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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
[X] QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2001
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
Commission File Number 0-26762
PEDIATRIX MEDICAL GROUP, INC.
(Exact name of registrant as specified in its charter)
Florida 65-0271219
(State or other jurisdiction (I.R.S. Employer Identification No.)
of incorporation or organization)
1301 Concord Terrace
Sunrise, Florida 33323
(Address of principal executive offices)
(Zip Code)
(954) 384-0175
(Registrant's telephone number, including area code)
Not Applicable
(Former name, former address and fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or 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 [ ]
At August 7, 2001, the Registrant had 23,640,542 shares of $0.01 par value
common stock outstanding.
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PEDIATRIX MEDICAL GROUP, INC.
INDEX
Page
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PART I - FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
Condensed Consolidated Balance Sheets as of June 30, 2001 (Unaudited)
and December 31, 2000.........................................................................................3
Condensed Consolidated Statements of Operations for the Three and Six Months Ended
June 30, 2001 and 2000 (Unaudited)............................................................................4
Condensed Consolidated Statement of Shareholders' Equity as of
June 30, 2001 (Unaudited).....................................................................................5
Condensed Consolidated Statements of Cash Flows for the Six Months Ended
June 30, 2001 and 2000 (Unaudited)............................................................................6
Notes to Condensed Consolidated Financial Statements............................................................7
ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS....................................................11
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.......................................15
PART II - OTHER INFORMATION....................................................................................16
ITEM 1. LEGAL PROCEEDINGS................................................................................16
ITEM 2. CHANGES IN SECURITIES............................................................................17
ITEM 3. DEFAULTS UPON SENIOR SECURITIES..................................................................17
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY-HOLDERS..............................................17
ITEM 5. OTHER INFORMATION................................................................................19
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K.................................................................19
SIGNATURES.....................................................................................................20
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PART I - FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
PEDIATRIX MEDICAL GROUP, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
June 30, 2001 December 31,
(Unaudited) 2000
-------------- ------------
(in thousands)
ASSETS
Current assets:
Cash and cash equivalents ..................... $ 4,440 $ 3,075
Accounts receivable, net ...................... 71,356 69,133
Prepaid expenses .............................. 1,457 831
Other current assets .......................... 1,412 836
-------- --------
Total current assets ...................... 78,665 73,875
Property and equipment, net ........................ 13,738 9,629
Goodwill and other assets, net ..................... 454,513 241,230
-------- --------
Total assets .............................. $546,916 $324,734
======== ========
LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
Line of credit ................................ $ 41,500 $ 23,500
Current portion of capital lease obligations .. 227 --
Accounts payable and accrued expenses ......... 45,034 29,878
Income taxes payable .......................... 4,122 3,266
Deferred income taxes ......................... 379 15,123
-------- --------
Total current liabilities ................. 91,262 71,767
Long-term debt ..................................... 12,792 --
Deferred income taxes .............................. 9,433 7,197
Capital lease obligations .......................... 424 --
Deferred compensation .............................. 3,683 3,870
-------- --------
Total liabilities ..................... 117,594 82,834
-------- --------
Commitments and contingencies
Shareholders' equity:
Preferred stock ............................... -- --
Common stock .................................. 236 159
Additional paid-in capital .................... 312,924 135,540
Retained earnings ............................. 116,162 106,201
-------- --------
Total shareholders' equity ................ 429,322 241,900
-------- --------
Total liabilities and shareholders' equity $546,916 $324,734
======== ========
The accompanying notes are an integral part of
these condensed consolidated financial statements.
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PEDIATRIX MEDICAL GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
Three Months Ended Six Months Ended
June 30, June 30,
--------------------------- ---------------------------
2001 2000 2001 2000
--------- --------- --------- ---------
(in thousands, except for per share data)
Net patient service revenue ................ $ 83,137 $ 55,178 $ 147,056 $ 114,587
Operating expenses:
Salaries and benefits ................... 56,746 44,238 103,226 87,541
Supplies & other operating expenses ..... 8,819 6,677 15,676 12,398
Depreciation and amortization ........... 5,103 3,435 8,681 6,771
--------- --------- --------- ---------
Total operating expenses .......... 70,668 54,350 127,583 106,710
--------- --------- --------- ---------
Income from operations ............ 12,469 828 19,473 7,877
Investment income .......................... 73 74 146 154
Interest expense ........................... (788) (1,015) (1,313) (2,002)
--------- --------- --------- ---------
Income (loss) before income taxes ..... 11,754 (113) 18,306 6,029
Income tax provision ....................... 5,397 178 8,345 2,942
--------- --------- --------- ---------
Net income (loss) ..................... $ 6,357 $ (291) $ 9,961 $ 3,087
========= ========= ========= =========
Per share data:
Net income (loss) per common and common
equivalent share:
Basic ............................. $ .32 $ (.02) $ .56 $ .20
========= ========= ========= =========
Diluted ........................... $ .30 $ (.02) $ .53 $ .20
========= ========= ========= =========
Weighted average shares used in
computing net income (loss) per
common and common equivalent share:
Basic ............................. 19,925 15,778 17,921 15,702
========= ========= ========= =========
Diluted ........................... 21,292 15,778 19,010 15,806
========= ========= ========= =========
The accompanying notes are an integral part of
these condensed consolidated financial statements.
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PEDIATRIX MEDICAL GROUP, INC.
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY
(UNAUDITED)
COMMON STOCK
-------------------- ADDITIONAL TOTAL
NUMBER OF PAID IN RETAINED SHAREHOLDERS'
SHARES AMOUNT CAPITAL EARNINGS EQUITY
--------- ------ ---------- -------- -------------
(in thousands)
Balance at December 31, 2000........ 15,878 $159 $135,540 $106,201 $241,900
Net income.......................... -- -- -- 9,961 9,961
Common stock issued in connection
with the Merger................... 7,293 73 152,417 -- 152,490
Fair value of stock options assumed
in the Merger..................... -- -- 18,932 -- 18,932
Common stock issued under employee
stock option and stock purchase
plans............................. 376 4 3,259 -- 3,263
Tax benefit related to employee
stock options and stock purchase
plans............................. -- -- 2,776 -- 2,776
--------- ------ ---------- -------- -------------
Balance at June 30, 2001............ 23,547 $236 $312,924 $116,162 $429,322
========= ====== ========== ======== =============
The accompanying notes are an integral part of these
condensed consolidated financial statements.
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PEDIATRIX MEDICAL GROUP, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
Six Months Ended
June 30,
---------------------------
2001 2000
-------- --------
(in thousands)
Cash flows from operating activities:
Net income ......................................................... $ 9,961 $ 3,087
Adjustments to reconcile net income to net cash provided by
operating activities:
Depreciation and amortization .................................. 8,681 6,771
Deferred income taxes .......................................... (3,814) 507
Changes in assets and liabilities, net of acquisitions:
Accounts receivable ....................................... 10,171 1,359
Prepaid expenses and other current assets ................. (598) (216)
Other assets .............................................. 473 (252)
Accounts payable and accrued expenses ..................... 2,381 2,141
Income taxes .............................................. 1,395 (2,924)
-------- --------
Net cash provided from operating activities ........... 28,650 10,473
-------- --------
Cash flows used in investing activities:
Physician group acquisition payments ............................... (19,462) (8,088)
Purchase of property and equipment ................................. (3,240) (2,147)
-------- --------
Net cash used in investing activities ................. (22,702) (10,235)
-------- --------
Cash flows from financing activities:
Borrowings on line of credit, net .................................. (5,400) (693)
Payments on long-term debt and note payable ........................ (2,446) (100)
Proceeds from issuance of common stock ............................. 3,263 927
-------- --------
Net cash (used in) provided from financing activities . (4,583) 134
-------- --------
Net increase in cash and cash equivalents ............................... 1,365 372
Cash and cash equivalents at beginning of period ........................ 3,075 825
-------- --------
Cash and cash equivalents at end of period .............................. $ 4,440 $ 1,197
======== ========
The accompanying notes are an integral part of
these condensed consolidated financial statements.
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PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
JUNE 30, 2001
(UNAUDITED)
1. BASIS OF PRESENTATION:
The accompanying unaudited condensed consolidated financial statements
of Pediatrix Medical Group, Inc. (the "Company" or "Pediatrix")
presented herein do not include all disclosures required by generally
accepted accounting principles for complete financial statements. In
the opinion of management, these financial statements include all
adjustments, consisting of normal recurring adjustments and the
adjustment to the contractual allowance which is further described in
Note 4, necessary for a fair presentation of the results of interim
periods.
The results of operations for the three and six months ended June 30,
2001 are not necessarily indicative of the results of operations to be
expected for the year ended December 31, 2001. The interim condensed
consolidated financial statements should be read in conjunction with
the consolidated financial statements and footnotes thereto included in
the Company's Annual Report on Form 10-K/A (Amendment No. 1) filed with
the Securities and Exchange Commission on April 6, 2001.
2. ACCOUNTING PRONOUNCEMENTS:
In July 2001, the Financial Accounting Standards Board issued
Statements of Financial Accounting Standards No. 141 ("FAS 141"),
"Business Combinations," and No. 142 ("FAS 142") "Goodwill and Other
Intangible Assets." FAS 141 (i) requires that the purchase method of
accounting be used for all business combinations initiated after June
30, 2001; (ii) establishes specific criteria for the recognition of
intangible assets separately from goodwill; and (iii) requires
unallocated negative goodwill to be written off. FAS 142 primarily
addresses the accounting for goodwill and intangible assets subsequent
to their acquisition. FAS 141 is effective for all business
combinations initiated after June 30, 2001 and FAS 142 is effective for
fiscal years beginning after December 15, 2001. The Company is
currently assessing the impact of the adoption of these statements.
3. BUSINESS ACQUISITIONS:
On May 15, 2001, the Company completed a merger (the "Merger") with
Magella Healthcare Corporation ("Magella"). The total purchase price
for Magella was allocated as follows (in thousands):
(i) Fair value of Pediatrix common stock issued for the outstanding
common and nonvoting common stock of Magella (approximately 7.3
million shares).......................................................... $152,490
(ii) Fair value of Magella options (approximately 1.4 million shares of
Pediatrix common stock to be issued upon exercise)....................... 18,932
(iii) Estimated direct transaction costs....................................... 2,154
--------
Total purchase price............................................ $173,576
========
In connection with the Merger, the Company recorded assets totaling
approximately $126.1 million, assumed liabilities of approximately
$59.2 million and recorded goodwill of approximately $106.7 million.
In addition to the Merger, the Company completed the acquisition of
three physician group practices during the six months ended June 30,
2001. Total consideration for the acquisitions approximated $16.5
million in cash.
The Company has accounted for the Merger and the acquisitions using the
purchase method of accounting and the excess of cost over fair value of
net assets acquired is being amortized on a
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PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, Continued
(UNAUDITED)
3. BUSINESS ACQUISITIONS, CONTINUED:
straight-line basis over 25 years. The results of operations of Magella
and the acquired practices have been included in the consolidated
financial statements from the dates of acquisition.
The following unaudited pro forma information combines the consolidated
results of operations of the Company, Magella and the physician group
practices acquired during 2000 and 2001 as if the transactions had
occurred on January 1, 2000:
Six Months Ended
June 30,
-----------------------------------
2001 2000
------------ -----------
(in thousands, except for per share data)
Net patient service revenue $ 186,670 $ 155,974
Net income 15,520 7,470
Net income per share:
Basic .68 .34
Diluted .62 .31
The pro forma results do not necessarily represent results which would
have occurred if the acquisitions had taken place at the beginning of
the period, nor are they indicative of the results of future combined
operations.
4. ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS:
During the three months ended June 30, 2000, the Company recorded a
change in its estimate of the allowance for contractual adjustments and
uncollectible accounts. As a result of the change, the Company
increased its reserve by $6.5 million. Such amount has been recorded as
a reduction of revenue during the three months ended June 30, 2000.
5. ACCOUNTS PAYABLE AND ACCRUED EXPENSES:
Accounts payable and accrued expenses consist of the following:
June 30, December 31,
2001 2000
-------- -------
(in thousands)
Accounts payable ...................... $10,822 $ 9,662
Accrued salaries and bonuses .......... 10,030 6,960
Accrued payroll taxes and benefits .... 4,556 4,315
Accrued professional liability coverage 12,185 5,888
Other accrued expenses ................ 7,441 3,053
------- -------
$45,034 $29,878
======= =======
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PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, Continued
(UNAUDITED)
6. LONG-TERM DEBT:
In connection with the Merger, the Company assumed certain convertible
subordinated notes ("Convertible Notes"). At June 30, 2001, the total
outstanding principal on the Convertible Notes is approximately $12.8
million. The Convertible Notes are convertible into approximately
573,000 shares of the Company's common stock at the option of the
holder at stated amounts ranging from $16.25 to $26.00, bear interest
at rates ranging from 5% to 6% and require varying periodic interest
payments. The Company has the right to force the holders of the
Convertible Notes to convert the notes to common stock when the share
price of the Company's common stock trades at a specified price ranging
from $32.50 to $39.00 over a 90 day trading period. Scheduled future
maturities at June 30, 2001 are as follows (in thousands):
2004...................... $ 12,000
2005....................... 375
2006...................... 417
--------
$ 12,792
========
7. NET INCOME PER SHARE:
Basic net income per share is calculated by dividing net income by the
weighted average number of common shares outstanding during the period.
Diluted net income per share is calculated by dividing net income by
the weighted average number of common and potential common shares
outstanding during the period. Potential common shares consist of the
dilutive effect of shares to be issued upon the conversion of
convertible subordinated debt and outstanding options calculated using
the treasury stock method.
For the three and six months ended June 30, 2001, the calculation of
diluted net income per share excludes the after-tax impact of interest
expense related to the Convertible Notes. For the three months ended
June 30, 2000, the calculation of diluted net income per share excludes
the antidilutive effect of outstanding options on weighted average
common shares.
8. CONTINGENCIES:
In February 1999, several federal securities law class actions were
commenced against the Company and three of its principal officers in
United States District Court for the Southern District of Florida. The
plaintiffs purport to represent a class of all open market purchasers
of the Company's common stock between March 31, 1997, and various dates
through and including April 2, 1999. They claim that during that
period, the Company violated the antifraud provisions of the federal
securities laws by issuing false and misleading statements concerning
its billing practices and results of operations. The plaintiffs seek
damages in an undetermined amount based on the alleged decline in the
value of the common stock after the Company, in early April 1999,
disclosed the initiation of inquiries by state investigators into its
billing practices. The plaintiff class has been certified, and the case
is now in the discovery stage. No trial date has been set, but the
court has set a pre-trial conference for September 14, 2001. Under the
local rules, all pre-trial activities, including discovery and motions
for summary judgment, must be completed before that date, and trial may
be set for anytime thereafter. Also pursuant to the local rules, the
parties have agreed to engage in a mediation, but to date those efforts
have been unsuccessful. Although the Company continues to believe that
the claims are without merit and intends to defend them vigorously, if
the Company is unsuccessful in defending the class action lawsuits that
have been brought against it, damages awarded could exceed the limits
of the Company's insurance coverage and have a material adverse effect
on the Company's financial condition, results of operations and
liquidity.
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PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, Continued
(UNAUDITED)
8. CONTINGENCIES, CONTINUED:
In April 1999, the Company received requests, and in one case a
subpoena, from investigators in Arizona, Colorado and Florida for
information related to its billing practices for services reimbursed by
the Medicaid programs in these states and the Tricare program for
military dependents. On May 25, 2000, the Company entered into a
settlement agreement with the Office of the Attorney General for the
State of Florida, pursuant to which the Company paid the State of
Florida $40,000 to settle any claims regarding the receipt of
overpayments from the Florida Medicaid program from January 7, 1997
through the effective date of the settlement agreement. On August 28,
2000, the Company entered into a settlement agreement with the State of
Arizona's Medicaid Agency, pursuant to which the Company paid the State
of Arizona $220,000 in settlement of potential claims regarding
payments received by the Company and its affiliated physicians and
physician practices from the Arizona Medicaid program for neonatal,
newborn and pediatric services provided over a ten-year period, from
January 1, 1990 through the effective date of the settlement agreement.
Additionally, the Company reimbursed the State of Arizona for costs
related to its investigation.
The Florida and Arizona settlement agreements both stated that the
investigations conducted by those states revealed a potential
overpayment, but no intentional fraud, and that any overpayment was due
to a lack of clarity in the relevant billing codes. Although the
Company believes that the resolution of the Florida and Arizona
investigations on these terms supports the propriety of our billing
practices, the investigation in Colorado is ongoing and these matters
have prompted inquiries by Medicaid officials in other states. The
Company cannot predict whether the Colorado investigation or any other
inquiries will have a material adverse effect on the Company's
business, financial condition and results of operations.
The Company further believes that billing audits, inquiries and
investigations from government agencies will continue to occur in the
ordinary course of its business and in the healthcare services industry
in general and from time to time, the Company may be subject to
additional billing audits and inquiries by government and other payors.
During the ordinary course of business, the Company has become a party
to pending and threatened legal actions and proceedings, most of which
involve claims of medical malpractice and are generally covered by
insurance. These lawsuits are not expected to result in judgments which
would exceed professional liability insurance coverage, and therefore
are not expected to have a material impact on the Company's financial
position, results of operations or liquidity, notwithstanding any
possible lack of insurance recovery.
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ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
RESULTS OF OPERATIONS
On May 15, 2001, we completed the merger with Magella, and accordingly,
we have included Magella's results of operations commencing on the effective
date in the results of operations for the three and six month periods ended June
30, 2001.
THREE MONTHS ENDED JUNE 30, 2001 AS COMPARED TO THREE MONTHS ENDED
JUNE 30, 2000
We reported net patient service revenue of $83.1 million for the three
months ended June 30, 2001, as compared with $55.2 million for the same period
in 2000, a growth rate of 50.7%. Net patient service revenue for the three
months ended June 30, 2000 includes a charge of $6.5 million to increase the
allowance for contractual adjustments and uncollectible accounts as of June 30,
2000. This charge was attributable to management's continuous assessment of
accounts receivable which was revised to reflect the changes occurring in our
collection rates. Excluding the $6.5 million charge, net patient service revenue
increased by $21.5 million for the three months ended June 30, 2001 as compared
to the same period in 2000. Of this $21.5 million increase, $18.1 million, or
84.2%, was attributable to new units, including units at which we provide
services as a result of acquisitions. Same unit patient service revenue
increased approximately $3.4 million, or 5.6%, for the three months ended June
30, 2001. The increase in same unit patient service revenue is primarily the
result of a higher acuity level of patient service billed in the three months
ended June 30, 2001 as compared to the three months ended June 30, 2000. Same
units are those units at which we provided services for the entire current
period and the entire comparable period.
Salaries and benefits increased $12.5 million, or 28.3%, to $56.7
million for the three months ended June 30, 2001 as compared with $44.2 million
for the same period in 2000. Of this $12.5 million increase, $10.6 million, or
84.8%, was attributable to physicians, clinical staff and support staff added as
a result of the Magella merger and physicians and clinical staff related to
other acquisitions. The remaining $1.9 million was primarily attributable to an
increase in resources for: (i) billing and collections as a result of our
continued regionalization of collection activities; and (ii) information
services for the development and support of clinical and operational systems.
Supplies and other operating expenses increased $2.1 million, or 32.1%, to $8.8
million for the three months ended June 30, 2001, as compared with $6.7 million
for the same period in 2000. Of this $2.1 million increase, approximately $1.2
million was attributable to increased costs related to the Magella merger. The
remaining $.9 million was primarily attributable to additional rent expense and
other costs related to the continued expansion of our regional collection
offices. Depreciation and amortization expense increased by approximately $1.7
million, or 48.6%, to $5.1 million for the three months ended June 30, 2001, as
compared with $3.4 million for the same period in 2000, primarily as a result of
amortization of goodwill in connection with the Magella merger and other
acquisitions.
Income from operations increased approximately $11.6 million to
approximately $12.5 million for the three months ended June 30, 2001, as
compared with approximately $828,000 for the same period in 2000. Excluding the
$6.5 million charge to revenue in the 2000 period, income from operations
increased $5.1 million or 70.1%.
We recorded net interest expense of approximately $715,000 for the
three months ended June 30, 2001, as compared with net interest expense of
approximately $941,000 for the same period in 2000. The decrease in interest
expense in 2001 is primarily due to a net reduction in the average balance
outstanding under our line of credit.
Our effective income tax rate was approximately 45.9% for the three
months ended June 30, 2001. During the three months ended June 30, 2000, we
recorded a tax provision of $178,000 in order to reflect a significant increase
in the estimated effective tax rate for the second quarter of 2000. The increase
in the tax rate was primarily due to the change in our estimated annual income
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before taxes as a result of the $6.5 million charge to revenue recorded during
the second quarter of 2000. Excluding the charge, our effective tax rate for the
three months ended June 30, 2000 would have been 46%.
Net income increased to approximately $6.4 million for the three months
ended June 30, 2001, as compared to a net loss $291,000 for the same period in
2000. Excluding the after-tax impact of the $6.5 million charge from June 30,
2000 results, net income increased by approximately $3.0 million to $6.4 million
for the three months ended June 30, 2001 as compared to $3.4 million for the
same period in 2000.
Diluted net income per common and common equivalent share was 30 cents
on weighted average shares of 21.3 million for the three months ended June 30,
2001, as compared to a loss of 2 cents on weighted average shares of 15.8
million for the same period in 2000. Excluding the impact of the $6.5 million
charge, diluted net income per common and common equivalent share increased 8
cents to 30 cents on weighted average shares of 21.3 million for the three
months ended June 30, 2001 from 22 cents on weighted average shares of 15.8
million for the same period in 2000. The significant increase in the weighted
average shares outstanding is due to: (i) the shares issued in the Magella
transaction which were outstanding from May 15, 2001; (ii) the dilutive effect
of convertible notes and stock options assumed in the Magella transaction; and
(iii) an increase in our stock price.
SIX MONTHS ENDED JUNE 30, 2001 AS COMPARED TO SIX MONTHS ENDED
JUNE 30, 2000
We reported net patient service revenue of $147.1 million for the six
months ended June 30, 2001, as compared with $114.6 million for the same period
in 2000. Net patient service revenue for the six months ended June 30, 2000
includes a charge of $6.5 million to increase the allowance for contractual
adjustments and uncollectible accounts as of June 30, 2000. Excluding the $6.5
million charge, net patient service revenue increased by $26.0 million for the
six months ended June 30, 2001. Of this $26.0 million net increase, $20.1
million, or 77.3%, was attributable to new units at which we provide services as
a result of acquisitions. Same unit patient service revenue increased
approximately $5.9 million, or 5.0%, for the six months ended June 30, 2001. The
increase in same unit patient service revenue is primarily the result of a
higher acuity level of patient service billed and volume increases in the six
months ended June 30, 2001 as compared to the six months ended June 30, 2000.
Same units are those units at which we provided services for the entire current
period and the entire comparable period.
Salaries and benefits increased $15.7 million, or 17.9%, to $103.2
million for the six months ended June 30, 2001, as compared with $87.5 million
for the same period in 2000. Of this $15.7 million increase, $12.2 million, or
77.7%, was attributable to physicians, clinical staff and support staff added as
a result of the Magella merger and physicians and clinical staff related to
other acquisitions. The remaining $3.5 million is primarily attributable to an
increase in resources for: (i) billing and collections as a result of our
continued regionalization of collection activities; and (ii) information
services for the development and support of clinical and operational systems.
Supplies and other operating expenses increased $3.3 million, or 26.4%, to $15.7
million for the six months ended June 30, 2001, as compared with $12.4 million
for the same period in 2000. Of this $3.3 million increase, approximately $1.2
million was attributable to increased costs related to the Magella merger. The
remaining $2.1 million was primarily attributable to additional rent expense and
other costs related to the continued expansion of our regional collection
offices. Depreciation and amortization expense increased by approximately $1.9
million, or 28.2%, to $8.7 million for the six months ended June 30, 2001, as
compared with $6.8 million for the same period in 2000, primarily as a result of
amortization of goodwill related to the Magella merger and other acquisitions.
Income from operations increased approximately $11.6 million, or
147.2%, to approximately $19.5 million for the six months ended June 30, 2001 as
compared with $7.9 million for the same period in 2000. Excluding the $6.5
million charge to revenue in the 2000 period, income from operations increased
$5.1 million.
We recorded net interest expense of approximately $1.2 million for the
six months ended June 30, 2001, as compared with net interest expense of
approximately $1.8 million for the same period in 2000. The decrease in interest
expense in 2001 is primarily the result of a net reduction in the average
balance outstanding under our line of credit.
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Our effective income tax rate was approximately 45.6% and 48.8% for the
six months ended June 30, 2001 and June 30, 2000, respectively. Excluding the
charge, our effective tax rate for the six months ended June 30, 2000 would have
been 45.5%. The increase in the tax rate for the six months ended June 30, 2000
is primarily due to the change in our estimated annual income before taxes as a
result of the charge.
The Company reported net income of approximately $10.0 million for the
six months ended June 30, 2001. Excluding the impact of the $6.5 million charge,
net income increased by $3.1 million, or 45.9%, for the six months ended June
30, 2001, as compared to the same period in 2000.
Diluted net income per common and common equivalent share was 53 cents
on weighted average shares of 19.0 million for the six months ended June 30,
2001, as compared to 20 cents on weighted average shares of 15.8 million for the
same period in 2000. Excluding the impact of the $6.5 million charge at June 30,
2000, diluted net income per common and common equivalent share increased 10
cents to 53 cents on weighted average shares of 19.0 million for the six months
ended June 30, 2001 as compared to 43 cents on weighted average shares of 15.8
million for the same period in 2000. The significant increase in the weighted
average shares outstanding is due to: (i) the shares issued in the Magella
transaction which were outstanding from May 15, 2001; (ii) the dilutive effect
of convertible notes and stock options assumed in the Magella transaction; and
(iii) an increase in our stock price.
13
14
LIQUIDITY AND CAPITAL RESOURCES
As of June 30, 2001, we had a working capital deficit of approximately
$12.6 million, a change of $14.7 million from working capital of $2.1 million at
December 31, 2000. The working capital deficit is due to the classification of
our line of credit as current at June 30, 2001. Excluding the amount due under
the line of credit, working capital increased by approximately $3.3 million.
During 2000, we refinanced our $75 million line of credit, which
matured on September 30, 2000, with an amended and restated credit agreement in
the amount of $75 million. At our option, the credit agreement (the "Line of
Credit") bears interest at LIBOR plus 2.0% or prime. The Line of Credit is
collateralized by substantially all of our assets and matures on September 30,
2001. We are required to maintain certain financial covenants and are in
compliance with such financial covenants at June 30, 2001. We had $41.5 million
outstanding under the Line of Credit at June 30, 2001 as compared to $23.5
million at December 31, 2000. This increase is primarily due to the repayment of
certain debt assumed in the merger with Magella and borrowings required for the
acquisition of physician groups.
We are currently negotiating to obtain financing beyond the current
maturity of the Line of Credit. However, there can be no assurance that we will
be able to obtain financing in amounts and on terms substantially similar to the
Line of Credit on or prior to September 30, 2001.
Our capital expenditures have typically been for computer hardware and
software and for medical equipment at our outpatient offices. During the six
months ended June 30, 2001, capital expenditures amounted to approximately $3.2
million.
Provided that we are able to secure financing in amounts similar to
those currently available under the Line of Credit, we anticipate that funds
generated from operations, together with cash on hand, and funds available under
such financing will be sufficient to meet our working capital requirements and
finance required capital expenditures for at least the next 12 months.
ACCOUNTING MATTERS
In July 2001, the Financial Accounting Standards Board issued
Statements of Financial Accounting Standards No. 141 ("FAS 141"), "Business
Combinations," and No. 142 ("FAS 142") "Goodwill and Other Intangible Assets."
FAS 141 (i) requires that the purchase method of accounting be used for all
business combinations initiated after June 30, 2001; (ii) establishes specific
criteria for the recognition of intangible assets separately from goodwill; and
(iii) requires unallocated negative goodwill to be written off. FAS 142
primarily addresses the accounting for goodwill and intangible assets subsequent
to their acquisition. FAS 141 is effective for all business combinations
initiated after June 30, 2001 and FAS 142 is effective for fiscal years
beginning after December 15, 2001. We are currently assessing the impact of the
adoption of these statements.
14
15
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Our Line of Credit and certain operating lease agreements are subject
to market risk from interest rate changes. The total amount available under the
Line of Credit is $75 million. At our option, the Line of Credit bears interest
at either LIBOR plus 2% or prime. The leases bear interest at LIBOR-based
variable rates. The outstanding principal balance on the Line of Credit is $41.5
million at June 30, 2001. The outstanding balances related to the operating
leases totaled approximately $17.0 million at June 30, 2001. Considering the
total outstanding balances under these instruments at June 30, 2001 of
approximately $58.5 million, a 1% change in interest rates would result in an
impact to pre-tax earnings of approximately $585,000 per year.
15
16
PART II - OTHER INFORMATION
ITEM 1. Legal Proceedings
In February 1999, several federal securities law class actions
were commenced against us and three of our principal officers in
United States District Court for the Southern District of Florida. The
plaintiffs purport to represent a class of all open market purchasers
of our common stock between March 31, 1997, and various dates through
and including April 2, 1999. They claim that during that period, we
violated the antifraud provisions of the federal securities laws by
issuing false and misleading statements concerning our billing
practices and results of operations. The plaintiffs seek damages in an
undetermined amount based on the alleged decline in the value of the
common stock after we, in early April 1999, disclosed the initiation
of inquiries by state investigators into our billing practices. The
plaintiff class has been certified, and the case is now in the
discovery stage. No trial date has been set, but the court has set a
pre-trial conference for September 14, 2001. Under the local rules,
all pre-trial activities, including discovery and motions for summary
judgment, must be completed before that date, and trial may be set for
anytime thereafter. Also pursuant to the local rules, the parties have
agreed to engage in a mediation, but to date those efforts have been
unsuccessful. Although we continue to believe that the claims are
without merit and intend to defend them vigorously, if we are
unsuccessful in defending the class action lawsuits that have been
brought against us, damages awarded could exceed the limits of our
insurance coverage and have a material adverse effect on our financial
condition, results of operations, and liquidity.
In April 1999, we received requests, and in one case a
subpoena, from investigators in Arizona, Colorado and Florida for
information related to our billing practices for services reimbursed
by the Medicaid programs in these states and the Tricare program for
military dependents. On May 25, 2000, we entered into a settlement
agreement with the Office of the Attorney General for the State of
Florida, pursuant to which we paid the State of Florida $40,000 to
settle any claims regarding the receipt of overpayments from the
Florida Medicaid program from January 7, 1997 through the effective
date of the settlement agreement. On August 28, 2000, we entered into
a settlement agreement with the State of Arizona's Medicaid Agency,
pursuant to which we paid the State of Arizona $220,000 in settlement
of potential claims regarding payments received by Pediatrix and its
affiliated physicians and physician practices from the Arizona
Medicaid program for neonatal, newborn and pediatric services provided
over a ten-year period, from January 1, 1990 through the effective
date of the settlement agreement. Additionally, we reimbursed the
State of Arizona for costs related to its investigation.
The Florida and Arizona settlement agreements both stated that
the investigations conducted by those states revealed a potential
overpayment, but no intentional fraud, and that any overpayment was
due to a lack of clarity in the relevant billing codes. Although we
believe that the resolution of the Florida and Arizona investigations
on these terms supports the propriety of our billing practices, the
investigation in Colorado is ongoing and these matters have prompted
inquiries by Medicaid officials in other states. We cannot predict
whether the Colorado investigation or any other inquiries will have a
material adverse effect on our business, financial condition and
results of operations.
16
17
PEDIATRIX MEDICAL GROUP, INC.
PART II - OTHER INFORMATION - (Continued)
ITEM 1. Legal Proceedings (Continued)
We further believe that billing audits, inquiries and
investigations from government agencies will continue to occur in the
ordinary course of business and in the healthcare services industry in
general and from time to time, we may be subject to additional billing
audits and inquiries by government and other payors.
During the ordinary course of business, we have become a party
to pending and threatened legal actions and proceedings, most of which
involve claims of medical malpractice and are generally covered by
insurance. These lawsuits are not expected to result in judgments
which would exceed professional liability insurance coverage, and
therefore are not expected to have a material impact on our financial
position, results of operations or liquidity, notwithstanding any
possible lack of insurance recovery.
ITEM 2. Changes in Securities
Not applicable.
ITEM 3. Defaults Upon Senior Securities
Not applicable.
ITEM 4. Submission of Matters to a Vote of Security-holders
(a) The Company's Annual Meeting of Shareholders was held on
May 15, 2001.
(b) Not required.
(c) The matters voted on at the Annual Meeting of Shareholders and
the tabulation of votes on such matters are as follows:
1. Election of Directors
Against or Broker
Name For Withheld Abstained Non-Vote
---- ---------- ----------- --------- --------
Cesar L. Alvarez 11,948,562 1,779,775 0 0
Kristen Bratberg 12,146,870 1,581,466 0 0
Waldemar A. Carlo, M.D. 12,376,882 1,351,455 0 0
M. Douglas Cunningham, M.D. 11,946,066 1,782,270 0 0
Michael B. Fernandez, M.D. 11,331,712 2,396,625 0 0
Roger J. Medel, M.D, M.B.A. 11,954,612 1,773,725 0 0
17
18
PEDIATRIX MEDICAL GROUP, INC.
PART II - OTHER INFORMATION - (Continued)
ITEM 4. Submission of Matters to a Vote of Security-holders (Continued)
2. Directors' Proposal for Plan of Merger
Approve the issuance of shares of common stock, par
value $.01 per share, of the Company pursuant to the Agreement
and Plan of Merger dated as of February 14, 2001, among the
Company, Infant Acquisition Corp., and Magella Healthcare
Corporation.
Against Broker
For or Withheld Abstain Non-Vote
----------- ----------- -------- ----------
11,721,809 18,870 36,919 1,950,758
3. Directors' Proposal to Amend Stock Option Plan
Approve the Amended and Restated Stock Option Plan of
the Company, as amended to increase the number of shares of
common stock of the Company with respect to which options may
be granted under the plan from 5,500,000 to 8,000,000 and to
change the maximum number of shares with respect to which
options may be granted to any director, officer or employee
from 1,300,000 in total to 250,000 in any calendar year.
Against Broker
For or Withheld Abstain Non-Vote
----------- ----------- -------- ----------
7,009,698 4,756,788 13,311 1,948,558
18
19
PEDIATRIX MEDICAL GROUP, INC.
PART II - OTHER INFORMATION - (Continued)
ITEM 5. Other Information
This quarterly report contains statements which, to the extent
they are not historical fact, constitute "forward looking statements"
under the securities laws. All forward looking statements involve
risks, uncertainties and other factors that may cause our actual
results, performance or achievements to differ materially from those
expressed or implied by or in such forward looking statements. The
forward looking statements in this document are intended to be subject
to the safe harbor protection provided under the securities laws.
Our shareholders should also be aware that while we do, at
various times, communicate with securities analysts, it is against our
policies to disclose to such analysts any material non-public
information or other confidential information. Accordingly, our
shareholders should not assume that we agree with all statements or
reports issued by such analysts. To the extent statements or reports
issued by analysts contain projections, forecasts or opinions by such
analysts about us, such reports and statements are not our
responsibility.
For additional information identifying certain other important
factors which may affect our operations and could cause actual results
to vary materially from those anticipated in the forward looking
statements, see our Securities and Exchange Commission filings,
including but not limited to, the discussion included in the Business
section of our Form 10-K/A (Amendment No. 1) under the heading "Risk
Factors" and in our Proxy Statement/Prospectus contained in the
Registration Statement on Form S-4, as amended, in the section entitled
"Risk Factors."
ITEM 6. Exhibits and Reports on Form 8-K
(a) Exhibits
11.1 Statement Re: Computation of Per Share Earnings
(b) Reports on Form 8-K
Form 8-K, filed May 25, 2001, reporting Item 2 (Acquisition or
Disposition of Assets) related to the completion of the
Company's merger with Magella Healthcare Corporation
("Magella") effective May 15, 2001; reporting Item 7(a)
(Financial Statements of Businesses Acquired) related to the
audited consolidated financial statements of Magella as of
December 31, 1999 and 2000, and for each of the three years in
the period ended December 31, 2000; and reporting Item 7(b)
(Pro Forma Financial Information) related to pro forma
financial information incorporated by reference to the
Company's Registration Statement on Form S-4. Amended on Form
8-K/A, filed July 27, 2001.
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20
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.
PEDIATRIX MEDICAL GROUP, INC.
Date: August 14, 2001 By: /s/ Roger J. Medel, M.D.
----------------------------------------------
Roger J. Medel, M.D., Chief Executive Officer
(Principal Executive Officer)
Date: August 14, 2001 By: /s/ Karl B. Wagner
----------------------------------------------
Karl B. Wagner, Chief Financial Officer
(Principal Financial and Accounting Officer)
20
1
EXHIBIT 11.1
STATEMENT RE: COMPUTATION OF PER SHARE EARNINGS
Three Months Ended Six Months Ended
June 30, June 30,
------------------------ ------------------------
2001 2000 2001 2000
-------- -------- -------- --------
(in thousands, except for per share data)
Basic:
Net income (loss) applicable to common stock $ 6,357 $ (291) $ 9,961 $ 3,087
======== ======== ======== ========
Weighted average number of
common shares outstanding ................ 19,925 15,778 17,921 15,702
======== ======== ======== ========
Basic net income (loss) per share ........... $ .32 $ (.02) $ .56 $ .20
======== ======== ======== ========
Diluted:
Net income (loss) ........................... $ 6,357 $ (291) $ 9,961 $ 3,087
Interest expense on convertible
subordinated debt, net of tax ............... 55 -- 55 --
-------- -------- -------- --------
Net income (loss) applicable to common stock $ 6,412 $ (291) $ 10,016 $ 3,087
======== ======== ======== ========
Weighted average number of
common shares outstanding ................ 19,925 15,778 17,921 15,702
Weighted average number of
dilutive common stock equivalents ........ 1,072 -- 941 104
Shares to be issued upon the conversion of
convertible subordinated debt............. 295 -- 148 --
-------- -------- -------- --------
Weighted average number of
common and common equivalent
shares outstanding ....................... 21,292 15,778 19,010 15,806
======== ======== ======== ========
Diluted net income (loss) per share ......... $ .30 $ (.02) $ .53 $ .20
======== ======== ======== ========