0001193125-14-245358.txt : 20140626 0001193125-14-245358.hdr.sgml : 20140626 20140623160242 ACCESSION NUMBER: 0001193125-14-245358 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 9 CONFORMED PERIOD OF REPORT: 20140623 ITEM INFORMATION: Other Events ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20140623 DATE AS OF CHANGE: 20140623 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMSURG CORP CENTRAL INDEX KEY: 0000895930 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621493316 STATE OF INCORPORATION: TN FISCAL YEAR END: 0512 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-22217 FILM NUMBER: 14935213 BUSINESS ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-665-1283 MAIL ADDRESS: STREET 1: 20 BURTON HILLS BLVD. STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 8-K 1 d743989d8k.htm 8-K 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report:

June 23, 2014

 

 

AMSURG CORP.

(Exact Name of Registrant as Specified in Charter)

 

 

 

Tennessee   000-22217   62-1493316

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

20 Burton Hills Boulevard

Nashville, Tennessee

    37215
(Address of Principal Executive Offices)     (Zip Code)

(615) 665-1283

(Registrant’s Telephone Number, Including Area Code)

Not Applicable

(Former Name or Former Address, if Changed Since Last Report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

  ¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

  ¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

  ¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

  ¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Item 8.01 Other Events.

As previously announced, on May 29, 2014, AmSurg Corp., a Tennessee corporation (the “Company”), Arizona Merger Corporation, a Delaware corporation and direct wholly-owned subsidiary of the Company (“Merger Sub”), and Arizona II Merger Corporation, a Delaware corporation and direct wholly-owned subsidiary of the Company (“Merger Sub II”), entered into a Purchase Agreement and Agreement and Plan of Merger with Sunbeam GP Holdings, LLC, a Delaware limited liability company, (“Seller”), Sunbeam GP LLC, a Delaware limited liability company and the general partner of the Partnership (the “General Partner”), Sunbeam Holdings, L.P., a Delaware limited partnership (the “Partnership”), Sunbeam Primary Holdings, Inc., a Delaware corporation and a wholly owned subsidiary of the Partnership (“Sunbeam Primary”), and HFCP VI Securityholders’ Rep LLC, a Delaware limited liability company, in its capacity as agent and attorney-in-fact for Seller and the unitholders of the Partnership, as amended by Amendment No. 1 to Purchase Agreement and Agreement and Plan of Merger, dated June 12, 2014 (as amended, the “Merger Agreement”). The Partnership is an indirect parent company of Sheridan Healthcare, Inc.

Under the terms of the Merger Agreement, (i) the Company will purchase 100% of the issued and outstanding membership interests of the General Partner (the “Equity Purchase”) and (ii) the Partnership will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger (“Merger 1”), and immediately following Merger 1, Merger Sub will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger as a wholly-owned subsidiary of the Company (“Merger 2”). If, based upon the relative proportion of cash and Company stock included in the Merger Consideration (as defined in Exhibit 99.1), the transactions contemplated by the Merger Agreement are intended to qualify as a plan of reorganization within the meaning of Section 1.368-2(g) of the Treasury Regulations, then following Merger 2, Sunbeam Primary will merge with and into Merger Sub II, with Merger Sub II surviving as a wholly-owned subsidiary of the Company (“Merger 3” and collectively with Merger 1 and Merger 2, the “Merger”).

Furnished as Exhibit 99.1 and incorporated herein by reference are the unaudited pro forma condensed combined financial statements of the Company for the year ended December 31, 2013, for the three months ended March 31, 2014 and 2013 and as of March 31, 2014. The pro forma financial statements give pro forma effect to the Merger and certain proposed financing transactions that will occur in connection with the Merger. The pro forma financial statements are derived from the historical financial statements of the Company and the Partnership. The pro forma financial statements, which have been prepared in connection with the proposed financing transactions, are preliminary and reflect a number of assumptions, including, among others, that the Merger and the proposed financing transactions will be consummated. There can be no assurance that any of such transactions will be consummated or that the actual terms of such transactions will not differ materially from the Company’s current expectations.

Attached hereto as Exhibit 99.2 and incorporated herein by reference are the audited consolidated balance sheets of the Partnership at December 31, 2013 and December 31, 2012 and the audited consolidated statements of income and comprehensive income, statements of equity and statements of cash flows for each of the three years in the period ended December 31, 2013 with the report of the independent auditors. Attached hereto as Exhibit 99.3 and incorporated herein by reference are the unaudited condensed consolidated balance sheets of the Partnership at March 31, 2014 and December 31, 2013 and the unaudited condensed consolidated statements of income and comprehensive income and statements of cash flows for the three months ended March 31, 2014 and March 31, 2013.

 

2


Item 9.01 Financial Statements and Exhibits.

 

  (d) Exhibits:

 

  15.1 Awareness Letter of Deloitte & Touche LLP regarding Sunbeam Holdings, L.P. and Subsidiaries unaudited interim financial information.

 

  23.1 Consent of Independent Auditors.

 

  99.1 Unaudited pro forma condensed combined financial statements of AmSurg Corp. for the three months ended March 31, 2014 and 2013, for the year ended December 31, 2013 and as of March 31, 2014, and the notes related thereto.

 

  99.2 Audited consolidated balance sheets of Sunbeam Holdings, L.P. and Subsidiaries at December 31, 2013 and December 31, 2012 and the audited consolidated statements of income and comprehensive income, statements of equity and statements of cash flows for each of the three years in the period ended December 31, 2013, and the related notes thereto.

 

  99.3 Unaudited condensed consolidated balance sheets of Sunbeam Holdings, L.P. and Subsidiaries at March 31, 2014 and December 31, 2013 and the unaudited condensed consolidated statements of income and comprehensive income and statements of cash flows for the three months ended March 31, 2014 and March 31, 2013, and the related notes thereto.

Cautionary Statement Regarding Forward-Looking Statements

This Current Report on Form 8-K (including the exhibits) hereto contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include any statements that address future events, occurrences or results. In some cases, forward-looking statements can be identified by terminology such as “may,” “might,” “will,” “would,” “should,” “could” or the negative thereof. Generally, the words “anticipate,” “believe,” “continue,” “expect,” “intend,” “estimate,” “project,” “plan” and similar expressions used in connection with any discussion of the Merger Agreement and the Merger identify forward-looking statements. Such forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties and assumptions that are difficult to predict. Therefore, actual results could differ materially and adversely from these forward-looking statements.

The Company has based these forward-looking statements on its current expectations, assumptions, estimates and projections. Although the Company believes that such expectations, assumptions, estimates and projections are reasonable, forward-looking statements are only predictions and involve known and unknown risks, uncertainties and other factors, many of which are outside of the Company’s control and could cause the Company’s actual results, performance or achievements to differ materially and adversely from any results, performance or achievements expressed or implied by such forward-looking statements.

Given these risks and uncertainties, undue reliance should not be placed on these forward-looking statements. These forward-looking statements are made only as of the date of this Current Report on Form 8-K. The Company does not undertake, and expressly disclaims, any obligation to update or alter any forward-looking statements, whether as a result of new information, future events or otherwise.

 

3


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 hereunto duly authorized.

 

AMSURG CORP.
By:   

/s/ Kevin D. Eastridge

  Kevin D. Eastridge
  Senior Vice President, Finance and
 

Chief Accounting Officer

Date: June 23, 2014


EXHIBIT INDEX

 

No.

  

Exhibit

15.1    Awareness Letter of Deloitte & Touche LLP regarding Sunbeam Holdings, L.P. and Subsidiaries unaudited interim financial information.
23.1    Consent of Independent Auditors.
99.1    Unaudited pro forma condensed combined financial statements of AmSurg Corp. for the three months ended March 31, 2014 and 2013, for the year ended December 31, 2013 and as of March 31, 2014, and the notes related thereto.
99.2    Audited consolidated balance sheets of Sunbeam Holdings, L.P. and Subsidiaries at December 31, 2013 and December 31, 2012 and the audited consolidated statements of income and comprehensive income, statements of equity and statements of cash flows for each of the three years in the period ended December 31, 2013, and the related notes thereto.
99.3    Unaudited condensed consolidated balance sheets of Sunbeam Holdings, L.P. and Subsidiaries at March 31, 2014 and December 31, 2013 and the unaudited condensed consolidated statements of income and comprehensive income and statements of cash flows for the three months ended March 31, 2014 and March 31, 2013, and the related notes thereto.
EX-15.1 2 d743989dex151.htm EX-15.1 EX-15.1

Exhibit 15.1

June 23, 2014

The Board of Directors of Sunbeam Holdings, L.P.

1613 N. Harrison Parkway, Suite 200

Sunrise, FL 33323

We have reviewed, in accordance with auditing standards generally accepted in the United States of America applicable to reviews of interim financial information, the unaudited interim financial information of Sunbeam Holdings, L.P. and its subsidiaries for the three-month periods ended March 31, 2014 and 2013, as indicated in our report dated June 6, 2014; because we did not perform an audit, we expressed no opinion on that information.

We are aware that our report referred to above, which is included in this Current Report on Form 8-K of AmSurg Corp. dated June 23, 2014, is incorporated by reference in Registration Statement Nos. 333-41961, 333-33576, 333-56950, 333-65748, 333-81880, 333-90156, 333-107637, 333-118095, 333-134948, 333-149976, 333-151262, and 333-170531 on Forms S-8.

We also are aware that the aforementioned report, pursuant to Rule 436(c) under the Securities Act of 1933, is not considered a part of the Registration Statement prepared or certified by an accountant or a report prepared or certified by an accountant within the meaning of Sections 7 and 11 of that Act.

/s/ DELOITTE & TOUCHE LLP

Certified Public Accountants

Miami, Florida

EX-23.1 3 d743989dex231.htm EX-23.1 EX-23.1

Exhibit 23.1

CONSENT OF INDEPENDENT AUDITORS

We consent to the incorporation by reference in Registration Statement Nos. 333-41961, 333-33576, 333-56950, 333-65748, 333-81880, 333-90156, 333-107637, 333-118095, 333-134948, 333-149976, 333-151262, and 333-170531 on Forms S-8 of AmSurg Corp. of our report dated March 31, 2014 (May 13, 2014 as to the presentation of the consolidated statement of equity as discussed in Note 1 and the disclosure of reportable segments as disclosed in Note 20) relating to the consolidated financial statements of Sunbeam Holdings, L.P. and Subsidiaries as of December 31, 2013 and 2012, and each of the three years in the period ended December 31, 2013 appearing in this Current Report on Form 8-K of AmSurg Corp.

/s/ DELOITTE & TOUCHE LLP

Certified Public Accountants

Miami, Florida

June 23, 2014

EX-99.1 4 d743989dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION

The accompanying unaudited pro forma condensed combined statements of earnings (the “Pro Forma Statements of Earnings”) for the three months ended March 31, 2014 and 2013 and for the year ended December 31, 2013 combine the historical consolidated statements of earnings of AmSurg and Sunbeam Holdings, L.P. and its subsidiaries, whose wholly-owned subsidiaries include Sunbeam Primary Holdings, Inc. and Sheridan Holdings, Inc. (collectively “Sheridan”). The Pro Forma Statements of Earnings give effect to the Merger as if it had been completed on January 1, 2013, the beginning of the earliest period presented. The accompanying unaudited pro forma condensed combined balance sheet (the “Pro Forma Balance Sheet”) as of March 31, 2014 combines the historical consolidated balance sheets of AmSurg and Sheridan, giving effect to the Merger as if it had been completed on March 31, 2014.

The accompanying unaudited pro forma condensed combined financial statements (the “Statements”) and related notes were prepared using the acquisition method of accounting with AmSurg considered the acquirer of Sheridan. Accordingly, the Merger Consideration (as defined herein) has been allocated to the assets and liabilities of Sheridan based upon their estimated fair values assuming the Merger is consummated. The pro forma adjustments for the Merger do not include any adjustments to the Merger Consideration that may occur pursuant to the Merger Agreement and any such adjustments may be material. Any amount of the Merger Consideration that is in excess of the estimated fair values of assets acquired and liabilities assumed will be recorded as goodwill in AmSurg’s balance sheet after the completion of the Merger. As of the date hereof, AmSurg has not completed the detailed valuation work necessary to arrive at the required estimates of the fair value of the Sheridan assets to be acquired and the liabilities to be assumed and the related allocation of the Merger Consideration, nor has it identified all adjustments necessary to conform Sheridan’s accounting policies to AmSurg’s accounting policies. A final determination of the fair value of Sheridan’s assets and liabilities will be based on the actual net tangible and intangible assets and liabilities of Sheridan that exist as of the date of completion of the Merger and, therefore, cannot be made prior to that date. Accordingly, the accompanying unaudited pro forma Merger Consideration allocation is preliminary and is subject to further adjustments as additional information becomes available and as additional analyses are performed. The preliminary unaudited pro forma Merger Consideration allocation has been made solely for the purpose of preparing the accompanying Statements. The preliminary Merger Consideration allocation was based on AmSurg’s historical experience and AmSurg’s due diligence review of Sheridan’s business. Upon completion of the Merger, valuation work will be performed. Increases or decreases in the fair value of relevant balance sheet amounts will result in adjustments to the balance sheet and/or statements of earnings until the Merger Consideration allocation is finalized. There can be no assurance that such finalization will not result in material changes from the preliminary Merger Consideration allocation included in the accompanying Statements.

The Statements do not include any adjustment for liabilities or related costs that may result from integration activities, since management is in the process of making these assessments. Significant liabilities and related costs may ultimately be recorded for employee severance and costs associated with other integration activities. The Statements also do not include any adjustment for recent acquisitions made by AmSurg or Sheridan.

We anticipate that the Merger will result in significant annual synergies that would be unachievable without completing the Merger. No assurance can be made that we will be able to achieve these synergies and any such synergies have not been reflected in these Statements.

The Pro Forma Statements of Earnings do not include any material nonrecurring charges that might arise as a result of the Merger. The Pro Forma Balance Sheet only includes adjustments for transaction-related costs that are factually supportable.

The accompanying Statements and related notes are being provided for illustrative purposes only and do not purport to represent what the actual consolidated results of operations or the consolidated balance sheet of AmSurg would have been had the Merger occurred on the dates assumed, nor are they necessarily indicative of AmSurg’s future consolidated results of operations or consolidated financial position. The Statements do not

 

1


reflect synergies expected as a result of the Merger, nor do they reflect the full impact of acquisitions that occurred during the periods presented. The Statements are based upon currently available information and estimates and assumptions that AmSurg management believes are reasonable as of the date hereof. Any of the factors underlying these estimates and assumptions may change or prove to be materially different, and the estimates and assumptions may not be representative of facts existing at the closing date of the Merger.

The accompanying Statements have been developed from and should be read in conjunction with the audited annual and unaudited interim consolidated financial statements and related notes of AmSurg on Form 10-K for the year ended December 31, 2013 filed with the Securities and Exchange Commission (the “SEC”) on February 26, 2014 and Form 10-Q and Form 10-Q/A for the quarter ended March 31, 2014 filed with the SEC on May 1, 2014 and May 2, 2014, respectively, and Sheridan included in Exhibits 99.2 and 99.3, respectively, contained in this Current Report on Form 8-K.

 

2


UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF EARNINGS

For the three months ended March 31, 2014

(In thousands, except earnings per share data)

 

     Historical
AmSurg
     Historical
Sheridan
    Adjustments            Pro Forma
Combined
     

Revenues

   $ 263,107       $ 263,458      $ —           $ 526,565     

Provision for uncollectibles

     —           (12,636     —             (12,636  
  

 

 

    

 

 

   

 

 

      

 

 

   

Net revenues

     263,107         250,822        —             513,929     

Operating expenses:

              

Salaries and benefits

     83,194         179,509        —             262,703     

Supply cost

     38,720         —          1,347        (b)         40,067     

Other operating expenses

     55,269         39,652        (1,347     (b)         91,757     
          (1,817     (b)        

Depreciation and amortization

     8,374         9,889        6,739        (g)         25,002     
  

 

 

    

 

 

   

 

 

      

 

 

   

Total operating expenses

     185,557         229,050        4,922           419,529     

Gain (loss) on deconsolidation

     2,045         —          (1,817     (b)         228     

Equity in earnings (loss) of unconsolidated affiliates

     764         (432     —             332     
  

 

 

    

 

 

   

 

 

      

 

 

   

Operating income

     80,359         21,340        (6,739        94,960     

Interest expense, net

     6,963         19,017        6,538        (h)         32,518     

Other expense, net

     —           12        —             12     
  

 

 

    

 

 

   

 

 

      

 

 

   

Earnings from continuing operations before income taxes

     73,396         2,311        (13,277        62,430     

Income tax expense

     13,057         1,138        (5,324     (i)         8,871     
  

 

 

    

 

 

   

 

 

      

 

 

   

Net earnings from continuing operations

     60,339         1,173        (7,953        53,559     

Less net earnings from continuing operations attributable to noncontrolling interests

     42,835         635        —             43,470     
  

 

 

    

 

 

   

 

 

      

 

 

   

Net earnings from continuing operations

   $ 17,504       $ 538      $ (7,953      $ 10,089     
  

 

 

    

 

 

   

 

 

      

 

 

   

Earnings per share from continuing operations attributable to AmSurg Corp. common shareholders:

              

Basic

   $ 0.55              $ 0.18      (l)

Diluted

   $ 0.54              $ 0.18      (m)

Weighted average number of shares and share equivalents outstanding:

              

Basic

     31,716           15,284        (j)         47,000     

Diluted

     32,120           15,284        (j)         47,404     

The accompanying notes are an integral part of this unaudited pro forma condensed combined financial information.

 

3


UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF EARNINGS

For the three months ended March 31, 2013

(In thousands, except earnings per share data)

 

    Historical
AmSurg
    Historical
Sheridan
    Adjustments            Pro Forma
Combined
     

Revenues

  $ 258,189      $ 229,626      $ —           $ 487,815     

Provision for uncollectibles

    —          (12,950     —             (12,950  
 

 

 

   

 

 

   

 

 

      

 

 

   

Net revenues

    258,189        216,676        —             474,865     

Operating expenses:

            

Salaries and benefits

    80,958        157,654        —             238,612     

Supply cost

    37,213        —          1,409        (b)         38,622     

Other operating expenses

    52,727        31,272        (1,409 )      (b)         82,590     

Depreciation and amortization

    8,008        8,743        6,739        (g)         23,490     
 

 

 

   

 

 

   

 

 

      

 

 

   

Total operating expenses

    178,906        197,669        6,739           383,314     

Gain on deconsolidation

    2,237        —          —             2,237     

Equity in earnings of unconsolidated affiliates

    402        —          —             402     
 

 

 

   

 

 

   

 

 

      

 

 

   

Operating income

    81,922        19,007        (6,739        94,190     

Interest expense, net

    7,542        12,006        13,076        (h)         32,624     

Loss on extinguishment of debt

    —          4,390        —             4,390     
 

 

 

   

 

 

   

 

 

      

 

 

   

Earnings from continuing operations before income taxes

    74,380        2,611        (19,815        57,176     

Income tax expense

    12,269        1,372        (7,946 )      (i)         5,695     
 

 

 

   

 

 

   

 

 

      

 

 

   

Net earnings from continuing operations

    62,111        1,239        (11,869        51,481     

Less net earnings from continuing operations attributable to noncontrolling interests

    44,361        917        —             45,278     
 

 

 

   

 

 

   

 

 

      

 

 

   

Net earnings from continuing operations

  $ 17,750      $ 322      $ (11,869      $ 6,203     
 

 

 

   

 

 

   

 

 

      

 

 

   

Earnings per share from continuing operations attributable to AmSurg Corp. common shareholders:

            

Basic

  $ 0.57             $ 0.10      (l)

Diluted

  $ 0.56             $ 0.10      (m)

Weighted average number of shares and share equivalents outstanding:

            

Basic

    31,217          15,284        (j)         46,501     

Diluted

    31,881          15,284        (j)         47,165     

The accompanying notes are an integral part of this unaudited pro forma condensed combined financial information.

 

4


UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF EARNINGS

For the year ended December 31, 2013

(In thousands, except earnings per share data)

 

     Historical
AmSurg
     Historical
Sheridan
    Adjustments           Pro Forma
Combined
     

Revenues

   $ 1,079,343       $ 976,934      $ —          $ 2,056,277     

Provision for uncollectibles

     —           (57,691     —            (57,691  
  

 

 

    

 

 

   

 

 

     

 

 

   

Net revenues

     1,079,343         919,243        —            1,998,586     

Operating expenses:

             

Salaries and benefits

     333,190         654,941        —            988,131     

Supply cost

     157,771         —          5,344        (b     163,115     

Other operating expenses

     222,677         135,041        (5,344 )      (b     352,374     

Depreciation and amortization

     33,028         35,551        26,957        (g     95,536     
  

 

 

    

 

 

   

 

 

     

 

 

   

Total operating expenses

     746,666         825,533        26,957          1,599,156     

Gain on deconsolidation

     2,237         —          —            2,237     

Equity in earnings of unconsolidated affiliates

     3,151         —          —            3,151     
  

 

 

    

 

 

   

 

 

     

 

 

   

Operating income

     338,065         93,710        (26,957       404,818     

Interest expense, net

     29,538         47,818        52,966        (h     130,322     

Loss on extinguishment of debt

     —           11,018        —            11,018     

Other expense, net

     —           41        —            41     
  

 

 

    

 

 

   

 

 

     

 

 

   

Earnings from continuing operations before income taxes

     308,527         34,833        (79,923       263,437     

Income tax expense

     49,754         18,300        (32,049 )      (i     36,005     
  

 

 

    

 

 

   

 

 

     

 

 

   

Net earnings from continuing operations

     258,773         16,533        (47,874       227,432     

Less net earnings from continuing operations attributable to noncontrolling interests

     186,120         2,789        —            188,909     
  

 

 

    

 

 

   

 

 

     

 

 

   

Net earnings from continuing operations

   $ 72,653       $ 13,744      $ (47,874     $ 38,523     
  

 

 

    

 

 

   

 

 

     

 

 

   

Earnings per share from continuing operations attributable to AmSurg Corp. common shareholders:

             

Basic

   $ 2.32             $ 0.68      (l)

Diluted

   $ 2.27             $ 0.67      (m)

Weighted average number of shares and share equivalents outstanding:

             

Basic

     31,338           15,284        (j     46,622     

Diluted

     31,954           15,284        (j     47,238     

The accompanying notes are an integral part of this unaudited pro forma condensed combined information.

 

5


UNAUDITED PRO FORMA CONDENSED COMBINED BALANCE SHEET

March 31, 2014

(In thousands)

 

    Historical
AmSurg
    Historical
Sheridan
    Adjustments           Pro Forma
Combined
 

Assets

         

Current assets:

         

Cash and cash equivalents

  $ 47,116      $ 105,890      $ (105,890     (a)      $ 85,582   
        (2,159,059     (a)     
        2,603,178         (c)     
        (405,653     (c)     

Restricted cash and marketable securities

    —          22,504        —            22,504   

Accounts receivable, net

    106,209        133,993        —            240,202   

Supplies inventory

    18,433        —          923         (b)        19,356   

Deferred income taxes

    1,026        11,996        —            13,022   

Prepaid and other current assets

    37,151        31,570        (923     (b)        91,516   
        23,718         (e)     
 

 

 

   

 

 

   

 

 

     

 

 

 

Total current assets

    209,935        305,953        (43,706       472,182   

Property and equipment, net

    169,006        29,784        —            198,790   

Goodwill

    1,764,623        912,160        (912,160     (a)        3,370,606   
        1,605,983         (a)     

Intangible assets, net

    21,093        541,323        (541,323     (a)        1,236,644   
        1,168,058         (a)     
        47,493        (f)     

Investments in unconsolidated affiliates and other

    19,484        35,410        (20,348     (f)        34,546   
 

 

 

   

 

 

   

 

 

     

 

 

 

Total assets

  $ 2,184,141      $ 1,824,630      $ 1,303,997        $ 5,312,768   
 

 

 

   

 

 

   

 

 

     

 

 

 

Liabilities and Equity

         

Current liabilities:

         

Current portion of long-term debt

  $ 20,285      $ 8,270      $ (8,270     (a)      $ 9,571   
        (10,714     (d)     

Accounts payable

    25,359        1,397        —            26,756   

Accrued salaries and benefits

    26,218        84,438        —            110,656   

Other accrued liabilities

    12,387        41,910        —            54,297   
 

 

 

   

 

 

   

 

 

     

 

 

 

Total current liabilities

    84,249        136,015        (18,984       201,280   

Long-term debt

    564,937        1,203,029        (1,203,029     (a)        2,241,187   
        (293,750     (d)     
        1,970,000         (c)     

Deferred income taxes

    185,882        171,616        236,224         (a)        593,722   

Other long-term liabilities

    25,753        63,374        (2,817     (a)        86,310   

Noncontrolling interests—redeemable

    177,683        —          —            177,683   

Equity:

         

Mandatory convertible preferred shares

    —          —          120,950         (k)        120,950   

Common stock, no par value, 70,000 shares authorized

    186,894        —          754,755         (j)        941,649   

Members’ equity

    —          223,922        (223,922     (a)        —     

Retained earnings

    595,519        —          (35,428     (e)        560,091   

Accumulated other comprehensive loss, net of income taxes

    —          2        (2     (a)        —     
 

 

 

   

 

 

   

 

 

     

 

 

 

Total AmSurg Corp. equity

    782,413        223,924        616,353          1,622,690   

Noncontrolling interests—non-redeemable

    363,224        26,672        —            389,896   
 

 

 

   

 

 

   

 

 

     

 

 

 

Total equity

    1,145,637        250,596        616,353          2,012,586   
 

 

 

   

 

 

   

 

 

     

 

 

 

Total liabilities and equity

  $ 2,184,141      $ 1,824,630      $ 1,303,997        $ 5,312,768   
 

 

 

   

 

 

   

 

 

     

 

 

 

The accompanying notes are an integral part of this unaudited pro forma condensed combined information.

 

6


Note 1.    Description of the Transaction

On May 29, 2014, AmSurg, Arizona Merger Corporation, a Delaware corporation and direct wholly-owned subsidiary of AmSurg (“Merger Sub”), and Arizona II Merger Corporation, a Delaware corporation and direct wholly-owned subsidiary of AmSurg (“Merger Sub II”), entered into a Purchase Agreement and Agreement and Plan of Merger with Sunbeam GP Holdings, LLC, a Delaware limited liability company, solely for purposes of Article V and Section 2.8 and solely in its capacity as the sole holder of membership interests in the General Partner, Sunbeam GP LLC, a Delaware limited liability company and the general partner of the Partnership (the “General Partner”), Sunbeam Holdings, L.P., a Delaware limited partnership (the “Partnership” and, collectively with the Partnership’s subsidiaries, “Sheridan”), Sunbeam Primary Holdings, Inc., a Delaware corporation and a wholly owned subsidiary of the Partnership (“Sunbeam Primary”), and HFCP VI Securityholders’ Rep LLC, a Delaware limited liability company, solely in its capacity as agent and attorney-in-fact for Seller and the unitholders of the Partnership (the “Unitholders”) (as amended, the “Merger Agreement”). The Partnership is an indirect parent company of Sheridan Healthcare, Inc.

Under the terms of the Merger Agreement, (i) AmSurg will purchase 100% of the issued and outstanding membership interests of the General Partner (the “Equity Purchase”) and (ii) the Partnership will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger (“Merger 1”), and immediately following Merger 1, Merger Sub will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger as a wholly-owned subsidiary of AmSurg (“Merger 2”). If, based upon the relative proportion of cash and AmSurg stock included in the Merger Consideration, the transactions contemplated by the Merger Agreement are intended to qualify as a plan of reorganization within the meaning of Section 1.368-2(g) of the Treasury Regulations, then following Merger 2, Sunbeam Primary will merge with and into Merger Sub II, with Merger Sub II surviving as a wholly-owned subsidiary of AmSurg (“Merger 3” and collectively with Merger 1 and Merger 2, the “Merger”).

The aggregate merger consideration payable as a result of the Merger will be $2.35 billion, subject to certain adjustments, and will be composed of cash and either shares of AmSurg’s common stock or shares of AmSurg’s preferred stock (the “Merger Consideration”). The cash component of the Merger Consideration will be approximately $1.74 billion, subject to certain adjustments, including an increase based upon the Partnership’s cash on hand as of the closing of the Equity Purchase and the Mergers (the “Closing”), and subject to reduction based upon the indebtedness of the Partnership to be repaid as of the Closing and expenses incurred by the Partnership in connection with the transaction. The remaining portion of the Merger Consideration will be composed of either shares of AmSurg’s common stock or shares of AmSurg’s preferred stock. Prior to the Closing, AmSurg may elect to replace all or any portion of the Merger Consideration to be paid in AmSurg capital stock with cash.

We intend to fund the Merger Consideration through anticipated concurrent public offerings of our common stock (the “Common Stock Offering”) and mandatory convertible preferred stock (the “Mandatory Convertible Preferred Stock Offering” and, collectively with the Common Stock Offering, the “Equity Offerings”), $1.375 billion in new senior secured credit facilities, comprised of a revolving credit facility of up to $250.0 million (the “New Revolving Credit Facility”) and a term loan facility of up to $1.125 billion (the “New Term Loan Facility” and, together with the New Revolving Credit Facility, the “New Senior Credit Facilities”), a senior unsecured increasing rate bridge loan of up to $1.021 billion (the “Bridge Facility” and, collectively with the New Senior Credit Facilities, the “Facilities”) and additional debt securities (the “Debt Securities”) that we expect to issue through a private offering (the “Debt Securities Offering” and collectively with the Facilities, the “Financing Transactions”). The proceeds of the Debt Securities Offering will reduce or terminate the Bridge Facility commitments on a dollar for dollar basis. Additionally, in accordance with the Merger Agreement, we estimate that we will issue approximately $343.0 million of our common stock, based upon the closing price of our common stock of $50.55 on June 20, 2014, to the Unitholders and provide them with certain registration rights for such shares. We estimate that the net proceeds of the Common Stock Offering will be approximately $411.8 million, based upon the closing price of our common stock on June 20, 2014, and that the net proceeds of the Mandatory Convertible Preferred Stock Offering will be approximately $121.0 million. We have assumed that the mandatory convertible preferred stock will be issued at a price equal to $100.00 per share, will pay dividends quarterly, and will convert into shares of our common stock on the third anniversary of the date of its issuance. We have obtained the financing commitment to provide us with the Facilities. The obligations of the lenders to provide us with the Facilities are subject to a number of customary conditions, including, without limitation, execution and delivery of certain definitive documentation. The Merger Agreement requires us to use our reasonable best efforts to obtain the financing on the terms and conditions described in the financing commitment. Our obligation to consummate the Merger is not subject to a financing condition. We have made no final determination with respect to the Financing Transactions and are continuing to review and consider all alternatives. In no event shall any disclosure contained herein be deemed indicative of the final financing that we will choose to adopt.

Note 2.    Basis of Pro Forma Presentation

These Statements have been derived from the historical condensed consolidated financial statements of AmSurg on Form 10-K for the year ended December 31, 2013 filed with the Securities and Exchange Commission (the “SEC”) on February 26, 2014 and Form 10-Q and Form 10-Q/A for the quarter ended March 31, 2014 filed with the SEC on May 1, 2014 and May 2, 2014, respectively, and Sheridan that are included in Exhibits 99.2 and 99.3 in this Current Report on Form 8-K. Certain financial statement line items included in Sheridan’s historical presentation have been disaggregated or condensed to conform to corresponding financial statement line items included in our historical presentation. For the Pro Forma Statements of Earnings, Sheridan’s other practice expenses and general and administrative expense line items have been combined into other operating expenses to conform to our presentation. Additionally, for the Pro Forma Statements of Earnings, Sheridan’s net income (loss) from unconsolidated joint ventures line item has been moved to be included in operating income to conform to our presentation. The reclassification of these items had no impact on the historical earnings from continuing operations, total assets, total liabilities, or shareholders’ equity reported by AmSurg or Sheridan, respectively.

The Merger is reflected in the Statements as an acquisition of Sheridan by AmSurg using the acquisition method of accounting, in accordance with business combination accounting guidance under accounting principles generally accepted in the United States (“GAAP”). Under these accounting standards, the total estimated Merger Consideration will be calculated as described in Note 3 to these Statements, and the assets acquired and the liabilities assumed will be measured at estimated fair value. For the purpose of measuring the estimated fair value of the assets acquired and liabilities assumed, we have applied the accounting guidance under GAAP for fair value measurements. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants as of the measurement date. The fair value measurements utilize estimates based on key assumptions in connection with the Merger, including historical and current market data. The final Merger Consideration allocation will be determined after the completion of the Merger, and the final allocation may differ materially from those presented herein. The Merger Agreement allows for consummation of the Merger under various financing

 

7


arrangements. For purposes of these Statements, we have assumed no preferred stock will be issued to the Unitholders in connection with the Merger based on our estimate of the most likely financing structure.

Note 3.    Adjustments to Unaudited Pro Forma Condensed Combined Financial Information

Pro forma adjustments are necessary to reflect the estimated Merger Consideration, to adjust amounts related to Sheridan’s assets and liabilities to a preliminary estimate of their fair values, to reflect financing transactions associated with the Merger, to reflect changes in depreciation and amortization expense resulting from the estimated fair value adjustments to tangible and intangible assets, to reflect other transactions directly related to the Merger, and to reflect the income tax effects related to the pro forma adjustments. There were no inter-company transactions between AmSurg and Sheridan. Certain pro forma adjustments were required to conform Sheridan’s accounting policies and presentation to our accounting policies and presentation.

The accompanying Statements have been prepared as if the Merger was completed on March 31, 2014 for balance sheet purposes and January 1, 2013 for statement of earnings purposes, and reflect the following adjustments:

(a) Records the preliminary Merger Consideration of proposed Merger and elimination of Sheridan’s equity.

The estimated Merger Consideration is $2.35 billion which will be funded through a combination of cash and our stock. In addition, we will pay an amount equal to Sheridan’s cash and cash equivalents on hand at the date of the Closing. The Merger Agreement prescribes a certain minimum amount of cash to be delivered upon closing. These Statements contemplate the most likely result, which includes the delivery of $2.159 billion in cash and $343.0 million in common stock, which assumes the completion of the Equity Offerings. Our expectation differs from that described in Note 1 due to the intent to raise cash through the Equity Offerings. The number of shares of common stock issued as part of the Merger Consideration will be determined based upon the price at which shares of our common stock would be valued in the Merger.

The allocation of the preliminary Merger Consideration to the fair values of assets to be acquired and liabilities to be assumed in the Merger includes unaudited pro forma adjustments to reflect the estimated fair values of Sheridan’s assets and liabilities at the completion of the Merger. The allocation of the preliminary Merger Consideration is as follows (in millions):

 

Current assets

   $ 306.0   

Property and equipment(1)

     29.8   

Goodwill

     1,606.0   

Amortizable intangible assets

     1,028.8   

Indefinite-lived intangible assets

     139.2   

Other long-term assets

     15.0   

Current liabilities

     (127.7

Deferred income taxes(2)

     (407.8

Other long-term liabilities(3)

     (60.6

Noncontrolling interests in consolidated subsidiaries

     (26.7
  

 

 

 

Total consideration(4)

   $ 2,502.0   
  

 

 

 

 

(1)   We believe that the carrying value of property and equipment approximates fair value. Additionally, we reviewed Sheridan’s policies regarding its useful lives and determined that those policies were reasonable. Therefore, no adjustments have been made to historical depreciation.
(2)   Amount includes the addition of approximately $236.2 million of deferred tax liabilities related to amortizable intangible assets acquired which are not expected to be deductible for tax purposes.
(3)   Amount includes the elimination of $2.8 million of deferred rent credits.
(4)   This amount differs from the cash payment made to Unitholders due to the additional shares issued to the Unitholders, in accordance with the Merger Agreement, with a fair value estimating $343.0 million.

 

8


The preliminary Merger Consideration allocation for Sheridan is subject to revision as more detailed analysis is completed and additional information on the fair values of Sheridan’s assets and liabilities become available and Merger related costs are finalized. Any change in the fair value of the assets and liabilities of Sheridan will change the amount of the Merger Consideration allocable to goodwill. The final Merger Consideration allocation may differ materially from the allocation presented above.

We have made preliminary allocation estimates based on limited access to information and will not have sufficient information to make final allocations until after completion of the Merger. The final determination of the Merger Consideration allocation is anticipated to be completed as soon as practicable after completion of the Merger. We anticipate that the valuations of the acquired assets and liabilities will include, but not be limited to, fixed assets, customer relationships with hospitals, noncompete agreements and other potential intangible assets. The valuations will consist of physical appraisals, discounted cash flow analyses, or other appropriate valuation techniques to determine the fair value of the assets acquired and liabilities assumed.

The final amounts allocated to assets acquired and liabilities assumed in the Merger could differ materially from the preliminary amounts presented in these Statements. A decrease in the fair value of assets acquired or an increase in the fair value of liabilities assumed in the Merger from those preliminary valuations presented in these Statements would result in a dollar-for-dollar corresponding increase in the amount of goodwill that will result from the Merger. In addition, if the value of the acquired assets is higher than the preliminary estimate, it may result in higher amortization and depreciation expense than is presented in these Statements.

(b) Adjusts the historical presentation of Sheridan’s financial statements to conform to our presentation.

(c) Reflects the incurrence of approximately $1.970 billion of debt, estimated net proceeds of the Common Stock Offering of approximately $411.8 million and estimated net proceeds of Mandatory Convertible Preferred Stock Offering of approximately $121.0 million to fund the Merger and repay certain of our existing debt and fund debt issuance costs. A detailed estimate of the sources and uses of cash associated with the Merger are as follows (in thousands):

 

Sources:

  

New Term Loan Facility (net of original issue discount of $5,450)

   $ 1,084,550   

Debt Securities

     880,000   

Common Stock Offering, net of applicable discounts, commissions and expenses

     411,788   

Mandatory Convertible Preferred Stock Offering, net of applicable discounts, commissions and expenses

     120,950   

Cash on hand at closing

     105,890   
  

 

 

 

Total Sources

   $ 2,603,178   
  

 

 

 

Uses:

  

Cash payments to Unitholders:

  

Merger Consideration(1)

   $ (2,159,059

Cash payments related to refinancing and debt repayments:

  

Existing senior secured revolving credit facility

   $ (237,500

Senior secured notes due 2020

     (66,964

Termination fee related to the senior secured notes due 2020

     (12,859

Other estimated transaction fees

     (41,363

Financing fees(2)

     (46,967
  

 

 

 
     (405,653

Working capital(3)

     (38,466
  

 

 

 

Total Uses

   $ (2,603,178
  

 

 

 

 

  (1) This amount differs from the total Merger Consideration due to the additional shares issued to the Unitholders with a fair value estimating $343.0 million as defined in the Merger Agreement. In addition, amount includes a payment of $105.9 million to acquire Sheridan’s cash and cash equivalents on hand.

 

9


  (2) Financing fees will be capitalized as deferred loan costs and amortized accordingly.
  (3) Amount reflects working capital generated as part of the Merger.

(d) Records debt payoff and termination of our existing senior secured revolving credit facility and our senior secured notes due 2020 as follows (in thousands):

 

     Current      Long-term      Total  

Existing revolving credit facility

   $ —         $ 237,500       $ 237,500   

Senior secured notes due 2020

     10,714         56,250         66,964   
  

 

 

    

 

 

    

 

 

 
   $ 10,714       $ 293,750       $ 304,464   
  

 

 

    

 

 

    

 

 

 

(e) Records estimated transaction fees paid to third parties related to the Merger, including related income tax effects as follows (in thousands):

 

Termination fee related to the senior secured notes due 2020

   $ 12,859   

Other estimated transaction fees

     41,363   

Disposal of deferred financing fees related to the existing senior secured revolving credit facility and senior secured notes due 2020

     4,924   
  

 

 

 
     59,146   

Expected tax benefit

     (23,718
  

 

 

 

Estimated impact on retained earnings at March 31, 2014

   $ 35,428   
  

 

 

 

(f) Reflects the recording of debt issuance costs of $52.4 million expected to occur as a result of the New Term Loan Facility and the Debt Securities Offering, the write-off of debt issuance costs of $4.9 million related to the senior secured notes due 2020, and $20.3 million of debt issue costs related to debt retired by AmSurg and Sheridan, respectively, as a result of the Merger. Such amounts for our debt will be reflected in the results of operations as a loss from early extinguishment of debt upon completion of refinancing.

(g) To record additional amortization expense of identifiable intangible assets related to the estimated fair value of such identifiable intangible assets held by Sheridan at the time of the Merger. Intangible assets will principally relate to noncompete agreements and customer relationships with hospitals and are expected to have a useful life of approximately three to 25 years.

(h) To record estimated interest expense based upon the assumed debt structure as follows (in thousands):

 

     Three Months Ended March 31,     Year Ended
December 31, 2013
 
           2014                 2013          

Financing Transactions

   $ 26,796      $ 26,796      $ 107,187   

Existing 2020 Notes

     3,516        3,516        14,063   

Deferred loan costs

     1,975        1,975        7,899   

Capitalized leases and other debt, net of interest income

     231        337        1,173   
  

 

 

   

 

 

   

 

 

 

Total estimated interest costs

     32,518        32,624        130,322   

Less: Historical interest expense, net

      

AmSurg

     (6,963     (7,542     (29,538

Sheridan

     (19,017     (12,006     (47,818
  

 

 

   

 

 

   

 

 

 

Net interest expense adjustment

   $ 6,538      $ 13,076      $ 52,966   
  

 

 

   

 

 

   

 

 

 

 

10


For purposes of these Statements, management has assumed an interest rate for the New Term Loan Facility and the New Revolving Credit Facility (which will not be drawn upon as part of these Statements). A fluctuation in our assumed interest rate for purposes of these Statements of 0.125% would have no impact on interest expense as calculated in the pro forma adjustment. For purposes of the Debt Securities, management assumed an interest rate and a fluctuation of 0.125% would impact the estimated interest by $1.1 million for the year ended December 31, 2013 and $0.275 million for each of the three months ended March 31, 2014 and 2013, respectively.

Concurrent with the Equity Offerings, we are preparing a private offering under Rule 144A of Debt Securities which we intend to offer on or immediately after the commencement of the Equity Offerings. In the unlikely event that we are unable to place the Debt Securities, we would utilize the Bridge Facility. Interest expense included in these Statements would increase by $11.0 million for the year ended December 31, 2013, $4.95 million for the three months ended March 31, 2014 and $1.1 million for the three months ended March 31, 2013. Accordingly, net earnings from continuing operations and diluted earnings per share would decrease by $6.6 million and $0.14, respectively, for the year ended December 31, 2013, $3.0 million and $0.06, respectively, for the three months ended March 31, 2014 and $0.7 million and $0.02, respectively, for the three months ended March 31, 2013.

(i) To record the income tax effects of the Pro Forma Statements of Earnings adjustments using a combined statutory and federal rate of 40.1%.

(j) To record the issuance of approximately 15.3 million shares of our common stock in the Common Stock Offering and as part of the Merger Consideration to the Unitholders as described in Note 1. We expect to issue approximately 8.5 million common shares in the Common Stock Offering, resulting in estimated net proceeds of $411.8 million. We determined the number of shares of common stock to be issued in the Common Stock Offering based on the last reported sale price of our common stock on the Nasdaq Global Select Market for June 20, 2014. A 5% increase or decrease in the price of our common stock on the Nasdaq Global Select Market on the closing date of the Merger compared to the price assumed in these Statements will result in a corresponding decrease or increase of approximately 0.5 million shares to be issued in the Common Stock Offering, respectively. Additionally, in accordance with the Merger Agreement, we expect to issue 6.8 million common shares, having an approximate fair value of $343.0 million, to owners of Sheridan, as previously described in Note 1. Based on the terms of the Merger Agreement, the number of shares deliverable to the owners of Sheridan is dependent on the price at which shares of our common stock would be valued in the Merger. Based on the market price of our common stock on June 20, 2014, a 5% increase or decrease in the price of our common stock on the Nasdaq Global Select Market would have no impact on the number of shares issued to the Unitholders.

(k) To record the issuance of approximately 1.25 million shares of the mandatory convertible preferred stock to be issued in the Mandatory Convertible Preferred Stock Offering which will be paid quarterly, and mandatorily converts to common shares after three years from the date of issuance. A 0.125% change in the dividend rate would result in a change of less than $0.2 million in annual dividends paid. A 5% increase or decrease in the price of our mandatory convertible preferred stock on the closing date of the Merger compared to the price assumed in these Statements will result in a corresponding decrease or increase of approximately 0.1 million shares issued, respectively.

(l) For purposes of calculating basic earnings per share, estimated dividends are subtracted from net earnings to arrive at net earnings available to common shareholders. Estimated dividends for the year ended December 31, 2013 was $6.9 million and for each of the three months ended March 31, 2014 and 2013 was $1.7 million, respectively.

(m) Diluted earnings per share was calculated under the if-converted method which assumes conversion of the mandatory convertible preferred stock if the effect of such is dilutive.

 

11

EX-99.2 5 d743989dex992.htm EX-99.2 EX-99.2

Exhibit 99.2

 

LOGO   LOGO
INDEPENDENT AUDITORS’ REPORT  

 

To the Board of Directors and Members of

Sunbeam Holdings, L.P.

Sunrise, Florida

 

We have audited the accompanying consolidated financial statements of Sunbeam Holdings, L.P. and subsidiaries (the “Company”), which comprise the consolidated balance sheets as of December 31, 2013 and 2012, and the related consolidated statements of income and comprehensive income, equity, and cash flows for each of the three years in the period ended December 31, 2013, and the related notes to the consolidated financial statements.

 

Management’s Responsibility for the Consolidated Financial Statements

 

Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

 

Auditors’ Responsibility

 

Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement.

 

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the Company’s preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements.

 

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

 

Opinion

 

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Sunbeam Holdings, L.P. and subsidiaries as of December 31, 2013 and 2012, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2013, in accordance with accounting principles generally accepted in the United States of America.

 

LOGO

 

March 31, 2014 (May 13, 2014 as to the presentation of the consolidated statement of equity as discussed in Note 1 and the disclosure of reportable segments as disclosed in Note 20)

 

Member of

Deloitte Touche Tohmatsu Limited

 

 

1


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)

 

     December 31,
2013
     December 31,
2012
 
ASSETS   

Current assets:

     

Cash and cash equivalents

   $ 100,562       $ 64,636   

Restricted cash

     14,270         18,472   

Restricted marketable securities

     4,231         5,476   

Accounts receivable, net of allowances of $20.1 million and $24.3 million as of December 31, 2013 and 2012, respectively

     130,541         121,821   

Deferred taxes

     13,902         32,557   

Other current assets

     23,655         18,274   
  

 

 

    

 

 

 

Total current assets

     287,161         261,236   

Property and equipment, net

     29,462         30,156   

Goodwill

     881,023         796,446   

Other intangible assets, net

     512,299         447,982   

Other assets

     22,427         14,126   
  

 

 

    

 

 

 

Total assets

   $ 1,732,372       $ 1,549,946   
  

 

 

    

 

 

 
LIABILITIES AND EQUITY   

Current liabilities:

     

Current portion of long-term debt

   $ 8,270       $ 6,000   

Accounts payable

     1,168         1,791   

Accrued salaries and benefits

     70,178         53,198   

Accrued professional liabilities

     11,895         12,817   

Other current liabilities

     23,019         18,815   
  

 

 

    

 

 

 

Total current liabilities

     114,530         92,621   

Long-term debt, net of current portion

     1,135,022         694,498   

Deferred taxes

     174,803         161,022   

Accrued professional liabilities

     48,501         53,156   

Other long-term liabilities

     10,784         2,047   
  

 

 

    

 

 

 

Total liabilities

     1,483,640         1,003,344   
  

 

 

    

 

 

 

Commitments and contingencies (Note 16)

     

Equity:

     

General Partner interest

     1         1   

Class A Units, 416,563 and 409,318 authorized and issued as of December 31, 2013 and 2012, respectively

     210,155         504,243   

Class B Units, 110,034 authorized and 87,155 and 92,303 issued as of December 31, 2013 and 2012, respectively

     11,968         13,032   

Class C Units, 2,250 authorized and issued as of December 31, 2012

     —           1,912   

Class D Units, 30,275 and 18,275 authorized and issued as of December 31, 2013 and 2012, respectively

     —           118   

Accumulated other comprehensive income (loss), net of tax

     2         (1
  

 

 

    

 

 

 

Total members’ equity

     222,126         519,305   

Noncontrolling interests

     26,606         27,297   
  

 

 

    

 

 

 

Total equity

     248,732         546,602   
  

 

 

    

 

 

 

Total liabilities and equity

   $ 1,732,372       $ 1,549,946   
  

 

 

    

 

 

 

 

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

 

2


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME

(in thousands)

 

     Years Ended December 31,  
     2013     2012     2011  

Revenue, net of contractual discounts

   $ 976,934      $ 887,815      $ 814,002   

Provision for uncollectibles

     (57,691     (51,499     (51,609
  

 

 

   

 

 

   

 

 

 

Net revenue

     919,243        836,316        762,393   

Operating expenses

      

Practice personnel expenses

     654,941        583,381        532,887   

Other practice expenses

     56,764        57,554        47,249   

General and administrative

     78,277        58,338        55,463   

Depreciation and amortization

     35,551        32,197        26,124   
  

 

 

   

 

 

   

 

 

 

Income from operations

     93,710        104,846        100,670   

Interest expense, net

     47,818        43,638        37,677   

Other (income) expense, net

     41        (59     99   

Loss on extinguishment of debt

     11,018        8,126        —     
  

 

 

   

 

 

   

 

 

 

Income before income taxes and noncontrolling interests

     34,833        53,141        62,894   

Provision for income taxes

     18,300        16,286        26,875   
  

 

 

   

 

 

   

 

 

 

Net income from consolidated operations

     16,533        36,855        36,019   

Net (income) attributable to noncontrolling interests

     (2,789     (1,969     (740
  

 

 

   

 

 

   

 

 

 

Net income attributable to Sunbeam Holdings, L.P. and subsidiaries limited partners

   $ 13,744      $ 34,886      $ 35,279   
  

 

 

   

 

 

   

 

 

 

Net income from consolidated operations

   $ 16,533      $ 36,855      $ 36,019   

Other comprehensive loss (income), net of taxes:

      

Net change in fair value of interest rate swap, net of taxes of $1,801 and $3,982 for 2012 and 2011, respectively

     —          2,653        5,869   

Net change in fair value of investments, net of taxes of $25 and $70 for 2012 and 2011, respectively

     3        (37     (168
  

 

 

   

 

 

   

 

 

 

Total comprehensive income

     16,536        39,471        41,720   

Less: Comprehensive income attributable to noncontrolling interests

     (2,789     (1,969     (740
  

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to Sunbeam Holdings, L.P. and subsidiaries limited partners

   $ 13,747      $ 37,502      $ 40,980   
  

 

 

   

 

 

   

 

 

 

 

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

 

3


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF EQUITY

(in thousands)

 

    Members Capital     Accumulated
Other
Comprehensive
Income (Loss)
    Non-
controlling
Interest
    Total
Equity
 
        Limited Partners        
  General
Partner
    Class A
Units
    Class B
Units
    Class C
Units
    Class D
Units
       

Balance at December 31, 2010

  $ 1      $ 446,306      $ 8,028      $ 8,500      $ —        $ (8,318   $ 6,323      $ 460,840   

Net income (loss)

    —          38,094        (2,815     —          —          —          740        36,019   

Other comprehensive income, net of taxes

    —          —          —          —          —          5,701        —          5,701   

Distributions

    —          (336     (21     —          —          —          (1,000     (1,357

Noncontrolling interest assumed related to acquisition

    —          —          —          —          —          —          2,707        2,707   

Equity-based compensation expense

    —          —          7,574        —          —          —          —          7,574   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2011

    1        484,064        12,766        8,500        —          (2,617     8,770        511,484   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net Income

    —          30,929        3,957        —          —          —          1,969        36,855   

Other Comprehensive Income, net of taxes

    —          —          —          —          —          2,616        —          2,616   

Distributions

    —          —          —          —          —          —          (1,630     (1,630

Non-controlling interest assumed related to acquisition

    —          —          —          —          —          —          18,188        18,188   

Redemption of units

    —          (10,750     (6,773     (6,588     —          —          —          (24,111

Equity-based compensation expense

    —          —          3,082        —          118        —          —          3,200   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2012

    1        504,243        13,032        1,912        118        (1     27,297        546,602   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net Income

      2,509        8,238          2,997          2,789        16,533   

Other Comprehensive Income, net of taxes

    —          —          —          —          —          3        —          3   

Distributions

    —          (306,611     (21,002     —          (4,942     —          (3,480     (336,035

Redemption of units

    —          —          (648     (1,912     —          —          —          (2,560

Unit issuance

    —          10,014        —          —          —          —          —          10,014   

Equity-based compensation expense

    —          —          12,348        —          1,827        —          —          14,175   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2013

  $ 1      $ 210,155      $ 11,968      $ —        $ —        $ 2      $ 26,606      $ 248,732   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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

 

4


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

 

     Years Ended December 31,  
     2013     2012     2011  

Cash flows from operating activities:

      

Net income from consolidated operations

   $ 16,533      $ 36,855      $ 36,019   

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

      

Amortization of intangible assets

     25,661        24,531        20,618   

Non-cash interest expense—debt

     4,545        3,550        3,860   

Depreciation and other amortization

     9,890        7,666        5,506   

Provision for bad debts

     57,691        51,499        51,609   

Loss on disposal of assets

     14        2        127   

Loss on extinguishment of debt

     11,018        8,126        —     

Equity-based compensation expense

     14,175        3,200        7,574   

Deferred income taxes

     (2,435     (11,851     (4,999

Changes in operating assets and liabilities, net of acquisitions:

      

Accounts receivable

     (56,994     (59,742     (39,276

Other assets

     (3,321     (4,017     (2,298

Accounts payable

     (1,215     (336     (632

Accrued professional liabilities

     (6,549     2,048        (2,019

Other liabilities

     13,477        (1,258     5,998   
  

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     82,490        60,273        82,087   

Cash flows from investing activities:

      

Acquisition of physician practices, net of cash acquired

     (124,848     (49,714     (87,930

Purchase of marketable securities

     (8,963     (10,709     (5,566

Maturities and sales of marketable securities

     10,211        11,958        10,496   

Change in restricted cash

     4,201        (1,177     (8,533

Capital expenditures

     (8,938     (10,671     (9,739
  

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (128,337     (60,313     (101,272

Cash flows from financing activities:

      

Borrowings on long-term debt, net of discounts

     1,157,000        702,903        —     

Repayments on long-term debt

     (713,933     (639,524     (5,075

Debt issuance costs

     (24,126     (13,880     —     

Redemption of units

     (648     (24,111     —     

Distributions to noncontrolling interests

     (3,480     (1,630     (1,000

Distributions to members

     (333,040     —          (1,484
  

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     81,773        23,758        (7,559
  

 

 

   

 

 

   

 

 

 

Increase (decrease) in cash and cash equivalents

     35,926        23,718        (26,744

Cash and cash equivalents:

      

Beginning of year

     64,636        40,918        67,662   
  

 

 

   

 

 

   

 

 

 

End of year

   $ 100,562      $ 64,636      $ 40,918   
  

 

 

   

 

 

   

 

 

 

Supplemental disclosure of cash flow information:

      

Cash paid for interest

   $ 39,609      $ 41,684      $ 35,713   

Cash paid for income taxes

     26,790        44,261        26,315   

Supplemental disclosure for noncash transactions:

      

Distributions payable

   $ 1,427      $ —        $ —     

Earnout accrual related to acquisition of physician practices

     4,683        —          —     

Issuance of equity related to acquisition of physician practices

     10,014        —          —     

 

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

 

5


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(1) Organization

 

Sunbeam Holdings, L.P. and its subsidiaries (the “Company”), which operate under the name Sheridan, is a national provider of multi-specialty physician services to hospitals, ambulatory surgery centers and other healthcare facilities. The Company focuses on delivering comprehensive physician services, primarily in the areas of anesthesiology, children’s services, radiology and emergency medicine to healthcare facilities. The Company’s contracts with healthcare facilities authorize it to bill and collect charges for fee for service medical services rendered by the Company’s healthcare professionals and employees in exchange for the provision of services to the patients of these facilities. Contract revenue is earned directly from the Company’s hospital customers through a variety of payment arrangements that are established when payments from third-party payors are inadequate to support the costs of providing the services required under the contract. The Company also provides physician services and manages office-based practices in the areas of gynecology, obstetrics and perinatology.

 

The consolidated statement of equity has been recast to present the changes in partnership equity for each ownership class in accordance with Staff Accounting Bulletin Topic 4.F, Limited Partnerships.

 

(2) Significant Accounting Policies

 

Principles of Presentation

 

The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries combined with the accounts of the affiliated professional corporations (“PC”s) with which the Company currently has specific management arrangements. The Company’s agreements with these PCs provide that the term of the arrangements are permanent, subject only to termination by the Company, except in the case of gross negligence, fraud or bankruptcy of the Company. These arrangements are captive in nature. Where permitted by law, a majority of the outstanding voting equity instruments of the PCs are owned by nominee shareholders appointed at the sole discretion of the Company, and the Company has a contractual right to transfer the ownership of the PCs at any time to any person it designates as the nominee shareholder. The Company has the right to receive income, both as ongoing fees and as proceeds from the sale of its interest in the PCs, in an amount that fluctuates based on the performance of the PC and the change in the fair value of the Company’s interest in the PC. The Company has exclusive responsibility for the provision of all non-medical services required for the day-to-day operation and management of the PCs and establishes the guidelines for the employment and compensation of the physicians. In addition, the agreements provide that the Company has the right, but not the obligation, to purchase, or to designate a person(s) to purchase, the stock of the PCs for a nominal amount. Separately, in its sole discretion, the Company has the right to assign its interest in the agreements. Based upon the provisions of these agreements, the Company has determined that the PCs are variable interest entities and that the Company is the primary beneficiary as defined in the accounting guidance for consolidation.

 

The Company also consolidates a variable interest entity (“VIE”) for which the Company is deemed the primary beneficiary; however, the assets are owned by, and the liabilities are obligations of this VIE, not the Company. This VIE is not a guarantor of the Company’s debts. As of December 31, 2013 and 2012, the combined total assets included in the Company’s consolidated balance sheets relating to this VIE were approximately $3.7 million and $6.7 million, respectively, which excludes goodwill and intercompany balances.

 

All intercompany and interaffiliate accounts and transactions have been eliminated.

 

Reclassifications have been made to certain prior period consolidated financial statements to conform with the current year presentation. The Company also reclassified $53.2 million of its $66.0 million of accrued professional liabilities as of December 31, 2012 from current accrued professional liabilities to long-term accrued professional

 

6


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Principles of Presentation (continued)

 

liabilities in the accompanying consolidated balance sheets. The current portion of accrued professional liabilities is expected to be paid within one year of the date of the financial statements, and the long-term portion is expected to be paid more than one year after that date. In addition, for the years ended December 31, 2012 and 2011, the Company reclassified $26.4 million and $24.4 million, respectively, of salaries, benefits and other personnel-related expenses from other practice expenses to practice personnel expenses in the accompanying consolidated statement of income and comprehensive income for costs of services that are performed for and are directly related to practice operations. These costs primarily pertain to billing and collection activities and were reclassified in order to better reflect the nature of the expenses.

 

The consolidated financial statements reflect the Company’s evaluation of subsequent events through May 13, 2014, the date the financial statements were available to be issued.

 

Accounting Estimates

 

The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Significant estimates include the estimated allowance for contractual adjustments and uncollectible amounts on accounts receivable, the estimated liabilities for reported claims and claims incurred but not reported related to the Company’s professional liabilities and self-insured employee health plan, the useful life of and method used for amortizing intangible assets, the allocation of purchase price to acquired assets including identifiable intangibles and goodwill, estimates of cash flows used to assess the recoverability and fair values of goodwill and other intangible assets, and determination of the net realizable value of deferred tax assets, estimation of the effective tax rate, and income and other tax accruals. Actual results could differ from those estimates.

 

Business Acquisitions

 

The Company accounts for business acquisitions as required by the provisions of the accounting guidance for business combinations. The Company recognizes, separately from goodwill, the identifiable assets acquired and liabilities assumed at their estimated acquisition date fair values. The Company measures and recognizes goodwill as of the acquisition date as the excess of: (a) the aggregate of the fair value of consideration transferred, the fair value of any noncontrolling interest in the acquiree (if any) and the acquisition date fair value of the Company’s previously held equity interest in the acquiree (if any), over (b) the fair value of net assets acquired and liabilities assumed. The Company measures the fair value of all assets acquired and liabilities assumed that arise from contractual contingencies as of the acquisition date. The Company measures all noncontractual contingencies at their acquisition date fair values if, as of the acquisition date, it is more likely than not that the contingency will give rise to an asset or liability.

 

If information at the acquisition date is incomplete, the Company reports provisional amounts until information becomes available. This measurement period ends once the Company receives sufficient information not to exceed one year. Material adjustments recognized during the measurement period are retrospectively reported in the financial statements of the subsequent period.

 

7


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Cash and Cash Equivalents

 

Cash equivalents are defined as all highly liquid financial instruments with maturities of 90 days or less from the date of purchase. The Company’s cash equivalents typically consist of demand deposits and deposits in money market accounts. Cash equivalent balances may, at times, exceed federally insured limits.

 

Restricted Cash and Marketable Securities

 

The Company has restricted cash and marketable securities related to the collateralization of a reinsurance agreement. The Company classifies investments in marketable debt securities as available for sale. Investments classified as available for sale are carried at fair value, with net unrealized gains and losses, net of related tax effects, included as a separate component of accumulated other comprehensive income (loss). Realized gains and losses are included in other (income) expense, net in the consolidated statements of income and comprehensive income.

 

Gains are recognized when realized in the Company’s consolidated statements of income and comprehensive income. Losses are recognized as realized or upon the determination of the occurrence of an other-than-temporary decline in fair value. The Company’s policy is to review its securities on a regular basis to evaluate whether any security has experienced an other-than-temporary decline in fair value. If it is determined that an other-than-temporary decline exists in one of the Company’s marketable securities, it is the Company’s policy to record an impairment charge with respect to such investment in the Company’s consolidated statements of income and comprehensive income.

 

Accounts Receivable, Net

 

Accounts receivable are reflected in the consolidated balance sheets net of contractual discounts and provision for uncollectibles. The Company periodically reassesses its accounts receivable, net by analyzing historical cash collections, changes in payor mix and accounts receivable agings. These periodic reassessments may result in adjustments to the Company’s recorded contractual discounts and provision for uncollectibles. Adjustments are charged or credited to the consolidated statement of income and comprehensive income in the period of change. Material changes in estimate may result from unforeseen write-offs of patient or third-party accounts receivable, unsuccessful disputes with managed care payors, adverse macro-economic conditions which limit patients’ ability to meet their financial obligations for the care provided by the Company’s physicians, or broad changes to government regulations that adversely impact reimbursement rates for services provided by the Company.

 

Deferred Financing Costs

 

Deferred financing costs, which are included in other current and noncurrent assets and are amortized over the term of the related debt using the effective interest method, were $21.4 million and $13.0 million as of December 31, 2013 and 2012, respectively.

 

Property and Equipment, Net

 

Property and equipment is stated at cost less accumulated depreciation and other amortization. Property and equipment is depreciated or amortized using the straight-line method over the estimated useful lives of the assets. Estimated useful lives are generally three to five years for equipment, computer hardware, and software; seven

 

8


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Property and Equipment, Net (continued)

 

years for furniture and fixtures; and the lesser of the useful life or the remaining lease term for leasehold improvements. Maintenance and repairs are charged to expense when incurred and improvements are capitalized. Upon the sale or retirement of assets, the cost and accumulated depreciation are removed from the consolidated balance sheets and any gain or loss is recognized currently.

 

Software that has been developed for internal use is accounted for in accordance with ASC 350-40, “Internal-Use Software.” Only costs incurred during the application development stage, including expenditures for design, coding, installation and testing are capitalized. These capitalized costs include both external consulting fees and internal labor costs for employees directly associated with software development. Upgrades or modifications that result in additional functionality are capitalized, while upgrades or modifications that do not result in additional functionality are expensed as incurred.

 

Goodwill and Other Intangible Assets

 

The Company records acquired assets and liabilities at their respective fair values under the acquisition method of accounting. Goodwill represents the excess of cost over the fair value of the net assets acquired. Intangible assets with finite lives, which principally consist of hospital customer relationship assets and physician non-compete agreements, are recognized apart from goodwill at the time of acquisition based on the contractual-legal and separability criteria established in the accounting guidance for business combinations. Intangible assets with finite lives are amortized on either an accelerated basis based on the annual undiscounted economic cash flows associated with the particular intangible asset or on a straight-line basis over their estimated useful lives. Intangible assets with finite lives are amortized over periods of three to twenty-five years.

 

Goodwill is tested for impairment at a reporting unit level on at least an annual basis in accordance with the subsequent measurement provisions of the accounting guidance for goodwill. The Company defines a reporting unit based on its management structure for services the Company provides. During 2013, the Company completed certain changes to its reporting structure to better align its businesses with Company objectives and operating strategies. These changes resulted in changes to the Company’s operating segments and reporting units. In connection with the changes, the Company determined, in accordance with segment reporting guidance, that it provides services through five operating segments. Reporting units as defined by ASC 350, “Intangibles-Goodwill and Other,” may be operating segments as a whole or an operation one level below an operating segment referred to as a component. The Company used six reporting units to assess potential goodwill impairment in fiscal year 2013. The testing for impairment is completed using a two-step test. The first step compares the fair value of a reporting unit with its carrying amount, including goodwill. If the carrying amount of a reporting unit exceeds its fair value, a second step is performed to determine the amount of any impairment loss.

 

The Company uses income and market-based valuation approaches to determine the fair value of its reporting units. These approaches focus on discounted cash flows and market multiples based on the Company’s market capitalization to derive the fair value of a reporting unit. The Company also considers the economic outlook for the healthcare services industry and various other factors during the testing process, including hospital and physician contract changes, local market developments, changes in third-party payor payments, and other publicly available information. During 2013, 2012 and 2011, the Company completed its annual impairment test as of June and determined that goodwill was not impaired. The Company did not identify any triggering events that would change this conclusion subsequent to its June 2013 annual impairment test.

 

9


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Recoverability of Long-Lived Assets

 

Long-lived assets and definite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable. Assets are combined and evaluated at the lowest level for which there are identifiable cash flows that are largely independent of the cash flows of other groups of assets. The Company considers historical performance and projections of future operating results in its evaluation of potential impairment and then compares the carrying amount of the asset to estimated future cash flows expected to result from the use of the asset. If the carrying amount of the asset exceeds the estimated undiscounted future cash flows, the Company measures the amount of the impairment by comparing the carrying amount of the asset to its fair value. The Company estimates fair value based on the best information available making whatever estimates, judgments and projections are considered necessary. The estimation of fair value is generally measured by discounting expected future cash flows at discount rates commensurate with the risk involved. The Company does not believe there are any indicators that would require an adjustment to such assets or their estimated periods of recovery at December 31, 2013.

 

Derivative Instruments and Hedging Activities

 

The Company previously entered into interest rate swap agreements for the purpose of hedging exposures to interest rates on long-term debt (see Note 12). The Company does not enter into or hold derivatives for trading or speculative purposes. Derivative instruments are measured at fair value on a recurring basis and recognized on the consolidated balance sheets. The Company’s policy is to designate, at a derivative’s inception, the specific liability being hedged and monitor the derivative to determine if it remains an effective hedge of the designated hedged risk. The criteria for an interest rate swap to qualify for hedge accounting include a link between the cash flows of the swap and the debt, the same basis for determining the interest payments, and offsetting cash flows. The Company has elected to offset derivatives on the balance sheet. Amounts to be received or paid as a result of the derivative instruments are recognized as adjustments to interest incurred on the related debt instruments. Gains or losses resulting from changes in the fair value of derivatives designated as cash flow hedges are recorded in other comprehensive income, unless circumstances require the amounts to be recorded in earnings, such as hedge ineffectiveness or the occurrence of the underlying hedged transaction. When ineffectiveness exists or the derivative instrument or specific liability being hedged is terminated, the fair value of the derivative instrument is recognized in earnings in the period affected. There were no derivative instruments outstanding at December 31, 2013 and 2012.

 

Accrued Professional Liability Risks

 

The Company maintains professional liability insurance policies with third-party insurers generally on a claims-made basis, subject to self-insured retention, exclusions and other restrictions. The Company’s self-insured retention under its professional liability insurance program is also maintained through a wholly owned captive insurance subsidiary. The Company records an estimate of liabilities for self-insured amounts and claims incurred but not reported based on an actuarial valuation using historical loss patterns. Liabilities for self-insured amounts and claims incurred but not reported are not discounted.

 

Income Taxes

 

The Company is organized as a limited partnership. Partnerships are conduits that, according to their operating agreements, pass through to each partner their respective share of income and deductions generated by

 

10


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Income Taxes (continued)

 

them. The management committee for the Company, from time to time, may deem it necessary to cause the partnership to make tax distributions to its partners according to the partnership’s operating agreement.

 

The Company’s wholly owned and affiliated corporate subsidiaries utilize the asset and liability method of accounting for deferred income taxes. Under the asset and liability method, deferred tax assets and liabilities are determined based on the difference between the consolidated financial statements and the tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. A valuation allowance is established when it is more likely than not that some or all of the deferred tax asset will not be realized.

 

In the ordinary course of business, there is inherent uncertainty in quantifying income tax positions. In accordance with ASC 740-10, the Company assesses income tax positions and records tax benefits for all years subject to examination based upon management’s evaluation of the facts, circumstances, and information available at the reporting dates. For those tax positions with a greater than 50% likelihood of being realized, the Company records the benefit. For those income tax positions where it is more likely than not that a tax benefit will not be sustained, no tax benefit is recognized in the consolidated financial statements. Federal or state taxing authorities may challenge the Company’s tax positions upon audit, the results of which may vary from the Company’s estimates.

 

Equity-Based Compensation

 

The Company measures the cost of employee services received in exchange for equity-based awards based on grant-date fair value. Pre-vesting forfeitures are estimated at the time of grant and the Company periodically revises those estimates if actual forfeitures differ from those estimates. Equity-based compensation related to units is recognized on a straight-line basis over the corresponding vesting periods or the implied service periods. Equity-based compensation expense is recorded as a component of salaries and benefits in the consolidated statements of income and comprehensive income.

 

Noncontrolling Interests

 

The consolidated financial statements include all assets, liabilities, revenue and expenses of the less than 100% owned entities that the Company controls or is deemed the primary beneficiary of. The noncontrolling interests represent the equity interests of outside investors in the equity and results of operations of these consolidated entities.

 

Comprehensive Income

 

The Company reports comprehensive income, which is a measure of all changes in equity of an enterprise that result from transactions and other economic events in a period, other than transactions with owners. Comprehensive income consists of net income and unrealized gains and losses from securities available for sale and interest rate swaps.

 

Fair Value of Financial Instruments

 

The Company is required to re-measure and report certain assets and liabilities at fair value. Fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market

 

11


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Fair Value of Financial Instruments (continued)

 

participants at the measurement date. The carrying amount of cash and cash equivalents, restricted cash, accounts receivable, accounts payable and accrued expenses approximate fair value due to their short maturities. The carrying amount of long-term debt approximates fair value because the interest rate on such debt changes with market rates. The Company is also required to assess the reliability of the fair value estimate based on the observability of the inputs by categorizing the measurement in a three-tier fair value hierarchy (see Note 15).

 

Net Revenue

 

Net revenue consists of fee for service revenue, contract revenue, management fees and other revenue. The Company’s net revenue is derived principally from the provision of physician services to patients of the healthcare facilities the Company serves.

 

Fee for service revenue is billed to patients for services provided, and the Company receives payments for these services from patients or their third-party payors. The Company recognizes revenue, net of contractual discounts and provision for uncollectibles, in the period the services are provided. Services provided but not yet billed are estimated and recognized in the period services are provided as well. The Company records its revenue net of an allowance for contractual discounts, which represents the net revenue the Company expects to collect from third-party payors (including managed care, commercial and governmental payors such as Medicaid and Medicare) and patients insured by these payors. These expected collections are based on the Company’s fees and negotiated payment rates in the case of third-party payors, the specific benefits provided for under each patients’ health care plans, mandated payment rates in the case of Medicare and Medicaid programs, and historical cash collections (net of recoveries).

 

A significant portion of the Company’s uninsured patients will be unable or unwilling to pay for the services provided. Net revenue from uninsured patients is recognized on the basis of Company’s usual expected collections from fee for service arrangements. To record this revenue at its estimated realizable value, the Company records a provision for uncollectibles related to its uninsured patients based on its historical cash collections (net of recoveries) from these patients and the Company’s estimates of payor mix. Estimates of unbilled revenue, payor mix, contractual discounts, and uncollectibles are periodically assessed for a period of at least one year following the month of service by analyzing actual development, including cash collections, against estimates. Changes in these estimates are charged or credited to the consolidated statement of income and comprehensive income in the period such assessment is made.

 

The Company also earns contract revenue directly from its hospital customers through a variety of payment arrangements that are established when payments from third-party payors are inadequate to support the costs of the contract. The Company recognizes contract revenue in the period earned.

 

The Company derives management fees pursuant to contractual agreements with certain of its physician practices, which require the practices to pay the Company management fees that are based on a flat fee or a percentage of net fee for service revenue, depending on the nature of services provided. The Company recognizes management fees in the period earned.

 

Segment Reporting

 

The Company provides its services through five operating segments: Anesthesia; Children’s Services; Radiology; Emergency Medicine Services; and Other Services. Anesthesia, Children’s Services, Radiology and

 

12


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Segment Reporting (continued)

 

Emergency Medicine Services are aggregated into one Physician Services reportable segment, with the Other Services operating segment presented in the All Other category. The Physician Services segment provides healthcare services to hospitals and ambulatory surgery centers on a fee for service or contract basis. The Other Services segment is an aggregation of other services provided in an office-based setting such as gynecology, obstetrics, and perinatology, as well as management services, including physician recruiting services and other operations that service the Company’s business as well as third parties, and ownership in and management services of ambulatory surgery centers.

 

See Note 20 for financial information of the Company’s reportable segments.

 

Recent Accounting Pronouncements

 

Changes to GAAP are established by the Financial Accounting Standards Board (“FASB”) in the form of Accounting Standards Updates (“ASUs”) to the FASB’s Accounting Standards Codification. The Company considers the applicability and impact of all ASUs. ASUs not listed below were assessed and determined to be either not applicable or are expected to have minimal impact on the Company’s consolidated financial position or comprehensive income.

 

In July 2013, the FASB issued ASU No. 2013-11, “Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists (a consensus of the FASB Emerging Issues Task Force)” (“ASU 2013-11”). ASU 2013-11 provides explicit guidance on the financial statement presentation of an unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists and is intended to eliminate diversity in practice. ASU 2013-11 is effective prospectively for fiscal years, and interim periods within those years, beginning after December 15, 2013 with early adoption permitted. The Company is currently assessing the impact of this guidance on its consolidated financial statements.

 

In February 2013, the FASB issued ASU No. 2013-02, “Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income” (“ASU 2013-02”). The objective of ASU 2013-02 is to improve the reporting of reclassifications out of accumulated other comprehensive income. This amendment requires disclosure of information about the amounts reclassified out of accumulated other comprehensive income by component. In addition, disclosure is required, either on the face of the statement where net income is presented or in the notes, of significant amounts reclassified out of accumulated other comprehensive income by the respective line items of net income but only if the amount reclassified is required under GAAP to be reclassified to net income in its entirety in the same reporting period. For other amounts that are not required to be reclassified in their entirety to net income, an entity is required to cross-reference to other required disclosures that provide additional detail about those amounts. The new requirements are effective prospectively for annual reporting periods beginning after December 15, 2012. The adoption of this ASU did not have an impact on the Company’s consolidated financial condition, results of operations and comprehensive income or cash flows.

 

In July 2012, the FASB issued ASU No. 2012-02, “Testing Indefinite-Lived Intangible Assets for Impairment (the revised standard) (“ASU 2012-02”).” ASU 2012-02 is intended to reduce the cost and complexity of testing indefinite-lived intangible assets, other than goodwill, for impairment. It allows companies to perform a qualitative assessment to determine whether further impairment testing of indefinite-lived intangible

 

13


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(2) Significant Accounting Policies (continued)

 

Recent Accounting Pronouncements (continued)

 

assets is necessary, similar in approach to the qualitative approach to testing goodwill for impairment. ASU 2012-02 was effective for annual and interim impairment tests performed for fiscal years beginning after September 15, 2012. The adoption of this ASU did not have an impact on the Company’s consolidated financial condition, results of operations and comprehensive income or cash flow.

 

(3) Restricted Cash and Marketable Securities

 

In accordance with the provisions of a reinsurance agreement between the Company and a third-party insurer, acting as a fronting agent, the Company is required to collateralize the fronting agent’s exposure. The fronting agent’s exposure was collateralized by a trust at December 31, 2013 and 2012. At December 31, 2013 and 2012, the cash balances restricted under such arrangement were $14.3 million and $18.5 million, respectively. At December 31, 2013 and 2012, total marketable securities restricted under such arrangement were $4.2 million and $5.5 million, respectively. Such amounts are classified as current assets based upon the maturity of the respective securities and management’s expectation with regard to these securities. The Company’s restricted marketable securities consist of the following (in thousands):

 

    December 31, 2013     December 31, 2012  
    Cost or
Amortized
Cost
    Gross
Unrealized
Gains
    Gross
Unrealized
Losses
    Estimated
Fair
Value
    Cost or
Amortized
Cost
    Gross
Unrealized
Gains
    Gross
Unrealized
Losses
    Estimated
Fair
Value
 

Certificates of deposit

  $ 4,229      $ 2      $ —        $ 4,231      $ 5,477      $ —        $ (1   $ 5,476   

 

The original contractual maturities for the Company’s marketable securities at December 31, 2013 are all due within one year.

 

(4) Accounts Receivable, Net

 

Accounts receivable are reflected in the consolidated balance sheets net of contractual discounts and provision for uncollectibles. The Company periodically reassesses its accounts receivable, net by analyzing historical cash collections, changes in payor mix and accounts receivable agings. Actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for uncollectibles. Changes in these estimates are charged or credited to the consolidated statement of income and comprehensive income in the period of change. Material changes in estimate may result from unforeseen write-offs of patient or third-party accounts receivable, unsuccessful disputes with managed care payors, adverse macro-economic conditions which limit patients’ ability to meet their financial obligations for the care provided by our physicians, or broad changes to government regulations that adversely impact reimbursement rates for services provided by the Company. The Company recorded write-offs, net of recoveries, of $62.2 million and $42.5 million for the years ended December 31, 2013 and 2012, respectively. The increase in write-offs, net of recoveries, during the year ended December 31, 2013 was due to an increase in revenue as a result of increased patient volumes primarily from acquisitions, organic contract growth and write-offs of radiology services billed from a newly implemented billing system. The Company wrote-off approximately $6.3 million of accounts receivable for dates of service beginning in fiscal year 2012 through June 2013 that were deemed unrecoverable due to performance issues with a billing system that was implemented during fiscal year 2012. The combined effects from changes in estimates related to the valuation of prior period accounts receivable, primarily related to performance issues with the newly implemented billing system was a decrease to income from operations of approximately $5.0 million for the year ended December 31, 2013. Management believes the performance issues were substantially resolved as of December 31, 2013.

 

14


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(4) Accounts Receivable, Net (continued)

 

Accounts receivable, net consists of the following (in thousands):

 

     December 31,  
     2013     2012  

Fee for service receivables

   $ 143,066      $ 140,987   

Provision for uncollectibles

     (19,943     (24,197
  

 

 

   

 

 

 

Fee for service receivables, net

     123,123        116,790   

Contract receivables, net

     6,499        4,392   

Management fee and other receivables, net

     919        639   
  

 

 

   

 

 

 

Accounts receivable, net

   $ 130,541      $ 121,821   
  

 

 

   

 

 

 

 

(5) Other Current Assets

 

Other current assets consist of the following (in thousands):

 

     December 31,  
     2013      2012  

Income taxes receivable

   $ 12,055       $ 6,002   

Prepaids

     5,323         4,649   

Other

     6,277         7,623   
  

 

 

    

 

 

 

Total other current assets

   $ 23,655       $ 18,274   
  

 

 

    

 

 

 

 

(6) Property and Equipment, Net

 

Property and equipment, net consists of the following (in thousands):

 

     December 31,  
     2013     2012  

Equipment, computer hardware and software

   $ 32,889      $ 24,940   

Furniture and fixtures

     8,262        8,341   

Leasehold improvements

     8,158        7,972   

Capitalized projects in progress

     3,491        5,024   
  

 

 

   

 

 

 

Total

     52,800        46,277   

Accumulated depreciation and amortization

     (23,338     (16,121
  

 

 

   

 

 

 

Property and equipment, net

   $ 29,462      $ 30,156   
  

 

 

   

 

 

 

 

The company recorded depreciation and other amortization expense of approximately $9.9 million, $7.7 million and $5.5 million for the years ended December 31, 2013, 2012 and 2011, respectively.

 

(7) Business Acquisitions

 

A significant portion of the Company’s growth during the past decade has come from acquisitions of regional provider groups and other smaller physician practices along with new contracts, all of which has in part been driven by industry consolidation trends.

 

15


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(7) Business Acquisitions (continued)

 

During the year ended December 31, 2013, the Company completed the acquisition of three physician group practices and a management service organization. In April 2013, the Company acquired certain assets of a physician group practice that provides emergency medical services in Florida. In September 2013, the Company acquired all of the stock of a physician group practice that provides anesthesia and pain management in New Jersey. In November 2013, the Company acquired all of the stock of a physician group practice that provides anesthesia services in California. Additionally, in February 2013, the Company acquired all of the stock of a medical service organization located in Kansas that provides medical billing and other management services. The total consideration consisted of cash, the Company’s issuance of units, and contingent consideration with a total value of $134.9 million, which is net of $0.9 million of cash acquired. These acquisitions were funded by operating cash flows and the proceeds of issuance of debt. In addition, the Company recorded transaction costs of $1.6 million, which are included in general and administrative costs in the consolidated statement of income and comprehensive income for the year ended December 31, 2013.

 

These acquisitions have expanded the Company’s presence in the markets of the respective acquisitions. The results of operations of the acquired businesses have been included in the Company’s consolidated financial statements beginning on the respective acquisition dates. These acquisitions added approximately $15.4 million of net revenue and $4.1 million of gross profit for the year ended December 31, 2013. Pro forma results of operations for acquisitions completed in 2013 have not been presented because the effect of these acquisitions was not material, individually or in the aggregate, to the Company’s consolidated statements of income and comprehensive income.

 

The allocation of purchase price to the fair value of tangible and intangible assets and liabilities, as well as the estimated useful lives of the acquired assets, is provisional and remains preliminary as management continues to assess the valuation of these items and any ultimate purchase price adjustments based on the final assets and net working capital, as prescribed by the purchase agreements. The Company recorded goodwill of approximately $84.5 million (of which $10.2 million is tax deductible goodwill) in accordance with the provisions of ASC 805, “Business Combinations” (“ASC 805”) as follows (in thousands):

 

Fair value of consideration transferred, net of cash acquired

   $ 134,862   

Net assets acquired:

  

Working capital

     (1,973

Other assets

     1,908   

Intangible assets

     89,978   

Deferred income taxes

     (34,873

Contingent consideration

     (4,683
  

 

 

 

Total net assets acquired

     50,357   
  

 

 

 

Goodwill resulting from the acquisitions

   $ 84,505   
  

 

 

 

 

Intangible assets primarily consist of customer relationship with a weighted-average amortization period of 20 years.

 

One purchase agreement entered into during the year ended December 31, 2013 has a contingent consideration provision pursuant to which, if the financial targets are achieved within a performance period, as defined, an estimated maximum future cash payment totaling $6.0 million could be made at the conclusion of the performance period. As of December 31, 2013, the Company has accrued the fair value of the contingent consideration of $4.7 million as its estimate of the additional payments to be made. This balance is included in other long-term liabilities in the accompanying consolidated balance sheet.

 

16


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(7) Business Acquisitions (continued)

 

During the year ended December 31, 2012, the Company completed the acquisition of three physician group practices and a 50.1% interest in another physician-related business. In August 2012, the Company acquired certain assets of a physician group practice that provides radiology services in Florida. In December 2012, the Company acquired all of the stock of a physician group practice that provides anesthesia services and pain management in New Jersey. In December 2012, the Company acquired certain assets of a physician group practice that provides anesthesia and pain management services in New Jersey. Additionally, in November 2012, the Company acquired a 50.1% interest in an ambulatory surgery center located in New Jersey. The total consideration consisted of $49.7 million, which is net of $0.6 million of cash acquired. These acquisitions were funded by operating cash flows. In addition, the Company recorded transaction costs of $1.0 million, which is included in general and administrative costs in the consolidated statement of income and comprehensive income for the year ended December 31, 2012.

 

The allocation of purchase price to the fair value of tangible and intangible assets and liabilities, as well as the estimated useful lives of the acquired assets, was completed in 2013, resulting in no material measurement period adjustments. The Company recorded goodwill of approximately $48.1 million (of which $26.3 million is tax deductible goodwill) in accordance with the provisions of ASC 805, as follows (in thousands):

 

Consideration paid, net of cash acquired

   $ 49,714   

Net assets acquired:

  

Working capital

     2,041   

Property and equipment

     1,050   

Intangible assets (primarily customer relationships)

     19,224   

Deferred income taxes

     (2,464

Fair value of noncontrolling interest

     (18,188
  

 

 

 

Total net assets acquired

     1,663   
  

 

 

 

Goodwill resulting from the acquisitions

   $ 48,051   
  

 

 

 

 

During the year ended December 31, 2011, the Company completed the acquisition of three physician practices and a 50.1% interest in another physician-related business. In June 2011, the Company acquired all of the stock of a physician group practice that provides children’s services in Alabama. In November 2011, the Company acquired a 50.1% interest in an ambulatory surgery center located in Florida. In December 2011, the Company acquired all of the stock of two physician group practices that provide anesthesia services in New Jersey and Florida. The total consideration consisted of $87.9 million, which is net of $1.7 million cash acquired. The acquisitions were funded through operational cash flows. In addition, the Company recorded transaction costs of $1.1 million which is included in general and administrative costs in the consolidated statements of income and comprehensive income for the year ended December 31, 2011.

 

17


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(7) Business Acquisitions (continued)

 

The allocation of purchase price to the fair value of tangible and intangible assets and liabilities, as well as the estimated useful lives of the acquired assets, was completed in 2012, resulting in no material measurement period adjustments. The Company recorded goodwill of approximately $44.2 million (of which $24.7 million is tax deductible goodwill) in accordance with the provisions of ASC 805, as follows (in thousands):

 

Purchase price

   $ 87,930   

Net assets acquired:

  

Working capital

     (139

Property and equipment

     519   

Intangible assets (primarily customer relationships)

     54,348   

Deferred income taxes

     (8,252

Fair value of noncontrolling interest

     (2,707
  

 

 

 

Total net assets acquired

     43,769   
  

 

 

 

Goodwill resulting from the acquisitions

   $ 44,161   
  

 

 

 

 

During 2011, the Company paid contingent consideration of $500,000 relating to a certain prior year acquisition that was accrued for as of December 31, 2010 as part of the initial purchase price allocation.

 

(8) Goodwill and Other Intangible Assets

 

The changes in the carrying amounts of goodwill are as follows (in thousands):

 

Goodwill, January 1, 2012

   $ 747,490   

Acquisitions

     48,051   

Other adjustments

     905   
  

 

 

 

Goodwill, December 31, 2012

     796,446   

Acquisitions

     84,505   

Other adjustments

     72   
  

 

 

 

Goodwill, December 31, 2013

   $ 881,023   
  

 

 

 

 

Other intangible assets consist of the following (in thousands):

 

    December 31, 2013     December 31, 2012  
    Gross
Amount
    Accumulated
Amortization
    Net
Amount
    Gross
Amount
    Accumulated
Amortization
    Net
Amount
 

Definite-lived intangible assets:

           

Customer relationships with hospitals

  $ 549,537      $ (115,197   $ 434,340      $ 459,790      $ (90,974   $ 368,816   

Noncompete agreements

    14,886        (13,287     1,599        14,655        (11,849     2,806   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total definite-lived intangible assets

    564,423        (128,484     435,939        474,445        (102,823     371,622   

Indefinite-lived intangible assets:

           

Corporate trade name

    76,360        —          76,360        76,360        —          76,360   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total intangible assets

  $ 640,783      $ (128,484   $ 512,299      $ 550,805      $ (102,823   $ 447,982   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

18


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(8) Goodwill and Other Intangible Assets (continued)

 

The Company’s other intangible asset amortization expense for the years ended December 31, 2013, 2012 and 2011 was $25.7 million, $24.5 million and $20.6 million, respectively. Amortization expense for other intangible assets for the years 2014 through 2018 is expected to be $27.8 million, $27.8 million, $27.0 million, $25.4 million and $25.0 million, respectively. The calculation of the weighted-average amortization period includes amortization expense related to years beyond 2018 of $302.9 million.

 

(9) Other Current Liabilities

 

Other current liabilities consist of the following (in thousands):

 

     December 31,  
     2013      2012  

Refunds payable

   $ 12,055       $ 8,655   

Other accrued expenses

     10,964         10,160   
  

 

 

    

 

 

 

Total other current liabilities

   $ 23,019       $ 18,815   
  

 

 

    

 

 

 

 

(10) Accrued Professional Liabilities

 

At December 31, 2013 and 2012, the Company’s total accrued professional liabilities of $60.4 million and $66.0 million, respectively, includes incurred but not reported loss reserves of $32.5 million and $36.2 million, respectively, and loss reserves for reported claims associated with self-insured retention amounts through the Company’s wholly owned captive insurance subsidiary of $27.9 million and $29.8 million, respectively.

 

The activity related to the Company’s total accrued professional liabilities is as follows (in thousands):

 

     Years Ended December 31,  
         2013             2012      

Balance at beginning of year

   $ 65,973      $ 63,833   

Provision (adjustment) for losses related to:

    

Current year

     12,113        13,175   

Prior years

     (4,574     (5,203
  

 

 

   

 

 

 

Total provision for losses

     7,539        7,972   

Claims payments related to:

    

Current year

     (1,080     (3,239

Prior years

     (12,000     (3,385
  

 

 

   

 

 

 

Total payments

     (13,080     (6,624
  

 

 

   

 

 

 

Other, net

     (36     792   
  

 

 

   

 

 

 

Balance at end of year

   $ 60,396      $ 65,973   
  

 

 

   

 

 

 

 

The net decrease in the Company’s total accrued professional liabilities for the year ended December 31, 2013 is primarily attributable to the increase in claim payments and adjustments to the provision for losses related to prior years resulting from favorable trends in the Company’s claims experience.

 

Other, net comprises liabilities assumed in connection with the Company’s acquisitions and changes in reserves associated with third-party insurance policies.

 

19


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(11) Long-Term Debt

 

Long-term debt consists of the following (in thousands):

 

     December 31,  
     2013     2012  

$750.1 million 2013 Term Loan, net of unamortized discount of $4.3 million, payable in quarterly installments through June 29, 2018; interest at Interbank Offered Rate (“LIBOR”) with a floor of 1.00% plus 3.50% (rate of 4.5% at December 31, 2013)

   $ 745,808      $ —     

$400.0 million 2013 Second Lien Term Loan, net of unamortized discount of $2.5 million, payable at maturity, December 18, 2021; interest at LIBOR with a floor of 1.00%, plus 7.25% (rate of 8.25% at December 31, 2013)

     397,484        —     

Revolver, payable at maturity, June 29, 2017; interest at LIBOR or prime plus an applicable margin

     —          —     

$597.0 million 2012 Term Loan, net of unamortized discount of $5.5 million, payable in quarterly installments through June 29, 2018; interest at LIBOR with a floor of 1.25% plus 4.75% (rate of 6.00% at December 31, 2012)

     —          591,519   

$110.0 million 2012 Second Lien Term Loan, net of unamortized discount of $1.0 million, payable at maturity, June 29, 2019; interest at LIBOR with a floor of 1.25%, plus 7.75% (rate of 9.00% at December 31, 2012)

     —          108,979   
  

 

 

   

 

 

 

Total

     1,143,292        700,498   

Less: Current portion

     (8,270     (6,000
  

 

 

   

 

 

 

Long-term debt

   $ 1,135,022      $ 694,498   
  

 

 

   

 

 

 

 

On June 29, 2012, the Company entered into a first lien credit agreement and second lien credit agreement with a syndicate of banks. The first lien credit agreement included a $600.0 million first lien term loan (the “2012 Term Loan”) and a $100.0 million revolving credit facility (the “Revolver”), and the second lien credit agreement included a $110.0 million second lien term loan (the “2012 Second Lien Term Loan”). The 2012 Term Loan and the 2012 Second Lien Term Loan were issued at discounts of $6.0 million and $1.1 million, respectively. The net proceeds from the financing of $702.9 million were used to retire the Company’s then outstanding term loans totaling $635.3 million and accrued interest thereon of $1.4 million, and pay $12.8 million of the financing costs. Net proceeds to the Company were $53.4 million.

 

These transactions were accounted for as a substantial modification of debt. Unamortized discounts, deferred financing and other costs of $7.7 million related to the retired debt as well as a $0.4 million loss on early termination of a related interest rate swap were expensed and recorded as a loss on extinguishment of debt in the accompanying consolidated statement of income and comprehensive income during the year ended December 31, 2012. The financing costs related to the new credit facilities of $14.3 million were recorded in other current assets and other assets in the accompanying consolidated balance sheet as of December 31, 2012 and were being amortized over the terms of the related debt.

 

On February 13, 2013, the Company entered into an amendment to the 2012 Term Loan (“2013 Amendment”), which reduced the applicable margin rate, added an additional $75.0 million of debt to the 2012 Term Loan and incurred an exchange of debt among multiple lenders. The 2013 Amendment did not modify any other terms of the 2012 Term Loan and constituted a repricing transaction in respect to the 2012 Term Loan. The net proceeds of the 2013 Amendment of $672.0 million were used to refinance the existing 2012 Term Loan of $591.5 million and pay accrued interest. In addition, the Company paid a total of $9.7 million in fees in relation to the transaction. Net proceeds to the Company were $61.1 million.

 

20


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(11) Long-Term Debt (continued)

 

The 2013 Amendment involved multiple lenders who were considered members of a loan syndicate. In determining whether the refinancing was to be accounted for as a debt extinguishment or modification, the Company considered whether the creditors remained the same or changed and whether the change in debt terms was substantial. The debt terms were considered substantially different if the present value of the cash flows of the term loans under the credit agreement, as amended, was at least 10% different from the present value of the remaining cash flows of the original term loans (the “10% Test”). The Company performed a separate 10% Test for each individual creditor participating in the loan syndicate. The loans of creditors who did not participate in the 2013 Amendment were accounted for as a debt extinguishment. When there was a change in principal balance for individual creditors, in applying the 10% Test, the Company used the cash flows related to the lowest common principal balance, or the Net Method. Under the Net Method, any principal in excess of a creditor’s reinvested principal balance was treated as a new, separate debt issuance, and any decrease in principal was treated as a partial extinguishment of debt.

 

For debt considered to be extinguished, the unamortized deferred financing costs and unamortized original issue discount associated with the extinguished debt were expensed. For debt considered to be modified, the unamortized deferred financing costs and unamortized original issue discount associated with the modified debt continue to be amortized, new creditor fees were capitalized and new third-party fees were expensed. For new creditors, new creditor fees and new third-party fees were capitalized. As a result, the Company recorded a loss on the extinguishment of debt in the accompanying consolidated statement of income and comprehensive income of $4.4 million related to the 2013 Amendment during the year ended December 31, 2013. Deferred financing costs of $7.1 million were recorded in other current assets and other assets, as well as a debt discount that reduced long-term debt in the accompanying consolidated balance sheet, and are being amortized over the terms of the related debt.

 

On December 18, 2013, the Company entered into another amendment to the 2012 Term Loan and the 2012 Second Lien Term Loan, (the “2013 Term Loan” and the “2013 Second Lien Term Loan,” respectively, and the “Credit Facilities,” collectively). The 2013 Term Loan permits the borrowing of new 2013 term loans, including an $85.0 million incremental first lien term loan, a $70.0 million incremental first lien delayed draw term loan with an interest rate of 0.25% per quarter on the aggregate principal amount which was drawn in January 2014, and a revolving credit facility of up to $100.0 million, which includes a borrowing capacity of $20.0 million for issuances of letters of credit. Additional term loans or revolving credit commitments may be obtained subject to certain conditions. The net proceeds from the 2013 Second Lien Term Loan of $400.0 million were used for (i) the declaration and payment of a dividend to the Company’s unitholders, (ii) the repayment of Sheridan’s then outstanding 2012 Second Lien Term Loan totaling $110.0 million and accrued interest thereon of $2.2 million, and (iii) the payment of $14.6 million of the transaction expenses, including financing costs. Net proceeds to the Company were $358.7 million.

 

The December amendment to the Credit Facilities also involved multiple lenders who were considered members of a loan syndicate, and the Company used the same methodology as described above to determine the amounts to be capitalized to deferred financing costs and the amounts to be expensed. As a result, the Company recorded a loss on the extinguishment of debt in the accompanying consolidated statement of income and comprehensive income of $6.6 million related to the amendment of the Credit Facilities during the year ended December 31, 2013. Deferred financing costs of $10.6 million were recorded in other current assets and other assets, as well as a debt discount that reduces long-term debt in the accompanying consolidated balance sheet, and are being amortized over the terms of the related debt.

 

21


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(11) Long-Term Debt (continued)

 

The Credit Facilities bear interest at a rate equal to an applicable margin plus, either (1) a base rate determined by reference to the highest of (a) the prime lending rate of Credit Suisse AG, (b) the federal funds rate plus 1/2 of 1% and (c) a reserve adjusted Eurodollar rate determined by reference to the London interbank rate for deposits in dollars for a one month interest period plus 1.00% or (2) a reserve adjusted Eurodollar rate determined by reference to the London interbank rate for deposits in dollars for the applicable interest periods. The Credit Facilities annual base rate may never be lower than 2.00% and Eurodollar rate may never be lower than 1.00%.

 

The initial applicable margin for initial term loans under the 2013 Term Loan is 2.50% with respect to base rate loans and 3.50% with respect to Eurodollar rate loans. The initial applicable margin for revolving loans is 3.75% with respect to base rate loans and 4.75% with respect to Eurodollar rate loans, and it may be reduced subject to the Company attaining certain first lien leverage ratios. The applicable margin for term loans under the 2013 Term Loan is 6.25% with respect to base rate loans and 7.25% with respect to Eurodollar rate loans.

 

At December 31, 2013, the maximum available to the Company under the Revolver was $99.9 million, net of outstanding letters of credit with an aggregate face amount of $0.1 million. No amounts were drawn on the Revolver as of December 31, 2013 and 2012.

 

The Credit Facilities and the Revolver are collateralized by all the assets and equity of the Company’s subsidiaries, excluding its captive insurance subsidiary and certain other subsidiaries as defined in the credit agreements. The Company is subject to certain covenants and restrictions under the Credit Facilities. At December 31, 2013, the Company was in compliance, in all material respects, with these financial covenants and restrictions.

 

Annual maturities of long-term debt outstanding as of December 31, 2013 are as follows (in thousands):

 

For the Years Ended December 31,

      

2014

   $ 8,270   

2015

     8,270   

2016

     8,270   

2017

     8,270   

2018

     716,988   

Thereafter

     400,000   
  

 

 

 

Total

   $ 1,150,068   
  

 

 

 

 

(12) Interest Rate Swaps

 

The Company is exposed to market risks arising from adverse changes in interest rates associated with variable rate debt. The Company had previously entered into interest rate swap agreements, which effectively converted a portion of the Company’s variable interest rate to fixed interest rates of outstanding borrowings under its then outstanding term loan, which the Company refinanced in 2012. As a result, the one outstanding interest rate swap, with a notional amount of $180.0 million, was terminated in July 2012, at a loss of $0.4 million, and the loss was reclassified to earnings in the same period. During 2011, one interest rate swap agreement with a notional value of $50.0 million expired, which effectively converted a variable interest rate to a fixed interest rate of 5.341%. The swap agreements were designated as a cash flow hedge and accounted for at

 

22


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(12) Interest Rate Swaps (continued)

 

fair value with the effective portion of gains or losses reported in other comprehensive income (loss). The interest rate swap was highly effective at hedging the hedged risk and any ineffectiveness was immaterial to the financial statements. The net effect on the Company’s operating results was that interest on the variable rate debt being hedged was recorded based on fixed interest rates. The effect of interest rate swap agreements on interest expense was an increase of approximately $4.8 million and $10.7 million for the years ended December 31, 2012 and 2011, respectively. The Company did not have any derivatives outstanding at December 31, 2013 and 2012.

 

The following table presents the pretax impact that changes in the fair value the derivative designated as a cash flow hedge had on accumulated other comprehensive income and earnings during the years ended December 31, 2013, 2012 and 2011 (in thousands):

 

Derivatives in Subtopic

815-20 Cash Flow

Hedging Relationships

   Amount of Gain (Loss)
Recognized in Other
Comprehensive Income
(Effective Portion)
     Location of Gain (Loss)
from Accumulated  Other
Comprehensive

Income into Income
     Amount of Gain (Loss)
Reclassified from
Accumulated Other
Comprehensive Income into
Income (Effective Portion)
 
   2013      2012      2011         2013      2012      2011  

Interest rate swap

   $ —         $ 4,454       $ 9,851         Interest expense, net       $ —         $ 4,817       $ 10,662   

 

(13) Retirement Plans

 

The Company maintains qualified contributory savings plans (the “Plans”) as allowed under Section 401(k) of the Internal Revenue Code. In addition, in connection with certain acquisitions, the Company continues to maintain defined contribution savings plans allowed under Section 401(k) and/or Section 401(a). The Plans permit participant contributions and allow elective Company contributions or required Company contributions subject to the limits defined by each of the Plans. In connection with the Plans, the Company recorded an expense of approximately $10.6 million, $12.4 million and $9.1 million for the years ended December 31, 2013, 2012 and 2011, respectively. The expense was recorded in personnel expenses as well as a portion in general administrative expenses in the accompanying consolidated statements of income and comprehensive income.

 

(14) Income Taxes

 

The provision for income taxes consists of the following (in thousands):

 

     Years Ended December 31,  
     2013     2012     2011  

Federal:

      

Current

   $ 17,425      $ 21,389      $ 26,060   

Deferred

     (1,114     (8,995     (4,147
  

 

 

   

 

 

   

 

 

 

Total federal

     16,311        12,394        21,913   
  

 

 

   

 

 

   

 

 

 

State:

      

Current

     2,384        6,320        5,931   

Deferred

     (395     (2,428     (969
  

 

 

   

 

 

   

 

 

 

Total state

     1,989        3,892        4,962   
  

 

 

   

 

 

   

 

 

 
   $ 18,300      $ 16,286      $ 26,875   
  

 

 

   

 

 

   

 

 

 

 

23


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(14) Income Taxes (continued)

 

The differences between the effective rate and the United States federal income tax statutory rate are as follows (in thousands):

 

     Years Ended December 31,  
     2013     %     2012     %     2011     %  

Tax at federal statutory rate

   $ 12,191        35.00   $ 18,599        35.00   $ 22,013        35.00

Equity -based compensation expense of flow-through entities

     4,961        14.24     1,120        2.11     2,651        4.22

State income taxes, net of federal benefit

     2,454        7.04     2,893        5.44     3,673        5.84

Imputed interest, non-deductible dividend expense

     216        0.62     190        0.36     141        0.22

Flow-through entities not subject to tax

     (942     (2.70 %)      (666     (1.25 %)      (529     (0.84 %) 

Change in accrual estimate relating to uncertain tax positions

     (723     (2.08 %)      (466     (0.88 %)      418        0.66

Change in valuation allowance

     72        0.21     (3,688     (6.94 %)      —          —     

Noncontrolling interest

     (976     (2.80 %)      (682     (1.28 %)      (259     (0.41 %) 

Other, net

     1,047        3.00     (1,014     (1.91 %)      (1,233     (1.96 %) 
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total

   $ 18,300        52.53   $ 16,286        30.65   $ 26,875        42.73
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

The significant components of deferred income tax assets and liabilities are as follows (in thousands):

 

    December 31, 2013     December 31, 2012  
    Total     Current     Non-Current     Total     Current     Non-Current  

Self-insurance accruals

  $ 18,671      $ (1,260   $ 19,931      $ 19,627      $ 19,627      $ —     

Lease obligation

    17        —          17        —          —          —     

Provision for uncollectibles

    5,156        5,156        —          5,757        5,757        —     

Net operating loss carryforward of cash basis affiliates

    3,446        —          3,446        3,155        —          3,155   

Employee benefits

    19        —          19        7        —          7   

AMT credit carryforward

    100        100        —          292        292        —     

Accrued expenses

    10,332        10,332        —          6,627        6,627        —     

Other, net

    1,400        1,400        —          2,260        2,260        —     

Impairment of purchase option

    604        —          604        604        —          604   

Deferred payment

    461        —          461        438        —          438   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Deferred tax assets

    40,206        15,728        24,478        38,767        34,563        4,204   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Valuation allowance

    (981     —          (981     (909     —          (909
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total deferred tax assets, net

    39,225        15,728        23,497        37,858        34,563        3,295   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Goodwill and other intangible assets

    (191,869     —          (191,869     (156,216     —          (156,216

Prepaid items

    (1,237     (1,237     —          (1,072     (1,072     —     

Accrual basis income of cash basis affiliates

    (588     (588     —          (935     (935     —     

Unrealized (gain) loss on marketable securities

    (1     (1     —          1        1        —     

Property and equipment

    (6,431     —          (6,431     (8,101     —          (8,101

Other, net

    —          —          —          —          —          —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Deferred tax liabilities

    (200,126     (1,826     (198,300     (166,323     (2,006     (164,317
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total deferred tax assets (liabilities)

  $ (160,901   $ 13,902      $ (174,803   $ (128,465   $ 32,557      $ (161,022
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

24


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(14) Income Taxes (continued)

 

The Company includes interest and penalties related to income tax liabilities in the provision for income taxes. For the years ended December 31, 2013, 2012 and 2011, the Company accrued penalties of $0.1 million, $0.2 million and $0.3 million, respectively, and interest, net of federal and state tax benefit, of $0.1 million for each year. As of December 31, 2013 and 2012, the Company’s liabilities for penalties were $0.2 million and $0.5 million, respectively, and interest, net of federal and state tax benefit of $0.1 million and $0.2 million, respectively. At December 31, 2013, the Company had $0.3 million of unrecognized tax benefits that, if recognized, would favorably impact its effective tax rate.

 

The Company’s liability for uncertain tax positions could be reduced over the next twelve months by approximately $0.1 million, excluding accrued interest, due to the expiration of statutes of limitation or settlements with taxing authorities. Although the Company anticipates additional changes in its liabilities for uncertain tax positions related to certain temporary differences, an estimate of the range of such changes cannot be made at this time.

 

The Company’s wholly owned corporate subsidiaries file a consolidated tax return with their parent company. The remaining affiliated professional contractors in which the Company has a controlling financial interest file tax returns on an individual basis. The Company is currently subject to federal and various state income tax examinations for the tax years 2009 to 2012.

 

The affiliated professional contractors in which the Company has a controlling financial interest have net operating loss carryforwards for federal and state tax purposes totaling $4.4 million and $4.4 million, respectively at December 31, 2013, and $4.7 million and $4.4 million at December 31, 2012, respectively, expiring at various times commencing in 2019.

 

The Company also has a net operating loss carryforward for federal and state tax purposes of $1.6 million and $8.7 million, respectively, at December 31, 2013 and a net operating loss carryforward for federal and state tax purposes of $8.0 million at December 31, 2012, related to a VIE that is included in the consolidated financial statements. The net operating losses begin to expire at various times commencing in 2024. The net deferred tax asset related to the net operating losses of the VIE is approximately $0.8 million at December 31, 2013 and 2012, respectively. During the year ended December 31, 2012, the VIE had a nonrecurring income recognition event which enabled the entity to utilize all of its federal and $3.0 million of its state net operating loss carry forwards. As a result, the Company released $3.6 million of the valuation allowance on these deferred tax assets. A valuation allowance remains on the remaining tax asset.

 

(15) Fair Value Measurements

 

Fair Value Hierarchy

 

The carrying amounts of cash and cash equivalents, restricted cash, restricted marketable securities, accounts receivable, accounts payable and accrued expenses approximate fair value due to the short maturities of the respective instruments. The carrying value of the variable-rate long-term debt approximates fair value at December 31, 2013 and 2012, since the related interest rates approximate current market rates available for similar debt instruments.

 

25


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(15) Fair Value Measurements (continued)

 

Fair Value Hierarchy (continued)

 

Financial assets and liabilities are categorized based on the inputs to the valuation technique into a three-level fair value hierarchy. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets and liabilities and the lowest priority to unobservable inputs. The various levels of the fair value hierarchy are described as follows:

 

   

Level 1—Quoted prices in active markets for identical assets or liabilities.

 

   

Level 2—Observable inputs other than quoted prices in active markets for identical assets and liabilities, quoted prices for identical or similar assets or liabilities in inactive markets, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

 

   

Level 3—Inputs that are generally unobservable and typically reflect management’s estimate of assumptions that market participants would use in pricing the asset or liability.

 

The use of observable market data is required when available in making fair value measurements. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest-level input that is significant to the fair value measurement.

 

Recurring Fair Value Measurements

 

The following table presents the Company’s fair value hierarchy for those assets and liabilities measured at fair value on a recurring basis (in thousands):

 

     December 31, 2013      December 31, 2012  
     Fair Value Measurements      Fair Value Measurements  

Description

   Quoted Prices
in Active
Markets for
Identical
Assets
(Level 1)
     Significant
Other
Observable
Inputs
(Level 2)
     Unobservable
Inputs
(Level 3)
     Quoted Prices
in Active
Markets for
Identical
Assets
(Level 1)
     Significant
Other
Observable
Inputs
(Level 2)
     Unobservable
Inputs
(Level 3)
 

Assets:

                 

Certificates of deposit

   $ —         $ 4,231       $ —         $ —         $ 5,476       $ —     

 

Non-Recurring Fair Value Measurements

 

The Company follows the provisions of ASC 820-10-05 for its nonfinancial assets and liabilities that are not permitted or required to be measured at fair value on a recurring basis. The Company’s nonfinancial assets and liabilities that are not permitted or required to be measured at fair value on a recurring basis typically relate to long-lived assets held and used and goodwill. The Company is required to provide additional disclosures about fair value measurements as part of its financial statements for each major category of assets and liabilities measured at fair value on a nonrecurring basis. At December 31, 2013 and 2012, no fair value adjustments or fair value measurements were required for nonfinancial assets or liabilities.

 

Fair Valuation Methods

 

Certificates of deposit—These securities are valued using industry-standard models that consider various assumptions, including time to maturity, applicable market volatility factors, and current market and selling

 

26


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(15) Fair Value Measurements (continued)

 

Fair Valuation Methods (continued)

 

prices for the underlying debt instruments that are traded on the open market, even if not highly liquid. Substantially all of these assumptions are observable in the marketplace throughout the full term of the instrument, can be derived from observable data and are supported by observable levels at which transactions are executed in the marketplace.

 

(16) Commitments and Contingencies

 

Major Customers

 

A significant portion of the Company’s net revenue is derived from delivering hospital-based physician services at multiple hospitals that have common ownership. For the years ended December 31, 2013, 2012 and 2011, no hospital system comprised 10% or more of the Company’s net revenue.

 

Self-Insurance

 

Due to the nature of its business, the Company becomes involved as a defendant in medical malpractice lawsuits, some of which are currently ongoing, and is subject to the attendant risk of substantial damage awards. Since January 2003, the Company has generally maintained a claims-made insurance arrangement with a third-party insurer. The insurance arrangements with the third party are reinsured through the Company’s wholly owned captive insurance company, Marblehead Surety & Reinsurance Company, Ltd. (“Marblehead”) either directly between the insurer and Marblehead or between the Company and Marblehead as part of its self-insured retention. This exposure is collateralized by assets held in trust to the benefit of the Company’s third-party insurers.

 

In addition, the Company continues to purchase professional liability insurance on a claims-made basis from third party insurers on certain acquired practices and for a limited number of other physicians that practice in states or hospitals with malpractice coverage requirements different than those provided through its arrangement with Marblehead.

 

The liabilities for self-insurance in the accompanying consolidated balance sheets include estimates of the ultimate costs related to both reported claims on an individual and aggregate basis and unreported claims. The estimates are based on the Company’s historical experience, the advice of outside legal counsel and actuarial analysis.

 

There can be no assurance that an existing or future claim or claims will not exceed the limits of available insurance coverage or that any insurer will remain solvent and able to meet its obligations to provide coverage for any such claims. A judgment against the Company in excess of such coverage could have a material adverse effect on the consolidated financial position, operations and comprehensive income or cash flows of the Company.

 

Litigation

 

During the normal course of its business, the Company is a party to pending and threatened legal actions and proceedings. The majority of these matters involve claims of medical malpractice. These lawsuits are not expected to result in settlements or judgments that exceed the Company’s insurance coverage and its reserves for uninsured claims, litigation and assessments. Therefore, management believes, based on the advice of legal counsel, that the ultimate resolution of such matters will not have a material adverse impact on the consolidated financial position, results of operations and comprehensive income, or cash flows of the Company.

 

27


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(16) Commitments and Contingencies (continued)

 

Lease Commitments

 

The Company leases office space and furniture and equipment under various non-cancellable operating leases. The Company’s rent expense under operating leases for the years ended December 31, 2013, 2012 and 2011 was $9.1 million, $8.1 million and $6.7 million, respectively. Future annual minimum payments under non-cancellable operating leases as of December 31, 2013 are as follows (in thousands):

 

For the Years Ended December 31,

      

2014

   $ 5,655   

2015

     4,654   

2016

     4,229   

2017

     3,593   

2018

     3,414   

Thereafter

     19,032   
  

 

 

 

Total

   $ 40,577   
  

 

 

 

 

Government Regulation

 

A significant portion of the Company’s net revenue is derived from payments made by government health care programs, principally Medicare and Medicaid. These government programs, as well as private insurers, have taken and may continue to take, steps, including a movement towards managed care, to control the cost, eligibility for, use and delivery of health care services as a result of budgetary constraints and cost containment pressures. These third-party payors may also attempt to control costs using other measures, including bundling payments for multiple services and denying or reducing reimbursement for certain services and treatments. As a result, payments from government programs or private payors may decrease significantly. The Company’s business may be materially affected by limitations of or reductions in reimbursement amounts or rates or elimination of coverage for certain individuals or treatments.

 

Moreover, because government programs generally provide for reimbursement based on a fee schedule rather than on the providers’ charges, the Company generally cannot increase their revenue from these programs by increasing the amount the Company charges for their services. In addition, funds the Company receives from third-party payors are subject to audit with respect to the proper billing for physician and ancillary services, and accordingly, the Company’s revenue from these programs may be adjusted retroactively. Any retroactive adjustments to the Company’s reimbursement amounts could have a material effect on its consolidated financial condition, results of operations and comprehensive income, as well as cash flows.

 

The healthcare industry is governed by a framework of federal and state laws, rules, and regulations that are extensive and complex and for which, in many cases, the industry has the benefit of only limited judicial and regulatory interpretation. Medicare and Medicaid fraud and abuse laws prohibit, among other things, any false claims, or any bribe, kick-back or rebate in return for the referral of Medicare and Medicaid patients. Violation of these prohibitions may result in civil and criminal penalties and exclusion from participation in the Medicare and Medicaid programs. If the Company is found to have violated these laws, rules, or regulations, the Company’s business, and consolidated financial position, results of operations and comprehensive income, and cash flows could be materially adversely affected.

 

Moreover, the federal healthcare reform legislation signed into law in 2010 contains numerous provisions that may reshape the United States healthcare delivery system, and healthcare reform efforts continue to attract

 

28


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(16) Commitments and Contingencies (continued)

 

Government Regulation (continued)

 

significant legislative interest, legal challenges and public attention that create uncertainty and the potential for additional changes. Healthcare reform implementation, additional legislation or other changes in government regulation may affect the Company’s reimbursement, restrict the Company’s existing operations, limit the expansion of the Company’s business or impose additional compliance requirements and costs, any of which could have a material adverse effect on the Company’s business, financial position, results of operations and comprehensive income, and cash flows.

 

Management has implemented policies and procedures that management believes will ensure that the Company is in substantial compliance with these laws and regulations but there can be no assurance the Company will not be found to have violated certain of these laws and regulations.

 

In addition, Medicare reimbursement rates could be reduced due to updates made on an annual basis based on statutory formulas. Presently, Medicare pays for all physician services based upon a national fee schedule, which contains a list of uniform rates. The payment rates under the fee schedule are determined based on national uniform relative value units for the services provided, a geographic adjustment factor, and a conversion factor.

 

The fee schedule is adjusted annually based on a complex formula that is linked in part to the use of services by Medicare beneficiaries and the growth in gross domestic product. Since 2002, this formula has resulted in negative payment updates under the fee schedule that have grown increasingly larger, and Congress has repeatedly intervened with interim legislation to prevent scheduled payment reductions. For 2014, the Centers for Medicare & Medicaid Services, the agency responsible for administering the Medicare program, projected a rate reduction of 20.1% from 2013 levels. In December 2013, Congress passed legislation that provided for a 0.5% increase from 2013 payment levels through March 31, 2014. If Congress fails to intervene to prevent the negative update factor, which would go into effect on April 1, 2014, through either another temporary measure or a permanent revision to the statutory formula, the resulting decrease in payment may adversely impact physician revenues as well as our revenues.

 

In addition, the Budget Control Act of 2011, as amended by the American Taxpayer Relief Act of 2012, imposed across-the-board cuts (“sequestrations”) to mandatory and discretionary spending, which included aggregate reductions to Medicare payments to providers of 2% per fiscal year, which went into effect in April 2013. The Bipartisan Budget Act of 2013, which was signed into law in December 2013, extended these annual reductions of 2% for an additional two years, through 2023, and was further extended by Congress to 2024. Any reductions in Medicare reimbursement rates may not only have a detrimental impact on the Company’s reimbursement rates for Medicare patients, but also for other patients covered by certain Medicaid and commercial payors that base their rates on a percentage of Medicare rates. Accordingly, any significant spending reductions affecting Medicare, Medicaid or other publicly funded or subsidized health programs could have a material adverse effect on the Company’s consolidated financial condition, results of operations and comprehensive income, and cash flows.

 

(17) Related Parties

 

For the years ended December 31, 2013, 2012 and 2011, the Company paid Hellman & Friedman Capital Partners, VI, L.P. (“H&F”), a party related to a member of the Company, $285,000, $131,000 and $35,500, respectively, for reimbursement of expenses. Additionally, during the years ended December 31, 2013, 2012 and 2011, the Company paid $1.4 million, $1.1 million and $0.9 million, respectively, to two companies affiliated with H&F for payroll and billing related services. At December 31, 2013 and 2012, amounts due to these companies were immaterial.

 

29


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(18) Members’ Equity

 

The Company is a limited partnership, and the equity interests of the partners are designated in units. The Class A Units of the Company were issued to investment fund affiliates of Hellman & Friedman LLC and certain key executives at a price of $1,000 per unit, for a total price of approximately $410.9 million. In 2013, Class A-1 Units valued at $10.0 million were issued as a portion of the consideration paid for an acquisition.

 

Certain key executives of the Company have unit incentive award agreements. The Company has awarded Class B-1, B-2 and B-3 Units (collectively referred to as the “Class B Units”), Class C Units and Class D and D-1 Units (collectively, the “Class D Units”) with varying restrictions and performance criteria.

 

The Class B-1 Units generally vest 25% per year commencing on the first anniversary of the acquisition or grant date and fully vest upon an earlier change of control. The Class B-2 and B-3 Units are market-based units

and will vest upon the achievement of certain distribution targets with respect to the Class A, A-1 and B Units on a cumulative basis. The Class C Units became fully vested at the third anniversary from their grant date. The Class D and D-1 Units vest 20% per year commencing on the first anniversary of the grant date or fully vest upon an earlier change of control. The Company recognizes compensation expense related to its units on a straight-line basis over the corresponding vesting periods or implied service periods, as applicable.

 

Distributions are made to holders of the Company’s units under the limited partnership agreement of the Company as follows: (i) to the Class A and A-1 unitholders, pro rata in accordance with the number of each such unitholders’ Class A and A-1 Units, until the sum of the cumulative distributions (less tax distributions) equals the sum of the Class A unitholders’ aggregate capital contributions; (ii) to the Class C unitholders on a pari passu basis, pro rata in accordance with the number of each unitholder’s Class C Units, until, with respect to the vested Class C Units, the sum of the cumulative distribution made in respect of such vested Class C Unit equals an aggregate of $1,000 per unit; and (iii) to the Class A, B and D unitholders on a pari passu basis, subject to certain restrictions primarily related to individual unit participation amounts, the value of the Company at the time of issuance and the liquidation value of the Company.

 

Each Class A Unit of the Company has the right to one vote for each Class A Unit. The Class A-1, B, C and D Units of the Company have no voting rights, except that they can vote on certain adverse amendments to, and terminations of, the limited partnership agreement of the Company. The Class A-1, B, C and D Units also contain various restrictions related to their sale or transfer as defined in the limited partnership agreement and a related unitholders’ agreement.

 

30


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(18) Members’ Equity (continued)

 

The Class B Unit activity of the Company and corresponding weighted-average, grant-date fair values are as follows:

 

Type of Class B Units

   Units     Grant Date
Fair Value
per Unit
 

Total Class B Units at December 31, 2010

     99,784     
  

 

 

   

Class B-1

     1,065      $ 428   

Class B-2

     500        426   

Class B-3

     500        401   
  

 

 

   

Total Class B Units issued during the year ended December 31, 2011

     2,065     
  

 

 

   

Class B-1

     (375   $ 428   

Class B-2

     (188     426   

Class B-3

     (187     401   
  

 

 

   

Total Class B Units forfeited during the year ended December 31, 2011

     (750  
  

 

 

   

Total Class B Units at December 31, 2011

     101,099     
  

 

 

   

Class B-1

     4,374      $ 476   

Class B-2

     2,098        458   

Class B-3

     2,097        419   
  

 

 

   

Total Class B Units issued during the year ended December 31, 2012

     8,569     
  

 

 

   

Class B-1

     (223   $ 476   

Class B-2

     (700     458   

Class B-3

     (700     419   
  

 

 

   

Total Class B Units forfeited during the year ended December 31, 2012

     (1,623  
  

 

 

   

Class B-1 Units redeemed during the year ended December 31, 2012

     (15,742   $ 476   
  

 

 

   

Total Class B Units at December 31, 2012

     92,303     
  

 

 

   

Class B-1

     (1,621   $ 470   

Class B-2

     (992     450   

Class B-3

     (992     393   
  

 

 

   

Total Class B Units forfeited during the year ended December 31, 2013

     (3,605  
  

 

 

   

Class B-1 Units redeemed during the year ended December 31, 2013

     (1,543   $ 546   
  

 

 

   

Total Class B Units at December 31, 2013

     87,155     
  

 

 

   

 

The Company’s Class C Units had a grant-date fair value of approximately $304 per unit.

 

The Company’s Class D Units issued during 2013 and 2012 had a weighted-average, grant-date fair value of approximately $493 per unit and $388 per unit, respectively.

 

The Company recorded approximately $3.3 million, $3.2 million and $7.6 million in compensation expense for the years ended December 31, 2013, 2012 and 2011, respectively, related to the vesting of the Class B, C and D Units. The fair value of the Units was based on an independent third-party valuation obtained by the Company.

 

31


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(18) Members’ Equity (continued)

 

For the Class A and D Units issued during the year ended December 31, 2013, the determination of the fair value was based on the following assumptions: (i) risk-free interest rates of 0.32% for those units issued through November 2013, (ii) expected lives of two years, (iii) asset volatility of 30.0%, and (iv) an expected dividend yield assumption of 0%. For the Class B and D Units issued during the year ended December 31, 2012, the determination of the fair value was based on the following assumptions: (i) risk-free interest rates of 0.34% for those units issued through September 2012 and 0.32% for those issued in November 2012, (ii) expected lives of three years, (iii) asset volatility of 35.0%, and (iv) an expected dividend yield assumption of 0%. For the Class B Units issued during the year ended December 31, 2011, the determination of the fair value was based on the following assumptions: (i) risk-free interest rates of 0.37%, (ii) expected lives of three years, (iii) asset volatility of 35.0%, and (iv) an expected dividend yield assumption of 0%.

 

At December 31, 2013, the total equity-based compensation cost related to the Company’s Class B and D Units remaining to be recognized as compensation expense over a weighted-average period of four years is $15.3 million.

 

In December 2013, the Company amended the terms of the limited partnership agreement to enable the distribution of a dividend of $325.0 million to its unitholders. In accordance with the amended agreement, $323.6 million of the dividend was paid in December 2013 to the A, A-1, C, D and D-1 unitholders and to the B-1, B-2 and B-3 unitholders to the extent they were vested at that time. The remaining dividends declared are recorded as $0.6 million of current and $0.8 million of long-term dividends payable in the accompanying consolidated balance sheet at December 31, 2013 and will be paid upon vesting of the respective units. The amendment to the agreement was accounted for as a modification and resulted in an increase to equity-based compensation expense of $10.9 million for the year ended December 31, 2013.

 

During 2013 and 2011, a tax distribution in the amount of $9.5 million and $1.5 million, respectively, was made to the partners of the Company in accordance with the terms of its operating agreement. During 2012, the Company did not make a tax distribution to its partners.

 

In 2013, the Company redeemed certain Class A and B-1 Units for total consideration of $0.6 million. During 2012, the Company redeemed certain Class A, B-1 and C Units for total consideration of $24.1 million.

 

     A
Units
    A-1
Units
     B-1
Units
    B-2
Units
    B-3
Units
    C
Units
    D
Units
     D-1
Units
     Total
Units
 

Balance, at December 31, 2010

     417,722        —           50,052        24,866        24,866        10,000        —           —           527,506   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Granted

     —          —           1,065        500        500        —          —           —           2,065   

Forfeited

     —          —           (375     (188     (187     —          —           —           (750
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Balance, at December 31, 2011

     417,722        —           50,742        25,178        25,179        10,000        —           —           528,821   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Granted

     —          —           4,374        2,098        2,097        —          11,357         6,918         26,844   

Redeemed

     (8,404     —           (15,742     —          —          (7,750     —           —           (31,896

Forfeited

     —          —           (223     (700     (700     —          —           —           (1,623
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Balance, at December 31, 2012

     409,318        —           39,151        26,576        26,576        2,250        11,357         6,918         522,146   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Granted

     —          7,245         —          —          —          —          6,300         5,700         19,245   

Redeemed

     —          —           (1,543     —          —          (2,250     —           —           (3,793

Forfeited

     —          —           (1,621     (992     (992     —          —           —           (3,605
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Balance, at December 31, 2013

     409,318        7,245         35,987        25,584        25,584        —          17,657         12,618         533,993   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

Exercisable, December 31, 2013

     —          —           33,094        —          —          —          2,271         —           35,365   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

    

 

 

    

 

 

 

 

32


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(19) Net Revenue

 

Net revenue consists of fee for service revenue, contract revenue, management fees and other revenue. The Company’s net revenue is derived principally from the provision of physician services to patients of the healthcare facilities the Company serves.

 

Net revenue consists of the following (in thousands):

 

     Year Ended December 31,  
     2013     2012     2011  

Medicare

   $ 125,545        13.7   $ 120,900        14.5   $ 116,785        15.3

Medicaid

     60,487        6.6     55,863        6.7     54,004        7.1

Commercial and managed care

     577,676        62.8     519,437        62.1     491,875        64.5

Self-pay

     58,197        6.3     58,004        6.9     54,455        7.1
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net adjudicated fee for service revenue

     821,905        89.4     754,204        90.2     717,119        94.1

Net non-adjudicated fee for service revenue

     65,312        7.1     51,290        6.1     16,672        2.2
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net fee for service revenue

     887,217        96.5     805,494        96.3     733,791        96.2

Contract revenue

     77,834        8.5     70,567        8.4     68,676        9.0

Management fee and other revenue

     11,883        1.3     11,754        1.5     11,535        1.6
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Revenue, net of contractual discounts

     976,934        106.3     887,815        106.2     814,002        106.8

Provision for uncollectibles

     (57,691     (6.3 %)      (51,499     (6.2 %)      (51,609     (6.8 %) 
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net revenue

   $ 919,243        100.0   $ 836,316        100.0   $ 762,393        100.0
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

The Company also earns contract revenue directly from its hospital customers through a variety of payment arrangements that are established when payments from third-party payors are inadequate to support the costs of the contract. Contract revenue for the years ended December 31, 2013, 2012 and 2011 was $77.8 million, $70.6 million and $68.7 million, respectively.

 

The Company derives management fees pursuant to contractual agreements with certain of its physician practices, which require the practices to pay the Company management fees that are based on a flat fee or a percentage of net fee for service revenue, depending on the nature of services provided. The Company also earns other revenue for services performed that are ancillary to its primary operations. Management fees and other revenue for the years ended December 31, 2013, 2012 and 2011 was $11.9 million, $11.8 million and $11.5 million respectively.

 

(20) Segment Reporting

 

The physician services segment represents an aggregation of anesthesia, children’s services, radiology, and emergency medicine services, providing healthcare services to hospitals and ambulatory surgery facilities on a fee for service or contract basis. These operating segments were aggregated into one reportable segment due to their similar economic characteristics, products, production methods and distribution methods.

 

The other services segment is an aggregation of other services provided in an office-based setting such as gynecology, obstetrics, and perinatology, as well as management services, including physician recruiting services and other operations that service the Company’s business as well as third parties, and ownership in and management services of ambulatory surgery centers. The services within this operating segment are deemed to be

 

33


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(20) Segment Reporting (continued)

 

significantly different than those provided within physician services and do not meet the aggregation criteria prescribed by the segment reporting guidance nor do they meet the quantitative thresholds that would require a separate presentation. Accordingly, it is presented in the “other services” category.

 

The accounting policies of the segments are the same as those described in the summary of significant accounting policies. Segment amounts disclosed are prior to any elimination entries made in consolidation, except in the case of net revenues, where intercompany charges have been eliminated.

 

Assets, capital expenditures and certain expenses are not allocated to the segments. Unallocated expenses include general and administrative expenses, net interest expense, depreciation and amortization, income taxes and non-controlling interest. The Company evaluates segment performance based on profit and loss before the aforementioned expenses.

 

The following table presents financial information for each reportable segment (in thousands):

 

     Year ended December 31,  
     2013     2012     2011  

Net Revenue:

      

Physician services

   $ 854,393      $ 772,581      $ 706,520   

Other services

     64,850        63,735        55,873   
  

 

 

   

 

 

   

 

 

 

Total net revenue

     919,243        836,316        762,393   
  

 

 

   

 

 

   

 

 

 

Income from operations:

      

Physician services

     198,675        184,316        173,707   

Other services

     8,863        11,065        8,550   

General and administrative

     (78,277     (58,338     (55,463

Depreciation and amortization

     (35,551     (32,197     (26,124
  

 

 

   

 

 

   

 

 

 

Total income from operations

     93,710        104,846        100,670   
  

 

 

   

 

 

   

 

 

 

Reconciliation of Income from operations to Net Income:

      

Income from operations:

     93,710        104,846        100,670   

Interest expense, net

     47,818        43,638        37,677   

Other (income) expense, net

     41        (59     99   

Loss on extinguishment of debt

     11,018        8,126        —     

Provision for income taxes

     18,300        16,286        26,875   
  

 

 

   

 

 

   

 

 

 

Net income from consolidated operations

   $ 16,533      $ 36,855      $ 36,019   
  

 

 

   

 

 

   

 

 

 

 

(21) Subsequent Events

 

In February 2014, the Company’s joint venture (“JV”) with a subsidiary of HCA Holdings, Inc. (“HCA”) developed to provide hospital-based physician services to HCA affiliates commenced operations. The Company owns 51% of the JV, and, under the terms of the limited liability and related agreements, the Company will earn billing and management fees and earnings distributions. The Company contributed goodwill, other intangible assets and a nominal amount of cash upon inception of the JV in 2014, and has no material obligations or guarantees related to the JV. The Company determined that the JV is a VIE due to the Company’s equity interest,

 

34


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF DECEMBER 31, 2013 AND 2012 AND

FOR THE YEARS ENDED DECEMBER 31, 2013, 2012 AND 2011

 

(21) Subsequent Events (continued)

 

billing and management fees, and earnings distributions; however, it is not the primary beneficiary of the JV as it does not have the power to independently direct the activities that most significantly impact the JV’s economic performance due to shared control with HCA. Therefore, the Company will account for its investment in the JV under the equity method of accounting.

 

In February 2014, the Company acquired all of the stock of a physician group practice that provides anesthesia services in Florida as part of the expansion of the Company’s presence in that market. The effect of this acquisition was not material to the Company’s consolidated financial statements.

 

35

EX-99.3 6 d743989dex993.htm EX-99.3 EX-99.3

Exhibit 99.3

 

LOGO   LOGO
INDEPENDENT AUDITORS’ REVIEW REPORT  

 

To the Board of Directs and Members of

Sunbeam Holdings, L.P.

Sunrise, Florida

 

We have reviewed the accompanying condensed consolidated balance sheet of Sunbeam Holdings, L.P. and its subsidiaries (the “Company”) as of March 31, 2014, and the related condensed consolidated statements of income and comprehensive income and cash flows for the three-month periods ended March 31, 2014 and 2013 (the “interim financial information”).

 

Management’s Responsibility for the Interim Financial Information

 

The Company’s management is responsible for the preparation and fair presentation of the interim financial information in accordance with accounting principles generally accepted in the United States of America; this responsibility includes the design, implementation, and maintenance of internal control sufficient to provide a reasonable basis for the preparation and fair presentation of interim financial information in accordance with accounting principles generally accepted in the United States of America.

 

Auditors’ Responsibility

 

Our responsibility is to conduct our reviews in accordance with auditing standards generally accepted in the United States of America applicable to reviews of interim financial information. A review of interim financial information consists principally of applying analytical procedures and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with auditing standards generally accepted in the United States of America, the objective of which is the expression of an opinion regarding the financial information. Accordingly, we do not express such an opinion.

 

Conclusion

 

Based on our reviews, we are not aware of any material modifications that should be made to the interim financial information referred to above for it to be in accordance with accounting principles generally accepted in the United States of America.

 

Report on Condensed Consolidated Balance Sheet as of December 31, 2013

 

We have previously audited, in accordance with auditing standards generally accepted in the United States of America, the consolidated balance sheet of the Company as of December 31, 2013, and the related consolidated statements of income and comprehensive income, equity, and cash flows for the year then ended (not presented herein); and we expressed an unmodified audit opinion on those audited consolidated financial statements in our report dated March 31, 2014. In our opinion, the accompanying condensed consolidated balance sheet of the Company as of December 31, 2013, is consistent, in all material respects, with the audited consolidated financial statements from which it has been derived.

 

LOGO

 

June 6, 2014

 

 

1


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(unaudited) (in thousands, except share data)

 

     March 31,
2014
     December 31,
2013
 
ASSETS   

Current assets:

     

Cash and cash equivalents

   $ 105,890       $ 100,562   

Restricted cash

     18,023         14,270   

Restricted marketable securities

     4,481         4,231   

Accounts receivable, net of allowances of $18.2 million and $20.1 million as of March 31, 2014 and December 31, 2013, respectively

     133,993         130,541   

Deferred taxes

     11,996         13,902   

Other current assets

     31,570         23,655   
  

 

 

    

 

 

 

Total current assets

     305,953         287,161   

Property and equipment, net

     29,784         29,462   

Goodwill

     912,160         881,023   

Other intangible assets, net

     541,323         512,299   

Other assets

     35,410         22,427   
  

 

 

    

 

 

 

Total assets

   $ 1,824,630       $ 1,732,372   
  

 

 

    

 

 

 
LIABILITIES AND EQUITY   

Current liabilities:

     

Current portion of long-term debt

   $ 8,270       $ 8,270   

Accounts payable

     1,397         1,168   

Accrued salaries and benefits

     84,438         70,178   

Accrued professional liabilities

     13,033         11,895   

Other current liabilities

     28,877         23,019   
  

 

 

    

 

 

 

Total current liabilities

     136,015         114,530   

Long-term debt, net of current portion

     1,203,029         1,135,022   

Deferred taxes

     171,616         174,803   

Accrued professional liabilities

     52,896         48,501   

Other long-term liabilities

     10,478         10,784   
  

 

 

    

 

 

 

Total liabilities

     1,574,034         1,483,640   
  

 

 

    

 

 

 

Commitments and contingencies (Note 14)

     

Equity:

     

General Partner

     1         1   

Class A Units, 416,563 authorized and issued as of March 31, 2014 and December 31, 2013

     211,810         210,155   

Class B Units, 110,034 authorized and 87,155 issued as of March 31, 2014 and December 31, 2013

     12,111         11,968   

Class D Units, 38,475 and 30,275 authorized and issued as of March 31, 2014 and December 31, 2013

     —           —     

Accumulated other comprehensive income, net of tax

     2         2   
  

 

 

    

 

 

 

Total members’ equity

     223,924         222,126   

Noncontrolling interests

     26,672         26,606   
  

 

 

    

 

 

 

Total equity

     250,596         248,732   
  

 

 

    

 

 

 

Total liabilities and equity

   $ 1,824,630       $ 1,732,372   
  

 

 

    

 

 

 

 

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

 

2


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME (unaudited) (in thousands)

 

     For the Three Months Ended March 31,  
           2014                 2013        

Revenue, net of contractual discounts

   $ 263,458      $ 229,626   

Provision for uncollectibles

     (12,636     (12,950
  

 

 

   

 

 

 

Net revenue

     250,822        216,676   

Operating expenses

    

Practice personnel expenses

     179,509        157,654   

Other practice expenses

     17,291        15,830   

General and administrative

     22,361        15,442   

Depreciation and amortization

     9,889        8,743   
  

 

 

   

 

 

 

Income from operations

     21,772        19,007   

Interest expense, net

     19,017        12,006   

Loss on extinguishment of debt

     —          4,390   

Other expense, net

     12        —     
  

 

 

   

 

 

 

Income before income taxes and noncontrolling interests

     2,743        2,611   

Provision for income taxes

     1,138        1,372   
  

 

 

   

 

 

 

Net income before unconsolidated joint ventures

     1,605        1,239   

Net income (loss) from unconsolidated joint ventures

     (432     —     
  

 

 

   

 

 

 

Net income

     1,173        1,239   

Net (income) loss attributable to noncontrolling interests

     (635     (917
  

 

 

   

 

 

 

Net income attributable to Sunbeam Holdings, L.P. and subsidiaries’ limited partners

   $ 538      $ 322   
  

 

 

   

 

 

 

Net income

   $ 1,173      $ 1,239   

Other comprehensive income, net of taxes:

    

Net change in fair value of investments, net of taxes

     —          3   
  

 

 

   

 

 

 

Total comprehensive income

     1,173        1,242   

Less: Comprehensive income attributable to noncontrolling interests

     (635     (917
  

 

 

   

 

 

 

Comprehensive income attributable to Sunbeam Holdings, L.P. and subsidiaries’ limited partners

   $ 538      $ 325   
  

 

 

   

 

 

 

 

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

 

3


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited) (in thousands)

 

    For the Three Months Ended March 31,  
          2014                 2013        

Cash flows from operating activities:

   

Net income

  $ 1,173      $ 1,239   

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

   

Amortization of intangible assets

    7,121        6,436   

Non-cash interest expense—debt

    1,321        1,119   

Depreciation

    2,768        2,307   

Loss on disposal of fixed assets

    —          11   

Net loss from unconsolidated joint ventures

    432        —     

Loss on divestiture

    1,817        —     

Loss on extinguishment of debt

    —          4,390   

Provision for uncollectibles

    12,636        12,950   

Equity-based compensation expense

    1,255        830   

Provision for deferred income taxes

    (1,282     (2,017

Changes in operating assets and liabilities:

   

Accounts receivable

    (6,591     (15,258

Other current assets

    (3,593     (1,567

Other assets

    (229     26   

Accounts payable

    65        (217

Accrued professional liabilities

    212        2,232   

Other accrued expenses

    12,518        8,208   
 

 

 

   

 

 

 

Net cash provided by operating activities

    29,623        20,689   
 

 

 

   

 

 

 

Cash flows from investing activities:

   

Acquisitions of businesses, net of cash acquired

    (80,379     (1,434

Purchases of marketable securities

    (1,494     —     

Maturities of marketable securities

    1,245        978   

Change in restricted cash

    (3,753     —     

Capital expenditures

    (2,886     (2,387

Investments in joint ventures

    (4,217     —     
 

 

 

   

 

 

 

Net cash used in investing activities

    (91,484     (2,843
 

 

 

   

 

 

 

Cash flows from financing activities:

   

Borrowings of debt

    70,000        672,000   

Debt issuance costs

    (350     (9,575

Repayment of debt

    (1,893     (598,680

Redemption of units

    —          (296

Distributions to noncontrolling interests

    (570     (499
 

 

 

   

 

 

 

Net cash provided by financing activities

    67,187        62,950   
 

 

 

   

 

 

 

Increase in cash and cash equivalents

    5,328        80,796   

Cash and cash equivalents:

   

Beginning of year

    100,562        64,636   
 

 

 

   

 

 

 

End of period

  $ 105,890      $ 145,432   
 

 

 

   

 

 

 

Supplemental cash flow information:

   

Interest paid

  $ 17,489      $ 10,551   

Taxes paid

    2,999        7,203   

Supplemental disclosure for noncash transactions:

   

Carrying amount of deconsolidated practices (Note 2)

  $ 11,860      $ —     

 

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

 

4


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(1) Organization

 

Sunbeam Holdings, L.P. and its subsidiaries (the “Company”), which operate under the name Sheridan, is a national provider of multi-specialty physician services to hospitals, ambulatory surgery centers and other healthcare facilities. The Company focuses on delivering comprehensive physician services, primarily in the areas of anesthesiology, children’s services, radiology and emergency medicine to healthcare facilities. The Company’s contracts with healthcare facilities authorize it to bill and collect charges for fee for service medical services rendered by the Company’s healthcare professionals and employees in exchange for the provision of services to the patients of these facilities. Contract revenue is earned directly from the Company’s hospital customers through a variety of payment arrangements that are established when payments from third-party payors are inadequate to support the costs of providing the services required under the contract. The Company also provides physician services and manages office-based practices in the areas of gynecology, obstetrics and perinatology.

 

(2) Basis of Presentation

 

Principles of Presentation

 

The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and footnotes required by GAAP for annual financial statements. All adjustments necessary for a fair presentation have been included. All such adjustments are considered to be of a normal and recurring nature. Interim results for the three months ended March 31, 2014 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2014. The preparation of the financial statements in conformity with GAAP requires management to makes estimates and assumptions that affect the amounts reported in the accompanying condensed consolidated financial statements and notes. Actual results could differ from those estimates.

 

The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries along with the accounts of the affiliated professional corporations (“PC”s) with which the Company currently has specific management arrangements. The Company’s agreements with these PCs provide that the term of the arrangements are permanent, subject only to termination by the Company, except in the case of gross negligence, fraud or bankruptcy of the Company. These arrangements are captive in nature as a majority of the outstanding voting equity instruments of the PCs are owned by nominee shareholders appointed at the sole discretion of the Company. The Company has a contractual right to transfer the ownership of the PCs at any time to any person it designates as the nominee shareholder. The Company has the right to receive income, both as ongoing fees and as proceeds from the sale of its interest in the PCs, in an amount that fluctuates based on the performance of the PC and the change in the fair value of the Company’s interest in the PC. The Company has exclusive responsibility for the provision of all non-medical services required for the day-to-day operation and management of the PCs and establishes the guidelines for the employment and compensation of the physicians. In addition, the agreements provide that the Company has the right, but not the obligation, to purchase, or to designate a person(s) to purchase, the stock of the PCs for a nominal amount. Separately, in its sole discretion, the Company has the right to assign its interest in the agreements. Based upon the provisions of these agreements, the Company has determined that the PCs are variable interest entities and that the Company is the primary beneficiary as defined in the accounting guidance for consolidation.

 

The Company also consolidates a variable interest entity (“VIE”) for which the Company is deemed the primary beneficiary; however, the assets are owned by, and the liabilities are obligations of this VIE, not the Company. This VIE is not a guarantor of the Company’s debts. As of March 31, 2014 and December 31, 2013,

 

5


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(2) Basis of Presentation (continued)

 

Principles of Presentation (continued)

 

the total assets included in the Company’s consolidated balance sheets relating to this VIE were approximately $3.4 million and $3.7 million, respectively, which excludes goodwill and intercompany balances.

 

All intercompany and interaffiliate accounts and transactions have been eliminated.

 

Investment in Joint Venture

 

The Company’s joint venture (“JV”) with a subsidiary of HCA Holdings, Inc. (“HCA”) commenced operations in February 2014. The JV was formed to provide hospital-based physician services to HCA affiliates. The Company owns 51% of the JV, and, under the terms of the limited liability and related agreements, the Company earns billing and management fees and earnings distributions, and has no material obligations or guarantees related to the JV. The Company determined that the JV is a VIE due to the Company’s equity interest, billing and management fees, and earnings distributions; however, it is not the primary beneficiary of the JV as it does not have the power to direct the activities that most significantly impact the JV’S economic performance due to shared control with HCA. Therefore, the Company has accounted for its investment in the JV under the equity method of accounting.

 

On February 1, 2014, the Company contributed eight sites of service to the JV. The Company accounted for the contribution of the eight sites of service in accordance with ASC 810 “Deconsolidation of a subsidiary or derecognition of a group of assets.” Accordingly, the Company deconsolidated the eight sites of service with a carrying amount of approximately $11.8 million, comprised primarily of goodwill and other intangible assets. The Company recorded a $10.0 million investment in the JV equal to the fair value of the Company’s retained investment in the assets contributed. The Company recorded a loss on divestiture of $1.8 million in the first quarter of 2014 which is included in general and administrative expenses in the accompanying condensed consolidated statement of income and comprehensive income. The loss on divestiture is the difference between the fair value of the Company’s retained interest in the JV and the carrying amount of the assets contributed to the JV. The Company also contributed approximately $4.2 million of cash to the JV during February 2014. As of March 31, 2014, the Company’s investment in the JV totaled approximately $14.0 million which has been recorded in other assets in the accompanying condensed consolidated balance sheet.

 

Recent Accounting Pronouncements

 

Changes to U.S. GAAP are established by the Financial Accounting Standards Board (FASB) in the form of accounting standards updates (ASU’s) to the FASB’s Accounting Standards Codification. The Company considers the applicability and impact of all ASU’s. ASU’s not listed below were assessed and determined to be either not applicable or are expected to have minimal impact on the Company’s consolidated financial position or results of operations.

 

In May 2014, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2014-09, Revenue from Contracts with Customers (Topic 606), which supersedes the revenue recognition requirements in ASC 605, Revenue Recognition. This ASU is based on the principle that revenue is recognized to depict the transfer of goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The ASU also requires additional disclosure about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and assets recognized from costs incurred to

 

6


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(2) Basis of Presentation (continued)

 

Recent Accounting Pronouncements (continued)

 

obtain or fulfill a contract. The guidance is effective for annual reporting periods beginning after December 15, 2017, and interim periods within annual periods beginning after December 15, 2018 using one of two retrospective application methods. The Company is currently assessing the impact of this guidance on its condensed consolidated financial statements.

 

In July 2013, the FASB issued ASU No. 2013-11, “Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists” (ASU 2013-11). The guidance requires an entity to present its unrecognized tax benefits net of its deferred tax assets when settlement in this manner is available under the tax law, which would be based on facts and circumstances as of the balance sheet reporting date and would not consider future events. Gross presentation in the notes to the financial statements is required. ASU 2013-11 is applicable on a prospective basis to all unrecognized tax benefits that exist at the effective date, with the option to apply it retrospectively. The guidance is effective for fiscal years, and interim periods within those years, beginning after December 15, 2014, with early adoption permitted. The Company is currently assessing the impact of this guidance on its condensed consolidated financial statements.

 

(3) Restricted Cash and Marketable Securities

 

In accordance with the provisions of a reinsurance agreement between the Company and a third-party insurer, acting as a fronting agent, the Company is required to collateralize the fronting agent’s exposure. The fronting agent’s exposure was collateralized by a trust at March 31, 2014 and December 31, 2013. At March 31, 2014 and December 31, 2013, the cash balances restricted under such arrangement were $18.0 million and $14.3 million, respectively. At March 31, 2014 and December 31, 2013, total marketable securities restricted under such arrangement were $4.5 million and $4.2 million, respectively. Such amounts are classified as current assets based upon the maturity of the respective securities and management’s expectation with regard to these securities.

 

The Company’s restricted marketable securities consist of the following (in thousands):

 

    March 31, 2014     December 31, 2013  
    Cost or
Amortized
Cost
    Gross
Unrealized
Gains
    Gross
Unrealized
Losses
    Estimated
Fair Value
    Cost or
Amortized
Cost
    Gross
Unrealized
Gains
    Gross
Unrealized
Losses
    Estimated
Fair Value
 

Certificates of deposit

  $ 4,479      $ 2      $ —        $ 4,481      $ 4,229      $ 2      $ —        $ 4,231   

 

The original contractual maturities for the Company’s marketable securities at March 31, 2014 are all due within one year.

 

(4) Accounts Receivable, Net

 

Accounts receivable are reflected in the consolidated balance sheets net of contractual discounts and provision for uncollectibles. The Company periodically reassesses its accounts receivable, net by analyzing historical cash collections, changes in payor mix and accounts receivable agings. Actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for uncollectibles. Changes in these estimates are charged or credited to the consolidated statement of income and comprehensive income in the period of change. Material changes in estimate may result from unforeseen write-offs of patient or third-party accounts receivable, unsuccessful disputes with managed care payors, adverse macro-economic conditions which

 

7


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(4) Accounts Receivable, Net (continued)

 

limit patients’ ability to meet their financial obligations for the care provided by our physicians, or broad changes to government regulations that adversely impact reimbursement rates for services provided by the Company. The Company recorded write-offs, net of recoveries, of $15.5 million for both three-month periods ended March 31, 2014 and 2013.

 

Accounts receivable, net consists of the following (in thousands):

 

     March 31,
2014
    December 31,
2013
 

Fee for service receivables

   $ 140,677      $ 143,066   

Provision for uncollectibles

     (17,854     (19,943
  

 

 

   

 

 

 

Fee for service receivables, net

     122,823        123,123   

Contract receivables, net

     8,673        6,499   

Management fee and other receivables, net

     2,497        919   
  

 

 

   

 

 

 

Accounts receivable, net

   $ 133,993      $ 130,541   
  

 

 

   

 

 

 

 

(5) Other Current Assets

 

Other current assets consist of the following (in thousands):

 

     March 31,
2014
     December 31,
2013
 

Income taxes receivable

   $ 12,559       $ 12,055   

Prepaids

     7,166         5,323   

Other

     11,845         6,277   
  

 

 

    

 

 

 

Total other current assets

   $ 31,570       $ 23,655   
  

 

 

    

 

 

 

 

(6) Property and Equipment, Net

 

Property and equipment, net consists of the following (in thousands):

 

     March 31,
2014
    December 31,
2013
 

Equipment, computer hardware and software

   $ 33,644      $ 32,889   

Furniture and fixtures

     8,342        8,262   

Leasehold improvements

     7,961        8,158   

Capitalized projects in progress

     5,475        3,491   
  

 

 

   

 

 

 

Total

     55,422        52,800   

Accumulated depreciation and amortization

     (25,638     (23,338
  

 

 

   

 

 

 

Property and equipment, net

   $ 29,784      $ 29,462   
  

 

 

   

 

 

 

 

The Company recorded depreciation and other amortization expense of approximately $2.8 million and $2.3 million for the three months ended March 31, 2014 and 2013, respectively.

 

8


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(7) Business Combinations

 

A significant portion of the Company’s growth during the past decade has come from acquisitions of regional provider groups and other smaller physician practices along with new contracts, all of which has in part been driven by industry consolidation trends.

 

During the three months ended March 31, 2014, the Company completed the acquisition of two physician group practices. In February 2014, the Company acquired all of the stock of a physician group practice that provides anesthesia and pain management services in Florida. In March 2014, the Company acquired certain assets of a physician group that provides anesthesia and pain management services in Florida as well.

 

These acquisitions have expanded the Company’s presence in the markets of the respective acquisitions. The results of operations of the acquired businesses have been included in the Company’s consolidated financial statements beginning on the respective acquisition dates. These acquisitions added approximately $12.0 million of net revenue and $2.0 million of gross profit for the three months ended March 31, 2014. Pro forma results of operations have not been presented because the effect of these acquisitions is not material to the Company’s consolidated results of operations individually or in the aggregate.

 

The allocation of purchase price to the fair value of tangible and intangible assets and liabilities, as well as the estimated useful lives of the acquired assets, is provisional and remains preliminary as management continues to assess the valuation of these items and any ultimate purchase price adjustments based on the final assets and net working capital, as prescribed by the purchase agreements. The Company recorded goodwill of approximately $36.5 million ($35.3 million of which is tax deductible goodwill) in accordance with the provisions of ASC 805, “Business Combinations” (“ASC 805”) as follows (in thousands):

 

Fair value of consideration transferred, net of cash acquired

   $ 80,379   

Net assets acquired:

  

Working capital

     554   

Other assets

     605   

Intangible assets

     42,661   

Other long-term liabilities

     80   
  

 

 

 

Total net assets acquired

     43,900   
  

 

 

 

Goodwill resulting from the acquisitions

   $ 36,480   
  

 

 

 

 

(8) Goodwill and Other Intangible Assets

 

The changes in the carrying amounts of goodwill are as follows (in thousands):

 

Goodwill, December 31, 2013

   $ 881,023   

Acquisitions

     36,480   

Other adjustments

     (5,343
  

 

 

 

Goodwill, March 31, 2014

   $ 912,160   
  

 

 

 

 

In conjunction with the commencement of operations of the JV, the Company contributed $5.3 million of goodwill during the three months ended March 31, 2014. (See Note 2)

 

9


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(8) Goodwill and Other Intangible Assets (continued)

 

Other intangible assets consist of the following (in thousands):

 

    March 31, 2014     December 31, 2013  
    Gross
Amount
    Accumulated
Amortization
    Net
Amount
    Gross
Amount
    Accumulated
Amortization
    Net
Amount
 

Definite-lived intangible assets:

           

Customer relationships with hospitals

  $ 584,421      $ (122,157   $ 462,264      $ 549,537      $ (115,197   $ 434,340   

Noncompete agreements

    16,147        (13,448     2,699        14,886        (13,287     1,599   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total definite-lived intangible assets

    600,568        (135,605     464,963        564,423        (128,484     435,939   

Indefinite-lived intangible assets:

           

Corporate trade name

    76,360        —          76,360        76,360        —          76,360   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total intangible assets

  $ 676,927      $ (135,605   $ 541,323      $ 640,783      $ (128,484   $ 512,299   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

The Company’s other intangible asset amortization expense for the three months ended March 31, 2014 and the three months ended March 31, 2013 was $7.1 million and $6.4 million, respectively.

 

(9) Other Current Liabilities

 

Other current liabilities consist of the following (in thousands):

 

     March 31,
2014
     December 31,
2013
 

Refunds payable

   $ 13,615       $ 12,055   

Other accrued expenses

     15,262         10,964   
  

 

 

    

 

 

 

Total other current liabilities

   $ 28,877       $ 23,019   
  

 

 

    

 

 

 

 

(10) Accrued Professional Liabilities

 

The Company’s professional liability loss reserves included in other accrued liabilities and other non-current liabilities in the accompanying condensed consolidated balance sheets consisted of the following (in thousands):

 

     March 31,
2014
     December 31,
2013
 

Estimated losses under self-insured programs

   $ 31,576       $ 27,915   

Incurred but not reported losses

     34,353         32,481   
  

 

 

    

 

 

 

Total accrued professional liabilities

     65,929         60,396   

Less estimated payable within one year

     13,033         11,895   
  

 

 

    

 

 

 
   $ 52,896       $ 48,501   
  

 

 

    

 

 

 

 

10


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(10) Accrued Professional Liabilities (continued)

 

The changes to the Company’s estimated losses under self-insured programs as of March 31, 2014 were as follows (in thousands):

 

Balance, December 31, 2013

   $ 60,396   

Provisions related to current period

     3,314   

Payments for prior period reserves

     (3,102

Other, net

     5,321   
  

 

 

 

Balance, March 31, 2014

   $ 65,929   
  

 

 

 

 

Other, net comprises liabilities assumed in connection with the Company’s acquisitions and changes in reserves associated with third-party insurance policies.

 

(11) Long-Term Debt

 

Long-term debt consists of the following (in thousands):

 

     March 31,
2014
    December 31,
2013
 

$818.2 million and $750.1 million, 2013 Term Loan, respectively, net of unamortized discount of $4.5 million and $4.3 million, respectively, payable in quarterly installments through June 29, 2018; interest at Interbank Offered Rate (“LIBOR”) with a floor of 1.00% plus 3.50% (rate of 4.5% at March 31, 2014)

   $ 813,720      $ 745,808   

$400.0 million 2013 Second Lien Term Loan, net of unamortized discount of $2.4 million and $2.5 million, respectively, payable at maturity, June 29, 2020; interest at LIBOR with a floor of 1.00%, plus 7.25% (rate of 8.25% at March 31, 2014)

     397,579        397,484   

Revolver, payable at maturity, June 29, 2017; interest at LIBOR or prime plus an applicable margin

     —          —     
  

 

 

   

 

 

 

Total

     1,211,299        1,143,292   

Less: Current portion

     (8,270     (8,270
  

 

 

   

 

 

 

Long-term debt

   $ 1,203,029      $ 1,135,022   
  

 

 

   

 

 

 

 

As of March 31, 2014, the Company’s long-term debt consists of an $830.0 million first lien term loan (the “2013 Term Loan”), a $100.0 million revolving credit facility (the “Revolver”), and a $400.0 million second lien term loan (the “2013 Second Lien Term Loan”) (the “Credit Facilities”, collectively). On December 18, 2013, the Company entered into an amendment to its then outstanding 2012 loan. This 2013 Term Loan permitted the borrowing of new 2013 term loans, including an $85.0 million incremental first lien term loan and a $70.0 million incremental first lien delayed draw term loan with an interest rate of 0.25% per quarter on the aggregate principal amount. The incremental first lien delayed draw was drawn in January 2014. Net proceeds to the Company were $69.7 million.

 

On February 13, 2013, the Company entered into an amendment to its then outstanding 2012 term loan (“2013 Amendment”), which reduced the applicable margin rate, added an additional $75.0 million of debt to the 2012 Term Loan and incurred an exchange of debt among multiple lenders. The 2013 Amendment did not modify any other terms of the 2012 Term Loan and constituted a repricing transaction in respect to the 2012

 

11


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(11) Long-Term Debt (continued)

 

Term Loan. The net proceeds of the 2013 Amendment of $672.0 million were used to refinance the existing 2012 Term Loan of $591.5 million and pay accrued interest. In addition, the Company paid a total of $9.7 million in fees in relation to the transaction. Net proceeds to the Company were $61.1 million.

 

The 2013 Amendment involved multiple lenders who were considered members of a loan syndicate. In determining whether the refinancing was to be accounted for as a debt extinguishment or modification, the Company considered whether the creditors remained the same or changed and whether the change in debt terms was substantial. The debt terms were considered substantially different if the present value of the cash flows of the term loans under the credit agreement, as amended, was at least 10% different from the present value of the remaining cash flows of the original term loans (the “10% Test”). The Company performed a separate 10% Test for each individual creditor participating in the loan syndicate. The loans of creditors who did not participate in the 2013 Amendment were accounted for as a debt extinguishment. When there was a change in principal balance for individual creditors, in applying the 10% Test, the Company used the cash flows related to the lowest common principal balance, or the Net Method. Under the Net Method, any principal in excess of a creditor’s reinvested principal balance was treated as a new, separate debt issuance, and any decrease in principal was treated as a partial extinguishment of debt.

 

For debt considered to be extinguished, the unamortized deferred financing costs and unamortized original issue discount associated with the extinguished debt were expensed. For debt considered to be modified, the unamortized deferred financing costs and unamortized original issue discount associated with the modified debt continue to be amortized, new creditor fees were capitalized and new third-party fees were expensed. For new creditors, new creditor fees and new third-party fees were capitalized. As a result, the Company recorded a loss on the extinguishment of debt in the accompanying consolidated statement of income and comprehensive income of $4.4 million related to the 2013 Amendment during the three months ended March 31, 2013. Deferred financing costs of $7.1 million were recorded in other current assets and other assets, as well as a debt discount that reduced long-term debt in the accompanying consolidated balance sheet, and are being amortized over the terms of the related debt.

 

The Credit Facilities bear interest at a rate equal to an applicable margin plus, either (1) a base rate determined by reference to the highest of (a) the prime lending rate of Credit Suisse AG, (b) the federal funds rate plus 1/2 of 1% and (c) a reserve adjusted Eurodollar rate determined by reference to the London interbank rate for deposits in dollars for a one month interest period plus 1.00% or (2) a reserve adjusted Eurodollar rate determined by reference to the London interbank rate for deposits in dollars for the applicable interest periods. The Credit Facilities annual base rate may never be lower than 2.00% and Eurodollar rate may never be lower than 1.00%.

 

The initial applicable margin for initial term loans under the 2013 Term Loan is 2.50% with respect to base rate loans and 3.50% with respect to Eurodollar rate loans. The initial applicable margin for revolving loans is 3.75% with respect to base rate loans and 4.75% with respect to Eurodollar rate loans, and it may be reduced subject to the Company attaining certain first lien leverage ratios. The applicable margin for term loans under the 2013 Term Loan is 6.25% with respect to base rate loans and 7.25% with respect to Eurodollar rate loans.

 

At March 31, 2014, the maximum available to the Company under the Revolver was $98.4 million, net of outstanding letters of credit with an aggregate face amount of $1.6 million. No amounts were drawn on the Revolver as of March 31, 2014 and December 31, 2013.

 

The Credit Facilities and the Revolver are collateralized by all the assets and equity of the Company’s subsidiaries, excluding its captive insurance subsidiary and certain other subsidiaries as defined in the credit

 

12


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(11) Long-Term Debt (continued)

 

agreements. The Company is subject to certain covenants and restrictions under the Credit Facilities. At March 31, 2014, the Company was in compliance, in all material respects, with these financial covenants and restrictions.

 

(12) Retirement Plans

 

The Company maintains qualified contributory savings plans (the “Plans”) as allowed under Section 401(k) of the Internal Revenue Code. In addition, in connection with certain acquisitions, the Company continues to maintain defined contribution savings plans allowed under Section 401(k) and/or Section 401(a). The Plans permit participant contributions and allow elective Company contributions or required Company contributions subject to the limits defined by each of the Plans. In connection with the Plans, the Company recorded expenses of approximately $3.0 million and $3.1 million for the three months ended March 31, 2014 and 2013, respectively. The expenses were recorded in practice personnel expenses and general administrative expenses in the accompanying condensed consolidated statements of income and comprehensive income.

 

(13) Fair Value Measurements

 

Fair Value Hierarchy

 

Financial assets and liabilities are categorized based on the inputs to the valuation technique into a three-level fair value hierarchy. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets and liabilities and the lowest priority to unobservable inputs. The various levels of the fair value hierarchy are described as follows:

 

   

Level 1—Quoted prices in active markets for identical assets or liabilities.

 

   

Level 2—Observable inputs other than quoted prices in active markets for identical assets and liabilities, quoted prices for identical or similar assets or liabilities in inactive markets, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

 

   

Level 3—Inputs that are generally unobservable and typically reflect management’s estimate of assumptions that market participants would use in pricing the asset or liability.

 

The use of observable market data is required when available in making fair value measurements. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest-level input that is significant to the fair value measurement.

 

Recurring Fair Value Measurements

 

The following table presents the Company’s fair value hierarchy for those assets and liabilities measured at fair value on a recurring basis (in thousands):

 

     March 31, 2014
Fair Value Measurements
    December 31, 2013
Fair Value Measurements
 

Description

  Quoted Prices
in  Active
Markets for
Identical Assets
(Level 1)
    Significant
Other
Observable
Inputs

(Level 2)
    Unobservable
Inputs

(Level 3)
    Quoted Prices
in  Active
Markets for
Identical Assets
(Level 1)
    Significant
Other
Observable
Inputs

(Level 2)
    Unobservable
Inputs

(Level 3)
 

Assets:

           

Certificates of deposit

  $ —        $  4,481      $ —        $ —        $ 4,231      $ —     

 

13


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(13) Fair Value Measurements (continued)

 

Recurring Fair Value Measurements (continued)

 

In addition to the preceding disclosures ASC 825 “Financial Instruments” requires the disclosure of the estimated fair value of financial instruments. The carrying amounts of cash and cash equivalents, restricted cash, restricted marketable securities, accounts receivable, accounts payable and accrued expenses approximate fair value due to the short maturities of the respective instruments. The carrying value of the variable rate long-term debt is estimated based on current market interest rates for debt with similar maturities (Level 2) and approximates fair value at March 31, 2014 and December 31, 2013, since the related interest rates approximate current market rates available for similar debt instruments.

 

Non-Recurring Fair Value Measurements

 

The Company follows the provisions of ASC 820-10-05 for its nonfinancial assets and liabilities that are not permitted or required to be measured at fair value on a recurring basis. The Company’s nonfinancial assets and liabilities that are not permitted or required to be measured at fair value on a recurring basis typically relate to long-lived assets held and used, goodwill and the investment in joint ventures. The Company is required to provide additional disclosures about fair value measurements as part of its financial statements for each major category of assets and liabilities measured at fair value on a nonrecurring basis. During the three months ended March 31, 2014, the Company recognized a loss of $1.8 million in order to recognize the fair value of its investment in the JV at March 31, 2014 (See Note 2). At March 31, 2014 and December 31, 2013, there were no other fair value adjustments or fair value measurements that were required for nonfinancial assets or liabilities.

 

Fair Valuation Methods

 

Certificates of deposit—These securities are valued using industry-standard models that consider various assumptions, including time to maturity, applicable market volatility factors, and current market and selling prices for the underlying debt instruments that are traded on the open market, even if not highly liquid. Substantially all of these assumptions are observable in the marketplace throughout the full term of the instrument, can be derived from observable data and are supported by observable levels at which transactions are executed in the marketplace.

 

(14) Commitments and Contingencies

 

Major Customers

 

A significant portion of the Company’s net revenue is derived from delivering hospital-based physician services at multiple hospitals that have common ownership. For the three months ended March 31, 2014 and 2013, no hospital system comprised 10% or more of the Company’s net revenue.

 

Self-Insurance

 

Due to the nature of its business, the Company becomes involved as a defendant in medical malpractice lawsuits, some of which are currently ongoing, and is subject to the attendant risk of substantial damage awards. Since January 2003, the Company has generally maintained a claims-made insurance arrangement with a third-party insurer. The insurance arrangements with the third party are reinsured through the Company’s wholly owned captive insurance company, Marblehead Surety & Reinsurance Company, Ltd. (“Marblehead”) either directly between the insurer and Marblehead or between the Company and Marblehead as part of its self-insured retention. This exposure is collateralized by assets held in trust to the benefit of the Company’s third-party insurers.

 

14


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(14) Commitments and Contingencies (continued)

 

Self-Insurance (continued)

 

In addition, the Company continues to purchase professional liability insurance on a claims-made basis from third party insurers on certain acquired practices and for a limited number of other physicians that practice in states or hospitals with malpractice coverage requirements different than those provided through its arrangement with Marblehead.

 

The liabilities for self-insurance in the accompanying consolidated balance sheets include estimates of the ultimate costs related to both reported claims on an individual and aggregate basis and unreported claims. The estimates are based on the Company’s historical experience, the advice of outside legal counsel and actuarial analysis.

 

There can be no assurance that an existing or future claim or claims will not exceed the limits of available insurance coverage or that any insurer will remain solvent and able to meet its obligations to provide coverage for any such claims. A judgment against the Company in excess of such coverage could have a material adverse effect on the consolidated financial position, operations and comprehensive income or cash flows of the Company.

 

Litigation

 

During the normal course of its business, the Company is a party to pending and threatened legal actions and proceedings. The majority of these matters involve claims of medical malpractice. These lawsuits are not expected to result in settlements or judgments that exceed the Company’s insurance coverage and its reserves for uninsured claims, litigation and assessments. Therefore, management believes, based on the advice of legal counsel, that the ultimate resolution of such matters will not have a material adverse impact on the consolidated financial position, results of operations and comprehensive income, or cash flows of the Company.

 

Government Regulation

 

A significant portion of the Company’s net revenue is derived from payments made by government health care programs, principally Medicare and Medicaid. These government programs, as well as private insurers, have taken and may continue to take, steps, including a movement towards managed care, to control the cost, eligibility for, use and delivery of health care services as a result of budgetary constraints and cost containment pressures. These third-party payors may also attempt to control costs using other measures, including bundling payments for multiple services and denying or reducing reimbursement for certain services and treatments. As a result, payments from government programs or private payors may decrease significantly. The Company’s business may be materially affected by limitations of or reductions in reimbursement amounts or rates or elimination of coverage for certain individuals or treatments.

 

Moreover, because government programs generally provide for reimbursement based on a fee schedule rather than on the providers’ charges, the Company generally cannot increase their revenue from these programs by increasing the amount the Company charges for their services. In addition, funds the Company receives from third-party payors are subject to audit with respect to the proper billing for physician and ancillary services, and accordingly, the Company’s revenue from these programs may be adjusted retroactively. Any retroactive adjustments to the Company’s reimbursement amounts could have a material effect on its consolidated financial condition, results of operations and comprehensive income, as well as cash flows.

 

The healthcare industry is governed by a framework of federal and state laws, rules, and regulations that are extensive and complex and for which, in many cases, the industry has the benefit of only limited judicial and

 

15


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(14) Commitments and Contingencies (continued)

 

Government Regulation (continued)

 

regulatory interpretation. Medicare and Medicaid fraud and abuse laws prohibit, among other things, any false claims, or any bribe, kick-back or rebate in return for the referral of Medicare and Medicaid patients. Violation of these prohibitions may result in civil and criminal penalties and exclusion from participation in the Medicare and Medicaid programs. If the Company is found to have violated these laws, rules, or regulations, the Company’s business, and consolidated financial position, results of operations and comprehensive income, and cash flows could be materially adversely affected.

 

Moreover, the federal healthcare reform legislation signed into law in 2010 contains numerous provisions that may reshape the United States healthcare delivery system, and healthcare reform efforts continue to attract significant legislative interest, legal challenges and public attention that create uncertainty and the potential for additional changes. Healthcare reform implementation, additional legislation or other changes in government regulation may affect the Company’s reimbursement, restrict the Company’s existing operations, limit the expansion of the Company’s business or impose additional compliance requirements and costs, any of which could have a material adverse effect on the Company’s business, financial position, results of operations and comprehensive income, and cash flows.

 

Management has implemented policies and procedures that management believes will ensure that the Company is in substantial compliance with these laws and regulations but there can be no assurance the Company will not be found to have violated certain of these laws and regulations.

 

In addition, Medicare reimbursement rates could be reduced due to updates made on an annual basis based on statutory formulas. Presently, Medicare pays for all physician services based upon a national fee schedule, which contains a list of uniform rates. The payment rates under the fee schedule are determined based on national uniform relative value units for the services provided, a geographic adjustment factor, and a conversion factor. The fee schedule is adjusted annually based on a complex formula that is linked in part to the use of services by Medicare beneficiaries and the growth in gross domestic product. Since 2002, this formula has resulted in negative payment updates under the fee schedule that have grown increasingly larger, and Congress has repeatedly intervened with interim legislation to prevent scheduled payment reductions. For 2014, the Centers for Medicare & Medicaid Services, the agency responsible for administering the Medicare program (“CMS”), projected a rate reduction of 20.1% from 2013 levels and earlier estimates had projected a 24.4% reduction. A series of laws was enacted that delayed the scheduled reduction in physician payments and provided for a 0.5% increase through December 31, 2014, and a zero percent update from 2014 payment amounts to the 2015 Physician Fee Schedule through March 31, 2015. If Congress fails to intervene to prevent the negative update factor in the future through either another temporary measure or a permanent revision to the statutory formula, the resulting decrease in payment may adversely impact physician revenues, as well as our revenues.

 

In addition, the Budget Control Act of 2011, as amended by the American Taxpayer Relief Act of 2012, imposed across-the-board cuts (“sequestrations”) to mandatory and discretionary spending, which included aggregate reductions to Medicare payments to providers of 2% per fiscal year, which went into effect in April 2013. The Bipartisan Budget Act of 2013, which was signed into law in December 2013, extended these annual reductions of 2% for an additional two years, through 2023. Any reductions in Medicare reimbursement rates may not only have a detrimental impact on the Company’s reimbursement rates for Medicare patients, but also for other patients covered by certain Medicaid and commercial payors that base their rates on a percentage of Medicare rates. Accordingly, any significant spending reductions affecting Medicare, Medicaid or other publicly funded or subsidized health programs could have a material adverse effect on the Company’s consolidated financial condition, results of operations and comprehensive income, and cash flows.

 

16


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(15) Related Parties

 

For the three months ended March 31, 2014 and 2013, the Company paid Hellman & Friedman Capital Partners, VI, L.P. (“H&F”), a party related to a member of the Company, $21,000 and $23,000, respectively, for reimbursement of expenses. Additionally, during the three months ended as of March 31, 2014 and 2013, the Company paid $0.5 million, respectively, to two companies affiliated with H&F for payroll and billing related services. At March 31, 2014, amounts due to these companies were $0.3 million. No amounts were due as of December 31, 2013.

 

(16) Members’ Equity

 

The Company is a limited partnership, and the equity interests of the partners are designated in units. The Class A Units of the Company were issued to investment fund affiliates of Hellman & Friedman LLC and certain key executives at a price of $1,000 per unit, for a total price of approximately $410.9 million. In 2013, Class A-1 Units valued at $10.0 million were issued as a portion of the consideration paid for an acquisition.

 

Certain key executives of the Company have unit incentive award agreements. The Company has awarded Class B-1, B-2 and B-3 Units (collectively referred to as the “Class B Units”), Class C Units and Class D and D-1 Units (collectively, the “Class D Units”) with varying restrictions and performance criteria.

 

The Company recognizes compensation expense related to its units on a straight-line basis over the corresponding vesting periods or implied service periods, as applicable. The Company recognized equity based compensation of $1.3 million and $0.8 million for the three months ended March 31, 2014 and 2013, respectively.

 

The Company issued 8,600 of class D units during the three months ended March 31, 2014. No units were issued during the three month period ended March 31, 2013.

 

(17) Net Revenue

 

Net revenue consists of fee for service revenue, contract revenue, management fees and other revenue. The Company’s net revenue is derived principally from the provision of physician services to patients of the healthcare facilities the Company serves.

 

Adjudicated fee-for-service revenue represents our net revenue for which we have a significant level of contract and other rate information available electronically that we can rely on for estimating our contractual discounts. Non-adjudicated fee-for-service revenue represents revenue for which we generally base our contractual discounts on actual and historical cash collections, adjusted for agreed upon contracted payor rate increases.

 

The Company also earns contract revenue directly from its hospital customers through a variety of payment arrangements that are established when payments from third-party payors are inadequate to support the costs of the contract.

 

The Company derives management fees pursuant to contractual agreements with certain of its physician practices, which require the practices to pay the Company management fees that are based on a flat fee or a percentage of net fee for service revenue, depending on the nature of services provided. The Company also earns other revenue for services performed that are ancillary to its primary operations.

 

17


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(17) Net Revenue (continued)

 

Net revenue consists of the following (in thousands):

 

     For the three months ended March 31,  
     2014     2013  

Medicare

   $ 31,005         12.4   $ 32,756         15.1

Medicaid

     13,803         5.5     14,581         6.7

Commercial and managed care

     141,412         56.4     130,782         60.4

Self-pay

     15,078         6.0     15,273         7.0
  

 

 

    

 

 

   

 

 

    

 

 

 

Net adjudicated fee for service revenue

     201,298         80.3     193,392         89.2

Net non-adjudicated fee for service revenue

     36,973         14.7     15,151         7.0
  

 

 

    

 

 

   

 

 

    

 

 

 

Net fee for service revenue

     238,271         95.0     208,543         96.2

Contract revenue

     21,576         8.6     18,405         8.5

Management fee and other revenue

     3,611         1.4     2,678         1.2
  

 

 

    

 

 

   

 

 

    

 

 

 

Revenue, net of contractual discounts

     25,187         10.0     21,083         9.7

Provision for uncollectibles

     (12,636      (5.0 %)      (12,950      (5.9 %) 
  

 

 

    

 

 

   

 

 

    

 

 

 

Net revenue

   $ 250,822         100.0   $ 216,676         100.0
  

 

 

    

 

 

   

 

 

    

 

 

 

 

(18) Segment Reporting

 

The Physician Services segment represents an aggregation of anesthesia, children’s services, radiology and emergency medicine services, providing healthcare services to hospitals and ambulatory surgical facilities on a fee for service or contract basis. These operating segments were aggregated into one reportable segment due to their similar economic characteristics, products, production methods and distribution methods.

 

The Other Services segment is an aggregation of other services provided in an office-based setting such as gynecology, obstetrics and perinatology, as well as ambulatory service centers, physician recruiting services and other operations that service the business as well as third parties. The services within this operating segment are deemed to be significantly different than those provided within Physician Services and do not meet the aggregation criteria prescribed by the segment reporting guidance nor do they meet the quantitative thresholds that would require a separate presentation. Accordingly, it is presented in the “All Other” category.

 

Segment amounts disclosed are prior to any elimination entries made in consolidation, except in the case of net revenue, where intercompany charges have been eliminated.

 

Assets, capital expenditures and certain expenses are not allocated to the segments. Unallocated expenses include general and administrative expenses, net interest expense, depreciation and amortization, income taxes and non-controlling interests. The Company evaluates segment performance based on profit and loss before the aforementioned expenses.

 

18


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(18) Segment Reporting (continued)

 

The following table presents financial information for each reportable segment (in thousands):

 

     For the three months ended March 31,  
           2014                 2013        

Net revenue:

    

Physician Services

   $ 236,015      $ 200,161   

Other services

     14,807        16,515   
  

 

 

   

 

 

 

Total net revenue

   $ 250,822      $ 216,676   
  

 

 

   

 

 

 

Income from operations:

    

Physician Services

   $ 51,992      $ 40,898   

Other services

     2,030        2,294   

General and administrative

     (22,361     (15,442

Depreciation and amortization

     (9,889     (8,743
  

 

 

   

 

 

 

Total income from operations

   $ 21,772      $ 19,007   
  

 

 

   

 

 

 

Reconciliation of income from operations to net income:

    

Income from operations:

   $ 21,772      $ 19,007   

Interest expense, net

     19,017        12,006   

Loss on extinguishment of debt

     —          4,390   

Other (income) expense, net

     12        —     

Provision for income taxes

     1,138        1,372   

Loss on unconsolidated joint ventures

     432        —     
  

 

 

   

 

 

 

Net income

   $ 1,173      $ 1,239   
  

 

 

   

 

 

 

 

(19) Subsequent Events

 

On May 29, 2014, Sunbeam Holdings, L.P., Sunbeam GP Holdings, LLC, a Delaware limited liability company and the sole holder of membership interests in the General Partner, Sunbeam GP LLC, a Delaware limited liability company and the general partner of Sunbeam Holdings, L.P. (the “General Partner”), Sunbeam Primary Holdings, Inc., a Delaware corporation and a wholly owned subsidiary of Sunbeam Holdings, L.P. (“Sunbeam Primary”), and HFCP VI Securityholders’ Rep LLC, a Delaware limited liability company, entered into a definitive purchase agreement and agreement and plan of merger (the “Merger Agreement”) with AmSurg Corp., a Tennessee corporation (“AmSurg”), Arizona Merger Corporation, a Delaware corporation and direct wholly owned subsidiary of AmSurg (“Merger Sub”), and Arizona II Merger Corporation, a Delaware corporation and direct wholly owned subsidiary of AmSurg (“Merger Sub II”), pursuant to which (i) AmSurg will purchase 100% of the issued and outstanding membership interests of the General Partner and (ii) Sunbeam Holdings, L.P. will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger (“Merger 1”), and immediately following Merger 1, Merger Sub will merge with and into Sunbeam Primary, with Sunbeam Primary surviving such merger as a wholly owned subsidiary of AmSurg (“Merger 2”). If, based upon the relative proportion of cash and stock included in the merger consideration payable under the Merger Agreement, the transactions contemplated by the Merger Agreement are intended to qualify as a plan of reorganization within the meaning of Section 1.368-2(g) of the Treasury Regulations, then, following Merger 2, Sunbeam Primary will merge with and into Merger Sub II, with Merger Sub II surviving as a wholly owned subsidiary of AmSurg.

 

19


SUNBEAM HOLDINGS, L.P. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

AS OF AND FOR THE THREE MONTHS ENDED MARCH 31, 2014 AND 2013 (unaudited)

 

(19) Subsequent Events (continued)

 

The aggregate merger consideration payable as a result of the transaction will be $2.35 billion, subject to certain adjustments, and will be composed of cash and either shares of AmSurg’s common stock or shares of AmSurg’s preferred stock. Prior to the closing of the transaction, AmSurg may elect to replace all or any portion of such merger consideration to be paid in its capital stock with cash.

 

The transaction is expected to close in the third quarter of 2014 and is subject to, among other things, the expiration or termination of the applicable waiting periods under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, as well as other customary closing conditions.

 

The consolidated financial statements reflect the Company’s evaluation of subsequent events through June 6, 2014, the date the financial statements were available to be issued.

 

20

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