0001104659-14-037111.txt : 20140509 0001104659-14-037111.hdr.sgml : 20140509 20140509170703 ACCESSION NUMBER: 0001104659-14-037111 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 10 CONFORMED PERIOD OF REPORT: 20140331 FILED AS OF DATE: 20140509 DATE AS OF CHANGE: 20140509 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HANGER, INC. CENTRAL INDEX KEY: 0000722723 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 840904275 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-10670 FILM NUMBER: 14830048 BUSINESS ADDRESS: STREET 1: 10910 DOMAIN DRIVE STREET 2: SUITE 300 CITY: AUSTIN STATE: TX ZIP: 78758 BUSINESS PHONE: 512-777-3800 MAIL ADDRESS: STREET 1: 10910 DOMAIN DRIVE STREET 2: SUITE 300 CITY: AUSTIN STATE: TX ZIP: 78758 FORMER COMPANY: FORMER CONFORMED NAME: HANGER ORTHOPEDIC GROUP INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: SEQUEL CORP DATE OF NAME CHANGE: 19890814 FORMER COMPANY: FORMER CONFORMED NAME: CELLTECH COMMUNICATIONS INC DATE OF NAME CHANGE: 19860304 10-Q 1 a14-9763_110q.htm QUARTERLY REPORT PURSUANT TO SECTIONS 13 OR 15(D)

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 


 

FORM 10-Q

 

(Mark One)

 

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

 

For the quarterly period ended March 31, 2014

 

OR

 

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

 

For the transition period from           to           

 

Commission file number 1-10670

 

HANGER, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

 

84-0904275

(State or other jurisdiction of

 

(IRS Employer Identification No.)

incorporation or organization)

 

 

 

10910 Domain Drive, Suite 300, Austin, TX

 

78758

(Address of principal executive offices)

 

(Zip Code)

 

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

 

 

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

 

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

 

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

 

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

 

Large accelerated filer x

 

Accelerated filer o

 

 

 

Non-accelerated filer o

 

Smaller reporting company o

 

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

 

As of May 2, 2014 35,212,424 shares of common stock, $.01 par value per share, were outstanding.

 

 

 



Table of Contents

 

INDEX

 

 

 

Page No.

Hanger, Inc.

 

 

 

 

 

Part I.

FINANCIAL INFORMATION  (unaudited)

 

 

 

 

Item 1.

Consolidated Financial Statements

 

 

 

 

 

Consolidated Balance Sheets — March 31, 2014 and December 31, 2013

1

 

 

 

 

Consolidated Statements of Income and Comprehensive Income for the Three Months Ended March 31, 2014 and 2013

3

 

 

 

 

Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2014 and 2013

4

 

 

 

 

Notes to Consolidated Financial Statements

5

 

 

 

Item 2.

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

15

 

 

 

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

23

 

 

 

Item 4.

Controls and Procedures

24

 

 

 

Part II.

OTHER INFORMATION

 

 

 

 

Item 1A.

Risk Factors

24

 

 

 

Item 6.

Exhibits

26

 

 

 

SIGNATURES

 

27

 



Table of Contents

 

HANGER, INC.

CONSOLIDATED BALANCE SHEETS

(Dollars in thousands)

(Unaudited)

 

 

 

March 31,

 

December 31,

 

 

 

2014

 

2013

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

CURRENT ASSETS

 

 

 

 

 

Cash and cash equivalents

 

$

55,624

 

$

9,860

 

Net accounts receivable, less allowance for doubtful accounts of $10,313 and $10,022 in 2014 and 2013, respectively

 

183,548

 

185,769

 

Inventories

 

153,952

 

141,518

 

Prepaid expenses, other assets, and income taxes receivable

 

27,678

 

15,519

 

Deferred income taxes

 

30,366

 

30,298

 

Total current assets

 

451,168

 

382,964

 

 

 

 

 

 

 

PROPERTY, PLANT AND EQUIPMENT

 

 

 

 

 

Land

 

794

 

794

 

Buildings

 

16,517

 

15,397

 

Furniture and fixtures

 

16,581

 

15,855

 

Machinery and equipment

 

63,379

 

61,707

 

Equipment leased to third parties under operating leases

 

34,198

 

34,142

 

Leasehold improvements

 

88,576

 

85,176

 

Computer and software

 

94,561

 

88,950

 

Total property, plant and equipment, gross

 

314,606

 

302,021

 

Less accumulated depreciation and amortization

 

183,187

 

175,223

 

Total property, plant and equipment, net

 

131,419

 

126,798

 

 

 

 

 

 

 

INTANGIBLE ASSETS

 

 

 

 

 

Goodwill

 

702,455

 

681,547

 

Other intangible assets, less accumulated amortization of $29,267 and $27,375 in 2014 and 2013, respectively

 

61,367

 

58,021

 

Total intangible assets, net

 

763,822

 

739,568

 

 

 

 

 

 

 

OTHER ASSETS

 

 

 

 

 

Debt issuance costs, net

 

8,134

 

8,564

 

Other assets

 

15,142

 

13,766

 

Total other assets

 

23,276

 

22,330

 

 

 

 

 

 

 

TOTAL ASSETS

 

$

1,369,685

 

$

1,271,660

 

 

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

 

1



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HANGER, INC.

CONSOLIDATED BALANCE SHEETS

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

(Unaudited)

 

 

 

March 31,

 

December 31,

 

 

 

2014

 

2013

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

 

 

CURRENT LIABILITIES

 

 

 

 

 

Current portion of long-term debt

 

$

20,869

 

$

15,998

 

Accounts payable

 

41,789

 

36,729

 

Accrued expenses and other current liabilities

 

22,734

 

24,923

 

Accrued interest payable

 

5,534

 

1,898

 

Accrued compensation related costs

 

21,605

 

36,331

 

Total current liabilities

 

112,531

 

115,879

 

 

 

 

 

 

 

LONG-TERM LIABILITIES

 

 

 

 

 

Long-term debt, less current portion

 

541,066

 

452,261

 

Deferred income taxes

 

76,971

 

76,545

 

Other liabilities

 

48,615

 

46,755

 

Total liabilities

 

779,183

 

691,440

 

 

 

 

 

 

 

COMMITMENTS AND CONTINGENCIES (Note G)

 

 

 

 

 

 

 

 

 

 

 

SHAREHOLDERS’ EQUITY

 

 

 

 

 

Common stock, $.01 par value; 60,000,000 shares authorized, 36,346,814 and 36,113,202 shares issued and outstanding at March 31, 2014 and December 31, 2013, respectively

 

363

 

361

 

Additional paid-in capital

 

297,006

 

292,722

 

Accumulated other comprehensive loss

 

(1,020

)

(1,020

)

Retained earnings

 

294,809

 

288,813

 

 

 

591,158

 

580,876

 

Treasury stock at cost (141,154 shares)

 

(656

)

(656

)

Total shareholders’ equity

 

590,502

 

580,220

 

 

 

 

 

 

 

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

 

$

1,369,685

 

$

1,271,660

 

 

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

 

2



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HANGER, INC.

CONSOLIDATED STATEMENTS OF INCOME

AND COMPREHENSIVE INCOME

For the Three Months Ended March 31,

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

(Unaudited)

 

 

 

Three Months Ended

 

 

 

March 31,

 

 

 

2014

 

2013

 

 

 

 

 

 

 

Net sales

 

$

235,605

 

$

229,350

 

Material costs

 

67,345

 

67,739

 

Personnel costs

 

96,431

 

89,953

 

Other operating expenses

 

45,600

 

39,657

 

Depreciation and amortization

 

10,199

 

9,285

 

Income from operations

 

16,030

 

22,716

 

 

 

 

 

 

 

Interest expense

 

6,098

 

7,777

 

Income before taxes

 

9,932

 

14,939

 

 

 

 

 

 

 

Provision for income taxes

 

3,935

 

5,449

 

Net income

 

$

5,997

 

$

9,490

 

 

 

 

 

 

 

Other comprehensive income

 

 

 

Comprehensive income

 

$

5,997

 

$

9,490

 

 

 

 

 

 

 

Basic Per Common Share Data

 

 

 

 

 

Net income

 

$

0.17

 

$

0.27

 

Shares used to compute basic per common share amounts

 

35,076,828

 

34,598,494

 

 

 

 

 

 

 

Diluted Per Common Share Data

 

 

 

 

 

Net income

 

$

0.17

 

$

0.27

 

Shares used to compute diluted per common share amounts

 

35,415,018

 

35,066,032

 

 

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

 

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HANGER, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

For the Three Months Ended March 31,

(Dollars in thousands)

(Unaudited)

 

 

 

2014

 

2013

 

 

 

 

 

 

 

Cash flows from operating activities:

 

 

 

 

 

Net income

 

$

5,997

 

$

9,490

 

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

 

 

 

 

 

Loss/(gain) on disposal of assets

 

(547

)

52

 

Provision for doubtful accounts

 

3,754

 

1,657

 

Provision for deferred income taxes

 

358

 

 

Depreciation and amortization

 

10,199

 

9,285

 

Amortization of debt issuance costs

 

430

 

864

 

Compensation expense restricted stock units

 

2,418

 

1,667

 

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

 

 

 

 

 

Accounts receivable

 

1,537

 

7,216

 

Inventories

 

(10,589

)

(5,197

)

Prepaid expenses, other current assets, and income taxes

 

(12,736

)

(3,860

)

Accounts payable

 

2,126

 

(2,006

)

Accrued expenses, accrued interest payable

 

2,384

 

3,883

 

Accrued compensation related costs

 

(15,040

)

(19,544

)

Other

 

(253

)

(1,314

)

Net cash provided by/(used in) operating activities

 

(9,962

)

2,193

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

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

 

(8,297

)

(5,110

)

Purchase of equipment leased to third parties under operating leases

 

(564

)

(288

)

Acquisitions (net of cash acquired)

 

(19,167

)

 

Purchase of company-owned life insurance investment

 

(2,294

)

 

Proceeds from sale of property, plant and equipment

 

522

 

91

 

Net cash used in investing activities

 

(29,800

)

(5,307

)

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

Borrowings under revolving credit agreement

 

125,000

 

 

Repayments under revolving credit agreement

 

(38,000

)

 

Repayment of term loan

 

(1,406

)

(750

)

Repayment of seller’s notes and other contingent considerations

 

(1,594

)

(1,410

)

Repayment of capital lease obligations

 

(340

)

(180

)

Excess tax benefit from stock based compensation

 

1,780

 

1,214

 

Proceeds from issuance of common stock

 

86

 

62

 

Net cash provided by/(used in) financing activities

 

85,526

 

(1,064

)

 

 

 

 

 

 

Increase/(decrease) in cash and cash equivalents

 

45,764

 

(4,178

)

Cash and cash equivalents, at beginning of period

 

9,860

 

19,211

 

Cash and cash equivalents, at end of period

 

$

55,624

 

$

15,033

 

 

 

 

 

 

 

SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION:

 

 

 

 

 

 

 

 

 

 

 

Cash paid during the period for:

 

 

 

 

 

Interest

 

1,629

 

3,290

 

Income taxes (net of refunds)

 

11,159

 

5,591

 

 

 

 

 

 

 

Non-cash financing and investing activities:

 

 

 

 

 

Issuance of restricted stock units

 

8,691

 

9,617

 

Issuance of notes in connections with acquistisions

 

9,300

 

 

 

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

 

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HANGER, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

NOTE A — BASIS OF PRESENTATION

 

The unaudited interim consolidated financial statements as of March 31, 2014 and December 31, 2013 and for the three months ended March 31, 2014 and 2013 have been prepared by Hanger, Inc. (the “Company”) pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) considered necessary for a fair statement of the Company’s financial position, results of operations and cash flows for such periods. The year-end consolidated data was derived from audited financial statements but does not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”). Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted. The results of operations for the three months ended March 31, 2014 are not necessarily indicative of the results to be expected for the full fiscal year.

 

These unaudited consolidated financial statements should be read in conjunction with the consolidated financial statements of the Company and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2013, filed by the Company with the SEC.

 

NOTE B — SIGNIFICANT ACCOUNTING POLICIES

 

Principles of Consolidation

 

The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany transactions and balances have been eliminated in the accompanying financial statements.

 

Use of Estimates

 

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

Cash and Cash Equivalents

 

The Company considers all highly liquid investments with original maturities of three months or less at the date of purchase to be cash equivalents.  At various times throughout the year, the Company maintains cash balances in excess of Federal Deposit Insurance Corporation limits.

 

Credit Risk

 

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

 

Inventories

 

Patient Care—Inventories at Hanger Clinic, Dosteon and Cares, which consist of raw materials, work-in-process and finished goods, amounted to $120.1 million and $109.2 million at March 31, 2014 and December 31, 2013, respectively. Inventories in Hanger’s Clinics, which amounted to $110.0 million and $99.0 million at March 31, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process inventory valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. Inventories in the Dosteon business amounted to $8.8 million and $8.9 million at March 31, 2014 and December 31, 2013, respectively, and consist principally of raw materials. As of March 31, 2014, the Dosteon inventories were valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method.

 

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Inventories in the Cares business amounted to $1.2 million and $1.3 million as of March 31, 2014 and December 31, 2013, respectively, consisted principally of finished goods and are valued at the lower of cost or market using the first-in first-out method based on perpetual records.

 

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

 

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

 

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

 

Fair Value Measurements

 

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

 

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

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

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

 

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

 

Financial Instruments

 

Assets measured at fair value on a recurring basis as of March 31, 2014 and December 31, 2013, are $51.6 million and $7.7 million, respectively, and are composed of cash equivalent money market investments. The money market investments are based on Level 1 observable market prices and are equivalent to one dollar. The carrying value of the Company’s short-term financial instruments, such as receivables and payables, approximate their fair values based on the short-term maturities of these instruments. During the second quarter of 2013, the Company refinanced its credit facilities by replacing its $300.0 million Term Loan and $100.0 million Revolving Credit Facility with a $225.0 million Term Loan Facility and a $200.0 million Revolving Credit Facility. See Note F for further information.

 

·                  The carrying values of the Company’s outstanding Term Loans as of March 31, 2014 and December 31, 2013, were $220.8 million and $222.2 million, respectively. The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying values of the Company’s outstanding Revolving Credit Facilities as of March 31, 2014 and December 31, 2013, were $112.0 million and $25.0 million, respectively.  The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying value of the Senior Notes was $200.0 million as of March 31, 2014 and December 31, 2013.  The fair value of the Senior Notes, was $213.0 million and $213.3 million as of March 31, 2014 and December 31, 2013. The Company has determined the fair value of the Senior Notes based on market observable inputs and has therefore concluded these are Level 2 measurements.

 

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·                  Seller Notes are recorded at contractual carrying values of $29.1 million and $21.1 million as of March 31, 2014 and December 31, 2013, respectively, and carrying value approximates fair value for similar debt in all material respects.  The Company estimates fair value of the seller notes with a discounted cash flow model using unobservable rates and has determined these represent Level 3 measurements.

 

Revenue Recognition

 

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

 

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of March 31, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $22.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to both revenue growth resulting from both same clinic sales growth and clinic acquisitions, and from changes in collection trends. Individual patients are generally responsible for deductible and/or co-payments. The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

 

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

 

Net Accounts Receivable

 

The Company reports accounts receivable at estimated net realizable amounts generated for products delivered and services rendered from federal, state, managed care health plans, commercial insurance companies and patients.  Collections of these accounts receivable are the Company’s primary source of cash and are critical to the Company’s operating performance.  The Company estimates uncollectible patient accounts primarily based upon its experience in historical collections from individual patients.  Bad debt expense is reported within Other operating expenses within the Consolidated Statement of Income and Comprehensive Income.  At March 31, 2014 and December 31, 2013, net accounts receivable reflected allowance for doubtful accounts, $10.3 million and $10.0 million respectively.

 

Property, Plant and Equipment

 

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

 

Included within the Buildings line item were $12.0 million and $10.9 million of buildings recorded under capital leases, as of March 31, 2014 and December 31, 2013, respectively.  Accumulated depreciation on these capital leases were $1.4 million and $0.9 million, as of March 31, 2014 and December 31, 2013, respectively.  The annual future minimum lease payments as of March 31, 2014 under the lease agreements are $1.4 million, $2.0 million, $2.1 million, $2.1 million, $2.2 million, $9.5 million for the years ending 2014, 2015, 2016, 2017, 2018 and thereafter.  These future minimum lease payments include $6.0 million of interest.

 

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Goodwill and Other Intangible Assets

 

Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. The Company assesses goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset.  There were no impairment indicators since the last annual impairment test on October 1, 2013.

 

Debt Issuance Costs

 

Debt issuance costs incurred in connection with the Company’s long-term debt are amortized, on a straight-line basis, which is not materially different from the effective interest method, through the maturity of the related debt instrument. Amortization of these costs is included in Interest Expense in the Consolidated Statements of Income and Comprehensive Income.

 

Long-Lived Asset Impairment

 

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

 

Supplemental Executive Retirement Plan (SERP)

 

Effective January 2004, the Company implemented an unfunded noncontributory defined benefit plan (the “Plan”) for certain senior executives. Benefit costs and liabilities balances are calculated based on certain assumptions including benefits earned, discount rates, interest costs, mortality rates and other factors. The Company engages an actuary to calculate the benefit obligation and net benefit costs. The Plan, which is administered by the Company, calls for annual payments upon retirement based on years of service and final average salary. The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. Actual results that differ from the assumptions are accumulated and amortized over future periods, affecting the recorded obligation and expense in future periods. For further information, including the significant assumptions used in the estimate, see Note I of the accompanying financial statements.

 

Income Taxes

 

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

 

Stock-Based Compensation

 

The Company issues under one active stock-based compensation plan restricted stock units that settle in shares common stock. Shares of common stock issued under the stock-based compensation plan are issued from the Company’s authorized and unissued shares. Restricted stock units are granted at the fair market value of the Company’s common stock on the grant date. Restricted stock units vest over a period of time determined in accordance with the terms of the compensation plan, which permits vesting periods ranging from one to four years.  All restricted stock units issued under the plan have vested in four years, in the case of employees, and three years in the case of directors.

 

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The Company applies the fair value recognition provisions of the authoritative guidance for stock compensation, which require companies to measure and recognize compensation expense for all stock-based payments at fair value.

 

Stock compensation expense relates to restricted stock units, as all previously granted stock options are now fully vested and all associated compensation expense has been recognized in prior years. The total value of the restricted stock units is expensed ratably over the requisite service period of the employees receiving the awards and is included within Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

 

Segment Information

 

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

 

Recent Accounting Pronouncements

 

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

 

NOTE C — GOODWILL AND OTHER INTANGIBLE ASSETS

 

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

 

Goodwill allocated to the Company’s operating segments for the three months ended March 31, 2014 and for the year ended 2013 are as follows:

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

Additions due to acquisitions

 

17,130

 

3,778

 

20,908

 

Adjustments

 

 

 

 

Balance at March 31, 2014

 

$

562,395

 

$

140,060

 

$

702,455

 

 

 

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 

Additions due to acquisitions

 

7,317

 

 

7,317

 

Adjustments

 

(544

)

 

(544

)

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

 

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

 

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March 31, 2014

 

December 31, 2013

 

(In thousands) 

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer Lists

 

$

50,263

 

$

(12,715

)

$

37,548

 

$

46,932

 

$

(11,627

)

$

35,305

 

Trade Name

 

11,825

 

(380

)

11,445

 

10,023

 

(264

)

9,759

 

Patents and Other Intangibles

 

28,546

 

(16,172

)

12,374

 

28,441

 

(15,484

)

12,957

 

 

 

$

90,634

 

$

(29,267

)

$

61,367

 

$

85,396

 

$

(27,375

)

$

58,021

 

 

Customer lists are amortized over their estimated period of benefit, generally 10 to 14 years.  The majority of value associated to trade names is identified as an indefinite lived intangible asset, which is assessed for impairment on an annual basis as discussed in Note B.  Trade names not identified as an indefinite lived intangible asset are amortized over their estimated period of benefit of approximately 1 to 3 years. Patents are amortized using the straight-line method over 5 years.  Total intangible amortization expenses were $1.8 million and $1.7 million for the three months ended March 31, 2014 and March 31, 2013, respectively.  The weighted average life of the additions to customer lists, patents and other intangibles is 6 years.

 

NOTE D INVENTORIES

 

Inventories recorded using the gross profit method primarily consisted of raw materials and work-in-process held by the Patient Care segment.  Inventories using the perpetual method primarily consisted of finished goods held by the Products & Services segment.  A description of the Company’s inventory valuation methodologies are presented in Note B.

 

(In thousands)

 

March 31, 2014

 

December 31, 2013

 

 

 

 

 

 

 

Raw materials

 

$

43,143

 

$

40,970

 

Work in process

 

75,661

 

66,832

 

Finished goods

 

35,148

 

33,716

 

 

 

$

153,952

 

$

141,518

 

 

NOTE E — ACQUISITIONS

 

During the three months ended March 31, 2014, the Company acquired seven companies, operating a total of 22 patient care clinics. The aggregate purchase price for these O&P businesses was $28.9 million. Of this aggregate purchase price, $9.3 million consisted of promissory notes, $0.4 million was made up of contingent consideration payable within the next two years and $19.1 million was paid in cash. The excess of purchase price over the aggregate fair value was recorded as goodwill. The Company preliminarily allocated the purchase price to the individual assets acquired and liabilities assumed, consisting of $2.6 million accounts receivable, $1.8 million inventory, $20.9 million of goodwill, $4.5 million of definite lived intangibles, $1.5 of indefinite lived intangibles, fixed assets and other assets of $1.4 million, and accounts payable and other liabilities of $3.8 million. The Company’s valuations are subject to adjustment as additional information is obtained. The value of the goodwill from these acquisitions can be attributed to a number of business factors including, but not limited to expected revenue and cash flow growth in future years. Contingent consideration is reported as other liabilities on the Company’s Consolidated Balance Sheet. The Company elected to treat all of these acquisitions as asset acquisitions for tax purposes resulting in all of the Q1 2014 recorded Goodwill as being amortizable for tax purposes. The expenses incurred related to these acquisitions were insignificant and were included in Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

 

During the three months ended March 31, 2013, the Company did not acquire any new O&P companies.

 

The results of operations for the acquisitions are included in the Company’s results of operations from the dates of acquisition. Pro forma results would not be materially different. In connection with contingent consideration agreements, the Company made payments of $0.4 million in the first three months of 2014 and $0.7 million in the same period 2013. As of March 31, 2014 the Company has accrued a total of $2.6 million related to contingent consideration provisions related to acquisitions made in prior periods.

 

NOTE F — LONG TERM DEBT

 

Long-term debt consists of the following:

 

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March 31,

 

December 31,

 

(In thousands)

 

2014

 

2013

 

 

 

 

 

 

 

Revolving Credit Facility

 

$

112,000

 

$

25,000

 

Term Loan

 

220,781

 

222,188

 

7 1/8% Senior Notes due 2018

 

200,000

 

200,000

 

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

 

29,154

 

21,071

 

Total Debt

 

561,935

 

468,259

 

Less current portion

 

(20,869

)

(15,998

)

Long Term Debt

 

$

541,066

 

$

452,261

 

 

Revolving Credit Facility

 

The $200.0 million Revolving Credit Facility matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  As of March 31, 2014, the Company had $84.5 million available under this facility. The amounts outstanding under the Revolving Credit Facility as of March 31, 2014 were $115.5 million, net of standby letters of credit of approximately $3.6 million. The obligations under the Revolving Credit Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

Term Loan

 

The Term Loan Facility, of which $220.8 million is outstanding, matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  Quarterly principal payments ranging from 0.625% to 3.750% are required throughout the life of the Term Loan.  From time to time, mandatory prepayments may be required as a result of certain additional debt incurrences, certain asset sales, or other events as defined in the Credit Agreement. No mandatory prepayments are required under our Term Loan Agreement. The obligations under the Term Loan Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

71/8% Senior Notes

 

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

 

Prior to November 15, 2014, the Company may redeem all or some of the notes at a redemption price of 103.6% all to interest that would otherwise have become due from the redemption date through November 15, 2014.   On or after November 15, 2014, the Company may redeem all or a part of the notes with a premium, as described in further detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2013.

 

Subsidiary Guarantees

 

The Revolving and Term Loan Facilities and the 71/8% Senior Notes are guaranteed by all of the Company’s subsidiaries. Separate condensed consolidating information is not included as the parent company does not have independent assets or operations. The guarantees are full and unconditional and joint and several. There are no restrictions on the ability of our subsidiaries to transfer cash to the Company or to co-guarantors.

 

Debt Covenants

 

The terms of the Senior Notes, the Revolving Credit Facility, and the Term Loan Facility limit the Company’s ability to, among other things, purchase capital assets, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities, and engage in mergers, consolidations and certain sales of assets. The credit agreement requires compliance with various covenants including but not limited to (i) minimum consolidated interest coverage ratio of 3.50:1.00 and (ii) maximum total leverage ratio of 4.00:1.00. As of March 31, 2014, the Company was in compliance with all covenants under these debt agreements.

 

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NOTE G COMMITMENTS AND CONTINGENT LIABILITIES

 

Contingencies

 

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

 

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

 

On May 20, 2013, the Staff of the Division of Enforcement of the Securities and Exchange Commission (the “SEC”) informed the Company that it was conducting an investigation of the Company and made a request for a voluntary production of documents and information concerning the Company’s calculations of bad debt expense and allowance for doubtful accountsThe Company cooperated in the investigation.  By letter dated April 14, 2014 the Staff informed the Company that it had concluded its investigation, and that based on the information the Staff had as of that date, the Staff did not intend to recommend an enforcement action by the SEC against the Company.  The information in the Staff’s letter was provided under the guidelines set out in the final paragraph of Securities Act Release No. 5310.

 

Guarantees and Indemnifications

 

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

 

NOTE H — NET INCOME PER COMMON SHARE

 

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

 

Net income per share is computed as follows:

 

 

 

Three Months Ended

 

 

 

March 31,

 

(In thousands, except share and per share data)

 

2014

 

2013

 

Net income

 

$

5,997

 

$

9,490

 

 

 

 

 

 

 

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

 

35,076,828

 

34,598,494

 

Effect of dilutive restricted stock and options (1)

 

338,190

 

467,538

 

Shares used to compute dilutive per common share amounts

 

35,415,018

 

35,066,032

 

 

 

 

 

 

 

Basic income per share

 

$

0.17

 

$

0.27

 

Diluted income per share

 

$

0.17

 

$

0.27

 

 


(1) There were no anti-dilutive options for the three months ended March 31, 2014 and 2013.

 

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NOTE I — SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)

 

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

 

The following assumptions were used in the calculation of the net benefit cost and obligation at March 31, 2014 and 2013:

 

 

 

2014

 

2013

 

Discount rate

 

4.03

%

3.25

%

Average rate of increase in compensation

 

3.00

%

3.00

%

 

The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. The change in the Plan’s net benefit obligation for the three months ended March 31, 2014 and 2013 is as follows:

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2013

 

$

20,952

 

Service cost

 

129

 

Interest cost

 

199

 

Payments

 

(1,247

)

Net benefit cost accrued at March 31, 2014

 

$

20,033

 

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2012

 

$

22,377

 

Service cost

 

169

 

Interest cost

 

173

 

Payments

 

(705

)

Net benefit cost accrued at March 31, 2013

 

$

22,014

 

 

NOTE J - STOCK-BASED COMPENSATION

 

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

 

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

 

As of March 31, 2014, of the 2.5 million shares of common stock authorized for issuance under the Company’s 2010 Plan, approximately 1.8 million shares have been issued. During the first three months of 2014, the Company issued approximately 0.3 million shares of restricted stock units under the 2010 Plan. The total fair value of these grants is $9.3 million. Total unrecognized share-based compensation cost related to unvested restricted stock units was approximately $18.3 million as of March 31, 2014 and is expected to be expensed as compensation expense over approximately four years as the units vest.

 

For the three months ended March 31, 2014 and 2013, the Company has included approximately $2.4 million and $1.7 million, respectively, for share-based compensation cost in the accompanying condensed consolidated statements of income for the 2010 Plan. Compensation expense relates to restricted stock unit grants under that plan.

 

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NOTE K — SEGMENT AND RELATED INFORMATION

 

The Company has identified two operating segments and both performance evaluation and resource allocation decisions are determined based on each operating segment’s income from operations.  The operating segments are described further below:

 

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

 

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

 

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

 

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

 

·                  U.S. Department of Veterans Affairs.

 

The Company estimates that government reimbursement, comprised of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 38.7% and 40.2%, of the Company’s net sales for the three months ended March 31, 2014 and 2013, respectively.

 

The Company’s contract and network management business is the only network management company dedicated solely to serving the O&P market and is focused on managing the O&P services of national and regional insurance companies. It partners with healthcare insurance companies by securing a national or regional contract either as a preferred provider or to manage their O&P network of providers. The network now includes approximately 1,170 O&P provider locations, including over 400 independent providers. As of March 31, 2014, it had 58 contracts with national and regional providers.

 

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

 

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

 

The accounting policies of the segments are the same as those described in the summary of “Significant Accounting Policies” in Note B to the consolidated financial statements.

 

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

 

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(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

Three Months Ended March 31, 2014

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

195,630

 

$

39,975

 

$

 

$

 

$

235,605

 

Intersegments

 

 

49,555

 

 

(49,555

)

 

Depreciation and amortization

 

4,879

 

2,955

 

2,365

 

 

10,199

 

Income (loss) from operations

 

22,275

 

10,668

 

(16,695

)

(218

)

16,030

 

Interest (income) expense

 

7,956

 

3,691

 

(5,549

)

 

6,098

 

Income (loss) before taxes

 

14,319

 

6,977

 

(11,146

)

(218

)

9,932

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

4,568

 

266

 

4,027

 

 

8,861

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended March 31, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

189,027

 

$

40,323

 

$

 

$

 

$

229,350

 

Intersegments

 

 

51,083

 

 

(51,083

)

 

Depreciation and amortization

 

4,066

 

3,203

 

2,016

 

 

9,285

 

Income (loss) from operations

 

25,389

 

9,475

 

(11,885

)

(263

)

22,716

 

Interest (income) expense

 

7,750

 

3,335

 

(3,308

)

 

7,777

 

Income (loss) before taxes

 

17,639

 

6,140

 

(8,577

)

(263

)

14,939

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

2,903

 

107

 

2,388

 

 

5,398

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

March 31, 2014

 

1,523,088

 

416,084

 

 

(569,487

)

1,369,685

 

December 31, 2013

 

1,502,721

 

408,628

 

 

(639,689

)

1,271,660

 

 

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

 

Overview

 

The following is a discussion of our results of operations and financial condition for the periods described below. This discussion should be read in conjunction with the Consolidated Financial Statements included in this report. Our discussion of our results of operations and financial condition includes various forward-looking statements about our markets, the demand for our products and services and our future results. These statements are based on our current expectations, which are inherently subject to risks and uncertainties. Refer to risk factors disclosed in Part II, Item 1A of this filing as well as the risk factors disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2013 for further discussion of risks and uncertainties. Our actual results and the timing of certain events may differ materially from those indicated in the forward looking statements.

 

Business Overview

 

General

 

The goal of Hanger, Inc. (the “Company”) is to be the world’s premier provider of services and products that enhance human physical capabilities. Built on the legacy of James Edward Hanger, the first amputee of the American Civil War, Hanger is steeped in 150 years of clinical excellence and innovation. We provide orthotic and prosthetic (O&P) patient care services, distribute O&P devices and components, manage O&P networks and provide therapeutic solutions to the broader post-acute market. We have two operating segments — Patient Care and Products & Services.

 

Our Patient Care segment is comprised of Hanger Clinic, Cares, Dosteon, other related O&P businesses and our contracting network management business.  Through this segment, we (i) are the largest owner and operator of orthotic and prosthetic patient care clinics in the United States and (ii) manage an O&P provider network of approximately 1,170 clinics that coordinates all aspects of O&P patient care for insurance companies. We operate in excess of 760 O&P patient care clinics located in 45 states and the District of Columbia and six strategically located distribution facilities. For the three months ended March 31, 2014, net sales to customers attributable to our Patient Care segment were $195.6 million.

 

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

 

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Our rehabilitative solutions business develops specialized rehabilitation technologies and is a leading provider of evidence-based clinical programs for post-acute rehabilitation serving more than 5,000 long-term care facilities and other sub-acute rehabilitation providers throughout the United States. This segment also develops neuromuscular technologies through independent research. For the three months ended March 31, 2014, net sales to customers attributed to Products & Services segment were $40.0 million. See Note K for our consolidated financial statements contained herein for further information related to our segments.

 

For the three months ended March 31, 2014, our net sales were $235.6 million and we recorded net income of $6.0 million. For the three months ended March 31, 2013, our net sales were $229.4 million and we recorded net income of $9.5 million.

 

Industry Overview

 

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

 

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

 

The industry is characterized by stable, recurring revenues, primarily resulting from new patients as well as the need for periodic replacement and modification of O&P devices. We believe, the average replacement time for orthotic devices is one to three years, while the average replacement time for prosthetic devices is three to five years. We expect the demand for O&P services to continue to grow as a result of several key trends, including the aging of the U.S. population, resulting in an increase in the prevalence of disease associated disability, and the demand for new and advanced replacement devices.

 

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

 

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

 

Business Description

 

Patient Care

 

Our Patient Care segment is comprised of Hanger Clinic, Cares, Dosteon, other related O&P businesses and our contracting network management business.  Through this segment, we (i) are the largest owner and operator of orthotic and prosthetic patient care clinics in the United States and (ii) manage an O&P provider network of approximately 1,170 clinics that coordinates all aspects of O&P patient care for insurance companies.  As of March 31, 2014, Hanger Clinic provided O&P patient care services through over 760 patient care clinics and over 1,333 clinicians in 45 states and the District of Columbia. Substantially all of our clinicians are certified, or are candidates for formal certification, by the O&P industry certifying boards. Our patient care clinics also employ highly trained technical personnel who assist in the provision of services to patients and who fabricate various O&P devices, as well as office administrators who schedule patient visits, obtain approvals from payors and bill and collect for services rendered.

 

In our orthotics business, we design, fabricate, fit and maintain a wide range of custom-made braces and other devices (such as spinal, knee and sports-medicine braces) that provide external support to patients suffering from musculoskeletal disorders, such as ailments of the back, extremities or joints. In our prosthetics business, we design, fabricate, fit and maintain custom-made artificial limbs for patients who are without limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer or congenital disorders. O&P devices are increasingly becoming more technologically advanced and are custom-designed to add functionality and comfort to patients’ lives, shorten the rehabilitation process and lower the cost of rehabilitation.  Patients are typically referred to Hanger Clinic by an attending physician who determines a patient’s treatment and writes a prescription. Our clinicians then consult with both the referring physician and the patient with a view toward assisting in the design of an orthotic or prosthetic device to meet the patient’s needs.

 

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The fitting process often involves several stages to successfully achieve desired functional and cosmetic results. Custom devices are fabricated and fitted by our skilled technicians using plaster castings, measurements and designs made by our clinicians. Frequently, our proprietary Insignia scanning system is used to measure and design devices. The Insignia system scans the patient and produces a very accurate computer generated image of the patient’s residual limb, resulting in a faster turnaround for the patient’s device and a more professional overall experience. In order to provide timely service to our patients, we employ technical personnel and maintain laboratories at many of our patient care clinics. We have earned a strong reputation within the O&P industry for the development and use of innovative technology in our products, which has increased patient comfort and capability and can significantly enhance the rehabilitation process.

 

The principal reimbursement sources for our services are:

 

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

 

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

 

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

 

·                  U.S. Department of Veterans Affairs.

 

Government reimbursement, comprised of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 38.7% and 40.2% of our net sales for the three months ended March 31, 2014 and 2013, respectively. These payors have set maximum reimbursement levels for O&P services and products. Medicare prices are adjusted each year based on the Consumer Price Index-Urban (“CPIU”) unless Congress acts to change or eliminate the adjustment. The CPIU is adjusted further by an efficiency factor (“the Productivity Adjustment” or “the MFP adjustment”) in order to determine the final rate adjustment each year.  The Medicare price increases/(decreases) for 2014, 2013 and 2012 were 1.0%, 0.8% and 2.4%, respectively. There can be no assurance that future changes will not reduce reimbursements for O&P services and products from these sources.

 

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

 

Our contract and network management business, known as Linkia, is the only network management company dedicated solely to serving the O&P market for national and regional insurance companies. We partner with healthcare insurance companies either as a preferred provider or to manage their O&P network of providers. Our network now includes approximately 1,170 O&P provider locations, including over 400 independent providers. As of March 31, 2014, we had 58 contracts with national and regional providers.

 

Products & Services

 

Our Products & Services segment was created in the first quarter of 2013 through the combination of our previously reported Distribution segment and Therapeutic Solutions segment. Through our wholly-owned subsidiary, Southern Prosthetic Supply (SPS), we distribute O&P components both to independent customers and to our own patient care clinics. This business maintains over 26,000 individual SKUs in inventory which are manufactured by more than 375 different suppliers. SPS is also a leading fabricator and distributor of therapeutic footwear for diabetic patients in the podiatric market and fabricates O&P devices both for our O&P clinics and those of our competitors. Our distribution facilities in California, Florida, Georgia, Illinois, Pennsylvania, and Texas allow us to deliver products to the vast majority of our distribution customers in the United States within two business days.

 

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Our distribution business enables us to:

 

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

 

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

 

·                  manage inventory quality control;

 

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

 

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

 

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

 

Through our wholly-owned subsidiary, Accelerated Care Plus (“ACP”), we believe our rehabilitative solutions business is the nation’s leading provider of rehabilitation technologies and integrated clinical programs to rehabilitation providers. Our unique value proposition is to provide our customers with a full-service “total solutions” approach encompassing proven medical technology; evidence-based clinical programs, and continuous onsite therapist education and training. Our services support increasingly advanced treatment options for a broader patient population and more medically complex conditions. We serve more than 5,000 skilled nursing facilities nationwide, including 22 of the 25 largest national providers.

 

We also have a product development business specializing in the commercialization of emerging products in the O&P and rehabilitation markets. Working with inventors under licensing and consulting agreements, we commercialize the design, obtain regulatory approvals, develop clinical protocols for the technology, and then introduce the devices to the marketplace through a variety of distribution channels. We currently have two commercial products: the V-Hold, which is active vacuum technology used in lower extremity prosthetic devices, and the WalkAide system, which benefits patients with a condition referred to as foot drop. The V-Hold is primarily sold through our patient care clinics. Research and development expenses, which were reported in Other operating expenses on our Consolidated Statements of Income and Comprehensive Income for the three months ended March 31, 2014 and for the year ended December 31, 2013 were $0.1 million and $0.5 million, respectively.

 

Critical Accounting Policies and Estimates

 

Our analysis and discussion of our financial condition and results of operations is based upon our Consolidated Financial Statements that have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.  GAAP provides the framework from which to make these estimates, assumptions and disclosures. We have chosen accounting policies within GAAP that management believes are appropriate to accurately and fairly report our operating results and financial position in a consistent manner. Management regularly assesses these policies in light of current and forecasted economic conditions. Our accounting policies are stated in Note B to the Consolidated Financial Statements included elsewhere in this report.  We believe the following accounting policies are critical to understanding our results of operations and the more significant judgments and estimates used in the preparation of our Consolidated Financial Statements.

 

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

 

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of March 31, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $22.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to both revenue growth resulting from both same clinic sales growth and clinic acquisitions, and from changes in collection trends. Individual patients are generally responsible for deductible and/or co-payments.

 

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The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

 

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

 

·                  Net Accounts Receivable: We report accounts receivable at estimated net realizable amounts generated for products delivered and services rendered from federal, state, managed care health plans, commercial insurance companies and patients.  Collections of these accounts receivable are our primary source of cash and are critical to our operating performance.  We estimate uncollectible patient accounts primarily based upon its experience in historical collections from individual patients.  Bad debt expense is reported within Other operating expenses within the Consolidated Statement of Income and Comprehensive Income.  At March 31, 2014 and December 31, 2013, net accounts receivable reflected an allowance for doubtful accounts of $10.3 million and $10.0 million, respectively.

 

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

 

March 31, 2014

 

 

 

 

 

 

 

 

 

(In thousands)

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

40,276

 

$

12,870

 

$

18,593

 

$

71,739

 

Private pay

 

4,595

 

2,995

 

6,709

 

14,299

 

Medicaid

 

11,472

 

3,683

 

6,691

 

21,846

 

Medicare

 

28,740

 

5,902

 

25,860

 

60,502

 

VA

 

2,477

 

586

 

668

 

3,731

 

Products & Services

 

 

 

 

 

 

 

 

 

Trade accounts receivable

 

11,579

 

3,642

 

6,523

 

21,744

 

 

 

$

99,139

 

$

29,678

 

$

65,044

 

$

193,861

 

 

December 31, 2013

 

 

 

 

 

 

 

 

 

(In thousands)

 

0-60 days

 

61-120 days

 

Over 120 days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

52,899

 

$

12,092

 

$

14,507

 

$

79,498

 

Private pay

 

3,991

 

3,413

 

5,751

 

13,155

 

Medicaid

 

11,876

 

4,122

 

5,282

 

21,280

 

Medicare

 

30,587

 

7,097

 

20,918

 

58,602

 

VA

 

2,589

 

565

 

463

 

3,617

 

Products & Services

 

 

 

 

 

 

 

 

 

Trade accounts receivable

 

11,541

 

3,370

 

4,728

 

19,639

 

 

 

$

113,483

 

$

30,659

 

$

51,649

 

$

195,791

 

 

·                  Inventories: Patient Care—Inventories at Hanger Clinics, Dosteon and Cares, which consist of raw materials, work-in-process and finished goods, amounted to $120.1 million and $109.2 million at March 31, 2014 and December 31, 2013, respectively. Inventories in Hanger’s Clinics, which amounted to $110.0 million and $99.0 million at March 31, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process inventory valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. Inventories in the Dosteon business amounted to $8.8 million and $8.9 million at March 31, 2014 and December 31, 2013, respectively, and consist principally of raw materials. As of March 31, 2014, the Dosteon inventories were valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. Inventories in the Cares business amounted to $1.2 million and $1.3 million as of March 31, 2014 and December 31, 2013, respectively, consists principally of finished goods and are valued at the lower of cost or market using the first-in first-out method based on perpetual records.

 

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

 

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Adjustments to reconcile the Hanger Clinic and Dosteon physical inventory are treated as changes in accounting estimates and are recorded in the fourth quarter. The Company recorded a fourth quarter adjustment of a decrease to inventory of $2.3 million in 2013.

 

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

 

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

 

·                  Goodwill and Other Intangible Assets:  Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. We assess goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset. There were no impairment indicators since our last annual impairment test on October 1, 2013.

 

Definite-lived trade name intangible assets are amortized over their estimated period of benefit of approximately 1 to 3 years. Approximately $10.6 million of the value of trade names is identified as an indefinite-lived intangible asset within the Products & Services segment and its fair value is annually assessed for impairment in the Company’s fiscal fourth quarter. The Company estimates fair value utilizing a relief-from-royalty method valuation model and the 2013 assessment estimated the fair value is greater than carrying value. However, the estimated fair value is not substantially in excess of the carrying value. A key assumption in the relief-from-royalty method is projected future revenue. If actual future revenues fall below projection, the estimated fair value could be significantly impacted and an impairment charge may be necessary.

 

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

 

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

 

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

 

Although we believe the measurement of our liabilities for uncertain tax positions is reasonable, no assurance can be given that the final outcome of these matters will not be different than what is reflected in the historical income tax provisions and accruals. If additional taxes are assessed as a result of an audit or litigation, it could have a material effect on the income tax provision and net income in the period or periods for which that determination is made. We operate within multiple taxing jurisdictions and are subject to audit in these jurisdictions.

 

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These audits can involve complex issues which may require an extended period of time to resolve and could result in additional assessments of income tax. We believe adequate provisions for income taxes have been made for all periods.

 

Guidance and Outlook

 

The Company lowered its 2014 full-year adjusted diluted EPS guidance to a range of between $2.01 and $2.11, which represents growth of between 3.1% and 8.2% over the prior year. The Company expects to grow same center sales between 3% and 5% for the remainder of 2014.  Taking into account the impact of first quarter 2014 results, the Company has lowered its projected full year 2014 same center sales growth to between 2% and 4%. The reduction in earnings projections in part reflects lower same center sales in the Patient Care segment combined with additional investments the Company is making in its processes and control environment. The Company lowered 2014 full-year net sales guidance to a range of between $1.100 and $1.120 billion. The expectation of lower same center sales growth will be partially offset by accelerated timing of acquisitions which will drive incremental revenues in the remainder of the year, but will not provide significant earnings over that period due to their initial integration costs. Reflecting the lower than expected first quarter results and the reimbursement environment, the Company adjusted its expectation of 2014 cash flow from operations to a range of between $80 and $90 million.  The Company continues to anticipate acquiring O&P operations in 2014 with annualized net sales of between $35 and $45 million, and plans to invest between $40 and $50 million in capital additions during the year.  The Company’s previous full-year 2014 guidance issued on February 12, 2014 was to achieve revenues of $1.110 to $1.130 billion, adjusted diluted EPS of $2.10 and $2.20, patient care same center sales of 3% to 5%, and cash flow from operations of $90 to $100 million.

 

Results of Operations

 

The following table sets forth for the periods indicated certain items from our Consolidated Statements of Income and Comprehensive Income as a percentage of our net sales:

 

 

 

Three Months Ended

 

 

 

March 31,

 

 

 

2014

 

2013

 

 

 

(Unaudited)

 

(Unaudited)

 

 

 

 

 

 

 

Net sales

 

100.0

%

100.0

%

Material costs

 

28.6

 

29.5

 

Personnel costs

 

40.9

 

39.2

 

Other operating expenses

 

19.4

 

17.4

 

Depreciation and amortization

 

4.3

 

4.0

 

Income from operations

 

6.8

 

9.9

 

Interest expense, net

 

2.6

 

3.4

 

Income before taxes

 

4.2

 

6.5

 

Provision for income taxes

 

1.7

 

2.4

 

Net income

 

2.5

%

4.1

%

 

Three Months Ended March 31, 2014 Compared to the Three Months Ended March 31, 2013

 

Net Sales.  Net sales for the three months ended March 31, 2014 increased $6.2 million, or 2.7%, to $235.6 million from $229.4 million for the three months ended March 31, 2013.  This increase was due to a $6.5 million, or 3.5%, increase in the Patient Care segment, and a $0.3 million decrease in sales in the Products & Services segment. The $6.5 million increase in Patient Care segment sales was composed of a $10.0 million increase in sales from acquisitions, offset by a $3.5 million, or 1.8%, decline in same center sales.  The decline in same center sales was driven by the impact of severe weather in the eastern and central parts of the U.S.  The severe weather throughout the first quarter resulted in approximately 1,000 closed clinic days in the Company’s Patient Care segment, which translates to about 5 times more weather related closures than the same period of 2013.

 

Material Costs.  Material costs for the three months ended March 31, 2014 decreased to $67.3 million, compared to $67.7 million for the three months ended March 31, 2013. Material costs as a percentage of net sales decreased 90 basis points primarily due to an increase in the rate of reimbursement, improved sales mix, a reduction in product cost arising from an effort to further consolidate our purchasing power and the impact of 2013 O&P acquisitions, which had a lower material costs rate than the consolidated rate.

 

Personnel Costs.  Personnel costs for the three months ended March 31, 2014 increased by $6.4 million to $96.4 million from $90.0 million for the three months ended March 31, 2013.  As a percentage of net sales, personnel costs increased to 40.9% in 2014 from 39.2% in 2013.

 

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The increase was primarily due to a $4.5 million increase related to acquisitions and the balance due to increased healthcare costs.

 

Other Operating Expenses.  Other operating expenses, which are comprised primarily of professional fees, facility costs, bad debt expense, incentive compensation, and reimbursable employee expenses, increased $5.9 million to $45.6 million, or 19.4% of net revenues, in the first quarter of 2014 compared to $39.7 million, or 17.4% of net revenues, in the first quarter of 2013.  The increase is primarily attributable to a $1.2 million increase related to acquisitions with the balance due to increased occupancy and utility costs due to the severe weather, as well as an increase in bad debt expense.

 

Depreciation and Amortization. Depreciation and amortization for the three months ended March 31, 2014 increased $0.9 million, to $10.2 million, compared to $9.3 million in the first quarter of 2013. The increase was primarily due to software, leasehold improvements, and machinery and equipment purchased over the last 12 months.

 

Income from Operations.  Income from operations decreased $6.7 million, to $16.0 million, for the three months ended March 31, 2014 compared to $22.7 million for the three months ended March 31, 2013, due principally by the weather related decline in same center sales in the Patient Care segment and costs related to the delayed filing of the Company’s 10-K.

 

Interest Expense.  Interest expense decreased $1.7 million, to $6.1 million, for the three months ended March 31, 2014, compared to $7.8 million, for the three months ended March 31, 2013. The decrease resulted from the interest savings from the debt refinancing that occurred in the 2nd quarter of 2013.

 

Provision for Income Taxes.  The provision for income taxes for the three months ended March 31, 2014 was $3.9 million, or 39.6% of pre-tax income, compared to $5.5 million, or 36.5% of pre-tax income, for the three months ended March 31, 2013. The effective tax rate consists principally of the 35% federal statutory tax rate and state income taxes, less permanent tax differences.  The 2014 period has a higher effective tax rate primarily due to the expiration of the federal research and development tax credit.

 

Net Income.  Net income decreased $3.5 million, to $6.0 million, for three months ended March 31, 2014, from $9.5 million for the three months ended March 31, 2013, due to the reasons noted above.

 

Financial Condition, Liquidity and Capital Resources

 

Cash Flows

 

Our working capital at March 31, 2014 increased by $72.9 million to $338.6 million, compared to $265.7 million at March 31, 2013. The increase in working capital was primarily due to the impact of acquisitions as well as increases in cash, inventory, and income taxes receivable due to the borrowing of funds under the revolving credit facility, the build-up of work-in-process inventory, and prepayment of estimated 2014 income tax expense,and the payout of annual bonus plans, respectively.  Days sales outstanding (“DSO”), which is the number of days between the billing date of O&P services and the date of receipt of payment thereof, for the three months ended March 31, 2014 increased to 64 days from 56 days for the same period last year. The increase in DSO is related to an increase in Medicare audits, including Recovery Audit Contractor or RAC audits, Comprehensive/Error Rate Testing or CERT audits and Medicare Administrative Contractor (MAC) prepayments audits.  These audits review claims submitted to Medicare and result in payment delays while the audits are pending.  The frequency of these audits significantly increased beginning in 2012, both for us and throughout the medical and healthcare industry, leading to substantial delays in the audit adjudication process, particularly in administrative law appeals.  At March 31, 2014 and December 31, 2013, we had approximately $17.1 million and $15.2 million of claims subject to pending Medicare audits, respectively.

 

Net cash provided by/(used in) operating activities was ($10.0) million for the three months ended March 31, 2014 compared to $2.2 million for the same period in the prior year.  The decrease in cash provided by operating activities in the current year resulted primarily from decreased net income, build-up of inventory, and prepayment of estimated 2014 income tax expense.

 

Net cash used in investing activities was $29.8 million for the three months ended March 31, 2014, compared to $5.3 million in the prior year. In the first three months of 2014, we acquired seven companies for $19.2 million, net of cash acquired, made property, plant and equipment purchases of a net $8.3 million, and purchased $2.3 million of company owned life insurance.  During the same period in 2013, we did not acquire O&P companies and made property, plant and equipment purchases of a net $5.3 million.

 

Net cash provided by/(used in) financing activities was $85.5 million and ($1.1) million for the quarters ended March 31, 2014 and 2013, respectively. During the first quarter of 2014 we: (i) borrowed $125.0 million from our revolving credit facility; (ii) repaid $38 million to our revolving credit facility; (iii) received $1.9 million of proceeds from the exercise of stock options issued under employee stock compensation plans; (iv) made $1.6 million of required repayments of promissory notes issued in connection with acquisitions (“Seller Notes”); and (v) repaid $1.4 million related to term loan borrowings under our credit facilities.

 

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During the first quarter of 2013 we: (i) repaid $0.8 million related to term loan borrowings under our credit facilities; (ii) made $1.4 million of required repayments of promissory notes issued in connection with acquisitions; and (iii) received $1.2 million of proceeds from the exercise of stock options issued under employee stock compensation plans.

 

General

 

As of March 31, 2014, $332.8 million, or 59.2%, of our total debt of $561.9 million was subject to variable interest rates. We believe that, based on current levels of operations and anticipated growth, cash generated from operations, together with other available sources of liquidity, including borrowings available under the Revolving Credit Facility, will be sufficient for at least the next twelve months to fund anticipated capital expenditures, to fund our acquisition plans and make required payments of principal and interest on our debt, including payments due on our outstanding debt.

 

Obligations and Commercial Commitments

 

The following table sets forth our contractual obligations and commercial commitments as of March 31, 2014 (unaudited):

 

 

 

Payments Due by Period

 

 

 

 

 

(In thousands)

 

Remainder of 2014

 

2015

 

2016

 

2017

 

2018

 

Thereafter

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Long-term debt

 

$

13,503

 

$

24,730

 

$

26,058

 

$

31,757

 

$

464,960

 

$

927

 

561,935

 

Interest payments on long-term debt (1)

 

17,968

 

19,148

 

18,842

 

18,652

 

15,726

 

25

 

90,361

 

Operating leases

 

36,057

 

37,571

 

29,906

 

22,949

 

15,650

 

27,934

 

170,067

 

Capital leases

 

1,697

 

2,280

 

2,290

 

2,343

 

2,214

 

9,536

 

20,360

 

Other long-term obligations (2)

 

12,295

 

10,013

 

3,325

 

3,024

 

1,907

 

9,091

 

39,655

 

Total contractual cash obligations

 

$

81,520

 

$

93,742

 

$

80,421

 

$

78,725

 

$

500,457

 

$

47,513

 

$

882,378

 

 


(1) Interest projections were based on the assumptions that the future interest rate for the Term Loan will remain at the current rate of 1.9%, which is the Company’s estimate for such period based on current and projected LIBOR rates.

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

 

Forward Looking Statements

 

This report contains forward-looking statements setting forth our beliefs or expectations relating to future revenues, contracts and operations, and certain legal proceedings. Actual results may differ materially from projected or expected results due to changes in the demand for our O&P products and services, our ability to enter into and derive benefits from managed-care contracts, our ability to successfully attract and retain qualified O&P clinicians, federal laws governing the health-care industry, governmental policies affecting O&P operations and other risks and uncertainties generally affecting the health-care industry. Readers are cautioned not to put undue reliance on forward-looking statements.  Refer to risk factors disclosed in Part II, Item 1A of this filing as well as the risk factors disclosed in our Annual Report on Form 10-K for the year ended December 31, 2013 for discussion of risks and uncertainties. We disclaim any intent or obligation to publicly update these forward-looking statements, whether as a result of new information, future events or otherwise.

 

ITEM 3.                Quantitative and Qualitative Disclosures about Market Risk

 

Our future financial result is subject to a variety of risks, including interest rate risk.  As of March 31, 2014, the interest expense arising from the $332.8 million of outstanding borrowings under both our Term loan facility and our Revolver are subject to variable interest rates, partially offset by interest income subject to variable interest rates generated from our $51.6 million of cash equivalents.  As of March 31, 2014, we had $229.1 million of fixed rate debt which includes our 7 1/8 % Senior notes and Subordinated seller notes.

 

Presented below is an analysis of our financial instruments as of March 31, 2014 that are sensitive to changes in interest rates. The table demonstrates the changes in estimated annual cash flow related to the outstanding balance under the Revolving and Term Loan Facility, calculated for an instantaneous parallel shift in interest rates, plus or minus 50 basis points (“BPS”), 100 BPS and 150 BPS. As of March 31, 2014, the interest rate on the Revolving and Term loan facilities was 1.90% based on a LIBOR rate of 0.15% and the applicable margin of 1.75%.

 

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Cash Flow Risk

 

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

 

No Change
in Interest
Rates

 

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

 

(In thousands)

 

(150 BPS)

 

(100 BPS)

 

(50 BPS)

 

 

 

50 BPS

 

100 BPS

 

150 BPS

 

Interest Expense

 

$

6,266

 

$

6,561

 

$

6,856

 

$

7,546

 

$

8,952

 

$

10,358

 

$

11,764

 

 

ITEM 4.                Controls and Procedures

 

Disclosure Controls and Procedures

 

The Company’s disclosure controls and procedures are designed to provide reasonable assurance that information required to be disclosed in its periodic reports filed with the Securities and Exchange Commission is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms and to ensure that information required to be disclosed in the reports filed under the Exchange Act was accumulated and communicated to management, including the Company’s Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosures. Based on an evaluation of the Company’s disclosure controls and procedures conducted by the Company’s Chief Executive Officer and Chief Financial Officer, such officers concluded that the Company’s disclosure controls and procedures were not effective as of March 31, 2014 as a result of the following material weaknesses in our internal controls over financial reporting.  Specifically, the Company did not design and/or maintain effective controls over i) raw materials to ensure items are priced using the first in first out method resulting from the identification of inaccurate prices utilized in the valuation of our inventory quantities on hand based on physical observation;  ii) the accuracy of the stage of completion in valuing work-in-process inventory resulting from the identification of data input errors from our physical inventory observation used in the valuation of our work-in-process inventory; and iii) certain key assumptions used in the valuation of work-in-process inventory resulting from the identification of inaccurate or imprecise data used in the development of these assumptions.  Additional details are discussed in our Annual Report on Form 10-K for the year ended December 31, 2013, under Part II, Item 9-A.

 

Status of Remediation of Material Weaknesses

 

As of March 31, 2014, the material weaknesses disclosed in our Annual Report on Form 10-K for the year ended December 31, 2013, as listed above, are not remediated.  These material weaknesses relate to the Company’s annual physical inventory, and therefore the Company will not be able to verify remediation until the fourth quarter of 2014 after completion of the annual physical inventory at Hanger Clinic, at the earliest.  The Company is working to remediate the material weaknesses and has begun by taking steps to plan and implement additional measures to remediate the underlying causes of the material weaknesses. The additional measures are primarily the continued development and implementation of formal policies, improved processes and documentation of procedures and controls, additional training of finance and operational personnel, the hiring of additional finance personnel and the engagement of external subject matter experts. The Company’s actions are subject to ongoing senior management review, as well as audit committee oversight.  As the Company continues to evaluate and work to improve its internal control over financial reporting, management may determine to take additional measures to address this material weaknesses or determine to modify the remediation steps described above.

 

Changes in Internal Control Over Financial Reporting

 

In accordance with Rule 13a-15(d) under the Securities Exchange Act of 1934, management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, determined that there were no changes in the Company’s internal control over financial reporting, beyond those in-process remediation efforts discussed above, that occurred during the three months ended March 31, 2014, that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

Part II.  Other Information

 

ITEM 1.  LEGAL PROCEEDINGS

 

On May 20, 2013, the Staff of the Division of Enforcement of the Securities and Exchange Commission (the “SEC”) informed the Company that it was conducting an investigation of the Company and made a request for a voluntary production of documents and information concerning the Company’s calculations of bad debt expense and allowance for doubtful accountsThe Company cooperated in the investigation.  By letter dated April 14, 2014 the Staff informed the Company that it had concluded its investigation, and that based on the information the Staff had as of that date, the Staff did not intend to recommend an enforcement action by the SEC against the Company.  The information in the Staff’s letter was provided under the guidelines set out in the final paragraph of Securities Act Release No. 5310.

 

ITEM 1A.  RISK FACTORS.

 

Part I, Item 1A (“Risk Factors”) of the Company’s Annual Report on Form 10-K for the year ended December 31, 2013 sets forth information relating to important risks and uncertainties that could materially adversely affect the Company’s business, financial condition or operating results. Those risk factors continue to be relevant to an understanding of the Company’s business, financial condition and operating results.  Certain of those risk factors have been updated in this Form 10-Q to provide updated information, as set forth below. References to “we,” “our” and “us” in these risk factors refer to the Company.

 

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

 

We derived 38.7% and 40.2% of our net sales for the three months ended March 31, 2014 and 2013, respectively, from reimbursements for O&P services and products from programs administered by Medicare, Medicaid and the U.S. Department of Veterans Affairs.  Each of these programs set maximum reimbursement levels for O&P services and products. If these agencies reduce reimbursement levels for O&P services and products in the future, our net sales could substantially decline. In addition, the percentage of our net sales derived from these sources may increase as the portion of the U.S. population over age 65 continues to grow, making us more vulnerable to reimbursement reductions by these organizations. Reduced government reimbursement levels could result in reduced private payor reimbursement levels because fee schedules of certain third-party payors are indexed to Medicare. Furthermore, the healthcare industry is experiencing a trend towards cost containment as government and other third-party payors seek to impose lower reimbursement rates and negotiate reduced contract rates with service providers. This trend could adversely affect our net sales. For example, a number of states have reduced their Medicaid reimbursement rates for O&P services and products, or have reduced Medicaid eligibility, and others are in the process of reviewing Medicaid reimbursement policies generally, including for prosthetic and orthotic devices. Additionally, Medicare provides for reimbursement for O&P products and services based on prices set forth in fee schedules for ten regional service areas. Medicare prices are adjusted each year based on the Consumer Price Index— Urban (“CPIU”) unless Congress acts to change or eliminate the adjustment. The Medicare price increases/(decreases) for 2014, 2013 and 2012 were 1.0%, 0.8%, and 2.4%, respectively. The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, March 23, 2010 (“PPACA”) changed the Medicare inflation factors applicable to O&P (and other) suppliers. The annual updates for years subsequent to 2011 are based on the percentage increase in the CPI-U for the 12-month period ending with June of the previous year. Section 3401(m) of PPACA required that for 2011 and each subsequent year, the fee schedule update factor based on the CPI-U for the 12-month period ending with June of the previous year is to be adjusted by the annual economy-wide private nonfarm business multifactory productivity (“the MFP Adjustment”). The MFP Adjustment may result in that percentage increase being less than zero for a year and may result in payment rates for a year being less than such payment rates for the preceding year. CMS has not yet issued a final rule implementing these adjustments for years beyond 2011, but has indicated in a proposed rule that it will do so as part of the annual program instructions to the O&P fee schedule updates. See 75 Fed. Reg. 40040, 40122, et seq. (July 13, 2010). If the U.S. Congress were to legislate additional modifications to the Medicare fee schedules, our net sales from Medicare and other payors could be adversely and materially affected.

 

The Budget Control Act of 2011 required, among other things, mandatory across-the-board reductions in Federal spending, or “sequestration.” While delayed by the American Taxpayer Relief Act of 2012, President Obama issued a sequestration order on March 1, 2013. For services provided on or after April 1, 2013, Medicare fee-for-service claim payments, including those for DMEPOS (durable medical equipment (DME), prosthetics, orthotics and supplies) as well as claims under the DME Competitive Bidding Program, are reduced by 2 percent.  This is a claims payment adjustment with limited impact on the Company (approximately $0.9 million for three months ending March 31, 2014); no permanent reductions in the Medicare DMEPOS fee schedule have been made as a result of sequestration, therefore reimbursements from Medicaid, the VA and commercial payers who use the Medicare fee schedule as a basis for reimbursement have not been impacted.

 

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

 

We face periodic reviews, audits and investigations under our contracts with federal and state government agencies, and these audits could have adverse findings that may negatively impact our business.

 

We contract with various federal and state governmental agencies to provide O&P services. Pursuant to these contracts, we are subject to various governmental reviews, audits and investigations to verify our compliance with the contracts and applicable laws and regulations. Any adverse review, audit or investigation could result in:

 

·                  refunding of amounts we have been paid pursuant to our government contracts;

 

·                  imposition of fines, penalties and other sanctions on us;

 

·                  loss of our right to participate in various federal programs;

 

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Table of Contents

 

·                  damage to our reputation in various markets; or

 

·                  material and/or adverse effects on our business, financial condition and results of operations.

 

In recent years we have seen a significant increase in Medicare audits, including Recovery Audit Contractor or RAC audits, Comprehensive/Error Rate Testing or CERT audits and Medicare Administrative Contractor (MAC) prepayment audits.  Additionally, substantial delays have developed in the audit adjudication process, particularly in administrative law appeals. At March 31, 2014 and December 31, 2013, we had approximately $17.1 million and $15.2 million of claims subject to pending Medicare audits, respectively.  Through December 31, 2013, our success rate on these audits at final adjudication (the Administrative Law Judge hearing) was approximately 90%.  Nevertheless, Medicare audits could have a material and adverse effect on our business financial condition and result of operations, particularly if our success rate at final adjudication were to decline.

 

ITEM 6.                Exhibits

 

 

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

 

Exhibit No.

 

Document

 

 

 

10.1

 

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

 

 

 

31.1

 

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

 

 

 

31.2

 

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

 

 

 

32

 

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

 

 

 

101

 

The following financial information from the Company’s Quarterly Report on Form 10-Q, for the period ended March 31, 2014, formatted in eXtensible Business Reporting Language: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Cash Flows, (iv) Notes to Consolidated Financial Statements (1)

 


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

 

26



Table of Contents

 

SIGNATURES

 

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

 

 

HANGER, INC.

 

 

 

 

Dated: May 9, 2014

/s/Vinit K. Asar

 

Vinit K. Asar

 

President and

 

Chief Executive Officer

 

(Principal Executive Officer)

 

 

 

 

Dated: May 9, 2014

/s/George E. McHenry

 

George E. McHenry

 

Executive Vice President and Chief Financial Officer

 

(Principal Financial Officer and Principal Accounting Officer)

 

27


EX-31.1 2 a14-9763_1ex31d1.htm EX-31.1

Exhibit 31.1

 

Certification of Chief Executive Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act and Rule 13a-14(a)

or 15d-14(a) under the Securities Exchange Act of 1934

 

I, Vinit K. Asar, certify that:

 

1. I have reviewed this quarterly report on Form 10-Q of Hanger, Inc.;

 

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3. Based on my knowledge, the financial statements and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

 

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date:

May 9, 2014

/s/Vinit K. Asar

 

 

Vinit K. Asar

 

 

President and Chief Executive Officer

 


EX-31.2 3 a14-9763_1ex31d2.htm EX-31.2

Exhibit 31.2

 

Certification of Chief Financial Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act and Rule 13a-14(a)

or 15d-14(a) under the Securities Exchange Act of 1934

 

I, George E. McHenry, certify that:

 

1. I have reviewed this quarterly report on Form 10-Q of Hanger, Inc.;

 

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3. Based on my knowledge, the financial statements and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

 

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date:

May 9, 2014

/s/George E. McHenry

 

 

George E. McHenry

 

 

Executive Vice President and Chief Financial Officer

 

 

Principal Financial Officer and Principal Account Officer

 


EX-32 4 a14-9763_1ex32.htm EX-32

Exhibit 32

 

Written Statement of the Chief Executive Officer and Chief Financial Officer

Pursuant to 18 U.S.C. Section 1350, as adopted

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

Solely for the purposes of complying with 18 U.S.C. §1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned Chief Executive Officer and Chief Financial Officer of Hanger, Inc. (the “Company”), hereby certify, based on our knowledge, that the Quarterly Report on Form 10-Q of the Company for the quarterly period ended March 31, 2013 (the “Report”) fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934 and that information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

/s/ VINIT K. ASAR

 

Vinit K. Asar

 

Chief Executive Officer

 

(Principal Executive Officer)

 

 

 

/s/ GEORGE E. MCHENRY

 

George E. McHenry

 

Executive Vice President and Chief Financial Officer

 

(Principal Financial Officer and Principal Account Officer)

 

 

 

May 9, 2014

 

 


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Debt Instrument Variable Rate Basis Floor Prior to Amendment LIBOR floor applicable to term loans under Credit Agreement, prior to amendment (as a percent) Deferred Tax Assets, Tax Deferred Expense Compensation and Benefits Deferred Benefit Plan Compensation The tax effect as of the balance sheet date of the amount of the estimated future tax deductions arising from deferred benefit plan costs, which can only be deducted for tax purposes when actual costs are incurred, and which can only be realized if sufficient tax-basis income is generated in future periods to enable the deduction to be taken. Deferred benefit plan compensation Deferred Tax Assets, Tax Deferred Expense Reserves and Accruals, Accrued Expenses Including Accrued Vacation The tax effect as of the balance sheet date of the amount of the estimated future tax deductions arising from currently nondeductible expenses in accrued liabilities including vacation costs, which can only be deducted for tax purposes when actual costs are incurred, and which can only be realized if sufficient tax-basis income is generated in future periods to enable the deduction to be taken. Accrued expenses Inventory capitalization and reserves Deferred Tax, Assets Tax, Deferred Expense, Reserves and Accruals Inventory, Capitalization and Reserves The tax effect as of the balance sheet date of the amount of the estimated future tax deductions arising from estimated losses reflected in the reserve for inventory and inventories capitalized, which can only be realized if sufficient taxable income is generated in future periods to enable the deduction to be taken. Deferred Tax Liabilities Tax Accounting Method Changes Tax accounting method changes The amount as of the balance sheet date of the estimated future tax effects attributable to differences between the methods used to account for tax accounting method changes for tax purposes and under generally accepted accounting principles which will increase future taxable income when such differences reverse. Defined Benefit Plan Average Remaining Service Period Average remaining service period Estimated average period over which an employee is required to provide service in exchange for the unfunded noncontributory defined benefit plan, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Document Period End Date Defined Benefit Plan Number of Annual Payments upon Retirement Number of annual payments upon retirement Represents the number of annual payments upon retirement under the defined benefit plan. Distribution Company [Member] Distribution company Represents the distribution company acquired by the entity. Document and Entity Information Effective Income Tax Rate Reconciliation Adjustments [Abstract] Increase (decrease) in taxes resulting from: Non-deductible acquisition costs (as a percent) Represents the portion of the difference between the effective income tax rate and domestic federal statutory income tax rate attributable to non-deductible acquisition costs under enacted tax laws. Effective Income Tax Rate Reconciliation Nondeductible Expense Acquisition Costs Employee [Member] Employee Awards Persons hired to provide services to a company on a regular basis in exchange for compensation. Employees Error In Classification of Components of Bad Debt Expense [Member] Represents information pertaining to error in the classification of certain components of bad debt expense. Error in the classification of certain components of bad debt expense Estimated Future Contractual Adjustments Estimated reserve for future contractual adjustments and discounts The amount of estimated future contractual adjustments, recorded as contra-revenue within Net sales on the Consolidated Statement of Income. Future contractual adjustments are estimated utilizing historical trends of cash collections and contractual adjustments, established fee schedules, and contracts with payors and are recorded and monitored monthly. Exercise Price Range One [Member] Range of Exercise Prices $5.09 to $16.10 Represents the exercise price range one. Entity [Domain] Gross Carrying Amount Sum of the gross carrying amounts before accumulated amortization as of the balance sheet date of all intangible assets having statutory or estimated useful lives and also it includes the gross carrying amount of indefinite-lived intangible assets. Finite Lived and Indefinite Lived Intangible Asset Gross Finite Lived and Indefinite Lived Intangible Assets by Major Class [Line Items] Intangible assets Finite Lived and Indefinite Lived Intangible Assets by Major Class [Table] Disclosure of finite-lived and indefinite-lived intangible assets, excluding goodwill, in total and by major class. Government Reimbursement as Percentage of Sales Revenue Net Estimated government reimbursement as a percentage of the company's net sales Represents the estimated government reimbursement as a percentage of the company's net sales. Impairment of Long Lived Assets [Abstract] Long-Lived Asset Impairment Accrued expenses, accrued interest payable Increase(Decrease)in Accrued Liabilities and Interest Payable Represents the net increase (decrease) during the reporting period, in accrued liabilities and interest payable. Innovative Neurotronics, Inc. (IN, Inc.) Represents Innovative Neurotronics, Inc., a wholly-owned subsidiary of the reporting entity. Innovative Neurotronics Incorporated [Member] Intangible Assets and Goodwill [Abstract] INTANGIBLE ASSETS Sum of the carrying amounts of all intangible assets and goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. Intangible Assets and Goodwill, Net Total intangible assets, net Information by major type or class of intangible assets. For each class of assets, it includes both finite-lived and indefinite-lived portion. Intangible Assets by Major Class [Axis] Intangible Assets by Major Class [Domain] The major class of intangible asset (for example, trade names, etc. but not all-inclusive), excluding goodwill. Interest and Income Taxes Paid [Abstract] Cash paid during the period for: Inventories by Segments [Line Items] Inventories Inventories by Segments [Table] Information of the inventories by segment. Inventory Finished Goods Percentage Sold to Third Party Customer Percentage of finished goods inventory sold to third party customer Represents the percentage of finished goods inventory sold to third party customer of the entity. Inventory Finished Goods Percentage Transferred to Segment Percentage of finished goods inventory transferred to the patient care segment Represents the percentage of finished goods inventory transferred to the segment of the entity. Medicaid [Member] Medicaid Represents information pertaining to Medicaid, a health insurance program jointly funded by federal and state governments providing health insurance coverage for certain persons in financial need, regardless of age. Medicare [Member] Medicare Represents information pertaining to Medicare, a federally funded health insurance program providing health insurance coverage for persons aged 65 or older and certain disabled persons. Medicare Reimbursement Based on Prices Set Forth in Fee Schedules for Number of Regional Pricing Areas Medicare reimbursement for O&P products and services based on prices set forth in fee schedules, number of regional pricing areas Represents the number of regional pricing areas in which Medicare reimbursement for orthotic and prosthetic products and services are provided based on prices set forth in fee schedules. Medicare Reimbursement Based on Prices Set Forth in Fee Schedules for Number of Regional Service Areas 'Medicare reimbursement for O&P products and services based on prices set forth in published fee schedules, number of regional pricing areas Represents the number of regional service areas in which Medicare reimbursement for orthotic and prosthetic products and services are provided based on prices set forth in fee schedules. Minimum Age for Health Insurance Coverage under Medicare Program Minimum age for health insurance coverage under Medicare health insurance program Represents the minimum age for health insurance coverage under the Medicare health insurance program. Represents the minimum age to supplement Medicare benefits for financially needy persons under Medicaid health insurance program. Minimum Age to Supplement Medicare Benefits for Financially Needy Persons under Medicaid Program Minimum age to supplement Medicare benefits for financially needy persons under Medicaid health insurance program Minimum Number of Orthotic and Prosthetic Patient Care Centers, Operated Minimum number of O&P patient-care clinics operated The minimum number of orthotic and prosthetic patient-care centers operated by the reporting entity. The minimum number of orthotic and prosthetic provider network of clinics managed by the reporting entity. Minimum Number of Orthotic and Prosthetic Provider Network of Clinics Managed Minimum number of O&P provider network of clinics managed Minimum number of long-term care facilities and other sub-acute rehabilitation providers served Represents the minimum number of skilled nursing facilities for which the acquiree has contracts to serve. Minimum Skilled Nursing Facilities, Contracted to Serve THE COMPANY New Credit Agreement [Member] New credit agreement Represents information pertaining to the new credit agreement, which includes a revolving credit facility and a term loan facility. Non Qualified Stock Option [Member] Non-Qualified Awards Non-qualified stock options are stock options which do not qualify for the special treatment accorded to incentive stock options. Non-qualified stock options result in additional taxable income to the recipient at the time that they are exercised, the amount being the difference between the exercise price and the market value on that date. Number of Business Days During Which Products are Delivered Number of business days during which products are delivered Represents the number of business days during which products are delivered by the entity. Represents the number of contracts with national and regional providers. Number of Contracts with National and Regional Providers Number of contracts with national and regional providers Number of Orthotic and Prosthetic Independent Providers Number of O&P independent providers Represents the number of orthotic and prosthetic independent providers. Number of O&P provider locations Represents the number of orthotic and prosthetic provider locations included in the network. Number of Orthotic and Prosthetic Provider Locations Number of stock-based compensation plans The number of share-based compensation plans maintained by the reporting entity as on the balance sheet date. Number of Stock-based Compensation Plans Number of Strategically Located Distribution, Facilities Number of strategically located distribution facilities Number of strategically located distribution facilities which the reporting entity operates. Omnibus Incentive Plan 2010 [Member] 2010 Omnibus Incentive Plan This element represents the 2010 Omnibus Incentive Plan referred as the 2010 Plan. Orthotic and Prosthetic Companies [Member] Represents the Orthotic and Prosthetics companies acquired by the entity. O & P company Total other assets Sum of the carrying amounts as of the balance sheet date of other noncurrent assets. Other Noncurrent Assets Patents and Other Intangible Assets [Member] Patents and Other Intangibles Represents the exclusive legal right granted by the government to the owner of the patent to exploit an invention or a process for a period of time specified by law and includes other intangible assets not specified separately. Patient Care Represents the segment of the reporting entity dealing with patient-care centers. Patient Care Centers [Member] Patient-Care Purchase of equipment leased to third parties under operating leases Payment for Equipment to be Leased to Third Parties under Operating Leases The cash outflow associated with the purchase of equipment leased to third parties under operating leases. Payments to Acquire Capital Expenditures The cash outflow for capital expenditures associated with the acquisition and/or lease of long-lived, physical assets that are used in the normal conduct of business to produce goods and; includes cash outflows to pay for construction of self-constructed assets. Capital expenditures Period of Clinical Excellence and Innovation Number of years of clinical excellence and innovation Represents the period of clinical excellence and innovation. Previous Credit Agreement [Member] Previous credit agreement Represents the previous credit agreement which was replaced with new credit agreement. Price of Money Market Investments Represents the market price equivalent the Company uses for valuation of the money market investments. Market price (in dollars per share) Entity Well-known Seasoned Issuer Prior Revolving Credit Facility Represents the prior Revolving Credit Facility. Prior Revolving Credit Facility [Member] Entity Voluntary Filers Prior Term Loan Facility Prior Term Loan Facility [Member] Represents the prior term loan facility. Entity Current Reporting Status Private Pay [Member] Private pay Represents information pertaining to private payors. Entity Filer Category Proceeds from Debt Issuance Allocated to General Corporate Purposes Including Business Acquisition Represents proceeds from debt issuance that have been allocated for general corporate purposes including partial funding of the purchase price for an acquisition. Proceeds from debt issuance allocated to partially funding an acquisition Entity Public Float Represents the Products and Services segment of the reporting entity. Products and Services [Member] Products and Services Products & Services Entity Registrant Name Purchase Commitment, Excluding Long-term Commitment, Fulfillment Time Period Expected fulfillment period of purchase commitments Represents the expected time period for the fulfillment of purchase commitments. Entity Central Index Key Reduction of seller notes and earnouts Reduction of Seller Notes and Earnouts The non cash reduction of seller notes and earn-out payments forming part of operating activities. Relocation expense Relocation Expenses This element represents the amount charged against income in the period for incurred and estimated costs in connection with the relocation of corporate office and also includes employee separation and lease termination costs related to the closing of office. Repairs and Maintenance Costs [Abstract] Repairs and Maintenance Repairs and Maintenance Repairs and Maintenance [Policy Text Block] Disclosure of the repairs and maintenance expense policy. Entity Common Stock, Shares Outstanding Repayments of Notes Payable and Other Contingent Considerations Repayment of seller's notes and other contingent considerations The cash outflow for a borrowing supported by a written promise to pay an obligation. It also includes the cash outflow during the period from the payment of other contingent considerations. Revenue Recognition Customer Aging Analysis Minimum Period Minimum period of receivable balances for which an evaluation of its collectability is performed at least semi-annually Represents the minimum period of receivable balances for which company-wide evaluation of its collectability is performed at least semi-annually. Schedule of impact of 2013 Revision to previously reported Schedule II Allowance for doubtful accounts table Tabular disclosure of prior period adjustments to previously issued Schedule II allowance for doubtful accounts. Schedule of Error Corrections and Prior Period Adjustments to Schedule II Allowance for Doubtful Accounts [Table Text Block] Schedule of Finite Lived and Indefinite Lived Intangible Assets by Major Class [Table Text Block] Schedule of balances related to intangible assets Disclosure of amortizable finite-lived intangible assets, including the gross carrying amount and accumulated amortization along with disclosure of the carrying value of indefinite-lived intangible assets not subject to amortization, excluding goodwill, in total and by major class. Schedule of Net Funded Status and Amount Recognized in Balance Sheet [Table Text Block] Tabular disclosure of net funded status and amount recognized in balance sheet of pension plans and/or other employee benefit plans. Summary of change in benefit obligation Represents senior notes with an interest rate of 7.125 percent which mature in 2018. 7.125% Senior Notes due 2018 Senior Notes 7.125 Percent Due 2018 [Member] 7.125% Senior notes due 2018 Value of grants during the period The aggregate fair value at grant date for nonvested equity-based awards issued during the period on other than stock (or unit) option plans. Share-based Compensation Arrangement by Share-based Payment Award Equity Instruments Other than Options Grants in Period Grant Date Fair Value Represents the number of originally approved shares canceled under the share-based compensation arrangement of the entity. Share Based Compensation Arrangement by Share Based Payment Award Number of Shares Authorized Canceled Number of authorized shares canceled This element represents the 2002 Stock Incentive and Bonus Plan also referred as 2002 Plan and Non-Employee Director's Stock Incentive Plan also referred as 2003 Plan. Stock Incentive 2002 and 2003 Plan [Member] 2002 Stock Incentive and Bonus Plan and 2003 Non-Employee Directors' Stock Incentive Plan Subordinated seller notes, non-collateralized, net of unamortized discount with principal and interest payable in either monthly, quarterly or annual installments at effective interest rates ranging from 2.00% to 4.0%, maturing through November 2018 Represents information pertaining to subordinated seller notes maturing through November 2018. Subordinated Seller Notes Maturing through November 2018 [Member] Seller Notes Supplemental Executive Retirement Plan Disclosure [Abstract] Supplemental Executive Retirement Plan Represents the term loan of the reporting entity. Term Loan Facility [Member] Term Loans Term loan Unrealized Gain (Loss) on Derivatives and Disposal of Auction Rate Securities Loss (gain) on interest rate swap and disposal of auction rate securities The net change in the difference between the fair value and the carrying value, or in the comparative fair values, of derivative instruments and auction rate securities, held at each balance sheet date, that was included in earnings for the period. Generated Valuation Allowances and Reserves Generated Represents the valuation allowance for operating loss carryforward generated during the period. Valuation Allowances and Reserves Utilized or Released Represents the valuation allowance for operating loss carryforward utilized or released during the period. Utilized/Released Veterans Affairs [Member] VA Represents information pertaining to U.S. Department of Veterans Affairs. Represents information pertaining to Hanger Clinics at patient care centers. Hanger Clinics [Member] Hanger Clinic Document Fiscal Year Focus Dosteon [Member] Dosteon Represents information pertaining to Dosteon at patient care centers. Document Fiscal Period Focus Cares Represents information pertaining to Cares at patient care centers. Cares [Member] Current Term Loan Facility [Member] New Term Loan Facility Represents the current new term loan facility replacing the prior one. Current Revolving Credit Facility [Member] New Revolving Credit Facility Represents the current new revolving credit facility replacing the prior one. Business Combination Consideration Transferred Promissory Notes Incurred Promissory notes as a part of purchase price Amount of promissory notes liabilities incurred by the acquirer as part of consideration transferred in a business combination. Business Combination Consideration Transferred Contingent Liabilities Incurred Contingent consideration payable reported as other liabilities Amount of contingent consideration liabilities incurred by the acquirer as part of consideration transferred in a business combination. Other Operating Expenses [Member] Primary financial statement caption encompassing other operating expenses. Other operating expense Incentive stock options Employee and Non Employee Stock Options [Member] An arrangement whereby an employee or non-employee is entitled to receive in the future, subject to vesting and other restrictions, a number of shares in the entity at a specified price, as defined in the agreement. Director Awards Directors [Member] Persons serving on the board of directors (who collectively have responsibility for governing the entity). Directors Employee Service Share-based Compensation Nonvested Awards, Compensation Cost Not Yet Recognized, Total Period for Recognition Period over which unrecognized share-based compensation cost will be expensed The total period over which unrecognized compensation is expected to be recognized for equity-based compensation plans, using a decimal to express in number of years. Sale of Property Plant and Equipment Incurred But Proceeds Not Yet Received Sale of property, plant and equipment in accounts receivable Future cash inflow to be received from sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale that have occurred. Business Acquisition Purchase Price Allocation Fixed Assets and Other Assets Fixed assets and other assets The amount of fixed assets and other assets recognized as of the acquisition date. Legal Entity [Axis] Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed Accounts Payables and Other Liabilities Accounts payable and other liabilities Amount of accounts payable and other liabilities due within one year or within the normal operating cycle, if longer, assumed at the acquisition date. Document Type SIGNIFICANT ACCOUNTING POLICIES Receivable Type [Axis] Net accounts receivable, less allowance for doubtful accounts of $10,313 and $10,022 in 2014 and 2013, respectively Accounts Receivable, Net, Current Total Accounts Receivable, Gross, Current Accounts payable Accounts Payable, Current Accounts Receivable Accounts, Notes, Loans and Financing Receivable [Line Items] Accrued expenses Accrued Liabilities, Current Accrued expenses and other current liabilities Accrued Liabilities and Other Liabilities Less accumulated depreciation and amortization Less: Accumulated depreciation Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Accumulated Other Comprehensive Loss Accumulated Other Comprehensive Income (Loss) [Member] Weighted average life of the additions to customer lists, patents and other intangibles Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Additional paid-in capital Additional Paid in Capital, Common Stock Additional Paid in Capital Additional Paid-in Capital [Member] Adjustments for Error Correction [Domain] Adjustments to reconcile net income to net cash provided by operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Tax benefit associated with vesting of restricted stock units Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation Stock-based compensation expense Adjustments to Additional Paid in Capital, Share-based Compensation, Restricted Stock Unit or Restricted Stock Award, Requisite Service Period Recognition Marketing Advertising Costs, Policy [Policy Text Block] Other Other Segments [Member] Stock-based compensation expense Allocated Share-based Compensation Expense Accounts receivable, allowance for doubtful accounts (in dollars) Allowance for Doubtful Accounts Receivable Allowance for Doubtful Accounts Receivable, Current Allowance for doubtful accounts Allowance for Doubtful Accounts [Member] Amortization expense Amortization of Intangible Assets Amortization of debt issuance costs Amortization of Financing Costs and Discounts Anti-dilutive options (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount TOTAL ASSETS Total assets Assets Equipment leased to third parties under operating leases Assets Leased to Others [Member] CURRENT ASSETS Assets, Current [Abstract] ASSETS Assets [Abstract] Total current assets Assets, Current Assets under capital leases Assets Held under Capital Leases [Member] Fair value of assets Assets, Fair Value Disclosure Buildings Building [Member] Buildings Buildings and Improvements, Gross Current liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities Accounts receivable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets Business Acquisition [Axis] Indefinite lived intangibles Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Indefinite-Lived Intangible Assets Amount accrued related to contingent consideration Business Combination, Contingent Consideration, Liability Earnouts payable on acquisitions Acquisitions Acquired intangible assets Business Acquisition [Line Items] Business Acquisition, Acquiree [Domain] ACQUISITIONS Transaction costs incurred on acquisition Business Acquisition, Transaction Costs Aggregate purchase price of businesses Business Combination, Consideration Transferred BASIS OF PRESENTATION Business Description and Basis of Presentation [Text Block] Inventory Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory ACQUISITIONS Business Combination Disclosure [Text Block] Fixed assets at fair value Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Definite lived intangibles Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Acquisition expense Business Combination, Acquisition Related Costs Counterparty Name [Axis] 2015 Capital Leases, Future Minimum Payments Due in Two Years 2018 Capital Leases, Future Minimum Payments Due in Five Years Interest included in future minimum lease payments Capital Leases, Future Minimum Payments, Interest Included in Payments Asset under capital leases Capital Leased Assets, Gross Purchase of property, plant and equipment in accounts payable Capital Expenditures Incurred but Not yet Paid 2016 Capital Leases, Future Minimum Payments Due in Three Years 2017 Capital Leases, Future Minimum Payments Due in Four Years Annual future minimum lease payments under capital leases Capital Leases, Future Minimum Payments Due, Fiscal Year Maturity [Abstract] Capital lease obligations Capital Lease Obligations Incurred Accumulated depreciation on capital leases asset Capital Leases, Lessee Balance Sheet, Assets by Major Class, Accumulated Depreciation Thereafter Capital Leases, Future Minimum Payments Due Thereafter 2014 Capital Leases, Future Minimum Payments Due, Next Twelve Months Computer and software Capitalized Computer Software, Gross Restricted Cash Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block] Cash and cash equivalents Cash and cash equivalents, at beginning of period Cash and cash equivalents, at end of period Cash and Cash Equivalents, at Carrying Value Cash and Cash Equivalents Cash and Cash Equivalents, Policy [Policy Text Block] SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION Cash Flow, Supplemental Disclosures [Text Block] COMMITMENTS AND CONTINGENT LIABILITIES COMMITMENTS AND CONTINGENCIES (Note G) Commitments and Contingencies COMMITMENTS AND CONTINGENT LIABILITIES Commitments and Contingencies Disclosure [Text Block] Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share Common Stock Common Stock [Member] Common stock, $.01 par value; 60,000,000 shares authorized, 36,346,814 and 36,113,202 shares issued and outstanding at March 31, 2014 and December 31, 2013, respectively Common Stock, Value, Issued Common stock, shares issued Common Stock, Shares, Issued Common stock, shares authorized Common Stock, Shares Authorized Shares of common stock reserved for issuance Common Stock, Capital Shares Reserved for Future Issuance Common stock, shares outstanding Balance (in shares) Balance (in shares) Common Stock, Shares, Outstanding Revision of Previously Reported Consolidated Financial Information Comparability of Prior Year Financial Data, Policy [Policy Text Block] SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) Deferred tax assets: Components of Deferred Tax Assets [Abstract] Significant components of the net deferred income tax liability (asset) Components of Deferred Tax Assets and Liabilities [Abstract] Deferred tax liabilities: Components of Deferred Tax Liabilities [Abstract] Comprehensive income Comprehensive Income (Loss), Net of Tax, Attributable to Parent Consolidation Items [Domain] Principles of Consolidation Consolidation, Policy [Policy Text Block] Consolidation Items [Axis] Repair and Maintenance Cost of Property Repairs and Maintenance Material costs Cost of Goods Sold, Direct Materials State Current State and Local Tax Expense (Benefit) Current: Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Current Federal Tax Expense (Benefit) Total Current Current Income Tax Expense (Benefit) Customer Lists Customer Lists [Member] Interest, base rate Debt Instrument, Description of Variable Rate Basis Long-Term Debt Debt Instrument [Line Items] Schedule of Long-term Debt Instruments [Table] Face amount of debt Debt Instrument, Face Amount Debt Instrument, Redemption, Period [Domain] Debt Instrument, Redemption, Period [Axis] Prior to November 15, 2014 Debt Instrument, Redemption, Period Two [Member] Prior to November 15, 2014 Debt Instrument, Redemption, Period One [Member] On or after November 15, 2015 Debt Instrument, Redemption, Period Three [Member] Interest rate margin (as a percent) Debt Instrument, Basis Spread on Variable Rate LONG TERM DEBT Outstanding amount Long-term Debt, Gross Term of agreement Debt Instrument, Term Redemption period, end date Debt Instrument, Redemption Period, End Date Redemption period, start date Debt Instrument, Redemption Period, Start Date Percentage of the aggregate principal amount at which the notes may be redeemed Debt Instrument, Redemption Price, Percentage Interest rate stated percentage Debt Instrument, Interest Rate, Stated Percentage Effective interest rate, maximum Debt Instrument, Interest Rate, Effective Percentage Rate Range, Maximum Effective interest rate, minimum Debt Instrument, Interest Rate, Effective Percentage Rate Range, Minimum Mandatory prepayment Debt Instrument, Periodic Payment, Principal Interest rate (as a percent) Debt Instrument, Interest Rate at Period End Federal Deferred Federal Income Tax Expense (Benefit) Debt issuance costs, net Deferred Finance Costs, Net Deferred: Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Provision for deferred income taxes Total Deferred Deferred Income Tax Expense (Benefit) State Deferred State and Local Income Tax Expense (Benefit) Net deferred tax liabilities Deferred Tax Assets, Net Gross deferred tax assets Deferred Tax Assets, Gross Restricted stock Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost Other Deferred Tax Assets, Other Deferred income taxes Deferred Tax Assets, Net of Valuation Allowance, Current Net deferred tax assets Deferred Tax Assets, Net of Valuation Allowance Deferred rent Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Deferred Rent Provision for doubtful accounts Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts Net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards Goodwill amortization Deferred Tax Liabilities, Goodwill Debt issuance costs Deferred Tax Liabilities, Financing Arrangements Valuation allowance Deferred Tax Assets, Valuation Allowance Other Deferred Tax Liabilities, Other Deferred income taxes Deferred Tax Liabilities, Net, Noncurrent Property, plant and equipment Deferred Tax Liabilities, Property, Plant and Equipment Acquired Intangibles Deferred Tax Liabilities, Intangible Assets Total deferred tax liabilities Deferred Tax Liabilities, Net 2016 Defined Benefit Plan, Expected Future Benefit Payments, Year Three Net benefit cost accrued at the beginning of the period Net benefit cost accrued at the end of the period Total Defined Benefit Plan, Benefit Obligation Net amount recognized Defined Benefit Plan, Amounts Recognized in Balance Sheet Change in Benefit Obligation Defined Benefit Plan, Change in Benefit Obligation [Roll Forward] Weighted average assumptions used to determine the benefit obligation and net benefit cost Defined Benefit Plan, Assumptions Used in Calculations [Abstract] Actuarial gain (loss) Defined Benefit Plan, Actuarial Gain (Loss) 2015 Defined Benefit Plan, Expected Future Benefit Payments, Year Two Discount rate, to determine the benefit obligation (as a percent) Defined Benefit Plan, Assumptions Used Calculating Benefit Obligation, Discount Rate 2018 Defined Benefit Plan, Expected Future Benefit Payments, Year Five Amortization of loss Defined Benefit Plan, Amortization of Gains (Losses) Amounts Recognized in the Consolidated Balance Sheet Defined Benefit Plan, Amounts Recognized in Balance Sheet [Abstract] Discount rate, to determine net benefit cost (as a percent) Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Discount Rate 2017 Defined Benefit Plan, Expected Future Benefit Payments, Year Four 2014 Defined Benefit Plan, Expected Future Benefit Payments, Next Twelve Months Average rate of increase in compensation, to determine the benefit obligation (as a percent) Defined Benefit Plan, Assumptions Used Calculating Benefit Obligation, Rate of Compensation Increase Payments Defined Benefit Plan, Benefits Paid Estimated accumulated benefit obligation Defined Benefit Plan, Accumulated Benefit Obligation Average rate of increase in compensation, to determine net benefit cost (as a percent) Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Rate of Compensation Increase Thereafter Defined Benefit Plan, Expected Future Benefit Payments, Five Fiscal Years Thereafter Future payments under the Plan Defined Benefit Plan, Expected Future Benefit Payments, Fiscal Year Maturity [Abstract] Service cost Defined Benefit Plan, Service Cost Unfunded status Defined Benefit Plan, Funded Status of Plan Interest cost Defined Benefit Plan, Interest Cost Matching employer contributions under 401(k) Savings and Retirement plan Defined Contribution Plan, Cost Recognized Depreciation expense related to property, plant and equipment Depreciation Depreciation and amortization Depreciation, Depletion and Amortization Interest Rate Swaps Derivatives, Policy [Policy Text Block] STOCK-BASED COMPENSATION Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Stock-Based Compensation STOCK-BASED COMPENSATION Basic Per Common Share Data Earnings Per Share, Basic [Abstract] Diluted Per Common Share Data Earnings Per Share, Diluted [Abstract] NET INCOME PER COMMON SHARE Earnings Per Share [Text Block] Net income (in dollars per share) Basic income per share (in dollars per share) Earnings Per Share, Basic Net income (in dollars per share) Diluted income per share (in dollars per share) Earnings Per Share, Diluted NET INCOME PER COMMON SHARE Domestic manufacturing deduction (as a percent) Effective Income Tax Rate Reconciliation, Deduction, Qualified Production Activity, Percent Provision for income taxes (as a percent) Effective Income Tax Rate Reconciliation, Percent Reconciliation of the federal statutory tax rate to the Company's effective tax rate Effective Income Tax Rate Reconciliation, Percent [Abstract] State income taxes (net of federal effect) (as a percent) Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent Other (as a percent) Effective Income Tax Rate Reconciliation, Other Adjustments, Percent Federal statutory tax rate (as a percent) Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent Adjustments to uncertain tax positions (as a percent) Effective Income Tax Rate Reconciliation, Tax Contingency, Percent Accrued compensation related costs Employee-related Liabilities, Current Unrecognized stock-based compensation expense related to non-vested stock Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized Period over which unrecognized stock-based compensation cost will be expensed Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Equity Component [Domain] Adjustments for Error Corrections [Axis] Revision of Previously Reported Consolidated Financial Information Error Corrections and Prior Period Adjustments Restatement [Line Items] Excess tax benefit from stock based compensation Excess Tax Benefit from Share-based Compensation, Financing Activities Amortizable intangible assets acquired Finite-lived Intangible Assets Acquired Measurement Frequency [Axis] Fair Value, Hierarchy [Axis] Recurring basis Fair Value, Measurements, Recurring [Member] Fair Value, Measurement Frequency [Domain] Fair Value Measurements Fair Value Measurement, Policy [Policy Text Block] Asset Class [Axis] Non recurring basis Fair Value, Measurements, Nonrecurring [Member] Fair Value Hierarchy [Domain] Asset Class [Domain] Financial Instruments Fair Value of Financial Instruments, Policy [Policy Text Block] Fair Value of Financial Instruments Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] Fair Value, by Balance Sheet Grouping [Table] Level 1 Fair Value, Inputs, Level 1 [Member] Level 2 Fair Value, Inputs, Level 2 [Member] Amortization period Estimated useful life Finite-Lived Intangible Asset, Useful Life Gross Carrying Amount Finite-Lived Intangible Assets, Gross 2018 Finite-Lived Intangible Assets, Amortization Expense, Year Five Goodwill and Other Intangible Assets Finite-Lived Intangible Assets [Line Items] 2016 Finite-Lived Intangible Assets, Amortization Expense, Year Three Estimated aggregate amortization expense for definite-lived intangible assets Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract] Other intangible assets, accumulated amortization (in dollars) Accumulated Amortization Finite-Lived Intangible Assets, Accumulated Amortization Net Carrying Amount Finite-Lived Intangible Assets, Net Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets by Major Class [Axis] Thereafter Finite-Lived Intangible Assets, Amortization Expense, after Year Five 2014 Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months 2017 Finite-Lived Intangible Assets, Amortization Expense, Year Four 2015 Finite-Lived Intangible Assets, Amortization Expense, Year Two Furniture and fixtures Furniture and Fixtures [Member] Furniture and fixtures Furniture and Fixtures, Gross Loss/(gain) on disposal of assets Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property Extinguishment of debt Loss on extinguishment of debt Gains (Losses) on Extinguishment of Debt Premium 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LONG TERM DEBT (Details) (USD $)
3 Months Ended 12 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Long-Term Debt    
Total Debt $ 561,935,000 $ 468,259,000
Less current portion (20,869,000) (15,998,000)
Long term debt 541,066,000 452,261,000
Revolving credit facility
   
Long-Term Debt    
Total Debt 112,000,000 25,000,000
Maximum borrowing capacity 200,000,000  
Interest, base rate LIBOR  
Interest rate margin (as a percent) 1.75%  
Balance available under the credit facility 84,500,000  
Amounts outstanding under the credit facility 115,500,000  
Standby letters of credit
   
Long-Term Debt    
Amount outstanding 3,600,000  
Term loan
   
Long-Term Debt    
Total Debt 220,781,000 222,188,000
Interest, base rate LIBOR  
Interest rate margin (as a percent) 1.75%  
Outstanding amount 220,800,000  
Mandatory prepayment 0  
Term loan | Minimum
   
Long-Term Debt    
Quarterly principal payment percentage 0.625%  
Term loan | Maximum
   
Long-Term Debt    
Quarterly principal payment percentage 3.75%  
7.125% Senior notes due 2018
   
Long-Term Debt    
Total Debt 200,000,000 200,000,000
Interest rate stated percentage 7.125% 7.125%
7.125% Senior notes due 2018 | Prior to November 15, 2014
   
Long-Term Debt    
Redemption period, end date Nov. 14, 2014  
Percentage of the aggregate principal amount at which the notes may be redeemed 103.60%  
Subordinated seller notes, non-collateralized, net of unamortized discount with principal and interest payable in either monthly, quarterly or annual installments at effective interest rates ranging from 2.00% to 4.0%, maturing through November 2018
   
Long-Term Debt    
Total Debt $ 29,154,000 $ 21,071,000
Effective interest rate, minimum 2.00% 2.00%
Effective interest rate, maximum 4.00% 4.00%
New credit agreement | Minimum
   
Long-Term Debt    
Consolidated interest coverage ratio 3.50  
New credit agreement | Maximum
   
Long-Term Debt    
Total leverage ratio 4.00  
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SIGNIFICANT ACCOUNTING POLICIES (Details 2) (USD $)
3 Months Ended 12 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Mar. 31, 2014
Term Loans
Dec. 31, 2013
Term Loans
Jun. 30, 2013
Prior Term Loan Facility
Jun. 30, 2013
New Term Loan Facility
Mar. 31, 2014
Revolving Credit Facility
Dec. 31, 2013
Revolving Credit Facility
Jun. 30, 2013
Prior Revolving Credit Facility
Jun. 30, 2013
New Revolving Credit Facility
Mar. 31, 2014
7.125% Senior Notes due 2018
Dec. 31, 2013
7.125% Senior Notes due 2018
Mar. 31, 2014
Seller Notes
Dec. 31, 2013
Seller Notes
Mar. 31, 2014
Level 2
7.125% Senior Notes due 2018
Dec. 31, 2013
Level 2
7.125% Senior Notes due 2018
Mar. 31, 2014
Recurring basis
Level 1
Money Market Funds
Dec. 31, 2013
Recurring basis
Level 1
Money Market Funds
Fair Value of Financial Instruments                                    
Fair value of assets                                 $ 51,600,000 $ 7,700,000
Market price (in dollars per share)                                 $ 1.00  
Face amount of debt         300,000,000 225,000,000                        
Maximum borrowing capacity             200,000,000   100,000,000 200,000,000                
Carrying value 561,935,000 468,259,000 220,781,000 222,188,000     112,000,000 25,000,000     200,000,000 200,000,000 29,154,000 21,071,000        
Fair value of Senior Notes                             213,000,000 213,300,000    
Revenue Recognition                                    
Estimated reserve for future contractual adjustments and discounts $ 22,700,000 $ 20,600,000                                
Customer contract term, minimum 1 year                                  
Customer contract term, maximum 5 years                                  
XML 15 R37.htm IDEA: XBRL DOCUMENT v2.4.0.8
SEGMENT AND RELATED INFORMATION (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
segment
Mar. 31, 2013
Dec. 31, 2013
SEGMENT AND RELATED INFORMATION      
Number of operating segments 2    
Net sales      
Net sales $ 235,605 $ 229,350  
Depreciation and amortization 10,199 9,285  
Income (loss) from operations 16,030 22,716  
Interest (income) expense 6,098 7,777  
Income before taxes 9,932 14,939  
Capital expenditures 8,861 5,398  
Total assets 1,369,685   1,271,660
Consolidating Adjustments
     
Net sales      
Net sales (49,555) (51,083)  
Income (loss) from operations (218) (263)  
Income before taxes (218) (263)  
Total assets (569,487)   (639,689)
Patient Care
     
Segment and related information      
Minimum age for health insurance coverage under Medicare health insurance program 65    
'Medicare reimbursement for O&P products and services based on prices set forth in published fee schedules, number of regional pricing areas 10    
Minimum age to supplement Medicare benefits for financially needy persons under Medicaid health insurance program 65    
Estimated government reimbursement as a percentage of the company's net sales 38.70% 40.20%  
Number of O&P provider locations 1,170    
Number of O&P independent providers 400    
Number of contracts with national and regional providers 58    
Net sales      
Net sales 195,630 189,027  
Depreciation and amortization 4,879 4,066  
Interest (income) expense 7,956 7,750  
Capital expenditures 4,568 2,903  
Patient Care | Operating segments
     
Net sales      
Income (loss) from operations 22,275 25,389  
Income before taxes 14,319 17,639  
Total assets 1,523,088   1,502,721
Products and Services
     
Net sales      
Net sales 39,975 40,323  
Depreciation and amortization 2,955 3,203  
Interest (income) expense 3,691 3,335  
Capital expenditures 266 107  
Products and Services | Operating segments
     
Net sales      
Income (loss) from operations 10,668 9,475  
Income before taxes 6,977 6,140  
Total assets 416,084   408,628
Products and Services | Consolidating Adjustments
     
Net sales      
Net sales 49,555 51,083  
Other
     
Net sales      
Depreciation and amortization 2,365 2,016  
Interest (income) expense (5,549) (3,308)  
Capital expenditures 4,027 2,388  
Other | Operating segments
     
Net sales      
Income (loss) from operations (16,695) (11,885)  
Income before taxes $ (11,146) $ (8,577)  
XML 16 R9.htm IDEA: XBRL DOCUMENT v2.4.0.8
INVENTORIES
3 Months Ended
Mar. 31, 2014
INVENTORIES  
INVENTORIES

NOTE D INVENTORIES

 

Inventories recorded using the gross profit method primarily consisted of raw materials and work-in-process held by the Patient Care segment.  Inventories using the perpetual method primarily consisted of finished goods held by the Products & Services segment.  A description of the Company’s inventory valuation methodologies are presented in Note B.

 

(In thousands)

 

March 31, 2014

 

December 31, 2013

 

 

 

 

 

 

 

Raw materials

 

$

43,143

 

$

40,970

 

Work in process

 

75,661

 

66,832

 

Finished goods

 

35,148

 

33,716

 

 

 

$

153,952

 

$

141,518

 

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GOODWILL AND OTHER INTANGIBLE ASSETS (Details 2) (USD $)
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Dec. 31, 2013
Intangible assets      
Gross Carrying Amount $ 90,634,000   $ 85,396,000
Accumulated Amortization (29,267,000)   (27,375,000)
Net Carrying Amount 61,367,000   58,021,000
Amortization expense 1,800,000 1,700,000  
Weighted average life of the additions to customer lists, patents and other intangibles 6 years    
Trade Name
     
Intangible assets      
Gross Carrying Amount 11,825,000   10,023,000
Accumulated Amortization (380,000)   (264,000)
Net Carrying Amount 11,445,000   9,759,000
Trade Name | Minimum
     
Intangible assets      
Amortization period 1 year    
Trade Name | Maximum
     
Intangible assets      
Amortization period 3 years    
Customer Lists
     
Intangible assets      
Gross Carrying Amount 50,263,000   46,932,000
Accumulated Amortization (12,715,000)   (11,627,000)
Net Carrying Amount 37,548,000   35,305,000
Customer Lists | Minimum
     
Intangible assets      
Amortization period 10 years    
Customer Lists | Maximum
     
Intangible assets      
Amortization period 14 years    
Patents and Other Intangibles
     
Intangible assets      
Gross Carrying Amount 28,546,000   28,441,000
Accumulated Amortization (16,172,000)   (15,484,000)
Net Carrying Amount $ 12,374,000   $ 12,957,000
Patents
     
Intangible assets      
Amortization period 5 years    
XML 19 R28.htm IDEA: XBRL DOCUMENT v2.4.0.8
GOODWILL AND OTHER INTANGIBLE ASSETS (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Mar. 31, 2014
Patient Care
Dec. 31, 2013
Patient Care
Mar. 31, 2014
Products & Services
Dec. 31, 2012
Products & Services
Net            
Balance at the beginning of the period $ 681,547 $ 674,774 $ 545,265 $ 538,492 $ 136,282 $ 136,282
Additions due to acquisitions 20,908 7,317 17,130 7,317 3,778  
Adjustments   (544)   (544)    
Balance at the end of the period $ 702,455 $ 681,547 $ 562,395 $ 545,265 $ 140,060 $ 136,282
XML 20 R30.htm IDEA: XBRL DOCUMENT v2.4.0.8
INVENTORIES (Details) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2014
Dec. 31, 2013
INVENTORIES    
Raw materials $ 43,143 $ 40,970
Work in process 75,661 66,832
Finished goods 35,148 33,716
Total $ 153,952 $ 141,518
XML 21 R31.htm IDEA: XBRL DOCUMENT v2.4.0.8
ACQUISITIONS (Details) (USD $)
3 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Mar. 31, 2014
O & P company
company
clinic
Acquisitions        
Number of Businesses Acquired       7
Number of patient care clinics operated by acquiree       22
Aggregate purchase price of businesses       $ 28,900,000
Promissory notes as a part of purchase price       9,300,000
Contingent consideration payable reported as other liabilities       400,000
Maximum term for payment of contingent consideration       2 years
Purchase price for acquisition paid in cash       19,100,000
Accounts receivable       2,600,000
Inventory       1,800,000
Goodwill 702,455,000 681,547,000 674,774,000 20,900,000
Definite lived intangibles       4,500,000
Indefinite lived intangibles       1,500,000
Fixed assets and other assets       1,400,000
Accounts payable and other liabilities       $ 3,800,000
XML 22 R8.htm IDEA: XBRL DOCUMENT v2.4.0.8
GOODWILL AND OTHER INTANGIBLE ASSETS
3 Months Ended
Mar. 31, 2014
GOODWILL AND OTHER INTANGIBLE ASSETS  
GOODWILL AND OTHER INTANGIBLE ASSETS

NOTE C — GOODWILL AND OTHER INTANGIBLE ASSETS

 

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

 

Goodwill allocated to the Company’s operating segments for the three months ended March 31, 2014 and for the year ended 2013 are as follows:

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

Additions due to acquisitions

 

17,130

 

3,778

 

20,908

 

Adjustments

 

 

 

 

Balance at March 31, 2014

 

$

562,395

 

$

140,060

 

$

702,455

 

 

 

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 

Additions due to acquisitions

 

7,317

 

 

7,317

 

Adjustments

 

(544

)

 

(544

)

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

 

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

 

 

 

March 31, 2014

 

December 31, 2013

 

(In thousands) 

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer Lists

 

$

50,263

 

$

(12,715

)

$

37,548

 

$

46,932

 

$

(11,627

)

$

35,305

 

Trade Name

 

11,825

 

(380

)

11,445

 

10,023

 

(264

)

9,759

 

Patents and Other Intangibles

 

28,546

 

(16,172

)

12,374

 

28,441

 

(15,484

)

12,957

 

 

 

$

90,634

 

$

(29,267

)

$

61,367

 

$

85,396

 

$

(27,375

)

$

58,021

 

 

Customer lists are amortized over their estimated period of benefit, generally 10 to 14 years.  The majority of value associated to trade names is identified as an indefinite lived intangible asset, which is assessed for impairment on an annual basis as discussed in Note B.  Trade names not identified as an indefinite lived intangible asset are amortized over their estimated period of benefit of approximately 1 to 3 years. Patents are amortized using the straight-line method over 5 years.  Total intangible amortization expenses were $1.8 million and $1.7 million for the three months ended March 31, 2014 and March 31, 2013, respectively.  The weighted average life of the additions to customer lists, patents and other intangibles is 6 years.

XML 23 R32.htm IDEA: XBRL DOCUMENT v2.4.0.8
ACQUISITIONS (Details 2) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Acquired intangible assets    
Payments made in connection with contingent consideration agreements $ 0.4 $ 0.7
Amount accrued related to contingent consideration $ 2.6  
XML 24 R2.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2014
Dec. 31, 2013
CURRENT ASSETS    
Cash and cash equivalents $ 55,624 $ 9,860
Net accounts receivable, less allowance for doubtful accounts of $10,313 and $10,022 in 2014 and 2013, respectively 183,548 185,769
Inventories 153,952 141,518
Prepaid expenses, other assets, and income taxes receivable 27,678 15,519
Deferred income taxes 30,366 30,298
Total current assets 451,168 382,964
PROPERTY, PLANT AND EQUIPMENT    
Land 794 794
Buildings 16,517 15,397
Furniture and fixtures 16,581 15,855
Machinery and equipment 63,379 61,707
Equipment leased to third parties under operating leases 34,198 34,142
Leasehold improvements 88,576 85,176
Computer and software 94,561 88,950
Total property, plant and equipment, gross 314,606 302,021
Less accumulated depreciation and amortization 183,187 175,223
Total property, plant and equipment, net 131,419 126,798
INTANGIBLE ASSETS    
Goodwill 702,455 681,547
Other intangible assets, less accumulated amortization of $29,267 and $27,375 in 2014 and 2013, respectively 61,367 58,021
Total intangible assets, net 763,822 739,568
OTHER ASSETS    
Debt issuance costs, net 8,134 8,564
Other assets 15,142 13,766
Total other assets 23,276 22,330
TOTAL ASSETS 1,369,685 1,271,660
CURRENT LIABILITIES    
Current portion of long-term debt 20,869 15,998
Accounts payable 41,789 36,729
Accrued expenses and other current liabilities 22,734 24,923
Accrued interest payable 5,534 1,898
Accrued compensation related costs 21,605 36,331
Total current liabilities 112,531 115,879
LONG-TERM LIABILITIES    
Long-term debt, less current portion 541,066 452,261
Deferred income taxes 76,971 76,545
Other liabilities 48,615 46,755
Total liabilities 779,183 691,440
COMMITMENTS AND CONTINGENCIES (Note G)      
SHAREHOLDERS' EQUITY    
Common stock, $.01 par value; 60,000,000 shares authorized, 36,346,814 and 36,113,202 shares issued and outstanding at March 31, 2014 and December 31, 2013, respectively 363 361
Additional paid-in capital 297,006 292,722
Accumulated other comprehensive loss (1,020) (1,020)
Retained earnings 294,809 288,813
Shareholders' equity, excluding treasury stock 591,158 580,876
Treasury stock at cost (141,154 shares) (656) (656)
Total shareholders' equity 590,502 580,220
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY $ 1,369,685 $ 1,271,660
XML 25 R6.htm IDEA: XBRL DOCUMENT v2.4.0.8
BASIS OF PRESENTATION
3 Months Ended
Mar. 31, 2014
BASIS OF PRESENTATION  
BASIS OF PRESENTATION

NOTE A — BASIS OF PRESENTATION

 

The unaudited interim consolidated financial statements as of March 31, 2014 and December 31, 2013 and for the three months ended March 31, 2014 and 2013 have been prepared by Hanger, Inc. (the “Company”) pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) considered necessary for a fair statement of the Company’s financial position, results of operations and cash flows for such periods. The year-end consolidated data was derived from audited financial statements but does not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”). Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted. The results of operations for the three months ended March 31, 2014 are not necessarily indicative of the results to be expected for the full fiscal year.

 

These unaudited consolidated financial statements should be read in conjunction with the consolidated financial statements of the Company and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2013, filed by the Company with the SEC.

XML 26 R35.htm IDEA: XBRL DOCUMENT v2.4.0.8
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Weighted average assumptions used to determine the benefit obligation and net benefit cost    
Discount rate, to determine net benefit cost (as a percent) 4.03% 3.25%
Average rate of increase in compensation, to determine net benefit cost (as a percent) 3.00% 3.00%
Change in Benefit Obligation    
Net benefit cost accrued at the beginning of the period $ 20,952 $ 22,377
Service cost 129 169
Interest cost 199 173
Payments (1,247) (705)
Net benefit cost accrued at the end of the period $ 20,033 $ 22,014
XML 27 R22.htm IDEA: XBRL DOCUMENT v2.4.0.8
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) (Tables)
3 Months Ended
Mar. 31, 2014
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)  
Schedule of weighted average assumptions used to determine benefit obligation and net benefit cost

The following assumptions were used in the calculation of the net benefit cost and obligation at March 31, 2014 and 2013:

 

 

 

2014

 

2013

 

Discount rate

 

4.03

%

3.25

%

Average rate of increase in compensation

 

3.00

%

3.00

%

Summary of change in benefit obligation

 

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2013

 

$

20,952

 

Service cost

 

129

 

Interest cost

 

199

 

Payments

 

(1,247

)

Net benefit cost accrued at March 31, 2014

 

$

20,033

 

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2012

 

$

22,377

 

Service cost

 

169

 

Interest cost

 

173

 

Payments

 

(705

)

Net benefit cost accrued at March 31, 2013

 

$

22,014

 

XML 28 R36.htm IDEA: XBRL DOCUMENT v2.4.0.8
STOCK-BASED COMPENSATION (Details) (USD $)
In Millions, unless otherwise specified
0 Months Ended 3 Months Ended 3 Months Ended
May 13, 2010
2010 Omnibus Incentive Plan
Mar. 31, 2014
2010 Omnibus Incentive Plan
May 13, 2010
2002 Stock Incentive and Bonus Plan and 2003 Non-Employee Directors' Stock Incentive Plan
Mar. 31, 2014
Restricted stock units
Mar. 31, 2013
Restricted stock units
Mar. 31, 2014
Restricted stock units
2010 Omnibus Incentive Plan
Stock-Based Compensation            
Shares of common stock reserved for issuance 2.5 2.5        
Shares of common stock authorized for issuance under the share-based compensation plan 2.0 1.5        
Number of shares of available for future issuance     0.5      
Plan expiration unless earlier terminated by the Board of Directors 10 years          
Shares of common stock issued under the Plan   1.8        
Granted (in shares)           0.3
Value of grants during the period           $ 9.3
Unrecognized stock-based compensation expense related to non-vested stock           18.3
Period over which unrecognized share-based compensation cost will be expensed           4 years
Stock-based compensation expense       $ 2.4 $ 1.7  
XML 29 R24.htm IDEA: XBRL DOCUMENT v2.4.0.8
SIGNIFICANT ACCOUNTING POLICIES (Details) (USD $)
Mar. 31, 2014
Dec. 31, 2013
Inventories    
Raw materials, work-in-process and finished goods $ 153,952,000 $ 141,518,000
Raw materials 43,143,000 40,970,000
Finished goods 35,148,000 33,716,000
Patient-Care
   
Inventories    
Raw materials, work-in-process and finished goods 120,100,000 109,200,000
(Increase) decrease in physical inventory   2,300,000
Hanger Clinic
   
Inventories    
Raw materials and work-in-process 110,000,000 99,000,000
Dosteon
   
Inventories    
Raw materials 8,800,000 8,900,000
Cares
   
Inventories    
Finished goods $ 1,200,000 $ 1,300,000
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SIGNIFICANT ACCOUNTING POLICIES
3 Months Ended
Mar. 31, 2014
SIGNIFICANT ACCOUNTING POLICIES  
SIGNIFICANT ACCOUNTING POLICIES

NOTE B — SIGNIFICANT ACCOUNTING POLICIES

 

Principles of Consolidation

 

The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany transactions and balances have been eliminated in the accompanying financial statements.

 

Use of Estimates

 

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

Cash and Cash Equivalents

 

The Company considers all highly liquid investments with original maturities of three months or less at the date of purchase to be cash equivalents.  At various times throughout the year, the Company maintains cash balances in excess of Federal Deposit Insurance Corporation limits.

 

Credit Risk

 

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

 

Inventories

 

Patient Care—Inventories at Hanger Clinic, Dosteon and Cares, which consist of raw materials, work-in-process and finished goods, amounted to $120.1 million and $109.2 million at March 31, 2014 and December 31, 2013, respectively. Inventories in Hanger’s Clinics, which amounted to $110.0 million and $99.0 million at March 31, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process inventory valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. Inventories in the Dosteon business amounted to $8.8 million and $8.9 million at March 31, 2014 and December 31, 2013, respectively, and consist principally of raw materials. As of March 31, 2014, the Dosteon inventories were valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method.

 

Inventories in the Cares business amounted to $1.2 million and $1.3 million as of March 31, 2014 and December 31, 2013, respectively, consisted principally of finished goods and are valued at the lower of cost or market using the first-in first-out method based on perpetual records.

 

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

 

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

 

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

 

Fair Value Measurements

 

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

 

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

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

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

 

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

 

Financial Instruments

 

Assets measured at fair value on a recurring basis as of March 31, 2014 and December 31, 2013, are $51.6 million and $7.7 million, respectively, and are composed of cash equivalent money market investments. The money market investments are based on Level 1 observable market prices and are equivalent to one dollar. The carrying value of the Company’s short-term financial instruments, such as receivables and payables, approximate their fair values based on the short-term maturities of these instruments. During the second quarter of 2013, the Company refinanced its credit facilities by replacing its $300.0 million Term Loan and $100.0 million Revolving Credit Facility with a $225.0 million Term Loan Facility and a $200.0 million Revolving Credit Facility. See Note F for further information.

 

·                  The carrying values of the Company’s outstanding Term Loans as of March 31, 2014 and December 31, 2013, were $220.8 million and $222.2 million, respectively. The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying values of the Company’s outstanding Revolving Credit Facilities as of March 31, 2014 and December 31, 2013, were $112.0 million and $25.0 million, respectively.  The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying value of the Senior Notes was $200.0 million as of March 31, 2014 and December 31, 2013.  The fair value of the Senior Notes, was $213.0 million and $213.3 million as of March 31, 2014 and December 31, 2013. The Company has determined the fair value of the Senior Notes based on market observable inputs and has therefore concluded these are Level 2 measurements.

 

·                  Seller Notes are recorded at contractual carrying values of $29.1 million and $21.1 million as of March 31, 2014 and December 31, 2013, respectively, and carrying value approximates fair value for similar debt in all material respects.  The Company estimates fair value of the seller notes with a discounted cash flow model using unobservable rates and has determined these represent Level 3 measurements.

 

Revenue Recognition

 

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

 

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of March 31, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $22.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to both revenue growth resulting from both same clinic sales growth and clinic acquisitions, and from changes in collection trends. Individual patients are generally responsible for deductible and/or co-payments. The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

 

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

 

Net Accounts Receivable

 

The Company reports accounts receivable at estimated net realizable amounts generated for products delivered and services rendered from federal, state, managed care health plans, commercial insurance companies and patients.  Collections of these accounts receivable are the Company’s primary source of cash and are critical to the Company’s operating performance.  The Company estimates uncollectible patient accounts primarily based upon its experience in historical collections from individual patients.  Bad debt expense is reported within Other operating expenses within the Consolidated Statement of Income and Comprehensive Income.  At March 31, 2014 and December 31, 2013, net accounts receivable reflected allowance for doubtful accounts, $10.3 million and $10.0 million respectively.

 

Property, Plant and Equipment

 

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

 

Included within the Buildings line item were $12.0 million and $10.9 million of buildings recorded under capital leases, as of March 31, 2014 and December 31, 2013, respectively.  Accumulated depreciation on these capital leases were $1.4 million and $0.9 million, as of March 31, 2014 and December 31, 2013, respectively.  The annual future minimum lease payments as of March 31, 2014 under the lease agreements are $1.4 million, $2.0 million, $2.1 million, $2.1 million, $2.2 million, $9.5 million for the years ending 2014, 2015, 2016, 2017, 2018 and thereafter.  These future minimum lease payments include $6.0 million of interest.

 

Goodwill and Other Intangible Assets

 

Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. The Company assesses goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset.  There were no impairment indicators since the last annual impairment test on October 1, 2013.

 

Debt Issuance Costs

 

Debt issuance costs incurred in connection with the Company’s long-term debt are amortized, on a straight-line basis, which is not materially different from the effective interest method, through the maturity of the related debt instrument. Amortization of these costs is included in Interest Expense in the Consolidated Statements of Income and Comprehensive Income.

 

Long-Lived Asset Impairment

 

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

 

Supplemental Executive Retirement Plan (SERP)

 

Effective January 2004, the Company implemented an unfunded noncontributory defined benefit plan (the “Plan”) for certain senior executives. Benefit costs and liabilities balances are calculated based on certain assumptions including benefits earned, discount rates, interest costs, mortality rates and other factors. The Company engages an actuary to calculate the benefit obligation and net benefit costs. The Plan, which is administered by the Company, calls for annual payments upon retirement based on years of service and final average salary. The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. Actual results that differ from the assumptions are accumulated and amortized over future periods, affecting the recorded obligation and expense in future periods. For further information, including the significant assumptions used in the estimate, see Note I of the accompanying financial statements.

 

Income Taxes

 

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

 

Stock-Based Compensation

 

The Company issues under one active stock-based compensation plan restricted stock units that settle in shares common stock. Shares of common stock issued under the stock-based compensation plan are issued from the Company’s authorized and unissued shares. Restricted stock units are granted at the fair market value of the Company’s common stock on the grant date. Restricted stock units vest over a period of time determined in accordance with the terms of the compensation plan, which permits vesting periods ranging from one to four years.  All restricted stock units issued under the plan have vested in four years, in the case of employees, and three years in the case of directors.

 

The Company applies the fair value recognition provisions of the authoritative guidance for stock compensation, which require companies to measure and recognize compensation expense for all stock-based payments at fair value.

 

Stock compensation expense relates to restricted stock units, as all previously granted stock options are now fully vested and all associated compensation expense has been recognized in prior years. The total value of the restricted stock units is expensed ratably over the requisite service period of the employees receiving the awards and is included within Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

 

Segment Information

 

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

 

Recent Accounting Pronouncements

 

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

XML 32 R3.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)
In Thousands, except Share data, unless otherwise specified
Mar. 31, 2014
Dec. 31, 2013
CONSOLIDATED BALANCE SHEETS    
Accounts receivable, allowance for doubtful accounts (in dollars) $ 10,313 $ 10,022
Other intangible assets, accumulated amortization (in dollars) $ 29,267 $ 27,375
Common stock, par value (in dollars per share) $ 0.01 $ 0.01
Common stock, shares authorized 60,000,000 60,000,000
Common stock, shares issued 36,346,814 36,113,202
Common stock, shares outstanding 36,346,814 36,113,202
Treasury stock, shares 141,154 141,154
XML 33 R17.htm IDEA: XBRL DOCUMENT v2.4.0.8
SIGNIFICANT ACCOUNTING POLICIES (Policies)
3 Months Ended
Mar. 31, 2014
SIGNIFICANT ACCOUNTING POLICIES  
Principles of Consolidation

Principles of Consolidation

 

The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany transactions and balances have been eliminated in the accompanying financial statements.

Use of Estimates

Use of Estimates

 

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Cash and Cash Equivalents

Cash and Cash Equivalents

 

The Company considers all highly liquid investments with original maturities of three months or less at the date of purchase to be cash equivalents.  At various times throughout the year, the Company maintains cash balances in excess of Federal Deposit Insurance Corporation limits.

Credit Risk

Credit Risk

 

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

Inventories

Inventories

 

Patient Care—Inventories at Hanger Clinic, Dosteon and Cares, which consist of raw materials, work-in-process and finished goods, amounted to $120.1 million and $109.2 million at March 31, 2014 and December 31, 2013, respectively. Inventories in Hanger’s Clinics, which amounted to $110.0 million and $99.0 million at March 31, 2014 and December 31, 2013, respectively, consist principally of raw materials and work-in-process inventory valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method. Inventories in the Dosteon business amounted to $8.8 million and $8.9 million at March 31, 2014 and December 31, 2013, respectively, and consist principally of raw materials. As of March 31, 2014, the Dosteon inventories were valued based on the gross profit method, which approximates lower of cost or market using the first-in first-out method.

 

Inventories in the Cares business amounted to $1.2 million and $1.3 million as of March 31, 2014 and December 31, 2013, respectively, consisted principally of finished goods and are valued at the lower of cost or market using the first-in first-out method based on perpetual records.

 

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

 

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

 

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

Fair Value Measurements

Fair Value Measurements

 

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

 

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

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

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

 

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

Financial Instruments

Financial Instruments

 

Assets measured at fair value on a recurring basis as of March 31, 2014 and December 31, 2013, are $51.6 million and $7.7 million, respectively, and are composed of cash equivalent money market investments. The money market investments are based on Level 1 observable market prices and are equivalent to one dollar. The carrying value of the Company’s short-term financial instruments, such as receivables and payables, approximate their fair values based on the short-term maturities of these instruments. During the second quarter of 2013, the Company refinanced its credit facilities by replacing its $300.0 million Term Loan and $100.0 million Revolving Credit Facility with a $225.0 million Term Loan Facility and a $200.0 million Revolving Credit Facility. See Note F for further information.

 

·                  The carrying values of the Company’s outstanding Term Loans as of March 31, 2014 and December 31, 2013, were $220.8 million and $222.2 million, respectively. The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying values of the Company’s outstanding Revolving Credit Facilities as of March 31, 2014 and December 31, 2013, were $112.0 million and $25.0 million, respectively.  The Company has determined the carrying value on these loans approximates fair value for debt with similar terms and remaining maturities based on interest rates currently available and has therefore concluded these are Level 2 measurements.

 

·                  The carrying value of the Senior Notes was $200.0 million as of March 31, 2014 and December 31, 2013.  The fair value of the Senior Notes, was $213.0 million and $213.3 million as of March 31, 2014 and December 31, 2013. The Company has determined the fair value of the Senior Notes based on market observable inputs and has therefore concluded these are Level 2 measurements.

 

·                  Seller Notes are recorded at contractual carrying values of $29.1 million and $21.1 million as of March 31, 2014 and December 31, 2013, respectively, and carrying value approximates fair value for similar debt in all material respects.  The Company estimates fair value of the seller notes with a discounted cash flow model using unobservable rates and has determined these represent Level 3 measurements.

Revenue Recognition

Revenue Recognition

 

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

 

Reserves for future contractual adjustments are estimated utilizing historical trends for such adjustments and are monitored monthly. As of March 31, 2014 and December 31, 2013, the Company estimated the reserve for future contractual adjustments and discounts to be $22.7 million and $20.6 million, respectively. The increase in the estimate is primarily related to both revenue growth resulting from both same clinic sales growth and clinic acquisitions, and from changes in collection trends. Individual patients are generally responsible for deductible and/or co-payments. The reserve for future contractual adjustments and discounts is reflected as a reduction of accounts receivable on the Company’s Consolidated Balance Sheet.

 

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

Net Accounts Receivable

Net Accounts Receivable

 

The Company reports accounts receivable at estimated net realizable amounts generated for products delivered and services rendered from federal, state, managed care health plans, commercial insurance companies and patients.  Collections of these accounts receivable are the Company’s primary source of cash and are critical to the Company’s operating performance.  The Company estimates uncollectible patient accounts primarily based upon its experience in historical collections from individual patients.  Bad debt expense is reported within Other operating expenses within the Consolidated Statement of Income and Comprehensive Income.  At March 31, 2014 and December 31, 2013, net accounts receivable reflected allowance for doubtful accounts, $10.3 million and $10.0 million respectively.

Property, Plant and Equipment

Property, Plant and Equipment

 

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

 

Included within the Buildings line item were $12.0 million and $10.9 million of buildings recorded under capital leases, as of March 31, 2014 and December 31, 2013, respectively.  Accumulated depreciation on these capital leases were $1.4 million and $0.9 million, as of March 31, 2014 and December 31, 2013, respectively.  The annual future minimum lease payments as of March 31, 2014 under the lease agreements are $1.4 million, $2.0 million, $2.1 million, $2.1 million, $2.2 million, $9.5 million for the years ending 2014, 2015, 2016, 2017, 2018 and thereafter.  These future minimum lease payments include $6.0 million of interest.

Goodwill and Other Intangible Assets

Goodwill and Other Intangible Assets

 

Goodwill represents the excess of purchase price over the fair value of net identifiable assets of purchased businesses. The Company assesses goodwill for impairment annually during the fourth quarter, or when events or circumstances indicate that the carrying value of the reporting units may not be recoverable.  The Company has the option to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test.  If the Company determines that a two-step goodwill impairment test is necessary or more efficient than a qualitative approach, it will measure the fair value of the Company’s reporting units using a combination of income, market and cost approaches.  Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset.  There were no impairment indicators since the last annual impairment test on October 1, 2013.

Debt Issuance Costs

Debt Issuance Costs

 

Debt issuance costs incurred in connection with the Company’s long-term debt are amortized, on a straight-line basis, which is not materially different from the effective interest method, through the maturity of the related debt instrument. Amortization of these costs is included in Interest Expense in the Consolidated Statements of Income and Comprehensive Income.

Long-Lived Asset Impairment

Long-Lived Asset Impairment

 

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

Supplemental Executive Retirement Plan (SERP)

Supplemental Executive Retirement Plan (SERP)

 

Effective January 2004, the Company implemented an unfunded noncontributory defined benefit plan (the “Plan”) for certain senior executives. Benefit costs and liabilities balances are calculated based on certain assumptions including benefits earned, discount rates, interest costs, mortality rates and other factors. The Company engages an actuary to calculate the benefit obligation and net benefit costs. The Plan, which is administered by the Company, calls for annual payments upon retirement based on years of service and final average salary. The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. Actual results that differ from the assumptions are accumulated and amortized over future periods, affecting the recorded obligation and expense in future periods. For further information, including the significant assumptions used in the estimate, see Note I of the accompanying financial statements.

Income Taxes

Income Taxes

 

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

Stock-Based Compensation

Stock-Based Compensation

 

The Company issues under one active stock-based compensation plan restricted stock units that settle in shares common stock. Shares of common stock issued under the stock-based compensation plan are issued from the Company’s authorized and unissued shares. Restricted stock units are granted at the fair market value of the Company’s common stock on the grant date. Restricted stock units vest over a period of time determined in accordance with the terms of the compensation plan, which permits vesting periods ranging from one to four years.  All restricted stock units issued under the plan have vested in four years, in the case of employees, and three years in the case of directors.

 

The Company applies the fair value recognition provisions of the authoritative guidance for stock compensation, which require companies to measure and recognize compensation expense for all stock-based payments at fair value.

 

Stock compensation expense relates to restricted stock units, as all previously granted stock options are now fully vested and all associated compensation expense has been recognized in prior years. The total value of the restricted stock units is expensed ratably over the requisite service period of the employees receiving the awards and is included within Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

Segment Information

Segment Information

 

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

Recent Accounting Pronouncements

Recent Accounting Pronouncements

 

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

XML 34 R1.htm IDEA: XBRL DOCUMENT v2.4.0.8
Document and Entity Information
3 Months Ended
Mar. 31, 2014
May 02, 2014
Document and Entity Information    
Entity Registrant Name HANGER, INC.  
Entity Central Index Key 0000722723  
Document Type 10-Q  
Document Period End Date Mar. 31, 2014  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Entity Current Reporting Status Yes  
Entity Filer Category Large Accelerated Filer  
Entity Common Stock, Shares Outstanding   35,212,424
Document Fiscal Year Focus 2014  
Document Fiscal Period Focus Q1  
XML 35 R18.htm IDEA: XBRL DOCUMENT v2.4.0.8
GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)
3 Months Ended
Mar. 31, 2014
GOODWILL AND OTHER INTANGIBLE ASSETS  
Schedule of goodwill allocated to the Company's operating segments

 

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

Additions due to acquisitions

 

17,130

 

3,778

 

20,908

 

Adjustments

 

 

 

 

Balance at March 31, 2014

 

$

562,395

 

$

140,060

 

$

702,455

 

 

 

 

Patient Care

 

Products &
Services

 

Total

 

Balance at December 31, 2012

 

$

538,492

 

$

136,282

 

$

674,774

 

Additions due to acquisitions

 

7,317

 

 

7,317

 

Adjustments

 

(544

)

 

(544

)

Balance at December 31, 2013

 

$

545,265

 

$

136,282

 

$

681,547

 

Schedule of balances related to intangible assets

 

 

 

 

March 31, 2014

 

December 31, 2013

 

(In thousands) 

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer Lists

 

$

50,263

 

$

(12,715

)

$

37,548

 

$

46,932

 

$

(11,627

)

$

35,305

 

Trade Name

 

11,825

 

(380

)

11,445

 

10,023

 

(264

)

9,759

 

Patents and Other Intangibles

 

28,546

 

(16,172

)

12,374

 

28,441

 

(15,484

)

12,957

 

 

 

$

90,634

 

$

(29,267

)

$

61,367

 

$

85,396

 

$

(27,375

)

$

58,021

 

XML 36 R4.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME    
Net sales $ 235,605 $ 229,350
Material costs 67,345 67,739
Personnel costs 96,431 89,953
Other operating expenses 45,600 39,657
Depreciation and amortization 10,199 9,285
Income from operations 16,030 22,716
Interest expense 6,098 7,777
Income before taxes 9,932 14,939
Provision for income taxes 3,935 5,449
Net income 5,997 9,490
Comprehensive income $ 5,997 $ 9,490
Basic Per Common Share Data    
Net income (in dollars per share) $ 0.17 $ 0.27
Shares used to compute basic per common share amounts (in shares) 35,076,828 34,598,494
Diluted Per Common Share Data    
Net income (in dollars per share) $ 0.17 $ 0.27
Shares used to compute diluted per common share amounts (in shares) 35,415,018 35,066,032
XML 37 R12.htm IDEA: XBRL DOCUMENT v2.4.0.8
COMMITMENTS AND CONTINGENT LIABILITIES
3 Months Ended
Mar. 31, 2014
COMMITMENTS AND CONTINGENT LIABILITIES  
COMMITMENTS AND CONTINGENT LIABILITIES

NOTE G COMMITMENTS AND CONTINGENT LIABILITIES

 

Contingencies

 

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

 

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

 

On May 20, 2013, the Staff of the Division of Enforcement of the Securities and Exchange Commission (the “SEC”) informed the Company that it was conducting an investigation of the Company and made a request for a voluntary production of documents and information concerning the Company’s calculations of bad debt expense and allowance for doubtful accounts The Company cooperated in the investigation.  By letter dated April 14, 2014 the Staff informed the Company that it had concluded its investigation, and that based on the information the Staff had as of that date, the Staff did not intend to recommend an enforcement action by the SEC against the Company.  The information in the Staff’s letter was provided under the guidelines set out in the final paragraph of Securities Act Release No. 5310.

 

Guarantees and Indemnifications

 

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

XML 38 R11.htm IDEA: XBRL DOCUMENT v2.4.0.8
LONG TERM DEBT
3 Months Ended
Mar. 31, 2014
LONG TERM DEBT  
LONG TERM DEBT

NOTE F — LONG TERM DEBT

 

Long-term debt consists of the following:

 

 

 

March 31,

 

December 31,

 

(In thousands)

 

2014

 

2013

 

 

 

 

 

 

 

Revolving Credit Facility

 

$

112,000

 

$

25,000

 

Term Loan

 

220,781

 

222,188

 

7 1/8% Senior Notes due 2018

 

200,000

 

200,000

 

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

 

29,154

 

21,071

 

Total Debt

 

561,935

 

468,259

 

Less current portion

 

(20,869

)

(15,998

)

Long Term Debt

 

$

541,066

 

$

452,261

 

 

Revolving Credit Facility

 

The $200.0 million Revolving Credit Facility matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  As of March 31, 2014, the Company had $84.5 million available under this facility. The amounts outstanding under the Revolving Credit Facility as of March 31, 2014 were $115.5 million, net of standby letters of credit of approximately $3.6 million. The obligations under the Revolving Credit Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

Term Loan

 

The Term Loan Facility, of which $220.8 million is outstanding, matures on June 17, 2018 and bears interest at LIBOR plus 1.75%, or the applicable rate (as defined in the Credit Agreement).  Quarterly principal payments ranging from 0.625% to 3.750% are required throughout the life of the Term Loan.  From time to time, mandatory prepayments may be required as a result of certain additional debt incurrences, certain asset sales, or other events as defined in the Credit Agreement. No mandatory prepayments are required under our Term Loan Agreement. The obligations under the Term Loan Facility are senior obligations, are guaranteed by the Company’s subsidiaries, and are secured by a first priority perfected security interest in all of the Company’s assets, all the assets of the Company’s subsidiaries and the equity interests of the Company’s subsidiaries.

 

71/8% Senior Notes

 

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

 

Prior to November 15, 2014, the Company may redeem all or some of the notes at a redemption price of 103.6% all to interest that would otherwise have become due from the redemption date through November 15, 2014.   On or after November 15, 2014, the Company may redeem all or a part of the notes with a premium, as described in further detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2013.

 

Subsidiary Guarantees

 

The Revolving and Term Loan Facilities and the 71/8% Senior Notes are guaranteed by all of the Company’s subsidiaries. Separate condensed consolidating information is not included as the parent company does not have independent assets or operations. The guarantees are full and unconditional and joint and several. There are no restrictions on the ability of our subsidiaries to transfer cash to the Company or to co-guarantors.

 

Debt Covenants

 

The terms of the Senior Notes, the Revolving Credit Facility, and the Term Loan Facility limit the Company’s ability to, among other things, purchase capital assets, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities, and engage in mergers, consolidations and certain sales of assets. The credit agreement requires compliance with various covenants including but not limited to (i) minimum consolidated interest coverage ratio of 3.50:1.00 and (ii) maximum total leverage ratio of 4.00:1.00. As of March 31, 2014, the Company was in compliance with all covenants under these debt agreements.

XML 39 R23.htm IDEA: XBRL DOCUMENT v2.4.0.8
SEGMENT AND RELATED INFORMATION (Tables)
3 Months Ended
Mar. 31, 2014
SEGMENT AND RELATED INFORMATION  
Summary of financial information concerning the Company's operating segments

 

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

Three Months Ended March 31, 2014

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

195,630

 

$

39,975

 

$

 

$

 

$

235,605

 

Intersegments

 

 

49,555

 

 

(49,555

)

 

Depreciation and amortization

 

4,879

 

2,955

 

2,365

 

 

10,199

 

Income (loss) from operations

 

22,275

 

10,668

 

(16,695

)

(218

)

16,030

 

Interest (income) expense

 

7,956

 

3,691

 

(5,549

)

 

6,098

 

Income (loss) before taxes

 

14,319

 

6,977

 

(11,146

)

(218

)

9,932

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

4,568

 

266

 

4,027

 

 

8,861

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended March 31, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

189,027

 

$

40,323

 

$

 

$

 

$

229,350

 

Intersegments

 

 

51,083

 

 

(51,083

)

 

Depreciation and amortization

 

4,066

 

3,203

 

2,016

 

 

9,285

 

Income (loss) from operations

 

25,389

 

9,475

 

(11,885

)

(263

)

22,716

 

Interest (income) expense

 

7,750

 

3,335

 

(3,308

)

 

7,777

 

Income (loss) before taxes

 

17,639

 

6,140

 

(8,577

)

(263

)

14,939

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

2,903

 

107

 

2,388

 

 

5,398

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

March 31, 2014

 

1,523,088

 

416,084

 

 

(569,487

)

1,369,685

 

December 31, 2013

 

1,502,721

 

408,628

 

 

(639,689

)

1,271,660

 

XML 40 R19.htm IDEA: XBRL DOCUMENT v2.4.0.8
INVENTORIES (Tables)
3 Months Ended
Mar. 31, 2014
INVENTORIES  
Schedule of inventory

 

 

(In thousands)

 

March 31, 2014

 

December 31, 2013

 

 

 

 

 

 

 

Raw materials

 

$

43,143

 

$

40,970

 

Work in process

 

75,661

 

66,832

 

Finished goods

 

35,148

 

33,716

 

 

 

$

153,952

 

$

141,518

XML 41 R15.htm IDEA: XBRL DOCUMENT v2.4.0.8
STOCK-BASED COMPENSATION
3 Months Ended
Mar. 31, 2014
STOCK-BASED COMPENSATION  
STOCK-BASED COMPENSATION

NOTE J - STOCK-BASED COMPENSATION

 

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

 

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

 

As of March 31, 2014, of the 2.5 million shares of common stock authorized for issuance under the Company’s 2010 Plan, approximately 1.8 million shares have been issued. During the first three months of 2014, the Company issued approximately 0.3 million shares of restricted stock units under the 2010 Plan. The total fair value of these grants is $9.3 million. Total unrecognized share-based compensation cost related to unvested restricted stock units was approximately $18.3 million as of March 31, 2014 and is expected to be expensed as compensation expense over approximately four years as the units vest.

 

For the three months ended March 31, 2014 and 2013, the Company has included approximately $2.4 million and $1.7 million, respectively, for share-based compensation cost in the accompanying condensed consolidated statements of income for the 2010 Plan. Compensation expense relates to restricted stock unit grants under that plan.

XML 42 R13.htm IDEA: XBRL DOCUMENT v2.4.0.8
NET INCOME PER COMMON SHARE
3 Months Ended
Mar. 31, 2014
NET INCOME PER COMMON SHARE  
NET INCOME PER COMMON SHARE

NOTE H — NET INCOME PER COMMON SHARE

 

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

 

Net income per share is computed as follows:

 

 

 

Three Months Ended

 

 

 

March 31,

 

(In thousands, except share and per share data)

 

2014

 

2013

 

Net income

 

$

5,997

 

$

9,490

 

 

 

 

 

 

 

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

 

35,076,828

 

34,598,494

 

Effect of dilutive restricted stock and options (1)

 

338,190

 

467,538

 

Shares used to compute dilutive per common share amounts

 

35,415,018

 

35,066,032

 

 

 

 

 

 

 

Basic income per share

 

$

0.17

 

$

0.27

 

Diluted income per share

 

$

0.17

 

$

0.27

 

 

(1) There were no anti-dilutive options for the three months ended March 31, 2014 and 2013.

XML 43 R14.htm IDEA: XBRL DOCUMENT v2.4.0.8
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)
3 Months Ended
Mar. 31, 2014
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)  
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)

NOTE I — SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)

 

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

 

The following assumptions were used in the calculation of the net benefit cost and obligation at March 31, 2014 and 2013:

 

 

 

2014

 

2013

 

Discount rate

 

4.03

%

3.25

%

Average rate of increase in compensation

 

3.00

%

3.00

%

 

The Company believes the assumptions used are appropriate; however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. The change in the Plan’s net benefit obligation for the three months ended March 31, 2014 and 2013 is as follows:

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2013

 

$

20,952

 

Service cost

 

129

 

Interest cost

 

199

 

Payments

 

(1,247

)

Net benefit cost accrued at March 31, 2014

 

$

20,033

 

 

 

 

(in thousands)

 

Net benefit cost accrued at December 31, 2012

 

$

22,377

 

Service cost

 

169

 

Interest cost

 

173

 

Payments

 

(705

)

Net benefit cost accrued at March 31, 2013

 

$

22,014

 

XML 44 R16.htm IDEA: XBRL DOCUMENT v2.4.0.8
SEGMENT AND RELATED INFORMATION
3 Months Ended
Mar. 31, 2014
SEGMENT AND RELATED INFORMATION  
SEGMENT AND RELATED INFORMATION

NOTE K — SEGMENT AND RELATED INFORMATION

 

The Company has identified two operating segments and both performance evaluation and resource allocation decisions are determined based on each operating segment’s income from operations.  The operating segments are described further below:

 

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

 

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

 

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

 

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

 

·                  U.S. Department of Veterans Affairs.

 

The Company estimates that government reimbursement, comprised of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 38.7% and 40.2%, of the Company’s net sales for the three months ended March 31, 2014 and 2013, respectively.

 

The Company’s contract and network management business is the only network management company dedicated solely to serving the O&P market and is focused on managing the O&P services of national and regional insurance companies. It partners with healthcare insurance companies by securing a national or regional contract either as a preferred provider or to manage their O&P network of providers. The network now includes approximately 1,170 O&P provider locations, including over 400 independent providers. As of March 31, 2014, it had 58 contracts with national and regional providers.

 

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

 

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

 

The accounting policies of the segments are the same as those described in the summary of “Significant Accounting Policies” in Note B to the consolidated financial statements.

 

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

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

Three Months Ended March 31, 2014

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

195,630

 

$

39,975

 

$

 

$

 

$

235,605

 

Intersegments

 

 

49,555

 

 

(49,555

)

 

Depreciation and amortization

 

4,879

 

2,955

 

2,365

 

 

10,199

 

Income (loss) from operations

 

22,275

 

10,668

 

(16,695

)

(218

)

16,030

 

Interest (income) expense

 

7,956

 

3,691

 

(5,549

)

 

6,098

 

Income (loss) before taxes

 

14,319

 

6,977

 

(11,146

)

(218

)

9,932

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

4,568

 

266

 

4,027

 

 

8,861

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended March 31, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

189,027

 

$

40,323

 

$

 

$

 

$

229,350

 

Intersegments

 

 

51,083

 

 

(51,083

)

 

Depreciation and amortization

 

4,066

 

3,203

 

2,016

 

 

9,285

 

Income (loss) from operations

 

25,389

 

9,475

 

(11,885

)

(263

)

22,716

 

Interest (income) expense

 

7,750

 

3,335

 

(3,308

)

 

7,777

 

Income (loss) before taxes

 

17,639

 

6,140

 

(8,577

)

(263

)

14,939

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

2,903

 

107

 

2,388

 

 

5,398

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

March 31, 2014

 

1,523,088

 

416,084

 

 

(569,487

)

1,369,685

 

December 31, 2013

 

1,502,721

 

408,628

 

 

(639,689

)

1,271,660

 

XML 45 R34.htm IDEA: XBRL DOCUMENT v2.4.0.8
NET INCOME PER COMMON SHARE (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
NET INCOME PER COMMON SHARE    
Net income $ 5,997 $ 9,490
Shares of common stock outstanding used to compute basic per common share amounts 35,076,828 34,598,494
Effect of dilutive restricted stock and options (in shares) 338,190 467,538
Shares used to compute dilutive per common share amounts 35,415,018 35,066,032
Basic income per share (in dollars per share) $ 0.17 $ 0.27
Diluted income per share (in dollars per share) $ 0.17 $ 0.27
Anti-dilutive options (in shares) 0 0
XML 46 R21.htm IDEA: XBRL DOCUMENT v2.4.0.8
NET INCOME PER COMMON SHARE (Tables)
3 Months Ended
Mar. 31, 2014
NET INCOME PER COMMON SHARE  
Schedule of computation of net income per share

 

 

 

 

Three Months Ended

 

 

 

March 31,

 

(In thousands, except share and per share data)

 

2014

 

2013

 

Net income

 

$

5,997

 

$

9,490

 

 

 

 

 

 

 

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

 

35,076,828

 

34,598,494

 

Effect of dilutive restricted stock and options (1)

 

338,190

 

467,538

 

Shares used to compute dilutive per common share amounts

 

35,415,018

 

35,066,032

 

 

 

 

 

 

 

Basic income per share

 

$

0.17

 

$

0.27

 

Diluted income per share

 

$

0.17

 

$

0.27

 

 

(1) There were no anti-dilutive options for the three months ended March 31, 2014 and 2013.

XML 47 R26.htm IDEA: XBRL DOCUMENT v2.4.0.8
SIGNIFICANT ACCOUNTING POLICIES (Details 3) (USD $)
3 Months Ended 12 Months Ended
Mar. 31, 2014
Dec. 31, 2013
SIGNIFICANT ACCOUNTING POLICIES    
Allowance for Doubtful Accounts Receivable $ 10,313,000 $ 10,022,000
Long-Lived Asset Impairment    
Impairments of long-lived asset 0 0
Buildings
   
Property, Plant and Equipment    
Asset under capital leases 12,000,000 10,900,000
Accumulated depreciation on capital leases asset 1,400,000 900,000
Annual future minimum lease payments under capital leases    
2014 1,400,000  
2015 2,000,000  
2016 2,100,000  
2017 2,100,000  
2018 2,200,000  
Thereafter 9,500,000  
Interest included in future minimum lease payments $ 6,000,000  
XML 48 R5.htm IDEA: XBRL DOCUMENT v2.4.0.8
CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Cash flows from operating activities:    
Net income $ 5,997 $ 9,490
Adjustments to reconcile net income to net cash provided by operating activities:    
Loss/(gain) on disposal of assets (547) 52
Provision for doubtful accounts 3,754 1,657
Provision for deferred income taxes 358  
Depreciation and amortization 10,199 9,285
Amortization of debt issuance costs 430 864
Compensation expense restricted stock units 2,418 1,667
Changes in operating assets and liabilities, net of effects of acquired companies:    
Accounts receivable 1,537 7,216
Inventories (10,589) (5,197)
Prepaid expenses, other current assets, and income taxes (12,736) (3,860)
Accounts payable 2,126 (2,006)
Accrued expenses, accrued interest payable 2,384 3,883
Accrued compensation related costs (15,040) (19,544)
Other (253) (1,314)
Net cash provided by/(used in) operating activities (9,962) 2,193
Cash flows from investing activities:    
Purchase of property, plant and equipment (net of acquisitions) (8,297) (5,110)
Purchase of equipment leased to third parties under operating leases (564) (288)
Acquisitions (net of cash acquired) (19,167)  
Purchase of company-owned life insurance investment (2,294)  
Proceeds from sale of property, plant and equipment 522 91
Net cash used in investing activities (29,800) (5,307)
Cash flows from financing activities:    
Borrowings under revolving credit agreement 125,000  
Repayments under revolving credit agreement (38,000)  
Repayment of term loan (1,406) (750)
Repayment of seller's notes and other contingent considerations (1,594) (1,410)
Repayment of capital lease obligations (340) (180)
Excess tax benefit from stock based compensation 1,780 1,214
Proceeds from issuance of common stock 86 62
Net cash provided by/(used in) financing activities 85,526 (1,064)
Increase/(decrease) in cash and cash equivalents 45,764 (4,178)
Cash and cash equivalents, at beginning of period 9,860 19,211
Cash and cash equivalents, at end of period 55,624 15,033
Cash paid during the period for:    
Interest 1,629 3,290
Income taxes (net of refunds) 11,159 5,591
Non-cash financing and investing activities:    
Issuance of restricted stock units 8,691 9,617
Issuance of notes in connections with acquistisions $ 9,300  
XML 49 R10.htm IDEA: XBRL DOCUMENT v2.4.0.8
ACQUISITIONS
3 Months Ended
Mar. 31, 2014
ACQUISITIONS  
ACQUISITIONS

NOTE E — ACQUISITIONS

 

During the three months ended March 31, 2014, the Company acquired seven companies, operating a total of 22 patient care clinics. The aggregate purchase price for these O&P businesses was $28.9 million. Of this aggregate purchase price, $9.3 million consisted of promissory notes, $0.4 million was made up of contingent consideration payable within the next two years and $19.1 million was paid in cash. The excess of purchase price over the aggregate fair value was recorded as goodwill. The Company preliminarily allocated the purchase price to the individual assets acquired and liabilities assumed, consisting of $2.6 million accounts receivable, $1.8 million inventory, $20.9 million of goodwill, $4.5 million of definite lived intangibles, $1.5 of indefinite lived intangibles, fixed assets and other assets of $1.4 million, and accounts payable and other liabilities of $3.8 million. The Company’s valuations are subject to adjustment as additional information is obtained. The value of the goodwill from these acquisitions can be attributed to a number of business factors including, but not limited to expected revenue and cash flow growth in future years. Contingent consideration is reported as other liabilities on the Company’s Consolidated Balance Sheet. The Company elected to treat all of these acquisitions as asset acquisitions for tax purposes resulting in all of the Q1 2014 recorded Goodwill as being amortizable for tax purposes. The expenses incurred related to these acquisitions were insignificant and were included in Other operating expenses on the Company’s Consolidated Statements of Income and Comprehensive Income.

 

During the three months ended March 31, 2013, the Company did not acquire any new O&P companies.

 

The results of operations for the acquisitions are included in the Company’s results of operations from the dates of acquisition. Pro forma results would not be materially different. In connection with contingent consideration agreements, the Company made payments of $0.4 million in the first three months of 2014 and $0.7 million in the same period 2013. As of March 31, 2014 the Company has accrued a total of $2.6 million related to contingent consideration provisions related to acquisitions made in prior periods.

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SIGNIFICANT ACCOUNTING POLICIES (Details 4) (Restricted stock units)
3 Months Ended
Mar. 31, 2014
Stock-Based Compensation  
Number of stock-based compensation plans 1
Employees
 
Stock-Based Compensation  
Period for vesting of awards 4 years
Directors
 
Stock-Based Compensation  
Period for vesting of awards 3 years
Minimum
 
Stock-Based Compensation  
Period for vesting of awards 1 year
Maximum
 
Stock-Based Compensation  
Period for vesting of awards 4 years

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LONG TERM DEBT (Tables)
3 Months Ended
Mar. 31, 2014
LONG TERM DEBT  
Schedule of long-term debt

 

 

 

 

March 31,

 

December 31,

 

(In thousands)

 

2014

 

2013

 

 

 

 

 

 

 

Revolving Credit Facility

 

$

112,000

 

$

25,000

 

Term Loan

 

220,781

 

222,188

 

7 1/8% Senior Notes due 2018

 

200,000

 

200,000

 

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

 

29,154

 

21,071

 

Total Debt

 

561,935

 

468,259

 

Less current portion

 

(20,869

)

(15,998

)

Long Term Debt

 

$

541,066

 

$

452,261

 

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