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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 10-K

[X]  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
     EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2001

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

For the transition period from _______________________ to _____________________

Commission file number 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
    of incorporation or organization)                    Identification No.)

 1301 Concord Terrace, Sunrise, Florida                         33323
(Address of principal executive offices)                     (Zip Code)

                                 (954) 384-0175
              (Registrant's telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

        Title of Each Class            Name of Each Exchange On Which Registered
        -------------------            -----------------------------------------
      Common Stock, par value                    New York Stock Exchange
          $.01 per share

Securities registered pursuant to Section 12(g) of the Act: None.

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

         Indicate by check mark if disclosure of delinquent filers pursuant to
Item 405 of Regulation S-K (ss.229.405 of this chapter) is not contained herein,
and will not be contained, to the best of registrant's knowledge, in definitive
proxy or information statements incorporated by reference in Part III of this
Form 10-K or any amendment to this Form 10-K. [ ]

         The aggregate market value of shares of Common Stock, of the registrant
held by non-affiliates of the registrant as of March 20, 2002, was approximately
$645,241,000 based on a $38.42 closing sales price per share for the Common
Stock on the New York Stock Exchange on such date. For purposes of this
computation, all executive officers, directors and 5% beneficial owners of the
common stock of the registrant have been deemed to be affiliates. Such
determination should not be deemed to be an admission that such directors,
officers or 5% beneficial owners are, in fact, affiliates of the registrant.

         The number of shares of Common Stock of the registrant outstanding as
of March 20, 2002, was 25,483,095.

                      DOCUMENTS INCORPORATED BY REFERENCE:

         The Registrant's definitive proxy statement to be filed with the
Securities and Exchange Commission pursuant to Regulation 14A, with respect to
the annual meeting of shareholders scheduled to be held on May 14, 2002, is
incorporated by reference in Part III of this Form 10-K to the extent stated
herein. Except with respect to information specifically incorporated by
reference in this Form 10-K, each document incorporated by reference herein is
deemed not to be filed as a part hereof.

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                                 INDEX TO ITEMS

PART I .........................................................................................................3 Item 1. Business.....................................................................................3 Item 2. Properties..................................................................................20 Item 3. Legal Proceedings...........................................................................20 Item 4. Submission of Matters to a Vote of Security Holders.........................................21 PART II ........................................................................................................21 Item 5. Market for the Registrant's Common Equity and Related Stockholder Matters....................21 Item 6. Selected Financial Data......................................................................22 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations........24 Item 7A. Quantitative and Qualitative Disclosures About Market Risk...................................33 Item 8. Financial Statements and Supplementary Data..................................................34 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.........56 PART III ........................................................................................................57 Item 10. Directors and Executive Officers of the Registrant...........................................57 Item 11. Executive Compensation.......................................................................57 Item 12. Security Ownership of Certain Beneficial Owners and Management...............................57 Item 13. Certain Relationships and Related Transactions...............................................57 PART IV ........................................................................................................58 Item 14. Exhibits, Financial Statement Schedules, and Reports on Form 8-K.............................58 Signatures.......................................................................................................63
2 PART I ITEM 1. BUSINESS Unless the context requires otherwise, the terms "Pediatrix", "PMG", "the Company", "we", "us" and "our" refer to Pediatrix Medical Group, Inc., a Florida corporation, together with its subsidiaries and its affiliated professional associations, corporations and partnerships (the "PA Contractors"). The PA Contractors are separate legal entities that contract with Pediatrix Medical Group, Inc. to provide physician services in certain states and Puerto Rico. GENERAL We are the nation's leading provider of physician services at hospital-based neonatal intensive care units ("NICUs"). NICUs are staffed by neonatologists, who are pediatricians with additional training to care for newborn infants with low birth weight and other medical complications. In addition, we are the nation's leading provider of perinatal physician services. Perinatologists are obstetricians with additional training to care for women with high risk and/or complicated pregnancies and their fetuses. We also provide physician services at hospital-based pediatric intensive care units ("PICUs") and pediatrics departments in hospitals. As of December 31, 2001, we provided services in 27 states and Puerto Rico and employed or contracted with 588 practicing physicians. We staff and manage NICUs and PICUs in hospitals, providing the physicians and professional and administrative support, including physician billing and reimbursement services. Our policy is to provide 24-hour coverage at our NICUs and PICUs with on-site or on-call physicians. As a result of this policy, physicians are available to provide pediatric support to other areas of the hospital on an as-needed basis, particularly in the obstetrics, nursery and pediatrics departments, where immediate accessibility to specialized care is critical. We also staff and manage perinatal practices, which involves the operation of outpatient offices as well as the management of inpatient maternal-fetal care in hospitals. In our perinatal practices, we generally provide the physicians and other clinical professionals as needed, including nurse midwives, ultrasonographers and genetic counselors. We also provide administrative support and required medical equipment in our outpatient offices. All of our perinatal practices are in markets in which we also provide neonatal physician services, which allows us to pursue contractual arrangements with hospitals and third party payors for the provision of care across the full continuum of high risk maternal-fetal-neonatal medicine. We established our leading position in neonatal and perinatal physician services by developing a comprehensive care model, including management and systems infrastructure, that addresses the needs of patients, hospitals, payor groups and physicians. We address the needs of (i) patients by providing comprehensive, professional quality care, (ii) hospitals by recruiting, credentialing and retaining neonatologists, perinatologists, pediatric intensivists and other physicians, and hiring related staff to provide services in a cost-effective manner, (iii) payors by providing cost-effective care to patients, and (iv) physicians by providing administrative support, including professional billing and reimbursement expertise and services that enable physicians to focus on providing care to patients, and by offering research, education and career advancement opportunities within Pediatrix. On May 15, 2001, we acquired Magella Healthcare Corporation ("Magella") pursuant to a merger transaction that had been approved by our shareholders on that date. As a result of the merger, Magella became a wholly owned subsidiary of Pediatrix and the former stockholders of Magella became shareholders of Pediatrix. The discussion of the business of Pediatrix, management's discussion and analysis of financial condition and results of operations, and the consolidated financial statements included in this report reflect the operations and financial results of Pediatrix, which as of May 15,2001, includes the business and operations of Magella. 3 INDUSTRY OVERVIEW The managed care environment has created substantial cost containment pressures for all constituents of the health care industry. A trend among hospitals is to contract with third parties to manage specialized functions in an effort to contain costs, improve utilization management and reduce administrative burdens. Physician organizations provide hospitals with professional management of staff, including recruiting, staffing and scheduling of physicians. Our strategy is to continue growth through acquisitions, as physicians remain receptive to joining or affiliating with a larger organization. In addition, we continue to market our services to hospitals to obtain new contracts. We believe that hospitals will continue to outsource certain units, such as NICUs and PICUs, on a contract management basis. NICUs and PICUs present significant operational challenges for hospitals, including complex billing procedures, variable admissions rates, and difficulties in recruiting and retaining qualified physicians. Traditionally, hospitals have staffed their NICUs and PICUs through affiliations with small, local physician groups or with independent practitioners. Hospitals are increasingly seeking to contract with physician groups that have the capital resources, information and reimbursement systems and management expertise that NICUs require in the current managed care environment. Of the approximately four million babies born in the United States annually, approximately 10% to 15% require neonatal treatment. Demand for neonatal services is primarily due to premature births, and to infants having difficulty making the transition to extrauterine life. A majority of newborns who will require neonatal treatment are not identified until the time of delivery, thus heightening the need for continuous coverage by neonatologists. Across the United States, NICUs are concentrated primarily among hospitals with a higher volume of births. NICUs are important to hospitals since obstetrics generates one of the highest volumes of admissions, and obstetricians generally prefer to perform deliveries at hospitals with NICUs. Hospitals must maintain cost-effective care and service in these units to enhance the hospital's desirability to the community, physicians and managed care payors. Our involvement in the field of perinatology was a natural extension of our neonatal practice. Since many perinatal cases result in an admission to a NICU, early involvement by the neonatologist helps yield better outcomes for both mother and child. In addition, improved perinatal care has a positive impact on neonatal outcomes. The expansion of the continuum of care provided by Pediatrix to include perinatology has created an opportunity to strengthen our relationships with patients, hospitals and payors. STRATEGY Our objective is to enhance our position as the nation's leading provider of neonatal and perinatal physician services by adding new practices and increasing same unit growth. The key elements of our strategy are as follows: FOCUS ON NEONATOLOGY, PERINATOLOGY AND PEDIATRICS. Since our founding in 1979, we have focused primarily on neonatology and pediatrics. As a result of this focus, we believe that we have (i) developed significant expertise in the complexities of billing and reimbursement for neonatal physician services and (ii) a competitive advantage in recruiting and retaining neonatologists seeking to join a group practice. In 1998, we expanded our business into perinatology. We are continuing to focus our efforts in perinatology and are dedicated to developing the same level of expertise in perinatology that we have developed in neonatology over the past 20 years. We believe that our continued focus will allow us to enhance our position as the nation's leading provider of neonatal and perinatal physician services. ACQUIRE NEONATAL AND PERINATAL PHYSICIAN GROUP PRACTICES. We intend to further increase the number of locations at which we provide physician services by acquiring established neonatal and perinatal physician group practices. We completed our first acquisition of a neonatology physician group practice in July 1995 and since have acquired numerous established physician 4 group practices. We intend to continue actively pursuing acquisitions of additional neonatal and perinatal physician group practices. However, we may not be able to identify future acquisition candidates or consummate any future acquisitions. See "Risk Factors--Our failure to find suitable acquisition candidates or successfully integrate any future or recent acquisitions, particularly Magella, could harm our business and results of operations" below. DEVELOP REGIONAL NETWORKS. We intend to develop regional and state-wide networks of NICUs and perinatal practices in geographic areas with high concentrations of births. We operate combined regional networks of NICUs and perinatal practices in the Austin, Dallas-Fort Worth, Denver-Colorado Springs, Des Moines, Kansas City, Las Vegas, Phoenix-Tucson, Reno, San Antonio, San Jose, Seattle-Tacoma and Southern California metropolitan areas. In addition, we intend to continue to acquire and develop perinatal practices in markets where we currently provide NICU services. We believe that the development of regional and state-wide networks will strengthen our position with third party payors, such as Medicaid and managed care organizations, because such networks will offer more choice to the patients of third party payors. INCREASE SAME UNIT GROWTH. We seek to provide our services to hospitals where we can benefit from increased admissions, and we intend to increase revenues at existing units by providing support to areas of the hospital outside the NICU and PICU, particularly in the obstetrics, nursery and pediatrics departments, where immediate accessibility to specialized care is critical. These services generate incremental revenue for us, contribute to our overall profitability, enhance the hospital's profitability, strengthen our relationship with the hospital, and assist the hospital in attracting more admissions by enhancing the hospital's reputation in the community as a full-service critical care provider. ASSIST HOSPITALS TO CONTROL COSTS. We intend to continue assisting hospitals to control costs. Our comprehensive care model, which promotes early intervention by perinatologists and neonatologists in emergency situations, as well as the retention of qualified perinatologists and neonatologists, improves the overall cost effectiveness of care. We believe that our ability to assist hospitals to control costs will allow us to continue to be successful in adding new units at which we provide physician services. ADDRESS CHALLENGES OF MANAGED CARE ENVIRONMENT. We intend to continue to develop new methods of doing business with managed care and third party payors that will allow us to develop and strengthen our relationships among payors and hospitals. We are also prepared to enter into flexible arrangements with third party payors. As the nation's leading provider of neonatal and perinatal physician services, we believe that we are well-positioned to address the needs of managed care organizations and other third party payors, which seek to contract with cost-effective, quality providers of medical services. PHYSICIAN SERVICES We furnish physician management services to NICUs and PICUs, providing (i) a medical director to manage the unit, (ii) recruiting, staffing and scheduling services for physicians and certain other medical staff, (iii) neonatology and pediatric support to other hospital departments, (iv) pediatric subspecialty services, and (v) billing and reimbursement expertise and services. These physician management services include: UNIT MANAGEMENT. We staff each NICU, PICU and perinatal practice that we manage with a medical director who reports to one of our Regional Presidents ("RP"). The RPs and all medical directors at these units are board certified or board eligible in neonatology, perinatology, pediatrics, pediatric critical care or pediatric cardiology, as appropriate. In addition to providing medical care and physician management in the unit, the medical director is responsible for (i) overall management of the unit, including quality of care, professional discipline, utilization review and coordinating physician recruitment, staffing and scheduling, (ii) serving as a liaison to the 5 hospital administration, (iii) maintaining professional and public relations in the hospital and the community, and (iv) monitoring our financial success within the unit. RECRUITING, STAFFING AND SCHEDULING. We are responsible for recruiting, staffing and scheduling for neonatologists, perinatologists, pediatricians and advanced registered nurse practitioners ("ARNPs") within the NICUs and PICUs that we manage. Our recruiting department maintains an extensive recruiting database of neonatologists, perinatologists and pediatricians nationwide. We pre-screen all candidates and check and verify their credentials, licensure and references. The RPs and the medical directors play a key role in the recruiting and interviewing process before candidates are introduced to hospital administrators. The NICUs and PICUs that we manage are staffed by at least one neonatologist or pediatrician on site or available on call. These physicians are board certified or board eligible in neonatology, perinatology, pediatrics, pediatric critical care or pediatric cardiology, as appropriate. We also employ or contract with ARNPs, who assist our physicians in operating the NICUs and PICUs. All ARNPs have either a certificate as a neonatal nurse practitioner or pediatric nurse practitioner or a masters degree in nursing, and have previous neonatal or pediatric experience. With respect to the physicians who are employed by or under contract with us, we assume responsibility for salaries, benefits and physician malpractice insurance. See "Contractual Relationships" below. SUPPORT TO OTHER HOSPITAL DEPARTMENTS. As part of our comprehensive care model, physicians provide support services to other areas of hospitals, particularly in the obstetrics, nursery and pediatrics departments, where immediate accessibility to specialized care is critical. We believe that this support (i) improves our relations with hospital staff and referring physicians, (ii) enhances the hospital's reputation in the community as a full-service critical care provider, (iii) increases admissions from referring obstetricians and pediatricians, (iv) integrates the physicians into a hospital's medical community, (v) generates incremental revenue that contributes to our overall profitability, and (vi) increases the likelihood of our renewing existing and adding new hospital contracts. BILLING AND REIMBURSEMENT. We assume responsibility for all aspects of the billing, reimbursement and collection related to physician services. Third party payors and/or patients receive a bill from us for physician services. The hospital bills and collects separately for services it provides. To address the increasingly complex and time-consuming process of obtaining reimbursement for medical services, we have invested in both the technical and human resources necessary to create an efficient billing and reimbursement process, including specific claim forms and software systems. We begin this process by providing training to physicians that emphasizes a detailed review of and proper coding protocol for all procedures performed and services provided to achieve appropriate collection of revenues for physician services. Our billing and collection operations are conducted from our corporate offices in Sunrise, Florida, as well as our regional business offices. See "From time to time we are subject to billing investigations by federal and state government authorities which could have an adverse effect on our business and results of operations and the trading prices of our shares" below. MARKETING Historically, most of our growth was generated internally through marketing efforts and referrals. Beginning in the latter part of 1995, we significantly increased our acquisition activities to capitalize on the opportunities created by the trend toward consolidation in the health care industry. Our marketing program to neonatal and perinatal physician groups consists of (i) market research to identify established physician groups, (ii) telemarketing to identify and contact acquisition candidates, as well as hospitals with high demand for perinatal and NICU services, and (iii) on-site visits conducted by business development personnel together with senior management. We also advertise our services in hospital and health care trade journals, participate at hospital and physician trade conferences, and market our services directly to hospital administrators and medical staff. In addition, we focus on developing additional regional and statewide networks to strengthen our position with managed care organizations. 6 MANAGEMENT INFORMATION SYSTEMS We maintain several systems to support our day-to-day operations, business development and ongoing clinical and business analysis, including (i) a clinical tracking system designed to assist our physicians with their paperwork and to consolidate clinical information used to support our education, research and quality assurance programs, (ii) a decision tree system designed to assist our physicians in selecting the appropriate billing codes for services provided, (iii) a website (NATALU) designed to disseminate clinical research and education materials to physicians and patients, (iv) electronic interchange with payors using electronic benefits verification, claims submission, and remittance advice, (v) a database used by the business development and marketing departments in recruiting physicians and identifying potential physician group acquisition candidates, which is updated through telemarketing activities, personal contacts, professional journals and mail solicitation, and (vi) a company-wide electronic mail system to assist intracompany communications and conferencing. Ongoing development will provide even greater streamlining of information from the clinical systems through the reimbursement process, thereby expediting the overall process. Our management information system is an integral component of the billing and reimbursement process. Our system enables us to track numerous and diverse third party payor relationships and payment methods and provides for electronic interchange in support of insurance benefits verification and claims processing to payors accepting electronic submission. Our system was designed to meet our requirements by providing maximum flexibility as payor groups upgrade their payment and reimbursement systems. See "Risk Factors -- If we do not maintain effective and efficient information systems, our operations may be adversely affected" below. CONTRACTUAL RELATIONSHIPS HOSPITAL RELATIONSHIPS. Many of our contracts with hospitals grant us the exclusive right and responsibility to manage the provision of physician services to the NICUs and PICUs. The contracts typically have terms of one to five years and renew automatically for additional terms of one to five years unless earlier terminated. The contracts typically provide that the hospital or we may terminate the agreement upon 90 days' written notice. We typically bill for physicians' services on a fee-for-service basis separately from other charges billed by the hospital. Certain contracting hospitals that do not generate sufficient patient volume agree to pay us administrative fees to assure a minimum revenue level. Administrative fees include guaranteed payments to us, as well as fees paid to us by certain hospitals for administrative services performed by our medical directors at such hospitals. Administrative fees accounted for 6%, 7% and 6% of our net patient service revenue during 1999, 2000 and 2001, respectively. The hospital contracts typically require that we and the physicians performing services maintain minimum levels of professional and general liability insurance. We contract and pay the premiums for such insurance on behalf of the physicians. See "Professional Liability and Insurance" below. PAYOR RELATIONSHIPS. Substantially all our contracts with third party payors are discounted fee-for-service contracts. Although we have a minor number of small capitated arrangements (in which we are paid a flat monthly fee based on the number of individuals covered by a particular insurance plan) with certain payors, we are prepared to enter into additional capitation arrangements with other third party payors. If we enter into relationships with third party payors with respect to regional and statewide networks, such relationships may be on a capitated basis. PA CONTRACTOR RELATIONSHIPS. PMG has entered into management agreements ("PA Management Agreements") with PA Contractors in all states in which we operate, other than Alaska, Idaho, Florida, and certain operations in Missouri. Each PA Contractor is owned by a licensed physician. Subject to applicable state laws, under the PA Management Agreements, the PA Contractors delegate to PMG only the administrative, management and support functions (and not any functions constituting the practice of medicine) that the PA Contractors have agreed to provide to the hospital. In consideration of such services, each PA Contractor pays PMG either a percentage of the PA Contractor's gross revenue (but in 7 no event greater than the net profits of such PA Contractor), or a flat fee. PMG has the discretion to determine whether the fee shall be paid on a monthly, quarterly or annual basis. The management fee may be adjusted from time to time to reflect industry standards and the range of services provided by the PA Contractor. The PA Management Agreements provide that the term of the arrangements are not less than 40 years, and in most cases permanent, subject only to termination by PMG, except in the case of gross negligence, fraud or bankruptcy of PMG. Also, the PA Management Agreements provide that PMG has the right, but not the obligation to purchase, or to designate a person or persons to purchase, the stock of the PA Contractor for a nominal amount. Separately, in its sole discretion, PMG has the right to assign its interest in the PA Management Agreements. See Note 2 to our Consolidated Financial Statements and "Risk Factors--Regulatory authorities or other parties may assert that our arrangements with our affiliated professional contractors constitute fee-splitting or the corporate practice of medicine which could result in civil or criminal penalties or invalidation of our contracts, which in turn could have an adverse effect on our financial condition and results of operations" below. PHYSICIAN RELATIONSHIPS. We contract with the PA Contractors to provide the medical services required to fulfill our obligations to hospitals. The physician employment agreements typically have terms of three to five years and can be terminated by either party at any time upon 90 days' prior written notice. Each physician generally receives a base salary plus an incentive bonus. Each physician is required to hold a valid license to practice medicine in the appropriate state in which the physician practices and to become a member of the medical staff, with appropriate privileges, at each hospital at which he or she practices. We are responsible for billing patients and third party payors for services rendered by the physician, and we have the exclusive right to establish the schedule of fees to be charged for such services. Substantially all the physicians employed by PMG or the PA Contractors have agreed not to compete with PMG or the PA Contractor within a specified radius of any hospital at which PMG, the PA Contractor or the physician is rendering services for a period of two to three years after termination of employment. ACQUISITIONS. We structure acquisitions of physician practice groups as asset purchases, stock purchases or mergers. Generally, these structures provide for (i) the assignment to us or a PA Contractor of the contracts between the physician practice group and the hospital at which the physician practice group provides medical services, (ii) the procurement of physician "tail insurance" coverage, under which we are an insured party, that covers malpractice claims filed after the date of acquisition that are based on events that occurred prior to the acquisition, and (iii) the indemnification to us by the previous owners of the practice group for breaches of their representations and warranties contained in the purchase agreement. Generally, in acquisitions structured as asset purchases, we do not acquire the physician practice group's receivables or liabilities, including malpractice claims, arising from the physician practice group's activities prior to the date of the acquisition. Generally, in acquisitions structured as stock purchases or mergers, the physician practice group's receivables (net of any liabilities accruing prior to the acquisition and permitted indemnification claims) are assigned to the former owners of the physician practice group. It should be noted, however, that in our recent acquisition of Magella, neither Magella nor any of its stockholders provided us with indemnification. GOVERNMENT REGULATION Our operations and relationships are subject to extensive and complex governmental and regulatory requirements relating to the conduct of our business. We are also subject to laws and regulations that relate to business corporations in general. We exercise care in an effort to structure our practices and arrangements with hospitals and physicians to comply with applicable federal, state and local laws and regulations and we believe that such practices and arrangements comply in all material respects with all such existing applicable laws and regulations. Approximately 23% of our net patient service revenue in 2001, exclusive of administrative fees, was derived from payments made by government-sponsored health care programs (principally Medicaid). These programs are subject to substantial regulation by the federal and state governments. Any change in reimbursement regulations, policies, practices, interpretations or statutes that places material limitations on reimbursement amounts or practices could adversely affect our operations. In addition, 8 funds received under these programs are subject to audit with respect to the proper billing for physician and ancillary services and, accordingly, retroactive adjustments of revenue from these programs may occur. See "Risk Factors--Limitations of, reductions in, or retroactive adjustments to reimbursement amounts or rates by government-sponsored health care programs could adversely affect our financial condition and results of operations" below. For more information about the various regulatory requirements to which we are subject, see "Risk Factors--The health care industry is highly regulated and our failure to comply with laws or regulations, or a determination that in the past we have failed to comply with laws or regulations, could have an adverse effect on our financial condition and results of operations", "Risk Factors--If we are found to have violated anti-kickback or self-referral laws, we could be subject to monetary fines, civil and criminal penalties and exclusion from participation in government-sponsored health care programs, which would have an adverse effect on our business and results of operations", "Risk Factors--Regulatory authorities or other parties may assert that our arrangements with our affiliated professional contractors constitute fee-splitting or the corporate practice of medicine which could result in civil or criminal penalties or invalidation of our contracts which, in turn, could have an adverse effect on our financial condition and results of operations", "Risk Factors -- Federal and state laws that protect patient health information may increase our costs and limit our liability to collect and use that information", and "Risk Factors--Federal and state health care reform, or changes in the interpretation of government-sponsored health care programs, may have an adverse effect on our financial condition and results of operations" below. In April 1999, we received requests 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. Our disclosure of the investigations caused our share price to substantially decrease. 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 our 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. The Colorado Medicaid and Tricare investigations, which involve criminal, civil and administrative components, are active and ongoing, and these matters, along with the Arizona and Florida 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 or results of operations or on the trading prices of our shares. We believe that additional billing audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of our business and in the health care services industry in general from time to time. See "From time to time we are subject to billing investigations by federal and state government authorities which could have an adverse effect on our business and results of operations and the trading prices of our shares" below. On February 7, 2002, we and certain of our officers executed a definitive agreement relating to our previously announced settlement of the securities class action litigation filed against us and certain of our officers in the United States District Court for the Southern District of Florida. Pursuant to the terms of the settlement agreement, we agreed to make a cash payment $12.0 million, which amount is expected to be covered under insurance policies. The settlement, which has received preliminary court approval, is subject to final approval of the District Court. See "Item 3. Legal Proceedings" below. 9 PROFESSIONAL LIABILITY AND INSURANCE Our business entails an inherent risk of claims of physician professional liability. We maintain professional liability insurance and general liability insurance on a claims-made basis in accordance with standard industry practice. We believe that our coverage is appropriate based upon our claims experience and the nature and risks of our business. There can be no assurance that a pending or future claim or claims will not be successful or if successful will not exceed the limits of available insurance coverage. See "Item 3. Legal Proceedings" and "Risk Factors--We may be subject to malpractice and other lawsuits, some of which we may not be fully insured against" below. In order to maintain hospital privileges, the physicians who are employed by or under contract with us are required to obtain professional liability insurance coverage. We contract and pay the premiums for such insurance for the physicians. Our current professional liability insurance policy expires May 1, 2002, and we are currently reviewing our coverage options, which will include a higher self-insured retention. There can be no assurance that we can obtain substantially similar coverage upon expiration or that such coverage will continue to be available at acceptable costs and on favorable terms. Based upon current insurance markets, we expect that our professional liability insurance premiums will increase over prior periods. COMPETITION The health care industry is highly competitive and has been subject to continual changes in the method in which health care services are provided and the manner in which health care providers are selected and compensated. We believe that private and public reforms in the health care industry emphasizing cost containment and accountability will result in an increasing shift of neonatal and perinatal care from highly fragmented, individual or small practice providers to larger physician groups. Companies in other health care industry segments, such as managers of other hospital-based specialties or large physician group practices, some of which have financial and other resources greater than ours, may become competitors in providing management of perinatal, neonatal and pediatric intensive care services to hospitals. Competition in our business is generally based upon reputation and experience, and the physicians' ability to provide cost-effective, quality care. See "Risk Factors--Our industry is already competitive, and increased competition could adversely affect our revenues" below. SERVICE MARKS We have registered the service marks "Pediatrix Medical Group" and "Obstetrix Medical Group" and their design as well as the baby design logo with the United States Patent and Trademark Office. In addition, we have pending applications to register the trademark "NatalU" and service mark "NatalU - A University Without Walls". EMPLOYEES AND PROFESSIONALS UNDER CONTRACT; GEOGRAPHIC COVERAGE In addition to the 588 practicing physicians employed by or under contract with us as of December 31, 2001, Pediatrix employed or contracted with 564 other clinical professionals and 932 other full-time and part-time employees. None of our employees are subject to a collective bargaining agreement. We provide services in Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Maryland, Missouri, Nevada, New Jersey, New Mexico, New York, Ohio, Oklahoma, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Utah, Virginia, Washington and West Virginia. 10 RISK FACTORS FROM TIME TO TIME WE ARE SUBJECT TO BILLING INVESTIGATIONS BY FEDERAL AND STATE GOVERNMENT AUTHORITIES WHICH COULD HAVE AN ADVERSE EFFECT ON OUR BUSINESS AND RESULTS OF OPERATIONS AND THE TRADING PRICES OF OUR SHARES. State and federal statutes impose substantial penalties, including civil and criminal fines, exclusion from participation in government health care programs, and imprisonment, on entities or individuals (including any individual corporate officers or physicians deemed responsible) that fraudulently or wrongfully bill governmental or other third party payors for health care services. In addition, federal laws allow a private person to bring a civil action in the name of the United States government for false billing violations. 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 by the Tricare program for military dependents. Our disclosure of the investigations caused our share price to substantially decrease. The Colorado Medicaid and Tricare investigations, which involve criminal, civil and administrative components, are active and ongoing, and these matters, along with the Arizona and Florida 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 or results of operations or on the trading prices of our shares. We believe that additional billing audits, inquiries and investigations by government agencies will continue to occur in the ordinary course of our business and in the health care services industry in general from time to time. THE HEALTH CARE INDUSTRY IS HIGHLY REGULATED AND OUR FAILURE TO COMPLY WITH LAWS OR REGULATIONS, OR A DETERMINATION THAT IN THE PAST WE HAVE FAILED TO COMPLY WITH LAWS OR REGULATIONS, COULD HAVE AN ADVERSE EFFECT ON OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS. The health care industry and physicians' medical practices are highly regulated. We believe that this industry will continue to be subject to increasing regulation, the scope and effect of which we cannot predict. Neonatal, perinatal and other health care services that we and our affiliated professional contractors provide are subject to extensive and complex federal, state and local laws and regulations governing various matters such as the licensing and certification of our facilities and personnel, the conduct of our operations, our billing and coding policies and practices, our policies and practices with regard to patient privacy and confidentiality, and prohibitions on payments for the referral of business and self-referrals. As a result of our desire to assure compliance with the increasingly complex regulatory environment for the health care industry, we maintain a company-wide compliance program. Nevertheless, we may become the subject of additional regulatory or other investigations or proceedings, and our interpretations of applicable laws and regulations may be challenged. The defense of any such challenge could result in substantial cost to us and a diversion of management's time and attention. Thus, any such challenge could have a material adverse effect on our business, regardless of whether it ultimately is successful. If we fail to comply with these laws, or a determination is made that in the past we have failed to comply with these laws, our financial condition and results of operations could be adversely affected. In addition, changes in health care laws or regulations may restrict our existing operations, limit the expansion of our business or impose additional compliance requirements. These changes, if enacted, could reduce our opportunities for continued growth and impose additional compliance costs on us that we may not recover through price increases. 11 LIMITATIONS OF, REDUCTIONS IN OR RETROACTIVE ADJUSTMENTS TO REIMBURSEMENT AMOUNTS OR RATES BY GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS COULD ADVERSELY AFFECT OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS. Approximately 23% of our net patient service revenue in 2001, exclusive of administrative fees, was derived from payments made by government-sponsored health care programs (principally Medicaid). These government programs, as well as private insurers, have taken and may continue to take steps to control the cost, use and delivery of health care services. There can be no assurance that payments from government or private payors will remain at levels comparable to present levels. Our business could be adversely affected by reductions in or limitations of reimbursement amounts or rates under these programs, reductions in funding of these programs, or elimination of coverage for certain individuals or treatments under these programs, which may be implemented as a result of: o increasing budgetary and cost containment pressures on the health care industry generally; o new federal or state legislation reducing state Medicaid funding and reimbursements or increasing state discretionary funding; o new state legislation encouraging or mandating state Medicaid managed care; o state Medicaid waiver requests granted by the federal government, increasing discretion with respect to, or reducing coverage or funding for, certain individuals or treatments under Medicaid, in the absence of new federal legislation; o increasing state discretion in Medicaid expenditures which may result in decreased reimbursement for, or other limitations on, the services that we provide; or o other changes in reimbursement regulations, policies or interpretations that place material limitations on reimbursement amounts or practices for services that we provide. In addition, these government-sponsored health care programs generally provide for reimbursements on a fee schedule basis rather than on a charge-related basis. Therefore, we generally cannot increase our revenues by increasing the amount we charge for our services. To the extent our costs increase, we may not be able to recover our increased costs from these government programs. In states where Medicaid managed care is encouraged and may become mandated, Medicaid reimbursement payments to us could be reduced as managed care organizations bargain for reimbursement with competing providers and contract with these states to provide benefits to Medicaid enrollees. Moreover, cost containment measures and market changes in non-governmental insurance plans have generally restricted our ability to recover, or shift to non-governmental payors, these increased costs. In attempts to limit federal spending, there have been, and we expect that there will continue to be, a number of proposals to limit Medicare and Medicaid reimbursement for various services. For example, the Balanced Budget Act of 1997 has made it easier for states to reduce their Medicaid reimbursement levels. Some states have enacted or are considering enacting measures that are designed to reduce their Medicaid expenditures. This Act also mandated that the Centers for Medicare and Medicaid Services, or CMS (formerly known as Health Care Financing Administration, or HCFA), conduct competitive bidding demonstrations for certain Medicare services. Two such demonstrations are currently being conducted. These competitive bidding demonstrations could provide CMS and Congress with a model for implementing competitive pricing in other federal health care programs. If, for example, such a competitive bidding system were implemented for Medicaid services, it could result in lower reimbursement rates, exclude certain services from coverage or impose limits on increases in reimbursement rates. Our business may be significantly and adversely affected by any such changes in reimbursement policies and other legislative initiatives aimed at reducing health care costs associated with Medicare and Medicaid. 12 In addition, funds we receive from third party payors, including government programs, are subject to audit with respect to the proper billing for physician and ancillary services and, accordingly, our revenue from these programs may be adjusted retroactively. IF OUR PHYSICIANS DO NOT APPROPRIATELY RECORD AND DOCUMENT THE SERVICES THAT THEY PROVIDE, OUR REVENUES COULD BE ADVERSELY AFFECTED. Physicians employed or under contract with our affiliated professional contractors are responsible for assigning reimbursement codes and maintaining sufficient supporting documentation in respect of the services that they provide. We use this information to seek reimbursement for their services from third party payors. If our physicians do not appropriately code or document their services, our revenues could be adversely affected. For instance, in response to billing investigations or other governmental inquiries, our affiliated physicians could take an unduly conservative approach to coding their services by, for example, increasing the use of non-critical care codes, for which our reimbursement is lower than critical care codes, as they may have in the past. As a result, we could receive lower reimbursements from third party payors which could have a material adverse effect on our revenues and results of operations. OUR FAILURE TO FIND SUITABLE ACQUISITION CANDIDATES OR SUCCESSFULLY INTEGRATE ANY FUTURE OR RECENT ACQUISITIONS, PARTICULARLY MAGELLA, COULD HARM OUR BUSINESS AND RESULTS OF OPERATIONS. We have expanded and intend to continue to expand our geographic and market penetration primarily through acquisitions of physician group practices. However, we may not be able to implement our acquisition strategy, and our strategy may not be successful. In implementing our acquisition strategy, we compete with other potential acquirers, some of which may have greater financial or operational resources than we do. Competition for acquisitions may intensify due to the ongoing consolidation in the health care industry, which may increase the costs of capitalizing on such opportunities. In addition, completion of acquisitions could result in us incurring or assuming additional indebtedness and issuing additional equity. The issuance of shares of our common stock for an acquisition may result in dilution to our existing shareholders. Although we conduct due diligence reviews of potential acquisition candidates, including with respect to financial matters and compliance with applicable laws, we cannot be certain that the acquired business will continue to maintain its pre-acquisition revenues and growth rates following the acquisition, nor can we be certain as to the absence or extent of any unknown or contingent liabilities, including liabilities for failure to comply with applicable laws. While we generally seek indemnification from the prior owners of acquired businesses covering these matters (although we have no indemnification in our Magella acquisition), we may incur material liabilities for past activities of acquired businesses. Moreover, integrating acquisitions, including Magella, into our existing operations involves numerous additional short and long-term risks, including: o diversion of our management's attention; o failure to retain key personnel; o long-term value of acquired intangible assets; and o one-time acquisition expenses. We cannot assure you that we will complete or integrate acquisitions in new states; but if we do, we will be required to comply with the laws and regulations of those states, which may differ from those of the states in which our operations are currently conducted. Many of our acquisition-related expenses may have a negative effect on our results of operations until, if ever, these expenses are offset by 13 increased revenues. We cannot assure you that we will identify suitable acquisition candidates in the future or that we will complete future acquisitions or, if completed, that any acquisition, including our recent acquisitions, will be integrated successfully into our operations or that we will be successful in achieving our objectives. REGULATORY AUTHORITIES OR OTHER PARTIES MAY ASSERT THAT OUR ARRANGEMENTS WITH OUR AFFILIATED PROFESSIONAL CONTRACTORS CONSTITUTE FEE-SPLITTING OR THE CORPORATE PRACTICE OF MEDICINE WHICH COULD RESULT IN CIVIL OR CRIMINAL PENALTIES OR INVALIDATION OF OUR CONTRACTS, WHICH IN TURN COULD HAVE AN ADVERSE EFFECT ON OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS. Many states have laws that prohibit business corporations, such as PMG, from practicing medicine, exercising control over medical judgments or decisions of physicians, or engaging in certain arrangements, such as fee-splitting, with physicians. In these states, we maintain long-term management contracts with professional associations and partnerships that are owned by licensed physicians, and these affiliated professional contractors in turn employ or contract with physicians to provide physician services. In states where we are not permitted to practice medicine, we perform only non-medical administrative services, do not represent that we offer medical services and do not exercise influence or control over the practice of medicine by the physicians employed by our affiliated professional contractors. In states where fee-splitting is prohibited, the fees that we receive from our affiliated professional contractors have been established on a basis that we believe complies with the applicable states' laws. Although we believe that we are in compliance with applicable state laws in relation to the corporate practice of medicine and fee-splitting, we cannot assure you of this. Regulatory authorities or other parties, including our affiliated physicians, may assert that, despite these arrangements, we are engaged in the corporate practice of medicine or that our contractual arrangements with our affiliated professional contractors constitute fee-splitting or the corporate practice of medicine, in which case we could be subject to civil and criminal penalties, our contracts could be found legally invalid and unenforceable (in whole or in part) or we could be required to restructure our contractual arrangements with our affiliated professional contractors. We cannot assure you that this will not occur or, if it does, that we would be able to restructure our contractual arrangements on terms that are similar or at least as favorable to us. If we were unable to so restructure our contractual arrangements, our financial condition and results of operations could suffer. IF WE ARE FOUND TO HAVE VIOLATED ANTI-KICKBACK OR SELF-REFERRAL LAWS, WE COULD BE SUBJECT TO MONETARY FINES, CIVIL AND CRIMINAL PENALTIES AND EXCLUSION FROM PARTICIPATION IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, WHICH WOULD HAVE AN ADVERSE EFFECT ON OUR BUSINESS AND RESULTS OF OPERATIONS. Our business is subject to extensive federal and state regulation with respect to financial relationships and "kickbacks" among health care providers, physician self-referral arrangements and other fraud and abuse issues. Federal anti-kickback laws and regulations prohibit certain offers, payments or receipts of remuneration in return for (1) referring Medicaid or other government-sponsored health care program patients or patient care opportunities or (2) purchasing, leasing, ordering or arranging for, or recommending any service or item for which payment may be made by a government-sponsored health care program. In addition, federal physician self-referral legislation, known as the Stark law, prohibits Medicare or Medicaid payments for certain services furnished by a physician who has a financial relationship with various physician-owned or physician-interested entities. These laws are broadly worded and, in the case of the anti-kickback law, have been broadly interpreted by federal courts, and potentially subject many business arrangements to government investigation and prosecution, which can be costly and time consuming. Violations of these laws are punishable by monetary fines, civil and criminal penalties, exclusion from participation in government-sponsored health care programs and forfeiture of amounts collected in violation of such laws, which could have an adverse effect on our business and results of operations. Certain states in which we do business also have similar anti-kickback and self-referral laws, imposing substantial penalties for violations. The relationships, including fee arrangements, among our affiliated professional contractors, hospital clients and physicians have not been 14 examined by federal or state authorities under these anti-kickback and self-referral laws and regulations. FEDERAL AND STATE LAWS THAT PROTECT THE PRIVACY OF PATIENT HEALTH INFORMATION MAY INCREASE OUR COSTS AND LIMIT OUR ABILITY TO COLLECT AND USE THAT INFORMATION. Numerous federal and state laws and regulations govern the collection, dissemination, use and confidentiality of patient-identifiable health information, including the federal Health Insurance Portability and Accountability Act of 1996 and related rules ("HIPAA"). The U.S. Department of Health and Human Services has proposed standards for patient-identifiable health information pursuant to HIPAA that have not yet been finalized. As part of our medical record keeping, third party billing, research and other services, we collect and maintain patient-identifiable health information. We cannot predict the effect of the HIPAA privacy standards on our operations nor estimate the cost of compliance with such standards, which may be revised prior to their current scheduled effective date in February 2003. New health information standards, whether implemented pursuant to HIPAA, congressional action or otherwise, could have a significant effect on the manner in which we handle health care related data and communicate with payors, and the cost of complying with these standards could be significant. If we do not comply with existing or new laws and regulations related to patient health information we could be subject to criminal or civil sanctions. FEDERAL AND STATE HEALTH CARE REFORM, OR CHANGES IN THE INTERPRETATION OF GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, MAY HAVE AN ADVERSE EFFECT ON OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS. Federal and state governments have recently focused significant attention on health care reform. In recent years, many legislative proposals have been introduced or proposed in Congress and some state legislatures that would effect major changes in the health care system. Among the proposals which are being or have been considered are cost controls on hospitals, insurance reforms and the creation of a single government health plan that would cover all citizens. Some proposals under consideration, or others which may be introduced, could, if adopted, have a material adverse effect on our financial condition and results of operations. We cannot predict which, if any, proposal that has been or will be considered will be adopted or what effect any future legislation will have on us. WE MAY NOT BE ABLE TO SUCCESSFULLY RECRUIT ADDITIONAL AND RETAIN EXISTING QUALIFIED PHYSICIANS TO SERVE AS OUR INDEPENDENT CONTRACTORS OR EMPLOYEES. Our business strategy is dependent upon our ability to recruit and retain qualified neonatologists and perinatologists. We compete with many types of health care providers, including teaching, research, and government institutions, for the services of qualified physicians. In addition, upon the expiration of the employment contracts of our affiliated physicians, which typically have terms of three to five years, we generally seek the renewal of such contracts. We may not be able to continue to recruit and retain, through renewal of existing contracts or otherwise, a sufficient number of qualified neonatologists and perinatologists who provide services in markets served by us on terms similar to our current arrangements. Our inability to recruit additional or retain our current physicians on terms that are similar to our current arrangements (or that are otherwise acceptable to us) could adversely affect our ability to service existing or new units at hospitals or expand our business, which could have a material adverse effect on our financial condition and results of operations. WE MAY BE SUBJECT TO MALPRACTICE AND OTHER LAWSUITS, SOME OF WHICH WE MAY NOT BE FULLY INSURED AGAINST. Our business entails an inherent risk of claims medical malpractice claims against our physicians and us. We periodically become involved as a defendant in medical malpractice lawsuits, some of which are currently ongoing, and are subject to the attendant risk of substantial damage awards. A significant source of potential liability is negligence or alleged negligence by physicians employed or contracted by 15 us or our affiliated professional contractors. To the extent these physicians are our employees, or are regarded as our agents, we could be held liable. In addition, our contracts with hospitals generally require us to indemnify them and their affiliates for losses resulting from the negligence of physicians who are associated with us. From time to time we have been subject to other lawsuits. We recently settled a class action lawsuit brought by a class of open market purchasers of our common stock. The class action lawsuit alleged that we had violated federal securities laws. We may be subject to lawsuits in the future which may involve large claims and significant defense costs. Although we currently maintain liability insurance intended to cover such claims, the coverage limits of such insurance policies may prove to be inadequate or all such claims may not be covered by the insurance. In addition, our commercial insurance policies must be renewed annually. We cannot assure you that a pending or future lawsuits will not be successful or, if successful, will not exceed the limits of our available insurance coverage or that this coverage will continue to be available at acceptable costs and on favorable terms. Liabilities in excess of our insurance coverage could have a material adverse effect on our financial condition and results of operations. In addition, claims, regardless of their merit or eventual outcome, also may have a material adverse effect on our business and reputation. WE MAY WRITE-OFF INTANGIBLE ASSETS, SUCH AS GOODWILL. Recent accounting rules require that we evaluate long-lived assets, including goodwill and other identifiable intangibles, at each balance sheet date and record an impairment whenever events or changes in circumstances indicate that the carrying value of such assets may not be fully recoverable. Under current standards, the recoverability of such assets, which consist primarily of goodwill, is measured by a comparison of the carrying value of the assets to the future undiscounted cash flows before interest charges to be generated by the assets. For goodwill, we consider external factors relating to each acquired business, including hospital and physician contract charges, local market developments, changes in third-party payments, national health care trends, and other publicly-available information. If these factors indicate that goodwill is impaired, the impairment to be recognized is measured as the excess of the carrying value over the estimated fair value. As circumstances after an acquisition can change, we cannot assure you that the value of intangible assets will be realized by us. If we record an impairment of our intangible assets, it could have an adverse effect on our results of operations for the year in which the impairment is recorded. FAILURE TO MANAGE OUR GROWTH EFFECTIVELY COULD HARM OUR BUSINESS AND RESULTS OF OPERATIONS. We have experienced rapid growth in our business and number of employees in recent years. Continued rapid growth may impair our ability to provide our services efficiently and to manage our employees adequately. While we are taking steps to manage our growth, our future results of operations could be materially adversely affected if we are unable to do so effectively. IF WE DO NOT MAINTAIN EFFECTIVE AND EFFICIENT INFORMATION SYSTEMS, OUR OPERATIONS MAY BE ADVERSELY AFFECTED. Our operations are dependent on the continued and uninterrupted performance of our information systems. Failure to maintain reliable information systems or disruptions in our information systems could cause disruptions in our business operations, including disruptions in billing and collections; loss of existing patients; difficulty in satisfying requirements of contractual obligations with hospitals; disputes with patients and payors; problems maintaining patient privacy and confidentiality, patient records, research and other databases; regulatory problems; decreased intra-company communications; increased administrative expenses; or other adverse consequences, any or all of which could have a material adverse effect on our operations. 16 OUR QUARTERLY RESULTS WILL LIKELY FLUCTUATE, WHICH COULD CAUSE THE VALUE OF OUR COMMON STOCK TO DECLINE. We have recently experienced and expect to continue to experience quarterly fluctuations in our net patient service revenue and associated net income primarily due to volume and cost fluctuations. We have significant fixed operating costs, including physician costs, and, as a result, are highly dependent on patient volume and capacity utilization of our affiliated professional contractors to sustain profitability. Our results of operations for any quarter are not necessarily indicative of results of operations for any future period or full year. As a result, our results of operations may fluctuate significantly from period to period. In addition, there recently has been significant volatility in the market price of securities of health care companies that in many cases we believe has been unrelated to the operating performance of these companies. We believe that certain factors, such as legislative and regulatory developments, quarterly fluctuations in our actual or anticipated results of operations, lower revenues or earnings than those anticipated by securities analysts, and general economic and financial market conditions, could cause the price of our common stock to fluctuate substantially. IF WE ARE UNABLE TO COLLECT REIMBURSEMENTS FROM THIRD PARTY PAYORS IN A TIMELY MANNER FOR OUR SERVICES, OUR REVENUES COULD BE ADVERSELY AFFECTED. A significant portion of our revenue is derived from reimbursements from various third party payors, including government-sponsored health care plans, private insurance plans and managed care plans, for services provided by our affiliated professional contractors. In addition to being responsible for submitting reimbursement requests to third party payors, we are also responsible for the collection of reimbursements and assume the financial risks relating to uncollectible and delayed reimbursements by third party payors. In the current health care reimbursement environment, we may continue to experience difficulties in collecting reimbursements to which we are entitled for services that we have provided from third party payors, including Medicaid programs and managed care payors. As part of their efforts to manage costs in an increasingly competitive environment, third party payors may seek to reduce, by appeal or otherwise, or delay reimbursements to which we are entitled for services that we have provided. If we are not reimbursed in a timely manner for the services that we provide, our revenues could be adversely affected. IF OUR PHYSICIANS LOSE THE ABILITY TO PROVIDE SERVICES IN ANY HOSPITALS OR ADMINISTRATIVE FEES PAID TO US BY HOSPITALS ARE REDUCED, OUR REVENUES COULD BE ADVERSELY AFFECTED. Our net patient service revenue is derived primarily from fee-for-service billings for patient care provided by our physicians and from administrative fees. Our arrangements with certain hospitals provide that if the hospital does not generate sufficient patient volume it will pay us administrative fees in order to guarantee that we receive a specified minimum revenue level. We also receive administrative fees from hospitals for administrative services performed by physicians providing medical director services at the hospital. Administrative fees accounted for 6%, 7% and 6% of our net patient service revenue during 1999, 2000 and 2001, respectively. Our contractual arrangements with hospitals generally are for periods of one to five years and may be terminated by us or the hospital upon 90 days' written notice. While we have in most cases been able to renew these arrangements, hospitals may cancel or not renew our arrangements, or may not pay us administrative fees in the future. To the extent that our arrangements with hospitals are canceled, or are not renewed or replaced with other arrangements with at least as favorable terms, our financial condition and results of operations could be adversely affected. In addition, to the extent our physicians lose their privileges in hospitals or hospitals enter into arrangements with other physicians, our revenues could be adversely affected. OUR INDUSTRY IS ALREADY COMPETITIVE, AND INCREASED COMPETITION COULD ADVERSELY AFFECT OUR REVENUES. The health care industry is competitive and subject to continual changes in the method in which services are provided and the manner in which health care providers are selected and compensated. We 17 believe that private and public reforms in the health care industry emphasizing cost containment and accountability will result in an increasing shift of neonatal and perinatal care from highly fragmented, individual or small practice providers to larger physician groups. Companies in other health care industry segments, such as managers of other hospital-based specialties or currently expanding large physician group practices, some of which have greater financial and other resources than we do, may become competitors in providing neonatal, perinatal and pediatric intensive care physician services to hospitals. We may not be able to continue to compete effectively in this industry, additional competitors may enter our markets, and this increased competition may have an adverse effect on our revenues. WE ARE DEPENDENT UPON OUR KEY MANAGEMENT PERSONNEL FOR OUR FUTURE SUCCESS. Our success depends to a significant extent on the continued contributions of our key management, business development, sales and marketing personnel, including one of our principal shareholders, Chief Executive Officer and co-founder, Dr. Roger Medel, for our management and implementation of our growth strategy. The loss of Dr. Medel or other key personnel could have a material adverse effect on our financial condition, results of operations and plans for future development. THE SUBSTANTIAL NUMBER OF OUR SHARES THAT WILL BE ELIGIBLE FOR SALE IN THE NEAR FUTURE COULD CAUSE THE MARKET PRICE OF OUR COMMON STOCK TO FALL. The market price of our common stock could fall as a result of sales of a large number of shares of common stock in the market, or the price could remain lower because of the perception that such sales may occur. These factors could also make it more difficult for us to raise funds through future offerings of our common stock. As of December 31, 2001, there were 24,961,103 shares of our common stock outstanding, all of which are freely tradable without restriction, with the following exceptions: o 829,089 shares, which are owned by certain of our officers, directors and affiliates, may be resold publicly at any time subject to the volume and other restrictions under Rule 144 of the Securities Act of 1933; and o 2,254,893 shares, which are owned by Welsh, Carson, Anderson & Stowe VII, L.P. and certain of its affiliates, may not be resold without our consent until May 15, 2002. As of December 31, 2001, there were also: o 6,723,116 shares of our common stock reserved for issuance under options issued pursuant to our amended and restated stock option plan, of which options for an aggregate of 4,844,860 shares of common stock were issued and outstanding and options for an aggregate of 2,653,856 shares of common stock were exercisable; o 848,931 shares of our common stock reserved for issuance under presently exercisable stock options issued by Magella which options were exercisable into shares of our common stock at the time of our acquisition of Magella; o 437,566 shares of our common stock reserved for issuance under our employee stock purchase plans; and o 35,000 shares of our common stock reserved for issuance under convertible notes issued by Magella which were convertible into shares of our common stock at the time of our acquisition of Magella. All shares of common stock issued under the convertible notes, upon the exercise of stock option or under our employee stock purchase plans will be freely tradable, subject to the volume trading 18 limitations under Rule 144 of the Securities Act of 1933 in respect of shares acquired by our affiliates. Our stock options and convertible notes, entitle holders to purchase shares of our common stock at prices which may be less than the current market price per share of our common stock. Holders of these options and convertible notes will usually exercise or convert them at a time when the market price of our common stock is greater than their exercise price or conversion price, as the case may be. Accordingly, the exercise or conversion of these options and convertible notes and subsequent sale of our common stock could reduce the market price for our common stock and result in dilution to our then shareholders. IF WE ENTER INTO A SIGNIFICANT NUMBER OF SHARED-RISK CAPITATED ARRANGEMENTS WITH CERTAIN PAYORS, SUCH ARRANGEMENTS COULD ADVERSELY AFFECT OUR FINANCIAL CONDITION AND RESULTS OF OPERATIONS. The evolving managed care environment has created substantial cost containment pressures for the health care industry. Our contracts with payors and managed care organizations traditionally have been fee-for-service arrangements. At December 31, 2001, we had relatively few "capitated" and "case rate" arrangements with certain payors. Under capitated payment arrangements, we receive a flat fee monthly based on the number of individuals covered by that particular insurance plan regardless of the number of patients or types of treatment we provide, and under a case rate payment arrangement, we receive a fixed dollar amount per patient. If we enter into similar arrangements in the future our financial condition and results of operations may be adversely affected if we are unable to manage our risks under these arrangements. OUR CURRENTLY OUTSTANDING PREFERRED STOCK PURCHASE RIGHTS AND OUR ABILITY TO ISSUE SHARES OF PREFERRED STOCK COULD DETER TAKEOVER ATTEMPTS. We have adopted a preferred share purchase rights plan. Under this plan, each outstanding share of Pediatrix common stock includes a preferred stock purchase right that entitles the registered holder, subject to the terms of our rights agreement, to purchase from Pediatrix a one-thousandth of a share of our series A junior participating preferred stock at an exercise price of $150 per right for each share of common stock held by the holder. In addition, if a person or group of persons acquires beneficial ownership of 15% or more of the outstanding shares of Pediatrix common stock, each right will permit its holder to purchase $300 worth of Pediatrix common stock for $150. The rights are attached to all certificates representing outstanding shares of Pediatrix common stock, and no separate rights certificates have been distributed. Some provisions contained in the rights agreement may have the effect of discouraging a third party from making an acquisition proposal for Pediatrix and may thereby inhibit a change in control. For example, such provisions may deter tender offers for shares of common stock which offers may be attractive to shareholders, or deter purchases of large blocks of common stock, thereby limiting the opportunity for shareholders to receive a premium for their shares of common stock or exchangeable shares over the then-prevailing market prices. In addition, our amended and restated articles of incorporation authorize our board of directors to issue up to 1,000,000 shares of undesignated preferred stock and to determine the powers, preferences and rights of these shares, without shareholder approval. This preferred stock could be issued with voting, liquidation, dividend and other rights superior to those of the holders of common stock. The issuance of preferred stock under some circumstances could have the effect of delaying, deferring or preventing a change in control. PROVISIONS OF OUR BYLAWS COULD DETER TAKEOVER ATTEMPTS WHICH MAY RESULT IN A LOWER MARKET PRICE FOR OUR COMMON STOCK. Provisions in our amended and restated bylaws, including those relating to calling shareholder meetings, taking action by written consent and other matters, could render it more difficult or discourage an attempt to obtain control of Pediatrix through a proxy contest or consent solicitation. These provisions could limit the price that some investors might be willing to pay in the future for our shares of common stock. 19 FORWARD LOOKING STATEMENTS MAY PROVE INACCURATE. Certain information included or incorporated by reference in this Annual Report may be deemed to be "forward looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements, other than statements of historical facts, that address activities, events or developments that Pediatrix intends, expects, projects, believes or anticipates will or may occur in the future are forward looking statements. Such statements are characterized by terminology such as "believe", "hope", "may", "anticipate", "should", "intend", "plan", "will", "expect", "estimate", "project", "positioned", "strategy" and similar expressions. These statements are based on assumptions and assessments made by Pediatrix's management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward looking statements are not guarantees of future performance and are subject to risks and uncertainties that could cause actual results, developments and business decisions to differ materially from those contemplated by such forward looking statements. We disclaim any duty to update any forward looking statements. Some of the factors that may cause actual results, developments and business decisions to differ materially from those contemplated by such forward-looking statements include the risk factors discussed above. ITEM 2. PROPERTIES We lease our corporate office located in Sunrise, Florida (approximately 80,000 square feet). During 2001, we leased space in other facilities in various states for our business and medical offices, storage space, and temporary housing of medical staff, with aggregate annual rents of approximately $5,100,000. See Note 9 to our Consolidated Financial Statements. ITEM 3. LEGAL PROCEEDINGS We are subject to various inquiries, investigations and proceedings by governmental agencies relating to Medicaid, Medicare and Tricare reimbursement and other issues. In April 1999, we received requests from investigators in Arizona, Colorado and Florida for information relating to our billing practices for services reimbursed by the Medicaid programs in these states and the Tricare program for military dependents. We settled the Arizona and Florida investigations in 2000. However, the Colorado Medicaid and Tricare investigations, which involve criminal, civil and administrative components, are active and ongoing, and these matters, along with the Arizona and Florida 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 or results of operations or on the trading prices of our shares. We believe that additional billing audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of our business and in the health care services industry in general from time to time. See "Government Regulation" and "Risk Factors--From time to time we are subject to billing investigations by federal and state government authorities which could have an adverse effect on our business and results of operations and the trading prices of our shares" above. During the ordinary course of business, we have also 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. We believe, based upon our review of these pending matters, that the outcome of such legal actions and proceedings, individually or in the aggregate, will not have a material adverse effect on our financial condition, results of operations or liquidity, notwithstanding any possible lack of insurance recovery. If liability results from medical malpractice claims, there can be no assurance that our medical malpractice insurance coverage will be adequate to cover liabilities arising out of such proceedings. See "Risk Factors--We may be subject to malpractice and other lawsuits, some of which we may not be fully insured against" above. On December 14, 2001, we announced that we had reached an agreement in principle to settle the securities class action litigation filed against us and certain of our officers in the United States District Court for the Southern District of Florida for a cash payment of $12.0 million. On February 7, 2002, we 20 and certain of our officers executed a definitive agreement relating to the settlement, and on February 28, 2002, the settlement was approved by a preliminary order of the District Court. The settlement remains subject to final approval of the District Court, and a hearing is scheduled to be held on May 3, 2002 to seek such final approval. We expect that our insurance coverage will adequately cover the financial terms of the settlement. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS No matter was submitted to a vote of security holders during the fiscal quarter ended December 31, 2001. PART II ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS Pediatrix common stock is traded on the New York Stock Exchange (the "NYSE") under the symbol "PDX". The following table sets forth, for the periods indicated, the high and low sales prices for the common stock as reported on the NYSE. High Low ---- --- 2000 ---- First Quarter $ 12.00 $ 6.75 Second Quarter 11.88 6.44 Third Quarter 16.50 11.25 Fourth Quarter 25.69 12.88 2001 ---- First Quarter 25.82 18.98 Second Quarter 33.20 21.30 Third Quarter 41.15 30.56 Fourth Quarter 43.17 24.00 As of March 20, 2002, there were approximately 125 holders of record of the 25,483,095 outstanding shares of Pediatrix common stock. The closing sales price for Pediatrix common stock on March 20, 2002 was $38.42 per share. We did not declare or pay any cash dividends on our common stock in 2000 or 2001, nor do we currently intend to declare or pay any cash dividends in the future, but instead we intend to retain all earnings for the operation and expansion of our business. The payment of any future dividends will be at the discretion of the Board of Directors and will depend upon, among other things, future earnings, results of operations, capital requirements, our general financial condition, general business conditions and contractual restrictions on payment of dividends, if any, as well as such other factors as the Board of Directors may deem relevant. See "Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources" below. 21 ITEM 6. SELECTED FINANCIAL DATA The selected consolidated financial data set forth as of and for each of the five years in the period ended December 31, 2001, have been derived from the Consolidated Financial Statements, which statements have been audited. The following data should be read in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations," and the Consolidated Financial Statements and the notes thereto included elsewhere herein.
Years Ended December 31, ------------------------------------------------------------------------- 1997 1998 1999 2000 2001 --------- --------- --------- --------- --------- (in thousands, except per share and other operating data) CONSOLIDATED INCOME STATEMENT DATA: Net patient service revenue(1)(2) $ 128,850 $ 185,422 $ 227,042 $ 243,075 $ 354,595 --------- --------- --------- --------- --------- Operating expenses: Practice salaries and benefits 69,087 98,504 126,972 148,476 197,581 Practice supplies and other operating expenses 2,993 5,679 9,341 11,022 14,297 General and administrative expenses 19,171 23,615 33,655 44,895 62,841 Depreciation and amortization 4,522 8,673 12,068 13,810 21,437 --------- --------- --------- --------- --------- Total operating expenses 95,773 136,471 182,036 218,203 296,156 --------- --------- --------- --------- --------- Income from operations 33,077 48,951 45,006 24,872 58,439 Investment income 2,102 564 296 358 309 Interest expense (324) (1,013) (2,697) (3,771) (2,538) --------- --------- --------- --------- --------- Income before income taxes 34,855 48,502 42,605 21,459 56,210 Income tax provision 13,942 19,403 17,567 10,473 25,782 --------- --------- --------- --------- --------- Net income $ 20,913 $ 29,099 $ 25,038 $ 10,986 $ 30,428 ========= ========= ========= ========= ========= PER SHARE DATA: Net income per common share: Basic $ 1.39 $ 1.91 $ 1.61 $ 0.70 $ 1.44 ========= ========= ========= ========= ========= Diluted $ 1.33 $ 1.82 $ 1.58 $ 0.68 $ 1.36 ========= ========= ========= ========= ========= Weighted average shares used in computing net income per common share: Basic 15,021 15,248 15,513 15,760 21,159 ========= ========= ========= ========= ========= Diluted 15,743 15,987 15,860 16,053 22,478 ========= ========= ========= ========= =========
22 ITEM 6. SELECTED FINANCIAL DATA, CONTINUED
Years Ended December 31, ------------------------------------------------------------------------- 1997 1998 1999 2000 2001 --------- --------- --------- --------- --------- (in thousands, except per share and other operating data) OTHER OPERATING DATA: Number of physicians at end of period 260 350 434 452 588 Number of births 200,616 268,923 337,480 381,602 450,205 NICU admissions 21,203 27,911 33,942 39,272 48,186 NICU patient days 325,199 450,225 548,064 637,957 804,293 CONSOLIDATED BALANCE SHEET DATA: Cash and cash equivalents $ 18,562 $ 650 $ 825 $ 3,075 $ 27,557 Working capital (deficit)(3) 53,908 14,915 (16,352) 2,108 34,381 Total assets 203,719 270,658 334,790 324,734 573,099 Total liabilities 40,010 63,265 105,903 82,834 94,247 Borrowings under line of credit -- 7,850 48,393 23,500 -- Long-term debt and capital lease obligations, including current maturities 2,750 2,550 2,350 -- 3,206 Shareholders' equity 163,709 201,051 228,887 241,900 478,852
(1) The Company adds new physician practices as a result of acquisitions and internal marketing activities. The increase in net patient service revenue related to acquisitions (including our acquisition of Magella) and internal marketing activities was approximately $50.0 million, $49.5 million, $13.9 million and $86.6 million for the years ended December 31, 1998, 1999, 2000, and 2001, respectively. See "Management's Discussion and Analysis of Financial Condition and Results of Operations" below. (2) Net patient service revenue for the year ended December 31, 2000, included a charge of $6.5 million, which was recorded during the quarter ended June 30, 2000, to increase the allowance for contractual adjustments and uncollectible accounts. This charge was attributable to management's assessment of accounts receivable, which was revised to reflect the changes occurring in the Company's collection rates. See "Management's Discussion and Analysis of Financial Condition and Results of Operations" below. (3) At December 31, 1999 and 2000, the balance outstanding on the Company's line of credit was classified as a current liability. 23 ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion highlights the principal factors affecting our financial condition and results of operations as well as our liquidity and capital resources for the periods described. This discussion should be read in conjunction with the Consolidated Financial Statements and related notes thereto appearing elsewhere in this Form 10-K. The operating results for the periods presented were not significantly affected by inflation. GENERAL Pediatrix is the nation's leading provider of neonatal physician services to hospital-based NICUs. In addition, we are the nation's leading provider of perinatal physician services. We were founded in 1979 by Drs. Roger Medel and Gregory Melnick. Since obtaining our first hospital contract in 1980, we have grown by increasing revenues at existing units ("same unit growth") and by adding new units. We also provide physician services to hospital-based PICUs and pediatrics departments in hospitals. On May 15, 2001, we acquired Magella Healthcare Corporation ("Magella") in a merger transaction (the "Merger"). The total purchase price for Magella was $173.6 million, which we paid in shares of our common stock. In connection with the Merger, we recorded assets totaling approximately $232.8 million, including approximately $206.5 million in goodwill, and assumed liabilities of approximately $59.2 million. As a result of the merger, Magella became a wholly owned subsidiary of Pediatrix and the former stockholders of Magella became shareholders of Pediatrix. The Merger has been accounted for by Pediatrix as an acquisition of Magella under the purchase method of accounting for business combinations. This discussion and the Consolidated Financial Statements included elsewhere in this report reflect our operations and financial results of the Company, which from May 15, 2001, includes the business and operations of Magella. In addition to the Merger, we completed six acquisitions and added seven NICUs through our internal marketing activities during 2001. We have developed integrated regional networks, including both neonatology and perinatology, in the Austin, Dallas-Fort Worth, Denver-Colorado Springs, Des Moines, Kansas City, Las Vegas, Phoenix-Tucson, Reno, San Antonio, San Jose, Seattle-Tacoma and Southern California metropolitan areas and intend to develop additional regional and statewide networks. We believe that these networks, augmented by ongoing marketing and acquisition efforts, will strengthen our position with managed care organizations and other third party payors. CRITICAL ACCOUNTING POLICIES The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires estimates and assumptions that affect the reporting of assets, liabilities, revenues and expenses, and the disclosure of contingent assets and liabilities. Certain of our accounting policies are critical to understanding our financial statements because their application places significant demands on management's judgment, with financial reporting results relying on estimates of matters that are inherently uncertain. We believe that the critical accounting policies described in the following paragraphs affect the most significant estimates and assumptions used in the preparation of our consolidated financial statements. For all these policies, we caution that future events rarely develop exactly as estimated, and the best estimates routinely require adjustment. REVENUE RECOGNITION We recognize patient service revenue at the time services are provided by our affiliated physicians. Patient service revenue is presented net of an estimated provision for contractual adjustments 24 and uncollectibles. Management estimates allowances for contractual adjustments and uncollectibles on accounts receivable based on historical and other factors, including an evaluation of expected adjustments and delinquency rates, past adjustment and collection experience in relation to amounts billed, current economic conditions, and other relevant information. Contractual adjustments result from the difference between the physician rates for services performed and reimbursements by government-sponsored health care programs and insurance companies for such services. The evaluation of these factors involves complex, subjective judgments. Changes in these factors may significantly impact our Consolidated Financial Statements. See Notes 2 and 3 to our Consolidated Financial Statements for additional information regarding adjustments to these allowances. PROFESSIONAL LIABILITY COVERAGE We maintain professional liability coverage, which indemnifies us and our health care professionals on a claims-made basis with a portion of self insurance retention. We record a liability for self-insured deductibles and an estimate of liabilities for claims incurred but not reported based on an actuarial valuation which is based on historical loss patterns. An inherent assumption in such estimates is that historical loss patterns can be used to predict future patterns with reasonable accuracy. Because many factors can affect past and future loss patterns, the effect of changes in such factors on our estimates must be carefully evaluated. The evaluation of these factors involves complex, subjective judgments. Insurance liabilities are necessarily based on estimates, and actual results may vary significantly from such estimates. Liabilities for claims incurred but not reported are not discounted. GOODWILL We record acquired assets and liabilities at their respective fair values under the purchase method of accounting, recording to goodwill the excess of cost over the fair value of the net assets acquired. Goodwill related to acquisitions completed prior to July 1, 2001 was amortized through the year ended December 31, 2001 on a straight-line basis over 25 years. We evaluate long-lived assets, including goodwill and identifiable intangibles, at least annually and record an impairment whenever events or changes in circumstances indicate that the carrying value of the assets may not be fully recoverable. The recoverability of such assets, which consist primarily of goodwill, is measured by a comparison of the carrying value of the assets to the future undiscounted cash flows before interest charges to be generated by the assets. For goodwill, we consider various factors relating to each acquired business, including hospital and physician contract changes, local market developments, changes in third-party payments, national health care trends, and other publicly-available information. If these factors indicate that goodwill is impaired, the impairment to be recognized is measured as the excess of the carrying value over the fair value. Long-lived assets, including goodwill and identifiable intangibles, to be disposed of are reported at the lower of the carrying value or fair value less disposal costs. We do not believe there are any indicators that would require an adjustment to such assets or their estimated periods of recovery at December 31, 2001 pursuant to the current accounting standards. However, the evaluation of these factors involves complex, subjective judgments, and actual results may vary significantly from such estimates. See "Accounting Matters" below and Note 2 to our Consolidated Financial Statements. Other significant accounting policies, not involving the same level of measurement uncertainties as those discussed above, are nevertheless important to an understanding of the financial statements. For example, our financial statements are presented on a consolidated basis with our affiliated professional associations, corporations and partnerships (the "PA Contractors") because we or one of our subsidiaries have entered into management agreements with our PA Contractors meeting the criteria set forth in the Emerging Issues Task Force Issue 97-2 for a "controlling financial interest". Our management agreements are further described in Note 2 to our Consolidated Financial Statements. Such policies often require difficult judgments on complex matters that are often subject to multiple sources of authoritative guidance and such matters are among topics currently under reexamination by accounting standards setters and regulators. Although no specific conclusions reached by these standard setters appear likely to cause a material change in our accounting policies, outcomes cannot be predicted with 25 confidence. Also see Note 2 to our Consolidated Financial Statements, which discusses accounting policies that have been selected by management. PAYOR MIX We bill payors for services provided by physicians based upon rates for the specific services provided. The rates are substantially the same for all patients in a particular geographic area regardless of the party responsible for paying the bill. We determine our net patient service revenue based upon the difference between our gross fees for services and our ultimate collections from payors, which differ from the gross fees due to (i) Medicaid reimbursements at government-established rates, (ii) managed care payments at contracted rates, (iii) various reimbursement plans and negotiated reimbursements from other third parties, and (iv) discounted and uncollectible accounts of private pay patients. Our payor mix is comprised of government (principally Medicaid), contracted managed care, other third parties and private pay patients. We benefit from the fact that most of the medical services provided at the NICU or PICU are classified as emergency services, a category typically classified as a covered service by managed care payors. In addition, we benefit when patients are covered by Medicaid, despite Medicaid's lower reimbursement rates as compared with other payors, because typically these patients would not otherwise be able to pay for services due to lack of insurance coverage. However, a significant increase in the government, managed care or capitated components of our payor mix at the expense of other third party payors, as we have experienced in the last few years, could result in reduced reimbursement rates and, in the absence of increased patient volume, could have a material adverse effect on our financial condition and results of operations. See our description of the charge recorded in 2000 under "Results of Operations - Year Ended December 31, 2000, as Compared to Year Ended December 31, 1999" below. The following is a summary of our payor mix, expressed as a percentage of net patient service revenue, exclusive of administrative fees, for the periods indicated. Years Ended December 31, -------------------------------- 1999 2000 2001 ---- ---- ---- Government 21% 21% 23% Contracted managed care 45% 48% 49% Other third parties 33% 30% 27% Private pay 1% 1% 1% --- --- --- 100% 100% 100% === === === The payor mix shown above is not necessarily representative of the amount of services provided to patients covered under these plans. For example, services provided to patients covered under government programs represented approximately 45% of our total gross patient service revenue but only 23% of our net patient service revenue during 2001. RESULTS OF OPERATIONS The following table sets forth, for the periods indicated, certain information related to our operations expressed as a percentage of our net patient service revenue (patient billings net of contractual adjustments and uncollectibles, and including administrative fees): 26
Years Ended December 31, ---------------------------------------- 1999 2000 2001 ----- ----- ------ Net patient service revenue 100% 100% 100% ----- ----- ----- Operating expenses: Practice salaries and benefits 55.9 61.1 55.7 Practice supplies and other operating expenses 4.1 4.5 4.0 General and administrative expenses 14.9 18.5 17.7 Depreciation and amortization 5.3 5.7 6.1 ----- ----- ----- Total operating expenses 80.2 89.8 83.5 ----- ----- ----- Income from operations 19.8 10.2 16.5 Other income (expense), net (1.1) (1.4) (0.6) ----- ----- ----- Income before income taxes 18.7 8.8 15.9 Income tax provision 7.7 4.3 7.3 ----- ----- ----- Net income 11.0% 4.5% 8.6% ===== ===== =====
YEAR ENDED DECEMBER 31, 2001 AS COMPARED TO YEAR ENDED DECEMBER 31, 2000 Our net patient service revenue increased $111.5 million, or 45.9%, to $354.6 million for the year ended December 31, 2001, as compared with $243.1 million for the same period in 2000. Net patient service revenue for the year ended December 31, 2000 included a charge of $6.5 million, which was recorded during the quarter ended June 30, 2000, to increase the allowance for contractual adjustments and uncollectible accounts. Excluding the $6.5 million charge, net patient service revenue increased by $105.0 million, or 42.1%, for the year ended December 31, 2001. Of this $105.0 million increase, approximately $86.5 million, or 82.4%, was attributable to new units at which we provide services as a result of acquisitions, including units that were obtained in the Merger. Same unit patient service revenue increased approximately $18.5 million, or 7.6%, for the year ended December 31, 2001. The increase in same unit net patient service revenue is primarily the result of (i) improved collection performance due to process changes implemented in the last 18 months including the regionalization of billing and collection functions; (ii) improved managed care contracting; (iii) the flow through of price increases implemented after the completion of the Merger; (iv) higher acuity level of patient services billed; and (v) volume increases. Same units are those units at which we provided services for all of 2001 and 2000. Practice salaries and benefits increased $49.1 million, or 33.1%, to $197.6 million for the year ended December 31, 2001, as compared with $148.5 million for the same period in 2000. The increase was attributable to new physicians and other clinical staff as a result of the Merger, and to support new unit growth and volume growth at existing units. Practice supplies and other operating expenses increased $3.3 million, or 29.7%, to $14.3 million for the year ended December 31, 2001, as compared with $11.0 million for the same period in 2000. Of this $3.3 million increase, approximately $1.6 million was attributable to increased costs related to the Merger. The remaining approximately $1.7 million was primarily attributable to: (i) increases in rent for medical equipment and medical office space; and (ii) an increase in medical supplies related to the growth in our national hearing screen program. General and administrative expenses include all salaries and benefits and supplies and other operating expenses not specifically related to the day-to-day operations of our physician group practices. General and administrative expenses increased $17.9 million, or 40.0%, to $62.8 million for the year ended December 31, 2001, as compared to $44.9 million for the same period in 2000. Of this $17.9 million increase, approximately $8.2 million, or 45.8%, was attributable to increased costs for services provided to the practices acquired in the Merger. Approximately $9.7 million, or 54.2%, was primarily due to an increase costs for: (i) salaries and benefits for billing and collections personnel as we continued our 27 regionalization of billing and collection functions; (ii) legal fees related to government investigations and our class action lawsuit; (iii) rent and other operating expenses related to the expansion of our regional billing and collection offices; and (iv) information services for the development and support of clinical and operational systems. Depreciation and amortization expense increased by approximately $7.6 million, or 55.2% to $21.4 million for the year ended December 31, 2001, as compared with $13.8 million for the same period in 2000, primarily as a result of depreciation on fixed asset additions and amortization of goodwill in connection with the Merger and other acquisitions. Income from operations increased approximately $33.5 million, or 135.0%, to approximately $58.4 million for the year ended December 31, 2001, as compared with $24.9 million for the same period in 2000. Our operating margin increased 6.3 percentage points to 16.5% for the year ended December 31, 2001, as compared to 10.2% for the same period in 2000. Excluding the $6.5 million charge to revenue in the 2000 period, income from operations increased $27.0 million and operating margin increased 3.9 percentage points. We recorded net interest expense of approximately $2.2 million for the year ended December 31, 2001, as compared with net interest expense of approximately $3.4 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. Our effective income tax rate was approximately 45.9% and 48.8% for the years ended December 31, 2001 and 2000, respectively. The decrease in the tax rate for the year ended December 31, 2001 is primarily due to the reduction of non-deductible amounts associated with goodwill as a percentage of our pretax income. Net income increased to approximately $30.4 million for the year ended December 31, 2001, as compared to $11.0 for the same period in 2000. Diluted net income per common and common equivalent share was $1.36 on weighted average shares of 22.5 million for the year ended December 31, 2001, as compared to $.68 on the weighted average shares of 16.1 million for the year ended December 31, 2000. The significant increase in the weighted average shares outstanding is due to: (i) the shares issued in the Merger which were outstanding from May 15, 2001; (ii) the dilutive effect of convertible notes and stock options assumed in the Merger; and (iii) an increase in our stock price. YEAR ENDED DECEMBER 31, 2000 AS COMPARED TO YEAR ENDED DECEMBER 31, 1999 Our net patient service revenue increased $16.1 million, or 7.1%, to $243.1 million for the year ended December 31, 2000, as compared with $227.0 million for the same period in 1999. Net patient service revenue for the year ended December 31, 2000 includes a charge of $6.5 million, which was recorded during the quarter ended June 30, 2000, to increase the allowance for contractual adjustments and uncollectible accounts. This charge is attributable to management's assessment of accounts receivable, which was revised to reflect the decline occurring in our collection rates. This decline in collection rates is the result of: o an increased use of non-critical care codes on which we realize a lower collection rate as a percentage of billed charges. Since the billing inquiries began in the second quarter of 1999, the physicians employed by us have been billing for non-critical care services at a higher rate than prior to these inquiries. Based upon the fee schedules established by government-sponsored health care programs and contracted rates with managed care organizations, we receive a lower percentage of the fee charged for these services than for critical care services. o a significant decline in the reimbursement from non-contracted payors. Approximately 30% of our Company's net patient service revenue, exclusive of administrative fees, is derived from payors 28 that do not have a contractual relationship with us. Historically, we have received a significant portion of our billed charges as reimbursement from these payors, although in late 1999 and throughout 2000 we realized a decline in our collections as a percentage of charges billed to these companies. This decline is primarily due to a reduction in the payors' established "usual and customary" rates (rates set by insurance companies as reimbursement for non-contracted services) and the passage of legislation in some states that limits our ability to collect from patients. While we appeal the payor's usual and customary determination, we have seen continued delays in settlement of receivables under appeal and increased instances of the payor denying any additional payment. o continued difficulties in the health care reimbursement environment, primarily with managed care payors. o disruption within our collection offices due to the billing inquiries and the transition to a regional collection structure. During 2000 and the last half of 1999, the billing and collection functions realized significant disruption as we allocated resources within those departments to obtain information requested in the billing inquiries. Additionally, we transitioned our collection function into a regional structure which included the movement of collection activities for certain billings. This transition of collection responsibility resulted in a certain level of disruption due to the lack of continuity in the collection function. Excluding the $6.5 million charge, net patient service revenue increased by $22.5 million, or 9.9%, for the year ended December 31, 2000. Of this $22.5 million increase, approximately $13.9 million, or 61.8%, was attributable to new units, including units at which we provide services as a result of acquisitions. Same unit patient service revenue increased approximately $8.6 million, or 3.8%, for the year ended December 31, 2000. Same units are those units at which we provided services for all of 2000 and 1999. While we realized growth in same unit revenue, the increase was at a lower rate than the growth in services provided during 2000. The lower rate of growth was the result of an increased use of non-critical care codes in 2000 as compared to 1999, and a higher provision for contractual adjustments and uncollectible accounts. Practice salaries and benefits increased $21.5 million, or 16.9%, to $148.5 million for the year ended December 31, 2000, as compared with $127.0 million for the same period in 1999. The increase was primarily attributable to hiring new physicians and other clinical staff, to support new unit growth and volume growth at existing units. Practice supplies and other operating expenses increased $1.7 million, or 18.0%, to $11.0 million for the year ended December 31, 2000, as compared with $9.3 million for the same period in 1999. The increase was primarily attributable to increased costs related to the addition of new outpatient offices. General and administrative expenses increased $11.2 million, or 33.4%, to $44.9 million for the year ended December 31, 2000, as compared to $33.7 million for the same period in 1999. Of this $11.2 million increase, approximately $9.0 million, or 80.4%, was attributable to an increase in: (i) salaries and benefits for billing and collections personnel as we continued our regionalization of our billing and collection functions; (ii) information services for the development and support of clinical and operational systems; (iii) additional rent expense related to our corporate and regional collection offices; (iv) increased legal fees related to government investigations; and (v) increased supply and other operating costs related to regional billing and collection offices. Depreciation and amortization expense increased by approximately $1.7 million, or 14.4%, to $13.8 million for the year ended December 31, 2000, as compared with $12.1 million for the same period in 1999, primarily as a result of depreciation on fixed asset additions and amortization of goodwill in connection with acquisitions. 29 Income from operations decreased approximately $20.1 million, or 44.7%, to approximately $24.9 million for the year ended December 31, 2000, as compared with $45.0 million for the same period in 1999. Excluding the $6.5 million charge to revenue, income from operations declined $13.6 million. Operating margin declined to 10.2% in 2000 from 19.8% in 1999. This decline was primarily due to: (i) lower net revenue for services provided due to an increased use of non-critical care codes and a higher provision for contractual adjustments and uncollectible accounts; (ii) a charge of $6.5 million to increase the allowance for contractual adjustments and uncollectible accounts; and (iii) increased administrative costs as a result of our regionalization of billing and collection functions. We recorded net interest expense of approximately $3.4 million for the year ended December 31, 2000, as compared with net interest expense of approximately $2.4 million for the same period in 1999. The increase in interest expense in 2000 is primarily the result of funds used for the acquisition of physician practices and the use of our line of credit for such purposes. The effective income tax rate was approximately 48.8% and 41.2% for the years ended December 31, 2000 and 1999, respectively. The increase in the tax rate was due to the growth of non-deductible amounts associated with goodwill as a percentage of pretax income. Net income decreased 56.1% to $11.0 million for the year ended December 31, 2000, as compared to $25.0 million for the same period in 1999. Diluted net income per common and common equivalent share decreased to $.68 for the year ended December 31, 2000, compared to $1.58 for the year ended December 31, 1999. QUARTERLY RESULTS The following table presents certain unaudited quarterly financial data for each of the quarters in the years ended December 31, 2000 and 2001. This information has been prepared on the same basis as the Consolidated Financial Statements appearing elsewhere in this Form 10-K and includes, in our opinion, all adjustments (consisting of only normal recurring adjustments) necessary to present fairly the quarterly results when read in conjunction with the Consolidated Financial Statements and the notes thereto. We have historically experienced and expect to continue to experience quarterly fluctuations in net patient service revenue and net income. These fluctuations are primarily due to the following factors: o A significant number of employees, including physicians, at Pediatrix exceed the level of taxable wages for social security during the first and second quarter of the year. As a result, we incur a significantly higher payroll tax burden during those quarters. o A lower number of calendar days are present in the first and second quarters of the year as compared to the remainder of the year. Since we provide services in the NICU on a 24 hour basis, 365 days a year, any reduction in service days will have a corresponding reduction in net patient service revenue. 30 Additionally, the quarterly results may be impacted by the timing of acquisitions and any fluctuation in patient volume. As a result, the operating results for any quarter are not necessarily indicative of results for any future period or for the full year.
2000 Calendar Quarters 2001 Calendar Quarters ------------------------------------------------ ------------------------------------------------ First Second Third Fourth First Second Third Fourth --------- --------- --------- --------- --------- --------- --------- --------- (in thousands, except for per share data) Net patient service revenue $ 59,409 $ 55,178 $ 64,272 $ 64,216 $ 63,920 $ 83,137 $ 102,784 $ 104,754 --------- --------- --------- --------- --------- --------- --------- --------- Operating expenses: Practice salaries and benefits 36,659 37,073 37,795 36,949 38,249 46,424 55,899 57,010 Practice supplies and other operating expenses 2,230 2,689 2,915 3,188 2,897 3,564 3,898 3,937 General and administrative expenses 10,135 11,153 11,712 11,895 12,191 15,577 16,896 18,177 Depreciation and amortization 3,336 3,435 3,478 3,561 3,578 5,103 6,344 6,412 --------- --------- --------- --------- --------- --------- --------- --------- Total operating expenses 52,360 54,350 55,900 55,593 56,915 70,668 83,037 85,536 --------- --------- --------- --------- --------- --------- --------- --------- Income from operations 7,049 828 8,372 8,623 7,005 12,469 19,747 19,218 Other expense, net (907) (941) (893) (672) (452) (715) (695) (367) --------- --------- --------- --------- --------- --------- --------- --------- Income (loss) before income 6,142 (113) 7,479 7,951 6,553 11,754 19,052 18,851 taxes Income tax provision 2,764 178 3,650 3,881 2,949 5,397 8,733 8,703 --------- --------- --------- --------- --------- --------- --------- --------- Net income (loss) $ 3,378 $ (291) $ 3,829 $ 4,070 $ 3,604 $ 6,357 $ 10,319 $ 10,148 Per share data: Net income (loss) per common and common equivalent share: Basic $ .22 $ (.02) $ .24 $ .26 $ .23 $ .32 $ .43 $ .41 Diluted $ .22 $ (.02) $ .24 $ .25 $ .22 $ .30 $ .40 $ .39
The net loss in the second quarter of 2000 was the result of a $6.5 million dollar charge against net patient service revenue to increase the allowance for contractual adjustments and uncollectible accounts. The significant increase in net patient service revenue reflected in the second, third and fourth quarters of 2001 is primarily related to the Merger which was completed on May 15, 2001. LIQUIDITY AND CAPITAL RESOURCES As of December 31, 2001, we had approximately $27.6 million of cash and cash equivalents on hand as compared to $3.1 million at December 31, 2000. Additionally, we had working capital of approximately $34.4 million at December 31, 2001, an increase of $32.3 million from working capital of $2.1 million at December 31, 2000. We generated cash flow from operating activities of $24.0 million, $36.1 million and $90.3 million for the years ended December 31, 1999, 2000 and 2001, respectively. In 2000, we realized a significant increase in the cash provided from operating activities as compared to 1999. This increase was primarily due to a significant reduction in days' revenue outstanding in accounts receivable, primarily in the second half of 2000, and a significant decrease in income taxes paid due to a decline in pre-tax income. In 2001, we continued to realize a significant increase in cash provided from operating activities as compared to 2000. This increase was due to the continued reduction in days' revenue outstanding combined with the impact of the Merger on cash provided from operating activities. During 2001, we completed the acquisition of six physician practices, using approximately $19.8 million in cash. These acquisitions were funded principally by cash generated from operations. 31 In the third quarter of 2001, we refinanced our $75 million line of credit, which matured on September 30, 2001, with an amended and restated credit agreement (the "Line of Credit") in the amount of $100 million. At our option, the Line of Credit, which matures on August 14, 2004, bears interest at either the prime rate or the Eurodollar rate plus an applicable margin rate ranging from 2% to 2.75%. The Line of Credit is collateralized by substantially all of our assets. We are subject to certain covenants and restrictions specified in our Line of Credit, including covenants that require us to maintain a minimum level of net worth and earnings and a restriction on the payment of dividends and certain other distributions, as specified therein. At December 31, 2001, we are in compliance with such financial covenants. We had no outstanding balance under our Line of Credit at December 31, 2001, as compared to $23.5 million at December 31, 2000. The decrease is primarily due to the increase in cash provided from operations. At December 31, 2001, we had $100 million available under our Line of Credit. We maintain professional liability coverage that indemnifies us and our health care professionals on a claims-made basis for losses incurred related to medical malpractice litigation with a portion of self insurance retention. We record a liability for self-insured deductibles and an estimated liability for malpractice claims incurred but not reported based on an actuarial valuation. Our current professional liability insurance policy expires May 1, 2002, and we are currently reviewing our coverage options, which will include a higher self-insured retention. We also maintain directors and officers insurance coverage that indemnifies us for losses incurred related to securities litigation and other litigation brought against management. Our current professional liability and directors and officers insurance coverage expires on November 30, 2002. There can be no assurance that we will be able to obtain substantially similar coverage for professional liability and directors and officers insurance upon expiration or that such coverage will be available at acceptable costs or on favorable terms. The health care services industry is highly regulated. We believe that billing audits, inquiries and investigations by government agencies will continue to occur in the ordinary course of our business and in the health care services industry in general. In response to such billing audits, inquiries and investigations, our affiliated physicians could take an unduly conservative approach to coding for their services by, for example, increasing the use of non-critical care codes, for which our reimbursement is lower than critical care codes, as they may have in the past. If they were to do this, we could receive lower reimbursements from third party payors which could have a material adverse effect on our liquidity and capital resources. We expect that our insurance coverage will adequately cover the financial terms of our recent settlement of the class action securities litigation filed against us and certain of our directors in the United States District Court for the Southern District of Florida and, therefore, that the settlement will not have a material adverse effect on our liquidity. Our annual capital expenditures have typically been for computer hardware and software and for furniture, equipment and improvements at the corporate headquarters and our regional offices. During the year ended December 31, 2001, capital expenditures amounted to approximately $7.1 million. At December 31, 2001, the Company had certain obligations and commitments under promissory notes, capital leases and operating leases totaling approximately $32.8 million. Such amount consisted of approximately $3.2 million in obligations under promissory notes and capital lease obligations, and approximately $29.6 million in commitments under operating leases. Such obligations mature as follows: 2002 - $7.2 million; 2003-2004 - $17.2 million; 2005-2006 - $7.7 million; and $0.7 million thereafter. We anticipate that funds generated from operations, together with cash on hand, and funds available under our Line of Credit, will be sufficient to meet our working capital requirements, finance our required capital expenditures and meet our contractual obligations for at least the next 12 months. ACCOUNTING MATTERS In June 2001, the Financial Accounting Standards Board (the "Board") issued Statements of Financial Accounting Standards No. 141 ("FAS 141"), "Business Combinations," and No. 142 ("FAS 142"), 32 "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 initial recognition and measurement of intangible assets separately from goodwill; and (iii) requires unallocated negative goodwill be written off immediately. FAS 142 supersedes APB 17, INTANGIBLE ASSETS, and is effective for fiscal years beginning after December 15, 2001. FAS 142 primarily addresses the accounting for goodwill and intangible assets subsequent to their initial recognition. FAS 142 (i) prohibits the amortization of goodwill and indefinite-lived intangible assets, (ii) requires that goodwill and indefinite-lived intangible assets be tested annually for impairment (and in interim periods if certain events occur indicating that the carrying value of goodwill and/or indefinite-lived intangible assets may be impaired), (iii) requires that reporting units be identified for the purpose of assessing potential future impairments of goodwill, and (iv) removes the forty-year limitation on the amortization period of intangible assets that have finite lives. FAS 141 is effective for all business combinations initiated after June 30, 2001. FAS 142 is effective for fiscal years beginning after December 15, 2001 with two exceptions: (i) goodwill and intangible assets acquired after June 30, 2001 are immediately subject to the nonamortization provisions of the Statement, and (ii) the provisions of the Statement are not applicable to mutual enterprises and not-for-profit organizations until further deliberation by the Board. Effective July 1, 2001, we adopted the provisions of FAS 141 and the nonamortization provisions of FAS 142 pertaining to goodwill recorded in connection with acquisitions consummated subsequent to June 30, 2001. The adoption of the provisions of FAS 141 and the nonamortization provisions of FAS 142 did not have a material impact on our results of operations for the year ended December 31, 2001. We will fully adopt the provisions of FAS 142 in the first quarter of 2002. We are in the process of determining what our reporting units are and what amounts of goodwill, other assets, and liabilities should be allocated to those reporting units. We will no longer record approximately $20.3 million of amortization expense relating to our existing goodwill for the year ended December 31, 2002. FAS 142 requires that goodwill be tested annually for impairment using a two-step process. The first step is to identify a potential impairment and, in transition, this step must be completed within six months of adoption and measured as of the beginning of the fiscal year. We expect to complete the first step during the first quarter of 2002. The second step measures the amount of the impairment loss as of the beginning of the year of adoption, if any, and must be completed by the end of our fiscal year. Any impairment loss resulting from the transitional impairment tests will be reflected as the cumulative effect of a change in accounting principle in the first quarter of 2002. We have not yet determined what effect these impairment tests will have on our financial position and results of operations. In October 2001, the Board issued Statement of Financial Accounting Standards No. 144 ("FAS 144"), "Accounting for the Impairment or Disposal of Long-Lived Assets." FAS 144 supersedes Financial Accounting Standards No. 121, "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed of," and addresses (i) the recognition and measurement of the impairment of long-lived assets to be held and used and (ii) the measurement of long-lived assets to be disposed of by sale. FAS 144 is effective for fiscal years beginning after December 15, 2001. We are currently assessing the impact, if any, of the adoption of this statement on the Company's financial position and results of operations. ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK Our Line of Credit and certain operating lease agreements are subject to market risk and interest rate changes. The total amount available under our Line of Credit is $100 million. At our option, the Line of Credit bears interest at either the prime rate or the Eurodollar rate plus an applicable margin rate ranging from 2% to 2.75%. The leases bear interest at LIBOR-based variable rates. There was no outstanding principal balance on the Line of Credit at December 31, 2001. The outstanding balances related to the operating leases totaled approximately $16.8 million at December 31, 2001. Considering the total outstanding balances under these instruments at December 31, 2001 of approximately $16.8 million, a 1% change in interest rates would result in an impact to pre-tax earnings of approximately $168,000 per year. 33 ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA The following Consolidated Financial Statements of the Company are included in this Annual Report on Form 10-K on the pages set forth below:
Page ---- Report of Independent Certified Public Accountants..............................35 Consolidated Balance Sheets at December 31, 2000 and 2001.......................36 Consolidated Statements of Income for the Years Ended December 31, 1999, 2000 and 2001.......................................37 Consolidated Statements of Shareholders' Equity for the Years Ended December 31, 1999, 2000 and 2001...........................38 Consolidated Statements of Cash Flows for the Years Ended December 31, 1999, 2000 and 2001.......................................39 Notes to Consolidated Financial Statements......................................40
34 REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS To the Board of Directors and Shareholders of Pediatrix Medical Group, Inc. In our opinion, the consolidated financial statements listed in the index appearing under Item 8 on page 34 of the Annual Report in which our report is included present fairly, in all material respects, the financial position of Pediatrix Medical Group, Inc. and subsidiaries (the "Company") at December 31, 2001 and 2000, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2001, in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule appearing under Item 14(a)(2) of the Annual Report on page 58 presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. These financial statements and financial statement schedule are the responsibility of the Company's management; our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits of these statements in accordance with auditing standards generally accepted in the United States of America, which require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. PricewaterhouseCoopers LLP Fort Lauderdale, Florida January 31, 2002, except as to the fourth paragraph of Note 9 which is as of February 28, 2002 35 PEDIATRIX MEDICAL GROUP, INC. CONSOLIDATED BALANCE SHEETS (in thousands)
December 31, -------------------------- 2000 2001 -------- -------- ASSETS Current assets: Cash and cash equivalents $ 3,075 $ 27,557 Accounts receivable, net 69,133 63,851 Prepaid expenses 831 3,110 Deferred income taxes -- 5,515 Other assets 836 12,925 -------- -------- Total current assets 73,875 112,958 Property and equipment, net 9,629 14,836 Goodwill and other assets, net 241,230 445,305 -------- -------- Total assets $324,734 $573,099 ======== ======== LIABILITIES & SHAREHOLDERS' EQUITY Current liabilities: Line of credit $ 23,500 $ -- Accounts payable and accrued expenses 29,878 73,203 Current portion of long-term debt and capital lease obligations -- 531 Income taxes payable 3,266 4,843 Deferred income taxes 15,123 -- -------- -------- Total current liabilities 71,767 78,577 Long-term debt and capital lease obligations -- 2,675 Deferred income taxes 7,197 9,846 Deferred compensation 3,870 3,149 -------- -------- Total liabilities 82,834 94,247 -------- -------- Commitments and contingencies Shareholders' equity: Preferred stock; $.01 par value, 1,000,000 shares authorized, none issued and outstanding at December 31, 2000 and 2001 -- -- Common stock; $.01 par value, 50,000,000 shares authorized at December 31, 2000 and 2001, 15,877,815 and 24,961,103 shares issued and outstanding at December 31, 2000 and 2001, respectively 159 250 Additional paid-in capital 135,540 341,973 Retained earnings 106,201 136,629 -------- -------- Total shareholders' equity 241,900 478,852 -------- -------- Total liabilities and shareholders' equity $324,734 $573,099 ======== ========
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS. 36 PEDIATRIX MEDICAL GROUP, INC. CONSOLIDATED STATEMENTS OF INCOME (in thousands, except for per share data)
Years Ended December 31, ------------------------------------------------- 1999 2000 2001 --------- --------- --------- Net patient service revenue $ 227,042 $ 243,075 $ 354,595 --------- --------- --------- Operating expenses: Practice salaries and benefits 126,972 148,476 197,581 Practice supplies and other operating expenses 9,341 11,022 14,297 General and administrative expenses 33,655 44,895 62,841 Depreciation and amortization 12,068 13,810 21,437 --------- --------- --------- Total operating expenses 182,036 218,203 296,156 --------- --------- --------- Income from operations 45,006 24,872 58,439 Investment income 296 358 309 Interest expense (2,697) (3,771) (2,538) --------- --------- --------- Income before income taxes 42,605 21,459 56,210 Income tax provision 17,567 10,473 25,782 --------- --------- --------- Net income $ 25,038 $ 10,986 $ 30,428 ========= ========= ========= Per share data: Net income per common and common equivalent share: Basic $ 1.61 $ .70 $ 1.44 ========= ========= ========= Diluted $ 1.58 $ .68 $ 1.36 ========= ========= ========= Weighted average shares used in computing net income per common and common equivalent share: Basic 15,513 15,760 21,159 ========= ========= ========= Diluted 15,860 16,053 22,478 ========= ========= =========
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS. 37 PEDIATRIX MEDICAL GROUP, INC. CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (in thousands)
Common Stock --------------------------- Additional Total Number of Paid in Retained Shareholders' Shares Amount Capital Earnings Equity --------- --------- ---------- --------- ------------- Balance at December 31, 1998 15,400 $ 154 $ 130,720 $ 70,177 $ 201,051 Net income -- -- -- 25,038 25,038 Common stock issued under employee stock option and stock purchase plans 225 2 2,253 -- 2,255 Tax benefit related to employee stock options and stock purchase plans -- -- 792 -- 792 Other -- -- (249) -- (249) --------- --------- --------- --------- --------- Balance at December 31, 1999 15,625 156 133,516 95,215 228,887 156 Net income -- -- -- 10,986 10,986 Common stock issued under employee stock option and stock purchase plans 253 3 1,582 -- 1,585 Tax benefit related to employee stock options and stock purchase plans -- -- 442 -- 442 --------- --------- --------- --------- --------- Balance at December 31, 2000 15,878 159 135,540 106,201 241,900 Net income -- -- -- 30,428 30,428 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 1,253 13 15,820 -- 15,833 Common stock issued for convertible notes 537 5 11,867 -- 11,872 Tax benefit related to employee stock options and stock purchase plans -- -- 7,397 -- 7,397 --------- --------- --------- --------- --------- Balance at December 31, 2001 24,961 $ 250 $ 341,973 $ 136,629 $ 478,852 ========= ========= ========= ========= =========
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS. 38 PEDIATRIX MEDICAL GROUP, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands)
Years Ended December 31, ------------------------------------------ 1999 2000 2001 -------- -------- -------- Cash flows from operating activities: Net income $ 25,038 $ 10,986 $ 30,428 Adjustments to reconcile net income to net cash provided from operating activities: Depreciation and amortization 12,068 13,810 21,437 Deferred income taxes 5,729 (1,340) (14,725) Loss on sale of assets -- 15 -- Changes in assets and liabilities: Accounts receivable (16,127) 8,593 17,676 Prepaid expenses and other assets (42) (237) (1,765) Other assets (236) (73) 5,436 Accounts payable and accrued expenses 646 779 22,992 Income taxes payable (3,054) 3,616 8,857 -------- -------- -------- Net cash provided from operating activities 24,022 36,149 90,336 -------- -------- -------- Cash flows from investing activities: Physician group acquisition payments (51,443) (9,033) (23,734) Purchase of subsidiary stock (17,151) -- -- Purchase of property and equipment (3,608) (4,346) (7,088) Proceeds from sale of assets -- 5,138 -- -------- -------- -------- Net cash used in investing activities (72,202) (8,241) (30,822) -------- -------- -------- Cash flows from financing activities: Borrowings (payments) on line of credit, net 40,543 (24,893) (46,900) Payments to refinance line of credit -- -- (1,404) Payments on long-term debt, capital lease obligations and note payable (200) (2,350) (2,561) Proceeds from issuance of common stock 2,255 1,585 15,833 Proceeds from issuance of subsidiary stock 5,757 -- -- -------- -------- -------- Net cash provided from (used in) financing activities 48,355 (25,658) (35,032) -------- -------- -------- Net increase in cash and cash equivalents 175 2,250 24,482 Cash and cash equivalents at beginning of year 650 825 3,075 -------- -------- -------- Cash and cash equivalents at end of year $ 825 $ 3,075 $ 27,557 ======== ======== ======== Supplemental disclosure of cash flow information: Cash paid for: Interest $ 2,338 $ 3,892 $ 2,642 Income taxes $ 14,910 $ 8,135 $ 23,426
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 39 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1. GENERAL: The principal business activity of Pediatrix Medical Group, Inc. ("Pediatrix" or the "Company") is to provide neonatal and perinatal physician services. The Company provides services in 27 states and Puerto Rico. Contractual arrangements with hospitals include: a) fee-for-service contracts whereby hospitals agree, in exchange for the Company's services, to authorize the Company and its health care professionals to bill and collect the charges for medical services rendered by the Company's health care professionals; and b) administrative fees whereby the Company is assured a minimum revenue level. On May 15, 2001, The Company acquired Magella Healthcare Corporation ("Magella") pursuant to a merger transaction (the "Merger"). The total purchase price was approximately $173.6 million, which the Company paid for in shares of its common stock. The Company has accounted for the Merger and the acquisitions using the purchase method of accounting. The results of operations of Magella and the acquired practices have been included in the consolidated financial statements from the dates of acquisition. 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: PRINCIPLES OF PRESENTATION The financial statements include all the accounts of the Company and its subsidiaries combined with the accounts of the professional associations (the "PA Contractors") with which the Company currently has specific management arrangements. The financial statements of the PA Contractors are consolidated with the Company because the Company has established a controlling financial interest in the operations of the PA Contractors, as defined in Emerging Issues Task Force Issue 97-2, through contractual management arrangements. The PA Contractors' agreements with the Company provide that the term of the arrangements are not less than 40 years, and in most cases are permanent, subject only to termination by the Company, except in the case of gross negligence, fraud or bankruptcy of the Company. The Company has the right to receive income, both as ongoing fees and as proceeds from the sale of its interest in the PA Contractors, in an amount that fluctuates based on the performance of the PA Contractors and the change in the fair value thereof. The Company has exclusive responsibility for the provision of all non-medical services required for the day-to-day operation and management of the PA Contractors and establishes the guidelines for the employment and compensation of the physicians. In addition, the agreements provide that the Company has the right, but not the obligation, to purchase, or to designate a person(s) to purchase, the stock of the PA Contractors for a nominal amount. Separately, in its sole discretion, the Company has the right to assign its interest in the agreements. All significant intercompany and interaffiliate accounts and transactions have been eliminated. ACCOUNTING PRONOUNCEMENTS In June 2001, the Financial Accounting Standards Board (the "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 initial recognition and measurement of intangible assets separately from goodwill; and (iii) requires unallocated negative goodwill be written off immediately. FAS 142 supersedes APB 17, INTANGIBLE ASSETS, and is effective for fiscal years beginning after December 15, 2001. FAS 142 primarily addresses the accounting for goodwill and intangible assets subsequent to their initial recognition. FAS 142 (i) prohibits the amortization 40 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, CONTINUED: ACCOUNTING PRONOUNCEMENTS, CONTINUED of goodwill and indefinite-lived intangible assets, (ii) requires that goodwill and indefinite-lived intangibles assets be tested annually for impairment (and in interim periods if certain events occur indicating that the carrying value of goodwill and/or indefinite-lived intangible assets may be impaired), (iii) requires that reporting units be identified for the purpose of assessing potential future impairments of goodwill, and (iv) removes the forty-year limitation on the amortization period of intangible assets that have finite lives. FAS 141 is effective for all business combinations initiated after June 30, 2001. FAS 142 is effective for fiscal years beginning after December 15, 2001 with two exceptions: (i) goodwill and intangible assets acquired after June 30, 2001 are immediately subject to the nonamortization provisions of the Statement, and (ii) the provisions of the statement are not applicable to mutual enterprises and not-for-profit organizations until further deliberation by the Board. Effective July 1, 2001, the Company adopted the provisions of FAS 141 and the nonamortization provisions of FAS 142 pertaining to goodwill recorded in connection with acquisitions consummated subsequent to June 30, 2001. The adoption of the provisions of FAS 141 and the nonamortization provisions of FAS 142 did not have a material impact on the Company's results of operations for the year ended December 31, 2001. The Company will fully adopt the provisions of FAS 142 in the first quarter of 2002. The Company is in the process of determining what its reporting units are and what amounts of goodwill, other assets, and liabilities should be allocated to those reporting units. The Company expects that it will no longer record approximately $20.3 million of amortization expense relating to its existing goodwill for the year ended December 31, 2002. FAS 142 requires that goodwill be tested annually for impairment using a two-step process. The first step is to identify a potential impairment and, in transition, this step must be completed within six months of adoption and measured as of the beginning of the fiscal year. The Company expects to complete the first step during the first quarter of 2002. The second step measures the amount of the impairment loss as of the beginning of the year of adoption, if any, and must be completed by the end of the Company's fiscal year. Any impairment loss resulting from the transitional impairment tests will be reflected as the cumulative effect of a change in accounting principle in the first quarter of 2002. The Company has not yet determined what effect these impairment tests will have on the Company's financial position and results of operations. In October 2001, the Board issued Statement of Financial Accounting Standards No. 144 ("FAS 144"), "Accounting for the Impairment or Disposal of Long-Lived Assets." FAS 144 supersedes Financial Accounting Standards No. 121, "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed of," and addresses (i) the recognition and measurement of the impairment of long-lived assets to be held and used and (ii) the measurement of long-lived assets to be disposed of by sale. FAS 144 is effective for fiscal years beginning after December 15, 2001. The Company is currently assessing the impact, if any, of the adoption of this statement on the Company's financial position and results of operation. ACCOUNTING ESTIMATES The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Significant estimates include the estimated allowance for contractual 41 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, CONTINUED: ACCOUNTING ESTIMATES, CONTINUED adjustments and uncollectibles on accounts receivable, and the estimated liabilities for claims incurred but not reported related to the Company's professional liability insurance. Actual results could differ from those estimates. SEGMENT REPORTING The Company operates in a single operating segment for purposes of presenting financial information and evaluating performance. As such, the accompanying consolidated financial statements present financial information in a format that is consistent with the financial information used by management for internal use. REVENUE RECOGNITION Patient service revenue is recognized at the time services are provided by the Company's employed physicians. Patient service revenue is presented net of an estimated provision for contractual adjustments and uncollectibles which is charged to operations based on the Company's evaluation of expected collections resulting from an analysis of current and past due accounts, past collection experience in relation to amounts billed and other relevant information. Contractual adjustments result from the difference between the physician rates for services performed and reimbursements by government-sponsored health care programs and insurance companies for such services. Accounts receivable are primarily amounts due under fee-for-service contracts from third party payors, such as insurance companies, self-insured employers and patients and government-sponsored health care programs geographically dispersed throughout the United States and its territories. Concentration of credit risk relating to accounts receivable is limited by number, diversity and geographic dispersion of the business units managed by the Company, as well as by the large number of patients and payors, including the various governmental agencies in the states in which the Company provides services. Receivables from government agencies made up approximately 18% and 22% of net accounts receivable at December 31, 2000 and 2001, respectively. CASH EQUIVALENTS Cash equivalents are defined as all highly liquid financial instruments with maturities of 90 days or less from the date of purchase. The Company's cash equivalents consist principally of demand deposits, amounts on deposit in money market accounts and funds invested in overnight repurchase agreements. The Company holds a majority of its cash equivalents with one financial institution. PROPERTY AND EQUIPMENT Property and equipment are stated at original purchase cost. Depreciation of property and equipment is computed on the straight-line method over the estimated useful lives. Estimated useful lives are generally 40 years for buildings; three to seven years for medical equipment, computer equipment, software and furniture; and the lease period for leasehold improvements and capital leases. Upon sale or retirement of property and equipment, the cost and related accumulated depreciation are eliminated from the respective accounts and the resulting gain or loss is included in earnings. 42 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, CONTINUED: GOODWILL The Company records acquired assets and liabilities at their respective fair values under the purchase method of accounting. Goodwill represents the excess of cost over the fair value of the net assets acquired. Goodwill related to acquisitions completed prior to July 1, 2001 was amortized through the year ended December 31, 2001 on a straight-line basis over 25 years. LONG-LIVED ASSETS The Company evaluates long-lived assets, including goodwill and identifiable intangibles, at each balance sheet date and records an impairment whenever events or changes in circumstances indicate that the carrying value of the assets may not be fully recoverable. The recoverability of such assets, which consist primarily of goodwill, is measured by a comparison of the carrying value of the assets to the future undiscounted cash flows before interest charges to be generated by the assets. For goodwill, the Company considers external factors relating to each acquired business, including hospital and physician contract changes, local market developments, changes in third-party payments, national health care trends, and other publicly-available information. If these factors indicate that goodwill is impaired, the impairment to be recognized is measured as the excess of the carrying value over the fair value. Long-lived assets, including goodwill and identifiable intangibles, to be disposed of are reported at the lower of the carrying value or fair value less disposal costs. The Company does not believe there are any indicators that would require an adjustment to such assets or their estimated periods of recovery at December 31, 2001 pursuant to the current accounting standards. PROFESSIONAL LIABILITY COVERAGE The Company maintains professional liability coverage, which indemnifies the Company and its health care professionals on a claims-made basis with a portion of self insurance retention. The Company records a liability for self-insured deductibles and an estimate of its liabilities for claims incurred but not reported based on an actuarial valuation. Liabilities for claims incurred but not reported are not discounted. INCOME TAXES The Company records deferred income taxes using the liability method, whereby deferred tax assets and liabilities are determined based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. STOCK OPTIONS The Company discloses net income and earnings per share as if the Company recognized compensation expense for the grant of stock, stock options and other equity instruments to employees based on fair value accounting rules (see Note 12). No charge has been reflected in the consolidated statements of income as a result of the grant of stock options, because the market value of the Company's stock equals the exercise price on the date the options are granted. To the extent that the Company realizes an income tax benefit from the exercise or early disposition of certain stock options, this benefit results in a decrease in current income taxes payable and an increase in additional paid-in capital. 43 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, CONTINUED: 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 convertible notes calculated using the if-converted method and outstanding options calculated using the treasury stock method. For the year ended December 31, 2001, the calculation of diluted net income per share excludes the after-tax impact of interest expense related to convertible subordinated notes. FAIR VALUE OF FINANCIAL INSTRUMENTS The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable and accrued expenses approximate fair value due to the short maturities of these items. The carrying amount of the line of credit approximates fair value because the interest rate on this instrument changes with market interest rates. 3. ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE: Accounts receivable consists of the following:
December 31, -------------------------------- 2000 2001 ---------- --------- (in thousands) Gross accounts receivable $ 171,082 $ 193,165 Allowance for contractual adjustments and uncollectibles (101,949) (129,314) ---------- --------- $ 69,133 $ 63,851 ========== =========
Net patient service revenue consists of the following:
Years Ended December 31, ----------------------------------------------- 1999 2000 2001 --------- --------- --------- (in thousands) Gross patient service revenue $ 485,917 $ 545,758 $ 835,137 Contractual adjustments and uncollectibles (272,812) (320,584) (500,284) Hospital contract administrative fees 13,937 17,901 19,742 --------- --------- --------- $ 227,042 $ 243,075 $ 354,595 ========= ========= =========
During the second quarter of 2000, the Company recorded a charge of $6.5 million to increase the allowance for contractual adjustments and uncollectible accounts. This charge was attributable to management's assessment of accounts receivable, which was revised to reflect the changes occurring in the Company's collection rates that became known by the Company as a result of trends noted during the second quarter of 2000 and an increase in average aged 44 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 3. ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE, CONTINUED: accounts receivable. This decline in collection rates was the result of (i) an increased utilization of non-critical care codes on which the Company realizes a lower collection rate as a percentage of billed charges, (ii) a significant decline in the reimbursement from non-contracted payors, (iii) continued difficulties in the health care reimbursement environment, primarily with managed care payors, and (iv) disruption within our collection offices due to the billing inquiries and the transition to a regional collection structure. During the second quarter of 2001, the Company increased prices for its patient services. As a result of the price increase, contractual adjustments and uncollectibles increased as a percentage of gross patient service revenue from 2000 to 2001. This increase is primarily due to government-sponsored health care programs, like Medicaid, that generally provide for reimbursements on a fee schedule basis rather than on a gross charge basis. Since the Company bills government-sponsored health care programs, like other payors, on a gross charge basis, the Company must increase the provision for contractual adjustments and uncollectibles by the amount of any price increase, resulting in a higher contractual adjustment percentage. 4. PROPERTY AND EQUIPMENT: Property and equipment consists of the following:
December 31, ------------------------------- 2000 2001 ------- -------- (in thousands) Building $ 33 $ 33 Equipment and furniture 17,188 27,013 ------- -------- 17,221 27,046 Accumulated depreciation (7,592) (12,210) ------- -------- $ 9,629 $ 14,836 ======= ========
At December 31, 2001, property and equipment includes medical equipment held under capital leases of approximately $1.3 million and related accumulated depreciation of approximately $910,000. The Company recorded depreciation expense of approximately $2,208,000, $3,131,000 and $4,857,000 for the years ended December 31, 1999, 2000, and 2001, respectively. 5. GOODWILL AND OTHER ASSETS: Goodwill and other assets consists of the following:
December 31, -------------------------------- 2000 2001 -------- -------- (in thousands) Goodwill $267,786 $497,699 Physician agreements 1,692 1,692 Other 5,749 7,568 -------- -------- 275,227 506,959 Accumulated amortization (33,997) (61,654) -------- -------- $241,230 $445,305 ======== ========
45 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 5. GOODWILL AND OTHER ASSETS, CONTINUED: During 2000, the Company completed the acquisition of five physician practices. Total consideration and related costs for these acquisitions approximated $9 million. In connection with these transactions, the Company recorded goodwill in the amount of approximately $9 million. On May 15, 2001, the Company acquired Magella Healthcare Corporation pursuant to a merger transaction. The total purchase price for Magella was allocated as follows (in thousands):
(i) Fair value of approximately 7.3 million shares of Pediatrix common stock issued for all outstanding common and nonvoting common stock of Magella....................... $ 152,490 (ii) Fair value of Magella options exercisable into approximately 1.4 million shares of Pediatrix common stock as a result of the Merger............................................... 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 $232.8 million, including approximately $206.5 million in goodwill, and assumed liabilities of approximately $59.2 million. In addition to the Merger, the Company completed the acquisition of six physician group practices during 2001. Total consideration and related costs for the acquisitions approximated $19.8 million in cash and $1.8 million in notes payable. In connection with these transactions, the Company recorded goodwill in the amount of approximately $21.6 million. The Company has accounted for the Merger and the acquisitions using the purchase method of accounting. 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:
Years Ended December 31, --------------------------------- 2000 2001 -------- -------- (in thousands, except per share data) Net patient service revenue $331,268 $395,245 Net income 21,064 36,365 Net income per share: Basic $ .92 $ 1.53 Diluted $ .86 $ 1.42
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. 46 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 6. ACCOUNTS PAYABLE AND ACCRUED EXPENSES: Accounts payable and accrued expenses consist of the following:
December 31, ------------------------------- 2000 2001 ------ ------- (in thousands) Accounts payable $9,662 $12,625 Accrued salaries and bonuses 6,960 21,811 Accrued payroll taxes and benefits 4,315 7,374 Accrued professional liability coverage 5,888 11,504 Accrued securities litigation settlement (Note 9) -- 12,000 Other accrued expenses 3,053 7,889 ------- ------- $29,878 $73,203 ======= =======
In connection with the accrued liability for the settlement of the class action securities litigation at December 31, 2001, as noted above, the Company has recorded a receivable from the Company's insurance carrier in the amount of $12 million. Such amount is included in other current assets at December 31, 2001. 7. LINE OF CREDIT, LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS: During 2001, the Company refinanced its $75 million line of credit, which matured on September 30, 2001, with an amended and restated credit agreement (the "Line of Credit") in the amount of $100 million. At the Company's option, the Line of Credit, which matures on August 14, 2004, bears interest at the either the prime rate or the Eurodollar rate plus an applicable margin rate ranging from 2% to 2.75%. The Line of Credit is collateralized by substantially all the Company's assets. The Company is subject to certain covenants and restrictions under the Line of Credit, including covenants that require the Company to maintain a minimum level of net worth and earnings and a restriction on the payment of dividends and certain other distributions, as specified therein. At December 31, 2001, the Company is in compliance with such financial covenants. The Company had no outstanding balance under the Line of Credit at December 31, 2001 as compared to $23.5 million at December 31, 2000. At December 31, 2001, the Company had $100 million available under its Line of Credit. In connection with the Merger, the Company assumed certain convertible subordinated notes issued by Magella which, as a result of the Merger became exercisable into our common stock ("Convertible Notes"). During 2001, approximately $11.9 million of Convertible Notes were converted into approximately 537,000 shares of the Company's common stock at the option of the holders. At December 31, 2001, the total outstanding principal on the Convertible Notes is approximately $920,000. The remaining outstanding Convertible Notes are convertible into approximately 35,000 shares of the Company's common stock at the option of the holder at a price of $26.00 per share, bear interest at rates ranging from 5% to 6%, require varying periodic interest payments and are due at various dates ranging from January 2004 through January 2006. The Company has the right to force the holders of the Convertible Notes to convert the notes into Pediatrix 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. 47 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 7. LINE OF CREDIT, LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS, CONTINUED: Long-term debt, including capital lease obligations, consists of the following at December 31, 2001 (in thousands): Convertible Notes $ 920 Promissory note in connection with acquisition (Note 5) 1,750 Capital lease obligations 536 ------- Total 3,206 Current portion of long-term debt and capital lease obligations (531) ------- Long-term debt and capital lease obligations $ 2,675 ======= The amounts due under the terms of the Company's long-term debt, including capital lease obligations, at December 31, 2001 are as follows: 2002 - $531,000; 2003 - $541,000; 2004 - $581,000; 2005 - $764,000; and 2006 - $789,000. 8. INCOME TAXES: The components of the income tax provision are as follows:
December 31, ------------------------------------------------------ 1999 2000 2001 ------- ------- -------- (in thousands) Federal: Current $11,316 $11,463 $29,970 Deferred 5,116 (1,265) (4,709) ------- ------- ------- 16,432 10,198 25,261 ------- ------- ------- State: Current 522 350 1,083 Deferred 613 (75) (562) ------- ------- ------- 1,135 275 521 ------- ------- ------- Total $17,567 $10,473 $25,782 ======= ======= =======
48 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 8. INCOME TAXES, CONTINUED: The Company files its tax return on a consolidated basis with its subsidiaries. The remaining PA Contractors file tax returns on an individual basis. The effective tax rate on income was 41.2% for the year ended December 31, 1999, 48.8% for the year ended December 31, 2000, and 45.9% for the year ended December 31, 2001. The differences between the effective rate and the U.S. federal income tax statutory rate are as follows:
December 31, --------------------------------------------- 1999 2000 2001 -------- -------- -------- (in thousands) Tax at statutory rate $ 14,912 $ 7,511 $ 19,674 State income tax, net of federal benefit 738 179 865 Amortization 2,061 2,347 3,939 Other, net (144) 436 1,304 -------- -------- -------- Income tax provision $ 17,567 $ 10,473 $ 25,782 ======== ======== ========
The significant components of deferred income tax assets and liabilities are as follows:
December 31, 2000 December 31, 2001 -------------------------------------- -------------------------------------- Non- Non- Total Current Current Total Current Current -------- -------- -------- -------- -------- -------- (in thousands) Allowance for uncollectible accounts $ 557 $ 557 $ -- $ 5,275 $ 5,275 $ -- Net operating loss 2,518 2,518 -- 2,727 2,727 -- carryforward Amortization 1,663 -- 1,663 1,417 -- 1,417 Operating reserves and accruals 4,525 4,525 -- 10,167 10,167 -- Other 2,249 1,575 674 1,986 1,249 737 -------- -------- -------- -------- -------- -------- Total deferred tax assets 11,512 9,175 2,337 21,572 19,418 2,154 Accrual to cash adjustment (23,719) (23,719) -- (13,903) (13,903) -- Property and equipment (3,690) -- (3,690) (3,912) -- (3,912) Receivable discounts (580) (580) -- -- -- -- Amortization (5,844) -- (5,844) (8,088) -- (8,088) Other 1 1 -- -- -- -- -------- -------- -------- -------- -------- -------- Total deferred tax liabilities (33,832) (24,298) (9,534) (25,903) (13,903) (12,000) -------- -------- -------- -------- -------- -------- Net deferred tax liability $(22,320) $(15,123) $ (7,197) $ (4,331) $ 5,515 $ (9,846) ======== ======== ======== ======== ======== ========
The income tax benefit related to the exercise of stock options and the purchase of shares under the Company's non-qualified employee stock purchase plan reduces taxes currently payable and is credited to additional paid-in capital. Such amounts totaled approximately $792,000, $442,000, and $7,397,000 for the years ended December 31, 1999, 2000, and 2001, respectively. The Company has net operating loss carryforwards for federal and state tax purposes totaling approximately $5,992,000, $6,668,000, and $7,175,000 at December 31, 1999, 2000, and 2001, respectively, expiring at various times commencing in 2009. 49 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 9. COMMITMENTS AND CONTINGENCIES: 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 by 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. The Colorado Medicaid and Tricare investigations are active and ongoing, and these matters, along with the Florida and Arizona 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 believes that billing audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of its business and in the health care services industry in general from time to time. 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, based upon its review of these pending matters, that the outcome of such legal actions and proceedings, individually or in the aggregate, will not have a material adverse effect on its financial condition, results of operations or liquidity, notwithstanding any possible lack of insurance recovery. If liability results from medical malpractice claims, there can be no assurance that the Company's medical malpractice insurance coverage will be adequate to cover liabilities arising out of such proceedings. On December 14, 2001, the Company announced that it had reached an agreement in principle to settle the securities class action litigation filed against it and certain of its officers in the United States District Court for the Southern District of Florida for a cash payment of $12.0 million. On February 7, 2002, the Company and certain of its officers executed a definitive agreement relating to the settlement, and on February 28, 2002, the settlement was approved by a preliminary order of the District Court. The settlement remains subject to final approval of the District Court. The Company leases an aircraft. The Company also leases space for its regional offices and medical offices, storage space, and temporary housing of medical staff. The Company also maintains a lease agreement for its corporate office in Sunrise, Florida. The Company is required to maintain certain financial covenants pursuant to the corporate office lease agreement, including a requirement that the Company maintain a minimum level of net worth. The corporate office lease and the aircraft lease both bear interest at LIBOR-based variable rates. Rent expense for the years ended December 31, 1999, 2000, and 2001 was approximately $3,063,000, $4,386,000, and $6,149,000, respectively. 50 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 9. COMMITMENTS AND CONTINGENCIES, CONTINUED: Future minimum lease payments under noncancelable operating leases as of December 31, 2001 are as follows (in thousands): 2002 $6,718 2003 12,399 2004 3,647 2005 2,646 2006 3,469 Thereafter 707 ------- $29,586 ======= 10. RETIREMENT PLAN: During 2001, the Company maintained two qualified contributory savings plans as allowed under Section 401(k) of the Internal Revenue Code. The Company's primary plan (the "Plan") permits participant contributions and allows elective Company contributions based on each participant's contribution. Participants may defer up to 15% of their annual compensation by contributing amounts to the Plan. The Company maintained a second plan as a result of the Merger (the "Magella Plan"). This second plan permits participant contributions and allows discretionary Company contributions based on each participant's contribution. The Company contributed 3% of each participant's annual wages, up to a maximum contribution of $5,100, for 2001. The Company contributed approximately $1,627,000, $1,807,000 and $3,765,000 to the Plan and the Magella Plan for the years ended December 31, 1999, 2000 and 2001, respectively. 51 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 11. NET INCOME PER COMMON AND COMMON EQUIVALENT SHARE: The calculation of basic and diluted net income per share for the years ended December 31, 1999, 2000 and 2001 are as follows:
Years Ended December 31, --------------------------------- 1999 2000 2001 ------- ------- ------- (in thousands, except for per share data) Basic: Net Income applicable to common stock $25,038 $10,986 $30,428 ======= ======= ======= Weighted average number of common shares outstanding 15,513 15,760 21,159 ======= ======= ======= Basic net income per share $ 1.61 $ .70 $ 1.44 ======= ======= ======= Diluted: Net Income $25,038 $10,986 $30,428 Interest expense on convertible subordinated debt, net of tax -- -- 115 ------- ------- ------- Net income applicable to common stock $25,038 $10,986 $30,543 ======= ======= ======= Weighted average number of common shares outstanding 15,513 15,760 21,159 Weighted average number of dilutive common stock equivalents 347 293 1,165 Dilutive effect of convertible subordinated debt -- -- 154 ------- ------- ------- Weighted average number of common and common equivalent shares outstanding 15,860 16,053 22,478 ======= ======= ======= Diluted net income per share $ 1.58 $ .68 $ 1.36 ======= ======= =======
52 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 12. STOCK OPTION PLAN AND EMPLOYEE STOCK PURCHASE PLANS: In 1993, the Company's Board of Directors authorized a stock option plan (the "Option Plan"). Under the Option Plan, options to purchase shares of common stock may be granted to certain employees at a price not less than the fair market value of the shares on the date of grant. The options must be exercised within 10 years from the date of grant. The stock options become exercisable on a pro rata basis over a three-year period from the date of grant. In 2001, the shareholders approved an amendment to increase the number of shares authorized to be issued under the Option Plan from 5,500,000 to 8,000,000. At December 31, 2001, 1,878,256 shares were available for future grants. In connection with the Merger, the Company assumed stock options issued by Magella which options at the time of the Merger were exercisable to purchase approximately 1.4 million shares of Pediatrix common stock. Such options are included in the disclosures below. Pertinent information covering the Option Plan is as follows:
Weighted Average Number of Option Price Exercise Expiration Shares Per Share Price Date ----------- -------------- -------- ----------- Outstanding at December 31, 1998 3,319,171 $2.84-$45.13 $27.55 2003-2008 Granted 1,558,154 $7.88-$61.00 $27.69 Canceled (852,330) $18.88-$61.00 $43.50 Exercised (94,552) $2.84-$36.13 $10.54 ---------- ------------- ------ Outstanding at December 31, 1999 3,930,443 $5.00-$61.00 $24.57 2004-2009 Granted 1,048,334 $6.75-$17.75 $9.45 Canceled (395,512) $7.88-$61.00 $38.11 Exercised (27,834) $5.00-$12.50 $8.06 ---------- ------------- ------ Outstanding at December 31, 2000 4,555,431 $5.00-$61.00 $20.28 2004-2010 Assumed in the Merger 1,375,894 $13.00-$24.05 $14.03 Granted 1,373,000 $21.38-$36.30 $29.67 Canceled (464,704) $7.06-$61.00 $25.94 Exercised (1,145,830) $5.00-$36.13 $12.52 ---------- ------------- ------ Outstanding at December 31, 2001 5,693,791 $5.00-$61.00 $22.07 2004-2011 ========== ============= ====== Exercisable at: December 31, 1999 2,131,235 $5.00-$45.13 $23.49 December 31, 2000 2,666,022 $5.00-$61.00 $23.87 December 31, 2001 3,502,787 $5.00-$61.00 $21.48
Significant option groups outstanding at December 31, 2001 and related price and life information is as follows:
Options Outstanding Options Exercisable ------------------------------------------- ------------------------ Weighted Weighted Average Weighted Outstanding Average Remaining Exercisable Average Range of Exercise as of Exercise Contractual as of Exercise Prices 12/31/2001 Price Life 12/31/2001 Price ----------------- ----------- -------- ----------- ---------- -------- $ 5.00 - $ 8.13 1,062,821 $ 7.00 6.1 600,805 $ 6.83 $10.00 - $14.56 1,049,950 $12.50 5.3 942,016 $12.46 $15.25 - $17.75 160,000 $16.90 8.8 53,338 $16.90 $18.88 - $22.55 1,228,716 $20.32 6.8 680,491 $20.04 $24.00 - $29.04 343,137 $27.93 7.3 232,970 $27.73 $30.88 - $34.79 978,584 $33.44 9.1 162,584 $32.66 $36.00 - $39.13 536,916 $36.67 5.1 521,916 $36.69 $40.38 - $45.13 258,667 $42.07 5.4 258,667 $42.07 $61.00 75,000 $61.00 7.1 50,000 $61.00 --------- ------ --- --------- ------ 5,693,791 $22.07 6.7 3,502,787 $21.48 ========= ====== === ========= ======
53 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 12. STOCK OPTION PLAN AND EMPLOYEE STOCK PURCHASE PLANS, CONTINUED: Under the Company's stock purchase plans (the "Stock Purchase Plans"), employees may purchase the Company's common stock at 85% of the average high and low sales price of the stock as reported as of commencement of the purchase period or as of the purchase date, whichever is lower. Under the Stock Purchase Plans, 128,848, 224,716 and 107,423 shares were issued during 1999, 2000 and 2001, respectively. At December 31, 2001, the Company has an additional 437,566 shares reserved under the Stock Purchase Plans. No compensation expense has been recognized for stock options granted under the Option Plan or stock issued under the Stock Purchase Plans. Had compensation expense been determined based on the fair value accounting rules, the Company's net income and net income per share would have been reduced to the pro forma amounts below:
Years Ended December 31, --------------------------------------------------- 1999 2000 2001 ------- ------ ------- (in thousands, except per share data) Net income $15,697 $4,016 $21,090 Net income per share: Basic $1.01 $0.25 $1.00 Diluted $1.01 $0.25 $0.98
The fair value of each option or share to be issued is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions used for grants in 1999, 2000 and 2001: dividend yield of 0% for all years; expected volatility of 82%, 82% and 71%, respectively, and risk-free interest rates of 5.2%, 6.4%, and 4.6%, respectively, for options with expected lives of five years (officers and physicians of the Company) and 5.7%, 6.3% and 3.9%, respectively, for options with expected lives of three years (all other employees of the Company). 13. SUBSIDIARY STOCK: In January 1999, a subsidiary of the Company sold 6,257,150 shares of its common stock, for $1.00 per share, in a private placement to certain officers and employees of the Company. The per share value used in the private placement was equivalent to the amount on a per share basis that the Company invested in its subsidiary. The subsidiary used the proceeds from the offering to purchase shares previously issued to the Company. In July 1999, the Company purchased 13,433,696 shares of common stock in the subsidiary for approximately $17.7 million, which resulted in the subsidiary being wholly owned by the Company. The shares purchased by the Company were held by certain officers and employees of the Company and represented 23.5% of all outstanding shares of the subsidiary. The Company accounted for the transaction using the purchase method of accounting and the excess of the cost over the fair value of additional net assets acquired is approximately $3.6 million is being amortized on a straight-line basis over 25 years. 54 PEDIATRIX MEDICAL GROUP, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED 14. PREFERRED SHARE PURCHASE RIGHTS PLAN: The Board of Directors of the Company has adopted a Preferred Share Purchase Rights Plan (the "Rights Plan") and, in connection therewith, declared a dividend distribution of one preferred share purchase right ("Right") on each outstanding share of the Company's common stock to shareholders of record at the close of business on April 9, 1999. Each Right entitles the shareholder to purchase from the Company one one-thousandth of a share of the Company's Series A Junior Participating Preferred Stock (the "Preferred Shares") (or in certain circumstances, cash, property or other securities). Each Right has an initial exercise price of $150.00 for one one-thousandth of a Preferred Share (subject to adjustment). The Rights will be exercisable only if a person or group acquires 15% or more of the Company's common stock or announces a tender or exchange offer, the consummation of which would result in ownership by a person or group of 15% or more of the common stock. Upon such occurrence, each Right will entitle its holder (other than such person or group of affiliated or associated persons) to purchase, at the Right's then-current exercise price, a number of the Company's common shares having a market value of twice such price. The final expiration date of the Rights is the close of business on March 31, 2009 (the "Final Expiration Date"). The Board of Directors of the Company may, at its option, as approved by a Majority Director Vote (as defined in the Rights Plan), at any time prior to the earlier of (i) the time that any person or entity becomes an Acquiring Person (as defined in the Rights Plan), and (ii) the Final Expiration Date, redeem all but not less than all of the then outstanding Rights at a redemption price of $.005 per Right, as such amount may be appropriately adjusted to reflect any stock split, stock dividend or similar transaction. The redemption of the Rights may be made effective at such time, on such basis and with such conditions as the Board of Directors of the Company, in its sole discretion, may establish (as approved by a Majority Director Vote). 55 ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. 56 PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT Pursuant to instruction G(3) of the General Instructions to Form 10-K, the information required herein is incorporated by reference to the Company's definitive proxy statement with respect to the Company's annual meeting of shareholders scheduled to be held on May 14, 2002, to be filed with the Securities and Exchange Commission within 120 days after fiscal year end. ITEM 11. EXECUTIVE COMPENSATION Pursuant to instruction G(3) of the General Instructions to Form 10-K, the information required herein is incorporated by reference to the Company's definitive proxy statement with respect to the Company's annual meeting of shareholders scheduled to be held on May 14, 2002, to be filed with the Securities and Exchange Commission within 120 days after fiscal year end. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT Pursuant to instruction G(3) of the General Instructions to Form 10-K, the information required herein is incorporated by reference to the Company's definitive proxy statement with respect to the Company's annual meeting of shareholders scheduled to be held on May 14, 2002, to be filed with the Securities and Exchange Commission within 120 days after fiscal year end. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS Pursuant to instruction G(3) of the General Instructions to Form 10-K, the information required herein is incorporated by reference to the Company's definitive proxy statement with respect to the Company's annual meeting of shareholders scheduled to be held on May 14, 2002, to be filed with the Securities and Exchange Commission within 120 days after fiscal year end. 57 PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K (a)(1) FINANCIAL STATEMENTS An index to financial statements included in this Annual Report on Form 10-K appears on page 34. (a)(2) FINANCIAL STATEMENT SCHEDULE The following financial statement schedule for the years ended December 31, 1999, 2000 and 2001, is included in this Annual Report on Form 10-K as set forth below. SCHEDULE II: VALUATION AND QUALIFYING ACCOUNTS For the Years Ended December 31, 1999, 2000 and 2001
1999 2000 2001 --------- --------- --------- (in thousands) Allowance for contractual adjustments and uncollectibles: Balance at beginning of year $ 87,436 $ 102,479 $ 101,949 Portion charged against operating revenue 272,812 320,584 500,284 Accounts receivable written- off (net of recoveries) (257,769) (321,114) (472,919) --------- --------- --------- Balance at end of year $ 102,479 $ 101,949 $ 129,314 ========= ========= =========
All other schedules for which provision is made in the applicable accounting regulations of the Securities and Exchange Commission are not required under the related instructions or are not applicable and therefore have been omitted. 58 (a)(3) EXHIBITS -------- 2.1 Agreement and Plan of Merger dated as of February 14, 2001, among Pediatrix Medical Group, Inc., a Florida corporation, Infant Acquisition Corp., a Delaware corporation, and Magella Healthcare Corporation, a Delaware corporation (incorporated by reference to Exhibit 2.1 to Pediatrix's current report on Form 8-K dated February 15, 2001). 3.1 Amended and Restated Articles of Incorporation of Pediatrix (incorporated by reference to Exhibit 3.1 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)). 3.2 Amendment and Restated Bylaws of Pediatrix (incorporated by reference to Exhibit 3.2 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 2000). 3.3 Articles of Designation of Series A Junior Participating Preferred Stock (incorporated by reference to Exhibit 3.1 to Pediatrix's current report on Form 8-K dated March 31, 1999). 4.1 Rights Agreement, dated as of March 31, 1999, between Pediatrix and BankBoston, N.A., as rights agent including the form of Articles of Designations of Series A Junior Participating Preferred Stock and the form of Rights Certificate (incorporated by reference to Exhibit 4.1 to Pediatrix's current report on Form 8-K dated March 31, 1999). 10.1+ Pediatrix's Amended and Restated Stock Option Plan.* 10.2 Pediatrix's Thrift and Profit Sharing Plan (incorporated by reference to Exhibit 10.23 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.3 1996 Qualified Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.25 to Pediatrix's Quarterly Report on Form 10-Q for the period ended March 31, 1996).* 10.4 1996 Non-Qualified Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.26 to Pediatrix's Quarterly Report on Form 10-Q for the period ended March 31, 1996).* 10.5 Pediatrix Executive Non-Qualified Deferred Compensation Plan, dated October 13, 1997 (incorporated by reference to Exhibit 10.35 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 1998).* 10.6 Form of Indemnification Agreement between Pediatrix and each of its directors and certain executive officers (incorporated by reference to Exhibit 10.2 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.7 Form of Non-competition and Nondisclosure Agreement (incorporated by reference to Exhibit 10.24 to Pediatrix's Registration Statement on (Form S-1 Registration No. 33-95086)).* 10.8 Form of Exclusive Management and Administrative Services Agreement between Pediatrix and each of the PA Contractors (incorporated by reference to 59 Exhibit 10.25 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.9 Employment Agreement, dated as of January 1, 1995, as amended, between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.3 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.10 Amendment No. 2 to the employment agreement between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.34 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 1997).* 10.11 Amendment No. 3 to the Employment Agreement between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.35 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 1998).* 10.12 Amended and Restated Employment Agreement, dated May 8, 2000, between Kristen Bratberg and Pediatrix (incorporated by reference to Exhibit 10.39 to Pediatrix's Quarterly Report on Form 10-Q for the period ended September 30, 2000).* 10.13 Amended and Restated Employment Agreement dated December 1, 2000, between M. Douglas Cunningham, M.D. and Pediatrix (incorporated by reference to Exhibit 10.13 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.14 Employment Agreement, dated January 1, 1999, between Karl B. Wagner and Pediatrix (incorporated by reference to Exhibit 10.38 to Pediatrix's Quarterly Report on Form 10-Q for the year ended September 30, 1999). 10.15 Employment Agreement dated January 8, 2001, between Brian T. Gillon and Pediatrix (incorporated by reference to Exhibit 10.15 Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.16 Amended and Restated Credit Agreement, dated as of November 1, 2001, among Pediatrix, certain professional contractors, Fleet Bank, Sun Trust Bank and UBS AG (incorporated by reference to Exhibit 10.16 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.17 Security Agreement dated November 1, 2000, between Pediatrix Medical Group, Inc. and Fleet National Bank, as Agent (incorporated by reference to Exhibit 10.17 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.18 Stockholders' Agreement dated as of February 14, 2001, among Pediatrix, Infant Acquisition Corp., John K. Carlyle, Cordillera Interest, Ltd., Steven K. Boyd, Ian M. Ratner, M.D., Welsh, Carson, Anderson & Stowe VII, L.P., WCAS Healthcare Partners, L.P., the persons listed on Schedule A thereto, Leonard Hilliard, M.D., The Hilliard Family Partnership, Ltd. and Gregg C. Lund, D.O. (incorporated by reference to Exhibit 10.40 to Pediatrix's Form 8-K dated February 15, 2001). 10.19 Standstill and Registration Rights Agreement dated as of May 15, 2001, among Pediatrix, Welsh, Carson, Anderson & Stowe VII, L.P., WCAS Healthcare Partners, L.P., the persons listed on Schedule A thereto, John K. Carlyle, Cordillera Interest, Ltd., Steven K. Boyd, Ian M. Ratner, M.D., Roger J. Medel, 60 M.D., Kristen Bratberg, Joseph Calabro, Karl B. Wagner and Brian T. Gillon (incorporated by reference to Exhibit 10.1 to Pediatrix's Current Report on Form 8-K dated May 25, 2001). 10.20+ Stipulation and Agreement of Settlement dated February 7, 2001, among Sands Point Partners, L.P., et. al., on behalf of themselves and all other similarly situation, and Pediatrix, Roger J. Medel, M.D., Karl B. Wagner and Lawrence M. Mullen. 21.1+ Subsidiaries of Pediatrix. 23.1+ Consent of PricewaterhouseCoopers LLP. ----------------------- * Management contract or compensation plan or arrangement. + Filed herewith. 61 (b) REPORTS ON FORM 8-K On December 27, 2001 we filed a Form 8-K dated December 14, 2001, reporting Item 5 (Other Events) related to an agreement in principle to settle the securities class action litigation filed against us and certain of our officers in the United States District Court for the Southern District of Florida for a cash payment of $12 million. 62 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) 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: March 28, 2002 By: /s/ Roger J. Medel, M.D. ------------------------------------- Roger J. Medel, M.D., M.B.A. Chairman of the Board, Chief Executive Officer and Director Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant in the capacities and on the dates indicated.
Signature Title Date --------- ----- ---- /s/ Roger J. Medel, M.D. Chairman of the Board, Chief March 28, 2002 - -------------------------------------------------- Executive Officer and Director Roger J. Medel, M.D., M.B.A. (principal executive officer) /s/ Kristen Bratberg President and Director March 28, 2002 - -------------------------------------------------- Kristen Bratberg /s/ Karl B.wagner Chief Financial Officer - -------------------------------------------------- (principal financial officer March 28, 2002 Karl B. Wagner and principal accounting officer) /s/ Cesar L. Alvarez Director March 26, 2002 - -------------------------------------------------- Cesar L. Alvarez /s/ Waldemar A. Carlo, M.D. Director March 26, 2002 - -------------------------------------------------- Waldemar A. Carlo, M.D. /s/ John K. Carlyle Director March 28, 2002 - -------------------------------------------------- John K. Carlyle /s/ M. Douglas Cunningham, M.D. Director March 28, 2002 - -------------------------------------------------- M. Douglas Cunningham, M.D. /s/ Michael Fernandez Director March 28, 2002 - -------------------------------------------------- Michael Fernandez /s/ D. Scott Mackesy Director March 28, 2002 - -------------------------------------------------- D. Scott Mackesy /s/ Ian M. Ratner, M.D. Director March 25, 2002 - -------------------------------------------------- Ian M. Ratner, M.D.
63 EXHIBIT INDEX 2.1 Agreement and Plan of Merger dated as of February 14, 2001, among Pediatrix Medical Group, Inc., a Florida corporation, Infant Acquisition Corp., a Delaware corporation, and Magella Healthcare Corporation, a Delaware corporation (incorporated by reference to Exhibit 2.1 to Pediatrix's current report on Form 8-K dated February 15, 2001). 3.1 Amended and Restated Articles of Incorporation of Pediatrix (incorporated by reference to Exhibit 3.1 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)). 3.2 Amendment and Restated Bylaws of Pediatrix (incorporated by reference to Exhibit 3.2 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 2000). 3.3 Articles of Designation of Series A Junior Participating Preferred Stock (incorporated by reference to Exhibit 3.1 to Pediatrix's current report on Form 8-K dated March 31, 1999). 4.1 Rights Agreement, dated as of March 31, 1999, between Pediatrix and BankBoston, N.A., as rights agent including the form of Articles of Designations of Series A Junior Participating Preferred Stock and the form of Rights Certificate (incorporated by reference to Exhibit 4.1 to Pediatrix's current report on Form 8-K dated March 31, 1999). 10.1+ Pediatrix's Amended and Restated Stock Option Plan.* 10.2 Pediatrix's Thrift and Profit Sharing Plan (incorporated by reference to Exhibit 10.23 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.3 1996 Qualified Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.25 to Pediatrix's Quarterly Report on Form 10-Q for the period ended March 31, 1996).* 10.4 1996 Non-Qualified Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.26 to Pediatrix's Quarterly Report on Form 10-Q for the period ended March 31, 1996).* 10.5 Pediatrix Executive Non-Qualified Deferred Compensation Plan, dated October 13, 1997 (incorporated by reference to Exhibit 10.35 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 1998).* 10.6 Form of Indemnification Agreement between Pediatrix and each of its directors and certain executive officers (incorporated by reference to Exhibit 10.2 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.7 Form of Non-competition and Nondisclosure Agreement (incorporated by reference to Exhibit 10.24 to Pediatrix's Registration Statement on (Form S-1 Registration No. 33-95086)).* 10.8 Form of Exclusive Management and Administrative Services Agreement between Pediatrix and each of the PA Contractors (incorporated by reference to Exhibit 10.25 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.9 Employment Agreement, dated as of January 1, 1995, as amended, between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.3 to Pediatrix's Registration Statement on Form S-1 (Registration No. 33-95086)).* 10.10 Amendment No. 2 to the employment agreement between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.34 to Pediatrix's Quarterly Report on Form 10-Q for the period ended June 30, 1997).* 10.11 Amendment No. 3 to the Employment Agreement between Pediatrix and Roger J. Medel, M.D. (incorporated by reference to Exhibit 10.35 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 1998).* 10.12 Amended and Restated Employment Agreement, dated May 8, 2000, between Kristen Bratberg and Pediatrix (incorporated by reference to Exhibit 10.39 to Pediatrix's Quarterly Report on Form 10-Q for the period ended September 30, 2000).* 10.13 Amended and Restated Employment Agreement dated December 1, 2000, between M. Douglas Cunningham, M.D. and Pediatrix (incorporated by reference to Exhibit 10.13 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.14 Employment Agreement, dated January 1, 1999, between Karl B. Wagner and Pediatrix (incorporated by reference to Exhibit 10.38 to Pediatrix's Quarterly Report on Form 10-Q for the year ended September 30, 1999). 10.15 Employment Agreement dated January 8, 2001, between Brian T. Gillon and Pediatrix (incorporated by reference to Exhibit 10.15 Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.16 Amended and Restated Credit Agreement, dated as of November 1, 2001, among Pediatrix, certain professional contractors, Fleet Bank, Sun Trust Bank and UBS AG (incorporated by reference to Exhibit 10.16 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.17 Security Agreement dated November 1, 2000, between Pediatrix Medical Group, Inc. and Fleet National Bank, as Agent (incorporated by reference to Exhibit 10.17 to Pediatrix's Annual Report on Form 10-K for the year ended December 31, 2000). 10.18 Stockholders' Agreement dated as of February 14, 2001, among Pediatrix, Infant Acquisition Corp., John K. Carlyle, Cordillera Interest, Ltd., Steven K. Boyd, Ian M. Ratner, M.D., Welsh, Carson, Anderson & Stowe VII, L.P., WCAS Healthcare Partners, L.P., the persons listed on Schedule A thereto, Leonard Hilliard, M.D., The Hilliard Family Partnership, Ltd. and Gregg C. Lund, D.O. (incorporated by reference to Exhibit 10.40 to Pediatrix's Form 8-K dated February 15, 2001). 10.19 Standstill and Registration Rights Agreement dated as of May 15, 2001, among Pediatrix, Welsh, Carson, Anderson & Stowe VII, L.P., WCAS Healthcare Partners, L.P., the persons listed on Schedule A thereto, John K. Carlyle, Cordillera Interest, Ltd., Steven K. Boyd, Ian M. Ratner, M.D., Roger J. Medel, M.D., Kristen Bratberg, Joseph Calabro, Karl B. Wagner and Brian T. Gillon (incorporated by reference to Exhibit 10.1 to Pediatrix's Current Report on Form 8-K dated May 25, 2001). 10.20+ Stipulation and Agreement of Settlement dated February 7, 2001, among Sands Point Partners, L.P., et. al., on behalf of themselves and all other similarly situation, and Pediatrix, Roger J. Medel, M.D., Karl B. Wagner and Lawrence M. Mullen. 21.1+ Subsidiaries of Pediatrix. 23.1+ Consent of PricewaterhouseCoopers LLP. ----------------------- * Management contract or compensation plan or arrangement. + Filed herewith.

                                                                    Exhibit 10.1


                          PEDIATRIX MEDICAL GROUP, INC.
                     AMENDED AND RESTATED STOCK OPTION PLAN

1. PURPOSE. The purpose of this Plan is to advance the interests of Pediatrix
Medical Group, Inc., a Florida corporation (the "Company"), providing an
additional incentive to attract and retain qualified and competent persons who
are key to the Company (as hereinafter defined), including key employees,
Officers and Directors, and upon whose efforts and judgment the success of the
Company is largely dependent, through the encouragement of stock ownership in
the Company by such persons.

2. DEFINITIONS. As used herein, the following terms shall have the meaning
indicated:

         (a) "Board" shall mean the Board of Directors of the Company.

         (b) "Code" shall mean the Internal Revenue Code of 1986, as amended.

         (c) "Committee" shall mean the stock option committee appointed by the
Board pursuant to Section 14(a) hereof or, if not appointed, the Board.

         (d) "Common Stock" shall mean the Company's Common Stock, par value
$0.01 per share.

         (e) "Company" shall refer to Pediatrix Medical Group, Inc., a Florida
corporation, its wholly-owned subsidiary, Pediatrix Medical Group of Florida,
Inc., and the companies related to the Company through long-term management
contracts which provide the medical component of the services required in
respect of any arrangement where Pediatrix Medical Group, Inc. provides the
non-medical component of the services required in respect of such arrangement in
various states and Puerto Rico, and any future majority owned subsidiary of the
Company or any business entity, partnership or other business entity related to
the Company through a long-term management contract with respect to the services
described herein.

         (f) "Director" shall mean a member of the Board.

         (g) "Effective Date" shall mean the date the Plan was originally
effective, September 20, 1995.

         (h) "Employee Director" shall mean a member of the Board who is also an
employee of the Company or a Subsidiary.

         (i) "Fair Market Value" of a Share on any date of reference shall be
the "Closing Price" (as defined below) of the Common Stock on such business day,
unless the Committee in its sole discretion shall determine otherwise in a fair
and uniform manner. For the purpose of determining Fair Market Value, the
"Closing Price" of the Common Stock on any business day shall be (i) if the
Common Stock is listed or admitted for trading on any United States national
securities exchange, or if actual transactions are otherwise reported on a
consolidated transaction reporting system, the last reported sale price of
Common Stock on such exchange or reporting





system, as reported in any newspaper of general circulation, (ii) if the Common
Stock is quoted on the National Association of Securities Dealers Automated
Quotations System ("NASDAQ"), or any similar system of automated dissemination
of quotations of securities prices in common use, the last reported sale price
of Common Stock on NASDAQ or such system, or (iii) if neither clause (i) or (ii)
is applicable, the mean between the high bid and low asked quotations for the
Common Stock as reported by the National Quotation Bureau, Incorporated if at
least two securities dealers have inserted both bid and asked quotations for
Common Stock on at least five of the ten preceding days. If neither (i), (ii) or
(iii) above is applicable, then Fair Market Value shall be determined in good
faith by the Committee or the Board in a fair and uniform manner.

         (j) "Grant" shall mean the agreement between the Company and the
Optionee for the grant of an Option.

         (k) "Incentive Stock Option" shall mean an incentive stock option as
defined in Section 422 of the Code.

         (l) "Non-Employee Director" shall mean a member of the Board who is not
an employee of the Company or a Subsidiary.

         (m) "Non-Qualified Stock Option" shall mean an Option which is not an
Incentive Stock Option.

         (n) "Officer" shall mean the Company's president, principal financial
officer, principal accounting officer (or, if there is no such accounting
officer, the controller), any vice-president of the Company in charge of a
principal business unit, division or function (such as sales, administration or
finance), any other officer who performs a policy-making function, or any other
person who performs similar policy-making functions for the Company. Officers of
Subsidiaries shall be deemed Officers of the Company if they perform such
policy-making functions for the Company. As used in this paragraph, the phrase
"policy-making function" does not include policy-making functions that are not
significant. Unless specified otherwise in a resolution by the Board, an
"executive officer" pursuant to Item 401(b) of Regulation S-K (17 C.F.R.
Section. 229.401(b)) shall be only such person designated as an "Officer"
pursuant to the foregoing provisions of this paragraph.

         (o) "Option" (when capitalized) shall mean any option granted under
this Plan.

         (p) "Optionee" shall mean a person to whom a stock option is granted
under this Plan or any person who succeeds to the rights of such person under
this Plan by reason of the death of such person.

         (q) "Outside Director" shall mean a member of the Board who qualifies
as an "outside director" under Code Section 162(m) and the regulations
thereunder and as a "Non-Employee Director" under Rule 16b-3 promulgated under
the Securities Exchange Act.

         (r) "Plan" shall mean this Stock Option Plan for the Company.




                                       2


         (s) "Securities Exchange Act" shall mean the Securities Exchange Act of
1934, as amended.

         (t) "Share(s)" shall mean a share or shares of the Common Stock.

         (u) "Subsidiary" shall mean any corporation (other than the Company) in
any unbroken chain of corporations beginning with the Company if, at the time of
the granting of the Option, each of the corporations other than the last
corporation in the unbroken chain owns stock possessing 50 percent or more of
the total combined voting power of all classes of stock in one of the other
corporations in such chain.

3. SHARES AND OPTIONS. The Committee or the Board may grant to Optionees from
time to time Options to purchase an aggregate of up to 8,000,000 Shares from
authorized and unissued Shares. If any Option granted under the Plan shall
terminate, expire, or be canceled or surrendered as to any Shares, new Options
may thereafter be granted covering such Shares.

4. INCENTIVE AND NON-QUALIFIED OPTIONS. An Option granted hereunder shall be
either an Incentive Stock Option or a Non-Qualified Stock Option as determined
by the Committee or the Board at the time of grant of such Option and shall
clearly state whether it is an Incentive Stock Option or a Non-Qualified Stock
Option. All Incentive Stock Options shall be granted within 10 years from the
effective date of this Plan. Incentive Stock Options may not be granted to any
person who is not an employee of the Company or any Subsidiary.

5. DOLLAR LIMITATION. Options otherwise qualifying as Incentive Stock Options
hereunder will not be treated as Incentive Stock Options to the extent that the
aggregate Fair Market Value (determined at the time the Option is granted) of
the Shares, with respect to which Options meeting the requirements of Code
Section 422(b) are exercisable for the first time by any individual during any
calendar year (under all plans of the Company and any Subsidiary as defined in
Code Section 424), exceeds $100,000.

6. CONDITIONS FOR GRANT OF OPTIONS.

         (a) Each Option shall be evidenced by an option Grant that may contain
any term deemed necessary or desirable by the Committee or the Board, provided
such terms are not inconsistent with this Plan or any applicable law. The
Optionees shall be (i) those persons selected by the Committee or the Board from
the class of all regular employees of the Company or its Subsidiaries, including
Employee Directors and Officers who are regular employees of the Company and
(ii) Non-Employee Directors. Any person who files with the Committee, in a form
satisfactory to the Committee, a written waiver of eligibility to receive any
Option under this Plan shall not be eligible to receive any Option under this
Plan for the duration of such waiver.

         (b) In granting Options, the Committee or the Board shall take into
consideration the contribution the person has made to the success of the Company
or its Subsidiaries and such other factors as the Committee or the Board shall
determine. The Committee or the Board shall also have the authority to consult
with and receive recommendations from officers and other personnel of the
Company and its Subsidiaries with regard to these matters. The Committee or




                                       3


the Board may from time to time in granting Options under the Plan prescribe
such other terms and conditions concerning such Options as it deems appropriate,
including, without limitation, (i) prescribing the date or dates on which the
Option becomes exercisable, (ii) providing that the Option rights accrue or
become exercisable in installments over a period of years, or upon the
attainment of stated goals or both, or (iii) relating an Option to the continued
employment of the Optionee for a specified period of time, provided that such
terms and conditions are not more favorable to an Optionee than those expressly
permitted herein.

         (c) The Options granted to employees under this Plan shall be in
addition to regular salaries, pension, life insurance or other benefits related
to their employment with the Company or its Subsidiaries. Neither the Plan nor
any Option granted under the Plan shall confer upon any person any right to
employment or continuance of employment by the Company or its Subsidiaries.

         (d) Notwithstanding any other provision of this Plan, an Incentive
Stock Option shall not be granted to any person owning directly or indirectly
(through attribution under Section 424(d) of the Code) at the date of grant,
stock possessing more than 10% of the total combined voting power of all classes
of stock of the Company (or of its parent or subsidiary corporation (as defined
in Section 424 of the Code) at the date of grant) unless the option price of
such Option is at least 110% of the Fair Market Value of the Shares subject to
such Option on the date the Option is granted, and such Option by its terms is
not exercisable after the expiration of five years from the date such Option is
granted.

         (e) Notwithstanding any other provision of this Plan, and in addition
to any other requirements of this Plan, the aggregate number of shares with
respect to which Options may be granted under the Plan to any one Director,
Officer or employee shall not exceed 250,000 in any calendar year, and the
aggregate number of shares with respect to which Incentive Stock Options may be
granted under the Plan shall not exceed 3,250,000.

7. OPTION PRICE. The option price per Share of any Option shall be any price
determined by the Committee or the Board but shall not be less than the par
value per Share; provided, however, that in no event shall the option price per
Share of any Incentive Stock Option or any Option granted pursuant to paragraph
(a) of Section 15 of this Plan be less than the Fair Market Value of the Shares
underlying such Option on the date such Option is granted.

8. EXERCISE OF OPTIONS. An Option shall be deemed exercised when (i) the Company
has received written notice of such exercise in accordance with the terms of the
Option, (ii) full payment of the aggregate option price of the Shares as to
which the Option is exercised has been made, and (iii) arrangements that are
satisfactory to the Committee or the board in its sole discretion have been made
for the Optionee's payment to the Company of the amount that is necessary for
the Company or Subsidiary employing the Optionee to withhold in accordance with
applicable Federal or state tax withholding requirements. The consideration to
be paid for the Shares to be issued upon exercise of an Option, including the
method of payment, shall be determined by the Committee or the Board and may
consist of cash, certified or official bank check, money order, or if and to the
extent permitted by the Committee or the Board, (x) Shares held by the Optionee
for at least six (6) months (or such other Shares as the Company determines will
not cause the




                                       4


Company to realize a financial accounting change), (y) the withholding of Shares
issuable upon exercise of the Option, or (z) by any form of cashless exercise
procedure approved by the Committee or the Board, or in such other consideration
as the Committee or the Board deems appropriate, or by a combination of the
above. The Committee or the Board in its sole discretion may accept a personal
check in full or partial payment of any Shares. If the exercise price is paid in
whole or in part with Shares, or through the withholding of Shares issuable upon
exercise of the Option, the value of the Shares surrendered shall be their Fair
Market Value on the date the Option is exercised. The Company in its sole
discretion may, on an individual basis or pursuant to a general program
established in connection with this Plan, lend money to an Optionee, guarantee a
loan to an Optionee, or otherwise assist an Optionee to obtain the cash
necessary to exercise all or a portion of an Option granted hereunder or to pay
any tax liability of the Optionee attributable to such exercise. If the exercise
price is paid in whole or part with Optionee's promissory note, such note shall
(i) provide for full recourse to the maker, (ii) be collateralized by the pledge
of the Shares that the Optionee purchases upon exercise of such Option, (iii)
bear interest at the prime rate of the Company's principal lender, and (iv)
contain such other terms as the Board in its sole discretion shall reasonably
require. No Optionee shall be deemed to be a holder of any Shares subject to an
Option unless and until a stock certificate or certificates for such Shares are
issued to such person(s) under the terms of this Plan. No adjustment shall be
made for dividends (ordinary or extraordinary, whether in cash, securities or
other property) or distributions or other rights for which the record date is
prior to the date such stock certificate is issued, except as expressly provided
in Section 10 hereof.

9. EXERCISABILITY OF OPTIONS. Any Option shall become exercisable in such
amounts, at such intervals and upon such terms as the Committee or the Board
shall provide in such Option, except as otherwise provided in this Section 9.

         (a) The expiration date of an Option shall be determined by the
Committee or the Board at the time of grant, but in no event shall an Option be
exercisable after the expiration of 10 years from the date of grant of the
Option.

         (b) Unless otherwise provided in any Option, each outstanding Option
shall become immediately fully exercisable in the event of a "Change in Control"
or in the event that the Committee or the Board exercises its discretion to
provide a cancellation notice with respect to the Option pursuant to Section
10(b) hereof. For this purpose, the term "Change in Control" shall mean the
approval by the shareholders of the Company of a reorganization, merger,
consolidation or other form of corporate transaction or series of transactions,
in each case, with respect to which persons who were the shareholders of the
Company immediately prior to such reorganization, merger or consolidation or
other transaction do not, immediately thereafter, own more than 50% of the
combined voting power entitled to vote generally in the election of directors of
the reorganized, merged or consolidated company's then outstanding voting
securities, or a liquidation or dissolution of the Company or the sale of all or
substantially all of the assets of the Company (unless such reorganization,
merger, consolidation or other corporate transaction, liquidation, dissolution
or sale is subsequently abandoned).

         (c) The Committee or the Board may in its sole discretion accelerate
the date on which any Option may be exercised and may accelerate the vesting of
any Shares subject to any Option.




                                       5


10. TERMINATION OF OPTION PERIOD.

         (a) Unless otherwise provided in any Grant, the unexercised portion of
any Option, other than an Option granted pursuant to Section 15 hereof, shall
automatically and without notice terminate and become null and void at the time
of the earliest to occur of the following:

                  (i) unless otherwise provided in any Grant, three months after
         the date on which the Optionee's employment is terminated for any
         reason other than by reason of (A) Cause, which, solely for purposes of
         this Plan, shall mean the termination of the Optionee's employment by
         reason of the Optionee's willful misconduct or gross negligence, (B) a
         mental or physical disability (within the meaning of Code Section
         22(e)) as determined by a medical doctor satisfactory to the Committee
         or the Board, or (C) death;

                  (ii) immediately upon the termination of the Optionee's
         employment for Cause;

                  (iii) one year after the date on which the Optionee's
         employment is terminated by reason of a mental or physical disability
         (within the meaning of Code Section 22(e)) as determined by a medical
         doctor satisfactory to the Committee or the Board; or

                  (iv) (A) twelve months after the date of termination of the
         Optionee's employment by reason of death of the Optionee, or (B) three
         months after the date on which the Optionee shall die if such death
         shall occur during the one year period specified in Subsection
         10(a)(iii) hereof.

All references herein to the termination of the Optionee's employment shall, in
the case of an Optionee who is not an employee of the Company or a Subsidiary,
refer to the termination of the Optionee's service with the Company.

         (b) The Committee in its sole discretion may by giving written notice
("cancellation notice") cancel, effective upon the date of the consummation of
any corporate transaction described in Section 9(b) hereof or of any
reorganization, merger, consolidation or other form of corporate transaction in
which the Company does not survive, any Option that remains unexercised on such
date. Such cancellation notice shall be given a reasonable period of time prior
to the proposed date of such cancellation and may be given either before or
after approval of such corporate transaction.

11. ADJUSTMENT OF SHARES.

         (a) If at any time while the Plan is in effect or unexercised Options
are outstanding, there shall be any increase or decrease in the number of issued
and outstanding Shares through the declaration of a stock dividend or through
any recapitalization resulting in a stock split-up, combination or exchange of
Shares, then and in such event:



                                       6


                  (i) appropriate adjustment shall be made in the maximum number
         of Shares available for grant under the Plan, or available for grant to
         any person under the Plan, so that the same percentage of the Company's
         issued and outstanding Shares shall continue to be subject to being so
         optioned; and

                  (ii) appropriate adjustment shall be made in the number of
         Shares and the exercise price per Share thereof then subject to any
         outstanding Option, so that the same percentage of the Company's issued
         and outstanding Shares shall remain subject to purchase at the same
         aggregate exercise price.

         (b) Subject to the specific terms of any Option, the Committee or the
Board may change the terms of Options outstanding under this Plan, with respect
to the option price or the number of Shares subject to the Options, or both,
when, in the Committee's or the Board's sole discretion, such adjustments become
appropriate so as to preserve but not increase benefits under the Plan.

         (c) Except as otherwise expressly provided herein, the issuance by the
Company of shares of its capital stock of any class, or securities convertible
into shares of capital stock of any class, either in connection with direct sale
or upon the exercise of rights or warrants to subscribe therefor, or upon
conversion of shares or obligations of the Company convertible into such shares
or other securities, shall not affect, and no adjustment by reason thereof shall
be made with respect to the number of or exercise price of Shares then subject
to outstanding Options granted under the Plan.

         (d) Without limiting the generality of the foregoing, the existence of
outstanding Options granted under the Plan shall not affect in any manner the
right or power of the Company to make, authorize or consummate (i) any or all
adjustments, recapitalizations, reorganizations or other changes in the
Company's capital structure or its business; (ii) any merger or consolidation of
the Company; (iii) any issue by the Company of debt securities, or preferred or
preference stock that would rank above the Shares subject to outstanding
Options; (iv) the dissolution or liquidation of the Company; (v) any sale,
transfer or assignment of all or any part of the assets or business of the
Company; or (vi) any other corporate act or proceeding, whether of a similar
character or otherwise.

12. TRANSFERABILITY OF OPTIONS AND SHARES.

         (a) No Incentive Stock Option, and unless the prior written consent of
the Committee or the Board is obtained and the transaction does not violate the
requirements of Rule 16B-3 promulgated under the Securities Exchange Act no
Non-Qualified Stock Option, shall be subject to alienation, assignment, pledge,
charge or other transfer other than by the Optionee by will or the laws of
descent and distribution, and any attempt to make any such prohibited transfer
shall be void. Each Option shall be exercisable during the Optionee's lifetime
only by the Optionee, or in the case of a Non-Qualified Stock Option that has
been assigned or transferred with the prior written consent of the Committee or
the Board, only by the permitted assignee.

         (b) Unless the prior written consent of the Committee or the Board is
obtained and the transaction does not violate the requirements of Rule 16B-3
promulgated under the Securities




                                       7


Exchange Act, no Shares acquired by an Officer or Director pursuant to the
exercise of an Option may be sold, assigned, pledged or otherwise transferred
prior to the expiration of the six-month period following the date on which the
Option was granted.

13. ISSUANCE OF SHARES.

         (a) Notwithstanding any other provision of this Plan, the Company shall
not be obligated to issue any Shares unless it is advised by counsel of its
selection that it may do so without violation of the applicable Federal and
state laws pertaining to the issuance of securities, and may require any stock
so issued to bear a legend, may give its transfer agent instructions, and may
take such other steps, as in its judgment are reasonably required to prevent any
such violation.

         (b) As a condition of any sale or issuance of Shares upon exercise of
any Option, the Committee or the Board may require such agreements or
undertakings, if any, as the Committee or the Board may deem necessary or
advisable to facilitate compliance with any such law or regulation including,
but not limited to, the following:

                  (i) a representation and warranty by the Optionee to the
         Company, at the time any Option is exercised, that he is acquiring the
         Shares to be issued to him for investment and not with a view to, or
         for sale in connection with, the distribution of any such Shares; and

                  (ii) a representation, warranty and/or agreement to be bound
         by any legends endorsed upon the certificate(s) for such shares that
         are, in the opinion of the Committee or the Board, necessary or
         appropriate to facilitate compliance with the provisions of any
         securities law deemed by the Committee or the Board to be applicable to
         the issuance and transfer of such Shares.

14. ADMINISTRATION OF THE PLAN.

         (a) The Plan shall be administered by a committee appointed by the
Board (the "Committee") which shall be composed of two or more Directors all of
whom shall be Outside Directors. The membership of the Committee shall be
constituted so as to comply at all times with the applicable requirements of
Rule 16B-3 promulgated under the Securities Exchange Act and Section 162(m) of
the Internal Revenue Code. The Committee shall serve at the pleasure of the
Board and shall have the powers designated herein and such other powers as the
Board may from time to time confer upon it.

         (b) The Board may grant Options pursuant to any persons to whom options
may be granted under Section 6(a) hereof.

         (c) The Committee or the Board, from time to time, may adopt rules and
regulations for carrying out the purposes of the Plan. The determinations by the
Committee or the Board and the interpretation and construction of any provision
of the Plan or any Option by the Committee or the Board, shall be final and
conclusive.




                                       8


         (d) Any and all decisions or determinations of the Committee shall be
made either (i) by a majority vote of the members of the Committee at a meeting
or (ii) without a meeting by the unanimous written approval of the members of
the Committee.

15. GRANTS TO NON-EMPLOYEE DIRECTORS.

         (a) Each Non-Employee Director that is not affiliated with any
beneficial owner of more than 10% of the Company's Common Stock will receive on
the date of his or her appointment as a Director, an Option to purchase 5,000
shares of Common Stock, which Option will become fully exercisable on the first
anniversary of its grant. The per share exercise price of all Options granted to
Non-Employee Directors pursuant to this Section 15(a) will be equal to the Fair
Market Value of the Shares underlying such Option on the date such Option is
granted. The unexercised portion of any Option granted pursuant to this Section
15(a) shall become null and void three months after the date on which such
Non-Employee Director ceases to be a Director for any reason.

         (b) In addition to Options granted to Non-Employee Directors pursuant
to Section 15(a), the Board may grant Options to Non-Employee Directors pursuant
to Section 6, subject to the provisions of the Plan generally applicable to
Options granted pursuant to Section 6.

16. WITHHOLDING OR DEDUCTION FOR TAXES. If at any time specified herein for the
making of any issuance or delivery of any Option or Common Stock to any Optionee
or beneficiary, any law or regulation of any governmental authority having
jurisdiction in the premises shall require the Company to withhold, or to make
any deduction for, any taxes or take any other action in connection with the
issuance or delivery then to be made, such issuance or delivery shall be
deferred until such withholding or deduction shall have been provided for by the
Optionee or beneficiary, or other appropriate action shall have been taken.

17. INTERPRETATION.

         (a) As it is the intent of the Company that the Plan comply in all
respects with Rule 16B-3 promulgated under the Securities Exchange Act ("Rule
16B-3"), any ambiguities or inconsistencies in construction of the plan shall be
interpreted to give effect to such intention, and if any provision of the Plan
is found not to be in compliance with Rule 16B-3, such provision shall be deemed
null and void to the extent required to permit the Plan to comply with Rule
16B-3. The Committee or the Board may from time to time adopt rules and
regulations under, and amend, the Plan in furtherance of the intent of the
foregoing.

         (b) The Plan shall be administered and interpreted so that all
Incentive Stock Options granted under the Plan will qualify as Incentive Stock
Options under section 422 of the Internal Revenue Code. If any provision of the
Plan should be held invalid for the granting of Incentive Stock Options or
illegal for any reason, such determination shall not affect the remaining
provisions hereof, but instead the Plan shall be construed and enforced as if
such provision had never been included in the Plan.

         (c) This Plan shall be governed by the laws of the State of Florida.




                                       9


         (d) Headings contained in this Plan are for convenience only and shall
in no manner be construed as part of this Plan.

         (e) Any reference to the masculine, feminine, or neuter gender shall be
a reference to such other gender as is appropriate.

18. AMENDMENT AND DISCONTINUATION OF THE PLAN. The Committee or the Board may
from time to time amend, suspend or terminate the Plan or any Option; provided,
however, that, any amendment to the Plan shall be subject to the approval of the
Company's shareholders if such shareholder approval is required by any federal
or state law or regulation (including, without limitation, Rule 16B-3 or to
comply with Section 162(m) of the Internal Revenue Code) or the rules of any
Stock exchange or automated quotation system on which the Common Stock may then
be listed or granted. Except to the extent provided in Sections 9 and 10 hereof,
no amendment, suspension or termination of the Plan or any Option issued
hereunder shall substantially impair the rights or benefits of any Optionee
pursuant to any Option previously granted without the consent of the Optionee.

19. AMENDED AND RESTATED EFFECTIVE DATE AND TERMINATION DATE. The Effective Date
of the Amended and Restated Plan shall be the date on which the Board adopts
this Amendment and Restatement of the Plan. The Plan shall terminate on the 10th
anniversary of the original Effective Date.





                                       10


                                                                   Exhibit 10.20


                          UNITED STATES DISTRICT COURT
                          SOUTHERN DISTRICT OF FLORIDA

                          CASE NO. 99-6181-CIV-GONZALEZ

SANDS POINT PARTNERS, L.P.,
et al., on behalf of themselves and
all others similarly situated,

         Plaintiffs,
vs.

PEDIATRIX MEDICAL GROUP, INC.,
ROGER J. MEDEL, KARL B. WAGNER,
and LAWRENCE M. MULLEN,

         Defendants.


- --------------------------------------/


                     STIPULATION AND AGREEMENT OF SETTLEMENT

         This stipulation and agreement of settlement (the "Stipulation"), dated
as of February 7, 2002, is made and entered into by and among lead plaintiffs,
Florida State Board of Administration, Louisiana State Employees' Retirement
System and New Orleans Employees' Retirement System (collectively referred to
herein as the "Lead Plaintiffs"), by and on behalf of themselves and the other
members of the Class (as hereinafter defined), and defendants, Pediatrix Medical
Group, Inc. ("Pediatrix" or the "Company"), Roger J. Medel, Karl B. Wagner, and
Lawrence M. Mullen (the "Individual Defendants") (the Individual Defendants and
Pediatrix are collectively referred to herein as "Defendants"), by and through
their respective counsel.

         WHEREAS:

         a. Beginning on or about February 16, 1999, a number of class action
complaints were filed in the above Court concerning the publicly traded
securities of Pediatrix (the "Pediatrix Class Actions"). The Pediatrix Class
Actions alleged violations of sections 10(b) and 20(a)




of the Securities Exchange Act of 1934 (the "Exchange Act"), and Rule lOb-5
promulgated thereunder. By Order of Consolidation dated June 24, 1999, ten
actions were consolidated (hereinafter referred to as the "Action"). By Order
dated July 6, 1999, Florida State Board of Administration, Louisiana State
Employees' Retirement System, New Orleans Employees' Retirement System, and
Jacksonville Police & Fire Pension Fund were designated as Lead Plaintiffs
pursuant to Section 21D(a)(3)(B) of the Exchange Act (as amended)1 and the law
firms of Burt & Pucillo, LLP and Bernstein Litowitz Berger & Grossmann LLP were
appointed Co-Lead Counsel for Plaintiffs and the Class.2

         b. A Consolidated Amended Class Action Complaint was filed in the
Action on or about August 20, 1999. On or about October 7, 1999, Defendants
moved to dismiss the Consolidated Amended Class Action Complaint. On January 19,
2000, Defendants' motion to dismiss was granted with leave for Lead Plaintiffs
to replead.

         c. The Second Amended Consolidated Class Action Complaint (the
"Complaint"), filed in the Action on or about February 3, 2000, generally
alleges, among other things, that during the Class Period (hereinafter defined)
Pediatrix engaged in unlawful billing practices, which practices caused
Pediatrix's reported revenues, earnings and accounts receivable for that period
to be overstated thereby artificially inflating the price of Pediatrix common
stock, and that those practices were contrary to the Company's affirmative
public statements regarding its billing practices.



- -------------------

1 On or about October 16, 2001, with the agreement of Defendants, Jacksonville
Police & Fire Pension Fund moved to withdraw as a Lead Plaintiff in the Action,
which motion was granted on or about October 29, 2001.

2 Effective July 1, 2001, the firms of Berman DeValerio & Pease, LLP, Berman
DeValerio Pease & Tabacco, P.C., and Burt & Pucillo, LLP merged their practices.
The combined firm is now known as Berman DeValerio Pease Tabacco Burt & Pucillo.





                                       2


         d. The Complaint further alleges that Lead Plaintiffs and the other
Class members purchased the common stock or call options and sold put options on
Pediatrix's common stock during the Class Period at artificially inflated prices
and were damaged as a result of Defendants' dissemination of false and
misleading statements regarding Pediatrix in violation of sections 10(b) and
20(a) of the Exchange Act and Rule l0b-5 promulgated thereunder.

         e. On or about June 6, 2000, the Court denied Defendants' motion to
dismiss the Complaint. On or about June 26, 2000, the Defendants' Answer was
filed denying the substantive allegations of wrongdoing in the Complaint.

         f. The parties thereafter commenced fact discovery. Throughout the
second half of the year 2000 and most of 2001, the parties engaged in extensive
discovery. Over 200,000 pages of documents were reviewed and over twenty-five
depositions were taken. The parties concluded fact discovery and virtually all
expert discovery. Various discovery motions, a motion for summary judgment and
motions in limine were filed, briefed and ruled upon by the Court.

         g. On or about September 15, 2000, Lead Plaintiffs filed their motion
for class certification, which was unopposed by Defendants. On November 6, 2000,
the Court granted Lead Plaintiffs' motion for class certification, and
certified, pursuant to Fed. R. Civ. P. 23(a) and (b)(3), a class consisting of:
all persons who purchased Pediatrix Medical Group, Inc. common stock, purchased
Pediatrix call options, or sold Pediatrix put options between March 31,1997 and
April 2, 1999, inclusive. Excluded from the Class are Pediatrix, its
subsidiaries and affiliates, the Individual Defendants, members of the immediate
families of each of the Individual Defendants, and any entities in which any of
the Defendants has a controlling interest, and the legal representatives, heirs,
successors, affiliates or assigns of any of the foregoing excluded persons and
entities. On or about May 23, 2001, the Court approved the proposed Notice of
Pendency of Class Action to the Class and the Summary Notice of Pendency of


                                       3


Class Action for publication. Notice of class certification was provided to
Class members in accordance with the provisions of the May 23, 2001 Order.

         h. A Joint Pretrial Stipulation was filed on or about September 1,
2001, a pretrial conference was held with the Court on November 19, 2001 and
trial of this action was scheduled to commence on January 14, 2002.

         i. On or about December 13, 2001, the parties entered into a Memorandum
of Understanding ("MOU"), memorializing their agreement in principle to settle
the Action, subject to Court approval, on the terms set forth therein. Among
other things, the MOU provides that Defendants shall pay or cause to be paid to
the Class, in settlement of the claims against them, the sum of $12,000,000
(twelve million dollars), to be deposited into an interest bearing account
designated by Co-Lead Counsel within ten (10) business days of preliminary
approval of the Stipulation, or ten (10) business days after Lead Plaintiffs
furnish payment instructions for the settlement account to Defendants' counsel,
whichever occurs last. In exchange for this consideration, Lead Plaintiffs
agreed, upon final approval of the Settlement, to dismiss the Action with
prejudice and to release all claims, known and unknown, arising out of the
purchase or acquisition of Pediatrix common stock and Pediatrix call options and
the sale of Pediatrix put options during the Class Period and relating to the
allegations of the Complaint, which have been or could have been asserted by any
member of the Class in the Action against the Defendants and various other
related parties. Defendants agreed to release Plaintiffs, the members of the
Class and their counsel from any claims relating to the institution, prosecution
or settlement of the Action.



                                       4


         j. Defendants deny any wrongdoing whatsoever and this Stipulation shall
in no event be construed or deemed to be evidence of or an admission or
concession on the part of any Defendant with respect to any claim of any fault
or liability or wrongdoing or damage whatsoever, or any infirmity in the
defenses that Defendants could have asserted. Defendants assert that they
complied with all applicable laws and regulations and deny that they have
committed any act or omission giving rise to any liability and/or violation of
law and state that they are entering into this Settlement to eliminate the
burden and expense of further litigation.

         k. Lead Plaintiffs' Co-Lead Counsel conducted an investigation relating
to the claims and the underlying events and transactions alleged in the
Complaint and assert that the allegations they pursued in this Action are
meritorious. Among other things, Lead Plaintiffs' Co-Lead Counsel analyzed the
public records and evidence adduced during pretrial discovery and researched the
applicable law with respect to the claims of Lead Plaintiffs and the other
members of the Class against Defendants and the potential defenses thereto.

         l. Lead Plaintiffs, with and through their counsel, conducted
discussions and arms'-length negotiations, including mediations, with counsel
for and representatives of Defendants to determine if the Action could be
compromised and settled achieving the best relief possible consistent with the
interests of the Class.

         m. Based on their investigation and pretrial discovery as set forth
above, Lead Plaintiffs and their counsel have concluded that the terms and
conditions of this Stipulation are fair, reasonable and adequate to Lead
Plaintiffs and the other members of the Class, and in their best interests, and
have agreed to settle the claims raised in the Action pursuant to the terms and
provisions of this Stipulation, after considering (a) the substantial benefits
that Lead Plaintiffs and the other members of the Class will receive from
settlement of the Action, (b) the attendant



                                       5


risks of continued litigation, especially in complex actions such as this
Action, as well as the difficulties and delays inherent in such litigation, and
(c) the desirability of permitting the Settlement to be consummated as provided
by the terms of this Stipulation.

         NOW THEREFORE, without any admission or concession on the part of Lead
Plaintiffs of any lack of merit of the Action whatsoever, and without any
admission or concession of any liability or wrongdoing or lack of merit in the
defenses whatsoever by Defendants, it is hereby

         STIPULATED AND AGREED, by and among the parties to this Stipulation,
through their respective attorneys, subject to approval of the Court pursuant to
Rule 23(e) of the Federal Rules of Civil Procedure, in consideration of the
benefits flowing to the parties hereto from the Settlement, that all Released
and Settled Claims (as defined below) as against the Released Parties (as
defined below) and all Released and Settled Defendants' Claims (as defined
below) shall be compromised, settled, released and dismissed with prejudice,
upon and subject to the following terms and conditions:

                              CERTAIN DEFINITIONS

         1. As used in this Stipulation, the following terms shall have the
following meanings:

                  (1) "Class" and "Class Members" means Lead Plaintiffs and all
other persons or entities who purchased the common stock of Pediatrix or
purchased Pediatrix call options or sold Pediatrix put options during the period
between March 31, 1997 and April 2, 1999, inclusive (the "Class Period").
Excluded from the Class are Defendants herein and the members of the Individual
Defendants' immediate families, any entity in which any Defendant has a
controlling interest or is a parent or subsidiary of or is controlled by any
Defendant, and their legal representatives, heirs, affiliates, successors and
assigns of any of the excluded persons or entities.




                                       6


Also excluded from the Class are any putative Class Members who excluded
themselves by filing a request for exclusion in accordance with the requirements
set forth in the Notice of Pendency of Class Action.

                  (2) "Authorized Claimant" means a Class Member who submits a
timely and valid Proof of Claim form to the Claims Administrator.

                  (3) "Class Period" means the period of time between March 31,
1997 and April 2, 1999, inclusive.

                  (4) "Complaint" means the Second Consolidated Amended Class
Action Complaint filed on or about February 3, 2000.

                  (5) "Effective Date of Settlement" or "Effective Date" means
the date upon which the Settlement contemplated by this Stipulation shall become
effective, as set forth in ss.23 below.

                  (6) "Defendants" means Pediatrix Medical Group, Inc., Roger J.
Medel, Karl B. Wagner and Lawrence M. Mullen.

                  (7) "Defendants' Counsel" means the law firms of Davis Polk &
Wardwell and Hunton & Williams.

                  (8) "Individual Defendants" means Roger J. Medel, Karl B.
Wagner and Lawrence M. Mullen.

                  (9) "Notice" means the Notice of Proposed Settlement of Class
Action, Settlement Fairness Hearing, and Right to Share in Settlement Fund,
which is to be sent to members of the Class substantially in the form attached
hereto as Exhibit 1 to Exhibit A.

                  (10) "Order and Final Judgment" means the proposed order to be
entered approving the Settlement substantially in the form attached hereto as
Exhibit B.



                                       7


                  (11) "Order for Preliminary Approval of Settlement" means the
proposed Preliminary Order in Connection with Settlement Proceedings
preliminarily approving the Settlement and directing notice thereof to the Class
substantially in the form attached hereto as Exhibit A.

                  (12) "Plaintiffs" means the Lead Plaintiffs, Jacksonville
Police & Fire Pension Fund, and all of the non-lead plaintiffs named in the
Complaint.

                  (13) "Plaintiffs' Counsel" means Plaintiffs' Co-Lead Counsel
and all other counsel appearing on the Complaint.

                  (14) "Plaintiffs' Co-Lead Counsel" means the law firms of
Berman DeValerio Pease Tabacco Burt & Pucillo and Bernstein Litowitz Berger &
Grossmann LLP.

                  (15) "Publication Notice" means the Summary Notice of Proposed
Settlement and Settlement Hearing for publication substantially in the form
attached as Exhibit 3 to Exhibit A.

                  (16) "Recognized Claim" means the amount of an Authorized
Claimant's loss that is determined by the Claims Administrator to be compensable
under the Plan of Allocation.

                  (17) "Released Parties" means Pediatrix, the Individual
Defendants, and each of their past or present subsidiaries, parents, successors,
predecessors, insurers, reinsurers, officers, directors, shareholders,
employees, agents, advisors, investment advisors, attorneys, auditors,
accountants, heirs, beneficiaries, and any person, firm, trust, corporation,
officer, director or other individual or entity in which any Defendant has a
controlling interest or which is related to or affiliated with any of the
Defendants and the legal representatives, heirs, successors in interests or
assigns of the Defendants.



                                       8


                  (18) "Released and Settled Claims" means any and all claims,
rights or causes of action or liabilities whatsoever, whether based on federal,
state, local, statutory or common law or any other law, rule or regulation,
including both known and Unknown Claims, that have been or could have been or
could be asserted in any forum by Plaintiffs or any of the other Class Members
against any of the Released Parties which arise out of or relate in any way to
the following during the Class Period: (1) the purchase of Pediatrix common
stock; the purchase of Pediatrix call options; or the sale of Pediatrix put
options; and (2) the allegations, transactions, facts, matters or occurrences,
representations or omissions involved, set forth or referred to in the
Complaint.

                  (19) "Released and Settled Defendants' Claims" means any and
all claims, rights or causes of action or liabilities whatsoever, whether based
on federal, state, local, statutory or common law or any other law, rule or
regulation, including both known and Unknown Claims that have been or could be
asserted in any forum by Pediatrix and the Individual Defendants, the Released
Parties or any of them or the successors and assigns of any of them against any
of the Plaintiffs, the Jacksonville Police & Fire Pension Fund, other Class
Members or their attorneys, which arise out of or relate in any way to the
institution or prosecution of the Action.

                  (20) "Settlement" means the settlement contemplated by this
Stipulation.

                  (21) "Claims Administrator" means The Garden City Group, Inc.,
selected by Plaintiffs' Co-Lead Counsel subject to approval of the Court which
shall administer the Settlement.

                  (22) "Unknown Claims" means any and all Released and Settled
Claims which any Lead Plaintiff or other Class Member does not know or suspect
to exist in his, her or its



                                       9


favor at the time of the release of the Released Parties, and any Released and
Settled Defendants' Claims which any Defendant does not know or suspect to exist
in his or its favor, which if known by him or it might have affected his or its
decision(s) with respect to the Settlement. With respect to any and all Released
and Settled Claims and Released and Settled Defendants' Claims, the parties
stipulate and agree that, upon the Effective Date, Lead Plaintiffs and
Defendants shall expressly, and each Class Member shall be deemed to have, and
by operation of the Order and Final Judgment shall have, expressly waived any
and all provisions, rights and benefits conferred by any law of any state or
territory of the United States, or principle of common law, which is similar,
comparable, or equivalent to Cal. Civ. Code ss. 1542, which provides:

                  A general release does not extend to claims which the creditor
                  does not know or suspect to exist in his favor at the time of
                  executing the release, which if known by him must have
                  materially affected his settlement with the debtor.

Plaintiffs and the Defendants acknowledge, and the other Class Members by
operation of law shall be deemed to have acknowledged, that the inclusion of
"Unknown Claims" in the definition of Released and Settled Claims and Released
and Settled Defendants' Claims was separately bargained for and each was a key
element of the Settlement.

SCOPE AND EFFECT OF SETTLEMENT

         2. The obligations incurred pursuant to this Stipulation shall be in
full and final disposition of the Action and any and all Released and Settled
Claims as against all Released Parties and any and all Released and Settled
Defendants' Claims.

         3. (1) By operation of the Order and Final Judgment, upon the Effective
Date of this Settlement, Lead Plaintiffs and the other members of the Class on
behalf of themselves, their heirs, executors, administrators, successors and
assigns, and any persons they represent, shall,




                                       10


with respect to each and every Released and Settled Claim, release and forever
discharge, and shall forever be enjoined from prosecuting, any Released and
Settled Claims against any of the Released Parties.

            (2) By operation of the Order and Final Judgment, upon Effective
Date of this Settlement, Pediatrix and each Individual Defendant, on behalf of
himself, his executor, administrator and the Released Parties, shall release and
forever discharge each and every of the Released and Settled Defendants' Claims,
and shall forever be enjoined from prosecuting any Released and Settled
Defendants' Claims.

THE SETTLEMENT CONSIDERATION

         4. (1) Defendants shall deposit or cause to be deposited within ten
(10) business days of entry of the Order for Preliminary Approval of Settlement
or within ten (10) business days after Lead Plaintiffs furnish payment
instructions for the Settlement Account to Defendants' Counsel, whichever last
occurs, the total sum of $12,000,000 by wire transfer or check into an
interest-bearing escrow account (the "Settlement Amount" or "Settlement Fund").

            (2) The Settlement Amount and any interest earned thereon shall be
the Gross Settlement Fund. The Gross Settlement Fund, net of any Taxes (as
defined below) on the income thereof, shall be used to pay (i) the Notice and
Administration Costs referred to in P. 7 hereof, (ii) the attorneys' fee and
expense award referred to in P. 8 hereof, (iii) the remaining administration
expenses referred to in P. 11 hereof. The balance of the Gross Settlement Fund
after the above payments shall be the Net Settlement Fund that shall be
distributed to the Authorized Claimants as provided in P. P. 12-14 hereof. Any
sums required to be held in escrow prior to the Effective Date shall be held by
Plaintiffs' Co-Lead Counsel as Escrow Agents for the Settlement Fund. All funds
held by the Escrow Agents shall be deemed to be in the custody of the Court and
shall remain subject to the jurisdiction of the Court until such time as the
funds




                                       11


shall be distributed or returned to Defendants pursuant to this Stipulation
and/or further order of the Court. The Escrow Agents shall invest any funds in
excess of $100,000 in short term United States Agency or Treasury Securities,
and shall collect and reinvest all interest accrued thereon. Any funds held in
escrow in an amount of less than $100,000 may be held in an interest-bearing
account insured by the FDIC. The parties hereto agree that the Settlement Fund
is intended to be a Qualified Settlement Fund within the meaning of Treasury
Regulation ss. 1.468B2(k)(3), Plaintiffs' Co-Lead Counsel shall be responsible
for filing tax returns for the Settlement Fund and paying from the Settlement
Fund any Taxes owed with respect to the Settlement Fund. Plaintiffs' Co-Lead
Counsel shall indemnify and hold harmless the Released Parties for any liability
for Taxes or Tax Expense. Counsel for Defendants agree to provide promptly to
the Escrow Agents the statement described in Treasury Regulations ss.
1.468B3(e).

         5. All (i) taxes on the income of the Settlement Fund, and (ii)
expenses and costs incurred in connection with the taxation of the Settlement
Fund (including, without limitation, expenses of tax attorneys and accountants)
(collectively "Taxes") shall be paid out of the Settlement Fund, shall be
considered to be a cost of administration of the Settlement and shall be timely
paid by the Escrow Agents without prior Order of the Court. The Escrow Agents
shall inform counsel for Defendants of such tax payments.

ADMINISTRATION

         6. The Claims Administrator shall administer the Settlement under
Plaintiffs' Co-Lead Counsel's supervision and subject to the jurisdiction of the
Court. Defendants and their counsel shall have no role in or responsibility for
administering the Settlement, reviewing or challenging claims submitted, and
shall have no liability to the Class in connection with such administration.
Defendants and their counsel shall cooperate in the administration of the
Settlement to the extent reasonably necessary to effectuate its terms. Defendant
Pediatrix shall promptly provide or




                                       12


cause to be provided to the claims administrator any information in its
possession or control needed to assist the claims administrator in providing
Notice to the Class.

         7. Prior to the Effective Date, Plaintiffs' Co-Lead Counsel may expend
from the Settlement Fund, without further approval from Defendants or the Court,
up to $100,000 to pay the reasonable costs and expenses associated with the
administration of the Settlement, including without limitation, the costs of
identifying members of the Class and effecting mail Notice and Publication
Notice. Such amounts shall include, without limitation, the actual costs of
publication, printing and mailing the Notice, reimbursements to nominee owners
for forwarding Notice to their beneficial owners, and the administrative
expenses incurred and fees charged by the Claims Administrator in connection
with providing Notice and processing the submitted claims.

ATTORNEYS' FEES AND EXPENSES

         8. Plaintiffs' Co-Lead Counsel, on behalf of all Plaintiffs' Counsel,
will apply to the Court for an award from the Gross Settlement Fund of
attorneys' fees and reimbursement of expenses. Such attorneys' fees, expenses
and costs, including the fees of experts and consultants, as awarded by the
Court ("Fee and Expense Award"), shall be paid from the Gross Settlement Fund to
Plaintiffs' Co-Lead Counsel, as ordered, immediately upon the District Court's
entry of the Order and Final Judgment substantially in the form attached hereto
as Exhibit B and approval of an award of fees and expenses. Plaintiffs' Co-Lead
Counsel shall thereafter be responsible for allocating the attorneys' fees
amongst all Plaintiffs' Counsel. In the event that the Effective Date does not
occur, or the Order and Final Judgment or the Fee and Expense Award is reversed
or modified in a material respect, or the Stipulation is cancelled or terminated
for any other reason, and in the event that the Fee and Expense Award has been
paid to any extent, then each Plaintiffs' Counsel shall within five (5) business
days from receiving






                                       13


notice from Defendants' Counsel, or from a court of appropriate jurisdiction,
refund to the Gross Settlement Fund, the fees, expenses and costs previously
paid to them from the Gross Settlement Fund plus interest thereon at the same
rate as earned on the Gross Settlement Fund in an amount consistent with such
reversal or modification. The award of attorneys' fees is not a necessary term
of this Stipulation and it is not a condition of this Stipulation that
Plaintiffs' Co-Lead Counsel petition for fees and expenses be approved by the
Court.

         9. The procedure for and the allowance or disallowance by the Court of
any application by Plaintiffs' Co-Lead Counsel for attorneys' fees, costs and
expenses to be paid out of the Gross Settlement Fund, are not part of the
Settlement set forth in this Stipulation, and are to be considered by the Court
separately from the Court's consideration of the fairness, reasonableness and
adequacy of the Settlement set forth in this Stipulation, and any order or
proceedings relating to the fee and expense application, or any appeal from any
order relating thereto or reversal or modification thereof, shall not operate to
terminate or cancel this Stipulation, or affect or delay the finality of the
Order and Final Judgment approving this Stipulation, the Effective Date, or the
Settlement of the Action set forth herein.

         10. Defendants and their counsel shall have no responsibility for, and
no liability whatsoever with respect to the allocation amongst Plaintiffs'
Counsel, and/or any other person who may assert some claim thereto, of any Fee
and Expense Award that the Court may make in the Action. Defendants will take no
position with respect to Plaintiffs' Co-Lead Counsel's application for
attorneys' fees and reimbursement of expenses.

ADMINISTRATION EXPENSES

         11. Plaintiffs' Co-Lead Counsel will apply to the Court, on notice to
Defendants' Counsel for an order (the "Class Distribution Order") approving the
Claims Administrator's administrative determinations concerning the acceptance
and rejection of the claims submitted





                                       14


herein and approving any fees and expenses not previously applied for, including
the fees and expenses of the Claims Administrator, determining that the
Effective Date has occurred and directing payment of the Net Settlement Fund to
Authorized Claimants.


DISTRIBUTION TO AUTHORIZED CLAIMANTS

         12. The Claims Administrator shall determine each Authorized Claimant's
pro rata share of the cash in the "Net Settlement Fund" (as defined in P. 4
hereof) based upon each Authorized Claimant's Recognized Claim (as defined in
the Plan of Allocation described in the Notice annexed hereto as Exhibit 1 to
Exhibit A, or in such other Plan of Allocation as the Court approves).

         13. The Plan of Allocation proposed in the Notice is not a necessary
term of this Stipulation and it is not a condition of this Stipulation that that
Plan of Allocation be approved. Defendants will not have any responsibility for
nor any involvement with the Plan of Allocation and will take no position with
respect to such proposed Plan of Allocation or such plan as may be approved by
the Court.

         14. Each Authorized Claimant shall be allocated a pro rata share of the
cash in the Net Settlement Fund based on his, her or its Recognized Claim
compared to the total Recognized Claims of all Authorized Claimants. This is not
a claims made settlement. Defendants will have no ability to get back any of the
settlement monies once the Effective Date occurs. Defendants will have no
involvement in reviewing or challenging claims.

ADMINISTRATION OF THE SETTLEMENT

         15. Plaintiffs' Co-Lead Counsel shall be responsible for supervising
the administration of the Settlement and disbursement of the Net Settlement Fund
by the Claims Administrator. Except for their obligation to pay the Settlement
Amount, Defendants and their counsel shall have no liability, obligation or
responsibility for the administration of the Settlement or




                                       15


disbursement of the Net Settlement Fund. Plaintiffs' Co-Lead Counsel shall have
the right, but not the obligation, to waive what they deem to be formal or
technical defects in any Proof of Claim submitted in the interest of achieving
substantial justice.

         16. For purposes of determining the extent, if any, to which a Class
Member shall be entitled to be treated as an "Authorized Claimant", the
following conditions shall apply:

                  (1) Each Class Member shall be required to submit a Proof of
Claim (substantially in the form attached as Exhibit 2 to Exhibit A), supported
by such documents as are designated therein, including proof of the Claimant's
loss, or such other documents or proof as Plaintiffs' Co-Lead Counsel, in their
discretion, may deem acceptable;

                  (2) All Proofs of Claim must be submitted by the date
specified in the Notice unless such period is extended by Order of the Court.
Any Class Member who fails to submit a Proof of Claim by such date shall be
forever barred from receiving any payment pursuant to this Stipulation (unless,
by Order of the Court, a later submitted Proof of Claim by such Class Member is
approved), but shall in all other respects be bound by all of the terms of this
Stipulation and the Settlement including the terms of the Order and Final
Judgment to be entered in the Action and the releases provided for herein, and
will be barred from bringing any action against the Released Parties concerning
the Released and Settled Claims. Provided that it is actually received no later
than thirty (30) days after the final date for submission of Proofs of Claim, a
Proof of Claim shall be deemed to have been submitted when posted, if received
with a postmark indicated on the envelope and if mailed first-class postage
prepaid and addressed in accordance with the instructions thereon. In all other
cases, the Proof of Claim shall be deemed to have been submitted when actually
received by Plaintiffs' Co-Lead Counsel or their designee;






                                       16


                  (3) Each Proof of Claim shall be submitted to and reviewed by
the Claims Administrator, under the supervision of Plaintiffs' Co-Lead Counsel,
who shall determine in accordance with this Stipulation the extent, if any, to
which each claim shall be allowed, subject to review by the Court pursuant to
subparagraph (5) below;

                  (4) Proofs of Claim that do not meet the filing requirements
may be rejected. Prior to rejection of a Proof of Claim, the Claims
Administrator shall communicate with the Claimant in order to afford him, her or
it the opportunity to remedy any curable deficiencies in the Proof of Claim
submitted. The Claims Administrator, under supervision of Plaintiffs' Co-Lead
Counsel, shall notify, in a timely fashion and in writing, all Claimants whose
Proofs of Claim they propose to reject in whole or in part, setting forth the
reasons therefor, and shall indicate in such notice that the Claimant whose
claim is to be rejected has the right to a review by the Court if the Claimant
so desires and complies with the requirements of subparagraph (5) below;

                  (5) If any Claimant whose claim has been rejected in whole or
in part desires to contest such rejection, the Claimant must, within twenty (20)
days after the date of mailing of the notice required in subparagraph (4) above,
serve upon the Claims Administrator a notice and statement of reasons indicating
the Claimant's grounds for contesting the rejection along with any supporting
documentation, and requesting a review thereof by the Court. If a dispute
concerning a claim cannot be otherwise resolved, Plaintiffs' Co-Lead Counsel
shall thereafter present the request for review to the Court; and

                  (6) The administrative determinations of the Claims
Administrator accepting and rejecting claims shall be presented to the Court, on
notice to Defendants' Counsel for approval by the Court in the Class
Distribution Order.





                                       17


         17. Each Claimant shall be deemed to have submitted to the jurisdiction
of the Court with respect to the Claimant's claim, and the claim will be subject
to investigation and discovery under the Federal Rules of Civil Procedure,
provided that such investigation and discovery shall be limited to that
Claimant's status as a Class Member and the validity and amount of the
Claimant's claim. No discovery shall be allowed on the merits of the Action or
the Settlement in connection with processing of the Proofs of Claim.

         18. Payment pursuant to this Stipulation shall be deemed final and
conclusive against all Class Members. All Class Members who do not submit a
claim or whose claims are not approved by the Court shall be barred from
participating in distributions from the Net Settlement Amount, but otherwise
shall be bound by all of the terms of this Stipulation and the Settlement,
including the terms of the Order and Final Judgment to be entered in the Action
and the releases provided for herein, and will be barred from bringing any
action against the Released Parties concerning the Released and Settled Claims.

         19. All proceedings with respect to the administration, processing and
determination of claims described in this Stipulation and the determination of
all controversies relating thereto, including disputed questions of law and fact
with respect to the validity of claims, shall be subject to the jurisdiction of
the Court.

         20. The Net Settlement Amount shall be distributed to Authorized
Claimants by the Claims Administrator only after the Effective Date and after:
(i) all Claims have been processed, and all Claimants whose claims have been
rejected or disallowed, in whole or in part, have been notified and provided the
opportunity to be heard concerning such rejection or disallowance; (ii) all
objections with respect to all rejected or disallowed claims not otherwise
resolved, have been resolved by the Court, and all appeals therefrom have been
resolved or the time therefore has





                                       18


expired; (iii) all matters with respect to attorneys' fees, costs, and
disbursements have been resolved by the Court, all appeals therefrom have been
resolved or the time therefor has expired, and (iv) all costs of administration
and Taxes on the Settlement Fund have been paid.

TERMS OF ORDER FOR PRELIMINARY APPROVAL OF SETTLEMENT

         21. Concurrently with their application for preliminary Court approval
of the Settlement contemplated by this Stipulation, Plaintiffs' Co-Lead Counsel
and the Defendants' Counsel jointly shall apply to the Court for entry of an
Order for Preliminary Approval of Settlement, substantially in the form annexed
hereto as Exhibit A.

TERMS OF ORDER AND FINAL JUDGMENT

22. If the Settlement contemplated by this Stipulation is approved by the Court,
counsel for the parties shall request that the Court enter the Order and Final
Judgment substantially in the form annexed hereto as Exhibit B.

EFFECTIVE DATE OF SETTLEMENT, WAIVER OR TERMINATION

         23. The Effective Date of Settlement shall be the date when all the
following shall have occurred:

                  (1) Entry of the Order for Preliminary Approval of Settlement
in all material respects in the form annexed hereto as Exhibit A;

                  (2) Approval by the Court of the Settlement;

                  (3) Entry by the Court of the Order and Final Judgment, in all
material respects in the form set forth in Exhibit B annexed hereto, and the
expiration of any time for appeal or review of so much of the Order and Final
Judgment as approves the fairness, reasonableness and adequacy of the
Settlement, or, if any such appeal is filed and not dismissed, after the
approval of the fairness, reasonableness and adequacy of the Settlement is
upheld on appeal and is no longer subject to review upon appeal or review by
writ of certiorari, or, in the






                                       19


event that the Court enters an order and final judgment in form other than that
provided above ("Alternative Judgment") and none of the parties hereto elect to
terminate this Settlement pursuant to P. 24, the date that such Alternative
Judgment becomes final and no longer subject to appeal or review. The Effective
Date shall not be delayed by any modification of or appeal from those parts of
the Order and Final Judgment that pertain to either the Plan of Allocation or
the award of attorneys' fees and expenses.


         24. Defendants' Counsel with the consent of their insurers or
Plaintiffs' Co-Lead Counsel shall have the right to terminate the Settlement and
this Stipulation by providing written notice of their election to do so
("Termination Notice") to all other parties hereto within thirty (30) days of
(a) the Court's declining to enter the Order for Preliminary Approval of
Settlement in any material respect; (b) the Court's refusal to approve this
Stipulation or any material part of it; (c) the Court's declining to enter the
Order and Final Judgment in any material respect; (d) the date upon which the
Order and Final Judgment is modified or reversed in any material respect by the
Court of Appeals or the Supreme Court; or (e) the date upon which an Alternative
Judgment is modified or reversed in any material respect by the Court of Appeals
or the Supreme Court.

         25. Except as otherwise provided herein, in the event the Settlement is
terminated or modified in any material respect or fails to become effective for
any reason, then the parties to this Stipulation shall be deemed to have
reverted to their respective status in the Action as of the date and time
immediately prior to the execution of the MOU and, except as otherwise expressly
provided, the parties shall proceed in all respects as if the MOU and this
Stipulation and any related orders had not been entered, and any portion of the
Settlement Amount previously paid by or on behalf of Defendants, together with
any interest earned thereon, less any Taxes due with respect to such income, and
less costs of administration and notice actually incurred and paid or






                                       20



payable from the Settlement Amount (not to exceed $100,000 without the prior
approval of Defendants and the Court), shall be returned to Defendants or their
insurers paying the same within ten (10) business days from receiving Notice
from the Defendants' Counsel.

 NO ADMISSION OF WRONGDOING

         26. This Stipulation, whether or not consummated, and any proceedings
taken pursuant to it:


                  (1) Shall not be offered or received against Defendants as
evidence of or construed as or deemed to be evidence of any presumption,
concession or admission by any Defendant of the truth of any fact alleged by
Lead Plaintiffs or the validity of any claim that had been or could have been
asserted in the Action or in any litigation, or the deficiency of any defense
that has been or could have been asserted in the Action or in any litigation, or
of any liability, negligence, fault, or wrongdoing of any Defendant;


                  (2) Shall not be offered or received against any Defendant as
evidence of a presumption, concession or admission of any fault,
misrepresentation or omission with respect to any statement or written document
approved or made by any Defendant, or against the Lead Plaintiffs, Jacksonville
Police & Fire Pension Fund, and the other members of the Class as evidence of
any infirmity in the claims of Lead Plaintiffs, Jacksonville Police & Fire
Pension Fund, and the other members of the Class;


                  (3) Shall not be offered or received against Defendants as
evidence of a presumption, concession or admission of any liability, negligence,
fault or wrongdoing, or in any way referred to for any other reason as against
any of the parties to this Stipulation, in any other civil, criminal or
administrative action or proceeding, other than such proceedings as may be
necessary to effectuate the provisions of this Stipulation; provided, however,
that if this






                                       21


Stipulation is approved by the Court, Defendants may refer to it to effectuate
the liability protection granted them hereunder;

                  (4) Shall not be construed against Defendants or Lead
Plaintiffs, Jacksonville Police & Fire Pension Fund, and the other members of
the Class as an admission or concession that the consideration to be given
hereunder represents the amount which could be or would have been recovered
after trial; and

                  (5) Shall not be construed as or received in evidence as an
admission, concession or presumption against Lead Plaintiffs, Jacksonville
Police & Fire Pension Fund, or the other members of the Class or any of them
that any of their claims are without merit or that damages recoverable under the
Complaint would not have exceeded the Settlement Amount.

MISCELLANEOUS PROVISIONS

         27. All of the exhibits attached hereto are hereby incorporated by
reference as though fully set forth herein.

         28. The parties to this Stipulation intend the Settlement to be a final
and complete resolution of all disputes asserted or which could be asserted by
the Class Members against the Released Parties with respect to the Released and
Settled Claims. Accordingly, Lead Plaintiffs and Defendants agree not to assert
in this action that the litigation was brought or defended in bad faith or
without a reasonable basis. The parties hereto stipulate that the complaints,
amended complaints, dispositive motions and responsive pleadings were all filed
with evidentiary support and consistent with existing law. Accordingly, the
parties shall assert no claims of any violation of Rule 11 of the Federal Rules
of Civil Procedure relating to the prosecution or defense of the Action. The
parties agree that the amount paid and the other terms of the Settlement were
negotiated at arm's-length in good faith by the parties, and reflect a
settlement that was reached voluntarily after consultation with experienced
legal counsel.






                                       22


         29. Plaintiffs agree that neither they nor their counsel will
voluntarily use, or provide or disclose in any other proceeding or to any third
party any materials obtained from Defendants or third parties in this
litigation, or any reports or other writings based on such materials.

         30. Upon the Effective Date of the Settlement, Plaintiffs' Co-Lead
Counsel, at their option, shall either destroy or return to counsel for
Defendants (at Defendants' expense) all documents and other materials produced
by Defendants and any third parties in discovery from this litigation in the
possession of Plaintiffs' Co-Lead Counsel except for those documents which are
deposition and trial exhibits.

         31. This Stipulation may not be modified or amended, nor may any of its
provisions be waived except by a writing signed by all parties hereto or their
successors-in-interest.

         32. The headings herein are used for the purpose of convenience only
and are not meant to have legal effect.

         33. The administration and consummation of the Settlement as embodied
in this Stipulation shall be under the authority of the Court and the Court
shall retain jurisdiction for the purpose of entering orders providing for
awards of attorneys' fees and expenses to Lead Plaintiffs' counsel and enforcing
the terms of this Stipulation.

         34. The waiver by one party of any breach of this Stipulation by any
other party shall not be deemed a waiver of any other prior or subsequent breach
of this Stipulation.

         35. This Stipulation and its exhibits constitute the entire agreement
among the parties hereto concerning the Settlement of the Action, and no
representations, warranties, or inducements have been made by any party hereto
concerning this Stipulation and its exhibits other than those contained and
memorialized in such documents.





                                       23



         36. This Stipulation may be executed in one or more counterparts. All
executed counterparts and each of them shall be deemed to be one and the same
instrument provided that counsel for the parties to this Stipulation shall
exchange among themselves original signed counterparts.

         37. This Stipulation shall be binding upon, and inure to the benefit
of, the successors and assigns of the parties hereto.

         38. The construction, interpretation, operation, effect and validity of
this Stipulation, and all documents necessary to effectuate it, shall be
governed by the internal laws of the State of Florida without regard to
conflicts of laws, except to the extent that federal law requires that federal
law govern.

         39. This Stipulation shall not be construed more strictly against one
party than another merely by virtue of the fact that it, or any part of it, may
have been prepared by counsel for one of the parties, it being recognized that
it is the result of arm's-length negotiations between the parties and all
parties have contributed substantially and materially to the preparation of this
Stipulation.

         40. All counsel and any other person executing this Stipulation and any
of the exhibits hereto, or any related settlement documents, warrant and
represent that they have the full authority to do so and that they have the
authority to take appropriate action required or permitted to be taken pursuant
to the Stipulation to effectuate its terms.






                                       24


         41. Plaintiffs' Co-Lead Counsel and Defendants' Counsel agree to
cooperate fully with one another in seeking Court approval of the Order for
Preliminary Approval of Settlement, the Stipulation and the Settlement, and to
promptly agree upon and execute all such other documentation as may be
reasonably required to obtain final approval by the District Court of the
Settlement.

DATED:   February 7, 2002



HUNTON & WILLIAMS                        BERMAN DEVALERIO PEASE
                                            TABACCO BURT & PUCILLO


By: /s/ Barry Rodney Davidson            By: /s/ Michael J. Pucillo
    -------------------------------          -----------------------------------
       Barry Rodney Davidson                    Michael J. Pucillo
       1111 Brickell Avenue                     FNB:  261033
       Suite 2500                               Wendy H. Zoberman
       Miami, FL 33131-3136                     FNB:  434670
       Tel: 305/810-2500                        515 North Flagler Drive
       Fax: 305/810-2460                        Suite 1701
                                                West Palm Beach, FL 33401
       Co-Counsel for Defendants                Tel: 561/835-9400
                                                Fax: 561/835-0322

                                                Co-Lead Counsel for Plaintiffs
                                                and the Class



DAVIS POLK & WARDWELL                    BERNSTEIN LITOWITZ BERGER
                                           & GROSSMANN LLP


By: /s/ Robert F. Wise, Jr.              By: /s/ Max W. Berger
    -------------------------------          -----------------------------------
       Robert F. Wise, Jr.                      Max W. Berger
       450 Lexington Avenue                     John P. Coffey
       New York, NY  10017                      Rochelle Feder Hansen
       Tel: 212/450-4000                        1285 Avenue of the Americas
       Fax: 212/450-4800                        New York, NY 10019
                                                Tel: 212/554-1400
       Co-Counsel for Defendants                Fax: 212/554-1444

                                                Co-Lead Counsel for Plaintiffs
                                                and the Class






                                       25



                             CERTIFICATE OF SERVICE

         I HEREBY CERTIFY that a true and accurate copy of the foregoing has
been furnished via Federal Express to defense counsel and via U.S. Mail to all
other counsel on the attached Service List this February 7, 2002.


                                        /s/ Wendy H. Zoberman
                                       -----------------------------------------
                                        Wendy H. Zoberman








                                       26



                                    EXHIBIT A

                          UNITED STATES DISTRICT COURT
                          SOUTHERN DISTRICT OF FLORIDA

                          CASE NO. 99-6181-CIV-GONZALEZ

SANDS POINT PARTNERS, L.P.,
et al. on behalf of themselves and
all others similarly situated,

                  Plaintiffs,

vs.

PEDIATRIX MEDICAL GROUP, INC.,
ROGER J. MEDEL, KARL B. WAGNER,
and LAWRENCE M. MULLEN,

         Defendants.



- -----------------------------------/

           PRELIMINARY ORDER IN CONNECTION WITH SETTLEMENT PROCEEDINGS

         WHEREAS, on or about _________________, 2002, the parties to the
above-entitled certified class action litigation (the "Action") entered into a
Stipulation and Agreement of Settlement (the "Stipulation") which is subject to
review under Rule 23 of the Federal Rules of Civil Procedure ("Fed. R. Civ. P.")
and which, together with the exhibits thereto, sets forth the terms and
conditions for the proposed settlement of the claims alleged against the
Defendants in the Second Amended Consolidated Class Action Complaint (the
"Complaint");

         WHEREAS, the Court has read and considered the Stipulation and the
accompanying documents; and the parties to the Stipulation having consented to
the entry of this Order; and all capitalized terms used herein having the
meanings defined in the Stipulation;







         NOW, THEREFORE, IT IS HEREBY ORDERED, this _____ day of _____________,
2002, that:

         1. The Settlement as set forth in the Stipulation is preliminarily
approved for the purpose of sending Notice to the Class.

         2. A hearing (the "Settlement Fairness Hearing") pursuant to Fed. R.
Civ. P. 23(e) is hereby scheduled to be held before the Court on
_______________, 2002, at ________ __. M. for the following purposes:

                  (l)      to determine whether the proposed Settlement is fair,
                           reasonable, adequate and in the best interests of the
                           Class and should be approved by the Court;

                  (2)      to determine whether the Order and Final Judgment as
                           provided under the Stipulation should be entered,
                           dismissing the Complaint filed herein, on the merits
                           and with prejudice as to the Defendants;

                  (3)      to determine whether the proposed Plan of Allocation
                           for the proceeds of the Settlement is fair and
                           reasonable, and in the best interests of the Class
                           and should be approved by the Court;

                  (4)      to consider Plaintiffs' counsel's application for an
                           award of Attorneys' Fees and Expenses; and

                  (5)      to rule upon such other matters as the Court may deem
                           appropriate.

         3. The Court approves the form, substance and requirements of the
Notice of Proposed Settlement, Settlement Fairness Hearing and Right to Share in
Settlement Fund (the "Notice") and the Proof of Claim form annexed hereto as
Exhibits 1 and 2, respectively.

         4. Plaintiffs' Co-Lead Counsel shall cause the Notice and Proof of
Claim, substantially in the form annexed hereto, to be mailed, by first class
mail, postage prepaid, no




                                       2


later than 20 days from the date of entry of this Order, to all Class Members
who have been identified with reasonable effort by Plaintiffs' Co-Lead Counsel
in connection with the prior mailing and publication of the Notice of Pendency
of Class Action. If necessary, Defendant Pediatrix Medical Group, Inc. shall
cooperate in making its books, records and information available to Plaintiffs'
Co-Lead Counsel or their agent for the purpose of identifying and giving notice
to the Class. Plaintiffs' Co-Lead Counsel shall use reasonable efforts to give
notice to nominee owners such as brokerage firms and other persons or entities
who purchased Pediatrix common stock during the Class Period as record owners
but not as beneficial owners. Such nominee purchasers are directed, within ten
(10) business days of receipt of the Notice and Proof of Claim, to either: (a)
provide the Claims Administrator with lists of the names and addresses of the
beneficial owners, and the Claims Administrator is ordered to send the Notice
and Proof of Claim promptly to such beneficial owners, or (b) request additional
copies of the Notice and Proof of Claim form and, within seven (7) days of
receipt of those copies, mail the Notice and Proof of Claim form directly to the
beneficial owners. Additional copies of the Notice and Proof of Claim shall be
made available free of charge to any record holder requesting such for the
purpose of distribution to beneficial owners, and such record holders shall be
reimbursed from the Settlement Fund, upon receipt by Plaintiffs' Co-Lead Counsel
of proper documentation, for the reasonable expense actually incurred in sending
the Notice and Proof of Claim to beneficial owners. If any nominee purchaser
chooses to follow alternative procedure (b), such nominee shall, upon such
mailing, send a statement to the Claims Administrator confirming that the
mailing was made as directed. Plaintiffs' Co-Lead Counsel shall, at or before
the Settlement Fairness Hearing, file with the Court proof of mailing of the
Notice and Proof of Claim.




                                       3


         5. The Court approves the form of Publication Notice of the proposed
Settlement and Settlement Fairness Hearing in substantially the form and content
annexed hereto as Exhibit 3 and directs that Plaintiffs' Co-Lead Counsel shall
cause the Publication Notice to be published once in the BUSINESS WIRE and in
INVESTORS BUSINESS DAILY within ten (10) days of the mailing of the Notice.
Plaintiffs' Co-Lead Counsel shall, at or before the Settlement Fairness Hearing,
file with the Court proof of publication of the Publication Notice.

         6. The form and method set forth herein of notifying the Class of the
Settlement and its terms and conditions meet the requirements of Rule 23 of the
Federal Rule of Civil Procedure, Section 21D(a)(7) of the Exchange Act, 15
U.S.C. ss. 78u-4(1)(7) as amended by the Private Securities Litigation Reform
Act of 1995, and due process, constitute the best notice practicable under the
circumstances, and shall constitute due and sufficient notice to all persons and
entities entitled thereto.

         7. In order to be entitled to participate in the distribution of the
Net Settlement Fund, in the event the Settlement is effected in accordance with
all of the terms and conditions thereof, each Class member shall take the
following actions and be subject to the following conditions:

                  (1)      A properly executed Proof of Claim (the "Proof of
                           Claim"), substantially in the form attached hereto as
                           Exhibit 2, must be submitted to the Claims
                           Administrator, at the Post Office box indicated in
                           the Notice, not later than June 3, 2002. Such
                           deadline may be further extended by Court Order. Each
                           Proof of Claim shall be deemed to have been submitted
                           when postmarked (if properly addressed and mailed by
                           first class mail, postage prepaid) provided such
                           Proof of Claim is actually received no later than
                           thirty (30) days after the final date for submission
                           of Proofs of Claim.




                                       4


                           Any Proof of Claim submitted in any other manner
                           shall be deemed to have been submitted when it was
                           actually received at the address designated in the
                           Notice.

                  (2)      The Proof of Claim filed by each Class Member must
                           satisfy the following conditions: (i) it must be
                           properly filled out, signed and submitted in a timely
                           manner in accordance with the provisions of the
                           preceding subparagraph; (ii) it must be accompanied
                           by adequate supporting documentation for the
                           transactions reported therein, in the form of broker
                           confirmation slips, broker account statements, an
                           authorized statement from the broker containing the
                           transactional information found in a broker
                           confirmation slip, or such other documentation as is
                           deemed adequate by Plaintiffs' Co-Lead Counsel; (iii)
                           if the person executing the Proof of Claim is acting
                           in a representative capacity, a certification of his
                           current authority to act on behalf of the Class
                           Member must be included in the Proof of Claim; and
                           (iv) the Proof of Claim must be complete and contain
                           no material deletions or modifications of any of the
                           printed matter contained therein and must be signed
                           under penalty of perjury.

                  (3)      As part of the Proof of Claim, each Class Member
                           shall submit to the jurisdiction of the Court with
                           respect to the claim submitted, and shall (subject to
                           effectuation of the Settlement) release all claims as
                           provided in the Stipulation.

         8. Class Members shall be bound by all determinations and judgments in
this Action, whether favorable or unfavorable, unless such persons have
requested exclusion from the




                                       5


Class in a timely and proper manner, as provided in the Notice of Pendency of
Class Action previously sent to Class Members.

         9. Class Members who have requested exclusion from the Class pursuant
to the Notice of Pendency of Class Action shall not be entitled to receive any
payment out of the Net Settlement Fund as described in the Stipulation and
Notice.

         10. All Class Members may enter appearances in the Action, at their own
expense, individually or through counsel of their own choice. If they do not
enter an appearance, they will continue to be represented by Plaintiffs' Co-Lead
Counsel, Michael I. Pucillo, Esq., Berman DeValerio Pease Tabacco Burt &
Pucillo, Northbridge Centre, Suite 1701, 515 N. Flagler Drive, West Palm Beach,
FL 33401 and John P. Coffey, Esq., Bernstein Litowitz Berger & Grossmann LLP,
1285 Avenue of the Americas, 33rd Floor, New York, New York 10019.

         11. The Court will consider comments and/or objections to the
Settlement, the Plan of Allocation, or the application for an award of
attorneys' fees and reimbursement of expenses only if such comments or
objections and any supporting papers are filed in writing with the Clerk of the
Court, United States District Court, 299 East Broward Boulevard, Fort
Lauderdale, Florida 33301, and copies of all such papers are received, no later
than fourteen (14) days prior to the Settlement Fairness Hearing, by the
following: Michael J. Pucillo, Esq., Berman DeValerio Pease Tabacco Burt &
Pucillo, 515 N. Flagler Drive, Suite 1701, West Palm Beach, Florida 33401; and
John P. Coffey, Esq., Bernstein Litowitz Berger & Grossmann LLP, 1285 Avenue of
the Americas, 33rd Floor, New York, New York 10019, on behalf of Plaintiffs; and
Robert F. Wise, Jr., Esq., Davis Polk & Wardwell, 450 Lexington Avenue, New
York, NY 10017 and Barry Rodney Davidson, Esq., Hunton & Williams, 1111 Brickell
Avenue, Suite 2500, Miami, FL 33131-3136 on behalf of the Defendants. Attendance
at the hearing is not necessary;




                                       6


however, persons wishing to be heard orally in opposition to the approval of the
Settlement, the Plan of Allocation, and/or the application for attorneys' fees
and reimbursement of expenses are required to indicate in their written
objection their intention to appear at the hearing. Persons who intend to object
to the Settlement, the Plan of Allocation, and/or counsel's application for an
award of attorneys' fees and expenses and desire to present evidence at the
Settlement Fairness Hearing must include in their written objections the
identity of witnesses they may call to testify and exhibits they intend to
introduce into evidence at the Settlement Fairness Hearing. Any member of the
Class who does not object in this manner shall be deemed to have waived such
objection and shall forever be foreclosed from making any objection to the
fairness or adequacy of the proposed Settlement, to any Final Judgment that may
be entered, to the Fee and Expense Award to Plaintiffs' Co-Lead Counsel, and to
the Plan of Allocation. Class Members do not need to appear at the hearing or
take any other action to indicate their approval.

         12. Only Class Members shall have any rights with respect to approval
of or objection to the Settlement, the Plan of Allocation or Plaintiffs' Co-Lead
Counsel's request for Attorneys' Fees and Expenses. Any Class Member wishing to
preserve appellate rights with respect to the Settlement or the Fee and Expense
Award to Plaintiffs' Counsel must timely intervene as a party under Rule 24 of
the Federal Rules of Civil Procedure.

         13. To assist the Court in preparing for the Settlement Fairness
Hearing, counsel may submit, no later than twenty-one (21) days prior to the
Settlement Fairness Hearing, all briefs, affidavits or other documents related
to the findings that this Court is required to make. Counsel may submit papers
in response to any objections that may be filed no later than seven (7) days
prior to the Settlement Fairness Hearing.




                                       7


         14. Pending final determination of whether the Settlement should be
approved, the Plaintiffs, all other Class Members, and each of them, and anyone
who acts or purports to act on their behalf, shall not institute, commence or
prosecute any action which asserts Released and Settled Claims against any
Released Party.

         15. The Court reserves the right to adjourn or continue the date of the
Settlement Fairness Hearing with or without further notice to the Class.
However, if any Class Members indicate the intention to appear at the Settlement
Fairness Hearing in accordance with the provisions of paragraph 11 above,
Plaintiffs' Co-Lead Counsel are ordered to provide such persons with notice of
the adjourned date(s). The Court further reserves the right to enter its Order
and Final Judgment approving the Stipulation and dismissing the Complaint on the
merits and with prejudice as to the Defendants regardless of whether it has
approved the Plan of Allocation or awarded attorneys' fees and expenses.

         16. If the Settlement is disapproved, or terminated in accordance with
the terms of the Stipulation, the Stipulation shall be null and void, of no
further force or effect, and without prejudice to any party, and may not be
introduced as evidence or referred to in any actions or proceedings by any
person or entity, and each party shall be restored to his, her or its respective
position as it existed prior to the execution of the Memorandum of Understanding
and Stipulation.

         17. In the event the Settlement is disapproved or terminated in
accordance with the terms of the Stipulation, the Escrow Agent(s) shall, within
ten days of notice of disapproval or termination, refund the Settlement Fund,
plus all accrued interest thereon to the Defendants and their insurer in
proportion to their relative contributions, except for any Taxes due, Notice and
administration expenses up to $100,000.00 incurred in issuing notice to the
Class.

         18. The Court retains exclusive jurisdiction over the Action to
consider all further matters arising out of or connected with the Settlement.



                                       8


         DONE AND ORDERED in Chambers at Fort Lauderdale, Broward County,
Florida, this _____ day of __________________, 2002.



                                             -----------------------------------
                                             THE HONORABLE JOSE A. GONZALEZ, JR.
                                             UNITED STATES DISTRICT JUDGE



Copies furnished to all counsel on the attached Service List




                                       9


                                    EXHIBIT 1

                          UNITED STATES DISTRICT COURT
                          SOUTHERN DISTRICT OF FLORIDA

                          CASE NO. 99-6181-CIV-GONZALEZ

SANDS POINT PARTNERS, L.P., et al., on
behalf of themselves and all others similarly
situated,

                  Plaintiffs,

         -against-

PEDIATRIX MEDICAL GROUP, INC.,
ROGER J. MEDEL, KARL B. WAGNER and
LAWRENCE M. MULLEN

                  Defendants.



- ----------------------------------------------

            NOTICE OF PROPOSED SETTLEMENT OF CLASS ACTION, SETTLEMENT
            FAIRNESS HEARING, AND RIGHT TO SHARE IN SETTLEMENT FUND

         TO:      ALL PERSONS AND ENTITIES ("THE CLASS") WHO PURCHASED COMMON
                  STOCK OR CALL OPTIONS, OR SOLD PUT OPTIONS OF PEDIATRIX
                  MEDICAL GROUP, INC. BETWEEN MARCH 31,1997 AND APRIL 2,1999,
                  INCLUSIVE (THE "CLASS PERIOD")

         PLEASE READ THIS NOTICE CAREFULLY AND IN ITS ENTIRETY. YOUR RIGHTS MAY
BE AFFECTED BY PROCEEDINGS IN THIS LITIGATION. IF YOU ARE A CLASS MEMBER, YOU
ULTIMATELY MAY BE ENTITLED TO RECEIVE BENEFITS PURSUANT TO THE PROPOSED
SETTLEMENT DESCRIBED HEREIN.


CLAIMS DEADLINE: CLAIMANTS MUST SUBMIT PROOFS OF CLAIM ON THE FORM ACCOMPANYING
THIS NOTICE, POST MARKED ON OR BEFORE _______________________, 2002.


NOTICE IS HEREBY GIVEN, pursuant to Rule 23 of the Federal Rules of Civil
Procedure and an Order of the United States District Court for the Southern
District of Florida (the "Court") dated ___________________, 2002, that a
hearing will be held before the Honorable Jose A. Gonzalez, Jr. in the United
States District Courthouse, 299 East Broward Boulevard, Fort Lauderdale, Florida
33301, at _________, on ________________, 2002 (the "Settlement






Hearing") to determine whether a proposed settlement (the "Settlement") of the
above-captioned litigation (the "Action") as set forth in the Stipulation and
Agreement of Settlement dated as of __________________, 2002 (the
"Stipulation"), is fair, reasonable and adequate and to consider the application
of Plaintiffs' counsel for attorneys' fees and reimbursement of expenses.

I. SUMMARY OF SETTLEMENT AND RELATED MATTERS

         A. STATEMENT OF PLAINTIFFS' RECOVERY:

         Pursuant to the Settlement described herein, a Settlement Fund
consisting of $12 million in cash plus interest has been established. Assuming
that all affected shares elected to participate in the Settlement, the average
recovery under the Settlement per damaged share of Pediatrix common stock is
estimated by Plaintiffs' damages expert at approximately $1.38 per share before
deduction of Court-awarded attorneys' fees and expenses and the costs of
administering this Settlement.1 Depending upon the number of claims filed, an
individual Class member will receive more or less than this average amount. A
Class member's distribution of the Settlement Fund will be governed by a Plan of
Allocation, as approved by the Court. A detailed explanation of the Plan of
Allocation appears in Section V of this Notice.

         B. STATEMENT OF POTENTIAL OUTCOME OF THE LITIGATION.

         The parties disagree as to both liability and damages. They do not
agree on the average amount of damages per share that would be recoverable if
Plaintiffs were to have prevailed on each claim alleged. The issues on which the
parties disagree include, among other things: (i) whether the statements made
were false or misleading or were material or otherwise actionable under the
federal securities laws; (ii) the extent to which the various matters that
Plaintiffs allege were materially false or misleading influenced (if at all) the
trading price of Pediatrix common stock and call and put options during the
Class Period; and (iii) the amount by which Pediatrix common stock and call
options and put option were so influenced (if at all) during the Class Period.
The Defendants deny that they are liable to Plaintiffs or the Class and deny
Plaintiffs or the other members of the Class have suffered any damages as the
result of the alleged wrongdoing. Plaintiffs believe the proof at trial would
show that Pediatrix's shares were consistently artificially inflated by
approximately $10.34 throughout the Class Period. Defendants disagree and assert
that there is no causal link between the losses in Pediatrix stock values and
any violations of the federal securities laws. In addition, the Defendants would
have argued at trial that the decrease in the share price experienced by
Pediatrix was attributable to other factors including a general industry decline
and market forces, and that damages would be, at most, $1.93 per share. In this
Action, as in any action, Plaintiffs' Co-Lead Counsel recognized that there was
a substantial risk that Plaintiffs and the Class might not have prevailed on any
of their claims and contentions or would have only prevailed on some of their
claims and therefore, would have recovered nothing or substantially less than
the maximum amount. Plaintiffs' Co-Lead Counsel believe that the proposed
Settlement is in the best interests of the Plaintiffs and the Class.


- --------
1 No estimate is included with respect to the average recovery per call options
and put option due to the variety of call options and put options and the
difficulty in obtaining trading records for options.


                                       2



         C. STATEMENT OF ATTORNEYS' FEES AND COSTS SOUGHT.

         Plaintiffs' counsel have not received any payment for their services in
conducting this Action on behalf of Plaintiffs and the other members of the
Class, nor have they been reimbursed for their out-of-pocket expenditures. If
the Settlement is approved by the Court, Plaintiffs' counsel intend to apply for
fees of up to 30% of the Settlement Fund or approximately $0.41 per damaged
share, and for reimbursement of expenses incurred in connection with the
prosecution of this Action not to exceed $__________________, or approximately
$_____________ per damaged share.

         D. THE REASONS FOR SETTLEMENT.

         Plaintiffs believe that the proposed settlement is fair, reasonable and
adequate and is in the best interests of the Class considering the amount of the
Settlement and the immediacy of recovery to the Class. At the time this
Settlement was reached, the parties were close to trial. All discovery on the
facts, including depositions, exchange of documents, and interrogatory
responses, had been completed, and the parties had exchanged reports by their
experts as to the propriety of Pediatrix's coding practices, which revealed that
the trial would involve difficult questions regarding intent, interpretation of
coding standards and a battle of experts. The amount of damages sustained by the
class, if any, would also have been a contested issue at trial. Plaintiffs
estimated that each Pediatrix share purchased during the Class Period was
damaged by $10.34, while the Defendants vigorously denied that there were any
damages caused by the Defendants, but that any provable damages would have been,
at most, $1.93 per share.

         Accordingly, Plaintiffs' decision to enter into the Settlement was made
with extensive knowledge of the facts and circumstances underlying Plaintiffs'
claims and the strengths and weaknesses of those claims. In determining to
settle the Action, Plaintiffs and Plaintiffs' Co-Lead Counsel have evaluated the
extensive discovery taken in the litigation and taken into account the
substantial expense and length of time necessary to prosecute the litigation
through trial, post-trial motions and likely appeals, taking into consideration
the significant uncertainties in predicting the outcome of this complex
litigation. Plaintiffs' counsel submit that the Settlement described herein
confers very substantial benefits upon the Class. Based upon their consideration
of all of these factors, Lead Plaintiffs and their counsel have concluded that
it is in the best interest of Plaintiffs and the Class to settle the Action on
the terms described herein.

         E. IDENTIFICATION OF PLAINTIFFS' LAWYERS.

         Further information regarding the Action and this Notice may be
obtained by contacting Co-Lead counsel for Plaintiffs and the Class:

         Michael J. Pucillo, Esq.                 John P. Coffey, Esq.
         Wendy H. Zoberman, Esq.                  Rochelle Feder Hansen, Esq.
         Berman DeValerio Pease                   Bernstein Litowitz Berger
           Tabacco Burt & Pucillo                   & Grossmann LLP
         515 N. Flagler Dr., Suite 1701           1285 Avenue of the Americas
         West Palm Beach, FL 33401                New York, NY 10019
         (561) 835-9400                           (212) 554-1400



                                       3


II. BACKGROUND OF THE ACTION

         A. As previously detailed in the Notice of Pendency of Class Action,
this Action commenced on or about February 16, 1999 with the filing of a number
of class action complaints concerning the publicly traded securities of
Pediatrix (the "Pediatrix Class Actions"). The Pediatrix Class Actions alleged
violations of sections 10(b) and 20(a) of the Securities Exchange Act of 1934
(the "Exchange Act"), and Rule l0b-5 promulgated thereunder. By Order dated July
6, 1999, Florida State Board of Administration, Louisiana State Employees'
Retirement System, New Orleans Employees' Retirement System, and Jacksonville
Police & Fire Pension Fund were designated as Lead Plaintiffs pursuant to
Section 21D(a)(3)(B) of the Exchange Act (as amended)2 and the law firms of Burt
& Pucillo, LLP and Bernstein Litowitz Berger & Grossmann LLP were appointed
Co-Lead Counsel for Plaintiffs and the Class.3

         B. The operative allegations in the Action are contained in the Second
Amended Consolidated Class Action Complaint (the "Complaint"), filed in the
Action on or about February 3, 2000. In sum, the Complaint alleges, among other
things, that during the Class Period Pediatrix, a provider of physician services
to hospital-based neonatal and pediatric intensive care units, engaged in
unlawful billing practices, including billing for a higher and more costly level
of care than was called for given a patient baby's medical condition, which
practices caused Pediatrix's reported revenues, earnings and accounts receivable
for that period to be overstated thereby artificially inflating the price of
Pediatrix common stock, and that those practices were contrary to the Company's
affirmative public statements regarding its billing practices.

         C. The Complaint further alleges that the market learned of Pediatrix's
allegedly improper billing practices on April 5, 1999 when Pediatrix announced
that government officials in Arizona and Colorado were seeking billing-related
documents from the Company. The Complaint also alleges that shortly thereafter
it was disclosed that the investigations being conducted by Arizona and
Colorado, as well as another investigation being conducted by Florida, were
focused on issues of Medicaid fraud. It is also alleged that the inquiries into
Pediatrix's billing practices had a negative impact on Pediatrix's financial
results, resulting in lower revenues and earnings for the quarters following the
April 5, 1999 disclosure.

         D. In the Complaint, Lead Plaintiffs sought monetary damages on behalf
of themselves and all other members of the Class. The amount of monetary
damages, if any, awardable to the Class would have been determined at trial.

- --------------------

2 On or about October 16, 2001, with the agreement of Defendants, Jacksonville
Police & Fire Pension Fund moved to withdraw as a Lead Plaintiff in the Action,
which motion was granted on or about October 29, 2001.

3 Effective July 1, 2001, the firms of Berman DeValerio & Pease, LLP, Berman
DeValerio Pease & Tabacco, P.C., and Burt & Pucillo, LLP merged their practices.
The combined firm is now known as Berman DeValerio Pease Tabacco Burt & Pucillo.



                                       4



         E. On or about June 6, 2000, the Court denied Defendants' motion to
dismiss the Complaint. On or about June 26, 2000, the Defendants' Answer was
filed denying the substantive allegations of wrongdoing in the Complaint,
denying that Plaintiffs have stated a cause of action against the Defendants,
and denying that the Lead Plaintiffs and other members of the Class were
damaged.

         F. The parties thereafter commenced fact discovery. Throughout the
second half of the year 2000 and most of 2001, the parties engaged in extensive
discovery. Over 200,000 pages of documents were reviewed and over twenty-five
depositions were taken. The parties concluded fact discovery and virtually all
expert discovery. Various discovery motions, a motion for summary judgment and
motions in limine were filed, briefed and ruled upon by the Court.

         G. On November 6, 2000, the Court, pursuant to Fed. R. Civ. P. 23(a)
and (b)(3), entered an Order (the "Class Order") certifying a class consisting
of:

                  All persons who purchased Pediatrix Medical Group, Inc.
                  ("Pediatrix") common stock, purchased Pediatrix call options,
                  or sold Pediatrix put options between March 31, 1997 and April
                  2, 1999, inclusive. Excluded from the Class are Pediatrix, its
                  subsidiaries and affiliates, the Individual Defendants,
                  members of the immediate families of each of the Individual
                  Defendants, and any entities in which any of the Defendants
                  has a controlling interest, and the legal representatives,
                  heirs, successors, affiliates or assigns of any of the
                  foregoing excluded persons and entities.

         Notice of Pendency of Class Action (the "Notice of Pendency") was
mailed to all Class members who could be identified commencing on June 26, 2001
and was published over the BUSINESS WIRE and in INVESTORS BUSINESS DAILY on July
10, 2001. Any putative Class member who wished to be excluded from the Class was
required to file an exclusion request postmarked on or before August 27, 2001.
Any Class member who filed a request for exclusion in accordance with the
requirements set forth in the Notice of Pendency shall be excluded and shall not
participate in the Settlement. All other Class members will be bound by the
terms of the Settlement.

         H. A Joint Pretrial Stipulation was filed on or about September 1,
2001, a pretrial conference was held with the Court on November 19, 2001 and
trial of this action was scheduled to commence on January 14, 2002.

III. BACKGROUND OF THE SETTLEMENT

         The proposed Settlement described herein is the product of extensive
arm's-length negotiations between the parties and two mediation sessions with an
independent professional mediator for which Plaintiffs and Defendants each
conducted an in-depth analysis of their respective positions which were set
forth in their mediation statements prepared for the mediation. This Settlement
was reached one month prior to the scheduled start of the trial of this Action.




                                       5


         As a result of their extensive discovery efforts, Plaintiffs' counsel
had a thorough understanding of the facts at issue in the Action. Among other
things, Plaintiffs' counsel contended that they could prove that Defendants'
unlawful billing practices during the years 1996 through 1998 caused Pediatrix's
reported revenues, earnings and accounts receivable for those three years to be
overstated and thereby artificially inflated the price of Pediatrix common
stock. They also contended that they could show that those practices were
contrary to the Company's affirmative public statements regarding its billing
practices, and that throughout the Class Period Defendants caused Pediatrix to
report impressive financial results while failing to reveal the true reason for
the Company's strong financial performance -- its improper billing practices.
Plaintiffs also believe that they could establish Defendants' SCIENTER in that
Pediatrix's policies, practices and directives regarding its billing practices
came directly from senior management and that, notwithstanding the fact that
senior management was on notice that billing practices were improper, these
practices continued until Pediatrix came under scrutiny for its billing
practices in early 1999. With respect to causation and damages, Plaintiffs
believe they could show that had Pediatrix properly coded and billed for the
services its doctors rendered, its common stock would have traded at materially
lower prices during the Class Period, and that, but for Defendants' billing
fraud, there would have been no basis for an investigation by the various
states, the revelation of which sent Pediatrix's stock into decline. Plaintiffs
were prepared to submit expert testimony as to damages attributable to the
improper billing practices alleged.

         For their part, the Defendants contended that they had good defenses to
both the liability and damages aspects of the Plaintiffs' claims. The Defendants
intended to show that the Company's prior public filings had included an express
risk disclosure that it was in a highly regulated business, that it was subject
to audit and investigation, and that if that occurred, it could have a material
adverse impact on the Company's financial condition. Defendants also intended to
show that it is not a violation of the federal securities laws to misinterpret
or misapply reimbursement codes in its billing, that Pediatrix never misstated
its financial results and has never been required to restate its financial
information, and that the interpretation of the codes upon which its billings
were based were made in good faith and supportable based on the language in the
codes as published. With respect to SCIENTER, Defendants contended that their
actions were inconsistent with any intent to defraud investors in that during
the Class Period there were no insider sales and the Company did not use its
stock to make acquisitions. With respect to causation and damages, Defendants
intended to show that most of the stock price decline occurred in February 1999
before any mention of coding issues or billing practices, that the price drop in
April 1999 upon the announcement of the State inquiries was not causally related
to Plaintiffs' allegations of improper coding and that, because of the
complexity of the overall billing formula and reimbursement schedules, even if
it were found that Pediatrix had used improper codes, the impact on revenues and
earnings, and therefore the materiality of such damages for investors, would be
virtually impossible to determine with any degree of reasonable certainty.

         By the time this Settlement was reached, the parties were close to
trial. All discovery of the facts, including depositions, exchange of documents,
and interrogatory responses, had been completed, and the parties had exchanged
reports by their experts as to the propriety and financial impact of the
allegedly wrongful practices, which revealed that the trial would involve a
battle of experts and difficult questions regarding intent, and interpretation
of coding standards.




                                       6


Causation, and the amount of damages sustained by the Class, if any, would also
have been hotly contested issues at trial.

         Accordingly, the decision to enter into this Settlement was made with
extensive knowledge of the facts and circumstances underlying Plaintiffs' claims
and the strengths and weaknesses of those claims. In determining to settle the
Action, Plaintiffs' Co-Lead Counsel have evaluated the discovery undertaken in
the litigation, potential recoverable damages, and taken into account the
substantial expense and length of time necessary, to prosecute the litigation
through trial, post-trial motions and likely appeals, taking into consideration
the significant uncertainties in predicting the outcome of this complex
litigation. Plaintiffs' counsel believe that the Settlement described herein
confers substantial benefits upon the Class. Based upon their consideration of
all of these factors, the Lead Plaintiffs, three sophisticated institutional
investors, and their counsel have concluded that it is in the best interest of
Plaintiffs and the Class to settle the action on the terms described herein.

         Recognizing the uncertainty and the risk of the outcome of any
litigation, especially complex litigation such as this, and the difficulties and
risks inherent in the trial of such an action, Plaintiffs desire to settle the
claims of the Class against Defendants on the terms and conditions described
herein which provide substantial benefits to the Class. Co-Lead counsel for
Plaintiffs and the Class deem such Settlement to be fair, reasonable and
adequate to, and in the best interests of, the members of the Class.

         The Defendants have denied all averments of wrongdoing or liability in
the Litigation and all other accusations of wrongdoing or violations of law. The
Stipulation is not and shall not be construed or be deemed to be evidence or an
admission or a concession on the part of any of the Defendants of any fault or
liability or damages whatsoever, and the Defendants do not concede any infirmity
in the defenses which they have asserted or intended to assert in the Action.
The Defendants, while continuing to deny all allegations of wrongdoing or
liability whatsoever, desire to settle and terminate all existing or potential
claims against them, without in any way acknowledging any fault or liability.

         The amount of damages, if any, which Plaintiffs could prove was a
matter of serious dispute, and the Settlement's use of a Recognized Claim
formula for distributing the Settlement proceeds does not constitute a finding,
admission or concession that provable damages could be measured by the
Recognized Claim formula. No determination has been made by the Court as to
liability or the amount, if any, of damages suffered by the Class, nor on the
proper measure of any such damages. The determination of damages, like the
determination of liability, is a complicated and uncertain process, typically
involving conflicting expert opinions. The Settlement herein is providing an
immediate and substantial cash benefit and avoids the risks that liability or
damages might not have been proven at trial.

THE COURT HAS NOT FINALLY DETERMINED THE MERITS OF THE PLAINTIFFS' CLAIMS OR THE
DEFENSES THERETO. THIS NOTICE DOES NOT IMPLY THAT THERE HAS BEEN OR WOULD BE ANY
FINDING OF A VIOLATION OF THE LAW OR THAT RECOVERY COULD BE HAD IN ANY AMOUNT IF
THE ACTION WERE NOT SETTLED.



                                       7


IV. TERMS OF THE SETTLEMENT

         1. In full and complete settlement of the claims which have or could
have been or could be asserted in this Action, and subject to the terms and
conditions of the Stipulation, Defendants have deposited or caused to be
deposited into an escrow account for the benefit of Plaintiffs and the Class
$12,000,000 which has been earning interest for the benefit of the Class since
_______________, 2002.

         2. Pursuant to the Settlement, and on the Effective Date, Plaintiffs
and the members of the Class on behalf of themselves, their heirs, executors,
administrators, successors and assigns, and any persons they represent, release
and forever discharge and shall forever be enjoined from prosecuting the
Released and Settled Claims (defined below) against any of the Released Parties
(defined below).

         3. "Released and Settled Claims" means any and all claims, rights or
causes of action or liabilities whatsoever, whether based on federal, state,
local statutory or common law or any law, rule or regulation, including both
known and Unknown Claims, that have been or could have been or could be asserted
in any form by Plaintiffs or any of the other Class Members against any of the
Released Parties which arise out of or relate in any way to the following during
the Class Period: (1) the purchase of Pediatrix common stock; the purchase of
Pediatrix Call Options; or the sale of Pediatrix Put Options; and (2) the
allegations, transactions, facts, matters or occurrences, representations or
omissions involved, set forth or referred to in the Complaint.

         4. "Released Parties" means Pediatrix, the Individual Defendants, and
each of their past or present subsidiaries, parents, successors, predecessors,
insurers, reinsurers, officers, directors, shareholders, employees, agents,
advisors, investment advisors, attorneys, auditors, accountants, heirs,
beneficiaries, and any person, firm, trust, corporation, officer, director or
other individual or entity in which any Defendant has a controlling interest or
which is related to or affiliated with any of the Defendants and the legal
representatives, heirs, successors in interest or assigns of the Defendants.

         5. If the Settlement is approved by the Court, all claims which have or
could have been or could be asserted in the Action against any of the Released
Parties will be dismissed with prejudice as to all Class Members, and all Class
Members shall be forever barred from prosecuting a class action or any other
action arising out of wrongs which have been or could have been or could be
alleged in this Action against any Released Party. The Settlement will become
effective at such time as Orders entered by the Court approving the Settlement
shall become final and not subject to appeal (the "Effective Date").

         6. Pursuant to the Settlement, and on the Effective Date, Pediatrix and
each Individual Defendant, on behalf of himself, his executor, administrator and
the Released Parties, shall release and forever discharge each and every of the
Released and Settled Defendant's Claims, and shall forever be enjoined from
prosecuting any Released and Settled Defendant's Claims.



                                       8


         7. "Release and Settled Defendant's Claims," means any and all claims,
rights or causes of action or liabilities whatsoever, whether based on federal,
state, local, statutory or common law or any other law, rule or regulation,
including both known and Unknown Claims that have been or could be asserted in
any form by Pediatrix and the Individual Defendants, the Released Parties or any
of them or the successors and assigns of any of them against any of the
Plaintiffs, the Jacksonville Police & Fire Pension Fund, other Class Members or
their attorneys, which arise out of or relate in any way to the institution or
prosecution of the Action.

         8. Upon approval of the Settlement by the Court and upon satisfaction
of the other conditions to the Settlement, the Settlement Fund will be
distributed as follows: (A) to pay costs and expenses in connection with
providing Notice to the members of the Class and administering the Settlement on
behalf of the Class; (B) to pay Plaintiffs' counsels' attorneys fees and
reimbursement of expenses, with interest thereon (the "Fee and Expense Award"),
if and to the extent allowed by the Court; (C) to pay the reasonable costs
incurred in the preparation of any tax returns required to be filed on behalf of
the Settlement Fund as well as the taxes (and any interest and penalties
determined to be due thereon) owed by reason of the earnings of the Settlement
Fund; and (D) subject to the approval by the Court of the Plan of Allocation,
which is set forth below, the balance of the Settlement Fund (the "Net
Settlement Fund"), shall be distributed in accordance with the Plan of
Allocation to Class Members who submit valid, timely Proofs of Claim
("Authorized Claimants"). Approval of the Settlement is independent from
approval of the Plan of Allocation. Any determination with respect to the Plan
of Allocation will not affect the Settlement, if approved. Payment from the
Settlement Fund made pursuant to and in conformity with the Plan of Allocation,
in the event of Court approval, shall be final and conclusive.

V. ALLOCATION OF SETTLEMENT PROCEEDS AMONG CLASS MEMBERS

         1. The Net Settlement Fund shall be distributed pursuant to the
following Plan of Allocation to Authorized Claimants who file timely, acceptable
Proofs of Claim.

         2. Each Authorized Claimant shall be allocated a pro-rata share of the
Net Settlement Fund based on his, her or its "Recognized Claim" compared to the
total Recognized Claims of all Authorized Claimants. THE RECOGNIZED CLAIM IS NOT
THE AMOUNT OF YOUR RECOVERY. YOUR ACTUAL RECOVERY WILL BE LESS.

         3. COMMON STOCK

                  a.       With respect to SHARES OF PEDIATRIX COMMON STOCK
                           purchased on the open market during the Class Period,
                           WHICH AN AUTHORIZED CLAIMANT CONTINUED TO HOLD AS OF
                           APRIL 2, 1999 (the end of the Class Period), an
                           Authorized Claimant's Recognized Claim shall be
                           $10.34, which represents the amount of artificial
                           inflation in Pediatrix common stock as determined by
                           Plaintiffs' damages expert, times the number of
                           shares held.

                  b.       With respect to shares of common stock of Pediatrix
                           purchased and then sold during the Class Period, the
                           "Recognized Claim" shall be $0 since the artificial
                           inflation on the date of purchase was the same as the
                           artificial




                                       9

                           inflation on the date of sale, meaning that any
                           decline in the value of the stock was attributable to
                           something other than the alleged fraud.

         4. CALL OPTIONS

                  a.       With respect to CALL OPTIONS TO PURCHASE SHARES OF
                           PEDIATRIX COMMON STOCK purchased during the Class
                           Period, an Authorized Claimant's "Recognized Claim"
                           shall mean the amount determined in accordance with
                           the following: for each Call Option on Pediatrix
                           common stock purchased on the open market during the
                           Class Period WHICH AN AUTHORIZED CLAIMANT CONTINUED
                           TO HOLD AS AN OPEN AND UNEXPIRED OPTION AS OF APRIL
                           2, 1999 (the end of the Class Period), the Recognized
                           Claim shall be equal to 50%4 of the price paid
                           (excluding commissions, etc.) for the Call Option(s)
                           less the amount (if any) that the Call Option was "in
                           the money" as of the close of trading on April 5,
                           1999 (the first day of trading after the end of the
                           Class Period) times the number of shares covered by
                           such Call Option(s).

                  b.       If a Call Option was exercised during the Class
                           Period to purchase Pediatrix common stock, the
                           "Recognized Claim" from such transaction shall be
                           calculated as a purchase of Pediatrix common stock
                           and the Authorized Claimant will have no "Recognized
                           Claim" with respect to the purchase of the option.
                           The date of the exercise of the option is the
                           "Purchase" date.

                  c.       No Recognized Claim shall be allowed with respect to
                           Call Option(s) purchased during the Class Period to
                           cover Call Option(s) previously sold or written by a
                           claimant.

                  d.       With respect to Call Option(s) purchased and then
                           sold during the Class Period, the "Recognized Claim"
                           shall be $0 since the artificial inflation on the
                           date of purchase was the same as the artificial
                           inflation on the date of sale, meaning that any
                           decline in the value of the option was attributable
                           to something other than the alleged fraud.

                  e.       No Recognized Claim shall be allowed with respect to
                           call option(s) which were purchased and then expired
                           during the Class Period..

         5. PUT OPTIONS

                  a.       With respect to PUT OPTIONS TO SELL SHARES OF
                           PEDIATRIX COMMON STOCK sold during the Class Period,
                           an Authorized Claimant's "Recognized Claim" shall
                           mean the amount determined in accordance with the
                           following: for each Put Option on Pediatrix common
                           stock sold on the open market

- --------------------

4 The Recognized Claim for Call Options is discounted to reflect the fact that
part of the purchase price paid for a Call Option is a time premium which is a
wasting asset which is essentially unrelated to the alleged inflation.


                                       10



                           during the Class Period WHICH REMAINED AS AN OPEN AND
                           UNEXPIRED OPTION AS OF APRIL 2, 1999 (the end of the
                           Class Period), the Recognized Claim shall be equal to
                           50%5 of the amount, if any, that the Put Option was
                           "in the money" as of the close of trading on April 5,
                           1999 (the first day of trading after the end of the
                           Class Period), less the price received (excluding
                           commissions, etc.) for the Put Option(s) times the
                           number of shares covered by such Put Option(s).

                  b.       If a Put Option was assigned during the Class Period
                           and shares of Pediatrix common stock were purchased,
                           the Recognized Claim from such a transaction shall be
                           calculated as a purchase of Pediatrix common stock
                           and the Authorized Claimant will have no "Recognized
                           Claim" with respect to the sale of the option. The
                           date of the assignment of the Put Option is the
                           "Purchase" date.

                  c.       No Recognized Claim shall be allowed with respect to
                           Put Option(s) sold or written during the Class Period
                           to cover Put Option(s) previously purchased by a
                           claimant.

                  d.       With respect to Put Option(s) sold and then covered
                           during the Class Period, the "Recognized Claim" shall
                           be $0 since the artificial inflation on the date of
                           the sale was the same as the artificial inflation on
                           the date of the cover, meaning that any decline in
                           the value of the option was attributable to something
                           other than the alleged fraud.

                  e.       No Recognized Claim shall be allowed with respect to
                           Put Option(s) which were sold and then expired during
                           the Class Period.

         6. Note that $10.34 is the consistent amount of inflation calculated by
Plaintiffs' counsel's expert for Pediatrix common stock during the Class Period.
Neither $10.34 nor the Recognized Claim amount described herein is the amount
you will recover. The Recognized Claim is an amount that is used in determining
the pro-rata amount of the Settlement Fund you will recover. YOUR ACTUAL
RECOVERY WILL BE LESS THAN YOUR RECOGNIZED CLAIM, AND YOUR ACTUAL RECOVERY WILL
BE LESS THAN $10.34 PER SHARE.

         7. In determining Recognized Claims, brokerage commissions and all
other transaction costs shall be excluded from the calculation. Transactions
resulting in a gain shall not be included. With respect to Class Members who had
multiple purchases of Pediatrix common stock, Recognized Claims shall be
determined using the first-in-first-out basis, beginning with shares held as of
March 30, 1997.

         8. Pediatrix common stock or call options acquired during the Class
Period by means of a gift, inheritance or operation of law, are not eligible to
share in the Net Settlement

- -------------------

5 The Recognized Claim for Put Options is discounted to reflect the fact that
part of the sale price received for a Put Option is a time premium which is a
wasting asset that is essentially unrelated to the alleged inflation.



                                       11


Fund based on such acquisition unless the transferor or donor on such a
transaction would have been entitled to share in the Net Settlement Fund based
on his, her or its acquisition. If the transferor or donor submits a claim
relating to his, her or its acquisition of such shares or options, then any
claim submitted by the transferee or donee with respect to such shares or
options will be rejected.

VI. THE RIGHTS OF CLASS MEMBERS

         The Court has previously certified this Action to proceed as a class
action. Class members have the following rights pursuant to Rule 23(c)(2) of the
Federal Rules of Civil Procedure:

                  (a) Class members may share in the proceeds of the Settlement,
provided that you submit an acceptable Proof of Claim, as outlined in Section
VII below.

                  (b) Class members will be represented by the Lead Plaintiffs
and their counsel, unless you enter an appearance through counsel of your own
choice at your own expense. You are not required to retain your own counsel, but
if you do chose to do so, such counsel must file an appearance on your behalf on
or before [14 days prior to the Settlement Hearing] _________________, 2002, and
must serve copies of such an appearance on the attorneys listed in Section XI of
this Notice.

                  (c) Class members may object to the Settlement, the Plan of
Allocation or the attorneys' fees and/or expense application. Any Class member
may appear in person or by counsel and be heard to the extent allowed by the
Court in opposition to the fairness, reasonableness and adequacy of the
Settlement, the Plan of Allocation or the application for an award of attorneys'
fees and reimbursement of expenses, by following the procedures outlined in
Section IX below.

                  (d) Any Class member wishing to preserve appellate rights with
respect to any portion of the Settlement, the Plan of Allocation or application
for an award of attorneys' fees and reimbursement of expenses must timely
intervene as a party plaintiff pursuant to Rule 24 of the Federal Rules of Civil
Procedure to preserve such rights of appeal.

VII. FILING AND PROCESSING OF PROOFS OF CLAIM

         IN ORDER TO BE ELIGIBLE TO RECEIVE ANY DISTRIBUTION FROM THE SETTLEMENT
FUND, YOU MUST COMPLETE AND SIGN THE ATTACHED PROOF OF CLAIM AND RELEASE FORM
AND SEND IT BY PRE-PAID FIRST CLASS MAIL POST-MARKED ON OR BEFORE _____________,
2002, ADDRESSED AS FOLLOWS:

                              Claims Administrator
                    Pediatrix Medical Group, Inc. Sec. Litig.
                         c/o The Garden City Group, Inc.
                                  P.O. Box 9269
                        Garden City, New York 11530-9269




                                       12


         IF YOU DO NOT FILE A PROPER PROOF OF CLAIM FORM, YOU WILL NOT BE
ENTITLED TO ANY SHARE OF THE SETTLEMENT FUND.

         IF YOU ARE A CLASS MEMBER, YOU WILL BE BOUND BY THE SETTLEMENT AND
ORDER AND FINAL JUDGMENT OF THE COURT DISMISSING THIS LITIGATION, EVEN IF YOU DO
NOT FILE A PROOF OF CLAIM.

         All Proofs of Claim must be submitted by the date specified by this
Notice unless such period is extended by Order of the Court.

         Each Claimant shall be deemed to have submitted to the jurisdiction of
the United States District Court for the Southern District of Florida with
respect to his, her or its claim.

VIII. EXCLUSION FROM THE SETTLEMENT

         Notice of the pendency of this Action as a class action was given to
the members of the Class in June and July, 2001. Class members were notified of
their right to exclude themselves by filing a request for exclusion postmarked
on or before August 27, 2001. Persons and entities who filed requests for
exclusion may not share in this Settlement. Class members may no longer request
exclusion at this time.

IX. SETTLEMENT HEARING

         At the Settlement Hearing, the Court will determine whether to finally
approve this Settlement and Plan of Allocation and dismiss the Action and the
claims of the Class. The Settlement Hearing may be adjourned from time-to-time
by the Court without further written notice to the Class.

         At the Settlement Hearing, any Class member who has not properly filed
a request for exclusion from the Class may appear in person or by counsel and be
heard to the extent allowed by the Court in opposition to the fairness,
reasonableness and adequacy of the Settlement, the Plan of Allocation, or the
application for an award of attorneys' fees and reimbursement of expenses,
provided, however, that in no event shall any person be heard in opposition to
the Settlement, Plan of Allocation, and, or counsels' application for an award
of attorneys' fees and reimbursement of expenses and in no event shall any paper
or brief submitted by any such person be accepted or considered by the Court,
unless, on or before [14 days prior to the Settlement Hearing] such person (a)
files with the Clerk of Court notice of such person's intention to appear,
together with a statement that indicates the basis for such opposition, along
with any documentation in support of such objection, and (b) simultaneously
serves copies of such notice, statement and documentation, together with copies
of any other papers or briefs such person files with the Court, including the
identity of any witnesses to be called and any exhibits to be offered in
evidence, in person or by mail upon Plaintiffs' Co-Lead Counsel:




                                       13


         Michael J. Pucillo, Esq.                    John P. Coffey, Esq.
         Wendy H. Zoberman, Esq.                     Rochelle Feder Hansen, Esq.
         Berman DeValerio Pease                      Bernstein Litowitz Berger
           Tabacco Burt & Pucillo                      & Grossmann LLP
         515 N. Flagler Dr., Ste. 1701               1285 Avenue of the Americas
         West Palm Beach, FL 33401                   New York, NY 10019

and upon Defendants' counsel:

         Barry Rodney Davidson, Esq.                 Robert F. Wise, Jr., Esq.
         Hunton & Williams                           Davis Polk & Wardwell
         1111 Brickell Avenue                        450 Lexington Avenue
         Suite 2500                                  New York, NY 10017
         Miami, FL 33131-3136

         Unless otherwise ordered by the Court, any Class Member who does not
make his, her or its objection or opposition in the manner provided shall be
deemed to have waived such objection.

X. NOTICE TO BANKS, BROKERS OR OTHER NOMINEES

         A. If you purchased Pediatrix common stock or call options or sold
Pediatrix put options during the Class Period as a nominee for the benefit of
another, or were or are holding certificates of Pediatrix stock in your name as
nominee for someone who purchased Pediatrix stock during the Class Period, you
are directed within 10 business days from receipt of this Notice to either: (a)
provide the names and addresses of such persons to the Claims Administrator, c/o
Pediatrix Medical Group, Inc. Sec. Litig., The Garden City Group, Inc., P.O. Box
9269, Garden City, New York 11530-9269, Telephone: 1-888-212-5795, in which case
the beneficial owner will be sent a copy of the Notice and Proof of Claim Form;
or (b) request additional copies of this Notice, which will be provided to you
free of charge, and within seven (7) days of receipt of those copies mail the
Notice and Proof of Claim Form to the beneficial owners of the securities
referred to herein. You may receive reimbursement for your reasonable and actual
out-of-pocket disbursements that would not have been made but for this request
upon submission of an itemized statement to the Claims Administrator. If you
choose to follow alternative procedure (b), the Court has ordered that you must,
upon such mailing, send a statement to the Claims Administrator confirming that
the mailing was made as directed.

XI. FURTHER INFORMATION

         A. The pleadings and other records of the Class Action, may be examined
and copied at any time during regular office hours at the Office of the Clerk,
United States District Court, Southern District of Florida, 299 East Broward
Blvd., Ft. Lauderdale, FL 33301.

         B. ALL INQUIRIES CONCERNING THIS NOTICE OR THE PROOF OF CLAIM FORM BY
CLASS MEMBERS SHOULD BE MADE TO THE CLAIMS ADMINISTRATOR IN WRITING AT THE
ADDRESS LISTED ABOVE OR BY CALLING 1-888-212-5795.




                                       14


DO NOT CALL OR WRITE THE COURT OR THE OFFICE OF THE CLERK OF THE COURT FOR
INFORMATION OR ADVICE.

Dated:  ___________, 2002                     Clerk of the Court
                                              United States District Court
                                              Southern District of Florida






                                       15


                                                                       EXHIBIT 2

                          UNITED STATES DISTRICT COURT
                          SOUTHERN DISTRICT OF FLORIDA

                          CASE NO. 99-6181-CIV-GONZALEZ

SANDS POINT PARTNERS, L.P.,
et al. on behalf of themselves and
all others similarly situated,

                  Plaintiffs,

vs.

PEDIATRIX MEDICAL GROUP, INC.,
ROGER J. MEDEL, KARL B. WAGNER,
and LAWRENCE M. MULLEN,

                  Defendants.

                                  /
- ----------------------------------

                           PROOF OF CLAIM AND RELEASE

DEADLINE FOR SUBMISSION:  ___________________, 2002.

INSTRUCTIONS FOR FILING PROOF OF CLAIM

         In order for you to qualify to participate in the distribution
described in the Notice of Pro-posed Settlement of Class Action, Settlement
Fairness Hearing and Right to Share in Settlement Fund (the "Notice"), you must
execute and file a Proof of Claim and Release in the form attached hereto and
you must provide the required documentation to substantiate your claim. If you
fail to timely file a properly addressed (as set forth in P. 4 below) Proof of
Claim and Release, your claim may be rejected and you may be precluded from any
recovery from the Net Settlement Fund created in connection with the proposed
settlement of this class action.







                             REQUIREMENTS FOR FILING

         Your claim will be considered only upon compliance with all of the
following conditions:

1. You must accurately complete all portions of the attached Proof of Claim
form.

NOTE: The Proof of Claim contains purchase and sale schedules for Pediatrix
Medical Group, Inc.'s common stock, and call options and put options on the
stock. You must carefully complete these schedules. Do not omit to state any
potentially relevant information regarding your purchases and sales of Pediatrix
common stock or call options or put options. This information is necessary to
determine your share of any distributions. If you cannot list all transactions
in the spaces provided in the Proof of Claim form, or if you believe that you
must or should supply additional information with respect to any transaction,
attach additional sheets to the Proof of Claim supplying the required
information. You must be properly identified on each additional sheet of paper.
The date of purchase and sale is the "trade" or "contract" date, and not the
"settlement" or "payment" date. The purchase price is the price paid excluding
commissions or other expenses. The sales price is price received less
commissions or other expenses.

2. You must SIGN the Proof of Claim form.

NOTE: If the securities were or are owned jointly, all joint owners must sign
the Proof of Claim. Executors, administrators, guardians, conservators and
trustees may complete and sign the Proof of Claim on behalf of persons or
entities represented by them, but they must identify such persons or entities
and provide proof of their authority (for example, currently effective letters
testamentary or letter of administration) to complete and execute the Proof of
Claim. Any Proof of Claim submitted by legal representatives of a claimant must
be executed by all such representatives.

3. You must attach to the Proof of Claim form legible copies of broker
confirmation slips, monthly brokerage statements or other satisfactory proof
confirming your opening balance in



                                       2


Pediatrix common stock and/or call options and/or put options as of March 31,
1997 (the first day of the Class Period) as well as the particulars of each
purchase and sale you made of Pediatrix common stock and/or call options and/or
put options between March 31,1997 through and including April 2, 1999. IF ANY
SUCH DOCUMENTS ARE NOT IN YOUR POSSESSION, PLEASE OBTAIN A COPY OR EQUIVALENT
DOCUMENTS FROM YOUR BROKER OR TAX ADVISOR BECAUSE THESE DOCUMENTS ARE NECESSARY
TO PROVE AND PROCESS YOUR CLAIM.

4. You must mail the completed and signed Proof of Claim and supporting
documents by first-class mail, postage prepaid, postmarked no later than ,
_____________________, 2002 to:

                              Claims Administrator
               Pediatrix Medical Group, Inc. Securities Litigation
                         c/o The Garden City Group, Inc.
                                  P.O. Box 9269
                        Garden City, New York 11530-9269
                            Telephone: (888) 212-5795

         Your failure to complete and mail the Proof of Claim by that date may
preclude you from receiving any share of the available distributions. So that
you will have a record of the date of your mailing and its receipt by the Claims
Administrator, you are advised to use certified mail, return receipt requested.
PLEASE KEEP A COPY OF ALL DOCUMENTS THAT YOU SEND TO THE CLAIMS ADMINISTRATOR.




                                       3

                               REMINDER CHECKLIST:

1.       Please sign the verification and certification section of the Proof of
         Claim form.

2.       Remember to attach supporting documentation.

3.       Do not send original stock certificates.

4.       Keep a copy of your claim form and all supporting documentation for
         your records.

5.       If you desire an acknowledgment of receipt of your claim form, please
         send it Certified Mail, Return Receipt Requested.

6.       If you move, please promptly send the Claims Administrator your new
         address:

ANY PERSON WHO KNOWINGLY SUBMITS A FALSE PROOF OF CLAIM IS SUBJECT TO PENALTIES
FOR PERJURY AND OTHER VIOLATIONS OF FEDERAL LAW




                                       4

                              Claims Administrator
              Pediatrix Medical Group, Inc. Securities Litigation
                        c/o The Garden City Group, Inc.
                                 P.O. Box 9269
                        Garden City, New York 11530-9269
                           Telephone: (888) 212-5795

MUST BE POSTMARKED NO LATER THAN

________________________________ , 2002

CLASS MEMBER MUST COMPLETE AND TIMELY SUBMIT THIS FORM IN ORDER TO BE ELIGIBLE
TO PARTICIPATE IN ANY DISTRIBUTION OF THE NET SETTLEMENT FUND.

                                 PROOF OF CLAIM
                             (Please Print or Type)

I.       IDENTITY OF CLAIMANT

     (Complete only the applicable portions)

      __Individual          __Partnership        __Corporation

      __Estate              __Trust              __Two or more persons as joint
                                                   owners

       __IRA, Keogh or Other Type of Individual Retirement Plan _______Agent or
       Attorney (indicate type of plan, mailing address, and name of current
       custodian)

       __Other (Describe on separate sheet).

(Fill in only those of the following that are applicable to you)

A.       Name or Legal Name of Claimant:
                                         ---------------------------------------
         Mailing Address:
                          ------------------------------------------------------
         Telephone No.:   Day                       Evening
                              --------------------         ---------------------

B.       Legal Representative:
                               -------------------------------------------------
         Mailing Address:
                               -------------------------------------------------
         Telephone No.:   Day                       Evening
                              ---------------------         --------------------





                                       1


(LEGAL REPRESENTATIVE OF CLAIMANTS MUST ATTACH POWER OF ATTORNEY OR THE
INSTRUMENT SHOWING AUTHORITY TO ACT AS AGENT.)

         1. By submitting this Proof of Claim, I state that I believe in good
faith that I am a Class Member as defined above and in the Notice of Proposed
Settlement, Settlement Hearing And Right To Share In Settlement Fund (the
"Notice"), or am acting for such person; that I am not a Defendant in the action
or anyone excluded from the Class; that I have read and understand the Notice;
that I believe that I am entitled to receive a share of the Net Settlement Fund;
that I elect to participate in the proposed Settlement described in the Notice;
and that I have not filed a request for exclusion.

         2. I have set forth where requested below all relevant information with
respect to each purchase and/or sale of Pediatrix Medical Group, Inc. Common
Stock and/or Call Options and/or put options on Pediatrix Medical Group, Inc.
Common Stock, during the Class Period.

         3. I have enclosed photocopies of the stockbroker's confirmation slips,
stockbroker's statements or other documents evidencing each purchase and each
sale or retention of Pediatrix Medical Group, Inc. Common Stock and/or Call
Options and/or put options on Pediatrix Medical Group, Inc. Common Stock, listed
below in support of my claim.

         4. I understand that the information contained in this Proof of Claim
is subject to such verification as the Court may direct, and I agree to
cooperate in any such verification. I further agree and understand that if the
proposed Settlement is approved by the Court and becomes effective, all claims,
demands, or causes of action against any or all Defendants, and certain other
persons or entities further identified below, which have been or could have been
asserted relating to the subject matter of the Action will be satisfied,
discharged and extinguished forever.




                                       2


         5. Upon the occurrence of the Effective Date (as defined in the Notice)
my signature hereto will constitute a full and complete release, remise and
discharge by me or, if I am submitting this Proof of Claim on behalf of a
corporation, a partnership, estate or one or more other per-sons, by it, him,
her or them, and by my, its, his, her or their heirs, executors, administrators,
successors, and assigns, of each of the "Released Parties" of all "Released and
Settled Claims," as defined in the Notice.

II. TRANSACTIONS IN PEDIATRIX COMMON STOCK

SECTION B:     BEGINNING HOLDINGS: Number of shares of Common Stock of
               Pediatrix Medical Group, Inc. owned as of the close of trading on
               March 30, 1997:

SECTION P:     PURCHASES: of Pediatrix Medical Group, Inc. Common Stock
               between March 31, 1997 and April 2, 1999, inclusive. Except as
               described in Section V, paragraph ____ of the Notice, persons who
               received Pediatrix common stock during the Class Period other
               than by purchase -- e.g. by gift or inheritance -- are not
               entitled to file claims for those transactions:


Trade Date(s) of Purchase (Exercise Complete only if purchase was result or Assignment Date of option exercise or assignment. if obtained due to Aggregate Cost ------------------------------------ an option Number of Shares Purchase Price (excluding Enter "E" if transaction) (List of Common Stock Per Share of commission, Exercised or "A" Premium Paid or Chronologically) Purchased Common Stock taxes and fees) if Assigned Received ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- ---------------
3 SECTION S: SALES: of Pediatrix Medical Group, Inc. Common Stock between March 31, 1997 and April 2, 1999, inclusive. (Please list in chronological order.)
Complete only if purchase was result of option exercise or assignment. Trade Date(s) of Total Proceeds ------------------------------------ Sale (List Number of Shares Sale Price (excluding Enter "E" if Chronologically) of Common Stock Per Share of commission, Exercised or "A" Premium Paid or Month/Day/Year Sold Common Stock taxes and fees) if Assigned Received ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- --------------- $ $ ------------------ ---------------- -------------- --------------- ---------------- ---------------
SECTION U: UNSOLD: Number of shares of Pediatrix Medical Group, Inc. Common Stock owned as of April 2, 1999: III. TRANSACTIONS IN CALL OPTIONS ON PEDIATRIX COMMON STOCK. SECTION B: BEGINNING POSITION: Number of Contracts of Call Options1 for Pediatrix Medical Group, Inc. Common Stock owned as of the close of trading on March 30, 1997, in a short or long position:
Number of Call Month and Strike Price of Total Amount Paid for Call Option Contracts Options (i.e., Aug 20) Option (ONLY if exercised) ---------------- ------------------------- -------------------------- ---------------- ------------------------- -------------------------- ---------------- ------------------------- -------------------------- ---------------- ------------------------- --------------------------
- ----------------------- 1 Each Call Option contract covers 100 shares of Pediatrix Common Stock. 4 SECTION P: PURCHASES: of Call Options for Pediatrix Medical Group, Inc. Common Stock between March 31, 1997 and April 2, 1999, inclusive. (Please list in chronological order.)
Total Amount Paid for Call Option Trade Date(s) of Number of Month and (excluding Enter "E" Exercised Purchase (List Call Option Strike Price commissions, taxes Exercised or "X" Date Chronologically) Contracts (i.e., Aug 20) and fees, omit cents) if expired mm/dd/yy - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------
SECTION S: SALES: of Call Options for Pediatrix Medical Group, Inc. Common Stock between March 31, 1997 and April 2, 1999, inclusive. (Please list in chronological order.)
Total Amount Paid for Call Option Trade Date(s) of Number of Month and (excluding Enter "E" Exercised Purchase (List Call Option Strike Price commissions, taxes Exercised or "X" Date Chronologically) Contracts (i.e., Aug 20) and fees, omit cents) if expired mm/dd/yy - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------
SECTION U: UNSOLD: Number of contracts of Call Options for Pediatrix Medical Group, Inc. Common Stock held as of April 2, 1999 in a short or long position: Month and Strike Price Number of Call of Options Option Contracts (i.e., Aug 20) ---------------- ---------------------- ---------------- ---------------------- ---------------- ---------------------- ---------------- ---------------------- 5 IV. TRANSACTIONS IN PUT OPTIONS ON PEDIATRIX'S COMMON STOCK SECTION B: BEGINNING HOLDINGS: Number of Contracts of Put Options2 for Pediatrix Medical Group, Inc. Common Stock owned as of the close of trading on March 30, 1997, in a short or long position:
Number of Put Month and Strike Price of Total Amount Paid for Option Contracts Options (i.e., Aug 20) Put Option (ONLY if exercised) ---------------- ------------------------- ------------------------------ ---------------- ------------------------- ------------------------------ ---------------- ------------------------- ------------------------------ ---------------- ------------------------- ------------------------------
SECTION S: SALES: of Put Options for Pediatrix Medical Group, Inc. Common Stock between March 31, 1997 and April 2, 1999, inclusive. (Please list in chronological order.)
Total Amount Paid for Call Option Trade Date(s) of Number of Month and (excluding Enter "E" Exercised Purchase (List Call Option Strike Price commissions, taxes Exercised or "X" Date Chronologically) Contracts (i.e., Aug 20) and fees, omit cents) if expired mm/dd/yy - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------
- -------------------- 2 Each Call Option contract covers 100 shares of Pediatrix Common Stock. 6 SECTION P: PURCHASES: of Put Options for Pediatrix Medical Group, Inc. Common Stock between March 31, 1997 and April 2, 1999, inclusive. (Please list in chronological order.)
Total Amount Paid for Call Option Trade Date(s) of Number of Month and (excluding Enter "E" Exercised Purchase (List Call Option Strike Price commissions, taxes Exercised or "X" Date Chronologically) Contracts (i.e., Aug 20) and fees, omit cents) if expired mm/dd/yy - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------ $ - --------------------- ----------------- ----------------- ---------------------- ------------------ ------------------
SECTION U: UNSOLD: Number of contracts of Put Options for Pediatrix Medical Group, Inc. Common Stock held as of April 2, 1999 in a short or long position: Month and Strike Price Number of Put of Options Option Contracts (i.e., Aug 20) ---------------- ----------------------- ---------------- ----------------------- ---------------- ----------------------- ---------------- ----------------------- V. SUBSTITUTE FORM W-9 Request for Taxpayer Identification Number: Enter taxpayer identification number below for the Beneficial Owner(s). For most individuals, this is your Social Security number. The Internal Revenue Service ("I.R.S.") requires such taxpayer identification number. If you fail to provide this information, your claim may be rejected. Social Security Number - ------------------------------------------- (for individuals) or Employer Identification Number - ------------------------------------------- (for estates, trusts, corporations, etc.) 7 VI. CERTIFICATION UNDER THE PENALTIES OF PERJURY, I (WE) CERTIFY THAT ALL OF THE INFORMATION PROVIDED ON THIS FORM IS TRUE, CORRECT AND COMPLETE I (We) certify that I am (we are) NOT subject to backup withholding under the provisions of Section 3406 (a)(1)(c) of the Internal Revenue Code because: (a) I am (We are) exempt from backup withholding, or (b) I (We) have not been notified by the I.R.S. that I am (we are) subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the I.R.S. has notified me (us) that I am (we are) no longer subject to backup withholding. NOTE: If you have been notified by the I.R.S. that you are subject to backup withholding, please strike out the language that you are not subject to backup withholding in the certification above. SIGNATURE OF CLAIMANT(S): (if this claim is being made on behalf of Joint Claimants, then each must sign.) - -------------------------------------- ------------------------------------- (Signature) (Signature) Date: ----------------------------- 8 EXHIBIT 3 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA CASE NO. 99-6181-CIV-GONZALEZ SANDS POINT PARTNERS, L.P., et al., on behalf of themselves and all others similarly situated, Plaintiffs, -against- PEDIATRIX MEDICAL GROUP, INC., ROGER J. MEDEL, KARL B. WAGNER and LAWRENCE M. MULLEN Defendants. / - ------------------------------------ SUMMARY NOTICE OF PROPOSED SETTLEMENT AND SETTLEMENT HEARING TO: ALL PERSONS AND ENTITIES ("THE CLASS") WHO PURCHASED COMMON STOCK OR CALL OPTIONS, OR SOLD PUT OPTIONS OF PEDIATRIX MEDICAL GROUP, INC. BETWEEN MARCH 31, 1997 AND APRIL 2, 1999, INCLUSIVE (THE "CLASS PERIOD") YOU ARE HEREBY NOTIFIED, pursuant to Rule 23 of the Federal Rules of Civil Procedure and an order of the United States District Court for the Southern District of Florida, dated ________________, 2002, that a hearing will be held on ________________, 2002, at __________, before the Honorable Jose A. Gonzalez, Jr., at the United States Courthouse, 299 East Broward Blvd., Fort Lauderdale, Florida 33301, for the purpose of determining: (i) whether the proposed settlement of the above Action for the principal amount of Twelve Million Dollars ($12,000,000) cash, plus accrued interest, should be approved by the Court as fair, reasonable and adequate; (ii) whether an Order and Final Judgment approving the Settlement and dismissing this Action on the merits and with prejudice should be entered; and (iii) whether the application of Plaintiffs' counsel for the payment of attorneys' fees and expenses are reasonable and should be approved. IF YOU ARE A MEMBER OF THE CLASS DESCRIBED ABOVE, YOUR RIGHTS WILL BE AFFECTED AND YOU MAY BE ENTITLED TO SHARE IN THE SETTLEMENT FUND. If you have not yet received the full printed Notice of Proposed Settlement of Class Action, Settlement Fairness Hearing, and Right to Share in Settlement Fund and a Proof of Claim form, you may obtain copies of these documents by identifying yourself as a member of the Class and writing to: Claims Administrator Pediatrix Medical Group, Inc. Securities Litigation c/o The Garden City Group, Inc. P.O. Box 9269 Garden City, New York 11530-9269 Telephone: (888) 212-5795 All inquiries other than requests for the forms of Notice and Proof of Claim, should be made in writing, addressed to Plaintiffs' Co-Lead Counsel: Michael J. Pucillo, Esq. John P. Coffey, Esq. Wendy H. Zoberman, Esq. Rochelle Feder Hansen, Esq. Berman DeValerio Pease Bernstein Litowitz Berger Tabacco Burt & Pucillo & Grossmann LLP 515 N. Flagler Dr., Suite 1701 1285 Avenue of the Americas West Palm Beach, FL 33401 New York, NY 10019 (561) 835-9400 (212) 554-1400 To participate in the Settlement, you must file a Proof of Claim no later than _______________, 2002. IF YOU ARE A CLASS MEMBER AND DO NOT FILE A PROPER, TIMELY PROOF OF CLAIM, YOU WILL NOT SHARE IN THE SETTLEMENT BUT YOU WILL BE BOUND BY THE FINAL ORDER AND JUDGMENT OF THE COURT. 2 PLEASE DO NOT CALL OR WRITE THE COURT OR THE OFFICE OF THE CLERK OF THE COURT FOR INFORMATION OR ADVICE. Dated: _______________ BY ORDER OF THE United States District Court Southern District of Florida 3 EXHIBIT B UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA CASE NO. 99-6181-CIV-GONZALEZ SANDS POINT PARTNERS, L.P., et al. on behalf of themselves and all others similarly situated, Plaintiffs, vs. PEDTATRIX MEDICAL GROUP, INC., ROGER J. MEDEL, KARL B. WAGNER, and LAWRENCE M. MULLEN, Defendants. / - ------------------------------------- ORDER AND FINAL JUDGMENT On this _____ day of ________________, 2002, a hearing having been held before this Court to determine: (1) whether the terms and conditions of the Stipulation and Agreement of Settlement, dated as of ________________, 2002 (the "Stipulation") are fair, adequate and reasonable for the settlement of all claims asserted by the Class against the Defendants in the Complaint now pending in this Court under the above caption, including the release of the Defendants and the Released Parties and should be approved; (2) whether judgment should be entered dismissing the Complaint on the merits and with prejudice in favor of the Defendants as against all persons or entities who are members of the Class herein who have not requested exclusion therefrom; (3) whether to approve the Plan of Allocation as a fair and reasonable method to allocate the settlement proceeds among the members of the Class; and (4) whether and in what amount to award counsel for Plaintiffs and the Class fees and reimbursement of expenses. On November 6, 2000, this Court, pursuant to Rules 23(a) and (b)(3) certified a class consisting of: All persons who purchased Pediatrix Medical Group, Inc. ("Pediatrix") common stock, purchased Pediatrix call options, or sold Pediatrix put options between March 31, 1997 and April 2, 1999, inclusive (the "Class Period"). Excluded from the Class are Pediatrix, its subsidiaries and affiliates, the Individual Defendants, members of the immediate families of each of the Individual Defendants, and any entities in which any of the Defendants has a controlling interest, and the legal representatives, heirs, successors, affiliates or assigns of any of the foregoing excluded persons and entities. Also excluded from the Class are the persons and/or entities who requested exclusion from the Class as listed on Exhibit A annexed hereto. The Court having considered all matters submitted to it at the hearing and otherwise; and it appearing that a Notice of the hearing substantially in the form approved by the Court was mailed to all persons or entities reasonably identifiable, who purchased common stock or call options or sold put options of Pediatrix Medical Group, Inc., during, the Class Period, except those persons or entities excluded from the definition of the Class, and that a Publication Notice of the hearing substantially in the form approved by the Court was published over the BUSINESS WIRE and in INVESTORS BUSINESS DAILY pursuant to the specifications of the Court; and the Court having considered and determined the fairness and reasonableness of the award of attorneys' fees and expenses requested; and all capitalized terms used herein having the meanings as set forth and defined in the Stipulation. NOW, THEREFORE, IT IS HEREBY ORDERED THAT: 1. The Court has jurisdiction over the subject matter of the Action, the Lead Plaintiffs, all other Class Members and the Defendants. 2 2. Pursuant to and in accordance with the requirements of Rule 23, the Settlement as set forth in the Stipulation is approved as fair, reasonable and adequate, and in the best interests of the Class, and the Class Members and the parties are directed to consummate the Stipulation in accordance with its terms and provisions. 3. The distribution of the Notice of Proposed Settlement of Class Action, Settlement Fairness Hearing, and Right to Share in Settlement Fund, and publication of the Summary Notice of Proposed Settlement and Settlement Hearing as provided in the Preliminary Order in Connection with Settlement Proceedings constituted the best notice practicable under the circumstances to all Class Members, and fully met the requirements of Rule 23 of the Federal Rules of Civil Procedure, due process, the United States Constitution, and any other applicable law. 4. The Complaint is hereby dismissed with prejudice and without costs, except as provided in the Stipulation, as against Pediatrix, the Individual Defendants, their past or present subsidiaries, parents, affiliates, partners, successors and predecessors, officers, directors, shareholders, insurers, reinsurers, agents, employees, attorneys, advisors, and investment advisors, auditors, accountants and any person, firm, trust, corporation, officer, director or other individual or entity in which any Defendant has a controlling interest or which is related to or affiliated with any of the Defendants, and the legal representatives, heirs, successors in interest or assigns of the Defendants. 5. Lead Plaintiffs and the other Members of the Class and the successors and assigns of any of them, are hereby permanently barred and enjoined from instituting, commencing or prosecuting, either directly or in any other capacity, any Released and Settled Claims against any of the Released Parties. The Released and Settled Claims are hereby compromised, settled, 3 released, discharged and dismissed as against the Released Parties on the merits and with prejudice by virtue of the proceedings herein and this Order and Final Judgment. 6. The Defendants, the Released Parties, and the successors and assigns of any of them, are hereby permanently barred and enjoined from instituting, commencing or prosecuting, either directly or in any other capacity, any Released and Settled Defendants' Claims against any of the Lead Plaintiffs, the Jacksonville Police & Fire Pension Fund, other Class Members or their attorneys. The Released and Settled Defendants' Claims are hereby compromised, settled, released, discharged and dismissed on the merits and with prejudice by virtue of the proceedings herein and this Order and Final Judgment. 7. Neither the Stipulation, nor any of its terms and provisions, nor any of the negotiations or proceedings connected with it, nor any of the documents or statements referred to therein shall be: a. offered or received against the Defendants as evidence of or construed as or deemed to be evidence of any presumption, concession, or admission by any of the Defendants of the truth of any fact alleged by Plaintiffs or the validity of any claim that has been or could have been or could be asserted in the Action or in any litigation, or the deficiency of any defense that has been or could have been asserted in the Action or in any litigation, or of any liability, negligence, fault, or wrongdoing of the Defendants; b. offered or received against the Defendants as evidence of a presumption, concession or admission of any fault, misrepresentation or omission with respect to any statement or written document approved or made by any Defendant, or against the Lead Plaintiffs or the other members of the Class as evidence of any infirmity in the claims of Lead Plaintiffs and the other members of the Class; 4 c. offered or received against the Defendants as evidence of a presumption, concession or admission of any liability, negligence, fault or wrongdoing, or in any way referred to for any other reason as against any of the parties to the Stipulation, in any other civil, criminal or administrative action or proceeding, other than such proceedings as may be necessary to effectuate the provisions of the Stipulation; d. construed against the Defendants or the Lead Plaintiffs and the other members of the Class as an admission or concession that the consideration to be given hereunder represents the amount which could be or would have been recovered after trial; and e. construed as or received in evidence as an admission, concession or presumption against Lead Plaintiffs or the other members of the Class or any of them that any of their claims are without merit or that damages recoverable under the Complaint would not have exceeded the Settlement Fund. 8. The Plan of Allocation is approved as fair and reasonable, and in the best interests of the Class, and Plaintiffs' Co-Lead Counsel and the Claims Administrator are directed to administer the Stipulation in accordance with its terms and provisions. 9. Counsel for Lead Plaintiffs and the other members of the Class are hereby awarded ___% of the Gross Settlement Fund as and for their attorneys' fees, which sum the Court finds to be fair and reasonable, and $__________ in reimbursement of expenses, which shall be paid to Plaintiffs' Co-Lead Counsel from the Settlement Fund with interest from the date such Settlement Fund was funded to the date of payment at the same rate that the Settlement Amount earns. The award of attorneys' fees shall be allocated among Plaintiffs' Counsel in a fashion which, in the opinion of Plaintiffs' Co-Lead Counsel, fairly compensates Plaintiffs' Counsel for their respective contributions in the prosecution of the Action. 5 10. In setting the foregoing counsel fee, as a percentage of the common fund recovery obtained for the Class herein, this Court has considered the following factors set forth in CAMDEN 1 CONDOMINIUM ASSOCIATION, INC. V. DUNKLE, 946 F. 2d 768 (11th Cir. 1991); (1) the novelty and complexity of the federal securities law issues involved; (2) the favorable result obtained for the Class; (3) the fact that this action was prosecuted on a contingent fee basis; (4) the experience of counsel on both sides; and (5) the fee customarily awarded for such litigation in this District and other courts in this Circuits. 11. The Court finds that during the course of this Action, the parties and their respective counsel at all times complied with the requirements of Federal Rule of Civil Procedure 11. 12. Exclusive jurisdiction is hereby retained over the parties and the Class Members for all matters relating to this litigation, including the administration, interpretation, effectuation or enforcement of the Stipulation and this Order and Final Judgment, and including any application for fees and expenses incurred in connection with administering and distributing the settlement proceeds to the members of the Class. 13. An appeal of the portion of this Order which awards attorneys' fees or expenses, shall have no effect whatsoever on the finality of any other portion of this Order and Final Judgment or the Effective Date of the Settlement as provided in the Stipulation. Class Members appealing this Order and Final Judgment or any portion thereof, must first timely intervene pursuant to Federal Rule of Civil Procedure 24. 14. Without further order of the court, the parties may agree to reasonable extensions of time to carry out any of the provisions of the Stipulation. 15. There is no just reason for delay in the entry of this Order and Final Judgment and immediate entry by the Clerk of the Court is expressly directed pursuant to Rule 54(b) of the Fed. R. Civ. P. DONE AND ORDERED, in Chambers at Miami, Miami-Dade County, Florida, this __ day of _____________, 2002. ------------------------------------- THE HONORABLE JOSE A. GONZALEZ, JR. UNITED STATES DISTRICT COURT JUDGE Copies furnished to all counsel on the attached Service List 6

                                  EXHIBIT 21.1
                            SUBSIDIARIES OF PEDIATRIX

1.       PMG Acquisition Corporation

2.       Pediatrix Medical Group of Delaware, Inc.

3.       Pediatrix Medical Group of Florida, Inc.

              Neonatal Associates of Northwest Florida, P.A.

4.       Florida Regional Neonatal Associates, P.A.

5.       Obstetrix Medical Group, Inc.

              Obstetrix Medical Group of Florida, Inc.

              Obstetrix Medical Group of Delaware, Inc.

6.       Magella Healthcare Corporation

              Magella Nevada, LLC

              Magella Texas, LLC

                  Magella Healthcare Group, L.P.

                           Mountain States Neonatology, Inc.

                           Ozark Neonatal Associates, Inc.

              Alaska Neonatology Associates, Inc.



                                                                    Exhibit 23.1

               CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

Board of Directors and Shareholders of
Pediatrix Medical Group, Inc.

We hereby consent to the incorporation by reference in the Registration
Statements on Form S-8 (File Nos. 333-97672, 333-07057, 333-07059, 333-07061,
333-37937 and 333-77779) of Pediatrix Medical Group, Inc. of our report dated
January 31, 2002, except as to the fourth paragraph of Note 9 which is as of
February 28, 2002, relating to the consolidated financial statements and
financial statement schedule of Pediatrix Medical Group, Inc., which appears in
this Form 10-K.

PricewaterhouseCoopers LLP

Fort Lauderdale, Florida
March 28, 2002