UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 8-K/A CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities and Exchange Act of 1934 Date of Report (Date of earliest event reported) - February 7, 1997 HEALTH FITNESS PHYSICAL THERAPY, INC. (Exact name of registrant as specified in its charter) Minnesota 0-25064 41-1580506 (State or other Jurisdiction (Commission File (IRS Employer of incorporation) Number) Identification No.) 3500 West 80th Street Suite 130 Minneapolis, MN 55431 (Address of principal executive offices and zip code) (612) 831-6830 (Registrant's telephone number, including area code) The undersigned registrant hereby amends Item 7 of its Current Report on Form 8-K dated February 7, 1997 as set forth below: Item 7. Financial Statements and Exhibits. (a) Financial Statements of Business Acquired. The following financial statements of the business acquired are included at the following pages (following the signature page) of this Current Report on Form 8-K: Page # Financial Statements of Isernhagen & Associates, Inc.: - Independent Auditors' Report dated March 27, 1997..............5 - Balance Sheet dated December 31, 1996..........................6 - Statement of Income for year ended December 31, 1996...........7 - Statement of Changes in Retained Earnings for year ended December 31,1996.........................................8 - Statement of Cash Flows for year ended December 31, 1996...... 9 - Notes to Financial Statements..............................10-11 Financial Statements of Isernhagen, Ltd.: - Independent Auditors' Report dated March 27, 1997.............12 - Balance Sheet dated December 31, 1996.........................13 - Statement of Income and Retained Earnings for year ended December 31, 1996.............................................14 - Statement of Cash Flows for year ended December 31, 1996......15 - Notes to Financial Statements.................................16 (b) Pro forma financial information. The following pro forma financial information is included at the following pages (following the signature page) of this Current Report on Form 8-K: - Description of Transaction and Assumptions ................17-18 - Pro Forma Balance Sheet dated December 31, 1996...............19 - Pro Forma Income Statement for year ended December 31, 1996 ............................................20 - Notes to Pro Forma Financial Statements ...................21-22 (c) Exhibits. *2.1 Agreement of Purchase and Sale dated February 7, 1997 by and between Isernhagen & Associates, Inc. and Health Fitness Rehab, Inc.. Upon request of the Commission, the Registrant agrees to furnish a copy of any of the following exhibits and schedules to the Agreement and Purchase and Sale: Exhibit A - Bill of Sale Exhibit B - Furniture and Equipment Exhibit C - Assignment and Assumption Agreement Exhibit D - Consent to Use Name 2 Exhibit E - Convertible Subordinated Promissory Note Exhibit F - Earn-Out Payments Exhibit G - Permits, Certificates, Etc. Exhibit H - Financial Statements Exhibit I - Real Estate Lease Exhibit J - Contracts, Agreements, Licenses, Etc. Exhibit K - Employment Agreements Exhibit L - List of Employees Exhibit M - Employee Benefit Plans Exhibit N - Patents, Trademarks, Etc. Exhibit O - Litigation; Disputes Exhibit P - Location of Business and Assets Exhibit Q - Registration Agreement Schedule I - Allocation of Purchase Price Schedule II - Calculation of Contingent Stock *2.2 Agreement of Purchase and Sale dated February 7, 1997 by and between Isernhagen Ltd. and Health Fitness Rehab, Inc.. Upon request of the Commission, the Registrant agrees to furnish a copy of any of the following exhibits and schedules to the Agreement and Purchase and Sale: Exhibit A - Bill of Sale Exhibit B - Consent to Use Name Exhibit C - Convertible Subordinated Promissory Note Exhibit D - Earn-Out Payments Exhibit E - Permits, Certificates, Etc. Exhibit F - Financial Statements Exhibit G - Contracts, Agreements, Licenses, Etc. Exhibit H - Compensation Agreements Exhibit I - List of Employees Exhibit J - Employee Benefit Plans Exhibit K - Patents, Trademarks, Etc. Exhibit L - Litigation Exhibit M - Location of Business and Assets Exhibit N - Registration Agreement Schedule I - Allocation of Purchase Price Schedule II - Calculation of Contingent Stock 23.1 Consent of Independent Certified Public Accountant ------------- * Included in original Current Report on Form 8-K 3 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned duly authorized. DATED: April 23, 1997 HEALTH FITNESS PHYSICAL THERAPY, INC. (Registrant) By: /s/ Don P. Cochran Don P. Cochran, Chief Financial Officer 4 INDEPENDENT AUDITORS' REPORT To the Board of Directors and Stockholders of Health Fitness Physical Therapy, Inc. Minneapolis, Minnesota We have audited the accompanying balance sheet of Isernhagen and Associates, Inc. as of December 31, 1996, and the related statements of income, retained earnings, and cash flows for the year then ended. 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 audit. We conducted our audit 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 misstatements. 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 audit provides 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 Isernhagen and Associates, Inc. as of December 31, 1996, and the results of its operations and its cash flows for the year then ended in conformity with generally accepted accounting principles. VIRCHOW, KRAUSE & COMPANY, LLP /s/ Virchow, Krause & Company, LLP Minneapolis, Minnesota March 27, 1997 5 ISERNHAGEN AND ASSOCIATES, INC. BALANCE SHEET December 31, 1996 - ------------------------------------------------------------------------------ ASSETS 1996 ---- CURRENT ASSETS Cash $ 255,426 Accounts receivable 36,639 Inventories 13,492 --------- Total Current Assets 305,557 ========= PROPERTY AND EQUIPMENT - At Cost Office equipment 69,471 Furniture and fixtures 23,568 --------- 93,039 Less accumulated depreciation (89,295) --------- Total Property and Equipment 3,744 --------- TOTAL ASSETS $ 309,301 ========= LIABILITIES AND STOCKHOLDER'S EQUITY CURRENT LIABILITIES Accounts payable $ 25,029 Accrued payroll, taxes and benefits 41,128 Deferred revenue 18,100 --------- Total Current Liabilities 84,257 --------- STOCKHOLDER'S EQUITY Common stock - no par value; 250,000 shares authorized; 1,000 shares issued and outstanding 1,000 Additional paid-in capital 8,672 Retained earnings 215,372 --------- Total Stockholder's Equity 225,044 --------- TOTAL LIABILITIES AND STOCKHOLDER'S EQUITY $ 309,301 ========= See accompanying notes to financial statements. 6 ISERNHAGEN AND ASSOCIATES, INC. STATEMENT OF INCOME Year Ended December 31, 1996 - ------------------------------------------------------------------------------ 1996 ---- REVENUES Sales of instructional materials $ 795,980 Consulting and fee income 481,256 ---------- Total Revenues 1,277,236 ---------- COSTS OF REVENUES Costs of sales 144,841 Costs of consulting and fee income 251,340 ---------- Total Costs of Revenues 396,181 ---------- Total Gross Profit 881,055 ---------- OPERATING EXPENSES Salaries, wages and employee benefits 406,743 Sales and promotional 64,086 Travel 63,321 Occupancy 22,066 General and administrative 93,472 ---------- Total Operating Expenses 649,688 ---------- OPERATING INCOME 231,367 OTHER INCOME Interest income 4,778 ---------- NET INCOME $ 236,145 ========== See accompanying notes to financial statements. 7 ISERNHAGEN AND ASSOCIATES, INC. STATEMENT OF CHANGES IN RETAINED EARNINGS Year Ended December 31, 1996 - ------------------------------------------------------------------------------- BALANCE - DECEMBER 31, 1995 - INCOME TAX BASIS $ 210,888 Adjustments to reconcile retained earnings on the income tax basis to generally accepted accounting principles basis: Accrued payroll, related taxes and withholdings (13,659) Accrued liability for compensated absences (12,198) Deferred revenue (19,250) ---------- RETAINED EARNINGS AT DECEMBER 31, 1995 - AS RESTATED 165,781 Net income for the year 236,145 Distributions to stockholder (186,554) ---------- RETAINED EARNINGS AT DECEMBER 31, 1996 $ 215,372 ========== See accompanying notes to financial statements. 8 ISERNHAGEN AND ASSOCIATES, INC. STATEMENT OF CASH FLOWS Year Ended December 31, 1996 - -------------------------------------------------------------------------------- CASH FLOWS FROM OPERATING ACTIVITIES Net income $ 236,145 Adjustments to reconcile net income to net cash used for operating activities: Depreciation 19,053 Changes in operating assets and liabilities Decrease in accounts receivable 159 Decrease in inventories 6,809 Increase in accounts payable 12,007 (Decrease) in deferred revenue (1,150) Increase in accrued payroll, taxes and benefits 12,024 --------- Net Cash Provided by Operating Activities 285,047 --------- CASH FLOWS FROM INVESTING ACTIVITIES Purchase of office equipment, furniture and fixtures (21,965) --------- Net Cash Used for Investing Activities (21,965) --------- CASH FLOWS FROM FINANCING ACTIVITIES Distributions to stockholder (134,316) --------- Net Cash Used for Financing Activities (134,316) --------- CASH - Beginning of Year 126,660 --------- CASH - END OF YEAR $ 255,426 ========= Supplemental disclosure of cash flow information Loan receivable applied as distribution to stockholder $ 52,238 ========= See accompanying notes to financial statements. 9 ISERNHAGEN & ASSOCIATES, INC. NOTES TO FINANCIAL STATEMENTS December 31, 1996 - ------------------------------------------------------------------------------- NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - ------------------------------------------------------------------------------- Isernhagen and Associates, Inc. is a consulting company dedicated to the prevention and management of work injuries. The Company provides this service through consultation, seminars, and the sales of related literature. A summary of the Company's significant accounting policies follows. Basis of Accounting - The 1995 financial statements were prepared on the accrual basis and reflect the accounting principles used for federal income tax purposes. The 1996 financial statements are prepared on the accrual basis and reflect generally accepted accounting principles. Adjustments to reflect the application of generally accepted accounting principles as of December 31, 1995 have been reflected in the financial statements as restatement of retained earnings. Accounts Receivable - The Company considers accounts receivable to be fully collectible, accordingly, no allowance for doubtful accounts is required. If accounts become uncollectible, they will be charged to operations when that determination is made. Inventories - Inventories consist of booklets, audio and video tapes, and related printed literature. Inventories are stated at the lower of cost or market value with cost determined using the first-in, first-out method. Property and Equipment - Property and equipment are carried at cost. Depreciation expense is provided primarily using accelerated methods over the estimated useful lives of the assets. Income Tax - The Company has elected to be taxed as an S Corporation under the Internal Revenue Code and related state statutes. Accordingly, the stockholder is subject to federal and state income taxes on her proportionate share of net income. Estimates - The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts. Actual results could differ from those estimates. - ------------------------------------------------------------------------------- NOTE 2 - EMPLOYEE RETIREMENT PLAN - ------------------------------------------------------------------------------- The Company has a 401(k) profit sharing plan for eligible employees. To become eligible to participate in the plan, employees are required to complete a minimum number of hours of service during a specified period. The Company contributes to the plan matching amounts determined annually at its discretion. Matching contributions for 1996 were $3,252. - ------------------------------------------------------------------------------- NOTE 3 - LEASING ARRANGEMENTS - ------------------------------------------------------------------------------- The Company occupies office space under an operating lease expiring June 1997 which requires lease payments of $825 monthly. Additional space is leased from Isernhagen Clinics, Inc., a related corporation, on a month-to-month basis at $754 monthly. Office space is shared with Isernhagen, LTD, another related entity, which was charged rent of $1,893 during 1996. 10 ISERNHAGEN & ASSOCIATES, INC. NOTES TO FINANCIAL STATEMENTS December 31, 1996 - ------------------------------------------------------------------------------- NOTE 4 - CONCENTRATION OF CREDIT RISK - ------------------------------------------------------------------------------- At December 31, 1996 the Company had demand deposits on hand in a reputable local financial institution which exceeded federally insured limits. - ------------------------------------------------------------------------------- NOTE 5 - SUBSEQUENT EVENT - ------------------------------------------------------------------------------- On February 7, 1997, the Company sold its net assets to Health Fitness Physical Therapy, Inc. for cash and other consideration. 11 INDEPENDENT AUDITORS' REPORT To the Board of Directors and Stockholders of Health Fitness Physical Therapy, Inc. Minneapolis, Minnesota We have audited the accompanying balance sheet of Isernhagen, LTD. as of December 31, 1996, and the related statements of income and retained earnings, and cash flows for the year then ended. 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 audit. We conducted our audit 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 misstatements. 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 audit provides 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 Isernhagen, LTD. as of December 31, 1996, and the results of its operations and its cash flows for the year then ended in conformity with generally accepted accounting principles. VIRCHOW, KRAUSE & COMPANY, LLP /s/ Virchow, Krause & Company, LLP Minneapolis, Minnesota March 27, 1997 12 ISERNHAGEN, LTD. BALANCE SHEET December 31, 1996 - ------------------------------------------------------------------------------- ASSETS 1996 ---- CURRENT ASSETS Cash $ 79,750 Accounts receivable 31,075 -------- Total Current Assets 110,825 -------- OTHER ASSETS Organizational cost, net of amortization 21 -------- TOTAL ASSETS $110,846 ======== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable $ 951 Accrued payroll, taxes and benefits 3,443 -------- Total Current Liabilities 4,394 -------- STOCKHOLDERS' EQUITY Common stock - par value $.01; 5,000,000 shares authorized; 600,000 shares issued and outstanding 6,000 Retained earnings 100,452 -------- Total Stockholders' Equity 106,452 -------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $110,846 ======== See accompanying notes to financial statements. 13 ISERNHAGEN, LTD. STATEMENT OF INCOME AND RETAINED EARNINGS Year Ended December 31, 1996 - ------------------------------------------------------------------------------- 1996 ---- REVENUES Consulting and fee income $ 199,250 Cost of consulting and fee income 51,805 -------- Net Consulting and Fee Income 147,445 -------- OPERATING EXPENSES Salaries, wages and employee benefits 9,924 Sales and promotional 686 Travel 3,620 Occupancy 2,537 General and administrative 9,572 -------- Total Operating Expenses 26,339 -------- OPERATING INCOME 121,106 OTHER INCOME Interest income 1,646 -------- NET INCOME 122,752 RETAINED EARNINGS - Beginning of Year 13,796 Distributions to Stockholders (36,096) -------- RETAINED EARNINGS - END OF YEAR $ 100,452 ========= See accompanying notes to financial statements. 14 ISERNHAGEN, LTD. STATEMENT OF CASH FLOWS Year Ended December 31, 1996 - ------------------------------------------------------------------------------- CASH FLOWS FROM OPERATING ACTIVITIES Net income $ 122,752 Adjustments to reconcile net income to net cash used for operating activities: Amortization 247 Changes in operating assets and liabilities Increase in accounts receivable (31,075) Increase in accounts payable 951 Increase in accrued payroll, taxes and benefits 3,443 -------- Net Cash Provided by Operating Activities 96,318 CASH FLOWS FROM FINANCING ACTIVITIES Distributions to stockholders (36,096) -------- Net Cash Used for Financing Activities (36,096) -------- CASH - Beginning of Year 19,528 -------- CASH - END OF YEAR $ 79,750 ======== See accompanying notes to financial statements. 15 ISERNHAGEN, LTD. NOTES TO FINANCIAL STATEMENTS December 31, 1996 - ------------------------------------------------------------------------------- NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - ------------------------------------------------------------------------------- Isernhagen, LTD. provides consulting services related to the prevention and management of work injuries. Accounts Receivable - The Company considers accounts receivable to be fully collectible, accordingly, no allowance for doubtful accounts is required. If accounts become uncollectible, they will be charged to operations when that determination is made. Income Tax - The Company has elected to be taxed as an S Corporation under the Internal Revenue Code and related state statutes. Accordingly, the stockholders are subject to federal and state income taxes on their proportionate share of net income. Estimates - The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts. Actual results could differ from those estimates. Concentrations - Approximately 89% of the Company's sales and 98% of its receivables resulted from transactions with two customers in 1996. - ------------------------------------------------------------------------------- NOTE 2 - RELATED PARTY TRANSACTIONS - ------------------------------------------------------------------------------- The Company is charged office rent from Isernhagen & Associates, Inc., a related company. The amount of rent paid to Isernhagen & Associates, Inc. during 1996 was $1,893. - ------------------------------------------------------------------------------- NOTE 3 - SUBSEQUENT EVENTS - ------------------------------------------------------------------------------- On February 7, 1997, the company sold its net assets to Health Fitness Physical Therapy, Inc. for cash and other consideration. 16 HEALTH FITNESS PHYSICAL THERAPY, INC. - -------------------------------------------------------------------------------- Description of transaction: On February 7, 1997, the Company completed the acquisition of certain assets and assumed certain liabilities of two related and closely-held companies: Isernhagen & Associates, Inc. and Isernhagen, LTD. (Isernhagen). Isernhagen, Minnesota-based companies, provide comprehensive programs and services to professionals who work in industrial rehabilitation and work-injury services. The purchase agreement contained a noncompete provision which covers a period of five years and prohibits the former owners from directly or indirectly competing with the Company. In connection with the acquisition, assets purchased, liabilities assumed, notes issued and consideration paid were as follows: Assets Acquired Accounts receivable $ 67,714 Inventories 13,492 Property 3,744 Noncompete agreements 120,000 Excess of purchase price over net assets acquired 1,133,701 ---------- 1,338,651 ---------- Liabilities Assumed Accounts payable 25,980 Accrued salaries, wages and payroll taxes 44,571 Deferred revenue 18,100 ---------- 88,651 ---------- Notes Issued 250,000 ---------- Cash Consideration Paid $1,000,000 ========== The Company also agreed to issue common stock with a value of $500,000 on February 7, 1999, provided the former owners of Isernhagen are employed by the Company on that date. The notes issued are convertible, subordinated promissory notes, bear interest at 8% and are due May 7, 1998, unless converted earlier. The convertible, subordinated promissory notes and accrued interest are convertible at the option of the holders after August 6, 1997, at a conversion price of the lesser of 85% of the average bid price per share of the Company's common stock over the immediately preceding ten days or $4.00 per share. The purchase agreement requires the Company to make annual cash payments of 50% of net income from operations in excess of 25% of revenues, as defined, for each of the five fiscal years ending February 28, 1998 through 2002. The purchase agreement also required the Company to enter into employment agreements with certain key employees of Isernhagen for a term of five years. These agreements provide for minimum aggregate annual salaries of $195,000. The Company also granted stock options to purchase up to 70,000 shares of the Company's common stock at $4.00 per share in connection with the employment agreements. This acquisition has been accounted for using the purchase method of accounting, and the excess of purchase price over net assets acquired is being amortized over 15 years using the straight-line method. The following pro forma financial statements are based upon the audited financial statements of the Company, Isernhagen & Associates, Inc. and Isernhagen, LTD., as of December 31, 1996 and for the year then ended. 17 HEALTH FITNESS PHYSICAL THERAPY, INC. - ------------------------------------------------------------------------------- Significant assumptions in developing the pro forma financial statements include: 1. Noncompete agreements with the former owners of Isernhagen are being amortized over five years using the straight-line method. 2. The excess of the purchase price over net assets acquired is being amortized over 15 years using the straight-line method. 3. The pro forma financial statements reflect the minimum aggregate annual salaries of certain key employees of Isernhagen totaling $195,000. 4. Accrued vacation pay for Isernhagen employees remains intact and is reflected in the combined pro forma financial statements. Accrued sick pay for Isernhagen employees was not assumed and, therefore, is not reflected in the pro forma financial statements. 5. Earn-out payments, defined above, are based upon a December 31 fiscal year for 1996 through 2001. For the year ended December 31, 1996, no earn-out payment was due. 6. Interest on the convertible, subordinated notes was accrued for six months. Interest on funds borrowed to finance the acquisition was accrued for the entire year. 7. The convertible, subordinated notes were converted July 1, 1997 at a price of $2.39 per share. 8. The Company has assumed that stock options to purchase up to 70,000 shares of the Company's common stock at $4.00 per share issued in connection with the employment agreements were not exercised. Pro forma earnings per share data is based on the weighted average number of shares outstanding during 1996 to give effect had the options been exercised January 1, 1996. 9. The weighted average number of common and common equivalent shares for the year ended December 31, 1996 includes 166,667 contingent shares assumed to be issued to the sellers of Isernhagen. The Company is obligated to issue the contingent shares to the sellers of Isernhagen on February 7, 1999 so that the value of the common stock issued on February 7, 1999 equals $500,000, provided the sellers are employed by the Company on that date. Options and warrants were not included as common stock equivalents for the year ended December 31, 1996 due to their antidilutive effect. 10. The Company's provision for income taxes was adjusted to reflect the income of Isernhagen and other pro forma adjustments. 11. The former owners of Isernhagen were employed by the Company as of and for the year ended December 31, 1996. The Company does not feel there are any significant uncertainties about the assumptions used to develop the pro forma financial statements. The following pro forma financial statements should be read in conjunction with the historical financial statements used in preparing the pro forma financial statements. The following unaudited pro forma condensed financial statements reflect the combined operations of the Company and Isernhagen during the year ended December 31, 1996, as if the acquisition had occurred January 1, 1996. The unaudited pro forma condensed financial statements may not necessarily reflect the actual operations of the Company which would have resulted had the acquisition occurred as of the date presented. The unaudited pro forma information is not necessarily indicative of future results of operations for the combined companies. 18 HEALTH FITNESS PHYSICAL THERAPY, INC. Pro Forma Balance Sheet December 31, 1996 - ------------------------------------------------------------------------------- Health Fitness Physical Total Pro Pro Therapy, Before Forma Forma Inc. Isernhagen Adjustments Adjustments Combined ASSETS CURRENT ASSETS Cash and cash equivalents $335,176 $ 335,176 ($ 335,176) Trade accounts receivable, less allowance for doubtful accounts $ 4,656,876 67,714 4,724,590 $ 4,724,590 Inventories 454,254 13,492 467,746 467,746 Prepaid expenses and other 433,413 433,413 433,413 ----------- ----------- ----------- ------------- ----------- Total Current Assets 5,544,543 416,382 5,960,925 (335,176) 5,625,749 PROPERTY, Net 2,185,335 3,744 2,189,079 2,189,079 OTHER ASSETS Goodwill, less accumulated amortization 9,376,367 9,376,367 1,058,121 10,434,488 Noncompete agreement, less accumulated amortization 346,976 346,976 96,000 442,976 Trade accounts receivable not expected to be collected within one year, less allowance for doubtful accounts 640,000 640,000 640,000 Other 85,676 21 85,697 (21) 85,676 ------------ ------------ ---------- ---------- ---------- TOTAL ASSETS $18,178,897 $420,147 $18,599,044 $ 818,924 $19,417,968 ============ =========== ========== =========== ========== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Checks written in excess of bank balances $ 94,643 $ 94,643 $ 55,936 $ 150,579 Notes payable 2,090,000 2,090,000 1,000,000 3,090,000 Trade accounts payable 1,662,077 $ 25,980 1,688,057 1,688,057 Accrued salaries, wages, and payroll taxes 1,302,770 44,571 1,347,341 (10,000) 1,337,341 Other accrued liabilities 622,182 622,182 147,700 769,882 Current portion of long-term debt 281,278 281,278 281,278 Deferred revenue 1,577,186 18,100 1,595,286 1,595,286 ----------- ----------- ----------- ----------- ----------- Total Current Liabilities 7,630,136 88,651 7,718,787 1,193,636 8,912,423 ----------- ----------- ----------- ----------- ----------- LONG-TERM DEBT, Less Current Portion 576,490 576,490 576,490 ----------- ----------- ----------- ----------- ----------- DEFERRED LEASE OBLIGATION 80,183 80,183 80,183 ------------ ----------- ----------- ----------- ------------ STOCKHOLDERS' EQUITY Common stock 71,733 7,000 78,733 (5,912) 72,821 Additional paid-in capital 11,693,617 8,672 11,702,289 296,632 11,998,921 Retained earnings (accumulated deficit) (1,795,689) 315,824 (1,479,865) (665,432) (2,145,297) ----------- ---------- ------------ ----------- ----------- 9,969,661 331,496 10,301,157 (374,712) 9,926,445 Stockholder notes and interest receivable (77,573) (77,573) (77,573) ----------- ----------- ------------- ----------- ----------- 9,892,088 331,496 10,223,584 (374,712) 9,848,872 ----------- ----------- ----------- ----------- ----------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $18,178,897 $420,147 $18,599,044 $ 818,924 $19,417,968 =========== =========== =========== ========== =========== See accompanying notes to pro forma financial statements. 19 HEALTH FITNESS PHYSICAL THERAPY, INC. Pro Forma Income Statement December 31, 1996 - ------------------------------------------------------------------------------- Health Fitness Physical Total Pro Pro Therapy, Before Forma Forma Inc. Isernhagen Adjustments Adjustments Combined REVENUES Preventative healthcare $21,789,983 $ 680,506 $22,470,489 $22,470,489 Rehabilitative healthcare 6,724,361 6,724,361 6,724,361 Sales of materials 795,980 795,980 795,980 ----------- --------- ----------- ----------- ----------- 28,514,344 1,476,486 29,990,830 29,990,830 ----------- --------- ---------- ----------- ---------- COSTS OF REVENUES Salaries 15,686,183 15,686,183 $ 14,487 15,700,670 Equipment 4,414,273 4,414,273 4,414,273 Support 1,386,472 303,145 1,689,617 1,689,617 Occupancy 1,326,961 1,326,961 1,326,961 Cost of sales 144,841 144,841 144,841 ---------- --------- ----------- ----------- ----------- 22,813,889 447,986 23,261,875 14,487 23,276,362 ---------- --------- ---------- ----------- ---------- Gross Profit 5,700,455 1,028,500 6,728,955 (14,487) 6,714,468 OPERATING EXPENSES Salaries 1,749,498 416,667 2,166,165 73,341 2,239,506 Selling, general and administrative 2,679,227 259,360 2,938,587 109,280 3,047,867 ---------- --------- ----------- ----------- ----------- 4,428,725 676,027 5,104,752 182,621 5,287,373 ---------- --------- ----------- ----------- ----------- 1,271,730 352,473 1,624,203 (197,108) 1,427,095 INTEREST INCOME 26,272 6,424 32,696 32,696 INTEREST EXPENSE (292,421) (292,421) (152,500) (444,921) ----------- ---------- ----------- ---------- ----------- NET INCOME $ 1,005,581 $ 358,897 $ 1,364,478 ($349,608) $ 1,014,870 =========== ========== =========== ========== =========== NET INCOME PER COMMON AND COMMON EQUIVALENT SHARES $0.14 $0.14 ==== ==== WEIGHTED AVERAGE COMMON AND COMMON EQUIVALENT SHARES OUTSTANDING 7,155,800 7,376,995 ========= ========= See accompanying notes to pro forma financial statements. 20 HEALTH FITNESS PHYSICAL THERAPY, INC. - ------------------------------------------------------------------------------- NOTES TO PRO FORMA FINANCIAL STATEMENTS Note 1 - Cash and cash equivalents of Isernhagen were retained by the sellers. The Company has not assigned a value to the unamortized amount of intangible assets of Isernhagen. Note 2 - Pro forma adjustments related to noncompete agreements are: Value assigned $ 120,000 Amortization (24,000) ----------- $ 96,000 =========== Note 3 - Pro forma adjustments related to goodwill are: Value assigned $ 1,133,701 Amortization (75,580) ----------- $ 1,058,121 =========== Note 4 - Checks written in excess of bank balances was adjusted by $55,936 to reflect an increase in minimum salaries paid to certain key employees of Isernhagen and related payroll taxes. Note 5 - Pro forma adjustments relating to notes payable are: Funds borrowed to finance acquisition $ 1,000,000 Convertible, subordinated notes issued 250,000 Conversion of convertible, subordinated notes (250,000) ----------- $ 1,000,000 =========== Note 6 - Pro forma adjustments relating to accrued salaries, wages and payroll taxes are: Recognition of accrued salaries $ 2,507 Adjustment of accrued sick pay (12,507) ----------- $ (10,000) =========== Note 7 - Pro forma adjustments relating to other accrued liabilities are: Accrue interest on convertible, subordinated notes $ 10,000 Conversion of accrued interest to equity (10,000) Accrued interest on funds borrowed to finance acquisition 142,500 Adjust income tax provision for Isernhagen earnings and other pro forma adjustments 5,200 ----------- $ 147,700 =========== Note 8 - Pro forma adjustments relating to common stock are: Eliminate common stock of Isernhagen ($ 7,000) Conversion of convertible, subordinated noted 1,088 ---------- ($ 5,912) =========== Note 9 - Pro forma adjustments relating to additional paid-in capital are: Eliminate additional paid-in capital of Isernhagen ($ 8,672) Additional paid-in capital from conversion of convertible, subordinated notes 305,304 ----------- $ 296,632 =========== 21 HEALTH FITNESS PHYSICAL THERAPY, INC. - ------------------------------------------------------------------------------- Note 10 - Pro forma adjustments relating to salaries are: Adjustment of salaries of certain key Isernhagen employees to aggregate minimum $ 53,493 Adjustment of accrued sick pay (12,507) Recognition of stock-based compensation related to conversion of notes and interest 46,392 ----------- $ 87,828 =========== The above adjustments relating to salaries are reflected in the pro forma income statement as: Costs of revenues - salaries $ 14,487 Operating expenses - salaries 73,341 ---------- $ 87,828 =========== Note 11 - Pro forma adjustments relating to selling, general and administrative expenses are: Amortization of noncompete agreements $ 24,000 Amortization of goodwill 75,580 Accrue payroll taxes related to salary adjustments 4,500 Adjustment of provision for income taxes 5,200 ---------- $ 109,280 =========== 22