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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 SEPTEMBER 30, 1997

                                       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 of incorporation (I.R.S. Employer Identification No.) or organization)
1455 NORTH PARK DRIVE FT. LAUDERDALE, FLORIDA 33326 (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 November 3, 1997, the Registrant had 15,076,010 shares of $0.01 par value common stock outstanding. Page 1 of 13 2 PEDIATRIX MEDICAL GROUP, INC. INDEX
PAGE ---- PART I - FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS Condensed Consolidated Balance Sheets as of September 30, 1997 (Unaudited), and December 31, 1996......................................................................................... 3 Condensed Consolidated Statements of Income for the Three and Nine Months Ended September 30, 1997, and 1996 (Unaudited)...................................................................... 4 Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 1997, and 1996 (Unaudited)...................................................................... 5 Notes to Condensed Consolidated Financial Statements............................................................ 6 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS..................................................... 9 PART II - OTHER INFORMATION..................................................................................... 11 SIGNATURES...................................................................................................... 13
2 3 PART I - FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS PEDIATRIX MEDICAL GROUP, INC. CONDENSED CONSOLIDATED BALANCE SHEETS
SEPTEMBER 30, DECEMBER 31, 1997 1996 (UNAUDITED) ------------------ ------------------- (IN THOUSANDS) ASSETS Current assets: Cash and cash equivalents $ 11,322 $ 18,435 Investments in marketable securities 27,026 57,218 Accounts receivable, net 32,957 23,396 Prepaid expenses 1,354 1,283 Other current assets 450 375 Income taxes receivable -- 202 ------------------ ------------------ Total current assets 73,109 100,909 Property and equipment, net 9,573 8,676 Other assets, net 102,130 49,441 ================== ================== Total assets $ 184,812 $ 159,026 ================== ================== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable and accrued expenses $ 14,812 $ 13,423 Income taxes payable 2,159 -- Current portion of note payable 200 200 Deferred income taxes 8,292 6,099 ------------------ ------------------ Total current liabilities 25,463 19,722 Note payable 2,600 2,750 Deferred income taxes 1,265 233 ------------------ ------------------ Total liabilities 29,328 22,705 ------------------ ------------------ Commitments and contingencies Stockholders' equity: Preferred stock -- -- Common stock 151 149 Additional paid-in capital 120,570 116,037 Retained earnings 34,744 20,165 Unrealized gain (loss) on investments 19 (30) ------------------ ------------------ Total stockholders' equity 155,484 136,321 ------------------ ------------------ Total liabilities and stockholders' equity $ 184,812 $ 159,026 ================== ==================
The accompanying notes are an integral part of these financial statements 3 4 PEDIATRIX MEDICAL GROUP, INC. CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, ------------------------------------- ------------------------------------- 1997 1996 1997 1996 ---------------- --------------- --------------- ---------------- (IN THOUSANDS, EXCEPT FOR PER SHARE DATA) Net patient service revenue $ 34,444 $ 22,404 $ 92,056 $ 56,339 Operating expenses: Salaries and benefits 21,874 14,526 59,257 36,863 Supplies & other operating expenses 2,467 1,740 6,927 4,222 Depreciation and amortization 1,278 543 3,069 1,111 --------------- -------------- -------------- --------------- Total operating expenses 25,619 16,809 69,253 42,196 --------------- -------------- -------------- --------------- Income from operations 8,825 5,595 22,803 14,143 Investment income 422 535 1,720 1,457 Interest expense (76) (80) (225) (142) --------------- -------------- -------------- --------------- Income before income taxes 9,171 6,050 24,298 15,458 Income tax provision 3,668 2,485 9,719 6,246 --------------- -------------- -------------- --------------- Net income $ 5,503 $ 3,565 $ 14,579 $ 9,212 =============== ============== ============== =============== Per share data: Net income per common and common common equivalent share: Primary $ .35 $ .24 $ .93 $ .65 =============== ============== ============== =============== Fully diluted $ .35 $ .24 $ .93 $ .65 =============== ============== ============== =============== Weighted average shares used in computing net income per common and common equivalent share: Primary 15,853 14,994 15,692 14,188 =============== ============== ============== =============== Fully diluted 15,853 15,047 15,745 14,215 =============== ============== ============== ===============
The accompanying notes are an integral part of these financial statements 4 5 PEDIATRIX MEDICAL GROUP, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
NINE MONTHS ENDED SEPTEMBER 30, ------------------------------------------- 1997 1996 ---------------- ----------------- (IN THOUSANDS) Cash flows provided (used) by operating activities: Net income $ 14,579 $ 9,212 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 3,069 1,111 Deferred income taxes 3,225 3,096 Changes in assets and liabilities: Accounts receivable (9,561) (8,789) Prepaid expenses and other current assets (146) 92 Income taxes receivable/payable 4,495 2,053 Other assets (218) 260 Accounts payable and accrued expenses 2,711 4,207 --------------- --------------- Net cash provided by operating activities 18,154 11,242 --------------- --------------- Cash flows provided (used) by investing activities: Physician group acquisition payments (56,163) (39,002) Purchase of investments (10,424) (38,459) Proceeds from sale of investments 40,665 27,851 Purchase of property and equipment (1,597) (3,825) --------------- --------------- Net cash used in investing activities (27,519) (53,435) --------------- --------------- Cash flows provided (used) by financing activities: Proceeds from mortgage loan -- 3,000 Payments on note payable (150) (815) Proceeds from issuance of common stock 2,402 59,516 Payments made to retire common stock -- (45) --------------- --------------- Net cash provided by financing activities 2,252 61,656 --------------- --------------- Net increase (decrease) in cash and cash equivalents (7,113) 19,463 Cash and cash equivalents at beginning of period 18,435 18,499 --------------- --------------- Cash and cash equivalents at end of period $ 11,322 $ 37,962 =============== ===============
The accompanying notes are an integral part of these financial statements 5 6 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS SEPTEMBER 30, 1997 (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 only of normal recurring adjustments, necessary for a fair presentation of the results of interim periods. The results of operations for the three and nine months ended September 30, 1997, are not necessarily indicative of the results of operations to be expected for the year ended December 31, 1997. 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 filed with the Securities and Exchange Commission on March 31, 1997. 2. BUSINESS ACQUISITIONS: During the first nine months of 1997, the Company completed the acquisition of nine physician group practices in various locations throughout the country. Additionally, three neonatal intensive care units (NICUs) were added through the Company's internal marketing activities. Total cash paid for these units approximated $52 million, adding a total of 29 NICUs. The Company has accounted for 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 straight-line basis over 25 years. The results of operations of 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 and the physician group practices acquired during 1996 and 1997 as if the acquisitions had occurred on January 1, 1996:
NINE MONTHS ENDED SEPTEMBER 30, ----------------------------------------------- 1997 1996 ------------------ ---------------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Net patient service revenue $ 98,659 $ 82,256 Net income 14,675 10,478 Net income per share: Primary .94 .74 Fully diluted .93 .74
6 7 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED) (UNAUDITED) 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. 3. ACCOUNTS PAYABLE AND ACCRUED EXPENSES: Accounts payable and accrued expenses consists of the following:
SEPTEMBER 30, DECEMBER 31, 1997 1996 ---------------- -------------- (IN THOUSANDS) Accounts payable.............................. $ 2,592 $ 2,489 Accrued salaries and bonuses.................. 4,479 3,508 Accrued payroll taxes and benefits............ 3,007 2,009 Accrued professional liability coverage....... 3,373 2,413 Other accrued expenses........................ 1,361 3,004 ---------------- -------------- $ 14,812 $ 13,423 ================ ==============
4. NET INCOME PER COMMON AND COMMON EQUIVALENT SHARE: Primary and fully diluted net income per share is calculated by dividing net income by the weighted average number of common and common equivalent shares outstanding during the period. Common equivalent shares consist of the dilutive effect of outstanding options calculated using the treasury stock method. 5. CONTINGENCIES: 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. The Company believes that the outcome of such legal actions and proceedings will not have a material adverse effect on the Company's financial condition, results of operations or liquidity, notwithstanding any possible insurance recovery. The Company is currently under examination by the Internal Revenue Service for the tax years ended December 31, 1992, 1993, and 1994. The IRS has challenged certain deductions that, if disallowed, would result in additional taxes of approximately $4.5 million, plus interest. The Company has reviewed the IRS matters under consideration and believes that the tax returns are substantially correct as filed. The Company intends to vigorously contest the proposed adjustments and believes it has adequately provided for any liability that may result from this examination. The Company and its tax advisors believe that the ultimate resolution of the examination will not have a material effect on the Company's consolidated financial position, results of operations or cash flows. The Company has been notified by a hospital customer of a dispute regarding the interpretation of the customer's contract with the Company. The customer believes that the Company should refund approximately $7.5 million of payments made to the Company over the last five years. The 7 8 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED) (UNAUDITED) Company disagrees with the customer's interpretation of the contract and believes that the matter will be resolved amicably. In the unlikely event that the Company cannot resolve this matter amicably, the Company intends to vigorously litigate the matter and assert all its legal defenses. The Company believes that the ultimate resolution of the matter will not have a material effect on the Company's consolidated financial position, results of operations or cash flows. 6. CHANGES TO ACCOUNTING PRONOUNCEMENTS: In February 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards ("SFAS") No. 128, "Earnings Per Share". This statement is designed to improve the earnings per share ("EPS") information provided in financial statements by simplifying the existing computational guidelines, revising the disclosure requirements, and increasing the comparability of EPS data on an international basis. SFAS 128 is effective for financial statements issued for periods ending after December 15, 1997. Under the provisions of SFAS 128, basic EPS would have been $.37 and $.25 for the three months ended September 30, 1997, and 1996, respectively, and $.97 and $.68 for the nine months ended September 30, 1997, and 1996, respectively. Diluted EPS would have been the same as the reported amounts. 7. SUBSEQUENT EVENTS: Subsequent to September 30, 1997, the Company completed the acquisition of one physician group practice. Total cash paid for this acquisition approximated $3.5 million. The acquisition will be accounted for using the purchase method of accounting. On October 21, 1997 the Company increased the amount of funds available under its credit facility from $30.0 million to $75.0 million. 8 9 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS RESULTS OF OPERATIONS THREE MONTHS ENDED SEPTEMBER 30, 1997, AS COMPARED TO THREE MONTHS ENDED SEPTEMBER 30, 1996 The Company reported net patient service revenue of $34.4 million for the three months ended September 30, 1997, as compared with $22.4 million for the same period in 1996, a growth rate of 53.7%. This $12.0 million increase was primarily attributable to new units, including units at which the Company provides services as a result of acquisitions. Same unit patient service revenue, exclusive of administrative fees, was essentially flat for the three months ended September 30, 1997, compared to the same period in 1996. Same units are those units at which the Company provided services for the entire period for which the percentage is calculated and the entire comparable period. Salaries and benefits increased $7.4 million, or 50.6% to $21.9 million for the three months ended September 30, 1997, as compared with $14.5 million for the same period in 1996. Of this $7.4 million increase, $5.4 million was attributable to hiring new physicians, primarily to support new unit growth, and the remaining $2.0 million was primarily attributable to increased support staff and resources added in the areas of nursing, executive management and billing and reimbursement. Supplies and other operating expenses increased $727,000, or 41.8% to $2.5 million for the three months ended September 30, 1997, as compared with $1.7 million for the same period in 1996, primarily as a result of new units. Depreciation and amortization expense increased by $735,000, or 135.4% to $1.3 million for the three months ended September 30, 1997, as compared with $543,000 for the same period in 1996, primarily as a result of amortization of goodwill in connection with acquisitions. Income from operations increased approximately $3.2 million, or 57.7%, to $8.8 million for the three months ended September 30, 1997, as compared with $5.6 million for the same period in 1996. The increase in income from operations was primarily due to increased volume, principally from acquisitions. The Company earned investment income of approximately $422,000 for the three months ended September 30, 1997, as compared with $535,000 for the same period in 1996. The decrease in investment income resulted primarily from funds used in connection with acquisitions. The effective income tax rate was approximately 40% and 41% for the three month periods ended September 30, 1997, and 1996, respectively. Net income increased 54.4% to $5.5 million for the three months ended September 30, 1997, as compared with $3.6 million for the same period in 1996. Net income as a percentage of net patient service revenue increased to 16.0% for the three months ended September 30, 1997, compared to 15.9% for the same period in 1996. NINE MONTHS ENDED SEPTEMBER 30, 1997, AS COMPARED TO NINE MONTHS ENDED SEPTEMBER 30, 1996 The Company reported net patient service revenue of $92.1 million for the nine months ended September 30, 1997, as compared with $56.3 million for the same period in 1996, a growth rate of 63.4%. This $35.8 million increase was primarily attributable to new units. Same unit patient service revenue, exclusive of administrative fees, increased $600,000, or 1.7%, for the nine months ended September 30, 1997, compared to the same period in 1996. Same units are those units at which the Company provided services for the entire period for which the percentage is calculated and the entire comparable period. 9 10 Salaries and benefits increased $22.4 million, or 60.7% to $59.3 million for the nine months ended September 30, 1997, as compared with $36.9 million for the same period in 1996. Of this $22.4 million increase, $16.7 million was attributable to hiring new physicians, primarily to support new unit growth, and the remaining $5.7 million was primarily attributable to increased support staff and resources added in the areas of nursing, executive management and billing and reimbursement. Supplies and other operating expenses increased $2.7 million, or 64.1% to $6.9 million for the nine months ended September 30, 1997, as compared with $4.2 million for the same period in 1996, primarily as a result of new units. Depreciation and amortization expense increased by $2.0 million, or 176.2% to $3.1 million for the nine months ended September 30, 1997, as compared with $1.1 million for the same period in 1996, primarily as a result of amortization of goodwill in connection with acquisitions. Income from operations increased approximately $8.7 million, or 61.2%, to $22.8 million for the nine months ended September 30, 1997, as compared with $14.1 million for the same period in 1996. The increase in income from operations was primarily due to increased volume, principally from acquisitions. The Company earned investment income of approximately $1.7 million for the nine months ended September 30, 1997, as compared with $1.5 million for the same period in 1996. The increase in investment income resulted primarily from additional funds available for investment due to proceeds from the secondary public offering completed in the third quarter of 1996 as well as cash flow from operations. These amounts were offset by funds used in connection with acquisitions. The effective income tax rate was approximately 40% for the nine month periods ended September 30, 1997, and 1996. Net income increased 58.3% to $14.6 million for the nine months ended September 30, 1997, as compared with $9.2 million for the same period in 1996. Net income as a percentage of net patient service revenue decreased to 15.8% for the nine months ended September 30, 1997, compared to 16.4% for the same period in 1996, primarily as a result of amortization of goodwill in connection with acquisitions. LIQUIDITY AND CAPITAL RESOURCES As of September 30, 1997, the Company had working capital of approximately $47.6 million, a decrease of $33.6 million from the working capital of $81.2 million available at December 31, 1996. The decrease is principally a result of funds utilized for acquisitions during the first nine months of 1997, offset by cash generated from operations. During the nine months ended September 30, 1997, capital expenditures amounted to approximately $1.6 million principally for computer hardware and software and furniture and fixtures. For the remainder of 1997, the Company anticipates capital expenditures of approximately $500,000, principally for computer hardware and software. On October 21, 1997 the Company increased the amount of funds available under its credit facility from $30.0 million to $75.0 million. The Company anticipates that funds generated from operations together with cash and marketable securities on hand and funds available under its credit facility, will be sufficient to meet its working capital requirements and finance any required capital expenditures for at least the next twelve months. 10 11 PART II - OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS 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. The Company believes that the outcome of such legal actions and proceedings will not have a material adverse effect on the Company's financial condition, results of operations or liquidity, notwithstanding any possible insurance recovery. The Company is currently under examination by the Internal Revenue Service for the tax years ended December 31, 1992, 1993, and 1994. The IRS has challenged certain deductions that, if disallowed, would result in additional taxes of approximately $4.5 million, plus interest. The Company has reviewed the IRS matters under consideration and believes that the tax returns are substantially correct as filed. The Company intends to vigorously contest the proposed adjustments and believes it has adequately provided for any liability that may result from this examination. The Company and its tax advisors believe that the ultimate resolution of the examination will not have a material effect on the Company's consolidated financial position, results of operations or cash flows. The Company has been notified by a hospital customer of a dispute regarding the interpretation of the customer's contract with the Company. The customer believes that the Company should refund approximately $7.5 million of payments made to the Company over the last five years. The Company disagrees with the customer's interpretation of the contract and believes that the matter will be resolved amicably. In the unlikely event that the Company cannot resolve this matter amicably, the Company intends to vigorously litigate the matter and assert all its legal defenses. The Company believes that the ultimate resolution of the matter will not have a material effect on the Company's consolidated financial position, results of operations or cash flows. 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 Not applicable. ITEM 5. OTHER INFORMATION Not applicable. 11 12 PART II - OTHER INFORMATION - (CONTINUED) ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits. 10.36 Amendment No. 2 to First Amended and Restated Credit Agreement, dated October 21, 1997, between Pediatrix, certain PA contractors, BankBoston and SunTrust Bank. 11.1 Statement Re: Computation of Per Share Earnings 27.1 Financial Data Schedule (b) Reports on Form 8-K None. 12 13 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: November 12, 1997 By: /s/ Roger J. Medel -------------------------------------------------------- Roger J. Medel, President and Chief Executive Officer (Principal Executive Officer) Date: November 12, 1997 By: /s/ Lawrence M. Mullen -------------------------------------------------------- Lawrence M. Mullen, Vice President and Chief Financial Officer (Principal Financial and Accounting Officer)
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                                                                  EXHIBIT 10.36

                                AMENDMENT NO. 2

                 TO FIRST AMENDED AND RESTATED CREDIT AGREEMENT
                          Dated as of October 21,1997


         This Agreement, dated as of October 21, 1997, is among Pediatrix
Medical Group, Inc., a Florida corporation, the Related Entities of Pediatrix
Medical Group, Inc. from time to time party hereto, the Lenders from time to
time party hereto including SunTrust Bank/South Florida, National Association
(the "Prior Lender") as Lender under the Revolving Loan, and BankBoston, N.A.
(formerly known as The First National Bank of Boston), both in its capacity as
a Lender under the Revolving Loan and the Mortgage Loan and in its capacity as
agent for itself and the other Lenders (collectively the foregoing parties, the
"Credit Parties") and SunTrust Bank/Central Florida, National Association (the
"New Lender"). The parties agree as follows:

1.       REFERENCE TO CREDIT AGREEMENT; DEFINITIONS. Reference is made to the 
         First Amended and Restated Credit Agreement dated as of June 27, 1996
         (the "Credit Agreement"), as amended and in effect from time to time,
         among the Credit Parties hereto. Terms defined in the Credit Agreement
         and not otherwise defined herein are used herein with the meanings so
         defined.

2.       ASSIGNMENT AND ASSUMPTION.

         2.1.     Assignment and Assumption. In consideration of the payment by
                  the New Lender to the Prior Lender of good and valuable
                  consideration and of the other agreements, conditions,
                  representations and warranties contained herein, effective
                  upon receipt by the Prior Lender of such consideration (the
                  "Effective Time"):

                           (a) the Prior Lender hereby sells, transfers and
                  assigns to the New Lender (i) all of its right, title and
                  interest in and to the Credit Obligations, and (ii) all of
                  its rights and obligations under the Credit Agreement and the
                  other Credit Documents, in each case as in effect as of the
                  date hereof, and

                           (b) the New Lender hereby accepts such rights,
                  titles and interests and such rights and assumes such
                  obligations on the terms and conditions contained herein.

         Notwithstanding anything to the contrary herein, the New Lender shall
         not assume any obligation under any Credit Document to be performed by
         the Prior Lender prior to the Effective Time and the Prior Lender
         shall retain its rights under the Credit Documents to the extent set
         forth in Section 3. The Borrowers specifically consent to the
         foregoing assignment and assumption.


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       2.2        Certain Effects of Assignment and Assumption. From and after
                  the Effective Time, the Prior Lender agrees that the New
                  Lender shall be entitled, except to the extent set forth in
                  Section 3, to all of its rights, powers and privileges under
                  the Credit Agreement and the other Credit Documents, in each
                  case as in effect as of the date hereof, including, without
                  limitation, (a) the rights to receive all monies payable
                  under the Credit Documents from and after the Effective Time,
                  whether on account of principal, interest (whether accrued
                  before or after the Effective Time), fees, indemnities,
                  increased costs, additional amounts or otherwise (but
                  excluding indemnities and additional amounts for the benefit
                  of the Prior Lender to the extent set forth in Section 3),
                  (b) the right to set-off and to appropriate and apply
                  deposits of the Company as set forth in the Credit Documents,
                  (c) the right to receive notices, requests, demands and other
                  communications and (d) the right to supplement, modify or
                  amend the Credit Documents and to grant waivers thereunder.

       2.3        Replacement of Prior Lender. Upon the Effective Time, the New
                  Lender shall become party to the Credit Agreement and the
                  other Credit Documents as though it were the Lender and a
                  signatory thereto and, except as expressly otherwise provided
                  herein, shall have all of the rights and obligations of the
                  Lender under the Credit Agreement and the other Credit
                  Documents and the Prior Lender shall be released from its
                  obligations under the Credit Agreement and such other Credit
                  Documents to a corresponding extent, and no further consent
                  or action by any party shall be required. From and after the
                  Effective Time, for purposes of the Credit Agreement and the
                  other Credit Documents, the term "Lender" shall mean the New
                  Lender.

3.     SURVIVAL OF INDEMNITIES. Notwithstanding the other provisions of this
Agreement, the transfers and assignments made pursuant hereto and any future
amendment of the Credit Agreement or any other Credit Document, the
indemnification provisions and other provisions of the Credit Agreement and the
other Credit Documents assigned hereby that expressly survive the termination
of the Credit Agreement or such other Credit Documents, each as in effect
immediately prior to the execution hereof, shall continue to inure to the
benefit of the Prior Lender with respect to any events which happened or
actions taken or omitted to be taken prior to the Effective Time, without
derogating from any rights of the New Lender against the Company with respect
to any events which happened or actions taken or omitted to be taken prior to
the Effective Time that the New Lender may have acquired in its capacity as
Lender from and after the Effective Time pursuant to the transfers and
assignments provided in this Agreement. The Prior Lender will give the Company
prompt notice of any claim made against it, or the incurring of any expense or
liability, for which it may seek indemnity or reimbursement from the Company
under such provisions.

4.     RELEASE. In consideration of the agreements by the Prior Lender hereunder
and for other valuable consideration, the receipt and sufficiency of which are
acknowledged, the Company fully releases, discharges and covenants not to sue
the Prior Lender or any of its 

                                      -2-

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directors, officers, employees, agents, accountants, attorneys, consultants and
each Person, if any, that controls it, from and with respect to any claims,
liabilities, actions and suits of every nature, whether in law, at equity or
otherwise, arising from or relating to the Credit Agreement or the other Credit
Documents or any event which happened or action taken or omitted to be taken
prior to the date hereof with respect thereto or which arises from or relates
to the Credit Documents, the Credit Security, the Credit Obligations or any
possible refinancing or restructuring thereof.

5.     NOTICES. All notices and other communications required to be given or 
made to the New Lender under this Agreement, the Credit Agreement or any Credit
Document shall be given or made at its address set forth on the signature page
hereof or at such other address as the New Lender shall have specified and
actually delivered to the addressor. All notices and other communications
required to be given or made to the other parties hereto shall be given or made
at the respective addresses provided in or pursuant to the Credit Agreement.

6.     NO WAIVER. Nothing contained herein shall constitute a waiver by the
New Lender of any Defaults or Events of Default now existing or hereafter
arising under the Credit Documents.

7.     AMENDMENT TO CREDIT AGREEMENT. Subject to all the terms and conditions 
hereof, the Credit Agreement is hereby amended as follows, effective as of the
later of October 10, 1997 and the date each of the conditions in Section 4
hereof is satisfied or waived:

       7.1.     Amendment of Section 1.34. Section 1.34. of the Credit 
                Agreement is hereby amended and restated to read as follows:

                "1.34. "Consolidated Fixed Charges" means, for any period,
                  the sum of:

                (a) the aggregate amount of interest, including payments in
       the nature of interest under Capitalized Leases and Interest Rate
       Protection Agreements, paid or accrued by the Company and its Related
       Entities (whether such interest is reflected as an item of expense or
       capitalized) in accordance with GAAP on a consolidated basis;

       plus     (b) the aggregate amount of all mandatory scheduled payments,
       prepayments and sinking fund payments with respect to principal paid
       or accrued by the Company and its Related Entities in respect of
       Financing Debt, including payments in the nature of principal under
       Capitalized Leases and Interest Rate Protection Agreements, in
       accordance with GAAP on a Consolidated basis;

       plus     (c) any mandatory dividends paid or payable by the Company or 
       any of its Related Entities to third parties.

       7.2.     Amendment of Section 1.63. Section 1.63. of the Credit 
                Agreement is hereby amended and restated to read as follows:

                                      -3-

   4


                  "1.63. "Final Maturity Date" means (i) with respect to the
                  Revolving Loan, September 30, 2000 and (ii) with respect to
                  the Mortgage Loan, June 30, 2003.

         7.3.     Amendment of Section 2.1.2.  Section 2.1.2. of the Credit 
                  Agreement is hereby amended and restated to read as follows:

                  "2.1.2. Maximum Amount of Revolving Credit. The term "Maximum
                  Amount of Revolving Credit" means, on any date, the lesser of
                  (a) $75,000,000 or (b) the amount (in an integral multiple of
                  $1,000,000) to which the then applicable amount shall have
                  been irrevocably reduced from time to time by notice from the
                  Company to the Agent."

         7.4.     Amendment of Section 6.5.2.  Section 6.5.2 of the Credit 
                  Agreement is hereby amended to read in its entirety as 
                  follows:

                  "6.5.2 Consolidated Total Debt to EBITDA. Consolidated
                  Financing Debt shall not on any date exceed 300% of
                  Consolidated EBITDA for the most recently completed period of
                  four consecutive fiscal quarters, provided, however, for
                  these purposes, Consolidated EBITDA shall exclude
                  non-recurring charges."

         7.5.     Amendment of Section 6.5.3.  Section 6.5.3 of the Credit 
                  Agreement is hereby amended to read in its entirety as 
                  follows:

                  "6.5.3. Consolidated Total Debt Service. On the last day of
                  each fiscal quarter of the Company and its Related Entities,
                  Operating Cash Flow shall be at least 200% of Consolidated
                  Fixed Charges for the period of four consecutive fiscal
                  quarters then ended.

         7.6.     Amendment of Section 6.5.4.  Section 6.5.4 of the Credit 
                  Agreement is hereby amended to read in its entirety as 
                  follows:

                  "6.5.4. Consolidated Net Worth. On the last day of each
                  fiscal quarter, the Consolidated Net Worth shall equal at
                  least $76,000,000, plus the aggregate net proceeds of any
                  offerings of equity interests in the Company or any of its
                  Related Entities occurring on or after the Initial Closing
                  Date.

         7.7.     Amendment of Section 6.11.  Section 6.11. of the Credit 
                  Agreement is hereby amended to read in its entirety as 
                  follows:

                  "6.11.  Capital Expenditures.  None of the Borrowers will 
                  make Capital Expenditures exceeding $3,000,000 in the 
                  aggregate in any fiscal year."

                                      -4-

   5

         7.8.     Amendment of Section 11.1.  Section 11.1. of the Credit 
                  Agreement is hereby amended to read in its entirety as
                  follows:

                  "11.1.  Interests in Credits.  The percentage interest of 
                  each Lender in the Revolving Loan and Mortgage Loan, and the 
                  related Commitments, shall be computed based on the maximum 
                  principal amount for each Lender as follows:


Maximum Percentage ------- ---------- Principal Amount Percentage Interest of ---------------- ---------- ----------- of Revolving Interest of Principal of Mortgage ---------------- ----------- ------------ ------- Lender Loan Revolving Loan Mortgage Loan Loan ------ ---- ---- ------------- ---- BankBoston, $37,500,000 50% $3,000,000 100% N.A. SunTrust/Central $37,500,000 50% $ 0 0% Florida =========== === ========== === Total $75,000,000 100% $3,000,000 100%
8. NO DEFAULT. In order to induce the Lenders to enter into this Amendment and to continue to extend credit to the Borrowers under the Credit Agreement as amended hereby, each of the Borrowers represents and warrants that, after giving effect to this Amendment, no Default under the Credit Agreement as amended hereby exists. 9. CONDITIONS. On or prior to the Amendment Date: 9.1. Each Borrower shall have duly executed and delivered to the Agent a Revolving Note for each Lender, dated as of June 27, 1996; 9.2. Each Borrower shall have delivered to the Agent an Officers Certificate in the form of Exhibit 5.4.1 to the Credit Agreement certifying that the representations and warranties contained in Section 7 of the Credit Agreement are true and correct on and as of the Amendment Date with the same force and effect as though made on and as of such date (except as to any representation or warranty which refers to a specific earlier date); that the Borrowers are in compliance with the convenants contained in Section 6 of the Credit Agreement and no Default shall exist on the Amendment Date prior to or immediately after giving effect to the requested extension of credit; and that no Material Adverse Change has occurred since December 31, 1995; -5- 6 9.3. The making of the requested Amendment and extension of credit shall not (a) subject any Lender to any penalty or special tax (other than a Tax for which the Borrowers are required to reimburse the Lenders under Section 3.5 of the Credit Agreement), (b) be prohibited by any Legal Requirement or (c) violate any credit restraint program of the executive branch of the government of the United States of America, the Board of Governors of the Federal Reserve System or any other governmental or administrative agency so long as any Lender reasonably believes that compliance is in the best interests of the Lender. 9.4. This Amendment. the Credit Agreement and each other Credit Document and the transactions contemplated hereby and thereby shall have been authorized by all necessary corporate or other proceedings of the Borrowers. All necessary consents, approvals and authorizations of any governmental or administrative agency or any other Person of any of the transactions contemplated hereby or by any other Credit Document shall have been obtained and shall be in full force and effect; 9.5. All legal and corporate proceedings in connection with the transactions contemplated by this Amendment, the Credit Agreement and each other Credit Document shall be satisfactory in form and substance to the Agent and the Agent shall have received copies of all documents, including certified copies of the Charter and By-Laws of the Borrowers and the other Obligors, records of corporate proceedings, certificates as to signatures and incumbency of officers and opinions of counsel, which the Agent may have reasonably requested in connection therewith, such documents where appropriate to be certified by proper corporate or governmental authorities. 10. MISCELLANEOUS. Except to the extent specifically amended hereby, the provisions of the Credit Agreement shall remain unmodified, and the Credit Agreement as amended hereby is confirmed as being in full force and effect. This Amendment may be executed in any number of counterparts which together shall constitute one instrument, shall be governed by and construed in accordance with the laws of The Commonwealth of Massachusetts (other than conflict of laws rules), and shall bind and inure to the benefit of the parties hereto and their respective successors and assigns, including as such successors and assigns all holders of Credit Obligations. -6- 7 IN WITNESS WHEREOF, the parties have caused this Amendment to be executed and delivered by their duly authorized officers as of the date first above written. PEDIATRIX MEDICAL GROUP, INC. By: /s/ Lawrence M. Mullen ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP OF FLORIDA, INC. By: /s/ Lawrence M. Mullen ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP, P.C. (WV) By: /s/ Lawrence M. Mullen ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP, P.C. (VA) By: /s/ Lawrence M. Mullen ------------------------------------------ Title: 8 PEDIATRIX MEDICAL GROUP, S.P. (PR) By: /s/ Carlos Perez, M.D. ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP, P.A. (NJ) By: /s/ Lawrence M. Mullen ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP OF KANSAS, P.A. By: /s/ Eduardo A. Otero, M.D. ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP NEONATOLOGY AND PEDIATRIC INTENSIVE CARE SPECIALISTS OF NEW YORK, P.C. By: /s/ Willard Helmuth, M.D. ------------------------------------------ Title: PEDIATRIX MEDICAL GROUP OF CALIFORNIA, P.C. By: /s/ Carlos Perez, M.D. ----------------------------------------- Title: 9 PEDIATRIX MEDICAL GROUP OF ILLINOIS, P.C. By: /s/ Brian UDell, M.D. ------------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF MICHIGAN, P.C. By: /s/ Lawrence M. Mullen ------------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF PENNSYLVANIA, P.C. By: /s/ Brian UDell, M.D. ------------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF TEXAS, P.A. By: /s/ Stephen Haskins, M.D. ------------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF OHIO, CORP. By: /s/ Lawrence M. Mullen ------------------------------------------- Title: NEONATAL SPECIALISTS, LTD. (AZ) By: /s/ Lawrence M. Mullen ------------------------------------------- Title: 10 PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. By: /s/ Eric Kurzweil, M.D. ------------------------------------------- Title: ST. JOSEPH NEONATOLOGY CONSULTANTS, P.A. By: /s/ Stephen Haskins, M.D. ------------------------------------------- Title: PERNOLL MEDICAL GROUP OF NEVADA, LTD. D/B/A PEDIATRIX MEDICAL GROUP OF NEVADA By: /s/ Lawrence M. Mullen ------------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF SOUTH CAROLINA, P.A. By: /s/ Lawrence M. Mullen ------------------------------------------- Title: FLORIDA REGIONAL NEONATAL ASSOCIATES, P.A. By: /s/ Lawrence M. Mullen ------------------------------------------- Title: 11 PEDIATRIX MEDICAL GROUP, INC. (Utah) By: /s/ Lawrence M. Mullen ----------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C. By: /s/ Lawrence M. Mullen ----------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF WASHINGTON, INC., P.C. By: /s/ Lawrence M. Mullen ----------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF INDIANA, P.C. By: /s/ Brian UDell, M.D. ----------------------------------------- Title: FORT WORTH NEONATAL ASSOCIATES, P.A. By: /s/ Stephen Haskins, M.D. ----------------------------------------- Title: 12 PMG ACQUISITION CORP. By: /s/ Lawrence M. Mullen ----------------------------------------- Title: PEDIATRIX MEDICAL GROUP OF PUERTO RICO, P.S.C. By: /s/ Carlos Perez, M.D. ----------------------------------------- Title: 13 BANKBOSTON, N.A. (formerly known as The First National Bank of Boston) By: /s/ Gregory G. O'Brien ------------------------------------------ Gregory G. O'Brien Managing Director BankBoston, N.A. New England Corporate Banking 100 Federal Street Boston, Massachusetts 02110 Telecopy: (617) 434-1279 Telex: 940581 14 SUNTRUST BANK/SOUTH FLORIDA, NATIONAL ASSOCIATION By /s/ Janet Sammons ---------------------------------------------- Name: Title: SunTrust Bank/South Florida, National Association 501 E. Las Olas Boulevard 7th Floor Fort Lauderdale, Florida 33301 Telecopy (954) 765-7240 STATE OF GEORGIA COUNTY OF FULTON On the _____ day of ____________ personally appeared ___________________________, as the ____________ PRESIDENT of SunTrust Bank, South Florida, National Association, and before me executed the attached AMENDMENT NO. 2 TO FIRST AMENDED AND RESTATED CREDIT AGREEMENT among Pediatrix Medical Group, Inc., the Related Entities of Pediatrix Medical Group, Inc. from time to time and the Lenders from time to time party hereto including SunTrust Bank, South Florida, National Association as lender under the Revolving Loan. IN WITNESS WHEREOF, I have hereunto set my hand and official seal, in the state and county aforesaid. ------------------------------------------------------- Signature of Notary Public, State of ------------------------------------------------------- (Print, Type or Stamp Commissioned Name of Notary Public) Personally known _________; OR Produced identification Type of identification produced: ------------------------------------------------------- 15 (Notary Seal) SUNTRUST BANK/CENTRAL FLORIDA, NATIONAL ASSOCIATION By /s/ Janet Sammons ------------------------------------------------- Name: Title: SunTrust Bank/Central Florida, National Association Health Care Banking Group Mail Code: 0-1101 200 S. Orange Avenue Orlando, Florida 32801 Telecopy (407) 237-5489 STATE OF GEORGIA COUNTY OF FULTON On the _____ day of ____________ personally appeared ___________________________, as the ____________ PRESIDENT of SunTrust Bank, Central Florida, National Association, and before me executed the attached AMENDMENT NO. 2 TO FIRST AMENDED AND RESTATED CREDIT AGREEMENT among Pediatrix Medical Group, Inc., the Related Entities of Pediatrix Medical Group, Inc. from time to time and the Lenders from time to time party thereto including SunTrust Bank, Central Florida, National Association as lender under the Revolving Loan. IN WITNESS WHEREOF, I have hereunto set my hand and official seal, in the state and county aforesaid. --------------------------------------------------- Signature of Notary Public, State of --------------------------------------------------- (Print, Type or Stamp Commissioned Name of Notary Public) Personally known _________; OR Produced identification Type of identification produced: --------------------------------------------------- 16 -------------------------------------------------- (Notary Seal)
   1
 

                                                                   EXHIBIT 11.1

                STATEMENT RE: COMPUTATION OF PER SHARE EARNINGS
THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, ---------------------------------- ----------------------------------- 1997 1996 1997 1996 ---------------------------------- ----------------------------------- (IN THOUSANDS, EXCEPT FOR PER SHARE DATA) Income applicable to common stock $ 5,503 $ 3,565 $ 14,579 $ 9,212 Weighted average number of common and common share equivalents outstanding: Primary: Weighted average number of common shares outstanding 15,065 14,232 14,984 13,454 Weighted average number of dilutive common share equivalents 788 762 708 734 ------------- -------------- -------------- -------------- Weighted average number of common and common share equivalents outstanding for primary earnings per share 15,853 14,994 15,692 14,188 ============= ============== ============== ============== Fully diluted: Weighted average number of common shares outstanding 15,065 14,232 14,984 13,454 Weighted average number of dilutive common stock equivalents 788 815 761 761 ------------- -------------- -------------- -------------- Weighted average number of common and common equivalent shares outstanding for fully diluted earnings per share 15,853 15,047 15,745 14,215 ============= ============== =============== ============== Income per share: Primary $ .35 $ .24 $ .93 $ .65 ============= ============== =============== ============== Fully diluted $ .35 $ .24 $ .93 $ .65 ============= ============== =============== ==============
 

5 THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEET OF PEDIATRIX MEDICAL GROUP AT SEPTEMBER 30, 1997 AND THE UNAUDITED CONDENSED CONSOLIDATED STATEMENT OF INCOME FOR THE NINE MONTHS ENDED SEPTEMBER 30, 1997, AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS. 1,000 9-MOS DEC-31-1997 JAN-01-1997 SEP-30-1997 11,322 27,026 32,957 0 0 73,109 9,573 0 184,812 25,463 2,600 0 0 151 155,333 184,812 0 92,056 0 69,253 (1,720) 0 225 24,298 9,719 14,579 0 0 0 14,579 .93 .93 AMOUNTS FOR RECEIVABLES AND PROPERTY PLANT AND EQUIPMENT ARE NET OF ANY ALLOWANCES AND ACCUMULATED DEPRECIATION.