FORM 10-Q SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 QUARTERLY REPORT UNDER SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 (Mark One) { X } QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2000 { } TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to For Quarter Ended March 31, 2000 Commission file number 000-17596 Meridian Healthcare Growth and Income Fund Limited Partnership (Exact Name of Registrant as Specified in its Charter) Delaware 52-1549486 (State or Other Jurisdiction of (I.R.S. Employer Incorporation or Organization) Identification Number) 225 East Redwood Street, Baltimore, Maryland 21202 (Address of Principal Executive Offices) (Zip Code) Registrant's Telephone Number, Including Area Code: (410) 727-4083 N/A (Former Name, Former Address, and Former Fiscal Year, if Changed Since Last Report.) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or 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 MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP INDEX Page No. CAUTIONARY STATEMENT REGARDING FORWARD LOOKING STATEMENTS 2 Part I. Financial Information Item 1. Financial Statements Consolidated Balance Sheets 3 Consolidated Statements of Earnings 4 Consolidated Statements of Partners' Capital 5 Consolidated Statements of Cash Flows 6 Notes to Consolidated Financial Statements 7-8 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 9-11 Item 3. Quantitative and Qualitative Disclosures About Market Risk 12 Part II. Other Information Item 1. through Item 6. 12 Signatures 13 MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Cautionary Statement Regarding Forward Looking Statements Certain statements contained herein, including certain statements in "Management's Discussion and Analysis of Financial Condition and Results of Operations" concerning the Fund's business outlook or future economic performances, anticipated profitability, revenues, expenses or other financial items together with other statements that are not historical facts are "forward-looking statements" as that term is defined under the Federal Securities Law. Forward-looking statements are necessarily estimates reflecting the best judgement of the party making such statements based upon correct information and involve a number of risks, uncertainties and other factors which could cause actual results to differ materially from those stated in such statements. Risks, uncertainties and factors which could affect the accuracy of such forward looking statements are identified in the Fund's Prospectus and the Fund's Registration Statement filed by the Fund with the Securities and Exchange Commission, and forward looking statements contained herein or in other public statements of the Fund should be considered in light of those factors. There can be no assurance that factors will not affect the accuracy of such forward looking statements. -2- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Consolidated Balance Sheets (Dollars in thousands) March 31, 2000 December 31, (Unaudited) 1999 ---------------- ---------------- Assets Current Assets Cash and cash equivalents $ 1,871 $ 2,511 Accounts receivable, net 7,975 7,224 Estimated third-party payor settlements 162 342 Prepaid expenses 512 478 ---------------- ---------------- Total current assets 10,520 10,555 ---------------- ---------------- Property and equipment, net of accumulated depreciation 33,138 33,346 ---------------- ---------------- Other assets Deferred financing fees, net 56 - Goodwill, net 4,681 4,745 ---------------- ---------------- 4,737 4,745 ---------------- ---------------- Total assets $ 48,395 $ 48,646 ================ ================ Liabilities and Partners' Capital Current liabilities Current portion of long-term debt $ 22,482 $ 22,605 Accrued compensation and related costs 428 778 Accounts payable and other accrued expenses 3,546 2,926 Estimated third party payor settlements 1,819 1,934 ---------------- ---------------- Total current liabilities 28,275 28,243 ---------------- ---------------- Deferred management fee payable 906 894 Loan payable to the Development General Partner 1,150 1,137 ---------------- ---------------- 2,056 2,031 ---------------- ---------------- Partners' capital General partners (135) (132) Assignee limited partners; 1,540,040 units issued and outstanding 18,199 18,504 ---------------- ---------------- Total partners' capital 18,064 18,372 ---------------- ---------------- Total liabilities and partners' capital $ 48,395 $ 48,646 ================ ================ See accompanying notes to consolidated financial statements -3- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Consolidated Statements of Earnings For the three months ended March 31, (Unaudited) (Dollars in thousands except per unit amounts) 2000 1999 ---------------- ---------------- Revenues Medicaid and Medicare patients $ 10,767 $ 9,736 Private patients 2,501 2,536 Investment and other income 70 35 ---------------- ---------------- 13,338 12,307 ---------------- ---------------- Expenses Operating, including $2,092 and $1,279 to related parties 10,739 9,550 Management and administration fees to related parties 866 800 General and administrative 221 251 Depreciation and amortization 546 497 Interest expense 448 415 ---------------- ---------------- 12,820 11,513 ---------------- ---------------- Net earnings $ 518 $ 794 ================ ================ Net earnings per unit of assignee limited partnership interest - basic $ 0.33 $ 0.51 (computed based on 1,540,040 units) =============== =============== See accompanying notes to consolidated financial statements -4- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Consolidated Statements of Partners' Capital For the Three Months Ended March 31, 2000 and 1999 (Unaudited) Dollars in thousands Assignee General Limited Partners Partners Total ---------------- ---------------- ---------------- Balance at December 31, 1999 $ (132) $ 18,504 $ 18,372 Net earnings 5 513 518 Distributions to partners (8) (818) (826) ---------------- ---------------- ---------------- Balance at March 31, 2000 $ (135) $ 18,199 $ 18,064 ================ ================ ================ Balance at December 31, 1998 $ (128) $ 18,941 $ 18,813 Net earnings 8 786 794 Distributions to partners (8) (818) (826) ---------------- ---------------- ---------------- Balance at March 31, 1999 $ (128) $ 18,909 $ 18,781 ================ ================ ================ See accompanying notes to consolidated financial statements -5- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMTIED PARTNERSHIP Consolidated Statements of Cash Flows For the Three Months Ended March 31, (Unaudited) (Dollars in thousands) 2000 1999 ---------------- ---------------- Cash flows from operating activities Net earnings $ 518 $ 794 Adjustments to reconcile net earnings to net cash provided by operating activities Depreciation and amortization 546 497 Minority interest in net earnings of operating partnerships 5 9 Increase in loan payable to Development General Partner 13 13 Increase in deferred management fee payable 12 12 Change in other assets and liabilities Accounts receivable (756) (433) Estimated third-party payor settlements 65 495 Prepaid expenses (34) 107 Accrued compensation and related costs (350) (340) Accounts payable and other accrued expenses 621 (1,462) ---------------- ---------------- Net cash provided by operating activities 640 (308) ---------------- ---------------- Cash flows from investing activities- additions to property and equipment (247) (213) ---------------- ---------------- Cash flows from financing activities Deferred financing fees (84) - Repayment of long-term debt (123) (208) Distributions to partners (826) - ---------------- ---------------- Net cash used in financing activities (1,033) (208) ---------------- ---------------- Net decrease in cash and cash equivalents (640) (729) Cash and cash equivalents Beginning of period 2,511 2,928 ---------------- ---------------- End of period $ 1,871 $ 2,199 ================ ================ See accompanying notes to consolidated financial statements -6- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Notes to Consolidated Financial Statements March 31, 2000 (Unaudited) NOTE 1 - THE FUND AND BASIS OF PREPARATION The Fund owns 98.99% limited partnership interests in each of the seven operating partnerships. The Fund through its seven operating partnerships, derives substantially all of its revenue from extended healthcare provided to nursing center residents including room and board, nursing care, drugs and other medical services. The accompanying consolidated financial statements of Meridian Healthcare Growth and Income Fund Limited Partnership (the "Fund") do not include all of the information and note disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles. The unaudited interim consolidated financial statements reflect all adjustments which are, in the opinion of management, necessary to a fair statement of the results for the interim periods presented. All such adjustments are of a normal recurring nature. The unaudited interim financial information contained in the consolidated financial statements should be read in conjunction with the consolidated financial statements contained in the 1999 Annual Report. NOTE 2 - RELATED PARTY TRANSACTIONS The Fund is obligated to pay the Administrative General Partner an annual administration fee of the greater of $75,000 per year or 1/2 of 1% of the Fund's annual revenues. The nursing centers owned by the operating partnerships are managed by Meridian Healthcare, Inc., an affiliate of the Development General Partner, under the terms of ten year management agreements which provide for management fees equal to 6% of the annual revenues of each nursing center. Certain of the operating partnerships also purchase drugs and medical supplies and other services from affiliates of the Development General Partner. Such purchases are in turn billed to patients or third party payors at prices which on average approximate the nursing center's cost. Transactions with these related parties for the three months ended March 31, 2000 and 1999 are as follows: 2000 1999 Management and administration fees $ 866,000 $ 800,000 Drug and medical supplies purchases 887,000 610,000 Nursing and rehabilitation services 1,205,000 669,000 Interest expense on borrowings 25,000 23,000 Loans outstanding under an arrangement with the Development General Partner to fund operating deficits generated by the Mooresville, Salisbury and Woodlands nursing centers were $1,150,000 at March 31, 2000 and $1,137,000 at December 31, 1999. NOTE 3 - DEBT Effective February 28, 1998, the Fund renewed it $4,000,000 line of credit agreement which is designated for working capital needs and issuance of letters of credit. This agreement expired on February 28, 2000. Effective February 28, 2000, the Fund extended its line of credit through May 31, 2000 at which time any and all outstanding borrowings under the agreement become due. Borrowings are secured primarily by the accounts receivable of the Fund. Any outstanding cash borrowings under the facility bear interest based on a LIBOR rate plus 1.55%. There were no borrowings or letters of credit outstanding at March 31, 2000. Effective February 28, 1998, the Fund refinanced all existing mortgages. Under the terms of the refinancing, the mortgages matured on February 28, 2000. Effective February 28, 2000, the Fund extended all existing mortgages through May 31, 2000. The mortgages bear interest at LIBOR plus 1.55%. The Fund's managers have secured a new long-term commitment from a bank to refinance the existing indebtedness, as well as the Fund's $4,000,000 line of credit (which is designated for working capital needs and is secured primarily by the accounts receivable of the Fund). The Fund's managers believe the refinancing will close prior to the May 31, 2000 maturity date. -7- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Notes to Consolidated Financial Statements March 31, 2000 (Unaudited) NOTE 4 - NET EARNINGS PER UNIT OF ASSIGNEE LIMITED PARTNERSHIP INTEREST Net earnings per unit of assignee limited partnership interest is disclosed on the Consolidated Statements of Operations and is based upon 1,540,040 units. -8- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Management's Discussion and Analysis of Financial Condition and Results of Operations Liquidity and Capital Resources On March 3, 1998, the Fund entered into a renewal commitment with its existing lender to refinance all of the existing indebtedness. Under the terms of the refinancing, the mortgages were scheduled to mature on February 28, 2000. On February 28, 2000 the Fund executed a three-month extension with the bank and the existing indebtedness is now scheduled to mature on May 31, 2000. Under the terms of the extension, the mortgages continue to bear interest at LIBOR plus 1.55%. The Fund's managers have secured a commitment from another bank to refinance the existing indebtedness as well as the Fund's $4,000,000 line of credit (which is designated for working capital needs and is secured primarily by the accounts receivable of the Fund). The Fund's managers believe the refinancing will close prior to the May 31, 2000 maturity date. The Fund's working capital (excluding long-term debt) decreased $190,000 to $4,727,000 at March 31, 2000 as compared to $4,917,000 at December 31, 1999. The Fund has classified its long-term debt as a current liability on the March 31, 2000 balance sheet as a result of its May 31, 2000 maturity date. The Fund has sufficient liquid assets and other available credit resources to satisfy its operating expenditures and anticipated routine capital improvements at each of the seven nursing home facilities. Cash flow from operating activities was $640,000 for the three-month period ended March 31, 2000 as compared to ($308,000) for the same period of 1999. The primary reason for the rise in cash flow was due to an increase in payables and accrued expenses during 2000 versus a reduction during the same period of 1999. Cash used in investing activities for the three-month period ended March 31, 2000 was $247,000 and included improvements to the Fund's seven operating facilities. Similar improvements made during the first quarter of 1999 were $213,000. Cash used in financing activities during the first quarter of 2000 included repayment of long term debt of $123,000, an extension fee paid to its existing lender of $84,000 and distributions to partners totaling $826,000. The Fund believes that the short-term liquidity needs will be met through expected cash flow from operations and available working capital from the existing line of credit. Long-term liquidity needs will be met through expected cash flow from operations and a refinancing of the existing long-term indebtedness and line of credit capacity. Between 1988 and 1999 the Development General Partner loaned the Fund $597,000 to support operating deficits generated by the Mooresville, Salisbury and Woodlands nursing centers during each centers' first two years of operation. Loans outstanding under this arrangement, including interest at 9% per annum, were $1,150,000 at March 31, 2000. The Fund is obligated to repay these loans when certain financial criteria are met, the most significant of which is the payment of a preferred return to the assignee limited partners as defined in the Fund's partnership agreement. On or about May 15, 2000 the Fund will make its first quarter 2000 distribution to partners of $826,410. This distribution was funded by first quarter 2000 operations and reserves of approximately $197,000. Review of the 2000 budget suggests operations from the seven nursing centers will be sufficient to fund a similar quarterly distribution throughout the year. The major challenge to the Fund in the foreseeable future is to control operating expenses in light of Medicare's conversion to the Prospective Payment System, to maintain a quality mix of patients and to increase the overall census at each of the facilities. -9- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Management's Discussion and Analysis of Financial Condition and Results of Operations Results of Operations Net earnings for the Fund were $518,000 for the three months ended March 31, 2000 as compared to $794,000 for the same period in 1999. The decrease in earnings is primarily due to increased operating costs of the Fund. Overall revenue of $13,338,000 increased $1,031,000 or 8.37% for the three months ended March 31, 2000 compared to the same period in 1999. The increase in revenue is primarily due to increases in Medicaid and Medicare revenue. Medicaid and Medicare revenue increased $1,031,000 to $10,767,000 for the first quarter of 2000 compared to the first quarter of 1999. Medicaid revenue for the three months ended March 31, 2000 increased $422,000 compared to the same period in the prior year. The increase is primarily due to an overall Medicaid rate increase of 10.4% driven primarily by the four Maryland centers which received their annual Medicaid rate adjustment in July 1999 and a second Medicaid rate increase in October 1999, which was implemented to reflect a modification to the State reimbursement program. Medicare A revenue of $3,409,000 increased $517,000 or 18% for the three month period ended March 31, 2000 as compared the same period in 1999. The increase in Medicare revenue is due to the growth in the Medicare census. The average daily Medicare census increased twenty residents or 18% to 131 or 12.8% of the total census for the three months ended March 31, 2000 compared to 111 or 10.5% of the total census for the same period in 1999. Medicare Part B revenue of $133,000 increased $92,000 for the first quarter of 2000 compared to the first quarter of 1999 due to increased utilization of Part B services. Operating costs increased $1,189,000 or 12.45% in the first quarter of 2000 as compared to the same period in 1999. Increased utilization of temporary nurse staffing and increased ancillary expenses were the primary contributors to the overall growth in operating costs. For the three months ended March 31, 2000 temporary nurse staffing expense of $425,000 increased $420,000 compared to the same period in 1999. The utilization of temporary staffing agencies to provide nursing personnel was necessary due to a general shortage of nurses within the healthcare industry. First quarter 2000 ancillary expenses increased $515,000 over similar costs incurred during the first quarter of 1999. The increase in ancillary expense is primarily due to the growth in the Medicare census and the increased utilization of Medicare Part B services. The remaining increase in cost is primarily due to general inflationary cost increases. Management and administrative fees to related parties of $866,000 increased $66,000 for the first quarter of 2000 compared to the same period in 1999. The growth in these fees is primarily due to increased management fee expense. The growth in management fee is a result of increases in revenues as the fee is calculated as a percentage of the Fund's revenue. Depreciation and amortization expense increased $49,000 to $546,000 for the three months ended March 31, 2000 as compared to the same period in 1999. Amortization expense increased $28,000 to recognize the amortization of the mortgage extension fee. Depreciation expense increased $21,000 due to the depreciation of the capital improvements made to the facilities. Interest expense for the first quarter of 2000 increased $33,000 in comparison to the same period in 1999. The increase is the result of higher variable interest rates on the Fund's mortgage notes. -10- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP Management's Discussion and Analysis of Financial Condition and Results of Operations Legislative and Regulatory Issues Legislative and regulatory action has resulted in continuing changes in the Medicare and Medicaid reimbursement programs. The changes have limited, and are expected to continue to limit, payment increases under these programs. Also, the timing of payments made under the Medicare and Medicaid programs is subject to regulatory action and governmental budgetary constraints; in recent years, the time period between submission of claims and payment has increased. Within the statutory framework of the Medicare and Medicaid programs, there are substantial areas subject to administrative rulings and interpretations which may further affect payments made under those programs. Further, the federal and state governments may reduce the funds available under those programs in the future or require more stringent utilization and quality reviews of eldercare centers or other providers. There can be no assurances that adjustments from Medicare or Medicaid audits will not have a material adverse effect on the Fund. -11- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP PART I. FINANCIAL INFORMATION Item 3. Quantitative and Qualitative Disclosures About Market Risk The market risk associated with financial instruments and derivative financial and commodity instruments is the risk of loss from adverse changes in market prices or rates. The Fund's market risk arises primarily from interest rate risk relating to its long-term borrowings which bear interest at LIBOR plus 1.55% of a designated bank. Borrowings are classified as a current liability since they have a May 31, 2000 maturity date. Assuming that the outstanding balance were to remain unchanged from that at March 31, 2000 a 1% increase in the LIBOR rate of interest would reduce the Fund's net earnings by approximately $225,000 on an annualized basis. PART II. OTHER INFORMATION Item 1. Legal Proceedings Inapplicable Item 2. Changes in Securities and Use of Proceeds Inapplicable Item 3. Defaults upon Senior Securities Inapplicable Item 4. Submission of Matters to a Vote of Security Holders Inapplicable Item 5. Other Information Inapplicable Item 6. Exhibits and Reports on Form 8-K a) Exhibits: Financial Data Schedule b) Reports on Form 8-K: None -12- MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP SIGNATURES Pursuant to the requirements of Section 13 or 15 (d) of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. MERIDIAN HEALTHCARE GROWTH AND INCOME FUND LIMITED PARTNERSHIP DATE: 5/12/00 By: /s/ John M. Prugh John M. Prugh President and Director Brown-Healthcare, Inc. Administrative General Partner DATE: 5/12/00 By: /s/ Timothy M. Gisriel Timothy M. Gisriel Treasurer Brown-Healthcare, Inc. Administrative General Partner -14-