | | | | | | | | | | |
Dividends declared per common share | | $ | 0.27 | | | $ | 0.23 | | | $ | 0.27 | | | $ | 0.23 | | | $ | 0.54 | | | $ | 0.46 | |
See notes to consolidated financial statements.
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (IN THOUSANDS)
(unaudited)
| | Three Months Ended | | | Six Months Ended | |
| | March 31, 2019 | | | March 31, 2018 | | | June 30, 2019 | | June 30, 2018 | |
OPERATING ACTIVITIES | | | | | | | | | | | |
Net income including non-controlling interests | | $ | 12,375 | | | $ | 10,054 | | | $ | 32,175 | | | $ | 23,290 | |
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities: | | | | | | | | | | | | | | | | |
Depreciation and amortization | | | 2,400 | | | | 2,468 | | | | 4,958 | | | | 4,866 | |
Provision for doubtful accounts | | | 1,206 | | | | 1,061 | | | | 2,446 | | | | 2,212 | |
Equity-based awards compensation expense | | | 1,728 | | | | 1,381 | | | | 3,558 | | | | 2,937 | |
Deferred income taxes | | | 2,118 | | | | (1,162 | ) | | | 5,421 | | | | (1,736 | ) |
Gain on sale of partnership interest, net of tax | | | | (4,294 | ) | | | - | |
Other | | | 12 | | | | 54 | | | | 21 | | | | 94 | |
Changes in operating assets and liabilities: | | | | | | | | | | | | | | | | |
Increase in patient accounts receivable | | | (4,898 | ) | | | (2,782 | ) | | | (4,956 | ) | | | (2,141 | ) |
Increase in accounts receivable - other | | | (495 | ) | | | (849 | ) | | | (2,468 | ) | | | (2,934 | ) |
Increase in other assets | | | (894 | ) | | | (1,238 | ) | | | (2,759 | ) | | | (140 | ) |
Increase in accounts payable and accrued expenses | | | 274 | | | | 7,389 | | |
(Decrease) increase in accounts payable and accrued expenses | | | | (4,780 | ) | | | 4,845 | |
Decrease in other liabilities | | | (263 | ) | | | (845 | ) | | | (701 | ) | | | (672 | ) |
Net cash provided by operating activities | | | 13,563 | | | | 15,531 | | | | 28,621 | | | | 30,621 | |
| | | | | | | | | | | | | | | | |
INVESTING ACTIVITIES | | | | | | | | | | | | | | | | |
Purchase of fixed assets | | | (2,497 | ) | | | (1,404 | ) | | | (4,876 | ) | | | (3,270 | ) |
Purchase of redeemable non-controlling interest | | | (2,053 | ) | | | (761 | ) | |
Purchase of non-controlling interest | | | (139 | ) | | | (246 | ) | |
Purchase of business | | | | (18,239 | ) | | | (9,118 | ) |
Purchase of redeemable non-controlling interest, temporary equity | | | | (2,053 | ) | | | - | |
Purchase of non-controlling interest, permanent equity | | | | (138 | ) | | | (245 | ) |
Proceeds on sale of fixed assets | | | 59 | | | | - | | | | 65 | | | | 1 | |
Net cash used in investing activities | | | (4,630 | ) | | | (2,411 | ) | | | (25,241 | ) | | | (12,632 | ) |
| | | | | | | | | | | | | | | | |
FINANCING ACTIVITIES | | | | | | | | | | | | | | | | |
Distributions to non-controlling interests, permanent and temporary equity | | | (2,576 | ) | | | (2,208 | ) | | | (7,934 | ) | | | (6,735 | ) |
Cash dividends paid to shareholders | | | | (6,891 | ) | | | (5,828 | ) |
Proceeds from revolving line of credit | | | 19,000 | | | | 19,000 | | | | 80,000 | | | | 55,000 | |
Payments on revolving line of credit | | | (28,000 | ) | | | (31,000 | ) | | | (56,000 | ) | | | (53,000 | ) |
Payments to settle mandatorily redeemable non-controlling interests | | | - | | | | (265 | ) | | | - | | | | (265 | ) |
Principal payments on notes payable | | | (482 | ) | | | (823 | ) | | | (1,057 | ) | | | (1,898 | ) |
Other | | | (5 | ) | | | 56 | | | | (7 | ) | | | (48 | ) |
Net cash used in financing activities | | | (12,063 | ) | | | (15,240 | ) | |
Net cash provided by (used in) financing activities | | | | 8,111 | | | | (12,774 | ) |
| | | | | | | | | | | | | | | | |
Net decrease in cash and cash equivalents | | | (3,130 | ) | | | (2,120 | ) | |
Net increase in cash and cash equivalents | | | | 11,491 | | | | 5,215 | |
Cash and cash equivalents - beginning of period | | | 23,368 | | | | 21,933 | | | | 23,368 | | | | 21,933 | |
Cash and cash equivalents - end of period | | $ | 20,238 | | | $ | 19,813 | | | $ | 34,859 | | | $ | 27,148 | |
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SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION | | | | | | | | | | | | | | | | |
Cash paid during the period for: | | | | | | | | | | | | | | | | |
Income taxes | | $ | 313 | | | $ | 2,941 | | | $ | 4,339 | | | $ | 7,483 | |
Interest | | $ | 343 | | | $ | 526 | | | $ | 902 | | | $ | 1,106 | |
Non-cash investing and financing transactions during the period: | | | | | | | | | | | | | | | | |
Purchase of business - seller financing portion | | $ | 228 | | | $ | 150 | | | $ | 4,000 | | | $ | 550 | |
Purchase of business - payable to common shareholders of acquired business | | | $ | 502 | | | $ | - | |
Receivable related to sale of partnership interest | | | $ | 11,601 | | | $ | - | |
Payable related to purchase of partnership interest - settlement of redeemable non-controlling interest | | | $ | 2,200 | | | $ | - | |
Notes receivable related to sale of partnership interest - redeemable non-controlling interest | | | $ | 2,780 | | | $ | - | |
See notes to consolidated financial statements.
U. S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY (IN THOUSANDS)
(unaudited)
| | U.S.Physical Therapy, Inc. | | | | | | | | | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | |
For the three months ended June 30, 2019 | | | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | | |
| | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | | |
| | | | | | | | | | |
Balance December 31, 2018 | | | 14,899 | | | $ | 149 | | | $ | 80,028 | | | $ | 167,396 | | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 215,945 | | | $ | 930 | | | $ | 216,875 | | |
Balance March 31, 2019 | | | 14,976 | | | $ | 149 | | | $ | 82,295 | | | $ | 168,952 | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 219,768 | | | $ | 1,405 | | | $ | 221,173 | |
Issuance of restricted stock, net of cancellations | | | 77 | | | | - | | | | - | | | | (3,437 | ) | | | - | | | | - | | | | (3,437 | ) | | | - | | | | (3,437 | ) | | 13 | | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | - | |
Revaluation of redeemable non-controlling interest, net of tax | | | - | | | - | | | - | | | (3,813 | ) | | - | | | - | | | (3,813 | ) | | - | | | (3,813 | ) |
Compensation expense - equity-based awards | | | - | | | | - | | | | 1,728 | | | | - | | | | - | | | | - | | | | 1,728 | | | | - | | | | 1,728 | | | - | | | - | | | 1,830 | | | - | | | - | | | - | | | 1,830 | | | - | | | 1,830 | |
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | | | - | | | | - | | | | 636 | | | | - | | | | - | | | | - | | | | 636 | | | | - | | | | 636 | | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | - | |
Purchase of non-controlling interest | | | - | | | | - | | | | (97 | ) | | | - | | | | - | | | | - | | | | (97 | ) | | | (8 | ) | | | (105 | ) | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | -
| | | -
| |
Dividends payable to USPT shareholders | | | - | | | | - | | | | - | | | | (3,445 | ) | | | - | | | | - | | | | (3,445 | ) | | | - | | | | (3,445 | ) | |
Distributions to non-controlling interest partners, permanent equity | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | (1,054 | ) | | | (1,054 | ) | |
Dividends paid to USPH shareholders | | | - | | | - | | | - | | | (3,446 | ) | | - | | | - | | | (3,446 | ) | | - | | | (3,446 | ) |
Purchase of partnership interests - redeemable non-controlling interests | | | - | | | - | | | - | | | 298 | | | - | | | - | | | 298 | | | - | | | 298 | |
Other | | | - | | | | - | | | | - | | | | (5 | ) | | | - | | | | - | | | | (5 | ) | | | - | | | | (5 | ) | | - | | | - | | | - | | | (1 | ) | | - | | | - | | | (1 | ) | | 1
| | | -
|
|
Distributions to non-controlling interest partners - permanent equity | | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | (1,717 | ) | | (1,717 | ) |
Net income attributable to non-controlling interests - permanent equity | | | | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | 1,537 | | | | 1,537 | | | - | | | - | | | - | | | - | | | - | | | - | | | - | | | 1,802 | | | 1,802 | |
Net income attributable to USPH shareholders | | | - | | | | - | | | | - | | | | 8,443 | | | | - | | | | - | | | | 8,443 | | | | - | | | | 8,443 | | | | - | | | | - | | | | - | | | | 14,620 | | | | - | | | | - | | | | 14,620 | | | | - | | | | 14,620 | |
Balance March 31, 2019 | | | 14,976 | | | | 149 | | | | 82,295 | | | | 168,952 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 219,768 | | | | 1,405 | | | | 221,173 | | |
Balance June 30, 2019 | | | | 14,989 | | | | 149 | | | | 84,125 | | | | 176,610 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 229,256 | | | | 1,491 | | | | 230,747 | |
| | U.S.Physical Therapy, Inc. | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | |
| | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | |
| | | | | | | | | |
Balance December 31, 2017 | | | 14,809 | | | $ | 148 | | | $ | 73,940 | | | $ | 162,406 | | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 204,866 | | | $ | 1,204 | | | $ | 206,070 | |
Issuance of restricted stock, net of cancellation | | | 76 | | | | 1 | | | | - | | | | - | | | | - | | | | - | | | | 1 | | | | - | | | | 1 | |
Revaluation of redeemable non-controlling interest, net of tax | | | - | | | | - | | | | - | | | | (3,747 | ) | | | - | | | | - | | | | (3,747 | ) | | | - | | | | (3,747 | ) |
Compensation expense - equity-based awards | | | - | | | | - | | | | 1,381 | | | | - | | | | - | | | | - | | | | 1,381 | | | | - | | | | 1,381 | |
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | | | - | | | | - | | | | 373 | | | | - | | | | - | | | | - | | | | 373 | | | | - | | | | 373 | |
Purchase of non-controlling interest | | | - | | | | - | | | | (151 | ) | | | - | | | | - | | | | - | | | | (151 | ) | | | (42 | ) | | | (193 | ) |
Dividends payable to USPT shareholders | | | - | | | | - | | | | - | | | | (2,914 | ) | | | - | | | | - | | | | (2,914 | ) | | | - | | | | (2,914 | ) |
Distributions to non-controlling interest partners | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | (849 | ) | | | (849 | ) |
Other | | | - | | | | - | | | | - | | | | 45 | | | | - | | | | - | | | | 45 | | | | - | | | | 45 | |
Net income | | | - | | | | - | | | | - | | | | 7,117 | | | | - | | | | - | | | | 7,117 | | | | 1,201 | | | | 8,318 | |
Balance March 31, 2018 | | | 14,885 | | | | 149 | | | | 75,543 | | | | 162,907 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 206,971 | | | | 1,514 | | | | 208,485 | |
| | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | |
For the six months ended June 30, 2019 | | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | |
| | | | | | | | | |
Balance December 31, 2018 | | | 14,899 | | | $ | 149 | | | $ | 80,028 | | | $ | 167,396 | | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 215,945 | | | $ | 930 | | | $ | 216,875 | |
Issuance of restricted stock, net of cancellations | | | 90 | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | |
Revaluation of redeemable non-controlling interest, net of tax | | | - | | | | - | | | | - | | | | (7,250 | ) | | | - | | | | - | | | | (7,250 | ) | | | - | | | | (7,250 | ) |
Compensation expense - equity-based awards | | | - | | | | - | | | | 3,558 | | | | - | | | | - | | | | - | | | | 3,558 | | | | - | | | | 3,558 | |
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | | | - | | | | - | | | | 636 | | | | - | | | | - | | | | - | | | | 636 | | | | - | | | | 636 | |
Purchase of non-controlling interest | | | - | | | | - | | | | (97 | ) | | | - | | | | - | | | | - | | | | (97 | ) | | | (7 | ) | | | (104 | ) |
Dividends paid to USPH shareholders | | | - | | | | - | | | | - | | | | (6,891 | ) | | | - | | | | - | | | | (6,891 | ) | | | - | | | | (6,891 | ) |
Purchase of partnership interests - redeemable non-controlling interests | | | - | | | | - | | | | - | | | | 298 | | | | - | | | | - | | | | 298 | | | | - | | | | 298 | |
Other | | | - | | | | - | | | | - | | | | (6 | ) | | | - | | | | - | | | | (6 | ) | | | - | | | | (6 | ) |
Distributions to non-controlling interest partners - permanent equity | | | | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | (2,771 | ) | | | (2,771 | ) |
Net income attributable to non-controlling interests - permanent equity | | | | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | 3,339 | | | | 3,339 | |
Net income attributable to USPH shareholders | | | - | | | | - | | | | - | | | | 23,063 | | | | - | | | | - | | | | 23,063 | | | | - | | | | 23,063 | |
Balance June 30, 2019 | | | 14,989 | | | | 149 | | | | 84,125 | | | | 176,610 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 229,256 | | | | 1,491 | | | | 230,747 | |
| | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | |
For the three months ended June 30, 2018 | | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | |
| | | | | | | | | |
Balance March 31, 2018 | | | 14,885 | | | $ | 149 | | | $ | 75,543 | | | $ | 162,907 | | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 206,971 | | | $ | 1,514 | | | $ | 208,485 | |
Issuance of restricted stock, net of cancellation | | | 15 | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | |
Revaluation of redeemable non-controlling interest, net of tax | | | - | | | | - | | | | - | | | | (3,204 | ) | | | - | | | | - | | | | (3,204 | ) | | | - | | | | (3,204 | ) |
Compensation expense - equity-based awards | | | - | | | | - | | | | 1,556 | | | | - | | | | - | | | | - | | | | 1,556 | | | | - | | | | 1,556 | |
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | |
Purchase of non-controlling interest | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | |
Dividends paid to USPH shareholders | | | - | | | | - | | | | - | | | | (2,914 | ) | | | - | | | | - | | | | (2,914 | ) | | | - | | | | (2,914 | ) |
Distributions to non-controlling interest partners - permanent equity | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | (1,807 | ) | | | (1,807 | ) |
Other | | | - | | | | - | | | | - | | | | (44 | ) | | | - | | | | - | | | | (44 | ) | | | 50 | | | | 6 | |
Net income attributable to non-controlling interests - permanent equity | | | | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | 1,380 | | | | 1,380 | |
Net income attributable to USPH shareholders | | | - | | | | - | | | | - | | | | 9,246 | | | | - | | | | - | | | | 9,246 | | | | - | | | | 9,246 | |
Balance June 30, 2018 | | | 14,900 | | | | 149 | | | | 77,099 | | | | 165,991 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 211,611 | | | | 1,137 | | | | 212,748 | |
| | Common Stock | | | Additional | | | Retained | | | Treasury Stock | | | Total Shareholders’ | | | Non-Controlling | | | | |
For the six months ended June 30, 2018 | | Shares | | | Amount | | | Paid-In Capital | | | Earnings | | | Shares | | | Amount | | | Equity | | | Interests | | | Total | |
| | | | | | | | | |
Balance December 31, 2017 | | | 14,809 | | | $ | 148 | | | $ | 73,940 | | | $ | 162,406 | | | | (2,215 | ) | | $ | (31,628 | ) | | $ | 204,866 | | | $ | 1,204 | | | $ | 206,070 | |
Issuance of restricted stock, net of cancellation | | | 91 | | | | 1 | | | | - | | | | - | | | | - | | | | - | | | | 1 | | | | - | | | | 1 | |
Revaluation of redeemable non-controlling interest, net of tax | | | - | | | | - | | | | - | | | | (6,951 | ) | | | - | | | | - | | | | (6,951 | ) | | | - | | | | (6,951 | ) |
Compensation expense - equity-based awards | | | - | | | | - | | | | 2,937 | | | | - | | | | - | | | | - | | | | 2,937 | | | | - | | | | 2,937 | |
Transfer of compensation liability for certain stock issued pursuant to long-term incentive plans | | | - | | | | - | | | | 373 | | | | - | | | | - | | | | - | | | | 373 | | | | - | | | | 373 | |
Purchase of non-controlling interest | | | - | | | | - | | | | (151 | ) | | | - | | | | - | | | | - | | | | (151 | ) | | | (42 | ) | | | (193 | ) |
Dividends paid to USPH shareholders | | | - | | | | - | | | | - | | | | (5,828 | ) | | | - | | | | - | | | | (5,828 | ) | | | - | | | | (5,828 | ) |
Distributions to non-controlling interest partners - permanent equity | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | (2,656 | ) | | | (2,656 | ) |
Other | | | - | | | | - | | | | - | | | | 1 | | | | - | | | | - | | | | 1 | | | | 50 | | | | 51 | |
Net income attributable to non-controlling interests - permanent equity | | | | | | | - | | | | - | | | | - | | | | - | | | | - | | | | - | | | | 2,581 | | | | 2,581 | |
Net income attributable to USPH shareholders | | | - | | | | - | | | | - | | | | 16,363 | | | | - | | | | - | | | | 16,363 | | | | - | | | | 16,363 | |
Balance June 30, 2018 | | | 14,900 | | | | 149 | | | | 77,099 | | | | 165,991 | | | | (2,215 | ) | | | (31,628 | ) | | $ | 211,611 | | | | 1,137 | | | | 212,748 | |
See notes to consolidated financial statements.
U.S. PHYSICAL THERAPY, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS March 31,June 30, 2019
(unaudited)
1. | BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES |
The consolidated financial statements include the accounts of U.S. Physical Therapy, Inc. and its subsidiaries (the “Company”). All significant intercompany transactions and balances have been eliminated. The Company primarily operates through subsidiary clinic partnerships, in which the Company generally owns a 1% general partnership interest in all the Clinic Partnerships. Our limited partnership interests typically range from 49% to 99% in the Clinic Partnerships. The managing therapist of each clinic owns, directly or indirectly, the remaining limited partnership interest in the majoritymost of the clinics (hereinafter referred to as “Clinic Partnerships”). To a lesser extent, the Company operates some clinics, through wholly-owned subsidiaries, under profit sharing arrangements with therapists (hereinafter referred to as “Wholly-Owned Facilities”).
The Company continues to seek to attract for employment physical therapists who have established relationships with physicians and other referral sources, by offering these therapists a competitive salary and incentives based on the profitability of the clinic that they manage. The Company also looks for therapists with whom to establish new, de novo clinics to be owned jointly by the Company and such therapists. In these situations, the therapist is offered the opportunity to co-invest in the new clinic and also receives a competitive salary for managing the clinic. For multi-site clinic practices in which a controlling interest is acquired by the Company, the prior owners typically continue on as employees to manage the clinic operations, retaining a non-controlling ownership interest in the clinics and receiving a competitive salary for managing the clinic operations. In addition, the Company has developed satellite clinic facilities as part of existing Clinic Partnerships and Wholly-Owned facilities, with the result that a substantial number of Clinic Partnerships and Wholly-Owned facilities operate more than one clinic location. For the foreseeable future, we intendthe Company intends to continue to acquire clinic practices and continue to focus on developing new clinics and opening satellite clinics where appropriate, along with increasing our patient volume through marketing and new clinical programs. Since March 2017, the Company has acquired a majority interest in two industrial injury prevention businesses and acquired one company in the industrial injury prevention sector.
In March 2017, the Company acquired a 55% interest in the initial industrial injury prevention business. On April 30, 2018, the Company acquired a 65% interest in aanother business in the industrial injury prevention business. Previously, a 55% interest in the initial industrial injury prevention business was acquired by the Company in March 2017.sector. On April 30, 2018, the Company combined the two businesses. After the combination, the Company owned a 59.45% interest in the combined business. See Subsequent Event,business, Briotix Health Limited Partnership, the Company’s industrial injury prevention operation.
On April 11, 2019, the Company acquired a third company that is a provider of industrial injury prevention services. The acquired company specializes in delivering injury prevention and care, post offer employment testing, functional capacity evaluations and return-to-work services. It performs these services across a network in 45 states including onsite at eleven client locations. The business was then combined with Briotix Health increasing the Company’s ownership position in the partnership to approximately 76.0%. The purchase price for this Note 1 for more informationacquisition was $23.6 million, which consisted of $19.6 million in cash (of which $0.5 million remained payable at June 30, 2019 to certain shareholders), and a $4.0 million seller note. The note accrues interest at 5.5% and the principal and accrued interest is payable, on a recent acquisition.April 9 2021.
Services provided in the industrial injury prevention businesses include onsite injury prevention and rehabilitation, performance optimization, post offer employment testing, functional capacity evaluations, and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers, including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The Company performs these services through Industrial Sports Medicine Professionals, consisting of both physical therapists and specialized certified athletic trainers (ATCs).
In addition to the above acquired interests in the injury prevention business, during the year ended DecemberOn August 31, 2018, the Company completedacquired a 70% interest in a four-clinic physical therapy practice. The purchase price for the following multi-clinic acquisition:70% interest was $7.2 million in cash and $400,000 in a seller note that is payable in two principal installments totaling $200,000 each, plus accrued interest, in August 2019 and August 2020.
| Date | | % Interest Acquired | | | Number of Clinics | |
| | | | | | | |
| 2018 | | | | | | |
August 2018 Acquisition | August 31 | | | 70% |
| | | 4 | |
Besides the multi-clinic acquisitionsacquisition above, in 2018, the Company, through several of its majority owned Clinic Partnerships, acquired five separate clinic practices. These practices operate as satellites of the respective existing Clinic Partnerships.
As of March 31,June 30, 2019, the Company operated 590564 clinics in 41 states, as well as the industrial injury prevention business. The Company also manages physical therapy facilities for third parties, primarily hospital and physicians, with 2826 third-party facilities under management as of March 31,June 30, 2019.
The results of operations of the acquired clinics have been included in the Company’s consolidated financial statements since the date of their respective acquisition. The Company intends to continue to pursue additional acquisition opportunities, develop new clinics and open satellite clinics.
The accompanying unaudited consolidated financial statements were prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions for Form 10-Q. However, the statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. Management believes this report contains all necessary adjustments (consisting only of normal recurring adjustments) to present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. For further information regarding the Company’s accounting policies, please read the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018 filed with the Securities and Exchange Commission on March 18, 2019 (“2018 Annual Report”).
The Company believes, and the Chief Executive Officer, Chief Financial Officer and Corporate Controller have certified, that the financial statements included in this report present fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented.
Operating results for the threesix months ended March 31,June 30, 2019 are not necessarily indicative of the results the Company expects for the entire year. Please also review the Risk Factors section included in our 2019the Company’s 2018 Annual Report.
Clinic Partnerships
For non-acquired Clinic Partnerships, the earnings and liabilities attributable to the non-controlling interests, typically owned by the managing therapist, directly or indirectly, are recorded within the balance sheets as non-controlling interests and within the income statements as non-controlling interests.interests – permanent equity.
For acquired Clinic Partnerships with redeemable non-controlling interests, the earnings attributable to the redeemable non-controlling interests are recorded within the consolidated statements of income line item – net income attributable to non-controlling interests – redeemable non-controlling interests – temporary equity and the equity interests are recorded on the consolidated balance sheet as redeemable non-controlling interests. In accordance with current accounting guidance, the revaluation of redeemable non-controlling interest, net of tax, is not included in net income but charged directly to retained earnings and is included in the earnings per basic and diluted share calculation.
Wholly-Owned Facilities
For Wholly-Owned Facilities with profit sharing arrangements, an appropriate accrual is recorded for the amount of profit sharing due to the profit sharing therapists. The amount is expensed as compensation and included in operating costs – salaries and related costs. The respective liability is included in current liabilities – accrued expenses on the balance sheets.
Significant Accounting Policies
Cash Equivalents
The Company maintains its cash and cash equivalents at financial institutions. The Company considers all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. The combined account balances at several institutions typically exceed Federal Deposit Insurance Corporation (“FDIC”) insurance coverage and, as a result, there is a concentration of credit risk related on deposits in excess of FDIC insurance coverage. Management believes that the risk is not significant.
Long-Lived Assets
Fixed assets are stated at cost. Depreciation is computed onusing the straight-line method over the estimated useful lives of the assets. Estimated useful lives for furniture and equipment range from three to eight years and for purchased software from three to seven years. Leasehold improvements are amortized over the shorter of the lease term or estimated useful lives of the assets, which is generally three to five years.
Impairment of Long-Lived Assets and Long-Lived Assets to Be Disposed Of
The Company reviews property and equipment and intangible assets with finite lives for impairment upon the occurrence of certain events or circumstances which indicate that the amounts may be impaired. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell.
Goodwill
Goodwill represents the excess of the amount paid and fair value of the non-controlling interests over the fair value of the acquired business assets, which include certain identifiable intangible assets. Historically, goodwill has been derived from acquisitions and, prior to 2009, from the purchase of some or all of a particular local management’s equity interest in an existing clinic. Effective January 1, 2009, if the purchase price of a non-controlling interest by the Company exceeds or is less than the book value at the time of purchase, any excess or shortfall is recognized as an adjustment to additional paid-in capital.
The fair value of goodwill and other identifiable intangible assets with indefinite lives are tested for impairment annually and upon the occurrence of certain events, and are written down to fair value if considered impaired. The Company evaluates goodwill for impairment on at least an annual basis (in its third quarter) by comparing the fair value of its reporting units to the carrying value of each reporting unit including related goodwill. The Company evaluates indefinite lived tradenames using the relief from royalty method in conjunction with its annual goodwill impairment test. The Company operates a business which is made up of various clinics within partnerships. The partnerships are components of regions and are aggregated to the operating segment level for the purpose of determining the Company’s reporting units when performing its annual goodwill impairment test. In 2018, there were six regions for which an impairment test was performed. In addition to the six regions, during 2018, the impairment test included a separate analysis for the industrial injury prevention business, a separate reporting unit.
An impairment loss generally would be recognized when the carrying amount of the net assets of a reporting unit, inclusive of goodwill and other identifiable intangible assets, exceeds the estimated fair value of the reporting unit. The estimated fair value of a reporting unit is determined using two factors: (i) earnings prior to taxes, depreciation and amortization for the reporting unit multiplied by a price/earnings ratio used in the industry and (ii) a discounted cash flow analysis. A weight is assigned to each factor and the sum of each weight times the factor is considered the estimated fair value. For 2018, the factors (i.e., price/earnings ratio, discount rate and residual capitalization rate) were updated to reflect current market conditions. The evaluation of goodwill in 2018 and 2017 did not result in any goodwill amounts that were deemed impaired.
The Company has not identified any triggering events occurring after the testing date that would impact the impairment testing results obtained. The Company will continue to monitor for any triggering events or other indicators of impairment.
Redeemable Non-Controlling Interests
The non-controlling interests that are reflected as redeemable non-controlling interests in the consolidated financial statements consist of those that the owners and the Company have certain redemption rights, whether currently exercisable or not, and which currently, or in the future, require that the Company purchase or the owner sell the non-controlling interest held by the owner, if certain conditions are met. The purchase price is derived at a predetermined formula based on a multiple of trailing twelve months earnings performance as defined in the respective limited partnership agreements. The redemption rights can be triggered by the owner or the Company at such time as both of the following events have occurred: 1) termination of the owner’s employment, regardless of the reason for such termination, and 2) the passage of specified number of years after the closing of the transaction, typically three to five years, as defined in the limited partnership agreement. The redemption rights are not automatic or mandatory (even upon death) and require either the owner or the Company to exercise its rights when the conditions triggering the redemption rights have been satisfied.
On the date the Company acquires a controlling interest in a partnership, and the limited partnership agreement for such partnership contains redemption rights not under the control of the Company, the fair value of the non-controlling interest is recorded in the consolidated balance sheet under the caption – Redeemable non-controlling interests. Then, in each reporting period thereafter until it is purchased by the Company, the redeemable non-controlling interest is adjusted to the greater of its then current redemption value or initial carrying value, based on the predetermined formula defined in the respective limited partnership agreement. As a result, the value of the non-controlling interest is not adjusted below its initial carrying value. The Company records any adjustment in the redemption value, net of tax, directly to retained earnings and are not reflected in the consolidated statements of income. Although the adjustments are not reflected in the consolidated statements of income, current accounting rules require that the Company reflects the adjustments, net of tax, in the earnings per share calculation. The amount of net income attributable to redeemable non-controlling interest owners is included in consolidated net income on the face of the consolidated statements of net income. Management believes the redemption value (i.e. the carrying amount) and fair value are the same.
Non-Controlling Interests
The Company recognizes non-controlling interests, in which the Company has no obligation but the right to purchase the non-controlling interests, as equity in the consolidated financial statements separate from the parent entity’s equity. Net income is allocated to non-controlling interests (permanent equity), redeemable non-controlling interests (temporary equity) and to USPHthe Company’s shareholders. The amount of net income attributable to non-controlling interests is included in consolidated net income on the face of the consolidated statements of net income. Changes in a parent entity’s ownership interest in a subsidiary that do not result in deconsolidation are treated as equity transactions if the parent entity retains its controlling financial interest. The Company recognizes a gain or loss in net income when a subsidiary is deconsolidated. Such gain or loss is measured using the fair value of the non-controlling equity investment on the deconsolidation date. When the purchase price of a non-controlling interest by the Company exceeds the book value at the time of purchase, any excess or shortfall is recognized as an adjustment to additional paid-in capital. Additionally, operating losses are allocated to non-controlling interests even when such allocation creates a deficit balance for the non-controlling interest partner.
Revenue Recognition
Revenues are recognized in the period in which services are rendered. See Footnote 34 – Revenue Recognition, for further discussion of revenue recognition.
Allowance for Doubtful Accounts
The Company determines allowances for doubtful accounts based on the specific agings and payor classifications at each clinic. The provision for doubtful accounts is included in operating costs in the consolidated statements of net income. Net accounts receivable, which are stated at the historical carrying amount net of contractual allowances, write-offs and allowance for doubtful accounts, includes only those amounts the Company estimates to be collectible.
Income Taxes
Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.
The Company recognizes the financial statement benefit of a tax position only after determining that the relevant tax authority would more likely than not sustain the position following an audit. For tax positions meeting the more-likely-than-not threshold, the amount to be recognized in the financial statements is the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement with the relevant tax authority.
The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the threesix months ended March 31,June 30, 2019. The Company records any interest or penalties, if required, in interest and other expense, as appropriate.
Fair Value of Financial Instruments
The carrying amounts reported in the balance sheets for cash and cash equivalents, accounts receivable, accounts payable and notes payable approximate their fair values due to the short-term maturity of these financial instruments. The carrying amount under the Amended Credit Agreement and the redemption value of Redeemable non-controlling interests approximate the respective fair values. The fair value of the Company’s redeemable non-controlling interests areis determined based on “Level 3” inputs. The interest rate on the Amended Credit Agreement, which is tied to LIBOR, is set at various short-term intervals, as detailed in the Amended Credit Agreement.
Segment Reporting
Operating segments are components of an enterprise for which separate financial information is available that is evaluated regularly by chief operating decision makers in deciding how to allocate resources and in assessing performance. The Company identifies operating segments based on management responsibility and believes it meets the criteria for aggregating its operating segments into a single reporting segment.
Use of Estimates
In preparing the Company’s consolidated financial statements, management makes certain estimates and assumptions, especially in relation to, but not limited to, purchase accounting, goodwill impairment, allowance for receivables, tax provision and contractual allowances, that affect the amounts reported in the consolidated financial statements and related disclosures. Actual results may differ from these estimates.
Self-Insurance Program
The Company utilizes a self-insurance plan for its employee group health insurance coverage administered by a third party. Predetermined loss limits have been arranged with thean insurance company to minimize the Company’s maximum liability and cash outlay. Accrued expenses include the estimated incurred but unreported costs to settle unpaid claims and estimated future claims. Management believes that the current accrued amounts are sufficient to pay claims arising from self-insurance claims incurred through March 31,June 30, 2019.
Restricted Stock
Restricted stock issued to employees and directors is normally subject to continued employment or continued service on the board, respectively. Generally, restrictions on the stock granted to employees, other than officers, lapse in equal annual installments on the following four anniversaries of the date of grant. For those shares granted to directors, the restrictions will lapse in equal quarterly installments during the first year after the date of grant. For those granted to officers, the restriction willrestrictions lapse in equal quarterly installments during the four years following the date of grant. Compensation expense for grants of restricted stock is recognized based on the fair value per share on the date of grant amortized over the vesting period. The restricted stock issued is included in basic and diluted shares for the earnings per share computation.
Recently Adopted Accounting Guidance
In February 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842) (“ASC 842”), which amended prior accounting standards for leases.
The Company implemented the new lease standard, ASC Topic 842 – Leases as of January 1, 2019 using the transition method in ASU 2018-11 issued in July 2018 which allows the Company to initially apply the new leases standard at adoption date and recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. There was no adjustment required to retained earnings upon adoption. Accordingly, no retrospective adjustments were made to the comparative periods presented. There was no adjustment required to retained earnings. The cumulative adjustment was immaterial, to the opening balance of retained earnings at the adoption date. The Company elected certain of the practical expedients permitted, including the expedient that allows the Company to retain its existing lease assessment and classification.
Adoption of ASC 842 resulted in an increase to total assets and liabilities due to the recording of operating lease right-of-use assets (“ROU”) and operating lease liabilities of approximately $78.0 million and $82.6 million respectively, as of January 1, 2019 for operating leases as a lessee. The adoption did not materially impact the Company’s consolidated statement of income or cash flows. See Footnote 1011 - Leases for further discussion of leases.
In August 2018, the Securities Exchange Commission (“SEC”) issued Final Rule 33-10532, Disclosure Update and Simplification, which amends certain disclosure requirements that were redundant, duplicative, overlapping or superseded by other SEC disclosure requirements. The amendments generally eliminated or otherwise reduced certain disclosure requirements of various SEC rules and regulations. However, in some cases, the amendments require additional information to be disclosed, including changes in stockholders’ equity in interim periods. The rule is effective 30 days after its publication in the Federal Register. The rule was posted on October 4, 2018. On September 25, 2018, the SEC released guidance advising it will not object to a registrant adopting the requirement to include changes in stockholders’ equity in the Form 10-Q for the first quarter beginning after the effective date of the rule. The Company adopted this standard in thisthe first quarter of 2019 Form 10-Q10Q with no material impact on the Consolidated Financial Statements.
Recently Issued Accounting Guidance
In January 2017, the FASB issued ASU 2017-04, Simplifying the Test for Goodwill Impairment (Topic 350), which eliminates the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment change. ASU 2017-04 is effective prospectively for fiscal years, and the interim periods within those years, beginning after December 15, 2019. The Company does not expect adoption of this ASU to have a material impact.
In June 2016, the FASB issued ASU 2016-13, Financial Instruments – Credit Losses, which added a new impairment model (known as the current expected credit loss (CECL) model) that is based on expected losses rather than incurred losses. Under the new guidance, an entity recognizes as an allowance its estimate of expected credit losses. The CECL model applies to most debt instruments, including trade receivables. The CECL model does not have a minimum threshold for recognition of impairment losses and entities will need to measure expected credit losses on assets that have a low risk of loss. These changes become effective for the Company on January 1, 2020. Management is currently evaluating the potential impact of these changes on the Consolidated Financial Statements.
In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820) which amended the fair value measurement guidance by removing or clarifying certain existing disclosure requirements, while also adding new disclosure requirements. Specifically, this update removed certain disclosures related to Level 1 and Level 2 transfers and also removed the discussion regarding valuation processes of Level 3 fair value measurements. The update modifies guidance related to investments in certain entities that calculate net asset value to explicitly require disclosure regarding timing of liquidation of the investee’s assets and timing of redemption restrictions. The update adds disclosures around the changes in unrealized gains and losses in other comprehensive income for recurring Level 3 investments held at the end of the reporting period and adds disclosures regarding certain unobservable inputs on Level 3 fair value measurements. These changes become effective for the Company on January 1, 2020. Pursuant to ASC 820, the fair value of the Company’s redeemable non-controlling interests are determined based on “Level 3” inputs. Management is currently evaluating the potential impact of these changes on the Consolidated Financial Statements.
Subsequent EventEvents
The Company has evaluated events subsequent to June 30, 2019 to assess the need for potential recognition or disclosure in this report. Such events were evaluated through the date these financial statements were issued. Based on this evaluation, it was determined that no subsequent events occurred that require recognition or disclosure in the financial statements.
2. | ACQUISITIONS OF BUSINESSES |
On April 11, 2019, the Company acquired a third company that is a provider of industrial injury prevention services. The acquired company specializes in delivering injury prevention and care, post offer employment testing, functional capacity evaluations and return-to-work services. It performs these services across a network in 45 states including onsite at eleven client locations. This relationship-based health delivery system is paid for directly by corporate clients. Clients include large companies across a variety of industries. The total consideration for the acquisition was $23.6 million, derived from the Company’s existing revolving line of credit. The business was then combined with Briotix Health, USPH’sthe Company’s industrial injury prevention operation, increasing U.S. Physical Therapy’sthe Company’s ownership position in the Briotix Health partnership to approximately 76%76.0%. The purchase price for the acquired company was $23.6 million, which consisted of $19.6 million in cash, (of which $0.5 million remained payable at June 30, 2019 to certain shareholders), and a $4.0 million seller note. The note accrues interest at 5.5% and the principal and accrued interest is payable, on April 9, 2021.
2. ACQUISITIONS OF BUSINESSESThe purchase price for the 2019 acquisition has been preliminarily allocated as follows (in thousands):
Cash paid, net of cash acquired | | $ | 18,239 | |
Payable to shareholders of seller | | | 502 | |
Seller note | | | 4,000 | |
Total consideration | | $ | 22,741 | |
| | | | |
Estimated fair value of net tangible assets acquired: | | | | |
Total current assets | | $ | 1,588 | |
Total non-current assets | | | 38 | |
Total liabilities | | | (477 | ) |
Net tangible assets acquired | | $ | 1,149 | |
Referral relationships | | | 1,500 | |
Non-compete | | | 590 | |
Tradename | | | 2,500 | |
Goodwill | | | 17,002 | |
| | $ | 22,741 | |
The purchase prices plus the fair value of the non-controlling interests for the acquisition in 2019 was allocated to the fair value of the assets acquired, inclusive of identifiable intangible assets, i.e. trade names, referral relationships and non-compete agreements, and liabilities assumed based on the estimated fair values at the acquisition date, with the amount in excess of fair values being recorded as goodwill. The Company is in the process of completing its formal valuation analysis of the acquisition, to identify and determine the fair value of tangible and identifiable intangible assets acquired and the liabilities assumed. Thus, the final allocation of the purchase price may differ from the preliminary estimates used at June 30, 2019 based on additional information obtained and completion of the valuation of the identifiable intangible assets. Changes in the estimated valuation of the tangible assets acquired, the completion of the valuation of identifiable intangible assets and the completion by the Company of the identification of any unrecorded pre-acquisition contingencies, where the liability is probable and the amount can be reasonably estimated, will likely result in adjustments to goodwill. The Company does not expect the adjustments to be material.
For the acquisition in 2019, the values assigned to the referral relationships and non-compete agreements are being amortized to expense equally over the respective estimated lives. For referral relationships, the amortization period was 11.0 years. For non-compete agreements, the amortization period was 6.0 years. The values assigned to tradenames are tested annually for impairment.
For the 2019 acquisition, a majority of total current assets primarily represents accounts receivable. Total non-current assets are fixed assets and equipment used in the practice.
On August 31, 2018, the Company acquired a 70% interest in a four-clinic physical therapy practice. The purchase price for the 70% interest was $7.2 million in cash and $0.4 million in a seller note that is payable in two principal installments totaling $200,000 each, plus accrued interest, in August 2019 and 2020.
On April 30, 2018,In March 2017, the Company acquired a 65% interest in a business in the industrial injury prevention market. Previously, a 55% interest in the initial industrial injury prevention business was acquired by the Company in March 2017.business. The purchase price for the 55% interest was $6.2 million in cash and $0.4 million in a seller note that is payable, principal plus accruedwas paid in September 2018. On April 30, 2018, the Company acquired a 65% interest in September 2018.another business in the industrial injury prevention sector. The aggregate purchase price for the 65% interest was $8.6 million in cash and $400,000 in a seller note that was paid on April 30, 2019. On April 30, 2018, the Company combined the two businesses. After the combination, the Company ownsowned a 59.45% interest in the combined business. business, Briotix Health Limited Partnership, the Company’s industrial injury prevention operation.
Services provided include onsite injury prevention and rehabilitation, performance optimization, post offer employment testing, functional capacity evaluations and ergonomic assessments. The majority of these services are contracted with and paid for directly by employers, including a number of Fortune 500 companies. Other clients include large insurers and their contractors. The Company performs these services through Industrial Sports Medicine Professionals, consisting of both physical therapists and highly specialized certified athletic trainers (ATCs).
In addition, during 2018, the Company, through several of its majority owned Clinic Partnerships, acquired five separate clinic practices. These practices operate as satellites of the existing Clinic Partnership. The aggregate purchase price was $1.0 million inclusive of cash of $850,000 and a note payable of $150,000. The note accrues interest at 4.5% and is payable, principal and accrued interest, on August 31, 2019.
The results of operations of the acquired clinics have been included in the Company’s consolidated financial statements since the date of their respective acquisition. The Company intends to continue to pursue additional acquisition opportunities, develop new clinics and open satellite clinics.
The purchase price for the 2018 acquisitions has been preliminarily allocated as follows (in thousands):
Cash paid, net of cash acquired | | $ | 16,367 | | | $ | 16,367 | |
Seller notes | | | 950 | | | | 950 | |
Total consideration | | $ | 17,317 | | | $ | 17,317 | |
| | | | | | | |
Estimated fair value of net tangible assets acquired: | | | | | | | |
Total current assets | | $ | 1,691 | | | $ | 1,691 | |
Total non-current assets | | | 305 | | | 305 | |
Total liabilities | | | (508 | ) | | | (524 | ) |
Net tangible assets acquired | | $ | 1,488 | | | $ | 1,472 | |
Referral relationships | | | 1,879 | | | 2,294 | |
Non-compete | | | 386 | | | 328 | |
Tradename | | | 2,172 | | | 1,297 | |
Goodwill | | | 19,537 | | | 20,071 | |
Fair value of non-controlling interest (classified as redeemable non-controlling interests) | | | (8,145 | ) | | | (8,145 | ) |
| | $ | 17,317 | | | $ | 17,317 | |
The purchase prices plus the fair value of the non-controlling interests for the acquisitions in 2018 were allocated to the fair value of the assets acquired, inclusive of identifiable intangible assets, i.e. trade names, referral relationships and non-compete agreements, and liabilities assumed based on the estimated fair values at the acquisition date, with the amount exceeding the fair values being recorded as goodwill. For the acquisitionsacquisition in August 2018, the Company is in the process of completing its formal valuation analysis to identify and determine the fair value of tangible and identifiable intangible assets acquired and the liabilities assumed. Thus, the final allocation of the purchase price may differ from the preliminary estimates used at March 31,June 30, 2019, based on additional information obtained and completion of the valuation of the identifiable intangible assets. Changes in the estimated valuation of the tangible assets acquired, the completion of the valuation of identifiable intangible assets and the completion by the Company of the identification of any unrecorded pre-acquisition contingencies, where the liability is probable and the amount can be reasonably estimated, will likely result in adjustments to goodwill. The Company does not expect the adjustments to be material. The Company has completed its formal valuation analysis for the acquisition in April 2018.
For the acquisitions in 2018, the values assigned to the referral relationships and non-compete agreements are being amortized to expense equally over the respective estimated lives. For referral relationships, the weighted average amortization period was 10.54 years at December 31, 2018. For non-compete agreements, the weighted average amortization period was 6.00 years at December 31, 2018. The values assigned to tradenames are tested annually for impairment.
For the 2018 acquisitions, total current assets primarily represent accounts receivable. Total non-current assets are fixed assets, primarily equipment, used in the practices.
The consideration paid for each of the acquisitions was derived through arm’s length negotiations. Funding for the cash portions was derived from proceeds from the Company’s revolving credit facility. The results of operations of the acquisitions have been included in the Company’s consolidated financial statements since their respective date of acquisition. Unaudited proforma consolidated financial information for the acquisitions in the 2019 and 2018 acquisitions have not been included as the results, individually and in the aggregate, were not material to current operations.
3. | SALE OF PARTNERSHIP INTEREST |
The Company recognized a non-operating pre-tax gain of $5.8 million during the six months ended June 30, 2019, which resulted from the sale of its 50% interest in one of its physical therapy partnerships, to the founders of the practice. The sales proceeds, all of which was in cash, was $11.6 million, which is included in the consolidated balance sheet in the line item – Receivable, net – sale and purchase of partnership interest, offset by a payable to the same party of $2.2 million. See details of transactions related to the Company’s purchase of limited partnership interests from the group’s founders in three other partnerships in Note 6 – Redeemable Non-Controlling Interest. The net amount was collected in full on July 1, 2019.
Categories
Revenues are recognized in the period in which services are rendered.
Net patient revenues consists of revenues for physical therapy and occupational therapy clinics that provide pre-and post-operative care and treatment for orthopedic related disorders, sports-related injuries, preventative care, rehabilitation of injured workers and neurological-related injuries. Net patient revenues (patient revenues less estimated contractual adjustments) are recognized at the estimated net realizable amounts from third-party payors, patients and others in exchange for services rendered when obligations under the terms of the contract are satisfied. There is an implied contract between us and the patient upon each patient visit. Generally, this occurs as the Company provides physical and occupational therapy services, as each service provided is distinct and future services rendered are not dependent on previously rendered services. The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. The allowance for estimated contractual adjustments is based on terms of payor contracts and historical collection and write-off experience.
Management contract revenues, which are included in other revenues in the consolidated statements of net income, are derived from contractual arrangements whereby we managethe Company manages a clinic owned by a third party. The Company does not have any ownership interest in these clinics. Typically, revenues are determined based on the number of visits conducted at the clinic and recognized at the point in time when services are performed. Costs, typically salaries for our employees, are recorded when incurred.
Revenues from the industrial injury prevention business, which are also included in other revenues in the consolidated statements of net income, are derived from onsite services we providethe Company provides to clients’ employees including injury prevention, rehabilitation, ergonomic assessments and performance optimization. Revenue from the industrial injury prevention business is recognized when obligations under the terms of the contract are satisfied. Revenues are recognized at an amount equal to the consideration the Company expects to receive in exchange for providing injury prevention services to its clients. The revenue is determined and recognized based on the number of hours and respective rate for services provided in a given period.
Additionally, other revenues include services the Company provides on-site, such as schools and industrial worksites, for physical or occupational therapy services, and athletic trainers and gym membership fees. Contract terms and rates are agreed to in advance between the Company and the third parties. Services are typically performed over the contract period and revenue is recorded at the point of service. If the services are paid in advance, revenue is recorded as a contract liability over the period of the agreement and recognized at the point in time, when the services are performed.
The Company determines allowances for doubtful accounts based on the specific agings and payor classifications at each clinic. The provision for doubtful accounts is included in clinic operating costs in the statements of net income. Patient accounts receivable, which are stated at the historical carrying amount net of contractual allowances, write-offs and allowance for doubtful accounts, includes only those amounts the Company estimates to be collectible.
The following table details the revenue related to the various categories (in thousands):
| | Three Months Ended | | | Three Months Ended | | | Six Months Ended | |
| | March 31, 2019 | | | March 31, 2018 | | | June 30, 2019 | | | June 30, 2018 | | | June 30, 2019 | | | June 30, 2018 | |
Net patient revenues | | $ | 106,650 | | | $ | 100,552 | | | $ | 113,363 | | | $ | 105,989 | | | $ | 220,013 | | | $ | 206,541 | |
Management contract revenues | | | 2,146 | | | | 2,236 | | | 2,215 | | | 2,160 | | | 4,360 | | | 4,397 | |
Industrial injury prevention services revenues | | | 6,900 | | | | 4,852 | | | 10,288 | | | 6,274 | | | 17,188 | | | 11,126 | |
Other revenues | | | 535 | | | | 702 | | | | 507 | | | | 675 | | | | 1,043 | | | | 1,376 | |
| | $ | 116,231 | | | $ | 108,342 | | | $ | 126,373 | | | $ | 115,098 | | | $ | 242,604 | | | $ | 223,440 | |
Medicare Reimbursement
The Medicare program reimburses outpatient rehabilitation providers based on the Medicare Physician Fee Schedule (‘‘MPFS’’). For services provided in 2018, a 0.5% increase was applied to the fee schedule payment rates; for services provided in 2019, a 0.25% increase has been applied to the fee schedule payment rates before applying the mandatory budget neutrality adjustment. For services provided in 2020 through 2025, a 0.0% percent update will be applied each year to the fee schedule payment rates, before applying the mandatory budget neutrality adjustment. Beginning in 2021, payments to individual therapists (Physical/Occupational Therapist in Private Practice) paid under the fee schedule may be subject to adjustment based on performance in the Merit Based Incentive Payment System (“MIPS”), which measures performance based on certain quality metrics, resource use, and meaningful use of electronic health records. Under the MIPS requirements, a provider'sprovider’s performance is assessed according to established performance standards each year and then is used to determine an adjustment factor that is applied to the professional'sprofessional’s payment for the corresponding payment year. The provider’s MIPS performance in 2019 will determine the payment adjustment in 2021. Each year from 2019 through 2024, professionals who receive a significant share of their revenues through an alternate payment model (“APM��APM”), (such as accountable care organizations or bundled payment arrangements) that involves risk of financial losses and a quality measurement component will receive a 5% bonus in the corresponding payment year. The bonus payment for APM participation is intended to encourage participation and testing of new APMs and to promote the alignment of incentives across payors. The specifics of the MIPS and APM adjustments will be subject to future notice and comment rule-making.
The Budget Control Act of 2011 increased the federal debt ceiling in connection with deficit reductions over the next ten years, and requires automatic reductions in federal spending by approximately $1.2 trillion. Payments to Medicare providers are subject to these automatic spending reductions, subject to a 2% cap. On April 1, 2013, a 2% reduction to Medicare payments was implemented. The Bipartisan Budget Act of 2015, enacted on November 2, 2015, extended the 2% reductions to Medicare payments through fiscal year 2025. The Bipartisan Budget Act of 2018, enacted on February 9, 2018, extends the 2% reductions to Medicare payments through fiscal year 2027.
Historically, the total amount paid by Medicare in any one year for outpatient physical therapy, occupational therapy, and/or speech-language pathology services provided to any Medicare beneficiary was subject to an annual dollar limit (i.e., the ‘‘Therapy Cap’’ or ‘‘Limit’’). For 2017, the annual Limit on outpatient therapy services was $1,980 for combined Physical Therapy and Speech Language Pathology services and $1,980 for Occupational Therapy services. As a result of Bipartisan Budget Act of 2018, the Therapy Caps have been eliminated, effective as of January 1, 2018.
Under the Middle Class Tax Relief and Job Creation Act of 2012 (‘‘MCTRA’’), since October 1, 2012, patients who met or exceeded $3,700 in therapy expenditures during a calendar year have been subject to a manual medical review to determine whether applicable payment criteria are satisfied. The $3,700 threshold is applied to Physical Therapy and Speech Language Pathology Services; a separate $3,700 threshold is applied to the Occupational Therapy. The MACRA directed CMS to modify the manual medical review process such that those reviews will no longer apply to all claims exceeding the $3,700 threshold and instead will be determined on a targeted basis based on a variety of factors that CMS considers appropriate. The Bipartisan Budget Act of 2018 extendsextended the targeted medical review indefinitely, but reducesreduced the threshold to $3,000 through December 31, 2027. For 2028, the threshold amount will be increased by the percentage increase in the Medicare Economic Index (“MEI”) for 2028 and in subsequent years the threshold amount will increase based on the corresponding percentage increase in the MEI for such subsequent year.
CMS adopted a multiple procedure payment reduction (‘‘MPPR’’) for therapy services in the final update to the MPFS for calendar year 2011. The MPPR applied to all outpatient therapy services paid under Medicare Part B — occupational therapy, physical therapy and speech-language pathology. Under the policy, the Medicare program pays 100% of the practice expense component of the Relative Value Unit (‘‘RVU’’) for the therapy procedure with the highest practice expense RVU, then reduces the payment for the practice expense component for the second and subsequent therapy procedures or units of service furnished during the same day for the same patient, regardless of whether those therapy services are furnished in separate sessions. Since 2013, the practice expense component for the second and subsequent therapy service furnished during the same day for the same patient was reduced by 50%.
Medicare claims for outpatient therapy services furnished by therapy assistants on or after January 1, 2022 must include a modifier indicating the service was furnished by a therapy assistant. CMS was required to develop a modifier to mark services provided by a therapy assistant by January 1, 2019, and then submitted claims have to report the modifier mark starting January 1, 2020. Outpatient therapy services furnished on or after January 1, 2022 in whole or part by a therapy assistant will be paid at an amount equal to 85% of the payment amount otherwise applicable for the service.
Statutes, regulations, and payment rules governing the delivery of therapy services to Medicare beneficiaries are complex and subject to interpretation. We believeThe Company believes that we areit is in compliance, in all material respects, with all applicable laws and regulations and areis not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the ourCompany’s financial statements as of March 31,June 30, 2019. Compliance with such laws and regulations can be subject to future government review and interpretation, as well as significant regulatory action including fines, penalties, and exclusion from the Medicare program. For the threesix months ended March 31,June 30, 2019 and 2018, net patient revenue from Medicare were approximately $28.3$59.4 million and $24.6$51.0 million, respectively.
Contractual Allowances
Contractual allowances result from the differences between the rates charged for services performed and expected reimbursements by both insurance companies and government sponsored healthcare programs for such services. Medicare regulations and the various third party payors and managed care contracts are often complex and may include multiple reimbursement mechanisms payable for the services provided in Company clinics. The Company estimates contractual allowances based on its interpretation of the applicable regulations, payor contracts and historical calculations. Each month the Company estimates its contractual allowance for each clinic based on payor contracts and the historical collection experience of the clinic and applies an appropriate contractual allowance reserve percentage to the gross accounts receivable balances for each payor of the clinic. Based on the Company’s historical experience, calculating the contractual allowance reserve percentage at the payor level is sufficient to allow the Company to provide the necessary detail and accuracy with its collectability estimates. However, the services authorized and provided and related reimbursement are subject to interpretation that could result in payments that differ from the Company’s estimates. Payor terms are periodically revised necessitating continual review and assessment of the estimates made by management. The Company’s billing system does not capture the exact change in its contractual allowance reserve estimate from period to period in order to assess the accuracy of its revenues and hence its contractual allowance reserves. Management regularly compares its cash collections to corresponding net revenues measured both in the aggregate and on a clinic-by-clinic basis. In the aggregate, historically the difference between net revenues and corresponding cash collections has generally reflected a difference within approximately 1% of net revenues. Additionally, analysis of subsequent periods’ contractual write-offs on a payor basis reflects a difference within approximately 1% between the actual aggregate contractual reserve percentage as compared to the estimated contractual allowance reserve percentage associated with the same period end balance. As a result, the Company believes that a change in the contractual allowance reserve estimate would not likely be more than 1% at March 31,June 30, 2019.
A contract’s transaction price is allocated to each distinct performance obligation and recognized when, or as, the performance obligation is satisfied. To determine the transaction price, the Company includes the effects of any variable consideration, such as the probability of collecting that amount. The Company applies established rates to the services provided, and adjusts for the terms of payor contracts, as applicable. These contracted amounts are different from the Company’s established rates. The Company has established a “contractual allowance” for this difference. The allowance is based on the terms of payor contracts, historical and current reimbursement information and current experience with the clinic and partners. The Company’s established rates less the contractual allowance is the revenue that is recognized in the period in which the service is rendered. This revenue is deemed the transaction price and stated as “Net Patient Revenue” on the Company’s consolidated statements of income.
The Company’s performance obligations are satisfied at a point in time. After the clinic has provided services and satisfied its obligation to the customer for the reimbursement rates stipulated in the payor contracts (i.e. the transaction price), the Company recognizes the revenue, net of contractual allowances, in the period in which the services are rendered. The Company recognizes the full amount of revenue and reports the contractual allowances as a contra (or offset) revenue account to report a net revenue number based on the expected collections.
In accordance with current accounting guidance, the revaluation of redeemable non-controlling interest (see Footnote 6)6 – Redeemable Non-Controller Interest), net of tax, charged directly to retained earnings is included in the earnings per basic and diluted share calculation. The following table provides a detail of the basic and diluted earnings per share computation (in thousands, except per share data).
| | Three Months Ended March 31, | | | Three Months Ended | | | Six Months Ended | |
| | 2019 | | | 2018 | | | June 30, 2019 | | | June 30, 2018 | | | June 30, 2019 | | | June 30, 2018 | |
Computation of earnings per share - USPH shareholders: | | | | | | | | | | | | | | | | | | |
Net income attributable to USPH shareholders | | $ | 8,443 | | | $ | 7,117 | | | $ | 14,620 | | | $ | 9,246 | | | $ | 23,063 | | | $ | 16,363 | |
Charges to retained earnings: | | | | | | | | | | | | | | | | | | | | |
Revaluation of redeemable non-controlling interest | | | (4,661 | ) | | | (5,081 | ) | | (5,169 | ) | | (4,344 | ) | | (9,830 | ) | | (9,425 | ) |
Tax effect at statutory rate (federal and state) of 26.25% | | | 1,224 | | | | 1,334 | | | | 1,356 | | | | 1,140 | | | | 2,580 | | | | 2,474 | |
| | $ | 5,006 | | | $ | 3,370 | | | $ | 10,807 | | | $ | 6,042 | | | $ | 15,813 | | | $ | 9,412 | |
| | | | | | | | | | | | | | | | | | | | |
Basic and diluted per share | | | 0.39 | | | $ | 0.27 | | |
Earnings per share (basic and diluted) | | | $ | 0.85 | | | $ | 0.48 | | | $ | 1.24 | | | $ | 0.74 | |
| | | | | | | | | | | | | | | | | | | | |
Shares used in computation: | | | | | | | | | | | | | | | | | | | | |
Basic and diluted earnings per share - weighted-average shares | | | 12,707 | | | | 12,616 | | | | 12,767 | | | | 12,677 | | | | 12,738 | | | | 12,647 | |
5. Redeemable Non-Controlling Interest6. | REDEEMABLE NON-CONTROLLING INTEREST |
Since October 2017, when the Company acquires a majority interest (the “Acquisition”) in a physical therapy clinic business (referred to as “Therapy Practice”), these Acquisitions occur in a series of steps which are described below.
| 1. | Prior to the Acquisition, the Therapy Practice exists as a separate legal entity (the “Seller Entity”). The Seller Entity is owned by one or more individuals (the “Selling Shareholders”) most of whom are physical therapists that work in the Therapy Practice and provide physical therapy services to patients. |
| 2. | In conjunction with the Acquisition, the Seller Entity contributes the Therapy Practice into a newly-formed limited partnership (“NewCo”), in exchange for one hundred percent (100%) of the limited and general partnership interests in NewCo. Therefore, in this step, NewCo becomes a wholly-owned subsidiary of the Seller Entity. |
| 3. | The Company enters into an agreement (the “Purchase Agreement”) to acquire from the Seller Entity a majority (ranges from 50% to 90%) of the limited partnership interest and in all cases 100% of the general partnership interest in NewCo. The Company does not purchase 100% of the limited partnership interest because the Selling Shareholders, through the Seller Entity, want to maintain an ownership percentage. The consideration for the Acquisition is primarily payable in the form of cash at closing and a small, two-year note in lieu of an escrow (the “Purchase Price”). The Purchase Agreement does not contain any future earn-out or other contingent consideration that is payable to the Seller Entity or the Selling Shareholders. |
| 4. | The Company and the Seller Entity also execute a partnership agreement (the “Partnership Agreement”) for NewCo that sets forth the rights and obligations of the limited and general partners of NewCo. After the Acquisition, the Company is the general partner of NewCo. |
| 5. | As noted above, the Company does not purchase 100% of the limited partnership interests in NewCo and the Seller Entity retains a portion of the limited partnership interest in NewCo (“Seller Entity Interest”). |
| 6. | In most cases, some or all of the Selling Shareholders enter into an employment agreement (the “Employment Agreement”) with NewCo with an initial term that ranges from three to five years (the “Employment Term”), with automatic one-year renewals, unless employment is terminated prior to the end of the Employment Term. As a result, a Selling Shareholder becomes an employee (“Employed Selling Shareholder”) of NewCo. The employment of an Employed Selling Shareholder can be terminated by the Employed Selling Shareholder or NewCo, with or without cause, at any time. In a few situations, a Selling Shareholder does not become employed by NewCo and is not involved with NewCo following the closing; in those situations, such Selling Shareholders sell their entire ownership interest in the Seller Entity as of the closing of the Acquisition. |
| 7. | The compensation of each Employed Selling Shareholder is specified in the Employment Agreement and is customary and commensurate with his or her responsibilities based on other employees in similar capacities within NewCo, the Company and the industry. |
| 8. | The Company and the Selling Shareholder (including both Employed Selling Shareholders and Selling Shareholders not employed by NewCo) execute a non-compete agreement (the “Non-Compete Agreement”) which restricts the Selling Shareholder from engaging in competing business activities for a specified period of time (the “Non-Compete Term”). A Non-Compete Agreement is executed with the Selling Shareholders in all cases. That is, even if the Selling Shareholder does not become an Employed Selling Shareholder, the Selling Shareholder is restricted from engaging in a competing business during the Non-Compete Term. |
| 9. | The Non-Compete Term commences as of the date of the Acquisition and expires on the later of : |
| a. | Two years after the date an Employed Selling Shareholders’ employment is terminated (if the Selling Shareholder becomes an Employed Selling Shareholder) or |
| b. | Five to six years from the date of the Acquisition, as defined in the Non-Compete Agreement, regardless of whether the Selling Shareholder is employed by NewCo. |
| 10. | The Non-Compete Agreement applies to a restricted region which is defined as a 15-mile radius from the Therapy Practice. That is, an Employed Selling Shareholder is permitted to engage in competing businesses or activities outside the 15-mile radius (after such Employed Selling Shareholder no longer is employed by NewCo) and a Selling Shareholder who is not employed by NewCo immediately is permitted to engage in the competing business or activities outside the 15-mile radius. |
The Partnership Agreement contains provisions for the redemption of the Seller Entity Interest, either at the option of the Company (the “Call Right”) or at the option of the Seller Entity (the “Put Right”) as follows:
| a. | In the event that any Selling Shareholder’s employment is terminated under certain circumstances prior to the fifth anniversary of the Closing Date,a specified date (the “Specified Date”), the Seller Entity thereafter may have an irrevocable right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below. |
| b. | In the event that any Selling Shareholder is not employed by NewCo as of the fifth anniversary of the ClosingSpecified Date and the Company has not exercised its Call Right with respect to the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest, Seller Entity thereafter shall have the Put Right to cause the Company to purchase from Seller Entity the Terminated Selling Shareholder’s Allocable Percentage of Seller Entity’s Interest at the purchase price described in “3” below. |