UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

FORM 10-Q

 

(Mark One)

x

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

For the quarterly period ended June 30, 2015

OR

¨

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

For the transition period from           to           

Commission File Number: 001-36643

 

AAC Holdings, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

 

Nevada

 

35-2496142

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

 

 

115 East Park Drive, Second Floor

Brentwood, TN

 

37027

(Address of principal executive offices)

 

(Zip code)

Registrant’s telephone number, including area code: (615) 732-1231

 

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

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

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

 

Large accelerated filer

 

¨

 

Accelerated filer

 

¨

 

 

 

 

Non-accelerated filer

 

x  (do not check if a smaller reporting company)

 

Smaller reporting company

 

¨

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

As of July 24, 2015, the registrant had 22,409,311 shares of common stock, $0.001 par value per share, outstanding.

 

 

 

 

 


AAC HOLDINGS, INC.

Form 10-Q

June 30, 2015

TABLE OF CONTENTS

 

 

 

 

 

Page

 

 

 

PART I

 

 

 

FINANCIAL INFORMATION

 

 

 

Item 1:

 

 

Condensed Consolidated Financial Statements

 

 

 

 

 

Condensed Consolidated Balance Sheets as of December 31, 2014 and June 30, 2015 (unaudited)

 

3

 

 

 

Condensed Consolidated Statements of Income for the three and six months ended June 30, 2014 and 2015 (unaudited)

 

4

 

 

 

Condensed Consolidated Statement of Stockholders’ Equity for the six months ended June 30, 2015 (unaudited)

 

5

 

 

 

Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2014 and 2015 (unaudited)

 

6

 

 

 

Notes to Condensed Consolidated Financial Statements

 

9

 

Item 2:

 

 

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

 

24

 

Item 3:

 

 

Quantitative and Qualitative Disclosures About Market Risk

 

40

 

Item 4:

 

 

Controls and Procedures

 

40

 

 

 

PART II

 

 

 

OTHER INFORMATION

 

 

 

Item 1:

 

 

Legal Proceedings

 

41

 

Item 1A:

 

 

Risk Factors

 

41

 

Item 2:

 

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

44

 

Item 3:

 

 

Defaults Upon Senior Securities

 

44

 

Item 4:

 

 

Mine Safety Disclosures

 

44

 

Item 5:

 

 

Other Information

 

44

 

Item 6:

 

 

Exhibits

 

44

 

Signatures

 

 

 

 

 

 

2


PART 1. FINANCIAL INFORMATION

Item 1.      Condensed Consolidated Financial Statements

AAC HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Dollars in thousands)

 

 

December 31,

 

 

June 30,

 

 

 

2014

 

 

2015

 

 

 

 

 

 

 

(Unaudited)

 

Assets

 

Current assets

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

48,540

 

 

$

45,021

 

Accounts receivable, net of allowances

 

 

28,718

 

 

 

47,336

 

Deferred tax assets

 

 

1,214

 

 

 

844

 

Prepaid expenses and other current assets

 

 

1,450

 

 

 

4,465

 

Total current assets

 

 

79,922

 

 

 

97,666

 

Property and equipment, net

 

 

49,196

 

 

 

82,196

 

Goodwill

 

 

12,702

 

 

 

24,962

 

Intangible assets, net

 

 

2,935

 

 

 

4,010

 

Other assets

 

 

1,197

 

 

 

1,431

 

Total assets

 

$

145,952

 

 

$

210,265

 

 

 

Liabilities, Mezzanine Equity and Stockholders’ Equity

 

Current liabilities

 

 

 

 

 

 

 

 

Accounts payable

 

$

2,001

 

 

$

6,908

 

Accrued liabilities

 

 

10,411

 

 

 

17,983

 

Current portion of long-term debt

 

 

2,570

 

 

 

3,685

 

Current portion of long-term debt – related party

 

 

1,787

 

 

 

1,542

 

Total current liabilities

 

 

16,769

 

 

 

30,118

 

Deferred tax liabilities

 

 

1,479

 

 

 

303

 

Long-term debt, net of current portion

 

 

24,097

 

 

 

70,641

 

Long-term debt—related party, net of current portion

 

 

187

 

 

 

 

Other long-term liabilities

 

 

431

 

 

 

2,751

 

Total liabilities

 

 

42,963

 

 

 

103,813

 

 

 

 

 

 

 

 

 

 

Commitments and contingencies

 

 

 

 

 

 

 

 

Mezzanine equity including noncontrolling interest

 

 

 

 

 

 

 

 

Noncontrolling interest—Series A Preferred Units

 

 

7,848

 

 

 

 

Total mezzanine equity including noncontrolling interest

 

 

7,848

 

 

 

 

Stockholders’ equity

 

 

 

 

 

 

 

 

Common stock, $0.001 par value:

   70,000,000 shares authorized, 21,816,054 shares issued

   and outstanding at June 30, 2015

 

 

21

 

 

 

21

 

Additional paid-in capital

 

 

88,238

 

 

 

92,995

 

Retained earnings

 

 

9,215

 

 

 

16,808

 

Total stockholders’ equity

 

 

97,474

 

 

 

109,824

 

Noncontrolling interest

 

 

(2,333

)

 

 

(3,372

)

Total stockholders’ equity including noncontrolling interest

 

 

95,141

 

 

 

106,452

 

Total liabilities, mezzanine equity and stockholders’ equity

 

$

145,952

 

 

$

210,265

 

 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

3


AAC HOLDINGS, Inc.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2014 AND 2015

Unaudited

(Dollars in thousands, except per share amounts)

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

Revenues

$

29,120

 

 

$

53,784

 

 

$

59,203

 

 

$

96,607

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

12,580

 

 

 

19,733

 

 

 

24,124

 

 

 

38,107

 

Advertising and marketing

 

3,789

 

 

 

5,119

 

 

 

7,079

 

 

 

9,737

 

Professional fees

 

2,398

 

 

 

1,861

 

 

 

4,895

 

 

 

3,330

 

Client related services

 

2,754

 

 

 

3,478

 

 

 

5,211

 

 

 

6,393

 

Other operating expenses

 

2,828

 

 

 

5,536

 

 

 

5,551

 

 

 

10,349

 

Rentals and leases

 

470

 

 

 

1,159

 

 

 

940

 

 

 

1,859

 

Provision for doubtful accounts

 

2,115

 

 

 

4,177

 

 

 

6,288

 

 

 

7,559

 

Litigation settlement

 

240

 

 

 

1,500

 

 

 

240

 

 

 

1,520

 

Depreciation and amortization

 

1,151

 

 

 

1,676

 

 

 

2,228

 

 

 

3,016

 

Acquisition-related expenses

 

 

 

 

982

 

 

 

 

 

 

1,980

 

Total operating expenses

 

28,325

 

 

 

45,221

 

 

 

56,556

 

 

 

83,850

 

Income from operations

 

795

 

 

 

8,563

 

 

 

2,647

 

 

 

12,757

 

Interest expense, net  (change in fair value of

       interest rate swaps of $ ̶ , $(106), $ ̶ , and $115, respectively)

 

351

 

 

 

482

 

 

 

705

 

 

 

1,223

 

Other expense (income), net

 

(27

)

 

 

(49

)

 

 

15

 

 

 

(60

)

Income before income tax expense

 

471

 

 

 

8,130

 

 

 

1,927

 

 

 

11,594

 

Income tax expense

 

244

 

 

 

3,014

 

 

 

859

 

 

 

4,359

 

Net income

 

227

 

 

 

5,116

 

 

 

1,068

 

 

 

7,235

 

Less: net loss attributable to noncontrolling interest

 

490

 

 

 

439

 

 

 

668

 

 

 

1,039

 

Net income attributable to AAC Holdings, Inc. stockholders

 

717

 

 

 

5,555

 

 

 

1,736

 

 

 

8,274

 

BHR Series A Preferred Unit dividends

 

(203

)

 

 

 

 

 

(203

)

 

 

(147

)

Redemption of BHR Series A Preferred Units

 

 

 

 

 

 

 

 

 

 

(534

)

Net income available to AAC Holdings, Inc. common stockholders

$

514

 

 

$

5,555

 

 

$

1,533

 

 

$

7,593

 

Basic earnings per common share

$

0.03

 

 

$

0.26

 

 

$

0.10

 

 

$

0.36

 

Diluted earnings per common share

$

0.03

 

 

$

0.26

 

 

$

0.10

 

 

$

0.36

 

Weighted-average shares outstanding:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

15,462,317

 

 

 

21,293,512

 

 

 

14,942,014

 

 

 

21,241,839

 

Diluted

 

15,491,499

 

 

 

21,487,816

 

 

 

14,995,422

 

 

 

21,376,210

 

 

See accompanying notes to condensed consolidated financial statements

 

 

 

 

4


AAC HOLDINGS, Inc.

CONDENSED Consolidated Statements of Stockholders’ Equity

Unaudited

(Dollars in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common Stock –

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

AAC Holdings, Inc.

 

 

Additional

 

 

 

 

 

 

Stockholders’

 

 

Non-

 

 

Total

 

 

 

Shares

 

 

 

 

 

 

Paid-in

 

 

Retained

 

 

Equity of

 

 

Controlling

 

 

Stockholders’

 

 

 

Outstanding

 

 

Amount

 

 

Capital

 

 

Earnings

 

 

AAC Holdings, Inc.

 

 

Interests

 

 

Equity

 

Balance at December 31, 2014

 

 

21,374,374

 

 

$

21

 

 

$

88,238

 

 

$

9,215

 

 

 

97,474

 

 

$

(2,333

)

 

$

95,141

 

Common stock granted and issued under stock incentive plan, net of forfeitures

 

 

399,220

 

 

 

 

 

 

2,751

 

 

 

 

 

 

2,751

 

 

 

 

 

 

2,751

 

Effect of employee stock purchase plan

 

 

 

 

 

 

 

 

122

 

 

 

 

 

 

122

 

 

 

 

 

 

122

 

BHR Series A Preferred Unit dividends

 

 

 

 

 

 

 

 

 

 

 

(147

)

 

 

(147

)

 

 

 

 

 

(147

)

Redemption of Series A BHR Preferred Units

 

 

 

 

 

 

 

 

 

 

 

(534

)

 

 

(534

)

 

 

 

 

 

(534

)

Acquisition of Clinical Services of Rhode Island, Inc.

 

 

42,460

 

 

 

 

 

 

1,343

 

 

 

 

 

 

1,343

 

 

 

 

 

 

1,343

 

Acquisition of marketing intangibles

 

 

 

 

 

 

 

 

541

 

 

 

 

 

 

541

 

 

 

 

 

 

541

 

Net income

 

 

 

 

 

 

 

 

 

 

 

8,274

 

 

 

8,274

 

 

 

(1,039

)

 

 

7,235

 

Balance at June 30, 2015

 

 

21,816,054

 

 

$

21

 

 

$

92,995

 

 

$

16,808

 

 

$

109,824

 

 

$

(3,372

)

 

$

106,452

 

See accompanying notes to consolidated financial statements.

 

 

 

5


AAC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

Unaudited

(Dollars in thousands)

 

 

Six Months Ended June 30,

 

 

 

2014

 

 

2015

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

1,068

 

 

$

7,235

 

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

   operating activities:

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

 

6,288

 

 

 

7,559

 

Depreciation and amortization

 

 

2,228

 

 

 

3,016

 

Equity compensation

 

 

1,112

 

 

 

2,873

 

Amortization of discount on notes payable

 

 

17

 

 

 

 

Amortization of debt issuance costs

 

 

 

 

 

85

 

Deferred income taxes

 

 

(39

)

 

 

(806

)

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

(7,904

)

 

 

(25,427

)

Prepaid expenses and other assets

 

 

(1,101

)

 

 

(229

)

Accounts payable

 

 

958

 

 

 

4,865

 

Accrued liabilities

 

 

(2,585

)

 

 

7,327

 

Other long term liabilities

 

 

(72

)

 

 

95

 

Net cash (used in) provided by operating activities

 

 

(30

)

 

 

6,593

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(8,868

)

 

 

(34,087

)

Issuance of notes and other receivables - related parties

 

 

(488

)

 

 

 

Collection of notes and other receivables - related parties

 

 

250

 

 

 

 

Acquisition of subsidiaries, net of cash acquired

 

 

(3,351

)

 

 

(13,740

)

Escrow funds held on acquisition

 

 

 

 

 

(511

)

Purchase of intangible assets

 

 

 

 

 

(540

)

(Purchase) / sale of other assets, net

 

 

(158

)

 

 

153

 

Net cash used in investing activities

 

 

(12,615

)

 

 

(48,725

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from revolving line of credit, net

 

 

500

 

 

 

 

Proceeds from long-term debt

 

 

3,850

 

 

 

73,802

 

Payments on long-term debt and capital leases

 

 

(2,288

)

 

 

(25,520

)

Repayment of long-term debt — related party

 

 

(404

)

 

 

(195

)

Repayment of subordinated notes payable

 

 

 

 

 

(945

)

Repurchase of common stock

 

 

(116

)

 

 

 

Proceeds from sale of common stock — private placement

 

 

6,089

 

 

 

 

Proceeds from sale of BHR Series A Preferred Units

 

 

8,203

 

 

 

 

Redemption of BHR Series A Preferred Units

 

 

(1,825

)

 

 

(8,529

)

Dividends paid

 

 

(79

)

 

 

 

Distributions to noncontrolling interest

 

 

(915

)

 

 

 

Net cash provided by financing activities

 

 

13,015

 

 

 

38,613

 

Net change in cash and cash equivalents

 

 

370

 

 

 

(3,519

)

Cash and cash equivalents, beginning of period

 

 

2,012

 

 

 

48,540

 

Cash and cash equivalents, end of period

 

$

2,382

 

 

$

45,021

 

 

6


 

 

Six Months Ended June 30,

 

 

 

2014

 

 

2015

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

1,068

 

 

$

7,235

 

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

   operating activities:

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

 

6,288

 

 

 

7,559

 

Depreciation and amortization

 

 

2,228

 

 

 

3,016

 

Equity compensation

 

 

1,112

 

 

 

2,874

 

Amortization of discount on notes payable

 

 

17

 

 

 

 

Amortization of debt issuance costs

 

 

 

 

 

85

 

Deferred income taxes

 

 

(39

)

 

 

(807

)

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

(7,904

)

 

 

(25,427

)

Prepaid expenses and other assets

 

 

(1,101

)

 

 

(229

)

Accounts payable

 

 

958

 

 

 

4,865

 

Accrued liabilities

 

 

(2,585

)

 

 

7,327

 

Other long term liabilities

 

 

(72

)

 

 

95

 

Net cash (used in) provided by operating activities

 

 

(30

)

 

 

6,593

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(8,868

)

 

 

(34,087

)

Issuance of notes and other receivables - related parties

 

 

(488

)

 

 

 

Collection of notes and other receivables - related parties

 

 

250

 

 

 

 

Acquisition of subsidiaries, net of cash acquired

 

 

(3,351

)

 

 

(13,740

)

Escrow funds held on acquisition

 

 

 

 

 

(511

)

Purchase of intangible assets

 

 

 

 

 

(540

)

(Purchase) / sale of other assets, net

 

 

(158

)

 

 

153

 

Net cash used in investing activities

 

 

(12,615

)

 

 

(48,725

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from revolving line of credit, net

 

 

500

 

 

 

 

Proceeds from long-term debt

 

 

3,850

 

 

 

73,802

 

Payments on long-term debt and capital leases

 

 

(2,288

)

 

 

(25,520

)

Repayment of long-term debt — related party

 

 

(404

)

 

 

(195

)

Repayment of subordinated notes payable

 

 

 

 

 

(945

)

Repurchase of common stock

 

 

(116

)

 

 

 

Proceeds from sale of common stock — private placement

 

 

6,089

 

 

 

 

Proceeds from sale of BHR Series A Preferred Units

 

 

8,203

 

 

 

 

Redemption of BHR Series A Preferred Units

 

 

(1,825

)

 

 

(8,529

)

Dividends paid

 

 

(79

)

 

 

 

Distributions to noncontrolling interest

 

 

(915

)

 

 

 

Net cash provided by financing activities

 

 

13,015

 

 

 

38,613

 

Net change in cash and cash equivalents

 

 

370

 

 

 

(3,519

)

Cash and cash equivalents, beginning of period

 

 

2,012

 

 

 

48,540

 

Cash and cash equivalents, end of period

 

$

2,382

 

 

$

45,021

 

 

 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 

 

 

 

7


AAC HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

Unaudited

(Dollars in thousands)

 

 

 

Six Months Ended June 30,

 

 

 

2014

 

 

2015

 

Supplemental disclosures of cash flow information:

 

 

Cash and cash equivalents paid for:

 

 

 

 

 

 

 

 

Interest, net of capitalized interest

 

$

67

 

 

$

1,235

 

Income taxes, net of refunds

 

$

161

 

 

$

1,000

 

 

 

 

 

 

 

 

 

 

Supplemental information on non-cash investing and financing transactions:

 

 

 

 

 

 

 

 

BHR Acquisition:

 

 

 

 

 

 

 

 

Purchase Price

 

$

11,759

 

 

$

 

Assumption of debt

 

 

(1,759

)

 

 

 

Buyer common stock issued

 

 

(7,000

)

 

 

 

Cash paid for acquisition

 

$

3,000

 

 

$

 

 

 

 

 

 

 

 

 

 

CRMS Acquisition:

 

 

 

 

 

 

 

 

Purchase Price

 

$

2,500

 

 

$

 

Buyer common stock issued

 

 

(2,000

)

 

 

 

Cash paid for acquisition

 

$

500

 

 

$

 

 

 

 

 

 

 

 

 

 

Clinical Services of Rhode Island Acquisition:

 

 

 

 

 

 

 

 

Purchase Price

 

$

 

 

$

2,008

 

Buyer common stock issued

 

 

 

 

 

(1,343

)

Cash paid for acquisition

 

$

 

 

$

665

 

 

 

 

 

 

 

 

 

 

Acquisition of equipment through capital lease

 

$

(285

)

 

$

 

Accrued dividends BHR Series A Preferred Units

 

$

(203

)

 

$

 

Accrued dividends of a variable interest entity

 

$

(61

)

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 

 

 

8


AAC Holdings, Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1.

Description of Business

AAC Holdings, Inc. (collectively with its subsidiaries, the “Company” or “Holdings”), was incorporated on February 12, 2014 for the purpose of acquiring all the common stock of American Addiction Centers, Inc. (“AAC”) and to engage in certain reorganization transactions as more fully described in Note 3. The Company is headquartered in Brentwood, Tennessee and provides substance abuse treatment services for individuals with drug and alcohol addiction.  The Company also provides treatment services for clients struggling with behavioral health disorders, including disorders associated with overeating.  At June 30, 2015, the Company, through its subsidiaries, operated seven residential substance abuse treatment facilities, five standalone outpatient centers, and one facility that provides treatment services for men and women who struggle with overeating-related behavioral disorders.

 

 

2.

Basis of Presentation and Recently Issued Accounting Pronouncements

Principles of Consolidation

The Company conducts its business through limited liability companies and C-corporations, each of which is a direct or indirect wholly owned subsidiary of the Company.  The accompanying condensed consolidated financial statements include the accounts of the Company, its wholly owned subsidiaries, the accounts of variable interest entities (“VIEs”) in which the Company is the primary beneficiary, and certain professional groups through rights granted to the Company by contract to manage and control the business of such professional groups.  All intercompany transactions and balances have been eliminated in consolidation.

The Private Share Exchange (defined below) transaction between the Company and AAC’s stockholders (as discussed in Note 3) was accounted for similar to a common control transaction resulting in the assets, liabilities, and equity of AAC being carried over at their historical bases.  At the time of the Private Share Exchange, Holdings was a shell company that had not conducted any business and had no material assets or liabilities.  As such, the historical financial statements presented for periods prior to the Private Share Exchange represent the historical results of operations of AAC.

During the six months ended June 30, 2014, the Company consolidated one real estate VIE, Behavioral Healthcare Realty, LLC (“BHR”) through April 15, 2014, at which point BHR was acquired by the Company and became a wholly owned subsidiary of the Company (see Note 3 for further discussion).  BHR leased two treatment facilities to the Company under long-term triple net leases and was renovating and constructing additional treatment facilities that it planned to lease to the Company. The Company was the primary beneficiary as a result of its guarantee of BHR’s debt prior to the acquisition. The Company also consolidated five professional groups (“Professional Groups”) that constituted VIEs as of both June 30, 2014 and 2015.  The Professional Groups are responsible for the supervision and delivery of medical services to the Company’s clients. The Company provides management services to the Professional Groups.  Based on the Company’s ability to direct the activities that most significantly impact the economic performance of the Professional Groups, provide necessary funding and the obligation and likelihood of absorbing all expected gains and losses, the Company has determined that it is the primary beneficiary of these Professional Groups.  The accompanying consolidated balance sheets as of December 31, 2014 and June 30, 2015 include assets of $0.5 million and $2.3 million, respectively, and liabilities of $3.3 million and $0.2 million, respectively, related to the VIEs.   The accompanying consolidated income statements include net loss attributable to noncontrolling interest of $0.5 million and $0.4 million related to the VIEs for the three months ended June 30, 2014 and 2015, respectively, and $0.7 million and $1.0 million for the six months ended June 30, 2014 and 2015, respectively.

The accompanying condensed consolidated financial statements are unaudited, with the exception of the December 31, 2014 balance sheet which is consistent with the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles (“GAAP”) for a complete set of financial statements. The information contained in these condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the fiscal year ended December 31, 2014 included in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 11, 2015.  The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Recent Pronouncements

In May 2014, the Financial Accounting Standards Board (FASB) and the International Accounting Standards Board issued Accounting Standards Update (“ASU”) 2014-09, which outlines a single comprehensive model for recognizing revenue and supersedes most existing revenue recognition guidance, including guidance specific to the healthcare industry. Companies across all industries will use a new five-step model to recognize revenue from customer contracts. The new standard, which replaces nearly all

 

9


ex isting GAAP and International Financial Reporting Standards revenue recognition guidance, will require significant management judgment in addition to changing the way many companies recognize revenu e in their financial statements. The standard is effective for public entities for annual and interim periods beginning after December 15, 201 6, however, the FASB recently issued a proposed ASU that would defer the effective date by one year to annual and interim periods beginning after December 15, 2017 , with early adoption permitted for annual periods beginning after December 15, 2016.   The Company is currently evaluating the impact that the adoption of this standard will have on its revenue recognition p olicies and procedures, financial position, result of operations, cash flows, financial disclosures and control framework.

In March 2015, the Financial Accounting Standards Board issued Accounting Standards Update No. 2015-03, Simplifying the Presentation of Debt Issuance Costs .  The update is effective for financial statements issued for fiscal years beginning after December 15, 2015, and those interim periods within those fiscal years, with early adoption permitted.  The update requires debt issuance costs related to a note to be reported in the balance sheet as a direct deduction from the face amount of that note on a retrospective basis upon adoption.  The Company determined to early adopt the revised guidance and presented $1.4 million of deferred debt issuance costs associated with the Company’s 2015 Credit Facility (as later defined) net of the debt balance at June 30, 2015 (see Note 10).  The impact on prior periods was not material.

 

 

3.

Reorganization Transactions

On April 15, 2014, the Company completed the following transactions which were all completed substantially concurrently (collectively, the “Reorganization Transactions”):

·

A voluntary private share exchange with certain stockholders of AAC, whereby holders representing over 93.6% of the outstanding shares of common stock of AAC exchanged their shares on a one-for-one basis for shares of the Company’s common stock;

·

The acquisition of all of the outstanding common membership interests of BHR, an entity controlled by related parties, which through its subsidiaries owns properties located in Florida, Nevada and Texas, in exchange for $3.0 million in cash, the assumption of a $1.8 million term loan and 820,124 shares of the Company’s common stock (the “BHR Acquisition”); and

·

The acquisition of all of the outstanding membership interests of Clinical Revenue Management Services, LLC (“CRMS”), an entity controlled by related parties, which provides client billing and collection services for the Company, in exchange for $0.5 million in cash and 234,324 shares of the Company’s common stock.

As a result of the foregoing transactions, the Company owned (i) over 93.6% of the outstanding common stock of AAC, (ii) 100% of the outstanding common membership interests in BHR, and (iii) 100% of the outstanding membership interests in CRMS. To help fund or facilitate these transactions, the following additional financing transactions were undertaken in 2014 prior to or in connection with the aforementioned transactions:  (i) AAC sold 741,322 shares of its common stock in a private placement to certain accredited investors from February 2014 through April 2014, with net proceeds of $6.0 million, (ii) BHR sold 8.5 Series A Preferred Units in a private placement to certain accredited investors in January and February 2014, with net proceeds of $0.4 million, (iii) BHR redeemed all of its outstanding 36.5 Series A Preferred Units from certain accredited investors in April 2014 and (iv) BHR sold 160 new Series A Preferred Units in a private placement to an accredited investor in April 2014, with net proceeds of $7.8 million.

Private Share Exchange

Certain common shares of AAC issued in 2008 under the previous board of directors exceeded the number of shares duly authorized by AAC’s Articles of Incorporation.  These common shares were previously classified as mezzanine equity in the consolidated balance sheets because they did not meet the definition of permanent equity as a result of these legal imperfections.  To cure these legal imperfections and in preparation for an initial public offering, in the first quarter of 2014, the Company initiated a voluntary private share exchange with certain of AAC’s stockholders whereby the Company offered to certain of AAC’s stockholders the opportunity to receive one share of the Company’s common stock for (i) each share of AAC’s common stock held by such stockholders and (ii) a release from claims arising from or related to the share imperfections (collectively, the “Private Share Exchange”). The Private Share Exchange was conditioned upon, among other things, holders of AAC’s common stock who participated in the Private Share Exchange validly assigning and transferring to the Company at least 90% of the outstanding shares of AAC prior to the expiration of the Private Share Exchange. At the expiration of the Private Share Exchange in April 2014, holders representing 93.6% of AAC’s common stock had exchanged their shares for shares of common stock of the Company, and AAC became a majority-owned subsidiary of the Company. The Private Share Exchange was accounted for similar to a common control transaction resulting in the assets, liabilities and equity of AAC being carried over at their historical bases. Prior to the completion of the Reorganization Transactions, Holdings had not engaged in any business or other activities except in connection with its formation.   Shares of AAC common stock that were not exchanged remained in mezzanine equity or stockholders’ equity until the completion of the short-form merger in November 2014.

 

10


Behavioral Healthcare Realty, LLC Acquisition

On April 15, 2014, BHR redeemed 36.5 of its non-controlling Series A Preferred Units for $1.8 million.  These former holders of Series A Preferred Units used the proceeds from the redemption to purchase 224,697 shares of AAC’s common stock at $8.12 per share as part of an exempt common stock offering.  As part of the aforementioned transaction, nine of the Series A Preferred Units were redeemed from directors and relatives of directors who purchased 55,406 shares of AAC’s common stock valued at approximately $450,000.

Simultaneously, BHR amended and restated its limited liability company agreement which among other things changed the rights and privileges of the Series A Preferred Units.  On April 15, 2014, BHR received $7.8 million in net proceeds from the sale of 160 units of its non-controlling Series A Preferred Units ($50,000 per unit) to BNY Alcentra Group Holdings, Inc. (“Alcentra”).  Alcentra received a 1% fee at closing and is entitled to receive a preferred return of 12% per annum on its initial investment, payable quarterly in arrears.   The Series A Preferred Units contained certain embedded issuer call and holder put provisions. BHR had the option to redeem a minimum of 40 Series A Preferred Units and up to 100% of the outstanding Series A Preferred Units for $50,000 per unit, plus (i) any accrued and unpaid preferred return and (ii) a call premium of (a) 3.0% through April 15, 2015, (b) 2.0% from April 16, 2015 through April 15, 2017 and (c) no premium any time after April 15, 2017. Alcentra had a put right that, if exercised, required BHR to redeem all of the issued and outstanding Series A Preferred Units by making a payment equal to $50,000 per unit plus the accrued but unpaid preferred return. Alcentra had the ability to exercise its put right for a period of 30 days following the 36 th month or 48 th month after the date of issuance and at any time following the 60 th month after the date of issuance. In the event of a sale of a property owned by BHR, Alcentra was entitled to the repayment of its initial capital contribution plus (i) any accrued and unpaid preferred return and (ii) any applicable call premium.  Distributions to affiliates of BHR were limited to $3.0 million annually, so long as any of the Series A Preferred Units were outstanding.  

The Series A Preferred Units generally had no voting or approval rights regarding the management of BHR. However, the holders of Series A Preferred Units were entitled to vote with respect to (i) any action that would change the rights or restrictions of the Series A Preferred Units in a way that would adversely affect such holders and (ii) the creation or issuance of any other security convertible into or exercisable for any equity security of BHR having rights, preferences or privileges senior to the common units of BHR. In addition, unanimous approval of all BHR members, including the holders of Series A Preferred Units, is required to approve the sale by BHR of more than 50% of its real property, more than 50% of the voting or economic rights of any BHR subsidiary or the merger, consolidation, sale of all or substantially all of the assets of BHR or sale of a majority of the common units of BHR.

In addition, as long as Alcentra owned at least 60 Series A Preferred Units, subject to adjustment for certain BHR redemptions, the manager of BHR could not engage in certain transactions without the approval of a majority of the Series A Preferred Unit holders, including, without limitation, the following: (i) liquidate, dissolve or wind up the business of BHR; (ii) authorize the issuance of additional Series A Preferred Units or any class or series of equity securities with rights, preferences or parity with or senior to that of the Series A Preferred Units; (iii) declare or pay any cash distribution or make any other distribution not permitted under the limited liability company agreement; (iv) pay any management or similar fees; (v) pay rebates or reduce payments payable by any primary tenants or (vi) make payments to affiliates of BHR in excess of $3.0 million per year in the aggregate.

On February 25, 2015, the Company exercised its call provision and redeemed 100% of the outstanding Series A Preferred Units for a total redemption price of approximately $8.5 million, which included $0.2 million for the 3.0% call premium and $0.3 million for unpaid preferred returns.

Substantially concurrent with the Private Share Exchange in April 2014, the Company acquired all of the outstanding common membership interests of BHR by issuing 820,124 shares of Company common stock (at a fair value of $8.54 per share as determined by the Company), paying $3.0 million in cash and assuming a $1.7 million term loan from a financial institution to our CEO, President and CFO.  The original proceeds from this loan were used to repay a loan related to Greenhouse Real Estate, LLC and was accounted for as an additional capital contribution in BHR.  The Company refinanced the assumed term loan and was required to make monthly principal payments of $35,855 to a financial institution, plus 5.0% interest and a balloon payment of $1.4 million in April 2015.  Prior to the BHR Acquisition, BHR was controlled by the CEO, President and CFO of the Company. BHR owns the real property associated with treatment facilities, which are leased to the Company, as well as other properties that are currently in development or are being held for future development.  The BHR Acquisition was accounted for as a common control transaction as BHR was already being consolidated as a VIE in accordance with FASB ASC 810, Consolidations , and, accordingly, the Company recognized $4.9 million of the $11.8 million in fair value of consideration transferred (consisting of $3.0 million cash consideration, the $1.7 million loan assumed and the net deferred tax assets of $0.2 million).  The Company eliminated the noncontrolling interest attributable to BHR of $3.7 million with the excess of fair value over the carrying value of noncontrolling interest recorded as a reduction to additional paid-in capital of $1.2 million.

 

11


Clinical Revenue Management Services, LLC Acquisition

On April 15, 2014, the Company acquired all the outstanding membership interests of CRMS in exchange for $0.5 million in cash and 234,324 common shares of the Company’s common stock (at a fair value of $8.54 per common share as determined by the Company) for total consideration paid of $2.5 million (collectively, the “CRMS Acquisition”). The purchase price was based upon a third party valuation report of CRMS obtained by the Company.  CRMS provides billing and collections services to the Company, and after this acquisition continues to provide all billing and collection services for the Company as a wholly owned subsidiary.  Prior to its acquisition by the Company, CRMS was owned by the spouses of the Company’s CEO and President.  The purchase price resulted in a premium to the fair value of the net assets acquired and, correspondingly, the recognition of goodwill. The amount recorded for goodwill was consistent with the Company’s intentions for the acquisition.

The acquisition was accounted for as a business combination. The Company recorded the transaction based upon the fair value of the consideration paid. This consideration was allocated to the assets acquired and liabilities assumed at the acquisition date based on their fair values as follows (in thousands):

 

Cash

 

$

149

 

Accounts receivable

 

 

452

 

Property and equipment

 

 

91

 

Goodwill

 

 

1,810

 

Total assets acquired

 

 

2,502

 

Accrued liabilities

 

 

2

 

Total liabilities assumed

 

 

2

 

Net assets acquired

 

$

2,500

 

Qualitative factors that contributed to the recognition of goodwill include certain intangible assets that are not recognized as a separate identifiable intangible asset apart from goodwill and expected cost reduction synergies of approximately $0.8 million in annual cost savings. Intangible assets not recognized apart from goodwill consist primarily of the assembled workforce. The goodwill recognized is not deductible for income tax purposes. Acquisition related costs were $- million and $0.1 million for the three and six months ended June 30, 2014, respectively, and were expensed in other operating expenses in the condensed consolidated statement of income.

Fair Value of Shares Issued

The Company determined the fair value of shares of restricted common stock of the Company issued in connection with the BHR Acquisition and the CRMS Acquisition to be $8.54 per share. Management analyzed a valuation report prepared by an independent third party with respect to the valuation of the Company taking into account the Private Share Exchange, the BHR Acquisition and the CRMS Acquisition. In particular, the valuation report analyzed the potential impact of the then-proposed Reorganization Transactions on the valuation of the Company, such as the increase in 2013 pro forma net income as a result of BHR results of operations being included for all of 2013. The valuation report also noted that the impact of the BHR Acquisition on the enterprise value would be mixed, as the additional EBITDA generated at the Company level due to recapture rents and cash and non-cash expenses was not sufficient to overcome the negative impact on enterprise value of BHR’s debt outstanding for the entire year. With respect to CRMS, the analysis determined that the CRMS Acquisition would allow the recapture of additional EBITDA (on a pro forma basis for 2013) due to a combination of recapture revenues (commissions no longer paid) and the expected cost savings. In determining the fair value of the Company’s common stock, management also considered investor demand in the private placement of AAC common stock from February 2014 through April 2014 at $8.12 per share, the improved projected results of operations of the remainder of 2014 and the probability of an initial public offering in 2014. Based on the foregoing analysis, the Company determined the fair value of the Company’s common stock as of April 15, 2014 to be $8.54 per share.

 

Initial Public Offering and Short-Form Merger

On October 7, 2014, the Company completed an initial public offering (“IPO”) of 5,750,000 shares of its common stock at a public offering price of $15.00 per share, which included the exercise in full of the underwriters’ option to purchase an additional 250,000 shares from the Company and 500,000 shares from certain selling stockholders.  Net proceeds to the Company from the IPO were approximately $68.8 million, after deducting underwriting discounts and offering costs.

 

On November 10, 2014, the Company completed a subsidiary short-form merger with AAC and a wholly-owned merger subsidiary whereby the legacy holders of AAC common stock who did not participate in the Private Share Exchange received 1.571119 shares of Holdings common stock for each share of AAC common stock owned at the effective time of the merger (for an

 

12


aggregate of 293,040 shares of Holdings common stock).  Upon completion of the short-form merger, Holdings owned 100% of the outstanding shares of AAC.  The short-form merger was accounted for as an equity transaction in accordance with ASC 810,  Consolidation .

 

 

4.

General and Administrative Costs

The majority of the Company’s expenses are “cost of revenue” items. Costs that could be classified as general and administrative expenses include the Company’s corporate overhead costs, which were $6.5 million and $11.3 million for the three months ended June 30, 2014 and 2015, respectively, and $11.7 million and $19.3 million for the six months ended June 30, 2014 and 2015, respectively.

 

 

5.

Earnings Per Share

Earnings per share (“EPS”) is calculated using the two-class method required for participating securities. Undistributed earnings allocated to these participating securities are subtracted from net income in determining net income attributable to common stockholders. Net losses, if any, are not allocated to these participating securities. Basic EPS is computed by dividing net income attributable to common stockholders by the weighted-average number of shares of common stock outstanding for the period. Common shares outstanding include both the common shares classified as mezzanine equity and those classified as equity.

For the calculation of diluted EPS, net income attributable to common stockholders for basic EPS is adjusted by the effect of dilutive securities, including awards under stock-based payment arrangements. Diluted EPS attributable to common stockholders is computed by dividing net income attributable to common stockholders by the weighted-average number of fully diluted common shares outstanding during the period.

The following tables reconcile the numerator and denominator used in the calculation of basic and diluted EPS for the three and six months ended June 30, 2014 and 2015 (in thousands except share and per share amounts):

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

Numerator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to AAC Holdings, Inc.

$

717

 

 

$

5,555

 

 

$

1,736

 

 

$

8,274

 

Less:  Series A Preferred Unit dividends

 

(203

)

 

 

 

 

 

(203

)

 

 

(147

)

Less:  Redemption of BHR Series A Preferred Units

 

 

 

 

 

 

 

 

 

 

(534

)

Net income attributable to common shares

$

514

 

 

$

5,555

 

 

$

1,533

 

 

$

7,593

 

Denominator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares outstanding – basic

 

15,462,317

 

 

 

21,293,512

 

 

 

14,942,014

 

 

 

21,241,839

 

Dilutive securities

 

29,182

 

 

 

194,304

 

 

 

53,408

 

 

 

134,371

 

Weighted-average shares outstanding – diluted

 

15,491,499

 

 

 

21,487,816

 

 

 

14,995,422

 

 

 

21,376,210

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share

$

0.03

 

 

$

0.26

 

 

$

0.10

 

 

$

0.36

 

Diluted earnings per share

$

0.03

 

 

$

0.26

 

 

$

0.10

 

 

$

0.36

 

 

 

6.

Acquisitions

On February 20, 2015, the Company acquired certain assets of Recovery First, Inc. (“Recovery First”), a Florida-based provider of substance abuse treatment and rehabilitation services, for $13.1 million in cash and the assumption of certain liabilities.  The purchase price was based upon arms-length negotiations between the Company and Recovery First that resulted in a premium to the fair value of the net assets acquired (including identifiable intangible assets) and, correspondingly, the recognition of goodwill. The amount recorded for goodwill is consistent with the Company’s intentions for the acquisition.

On April 17, 2015, the Company acquired certain assets of Clinical Services of Rhode Island, Inc. (CSRI), a provider of intensive outpatient substance abuse treatment services, for $0.7 million in cash and 42,460 in shares of Holdings’ common stock.  The purchase price was based upon arms-length negotiations between the Company and CSRI that resulted in a premium to the fair value of the net assets acquired and, correspondingly, the recognition of goodwill.  The amount recorded for goodwill is consistent with the Company’s intentions for the acquisition.

 

13


Each of these acquisitions was accounted for as a business combination. The Company recorded each transaction based upon the fair value of the consideration paid to Recovery First and CSRI. This consideration was preliminarily allocated to the asse ts acquired and liabilities assumed at the corresponding acquisition dates, based on their fair values as follows (in thousands):

 

 

 

Recovery First

 

 

CSRI

 

 

Total

 

Cash and cash equivalents

 

$

 

 

$

27

 

 

$

27

 

Accounts receivable

 

 

750

 

 

 

 

 

 

750

 

Prepaid expenses and other assets

 

 

392

 

 

 

6

 

 

 

398

 

Property and equipment

 

 

1,415

 

 

 

3

 

 

 

1,418

 

Goodwill

 

 

10,288

 

 

 

1,972

 

 

 

12,260

 

Intangible assets

 

 

300

 

 

 

 

 

 

300

 

Total Assets acquired

 

 

13,145

 

 

 

2,008

 

 

 

15,153

 

Accrued liabilities

 

 

43

 

 

 

 

 

 

43

 

Total liabilities assumed

 

 

43

 

 

 

 

 

 

43

 

Net assets acquired

 

$

13,102

 

 

$

2,008

 

 

$

15,110

 

 

The goodwill for each of these acquisitions and identifiable intangible assets recognized is deductible for income tax purposes. Acquisition-related costs for the acquisitions were expensed in acquisition-related expenses in the condensed consolidated statements of income.

 

The following provides a breakdown of the identifiable intangible assets, the valuation method applied in arriving at fair value, their assigned values and expected lives (in thousands, except years):

 

 

 

 

 

Assigned

 

 

Estimated

 

Intangible Asset

 

Valuation Method

 

Value

 

 

Life In Years

 

Trademarks and marketing intangibles

 

Relief from royalty

 

 

300

 

 

 

10

 

Total identified intangible assets

 

 

 

$

300

 

 

 

 

 

Some of the more significant estimates and assumptions inherent in the estimate of the fair value of the identifiable acquired intangible assets include all those associated with forecasting cash flows and profitability. The primary assumptions used for the determination of the fair value of the purchased intangible assets were generally based upon the present value of anticipated cash flows discounted at rates generally ranging from 14.0% to 15.0%.  Estimated years of future cash flows and earnings generally follow the range of estimated remaining useful lives for each intangible asset.

 

The results of operations for Recovery First and CSRI from the respective acquisition dates are included in the condensed consolidated statements of income for the three and six months ended June 30, 2015, and include revenues of $1.4 million and $2.1 million, respectively.  The following presents the unaudited pro forma revenues and income before taxes of the combined entity had the acquisition of Recovery First and CSRI occurred on the first day of the period presented (in thousands):

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

Revenues

 

$

31,026

 

 

$

55,108

 

 

$

63,181

 

 

$

97,931

 

Income before income taxes

 

$

747

 

 

$

8,335

 

 

$

2,872

 

 

$

11,799

 

 

 

7 .

Accounts Receivable and Allowance for Doubtful Accounts

A summary of activity in the Company’s allowance for doubtful accounts is as follows (in thousands):

 

Balance at December 31, 2014

 

$

8,468

 

Additions charged to provision for doubtful accounts

 

 

7,559

 

Accounts written off, net of recoveries

 

 

(6,242

)

Balance at June 30, 2015

 

$

9,785

 

 

For the six months ended June 30, 2014, approximately 14.5% of the Company’s revenues were reimbursed by Anthem Blue Cross Blue Shield of Colorado; 12.5% by Blue Cross Blue Shield of California ; 12.3% by Aetna; and 10.4% by Blue Cross Blue Shield of Texas. No other payor accounted for more than 10% of revenue reimbursements for the six months ended June 30, 2014.

 

14


For t he six months ended June 30, 2015 , approximately 16.7 % of the Company’s revenues were reimbursed by Anthem Blue Cross Blue Shield of Colorado; 12.8 % by Blue Cross Blue Shield of Texas ; and 11. 6 % by Aetna . No other payor accounted for more than 10 % of revenue reimbursements for the six months ended June 30, 2015 .

 

 

8.

Property and Equipment, net

Property and equipment consisted of the following (in thousands):

 

 

 

December 31,

 

 

June 30,

 

 

 

2014

 

 

2015

 

Computer equipment and software

 

$

4,845

 

 

$

7,370

 

Furniture and fixtures

 

 

4,535

 

 

 

5,650

 

Vehicles

 

 

834

 

 

 

912

 

Equipment under capital lease

 

 

1,777

 

 

 

1,492

 

Leasehold improvements

 

 

3,538

 

 

 

4,041

 

Construction in progress

 

 

19,410

 

 

 

41,502

 

Building

 

 

19,733

 

 

 

29,176

 

Land

 

 

2,538

 

 

 

2,658

 

Total property and equipment

 

 

57,210

 

 

 

92,801

 

Less accumulated depreciation and amortization

 

 

(8,014

)

 

 

(10,605

)

 

 

$

49,196

 

 

$

82,196

 

Acquired Property

On February 24, 2015, the Company purchased a piece of property including buildings, structures, and 96 acres of land in Ringwood, New Jersey for $6.4 million in cash and recorded the balance in construction in progress. The Company funded the purchase price from cash on hand with the intention of converting the property into a treatment center.

On April 1, 2015, the Company acquired an 84-bed hospital in southern California for cash consideration of $13.5 million and recorded the balance in construction in progress.  The Company funded the purchase price from cash on hand with the intention of converting the property into a chemical dependency recovery hospital.

 

 

9.

Goodwill and Intangible Assets

The Company’s business comprises a single reporting unit for impairment test purposes. The Company’s estimates of fair value are based on the income approach, which estimates the fair value of the Company based on its future discounted cash flows. In addition to an annual impairment review, impairment reviews are performed whenever circumstances indicate a possible impairment may exist. The Company performed its most recent goodwill impairment testing as of December 31, 2014 and did not incur an impairment charge.

The Company’s goodwill balance as of December 31, 2014 and June 30, 2015 was $12.7 million and $25.0 million, respectively. A total of $10.3 million of the increase in goodwill relates to the acquisition of Recovery First, while the remaining $2.0 million increase relates to the acquisition of CSRI discussed in Note 6.

 

Balance at December 31, 2014

 

$

12,702

 

Recovery First acquisition

 

 

10,288

 

CSRI acquisition

 

 

1,972

 

Balance at June 30, 2015

 

$

24,962

 

 

15


Other identifiable intangible assets and their assigned and related accumulated amortization consisted of the following as of December 31, 201 4 and June 3 0 , 2015 (in thousands):

 

 

 

Gross Carrying Value

 

 

Accumulated Amortization

 

 

 

December 31,

 

 

June 30,

 

 

December 31,

 

 

June 30,

 

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

Trademarks

 

$

2,682

 

 

$

2,982

 

 

$

626

 

 

$

769

 

Non-compete agreements

 

 

1,257

 

 

 

1,257

 

 

 

587

 

 

 

712

 

Marketing intangibles

 

 

220

 

 

 

1,301

 

 

 

39

 

 

 

73

 

Other

 

 

51

 

 

 

51

 

 

 

23

 

 

 

27

 

 

 

$

4,210

 

 

$

5,591

 

 

$

1,275

 

 

$

1,581

 

 

Changes to the carrying value of identifiable intangible assets during the six months ended June 30, 2015 were as follows (in thousands):

 

Balance at December 31, 2014

 

$

2,935

 

Amortization expense

 

 

(306

)

Recovery First intangibles

 

 

300

 

Acquisition of marketing intangibles

 

 

1,081

 

Balance at June 30, 2015

 

$

4,010

 

On April 17, 2015, the Company acquired certain marketing assets with a value of $1.1 million for cash consideration of $0.5 million and 17,110 shares of the Company’s common stock, worth an estimated fair value of $0.5 million at the date of acquisition.  The Company utilizes an estimated useful life of 10 years for marketing intangible assets.

 

 

 

10 .

Debt

A summary of the Company’s debt obligations, net of unamortized discounts, is as follows (in thousands):

 

 

 

December 31,

 

 

June 30,

 

 

 

2014

 

 

2015

 

Non-related party debt:

 

 

 

 

 

 

 

 

Senior secured term loan, net of issuance costs

 

$

 

 

$

73,700

 

Real estate debt

 

 

24,590

 

 

 

 

Asset purchases

 

 

126

 

 

 

25

 

Subordinated debt

 

 

708

 

 

 

 

Capital lease obligations

 

 

1,243

 

 

 

601

 

Total non-related party debt

 

 

26,667

 

 

 

74,326

 

Less current portion

 

 

(2,570

)

 

 

(3,685

)

Total non-related party debt, long-term

 

$

24,097

 

 

$

70,641

 

Related party debt:

 

 

 

 

 

 

 

 

Acquisition-related debt

 

$

1,787

 

 

$

1,542

 

Subordinated debt

 

 

187

 

 

 

 

Total related party debt

 

 

1,974

 

 

 

1,542

 

Less current portion

 

 

(1,787

)

 

 

(1,542

)

Total related party debt, long-term

 

$

187

 

 

$

 

Credit Facility

The Company’s prior credit facility borrowing base provided for borrowings up to the lesser of (i) $20 million or (ii) 80% of the Company’s eligible accounts receivable at any time prior to February 1, 2014, and 70% of the Company’s eligible accounts receivable at any time on or after February 1, 2014, subject to adjustment if the aggregate of all returns, rebates, discounts, credits and allowances for the immediately preceding three months is less than 8% of the Company’s gross revenues for such period. The prior credit facility was secured by the Company’s accounts receivable, deposit accounts and other rights to payment, inventory, and equipment, and was guaranteed jointly and severally by all of the Company’s subsidiaries that have significant operations and/or

 

16


assets and the Comp any’s CEO and President. The prior credit facility, as amended, required the Company to maintain a tangible net worth ratio not greater than 2.50 to 1.00, a fixed charge coverage ratio not less than 1.25 to 1.00, and net income of at least $1.00, all deter mined as of each quarter end. The prior credit facility limited capital expenditures to $0.1 million in each fiscal year unless approved by the financial institution, limited additional borrowing to $50,000 during the term of the agreement unless approved by the financial institution, limited operating lease expense to $0.1 million in each fiscal year and prohibited the payment of dividends in cash or stock. The prior credit facility also contained a cross-default clause linking a default under the prior cr edit facility to the occurrence of a default by the Company under any other debt agreement, material lease commitment, contract, instrument or obligation.

The Company was not in compliance with certain financial covenants contained in the prior credit facility as of March 31, 2014. These covenant violations created a cross-default under the debt agreements between the same lender and each of Greenhouse Real Estate, LLC (“Greenhouse Real Estate”), Concorde Real Estate, LLC (“Concorde Real Estate”), and The Academy Real Estate, LLC (“Academy Real Estate”), but for which the Company obtained waivers.

On April 15, 2014, the Company’s prior credit facility was amended and restated and included a waiver for the noncompliance with the financial covenants and negative covenants described in the preceding paragraphs.

On April 15, 2014, the Company entered into a Second Amended and Restated Credit Facility (the “2014 Credit Facility”) with Wells Fargo Bank, National Association. The 2014 Credit Facility made available to the Company a $15.0 million revolving line of credit, subject to borrowing base limitations (the “Amended Revolving Line”), and amended and restated two existing term loans in the outstanding principal amounts of $0.6 million (“Term Loan A”) and $1.5 million (“Term Loan B”). In June 2014, the Company repaid in full the $1.5 million outstanding balance of Term Loan B.

The Amended Revolving Line bore interest at one-month LIBOR, plus an applicable margin that was determined by the Company’s leverage ratio, as defined by the agreement, at the end of each quarter. A quarter-end leverage ratio of 4.75 to 1.00 or above resulted in an applicable margin of 3.00%, a ratio below 4.75 to 1.00 and equal to or above 4.00 to 1.00 results in an applicable margin of 2.75%, and a ratio below 4.00 to 1.00 results in an applicable margin of 2.50%. Term Loan A bore interest at LIBOR plus 3.15%. The borrowing base for the Amended Revolving Line was 70% of the Company’s eligible accounts receivable and was established with the understanding that the aggregate of all returns, rebates, discounts, credits and allowances, exclusive of the initial adjustment to record net revenues at the time of billing, for the immediately preceding three months will be less than 20% of gross revenues for such period (up from the previous restriction of 8%).

On December 18, 2014, the Company terminated the 2014 Credit Facility, after having repaid the outstanding principal balance of $487,500 plus accrued interest.   The 2014 Credit Agreement also included one outstanding term loan in the outstanding principal amount of $0.5 million. The Company did not incur any early termination penalties as a result of the early termination of the 2014 Credit Facility.

On March 9, 2015, the Company entered into a five year $125.0 million senior secured credit facility (the “2015 Credit Facility”) with Bank of America, N.A., as administrative agent for the lenders party thereto.   The 2015 Credit Facility consists of a $50.0 million revolver and a $75.0 million term loan.  The Company used the proceeds to re-pay certain existing indebtedness and will use the remainder to fund acquisitions and de novo treatment facilities and for general corporate purposes.  The 2015 Credit Facility also has an accordion feature that allows the total borrowing capacity to be increased up to $200 million, subject to certain conditions, including obtaining additional commitments from lenders.  On June 16, 2015, the Company amended the 2015 Credit Facility to remove from the definition of “change of control” what is often referred to as a “dead hand proxy put” provision.

The 2015 Credit Facility requires quarterly term loan principal repayments for the outstanding term loan of $0.9 million from September 30, 2015 to December 31, 2016, $1.4 million for March 31, 2017 to December 31, 2017, $2.3 million from March 31, 2018 to December 31, 2018, and $2.8 million from March 31, 2019 to December 31, 2019, with the remaining principal balance of the term loan due on the maturity date of March 9, 2020.  Repayment of the revolving loan is due on the maturity date of March 9, 2020.    The 2015 Credit Facility generally requires quarterly interest payments.

Borrowings under the 2015 Credit Facility are guaranteed by the Company and each of its subsidiaries and are secured by a lien on substantially all of the Company’s and its subsidiaries’ assets. Borrowings under the 2015 Credit Facility bear interest at a rate tied to the Company’s Consolidated Total Leverage Ratio (defined as Consolidated Funded Indebtedness to Consolidated EBITDA, in each case as defined in the credit agreement).   Eurodollar Rate Loans with respect to the 2015 Credit Facility bear interest at the Applicable Rate plus the Eurodollar Rate (each as defined in the credit agreement) (based upon the LIBOR Rate (as defined in the credit agreement) prior to commencement of the interest rate period). Base Rate Loans with respect to the 2015 Credit Facility bear interest at the Applicable Rate plus the highest of (i) the federal funds rate plus 0.50%, (ii) the prime rate and (iii) the Eurodollar Rate plus 1.0% (the interest rate at June 30, 2015 was 3.03%).  In addition, the Company is required to pay a commitment fee on undrawn amounts under the revolving credit facility of 0.35% to 0.50% depending on the Company’s Consolidated Total Leverage Ratio (the

 

17


commitment fee rate at June 3 0 , 2015 was 0.40%) .   The Applicable Rates and the unused commitment fees of the 2015 Credit Facility are based upon the following tiers:

 

Pricing Tier

 

Consolidated Total Leverage Ratio

 

Eurodollar Rate Loans

 

 

Base Rate Loans

 

 

Commitment Fee

 

1

 

> 3.50:1.00

 

 

3.25

%

 

 

2.25

%

 

 

0.50

%

2

 

> 3.00:1.00 but < 3.50:1.00

 

 

3.00

%

 

 

2.00

%

 

 

0.45

%

3

 

> 2.50:1.00 but    < 3.00:1.00

 

 

2.75

%

 

 

1.75

%

 

 

0.40

%

4

 

> 2.00:1.00 but    < 2.50:1.00

 

 

2.50

%

 

 

1.50

%

 

 

0.35

%

5

 

< 2.00:1.00

 

 

2.25

%

 

 

1.25

%

 

 

0.35

%

The 2015 Credit Facility requires the Company to comply with customary affirmative, negative and financial covenants, including a Consolidated Fixed Charge Coverage Ratio, Consolidated Total Leverage Ratio and a Consolidated Senior Secured Leverage Ratio (each as defined in the credit agreement). The Company may be required to pay all of its indebtedness immediately if the Company defaults on any of the financial or other restrictive covenants contained in the 2015 Credit Facility.   The financial covenants include maintenance of the following:  

·

Fixed Charge Coverage Ratio may not be less than 1.50:1.00 as of the end of any fiscal quarter.

·

Consolidated Total Leverage Ratio: may not be greater than the following levels as of the end of each fiscal quarter:

Measurement Period Ending

 

Maximum Consolidated Total

Leverage Ratio

June 30, 2015

 

4.50:1.00

September 30, 2015

 

4.50:1.00

December 31, 2015

 

4.50:1.00

March 31, 2016

 

4.50:1.00

June 30, 2016

 

4.25:1.00

September 30, 2016

 

4.25:1.00

December 31, 2016

 

4.25:1.00

March 31, 2017 and each fiscal quarter thereafter

 

4.00:1.00

 

·

Consolidated Senior Secured Leverage Ratio may not be greater than the following levels as of the end of each fiscal quarter:

Measurement Period Ending

 

Maximum Consolidated Senior

Secured Leverage Ratio

June 30, 2015

 

4.00:1.00

September 30, 2015

 

4.00:1.00

December 31, 2015

 

4.00:1.00

March 31, 2016

 

4.00:1.00

June 30, 2016

 

3.75:1.00

September 30, 2016

 

3.75:1.00

December 31, 2016

 

3.75:1.00

March 31, 2017 and each fiscal quarter thereafter

 

3.50:1.00

 

At June 30, 2015, the Company was in compliance with all applicable covenants.

The Company incurred approximately $1.4 million in debt issuance costs related to underwriting and other professional fees, and deferred these costs over the term of the 2015 Credit Facility.  Additionally, the Company used approximately $24.9 million of the proceeds from the $75.0 million term loan to repay in full the outstanding real estate debt, certain equipment notes and certain capital leases. The Company did not incur any significant early termination fees.    

Interest Rate Swap Agreements

In July 2014, the Company entered into two interest rate swap agreements to mitigate its exposure to fluctuations in interest rates. The interest rate swap agreements had initial notional amounts of $8.9 million and $13.2 million which fix interest rates over the life of the respective interest rate swap agreement at 4.21% and 4.73%, respectively.  The notional amounts of the swap agreements represent amounts used to calculate the exchange of cash flows and are not the Company’s assets or liabilities.  The interest payments

 

18


under these agreements are settled on a net basis.   The Compan y has not designated the interest rate swa ps as cash flow hedge s and therefore the change s in the fair value of the interest rate swaps are included within interest expense in the conde nsed consolidated statements of income .

The fair value of the interest rate swaps at December 31, 2014 and June 30, 2015 represented a liability of $431,000 and $546,000, respectively, and is reflected in other long-term liabilities on the condensed consolidated balance sheets.  Refer to Note 13 for further discussion of fair value of the interest rate swap agreements.  The Company’s credit risk related to these agreements is considered low because the swap agreements are with a creditworthy financial institution.

The following table sets forth our interest rate swap agreements (dollars in thousands):

 

 

Notional

 

 

Maturity

 

Fair

 

 

 

Amount

 

 

Date

 

Value

 

Pay-fixed interest rate swap

 

$

8,297

 

 

May 2018

 

$

(154

)

Pay-fixed interest rate swap

 

 

12,032

 

 

August 2019

 

 

(392

)

Total

 

$

20,329

 

 

 

 

$

(546

)

Real Estate Debt

As discussed in Note 3, on April 15, 2014, the Company acquired BHR and assumed a $1.8 million term loan, which was subsequently paid off in 2014 with proceeds from the Company’s initial public offering.  The Company’s total real estate debt totaled $24.6 million at December 31, 2014. The terms of the debt are discussed below. On March 9, 2015, the Company repaid in full all outstanding real estate debt as discussed further below.  The Company did not incur any early termination penalties in the repayment of the notes.

 

Concorde Real Estate

In conjunction with the consolidation of Concorde Real Estate on June 27, 2012, the Company assumed a $3.5 million promissory note which was refinanced in July 2012 and replaced with loans totaling $7.4 million in two tranches to fund the renovation of the Desert Hope facility. The first tranche totaled $4.4 million and bore interest at 3.0% plus one-month LIBOR, with interest payable monthly, and required a lump sum principal payment in July 2013. The second tranche totaled $3.0 million, bore interest at 2.0% plus the lender’s prime rate (3.25% at December 31, 2012), with interest payable monthly, and required a lump sum principal payment in July 2013.

 

In May 2013, Concorde Real Estate refinanced these two outstanding loans with a $9.6 million note payable that matured on May 15, 2018. The additional debt in 2013 was used to redeem the preferred membership interests in Concorde Real Estate. The note required monthly principal payments of $53,228 plus interest and a balloon payment of $6.6 million due at maturity. Interest was calculated based on a 360 day year and accrued at the Company’s option of either (i) one-month LIBOR (as defined in the agreement) plus 2.5%, with such rate fixed until the next monthly reset date, or (ii) floating at one-month LIBOR (as defined in the agreement) plus 2.5%. In the event that the Company elected the floating option for either two consecutive periods or a total of three periods, the floating rate increased by 0.25%. The interest rate at December 31, 2014 was 2.67% and the amount outstanding at December 31, 2014 was $8.6 million.  The Company repaid this note in full on March 9, 2015 for its stated outstanding principal balance and did not incur any early termination fees.

The note was guaranteed by the Company and its CEO and President and was secured by a deed of trust and the assignment of certain leases and rents. The note contained financial covenants that require the Company to maintain a fixed charge coverage ratio of not less than 1.25 to 1.00. The note also contained a cross-default clause linking a default under the note to the occurrence of a default by any guarantor or an affiliate of a guarantor with respect to any other indebtedness.

Greenhouse Real Estate

Greenhouse Real Estate entered into a $13.2 million construction loan facility (the “Construction Facility”) with a financial institution on October 8, 2013 to refinance existing debt related to a 70-bed facility and to fund the construction of an additional 60 beds at this facility located in Grand Prairie, Texas. Monthly draws may be made against the Construction Facility based on actual construction costs incurred.

Interest, which was payable monthly, was calculated based on a 360 day year and accrued at the Company’s option of either (i) one-month LIBOR (as defined in the agreement) plus 3.0%, with such rate fixed until the next monthly reset date, or (ii) floating at one-month LIBOR (as defined in the agreement) plus 3.0%. In the event that the Company elected the floating option for either two consecutive periods or a total of three periods, the floating rate increased by 0.25%.

 

19


At Greenhouse Real Estate’ s option, the Construction Facility was convertible to a permanent term loan with an extended maturity of October 31, 2019 provided (i) there was no default, (ii) the construction was 100% complete, (iii)  there was no material adverse change, as determined by the financial institution in its sole discretion, in the financial condition of Greenhouse Real Estate and (iv) other terms and conditions were satisfied. The maximum amount that may be converted was 6 5% of the appraised value at the time of the conversion. If at the time of the conversion the loan value exceeded the 65% loan-to-value ratio, Greenhouse Real Estate was permitted to make principal payments to reduce the loan-to-value to the 65% threshold. In the event Greenhouse Real Estate did not elect to or was unable to convert the Construction Facility to a p ermanent term loan, Greenhouse Real Estate was required to pay an exit fee equal to 3.0% of the then outstanding balance. Principal payments at the time of the conversion were to be calculated based on a 15-year amortization schedule, and monthly principal and interest payments are required with a balloon payment at maturity.

The Construction Facility was secured by a deed of trust and the assignment of certain leases and rents and was guaranteed by the Company and the CEO and President of the Company. Greenhouse Real Estate was required to maintain a minimum debt service coverage ratio of 1.25 to 1.00. The note also contained a cross-default clause linking a default under the Greenhouse Real Estate loan to the occurrence of a default by any guarantor or an affiliate of a guarantor with respect to any other indebtedness.

In August 2014, the outstanding balance of the construction loan was converted to a $12.7 million permanent loan that matured in August 2019 and had an annual interest rate equal to the one-month LIBOR plus 2.5%. The permanent loan required monthly principal payments of $70,778 plus interest and a balloon payment of $8.5 million at maturity.  The outstanding balance at December 31, 2014 was $12.5 million and the interest rate was 2.67%.  The Company repaid this note in full on March 9, 2015 for its stated outstanding principal balance and did not incur any early termination fees.

Academy Real Estate

In May 2013, the Company, through Academy Real Estate, obtained a $3.6 million note payable from a financial institution to fund a portion of the acquisition of the property located in Riverview, Florida (just outside of Tampa, Florida). The note payable matured on November 10, 2013 and was renewed under identical terms.  In connection with the Company’s sale to BHR of its membership interests of Academy Real Estate on December 10, 2013, BHR assumed the $3.6 million note payable. Interest, which was payable monthly, was calculated based on a 360 day year and accrued at the Company’s option of either (i) one-month LIBOR (as defined in the agreement) plus 3.0%, with such rate fixed until the next monthly reset date or (ii) floating at one-month LIBOR (as defined in the agreement) plus 3.0%.  In the event that the Company elected the floating option for either two consecutive periods or a total of three periods, the floating rate increases by 0.25%. In April 2014, the Company effected an amendment to the Academy Loan to extend the maturity date to July 14, 2019. Under the amended Academy Loan, the Company made monthly principal payments of $30,000 plus interest commencing in October 2014 and a balloon payment of remaining unpaid principal of $1.9 million at the maturity date.  The agreement required the Company to maintain a minimum fixed charge coverage ratio of 1.25 to 1.00 and contains other restrictive financial covenants. The agreement also contained a cross-default clause linking a default under the Academy Real Estate note to the occurrence of a default by any guarantor or an affiliate of a guarantor with respect to any other indebtedness. The outstanding balance at December 31, 2014 was $3.5 million and the interest rate was 3.17%.  The Company repaid this note in full on March 9, 2015 for its stated outstanding principal balance and did not incur any early termination fees.

At December 31, 2013 and 2014, the Company was in compliance with the financial covenants of the BHR debt. The instances of noncompliance under its prior credit facility created a cross-default with the Construction Facility, the Concorde Real Estate note payable and the Academy Real Estate note payable.  The Company obtained a waiver for the covenant defaults under its prior credit facility for 2012, and the amendment and restatement of its prior credit facility in April 2014 included a waiver for the noncompliance of the financial covenants and negative covenants that occurred under the prior credit facility in 2013 and the quarter ended March 31, 2014.  The Company also obtained waivers for the cross-defaults under the Construction Facility, the Concorde Real Estate note payable and the Academy Real Estate note payable.

Behavioral Healthcare Realty, LLC

As discussed in Note 3, the Company assumed a $1.7 million term loan in conjunction with the acquisition of BHR. The Company refinanced this loan with a financial institution and the new loan required monthly principal payments of $35,855 plus interest at 5.0% with a balloon payment of $1.4 million due at maturity in April 2015. The Company used a portion of the net proceeds from the IPO received in October 2014 to repay in full the outstanding balance of the term loan of $1.6 million on October 7, 2014.

 

 

20


Acquisition Related Debt

On August 31, 2012 , the Company acquired certain assets of AJG Solutions, Inc. and its subsidiaries and the equity of B&B Holdings INTL LLC (collectively, the “TSN Acquisition”) from the two individual owners of such entities (the “TSN Sellers”). The Company financed a portion of the TSN Acquisition with the following sources of debt. The Company entered into a $6.2 million subordinated note payable with the TSN Sellers. Under the terms of the agreement, the note is separated into the following tranches: (i) $2.2 million paid in equal monthly principal installments over 36 months, bearing interest at 5% per annum, (ii) $2.5 million due on August 31, 2015 (the “Balloon Payment”), bearing interest at 3.125% per annum and (iii) a contingent balloon payment of up to $1.5 million due on August 31, 2015 (the “Contingent Payment”), bearing interest at 3.125% per annum. The Contingent Payment is contingent on the achievement of certain performance metrics over the term of the note. Due to the contingent nature of the Contingent Payment, a discount of approximately 13% was applied to the Contingent Payment to reflect the weighted-average probability the Contingent Payment would not be made. In April 2013, $0.5 million outstanding under the Balloon Payment was converted into 95,451 shares of the Company’s common stock at a conversion price of $5.24 per share. The Company estimates the fair value of the Contingent Payment each reporting period through an analysis of the TSN Sellers’ estimated achievement of the performance metrics specified in the agreement. Based upon this analysis, the Company determined a claw back of $0.5 million of the Contingent Payment existed at December 31, 2013 and, accordingly, adjusted the outstanding balance of the Balloon Payment to $3.0 million at that date. In addition to the claw back on the Contingent Payment, the Company has included a reduction of 118,576 shares of common stock in the computation of its earnings per share for the year ended December 31, 2013 to reflect the claw back of those shares based upon this analysis.  On August 15, 2014, the Company entered into two settlement agreements with one of the TSN Sellers.  Pursuant to the terms of the settlement agreements, the Company agreed to pay $7.6 million in exchange for full and final satisfaction of all obligations to the party.  As a result, the Company repaid $0.2 million of the note payable and $1.5 million of Balloon Payment.  At December 31, 2014 and June 30, 2015, the outstanding balance remaining under the seller subordinated notes payable was $1.8 million and $1.5 million, respectively. 

Subordinated Debt Issued with Detachable Warrants (Related Party and Non-related Party)

In March and April 2012, the Company issued $1.0 million of subordinated promissory notes, of which $0.2 million was issued to a director of the Company. The notes bore interest at 12% per annum. The notes were scheduled to mature at various dates throughout 2015 and 2017. Interest was payable monthly and the principal amount was due, in full, on the applicable maturity date of the note. In connection with the issuance of these notes, the Company issued detachable warrants to the lenders to purchase a total of 112,658 shares of common stock of AAC at $0.64 per share. The warrants were exercisable at any time up to their expiration on March 31, 2022. The Company recorded a debt discount of $0.1 million related to the warrants which reduced the carrying value of the subordinated notes.  As of December 31, 2014, the outstanding balance of the notes, net of the unamortized debt discount of $55,000, was $0.9 million, of which $0.2 million was owed to a director of the Company. On February 27, 2015, the Company repaid in full the $1.0 million of the outstanding subordinated promissory notes.  The Company did not incur any early termination fees.

The Company calculated the fair value of warrants issued with the subordinated notes using the Black-Scholes valuation method. The following assumptions were used to value the warrants: a stock price of $1.36, an exercise price of $0.64, expected life of 10 years, expected volatility of 20%, risk free interest rates ranging from 2.1% to 4.0% and no expected dividend yield. In March 2014, warrants representing the right to purchase 106,728 shares of common stock of AAC were exercised and a total of 106,728 shares of common stock of AAC were issued to the exercising warrant holders, including 23,717 shares to a director of the Company.

 

11.

Equity

Mezzanine Equity

Changes to mezzanine amounts during the six months ended June 30, 2015 were as follows (dollars in thousands):  

 

 

Noncontrolling Interest

 

 

 

BHR Series A Preferred

 

 

 

Units

 

 

Amount

 

Balance at December 31, 2014

 

 

160

 

 

$

7,848

 

Redemption of Series A Preferred Units from Alcentra

 

 

(160

)

 

 

(7,848

)

Balance at June 30, 2015

 

 

 

 

$

 

On February 25, 2015, the Company exercised its call provision and redeemed 100% of the outstanding Series A Preferred Units for a total redemption price of approximately $8.5 million which included $0.2 million for the 3.0% call premium and $0.3 million for unpaid preferred returns.

 

 

 

21


Stock Based Compensation Plans

In March 2014, the Company granted 5,834 shares of fully vested common stock of AAC to each of its five non-employee directors. The Company recognized $0.2 million of compensation expense in the first quarter of 2014 as a result of these grants. The fair value on the award date was $8.12 per share, as estimated by the Company’s management.

On April 11, 2014, the Company granted a total of 82,509 shares of restricted common stock of AAC to two employees.  The fair value on the award date was $8.12 per share. 

On October 7, 2014, the Company granted a total of 158,000 shares of restricted common stock to employees as part of the Company’s 2014 Equity Incentive Plan.

On January 7, 2015, the Company granted a total of 400,000 shares of restricted common stock to employees as part of the Company’s 2014 Equity Incentive Plan.

On January 8, 2015, the Company granted 2,544 shares of fully vested common stock to each of its five non-employee directors. The Company recognized $- million and $0.4 million of compensation expense for the three and six months ended June 30, 2015, respectively, as a result of these grants. The fair value on the award date was $29.37 per share based on the closing market value.

On May 19, 2015, the Company’s Board of Directors approved the Company’s employee stock purchase plan.  At June 30, 2015, the Company had accrued $0.1 million of compensation expense for a total related to the employee stock purchase plan.

The Company recognized $1.1 million and $1.2 million in equity-based compensation expense for the three months ended June 30, 2014 and 2015, respectively, and $1.8 million and $2.9 million for the six months ended June 30, 2014 and 2015, respectively.  As of June 30, 2015, there was $12.6 million of unrecognized compensation expense related to unvested restricted stock, which is expected to be recognized over the remaining weighted average vesting period of 3.1 years.

A summary of share activity under the Company’s 2014 Equity Incentive Plan is set forth below:

 

 

 

 

 

 

 

Weighted-

 

 

 

 

 

 

 

average Grant

 

 

 

Shares

 

 

Date Fair Value

 

Unvested at December 31, 2014

 

 

196,882

 

 

$

18.53

 

Granted

 

 

412,720

 

 

 

28.66

 

Vested

 

 

(117,144

)

 

 

19.21

 

Forfeitures

 

 

(13,500

)

 

 

25.85

 

Unvested at June 30, 2015

 

 

478,958

 

 

$

26.23

 

 

 

1 2 .

Income Taxes

The provision for income taxes for the three and six months ended June 30, 2014 reflects an effective tax rate of 51.8% and 44.6%, respectively, compared to an effective tax rate for the three and six months ended June 30, 2015 of 37.1% and 37.6%, respectively.  The decrease in effective tax rate for the three and six months ended June 30, 2015 compared to the three and six months ended June 30, 2014 was primarily attributable to a release of a valuation allowance on the Company’s VIEs.

 

13.

Related Parties

 

An entity beneficially owned by Mr. Cartwright, our Chief Executive Officer, owns an airplane that the Company uses for business purposes in the course of its operations. The Company pays an hourly rate for use of the airplane.  For the three and six months ended June 30, 2015, the Company made aggregate payments for use of the airplane of approximately $0.2 million and $0.7 million, respectively.

 

1 4 .

Fair Value of Financial Instruments

The carrying amounts reported at December 31, 2014 and June 30, 2015 for cash and cash equivalents, accounts receivable, prepaid expenses and other current assets, accounts payable and accrued liabilities approximate fair value because of the short-term maturity of these instruments and are categorized as Level 1 within the GAAP fair value hierarchy. The carrying amount of the Company’s debt approximates fair value because interest rates approximate the current rates available to the Company.

The Company has debt with variable and fixed interest rates. The fair value of debt with fixed interest rates was determined using the quoted market prices of debt instruments with similar terms and maturities, which are considered Level 2 inputs. The fair value of debt with variable interest rates was also measured using Level 2 inputs, including good faith estimates of the market value

 

22


for the particular debt instrument, which represent the amount an independent market participant would provide, based upon market observations and other factors relevant under the circumstances. The car rying value of such debt approximated its estimated fair value at December 31, 201 4  and  June 30 , 2015 .

The Company has entered into interest rate swap agreements to manage exposure to fluctuations in interest rates.  Fair value of the interest rate swaps is determined using a pricing model based on published interest rates and other observable market data. The fair value was determined after considering the potential impact of collateralization, adjusted to reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk.  The fair value measurement of interest rate swaps utilizes Level 2 inputs.  At June 30, 2015, the fair value of the interest rate swaps represented a liability of $0.5 million.  Refer to Note 10 for further discussion of the interest rate swap agreements.

 

 

1 5 .

Commitments and Contingencies

Horizon Blue Cross Blue Shield of New Jersey v. Avee Laboratories et al.

On September 4, 2013, Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) filed an amended complaint in the Superior Court of New Jersey against several defendants, including Leading Edge Recovery Center, LLC, one of the Company’s subsidiaries. Leading Edge Recovery Center, LLC formerly operated a drug and alcohol treatment facility in New Jersey. Horizon alleges the defendants submitted and caused others to submit unnecessary drug tests in violation of New Jersey law and is seeking recovery for monetary and treble damages. Following ongoing settlement discussions between the parties, the Company recognized a $1.5 million reserve related to this matter in the second quarter of 2015.

 

 

State of California

 

On July 29, 2015, the Superior Court of the State of California court unsealed a criminal indictment returned by a grand jury against our subsidiaries ABTTC, Inc. dba A Better Tomorrow Treatment Centers, Forterus, Inc. and Forterus Health Care Services, Inc., Jerrod N. Menz, our former President and former member of our Board of Directors, as well as a current facility-level employee and three former employees.  The indictment was returned in connection with a criminal investigation by the California Department of Justice and charged the defendants with second-degree murder and dependent adult abuse in connection with the death of a client in 2010 at one of our former locations. We believe the allegations are legally and factually unfounded and intend to contest them vigorously. Given the early stage of this proceeding, we cannot estimate the amount or range of loss if the defendants were to be convicted; however, such loss could be material.

Other

The Company is aware of various other legal matters arising in the ordinary course of business. To cover these types of claims, the Company maintains insurance it believes to be sufficient for its operations, although some claims may potentially exceed the scope of coverage in effect. Plaintiffs in these matters may request punitive or other damages that may not be covered by insurance. After taking into consideration the evaluation of such matters by the Company’s legal counsel, the Company’s management believes the outcome of these matters will not have a material impact on the Company’s consolidated financial position, results of operations and cash flows.

 

 

1 6 .

Subsequent Events

On July 1, 2015, the Company borrowed $15.0 million under the $50.0 million revolver of the 2015 Credit Facility.  The Company intends to use the proceeds to fund de novo development projects and acquisitions.

 

On July 2, 2015, the Company acquired all of the membership interests of Referral Solutions Group, LLC (“RSG”) for $32.5 million in cash and 540,193 in shares of AAC Holdings’ common stock.  RSG, through its wholly owned subsidiary Recovery Brands, LLC (“Recovery Brands”), is a publisher of addiction related websites.  Recovery Brands also provides online marketing solutions to other treatment providers such as enhanced facility profiles, audience targeting, lead generation, and tools for digital reputation management.  Also on July 2, 2015, the Company acquired all of the membership interests of Taj Media, LLC (“Taj Media”), a digital marketing agency with experience in the substance abuse treatment industry, for aggregate consideration of approximately $2.2 million in cash and 37,253 shares of AAC Holdings common stock.

 

 

 

23


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF

FINANCIAL CONDITION AND RESULTS OF OPERATIONS

This quarterly report contains forward-looking statements within the meaning of the federal securities laws.  These forward-looking statements are made only as of the date of this quarterly report.  In some cases, you can identify forward-looking statements by terms such as “anticipates,” “believes,” “could,” “estimates,” “expects,” “may,” “potential,” “predicts,” “projects,” “should,” “will,” “would,” and similar expressions intended to identify forward-looking statements, although not all forward-looking statements contain these words.  Forward-looking statements may include information concerning AAC Holdings, Inc.’s (collectively with its subsidiaries; “Holdings” or the “Company”) possible or assumed future results of operations, including descriptions of Holdings’ revenues, profitability, outlook and overall business strategy.  These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results and performance to be materially different from the information contained in the forward-looking statements.  These risks, uncertainties and other factors include, without limitation: (i) our inability to operate our facilities; (ii) our reliance on our sales and marketing program to continuously attract and enroll clients; (iii) a reduction in reimbursement rates by certain third-party payors for inpatient and outpatient services and point of care and definitive lab testing; (iv) our failure to successfully achieve growth through acquisitions and de novo expansions; (v) uncertainties regarding the timing of the closing of pending acquisitions and the integration thereof; (vi) our failure to achieve anticipated financial results from contemplated acquisitions; (vii) the possibility that a governmental entity may prohibit, delay or refuse to grant approval for the consummation of the acquisitions; (viii) a disruption in our ability to perform diagnostic drug testing services; (ix) maintaining compliance with applicable regulatory authorities, licensure and permits to operate our facilities and lab; (x) a disruption in our business related to the recent indictment of certain of our subsidiaries and current and former employees; and (xi)general economic conditions, as well as other risks discussed in the “Risk Factors” section of the Company’s Annual Report on Form 10-K, and other filings with the Securities and Exchange Commission.  As a result of these factors, we cannot assure you that the forward-looking statements in this quarterly report will prove to be accurate.  Investors should not place undue reliance upon forward looking statements.

Overview

We believe we are a leading provider of inpatient substance abuse treatment services for individuals with drug and alcohol addiction.  As of June 30, 2015, we operated seven residential substance abuse treatment facilities located throughout the United States, focused on delivering effective clinical care and treatment solutions across 567 beds, which includes 389 licensed detoxification beds. We also operate five standalone outpatient centers and an overeating behavioral disorder treatment center, FitRx. As of June 30, 2015, we have three residential facilities under development including a 24-acre, 164-bed campus in Riverview, Florida; an 84-bed chemical dependency recovery hospital (“CDRH”) near Aliso Viejo, California; and a 96-acre, 150-bed treatment facility in Ringwood, New Jersey.  In addition, we are in the process of expanding our Recovery First facility in the Fort Lauderdale area to accommodate 22 additional detoxification beds.  The majority of our approximately 1,200 employees, as of June 30, 2015 are highly trained clinical staff who deploy research-based treatment programs with structured curricula for detoxification, residential treatment, partial hospitalization and intensive outpatient care. By applying a tailored treatment program based on the individual needs of each client, many of whom require treatment for a co-occurring mental health disorder, such as depression, bipolar disorder and schizophrenia, we believe we offer the level of quality care and service necessary for our clients to achieve and maintain sobriety.

 

We believe we are also one of the largest internet marketers in the addiction treatment industry with respect to website visits and leads generated. Following our recent acquisition of Referral Solutions Group, LLC (“RSG”) on July 2, 2015, combined with our previously existing internet assets, we now operate a broad portfolio of internet assets that services millions of website visits each month. RSG, through its wholly owned subsidiary Recovery Brands, LLC (“Recovery Brands”), a leading publisher of “authority” websites such as Rehabs.com and Recovery.org, serves families and individuals struggling with addiction and seeking treatment options through comprehensive online directories, treatment provider reviews, forums and professional communities.  Recovery Brands also provides online marketing solutions to other treatment providers such as enhanced facility profiles, audience targeting, lead generation and tools for digital reputation management.

 

 

24


Facilities

The following table presents information, as of June 30, 2015, about our network of substance abuse treatment facilities, including current facilities, facilities under development and properties under contract:

 

 

 

 

 

 

 

 

 

 

 

 

 

Real Property

 

 

 

 

Out-of-Network/

 

Capacity

 

First Clients

 

Treatment

 

Leased /

Facility Name (1)

 

Location

 

In-Network

 

(beds)

 

Served

 

Certifications (2)

 

Owned

California

 

 

 

 

 

 

 

 

 

 

 

 

Forterus

 

Temecula

 

Out-of-Network

 

107 (3)

 

2004

 

DTX, RTC, PHP, IOP

 

Leased

San Diego Addiction Treatment Center

 

San Diego

 

Out-of-Network

 

36

 

2010

 

DTX, RTC, PHP, IOP

 

Leased

TBD

 

Aliso Viejo

 

Out-of-Network

 

84 (4)

 

Under Development (4)

 

DTX, RTC, PHP, IOP (4)

 

Owned

 

 

 

 

 

 

 

 

 

 

 

 

 

Florida

 

 

 

 

 

 

 

 

 

 

 

 

Singer Island

 

West Palm Beach

 

Out-of-Network

 

65

 

2012

 

PHP, IOP

 

Leased

The Academy

 

West Palm Beach

 

Out-of-Network

 

18

 

2012

 

PHP, IOP

 

Leased

Recovery First

 

Fort Lauderdale

 

In-Network

 

63 (5)

 

2015

 

DTX, RTC, PHP, IOP

 

Owned / Leased

River Oaks

 

Riverview

(Tampa area)

 

Out-of-Network

 

164 (6)

 

Under

Development (6)

 

DTX, RTC, PHP, IOP (6)

 

Owned

Mississippi

 

 

 

 

 

 

 

 

 

 

 

 

The Oxford Centre

 

Etta

 

Out-of-Network

 

76 (7)

 

Under Contract (7)

 

DTX, RTC, PHP, IOP (7)

 

n/a

Oxford Outpatient

 

Oxford, Tupelo, and Olive Branch

 

Out-of-Network

 

n/a (7)

 

Under Contract (7)

 

IOP (7)

 

n/a

Nevada

 

 

 

 

 

 

 

 

 

 

 

 

Desert Hope

 

Las Vegas

 

Out-of-Network

 

148

 

2013

 

DTX, RTC, PHP, IOP

 

Owned

Desert Hope Outpatient Center

 

Las Vegas

 

Out-of-Network

 

n/a

 

2015

 

IOP

 

Owned

New Jersey

 

 

 

 

 

 

 

 

 

 

 

 

Sunrise House

 

Lafayette (New York City area)

 

In-Network

 

110 (8)

 

Under  Contract (8)

 

DTX, RTC, PHP, IOP (8)

 

n/a

TBD

 

Ringwood

(New York City area)

 

Out-of-Network

 

150 (9)

 

Under Development (9)

 

DTX, RTC, PHP, IOP (9)

 

Owned

Rhode Island

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Services of Rhode Island Outpatient

 

Greenville, Portsmouth and South Kingstown

 

In-Network

 

n/a (10)

 

2015 (10)

 

IOP (10)

 

Leased

Texas

 

 

 

 

 

 

 

 

 

 

 

 

Greenhouse

 

Grand Prairie (Dallas area)

 

Out-of-Network

 

130

 

2012

 

DTX, RTC, PHP, IOP

 

Owned

Greenhouse Outpatient Center

 

Arlington  (Dallas area)

 

Out-of-Network

 

n/a

 

2015

 

IOP

 

Owned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25


(1)

Excluded from this table is our non-substance abuse treatment facility, FitRx , which is a 20-bed leased facility located in Brentwood, Tennessee that provides outpatient treatment services for men and women who struggle with overeating behavioral disorders.

(2)

DTX: Detoxification; RTC: Residential Treatment; PHP: Partial Hospitalization; IOP: Intensive Outpatient.

(3)

In January 2015, we increased our capacity at Forterus to 107 beds with the addition of 31 beds, 24 of which are licensed for detoxification.

(4)

On April 1, 2015, we acquired an 84-bed hospital in Aliso Viejo, California.  We began renovation and rehabilitation of the facility in the second quarter of 2015 and currently have a targeted completion date for the first half of 2016.  We expect to apply for a license to operate this facility as a CDRH. Treatment certifications reflect our expectations.

(5)

On February 20, 2015, we acquired Recovery First, Inc. (“Recovery First”), a Florida-based provider of substance abuse treatment and rehabilitation services. Recovery First operates a 63-bed in-network, inpatient substance abuse treatment facility in the greater Fort Lauderdale, Florida area which includes 20 licensed detoxification beds. As of June 30, 2015, we are developing an additional 22 detoxification beds at this facility.

(6)

Reflects our current expectations with respect to this facility, which we currently anticipate opening in the fourth quarter of 2015.

(7)

On May 12, 2015, we entered into a definitive agreement to acquire the assets of The Oxford Centre, Inc. (“The Oxford Centre”), a Mississippi-based provider of substance abuse treatment and rehabilitation services, including a 76-bed inpatient substance abuse treatment facility in Etta, Mississippi and three outpatient facilities. We currently anticipate closing the acquisition, which is subject to certain customary closing conditions, including obtaining the receipt of governmental approvals and licenses necessary to operate the business, in the third quarter of 2015. Treatment certifications reflect our expectations.

(8)

On March 27, 2015, we entered into a definitive agreement to acquire the assets of Sunrise House Foundation, Inc. (“Sunrise House”), a New Jersey nonprofit corporation, with an existing 110-bed, 87,000 square-foot in-network substance abuse treatment center in Lafayette, New Jersey, which we currently anticipate closing during the third quarter of 2015.  In addition to the main campus, the Sunrise House operations include 30 halfway house beds and two outpatient treatment programs. Treatment certifications reflect our expectations.

(9)

We acquired this property on February 24, 2015 and began renovations and construction in the second quarter of 2015. We are targeting opening this facility late in the second half of 2016 with approximately 150 beds. Treatment certifications reflect our expectations.

(10)

On April 17, 2015, we acquired Clinical Services of Rhode Island, Inc. (“CSRI”), a provider of intensive outpatient substance abuse treatment services in the following three locations: Greenville, Portsmouth and South Kingstown, Rhode Island.  

Recent Developments

Existing Facilities and Ancillary Services

On January 1, 2015, we increased capacity at our Forterus facility in Temecula, California with the addition of 31 beds, including 24 detoxification beds.

On January 6, 2015, we entered into an office space lease (the “Lease Agreement”) for our new corporate headquarters and call center pursuant to which AAC agreed to lease approximately 102,000 square feet of office space located in Brentwood, Tennessee. We currently anticipate relocating to the new headquarters in the fourth quarter of 2015.

On January 8, 2015, our 20,000 square foot substance abuse outpatient center in Las Vegas, Nevada, received licensure for intensive outpatient treatment services and immediately began treating patients at the facility.

On February 18, 2015, our 20,000 square foot substance abuse outpatient center in Arlington, Texas, received licensure for intensive outpatient treatment services and began treating patients at the facility in April 2015.

In April 2015, we began performing definitive and confirmatory lab testing for AAC facilities in Rhode Island and California.

New Property Developments and Acquisitions

On February 20, 2015, we acquired the assets of Recovery First, a Florida-based provider of substance abuse treatment and rehabilitation services, including a 63-bed inpatient substance abuse treatment facility in the greater Fort Lauderdale, Florida area, for cash consideration of $13.1 million (the “Recovery First Acquisition”).  

On February 24, 2015, we acquired a property in Ringwood, New Jersey for aggregate cash consideration of $6.4 million, which we expect to develop into an inpatient facility with approximately 150 beds (the “Ringwood Property Acquisition”).  We expect to invest approximately $[16.0] million for renovations and construction.

On March 27, 2015, we entered into a definitive agreement to acquire the assets of Sunrise House, a New Jersey-based provider of substance abuse treatment and rehabilitation services, including a 110-bed inpatient substance abuse treatment facility in Lafayette, New Jersey, for cash consideration of $6.6 million and the assumption of $0.5 million of certain liabilities (the “Sunrise House Acquisition”). We currently anticipate closing the Sunrise House Acquisition, which is subject to certain customary closing conditions such as the assignment of certain contracts and the receipt of certain licenses necessary to operate the business, during the third quarter of 2015.

 

26


On April 1, 2015, we acquired an 84-bed hospital in southern California for an a ggregate purchase price of $13.5 million in cash (the “Aliso Viejo Acquisition”). We began renovation and rehabilitation of the facility in the second quarter of 2015 and expect to apply for a license to operate it as a CDRH. We expect to invest approximat ely $5.0 million for renovations and construction and have targeted a completion date for the first half of 2016.

On April 17, 2015, we completed the acquisition of CSRI, a provider of intensive outpatient substance abuse treatment services in Greenville, Portsmouth and South Kingstown, Rhode Island, for $665,000 in cash and approximately 42,460 shares of our common stock (the “CSRI Acquisition”).

On April 17, 2015, we acquired certain marketing assets with a value of $1.1 million for cash consideration of $0.5 million and 17,110 shares of the Company’s common stock.

On May 12, 2015, we entered into a definitive agreement to acquire the assets of The Oxford Centre, a Mississippi-based provider of substance abuse treatment and rehabilitation services, including a 76-bed inpatient substance abuse treatment facility in Etta, Mississippi and three outpatient facilities in Oxford, Tupelo and Olive Branch, Mississippi, for an aggregate of $35.0 million in cash and the assumption of certain liabilities (the “Oxford Centre Acquisition”). We currently anticipate closing the Oxford Centre Acquisition, which is subject to certain customary closing conditions, including obtaining the receipt of governmental approvals and licenses necessary to operate the business, in the third quarter of 2015.

On July 2, 2015, we acquired RSG, a leading publisher in the substance abuse treatment industry with a comprehensive portfolio of websites and marketing assets, for aggregate consideration of approximately $32.5 million in cash and 540,193 shares of our common stock (the “RSG Acquisition”). On July 2, 2015, we also acquired Taj Media, a premier digital marketing agency with significant experience in the substance abuse treatment industry, for aggregate consideration of approximately $2.2 million in cash and 37,253 shares of our common stock (the “Taj Media Acquisition”).

Financing

On March 9, 2015, we entered into a five-year, $125.0 million senior secured credit facility with Bank of America, N.A., as administrative agent for the lenders party thereto (the “2015 Credit Facility”), which consists of a $50.0 million revolver and a $75.0 million term loan.  We used a portion of the proceeds from the $75.0 million term loan to repay $24.9 million of prior indebtedness.   On July 1, 2015 we borrowed an additional $15.0 million under the revolver, and we intend to use the proceeds to fund de novo development projects and acquisitions. For additional discussion related to the 2015 Credit Facility, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Financing Relationships.”

Components of Results of Operations

Revenues .   Our revenues primarily consist of service charges related to providing addiction treatment and related services, including the collection and laboratory testing of urine for controlled substances. We recognize revenues at the estimated net realizable value in the period in which services are provided. For the three and six months ended June 30, 2015 and June 30, 2014, approximately 90% of our revenues were reimbursable by commercial payors, including amounts paid by such payors to clients, with the remaining revenues payable directly by our clients. Given the scale and nationwide reach of our network of substance abuse treatment facilities, we generally have the ability to serve clients located across the country from any of our facilities, which allows us to operate our business and analyze revenue on a system-wide basis rather than focusing on any individual facility. For the three and six months ended June 30, 2015 and 2014, no single payor accounted for more than 15.9% and 16.7%, and 17.4% and 14.5% of our revenue reimbursements, respectively.

The following table summarizes our revenues as a percentage of commercial payor revenues for detoxification and residential treatment services, partial hospitalization and intensive outpatient treatment services, and point-of-care drug testing, definitive laboratory services, professional groups and other ancillary services for the three and six months ended June 30, 2014 and 2015:

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

Detoxification and residential treatment services

 

 

29%

 

 

 

26%

 

 

 

27%

 

 

 

26%

 

Partial hospitalization and intensive outpatient treatment services

 

 

42%

 

 

 

34%

 

 

 

42%

 

 

 

36%

 

Point-of-care drug testing, definitive laboratory services, professional groups and other ancillary services 1

 

 

29%

 

 

 

40%

 

 

 

31%

 

 

 

38%

 

1 Professional groups and other ancillary services represent less than 10% of the total percentage of commercial payor revenues for point-of-care drug testing, definitive laboratory services, professional groups and other ancillary services.

 

27


We recognize revenues from commercial payors at the time services are provided based on our estimate of the amount that payors will pay us for the services performed. We estimate the n et realizable value of revenues by adjusting gross client charges using our expected realization and applying this discount to gross client charges. Our expected realization is determined by management after taking into account the type of services provide d and the historical collections received from the commercial payors, on a per facility basis, compared to the gross client charges billed.

Our accounts receivable primarily consists of amounts due from commercial payors. The client self-pay portion is usually collected upon admission and in limited circumstances the client will make a deposit and negotiate the remaining payments as part of the services. We do not recognize revenue for any amounts not collected from the client in either of these situations. From time to time, we may provide free care to a limited number of clients, which we refer to as scholarships. We do not recognize revenues for scholarships provided. Included in the aging of accounts receivable are amounts for which the commercial insurance company paid out-of-network claims directly to the client and for which the client has yet to remit the insurance payment to us (which we refer to as “paid to client”). Such amounts paid to clients continue to be reflected in our accounts receivable aging as amounts due from commercial payors. Accordingly, our accounts receivable aging does not provide for the distinct identification of paid to client receivables.

Operating Expenses.   Our operating expenses are primarily impacted by nine categories of expenses: salaries, wages and benefits; advertising and marketing; professional fees; client related services; other operating expenses; rentals and leases; provision for doubtful accounts; depreciation and amortization; and acquisition-related expenses.

·

Salaries, wages and benefits .  We employ a variety of staff related to providing client care, including case managers, therapists, medical technicians, housekeepers, cooks and drivers, among others.  Our clinical salaries, wages and benefits expense is largely driven by the total number of beds in our facilities and our average daily census.  We also employ a professional sales force and staff a centralized call center.  Our corporate staff includes accounting, billing and finance professionals, marketing and human resource personnel, IT staff and senior management.

·

Advertising and marketing .  We promote our treatment facilities through a variety of channels including television advertising, internet search engines and Yellow Page advertising, among others. While we do not compensate our referral sources for client referrals, we do have arrangements with multiple marketing channels that we pay on a performance basis (i.e., pay per click or pay per inbound call). We also host and attend industry conferences. Our advertising and marketing efforts and expense is largely driven by the number of admissions in our facilities.

·

Professional fees .  Professional fees consist of various professional services used to support primarily corporate related functions.  These services include accounting related fees for financial statement audits and tax preparation and legal fees for, among other matters, employment, compliance and general corporate matters. These fees also consist of information technology, consulting, and payroll fees.

·

Client related services .  Client related services consist of physician and medical services as well as client meals, pharmacy, travel, and various other expenses associated with client treatment.  Client related services are significantly influenced by our average daily census.

·

Other operating expenses .  Other operating expenses consists primarily of utilities, insurance, telecom, travel and repairs and maintenance expenses, and is significantly influenced by the total number of our facilities and our average daily census.

·

Rentals and leases .  Rentals and leases mainly consist of properties and various equipment under operating leases, which includes space required to perform client services and space for administrative facilities.

·

Provision for doubtful accounts.   The provision for doubtful accounts represents the expense associated with management’s best estimate of accounts receivable that could become uncollectible in the future. We establish our provision for doubtful accounts based on the aging of the receivables, historical collection experience by facility, services provided, payor source and historical reimbursement rate, current economic trends and percentages applied to the accounts receivable aging categories. As of June 30, 2015, all accounts receivable aged greater than 360 days were fully reserved in our consolidated financial statements. In assessing the adequacy of the allowance for doubtful accounts, we rely on the results of detailed reviews of historical write-offs and recoveries on a rolling twelve-month basis (the hindsight analysis) as a primary source of information to utilize in estimating the collectability of our accounts receivable. We supplement this hindsight analysis with other analytical tools, including, but not limited to, historical trends in cash collections compared to net revenues less bad debt and days sales outstanding. During the second quarter of 2014, management analyzed the past two years of accounts receivable collection and write-off history and the current projected bad debt write-offs for all client accounts covered by insurance. Based on the results of this analysis, including improvements noted in the credit quality of receivables aged 120-180 days, management concluded that the current methodology for establishing the allowance for doubtful accounts resulted in, and would continue to result in, an overstatement of the reserve requirement. As a result, management revised the estimates used to establish the provision

 

28


for doubtful accounts, effective as of the second quarter of 2014. This change in estimate reduced the reserve percentages applied to various aging classes of accounts receivable aged less than 360 days to more closely reflect actual collecti on and write-off history that we have experienced and expect to experience in the future.

·

Depreciation and amortization .  Depreciation and amortization represents the ratable use of our capitalized property and equipment, including assets under capital leases, over the estimated useful lives of the assets, and amortizable intangible assets, which mainly consist of trademark and marketing related intangibles and non-compete agreements.

·

Acquisition-related expenses.    Acquisition-related expenses consist primarily of professional fees and travel costs associated with our acquisition activities.

Key Drivers of Our Results of Operations   

Our results of operations and financial condition are affected by numerous factors, including those described under “Risk Factors” in our Form 10-K filed with the SEC on March 11, 2015 and elsewhere in this Form 10-Q and those described below:

·

Average Daily Residential Census .  We refer to the average number of clients to whom we are providing services at our residential facilities on a daily basis over a specific period as our “average daily residential census.” Our revenues are directly impacted by our average daily census, which fluctuates based on the effectiveness of our sales and marketing efforts, total number of beds, the number of client admissions and discharges in a period, average length of stay, and the ratio of clinical staff to clients.

·

Average Daily Residential Revenue and Average Net Daily Residential Revenue .  Our average daily residential revenue is a per census metric equal to our total residential revenues for a period divided by our average daily residential census for the same period divided by the number of days in the period. Our average net daily residential revenue is a per census metric equal to our total residential revenues less provision for doubtful accounts for a period divided by our average daily residential census for the same period divided by the number of days in the period. The key drivers of average daily residential revenue and average net daily residential revenue include the mix of services and level of care that we provide to our clients during the period and payor mix. We provide a broad continuum of services including detoxification, residential treatment, partial hospitalization and intensive outpatient care, with detoxification resulting in the highest daily charges and intensive outpatient care resulting in the lowest daily charges. We also generate revenues from point-of care drug testing, definitive laboratory services, professional groups and other ancillary services associated with serving our clients. We tend to experience higher margins from our point-of-care drug testing, which is conducted on-site at our treatment facilities, and our definitive laboratory services, which are conducted at our centralized laboratory facility in Brentwood, Tennessee, than we do from other services.

·

Outpatient Visits .   Our outpatient visits r epresents the total number of outpatient visits at our standalone outpatient centers during the period.  Our revenues are directly impacted by our outpatient visits, which fluctuates based on our sales and marketing efforts, utilization review and the average length of stay.

·

Billed Days .  We refer to billed days as the number of days in a given period for which we charged a commercial payor for the category of services provided. Detoxification and residential treatment levels of care feature higher per day gross client charges than partial hospitalization and intensive outpatient levels of care, but also require greater levels of more highly trained medical staff.  Average length of stay can vary among periods without correlating to the overall operating performance of our business and, as a result, management does not view average length of stay as a key metric with respect to our operating performance. Rather, management views average billed days for the levels of care as a more meaningful metric to investors because it refers to the number of days in a given period for which we billed for the category of services provided. For example, in any given week, clients receiving partial hospitalization and intensive outpatient services might only qualify for five or three days, respectively, of reimbursable services during a seven day calendar period, which results in fewer billed days (e.g., five or three days, respectively) than the average length of stay (e.g., seven days) for partial hospitalization and intensive outpatient services during the same weekly period.

 

 

29


The following table presents, for the six months ended June 30, 2015, the average length of stay and average billed days with respect to detoxification and residential treatment services and partial hospitalization and intensive outpatient services of our commercial payor clients:

 

 

Average

 

 

 

 

 

 

 

Length of

 

 

Average

 

 

 

Stay

 

 

Billed Days

 

Detoxification and residential treatment services

 

 

12

 

 

 

11

 

Partial hospitalization and intensive outpatient services

 

 

26

 

 

 

17

 

 

The average length of stay and average billed days with respect to our private pay clients, which is not separately allocated to any category of service is approximately 34 days.

·

Expense Management .  Our profitability is directly impacted by our ability to manage our expenses, most notably salaries, wages and benefits and advertising and marketing costs, and to adjust accordingly based upon our capacity.

·

Billing and Collections .  Our revenues and cash flow are directly impacted by our ability to properly verify our clients’ insurance benefits, obtain authorization for levels of care, properly submit insurance claims and manage collections.

 

Results of Operations

Comparison of Three Months ended June 30, 2014 to Three Months ended June 30, 2015

The following table presents our consolidated income statements for the periods indicated (dollars in thousands):

 

Three Months Ended June 30,

 

 

 

 

 

2014 (unaudited)

 

 

2015 (unaudited)

 

 

Increase (Decrease)

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

Revenues

$

29,120

 

 

 

100.0

 

 

$

53,784

 

 

 

100.0

 

 

$

24,664

 

 

 

84.7

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

12,580

 

 

 

43.2

 

 

 

19,733

 

 

 

36.7

 

 

 

7,153

 

 

 

56.9

 

Advertising and marketing

 

3,789

 

 

 

13.0

 

 

 

5,119

 

 

 

9.5

 

 

 

1,330

 

 

 

35.1

 

Professional fees

 

2,398

 

 

 

8.2

 

 

 

1,861

 

 

 

3.5

 

 

 

(537

)

 

 

(22.4

)

Client related services

 

2,754

 

 

 

9.5

 

 

 

3,478

 

 

 

6.5

 

 

 

724

 

 

 

26.3

 

Other operating expenses

 

2,828

 

 

 

9.7

 

 

 

5,536

 

 

 

10.3

 

 

 

2,708

 

 

 

95.8

 

Rentals and leases

 

470

 

 

 

1.6

 

 

 

1,159

 

 

 

2.2

 

 

 

689

 

 

 

146.6

 

Provision for doubtful accounts

 

2,115

 

 

 

7.3

 

 

 

4,177

 

 

 

7.8

 

 

 

2,062

 

 

 

97.5

 

Litigation settlement

 

240

 

 

 

0.8

 

 

 

1,500

 

 

 

2.8

 

 

 

1,260

 

 

 

525

 

Depreciation and amortization

 

1,151

 

 

 

4.0

 

 

 

1,676

 

 

 

3.1

 

 

 

525

 

 

 

45.6

 

Acquisition-related expenses

 

 

 

 

 

 

 

982

 

 

 

1.8

 

 

 

982

 

 

 

 

Total operating expenses

 

28,325

 

 

 

97.3

 

 

 

45,221

 

 

 

84.1

 

 

 

16,896

 

 

 

59.7

 

Income from operations

 

795

 

 

 

2.7

 

 

 

8,563

 

 

 

15.9

 

 

 

7,768

 

 

 

977.1

 

Interest expense, net (change in fair value of interest

           rate swaps of $ --, $(106), respectively)

 

351

 

 

 

1.2

 

 

 

482

 

 

 

0.9

 

 

 

131

 

 

 

37.3

 

Other (income) expense, net

 

(27

)

 

 

(0.1

)

 

 

(49

)

 

 

(0.1

)

 

 

(22

)

 

 

81.5

 

Income before income tax expense

 

471

 

 

 

1.6

 

 

 

8,130

 

 

 

15.1

 

 

 

7,659

 

 

 

1,626.1

 

Income tax expense

 

244

 

 

 

0.8

 

 

 

3,014

 

 

 

5.6

 

 

 

2,770

 

 

 

1,135.2

 

Net income

 

227

 

 

 

0.8

 

 

 

5,116

 

 

 

9.5

 

 

 

4,889

 

 

 

2,153.7

 

Less: net loss attributable to noncontrolling interest

 

490

 

 

 

1.7

 

 

 

439

 

 

 

0.8

 

 

 

(51

)

 

 

(10.4

)

Net income attributable to AAC Holdings, Inc. stockholders

 

717

 

 

 

2.5

 

 

 

5,555

 

 

 

10.3

 

 

 

4,838

 

 

 

674.8

 

BHR Series A Preferred Unit dividends

 

(203

)

 

 

(0.7

)

 

 

 

 

 

 

 

 

203

 

 

 

(100.0

)

Net income available to AAC Holdings, Inc. common stockholders

$

514

 

 

 

1.8

 

 

$

5,555

 

 

 

10.3

 

 

$

5,041

 

 

 

980.7

 

 

30


Revenues

Revenues increased $24.7 million, or 84.7%, to $53.8 million for the three months ended June 30, 2015 from $29.1 million for the three months ended June 30, 2014.  Revenues were positively impacted by an increase in residential average daily census, outpatient visits at our five standalone outpatient centers, primarily at our Desert Hope outpatient center, and an increase in high complexity lab testing.    

Our residential average daily census increased 42% to 539 clients for the three months ended June 30, 2015 from 379 clients for the three months ended June 30, 2014.  The increase in the residential average daily census was primarily driven by the 60 bed expansion of Greenhouse in July 2014, the six bed expansion at the Academy in September 2014, the 31 bed expansion at Forterus in January 2015 and the acquisition of Recovery First, which added 56 beds, in February 2015.  

With the opening of the Desert Hope Outpatient Center in January 2015, the opening of the Greenhouse Outpatient Center in April 2015, and the acquisition of CSRI in April 2015 (which added three standalone outpatient centers), we now operate five standalone outpatient centers.  We had 2,634 outpatient visits at our five standalone outpatient centers for the three months ended June 30, 2015.     

Also significantly contributing to the increase in revenues for the three months ended June 30, 2015 was the addition of high complexity lab testing revenues from our facilities in Florida and California as a result of beginning to provide such services in December 2014 and April 2015, respectively.  As of June 30, 2015, our facilities in Florida and California represented approximately 50% of our total residential beds.    

Salaries, Wages and Benefits

Salaries, wages and benefits increased $7.1 million, or 56.9%, to $19.7 million for the three months ended June 30, 2015 from $12.6 million for the three months ended June 30, 2014. The increase in salaries and wages was primarily impacted by growth in our residential facilities and our standalone outpatient centers.   Our number of employees increased by approximately 400 employees or 50%  to approximately 1,200 employees at June 30, 2015 from approximately 800 employees at June 30, 2014.  As a percentage of revenues, salaries, wages and benefits were 36.7% of revenues for the three months ended June 30, 2015 compared to 43.2% of revenues for the three months ended June 30, 2014.   The decrease in salaries, wages and benefits as a percentage of revenues was primarily related to an increase in our average daily census combined with the increase in revenues related to high complexity laboratory testing for the second quarter of 2015 as a result of the addition of high complexity lab testing for our facilities in Florida and California.   On average, total operating expenses for our high complexity laboratory testing as a percentage of revenues are lower than that of our residential treatments services provided at our facilities.  

Advertising and Marketing

Advertising and marketing expenses increased $1.3 million, or 35.1%, to $5.1 million for the three months ended June 30, 2015 from $3.8 million for the three months ended June 30, 2014. The increase in advertising and marketing expense was primarily driven by the continued expansion of our national advertising and marketing programs.  As a percentage of revenues, advertising and marketing expenses were 9.5% of revenues for the three months ended June 30, 2015 compared to 13.0% of revenues for the three months ended June 30, 2014. The decrease in advertising and marketing expenses as a percentage of revenues was primarily related to an increase in our average daily census combined with the increase in revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California which revenues do not require incremental advertising and marketing expense.

Professional Fees

Professional fees decreased $0.5 million, or 22.4%, to $1.9 million for the three months ended June 30, 2015 from $2.4 million for the three months ended June 30, 2014.  As a percentage of revenues, professional fees were 3.5% of revenues for the three months ended June 30, 2015 compared to 8.2% of revenues for the three months ended June 30, 2014.  The decrease in professional fees, in total and as a percentage of revenues was primarily related to an increase in our average daily census combined with the increase in revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California.   On average, operating expenses for our high complexity laboratory testing as a percentage of revenues are lower than that of our residential treatments services provided at our facilities.  

 

31


Client Related Servi ces

Client related services expenses increased $0.7 million, or 26.3%, to $3.5 million for the three months ended June 30, 2015 from $2.8 million for the three months ended June 30, 2014. The increase in expense was primarily related to the growth in the average daily census to 539 for the three months ended June 30, 2015 from 379 for the three months ended June 30, 2014.  As a percentage of revenues, client related services expenses were 6.5% of revenues for the three months ended June 30, 2015 compared to 9.5% of revenues for the three months ended June 30, 2014.   The decrease in client related services as a percentage of revenues was primarily related to an increase in revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California, which do not require client related services.  

Other Operating Expenses

Other operating expenses increased $2.7 million, or 95.8%, to $5.5 million for the three months ended June 30, 2015 from $2.8 million for the three months ended June 30, 2014. The increase was primarily the result of additional operating expenses associated with the 60 bed expansion of Greenhouse in July 2014, the 31 bed expansion at Forterus in January 2015, the opening of the Desert Hope Outpatient Center in January 2015, the acquisition of Recovery First in February 2015, and the opening of the Greenhouse Outpatient Center in April 2015.   As a percentage of revenues, other operating expenses increased to 10.3% of revenues for the three months ended June 30, 2015 compared to 9.7% of revenues for the three months ended June 30, 2014.

Rentals and Leases

Rentals and leases increased $0.7 million to $1.2 million for the three months ended June 30, 2015 from $0.5 million for the three months ended June 30, 2014. The increase was primarily the result of increased rent as a result of the bed expansion at Forterus in January 2015 and the acquisition of Recovery First in February 2015.  Also contributing to the increase was rent expense associated with our new corporate headquarters and call center beginning in June 2015.   We currently anticipate relocating to the new headquarters and call center in the fourth quarter of 2015.  As a percentage of revenues, rentals and leases increased to 2.2% of revenues for the three months ended June 30, 2015, compared to 1.6% of revenues for the three months ended June 30, 2014.  

Provision for Doubtful Accounts

The provision for doubtful accounts increased $2.1 million, or 97.5%, to $4.2 million for the three months ended June 30, 2015 from $2.1 million for the three months ended June 30, 2014. As a percentage of revenues, the provision for doubtful accounts was 7.8% of revenues for the three months ended June 30, 2015 compared to 7.3% of revenues for the three months ended June 30, 2014.  

We establish our provision for doubtful accounts based on the aging of the receivables and taking into consideration historical collection experience by facility, services provided, payor source and historical reimbursement rate, current economic trends and percentages applied to the accounts receivable aging categories. As of June 30, 2015, all accounts receivable aged greater than 360 days were fully reserved in our consolidated financial statements. In assessing the adequacy of the allowance for doubtful accounts, we rely on the results of detailed reviews of historical write-offs and recoveries (the hindsight analysis) as a primary source of information to utilize in estimating the collectability of our accounts receivable. We perform the hindsight analysis utilizing rolling twelve-month accounts receivable collection, write-off and recovery data. We supplement this hindsight analysis with other analytical tools, including, but not limited to, historical trends in cash collections compared to net revenues less bad debt and days sales outstanding.

During the second quarter of 2014, management analyzed the past two years of accounts receivable collection and write-off history and the current projected bad debt write-offs for all client accounts covered by insurance. Based on the results of this analysis, including improvements noted in the credit quality of receivables aged 120-180 days, management concluded that the current methodology for establishing the allowance for doubtful accounts resulted in, and would continue to result in, an overstatement of the reserve requirement. As a result, management revised the estimates used to establish the provision for doubtful accounts, effective as of the second quarter of 2014. This change in estimate reduced the reserve percentages applied to various aging classes of accounts receivable aged less than 360 days to more closely reflect actual collection and write-off history that we have experienced and expect to experience in the future. These adjustments resulted in a reserve release of approximately $1.5 million during the second quarter of 2014.

We have experienced favorable collections of accounts receivable subsequent to June 30, 2014 as evidenced by a decrease in accounts receivable aged greater than 180 days as a percentage of total accounts receivable to 23.3% at June 30, 2015 from 41.2% at June 30, 2014.

 

32


The following table presents a summary of our aging of accounts receiv able as of June 30 , 2015 and 2014 :

 

 

Current

 

31-180 Days

 

Over 180 Days

 

Total

 

June 30, 2015

 

 

29.9

%

 

46.8

%

 

23.3

%

 

100.0

%

June 30, 2014

 

 

23.4

%

 

35.4

%

 

41.2

%

 

100.0

%

Our days sales outstanding as of June 30, 2015 and 2014 was 80 and 83, respectively.  

Litigation Settlement

Litigation settlement expense increased $1.3 million to $1.5 million for the three months ended June 30, 2015 from $0.2 million for the three months ended June 30, 2014.  In the second quarter of 2015, we recognized $1.5 million of litigation expense related to reserves established for the Horizon matter.  For further discussion of this matter, see Note 15 to the Company’s Condensed Consolidated Financial Statements included in this quarterly report for further discussion.

Depreciation and Amortization

Depreciation and amortization expense increased $0.5 million, or 45.6%, to $1.7 million for the three months ended June 30, 2015 from $1.2 million for the three months ended June 30, 2014. As a percentage of revenues, depreciation and amortization expense was 3.1% of revenues for the three months ended June 30, 2015 compared to 4.0% of revenues for the three months ended June 30, 2014.

Acquisition-related Expense

Acquisition-related expense was $1.0 million for the three months ended June 30, 2015.   As a percentage of revenues, acquisition-related expense was 1.8% of revenues for the three months ended June 30, 2015.  The acquisition-related expense for the three months ended June 30, 2015 was primarily related to professional fees and travel costs associated with our acquisition activity.   For the three months ended June 30, 2014, we did not recognize any acquisition-related expense.

Interest Expense

Interest expense increased by approximately $0.1 million, or 37.3%, to $0.5 million for the three months ended June 30, 2015 from $0.4 million for the three months ended June 30, 2014.   The increase in interest expense was primarily due to an increase in outstanding debt as partially offset by a reduction in interest rates.   The net impact of the increase in outstanding debt and the decrease in interest rates during the first quarter of 2015 was approximately $0.2 million.  Outstanding debt at June 30, 2015 was approximately $75.9 million compared to $46.8 million at June 30, 2014.   The interest rate on the $75.0 million term loan under the 2015 Credit Facility was 3.03% at June 30, 2015.  This net increase in interest expense was partially offset by a reduction in the fair value of the interest rate swaps of approximately $0.1 million during the second quarter of 2015.  In July 2014, the Company entered into two interest rate swap agreements to mitigate its exposure to interest rate risks. The interest rate swap agreements had a combined initial notional amount of $22.1 million which fixed the interest rates over the life of interest rate swap agreements.  The Company has not designated the interest rate swaps as hedges and therefore changes in the fair value of the interest rate swaps are included in interest expense in the condensed consolidated income statements.

As a percentage of revenues, interest expense was 0.9% of revenues for the three months ended June 30, 2015 compared to 1.2% of revenues for the three months ended June 30, 2014.  

Income Tax Expense

For the three months ended June 30, 2015, income tax expense was $3.0 million, reflecting an effective tax rate of 37.1%, compared to income tax expense of $0.2 million, reflecting an effective tax rate of 51.8% for the three months ended June 30, 2014.  The decrease in income tax expense and the effective tax rate is primarily related to a \release in valuation allowances related to the professional groups in the fourth quarter of 2014.  

Net Loss Attributable to Noncontrolling Interest

For the three months ended June 30, 2015, net loss attributable to noncontrolling interest was $0.4 million compared to $0.5 million for the three months ended June 30, 2014, representing a decrease in loss of $0.1 million.  The net loss attributable to noncontrolling interest is directly related to our consolidated VIEs.   During the three months ended June 30, 2014, we consolidated

 

33


one real estate VIE, BHR, through April 15, 2014 at which point it became a wholly owned subsidiary , and five professional group VIE s .   D uring the three months ended June 30 , 201 5, noncontrolling interest was only comprised of the five professional group VIE s , which resulted in the increase in the loss attributable to noncontrolling interest for the three months ended June 30 , 2015 as compared to the same period in 2014.

 

Comparison of Six Months ended June 30, 2014 to Six Months ended June 30, 2015

The following table presents our consolidated income statements for the periods indicated (dollars in thousands):

 

 

Six Months Ended June 30,

 

 

 

 

 

2014 (unaudited)

 

 

2015 (unaudited)

 

 

Increase (Decrease)

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

Revenues

$

59,203

 

 

 

100.0

 

 

$

96,607

 

 

 

100.0

 

 

$

37,404

 

 

 

63.2

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

24,124

 

 

 

40.7

 

 

 

38,107

 

 

 

39.4

 

 

 

13,983

 

 

 

58.0

 

Advertising and marketing

 

7,079

 

 

 

12.0

 

 

 

9,737

 

 

 

10.1

 

 

 

2,658

 

 

 

37.5

 

Professional fees

 

4,895

 

 

 

8.3

 

 

 

3,330

 

 

 

3.4

 

 

 

(1,565

)

 

 

(32.0

)

Client related services

 

5,211

 

 

 

8.8

 

 

 

6,393

 

 

 

6.6

 

 

 

1,182

 

 

 

22.7

 

Other operating expenses

 

5,551

 

 

 

9.4

 

 

 

10,349

 

 

 

10.7

 

 

 

4,798

 

 

 

86.4

 

Rentals and leases

 

940

 

 

 

1.6

 

 

 

1,859

 

 

 

1.9

 

 

 

919

 

 

 

97.8

 

Provision for doubtful accounts

 

6,288

 

 

 

10.6

 

 

 

7,559

 

 

 

7.8

 

 

 

1,271

 

 

 

20.2

 

Litigation settlement

 

240

 

 

 

0.4

 

 

 

1,520

 

 

 

1.6

 

 

 

1,280

 

 

 

533.3

 

Depreciation and amortization

 

2,228

 

 

 

3.8

 

 

 

3,016

 

 

 

3.1

 

 

 

788

 

 

 

35.4

 

Acquisition-related expenses

 

 

 

 

 

 

 

1,980

 

 

 

2.0

 

 

 

1,980

 

 

 

 

Total operating expenses

 

56,556

 

 

 

95.5

 

 

 

83,850

 

 

 

86.8

 

 

 

27,294

 

 

 

48.3

 

Income from operations

 

2,647

 

 

 

4.5

 

 

 

12,757

 

 

 

13.2

 

 

 

10,110

 

 

 

381.9

 

Interest expense, net (change in fair value of interest

           rate swaps of $   ̶ , $115, respectively)

 

705

 

 

 

1.2

 

 

 

1,223

 

 

 

1.3

 

 

 

518

 

 

 

73.5

 

Other (income) expense, net

 

15

 

 

 

 

 

 

(60

)

 

 

(0.1

)

 

 

(75

)

 

 

(500.0

)

Income before income tax expense

 

1,927

 

 

 

3.3

 

 

 

11,594

 

 

 

12.0

 

 

 

9,667

 

 

 

501.7

 

Income tax expense

 

859

 

 

 

1.5

 

 

 

4,359

 

 

 

4.5

 

 

 

3,500

 

 

 

407.5

 

Net income

 

1,068

 

 

 

1.8

 

 

 

7,235

 

 

 

7.5

 

 

 

6,167

 

 

 

577.4

 

Less: net loss attributable to noncontrolling interest

 

668

 

 

 

1.1

 

 

 

1,039

 

 

 

1.1

 

 

 

371

 

 

 

55.5

 

Net income attributable to AAC Holdings, Inc. stockholders

 

1,736

 

 

 

2.9

 

 

 

8,274

 

 

 

8.6

 

 

 

6,538

 

 

 

376.6

 

BHR Series A Preferred Unit dividends

 

(203

)

 

 

(0.3

)

 

 

(147

)

 

 

(0.2

)

 

 

56

 

 

 

(27.6

)

Redemption of BHR Series A Preferred Units

 

 

 

 

 

 

 

(534

)

 

 

(0.6

)

 

 

(534

)

 

 

(100.0

)

Net income available to AAC Holdings, Inc. common stockholders

$

1,533

 

 

 

2.6

 

 

$

7,593

 

 

 

7.9

 

 

$

6,060

 

 

 

395.3

 

Revenues

Revenues increased $37.4 million, or 63.2%, to $96.6 million for the six months ended June 30, 2015 from $59.2 million for the six months ended June 30, 2014.  Revenues were positively impacted by an increase in residential average daily census, outpatient visits at our five standalone outpatient centers, primarily at our Desert Hope outpatient center, and an increase in high complexity lab testing.    

Our residential average daily census increased by 34.9% to 510 clients for the six months ended June 30, 2015 from 375 clients for the six months ended June 30, 2014.  The increase in average daily census was driven by the 60 bed expansion of Greenhouse in July 2014, the six bed expansion at the Academy in September 2014, the 31 bed expansion at Forterus in January 2015 and the acquisition of Recovery First, which added 56 beds, in February 2015.

With the opening of the Desert Hope Outpatient Center in January 2015, the opening of the Greenhouse Outpatient Center in April 2015, and the acquisition of CSRI in April 2015 (which added three standalone outpatient centers), we now operate five

 

34


standalone outpatient centers.   We had 4,222 outpatient visits at our five standalone outpatient centers for the six months ended June 30, 2015.     

Also significantly contributing to the increase in revenues for the six months ended June 30, 2015 was the addition of high complexity lab testing for our facilities in Florida and California as a result of beginning to provide such services in December 2014 and April 2015, respectively.  As of June 30, 2015, our facilities in Florida and California represented approximately 50% of our total residential beds.    

Salaries, Wages and Benefits

Salaries, wages and benefits increased $14.0 million, or 58.0%, to $38.1 million for the six months ended June 30, 2015 from $24.1 million for the six months ended June 30, 2014.  The increase in salaries and wages was primarily impacted by growth in our residential facilities and our standalone outpatient centers.   As a result of the growth in our residential and standalone outpatient centers, our number of employees increased by approximately 400 employees or 50%  to approximately 1,200 employees at June 30, 2015 from approximately 800 employees at June 30, 2014.  Also contributing to the increase was an increase in equity compensation of $1.0 million to $2.9 million for the six months ended June 30, 2015 from $1.8 million for the six months ended June 30, 2014.  As a percentage of revenues, salaries, wages and benefits were 39.4% of revenues for the six months ended June 30, 2015 compared to 40.7% of revenues for the three months ended June 30, 2014.  The decrease in salaries, wages and benefits as a percentage of revenues was primarily related to an increase in our average daily residential census combined with the increase in revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California.   On average, total operating expenses for our high complexity laboratory testing as a percentage of revenues are lower than that of our residential treatments services provided at our facilities.  

Advertising and Marketing

Advertising and marketing expenses increased $2.6 million, or 37.5%, to $9.7 million for the six months ended June 30, 2015 from $7.1 million for the six months ended June 30, 2014.  The increase in expenses was primarily driven by the continued expansion of our national advertising and marketing programs. As a percentage of revenues, advertising and marketing expenses were 10.1% of revenues for the six months ended June 30, 2015 compared to 12.0% of revenues for the six months ended June 30, 2014.   The decrease in advertising and marketing expenses as a percentage of revenues was primarily related to an increase in our average daily census combined with the increased percentage of revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California, which do not require incremental advertising and marketing expense.  

Professional Fees

Professional fees decreased $1.6 million, or 32.0%, to $3.3 million for the six months ended June 30, 2015 from $4.9 million for the six months ended June 30, 2014. As a percentage of revenues, professional fees were 3.4% of revenues for the six months ended June 30, 2015 compared to 8.3% of revenues for the six months ended June 30, 2014.  The decrease in professional fees was primarily related to the elimination of customer and billing collection fees as a result of the CRMS Acquisition in April 2014.  

Client Related Services

Client related service expenses increased $1.2 million, or 22.7%, to $6.4 million for the six months ended June 30, 2015 from $5.2 million for the six months ended June 30, 2014. The increase in expense was primarily related to increases in clinician fees paid due to the increase in average daily census to 506 for the six months ended June 30, 2015 from 375 for the six months ended June 30, 2014.   As a percentage of revenues, client related services expenses were 6.6% of revenues for the six months ended June 30, 2015 compared to 8.8% of revenues for the six months ended June 30, 2014.  The decrease in client related services as a percentage of revenues was primarily related to an increased percentage of revenues related to high complexity laboratory testing as a result of the addition of high complexity lab testing for our facilities in Florida and California, which do not require client related services.  

Other Operating Expenses

Other operating expenses increased $4.7 million, or 86.4%, to $10.3 million for the six months ended June 30, 2015 from $5.6 million for the six months ended June 30, 2014.  The increase was primarily the result of additional operating expenses associated with the 60-bed expansion of Greenhouse in July 2014, the 31 bed expansion at Forterus in January 2015, the opening of the Desert Hope Outpatient Center in January 2015, the acquisition of Recovery First in February 2015, and the opening of the Greenhouse Outpatient Center in April 2015.  As a percentage of revenues, other operating expenses were 10.7% of revenues for the six months ended June 30, 2015 compared to 9.4% of revenues for the six months ended June 30, 2014.

 

35


Rentals and Leases

Rentals and leases increased $1.0 million, or 97.8%, to $1.9 million for the six months ended June 30, 2015 from $0.9 million for the six months ended June 30, 2014.  The increase was primarily the result of increased rent as a result of the bed expansion at Forterus in January 2015 and the acquisition of Recovery First in February 2015.  Also contributing to the increase was rent expense associated with our new corporate headquarters and call center beginning in June 2015.   We currently anticipate relocating to the new headquarters and call center in the fourth quarter of 2015.  As a percentage of revenues, rentals and leases were 1.9% of revenues for the six months ended June 30, 2015 compared to 1.6% of revenues for the six months ended June 30, 2014.

Provision for Doubtful Accounts

The provision for doubtful accounts increased $1.3 million, or 20.2% to $7.6 million for the six months ended June 30, 2015 from $6.3 million for the six months ended June 30, 2014. As a percentage of revenues, the provision for doubtful accounts was 7.8% of revenues for the six months ended June 30, 2015 compared to 10.6% of revenues for the six months ended June 30, 2014.  

During the second quarter of 2014, management analyzed the past two years of accounts receivable collection and write-off history and the current projected bad debt write-offs for all client accounts covered by insurance. Based on the results of this analysis, including improvements noted in the credit quality of receivables aged 120-180 days, management concluded that the current methodology for establishing the allowance for doubtful accounts resulted in, and would continue to result in, an overstatement of the reserve requirement. As a result, management revised the estimates used to establish the provision for doubtful accounts, effective as of the second quarter of 2014. This change in estimate reduced the reserve percentages applied to various aging classes of accounts receivable aged less than 360 days to more closely reflect actual collection and write-off history that we have experienced and expect to experience in the future. These adjustments resulted in a reserve release of approximately $1.5 million during the second quarter of 2014.

Litigation Settlement

 

Litigation settlement expense increased $1.3 million to $1.5 million for the six months ended June 30, 2015 from $0.2 million for the six months ended June 30, 2014. In the second quarter of 2015, we recognized $1.5 million of litigation expense related to reserves established for the Horizon matter.  For further discussion of this matter, see Note 15 to the Company’s Condensed Consolidated Financial Statements included in this quarterly report.

Depreciation and Amortization

Depreciation and amortization expense increased $0.8 million, or 35.4%, to $3.0 million for the six months ended June 30, 2015 from $2.2 million for the six months ended June 30, 2014.  The increase in depreciation and amortization expense was primarily attributable to additions of property and equipment and intangible assets, including as a result of recent acquisitions.  As a percentage of revenues, depreciation and amortization expense was 3.1% of revenues for the six months ended June 30, 2015 compared to 3.8% of revenues for the six months ended June 30, 2014.  

Acquisition-related Expense

Acquisition-related expense was $2.0 million for the six months ended June 30, 2015.   As a percentage of revenues, acquisition-related expense was 2.0% of revenues for the six months ended June 30, 2015.  The acquisition-related expense for the six months ended June 30, 2015 was primarily related to professional fees and travel costs associated with our acquisition activity.   For the six months ended June 30, 2014, we did not recognize any acquisition-related expense.

Interest Expense

Interest expense was $1.2 million for the six months ended June 30, 2015 compared to $0.7 million for the six months ended June 30, 2014.  As a percentage of revenues, interest expense was 1.3% of revenues for the six months ended June 30, 2015 compared to 1.2% of revenues for the six months ended June 30, 2014. The increase in interest expense is primarily due to an increase in outstanding debt, as well as the impact of fair value adjustments on the Company’s interest rate swaps of approximately $0.1 million for the six months ended June 30, 2015.   The Company entered into two interest rate swap agreements in July 2014 to mitigate its exposure to interest rate risks. The interest rate swap agreements had a combined initial notional amount of $22.1 million which fixed the interest rates over the life of interest rate swap agreements.  The Company has not designated the interest rate swaps as hedges and therefore changes in the fair value of the interest rate swaps are included in interest expense in the condensed consolidated income statements.

 

36


Income Tax Expense

For the six months ended June 30, 2015, income tax expense was $4.4 million, reflecting an effective tax rate of 37.6%, compared to $0.9 million, reflecting an effective tax rate of 44.6%, for the six months ended June 30, 2014. The decrease in the effective tax rate for the six months ended June 30, 2015 was primarily attributable to a decrease in valuation allowances related to the professional groups in the fourth quarter of 2014.

Net Loss (Income) Attributable to Noncontrolling Interest

For the six months ended June 30, 2015, net loss attributable to noncontrolling interest was $1.0 million compared to net loss attributable to noncontrolling interest of $0.7 million for the six months ended June 30, 2014, representing a $0.3 million change.  The net loss attributable to noncontrolling interest is directly related to our consolidated VIEs.   During the six months ended June 30, 2014, we consolidated one real estate VIE, BHR, through April 15, 2014 at which point it became a wholly owned subsidiary; and five professional group VIEs.   During the six months ended June 30, 2015, noncontrolling interest was only comprised of the five professional group VIEs, which resulted in the increase in the net loss attributable to noncontrolling interest for the six months ended June 30, 2015 as compared to the same period in 2014.

Liquidity and Capital Resources

General

Our primary sources of liquidity are net cash generated from operations, borrowing availability under our revolving line of credit, other bank financings, proceeds from issuances of our common stock, seller financing and the issuance of subordinated debt. We have also utilized operating lease transactions with respect to commercial properties primarily to perform client services and provide space for administrative facilities. We expect that our future funding for working capital needs, capital expenditures, long-term debt repayments and other financing activities will continue to be provided from some or all of these sources. Our future liquidity will be impacted by our ability to access capital markets, which may be restricted due to our credit ratings, general market conditions, leverage capacity and by existing or future debt agreements.

We anticipate that our current level of cash on hand, internally generated cash flows and availability under our revolving line of credit will be sufficient to fund our anticipated working capital needs, debt service and repayment obligations and interest and maintenance capital expenditures for at least the next twelve months.

Cash Flow Analysis

Our cash flows are summarized as follows (in thousands):  

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30,

 

 

Increase

 

 

2014

 

 

2015

 

 

(Decrease)

 

(Used in) provided by operating activities

$

(30

)

 

$

6,593

 

 

$

6,623

 

Used in investing activities

 

(12,615

)

 

 

(48,725

)

 

 

(36,110

)

Provided by financing activities

 

13,015

 

 

 

38,613

 

 

 

25,598

 

Net increase (decrease) in cash and cash equivalents

 

370

 

 

 

(3,519

)

 

 

(3,889

)

Cash and cash equivalents at end of period

$

2,382

 

 

$

45,021

 

 

$

42,639

 

Net Cash Provided by (Used in) Operating Activities

Cash provided by operating activities was $6.6 million for the six months ended June 30, 2015 compared to cash used in operating activities of $30,000 for the six months ended June 30, 2014.  The increase in cash flows provided by operating activities in the six months ended June 30, 2015 as compared to the six months ended June 30, 2014 primarily related to increases in net income of $6.2 million, equity compensation of $1.8 million and accounts payable and accrued liabilities of $13.7 million for the six months ended June 30, 2015 as compared to the six months ended June 30, 2014.  These increases were partially offset by an increase in accounts receivable for the six months ended June 30, 2015 as compared to the six months ended June 30, 2014.   The increase in accounts receivable was primarily related to an increase in revenues of approximately 63.2% for the six months ended June 30, 2015 as compared to the six months ended June 30, 2014.   Working capital totaled $67.5 million at June 30, 2015 and $63.2 million at December 31, 2014.   

 

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Net Cash Used in Investing Activities

Cash used in investing activities was $48.7 million for the six months ended June 30, 2015, an increase of $36.1 million compared to cash used in investing activities of $12.6 million for the six months ended June 30, 2014.  The increase was primarily related to $13.1 million paid in connection with the acquisition of Recovery First, $13.5 million for the purchase of a property in Aliso Viejo, California, and $6.4 million for the purchase of a property in Ringwood, New Jersey, with the remaining amount related to continuing costs associated with our de novo projects and new corporate headquarters.  

Net Cash Provided by Financing Activities

Cash provided by financing activities was $38.6 million for the six months ended June 30, 2015, an increase of $25.6 million compared to cash provided by financing activities of $13.0 million for the six months ended June 30, 2014.  The increase was primarily related to proceeds from the 2015 Credit Facility of $73.8 million as partially offset by the redemption of the BHR Series A Preferred Units of $8.5 million, repayments of long-term debt and capital leases of $25.5 million and repayments of subordinated notes payable of $0.9 million.

Financing Relationships

2015 Credit Facility

For a summary of the terms of our 2015 Credit Facility, see Note 10 to the accompanying Condensed Consolidated Financial Statements.  

We used approximately $24.9 million of the proceeds from the $75.0 million term loans to repay in full the outstanding real estate debt, certain equipment loans and certain capital leases. We did not incur any significant early termination fees.

As of June 30, 2015, we had no outstanding amounts on our revolver and $75.0 million outstanding on our term loan.  Our availability under the revolver portion of the 2015 Credit Facility was $50.0 million as of June 30, 2015.  The 2015 Credit Facility also has an accordion feature that allows the total borrowing capacity to be increased to $200.0 million, subject to certain conditions, including obtaining additional commitments from lenders.

On July 1, 2015, we borrowed $15.0 million under the $50.0 million revolver of the 2015 Credit Facility.  We anticipate that we will use a portion of the proceeds to fund de novo development projects and acquisitions.

BHR Preferred Equity

For a summary of the terms of the BHR Series A Preferred Units, see Note 3 to the accompanying Condensed Consolidated Financial Statements.  

On February 25, 2015, we exercised our call provision and redeemed 100% of the outstanding Series A Preferred Units for a total redemption price of approximately $8.5 million, which included $0.2 million for the 3.0% call premium and $0.3 million for unpaid preferred returns.

Related Party Notes Payable  

We have outstanding notes payable resulting from the seller financing of the TSN Acquisition.  The notes bear interest at the annual blended rate of 3.85% and mature on August 31, 2015.  The aggregate amount outstanding on these borrowings at June 30, 2015 was $1.5 million.

Subordinated Promissory Notes (Related Party and Non-related Party)

In March 2012 through April 2012, we issued $1.0 million of subordinated promissory notes to certain accredited investors, of which $0.2 million was issued to one of our directors. The notes bore interest at 12% per annum. Interest was payable monthly and the principal amount was due, in full, on the applicable maturity date of the note. Notes in the principal amount of $0.2 million matured on March 31, 2015 and the remaining notes, in the principal amount of $0.8 million, matured on March 31, 2017. In connection with the issuance of these notes, we issued detachable warrants to the lenders to purchase 112,658 shares of AAC common stock at $0.64 per share. The warrants were exercisable at any time up to their expiration on March 31, 2022. We recorded a debt discount of $0.1 million related to the warrants which reduced the carrying value of the subordinated notes. As of December 31, 2014, the outstanding

 

38


balance, net of the unamortized debt discount of $71,000, was $0.9 million, of which $0.2 million was due to one of our directors. In connection with the Reorganization Transactions, warrants representing 106,728 shares of AAC common stock were exercised in March 2014 and the remaining warrants representing 5,930 shares of AAC common stock were exercised in April 2014.   On February 27, 2015, we repaid in full the $1.0 million of the outstanding subordinate d promissory notes.

Capital Lease Obligations  

We have capital leases with third party leasing companies for equipment and office furniture. The capital leases bear interest at rates ranging from 4.47% to 6.25% and have maturity dates from December 2015 through March 2019. Total obligations under capital leases at June 30, 2015 were $0.6 million, of which $0.2 million was included in the current portion of long-term debt.

Consolidation of VIEs

The Professional Groups engage physicians and mid-level service providers and provide professional services to our clients through professional services agreements with each treatment facility. Under the professional services agreements, the Professional Groups also provide a physician to serve as medical director for the applicable facility. The Professional Groups either bill the payor for their services directly or are compensated by the treatment facility based on fair market value hourly rates. Each of the professional services agreements has a term of five years and will automatically renew for additional one-year periods.

We provided the initial working capital funding in connection with the formation of the Professional Groups and recorded a receivable. We make additional advances to the Professional Groups during periods in which there is a shortfall between revenues collected by the Professional Groups from the treatment facilities and payors, on the one hand, and the Professional Group’s contracting expenses and payroll requirements, on the other hand, thereby increasing the balance of the receivable. Excess cash flow of the Professional Groups is repaid to us, resulting in a decrease in the receivable. The Professional Groups are obligated to repay these funds and are charged commercially reasonable interest. We had a receivable from each of the Professional Groups at June 30, 2015. The receivables due to us from the Professional Groups are eliminated in consolidation as the Professional Groups are VIEs of which we are the primary beneficiary.

AAC has entered into written management services agreements with each of the Professional Groups under which AAC provides management and other administrative services to the Professional Groups. These services include billing, collection of accounts receivable, accounting, management and human resource functions and setting policies and procedures. Pursuant to the management services agreements, the Professional Groups’ monthly revenues will first be applied to the payment of operating expenses consisting of refunds or rebates owed to clients or payors, compensation expenses of the physicians and other service providers, lease payments, professional and liability insurance premiums and any other costs or expenses incurred by AAC for the benefit of the Professional Groups and, thereafter, to the payment to AAC of a management fee equal to 20% of the Professional Groups’ gross collected monthly revenues. As described above, AAC will also provide financial support to each Professional Group on an as-needed basis to cover any shortfall between revenues collected by such Professional Groups from the treatment facilities and payors and the Professional Group’s contracting expenses and payroll requirements. Through these arrangements, we are directing the activities that most significantly impact the financial results of the respective Professional Groups; however, treatment decisions are made solely by licensed healthcare professionals employed or engaged by the Professional Groups as required by various state laws. Based on our ability to direct the activities that most significantly impact the financial results of the Professional Groups, provide necessary funding and the obligation and likelihood of absorbing all expected gains and losses, we have determined that we are the primary beneficiary, and, therefore, consolidate the five Professional Groups as VIEs.

Off Balance Sheet Arrangements

We have entered into various non-cancelable operating leases expiring through October 2018. Commercial properties under operating leases primarily include space required to perform client services and space for administrative facilities. Rent expense was $1.2 million and $0.5 million for the three months ended June 30, 2015 and 2014, respectively, and $1.9 million and $1.0 million for the six months ended June 30, 2015 and 2014, respectively.


 

39


Ite m 3.     Quantitative and Qualitative Disclosures About Market Risk.

Our interest expense is sensitive to changes in market interest rates. With respect to our interest-bearing liabilities, our long-term debt outstanding at June 30, 2015 consisted of $75.0 million of variable rate debt with interest based on LIBOR plus an applicable margin. In July 2014, we entered into two interest rate swap agreements to mitigate our exposure to interest rate risks. The interest rate swap agreements have initial notional amounts of $13.2 million and $8.9 million which fix the interest rates over the life of the interest rate swap agreements at 4.73% and 4.21%, respectively.  A hypothetical 1% increase in interest rates would decrease our pre-tax income and cash flows by approximately $0.5 million on an annual basis based upon our borrowing level at June 30, 2015.

Item 4. Controls and Procedures.

Evaluation of Disclosure Controls and Procedures

As of the end of the period covered by this report, our management conducted an evaluation, with the participation of our chief executive officer and chief financial officer, of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”)). Based on this evaluation, our chief executive officer and chief financial officer concluded that, as of such date, our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms and that such information is accumulated and communicated to management, including our chief executive officer and chief financial officer, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting (as defined in Exchange Act Rule 13a-15(f)) during the period covered by this quarterly report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

 

40


PART II. OTHER INFORMATION

Item 1.    Legal Proceedings

From time to time, we may be engaged in various lawsuits and legal proceedings in the ordinary course of our business. Except as described in Note 15 to the Company’s Condensed Consolidated Financial Statements included in this quarterly report and incorporated by reference in this Item 1, we are currently not aware of any legal proceedings the ultimate outcome of which, in our judgment based on information currently available, would have a material adverse effect on our business, financial condition or results of operations.

Item 1A.   Risk Factors

 

Risks Related to Our Business

 

Certain of our current and former employees and certain of our subsidiaries are defendants in a criminal proceeding that could result in a substantial disruption to our business.

 

On July 29, 2015, a California court unsealed a criminal indictment returned by a grand jury against certain of our subsidiaries, our former President and former member of our Board of Directors, a current facility-level employee and three former employees.  The indictment was returned in connection with a criminal investigation by the California Department of Justice and charged the defendants with second-degree murder and dependent adult abuse in connection with the death of a client in 2010 at one of our former locations. We believe the allegations are legally and factually unfounded and intend to contest them vigorously. We have always strived to deliver and will continue to seek to provide, quality, comprehensive, compassionate care to individuals and families struggling with alcohol and drug addictions and mental and behavioral health issues. Defending ourselves against the indictment could potentially entail costs that are material and could require significant attention from our management. If the defendants were to be convicted of the crimes alleged in the indictment, potential penalties could include fines, restitution, conditions of probation and other remedies. Given the early stage of this proceeding, we cannot estimate the amount or range of loss if the defendants were to be convicted; however, such loss could be material. Regardless of the outcome of the indictment, the publicity and potential risks associated with the indictment could negatively impact the perception of our Company by clients, investors and others. The consequences of the current criminal proceeding, as well as consequences of any future governmental investigation or lawsuit of any related or unrelated matter, could have a material adverse effect on our business and results of operations.

 

We will need additional financing to execute our business plan and fund operations, which additional financing may not be available on reasonable terms or at all.

As of June 30 , 2015 , we had $67.5 million of working capital. Our acquisition and de novo development strategies will require substantial capital. During 2015, we have announced and/or completed five acquisitions with an aggregate cash purchase price of approximately $90.1 million.  During the same period, we purchased two propert ies with an aggregate cash purchase price of $20.0 million, and have begun de novo facility developments on those properties on which we expect to invest approximately $21.0 million.

To fund our acquisition and development strategies, we will consider raising additional funds through various financing sources, including the sale of our equity securities and the procurement of commercial debt financing. However, there can be no assurance that such funds will be available on commercially reasonable terms, if at all. If such financing is not available on satisfactory terms, we may be unable to expand or continue our business as desired and operating results may be adversely affected. Any debt financing will increase expenses and must be repaid regardless of operating results and may involve restrictions limiting our operating flexibility. If we issue equity securities to raise additional funds, the percentage ownership of our existing stockholders will be reduced, and our stockholders may experience additional dilution in net book value per share.

Our ability to obtain needed financing may be impaired by such factors as the capital markets, both generally and specifically in our industry, which could impact the availability or cost of future financings. If the amount of capital we are able to raise from financing activities, together with our revenues from operations, is not sufficient to satisfy our capital needs, we may be required to decrease the pace of, or eliminate, our acquisition strategy and potentially reduce or even cease operations.

 

Our acquisition strategy exposes us t o a variety of operational, integration and financial risks, which may have a material adverse effect on our business, financial condition and results of operations.

A principal element of our business strategy is to grow by acquiring other companies and a ssets in the mental health and substance abuse treatment industry. For example, as previously discussed, recent and pending acquisitions include the Recovery First Acquisition, the Ringwood Property Acquisition, the Sunrise House Acquisition, the Aliso Vie jo Acquisition, the CSRI Acquisition,  the Oxford Centre Acquisition, the RSG Acquisition and the Taj Media Acquisition.

 

41


 

We evaluate potential acquisition opportunities consistent with the normal course of our business. Our ability to complete acquisitions is subject to a number of risks and variables, including our ability to negotiate mutually agreeable terms with the counterparties, our ability to finance the purchase price and our ability to obtain any licenses or other approvals required to operate the assets to be acquired. We may not be successful in identifying and consummating suitable acquisitions, which may impede our growth and negatively affect our results of operations and may also require a significant amount of management resources. In addition, growth, especially rapid growth, through acquisitions exposes us to a variety of operational and financial risks. We summarize the most significant of these risks below.

Integration risks .  We must integrate our acquisitions with our existing operations. This process includes the integration of the various components of our business and of the businesses we have acquired or may acquire in the future, including the following:

·   

physicians and employees who are not familiar with our operations;

·   

clients who may elect to switch to another substance abuse treatment provider;

·

assignment of material contracts, including commercial payor agreements;

·   

regulatory compliance programs and state and federal licensing requirements; and

·   

disparate operating, information and record keeping systems and technology platforms.

The integration of acquisitions with our operations could be expensive, require significant attention from management, may impose substantial demands on our operations or other projects and may impose challenges on the combined business including, without limitation, consistencies in business standards, procedures, policies, business cultures and internal controls and compliance. In addition, certain acquisitions require a capital outlay, and the return we achieve on such invested capital may be less than the return that we could achieve on other projects or investments.

Benefits may not materialize . When evaluating potential acquisition targets, we identify potential synergies and cost savings that we expect to realize upon the successful completion of the acquisition and the integration of the related operations. We may, however, be unable to achieve or may otherwise never realize the expected benefits. Our ability to realize the expected benefits from potential cost savings and revenue improvement opportunities is subject to significant business, economic and competitive uncertainties and contingencies, many of which are beyond our control, such as changes to government regulation governing or otherwise impacting the substance abuse treatment and behavioral healthcare industries, reductions in reimbursement rates from third-party payors, operating difficulties, difficulties obtaining required licenses and permits, client preferences, changes in competition and general economic or industry conditions. If we do not achieve our expected results, it may adversely impact our results of operations.

 

Assumptions of unknown liabilities.   Facilities that we acquire may have unknown or contingent liabilities, including, without limitation, liabilities for failure to comply with healthcare laws and regulations. Although we typically attempt to exclude significant liabilities from our acquisition transactions and seek indemnification from the sellers of such facilities for at least a portion of these matters, we may experience difficulty enforcing those indemnification obligations, or we may incur material liabilities for the past activities of acquired facilities. Such liabilities and related legal or other costs and/or resulting damage to a facility’s reputation could negatively impact our business.

Completing Acquisitions.   Suitable acquisitions may not be accomplished due to unfavorable terms. Further, the cost of an acquisition could result in a dilutive effect on our results of operations, depending on various factors, including the amount paid for an acquired facility, the acquired facility’s results of operations, the fair value of assets acquired and liabilities assumed, effects of subsequent legislation and limits on reimbursement rate increases. In addition, we may have to pay cash, incur additional debt or issue equity securities to pay for any such acquisition, which could adversely affect our financial results, result in dilution to our existing stockholders, result in increased fixed obligations or impede our ability to manage our operations.

Managing growth.   Some of the facilities we have acquired or may acquire in the future may have had significantly lower operating margins than the facilities we operated prior to the time of our acquisition thereof or had operating losses prior to such acquisition. If we fail to improve the operating margins of the facilities we acquire, operate such facilities profitably or effectively integrate the operations of acquired facilities, our results of operations could be negatively impacted.

 

 

 

 

 

 

 

 

42


Risks Related to Regulatory Matters

 

If we fail to comply with the extensive laws and government regulations impacting our industry, we could suffer penalties, be the subject of federal and state investigations or be required to make significant changes to our operations, which may reduce our revenues, increase our costs and have a material adverse effect on our business, financial condition and results of operations.

Healthcare service providers are required to comply with extensive and complex laws and regulations at the federal, state and local government levels relating to, among other things:

·   

licensure, certification and accreditation of substance abuse treatment services;

·   

Clinical Laboratory Improvement Amendments of 1988 (“CLIA”) certification, state licensure and accreditation of laboratory services;

·   

handling, administration and distribution of controlled substances;

·   

necessity and adequacy of care, quality of services, and qualifications of professional and support personnel;

·   

referrals of clients and permissible relationships with physicians and other referral sources;

·   

billings for reimbursement from commercial payors;

·   

consumer protection issues and billing and collection of client-owed accounts issues;

·   

privacy and security issues associated with health-related information, client personal information and medical records, including their use and disclosure, client notices, adequate security safeguards and the handling of breaches, complaints and accounting for disclosures;

·   

physical plant planning, construction of new facilities and expansion of existing facilities;

·   

activities regarding competitors;

·

Food and Drug Administration (“FDA”) laws and regulations related to medical devices;

·

operational, personnel and quality requirements intended to ensure that clinical testing services are accurate, reliable and timely;

·

health and safety of employees;

·

handling, transportation and disposal of medical specimens and infectious and hazardous waste;

·

corporate practice of medicine, fee-splitting, self-referral and kickback prohibitions; and

·   

claim submission and collections, including penalties for the submission of, or causing the submission of, false, fraudulent or misleading claims.

Failure to comply with these laws and regulations could result in the imposition of significant civil or criminal penalties, loss of license or certification or require us to change our operations, which may have a material adverse effect on our business, financial condition and results of operations. Both federal and state government agencies as well as commercial payors have heightened and coordinated civil and criminal enforcement efforts as part of numerous ongoing investigations of healthcare organizations.

We endeavor to comply with all applicable legal and regulatory requirements, however, there is no guarantee that we will be able to adhere to all of the complex government regulations that apply to our business.  In this regard, we seek to structure all of our relationships with physicians to comply with applicable anti-kickback laws, physician self-referral laws, fee-splitting laws and state corporate practice of medicine prohibitions.  We monitor these laws and implement changes as necessary. However, the laws and regulations in these areas are complex and often subject to varying interpretations.  For example, if an enforcement agency were to challenge the compensation paid under our contracts with professional physician groups, we could be required to change our practices, face criminal or civil penalties, pay substantial fines or otherwise experience a material adverse effect as a result of a challenge to these arrangements.

 

Our treatment facilities operate in an environment of increasing state and federal enforcement activity and private litigation targeted at healthcare providers.

Both federal and state government agencies have heightened and coordinated their civil and criminal enforcement efforts as part of numerous ongoing investigations of healthcare companies and various segments of the healthcare industry. These investigations relate to a wide variety of topics, including relationships with physician s, billing practices and use of controlled substances. The Affordable Care Act included an additional $350 million of federal funding over ten years to fight healthcare fraud, waste and abuse, including $30 million for federal fiscal year 2015. From time to time, the HHS Office of Inspector General and the Department of Justice have established national enforcement initiatives that focus on specific billing practices or other suspected areas of abuse. Although we do not currently bill Medicare or Medicaid f or substance abuse treatment services, there is a risk that specific investigation initiatives could be expanded to include our treatment facilities and we may choose to participate in federal healthcare programs, including Medicare and Medicaid, in the future. In addition, increased government enforcement activities, even if not directed towards our treatment facilities, also increase the risk that our facilities, physicians and other clinicians furnishing services in our facilities, or our executives and directors, could become named as defendants in private litigation such as state or federal false

 

43


claims act cases or consumer protection cases, or could become the subject of complaints at the various state and federal agencies that have jurisdiction over our operations. Any governmental investigations, private litigation or other legal proceedings involving any of our facilities, our executives or our directors, even if we ultimately prevail, could result in significant expense and could adversely affect o ur reputation. In addition, we may be required to make changes in our laboratory or other substance abuse treatment services as a result of an adverse determination in any governmental enforcement action, private litigation or other legal proceeding, which could materially adversely affect our business and results of operations.

 

In addition to the other information contained in this Report, the risks and uncertainties that we believe could materially affect our business, financial condition or future results and are most important for you to consider are discussed in Part I, “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2014.  Additional risks and uncertainties which are not presently known to us, which we currently deem immaterial or which are similar to those faced by other companies in our industry or business in general, may also materially and adversely affect any of our business, financial position or future results.

Item 2.      Unregistered Sales of Equity Securities and Use of Proceeds

Unregistered Sales of Equity Securities

 

As partial consideration for our acquisition of all of the outstanding equity interests of Referral Solutions Group, LLC, a California limited liability company (“RSG”), which closed on July 2, 2015, we issued 540,193 shares of our common stock to the direct and indirect owners of RSG.  

 

As partial consideration for our acquisition of all of the outstanding equity interests of Taj Media, LLC, a California limited liability company (“Taj Media”), which closed on July 2, 2015, we issued 37,253 shares of our common stock to the sole member of Taj Media.

 

As partial consideration for our acquisition of substantially all of the assets of Clinical Services of Rhode Island, Inc. (“CSRI”), which closed on April 17, 2015, we issued 32,864 and 9,596 shares of our common stock to the two shareholders of CSRI, respectively.

As partial consideration for our acquisition of certain marketing intangible assets on April 17, 2015, we issued 17,110 shares of our common stock to the owner, effective January 1, 2016.

None of the transactions set forth in this Item 2 involved any underwriters, underwriting discounts or commissions or any public offering.  These transactions were made in reliance upon Section 4(a)(2) of the Securities Act (or Rule 506 of Regulation D promulgated thereunder) as transactions by an issuer not involving a public offering.  The recipient of the securities in each of these transactions represented his, her, or its intentions to acquire the securities for investment only and not with a view to or for sale in connection with any distribution thereof, and appropriate legends were placed upon the stock certificates or book-entry positions representing the shares issued in each of these transactions.  In each case, the recipient had adequate access, through his, her or its relationship with the Company, to information about the Company.

Item 3.      Defaults Upon Senior Securities

None.

Item 4.    Mine Safety Disclosures

Not applicable.

Item 5.      Other Information

None.

Item 6.      Exhibits

The information required by this item is set forth on the exhibit index which follows the signature page of this report.

 

 

 

 

44


SIGNATURES

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

 

AAC Holdings, Inc.

 

By:

 

/s/ Michael T. Cartwright

 

 

Michael T. Cartwright

Chief Executive Officer and Chairman

(principal executive officer)

 

 

 

By:

 

/s/ Kirk R. Manz

 

 

Kirk R. Manz

Chief Financial Officer

(principal financial officer)

 

 

 

By:

 

/s/ Andrew W. McWilliams

 

 

Andrew W. McWilliams

Chief Accounting Officer

(principal accounting officer)

Date: August 3, 2015

 

45


EXHIBIT INDEX

 

Number

 

Exhibit Description

 

2.1*†

 

 

Asset Purchase Agreement, dated May 8, 2015, by and among American Addiction Centers, Inc., Oxford Treatment Center, LLC, The Oxford Centre, Inc. and River Road Management, LLC.

 

2.2†

 

 

Securities Purchase Agreement, dated July 2, 2015, by and among AAC Holdings, Inc., American Addiction Centers, Inc., Sober Media Group, LLC, Sellers’ Representative, and the direct and indirect owners of Referral Solutions Group, LLC (previously filed as Exhibit 2.1 to the Current Report on Form 8-K (File No. 001-36643), filed on July 8, 2015 and incorporated herein by reference).

 

10.1

 

 

First Amendment to Credit Agreement dated as of June 16, 2015, by and among AAC Holdings, Inc., the Guarantors, the Lenders party thereto and Bank of America, N.A., as Administrative Agent, Swingline Lender and L/C Issuer (previously filed as Exhibit 10.1 to the Current Report on Form 8-K (File No. 001-36643), filed on June 19, 2015 and incorporated herein by reference).

 

31.1*

 

 

Certification of Michael T. Cartwright, Chief Executive Officer, pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act of 1934.

 

31.2*

 

 

Certification of Kirk R. Manz, Chief Financial Officer, pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act of 1934.

 

32.1**

 

 

Certification of Michael T. Cartwright, Chief Executive Officer, pursuant to 18 U.S.C. 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

32.2**

 

 

Certification of Kirk R. Manz, Chief Financial Officer, pursuant to 18 U.S.C. 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

101.INS*

 

 

XBRL Instance Document

 

101.SCH*

 

 

XBRL Taxonomy Extension Schema Document

 

101.CAL*

 

 

XBRL Taxonomy Extension Calculation Linkbase Document

 

101.DEF*

 

 

XBRL Taxonomy Extension Definition Linkbase Document

 

101.LAB*

 

 

XBRL Taxonomy Extension Label Linkbase Document

 

101.PRE*

 

 

XBRL Taxonomy Extension Presentation Linkbase Document

*

Filed herewith.

**

This certification is not deemed filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference into any filing under the Securities Act or the Exchange Act.

Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K. AAC Holdings, Inc. hereby undertakes to furnish supplemental copies of any of the omitted schedules and exhibits upon request by the Securities and Exchange Commission.  

 

 

 

 

 

 

46

 

Exhibit 2.1

ASSET PURCHASE AGREEMENT

BY AND AMONG

AMERICAN ADDICTION CENTERS, INC.,

A NEVADA CORPORATION,

OXFORD TREATMENT CENTER, LLC,

A DELAWARE LIMITED LIABILITY COMPANY,

THE OXFORD CENTRE, INC.,

A MISSISSIPPI CORPORATION,

AND

RIVER ROAD MANAGEMENT, LLC,

A MISSISSIPPI LIMITED LIABILITY COMPANY

May 12, 2015

 

 

 

 


 

ASSET PURCHASE AGREEMENT

THIS ASSET PURCHASE AGREEMENT is made and entered into as of May 12, 2015, by and among AMERICAN ADDICTION CENTERS, INC., a Nevada corporation (the “Parent”), OXFORD TREATMENT CENTER, LLC, a Delaware limited liability company (the “Company”), and THE OXFORD CENTRE, INC., a Mississippi corporation (the “Seller”) and RIVER ROAD MANAGEMENT, LLC, a Mississippi limited liability company (“RRM”).

RECITALS

WHEREAS, the Seller is engaged in the business of owning and operating addiction treatment centers located at 297 County Road 244, Etta, Mississippi 38627, 1916 University Avenue, Oxford, Mississippi 38655, 341 East Main Street, Suite A-1, Tupelo, Mississippi 38804, and 9320 Railroad Avenue, Olive Branch, Mississippi 38654 (the “Centers”);

WHEREAS, the Seller desires to sell to the Company the Assets (as hereinafter defined) related to the operation of the Centers in exchange for the consideration hereinafter set forth, and the Company desires to purchase the Assets from Seller, on the terms and subject to the conditions hereinafter set forth;

WHEREAS, RRM is the owner of certain real property located at 297 County Road 244, Etta, Mississippi 38627, and being more particularly described on Exhibit A , together with all buildings, structures and other improvements located thereon (collectively, the “Real Property”); and,

WHEREAS, RRM desires to sell to the Company the Real Property in exchange for the consideration hereinafter set forth, and the Company desires to purchase the Real Property from RRM, on the terms and subject to the conditions hereinafter set forth;

NOW, THEREFORE, in consideration of the promises and of the mutual representations, warranties, covenants and agreements set forth below and for other good and valuable consideration, the receipt and sufficiency of which are expressly acknowledged by the Parent, the Seller, RRM and the Company, the parties agree as follows:

ARTICLE I

DEFINITIONS

The terms defined in this Article shall have the meanings set forth below for all purposes of this Agreement:

1.1 “Adjusted EBITDA” means the sum of the following, without duplication, in accordance with generally accepted accounting principles in the United States, (a) net income plus (b) the following to the extent deducted in calculating such net income (without duplication): (i) interest charges, (ii) the provision for federal, state, local and foreign income taxes payable for such period, (iii) depreciation and amortization expense for such period, and (iv) accounting fees, legal fees and other similar advisory and consulting fees and related out-of-pocket expenses incurred in connection with this Agreement.

1.2 “Affiliate” of a Person means a Person controlling, controlled by or under common control with such Person.

1.3 “Affiliated Medical Professional Group” means any professional corporation, professional association, professional limited liability company or similar entity not owned by Seller or any subsidiary of Seller, but subject to a management, administrative, consulting, financial or similar services agreement with Seller or any subsidiary of Seller.

1.4 “Accounts Receivable” means the right to receive payment of all accounts receivable described in Section 4.29 hereof.

1.5 “Agreement” means this Asset Purchase Agreement.

1.6 “Assets” mean collectively: all assets of Seller used in or related to the Business other than the Excluded Assets (as defined in Section 2.2 hereof), including without limitation (i) those assets listed and described on Schedule 1.6 ; (ii) all Accounts Receivable; (iii) subject to applicable law, all current financial, medical staff and personnel records, and other business records; (iv) to the extent assignable, all Governmental Authorizations and permits held by Seller relating to the ownership, development and operations of the Business; (v) Seller’s goodwill in respect of the Business; (vi) Seller’s right to use the name “The Oxford Centre” and all variations thereof, all Seller’s Intellectual Property, and all of Seller’s rights to use Intellectual Property of other Persons heretofore or currently used in the Business; (vii) all owned real property, leases and tenant improvements, including, without limitation, Seller Properties (hereinafter defined); and (viii) Patient Records, subject to compliance with all applicable laws.

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1.7 “Business” means the business of owning and operating the Centers, as presently conducted by Seller.

1.8 “Business Day” means any day on which banks are open for business in Nashville, Tennessee.

1.9 “Cash Consideration” means the amount of Thirty-Two Million Dollars ($32,000,000), to be paid in cash to Seller and RRM by the Company pursuant to Section 3.1 hereof. Five Million Dollars ($5,000,000) of the Cash Consideration shall be paid to RRM for the Real Property and Twenty-Seven Million Dollars ($27,000,000) of the Cash Consideration shall be paid to the Seller for the Assets.

1.10 “Closing” means the consummation and effectuation of the transactions contemplated herein pursuant to the terms and conditions of this Agreement which shall be held three (3) Business Days after the conditions specified in Articles VIII and IX shall have been satisfied or waived, at the offices of Parent, in Brentwood, Tennessee, or at such other time, date and place as the parties hereto shall mutually agree in writing.

1.11 “Closing Date” means the date on which the Closing occurs.

1.12 “Closing Escrow Amount” means the amount of Two Million Five Hundred Thousand Dollars ($2,500,000.00), to be paid in cash to the Escrow Agent by the Company pursuant to Section 3.2 hereof.

1.13 “Code” means the Internal Revenue Code of 1986, as amended.

1.14 “Encumbrance” means any charge, claim, equitable interest, lien, encumbrance, option, pledge, security interest, mortgage, encroachment, easement or restriction of any kind.

1.15 “ERISA” means the Employee Retirement Income Security Act of 1974, as amended.

1.16 “Excluded Liabilities” means the liabilities, debts, or other obligations retained by the Seller as described in Section 3.4.

1.17 “Financial Statements” means the financial statements as identified and defined in Section 4.4 hereof.

1.18 “Governmental Authority” means any nation or government, any state or other political subdivision thereof, any entity exercising executive, legislative, judicial, regulatory or administrative functions of or pertaining to government, including any governmental authority, bureau, agency, department, board, commission or instrumentality of the United States, any State of the United States or any political subdivision thereof, any contractor of such governmental or quasi-governmental entity, and any tribunal or arbitrator(s) of competent jurisdiction, and any self-regulatory organization.

1.19 “Governmental Authorization” means any approval, certificate of authority, certificate of need, accreditation, license, registration, permit, franchise, right, or other authorization issued, granted, given or otherwise made available by or under the authority of any Governmental Authority or pursuant to any law.

1.20 “Governmental Programs” mean the Medicare and Medicaid programs under Titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq., and 42 U.S.C. 1396 et. seq.), CHAMPUS/TRICARE, and other similar federal, state and local programs for which the federal government pays the Seller, in whole or in part, directly or indirectly, for the provision of services or goods to beneficiaries of the applicable program.

1.21 “Healthcare Laws” means any federal, state, local or municipal constitution, treaty, statute, law, rule, regulation, code, ordinance, principle of common law, judgment, decree, order, injunction, administrative interpretation, writ, directive or any other requirement or restriction of any Governmental Authority, including any permit or similar right granted under any of the foregoing, related to the regulation of the healthcare industry (including, but not limited to, the addiction treatment industry, the behavioral health industry, the hospital and other health care facilities industry, the pharmaceuticals industry and the physician practice management industry), the regulation of healthcare professionals (including, but not limited to, physicians and nurses and physician assistants), or to payment for items or services rendered, provided, dispensed, or furnished by healthcare suppliers or providers (including, but not limited to, physician practices, hospitals and other health facilities, physicians and pharmacists and other practitioners).  Healthcare Laws specifically include, but are not limited to, 42 U.S.C. § 1320a-7b(b) (commonly called the Anti-Kickback Statute), and all same or similar state law counterparts; 42 U.S.C. § 1320a-7a (commonly called the Civil Monetary Penalty Statute), and all same or similar state law counterparts; 42 U.S.C. § 1395nn (commonly called the Stark Law), and all same or similar state law counterparts; 31 U.S.C. § 3729 (commonly called the Federal False Claims Act), and all same or similar state law counterparts; the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191), as amended by the Health Information Technology for Economic

2


 

and Clinical Health Act (Pub. L. No. 111-5) and their implementing regulations set forth at 45 CFR Part 160, 162 and 164 (collectively, “HIPAA”); the Patient Protection and Affordable Care Act (Pub. L. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, “ACA”); 42 CFR Part 2 (confidentiality of alcohol and drug abuse patient records); the Occupational Safety and Health Act of 1970 (“OSHA”) and all laws pertaining to precautions against the spread of bloodborne pathogens in the workplace; the Deficit Reduction Act of 2005, (Public Law 109-171), 42 U.S.C. § 1396a(a)(68); all applicable requirements of the federal Controlled Substances Act, 21 U.S.C. § 31, and all requirements to maintain DEA Registration and any and all same or similar state law counterparts; the federal Food, Drug and Cosmetics Act, and all same or similar state law counterparts; all federal laws, regulations and rules under the jurisdiction or enforcement authority of the FCC; all federal or state laws relating to addiction treatment; all federal or state laws relating to the practice of medicine, the corporate practice of medicine, fee splitting and telemedicine; any and all applicable state insurance laws governing, regulating or pertaining to the payment for healthcare related items or services ; all laws and relating to Medicare (including Medicare Part D and Medicare Advantage), Medicaid, and Medicaid-Waiver programs; 18 U.S.C. § 287; 18 U.S.C. § 1001; 18 U.S.C. § 1035; 18 U.S.C. §1347; 18 U.S.C. § 1516; and the regulations promulgated pursuant to all of the statutes and laws listed or referenced above.

1.22 “Knowledge” means, with respect to an individual, such individual is actually aware of the particular fact, matter, circumstance or other item, or should be aware of the particular fact, matter, circumstance or other item after reasonable inquiry of such person’s direct reports and, with respect to any other Person (other than an individual), any individual who is serving, or who has at any time served, as a director, officer, partner, member, shareholder, executor or trustee of such Person (or in any similar capacity) has, or at any time had, Knowledge of such fact, matter, circumstance or other item.

1.23 “Material Adverse Change” means any fact, condition, occurrence, event, development, action, omission, change, state of facts, circumstance or effect that is, or would reasonably be expected to be, materially adverse to the business, operations, assets, result of operations, or condition (financial or otherwise) of Seller or on the ability of Seller to perform its obligations under this Agreement or to consummate the transactions contemplated herein, except in each case to the extent resulting from (i) business, economic or regulatory conditions generally or in the industries in which Seller operates, (ii) national or international political or social conditions, including the engagement in hostilities, whether or not pursuant to the declaration of a national emergency or war, or the occurrence of any military or terrorist attack, (iii) financial, banking or securities markets (including any disruption thereof and any decline in the price of any security or any market index), (iv) changes in GAAP, (v) changes in law, or proposed changes to law published by a Governmental Authority, (vi) the announcement or execution of, or the taking of any action expressly contemplated by, this Agreement and the other transaction documents contemplated hereby, including compliance with the covenants set forth herein, (vii) any actions taken (or omitted to be taken) with the prior written consent or at the written request of the Company, or (viii) any actions expressly required under this Agreement; except, in the case of clauses (i), (ii), (iii), (iv) and (v), to the extent the Seller is affected in a disproportionate manner compared to other companies in the industries in which the Seller operates.

1.24 “Patient Records” means photocopies or digital copies of the following portions of the medical records of the patients currently being treated at the Centers or otherwise receiving services from Seller: (i) insurance cards (must include copies of both front and back of all cards, and must be legible), (ii) patient histories and physicals, lab results, patient summaries of information, care plans, assessments, (iii) copies of all intake forms, including, without limitation, financial responsibility agreements and information release forms and (iv) all other patient information.

1.25 “Permitted Encumbrances” means (i) liens for Taxes and other governmental charges not yet past due or that are being contested in good faith through appropriate proceedings and (ii) special assessments with respect to the personal property to be sold by Seller to the Company pursuant to this Agreement for 2014 and subsequent years.

1.26 “Person” means an individual, partnership, limited liability company, corporation, trust, unincorporated organization, association or joint venture or a government, agency, political subdivision or instrumentality thereof.

1.27 “Properties” means the real properties listed on Schedule 1.27.

1.28 “Purchase Price” means the Cash Consideration, the Signing Escrow Amount and the Closing Escrow Amount.

1.29 “Schedule” means any schedule referred to in this Agreement, which shall be an integral part of this Agreement.

1.30 “Signing Escrow Amount” means the amount of Five Hundred Thousand ($500,000.00), to be paid in cash to the Escrow Agent by the Company pursuant to Section 3.2 hereof.

1.31 “Taxes” means all taxes, assessments, and charges imposed by any federal, state, local, or foreign taxing authority, including interest, penalties and additions thereto.

3


 

1.32 “Third Party Payor Programs” mean those private, non-governmental programs, including private insurance and managed care plans, under which the Seller and the Centers, in whole or in part, directly or indirectly, are receiving payments.

ARTICLE II

PURCHASE AND SALE OF ASSETS AND REAL PROPERTY

2.1 Purchase and Sale of Assets . Subject to the terms and conditions of this Agreement, the Seller shall, on the Closing Date, sell, transfer, convey and assign to the Company, and the Company shall purchase, all of the Assets, free and clear of all liens, claims or encumbrances whatsoever except for Permitted Encumbrances.

2.2 Excluded Assets . Notwithstanding anything to the contrary contained elsewhere in this Agreement, the following items (collectively, the “Excluded Assets”) are not part of the sale and purchase contemplated hereunder, are excluded from the Assets, and will remain the property of the Seller after the Closing:

(a) any and all cash, cash equivalents and security deposits;

(b) Seller’s record books, minute books, tax records and any records that by law Seller is required to retain in its possession;

(c) all of Seller’s insurance policies and rights thereunder, including, without limitation, any life insurance policies covering the officers or shareholders of Seller;

(d) any refunds, credits rebates or similar payments relating to Taxes that are associated with Seller’s ownership or operation of the Business and the Assets for taxable periods  (or portions thereof) ending on or prior to the Closing Date; and,

(e) those assets listed and described on Schedule 2.2 .

2.3 Purchase and Sale of Real Property . Subject to the terms and conditions of this Agreement, RRM shall, on the Closing Date, sell, transfer, convey and assign to the Company, and the Company shall purchase, the Real Property, free and clear of all liens, claims or encumbrances whatsoever except for Permitted Encumbrances.

ARTICLE III

CONSIDERATION FOR PURCHASE OF ASSETS AND REAL PROPERTY

3.1 Payment of Cash Consideration to Seller and RRM . At the Closing, in consideration of the sale of the Assets to the Company by the Seller as set forth in Section 2.1, the Seller shall be entitled to receive from the Company Twenty-Seven Million Dollars ($27,000,000) of the Cash Consideration by wire transfer of immediately available funds to an account designated by the Seller.  At the Closing, in consideration of the sale of the Real Property to the Company by RRM as set forth in Section 2.3, RRM shall be entitled to receive from the Company Five Million Dollars ($5,000,000) of the Cash Consideration by wire transfer of immediately available funds to an account designated by RRM.

3.2 Delivery of Signing Escrow Amount and Closing Escrow Amount to Escrow Agent . Upon execution of this Agreement as of the date hereof, the Company shall deliver the Signing Escrow Amount to Reliant Bank (the “Escrow Agent”), by wire transfer of immediately available funds to an account designated by the Escrow Agent pursuant to the Escrow Agreement.  At the Closing, the Company shall deliver the Closing Escrow Amount to the Escrow Agent by wire transfer of immediately available funds to an account designated by the Escrow Agent pursuant to the Escrow Agreement. The Escrow Agreement in the form attached hereto as Exhibit B (the “Escrow Agreement”) shall be executed and delivered as of the date hereof.

3.3 Assumed Liabilities . As of the Closing Date, the Company shall assume and agree to pay, perform and discharge in accordance with the respective terms thereof, each of the following (collectively, the “Assumed Liabilities”):

(a) (i) Those accounts payable and other current liabilities of Seller identified on the Financial Statements as of March 31, 2015, as identified on Schedule 3.3 , and (ii) such other substantially similar accounts payable and current liabilities incurred by Seller through the Closing Date in the ordinary course of business consistent with Seller’s past practice, in an aggregate amount not to exceed $100,000;

4


 

(b) Any accrued vacation, holiday and sick pay of the Transferred Employees;

(c) Any obligation or liability accruing, arising out of, or relating to the Company’s failure to maintain the records specified in Section 1.5(viii) or make such records available in accordance with applicable law;

(d) Any liability associated with converting any Patient Records delivered in digital copy for use by the Company; and

(e) Any obligation or liability accruing, arising out of, or relating to the ownership or operation of the Business or the Assets after the Closing Date.

3.4 Excluded Liabilities . Except as expressly provided to the contrary in Section 3.3 above, neither the Parent nor the Company shall assume, take responsibility for or be obligated to pay any liabilities, debts or other obligations of any kind (including under any employee benefit plan) of the Seller or its Affiliates or RRM (collectively, the “Excluded Liabilities”). Without limiting the foregoing, the Seller acknowledges that the Excluded Liabilities shall include the following:

(a) Any and all liability arising under any Third Party Payor Program, including without limitation, liability arising from false or fraudulent claims, overpayments, set-offs, recoupments, overbilling, civil money penalties, credit balances, inappropriate coding or inadequate documentation, provider agreement, or state survey agency report or action related to any time period prior to the Closing Date regardless of whether any such claims of liability arise prior to or after the Closing Date;

(b) Any liability or obligation arising out of any employee benefit plan maintained by or covering employees of Seller or to which Seller has made any contribution or to which Seller could be subject to any liability;

(c) Any losses, costs, expenses, damages, claims, demands and judgments of every kind and nature (including the defenses thereof and reasonable attorneys’ and other professional fees) related to, arising out of, or in connection with the parties’ waiver of compliance with any bulk sales act or any similar statute as enacted in any jurisdiction, domestic or foreign (if applicable);

(d) Any liability or obligation arising out of any breach by Seller or RRM prior to the Closing of any provision of any agreements of the Seller or any other contract to which Seller or RRM is a party;

(e) Any liability of Seller or RRM with respect to any claim or cause of action, regardless of when made or asserted, which arises (i) out of or in connection with the business and operations of Seller or RRM (including, without limitation, the Business) prior to the Closing, (ii) with respect to any goods or services provided by Seller prior to the Closing, including, without limitation, any liability or obligation (A) pursuant to any express or implied representation, warranty, agreement, or guarantee made by Seller or (B) imposed or asserted to be imposed by operation of law, in connection with any service performed or product designed, manufactured, sold, or leased by or on behalf of Seller prior to the Closing, including without limitation, any claim related to any product delivered in connection with the performance of such service and any claims seeking to recover for consequential damage, lost revenue, or income, including pursuant to any doctrine of product liability, or (iii) out of or in connection with the business and operations of Seller (including, without limitation, the Business) prior to the Closing under any federal, state, or local law, rule, or regulation;

(f) Any liability or obligation, arising prior to or as a result of the Closing, to any employee, agent, or independent contractor of Seller, whether or not employed by Company after the Closing, or under any benefit arrangement with respect thereto;

(g) Any liability of Seller or RRM existing at the Closing, including any liability related to any matter described in the Schedules to this Agreement;

(h) Any liability related to the Excluded Assets;

(i) Any liability or obligation for Taxes, withholdings, assessments, charges, fees, and impositions, including interest and penalties thereon or with respect thereto, whether disputed or not, related to the operation of the Business prior to the Closing or related to Seller’s other businesses prior to or after the Closing, including any liabilities or obligations of Seller or RRM relating to sales and use, transfer, documentary, income or other Taxes levied on the transfer of the rights and Assets pursuant to this Agreement; and

5


 

(j) All wages, commissions, and workers’ compensation obligations of Seller with respect to Seller’s employees, agents or independent contractors accrued through the Closing Date and all bonuses and fringe benefits as to such employees accrued through the Closing Date, and all severance pay obligations of Seller to employees resulting from Seller’s consummation of the transactions contemplated by this Agreement.

3.5 Allocation of Purchase Price and Assumed Liabilities . The parties agree that prior to the Closing Date they will agree upon the allocation of the Purchase Price (and all other capitalized costs) among the Assets in accordance with Section 1060 of the Code (and any similar provisions of state, local or foreign law, as appropriate) (“Tax Allocation”).  The Company and Seller and RRM shall report, act and file all Tax Returns (including, but not limited to IRS Form 8594) in all respects and for all purposes consistent with such Tax Allocation.  Seller shall timely and properly prepare, execute, file and deliver all such documents, forms and other information as the Company may reasonably request to prepare such Tax Allocation.  Neither the Company nor Seller nor RRM shall take any position (whether in audits, Tax Returns, or otherwise) that is inconsistent with such Tax Allocation, unless required to do so by applicable law.

3.6 Prorations and Utilities . To the extent not otherwise prorated pursuant to this Agreement, the Company and Seller (or RRM) shall prorate as of the Closing Date, any and all current real estate and personal property lease payments, charges against the Owned Real Property, power and utility charges and all other income and expenses that are normally prorated upon the sale of a going concern.

3.7 Tax Proration . The Company and Seller (or RRM) shall prorate as of the Closing Date any amounts with respect to (i) ad valorem Taxes on the Assets and (ii) property Taxes on the Assets, including Taxes on the Owned Real Property. Payments for ad valorem property Taxes shall initially be determined based on the previous year’s Taxes and shall later be adjusted to reflect the current year’s Taxes when the Tax bills are finally rendered.

ARTICLE IV

REPRESENTATIONS AND WARRANTIES OF THE SELLER

Except as disclosed in the Schedules, the Seller hereby represents and warrants to the Company and Parent as set forth in Sections 4.1 through 4.35 below.  For purposes of these representations and warranties (other than those in Section 4.2), the term “Seller” shall include any subsidiaries of Seller and any Affiliated Medical Professional Group, unless otherwise noted herein.

4.1 Entity Organization . Seller is a for-profit corporation duly organized, validly existing and in good standing under the laws of the State of Mississippi and has the full right, power and authority to own, lease and operate all of its properties and assets (including the Assets) and to carry out its business (including particularly the Business) as presently conducted.  Seller is duly qualified as a foreign corporation, and is in good standing, in each jurisdiction where the character of its properties or assets or the nature of its business makes such qualification necessary, except where failure to be so qualified or in good standing would not be material to Seller.  Except as set forth on Schedule 4.1 , Seller has no subsidiaries, and there are no corporations, joint ventures, partnerships or other entities or arrangements in which Seller directly or indirectly owns any capital stock or other equity interest that have any effect on the Centers or the Business or the rights of Seller to transfer the Assets.

4.2 Authority . The Seller has all requisite right, power and authority to execute, deliver and perform this Agreement and each other instrument, agreement or certificate contemplated by this Agreement to be executed by Seller in connection with the consummation of the transactions contemplated hereby. The execution, delivery and performance of this Agreement by Seller has been duly and validly authorized and approved by all necessary governing action. This Agreement has been duly and validly executed and delivered by Seller and constitutes the legal, valid and binding obligation of Seller, enforceable against Seller in accordance with its terms, except as may be limited by bankruptcy, insolvency or other laws affecting creditors’ rights generally or as may be modified by a court of equity in an action for specific performance.

4.3 Consents and Approvals; No Violations . Except as set forth on Schedule 4.3 , the execution, delivery and performance of this Agreement by Seller will not (with or without the giving of notice or the passage of time, or both) (i) violate any applicable provision of law or any rule or regulation of any federal, state or local administrative agency or governmental authority applicable to Seller, or any order, writ, injunction, judgment or decree of any court, administrative agency or governmental authority applicable to Seller, (ii) violate the organizational documents of Seller, (iii) require any material consent under or constitute a material default under any agreement (including any Contract), indenture, mortgage, deed of trust, lease, license, permit or other instrument to which Seller is a party or by which it or its properties or assets is bound, or any license, permit or certificate held by it, (iv) require any consent or approval by, notice to or registration with any Governmental Authority or (v) result in the creation of any lien, claim, encumbrance or charge upon any of the property or assets of Seller.

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4.4 Financial Statements . Schedule 4.4 contains complete and correct copies of the (i) audited financial statements of Seller with respect to the Business for the last fiscal year and unaudited financial statements of Seller with respect to the Business for its prior fiscal years and (ii) the unaudited balance sheet and the related statement of operations of Seller for the period January 1, 2015 to March 31, 2015 (collectively, the “Financial Statements”). Except as set forth on Schedule 4.4 , the Financial Statements have been prepared from and in accordance with the books and records of Seller and fairly present, in all material respects, the financial condition of Seller as of such dates and the results of operations and cash flows of Seller for the periods specified.  The Financial Statements do not reflect the operations of any entity or business not intended to constitute a part of the Business.

4.5 Indebtedness . Except as disclosed in Schedule 4.5 , there exists no indebtedness of Seller related to the Business or Assets that is not reported in the Financial Statements.

4.6 Taxes . Except as set forth in Schedule 4.6 , Seller has timely filed all returns, declarations, reports, information returns and statements required to be filed by it (as a member of an affiliated group or otherwise) in respect of any Taxes and all Taxes currently due and payable by Seller have been paid. Except as set forth in Schedule 4.6 , no written notice of any proposed tax deficiency, assessment or levy has been received by or with respect to Seller. Seller has duly withheld from each payment from which such withholding is required by law, the amount of all Taxes required to be withheld therefrom and has paid the same (to the extent due), or otherwise set aside, together with the employer’s share of the same, if any, to the proper tax receiving officers. There are, except for Permitted Encumbrances, no tax liens on any of the assets of Seller. Except as set forth in Schedule 4.6 , Seller has no liability for the Taxes of any Person as a transferee or successor, by contract or otherwise.

4.7 Real Properties .

(a) Schedule 4.7(a) contains a correct legal description, street address, and tax parcel identification number of all tracts, parcels and subdivided lots in which Seller has an ownership interest (the “Owned Real Property”). Seller owns good and marketable title to its respective estates in the Owned Real Property, free and clear of any Encumbrances of any kind, other than Permitted Encumbrances.  True and complete copies of (A) all deeds, existing title insurance policies and surveys of or pertaining to the Owned Real Property and (B) all instruments, agreements and other documents evidencing, creating or constituting any real estate encumbrance have been delivered to the Company. Seller warrants that, at the time of the Closing, the Owned Real Property shall be free and clear of all real estate encumbrances other than those identified on Schedule 4.7(a) as acceptable to the Company.

(b) Schedule 4.7(b) sets forth a true, complete and correct list (with addresses) of each leased or subleased premises used by Seller, whether or not pursuant to written or oral lease or sublease (the “Leased Real Properties”, together with the Owned Real Property, the “Seller Properties”). All leases relating to the Leased Real Properties were entered into in arm’s length transactions.  For each of the Leased Real Properties, (A) the Seller has a valid leasehold interest, free and clear of all Encumbrances, other than Permitted Encumbrances, (B) the Seller has the right to use (and have quiet enjoyment of) such Leased Real Properties for the purposes for which it is being used, (C) the Seller has not received any written notice of a dispute concerning the occupancy or use thereof, (D) each lease or sublease therefor is legal, valid and binding, in full force and effect, and enforceable against Seller and to the Knowledge of Seller, the other parties thereto, in accordance with its terms, subject to laws of general application relating to the rights of creditors generally and the availability of equitable remedies, and (E) neither the Seller nor, to the Knowledge of Seller, any other party to such lease or sublease is in material default thereunder (with or without notice or lapse of time, or both), nor has any material default been, to the Knowledge of Seller, threatened. Seller enjoys exclusive, peaceful and undisturbed possession of all Leased Real Properties in all material respects, in each case subject to the terms and conditions of the applicable lease.

(c) There are no oral or written leases or rights of occupancy or grants or claims of right, title or interest in any portion of the Owned Real Property other than the Permitted Encumbrances, and there are no Persons (other than the Seller) in possession of any portion of the Owned Real Property. To Seller’s Knowledge, the Seller’s operations on any Seller Properties, including improvements thereon, do not violate any applicable rule, regulations, law, statute or code, including, but not limited to, any building code zoning requirement, or classification, and such non-violation is not dependent, in any instance, on any non-conforming use exceptions or similar exceptions. There are no pending or, to Seller’s Knowledge, threatened legal proceedings or administrative actions of any kind or character regarding or relating to the Seller Properties or Seller’s interest therein. Seller has not received any written notice from any city, county, state, federal or other applicable Governmental Authority of any violation of any law, statute, ordinance, regulation or administrative or judicial order or holding with respect to or regarding the Seller Properties, which violation has not been satisfactorily corrected.  Subject to Purchaser’s Inspections, and to Seller’s Knowledge, the improvements and fixtures on all of the Seller Properties are adequate and suitable in all material respects for the purposes for which they are presently being used, and there are no defects in the structural elements of the improvements on the Seller Properties. There is no condemnation or proceeding pending or, to the Knowledge of the Seller, threatened against any of the Seller Properties or any improvement thereon. There are no mechanics’ or materialmen’s liens of record against the Seller Properties, nor are there any unsatisfied charges, debts, liabilities, claims or obligations incurred by or on behalf of Seller and relating to the Seller Properties that could give rise to any mechanics’, materialmen’s, constitutional, statutory or common law lien against the Seller Properties, or any part thereof.

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(d) Except as set forth on Schedule 4.7(d) , no Hazardous Substances have been generated, stored, released, treated or disposed of by Seller on, under, to, from or about the Seller Properties in violation of any law, rule, legal requirement or regulation applicable to the Seller Properties which regulates or controls matters relating to the environment or public health or safety (“Environmental Laws”). Seller has not received any written notice, demand or claim from (nor delivered any notice to) any federal, state, county, municipal or other governmental department, agency or authority, or any third party, nor is Seller aware of any circumstances that could give rise to any notice, demand or claim, concerning any Hazardous Substance release, discharge or seepage. As used in this Agreement, the term “Hazardous Substances” shall mean any substance or material which is regulated, listed, defined or deemed to be a waste, contaminant or pollutant, or substance or potentially harmful, hazardous or toxic to human health or safety or the environment pursuant to any Environmental Laws, including, but without limitation, petroleum, petroleum based product and any petroleum constituent. Except as set forth on Schedule 4.7(d) , there are no underground storage tanks located on the Seller Properties.

4.8 Assets; Title to Property . Except as set forth in Schedule 4.8 , with respect to Permitted Encumbrances or in the case of assets disposed of in the ordinary course of business, the Seller has good and marketable title (free and clear of all liens, claims or encumbrances of any kind) to all (i) personal property and assets (tangible and intangible) reflected as owned by it on Schedule 1.5 , or otherwise used in the conduct and operation of the Business; (ii) properties and assets acquired in the ordinary course of business and consistent with past practice and has such title free and clear of all Encumbrances of any nature whatsoever, except, in either instance, for leased property used in the Business, with respect to which the Seller has good and marketable title to the leasehold estate appertaining thereto; and (iii) all tangible personal properties (other than inventory) are in good operating condition and repair, subject to ordinary wear and tear, and are fit for the particular purpose for which they were acquired.  All of the rights and Assets being acquired by Company, whether owned or leased, are in the possession and control of Seller and are located at the premises currently used for the operation of the Business.

4.9 Absence of Changes . Except as set forth in Schedule 4.9 , since December 31, 2014, there has not been with respect or related to the Business or the Assets:

(a) any material and unrepaired damage or destruction, loss or other casualty, however arising and whether or not covered by insurance;

(b) any indebtedness incurred by Seller for borrowed money (except by endorsement for collection or for deposit of negotiable instruments received in the ordinary course of business and except for debts and liabilities incurred in the ordinary course of business consistent with prior practices), or any agreement to incur any such indebtedness other than intercompany indebtedness;

(c) any change in the accounting methods or practices of Seller or any change in depreciation or amortization policies or rates theretofore adopted;

(d) any amendment or termination, or any written notice of termination, of any contract, agreement, lease, franchise or license to which Seller is a party or by which it is bound;

(e) any liability or obligation incurred by Seller, except current liabilities for trade or business obligations incurred in the ordinary course of business consistent with past practice, or any cancellation or compromise by Seller of any debt or claim other than in the ordinary course of business consistent with past practice, or any waiver or release by Seller of any right of substantial value to the Business;

(f) except in the ordinary course of business and consistent with past practice, any grant or extension of any power-of-attorney or guaranty in respect of the obligation of any Person;

(g) except for Permitted Encumbrances and other than in the ordinary course of business, any mortgage, pledge or other encumbering of any of the Assets;

(h) any sale, transfer, lease, abandonment or other disposal of any material portion of the Assets (real, personal or mixed, tangible or intangible), except in the ordinary course of business consistent with past practice;

(i) any assignment, transfer, licensing, grant or other disposal of any Intellectual Property (as defined in Section 4.9 hereof);

(j) any grant by Seller of any general increase in the compensation of any of the employees of Seller who are deemed by Seller to be employed by or working directly in the Business; or any grant by Seller of any increase in compensation payable to or to become payable to any such employee; or any agreement by Seller entered into with any employee; except in the ordinary course of business and consistent with past practice;

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(k) with respect to the Business, any capital expenditure made, or any commitment to make any capital expenditure, for any tangible or intangible capital assets, additions or improvements, except capital expenditures in the ordinary course of business and capital expenditures that do not exceed $10,000 in any instance or $50,000 in the aggregate;

(l) any action taken or omitted to be taken that would result in the occurrence of any of the foregoing; or

(m) any sale or other transfer of any interest or rights in the Business.

4.10 Intellectual Property . Schedule 4.10 lists and indicates the ownership of all patents, patent applications, copyrights, trademarks, trade names, and service marks and all licenses to use the intellectual property of any Person  used by or in relation to the Business (collectively, the “Intellectual Property”).  Except as set forth in Schedule 4.10 , (i) no Person other than Seller has the right to use any of the Intellectual Property, Seller has all right, title and interest in and to all Intellectual Property, and the use by Seller of any of the Intellectual Property will not, to the Knowledge of Seller, cause conflict with the intellectual property rights of any third party, (ii) Seller has all licenses necessary to use the Intellectual Property of any Person, and each such license is assignable to the Company without the consent of any Person, and (iii) documentation for the continuance of registrations and applications for registration have been timely filed with the appropriate authorities for the patents, trademarks, trade names, service marks and copyrights as indicated in Schedule 4.10 .  Except as set forth in Schedule 4.10 , Seller has not received any written notice that (a) any operation or activity of Seller in connection with its ownership or operation of the Business infringes the intellectual property rights of third parties or requires payment to any third parties or otherwise infringes or interferes with any patent, trademark, trade name, service mark or copyright of any third party, (b) any of the Intellectual Property has been declared invalid by a judicial or administrative tribunal or is the subject of a pending or threatened  interference, opposition or cancellation proceeding or an action for declaration of invalidity, or is infringed by the activities of another, or (c) any third party has filed a patent, trademark or service mark, or copyright application for registration of any aspect of the Intellectual Property.

4.11 Leases and Contracts .

(a) Each contract to which Seller is a party (collectively, the “Contracts”), a list of which is set forth on Schedule 4.11 , is in full force and effect; and each is valid, binding and enforceable against Seller in accordance with its terms, except as limited by bankruptcy, reorganization, insolvency, moratorium or other similar laws presently or hereafter in effect affecting the enforcement of creditors’ rights generally.

(b) Except as set forth in Schedule 4.11 , no event or condition presently exists which constitutes a material default or breach, or, after notice or lapse of time or both, would constitute a material default or breach by Seller or, to the Knowledge of Seller, of any other party thereto, under any of the Contracts, and the Seller will not do any act or omit to do any act prior to Closing which would cause such a material default or breach.  Except as set forth in Schedule 4.11 , there are no claims or offsets asserted in writing under any of the Contracts, and the Seller has not received any written notice that any such Contract is to be terminated or not renewed.

(c) Except as described in Schedule 4.11 , there does not exist any security interest, lien, encumbrance or claim of others created or suffered to exist on any interest created under any of the Contracts.

(d) No purchase commitment by Seller is in excess of its ordinary business requirements.

(e) Except as set forth in Schedule 4.11 , none of the Contracts contains any provision, agreement or covenant not to compete limiting the ability of the Company to operate the Business without restriction after the Closing Date or that prohibits the assignment of such Contract which is an Asset to the Company.

4.12 Licenses and Permits . Seller has all local, state and federal licenses, including permits, registrations, certificates, consents, accreditations and approvals (collectively, the “Licenses and Permits”) necessary to conduct the Business in the manner currently conducted and/or to receive payments from any Third Party Payor Programs for furnishing addiction treatment services and is in material compliance with all requirements applicable to such Licenses and Permits. A list of all Licenses and Permits is set forth on Schedule 4.12 . Each of the Licenses and Permits is valid and in full effect. There is no material default by Seller under any of the Licenses and Permits, and no notices have been received by Seller with respect to threatened, pending, or possible revocation, termination, suspension or limitation of any such License or Permit, nor is Seller aware of any facts that may reasonably lead to such a revocation, termination, suspension or limitation. Except as set forth on Schedule 4.12 , all of the Licenses and Permits are assignable to the Company.

4.13 Insurance . Schedule 4.13 contains a complete and correct list of all policies of insurance presently maintained by Seller with respect to the Business, including, without limitation, errors and omissions coverage (setting forth the carrier, retrodate, whether

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a claims made or occurrence policy, deductible and limits).  All such policies are in full force and effect, all premiums due thereon have been paid, and no currently pending written notice of cancellation or termination has been received with respect to any such policy, and there is no default (which has not been cured) by Seller with respect to its obligations under any such policy.  Except as set forth in Schedule 4.13 , Seller has not received since January 1, 2012, any written notice or other written communication from any insurance company declining to write insurance with respect to the Business, or canceling or materially amending any of the insurance policies of Seller or proposing to do so.

4.14 Labor Matters . Except to the extent set forth in Schedule 4.14 , (a) there is no unfair labor practice charge, complaint or decision against Seller pending before or issued by the National Labor Relations Board or any other federal agency, authority or tribunal; (b) there is no labor strike, dispute, slowdown, lockout or stoppage pending or, to Seller’s Knowledge, threatened against or affecting Seller and Seller has not experienced any such labor controversy within the last five years; (c) Seller is not a party to any collective bargaining agreement or contract with any labor union and, to the Knowledge of Seller, no union representation question has been raised by the employees of Seller; (d) no grievance nor any arbitration proceeding arising out of or under any collective bargaining agreement is pending; (e) no event has occurred, and Seller will not take any action prior to the Closing, which would require notification after the date hereof to employees under the Worker Adjustment and Retraining Act of 1988 and the regulations promulgated thereunder or which would require notification under any collective bargaining agreement or law; (f) there is no other controversy pending between Seller and any of its employees, including, without limitation, claims arising under any local, state or federal labor and employment laws; (g) Seller has no obligation to continue the employment of any employee or the funding of any employee benefits who or which is the subject or beneficiary of any collective bargaining agreement in the event of termination of any contract for the provision of goods or services in the geographic area related to such collective bargaining agreement; (h) except as set forth in the Contracts, Seller is not a party to any written employment or consulting contract or agreement with any Person nor are any such contracts or agreements presently being negotiated; (i) to the Knowledge of Seller, there are no campaigns being conducted to solicit cards from any employees or election petitions pending with respect to Seller to authorize representation by any labor organization; (j) Seller is not a party to, or otherwise bound by, any consent decree with, or citation by, any government agency relating to employees or employment practices; (k) Seller has complied with all provisions of applicable laws or regulations pertaining to the employment of employees and access to facilities, including without limitation, relating to labor relations, equal employment, fair employment practices, entitlements, prohibited discrimination or other similar employment practices or acts, and (l) to Seller’s knowledge, other than the employees listed on Schedule 4.14 , no key employee intends to terminate employment with Seller or is otherwise likely to become unavailable to continue as a key employee, nor does Seller have a present intention to terminate the employment of any of the foregoing.

4.15 Employee Benefit Plans .

(a) Schedule 4.15 sets forth a true and complete list of each employee benefit plan within the meaning of Section 3(3) of ERISA and all other employee benefit plans, programs, policies, contracts or arrangements, whether or not subject to ERISA, for employees or former employees of Seller and any entity required to be aggregated with Seller pursuant to Section 414 of the Code (each, a “Commonly Controlled Entity”) as to which Seller is a party or obligated to contribute or has any actual or contingent liability (collectively, the “Employee Benefit Plans”).  Each Employee Benefit Plan has been maintained and operated in material compliance with all applicable laws and its terms.  Seller is not a party to an Employee Benefit Plan which is a defined benefit plan.

(b) Except as set forth in Schedule 4.15 , there is no matter relating to any Employee Benefit Plan of Seller which is pending before the Internal Revenue Service, United States Department of Labor or Pension Benefit Guaranty Corporation.

4.16 Seller Litigation . Except as set forth in Schedule 4.16 , there are no claims, demands, summons, hearings, subpoenas, inquiries, known investigations, mediation, actions, audits, suits, or proceedings of any nature, civil, criminal, regulatory, investigative or otherwise (collectively, “Legal Proceedings”), pending or, to the Knowledge of Seller, threatened, against Seller or the Business or with respect to any employee benefit plan, at law or in equity or before or by any Governmental Authority, nor any arbitration or mediation proceeding, in each case including, without limitation, any claims, investigations, audits or proceedings relating to environmental matters or Healthcare Laws.  Seller is not subject to any judgment, order, writ, injunction or decree of any court or governmental body with respect to or affecting, directly or indirectly, the Business.  To the Knowledge of Seller, there is no fact, circumstance, or claim which is reasonably likely to give rise to any Legal Proceeding.

4.17 Compliance with Laws . Except as set forth in Schedule 4.17 , Seller is not, and, to Seller’s Knowledge, none of Seller’s officers, directors, employee or agents are, in violation of, nor have received any written notice claiming a violation of, any Healthcare Laws, or any other law, ordinance, statute, rule or regulation applicable to the Business or any of the property or assets of Seller.

4.18 Transactional Effect . The sale of the Assets by Seller pursuant to this Agreement will not result in any liability of the Company or Seller and will not result in any lien upon or claim any of the Assets in favor of creditors of Seller.

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4.19 Sufficient Assets . Except as set forth in Schedule 4.19 , Seller (and not any other Affiliate of Seller) has all of the non-monetary assets, tangible or intangible, necessary for the operation and conduct of the Business as substantially now being conducted, and all of such assets (other than any leasehold interests in realty) constitute the Assets.

4.20 Operation of the Business . Except as set forth in Schedule 4.20 , the Business has been conducted only through Seller and not through any Affiliate of Seller.

4.21 Brokers and Finders . All negotiations relating to this Agreement and the transactions contemplated hereby have been carried on without the participation of any Person other than the parties hereto and their counsel, and no broker or finder will have any valid claim against the Company or Parent due to any actions of Seller for any brokerage or finder’s commission.

4.22 Governmental Program Participation . Seller is not enrolled with and does not submit claims to any Governmental Program.

4.23 No Sanction or Exclusion . Except as set forth in Schedule 4.23 , neither Seller nor, to Seller’s Knowledge, any employee or independent contractor of Seller (i) has been convicted of or charged with any violation of law related to any Third Party Payor Program or Governmental Programs; (ii) has been convicted of, charged with, or investigated for any violation of law related to fraud, theft, embezzlement, breach of fiduciary responsibility, financial misconduct, obstruction of an investigation, or controlled substances; or (iii) is excluded, suspended or debarred from participation, or is otherwise ineligible to participate, in any Third Party Payor Program or Governmental Programs, or has committed any violation of law which is reasonably expected to serve as the basis for any such exclusion, suspension, debarment or other ineligibility.

4.24 Corporate Integrity Agreements . Seller: (i) is not a party to a Corporate Integrity Agreement with the Office of Inspector General of the Department of Health and Human Services or a Deferred Prosecution Agreement with the United States Department of Justice, (ii) has no reporting obligations pursuant to any settlement agreement entered into with any Governmental Authority or other entity, (iii) has not been the subject of any Governmental Authority or other Third Party Payor Program investigation conducted by any federal, state or local enforcement agency, (iv) has not been a defendant in any qui tam/False Claims Act litigation, (v) has not been served with or received any search warrant, subpoena, civil investigative demand, or other written correspondence by or from any Governmental Authority, including any federal, state or local enforcement agency, regarding any actual or alleged violation of any Healthcare Laws, and (vi) to the Knowledge of Seller, Seller has not committed any offense, taken any action, or omitted to take any action, which may be the basis for any of the foregoing.

4.25 Compliance Program . Seller maintains a compliance program that is in material compliance with applicable laws and applicable compliance program guidance and the required elements to an effective compliance program issued by the United States Department of Health and Human Services Office of Inspector General for an entity of Seller’s size and nature.

4.26 Data Privacy .

(a) In connection with its collection, storage, transfer (including, without limitation, any transfer across national borders) and/or use of any personally identifiable information from any individuals, including, without limitation, any customers, prospective customers, employees and/or other third parties (collectively “Personal Information”), Seller is and has been in compliance with all applicable laws in all relevant jurisdictions, Seller’s privacy policies and the requirements of any contract or codes of conduct to which Seller is a party.  Seller has commercially reasonable physical, technical, organizational and administrative security measures and policies in place to protect all Personal Information collected by it or on its behalf from and against unauthorized access, use and/or disclosure.

(b) When acting as a Business Associate of a Covered Entity or Subcontractor of a Business Associate (such terms as defined by HIPAA), Seller has in effect agreements with each such Covered Entity and Business Associate that satisfy all of the requirements of HIPAA, such agreements permit Seller to operate its business as it is presently conducted, and Seller is not in breach of any such agreements. Seller has in effect with each entity acting as a Business Associate or Subcontractor (as defined in HIPAA) of Seller or any of its subsidiaries an agreement that satisfies all of the requirements of HIPAA and 42 CFR Part 2, and Seller is in compliance with all such agreements.  Seller has not received any complaint from any person or Governmental Authority regarding Seller’s or any of its agents, employees or contractors’ uses or disclosures of, or security practices or security incidents regarding, individually identifiable health-related information.  With regard to individually identifiable health information, there have not been any non-permitted uses or disclosures, security incidents, or breaches involving Seller or any of Seller’s agents, employees or contractors.

(c) Seller is and has been in compliance with all applicable laws relating to data loss, identity theft and breach notification, including, but not limited to, applicable laws related to reporting to individuals, customers, governmental or regulatory authorities, the media or credit reporting agencies.

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4.27 Physician Relationships . Schedule 4.27 lists all financial relationships (whether or not memorialized in writing) that Seller has or has had, directly or indirectly, with any individual known by Seller to be a physician or an immediate family member of a physician in connection with Seller, including without limitation all medical director agreements.  For purposes of this Section 4.27, the term “financial relationship” has the meaning set forth in 42 U.S.C. § 1395nn and the regulations promulgated thereunder.

4.28 Claims and Reports . Seller has timely filed all claims and reports required to be filed by Seller related to the Business prior to the date hereof with respect to Third Party Payor Programs, all fiscal intermediaries and/or carriers, and other insurance carriers, and all such claims or reports are complete and accurate in all material respects and have been prepared in material compliance with all applicable contractual requirements and laws governing reimbursement and payment claims, and the Seller has in its possession and control all records and documentation necessary or required to support all such claims and reports. True and complete copies (which may be delivered as digital copies) of all such reports and claims for the period beginning January 1, 2013, and ending on the date hereof, have been made available to Company. Seller has paid or caused to be paid all known and undisputed refunds, overpayments, discounts or adjustments which have become due pursuant to such reports and billings, has not claimed or received reimbursements from any Third Party Payor Program in excess of the amounts permitted by contract or applicable law, and, to the Knowledge of Seller, has no liability under any Third Party Payor Program for any refund, overpayment, discount or adjustment other than refunds, overpayments, discounts and adjustments that arise in  the ordinary course of business consistent with the historical experience of the Centers. Except as set forth in Schedule 4.28 , there are no pending appeals, overpayment determinations, adjustments challenges, audits, inquiries, litigation, or notices of intent to audit with respect to such prior reports and claims, and since January 1, 2010, neither Seller nor the Centers has been audited, surveyed or otherwise examined in connection with any Third Party Payor Program.  Except for reports that are not yet due, there are no reports required to be filed by Seller in order to be paid under any Third Party Payor Program for services rendered by the Centers.  Neither Seller nor any of its employees or contractors has presented or caused to be presented a claim for reimbursement to any third party payor that was (i) for an item or service that the claimant knew or should have known was not provided as claimed or (ii) for an item or service the claimant knew or should have known was not medically necessary.

4.29 Accounts Receivable . All outstanding Accounts Receivable as of the Closing will constitute a part of the Assets, represent and constitute bona fide indebtedness owing to Seller, arose and will arise from bona fide transactions in the ordinary course of business, and are current (except for normal claims and allowances which are consistent with past experience of the Seller), are not subject to any defenses, counterclaims or set-offs.  Seller has fully performed all obligations with respect to such accounts receivable that it was obligated to perform prior to the Closing Date.

4.30 Related Transactions . Except as set forth in Schedule 4.30 and except for compensation to employees of the Seller for services rendered, no director, officer, independent contractor or equity owner of Seller presently or during the last fiscal year: (A) is or has been a party to any material transaction with Seller or the Centers (including, but not limited to, any contract or other arrangement) providing for the furnishing of service by, or rental of real or personal property from, or otherwise requiring payments to, any such director, officer, independent contractor or equity owner other than in its capacity as a director, officer, independent contractor or equity owner; or (B) is or has been a direct or indirect owner of any interest in any person or entity which is a present competitor, supplier or customer of either Seller or the Centers, nor does any such person receive income from any source which should properly accrue to the Centers or Seller.

4.31 Third Party Payor Programs Schedule 4.31 contains a complete and correct list of all Third Party Payor Programs under which Seller, directly or indirectly, is presently receiving payments with respect or related to the Business. True and correct copies of all agreements, including current compensation terms or fee schedule amounts, between Seller and any such Third Party Payor Program have been made available to the Company. Seller has no Knowledge of any notice of any action to terminate, withdraw or suspend Seller’s participation in any Third Party Payor Program. No action is required by Seller in order to be paid under any Third Party Payor Program for goods or services furnished prior to the Closing Date.  There has been no decision by Seller not to renew any Third Party Payor Programs.

4.32 Patient List . Company and the Parent have been provided with a correct and complete list of all current patients receiving goods or services from Seller in the Centers, identifying thereon the current insurance coverage status and all other relevant insurance information of each patient.  Seller has no Knowledge that any current patient of the Centers intends to terminate or otherwise adversely modify his or her relationship with the Seller or the Centers.

4.33 Inventory . The inventory of the Seller related to the Business consists of medical supplies and office supplies, all of which is merchantable and fit for the purpose for which it was acquired or manufactured, and none of such inventory is obsolete, damaged or defective.

4.34 Providers . Each person (including, without limitation, each physician or other medical or nursing professional) employed or engaged by the Seller to provide services on behalf of Seller has obtained and maintains all necessary licensure, registration,

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accreditation and/or certification to provide such services in compliance with all applicable Healthcare Laws and the requirements of the Third Party Payor Programs, as applicable.  Seller has verified that all employees, independent contractors and other suppliers, including physicians, nurses, social workers and therapists providing clinical services on behalf of Seller, have valid and current licenses, permits and credentials, and Seller has conducted criminal background checks on all employees.

4.35 Disclaimer of Other Representations and Warranties. Except as expressly set forth in this Agreement, the certificate to be delivered by Seller and any other ancillary agreement contemplated by this Agreement, Seller makes no representation or warranty, express or implied, at law or in equity, in respect of Seller or the Business or any of its respective assets, liabilities or operations, including with respect to merchantability or fitness for any particular purpose, and any such other representations or warranties are hereby expressly disclaimed.  Each of the Parent and the Company acknowledges and agrees that Seller has not made and is not making any representations or warranties whatsoever regarding the subject matter of this Agreement, express or implied, except as provided in this Agreement, the certificate to be delivered by Seller and any other ancillary agreement contemplated by this Agreement, and that they are not relying and have not relied on any representations or warranties whatsoever regarding the subject matter of this Agreement, express or implied, except for the representations and warranties in this Agreement, the certificate to be delivered by Seller and any other ancillary agreement contemplated by this Agreement.

Except as disclosed in the Schedules, RRM hereby represents and warrants to the Company and Parent as set forth in Sections 4.36 through 4.42 below.

4.36 Entity Organization . RRM is a for-profit limited liability company duly organized, validly existing and in good standing under the laws of the State of Mississippi and has the full right, power and authority to own, lease and operate all of its properties and assets to carry out its business as presently conducted.  RRM is duly qualified as a foreign limited liability company, and is in good standing, in each jurisdiction where the character of its properties or assets or the nature of its business makes such qualification necessary, except where failure to be so qualified or in good standing would not be material to RRM.  Except as set forth on Schedule 4.1, RRM has no subsidiaries, and there are no corporations, joint ventures, partnerships or other entities or arrangements in which RRM directly or indirectly owns any capital stock or other equity interest that have any effect on the Centers or the Business or the rights of RRM to transfer the Assets.

4.37 Authority . RRM has all requisite right, power and authority to execute, deliver and perform this Agreement and each other instrument, agreement or certificate contemplated by this Agreement to be executed by RRM in connection with the consummation of the transactions contemplated hereby. The execution, delivery and performance of this Agreement by RRM has been duly and validly authorized and approved by all necessary governing action. This Agreement has been duly and validly executed and delivered by RRM and constitutes the legal, valid and binding obligation of RRM, enforceable against RRM in accordance with its terms, except as may be limited by bankruptcy, insolvency or other laws affecting creditors’ rights generally or as may be modified by a court of equity in an action for specific performance.

4.38 Consents and Approvals; No Violations . The execution, delivery and performance of this Agreement by RRM will not (with or without the giving of notice or the passage of time, or both) (i) violate any applicable provision of law or any rule or regulation of any federal, state or local administrative agency or governmental authority applicable to RRM, or any order, writ, injunction, judgment or decree of any court, administrative agency or governmental authority applicable to Seller, (ii) violate the organizational documents of RRM, (iii) require any consent under or constitute a default under any material agreement (including any Contract), indenture, mortgage, deed of trust, lease, license, permit or other instrument to which RRM is a party or by which it or its properties or assets is bound, or any license, permit or certificate held by it, (iv) require any consent or approval by, notice to or registration with any Governmental Authority or (v) result in the creation of any lien, claim, encumbrance or charge upon any of the property or assets of RRM.

4.39 Indebtedness . Except as set forth in Schedule 4.39 , there exists no indebtedness of RRM related to the Real Property.

4.40 Real Property .

(a) RRM owns good and marketable title to the Real Property, free and clear of any Encumbrances of any kind, other than Permitted Encumbrances.  True and complete copies of (A) all deeds, existing title insurance policies and surveys of or pertaining to the Real Property and (B) all instruments, agreements and other documents evidencing, creating or constituting any real estate encumbrance have been delivered to the Company. RRM warrants that, at the time of the Closing, the Real Property shall be free and clear of all real estate encumbrances other than those identified on Schedule 4.40 as acceptable to the Company.

(b) There are no Persons (other than Seller) in possession of any portion of the Real Property.  There are no pending or, to RRM’s Knowledge, threatened legal proceedings or administrative actions of any kind or character regarding or relating to the Real Property or RRM’s interest therein.  RRM has not received any written notice from any city, county, state, federal or other applicable

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Governmental Authority of any violation of any law, statute, ordinance, regulation or administrative or judicial order or holding with respect to or regarding the Real Property, which violation has not been satisfactorily corrected.  There is no condemnation or proceeding pending or, to the Knowledge of RRM, threatened against the Real Property or any improvement thereon.

(c) Except as set forth on Schedule 4.40(c) , no Hazardous Substances have been generated, stored, released, treated or disposed of by RRM on, under, to, from or about the Real Property in violation of any Environmental Laws.  RRM has not received any written notice, demand or claim from (nor delivered any notice to) any federal, state, county, municipal or other governmental department, agency or authority, or any third party, nor is RRM aware of any circumstances that could give rise to any notice, demand or claim, concerning any Hazardous Substance release, discharge or seepage.

4.41 Transactional Effect . The sale of the Real Property by RRM pursuant to this Agreement will not result in any liability of the Company and will not result in any lien upon or claim on the Real Property in favor of creditors of RRM.

4.42 Disclaimer of Other Representations and Warranties . Except as expressly set forth in Section 4.36 through Section 4.40 of this Agreement, RRM makes no representation or warranty, express or implied, at law or in equity, in respect of the Real Property or RRM or any of its respective assets, liabilities or operations, including with respect to merchantability or fitness for any particular purpose, and any such other representations or warranties are hereby expressly disclaimed.  Each of the Parent and the Company acknowledges and agrees that RRM has not made and is not making any representations or warranties whatsoever regarding the subject matter of this Agreement, express or implied, except as provided in Section 4.36 through Section 4.40 of this Agreement, and that they are not relying and have not relied on any representations or warranties whatsoever regarding the subject matter of this Agreement, express or implied, except for the representations and warranties in Section 4.36 through Section 4.40 of this Agreement.

ARTICLE V

REPRESENTATIONS AND WARRANTIES

OF THE COMPANY AND THE PARENT

Each of the Parent and the Company hereby represents and warrants to Seller as follows:

5.1 Entity Organization . Parent is a corporation duly incorporated, validly existing and in good standing under the laws of Nevada.  The Company is a limited liability company duly organized, validly existing and in good standing under the laws of Delaware.  Each of Parent and the Company has the full right, power and authority to own, lease and operate all of its properties and assets and to carry out its business as it is presently contemplated to be conducted.

5.2 Authority . Each of the Parent and the Company has all requisite right, power and authority to execute, deliver and perform this Agreement and all other agreements necessary to effectuate the provisions of this Agreement. The execution, delivery and performance of this Agreement by each of the Parent and the Company have been duly and validly authorized and approved by all necessary governing action. This Agreement has been duly and validly executed and delivered by each of the Parent and the Company and constitutes the legal, valid and binding obligation of each of the Parent and the Company enforceable against it in accordance with its terms, except as may be limited by bankruptcy, insolvency or other laws affecting creditors’ rights generally or as may be modified by a court of equity in an action for specific performance.

5.3 Consents and Approvals; No Violations . Except as set forth in Schedule 5.3 , the execution, delivery and performance of this Agreement by each of the Parent and the Company will not (with or without the giving of notice or the passage of time, or both), (i) violate any applicable provision of law or any rule or regulation of any federal, state or local administrative agency or governmental authority applicable to each of the Parent and the Company, or any order, writ, injunction, judgment or decree of any court, administrative agency or governmental authority applicable to each of the Parent and the Company, (ii) violate the organizational documents of each of the Parent and the Company, as applicable (iii) require any consent under or constitute a default under any agreement, indenture, mortgage, deed of trust, lease, license, permit or other instrument to which each of the Parent and the Company is a party or by which it or any of its properties or assets is bound, or any license, permit or certificate held by it, (iv) require any consent or approval by, notice to or registration with any governmental authority or (v) result in the creation of any lien, claim, encumbrance or charge upon any property or assets of each of the Parent and the Company.

5.4 Company and Parent Litigation . Neither the Parent nor the Company is engaged in, nor is there pending or, to the Parent’s or the Company’s Knowledge, threatened, any material action, dispute, claim, litigation, arbitration, investigation or other proceeding at law or in equity or before any governmental or other administrative agency against or involving the Parent or the Company or which could materially affect the Parent’s or the Company’s ability to perform any of its payment or other obligations hereunder or the transactions contemplated by this Agreement.

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5.5 Brokers and Finders . All negotiations relating to this Agreement and the transactions contemplated hereby have been carried on without the participation of any Person other than the parties hereto and their counsel, and no broker or finder will have any valid claim against the Seller due to any actions of Parent or the Company for any brokerage or finder’s commission.

ARTICLE VI

FURTHER COVENANTS AND AGREEMENTS

6.1 Covenants of the Seller Pending the Closing . The Seller covenants and agrees that, pending the Closing and prior to the termination of this Agreement, and except as otherwise agreed to in writing by Parent, the Seller shall:

(a) Conduct the Business solely in the ordinary course and consistent with the past practices of Seller;

(b) Pay accounts payable and other obligations of Seller or the Business when they become due and payable in the ordinary course of business consistent with the past practices of Seller;

(c) Promptly notify Parent (i) of any lawsuits, claims, administrative actions or other Legal Proceedings asserted, commenced or threatened against Seller or its employees, directors or officers, involving or affecting in any way, the Business or any of the assets of the Business and (ii) of any facts or circumstances which come to its attention and which cause, or through the passage of time may cause, any of the representations and warranties set forth in Article IV to be untrue, incomplete or misleading at any time from the date of this Agreement to the Closing;

(d) Continue to maintain and service the physical assets used by Seller in the conduct of the Business consistent with its past practices;

(e) Use its reasonable efforts to keep available the services of Seller’s present employees and agents working for or with respect to the Business and to maintain the relations and goodwill with the patients, clients and suppliers and any others having business relations with Seller in connection with the Business;

(f) Use its commercially reasonable efforts (i) to cause all of the conditions to the obligations of Parent and the Company under this Agreement to be satisfied on or prior to the Closing Date and (ii) to obtain, prior to the Closing, all consents of all third parties and governmental authorities set forth in Schedule 4.3 . All such consents will be in writing and executed counterparts thereof will be delivered to Parent and the Company at or prior to the Closing;

(g) Provide Parent’s officers, employees, counsel, accountants and other representatives with full access to, during normal business hours, all of the books and records of Seller related to the Business, make available to representatives of Parent knowledgeable employees of Seller for reasonable periods of time to answer inquiries of such representatives with respect to Parent’s investigation of the Business and permit such representatives of Parent to consult with the accountants and counsel of the Seller; provided that no such activities shall unreasonably interfere with the operation of the Business;

(h) At the Closing, provide Company and the Parent with a correct and complete list of all current patients receiving goods or services from the Seller in the Centers, identifying thereon the current insurance coverage status and all other relevant insurance information of each patient; and

(i) At all times prior to the Closing, promptly notify the Parent in writing of any fact, condition, event or occurrence that will or may result in the failure of any of the conditions contained in Article VIII to be satisfied, promptly upon becoming aware of the same.

6.2 Covenants of Parent and the Company Pending the Closing . The Parent and the Company covenant and agree that, pending the Closing and except as otherwise agreed to in writing by the Seller, each of the Parent and the Company shall use its commercially reasonable efforts to cause all of the conditions to the obligations of the Seller under this Agreement to be satisfied on or prior to the Closing Date and to obtain, prior to the Closing, all consents of all third parties and governmental authorities set forth on Schedule 5.3 . All such consents will be in writing and executed counterparts thereof will be delivered to the Seller at or prior to the Closing.

6.3 Filings . Promptly after the execution of this Agreement, each of the parties hereto shall prepare and make or cause to be made any required filings, submissions and notifications under the laws of any domestic or foreign jurisdictions, to the extent that such filings are necessary to consummate the transactions contemplated hereby and will use its reasonable efforts to take all other actions

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necessary to consummate the transactions contemplated hereby in a manner consistent with applicable law.  Each of the parties hereto will furnish to the other party (at such requesting party’s sole expense) such necessary information and reasonable assistance as such other party may reasonably request in connection with the foregoing.

6.4 Effective Time of Closing and Transfer . The Closing shall be effective for all purposes as of the close of business on the Closing Date.

6.5 Announcements . Except as expressly contemplated by this Agreement or as set forth in this Section 6.5, the parties will mutually agree as to the time, form and content before issuing any press releases or otherwise making any public statements or statements to third parties with respect to transactions contemplated hereby and shall not issue any press release or, except as necessary to perform their respective obligations hereunder, discuss the transactions contemplated hereby with any third party prior to reaching mutual agreement with respect thereto, except as may be required by law.

6.6 Costs and Expenses . Whether or not the transactions contemplated by this Agreement are consummated, each party hereto shall pay its own costs and expenses (including legal fees and expenses) incurred in connection with due diligence reviews, the preparation, negotiation and execution of this Agreement and all other agreements, certificates, instruments and documents delivered hereunder, and all other matters relating to the transactions contemplated hereby.

6.7 Further Assurances . Subject to the terms and conditions herein provided, each of the parties hereto agrees to use its reasonable efforts to take, or cause to be taken, all action, and to do, or cause to be done, all things necessary, proper or advisable under applicable laws and regulations to consummate and make effective the transactions contemplated by this Agreement.  If at any time after the Closing Date any further action is necessary or desirable to carry out the purposes of this Agreement, the parties shall take or cause to be taken all necessary action, including, without limitation, the execution and delivery of such further instruments and documents as may be reasonably requested by the other party for such purposes or otherwise to consummate and give effect to the transactions contemplated hereby.

6.8 Cooperation and Patient Records .

(a) Seller agrees to fully and promptly cooperate with the Company in the transition of the clinical operations of the Business, and to ensure that there is no interruption in patient service, billings and collections, licensure, credentialing or any other transitional matter.  Seller further agrees that as part of such transition, Seller will, at closing, transfer ownership of the Patient Records (to the extent transferable under applicable law) to a professional corporation to be managed by the Company, which is an affiliate of the Company, or to the Company or another subsidiary or affiliate of the Company, as designated by the Company.  Such professional corporation, the Company or another applicable affiliate or subsidiary of the Company, shall maintain the Patient Records and provide copies of the Patient Records to patients who are the subject of such patient records and their authorized representatives upon written request and receipt of appropriate documentation verifying the requesting individual’s identity or, if applicable, representative’s identity and authority, consistent with HIPAA.

(b) In the event the Seller is required to defend any action, suit or proceeding arising out of a claim pertaining to the Business which involves actions or events occurring prior to the Closing Date, the Company shall provide reasonable assistance and cooperation to the Seller, including witnesses and documentary or other evidence, as may reasonably be requested by the Seller in connection with its defense.  The Seller shall reimburse the Company for its reasonable out‑of‑pocket expenses (including attorneys’ fees and expenses) incurred in providing such assistance and cooperation.

(c) In the event the Company is required to defend against any action, suit or proceeding arising out of a claim pertaining to the Business which involves actions or events occurring after the Closing Date, the Seller shall provide reasonable assistance and cooperation to the Company, including witnesses and documentary or other evidence, as may reasonably be requested by the Company in connection with its defense. The Company shall reimburse the Seller for its reasonable out-of-pocket expenses (including attorneys’ fees and expenses) incurred in providing such assistance.

(d) Until the final adjudication or settlement of any dispute or investigation involving Taxes arising out the Business or the operations or affairs of Seller prior to the Closing Date, Seller shall retain all tax books and records of Seller relating to the Business or to the operations and affairs of Seller before the Closing Date, but in any event until final closing or remedy is reached with respect to any such tax year.

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6.9 [Section intentionally omitted.]

6.10 Certain Tax Matters . Seller shall be responsible for and shall indemnify and hold the Company and the Parent harmless from and against any liability for federal and state income or other tax liability attributable to the operation of the Business (including, without limitation, interest and penalties imposed thereon as well as reasonable legal, accounting and other expenses) sustained by the Company or the Parent (or any Affiliate thereof) to the extent that such liability relates to any tax period ending prior to or on the Closing Date.

6.11 Extraordinary Compensation . In the event that, as a result of the consummation of the transactions contemplated hereunder, any employee, officer or director of Seller shall be entitled to any severance, bonus or other extraordinary payment (including under any Employee Benefit Plan), such payment shall be made by Seller, and neither the Company nor Parent shall have any liability therefor.

6.12 Noncompetition; Nonsolicitation Covenant .

(a) In consideration of the transactions pursuant to this Agreement, the Seller and all Affiliates of Seller hereby agree that the Seller and any Affiliate of the Seller, for five (5) years following the Closing Date, will not in any manner, directly or indirectly, by itself or in conjunction with any other person, establish, perform services for or own any financial, beneficial or other interest in any entity that conducts activities that are competitive with those of the Business of the Company, in the geographic area within a fifty (50) mile radius of the Centers. For purposes of this Section 6.12(a), the term “Business of the Company” shall mean owning, managing, operating or leasing space to an addiction treatment center, unit or facility.

(b) Seller and each of Seller’s Affiliates shall not, for five (5) years following the Closing, directly or indirectly take any action that may (i) induce any patient or customer of the Centers or of Company or Company’s Affiliates (either individually or in the aggregate) to patronize any competing addiction treatment facility; (ii) request or advise any patient or customer of the Centers or of Company or Company’s Affiliates to withdraw, curtail or cancel such person’s business with the Centers or Company or Company’s Affiliates as applicable; (iii) solicit, induce or encourage any physician affiliated with Company or a Company Affiliate or other person affiliated or employed by Company or a Company Affiliate to curtail or terminate such person’s affiliation or employment; or (iv) disclose to any other person, firm or corporation the names or addresses of any customer or patient of the Business, either individually or collectively.

(c) Seller and each of Seller’s Affiliates shall not, for five (5) years following the Closing, directly or indirectly solicit or hire any employee, officer, director, independent contractor, consultant, advisor, or agent of the Company or any Company Affiliate to provide services related to the Business for any other Person, or solicit any employee, officer, director, independent contractor, consultant, advisor or agent to curtail or terminate his or her employment with the Company or any of the Company’s Affiliate.

(d) If a court of competent jurisdiction shall hold that the duration and/or scope (geographic or otherwise) of the covenants contained in this Section 6.12 are unreasonable, then, to the extent permitted by law, the court may prescribe a duration and/or scope (geographic or otherwise) that is reasonable and judicially enforceable. The parties agree to accept such determination, subject to their rights of appeal, which the parties hereto agree shall be substituted in place of any and every offensive part of this Section 6.12, and as so modified, this Section 6.12 shall be as fully enforceable as if set forth herein by the parties in the modified form.

6.13 Maintenance of Insurance . The Seller shall, at its expense, obtain prior acts liability insurance coverage for those liability policies that are claims made versus occurrence policies insuring the operation of the Centers prior to the Closing Date in such amounts as were listed on its policies of liability insurance immediately prior to the Closing Date. The Seller shall provide the Company and the Parent with written evidence of liability insurance coverage as requested.  The Company shall reimburse Seller for such prior acts coverage under the Seller’s existing policies in an amount not to exceed $75,000.  The occurrence liability policies shall be cancelled as of 5 p.m. on the Closing Date.

6.14 Seller Employees and Employee Benefit Plans .

(a) Transferred Employees . Prior to the Closing, the Parent shall make good faith offers of employment effective of the Closing to all employees of Seller. The term “Transferred Employees” shall mean the employees of Seller set forth on Schedule 6.14(a) who shall have accepted such offers of employment made by the Parent.

(b) Service Credit . From and after the Closing, the Parent shall cause all Transferred Employees to be granted credit for prior accrued paid time off and/or sick leave in such amounts set forth by the Transferred Employee on Schedule 6.14(b) .

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(c) Employment of Transferred Employees . The Parent hereby agrees to employ on the Closing Date all Transferred Employees in accordance with such terms and conditions as have been offered by the Parent; provided, however, that all “at-will” employees shall continue as such, and nothing in this Agreement shall limit the Parent’s right to terminate any Transferred Employee at any time or alter any terms or conditions of employment.

6.15 Change of Name . On the Closing Date or within three Business Days thereafter, Seller shall file with the Secretary of State of Mississippi (or other requisite authority) such documentation as shall be legally required or sufficient to abandon or relinquish all rights to the names “The Oxford Centre, Inc.” and shall immediately cease to use the name “Oxford Centre” or any other name using or incorporating the words “Oxford Centre”.

6.16 Engagement of BDO USA, LLP . In connection with the transactions contemplated by this Agreement, Seller agrees to engage BDO USA, LLP to conduct an audit of its financial operations in the ordinary course of business.  Notwithstanding the foregoing, the Company agrees that it will be responsible for any professional fees and expenses of BDO USA, LLP in excess of $50,000 pursuant to such engagement.

6.17 Current Evidence of Title . As soon as is reasonably possible, and in no event later than ten (10) Business Days after the date of this Agreement, RRM shall furnish to the Company, at RRM’s expense, for the Real Property from (the “Title Insurer”):

(i) title commitments issued by the Title Insurer to insure title to all land, improvements, insurable appurtenances, if any, in the amount of that portion of the Purchase Price allocated to the Real Property, as specified in Section 3.1, covering the Real Property, naming the Company as the proposed insured and having an effective date after the date of this Agreement, wherein the Title Insurer shall agree to issue an ALTA 2006 form owner’s policy of title insurance (each a “Title Commitment”); and

(ii) complete and legible copies of all recorded and unrecorded documents listed as matters to be terminated or satisfied in order to issue the policy described in the Title Commitment or as exceptions thereunder (the “Recorded Documents”); and

(a) Each Title Commitment shall include the Title Insurer’s requirements for issuing its title policy, which requirements shall be met by RRM on or before the Closing Date (including those requirements that must be met by releasing or satisfying monetary Encumbrances, but excluding Encumbrances that will remain after Closing and those requirements that are to be met solely by the Company).

(b) If any of the following shall occur (collectively, a “Title Objection”):

(i) any Title Commitment or other evidence of title or search of the appropriate real estate records discloses that any party other than RRM has title to the insured estate covered by the Title Commitment;

(ii) any title exception is disclosed in any Title Commitment that is not one of the Permitted Encumbrances or one that the Company objects to hereunder, including (A) any exceptions that pertain to Encumbrances securing any loans that do not constitute an assumed liability and (B) any exceptions that the Company reasonably believes could materially and adversely affect the Company’s use and enjoyment of the Real Property described therein; or

(iii) any Survey obtained at the Company’s expense discloses any matter that the Company reasonably believes could materially and adversely affect the Company’s use and enjoyment of the Real Property described therein;

then the Company shall notify RRM in writing (“Company’s Notice”) of such matters within ten (10) Business Days after receiving all of the Title Commitment, Survey, and copies of Recorded Documents for the Real Property.

In the event that the Title Insurer amends or updates a Title Commitment after the Company’s delivery of Company’s Notice to RRM (each, a “Title Commitment Update”), the Company shall furnish RRM with a written statement of Title Objections to any matter first raised in a Title Commitment Update within ten (10) days after its receipt of such Title Commitment Update.  After the date of this Agreement, RRM shall not execute any deed, easement, agreement, restriction, commitment, covenant or otherwise create, place, grant, convey, allow, modify, alter or change any matter or agreement affecting title of the Seller Properties, unless Seller obtains the prior written consent of the Purchaser. If any new title exceptions to the Title Commitments (“New Defects”) arise during the period between the date of this Agreement and the Closing Date, RRM shall immediately notify the Purchaser of such New Defects in writing and provide any and all documentation related thereto. Parent and/or the Company may notify RRM in writing of any objections to the New Defects within ten (10) days of receipt of notice of the New Defects and documentation relating thereto (“New Defects Objection”).

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(c) RRM shall use its best efforts to cure each Title Objection and New Defects Objection and take all steps required by the Title Insurer to eliminate each Title Objection and New Defects Objection as an exception to the Title Commitment. Any title exception, New Defect (so long as the Company has been notified of the same) or matters disclosed by the Survey not objected to by the Company in the manner aforesaid shall be deemed to be acceptable to the Company.  If RRM is unable to cure the Title Objection and so provides written notice to the Company within ten (10) days of receipt of the Company’s Notice, the Company shall have the right to either waive the Title Objection and proceed to Closing, or to terminate this Agreement.  In the event RRM does not provide written notice to the Company within ten (10) days of receipt of the Company’s Notice of those Title Objections that it is unable to cure, then RRM shall be deemed to have agreed to cure such Title Objections. All matters indicated on any title commitment obtained by RRM to which Parent and/or the Company does not object in writing shall be deemed “Permitted Encumbrances”.

(d) Nothing herein waives the Company’s right to claim a breach of Section 4.8 or to claim a right to indemnification as provided in Article XI if the Company suffers damages as a result of a misrepresentation with respect to the condition of title to the Real Property.

6.18 Professional Service Agreements . Prior to Closing, Seller shall use its reasonable best efforts to obtain and deliver to the Company a professional services agreement substantially in the form attached as Exhibit E hereto, duly executed by each physician currently providing services on behalf of Seller.

6.19 Bank Accounts . Seller covenants and agrees to provide the Company with online access to the bank accounts of Seller to assist in the transition of the Business.

ARTICLE VII

TERMINATION

7.1 Termination . This Agreement may be terminated at any time prior to the Closing:

(a) By mutual written agreement executed by the Seller and Parent;

(b) By the Seller or Parent at any time after the earlier of (i) November 2, 2015 or (ii) five (5) Business Days from the date all licenses and permits required to be issued to the Company in order to operate the Business are issued by any applicable Governmental Authority, if the Closing shall not have occurred and the party seeking termination has not materially breached or defaulted under this Agreement;

(c) By the Seller or Parent, if any governmental or regulatory authority, agency or commission, including courts of competent jurisdiction, domestic or foreign, shall have issued an order, decree, or ruling or taken other action, restraining, enjoining or otherwise prohibiting the transactions contemplated hereby and such order, decree, ruling or other action shall have become final and nonappealable;

(d) By the Parent, if there has been a material violation or breach by the Seller or RRM of any covenant, agreement, representation or warranty contained in this Agreement which (i) singularly or in the aggregate, shall or would reasonably be expected to result in a Material Adverse Change on the Business and which is not curable by the Seller or RRM prior to Closing or has rendered the satisfaction of any condition to the obligations of the Parent or the Company impossible and (ii) in any of such events, has not been waived in writing by Parent; or

(e) By the Seller, if there has been a material violation or breach by Parent or the Company of any covenant, agreement, representation or warranty contained in this Agreement which (i) is not curable by the Company or Parent prior to Closing or has rendered the satisfaction of any condition to the obligations of the Seller impossible and (ii) in either event, has not been waived in writing by the Seller.

7.2 Procedure and Effect of Termination . In the event of termination of this Agreement pursuant to Section 7.1, written notice shall forthwith be given to the other parties and this Agreement (other than Section 6.6 and as provided in paragraph (b) below) shall terminate and the transactions contemplated hereby shall be abandoned without further action by the parties.  If this Agreement is terminated as provided herein:

(a) Any termination pursuant to subparagraph (b), (d) or (e) of Section 7.1 shall not be deemed a waiver of any rights or remedies otherwise available under this Agreement, by operation of law or otherwise; and

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(b) All filings, applications and other submissions made pursuant to Section 6.3 or prior to the execution of this Agreement in contemplation thereof shall, to the extent practicable, be withdrawn from the agency or other Person to which made.

ARTICLE VIII

CONDITIONS TO COMPANY’S AND PARENT’S OBLIGATIONS

Each and every obligation of the Company and Parent to consummate the transactions described in this Agreement shall be subject to the fulfillment, on or before the Closing Date, of the following conditions precedent:

8.1 Seller’s and RRM’s Closing Deliveries . The Seller or RRM, as applicable, shall have delivered, or caused to be delivered, to the Company at the Closing each of the following (in each case duly executed by the persons or entities whose signatures are required thereon):

(a) a bill of sale substantially in the form attached as Exhibit C hereto, duly executed by a duly appointed officer of the Seller;

(b) an assignment and assumption agreement substantially in the form attached as Exhibit D hereto, duly executed by a duly appointed officer of the Seller;

(c) consents of all Persons whose consent or approval is set forth in Schedule 4.3 ;

(d) with respect to Seller, a certificate of good standing issued by the Secretary of State of Mississippi and each other jurisdiction in which the Seller is qualified to do business, each dated within two days prior to the Closing Date;

(e) the certificates referenced in Sections 8.2 and 8.3 hereof;

(f) resolutions adopted by the Board of Directors of Seller in form and substance satisfactory to Parent approving the execution, delivery and performance of this Agreement and the consummation of the transactions, certified by the Secretary of Seller;

(g) evidence reasonably acceptable to Parent of the payment of all outstanding indebtedness on the Assets;

(h) evidence reasonably acceptable to Parent of the release and termination of all Encumbrances on the Assets other than Permitted Encumbrances, including termination statements with respect to the UCC financing statements listed on Schedule 8.1(h) ;

(i) an employment agreement in a form to be mutually agreed to by Mr. Billy Young and Parent, duly executed by Mr. Young (the “Young Employment Agreement”);

(j) an employment agreement in a form to be mutually agreed to by Mr. Tom Fowlkes and Parent, duly executed by Mr. Fowlkes (the “Fowlkes Employment Agreement”);

(k) lease agreements providing for monthly rent of $2,500 each, in a form to be reasonably acceptable to the Company and Parent (the “Sober Living Lease Agreements”), pursuant to which Parent and its Affiliates have the right to occupy and use the two sober living houses currently used by Seller, each duly executed by RRM;

(l) a recordable warranty deed for the Real Property in a form to be mutually agreed to by RRM and the Company, duly executed by RRM; and,

(m) an assignment and assumption of leases in a form to be mutually agreed to by Seller and the Company for the three outpatient facilities currently used by Seller, each duly executed by Seller (the “Assignment and Assumption of Leases”).

8.2 Representations and Warranties True . The representations and warranties of the Seller and RRM contained in this Agreement shall have been complete and correct on the date hereof, and shall be complete and correct in all material respects on the Closing Date with the same effect as though such representations were made as of such date except for representations and warranties made as of a specified date, which shall be true and correct in all material respects as of such specified time or date, except that any such representation or warranty that by its terms is subject to a “materiality” or “Material Adverse Change” qualification shall be true and correct in all respects (as so qualified) as of the Closing Date or such specified date.  The Seller and RRM shall have delivered to the Parent and the Company on the Closing Date a certificate, dated the Closing Date, to such effect.

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8.3 Performance . The Seller and RRM shall have, in all material respects, performed and complied with all covenants required by this Agreement to be performed or complied with by it prior to or at the Closing, and the Seller and RRM shall have delivered to the Parent and the Company on the Closing Date a certificate, dated the Closing Date, to such effect.

8.4 No Injunction or Proceeding . No governmental or regulatory authority, agency or commission, including courts of competent jurisdiction, domestic or foreign, shall have issued an order, decree, or ruling or taken other action, restraining, enjoining or otherwise prohibiting the transactions contemplated hereby, which order, decree, ruling or other action remains in effect.

8.5 Consents and Approvals . All consents, approvals, notices and filings set forth in Schedule 4.3 shall have been obtained or made and all applicable waiting periods (including any extensions thereof) relating thereto shall have expired or otherwise terminated.

8.6 Title Insurance and Surveys . The Company shall have received unconditional and binding commitments to issue policies of title insurance consistent with Section 6.16, dated the Closing Date, in an aggregate amount equal to the amount of the Purchase Price allocated to the Real Property, deleting all requirements listed in ALTA Schedule B-1, amending the effective date to the date and time of recordation of the deed transferring title to the Real Property to the Company with no exception for the gap between closing and recordation, deleting or insuring over Title Objections as required pursuant to Section 6.16, attaching all endorsements required by the Company in order to ensure provision of all coverage required pursuant to Section 6.16 and otherwise in form satisfactory to the Company insuring the Company’s interest in each parcel of the Real Property or interest therein to the extent required by Section 6.16. The Company shall have received surveys on all of the Real Property satisfactory to it in its reasonable discretion.

8.7 Adjusted EBITDA Minimum . The minimum facility operations Adjusted EBITDA for the Seller shall be at least $5,000,000 for the trailing twelve months prior to Closing.

8.8 No Material Adverse Change . Since the date of this Agreement, there shall not have been any Material Adverse Change.

8.9 Certain Contingencies . Parent and the Company shall have obtained the following:

(a) the consents of all lenders of the Parent necessary to approve and effectuate the transactions contemplated by this Agreement; and

(b) the Company shall have applied for or obtained all licenses and governmental approvals necessary to operate the Centers following the Closing.

ARTICLE IX

CONDITIONS TO SELLER’S AND RRM’S OBLIGATIONS

Each and every obligation of the Seller and RRM to consummate the transactions described in this Agreement shall be subject to the fulfillment, on or before the Closing Date, of the following conditions precedent:

9.1 Delivery of Cash Consideration . The Company shall have delivered the Cash Consideration to the Seller and RRM.

9.2 Delivery of Closing Escrow Amount . The Company shall have delivered the Closing Escrow Amount to the Escrow Agent.

9.3 Company’s and Parent’s Closing Deliveries . The Parent and the Company shall deliver to the Seller at the Closing each of the following:

(a) the assignment and assumption agreement, duly executed by a duly appointed officer of the Company;

(b) consents of all Persons, if any, whose consent or approval is required to be set forth in Schedule 5.3 ;

(c) with respect to the Company, a certificate of good standing issued by the Secretary of State of Delaware, dated within two days prior to the Closing Date;

(d) with respect to the Parent, a certificate of good standing issued by the Secretary of State of Nevada, dated within two days prior to the Closing Date;

(e) the Young Employment Agreement, duly executed by an appointed officer of the Parent;

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(f) the Fowlkes Employment Agreement, duly executed by an appointed officer of the Parent;

(g) the Sober Living Lease Agreements, duly executed by an appointed officer of the Company;

(h) the Assignment and Assumption of Leases, duly executed by an appointed officer of the Company;

(i) certified copies of the resolutions of the Board of Directors of Parent and the Company authorizing the execution, delivery and performance of this Agreement and all related agreements and certificates and authorizing the performance of Parent’s and the Company’s obligations thereunder; and

(j) the certificates referenced in Sections 9.5 and 9.6 hereof.

9.4 Representations and Warranties True . The representations and warranties of the Company and the Parent contained in this Agreement shall have been complete and correct on the date hereof in all respects and shall be complete and correct on the Closing Date in all respects, with the same effect as though such representations were made as of such date except for representations and warranties made as of a specified date, and the Company and the Parent shall have delivered to the Seller on the Closing Date a certificate, dated as of the Closing Date, to such effect.

9.5 Performance . Each of the Parent and the Company shall have, in all respects, performed and complied with all covenants required by this Agreement to be performed or complied with by it prior to or at the Closing, and the Parent and the Company shall have delivered to the Seller on the Closing Date a certificate, dated as of the Closing Date, to such effect.

9.6 Consents and Approvals . All consents, approvals, notices and filings set forth in Schedule 5.3 shall have been obtained or made and all applicable waiting periods (including any extensions thereof) relating thereto shall have expired or otherwise terminated.

9.7 No Injunction or Proceeding . No governmental or regulatory authority, agency or commission, including courts of competent jurisdiction, domestic or foreign, shall have issued an order, decree, or ruling or taken other action, restraining, enjoining or otherwise prohibiting the transactions contemplated hereby, which order, decree, ruling or other action remains in effect.

ARTICLE X

INDEMNIFICATION

10.1 Company Claims .

(a) Subject to the limitations contained in this Article X, Seller shall indemnify and hold harmless the Company, Parent, their respective successors and assigns, and each of their affiliates, officers, directors, managers and employees (collectively the “Company Indemnitee”) against, and in respect of, any and all damages, fines, claims, deficiencies, losses, liabilities, and expenses (including out of pocket expenses, reasonable attorneys’ and accountants’ fees incurred in the investigation or defense of any of the same or in asserting any of their respective rights hereunder) (collectively, “Company Losses”) resulting after the Closing Date from (i) any failure by the Seller to fulfill any obligation set forth herein that it is required to perform after Closing, (ii) any breach (which shall be determined in accordance with the last sentence of Section 10.8 hereof) of any of the representations and warranties set forth in this Agreement, (iii) any Excluded Liabilities, (iv) any Excluded Assets, or (v) any actual or alleged violation by Seller prior to the Closing of any federal, state or local laws affecting or regulating the delivery, billing or payment for health care services, including, without limitation, 42 U.S.C. §1320a-7b, 42 U.S.C. §1395nn or 31 U.S.C. §3729-3733 (or other federal or state laws related to false claims) and the regulations promulgated under such laws, regardless of whether any such matter (A) represents a failure of any representation or warranty contained in this Agreement to be true and correct when made or deemed made or (B) represents a breach of any warranty, covenant or agreement of Seller contained in this Agreement; and (collectively items (i), (ii), (iii), (iv) and (v) are hereinafter referred to as the “Company Claims”).

(b) The indemnification obligations of the Seller pursuant to Section 10.1(a)(ii) shall expire and terminate on the date two years following the Closing Date, unless a Company Indemnitee shall have provided notice of a Company Claim to the Seller in accordance with Section 10.2.  If a Company Indemnitee provides such notice prior to the date two years following the Closing Date, the indemnification obligations under Section 10.1(a)(ii) shall continue as to the Company Claim identified in the notice(s) until the appropriate amount of indemnification, if any, is determined, paid and satisfied in full.

10.2 Assertion of Company Claims . Any Company Claim shall be asserted by written notice given by a Company Indemnitee to the indemnifying parties promptly after a Company Indemnitee has become aware of the Company Claim.  The notice shall state the

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amount or the estimated amount of the Company Claim to the extent then feasible, but the estimate shall not be conclusive of the final amount of such Company Claim.  With respect to any claim under Section 10.1 relating to a third party claim or demand, Company Indemnitee shall provide the Seller with prompt written notice thereof in accordance with Section 11.4 and the indemnifying Seller may defend, in good faith and at its expense, by legal counsel chosen by it and reasonably acceptable to Company Indemnitee, any such claim or demand, and Company Indemnitee, at its expense, shall have the right to participate in the defense of any such third party claim. So long as the Seller is defending in good faith any such third party claim, Company Indemnitee shall not settle or compromise such third party claim.  In any event, Company Indemnitee shall cooperate in the settlement or compromise of, or defense against, any such asserted claim. If the Seller elects or is deemed to have elected not to assume the defense of any Company Claim, the Company Indemnitee shall have the right to defend, compromise and settle the Company Claim subject to the prior consent of the Seller, which consent shall not be unreasonably withheld or unduly delayed. The Company Indemnitee shall or shall direct in writing its counsel to deliver to the Seller copies of all correspondence and matters relating to such Company Claim. If the Company Claim involves or could result in claims against, or potential liability of, the Seller the extent or nature of which were not known by the Seller as of the date the Seller elected or is deemed to have elected not to take over the defense of such claim or demand, the Seller shall, by written notice to the Company Indemnitee, be entitled to take over the defense of such claim or demand at the Seller’s expense.  With respect to any claim under Section 10.1 that does not relate to a third party claim or demand, the Company Indemnitee shall provide the Seller with prompt written notice thereof in accordance with Section 11.4.  If Seller notifies the Company Indemnitee that it does not dispute the claim described in such notice or fails to notify the Company Indemnitee within thirty (30) days after delivery of such notice by the Company Indemnitee whether Seller disputes the claim described in such notice, the Company Loss in the amount specified in the notice shall be conclusively deemed a liability of Seller and, subject to the Basket and the Cap, if applicable, an amount equal to such Company Loss shall be paid from the Escrow Amount by the Escrow Agent within ten (10) days of the date such amount is determined.  If Seller has timely disputed its liability with respect to such claim, Seller and the Company Indemnitee will proceed in good faith to negotiate a resolution of such dispute, and if not resolved through the negotiations of such parties within thirty (30) days after the delivery of such notice, such dispute shall be resolved in binding arbitration subject to Section 11.12.  Upon conclusive determination of Seller’s liability for such Company Losses pursuant to this Article X (whether such determination is made pursuant to the procedures set forth in this Section, by agreement between Seller and the Company Indemnitee, by final adjudication or otherwise) and subject to the Basket and the Cap, if applicable, an amount equal to such Company Losses shall be paid from the Escrow Amount by the Escrow Agent within ten (10) days of the date such amount is determined.

10.3 Seller Claims . Subject to the limitations contained in this Article X, the Company or the Parent, as applicable, shall indemnify and hold harmless the Seller and its successors and assigns and each of their officers, directors, managers and employees (collectively, the “Seller Indemnitee”) against, and in respect of, any and all damages, fines, claims, deficiencies, losses, liabilities, and expenses (including out-of-pocket expenses, reasonable attorneys’ and accountants’ fees incurred in the investigation or defense of any of the same or in asserting any of their respective rights hereunder) (collectively, “Seller Losses”) resulting after the Closing Date from: (a) any breach or violation by the Company or the Parent of any covenant set forth herein or any failure to fulfill any obligation set forth herein, (b) any breach of any of the representations and warranties made in this Agreement by the Company or the Parent, or (c) any Assumed Liabilities (collectively items (a), (b) and (c) are hereinafter referred to as the “Seller Claims”). The indemnification obligations of the Company and the Parent pursuant to item (b) of this Section 10.3 shall expire and terminate on the date two years following the Closing Date, unless the Seller shall have provided written notice of a claim to the Company or the Parent, as applicable, prior to or on such date.  If the Seller provides such notice prior to the date two years following the Closing Date, the indemnification obligations under item (b) of this Section 10.3 shall continue until the appropriate amount of indemnification, if any, is determined, paid and satisfied in full.

10.4 Assertion of Seller Claims . Any Seller Claim shall be asserted by written notice given by a Seller Indemnitee to the Company and the Parent promptly after the Seller Indemnitee has become aware of the Seller Claim.  The notice shall state the amount or the estimated amount of the Seller Claim to the extent then feasible, but the estimate shall not be conclusive of the final amount of such Seller Claim. With respect to any claim under Section 10.3 relating to a third party claim or demand, the Seller Indemnitee shall provide the Company and the Parent with prompt written notice thereof in accordance with Section 11.4 and the Company or the Parent may defend, in good faith and at its expense, by legal counsel chosen by it and reasonably acceptable to the Seller Indemnitee, any such claim or demand, and the Seller Indemnitee, at its expense, shall have the right to participate in the defense of any such third party claim.  So long as the Company or the Parent is defending in good faith any such third party claim, the Seller Indemnitee shall not settle or compromise such third party claim. In any event, the Seller Indemnitee shall cooperate in the settlement or compromise of, or defense against, any such asserted claim.  If the Company or the Parent elects or is deemed to have elected not to assume the defense of any Seller Claim, the Seller Indemnitee shall have the right to defend, compromise and settle the Seller Claim subject to the prior consent of the Company and the Parent, which consent shall not be unreasonably withheld or unduly delayed. The Seller Indemnitee shall or shall direct in writing its counsel to deliver to the Company and the Parent copies of all correspondence and matters relating to such Seller Claim.  If the Seller Claim involves or could result in claims against, or potential liability of, Company or the Parent the extent or nature of which were not known by Company or the Parent as of the date Company or the Parent elected or is deemed to have elected not to take over the defense of such claim or demand, Company or the Parent shall, by written notice to the Seller Indemnitee, be entitled to take over the defense of such claim or demand at Company’s or the Parent’s

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expense.  With respect to any claim under Section 10.3 that does not relate to a third party claim or demand, the Seller Indemnitee shall provide the Company and Parent with prompt written notice thereof in accordance with Section 11.4.  If the Company or Parent notifies the Seller Indemnitee that it does not dispute the claim described in such notice or fails to notify the Seller Indemnitee within thirty (30) days after delivery of such notice by the Seller Indemnitee whether the Company or Parent disputes the claim described in such notice, the Seller Loss in the amount specified in the notice shall be conclusively deemed a liability of the Company and Parent and, subject to the Basket and the Cap, if applicable, an amount equal to such Seller Loss shall be paid by the Company or Parent within ten (10) days of the date such amount is determined.  If the Company or Parent has timely disputed its liability with respect to such claim, the Company or Parent and the Seller Indemnitee will proceed in good faith to negotiate a resolution of such dispute, and if not resolved through the negotiations of such parties within thirty (30) days after the delivery of such notice, such dispute shall be resolved in binding arbitration subject to Section 11.12.  Upon conclusive determination of the Company’s or Parent’s liability for such Seller Losses pursuant to this Article X (whether such determination is made pursuant to the procedures set forth in this Section, by agreement between the Company or Parent and the Seller Indemnitee, by final adjudication or otherwise) and subject to the Basket and the Cap, if applicable, an amount equal to such Seller Losses shall be paid by the Company or Parent within ten (10) days of the date such amount is determined.

10.5 Limitations on Indemnification by Seller . Notwithstanding anything contained herein to the contrary, the obligations of the Seller to indemnify the Company Indemnitees pursuant to Section 10.1(a)(i) or Section 10.1(a)(ii), as the case may be, is subject to the following limitations and qualifications:

(a) The Seller will have no indemnification liability (i) under Section 10.1(a)(ii) until the total amount of Company Losses incurred by the Company Indemnitees with respect to such matters exceeds Three Hundred Thousand Dollars ($300,000.00) (the “Basket”), in which case the Seller shall only be obligated to indemnify the Company Indemnitees for the aggregate amount of all such Company Losses in excess of the Basket; and (ii) for any liability related to Accounts Receivable assumed by the Company until the total amount of Company Losses incurred by the Company Indemnitees with respect to such Accounts Receivable exceeds Twenty-Five Thousand Dollars ($25,000.00), in which case Seller shall only be obligated to indemnify the Company Indemnitees for the aggregate amount of all such Company Losses in excess of the $25,000.

(b) The maximum indemnification liability of the Seller under Section 10.1(a)(i) and Section 10.1(a)(ii) will be Three Million Dollars ($3,000,000.00) (the “Cap”).

(c) The limitations set forth in clauses (a) and (b) of this Section 10.5 shall not apply to breaches of Sections 4.1 (Entity Organization), 4.2 (Authority), 4.3 (Consents and Approvals; No Violations) and 4.22 (Brokers and Finders); provided , however , that in no event shall the maximum aggregate indemnification liability of Seller for any Company Claims pursuant to this Agreement exceed Thirty Million Dollars ($30,000,000.00) (the “Indemnification Cap”).

(d) Nothing contained herein (including Sections 10.5(a) and 10.5(b)) shall limit or restrict any Company Indemnitee’s right to maintain or recover any amounts in connection with any action or claim based upon fraud or fraudulent misrepresentation in connection with this Agreement, for which the cumulative obligations of Seller shall not exceed the Indemnification Cap less any other indemnification made by Seller pursuant to this Agreement.

(e) If the amount of any claim asserted by a Company Indemnitee at any time subsequent to the making of an indemnity payment is reduced by any recovery, settlement or otherwise under or pursuant to any insurance coverage, or pursuant to any claim, recovery, settlement or payment by or against any other Person, the net amount of such reduction, less any cost incurred by such Company Indemnitee due to such insurance or third-party recovery (including any cost that may result from retrospective premium adjustments, experience-based premium adjustments and indemnification obligations), shall promptly be paid by the Company Indemnitee to Seller (and the Company Indemnitee hereby releases Seller of any claim in respect of which the Company Indemnitee is entitled to insurance coverage to the extent of the Company Indemnitee’s receipt of such insurance funds).

10.6 Limitations on Indemnification by Parent and the Company . Notwithstanding anything contained herein to the contrary, the obligation of Parent and the Company to indemnify the Seller Indemnitees pursuant to Section 10.3 is subject to the following limitations and qualifications:

(a) Parent and the Company will have no indemnification liability under Section 10.3(b) until the total amount of Seller Losses incurred by the Seller Indemnitees with respect to such matters exceeds the Basket, in which case Parent and the Company shall only be obligated to indemnify the Seller Indemnitees for the aggregate amount of all such Seller Losses in excess of the Basket.

(b) The maximum indemnification liability of Parent and the Company under Section 10.3(a) and Section 10.3(b) will be the Cap.

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(c) The limitations set forth in clauses (a) and (b) of this Section 10.6 shall not apply to breaches of Sections 5.1 (Entity Organization), 5.2 (Authority), 5.3 (Consents and Approvals; No Violations), and 5.5 (Brokers and Finders).

(d) Nothing contained herein (including Sections 10.6(a) and 10.6(b)) shall limit or restrict any Seller Indemnitee’s right to maintain or recover any amounts in connection with any action or claim based upon fraud or fraudulent misrepresentation in connection with this Agreement, for which the cumulative obligations of Parent and the Company shall not exceed the Indemnification Cap less any other indemnification made by Parent and the Company pursuant to this Agreement.

10.7 Other Rights and Remedies . Except as otherwise set forth in this Agreement including, without limitation, with respect to the restrictive covenants set forth in Section 6.13, the rights and remedies of the parties under this Article X shall be the sole and exclusive rights and remedies for any misrepresentation or breach of warranty hereunder or in connection with the transactions contemplated or consummated hereunder.  In the event of a termination of this Agreement pursuant to Article VII, the remedies available to the parties hereto shall be as set forth therein.

10.8 Survival of Representations and Warranties . Subject to the limitations set forth in Sections 10.1(b) and 10.3, the representations and warranties contained in this Agreement shall survive the execution and delivery of this Agreement and the completion of the transactions contemplated herein.

10.9 Manner of Payment . Any indemnification payment to the Company Indemnitees pursuant to this Article X shall be made pursuant to the terms of the Escrow Agreement by the indemnifying party. Any indemnification payable under this Article X shall be, to the extent permitted by law, an adjustment to the Purchase Price.  All interest earned on the Escrow Amount, if any, shall be distributed to Seller on December 31 of each year.

ARTICLE XI

MISCELLANEOUS

11.1 Entire Understanding, Waiver, Etc . This Agreement (including the Schedules and each of the exhibits hereto) and the other documents delivered or to be delivered in connection with this Agreement set forth the entire understanding of the parties and supersedes any and all prior or contemporaneous agreements, arrangements, understandings, representations and warranties relating to the subject matter hereof, and the provisions hereof may not be changed, modified, waived or altered except by an agreement in writing signed by the party entitled to the benefit of the provision(s) to be waived.  A waiver by any party of any of the terms or conditions of this Agreement, or of any breach, shall not be deemed a waiver of such term or condition for the future, or of any other term or condition, or of any subsequent breach.

11.2 Severability . If any provision of this Agreement or the application of such provision shall be held by a court of competent jurisdiction to be invalid or unenforceable, the remaining provisions of this Agreement shall remain in full force and effect.  Any provision of this Agreement held invalid or unenforceable only in part or degree will remain in full force and effect to the extent not held invalid or unenforceable.

11.3 Captions . The captions herein are for convenience only and shall not be considered a part of this Agreement for any purpose, including, without limitation, the constructions or interpretation of any provision hereof.

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11.4 Notices . All notices, consents, waivers, requests, demands and other communications (collectively, “Notices”) that are required or may be given under this Agreement shall be in writing.  All Notices shall be deemed to have been duly given or made: if by hand, immediately upon delivery; if by telecopier or similar device, immediately upon sending, provided notice is sent on a Business Day during the hours of 9:00 a.m. and 4:00 p.m. Central Time, but if not, then immediately upon the beginning of the first Business Day after being sent; if by reputable overnight delivery service, one day after being placed in the exclusive custody and control of said courier; and if mailed by certified mail, return receipt requested, five (5) Business Days after mailing.  Notwithstanding the foregoing, with respect to any Notice given or made by telecopier or similar device, such Notice shall not be effective unless and until (i) the telecopier or similar advice being used prints a written confirmation of the successful completion of such communication by the party sending the Notice, and (ii) a copy of such Notice is deposited in first class mail to the appropriate address for the party to whom the Notice is sent.  In addition, notwithstanding the foregoing, a notice of a change of address shall not be effective until received by other party.  All notices are to be given or made to the parties at the following addresses (or to such other address as either party may designate by notice in accordance with the provisions of this Section):

(a) If to Seller or RRM at:

The Oxford Centre, Inc.

Post Office Box 1955

Oxford, Mississippi 38635

Attention: Billy Young, President and CEO

Facsimile: (662) 234-8531

Email: byoung@theoxfordcentre.org

with a copy to:

Conrad C. Pitts

Pitts, Sutherland, & Eckl, P.C.

401 E. Tuscaloosa St.

Florence, AL  35630

E-mail: cpitts@pselaw.net

(b) If to Company or Parent at:

American Addiction Centers, Inc.

115 East Park Drive, Second Floor

Brentwood, Tennessee 37027

Attn:  General Counsel and Secretary; Chief Operating Officer

E-mail: ksphillips@contactaac.com; chenderson-grice@contactaac.com

with a copy to:

Bass, Berry & Sims PLC

150 Third Avenue South, Suite 2800

Nashville, Tennessee 37201

Attn:  Laura R. Brothers, Esq.

E-mail: lbrothers@bassberry.com

11.5 Successors and Assigns . Neither this Agreement nor any of the rights or obligations arising hereunder shall be assignable without the prior written consent of the parties.

11.6 Parties in Interest . This Agreement shall be binding upon and shall inure to the benefit of the parties and their respective successors and permitted assigns.  Nothing in this Agreement, express or implied, shall confer upon any Person, other than the parties, and their successors and permitted assigns, any rights or remedies under or by reason of this Agreement.

11.7 Counterparts . This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which, together, shall constitute one and the same instrument.

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11.8 Construction of Terms . Any reference to the masculine or neuter shall include the masculine, the feminine and the neuter, and any reference to the singular or plural shall include the opposite thereof.  The parties acknowledge that each party and its counsel have participated in the drafting of this Agreement and agree that this Agreement shall not be interpreted against one party or the other based upon who drafted it.

11.9 Schedules . Information disclosed in a particular Section of the Schedules shall be deemed to be disclosed in other Sections of the Schedules only to the extent such disclosure sets forth facts in sufficient detail so that the relevance of the disclosure to such other Section would be readily apparent on its face.  The Schedules are incorporated herein by reference and made a part hereof.

11.10 Governing Law . This Agreement shall be governed by the laws of the State of Delaware without regard to any conflicts of laws principles that would require the application of any other law.

11.11 Waiver of Jury Trial . THE PARTIES HEREBY WAIVE ANY RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR IN ANY WAY PERTAINING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY, WHETHER NOW OR HEREAFTER ARISING, AND WHETHER SOUNDING IN CONTRACT, TORT, OR OTHERWISE. ANY PARTY MAY FILE A COPY OF THIS SECTION 11.11 WITH ANY COURT AS WRITTEN EVIDENCE OF THE KNOWING, VOLUNTARY AND BARGAINED AGREEMENT BETWEEN THE PARTIES TO IRREVOCABLY WAIVE TRIAL BY JURY, AND THAT ANY LEGAL PROCEEDING WHATSOEVER BETWEEN THE PARTIES RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY WILL INSTEAD BE TRIED IN A COURT OF COMPETENT JURISDICTION BY A JUDGE SITTING WITHOUT A TRIAL.

11.12 Arbitration . Except as otherwise provided in this Agreement, any unresolved controversy or claim arising out of or relating to this Agreement shall be submitted to arbitration by one arbitrator mutually agreed upon by the parties, and if no agreement can be reached within thirty (30) days after names of potential arbitrators have been proposed by the American Arbitration Association (the “AAA”), then by one arbitrator having reasonable experience in corporate acquisition transactions of the type provided for in this Agreement and who is chosen by the AAA. The arbitration shall take place in Memphis, Tennessee, in accordance with the AAA rules then in effect, and judgment upon any award rendered in such arbitration will be binding and may be entered in any court having jurisdiction thereof. There shall be limited discovery prior to the arbitration hearing as follows: (a) exchange of witness lists and copies of documentary evidence and documents relating to or arising out of the issues to be arbitrated, (b) depositions of all party witnesses, and (c) such other depositions as may be allowed by the arbitrator upon a showing of good cause. Depositions shall be conducted in accordance with the Delaware Rules of Civil Procedure, the arbitrator shall be required to provide in writing to the parties the basis for the award or order of such arbitrator, and a court reporter shall record all hearings, with such record constituting the official transcript of such proceedings. The prevailing party shall be entitled to reasonable attorney’s fees, costs, and necessary disbursements in addition to any other relief to which such party may be entitled.

{Signature Pages to Follow}

 

 

 

27


 

I N WITNESS WHEREOF, the parties have duly executed this Agreement on the day and year first above written.

 

 

SELLER:

 

 

 

THE OXFORD CENTRE, INC.

 

 

 

By:

/s/ Billy Young

 

Name:

Billy Young

 

Title:

President and CEO

 

 

 

 

 

 

 

RIVER ROAD MANAGEMENT, LLC

 

 

 

By:

/s/ Billy Young

 

Name:

Billy Young

 

Title:

Member

28


 

 

 

PARENT:

 

 

 

AMERICAN ADDICTION CENTERS, INC.

 

 

 

By:

/s/ Michael T. Cartwright

 

Name:

Michael T. Cartwright

 

Title:

Chairman and Chief Executive Officer

 

 

 

 

 

COMPANY:

 

 

 

OXFORD TREATMENT CENTER, LLC

 

 

 

By:

/s/ Michael T. Cartwright

 

Name:

Michael T. Cartwright

 

Title:

Chairman

 

29

Exhibit 31.1

 

 

CERTIFICATION PURSUANT TO SECTION 302 OF SARBANES-OXLEY ACT OF 2002

 

I, Michael T. Cartwright, certify that:

 

 

1.

I have reviewed this Quarterly Report on Form 10-Q of AAC Holdings, Inc.;

 

 

2.

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

 

 

3.

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

 

 

4.

The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

 

 

a)

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

 

 

 

 

b)

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

 

 

c)

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

 

 

5.

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

 

 

a)

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

b)

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

 

 

 

 

 

 

 

Dated:

August 3, 2015

By:

/s/ Michael T. Cartwright

 

 

 

 

Michael T. Cartwright

 

 

 

 

Chief Executive Officer and Chairman

 

 

Exhibit 31.2

 

CERTIFICATION PURSUANT TO SECTION 302 OF SARBANES-OXLEY ACT OF 2002

 

I, Kirk R. Manz, certify that:

 

 

1.

I have reviewed this Quarterly Report on Form 10-Q of AAC Holdings, Inc.;

 

 

2.

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

 

 

3.

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

 

 

4.

The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

 

 

a)

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

 

 

b)

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

 

 

c)

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

 

 

5.

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

 

 

a)

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

b)

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

 

 

 

 

 

 

 

Dated:

August 3, 2015

By:

/s/ Kirk R. Manz

 

 

 

 

Kirk R. Manz

 

 

 

 

Chief Financial Officer

 

 

Exhibit 32.1

 

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of AAC Holdings, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2015 , as filed with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

 

(1)

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Dated:

August 3, 2015

By:

/s/ Michael T. Cartwright

 

 

 

 

Michael T. Cartwright

 

 

 

 

Chief Executive Officer and Chairman

 

 

 

 

 

 

 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

 

 

Exhibit 32.2

 

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of AAC Holdings, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2015 , as filed with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned hereby certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

 

(1)

The Report fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934; and

(2)

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Dated:

August 3, 2015

By:

/s/ Kirk R. Manz

 

 

 

 

Kirk R. Manz

 

 

 

 

Chief Financial Officer

 

 

 

 

 

 

 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.