$SEM
SELECT MEDICAL HOLDINGS CORP

2019 Q4 Form 10-Q Financial Statement

#000162828019012989 Filed on October 31, 2019

View on sec.gov

Income Statement

Concept 2019 Q4 2019 Q3 2018 Q3
Revenue $1.375B $1.393B $1.267B
YoY Change 8.69% 9.94% 17.68%
Cost Of Revenue $1.176B $1.183B $1.087B
YoY Change 7.51% 8.83% 15.76%
Gross Profit $198.9M $210.2M $180.3M
YoY Change 16.18% 16.56% 30.74%
Gross Profit Margin 14.47% 15.09% 14.23%
Selling, General & Admin $34.10M $34.40M $30.00M
YoY Change 12.54% 14.67% 10.7%
% of Gross Profit 17.14% 16.37% 16.64%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $52.50M $53.00M $50.50M
YoY Change -0.38% 4.95% 30.49%
% of Gross Profit 26.4% 25.21% 28.0%
Operating Expenses $86.70M $87.40M $80.40M
YoY Change 4.58% 8.71% 22.19%
Operating Profit $112.4M $122.9M $99.84M
YoY Change 27.28% 23.11% 38.47%
Interest Expense -$37.70M $54.34M $50.67M
YoY Change -13.33% 7.24% -252.16%
% of Operating Profit -33.55% 44.21% 50.75%
Other Income/Expense, Net
YoY Change
Pretax Income $55.20M $56.88M $56.74M
YoY Change 34.96% 0.24% 46.08%
Income Tax $11.60M $12.85M $14.06M
% Of Pretax Income 21.01% 22.59% 24.78%
Net Earnings $32.07M $30.73M $32.92M
YoY Change 29.97% -6.64% 78.3%
Net Earnings / Revenue 2.33% 2.21% 2.6%
Basic Earnings Per Share $0.24 $0.23 $0.24
Diluted Earnings Per Share $0.24 $0.23 $0.24
COMMON SHARES
Basic Shares Outstanding 134.3M shares 130.0M shares 130.4M shares
Diluted Shares Outstanding 130.0M shares 130.4M shares

Balance Sheet

Concept 2019 Q4 2019 Q3 2018 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments $335.9M $136.0M $160.4M
YoY Change 91.72% -15.21% 49.49%
Cash & Equivalents $335.9M $136.0M $160.4M
Short-Term Investments
Other Short-Term Assets $95.85M $96.72M $96.21M
YoY Change 6.34% 0.53% 19.82%
Inventory
Prepaid Expenses
Receivables $762.7M $798.8M $746.8M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $1.213B $1.050B $1.023B
YoY Change 22.21% 2.64% 13.18%
LONG-TERM ASSETS
Property, Plant & Equipment $998.4M $997.5M $965.4M
YoY Change 1.9% 3.32% 2.04%
Goodwill $3.392B $3.383B $3.311B
YoY Change 2.14% 2.15%
Intangibles $409.1M $415.8M $444.8M
YoY Change -6.54% -6.54%
Long-Term Investments
YoY Change
Other Assets $323.9M $322.1M $235.2M
YoY Change 38.7% 36.94% 34.55%
Total Long-Term Assets $6.127B $6.104B $4.957B
YoY Change 23.24% 23.15% 17.47%
TOTAL ASSETS
Total Short-Term Assets $1.213B $1.050B $1.023B
Total Long-Term Assets $6.127B $6.104B $4.957B
Total Assets $7.340B $7.155B $5.980B
YoY Change 23.07% 19.64% 16.71%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $145.7M $136.8M $137.5M
YoY Change -0.66% -0.54% 3.18%
Accrued Expenses $740.7M $714.5M $494.0M
YoY Change 52.44% 44.64% 22.58%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $23.30M
YoY Change -100.0% -100.0% 23.28%
Long-Term Debt Due $25.20M $15.70M $24.20M
YoY Change -42.6% -35.12% -35.64%
Total Short-Term Liabilities $914.3M $869.8M $685.1M
YoY Change 29.65% 26.96% 14.28%
LONG-TERM LIABILITIES
Long-Term Debt $3.420B $3.337B $3.306B
YoY Change 5.24% 0.94% 20.08%
Other Long-Term Liabilities $101.3M $105.3M $174.2M
YoY Change -36.24% -39.57% 26.12%
Total Long-Term Liabilities $101.3M $105.3M $174.2M
YoY Change -36.24% -39.57% -93.98%
TOTAL LIABILITIES
Total Short-Term Liabilities $914.3M $869.8M $685.1M
Total Long-Term Liabilities $101.3M $105.3M $174.2M
Total Liabilities $5.437B $5.295B $4.313B
YoY Change 27.4% 22.77% -2.03%
SHAREHOLDERS EQUITY
Retained Earnings $279.8M $269.2M $296.6M
YoY Change -12.66% -9.26%
Common Stock $491.2M $485.5M $478.0M
YoY Change 1.76% 1.59%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $771.0M $754.7M $774.6M
YoY Change
Total Liabilities & Shareholders Equity $7.340B $7.155B $5.980B
YoY Change 23.07% 19.64% 16.71%

Cashflow Statement

Concept 2019 Q4 2019 Q3 2018 Q3
OPERATING ACTIVITIES
Net Income $32.07M $30.73M $32.92M
YoY Change 29.97% -6.64% 78.3%
Depreciation, Depletion And Amortization $52.50M $53.00M $50.50M
YoY Change -0.38% 4.95% 30.49%
Cash From Operating Activities $178.6M $133.7M $164.0M
YoY Change 57.77% -18.48% 82.83%
INVESTING ACTIVITIES
Capital Expenditures -$33.10M -$34.70M -$39.40M
YoY Change -28.51% -11.93% -42.48%
Acquisitions
YoY Change
Other Investing Activities -$12.80M -$8.600M -$11.20M
YoY Change 190.91% -23.21% 366.67%
Cash From Investing Activities -$46.00M -$43.20M -$50.50M
YoY Change -9.09% -14.46% -28.77%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 67.40M -78.50M -94.10M
YoY Change -241.0% -16.58% -740.14%
NET CHANGE
Cash From Operating Activities 178.6M 133.7M 164.0M
Cash From Investing Activities -46.00M -43.20M -50.50M
Cash From Financing Activities 67.40M -78.50M -94.10M
Net Change In Cash 200.0M 12.00M 19.40M
YoY Change 1251.35% -38.14% -42.09%
FREE CASH FLOW
Cash From Operating Activities $178.6M $133.7M $164.0M
Capital Expenditures -$33.10M -$34.70M -$39.40M
Free Cash Flow $211.7M $168.4M $203.4M
YoY Change 32.73% -17.21% 28.57%

Facts In Submission

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SELECT MEDICAL HOLDINGS CORP
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CY2019Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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CY2019Q2 us-gaap Net Income Loss
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CY2019Q2 us-gaap Net Income Loss Attributable To Nonredeemable Noncontrolling Interest
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CY2019Q2 us-gaap Adjustments To Additional Paid In Capital Share Based Compensation Restricted Stock Units Requisite Service Period Recognition
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270000 USD
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CY2019Q3 us-gaap Net Income Loss Attributable To Nonredeemable Noncontrolling Interest
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CY2019Q3 us-gaap Stock Issued During Period Value Restricted Stock Award Forfeitures
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CY2019Q3 us-gaap Adjustments To Additional Paid In Capital Share Based Compensation Restricted Stock Units Requisite Service Period Recognition
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6050000 USD
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CY2019Q3 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
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CY2019Q3 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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CY2017Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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CY2018Q1 us-gaap Net Income Loss
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33739000 USD
CY2018Q1 us-gaap Net Income Loss Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossAttributableToNonredeemableNoncontrollingInterest
4500000 USD
CY2018Q1 us-gaap Stock Issued During Period Value Restricted Stock Award Gross
StockIssuedDuringPeriodValueRestrictedStockAwardGross
0 USD
CY2018Q1 us-gaap Stock Issued During Period Value Restricted Stock Award Forfeitures
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CY2018Q1 us-gaap Adjustments To Additional Paid In Capital Share Based Compensation Restricted Stock Units Requisite Service Period Recognition
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4717000 USD
CY2018Q1 us-gaap Stock Repurchased And Retired During Period Value
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122000 USD
CY2018Q1 us-gaap Stock Issued During Period Value Stock Options Exercised
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CY2018Q1 sem Exchange Of Equity Interest
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CY2018Q1 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
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84327000 USD
CY2018Q1 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-1051000 USD
CY2018Q1 us-gaap Stockholders Equity Other
StockholdersEquityOther
-138000 USD
CY2018Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
965277000 USD
CY2018Q2 us-gaap Net Income Loss
NetIncomeLoss
46511000 USD
CY2018Q2 us-gaap Net Income Loss Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossAttributableToNonredeemableNoncontrollingInterest
3139000 USD
CY2018Q2 us-gaap Stock Issued During Period Value Restricted Stock Award Gross
StockIssuedDuringPeriodValueRestrictedStockAwardGross
0 USD
CY2018Q2 us-gaap Adjustments To Additional Paid In Capital Share Based Compensation Restricted Stock Units Requisite Service Period Recognition
AdjustmentsToAdditionalPaidInCapitalShareBasedCompensationRestrictedStockUnitsRequisiteServicePeriodRecognition
4845000 USD
CY2018Q2 us-gaap Stock Repurchased And Retired During Period Value
StockRepurchasedAndRetiredDuringPeriodValue
767000 USD
CY2018Q2 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
882000 USD
CY2018Q2 us-gaap Noncontrolling Interest Increase From Subsidiary Equity Issuance
NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
3474000 USD
CY2018Q2 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
3274000 USD
CY2018Q2 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-8500000 USD
CY2018Q2 us-gaap Stockholders Equity Other
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-340000 USD
CY2018Q3 us-gaap Net Income Loss Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossAttributableToNonredeemableNoncontrollingInterest
518000 USD
CY2018Q2 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1011927000 USD
CY2018Q3 us-gaap Net Income Loss
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32917000 USD
CY2018Q3 us-gaap Stock Issued During Period Value Restricted Stock Award Gross
StockIssuedDuringPeriodValueRestrictedStockAwardGross
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CY2018Q3 us-gaap Adjustments To Additional Paid In Capital Share Based Compensation Restricted Stock Units Requisite Service Period Recognition
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5497000 USD
CY2018Q3 us-gaap Stock Repurchased And Retired During Period Value
StockRepurchasedAndRetiredDuringPeriodValue
4751000 USD
CY2018Q3 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
13000 USD
CY2018Q3 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
4419000 USD
CY2018Q3 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-154514000 USD
CY2018Q3 us-gaap Stockholders Equity Other
StockholdersEquityOther
-380000 USD
CY2018Q3 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
887568000 USD
us-gaap Profit Loss
ProfitLoss
147220000 USD
us-gaap Profit Loss
ProfitLoss
157360000 USD
us-gaap Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
10734000 USD
us-gaap Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
13609000 USD
us-gaap Depreciation And Amortization
DepreciationAndAmortization
149022000 USD
us-gaap Depreciation And Amortization
DepreciationAndAmortization
160072000 USD
us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
-373000 USD
us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
2344000 USD
us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
14914000 USD
us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
18710000 USD
us-gaap Write Off Of Deferred Debt Issuance Cost
WriteOffOfDeferredDebtIssuanceCost
484000 USD
us-gaap Write Off Of Deferred Debt Issuance Cost
WriteOffOfDeferredDebtIssuanceCost
10160000 USD
sem Gain Losson Dispositionof Assetsand Businesses
GainLossonDispositionofAssetsandBusinesses
9129000 USD
sem Gain Losson Dispositionof Assetsand Businesses
GainLossonDispositionofAssetsandBusinesses
6349000 USD
us-gaap Share Based Compensation
ShareBasedCompensation
17175000 USD
us-gaap Share Based Compensation
ShareBasedCompensation
19431000 USD
us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
9845000 USD
us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
9469000 USD
us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-2092000 USD
us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-7247000 USD
us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
-23495000 USD
us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
93425000 USD
us-gaap Increase Decrease In Other Current Assets
IncreaseDecreaseInOtherCurrentAssets
10274000 USD
us-gaap Increase Decrease In Other Current Assets
IncreaseDecreaseInOtherCurrentAssets
6016000 USD
us-gaap Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
-4828000 USD
us-gaap Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
-1259000 USD
us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
-3507000 USD
us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
1369000 USD
us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
49391000 USD
us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
22396000 USD
us-gaap Increase Decrease In Income Taxes
IncreaseDecreaseInIncomeTaxes
9072000 USD
us-gaap Increase Decrease In Income Taxes
IncreaseDecreaseInIncomeTaxes
918000 USD
us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
380977000 USD
us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
266640000 USD
us-gaap Payments To Acquire Productive Assets
PaymentsToAcquireProductiveAssets
121039000 USD
us-gaap Payments To Acquire Productive Assets
PaymentsToAcquireProductiveAssets
123956000 USD
us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
519258000 USD
us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
86269000 USD
us-gaap Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
12936000 USD
us-gaap Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
60668000 USD
us-gaap Proceeds From Sales Of Business Affiliate And Productive Assets
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6691000 USD
us-gaap Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
183000 USD
us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-646542000 USD
us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-270710000 USD
us-gaap Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
420000000 USD
us-gaap Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
700000000 USD
us-gaap Repayments Of Long Term Lines Of Credit
RepaymentsOfLongTermLinesOfCredit
585000000 USD
us-gaap Repayments Of Long Term Lines Of Credit
RepaymentsOfLongTermLinesOfCredit
720000000 USD
us-gaap Proceeds From Issuance Of Secured Debt
ProceedsFromIssuanceOfSecuredDebt
779904000 USD
us-gaap Proceeds From Issuance Of Secured Debt
ProceedsFromIssuanceOfSecuredDebt
593683000 USD
us-gaap Repayments Of Secured Debt
RepaymentsOfSecuredDebt
8625000 USD
us-gaap Repayments Of Secured Debt
RepaymentsOfSecuredDebt
375084000 USD
us-gaap Proceeds From Issuance Of Unsecured Debt
ProceedsFromIssuanceOfUnsecuredDebt
0 USD
us-gaap Proceeds From Issuance Of Unsecured Debt
ProceedsFromIssuanceOfUnsecuredDebt
539176000 USD
us-gaap Repayments Of Unsecured Debt
RepaymentsOfUnsecuredDebt
0 USD
us-gaap Repayments Of Unsecured Debt
RepaymentsOfUnsecuredDebt
710000000 USD
us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
1333000 USD
us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
310000 USD
us-gaap Proceeds From Other Debt
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30134000 USD
us-gaap Proceeds From Other Debt
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19282000 USD
us-gaap Repayments Of Debt And Capital Lease Obligations
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17971000 USD
us-gaap Repayments Of Debt And Capital Lease Obligations
RepaymentsOfDebtAndCapitalLeaseObligations
22628000 USD
us-gaap Payments For Repurchase Of Equity
PaymentsForRepurchaseOfEquity
5640000 USD
us-gaap Payments For Repurchase Of Equity
PaymentsForRepurchaseOfEquity
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us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
1633000 USD
us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
872000 USD
us-gaap Increase Decrease In Book Overdrafts
IncreaseDecreaseInBookOverdrafts
-6172000 USD
us-gaap Increase Decrease In Book Overdrafts
IncreaseDecreaseInBookOverdrafts
-25083000 USD
us-gaap Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
2926000 USD
us-gaap Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
18288000 USD
us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
306427000 USD
us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
16032000 USD
us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
303429000 USD
us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
-35145000 USD
us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
37864000 USD
us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
-39215000 USD
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
122549000 USD
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
175178000 USD
CY2018Q3 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
160413000 USD
us-gaap Interest Paid Net
InterestPaidNet
149090000 USD
CY2019Q3 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
135963000 USD
us-gaap Interest Paid Net
InterestPaidNet
134378000 USD
us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
40460000 USD
us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
58472000 USD
CY2018Q3 us-gaap Business Acquisition Equity Interest Issued Or Issuable Value Assigned
BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned
238000000 USD
CY2019Q3 us-gaap Business Acquisition Equity Interest Issued Or Issuable Value Assigned
BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned
0 USD
us-gaap Use Of Estimates
UseOfEstimates
<div style="line-height:120%;padding-bottom:12px;padding-top:12px;text-align:justify;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Use of Estimates</span></div><div style="line-height:120%;padding-bottom:12px;padding-top:12px;text-align:justify;text-indent:30px;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;">The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, including disclosure of contingencies, at the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.</span></div>
us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<div style="line-height:120%;padding-bottom:12px;padding-top:12px;text-align:justify;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Credit Risk Concentrations</span></div><div style="line-height:120%;padding-bottom:12px;padding-top:12px;text-align:justify;text-indent:32px;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;">Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash balances and trade receivables. The Company’s excess cash is held with large financial institutions. The Company grants unsecured credit to its patients, most of whom reside in the service area of the Company’s facilities and are insured under third-party payor agreements. The Company’s general policy is to verify insurance coverage prior to the date of admission for patients admitted to the Company’s critical illness recovery hospitals and rehabilitation hospitals. Within the Company’s outpatient rehabilitation clinics, the Company verifies insurance coverage prior to the patient’s visit.  Within the Company’s Concentra centers, the Company verifies insurance coverage or receives authorization from the patient’s employer prior to the patient’s visit. </span></div><span style="font-family:inherit;font-size:10pt;">Because of the geographic diversity of the Company’s facilities and non-governmental third-party payors, Medicare represents the Company’s only significant concentration of credit risk. Approximately </span><span style="font-family:inherit;font-size:10pt;"><span>16%</span></span><span style="font-family:inherit;font-size:10pt;"> and </span><span style="font-family:inherit;font-size:10pt;"><span>15%</span></span><span style="font-family:inherit;font-size:10pt;"> of the Company’s accounts receivable is from Medicare at December 31, </span><span style="font-family:inherit;font-size:10pt;">2018</span><span style="font-family:inherit;font-size:10pt;">, and </span><span style="font-family:inherit;font-size:10pt;">September 30, 2019</span>, respectively.
CY2017Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
640818000 USD
CY2018Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
780488000 USD
CY2018Q1 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
5743000 USD
CY2019Q1 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
7700000 USD
CY2018Q1 sem Temporary Equity Exchange Of Equity Interest
TemporaryEquityExchangeOfEquityInterest
163659000 USD
CY2019Q1 sem Temporary Equity Exchange Of Equity Interest
TemporaryEquityExchangeOfEquityInterest
0 USD
CY2018Q1 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
203972000 USD
CY2019Q1 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
2771000 USD
CY2018Q1 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-1051000 USD
CY2019Q1 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-47470000 USD
CY2018Q1 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
175000 USD
CY2019Q1 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
354000 USD
CY2018Q1 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
607474000 USD
CY2019Q1 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
833241000 USD
CY2018Q2 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
10909000 USD
CY2019Q2 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
11507000 USD
CY2018Q2 us-gaap Minority Interest Decrease From Redemptions
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11112000 USD
CY2019Q2 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
395000 USD
CY2018Q2 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-8500000 USD
CY2019Q2 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
270000 USD
CY2018Q2 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
461000 USD
CY2019Q2 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
339000 USD
CY2018Q2 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
616232000 USD
CY2019Q2 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
844422000 USD
CY2018Q3 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
9244000 USD
CY2019Q3 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
6096000 USD
CY2018Q3 us-gaap Minority Interest Decrease From Redemptions
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763000 USD
CY2019Q3 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
1721000 USD
CY2018Q3 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-154514000 USD
CY2019Q3 us-gaap Minority Interest Change In Redemption Value
MinorityInterestChangeInRedemptionValue
-104553000 USD
CY2018Q3 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
347000 USD
CY2019Q3 us-gaap Temporary Equity Other Changes
TemporaryEquityOtherChanges
347000 USD
CY2018Q3 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
779574000 USD
CY2019Q3 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
953697000 USD
CY2018Q3 us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
1267401000 USD
us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
3864155000 USD
CY2018Q3 sem Business Acquisition Pro Forma Net Income Loss Attributable To Parent
BusinessAcquisitionProFormaNetIncomeLossAttributableToParent
34441000 USD
sem Business Acquisition Pro Forma Net Income Loss Attributable To Parent
BusinessAcquisitionProFormaNetIncomeLossAttributableToParent
116135000 USD
us-gaap Disposal Group Not Discontinued Operation Gain Loss On Disposal
DisposalGroupNotDiscontinuedOperationGainLossOnDisposal
6500000 USD
us-gaap Disposal Group Not Discontinued Operation Gain Loss On Disposal
DisposalGroupNotDiscontinuedOperationGainLossOnDisposal
9000000.0 USD
CY2018Q4 us-gaap Variable Interest Entity Consolidated Carrying Amount Assets
VariableInterestEntityConsolidatedCarryingAmountAssets
166200000 USD
CY2019Q3 us-gaap Variable Interest Entity Consolidated Carrying Amount Assets
VariableInterestEntityConsolidatedCarryingAmountAssets
202300000 USD
CY2018Q4 us-gaap Variable Interest Entity Consolidated Carrying Amount Liabilities
VariableInterestEntityConsolidatedCarryingAmountLiabilities
164400000 USD
CY2019Q3 us-gaap Variable Interest Entity Consolidated Carrying Amount Liabilities
VariableInterestEntityConsolidatedCarryingAmountLiabilities
200900000 USD
CY2019Q3 us-gaap Operating Lease Cost
OperatingLeaseCost
69388000 USD
CY2019Q3 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
73000 USD
CY2019Q3 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
259000 USD
CY2019Q3 us-gaap Short Term Lease Cost
ShortTermLeaseCost
592000 USD
CY2019Q3 us-gaap Variable Lease Cost
VariableLeaseCost
11945000 USD
CY2019Q3 us-gaap Sublease Income
SubleaseIncome
2458000 USD
CY2019Q3 us-gaap Lease Cost
LeaseCost
79799000 USD
us-gaap Operating Lease Cost
OperatingLeaseCost
206626000 USD
us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
199000 USD
us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
555000 USD
us-gaap Short Term Lease Cost
ShortTermLeaseCost
1776000 USD
us-gaap Variable Lease Cost
VariableLeaseCost
32777000 USD
us-gaap Sublease Income
SubleaseIncome
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us-gaap Lease Cost
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3732000 USD
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116382000 USD
us-gaap Net Income Loss
NetIncomeLoss
116382000 USD

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