UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-QSB [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 1997 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from _____ to _____ Commission file number 33-84692C CARE FIRST INC. (Exact name of registrant as specified in its charter) Minnesota 41-0877001 - --------------------------------------- --------------------------------------- (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) 3720 23rd Ave So Minneapolis, MN 55407 - ---------------------------------------- ------------------------------------- (Address of principal executive offices) (Zip Code) (612) 724-5495 ---------------------------------------------------- (Registrant's telephone number, including area code) 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 --- --- At June 30, 1997, 10,500 shares of Common Stock were outstanding. -------------------------------------- This Form 10-Q consists of 11 pages. Exhibits begin on page 11. -1- CARE FIRST INC. FORM 10-QSB QUARTER ENDED JUNE 30, 1997 INDEX PART I - FINANCIAL INFORMATION PAGE Item 1. Condensed Financial Statements and Notes . . . . . . . . . . . 3 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations. . . . . . . . . . . . . . 7 PART II - OTHER INFORMATION Item 1. Legal Proceedings. . . . . . . . . . . . . . . . . . . . . . . 9 Item 2. Changes in Securities. . . . . . . . . . . . . . . . . . . . . 9 Item 3. Defaults Upon Senior Securities. . . . . . . . . . . . . . . . 9 Item 4. Submission of Matters to a Vote of Security Holders . . . . . 9 Item 5. Other information. . . . . . . . . . . . . . . . . . . . . . . 9 Item 6. Exhibits and Reports on Form 8-K . . . . . . . . . . . . . . . 9 SIGNATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 EXHIBITS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 -2- CARE FIRST INC. NOTES TO CONDENSED FINANCIAL STATEMENTS (UNAUDITED) June 30, 1997 NOTE A - BASIS OF PRESENTATION The accompanying unaudited condensed financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-QSB. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. For further information, refer to the financial statements and footnotes thereto included in the Company's annual report for the fiscal year ended September 30, 1996. NOTE B - COMMON STOCK Authorized and outstanding common stock shares are as follows at June 30, 1997: Class A Class B Unclassified Total ----------------------------------------------- Shares of Stock Authorized 500 10,000 4,500 15,000 Shares of Stock Outstanding 500 10,000 0 10,500 Par Value per Share $0.01 $0.01 $0.01 N/A Voting Rights Yes No No N/A NOTE C - OPERATIONS The Corporation owns and operates the following: Description Address Operation ----------------------------------------------------------- Nile Health Care 3720 23rd Ave South 256-Bed Nursing Center Minneapolis MN Care Facility Springs of Water 3720 23rd Ave South (1) Home Health Services Home Care Minneapolis MN (1) Care First Home Health Services legally changed its name to Springs of Water Home Care in May, 1997. As of June 30, 1997, no services have yet been rendered. NOTE D - SERIES 1994 BONDS In December 1994, the City of Minneapolis issued $4,725,000 of Health Care Facilities Refunding Revenue Bonds and $8,500,000 of Taxable Health Care Facilities Revenue Bonds to refund the Series 1983 Tax Exempt Bonds and to finance construction and equipping of a 131-bed Addition to the Corporation's 125-bed Existing Facility. The proceeds from the Taxable Health Care Facilities Revenue Bonds remain in Trustee Held Funds until certified draw requests are processed for construction costs, including building construction, equipment installation, capitalized interest and other Project costs. -3- CARE FIRST INC. CONDENSED BALANCE SHEETS JUNE 30, SEPTEMBER 30, 1997 1996 (UNAUDITED) ASSETS CURRENT ASSETS Cash $ 1,097,804 $ 505,128 Accounts Receivable 673,484 1,294,103 Current Assets Whose Use is Limited 98,528 609,868 Note Receivable - Stockholders (4,314) 7,833 Prepaid Expenses 21,352 11,088 Deferred Tax Asset - 88,000 ------------ ------------ Total Current Assets $ 1,886,853 $ 2,516,020 ------------ ------------ ASSETS WHOSE USE IS LIMITED $ 1,104,677 $ 1,304,230 ------------ ------------ PROPERTY AND EQUIPMENT at Cost Less Accumulated 0.00 Depreciation of $2,509,368 at June 30, 1997 and $2,219,257 at September 30, 1996 $ 10,039,888 $ 10,231,700 ------------ ------------ OTHER ASSETS Unamortized Financing Costs $ 968,096 $ 1,044,416 Deferred Tax Asset - 70,000 Other Assets 172,573 19,080 ------------ ------------ Total Other Assets $ 1,140,669 $ 1,133,496 ------------ ------------ Total Assets $ 14,172,087 $ 15,185,446 ------------ ------------ ------------ ------------ LIABILITIES AND STOCKHOLDERS' DEFICIT CURRENT LIABILITIES Current Maturites of Long-Term Debt $ 145,000 $ 135,000 Accounts Payable - Trade 151,092 395,472 Accounts Payable - Other 49,688 100,908 Accrued Salaries and Benefits 463,095 462,981 Other Accrued Expenses 548,955 1,022,717 ------------ ------------ Total Current Liabilities $ 1,357,831 $ 2,117,078 LONG-TERM DEBT (Net of Current Maturities Shown Above) 12,770,000 12,915,000 OTHER LIABILITIES 302,676 415,641 ------------ ------------ Total Liabilities $ 14,430,507 $ 15,447,719 ------------ ------------ STOCKHOLDERS' DEFICIT Common Stock $ 17,764 $ 17,765 Retained Deficit (276,184) (280,038) ------------ ------------ Total Stockholders' Deficit $ (258,420) $ (262,273) ------------ ------------ Total Liabilities and Stockholders' Deficit $ 14,172,087 $ 15,185,446 ------------ ------------ ------------ ------------ -4- CARE FIRST INC. CONDENSED STATEMENTS OF OPERATIONS AND RETAINED (DEFICIT) For the Three Months Ended For the Nine Months Ended June 30 June 30 -------------------------------- -------------------------------- 1997 1996 1997 1996 (Unaudited) (Unaudited) (Unaudited) (Unaudited) REVENUES Resident Services $ 2,351,527 $ 2,373,988 $ 7,577,164 $ 6,797,271 Home Health Services - - - (25,665) ------------ ------------ ------------ ------------ Total Revenue $ 2,351,527 $ 2,373,988 $ 7,577,164 $ 6,771,606 ------------ ------------ ------------ ------------ OPERATING EXPENSES Resident Services $ 1,994,545 $ 2,082,835 $ 6,296,829 $ 5,925,725 Home Health Services 12,505 1,581 12,505 3,967 ------------ ------------ ------------ ------------ Total Operating Expenses $ 2,007,050 $ 2,084,416 $ 6,309,334 $ 5,929,692 ------------ ------------ ------------ ------------ INCOME FROM OPERATIONS BEFORE DEPRECIATION, AMORTIZATION AND INTEREST $ 344,476 $ 289,572 $ 1,267,829 $ 841,914 DEPRECIATION AND AMORTIZATION 99,336 96,851 296,158 238,131 INTEREST 349,312 358,724 1,026,290 877,171 ------------ ------------ ------------ ------------ INCOME (LOSS) FROM OPERATIONS $ (104,172) $ (166,003) $ (54,619) $ (273,388) OTHER INCOME 50,748 61,043 115,467 90,025 ------------ ------------ ------------ ------------ INCOME (LOSS) BEFORE INCOME TAXES $ (53,423) $ (104,960) $ 60,849 $ (183,363) PROVISION FOR INCOME TAXES (21,369) (41,984) (0) (73,345) ------------ ------------ ------------ ------------ NET INCOME (LOSS) $ (32,054) $ (62,976) $ 60,849 $ (110,018) Retained Deficit - Beginning (211,475) (239,396) (280,038) (192,354) ------------ ------------ ------------ ------------ RETAINED DEFICIT - ENDING $ (243,529) $ (302,372) $ (219,189) $ (302,372) ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ -5- CARE FIRST INC. STATEMENTS OF CASH FLOWS For the Nine Months Ended June 30 -------------------------------- 1997 1996 (Unaudited) (Unaudited) CASH FLOWS FROM OPERATING ACTIVITIES Cash Received from Resident Services $ 8,197,783 $ 6,342,700 Cash Paid to Suppliers and Employees (6,495,372) (5,695,653) Interest Paid (1,026,290) (17,856) Interest Received 115,467 36,422 Income Taxes Paid 70,000 (2,800) ------------ ------------ Net Cash Provided by Operating Activities $ 861,589 $ 662,813 ------------ ------------ CASH FLOWS FROM INVESTING ACTIVITIES Purchases of Property and Equipment $ (104,346) $ (137,418) Decrease in Note Receivable - Stockholders 12,147 13,087 Acquisition of Investments (317,587) (202,580) Disbursements from Bond Fund 1,389,626 - Deposits to Bond Fund (1,113,753) (610,840) ------------ ------------ Net Cash Provided (Used) by Investing Activities $ (133,912) $ (937,751) ------------ ------------ CASH FLOWS FROM FINANCING ACTIVITIES Principal Payments on Long-Term Debt $ (135,000) $ (31,136) ------------ ------------ Net Cash (Used) by Financing Activities $ (135,000) $ (31,136) ------------ ------------ NET INCREASE (DECREASE) IN CASH $ 592,676 $ (306,074) Cash - Beginning 505,128 704,833 ------------ ------------ CASH - ENDING $ 1,097,804 $ 398,759 ------------ ------------ ------------ ------------ RECONCILIATION OF NET INCOME TO NET CASH PROVIDED BY OPERATING ACTIVITIES Net Income (Loss) $ 60,849 $ (110,018) Depreciation and Amortization 296,158 238,131 (Increase) Decrease in Current Assets: Accounts Receivable - Residents 620,619 (428,905) Other Current Assets 659,076 698,099 Increase (Decrease) in Current Liabilities: Accounts Payable (244,380) (58,617) Other Current Liabilities (530,734) 324,123 ------------ ------------ Net Cash Provided by Operating Activities $ 861,589 $ 662,813 ------------ ------------ ------------ ------------ SUPPLEMENTAL SCHEDULE OF NONCASH FINANCING ACTIVITIES Deposits to Trustee Held Funds $ - $ 95,002 ------------ ------------ ------------ ------------ Transfers from Trustee Held Funds for Property and Equipment Acquisition and Financing Costs $ 193,117 $ 1,674,763 Payment of Bond Principal and Interest 1,489,734 741,664 ------------ ------------ Total $ 1,682,851 $ 2,416,427 ------------ ------------ ------------ ------------ Transfer of Construction in Progress to Property and Equipment $ - $ 4,831,934 ------------ ------------ ------------ ------------ -6- MANAGEMENT'S DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS AND FINANCIAL CONDITION Following is the analysis of the results of operations and financial condition of the Corporation as of June 30, 1997 and September 30, 1996 and for the three months ended June 30, 1997 and 1996 and the nine months ended June 30, 1997 and 1996. DEPENDENCE ON MINNESOTA MEDICAID PROGRAM Substantially all revenues of the Corporation are derived from daily resident rates established by the Department of Human Services (DHS) for its nursing facility pursuant to the Rate-setting System. Changes in the Rate-setting System are anticipated but the effects of such changes on the Corporation cannot be predicted. For instance, in 1995, the State of Minnesota, by statute, authorized the DHS to establish a contractual alternative payment system, called the "Nursing Home Contract Project". (See Other Information) COMPARISON OF THE THREE MONTHS ENDED JUNE 30, 1997 TO THE THREE MONTHS ENDED JUNE 30, 1996 AND THE NINE MONTHS ENDED JUNE 30, 1997 TO THE NINE MONTHS ENDED JUNE 30, 1996. For the unaudited third quarter of 1997, the three months ended June 30, 1997, the Corporation's net loss was $32,054 in comparison with a net loss of $62,976 for the same period in 1996, and for the nine months ended June 30, 1997, the net income was $36,509 in comparison with a loss of $110,018 for the same period in 1996. The year to date income can be attributed to adjusting staffing levels and budgeting expenses, while the loss in the third quarter may be attributed to falling census levels from 18,781 days in the first quarter to 17,854 in the second quarter to 17,503 in the third quarter. Resident services revenue decreased by $22,461 or 1%, from $2,373,988 for the three months ended June 30, 1996, to $2,351,527 for the three months ended June 30, 1997 and increased by $779,893 or 11% from $6,797,271 for the nine months ended June 30, 1996 to $7,577,164 for the nine months ended June 30, 1997. The decrease in revenue for the third quarter may be due to decreased levels of therapy utilization of $27,269 for third quarter 1996 to 1997. The increase in revenue for the nine months ended June 30, 1997 may be due to a blend of increased rates and a higher census with the Nile Health Care Center addition. The Nile Health Care Center's daily room rate is approximately $10 per day or 8% higher than the former Cedar Pines Facility. Additionally, the revenue for the period October 1996 to December 1996 is at the increased Nile Health Care Center daily rate, compared to a blend of the Nile Health Facility rate and the lower Cedar Pines rate from the comparative period in 1995. The Corporation had previously suspended the operations of the Home Health Services; however, operations are planned to be resumed in August, 1997. Operating expenses, which include salaries and benefits, supplies, utilities, food, purchased services, and general and administrative expenses, decreased $77,366 or 4% from $2,084,416 for the three months ended June 30, 1996 to $2,007,050 for the three months ended June 30, 1997 and increased $379,642 or 6% from $5,929,692 for the nine months ended June 30, 1996 to $6,309,334 for the nine months ended June 30, 1997. Resident services operating expenses decreased $88,290 or 4% from $2,082,835 for the three months ended June 30, 1996 to $1,994,545 for the three months ended June 30, 1997 and increased $371,104 or 6% from $5,925,725 for the nine months ended June 30, 1996 to $6,296,829 for the nine months ended June 30, 1997. The net increase is a blend of the increase in physical plant of Nile Health Care Center from 125 beds to 256 beds for the first quarter of 1997 and inflationary costs. Depreciation, amortization and interest expense decreased $6,927 or 2% from $455,575 for the three months ended June 30, 1996 to $448,648 for the three months ended June 30, 1997 and increased $207,146 or 19% from $1,115,302 for the nine months ended June 30, 1996 to $1,322,448 for the nine months ended June 30, 1997. The increase is a result of the interest rate increases with the Series 1994 bonds which bear interest from 5% to 7.75%, and the increased depreciation from additional fixed assets. -7- The Corporation's estimated income tax recoverable for the three months ended June 30, 1996 was $41,984 based on a pretax (loss) of $104,960 and for the three months ended June 30, 1997, estimated income tax recoverable was $21,369 based on a pretax (loss) of $53,423. For the nine months ended June 30, 1996, estimated income tax recoverable was $73,345 based on a pretax (loss) of $183,363 and for the nine months ended June 30, 1997, estimated income tax expense was $24,340 based on a pretax income of $60,849. Both periods resulted in an effective income tax rate of 40%. LIQUIDITY AND CAPITAL RESOURCES The Corporation does not maintain any line of credit or other external sources of liquidity. At June 30, 1997, the Corporation had $1,097,804 in cash, and working capital of $504,682 based upon current assets of $1,886,853 and current liabilities of $1,382,171 and at September 30, 1996, the Corporation had $505,128 in cash, and working capital of $398,942 based upon current assets of $2,516,020 and current liabilities of $2,117,078. During the nine months ended June 30, 1997, cash increased $592,676. Net cash provided by operating activities was $861,589 for the nine months ended June 30, 1997. Accounts Payable has decreased $244,380 from September 30, 1996 to June 30, 1997, mainly as a result of keeping more current on payment of invoices. As of June 30, 1997, total outstanding Long-Term Debt of the Corporation equaled $12,770,000 consisting of the Series 1994 Taxable Health Care Facilities Revenue Bonds and the Series 1994 Health Care Facility Refunding Revenue Bonds, both of which are secured equally and ratably on parity by a mortgage lien on, security interest in and an assignment of leases and rents of the Addition. Unamortized Financing Costs consist of financing costs associated with the issuance of the City of Minneapolis, Minnesota Taxable Health Care Facilities Revenue Bonds and the City of Minneapolis, Minnesota Health Care Facilities Refunding Revenue Bonds. Assets Whose Use is Limited decreased a net $710,893 from $1,914,098 at September 30, 1996 to $1,203,205 at June 30, 1997 as a result of payments of bond principal and interest net with interest earnings and deposits to the Bond Funds. The net proceeds of the 1994 Taxable Health Care Facilities Bonds are being held by the trustee in accounts whose use is limited until they are expended for their designated purposes. The Corporation has not entered into any material agreements or commitments with respect to acquisitions or development. On June 19, 1997, the Local 113 Union was voted in to represent the non- professional staff of Nile Health Care Center. As of June 30, 1997, no negotiations have been started. The Corporation believes the proceeds from the offering of the Bonds, together with existing capital resources and cash flow from its existing operations, will be sufficient to make the indebtedness repayments, to make capital additions and improvements, and to meet other working capital needs for the next twelve months. -8- IMPACT OF INFLATION The health care industry is labor intensive. Wages and other expenses increase more rapidly during periods of inflation and when shortages in the labor market occur. In addition, suppliers pass along rising costs in the form of higher prices. Increases in daily rates under the Rate-setting System generally lag behind actual cost increases, so the Corporation may have difficulty covering them in a timely fashion, despite an inflation factor in the rate-setting process. This is due to the lag between the "reporting period" (when costs are incurred) and the "rate year" when costs are actually reflected in daily rates paid to the Corporation for services provided. RECENTLY ISSUED ACCOUNTING STANDARDS In March 1995, the FASB issued Statement No. 121, "Accounting for Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed of. SFAS No. 121 is effective for the Corporation with the fiscal year beginning October 1, 1996. The effects of SFAS No. 121 on this Corporation have been insignificant. PART II: OTHER INFORMATION Item 1. LEGAL PROCEEDINGS None Item 2. CHANGES IN SECURITIES None Item 3. DEFAULTS UPON SENIOR SECURITIES None Item 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS None Item 5. OTHER INFORMATION "NURSING HOME CONTRACT PROJECT" On December 15, 1995, the Corporation was approved to participate in the State of Minnesota contractual alternative payment system, called the "Nursing Home Contract Project". The purpose of the Project is to explore a contract-based reimbursement. The Nile is paid their reimbursement rates in effect July 1, 1995 with a 2.98% annual inflationary adjustment. This project impacts Medicaid and private pay reimbursement rates effective July 1, 1996. Item 6. EXHIBITS AND REPORTS ON FORM 8-K None -9- SIGNATURES In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. CARE FIRST INC. Dated: August 1, 1997 By /s/ Jack E. Nugent ------------------------------------- Jack E. Nugent, President Dated: August 1, 1997 By /s/ Tamara J. Austin ------------------------------------- Tamara J. Austin, Director of Finance -10-