SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) /X/ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended March 31, 1997 OR / / TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission file number 1-9848 CARETENDERS HEALTH CORP. (Exact name of registrant as specified in its charter) Delaware 06-1153720 (State or other jurisdiction of (IRS Employer incorporation or organization) Identification No.) 100 Mallard Creek Road, Suite 400, Louisville, Kentucky 40207 (Address of principal executive offices) (Zip Code) (502) 899-5355 (Registrant's telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Title of Each Class Name of Each Exchange on Which Registered Common Stock, par value NASDAQ National Market $.10 per share 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 is not contained herein, and will not be contained, to the best of the 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.______ As of June 23, 1997, 3,129,413 shares of the Registrant's Common Stock were outstanding. The aggregate market value of Registrant's Common Stock held by non-affiliates of the Registrant as of June 23, 1997 was approximately $ 25,622,069 (based on the last sale price of a share of the common stock as of June 23, 1997 ($8.1875), as reported by the National Association of Securities Dealers, Inc. Automated Quotation ("NASDAQ") National Market system). DOCUMENTS INCORPORATED BY REFERENCE The Registrant's definitive proxy statement, to be filed with the Commission no later than 120 days after March 31, 1997, is incorporated by reference in Part III of this report. TABLE OF CONTENTS PART I Item 1. Business Item 2. Properties Item 3. Legal Proceedings Item 4. Submission of Matters to a Vote of Security Holders PART II Item 5. Market for Registrant's Common Equity and Related Stockholder Matters Item 6. Selected Financial Data Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operation Item 8. Financial Statements and Supplementary Data Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure PART III Item 10. Directors and Executive Officers of the Registrant Item 11. Executive Compensation Item 12. Security Ownership of Certain Beneficial Owners and Management Item 13. Certain Relationships and Related Transactions PART IV Item 14. Exhibits, Financial Statement Schedules and Reports on Form 8-K PART I ITEM 1. BUSINESS General Development of Business Incorporated in Delaware in November, 1985, Caretenders Health Corp. and subsidiaries (collectively "Caretenders" or the "Company") is one of the first companies to provide integrated adult day health services and home health care services for seniors and others with chronic and post-acute medical conditions who wish to remain in their homes and communities. Today more than seven million senior Americans are in need of alternatives to long-term nursing home confinement and this number is expanding rapidly. These individuals desire to remain in their homes and out of nursing homes and conserve their financial resources as long as possible. The Company provides seniors in need with a lower-cost alternative to institutional care helping them gain economic security access to health care, mobility and independence without isolation. With its experience in home health care and leadership in adult day health center operations, the Company is implementing an expansion program offering integrated home and community based health care marketed under the name Caretenders' SeniorCare Solutions. The Company is positioning itself to take advantage of changes and reform activities in the healthcare industry by focusing its resources into its home and community based health care business units which consist of adult day health services and home health care (home health care includes nursing, infusion therapy and durable medical equipment). These businesses are involved with the delivery of health care in alternative settings which the Company believes are preferred by consumers and operate at lower costs than hospitals and nursing homes. The trend toward alternative site delivery of healthcare is increasing, as more payor organizations are seeking to reduce the costs of medical care. Utilizing its strengths in home health care and adult day health services, the Company is actively addressing the issue of senior care in America by its comprehensive strategy _ Caretenders SeniorCare Solutions. Through care management by a Registered Nurse (RN), Caretenders helps families identify solutions for caring for loved ones who can no longer meet their own health and personal care needs. Through the Company's Care Manager, families can learn about long-term care options available for seniors and obtain assistance in choosing from Caretenders' SeniorCare Day and Home Health Care Centers or, if appropriate, other available community based resources. Home Health Care Services The Company's comprehensive strategy allows it to provide a full range of home health care services to a patient, enabling the physicians, payors and patients to deal with a single provider. All Caretenders services are rendered through care management by a registered nurse, which coordinates nursing, home infusion and equipment services. Caretenders nursing provides a comprehensive range of both professional and para-professional services from highly-skilled infusion therapy nursing to custodial companion care. Professional staff including registered nurses, licensed practical nurses, physical, speech and occupational therapists, and medical social workers implement and monitor medical treatment plans prescribed by physicians. Professional staff are subject to state licensing requirements in the particular states in which they practice. Para-professional staff includes home health aides, homemakers and companions who assist patients with health related tasks and the activities of daily living. Home infusion therapy involves the intravenous or other administration of physician-prescribed nutrients, antibiotics, chemotherapeutic agents and other medications to patients in their homes. Such therapy generally continues a plan of treatment initiated in the hospital, or as a substitute for hospitalization. Home infusion costs are between 30% and 70% less than the same therapy administered in an institutional setting. There are five major categories of infusion therapy: total parenteral nutrition, enteral nutrition, antibiotic therapy, chemotherapy and pain management therapy. Caretenders sells and rents medical equipment for use in the home. While the Company provides a complete range of equipment, the businesses generally can be divided into two predominant categories: respiratory/oxygen services and rehabilitation products. Caretenders is compensated for its services through (i) private pay (paid by personal funds), (ii) Medicare, (iii) Medicaid, and (iv) other third party payors (e.g. insurance companies). See "Item 1. Business - - Payment Sources". Caretenders employs compensation specialists who advise patients as to the availability of sources of payment for its services. Adult Day Health Services Adult day health services is an alternative method of providing care for seniors and other adults who without such care would likely be institutionalized. The field has grown rapidly, from just 15 centers in the United States in the early 1970s to over 3,000 today. Still in its early stages, the industry is highly fragmented with the majority operated by the non-profit sector. Caretenders is the largest for- profit provider of adult day care services in the U.S. The Company's adult day health centers provide professional, high quality adult day health services for disabled or frail adults who require some care or supervision, but who do not require intensive medical attention or institutionalization. The average center provides care for over 60 guests per day, seven days a week. Round-trip transportation is provided to each participant. The centers offer a range of therapeutic and medical services designed to promote the independence of participants and provide respite to families and caregivers. On-site staff nurses administer medications and ensure attention to medical care. Other services include (i) a light breakfast, a hot lunch, and an afternoon snack; (ii) a highly structured, individualized and creative activities program which includes recreation, education, field trips, sports, crafts, music and group conversations; and (iii) family counseling. Through care management by a Registered Nurse (RN), Caretenders helps families identify solutions for caring for loved ones who can no longer meet their own health and personal care needs. Through the Company's Care Manager, families can learn about their choices for long-term care for seniors and choose from Caretenders' SeniorCare Day and Home Health Care Centers as well as other available community based resources. As of March 31, 1997, the Company's conducts its services in centers in the following locations: Home Adult Day Managed Locations Heath Health Agencies Total Kentucky: Louisville area 5 1 9 15 Lexington area 8 1 3 12 Elizabethtown area - - 6 6 Indiana: Evansville 3 - - 3 Indianapolis 1 - - 1 Ohio: Cincinnati 1 1 - 2 Columbus 2 - - 2 Cleveland 2 - - 2 Youngstown 1 - - 1 Massachusetts: Boston 3 - - 3 Connecticut: Stamford 1 1 - 2 Middlebury - 1 - 1 Danbury - 1 - 1 Maryland: Baltimore - 10 - 10 Virginia: Richmond 2 - - 2 Alabama: Birmingham 6 1 - 7 Florida: Fort Lauderdale 2 - - 2 West Palm Beach - 1 - 1 Total 37 18 18 73 Capacity for the Company's adult day health centers was 976 guests per day at the beginning of the year and grew by 38% to 1,343 guests per day by the end of the year. The Company is currently engaged in an expansion strategy that began in late fiscal 1996 and will continue for the foreseeable future. During this expansion period the Company expects to add up to 28 additional adult day health centers and 15 home health care centers. Since the inception of the expansion strategy, the Company has added 5 adult day health services and 9 home health care centers. The following table details the change in the Company's centers during 1997: Home Adult Day Managed Health Health Agencies Total Centers as of 3/31/96 29 14 14 57 Change: Acquired 2 1 - 3 Opened 7 3 4 14 Closed - - - - Sold (1) - - (1) ----- ---- ---- ----- Subtotal 8 4 4 16 ----- ---- ---- ----- Centers as of 3/31/97 37 18 18 73 ===== ==== ==== ===== Divestitures On February 18, 1995, the Company entered into an arrangement with Columbia/HCA Healthcare Corporation (_Columbia_), under which Columbia acquired the Company's Certificate of Need to provide nursing services to patients in eight counties in the Elizabethtown, Kentucky area and hired the Company to manage the operations until the year 2000. Acquisition Policy The Company continually considers and reviews possible acquisitions of businesses that provide health care services similar to those currently offered by Caretenders' companies. Factors which may affect future acquisition decisions include the quality and potential profitability of the company under consideration, and the Company's ability to finance the transaction. During 1997, the Company completed three transactions to acquire two intermittent home nursing services operations and an adult day health services operation. These operations added to the Company's market presence in both Ohio and Florida. No pro forma financial information has been provided as the acquisitions, individually and in the aggregate, are not significant compared to the Company's existing operations. Subsequent to March 31, 1997, the Company signed a letter of intent to purchase a business operating an adult day health center in Northern Ohio. Competition, Marketing and Customers Home Health Care The home health care industry is highly competitive but fragmented, with competition largely focused on individual products or services. The Company's competitors can be classified into three categories: nursing services, infusion therapy, and medical equipment. The Company believes competition is based primarily on the quality of service provided, and such quality is measured by responsiveness and the technical ability of the professional staff. The scope of services offered, relationships with referral sources and price are also competitive considerations. Caretenders competes with larger home health care providers through its comprehensive strategy, which facilitates focused accountability, quality, reduced administrative burdens and convenience for patients and physicians. Another competitive factor in the home health care industry is accreditation by JCAHO (Joint Commission on Accreditation of Healthcare Organizations), a not-for-profit accreditation organization. All Caretenders offices are accredited by JCAHO. In addition to the larger national companies, Caretenders also competes with numerous local and regional companies and pharmacies. Many of the Company's competitors have greater resources than the Company. The Company's home health services are marketed by a direct sales force primarily to hospital discharge planners, physicians and insurance and managed care organizations. Referrals may also be sought through advertisements in several local specialty publications, attendance at major trade shows and voluntary participation in JCAHO. The Company also utilizes consumer-direct sales, marketing and advertising programs designed to increase its private pay business. Adult Day Health Services Like the home health care industry, the adult day health services industry is also highly competitive but fragmented. Competitors include: other adult day health centers, ancillary programs provided by nursing homes and hospitals; other government-financed facilities, retirement communities, and senior adult associations. The Company believes the primary competitive factors are quality of service and reputation among referral sources. However, competitors are increasingly focusing attention on providing alternative site health care services. Caretenders competes by offering a high quality of care and by helping families identify and access solutions for care via Caretenders' SeniorCare Solutions. Adult day care competitive advantages include transportation and superior facilities and guest activity programs. The Company markets its adult day health services through its adult day health center directors and the marketing staff. The directors contact referral sources in their areas to market the Company's services. Major referral sources include: Offices on Aging, social workers, hospital discharge planners and group living facilities. Government Regulations The health care industry has experienced extensive and dynamic change. In addition to economic forces and regulatory influences, continuing political debate is subjecting the health care industry to significant reform. Health care reform proposals have been formulated by the current federal government administration, members of Congress, and, periodically, state legislators. Government officials can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law or new interpretations of existing laws may have a dramatic effect on the definition of permissible or impermissible activities, the relative cost of doing business, and the methods and amounts of payments for medical care by both governmental and other payors. Legislative changes to "balance the budget" and slow the annual rate of growth of Medicare and Medicaid are expected. Such changes may impact reimbursement for home health care. There can be no assurance that future legislation or regulatory changes will not have a material adverse effect on the future operations of the Company. The Company's business is subject to extensive federal, state and local regulation. Permits and Licensure Many states require companies providing certain home health care services to be licensed as home health agencies. The Company currently is licensed as a home health agency where required by the law of the states in which it operates. In addition, certain of the Company's pharmacy operations require state licensure and are also subject to federal and other state laws and regulations governing pharmacies and the packaging and repackaging and dispensing of drugs (including oxygen). Federal laws may require registration with the Drug Enforcement Administration of the United States Department of Justice and the satisfaction of certain requirements concerning security, record keeping, inventory controls, prescription order forms and labeling. In addition, certain health care practitioners employed by the Company require state licensure and/or registration and must comply with laws and regulations governing standards of practice. The failure to obtain, renew or maintain any of the required regulatory approvals or licenses could adversely affect the Company's business. There can be no assurance that either the states or the federal government will not impose additional regulations upon the Company's activities which might adversely affect its business, results of operations or financial condition. Certificates of Need Certain states require companies providing home health care services to obtain a certificate of need issued by a state health planning agency. Some states require such certificates of need only for Medicare-certified home health agencies. Where required by law, the Company has obtained certificates of need from those states in which it operates. There can be no assurance that the Company will be able to obtain any certificates of need which may be required in the future if the Company expands the scope of its services or if state laws change to impose additional certificate of need requirements, and any attempt to obtain additional certificates of need will cause the Company to incur certain expenses. Other Regulations A series of laws and regulations dating back to the Omnibus Budget Reconciliation Act of 1987 ("OBRA 1987") have been enacted and apply to the Company's operation. Periodic changes have occurred from time to time since the 1987 Act including reimbursement reduction and changes to payment rules. As a provider of services under the Medicare and Medicaid programs, the Company is subject to the Medicare and Medicaid anti-kickback statute, also known as the "fraud and abuse law." This law prohibits any bribe, kickback, rebate or remuneration of any kind in return for, or as an inducement for, the referral of Medicare or Medicaid patients. The Company may also be affected by the federal physician self-referral prohibition, known as the "Stark" law, which, with certain exceptions,prohibits physicians from referring patients to entities in which they have a financial interest. Many states in which the Company operates have adopted similar self-referral laws, as well as laws that prohibit certain direct or indirect payments or fee-splitting arrangements between health care providers, if such arrangements are designed to induce or to encourage the referral of patients to a particular provider. Health care is an area of extensive and dynamic regulatory change. Changes in laws or regulations or new interpretations of existing laws or regulations can have a dramatic effect on permissible activities, the relative costs associated with doing business, and the amount and availability of reimbursement by government and third-party payors. Furthermore, the Company will be required to comply with applicable regulations in each new state in which it desires to provide services. Management believes that the Company operations are in material compliance with applicable laws. The Company, however, is unable to predict what additional government regulations, if any, affecting its business may be enacted in the future, how existing or future laws and regulations might be interpreted or whether the Company will be able to comply with such laws and regulations either in the markets in which it presently conducts, or wishes to commence, business. The Company also is subject to routine and periodic surveys and audits by various governmental agencies. Potential Reimbursement Changes In the fall of 1995, Congress proposed reductions in the Medicare reimbursement rate for home oxygen therapy service and equipment, which legislation was vetoed by President Clinton. Despite the presidential veto, Congress continues to consider legislation affecting reimbursement of these items, and President Clinton's proposed budget for 1998 includes a provision that would require Medicare to obtain competitive bidding for all clinical laboratory services, home medical equipment (including home oxygen)and orthotics. Consequently, Medicare reimbursement rates for oxygen services and equipment could be reduced. The Company cannot be certain of the timing or level of reductions for Medicare oxygen and equipment reimbursement. Any such reductions could have a material adverse effect on the operating results and cash flows of the Company. Congress is also currently considering establishing a prospective payment system ("PPS") for home health services. Proposals include lowering cost limits over the short-run and implementing a per-episode PPS for home health not later than 1999. Currently, HCFA is running a demonstration project to test per episode reimbursement for home health services. Any such prospective payment system could have a material effect on the operating results and cash flows of the Company. The Company is unable to predict whether the proposed Medicare prospective payment system and/or Medicare reimbursement rates for oxygen services and equipment will be enacted or what final form such legislation might take. Furthermore, the Company cannot predict what additional government regulations, if any, affecting its business may be enacted in the future, how existing or future laws and regulations might be interpreted, or whether the Company will be able to comply with such laws and regulations in its existing or future markets. Payment Sources The Company receives payments from Medicare, Medicaid and other cost reimbursement programs, private pay and insurance policies as detailed below. The Company's dependence on government sponsored reimbursement programs makes it vulnerable to possible legislative and administrative regulations and budget cut-backs that could adversely affect the number of persons eligible for such programs, the amount of allowed reimbursements or other aspects of the program, any of which could materially affect the Company. In addition, loss of certification or qualification under Medicare/Medicaid programs could materially affect the ability of the Company's adult day health and home health care businesses to effectively market their services. The Company's future operating results are dependent in part upon its ability to attract customers able to pay for the Company's charges from their own and their families' financial resources. Circumstances which adversely affect the ability or desire of seniors to pay for the Company's services could have an adverse effect on the Company. The following table sets forth the Company's net revenues derived from each major class of payer during the following fiscal years (by percentage of net revenues): 1997 1996 --------------------------- --------------------------- Insurance Insurance Business Unit Medicare Medicaid & Private Medicare Medicaid & Private Home Health 47.3% 10.6% 42.1% 39.6% 12.3% 48.1% Services Adult Day Health 0.0% 80.2% 19.8% 0.0% 78.1% 21.9% Services Total - All 38.7% 23.3% 38.0% 30.2% 24.7% 45.1% Services Changes in payment sources from 1996 to 1997 are primarily a result of the Company's acquisition and expansion activities. In determining charge rates for goods and services provided to customers, the Company evaluates several factors including cost and market competition. The Company also negotiates contract rates with third party providers such as insurance companies. The rates of reimbursement for a significant portion of the Company's charges are dictated by Federal or State programs such as Medicare, Medicaid and Workers Compensation. Insurance The Company and its subsidiaries carry general liability and professional liability insurance. The Company also carries product liability insurance associated with those operations requiring such coverage, including the durable medical equipment operations. The Company's properties are covered by casualty insurance policies. The Company carries directors and officers liability with a $3,000,000 limit. The Company believes that its present insurance coverage is adequate. Employees and Labor Relations As of March 31, 1997, the Company had approximately 2,600 employees. None of the Company's employees are represented by a labor organization. Management believes its relationship with the Company's employees is satisfactory. Cautionary Statements Information provided herein by the Company contains, and from time to time the Company may disseminate material and make statements which may contain forward-looking information, as that term is defined by the Private Securities Litigation Reform Act of 1995 (the Act). These cautionary statements are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of safe harbor provisions of the Act. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors including but not limited to the following: (i) In recent years, an increasing number of legislative proposals have been introduced or proposed in Congress and in some state legislatures that would effect major changes in the health care system, either nationally or at the state level. However, the Company cannot predict whether any of the proposals will be adopted, and if adopted, no assurance can be given that the implementation of such reforms will not have a material impact on the operations of the Company. (ii) The Company derives substantial portions of its revenues from third-party payors, including government reimbursement programs such as Medicare and Medicaid, and non-government sources such as commercial insurance companies, HMOs, PPOs and contract services. These payors have undertaken cost-containment measures designed to limit payments to health care providers. There can be no assurance that payments under these programs will be sufficient to cover the costs allocable to patients eligible for reimbursement. The Company cannot predict whether and what proposals or cost containment measures will be adopted or, if adopted, what effect, if any, such proposals might have on the operations of the Company. (ii) The Company competes with numerous well established competitors which have substantially greater financial resources than the Company. Competitors are increasingly focusing attention on providing alternative site health care services, specifically on adult day health services. Such increasing competition may adversely affect revenues and profitability of Company operations. (iii) The Company believes its present insurance coverage is adequate. However, there can be no assurance that such insurance will be available, or, if available, that such insurance will be either adequate to cover the Company's liabilities or available at affordable rates. In addition, increasing insurance costs, and the increasing unwillingness of insurance companies to insure against certain types of losses, raise some questions as to whether the Company will be able to obtain or continue its present insurance coverage. The inability to obtain adequate insurance coverage at affordable rates, or a loss of existing coverage, could have a material effect on the Company. (iv) The Company's future operating results are dependent in part upon its ability to attract customers able to pay for the Company's charges from their own and their families' financial resources. Circumstances which adversely affect the ability or desire of seniors to pay for the Company's services could have an adverse effect on the Company. In the event that the Company encounters difficulty in attracting seniors with adequate resources to pay for the Company's services, the Company would be adversely affected. (iv) The Company provides its services to individuals in home and community settings. Severe winter weather may hinder the Company's ability to provide its services and thus impact operating results. (v) During fiscal 1998, the Company plans to develop up to 11 new adult day health centers after which the Company plans to continue development efforts at a similar or accelerated pace. The Company's ability to achieve its development plans will depend upon a variety of factors, many of which are beyond the Company's control. There can be no assurance that the Company will not suffer delays in its development program, which could slow the Company's growth. The successful development of additional operations will involve a number of risks including the possibility that the Company may be unable to locate suitable sites at acceptable prices or may be unable to obtain, or may experience delays in obtaining, necessary zoning, land use, building, occupancy, licensing and other required governmental permits and authorizations. ITEM 2. PROPERTIES The Company's executive offices are located in Louisville, Kentucky in approximately 25,000 square feet of space leased from an unaffiliated party. The Company has 38 locations that each lease from approximately 600 to 17,000 square feet of space in their respective locations. The Company believes that its facilities are adequate to meet its current needs, and that additional or substitute facilities will be available if needed. ITEM 3. LEGAL PROCEEDINGS The Company, from time to time, is subject to claims and suits arising in the ordinary course of its business, including claims for damages for personal injuries. In the opinion of management, the ultimate resolution of any of these pending claims and legal proceedings will not have a material effect on the Company's financial position or results of operations. On January 26, 1994 Franklin Capital Associates LP, Aetna Life and Casualty Company and Aetna Casualty and Surety Company, shareholders, who at one time held approximately 320,000 shares of the Company's common stock (approximately 13% of shares outstanding) filed suit in Chancery Court of Williamson County, Tennessee claiming unspecified damages not to exceed three million dollars in connection with registration rights they received in the Company's acquisition of National Health Industries in February 1991. The suit alleges the Company failed to use its best efforts to register the shares held by the plaintiffs as required by the merger agreement. The Company believes it has meritorious defenses to the claims and does not expect that the ultimate outcome of the suit will have a material impact on the Company's results of operations or financial position. The Company plans to vigorously defend its position in this case. No amounts have been recorded in the accompanying financial statements related to this suit. In January 1997, Aetna Life and Casualty Company withdrew its claim against the Company without prejudice. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Not applicable. PART II ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's common stock is traded on the National Association of Securities Dealers Automated Quotation System ("NASDAQ") under the symbol "CTND". The prices shown below represent prices between dealers, do not indicate retail mark-ups, mark-downs or commissions, and do not necessarily represent actual transactions. Set forth below are the high and low bid quotations for the common stock for the periods indicated. The prices for the common stock were provided by NASDAQ. Closing Common Stock Prices Quarter Ended: High Low June 30, 1995 6.75 5.25 September 30, 1995 8.38 5.75 December 31, 1995 8.13 5.75 March 31, 1996 8.38 5.88 June 30, 1996 9.63 6.50 September 30, 1996 7.75 5.25 December 31, 1996 7.00 5.37 March 31, 1997 6.75 5.37 On June 23, 1997, the last reported representative bid price for the Common Stock reported on the NASDAQ National Market System was $ 8.1875 and there were approximately 727 holders of record of the Company's Common Stock. No cash dividends have been paid by the Company. ITEM 6. SELECTED FINANCIAL DATA The following table sets forth selected financial information derived from the consolidated financial statements of the Company for the periods and at the dates indicated. This information has been restated to reflect the Company's 1 for 5 reverse stock split as further explained in Note 1 to the consolidated financial statements of the Company. The information is qualified in its entirety by and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this and prior year Form 10-Ks. Consolidated Selected Financial Information (Dollar amounts in 000's Year Ended March 31, except per share data) 1997 1996 1995 1994 1993 Results of Operations Net revenues $76,773 $63,227 $60,836 $50,857 $36,527 Net Income (loss): Continuing operations 1,759 1,575 1,248 627 611 Discontinued operations -- -- -- -- (1,339) Net Income (loss) 1,759 1,575 1,248 627 (728) Per share: (2) Primary: Number of shares 3,142 3,149 3,145 3,153 2,354 (1) Net Income (loss)from: Continuing operations $.56 $.50 $.40 $.20 $.26 (1) Discontinued opeations -- -- -- -- (0.57) Net Income (loss) $.56 $.50 $.40 $.20 $(0.31) Fully diluted: Number of share 3,142 3,149 3,145 3,175 N/A (1) Net income from: Continuing operations $.56 $.50 $.40 $.20 N/A (1) Net Income $.56 $.50 $.40 $.20 N/A Balance sheet Data as of: March 31, 1997 1996 1995 1994 1993 Working capital $17,471 $13,844 $11,641 $8,001 $2,193 Total assets 38,745 33,217 31,073 30,806 29,377 Long term liabilites 10,689 6,805 7,094 7,367 1,690 Total liabilities 18,081 14,313 13,744 14,731 13,929 Stockholders' 20,663 18,904 17,329 16,075 15,448 equity <FN> (1)does not include convertible preferred shares due to accounting rules relating to calculation of loss per share (2) In March 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standard No. 128, Earnings Per Share. The standard modifies disclosure requirements for companies required to report earnings per share to include presentations of Basic and, if applicable, Diluted Earnings per Share. The impact of this standard was not significant for all years presented and, therefore, no additional earnings per share information has been included in this table. </FN> ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OVERVIEW Strategic Focus The Company is positioning itself to take advantage of healthcare reform activities by focusing its resources into its home and community based health care business units which consist of adult day health services and home health care (home health care includes nursing, infusion therapy and durable medical equipment). These businesses are involved with the delivery of health care in alternative settings which the Company believes are preferred by consumers and operate at lower costs than hospitals and nursing homes. The trend toward alternative site delivery of healthcare is increasing, as more payor organizations are seeking to reduce the costs of medical care. Today more than seven million senior Americans are in need of alternatives to long-term nursing home confinement and this number is expanding rapidly. These individuals desire to remain in their homes and out of nursing homes and conserve their financial resources as long as possible. Caretenders SeniorCare Solutions provides seniors in need with a lower-cost alternative to institutional care helping them gain economic security access to health care, mobility and independence without isolation. Utilizing its strengths in home health care and adult day health services, the Company is actively addressing the issue of senior care in America by its comprehensive strategy _ Caretenders SeniorCare Solutions. Through care management by a Registered Nurse (RN), Caretenders helps families identify solutions for caring for loved ones who can no longer meet their own health and personal care needs. Through the Company's Care Manager, families can learn about long-term care options available for seniors and obtain assistance in choosing from Caretenders' SeniorCare Day and Home Health Care Centers or, if appropriate, other available community based resources. The Company is currently engaged in an expansion strategy that began in late 1996 and will continue for the foreseeable future. During this expansion period the Company expects to add up to 28 additional adult day health centers and 15 home health care centers. Since the inception of the expansion strategy, the Company has added 5 adult day health services and 9 home health care centers. The following table details the change in the Company's centers during 1997: Home Adult Day Managed Health Health Agencies Total Centers as of 3/31/96 29 14 14 57 Change: Acquired 2 1 - 3 Opened 7 3 4 14 Closed - - - - Sold (1) - - (1) ----- ---- ---- ----- Subtotal 8 4 4 16 ----- ---- ---- ----- Centers as of 3/31/97 37 18 18 73 ===== ==== ==== ===== Earnings - 1997 The Company experienced a 12% increase in net income despite investing approximately $1.2 million of initial operating losses related to geographic expansion. The increase in net income was primarily a result of a 21% increase in net revenues experienced by the Company due to increased volume. Selling, General and Administrative costs improved as a percent of revenue dropping 1.1% to 12.2% on increased revenues. Earnings per share were $.56 in 1997 as compared to $.50 for 1996. Initial operating losses related to geographic expansion lowered 1997 earnings per share by $0.39 versus $0.02 in 1996. RESULTS OF OPERATIONS Fiscal Year Ended March 31, 1997 Compared With Fiscal Year Ended March 31, 1996 Caretenders Health Corp. Operating Data for the Years Ended March 31, (amounts in thousands) 1 9 9 7 1 9 9 6 Change ---------------- ---------------- -------------- % of % of Amount Revenues Amount Revenues Amount % Net Revenues Home Health Care $62,796 81.8% $50,822 80.4% $11,974 23.6% Adult Day Health Services 13,977 18.2% 12,405 19.6% 1,572 12.7% ------- ------ ------ ------ ------ ------ 76,773 100.0% 63,227 100.0% 13,546 21.4% Cost of Sales and Services Home Health Care 49,301 78.6% 39,399 77.5% 9,902 25.1% Adult Day Health Services 10,968 78.4% 9,331 75.2% 1,637 17.5% ------- ----- ------ ------ ------ ------ 60,269 78.5% 48,730 77.1% 11,539 23.7% Center Contribution Home Health Care 13,495 21.4% 11,423 22.5% 2,072 18.1% Adult Day Health Services 3,009 21.6% 3,074 24.8% (65) (2.1%) ------- ------ ------ ----- ------ ------ 16,504 21.5% 14,497 22.9% 2,007 13.8% Selling, General & Administrative 9,363 12.2% 8,438 13.3% 925 11.0% Provision for Uncollectible Accounts 2,216 2.9% 1,669 2.6% 547 32.8% Depreciation and Amortization 2,239 2.9% 2,057 3.3% 182 8.8% Interest and Other, Net 771 1.0% 623 1.0% 148 23.8% ------ ------ ------ ----- ------ ------ Income Before Taxes $1,915 2.5% $1,710 2.7% $205 12.0% ====== ====== ====== ===== ====== ====== Home Health Care Net Revenues. Net revenue increases in the Company's existing markets were primarily the result of increased volume for nursing services. Nursing volumes increased 38.7%. Additional volumes in respiratory and durable medical equipment and infusion therapies drove a combined 17.1% increase for those two service lines. Home Health Care Cost of Sales and Services. Cost of sales and services as a percent of net revenues increased primarily as a result of incurring $770,000 of initial operating losses from geographic expansion. Adult Day Health Services Net Revenues. The increase of $1.6 million in adult day health services revenues is primarily attributable to improved occupancy in existing markets. Total days of service provided increased 9.9% from 214,600 in 1996 to 236,000 in 1997. As of March 31, 1997, the Company had 18 centers in operation. Adult Day Health Services Cost of Sales and Services. As a percent of net revenues, cost of sales and services increased primarily as a result of absorbing $495,000 of initial operating losses from geographic expansion. Selling, General and Administrative. The increase of $925,000 is due primarily to an increase in certain administrative staff levels and costs incurred related to the Company's geographic expansion. Provision for Uncollectible Accounts. The provision for uncollectible accounts for the year ended March 31, 1997 was recorded based on management's evaluation of collectibility. Depreciation and Amortization. The increase of $182,000 is primarily due to capital investments made by the Company. These capital investments principally relate to geographic expansion and replacement of certain medical equipment. Interest and Other, Net. The increase in interest and other, net is primarily a result of higher average outstanding debt levels associated with the Company's acquisition and expansion activities. Income Taxes. As of March 31, 1997, the Company has net deferred tax assets of approximately $1,264,000. The net deferred tax asset is composed of $1,647,000 of deferred tax assets and $383,000 of deferred tax liabilities. Although the Company has experienced losses in the past, management believes that the Company will be able to realize its recorded deferred tax assets. The Company's ability to generate the expected amounts of taxable income from future operations is dependent upon general economic conditions, competitive pressures on revenues and margins and legislation and regulation at all levels of government. There can be no assurances that the Company will meet its expectations of future taxable income. However, management has considered the above factors in reaching its conclusions that it is more likely than not that future taxable income will be sufficient to fully utilize the deferred tax assets as of March 31, 1997. Fiscal Year Ended March 31, 1996 Compared With Fiscal Year Ended March 31, 1995 Caretenders Health Corp. Operating Data for the Years Ended March 31, (amounts in thousands) 1 9 9 6 1 9 9 5 Change ---------------- ---------------- -------------- % of % of Amount Revenues Amount Revenues Amount % Net Revenues Home Health Care $50,822 80.4% $50,330 82.7% $ 492 1.0% Adult Day Health Services 12,405 19.6% 12,405 17.3% 1,899 18.1% ------- ------ ------ ------ ------ ------ 63,227 100.0% 60,836 100.0% 2,391 3.9% Cost of Sales and Services Home Health Care 39,399 77.5% 40,246 80.0% (847) (2.1%) Adult Day Health Services 9,331 75.2% 7,986 76.0% 1,345 16.8% ------- ----- ------ ------ ------ ------ 48,370 77.1% 48,232 79.3% 498 1.0% Center Contribution Home Health Care 11,423 22.5% 10,084 20.0% 1,339 13.3% Adult Day Health Services 3,074 24.8% 2,520 24.0% 554 22.0% ------- ------ ------ ----- ------ ----- 14,497 22.9% 12,604 20.7% 1,893 15.0% Selling, General & Administrative 8,438 13.3% 6,642 10.9% 1,796 27.0% Provision for Uncollectible Accounts 1,669 2.6% 1,689 2.8% (20) (1.2%) Depreciation and Amortization 2,057 3.3% 2,300 3.8% (243) (10.6%) Interest and Other, Net 623 1.0% 671 1.1% (48) (7.2%) ------ ------ ------ ----- ------ ------ Income Before Taxes $1,710 2.7% $1,302 2.1% $408 31.4% ====== ====== ====== ===== ====== ====== Home Health Care Net Revenues. Net revenue increases in the Company's existing markets is primarily the result of increased volume for nursing services and durable medical equipment offset partially by decreased volume for infusion therapies. Nursing volumes increased 12% while durable medical equipment volumes increased 23%. Net revenues for 1995 included $4,466,000 related to operations sold during 1995. After adjusting 1995 revenues to remove operations sold, home health care net revenues increased 12.3%. Contribution continues to be generated from these operations under management contracts. Home Health Care Cost of Sales and Services. Cost of sales and services as a percent of net revenues decreased primarily as a result of improved volumes in all markets and reductions in cost as a result of operations sold. Adult Day Health Services Net Revenues. The increase of $1.9 million in adult day health services net revenues is attributable to improved occupancy in all markets, improvement in mix of payors and rate increases. Total days of service provided increased 14% from 188,480 in 1995 to 214,600 in 1996. As of March 31, 1996, the Company had 14 centers in operation. Adult Day Health Services Cost of Sales and Services. As a percent of net revenues, cost of sales and services decreased slightly as a result of better cost management, increased occupancy and fixed costs spread over higher volumes. Selling, General and Administrative. The increase of $1.8 million is due primarily to an increase in certain administrative staff levels and costs incurred to centralize certain administrative functions. Provision for Uncollectible Accounts. The provision for uncollectible accounts for the year ended March 31, 1996 was recorded based on management's evaluation of collectibility. Depreciation and Amortization. The decrease of $243,000 resulted primarily due to replacement of purchased transportation equipment with leased transportation equipment. Interest and Other, Net. The decrease in interest and other, net is primarily the result of the lower average outstanding debt levels and a decrease in the interest rate associated with the Company's working capital credit facility. Income Taxes. As of March 31, 1996, the Company has net deferred tax assets of approximately $1,072,000. The net deferred tax asset is composed of $2,401,000 of deferred tax assets, $173,000 of deferred tax liabilities and a valuation allowance totaling approximately $1,156,000. The deferred tax asset includes the tax benefit of net operating loss carryforwards of approximately $340,000. Liquidity and Capital Resources Revolving Credit Facility The Company has a $12 million revolving credit facility with the Healthcare Financial Services Division of Heller Financial, Inc. Interest accrues on amounts drawn under the facility at a rate of 1 percent over prime. Availability is determined pursuant to a formula principally consisting of a percentage of accounts receivable subject to certain exclusions. At March 31, 1997, the Company has total cash and unused borrowings of approximately $3.3 million available for working capital and development. The facility will remain in effect until October 13, 1998 and for annual one year terms thereafter unless either party to the credit agreement provides the other with a written notice of termination 60 days prior to the renewal date. This facility should provide working capital resources sufficient to support operations for the next year. Management will continuously pursue additional capital including possible debt and equity investments in the Company to support a more rapid development of the business than would be possible with internal funds. Cash Flows Key elements to the Consolidated Statements of Cash Flows were (in thousands): Net Change in Cash and Cash Equivalents 1997 1996 1995 Provided by (used in) Operating activities $ 442 $ 1,817 $ (1,803) Investing activities (4,257) (993) 1,721 Financing activities 3,269 (528) (1,169) Net Change in Cash and Cash Equivalents $ (546) $ 296 $ (1,251) 1997 Net cash provided by operating activities of approximately $442,000 resulted principally from current period earnings net of changes in accounts receivable and accounts payable and accrued expenses. Net cash used in investing activities of approximately $4.3 million resulted principally from amounts invested in acquisition and expansion activities and capital expenditures related to purchase of certain durable medical equipment and real estate. Net cash provided by financing activities of approximately $3.3 million resulted primarily from an increase in the Company's credit facility related to investments made in acquisitions and geographic expansion. 1996 Net cash provided by operating activities of approximately $1.8 million resulted principally from current period earnings net of changes in accounts receivable and accounts payable and accrued expenses. Net cash used in investing activities of approximately $993,000 resulted principally from capital expenditures. Net cash used in financing activities of approximately $528,000 resulted primarily from principal payments on term debt and capital leases. 1995 Net cash used in operating activities of approximately $1.8 million resulted principally from current period earnings offset by increases in accounts receivable caused by revenue growth of 20% and longer payment cycles for some payors. Net cash provided from investing activities resulted principally from the proceeds from the sale of certain business offset by capital expenditures. Net cash used in financing activities resulted primarily from principal payments on term debt and capital leases. The Company received proceeds of approximately $2.5 million from the disposition of business units during 1995 which was used largely to fund capital expenditures and working capital associated with the Company's growth. Health Care Reform The health care industry has experienced extensive and dynamic change. In addition to economic forces and regulatory influences, continuing political debate is subjecting the health care industry to significant reform. Health care reform proposals have been formulated by the current federal government administration, members of Congress, and, periodically, state legislators. Government officials can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law or new interpretations of existing laws may have a dramatic effect on the definition of permissible or impermissible activities, the relative cost of doing business, and the methods and amounts of payments for medical care by both governmental and other payors. Legislative changes to "balance the budget" and slow the annual rate of growth of Medicare and Medicaid are expected. Such changes may impact reimbursement for home health care. There can be no assurance that future legislation or regulatory changes will not have a material adverse effect on the future operations of the Company. Impact of Inflation Management does not believe that inflation has had a material effect on income during the past several years. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA CARETENDERS HEALTH CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME Year Ended March 31, 1997 1996 1995 Net revenues $76,773,039 $63,226,968 $60,836,495 Cost of sales and services 60,268,808 48,729,847 48,231,522 Selling, general and administrative 9,363,031 8,438,050 6,641,921 Depreciation and amortization expense 2,239,194 2,057,092 2,300,034 Provision for uncollectible accounts 2,215,537 1,668,844 1,688,521 Income before interest and other income (expense)and provision for income taxes 2,686,469 2,333,135 1,974,497 Interest expense, net (771,099) (622,852) (770,294) Other income and expense, net - - 97,500 Income before provision for income taxes 1,915,370 1,710,283 1,301,703 Provision for income taxes 156,000 135,000 54,041 Net income $ 1,759,370 $ 1,575,283 $ 1,247,662 PER SHARE: Weighted average common and common equivalent shares outstanding 3,141,865 3,148,707 3,144,518 Net income per common and common equivalent share $0.56 $0.50 $0.40 Net income per common share - assuming full dilution $0.56 $0.50 $0.40 The accompanying notes to consolidated financial statements are an integral part of these financial statements. CARETENDERS HEALTH CORP. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS ASSETS March 31, March 31, 1997 1996 CURRENT ASSETS: Cash and cash equivalents $1,014,604 $1,561,041 Accounts receivable - net of allowance for uncollectible accounts of approximately $3,153,000 and $2,900,000, respectively 20,436,964 17,197,400 Prepaid expenses and other current assets 1,765,168 1,487,876 Deferred tax assets 1,646,990 1,105,000 TOTAL CURRENT ASSETS 24,863,726 21,351,317 PROPERTY AND EQUIPMENT - net 4,959,217 3,981,934 COST IN EXCESS OF NET ASSETS ACQUIRED - net of accumulated amortization of approximately $1,430,000 and $1,190,000, respectively 7,723,263 7,005,232 OTHER ASSETS 1,198,367 878,351 ----------- ----------- $38,744,573 $33,216,834 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES: Accounts payable - trade $3,334,671 $3,306,484 Accrued salaries, commissions, benefits and other expenses 3,696,350 3,661,967 Current portion of term debt and capital lease obligations 261,716 432,329 Other current liabilities 100,000 106,986 TOTAL CURRENT LIABILITIES 7,392,737 7,507,766 LONG-TERM LIABILITIES: Revolving credit facility 9,754,640 5,851,708 Term debt and capital lease obligations 145,308 321,839 Other liabilities 788,616 631,619 TOTAL LONG-TERM LIABILITIES 10,688,564 6,805,166 TOTAL LIABILITIES 18,081,301 14,312,932 COMMITMENTS AND CONTINGENCIES (Note 7) STOCKHOLDERS' EQUITY: Common stock, par value $.10; 10,000,000 shares authorized; 3,129,436 issued and outstanding 312,944 312,944 Treasury stock, at cost, 10,000 shares (95,975) (95,975) Additional paid-in capital 5,337,876 25,337,876 Accumulated deficit (4,891,573) (6,650,943) TOTAL STOCKHOLDERS' EQUITY 20,663,272 18,903,902 ----------- ----------- $38,744,573 $33,216,834 =========== =========== The accompanying notes to consolidated financial statements are an integral part of these balance sheets. CARETENDERS HEALTH CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY YEARS ENDED MARCH 31, 1997, 1996, and 1995 Covertible Voting Preferred Stockholders' Equity Common Stockholders' Equity Additional Additional Total Preferred Stock Paid-in Common Stock Treasury Stock Paid-in Accumulated Stockholders' Shares Amount Capital Total Shares Amount Shares Amount Capital Deficit Total Equity Balance, March 31, 1994 748,501 $37,425 $6,506,372 $6,543,797 2,380,155 $238,016 10,000 $(95,975) $18,863,001 $(9,473,888) $9,531,154 $16,074,951 Conversion of Preferred to Common (748,501) (37,425) (6,506,372) (6,543,797) 748,501 74,850 - - 6,468,947 - 6,543,797 - Exercised options - - - - 780 78 - - 5,928 - 6,006 6,006 Net Income - - - - - - - - - 1,247,662 1,247,662 1,247,662 Balance, March 31, 1995 - - - - 3,129,436 312,944 10,000 (95,975) 25,337,876 (8,226,226) 17,328,619 17,328,619 Net Income - - - - - - - - - 1,575,283 1,575,283 1,575,283 Balance, March 31, 1996 - - - - 3,129,436 312,944 10,000 (95,975) 25,337,876 (6,650,943) 18,903,902 18,903,902 Net Income - - - - - - - - - 1,759,370 1,759,370 1,759,370 Balance, March 31, 1997 - $ - $ - $ - 3,129,436 $312,944 10,000 $(95,975) $25,337,876 $(4,891,573) $20,663,272 $20,663,272 The accompanying notes to consolidated financial statements are an integral part of these financial statements. CARETENDERS HEALTH CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS Year Ended March 31, 1997 1996 1995 Cash flows from operating activities: Net income $ 1,759,370 $1,575,283 $1,247,662 Adjustments to reconcile net income to net cash provided by (used in)operating activities: Gain on sale of assets - - (97,500) Depreciation and amortization 2,239,194 2,057,092 2,300,034 Deferred income tax benefit (192,000) (492,000) (580,000) Provision for uncollectible accounts 2,215,537 1,668,844 1,688,521 6,022,101 4,809,219 4,558,717 Change in certain net current assets, net of the effects of acquisitions (Increase) decrease in: Accounts receivable (5,455,101) (3,588,432)(5,627,953) Prepaid expenses and other current assets (274,784) (551,879) (6,346) Increase (decrease) in: Accounts payable and accrued expenses 156,628 999,625 (661,316) Other liabilities (6,985) 148,820 (65,517) Net cash provided by (used in) operating activities: 441,859 1,817,353 (1,802,415) Cash flows from investing activities: Proceeds from sale of businesses - - 2,474,434 Capital expenditures (2,620,942) (1,015,161)(1,222,781) Acquisitions, net of cash acquired (1,084,846) - - Other assets (551,245) 21,827 469,027 Net cash (used in) provided by investing activities: (4,257,033) (993,334) 1,720,680 Cash flows from financing activities: Principal payments on term debt and capital leases (441,202) (607,959) (1,167,243) Issuance of term debt and capital leases - - 35,396 Net revolving credit facility borrowings (repayments) 3,902,932 80,206 (43,498) Other (192,993) - 6,006 Net cash provided by (used in) financing activities: 3,268,737 (527,753) (1,169,339) Net (decrease) increase in cash (546,437) 296,266 (1,251,074) Cash and cash equivalents at beginning of year 1,561,041 1,264,775 2,515,849 Cash and cash equivalents at end of year $1,014,604 $1,561,041 $1,264,775 Supplemental Information Cash paid for interest $690,851 $611,000 $736,000 Cash paid for income taxes $52,000 $671,000 $93,700 The accompanying notes to consolidated financial statements are an integral part of these financial statements. CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES BASIS OF CONSOLIDATION AND DESCRIPTION OF BUSINESS The consolidated financial statements include the accounts of Caretenders Health Corp. and its wholly-owned subsidiaries ("the Company"). The Company provides adult day health services and home health care services to individuals in Alabama, Connecticut, Florida, Indiana, Kentucky, Maryland, Massachusetts, Ohio and Virginia. All material intercompany transactions and accounts have been eliminated in consolidation. CASH AND CASH EQUIVALENTS The Company considers all highly liquid debt instruments purchased with an original maturity of three months or less to be cash equivalents. Uninsured deposits at March 31, 1997, and 1996 were approximately $1,015,000 and $1,561,000, respectively. PROPERTY AND EQUIPMENT Property and equipment are stated at cost. Depreciation is computed using the straight-line method over the estimated useful lives. The estimated useful lives of depreciable assets are as follows: Estimated Useful Life Building and Leasehold Improvements 5 - 30 Medical and Office Equipment 3 - 8 Transportation and Other Equipment 3 - 5 Included in Property and Equipment is rental equipment which may be sold. Upon sale, the cost net of related accumulated depreciation is charged to costs of sales and services. COST IN EXCESS OF NET ASSETS ACQUIRED The costs in excess of fair value of net assets acquired are stated at cost and amortized on a straight-line basis over their estimated useful lives which range from 20 to 40 years. CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Subsequent to its acquisitions, the Company evaluates whether later events and circumstances have occurred that indicate the remaining estimated useful life of goodwill may warrant revision or that the remaining balance of goodwill may not be recoverable. At March 31, 1997, no such events or circumstances existed warranting such revisions to the lives or recorded amounts of recorded goodwill. When factors indicate that goodwill should be evaluated for possible impairment, the Company will utilize appropriate methods (such as discounted cash flows over the remaining life of the goodwill), in measuring whether or not the goodwill is recoverable. LONG-LIVED ASSETS On April 1, 1996, the Company adopted Statement of Financial Accounting Standards No. 121, Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed of (SFAS 121). SFAS 121, under certain circumstances, requires a business to recognize an impairment related to its long-lived assets. Application of this standard did not impact the financial position or results of operations of the Company. CAPITALIZATION POLICIES Maintenance, repairs and minor replacements are charged to expense as incurred. Major renovations and replacements are capitalized to appropriate property and equipment accounts. Upon sale or retirement of property, the cost and related accumulated depreciation are eliminated from the accounts and the related gain or loss is recognized in income. Construction costs incurred to ready a project for its intended use are capitalized for major development projects and are amortized over the lives of the related assets. Pre-opening costs related to the start up of new operations and facilities are deferred and amortized over two years beginning with commencement of operations. The unamortized balance of capitalized pre-opening costs as of March 31, 1997 and 1996 was approximately $470,000 and $276,000, respectively and is included in other assets on the accompanying balance sheet. NET REVENUES Approximately 62%, 55%, and 57%, of net revenues for the fiscal years ended March 31, 1997, 1996, and 1995, respectively, were derived under federal and state third-party reimbursement programs. These revenues CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS are based, in part, on cost reimbursement principles and are subject to examination and retroactive adjustment by agencies administering the programs. Management continuously evaluates the outcome of these reimbursement examinations and provides allowances for losses based upon the best available information. In the opinion of management, adjustments, if any, would not be material to the financial position or the results of operations of the Company. NET INCOME PER SHARE Net income per common and common equivalent share is computed based on the weighted average number of common shares and common equivalent shares outstanding. Common equivalent shares result from dilutive stock options, warrants, and convertible preferred stock. In March 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standard No. 128, Earnings Per Share (SFAS 128). The standard modifies disclosure requirements for companies required to report earnings per share (EPS) to include presentations of Basic EPS (which includes no dilution of common stock equivalents) and, if applicable, Diluted EPS (which reflects the potential dilution of common stock equivalents). The pro forma Basic and Diluted EPS for March 31, 1997, 1996 and 1995 are as follows: 1997 1996 1995 Earnings per share: Net Income Basic $ 0.56 $ 0.50 $ 0.40 Diluted $ 0.56 $ 0.50 $ 0.40 Weighted average shares outstanding: Basic 3,119,436 3,119,436 3,119,436 Diluted 3,141,865 3,148,707 3,144,518 REVERSE STOCK SPLIT On March 22, 1995, the shareholders approved and implemented a one (1) for five (5) reverse stock split. Simultaneously, the par value per common share changed from $.02 per share to $.10. Share and per share information have been restated for all periods presented to reflect this reverse stock split. HEALTHCARE REFORM LEGISLATION, REGULATIONS AND MARKET CONDITIONS The health care industry has experienced extensive and dynamic change. In addition to economic forces and regulatory influences, continuing political debate is subjecting the health care industry to significant reform. Health care reform proposals have been formulated by the current federal government administration, members of Congress, and, periodically, state legislators. Government officials can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law or new interpretations of existing laws may have a dramatic effect on the definition of permissible or impermissible activities, the relative cost of doing business, and the methods and amounts of payments for medical care by both governmental and other payors. Legislative changes to "balance the budget" and slow the annual rate of growth of Medicare and Medicaid are expected. Such changes may impact reimbursement for home health care. There can be no assurance that future legislation or regulatory changes will not have a material adverse effect on the future operations of the Company. CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS USE OF ESTIMATES The preparation of financial statements in conformity with generally accepted accounting principles requires management to make 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 reported amounts of revenues and expenses during the reported period. Actual results could differ from those estimates. FINANCIAL STATEMENT RECLASSIFICATIONS Certain amounts have been reclassified in the 1996 and 1995 financial statements in order to conform to the 1997 presentation. Such reclassifications had no effect on previously reported net income. FAIR VALUE OF FINANCIAL INSTRUMENTS The Company's financial instruments consist of cash, accounts receivable and payable and debt instruments. The book values of cash and accounts receivable and payable are considered representative of their respective fair values. The fair value of the Company's debt instruments approximate their carrying values as substantially all of such debt has rates which fluctuate with changes in market rates. NOTE 2 - PROPERTY AND EQUIPMENT Property and equipment, including equipment under capital leases, consist of the following: March 31, March 31, 1997 1996 Buildings and improvements $ 713,572 $ 301,663 Leasehold improvements 1,894,695 1,301,521 Medical equipment 5,291,958 4,143,983 Office and other equipment 4,578,098 3,260,092 Transportation equipment 1,763,843 1,825,866 ------------ ------------ 14,242,166 10,833,125 Less accumulated depreciation (9,282,949) (6,851,191) ------------ ------------ $ 4,959,217 $ 3,981,934 </ABLE> Property and equipment acquired under capital leases consists principally of transportation, and office and other equipment, of $720,000 and $1,608,000 at March 31, 1997 and 1996, respectively against which obligations of approximately $165,000 and $434,000 were outstanding at those dates. Depreciation expense was approximately $1.8, $1.8, and $1.7 million for the fiscal periods ended March 31, 1997, 1996, and 1995, respectively. CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS NOTE 3 - REVOLVING CREDIT FACILITY The Company has a $12 revolving credit facility with the Healthcare Financial Services Division of Heller Financial, Inc.. Interest accrues on the facility at 1 percent over prime. Availability is determined pursuant to a formula principally consisting of a percentage of accounts receivable subject to certain exclusions, as defined. The facility is collaterialized by accounts receivable, inventory and a lien on the stock of the Company's subsidiaries. $12 million was available under the formula on March 31, 1997. The balance outstanding as of March 31, 1997 was approximately $9.8 million. The credit agreement contains certain restrictive covenants. The facility will remain in effect until October 13, 1998 and for annual one year terms thereafter unless either party to the credit agreement provides the other with a written notice of termination 60 days prior to the renewal date. NOTE 4 - TERM DEBT AND CAPITAL LEASE OBLIGATIONS Term debt and capital lease obligation borrowings consist of the following: March 31, March 31, 1997 1996 The Company has various promissory notes and capital leases related to certain transportation and other equipment expiring at various dates through 1999. 407,024 754,168 Less current portion (261,716) (432,329) ---------- ------------ Non-current obligations $ 145,308 $ 321,839 As of March 31, 1997, future net minimum lease payments under capital leases and maturities of term debt are as follows: Capital Long-term Leases Debt 1998 $ 136,316 $ 134,516 1999 40,814 58,632 2000 - 17,401 2001 - 19,295 2002 - 12,877 Thereafter - - Total minimum lease payments and ---------- ----------- maturities 177,130 $ 242,721 Less amount representing interest (12,827) =========== Present value of minimum lease ---------- payments 164,303 Less current portion (127,200) ---------- Long-term portion of capital lease obligations $ 37,103 ========== NOTE 5 - INCOME TAXES Statement of Financial Accounting Standards No. 109, Accounting for Income Taxes (SFAS 109) requires recognition of deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. Under this method, deferred tax assets and liabilities are determined based on the difference between the Company's book and tax bases of assets and liabilities and tax carryforwards using enacted tax rates in effect for the year in which the differences are expected to reverse. The principal tax carryforwards and temporary differences giving rise to the Company's deferred taxes consist of tax net operating loss carryforwards, differences in book and tax accounting for depreciation, bonuses, compensated absences, deferred compensation, and allowance for uncollectible accounts. The Company's deferred tax assets and liabilities were as follows: CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS March 31, March 31, March 31, 1997 1996 1995 Deferred tax assets Nondeductible reserves and allowances $1,338,000 $1,941,000 $1,871,000 Net operating loss carryforwards 202,000 340,000 854,000 AMT Credit 107,000 120,000 90,000 ---------- ---------- ----------- 1,647,000 2,401,000 2,815,000 Valuation allowance - (1,156,000) (1,780,000) ---------- ---------- ----------- $1,647,000 $1,245,000 $1,035,000 Deferred tax liabilities Accelerated depreciation and other $383,000 $173,000 $455,000 ---------- ---------- ---------- Net deferred tax assets $1,264,000 $1,072,000 $580,000 ========== ========== ========== Provision for income taxes consist of the following: Year Ended March 31, 1997 1996 1995 Federal - Current $200,000 $ 30,000 $ 90,000 State and local Current 148,000 135,000 242,000 Deferred (192,000) (30,000) (277,959) ---------- ---------- ---------- 156,000 $135,000 $ 54,041 CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS A reconciliation of the statutory to the effective rate of the Company is as follows: March 31, 1997 March 31, 1996 March 31, 1995 Tax provision using statutory rate $651,000 $555,900 $442,600 Goodwill $75,000 $71,400 $451,600 Valuation Allowance and other ($1,156,000) ($624,000) ($1,048,000) State and local taxes, net of federal benefit $155,000 $89,100 $159,700 Other, net $431,000 $42,600 $48,141 -------- --------- ----------- Total $156,000 $135,000 $54,041 Although the Company has experienced losses in the past, management believes that the Company will be able to realize its recorded deferred tax assets. The Company's ability to generate the expected amounts of taxable income from future operations is dependent upon general economic conditions, competitive pressures on revenues and margins and legislation and regulation at all levels of government. There can be no assurances that the Company will meet its expectations of future taxable income. However, management has considered the above factors in reaching its conclusions that it is more likely than not that future taxable income will be sufficient to fully utilize the deferred tax assets as of March 31, 1997. NOTE 6 - STOCK OPTIONS AND WARRANTS Employee Stock Option Plans 1. The Company has a Nonqualified Stock Option Plan which provides for the granting of options to key employees, officers, and directors, to purchase up to 220,000 shares of the Company's common stock. The Board of Directors will determine the amount and terms of the options which cannot exceed ten years. 2. The Company has an Incentive Stock Option Plan providing key employees, officers, and directors, options to purchase up to 80,000 shares of the Company's common stock. Generally, these options expire ten years after the date of grant, while options held by individuals owning more than 10% of the Company's common stock expire after five years. The option price cannot be less than the fair market price of the common stock at the date granted and the options are not exercisable during the first year. 3. The Company has a Supplemental Nonqualified Stock Option Plan which provides options for the purchase up to 40,000 shares of the Company's common stock to key employees and non-employee consultants. The Board of Directors will determine the amount and terms of the options, which cannot exceed ten years. 4. The Company has a 1991 Long-term Incentive Nonqualified Stock Option Plan which provides options to purchase up to 500,000 shares of the Company's common stock to key employees, officers, and directors. The Board of Directors will determine the amount and terms of the options, which cannot exceed ten years. 5. The Company has a 1993 Stock Option Plan for Non-employee Directors which provides options to purchase up to 120,000 shares of the Company's common stock to directors who are not employees. Each newly elected director or any director who does not possess options to purchase 10,000 shares of the Company's common stock will automatically be granted options to purchase 10,000 shares of common stock at an exercise price based on the market price as of the date of grant. Changes in qualified options, non-qualified options, and supplemental non-qualified options and warrants outstanding are summarized as follows: CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Warrants Options Shares Wtd. Avg Shares Wtd. Avg Ex. Price Ex. Price March 31, 1994 271,600 $12.13 557,220 $8.66 Granted 15,000 $12.50 51,600 $8.24 Exercised - 780 $1.54 Terminated - 56,460 $8.83 March 31,1995 286,600 $12.15 551,580 $8.61 Granted - 135,000 $6.30 Exercised - - Terminated - 163,280 $9.26 March 31, 1996 286,600 $12.15 523,300 $7.82 Granted - 41,500 $6.30 Exercised - - Terminated 20,000 $13.75 26,000 $4.34 March 31, 1997 266,600 $12.03 538,800 $7.87 At March 31, 1997 and 1996, approximately 266,600 and 286,600 warrants were exercisable, respectively. The following table details exercisable options and related information: 1997 1996 Excercisable at end of year 420,000 404,000 Weighted Average Exercise Price $8.18 $8.26 Weighted Average of Fair Value of options Granted $4.26 $4.33 The Company applies APB Opinion 25 and related interpretations in accounting for its stock option plans. In 1995, Statement of Financial Accounting Standards No. 123 _Accounting for Stock Based Compensation_ (SFAS 123) was issued and, if fully adopted, changes the method of recognition of costs on plans similar to the Company's. The Company adopted the disclosure-only provisions of SFAS 123. Accordingly, no compensation cost has been recognized for the Company's stock option plans. Had compensation cost for the stock option plans been determined based upon the fair value at the grant date for the awards in 1997 and 1996 consistent with the provisions of SFAS 123, the effect on net income and earnings per share would have been reduced to the following pro forma amounts: 1997 1996 Net Income: As Reported $1,759,370 $1,575,283 Pro Forma 1,567,145 1,499,681 Primary EPS: As Reported $ 0.56 $ 0.50 Pro Forma 0.50 0.48 Fully Diluted EPS: As Reported $ 0.56 $ 0.50 Pro Forma 0.50 0.48 Because the SFAS 123 method of accounting has not been applied to options award prior to April 1, 1995, the resulting pro forma compensation cost may not be representative of that to be expected in future years. The following table summarizes information about stock options outstanding at March 31, 1997: Options Outstanding Options Exercisable ------------------------------------------------------------------------ -------------------------------- Wtd. Avg. Range of Outstanding Remaining Wt. Avg. Exercisable Wtd. Avg. Ex. Price As of March 31, 1997 Contractual Life Ex. Price As of March 31, 1997 Ex. Price 1.95 19,500 2.9 $1.95 19,500 $1.95 5.50 - 6.50 160,000 8.9 6.17 58,730 6.16 7.00 - 8.13 54,600 7.1 7.86 38,600 7.90 8.75 - 9.69 298,900 4.5 8.97 297,150 8.96 16.55 - 20.00 5,800 1.7 18.14 5,800 18.14 1.95 - 20.00 538,800 6.0 7.87 419,780 8.27 The fair value of each option award is estimated on the date of grant using the Black-Scholes option pricing model with the following weighted-average assumptions used for awards in 1997 and 1996 respectively: risk-free interest rates of 6.5% and 5.9%, expected volatility of approximately 59% and 62%, expected lives of 7.5 years for both 1997 and 1996, and no expected dividend yields for both 1997 and 1996 CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS NOTE 7 - COMMITMENTS AND CONTINGENCIES (a) Operating Leases The Company leases certain real estate, office space, and equipment under noncancellable operating leases expiring at various dates through 2007. Rent expense amounted to approximately $3.1, $2.5, and $2.4 million for 1997, 1996, and 1995, respectively. At March 31, 1997 the minimum rental payments under these leases are as follows: 1998 2,950,000 1999 2,607,000 2000 2,407,000 2001 1,987,000 2002 1,408,000 (b) Employment Contracts The Company has entered into an employment contract with an officer. In connection with this contract, the Company is contractually obligated to pay an annual base salary of $190,000 for three years. In addition, the agreement contains contingent obligations associated with performance bonuses and severance. (c) Medical Malpractice Claims The Company has insurance coverage with respect to medical malpractice risks. The malpractice insurance coverage provides coverage up to $1,000,000 per occurrence, and has no deductible for which the Company would be responsible. It is the Company's policy to record losses from asserted and unasserted claims identified by the Company and unreported claims based on estimates that incorporate the Company's past experience, as well as other considerations including the nature of each claim or incident and relevant trend factors. Based on these factors and the Company's insurance coverage, no accrual for potential losses attributable to asserted and unasserted claims has been recorded in the accompanying financial statements. (d) Legal Proceedings The Company is currently, and from time to time, subject to claims and suits arising in the ordinary course of its business, including claims for damages for personal injuries. In the opinion of management, the ultimate resolution of any of these pending claims and legal CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS proceedings will not have a material effect on the Company's financial position or results of operations. On January 26, 1994 Franklin Capital Associates, Aetna Casualty and Surety and Aetna Life and Casualty, shareholders, who at one time held approximately 320,000 shares of the Company's common stock (approximately 13% of shares outstanding) filed suit in Chancery Court of Williamson County, Tennessee claiming unspecified damages not to exceed three million dollars in connection with registration rights they received in the Company's acquisition of National Health Industries in February 1991. The suit alleges the Company failed to use its best efforts to register the shares held by the plaintiffs as required by the merger agreement. The Company believes it has meritorious defenses to the claims and does not expect that the ultimate outcome of the suit will have a material impact on the Company's results of operation or financial position. The Company plans to vigorously defend its position in this case. No amounts have been recorded in the accompanying financial statements related to this suit. In January 1997, Aetna Life & Casualty withdrew its claim against the Company without prejudice. NOTE 8 - VOTING CONVERTIBLE PREFERRED STOCK On September 30, 1994, HEALTHSOUTH converted its shares of the Company's Series A voting convertible preferred stock into the same number of common shares. Non-cash aspects of this transaction have been excluded from the accompanying statement of cash flows. NOTE 9 - RELATED PARTY TRANSACTIONS AND BALANCES The Company has an agreement with HEALTHSOUTH under which HEALTHSOUTH purchases certain durable medical equipment and prosthetic and orthotic appliances (to fill HEALTHSOUTH's normal business requirements of such items) from the Company. During the years ended March 31, 1997, 1996 and 1995, the Company realized sales of $15,000, $84,000 and $391,000 to HEALTHSOUTH, respectively, at terms the Company normally offers its customers. The outstanding receivable from HEALTHSOUTH was $7,965 and $17,000 as of March 31, 1997 and 1996. NOTE 10 - QUARTERLY FINANCIAL DATA (UNAUDITED) Summarized quarterly financial data for years ended March 31, 1997 and 1996 are as follows (in thousands expect per share data): CARETENDERS HEALTH CORP. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1997 1996 First Second Third Fourth First Second Third Fourth Net Revenues $17,746 $19,158 $19,630 $20,239 $14,969 $15,999 $16,228 $16,031 Gross Profit 3,699 4,305 4,253 4,247 3,392 3,682 3,821 3,574 Net Income 368 465 512 414 362 456 507 250 Per Share $0.12 $0.15 $0.16 $0.13 $0.12 $0.15 $0.16 $0.07 NOTE 11 - Acquisitions and Divestitures On February 18, 1995, the Company entered into an arrangement with Columbia/HCA Healthcare Corporation (Columbia), under which Columbia acquired the Company's Certificate of Need license to provide nursing services to patients in eight counties in the Elizabethtown, Kentucky area and hired the Company to manage the operations until the year 2000. This transaction provided the Company with approximately $550,000 in cash. Simultaneously, the Company's management agreement of Columbia's Louisville agency was extended for one year. In May 1996, the Company acquired the stock of Reliable Home Health Care, Inc. (Reliable), a provider of intermittent home nursing services in Cleveland, Ohio. The acquisition was accounted for as a purchase. The Company paid a total purchase price, including fees and expenses, of approximately $520,000 in consideration for Reliable's stock. The operations of Reliable were included in the Company's consolidated financial statements beginning May of 1996. The excess purchase price over the estimated fair value of the net assets acquired of approximately $400,000 is being amortized using the straight-line method over 20 years. In June 1996, the Company acquired the stock of Pro-Care Home Health of Broward, Inc. (Pro-Care), an intermittent home nursing business in Ft. Lauderdale, Florida. The acquisition was accounted for as a purchase. The Company paid a total purchase price, including fees and expenses, of approximately $500,000 in consideration for Pro-Care's stock. The operations of Pro-Care were included in the Company's consolidated financial statements beginning June of 1996. The excess purchase price over the estimated fair value of the net assets acquired of approximately $470,000 is being amortized using the straight-line method over 20 years. The impact of the above acquisitions were not significant for any of the periods presented and, therefore, pro forma amounts are not presented illustrating the effects of such acquisitions. Report of Independent Public Accountants To the Stockholders of Caretenders Health Corp.: We have audited the accompanying consolidated balance sheets of Caretenders Health Corp. (a Delaware corporation) and subsidiaries as of March 31, 1997 and 1996 and the related consolidated statements of income, stockholders' equity, and cash flows for each of the three years in the period ended March 31, 1997. These financial statements are the responsibility of the Company'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 Caretenders Health Corp. and subsidiaries as of March 31, 1997 and 1996, and the results of their operations and their cash flows for each of the three years in the period ended March 31, 1997 in conformity with generally accepted accounting principles. ARTHUR ANDERSEN LLP Louisville, Kentucky June 5, 1997 ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The information required by this Item is set forth the Registrants definitive proxy materials of the Company to be filed with the Commission no later than 120 days after March 31, 1997, except for the information regarding executive officers of the Company, which is contained in Item 1 of Part I report. The information required by this Item contained in such definitive proxy materials is incorporated herein by reference. The following table sets forth certain information with respect to the Company's directors and executive officers. Name Age Position with the Company William B. Yarmuth (1) 45 Chairman of the Board President and Chief Executive Officer C. Steven Guenthner (2) 36 Senior Vice President and Chief Financial Officer Mary A. Yarmuth (3) 50 Senior Vice President and President - SeniorCare Solutions W. Timothy Luckett (4) 41 Vice President - Human Resources Helen Salvate-Simms (5) 40 Vice President - SeniorCare Solutions Brenda S. Gaines (6) 40 Vice President - SeniorCare Solutions Anne Liechty (7) 45 Vice President - Infusion Services Michael P. Seltzer (8) 33 Vice President - HME Services Stan C. Abromaitis (9) 50 Vice President - Government Relations Mark R. Nail (10) 38 Vice President - Controller Steven B. Bing (11) 50 Director Patrick B. McGinnis (12) 50 Director Donald G. McClinton (13) 63 Director Tyree G. Wilburn (14) 45 Director Jonathan Goldberg (15) 45 Director Wayne T. Smith (16) 51 Director Executive officers of the Company are elected by the Board of Directors for one year and serve at the pleasure of the Board of Directors with the exception of William B. Yarmuth who has an employment agreement with the Company. See Item 11 -- William B. Yarmuth Employment Agreement. Mary A. Yarmuth is married to William B. Yarmuth. There are no other family relationships between any director or executive officer. Each Director is elected to hold office until the next annual meeting of stockholders and until a successor is elected and qualified. (1) William B. Yarmuth has been a director of the Company since 1991, when the Company acquired National, where Mr. Yarmuth was Chairman, President and Chief Executive Officer. After the acquisition, Mr. Yarmuth became the President and Chief Operating Officer of the Company. Mr. Yarmuth became Chairman and CEO in 1992. He was Chairman of the Board, President and Chief Executive Officer of National from 1981 to 1991. (2) C. Steven Guenthner has been Senior Vice President and Chief Financial Officer of the Company since 1992. From 1983 through 1992 Mr. Guenthner was employed as a CPA with Arthur Andersen LLP. Prior to joining the Company he served as a Senior Manager in the firm's Accounting and Audit division specializing in mergers and acquisitions, public companies and the healthcare industry. (3) Mary A. Yarmuth has served as Senior Vice President of the Company since 1991. From 1985 to 1991 Ms. Yarmuth served as President of the Company's Nursing Division. Ms. Yarmuth joined National in 1981. (4) W. Timothy Luckett joined Caretenders Health Corp. in November 1989 as the Director of Human Resources and became a Vice President on April 1, 1994. (5) Helen Salvate-Simms has served as Vice President of the Company since 1991. From 1989 to 1991 she was Operations Manager for the Company's Nursing Division. (6) Brenda S. Gaines was selected as Vice President of the Company in 1997. From 1995 to 1997 she was a Director of Operations. She joined the Company in 1991. (7) Anne Liechty has served as Vice President of the Company since 1992. From 1987 to 1992 she served as the Company's Corporate Nursing Infusion Manager. (8) Michael P. Seltzer was selected as Vice President of the Company in 1997. From 1995 to 1997 he served as the Company's Director of HME Services. Prior to 1995 Mr. Seltzer served in various capacities of home medical equipment management for Frazier Rehabilitation Center and Abbey Home Health. (9) Stan C. Abromaitis was selected as Vice President of the Company in 1997. From 1994 to 1997 he served as the Company's Director of Government Relations. Prior to 1994 Mr. Abromaitis served as (10) Mark R. Nail was selected as Vice President of the Company after joining the Company in 1997. Prior to 1997 Mr. Nail served as chief financial officer for Girling Healthcare. (11) Steven B. Bing was elected a Director in January 1992. Mr. Bing is an employee of R. Gene Smith, Inc., a private investment company located in Louisville, Kentucky. From 1989 to March 1992, Mr. Bing was President of ICH Corporation, an insurance holding company. From 1984 to 1989, he served as Senior Vice President of ICH Corporation. He is also a director of the University of Louisville, First Alliance Corporation, and various closely-held business entities. (12) Patrick B. McGinnis was elected a director in October 1994. Mr. McGinnis is the co-founder of Healthcare Recoveries, Inc. and serves as the company's chairman and CEO. Healthcare Recoveries, Inc. is a provider of subrogation and other claims recovery services to the healthcare industry. From 1979 to 1988, Mr. McGinnis was Vice President-Finance and Planning for Humana, Inc. (13) Donald G. McClinton was elected a director in October 1994. From 1986 to 1994, Mr. McClinton was co-chairman of Interlock Industries, Inc., a privately held company engaged in metal fabrication, corrugated container manufacturing, aluminum processing and transportation. Presently, Mr. Clinton is President and part owner of Skylight Thoroughbred Training Center. Inc., a thoroughbred course training center. He is also a director of Jewish Hospital Systems, Inc., and Mid- America Bancorp. (14) Tyree G. Wilburn was elected a director in January 1996. Mr. Wilburn is a private investor. From 1992 to 1996, Mr. Wilburn was Chief Development Officer of Community Health Systems, Inc. and, most recently, Executive Vice President and Chief Financial and Development Officer. From 1974 to 1992 Mr. Wilburn was with Humana Inc. where he held senior and executive positions in mergers and acquisitions, finance, planning, hospital operations, audit and investor relations. He is also a director of Health Directions, Inc. (15) Jonathan Goldberg was elected a director in February 1997. Mr. Goldberg is the managing partner of the law firm of Goldberg and Simpson and has served in that capacity for the last five years. (16) Wayne T. Smith was elected a director in March 1997. Mr. Smith is President and Chief Executive Officer of Community Health Systems, Inc. Mr. Smith was President and Chief Operating Officer of Humana, Inc. from 1993 to 1996 and has served with Humana from 1973 to 1993 in various capacities, including numerous vice president and divisional president positions. ITEMS 11, 12 AND 13. EXECUTIVE COMPENSATION; SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT; AND CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS The Registrant intends to file a definitive proxy statement with the Commission pursuant to Regulation 14A (17 CFR 240.14a) not later than 120 days after the close of the fiscal year covered by this report. In accordance with General Instruction G(3) to Form 10-K, the information called for by Items 11, 12 and 13 is incorporated herein by reference to the definitive proxy statement. Neither the report on Executive Compensation nor the performance graph included in the Company's definitive proxy statement shall be deemed incorporated herein by reference. PART IV Item 14. Exhibits and Financial Statement Schedules and Reports on Form 8-K. Page Number (a)(1) Index to Consolidated Financial Statements Consolidated Statements of Operations for the three years ended March 31, 1997, 1996, and 1995 21 Consolidated Balance Sheets - March 31, 1997 and 1996 22 Consolidated Statements of Stockholders' Equity for the three years ended March 31, 1997, 1996, and 1995 23 Consolidated Statements of Cash Flows for the three years ended March 31, 1997, 1996, and 1995 24 Notes to Consolidated Financial Statements 25-36 Report of Independent Public Accountants 37 (a)(2) Index to Financial Statement Schedule Report of Independent Public Accountants 46 Schedule II - Valuation and Qualifying Accounts S-1 All other Schedules have been omitted because they are either not required, not applicable or, the information has otherwise been supplied in the financial statements or notes thereto. (a)(3) Exhibits (* denotes filed herein) Exhibit Number Description of Exhibit 3.1 Certificate of Incorporation, as amended 3.2 Amended and Restated By-laws 4.1 Credit Agreement by and between the Company and First National Bank of Louisville and AmSouth Bank, N.A., and HEALTHSOUTH Rehabilitation Corporation, as guarantor, dated as of June 29, 1992 with exhibits (incorporated by reference to Exhibit 10.88 to the Registrant's Form S-1 Reg. 33-46565 dated April 23, 1993) 4.2 Medical Claims, Revolving Loan Agreement, Revolving Credit Note and exhibits between the Company and Heller Financial dated June 20, 1994 4.3 Other Debt Instruments -- copies of other debt instruments for which the total debt is less than 10% of assets will be furnished to the Commission upon request. 10.1 Form of Lender's Notes and Lenders' Warrants (Incorporated by Reference to Exhibit 10.3 to the Registrant's Registration Statement on Form S-1 Reg. No. 33-8158 effective December 2, 1986) 10.2 Stockholders and Noteholders Agreement, dated February 5, 1991, by and among the Company, Senior Kentucky, Inc., National Health Industries, Inc., Franklin Capital Associates, L.P., Aetna Life and Casualty Company, The Standard Fire Insurance Company and the holders of National's common stock (Incorporated by reference to Exhibit 2.3 to the Registrant's Report on Form 8-K, dated February 5, 1991) 10.3 Nonqualified Stock Option Plan, as amended (Incorporated by reference to the Registrant's Registration Statement on Form S-8 Reg. No. 33-20815) 10.4 Supplemental Nonqualified Stock Option Plan (Incorporated by reference to Exhibit 19.4 to the Registrant's Report on Form 10-Q for the Quarter Ended November 30, 1987 Commission File No. 15342) 10.5 Incentive Stock Option Plan, as amended (Incorporated by reference to the Registrant's Registration Statement on Form S-8 Reg. No. 33-20815) 10.6 Indemnity Agreement, effective as of October 15, 1987, between Senior Service Corporation and Robert S. Shulman (Incorporated by Reference to Exhibit 10.46 to the Registrant's Post-Effective Amendment No. 3 to its Registration Statement on Form S-1 Reg. No. 33-8158) 10.7 Amendment to the Senior Service Corporation 1987 Nonqualified Stock Option Plan (Incorporated by reference to Exhibit 19.3 to the Registrant's Report on Form 10-Q for the quarter ended November 30, 1989) 10.9 Provider Agreement, dated May 24, 1989, between the Maryland State Department of Health and Mental Hygiene and Towson Community Adult Day Care (Incorporated by reference to Exhibit 10.70 to the Registrant's Post-Effective Amendment No. 4 to its Registration Statement on Form S-1 File No. 33-8158) 10.22 1991 Long-Term Incentive Plan 10.23 Warrant Agreement, dated June 29, 1991, between the Company and HEALTHSOUTH Rehabilitation Corporation (incorporated by reference to Exhibit 10.88 to the Registrant's Form S-1 Reg. 33-46565 dated April 23, 1993) 10.24* Employment Agreement, dated January 1. 1996, between the Company and William B. Yarmuth 10.25 Asset Sale Agreements between the Company and Columbia/HCA Healthcare Corporation 11* Schedule of Computation of Per Share Earnings 22* List of Subsidiaries of Caretenders Health Corp. 24.1* Consent of Arthur Andersen LLP 27* Financial Data Schedule (b)Reports on Form 8-K None. (c)Exhibits Described in Item 14(a)(3) of this report (d)Financial Statement Schedules Described in Item 14(a)(2) of this report 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. CARETENDERS HEALTH CORP. June 23, 1997 By /s/ William B. Yarmuth William B. Yarmuth Chairman, President and Chief Executive Officer By /s/ C. Steven Guenthner C. Steven Guenthner Senior Vice President and Chief Financial Officer (Principal Financial and Accounting Officer) Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons in the capacities and on the dates indicated: By /s/ William B. Yarmuth June 25, 1997 William B. Yarmuth Date Director By /s/ Patrick B. McGinnis June 25, 1997 Patrick B. McGinnis Date Director By /s/ Donald G. McClinton June 25, 1997 Donald G. McClinton Date Director By /s/ Steven B. Bing June 25, 1997 Steven B. Bing Date Director By /s/ Tyree Wilburn June 25, 1997 Tyree Wilburn Date Director By /s/ Jonathan Goldberg June 25, 1997 Jonathan Goldberg Date Director By /s/ Wayne T. Smith June 25, 1997 Wayne T. Smith Date Director Report of Independent Public Accountants To the Stockholders of Caretenders Health Corp.: Our audits were made for the purpose of forming an opinion on the basic financial statements taken as a whole. The schedule listed in the index to Financial Statement Schedule is presented for purposes of complying with the Securities and Exchange Commissions rules and is not part of the basic financial statements. This schedule has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, fairly states in all material respects the financial data required to be set forth therein in relation to the basic financial statements taken as a whole. ARTHUR ANDERSEN LLP Louisville, Kentucky June 5, 1997 CARETENDERS HEALTH CORP AND SUBSIDIARIES VALUATION AND QUALIFYING ACCOUNTS SCHEDULE II Col. A Col. B Col. C Col. D Col. E Additions ----------------------- (1) Balance at Charged to Charged to Beginning of Costs Other (2) Balance at Description Period and Expenses Accounts Deductions End of Period Year ended March 31, 1997: Allowance for bad debts $2,884,743 $2,215,537 $ - $1,947,135 $3,153,145 Year ended March 31, 1996: Allowance for bad debts $2,910,272 $1,668,844 $ - $1,694,373 $2,884,743 Year ended March 31, 1995: Allowance for bad debts $1,955,621 $1,688,521 $ - $733,870 $2,910,272 <FN> (1) Charged to bad debt expense. (2) Write-off of accounts. </FN> S-1 CARETENDERS HEALTH CORP AND SUBSIDIARIES SCHEDULE OF COMPUTATION OF EARNINGS PER SHARE EXHIBIT 11 For the Fiscal Years Ended March 31, 1997 1996 1995 Primary earnings per share: Net income $1,759,370 $1,575,283 $1,247,662 Weighted average outstanding shares at year end 3,119,436 3,119,436 3,119,436 Add-common equivalent shares representing shares issuable upon exercise of dilutive options and 22,429 29,271 25,082 warrants Weighted average number of shares used in calculation of primary earnings per 3,141,865 3,148,707 3,144,518 share PER SHARE Net income per share $ .56 $ .50 $ .40 Fully diluted earnings per share Weighted average outstanding shares 3,119,436 3,119,436 3,119,436 during the period Add-common equivalent shares representing shares issuable upon exercise of dilutive options and 22,429 29,271 25,082 Weighted average number of shares used in calculation of fully diluted 3,141,865 3,148,707 3,144,518 earnings per share PER SHARE Fully diluted earnings per common $ .56 $ .50 $ .40 share CARETENDERS HEALTH CORP LIST OF SUBSIDIARIES AS OF MARCH 31, 1997 EXHIBIT 22 Subsidiaries of Caretenders Health Corp. Adult Day Care of America, Inc. Adult Day Care of Louisville, Inc. Adult Day Care of Maryland, Inc. HouseCalls, Inc. Adult Day Clubs of America Joint Venture, Ltd. SEI Publishing Corporation National Health Industries, Inc. HHJC Holdings,Inc. Pro-Care Home Health of Broward, Inc. Subsidiaries of National Health Industries, Inc. Freelife Medical Equipment, Inc. Caretenders Homecare, Inc. Caretenders Infusion of Birmingham, Inc. Caretenders of Birmingham, Inc. Caretenders of Boston, Inc. Caretenders of Cincinnati, Inc. Caretenders of Columbus, Inc. Caretenders of Elizabethtown, Inc. Caretenders of Indiana, Inc. Caretenders of Indianapolis, Inc. Caretenders of Lincoln Trail, Inc. Caretenders of Louisville, Inc. Caretenders of New Jersey, Inc. Caretenders of Northern Kentucky, Inc. Caretenders of Richmond, Inc. Caretenders of the Bluegrass, Inc. Caretenders Visiting Services of Richmond, Inc. House Calls of America, Inc. Caretenders Infusion Corp. Metro Home Care, Inc. National Orthopedic & Rehabilitation Services,Inc Physician Affiliates, Inc. Special Healthcare Services, Inc. Reliable Home Healthcare, Inc. Caretenders Visiting Services of Cincinnati, Inc. Caretenders of Cleveland, Inc. Caretenders Visiting Services of Columbus, Inc. Caretenders of Fort Lauderdale, Inc. Caretenders of Evansville, Inc. Caretenders of West Palm Beach, Inc. Caretenders Visiting Services of Indianapolis,Inc Caretenders of Charlotte, Inc. Subsidiary of HHJC Holdings, Inc. Home Health of Jefferson County, Inc. Caretenders of Marshall County, Inc. CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS As independent public accountants, we hereby consent to the incorporation of our reports included in this Form 10-K, into the Company's previously filed Registration Statement File No. 33-33601 relating to the Company's Incentive Stock Option Plan, Registration Statement File No. 33-81122 related to the 1987 Nonqualified Stock Option Plan, Registration Statement No. 33-881100 related to the 1993 Non-Employee Directors Stock Option Plan, and Registration Statement No. 33-81124 related to the 1991 Long-Term Incentive Plan. ARTHUR ANDERSEN LLP Louisville, Kentucky June 26, 1997