UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K/A CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of earliest event reported: October 1, 1997 ----------------------------------- UCI Medical Affiliates, Inc. (Exact name of registrant as specified in its charter) Delaware 0-13265 59-2225346 (State or other jurisdiction of incorporation) (Commission File Number) (IRS Employer Identification No.) 1901 Main Street, Suite 1200, Mail Code 1105, Columbia, South Carolina 29201 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (803) 252-3661 ----------------------- No Change (Former name or former address, if changed since last report.) This document contains a total of 22 pages. This Form 8-K/A amends the Form 8-K filed with the Securities and Exchange Commission on October 15, 1997 by UCI Medical Affiliates, Inc., a Delaware corporation (the "Company"), and is filed to include the financial statements required by Item 7 of Form 8-K. Item 7. Financial Statements and Exhibits a) Financial Statements of Business Acquired The financial statements for Progressive Therapy Services, P.A., the business acquired by the wholly-owned subsidiary of the Company, are included in this report beginning on page number three (3). b) Pro Forma Financial Information The pro forma financial information for Progressive Therapy Services, P.A., the business acquired by the wholly-owned subsidiary of the Company, is included in this report following the financial information herein in response to Item 7(a) above. c) Exhibits The following exhibit is incorporated by reference to the exhibit of the same number filed with the Company's Form 8-K filed on October 15, 1997. Exhibit 2.1 - Asset Purchase Agreement and Plan of Reorganization (the "Agreement") executed on October 8, 1997, to be effective October 1, 1997, by, between and among UCI Medical Affiliates, Inc., a Delaware corporation ("UCI"); UCI Medical Affiliates of South Carolina, Inc., a South Carolina corporation and wholly-owned subsidiary of UCI ("UCI of SC"), Doctor's Care, P.A., a South Carolina professional corporation ("Doctor's Care"); Progressive Therapy Services, P.A., a South Carolina professional corporation ("Progressive"); Bar-Ed, Professional Corporation, a South Carolina professional corporation ("Bar-Ed"); Barry E. Fitch, PT ("Fitch"); H. Edward Wimberly, PT ("Wimberly"); Walter Kris Merschat, OTR/L ("Merschat"); and Michael B. Norton, DC ("Norton"). Report on Audits of the Financial Statements of Progressive Therapy Services, P.A. as of December 31, 1996 and 1995 Contents Page Report of Independent Accountants.............................................5 Progressive Therapy Services, P.A. Financial Statements as of December 31, 1996 and 1995......................................6-13 UCI Medical Affiliates, Inc. Pro Forma Combining Financial Statements Combining Balance Sheet at September 30, 1996...........................14 Notes to Combining Balance Sheet........................................15 Combining Statement of Operations and Accumulated Deficit for year ended September 30, 1996....................................16 Notes to Combining Statement of Operations and Accumulated Deficit......17 UCI Medical Affiliates, Inc. Pro Forma Combining Financial Statements Combining Balance Sheet at June 30, 1997................................18 Notes to Combining Balance Sheet........................................19 Combining Statement of Operations and Accumulated Deficit for the nine months ended June 30, 1997............................20 Notes to Combining Statement of Operations and Accumulated Deficit......21 Report of Independent Accountants Board of Directors UCI Medical Affiliates, Inc. We have audited the accompanying balance sheets of Progressive Therapy Services, P.A. ("Progressive") as of December 31, 1996 and 1995 and the related statements of operations, changes in stockholders' equity, and cash flows for the years then ended. These financial statements are the responsibility of the Progressive's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards 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. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Progressive Therapy Services, P.A. as of December 31, 1996 and 1995, and the results of its operations and its cash flows for the years then ended in conformity with generally accepted accounting principles. The financial statements have been prepared solely from the accounts of Progressive Therapy Services, P.A. and do not include the personal accounts of the stockholders or those of any other operations in which they may be engaged. Columbia, South Carolina December 5, 1997 ORIGINAL SIGNED OPINION ON SCOTT, HOLLOWAY & MCELVEEN, LLP LETTERHEAD IS ON FILE IN THE CORPORATE OFFICE OF UCI Progressive Therapy Services, P.A. Balance Sheets December 31, 1996 1995 ------------------- ------------------- Assets Current assets: Cash and cash equivalents $ 11,728 $ 5,370 Accounts receivable, net 147,658 115,534 ------------------- ------------------- Total current assets 159,386 120,904 ------------------- ------------------- Property and equipment, net 354,225 234,646 Other assets 30,247 25,220 ------------------- ------------------- 384,472 259,866 ------------------- ------------------- Total assets $ 543,858 $ 380,770 =================== =================== Liabilities and Stockholders' Equity Current liabilities: Accounts payable and accrued expenses $ 33,566 $ 25,435 Line of credit payable 20,000 - Current maturities of capital leases 28,372 3,082 Current maturities of long-term debt 31,293 23,289 ------------------- ------------------- Total current liabilities 113,231 51,806 Capital leases payable, net of current portion 104,573 15,075 Long-term debt, net of current portion 225,598 166,891 ------------------- ------------------- Total liabilities 443,402 233,772 ------------------- ------------------- Stockholders' equity Capital stock, $1 par value; 100,000 shares authorized; 400 shares issued and outstanding 400 400 Additional paid-in-capital 19,491 9,600 Retained earnings 80,565 136,998 ------------------- ------------------- Stockholders' equity 100,456 146,998 ------------------- ------------------- Total liabilities and stockholders' equity $ 543,858 $ 380,770 =================== =================== The accompanying notes are an integral part of these financial statements. Progressive Therapy Services, P.A. Statements of Operations for the years ended December 31, 1996 1995 ------------------ ------------------ Net medical revenue $ 964,405 $ 609,966 Operating costs 792,387 459,906 ------------------ ------------------ Operating margin 172,018 150,060 Depreciation and amortization 48,847 36,708 General and administrative expenses 122,562 79,170 ------------------ ------------------ Income from operations 609 34,182 Interest expense 30,414 17,622 ------------------ ------------------ Net (loss) income $ (29,805) $ 16,560 ================== ================== The accompanying notes are an integral part of these financial statements. Progressive Therapy Services, P.A. Statements of Changes in Stockholders' Equity for the years ended December 31, 1996 and 1995 Additional Total Capital Paid in Retained Stockholders' Stock Capital Earnings Equity -------------- --------------- -------------- ------------------- Balance, January 1, 1995 $ 400 $ 9,600 $ 120,438 $ 130,438 Net income - - 16,560 16,560 -------------- --------------- -------------- ------------------- Balance, December 31, 1995 400 9,600 136,998 146,998 Bar-Ed capital contribution - 9,891 - 9,891 Distributions to shareholders - - (26,628) (26,628) Net loss - - (29,805) (29,805) -------------- --------------- -------------- ------------------- Balance, December 31, 1996 $ 400 $ 19,491 $ 80,565 $ 100,456 ============== =============== ============== =================== The accompanying notes are an integral part of these financial statements. Progressive Therapy Services, P.A. Statements of Cash Flows for the years ended December 31, 1996 1995 ------------------ ------------------ Operating activities: Net (loss) income $ (29,805) $ 16,560 Adjustments to reconcile net (loss) income to cash (used) provided by operating activities: Depreciation and amortization 48,847 36,708 (Increase) decrease in cash surrender value of life insurance (7,791) 2,732 Decrease (increase) in other assets 2,764 (11,671) Changes in operating assets and liabilities: Accounts receivable (32,124) (17,752) Accounts payable and accrued expenses 8,131 12,115 ------------------ ------------------ Cash (used) provided by operating activities (9,978) 38,692 ------------------ ------------------ Investing activities: Purchases of property and equipment (52,785) (4,655) Proceeds from sale of property and equipment 3,500 - ------------------ ------------------ ------------------ ------------------ Cash used by investing activities (49,285) (4,655) ------------------ ------------------ Financing activities: Net borrowings under line of credit agreement 20,000 - Capital investment in Bar-Ed Corporation 9,891 - Repayments on capital leases (4,353) (1,624) Proceeds from borrowings on long-term debt 90,000 - Repayments on long-term debt (23,289) (27,669) Distributions to shareholders (26,628) - ------------------ ------------------ Cash provided (used) by financing activities 65,621 (29,293) ------------------ ------------------ Net increase in cash and cash equivalents 6,358 4,744 Cash and cash equivalents, beginning of year 5,370 626 ------------------ ------------------ Cash and cash equivalents, end of year $ 11,728 $ 5,370 ================== ================== Supplemental cash flow information: Cash paid for interest $ 30,414 $ 17,622 ============== ================== The accompanying notes are an integral part of these financial statements. Progressive Therapy Services, P.A. Notes to Financial Statements Note 1. Significant Accounting Policies Organization -Progressive Therapy Services, P.A. and its affiliate, Bar-Ed, Professional Corporation, (collectively referred to as "Progressive"), own and operate a physical therapy practice at three locations in metropolitan Columbia, South Carolina, and at one location in North Augusta, South Carolina. The financial statements have been prepared solely from the accounts of Progressive Therapy Services, P.A. and its affiliate, Bar-Ed, Professional Corporation, and do not include the personal accounts of the stockholders or those of any other activities in which they may be engaged. The accompanying financial statements present the combined assets, liabilities, equity and operations of the two entities because they operate under common control. All significant intercompany transactions and balances have been eliminated. Management makes estimates that are a necessary part of the preparation of financial statements. These estimates include the useful lives of equipment, some of which is subject to technological obsolescence, and the net realizable value of patient accounts receivable. At December 31, 1996, management is not aware of any conditions that could significantly affect the estimates employed in the preparation of the financial statements. Accounts Receivable - Accounts receivable represents amounts due from patients, employers and various third-party payors. Provisions for uncollectable amounts are made based on management's estimates of future collectability and historical payment percentages. Property and Equipment - Property and equipment is reported at cost. Depreciation for financial reporting purposes is computed using accelerated methods for furniture and equipment and by the straight-line method for buildings. Estimated useful lives range from five to seven years for equipment and 31 years for buildings. Depreciation expense includes the amortization of capital lease assets. Maintenance, repairs and the cost of minor equipment are charged to expense. Major renewals or betterments, which prolong the life of the assets, are capitalized. Upon disposal of depreciable property, the asset accounts are reduced by the related cost and accumulated depreciation. The resulting gains and losses are reflected in the statements of operations. Income Taxes - Progressive has elected S Corporation status as is provided by the Internal Revenue Code. Under this election, the revenues and expenses are reported on the personal income tax returns of the shareholders. Accordingly, the accompanying financial statements have no provision for income tax expense. Cash Equivalents - Progressive considers all short-term debt instruments with a maturity of three months or less at the date of acquisition to be cash equivalents. Supplemental disclosure of non-cash financing and investing activities: During 1996 and 1995, Progressive placed into service certain medical equipment and furniture totaling $119,141 and $19,791, respectively, acquired under capital leases. Fair Value of Financial Investments - The fair value of accounts receivable and accrued expenses payable are estimated by management to approximate their respective carrying values. All significant long-term borrowings are under variable rate terms. Accordingly, management estimates the fair value of long-term debt approximates it carrying value. Note 2. Description of Leasing Arrangements Progressive leases certain medical equipment under capital leases expiring on various dates through August 2001. At the end of the lease terms, Progressive is generally transferred title to the leased equipment. In some cases, the payment of a fee representing residual value is required. Included in property and equipment are the following assets held under capital leases: 1996 1995 ------------------- ------------------ Office and medical equipment $ 138,922 $ 19,781 Less, accumulated amortization 38,829 3,956 ------------------- ------------------ $ 100,093 $ 15,825 =================== ================== The following is a schedule by years of the future minimum lease payments under capital leases together with the present value of the net minimum lease payments as of December 31, 1996. 1997 $ 48,515 1998 51,493 1999 45,502 2000 24,914 2001 9,984 ------------------ Total minimum lease payments 180,408 Less amounts representing interest 47,463 ------------------- Present value of minimum lease payments 132,945 Less current portion of lease obligations 28,372 ------------------- Capital lease obligations $ 104,573 =================== Note 3. Property and Equipment At December 31, 1996 and 1995, property and equipment consisted of the following: 1996 1995 ------------------ ------------------ Land $ 65,000 $ 68,500 Building 125,000 125,000 Office and medical equipment 223,552 82,563 Furniture and fixtures 32,483 2,955 Vehicles 93,960 93,960 ----------------- ------------------ 539,995 372,978 Accumulated depreciation 185,770 138,332 ----------------- ------------------ Furniture and equipment, net $ 354,225 $ 234,646 ================= ================== Note 4. Long-term Debt Progressive's long-term debt at December 31, 1996 and 1995 follows: 1996 1995 ----------------- ------------------ Note payable to a stockholder in monthly payments of $226, including principal and interest at 6.5%, maturing June, 1998, unsecured $ 3,867 $ 6,244 Note payable to an individual in monthly payments of $389, including principal and interest at 8.0%, maturing April, 2000, unsecured 13,641 17,075 Variousequipment notes payable to banks bearing interest at rates ranging from 6.5% to7.7%, maturing August, 1998, collateralized by vehicles 18,043 29,092 Mortgage payable to a bank in monthly payments of $1,519 bearing interest at 8.75%, maturing May, 2008, collateralized by real estate 131,340 137,769 Note payable to a bank in monthly payments of $535, bearing interest at 9.7%, maturing December, 1998, secured by business assets 40,000 - ----------------- ------------------ Note payable to a bank in monthly payments of $804, bearing interest at 10.1%, maturing October, 2003, secured by business assets 50,000 - ----------------- ------------------ 256,891 190,180 Less, current portion long-term debt 31,293 23,289 ----------------- ------------------ $ 225,598 $ 166,891 ================= ================== Certain of Progressive's borrowings are personally guaranteed by its principal stockholders. The aggregate maturities of long-term debt as of December 31, 1996 are as follows: Maturing during the year ended December 31, 1997 $ 31,293 1998 29,705 1999 53,572 2000 17,767 2001 and thereafter 124,554 ------------------ $ 256,891 ================== Note 5. Related Party Transactions The stockholders participate in the medical activities of Progressive. All payments for services and benefits to the stockholders are recorded as salaries and contract services and are included in cost of operations in the financial statements. For the periods ended December 31, 1996 and 1995, amounts paid to the stockholders totalled approximately $37,000 and $35,000, respectively. Note 6. Concentration of Credit Risk In the normal course of providing health care services, Progressive extends credit to patients in its service area without requiring collateral. Each individual's ability to pay balances due Progressive is assessed and reserves are established to provide for management's estimate of uncollectable balances. Future revenues of Progressive are largely dependent on third-party payors and include Medicare and private insurance companies. The amount of loss Progressive would incur in the event of non-payment by the counter party is the amount of the patient billing. Note 7. Contingencies At December 31, 1996, management and its legal counsel are not aware of any pending or threatened litigation, or unasserted claims against Progressive that could result in losses, if any, that would be material to the financial statements. Note 8. Subsequent Event On October 8, 1997, UCI Medical Affiliates of South Carolina, Inc. ("UCI") acquired the accounts receivable, certain office and medical equipment and substantially all of Progressive's intangible assets (including patient lists and goodwill) for $856,756 consisting of $723,811 in restricted common stock of UCI and the assumption of liabilities totalling $132,945. UCI entered into an agreement with a stockholder to lease the Progressive office space for $13,600 annually. As a condition of the transaction, each of the stockholders entered into a five-year physician services agreement to provide, on average, forty hours per week of physician services. UCI Medical Affiliates, Inc. Pro Forma Combining Balance Sheet September 30, 1996 (Unaudited) The following pro forma combining balance sheet is based on the individual balance sheets of UCI Medical Affiliates, Inc. as of September 30, 1996 per the Company's Annual Report and Progressive Therapy Services, P.A. as of December 31, 1996 appearing in Item 7(a) of this filing. The information has been prepared to reflect the acquisition by UCI Medical Affiliates, Inc. of Progressive Therapy Services, P.A. after giving effect to the pro forma adjustments described in Note 1. This statement should be read in conjunction with each entity's financial statements and footnotes. UCI Medical Progressive Affiliates, Therapy Inc. Services, Pro Forma Pro Forma P.A. Adjustments Combined -------------- -------------- --------------- --------------- Assets Cash and cash equivalents $ 237,684 $ 11,728 $ (11,728) (a.) $ 237,684 Accounts receivable, net 4,187,394 147,658 -- 4,335,052 Medical supplies inventory 407,617 -- -- 407,617 Deferred taxes 197,056 -- -- 197,056 Prepaids and other assets 441,384 -- -- 441,384 -------------- -------------- --------------- --------------- Total current assets 5,471,135 159,386 (11,728) 5,618,793 Property, plant and equipment, net 3,300,048 354,225 (215,735) (a.) 3,438,538 Deferred taxes 855,126 -- -- 855,126 Goodwill 5,828,963 -- 570,608 (a.) (38,041) (b.) 6,361,530 Other assets 277,422 30,247 (30,247) (a.) 277,422 ============== ============== =============== =============== Total assets $ 15,732,694 $ 543,858 $ 274,857 $ 16,551,409 ============== ============== =============== =============== Liabilities and Capital Current portion - long-term debt $ 913,749 $ 79,665 $ (51,293) (a.) $ 942,121 Accounts payable 1,391,858 33,566 (33,566) (a.) 1,391,858 Accrued payroll 750,745 -- -- 750,745 Other accrued liabilities 394,635 -- 166,400 (c.) 13,600 (d.) 574,635 -------------- -------------- --------------- --------------- Total current 3,450,987 113,231 (84,859) 3,659,359 liabilities Deferred taxes -- -- -- -- Long-term debt, net of current 4,459,484 330,171 (225,598) (a.) 4,564,057 -------------- -------------- --------------- --------------- Total liabilities 7,910,471 443,402 (310,457) 8,223,416 -------------- -------------- --------------- --------------- Common stock 240,390 400 (400) (a.) 13,466 (a.) 253,856 Paid-in capital 13,732,393 19,491 (19,491) (a.) 710,345 (a.) 14,442,738 Accumulated earnings (deficit) (6,150,560) 80,565 (80,565) (a.) (218,041) (e.) (6,368,601) -------------- -------------- --------------- --------------- Total capital 7,822,223 100,456 405,314 8,327,993 ============== ============== =============== =============== Total liabilities and capital $ 15,732,694 $ 543,858 $ 274,857 $ 16,551,409 ============== ============== =============== =============== UCI Medical Affiliates, Inc. Notes to Pro Forma Combining Balance Sheet September 30, 1996 (Unaudited) 1. The pro forma combining balance sheet has been prepared to reflect the acquisition of Progressive Therapy Services, P.A. and Bar-Ed Professional Corporation (collectively "Progressive"), by UCI Medical Affiliates, Inc. for an aggregate price of $856,756. The purchase occurred on October 8, 1997. The combining balance sheet reflects the balances of UCI at September 30, 1996 and Progressive at December 31, 1996. Pro forma adjustments are made to reflect: (a.)The assets acquired consisted of: The purchase price consisted of: $147,658 Accounts receivable $ 13,466 Common stock 138,490 Furniture, equipment 710,345 Additional paid-in-capital 570,608 Goodwill 132,945 Liabilities assumed ------- ------- $856,756 $856,756 ======= ======= Issuance of 269,325 shares of restricted common stock valued at $723,811 at estimated per share value of $2.69. Certain deposits ($11,728), certain furniture and equipment ($215,735), and other assets ($30,247) were not acquired. Accounts payable ($33,566), long-term debt ($276,891), and prior stockholders' equity ($100,456) were not assumed. (b.) Excess of acquisition cost over the fair values of net assets acquired (goodwill) less one year's amortization. ($570,608 goodwill less $38,041 amortization) (c.) Net increase in fees for physician services is $166,400 annually, based on the physician's service agreement. (d.) Net increase in rental expense for office facilities is $13,600 annually, based on the rental agreements executed between the parties. (e.) Effects of pro forma adjustments on statement of operations, closed into pro forma retained earnings. UCI Medical Affiliates, Inc. Pro Forma Combining Statement of Operations and Accumulated Deficit for the year ended September 30, 1996 (Unaudited) The following pro forma combining statement is based on the individual statements of operations and accumulated deficit of UCI Medical Affiliates, Inc. as of September 30, 1996 per the Company's Annual Report and Progressive Therapy Services, P.A. as of December 31, 1996 appearing in item 7(a) of this filing. The information has been prepared to reflect the acquisition by UCI Medical Affiliates, Inc. of Progressive Therapy Services, P.A. after giving effect to the pro forma adjustments described in Note 1. This statement should be read in conjunction with each entity's financial statements and footnotes. Progressive Therapy UCI Medical Services, Pro Forma Pro Forma Affiliates, Inc. P.A. Adjustments Combined ---------------- -------------- --------------- ----------------- Revenue $ 23,254,351 $ 964,405 $ -- $ 24,218,756 Operating costs 21,525,421 792,387 166,400 (a.) 13,600 (c.) 22,497,808 ---------------- -------------- --------------- ----------------- Operating margin 1,728,930 172,018 (180,000) 1,720,948 General and administrative expenses 148,637 122,562 -- 271,199 Depreciation and amortization 961,115 48,847 38,041 (b.) 1,048,003 ---------------- -------------- --------------- ----------------- Income from operations 619,178 609 (218,041) 401,746 Interest expense, net (582,937) (30,414) -- (613,351) Gain on equipment 2,105 -- -- 2,105 ---------------- -------------- --------------- ----------------- Income before income tax 38,346 (29,805) (218,041) (209,500) Income tax benefit 427,733 -- -- 427,733 ---------------- -------------- --------------- ----------------- Net (loss) income 466,079 (29,805) (218,041) 218,233 Accumulated deficit - beginning of year (6,616,639) 136,998 (80,565) (6,560,206) Distribution to stockholders -- (26,628) -- (26,628) ---------------- -------------- --------------- ----------------- Accumulated deficit - end of year $ (6,150,560) $ 80,565 (298,606) $ (6,368,601) ================ ============== =============== ================= Earnings per common and common equivalent share: Net income $ .11 (d.) -- $ .05 ================ ============== =============== ================= Weighted average shares of common stock outstanding 4,294,137 (d.) -- 4,563,462 ================ ============== =============== ================= UCI Medical Affiliates, Inc. Note to Pro Forma Combining Statement of Operations and Accumulated Deficit for the year ended September 30, 1996 (Unaudited) 1. The above statement gives effect to the following pro forma adjustments necessary to reflect the acquisition outlined in Note 1. to the pro forma balance sheet: (a.) Net change in physician salary. Does not include any potential fees or productivity or other incentives provided for in employment contracts between the stockholders of Progressive Therapy Services P.A. and UCI Medical Affiliates, Inc. (b.) Addition for amortization of goodwill on a straight line basis over 15 years. (c.) Net increase in rental expense for office facilities based on rental agreements executed between the parties. (d.) Not applicable; Progressive Therapy Services, P.A. was not required to, and did not, compute earnings per share. UCI Medical Affiliates, Inc. Pro Forma Combining Balance Sheet June 30, 1997 (Unaudited) The following pro forma combining balance sheet is based on the individual balance sheets of UCI Medical Affiliates, Inc. as of June 30, 1997 per the Company's Form 10QSB and Progressive Therapy Services, P.A. as of September 30, 1997. The information has been prepared to reflect the acquisition by UCI Medical Affiliates, Inc. of Progressive Therapy Services, P.A. after giving effect to the pro forma adjustments described in Note 1. This statement should be read in conjunction with each entity's financial statements and footnotes. Progressive UCI Medical Therapy Pro Forma Pro Forma Affiliates, Inc. Services, P.A. Adjustments Combined ----------------- ----------------- ------------------ ----------------- Assets Cash and cash equivalents $ 119,538 $ 27,079 $ (27,079) (a.) $ 119,538 Accounts receivable - net 5,743,707 90,311 -- 5,834,018 Medical supplies inventory 379,647 -- -- 379,647 Deferred taxes 197,056 -- -- 197,056 Prepaids and other assets 445,636 -- -- 445,636 ----------------- ----------------- ------------------ ----------------- Total current assets 6,885,584 117,390 (27,079) 6,975,895 Property, plant and equipment, net 3,433,218 309,217 (215,735) (a.) 3,526,700 Deferred taxes 1,380,126 -- -- 1,380,126 Goodwill 5,720,394 -- 672,963 (a.) (33,648) (b.) 6,359,709 Other assets 268,908 29,780 (29,780) (a.) 268,908 ----------------- ----------------- ------------------ ----------------- Total assets $ 17,688,230 $ 456,387 $ 366,721 $ 18,511,338 ================= ================= ================== ================= Liabilities and Capital Current portion - long-term debt $ 854,903 $ 68,257 $ -- $ 923,160 Accounts payable 1,627,827 9,658 (9,658) (a.) 1,627,827 Accrued payroll 452,995 -- -- 452,995 Other accrued liabilities 330,679 -- 124,800 (c.) 10,200 (d.) 465,679 ----------------- ----------------- ------------------ ----------------- Total current 3,266,404 77,915 125,342 3,469,661 liabilities Deferred taxes -- -- -- -- Long-term debt, net of current 5,659,476 340,821 (276,133) (a.) 5,724,164 ----------------- ----------------- ------------------ ----------------- Total liabilities 8,925,880 418,736 (150,791) 9,193,825 ----------------- ----------------- ------------------ ----------------- Common stock 260,390 400 (400) (a.) 13,466 (a.) 273,856 Paid-in capital 14,312,393 19,491 (19,491) (a.) 710,345 (a.) 15,022,738 Accumulated earnings (deficit) (5,810,433) 17,760 (17,760) (a.) (168,648) (e.) (5,979,081) ----------------- ----------------- ------------------ ----------------- Total capital 8,762,350 37,651 517,512 9,317,513 ----------------- ----------------- ------------------ ----------------- Total liabilities and capital $ 17,688,230 $ 456,387 $ 366,721 $ 18,511,338 ================= ================= ================== ================= UCI Medical Affiliates, Inc. Notes to Pro Forma Combining Balance Sheet June 30, 1997 (Unaudited) 1. The pro forma combining balance sheet has been prepared to reflect the acquisition of Progressive Therapy Services, P.A. and Bar-Ed Professional Corporation (collectively "Progressive"), by UCI Medical Affiliates, Inc. for an aggregate price of $856,756. The purchase occurred on October 8, 1997. The combining balance sheet reflects the balances of UCI at June 30, 1997 and Progressive at September 30, 1997. Pro forma adjustments are made to reflect: (a.)The assets acquired consisted of: The purchase price consisted of: $ 90,311 Accounts receivable $ 13,466 Common stock 93,482 Furniture, equipment 710,345 Additional paid-in-capital 672,963 Goodwill 132,945 Liabilities assumed ------- ------- $856,756 $856,756 ======= ======= Issuance of 269,325 shares of restricted common stock valued at $723,811 at estimated per share value of $2.69. Certain deposits ($27,079), certain furniture and equipment ($215,735), and other assets ($29,780) were not acquired. Accounts payable ($9,658), long-term debt ($276,133), and prior stockholders' equity ($37,651) were not assumed. (b.) Excess of acquisition cost over the fair values of net assets acquired (goodwill) less nine month's amortization. ($672,963 goodwill less $33,648 amortization) (c.) Net increase in fee for physician services of $124,800 for nine months based on service agreement for nine months recorded as an accrued payable. (d.) Net increase in rental expense for office expense is $10,200 for nine months, based on the rental agreements executed between the parties. (e.) Effects of pro forma adjustments on statement of operations, closed into pro forma retained earnings. UCI Medical Affiliates, Inc. Pro Forma Statement of Operations and Accumulated Deficit for the nine months ended June 30, 1997 (Unaudited) The following pro forma combining statement is based on the individual statements of operations and accumulated deficit of UCI Medical Affiliates, Inc. as of June 30, 1997 per the Company's Form 10QSB and Progressive Therapy Services, P.A. as of September 30, 1997. The information has been prepared to reflect the acquisition by UCI Medical Affiliates, Inc. of Progressive Therapy Services, P.A. after giving effect to the pro forma adjustments described in Note 1. This statement should be read in conjunction with each entity's financial statements and footnotes. UCI Progressive Medical Therapy Services, Pro Forma Pro Forma Affiliates, Inc. P.A. Adjustments Combined ------------------ ------------------- ------------------ ----------------- Revenue $ 20,299,676 $ 702,524 $ -- $ 21,002,200 Operating costs 18,876,302 636,054 124,800 (a.) 10,200 (c.) 19,647,356 ------------------ ------------------- ------------------ ----------------- Operating margin 1,423,374 66,470 (135,000) 1,354,844 General and administrative expenses 127,881 49,862 -- 177,743 Depreciation and amortization 892,372 49,040 33,648 (b.) 975,060 ------------------ ------------------- ------------------ ----------------- Income from operations 403,121 (32,432) (168,648) 202,041 Interest expense, net (570,951) (30,373) -- (601,324) Gain on equipment 8,809 -- -- 8,809 ------------------ ------------------- ------------------ ----------------- Income (loss) before income tax (159,021) (62,805) (168,648) (390,474) Income tax benefit 499,148 -- -- 499,148 ------------------ ------------------- ------------------ ----------------- Net income 340,127 (62,805) (168,648) 108,674 Accumulated deficit - beginning of period (6,150,560) 80,565 (17,760) (6,087,755) ------------------ ------------------- ------------------ ----------------- Accumulated deficit - end of period $ (5,810,433) $ 17,760 (186,408) $ (5,979,081) ================== =================== ================== ================= (f) Earnings per common and common equivalent share: Net income $ .07 (d.) -- $ .02 ================== =================== ================== ================= (a) Weighted average shares of (a) common stock outstanding 4,819,527 (d.) -- 5,088,852 ================== =================== ================== ================= UCI Medical Affiliates, Inc. Note to Pro Forma Combining Statement of Operations and Accumulated Deficit for the nine months ended June 30, 1997 (Unaudited) 1. The above statement gives effect to the following pro forma adjustments necessary to reflect the acquisition outlined in Note 1. to the pro forma balance sheet: (a.) Net change in physician salary. Does not include any potential fees or productivity or other incentives provided for in employment contracts between the stockholders of Progressive Therapy Services, P.A. and UCI Medical Affiliates, Inc. (b.) Addition for nine months amortization of goodwill on a straight line basis over 15 years. (c.) Net increase in rental expense for office facilities for nine months based on rental agreements executed between the parties. (d.) Not applicable; Progressive Therapy Services, P.A. was not required to, and did not, compute earnings per share. SIGNATURES Pursuant to the requirements of The Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. UCI Medical Affiliates, Inc. (Registrant) /s/ Marion F. McFarland, III, M.D. /s/ Jerry F. Wells, Jr. Marion F. McFarland, III, M.D. Jerry F. Wells, Jr., CPA President, Chief Executive Officer and Executive Vice President of Chairman of the Board Finance and Chief Financial Officer Date: December 11, 1997