UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 -------------------- AMENDMENT NO. 1 TO FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED): SEPTEMBER 3, 1996 -------------------- PHYSICIAN SUPPORT SYSTEMS, INC. (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER) -------------------- DELAWARE 33-80731 13-3624081 (STATE OR OTHER JURISDICTION (COMMISSION (IRS EMPLOYER OF INCORPORATION) FILE NUMBER IDENTIFICATION NO.) ROUTE 230 AND EBY-CHIQUES ROAD. MT. JOY, PA 17552 (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) (ZIP CODE) REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (717) 653-5340 NOT APPLICABLE (FORMER NAME OR FORMER ADDRESS, IF CHANGED SINCE LAST REPORT) ---------------------------------------- Physician Support Systems, Inc. a Delaware Corporation ("PSS"), hereby amends its Current Report on Form 8-K dated September 16, 1996 as set forth below. ITEM 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS. (A) FINANCIAL STATEMENTS OF BUSINESS ACQUIRED. Set forth below are the combined audited financial statements of EE&C Health Services, Inc., a Delaware corporation ("HSI"), Med-Data Interface Systems, LLC, a Texas limited liability ("MDI") and Medical Intercept Systems, LLC, a Texas limited liability company ("MIS" and, together with HSI and MDI, the "Medical Intercept Systems Group" or "MIS Group") as of December 31, 1994 and 1995 and for the three years ended December 31, 1995. These financial statements have been audited by Deloitte & Touche LLP, independent auditors. Also set forth below are the unaudited financial statements of the MIS Group as of June 30, 1996 and for the six months ended June 30, 1995 and June 30, 1996. These unaudited statements have been prepared on the same basis as the audited financial statements and, in the opinion of management, contain all adjustments necessary for a fair presentation of the financial position and results of operations for the periods presented. Operating results for the six months ended June 30, 1996 are not necessarily indicative of the results that may be expected for the entire year. -1- INDEPENDENT AUDITORS' REPORT To the Board of Directors and Shareholders of Medical Intercept Systems Group Garland, Texas We have audited the accompanying combined balance sheets of Medical Intercept Systems Group (the "Group") as of December 31, 1994 and 1995, and the related statements of operations, shareholders' equity (deficit), and cash flows for each of the three years in the period ended December 31, 1995. These financial statements are the responsibility of the Group'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, such combined financial statements present fairly, in all material respects, the financial position of the Group as of December 31, 1994 and 1995, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 1995, in conformity with generally accepted accounting principles. As discussed in Note 10, the Group consummated a merger transaction on September 3, 1996. DELOITTE & TOUCHE LLP September 30, 1996 New York, New York -2- MEDICAL INTERCEPT SYSTEMS GROUP COMBINED BALANCE SHEETS December 31, 1994 1995 1996 (Unaudited) ASSETS CURRENT ASSETS: Cash $ 47,706 $ 26,442 $ 111,828 Accounts receivable - net of allowance for doubtful accounts of $0 in 1994 and $62,134 in 1995 and (unaudited) $51,262 at June 30, 1996 246,763 793,854 1,408,329 Accounts receivable - unbilled 447,619 1,150,280 1,816,012 Prepaid expenses and other current assets 43,321 546,084 755,657 ---------- ---------- ---------- Total current assets 785,409 2,516,660 4,091,826 ---------- ---------- ---------- PROPERTY AND EQUIPMENT: Office equipment, furniture and fixtures 32,065 270,540 388,580 Computer equipment 69,083 387,277 418,615 Leasehold improvements 7,207 215,522 285,314 ---------- ---------- ---------- 108,355 873,339 1,092,509 Less accumulated depreciation and amortization (72,418) (226,625) (296,271) ---------- ---------- ---------- Property and equipment - net 35,937 646,714 796,238 ---------- ---------- ---------- GOODWILL - Net of accumulated amortization of $132,381 in 1994 and $264,762 in 1995 and (unaudited) $330,952 at June 30, 1996 2,515,282 2,382,901 2,316,711 ---------- ---------- ---------- OTHER ASSETS 17,243 16,344 15,828 ---------- ---------- ---------- TOTAL ASSETS $3,353,871 $5,562,619 $7,220,603 ========== ========== ========== -3- MEDICAL INTERCEPT SYSTEMS GROUP COMBINED BALANCE SHEETS December 31, June 30, 1994 1995 1996 (Unaudited) LIABILITIES AND SHAREHOLDERS' EQUITY CURRENT LIABILITIES: Accounts payable $ 90,952 $ 333,175 $ 568,865 Accrued expenses 219,499 624,625 918,513 Due to related parties 599,623 3,466,113 4,531,117 Current portion of long-term debt 143,427 1,043,948 1,062,197 Other current liabilities 19,430 526,630 674,038 ---------- ----------- ----------- Total current liabilities 1,072,931 5,994,491 7,754,730 ---------- ----------- ----------- LONG-TERM DEBT 2,272,069 2,098,583 1,987,810 ---------- ----------- ----------- Total liabilities 3,345,000 8,093,074 9,742,540 ---------- ----------- ----------- COMMITMENTS AND CONTINGENCIES (Note 9) SHAREHOLDERS' EQUITY (DEFICIT): Common stock, no par value - 300 shares authorized, 200 shares issued and outstanding at December 31, 1994; 400 shares authorized, 300 shares issued and outstanding at December 31, 1995 and (unaudited) at June 30, 1996 respectively 2,000 3,000 3,000 Retained earnings (accumulated deficit) 6,871 (2,533,455) (2,524,937) ---------- ----------- ----------- Total shareholders' equity (deficit) 8,871 (2,530,455) (2,521,937) ---------- ----------- ----------- TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT) $3,353,871 $ 5,562,619 $ 7,220,603 ========== =========== =========== See notes to combined financial statements. -4- MEDICAL INTERCEPT SYSTEMS GROUP COMBINED STATEMENTS OF OPERATIONS For the Six Months For the Years Ended December 31, Ended June 30, 1993 1994 1995 1995 1996 (Unaudited) (Unaudited) NET REVENUES $ - $2,630,046 $ 5,764,392 $ 2,401,032 $5,290,718 OPERATING EXPENSES: Salaries and wages - 1,074,539 4,194,613 1,608,836 3,079,839 General and administrative 49,826 1,125,157 3,427,324 1,694,316 1,873,669 Depreciation and amortization - 205,716 288,486 103,516 145,857 -------- ---------- ----------- ----------- ---------- Total operating expenses 49,826 2,405,412 7,910,423 3,406,668 5,099,365 -------- ---------- ----------- ----------- ---------- INCOME (LOSS) FROM OPERATIONS (49,826) 224,634 (2,146,031) (1,005,636) 191,353 OTHER INCOME (EXPENSE): Interest expense, net - (167,937) (384,596) (169,074) (181,925) Loss on disposal of equipment - - (9,699) - - -------- ---------- ----------- ----------- ---------- INCOME (LOSS) BEFORE PROVISION FOR STATE INCOME TAXES (49,826) 56,697 (2,540,326) (1,174,710) 9,428 STATE INCOME TAX EXPENSE - - - - 910 -------- ---------- ----------- ----------- ---------- NET INCOME (LOSS) $(49,826) $ 56,697 $(2,540,326) $(1,174,710) $ 8,518 ======== ========== =========== =========== ========== See notes to combined financial statements. -5- MEDICAL INTERCEPT SYSTEMS GROUP COMBINED STATEMENTS OF SHAREHOLDERS' EQUITY (DEFICIT) Total Retained Shareholders' Common Stock Earnings Equity Shares Amount (Deficit) (Deficit) BALANCE, DECEMBER 31, 1992 - $ - $ - $ - Net loss - - (49,826) (49,826) Issuance of common stock 100 1,000 - 1,000 ------ -------- ----------- ------------ BALANCE, DECEMBER 31, 1993 100 1,000 (49,826) (48,826) Net income - - 56,697 56,697 Issuance of common stock 100 1,000 - 1,000 ------ -------- ----------- ------------ BALANCE, DECEMBER 31, 1994 200 2,000 6,871 8,871 Net loss - - (2,540,326) (2,540,326) Issuance of common stock 100 1,000 - 1,000 ------ -------- ----------- ------------ BALANCE, DECEMBER 31, 1995 300 3,000 (2,533,455) (2,530,455) Net income (unaudited) - - 8,518 8,518 ------ -------- ----------- ------------ BALANCE, JUNE 30, 1996 (Unaudited) 300 $3,000 $(2,524,937) $(2,521,937) ====== ======== =========== ============ See notes to combined financial statements. -6- MEDICAL INTERCEPT SYSTEMS GROUP COMBINED STATEMENTS OF CASH FLOWS Year Ended December 31, June 30, 1993 1994 1995 1995 1996 (Unaudited) (Unaudited) OPERATING ACTIVITIES: Net income (loss) $(49,826) $ 56,697 $(2,540,326) $(1,174,710) $ 8,518 Adjustments to reconcile net income (loss) to net cash used in operating activities: Provision for allowance for doubtful accounts - - 62,134 21,857 (10,872) Depreciation and amortization - 205,716 288,486 103,516 145,857 Loss on disposal of property and equipment - - 9,699 - - Change in operating assets and liabilities: Increase in accounts receivable - (82,297) (609,225) (487,300) (603,603) Increase in accounts receivable - unbilled - (447,619) (702,661) (431,674) (665,732) Increase in prepaid expenses and other current assets - (43,321) (502,763) (721,884) (209,573) Increase in other assets (393) (17,767) (290) 315 - Increase in accounts payable 2,883 58,873 242,223 100,966 235,690 Increase in accrued expenses - 219,499 405,126 221,218 293,888 Increase in other current liabilities - 19,430 507,200 715,295 147,408 -------- --------- ----------- ----------- ---------- Total adjustments 2,490 (87,486) (300,071) (477,691) (666,937) -------- --------- ----------- ----------- ---------- Net cash used in operating activities (47,336) (30,789) (2,840,397) (1,652,401) (658,419) -------- --------- ----------- ----------- ---------- INVESTING ACTIVITIES: Acquisition of property and equipment (7,800) (88,929) (556,962) (212,709) (228,675) Cash paid for MIS assets - (300,000) - - - -------- --------- ----------- ----------- ---------- Net cash used in investing activities (7,800) (388,929) (556,962) (212,709) (228,675) -------- --------- ----------- ----------- ---------- FINANCING ACTIVITIES: Proceeds from borrowings 384,500 1,350,205 817,000 100,000 Repayment of debt (79,063) (156,100) (39,785) (242,524) Increase in due to related parties 50,020 165,103 2,180,990 1,041,081 1,115,004 Issuance of common stock 1,000 1,000 1,000 1,000 - -------- --------- ----------- ----------- ---------- Net cash provided by financing activities 51,020 471,540 3,376,095 1,819,296 972,480 -------- --------- ----------- ----------- ---------- NET INCREASE (DECREASE) IN CASH (4,116) 51,822 (21,264) (45,814) 85,386 CASH, BEGINNING OF YEAR - (4,116) 47,706 47,706 26,442 -------- --------- ----------- ----------- ---------- CASH, END OF YEAR $ (4,116) $ 47,706 $ 26,442 $ 1,892 $ 111,828 ======== ========= =========== =========== ========== SUPPLEMENTAL DISCLOSURE: Income taxes paid $ - $ - $ - $ - $ 910 ======== ========= =========== =========== ========== Interest paid $ - $ 165,356 $ 236,627 $ 118,314 $ 135,691 ======== ========= =========== =========== ========== See notes to combined financial statements. -7- MEDICAL INTERCEPT SYSTEMS GROUP NOTES TO COMBINED FINANCIAL STATEMENTS - -------------------------------------------------------------------------------- 1. ORGANIZATION AND DESCRIPTION OF BUSINESS The combined financial statements include the following entities: EE&C Health Services, Inc. ("HSI") incorporated November 1993 in Delaware, MED- DATA Interface Systems, LLC ("MDI") incorporated April 1994 in Texas and MED-DATA Management, LLC ("MDM") incorporated in February 1995. MDM subsequently amended its incorporation in January 1996 and is currently operating as Medical Intercept Systems, LLC ("MIS"). Medical Intercept Systems Group (collectively the "Group") is engaged principally in providing billing, management, data processing, administrative and similar services for physicians in exchange for a fixed percentage of gross billings, based on actual collections. The Group markets these services throughout the United States, with most of their revenue generated in Texas, Illinois and New Jersey. 2. SIGNIFICANT ACCOUNTING POLICIES Property and Equipment - Property and equipment are stated at cost. Expenditures for maintenance, repairs, renovations and betterments, which do not materially extend the useful life of the asset, are expensed as incurred. Depreciation is computed using the straight-line method over the estimated useful lives of the assets which range from five to seven years. Amortization is provided on leasehold improvements on a straight-line basis over the term of the lease. Revenue Recognition - The Group estimates fees that will be invoiced upon collection of physician accounts receivable and recognizes such revenues when substantially all services to be performed by the Group have been completed. Accounts Receivable Unbilled represents amounts recognized for services rendered but not yet invoiced and is based on the Group's estimate of the fees that will be collected from clients when patient accounts are collected. This estimate is calculated by applying the Group's client fee percentage to an estimate of the clients' collections that will be achieved on amounts billed to patients and their insurers. The Company revises its estimate of its unbilled accounts receivable periodically based on its clients' billing and collection information for that period. The Company provides for additional costs necessary to complete the collection process. Income Taxes - HSI has elected to be treated as an S Corporation for federal income tax purposes. MDM and MDI are Limited Liability Corporations. Therefore, the taxable income or loss of the Group is taxed directly to the individual shareholders in proportion to their ownership interests. Accordingly, no provision for federal income taxes has been made in the accompanying combined financial statements. State taxes are provided for states imposed at the corporate level. Goodwill - The Group has classified as goodwill the cost in excess of fair value of the net assets acquired as part of a purchase transaction. Goodwill is being amortized on a straight-line basis over 20 years. The Group periodically reviews goodwill to assess recoverability and impairments that would be recognized in operating results if a permanent diminution in value were to occur. Interim Financial Information - The unaudited financial information contained herein reflects all adjustments (consisting of only normal recurring accruals) which, in the opinion of the Group, are -8- necessary for a fair presentation of the results of operations for the six- month periods ended June 30, 1995 and 1996. Management Estimates - The preparation of combined 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 the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. The Group records accounts receivable allowances based on management's estimate of the net realizable value of accounts receivable. Fair Value Information - The estimated fair value of financial instruments has been determined by the Group using available market information and other appropriate valuation methodologies. The carrying amounts of current assets and current liabilities are estimated to equal their fair value due to the short-term nature of these accounts. The carrying amount of long- term debt also approximates fair value due to the variable rates of interest on such debt. 3. ACQUISITION In April 1994, MDI purchased the assets of Medical Intercept Systems, Inc. ("MIS"), a software development company based in Chicago, for approximately $2,794,559, including approximately $300,000 in cash and a $2,494,559 promissory note payable. The acquisition was accounted for under the purchase method of accounting and, accordingly, the assets were recorded at their fair values on the effective date of the acquisition. Results of operations for MIS from the effective date of acquisition through December 31, 1994 are included in MDI's statement of operations for the year ended December 31, 1994. The excess of purchase price over the fair value of the assets acquired of approximately $2,647,663 is being amortized on the straight line method over 20 years. 4. RELATED PARTY TRANSACTIONS The Group has entered into certain transactions with related parties summarized as follows: June 30, December 31, 1996 1994 1995 (Unaudited) Notes payable upon demand to stockholders with varying interest rates from 8.5 - 11%. $384,500 $1,070,000 $1,020,000 Due to an affiliate 215,123 2,396,113 3,511,117 -------- ---------- ---------- $599,623 $3,466,113 $4,531,117 ======== ========== ========== -9- 5. LONG-TERM DEBT Long-term debt consists of the following: June 30, December 31, 1996 1994 1995 (Unaudited) Installment notes payable $2,415,496 $2,310,446 $2,266,829 Line of credit - 572,000 572,000 Other - 260,085 211,178 ---------- ---------- ---------- 2,415,496 3,142,531 3,050,007 Less current portion 143,427 1,043,948 1,062,197 ---------- ---------- ---------- $2,272,069 $2,098,583 $1,987,810 ========== ========== ========== One installment note payable is collateralized by a pledge of 95% of the outstanding membership interest of MDI and MIS. The note is payable in monthly installments bearing interest at 8% through March 1997 and the lesser of: (i) two percent per annum plus the prime interest rate or (ii) the maximum lawful rate of interest per annum, not to exceed 18%, through April 1999. Two installment notes payable are collateralized by various equipment of MIS, bearing interest at 11% and are due July 23, 1998 and August 23, 1998, respectively. The line of credit agreements authorize borrowings of up to $572,000 bearing interest at the Wall Street Journal Prime Rate (8.50% at December 31, 1995) plus 1.0%. The agreements contain restrictive covenants and are collateralized by equity securities and treasury notes held by the lender. The Group was contingently liable up to $300,000 for guaranteed license fees payable to the former owner of MIS. The balance due at December 31, 1995 and June 30, 1996 was $210,085 and $161,178, respectively. The agreement also calls for an additional license fee equal to $100,000, which will be due if certain conditions are met. Maturities of long-term debt as of December 31, 1995 for the succeeding five years are as follows: Year Ending December 31, Total 1996 $1,043,948 1997 229,879 1998 242,421 1999 1,626,283 2000 - ---------- Total $3,142,531 ========== -10- 6. STATE INCOME TAXES There was no state provision (benefit) for income taxes for the years ended December 31, 1993, 1994 and 1995. Deferred income tax assets and liabilities were primarily comprised of: December 31, 1994 1995 Deferred income tax assets: Current $ 1,382 $ 8,856 Non-current 1,622 41,804 ------- -------- 3,004 50,660 ------- -------- Valuation allowance (2,248) (38,314) ------- -------- Net deferred income tax assets 756 12,346 ------- -------- Deferred income tax liabilities: Current 756 10,150 Non-current - 2,196 ------- -------- 756 12,346 ------- -------- $ - $ - ======= ======== Current deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts for financial reporting purposes and the amounts used for income tax purposes of allowance for doubtful accounts, accounts receivable, and accruals. Non-current deferred income taxes reflect the net tax effect of net operating loss carryforwards and differences in depreciation methods for financial statement purposes and income tax purposes. A valuation allowance is provided when it is more likely than not that some portion of the net deferred income tax asset will not be realized. At December 31, 1994 and 1995, the Company has provided a full valuation allowance against the tax benefits of the State net operating loss and other tax carryforwards. -11- 7. SAVINGS PLAN In 1995, the Group established qualified 401(k) Employee Savings Plans for the benefit of all eligible employees. Contributions to the plans may be made by eligible employees, and at its option, the sponsoring company. The Group contribution to the Plans for the year ended December 31, 1995 and for the six months ended June 30, 1995 and 1996 (unaudited) amounted to $3,122 and $1,431 and $2,259, respectively . 8. MAJOR CUSTOMERS AND CONCENTRATION OF CREDIT RISK Financial instruments that potentially subject the Group to credit risk consist principally of receivables. The Group believes the concentration of credit risk in its accounts receivables is substantially mitigated by the Group's ongoing credit evaluation process and due to the large number of customers comprising the Group's customer base. The Group does not generally require collateral from customers. The Group evaluates the need for an allowance for doubtful accounts based upon factors surrounding the credit risk of specific customers, historical trends and other information. Revenue from two customers was approximately 19% and 14% of total revenue for the year ended December 31, 1994. Revenue from one customer was approximately 14% of total revenues for the year ended December 31, 1995. 9. COMMITMENTS AND CONTINGENCIES a. Operating Leases - The Group occupies office space in various locations under noncancelable operating leases which expire in various years through 2001. Future minimum payments under noncancellable operating leases by year and in the aggregate are as follows: Amount 1996 $131,403 1997 169,034 1998 174,064 1999 183,070 2000 190,237 Thereafter 71,528 -------- Total $919,336 ======== Rent expense was $117,042 and $368,570 for the years ended December 31, 1994 and 1995 and $184,529 and $230,712 for the six months ended June 30, 1995 and 1996, respectively. b. Legal Matters - The Group is involved in legal matters arising in the ordinary course of business. In the opinion of management and legal counsel, the ultimate liability, if any, resulting from such matters will not have a material effect on the Group's financial condition or results of operations. -12- 10. SUBSEQUENT EVENT On September 3, 1996, the Group consummated a transaction whereby the Group agreed to be merged into Physician Support System, Inc. ("PSS"). In exchange for all of the outstanding membership interests of MDI and MIS and common stock of HSI, the shareholders of the Group received 285,998 shares of PSS common stock and cash proceeds of $3,697,544. ****** -13- (B) PRO FORMA FINANCIAL INFORMATION. The following unaudited pro forma financial information gives effect to the acquisition by Physician Support Systems, Inc. ("PSS") of EE&C Health Services, Inc., a Delaware corporation ("HSI"), Med-Data Interface Systems, LLC, a Texas limited liability company ("MDI") and Medical Intercept Systems, LLC, a Texas limited liability company ("MIS" and, together with HSI and MDI, the "MIS Group"). Such acquisitions were accounted for as purchases. The unaudited pro forma financial information also gives effect to the acquisitions by PSS of North Coast Health Care Management Group ("NCHCM"), Medical Management Support, Inc. ("MMS") and Data Processing Systems, Inc. ("DPS") on February 12, 1996, PBS Northwest, Inc. ("PBS") on May 8, 1996 and ALM, Inc. ("ALM") on May 21, 1996, all of which were accounted for as purchases (together, the "Acquired Businesses"), and the acquisitions by PSS of Synergistic Systems, Inc. ("SSI") on June 28, 1996, and EE&C Financial Services, Inc. ("EEC") on August 31, 1996, which were accounted for as poolings of interests. The unaudited pro forma financial statements are derived from the historical financial statements of PSS, SSI, EEC, the MIS Group and the Acquired Businesses including those of PBS, ALM, SSI and EEC included in PSS' reports on Form 8-K dated May 14, 1996, June 4, 1996, July 8, 1996 and September 13, 1996, respectively, in each case as amended by Amendment No. 1 thereto, which are incorporated herein by reference, and estimates and assumptions set forth below and in the notes to the unaudited pro forma financial statements . The unaudited pro forma balance sheet gives effect to the acquisition by PSS of the MIS Group as if such acquisition had occurred on June 30, 1996. Such unaudited pro forma balance sheet is derived from the unaudited consolidated balance sheet of PSS as of June 30, 1996 included in its Quarterly Report on Form 10-Q for the six months ended June 30, 1996 which is incorporated herein by reference, as well as the unaudited balance sheet of the MIS Group as of June 30, 1996 included elsewhere in this Form 8-K. The unaudited pro forma statements of operations present unaudited pro forma results of operations for the year ended December 31, 1995 and the six months ended June 30, 1996. For purposes of the unaudited pro forma statements of operations, the acquisitions by PSS of the Acquired Businesses are included as if such acquisitions had occurred on January 1, 1995. In addition, the unaudited pro forma statements of operations for the year ended December 31, 1995 and the six months ended June 30, 1996 include pro forma adjustments related to the Company's initial public offering of Common Stock which was completed on February 12, 1996. The unaudited pro forma statement of operations for the year ended December 31, 1995 is derived from the audited consolidated statement of operations of PSS for the year ended December 31, 1995 included in the Company's Annual Report on Form 10-K for the year ended December 31, 1995 and the audited and unaudited statements of operations of SSI, EEC, the Acquired Businesses and the MIS Group for the year ended December 31, 1995 (included elsewhere in this Form 8-K). The unaudited pro forma statement of operations for the six months ended June 30, 1996 is derived from the unaudited consolidated statement of operations of PSS for the six months ended June 30, 1996 included in its Quarterly Report on Form 10-Q for the six months ended June 30, 1996 (which includes the results of operations for SSI for the six months then ended and which also includes the results of operations of the Acquired Businesses from the effective dates of their acquisitions by PSS to June 30, 1996) which is incorporated herein by reference and the unaudited statements of operations of the MIS Group for the six months ended June 30, 1996 included elsewhere in this Form 8-K . Pro forma adjustments are based upon preliminary estimates, available information and certain assumptions that management deems appropriate. The unaudited pro forma financial information presented herein are not necessarily indicative of the results PSS would have obtained had such events occurred at the beginning of the period, as assumed, or of the future results of PSS. The unaudited pro forma financial information should be read in conjunction with the financial statements and notes thereto included elsewhere in this Report. -14- PHYSICIAN SUPPORT SYSTEMS, INC. PRO FORMA BALANCE SHEET JUNE 30, 1996 (UNAUDITED) ($000s) HISTORICAL ----------------------------- PHYSICIAN MIS GROUP SUPPORT EEC AQUISITION SYSTEMS AND MIS PRO FORMA PRO FORMA SUBSIDIARIES EEC GROUP ADJUSTMENTS ADJUSTMENTS PRO FORMA ------------ ----------- -------- --------------- ------------- --------- ASSETS Cash.......................................... $ 15,060 $ 751 112 (3,698)(d) $12,226 Accounts receivable--billed................... 4,893 5,241 1,408 11,542 Accounts receivable--unbilled................. 8,772 504 1,816 11,092 Due from related parties...................... 4,899 4,899 Prepaid expenses and other current assets..... 863 925 756 2,543 ------------ ----------- ------ ------- Total current assets.................. 29,588 12,321 4,092 42,303 ------------ ----------- ------ ------- Fixed assets, net............................. 3,692 1,713 796 6,202 Intangible assets, net........................ 26,597 15,473(d) 42,069 Intangible assets, net........................ 2,317 (2,317)(d) - Other assets.................................. 168 279 16 463 ------------ ----------- ------ ------ ------- $ 60,045 $ 14,313 7,221 9,458 $91,036 ============ =========== ====== ====== ======= LIABILITIES AND STOCKHOLDERS' EQUITY Accounts payable.............................. $ 959 $ 2,287 569 $ 3,815 Accrued expenses.............................. 9,112 2,340 918 750(d) 13,120 Current Portion LTD........................... 79 792 1,062 1,933 Current portion of other long-term liabilities................................. 545 3,487 4,531 (2,808)(c) 5,755 Deferred income taxes......................... 244 244 Other current liabilities..................... 587 674 1,261 ------------ ----------- ------ ------ ------- Total current liabilities..................... 10,939 9,493 7,755 26,128 ------------ ----------- ------ ------ ------- Long-term debt................................ 5,673 661 1,988 8,322 Other long-term liabilities................... 1,813 1,813 Due to related parties........................ 1,080 1,080 Deferred income taxes......................... 991 7 998 Common stock.................................. 7 10 3 (10)(a) 2(d) 9 Common stock.................................. (3)(d) Treasury stock................................ (1,435) 1,435 (b) Additional paid-in capital.................... 44,272 2,808 (c) 3(d) 51,839 Additional paid-in capital.................... 10 (a) Additional paid-in capital.................... (1,435)(b) 6,181(d) Additional paid-in capital.................... Retained earnings............................. (3,650) 4,497 (2,525) 2,525(d) 847 ------------ ----------- ------ --------- ------ ------- 40,629 3,072 (2,522) 2,808 8,708 52,695 ------------ ----------- ------ --------- ------ ------- $ 60,045 $ 14,313 7,221 $ 0 9,458 $91,036 ============ =========== ====== ========= ====== ======= See notes to pro forma financial statements. -15- PHYSICIAN SUPPORT SYSTEMS, INC. PRO FORMA STATEMENT OF OPERATIONS YEAR ENDED DECEMBER 31, 1995 (UNAUDITED) ($000s) HISTORICAL ---------------------------- PHYSICIAN SUPPORT SYSTEMS AND ACQUIRED SUBSIDIARY SSI EEC BUSINESSES ---------- --- --- ----------- Revenues.......................... $ 19,584 $9,831 $23,620 $12,795 Operating Expenses: Wages and salaries............ 9,661 5,590 16,466 5,855 General and administrative.... 6,846 3,742 6,297 3,690 Depreciation and amortization................ 3,378 420 543 247 ----------- -------- ------- --------- 19,885 9,752 23,306 9,792 ----------- -------- ------- --------- Income (loss) from operations..... (301) 79 314 3,003 Other income (expense) Interest...................... (1,476) (59) (261) (2) Other......................... 4 22 (3) (37) ----------- -------- ------- --------- (1,472) (37) (264) (39) ----------- -------- -------- --------- Income (loss) before income taxes (benefit)..................... (1,773) 42 50 2,964 Income taxes (benefit)............ (500) 17 (4) 149 ----------- -------- ------- --------- Net income (loss)................. $ (1,273) $ 25 $ 54 $ 2,815 =========== ======== ======= ========= Weighted average shares outstanding................... Net income per share....... PRO FORMA ACQUISITION ADJUSTMENTS PRO FORMA ------------------ ADJUSTMENTS PRO FORMA ACQUIRED MIS MIS OFFERING BUSINESSES EEC GROUP GROUP ADJUSTMENTS PRO FORMA ---------- ---- ----- ----------- ----------- --------- Revenues.......................... $5,764 $ 71,594 Operating Expenses: Wages and salaries............ $ (100)(e) 4,195 41,667 General and administrative.... 3,427 24,002 Depreciation and amortization................ 854(f) 288 774(f) 6,504 ------ --------- 7,910 72,173 ------ --------- Income (loss) from operations..... (2,146) (579) Other income (expense) Interest...................... 224(h) (385) (400)(i) 2,006(g) (353) Other......................... (10) (24) ----- --------- (395) (376) ----- --------- Income (loss) before income taxes (benefit)..................... (2,540) (955) Income taxes (benefit)............ 735(j) 110(j) (1,486)(j) 802(j) (177) ----- --------- Net income (loss)................. (2,540) $ (778) ====== ======== Weighted average shares outstanding................... 8,665,626(k) ========== Net income per share....... $(0.09) ===== See notes to pro forma financial statements. -16- PHYSICIAN SUPPORT SYSTEMS, INC. PRO FORMA STATEMENT OF OPERATIONS SIX MONTHS ENDED JUNE 30, 1996 (UNAUDITED) ($000s) HISTORICAL ------------------------------------- PHYSICIAN SUPPORT SYSTEMS AND ACQUIRED SUBSIDIARIES EEC BUSINESSES ------------ --- ---------- Revenues............................... $19,388 $11,226 $2,104 Operating Expenses: Wages and salaries................. 10,227 6,470 1,082 General and administrative......... 6,516 4,917 599 Depreciation and amortization...... 2,089 375 25 Merger costs....................... 1,150 Spring restructuring charge........ 2,500 -- -- ------- ------ ------ 22,482 11,761 1,706 ------- ------ ------ Income (loss) from operations.......... (3,094) (535) 398 Other income (expense) Interest........................... 72 (133) (1) Other.............................. -- (122) 7 ------- ------ ------ 72 (256) 6 ------- ------ ------ Income (loss) before income taxes (benefit)............................ (3,021) (791) 404 Income taxes (benefit)................. (656) (12) -- ------- ------ ------ Net income (loss)...................... $(2,365) (779) 404 ======= ====== ====== Weighted average shares outstanding.... Net income (loss) per share............ PRO FORMA ACQUISITION ADJUSTMENTS ------------------ PRO FORMA PRO FORMA ACQUIRED ADJUSTMENTS OFFERING BUSINESSES EEC MIS MIS ADJUSTMENTS PRO FORMA GROUP GROUP ---------- --- --- ----------- ----------- --------- Revenues............................... $5,291 $38,009 Operating Expenses: Wages and salaries................. 3,080 20,859 General and administrative......... 1,874 13,906 Depreciation and amortization...... 155(f) 146 387(f) 3,177 Merger costs....................... 1,150 Spring restructuring charge........ 2,500 ------ ------- 5,100 41,592 ------ ------- Income (loss) from operations.......... 191 (3,582) Other income (expense) Interest........................... 112(h) (182) (200)(i) 147(g) (184) Other.............................. - (115) ------ ------- (182) (299) ------ ------- Income (loss) before income taxes (benefit)............................ 9 (3,882) Income taxes (benefit)................. 100(j) (272)(j) 79(j) 59(j) (701) ------ ------- Net income (loss)...................... 9 $(3,180) ====== ======= Weighted average shares outstanding.... 8,665,626(k) ========= Net income (loss) per share............ $ (0.37) ======= See notes to pro forma financial statements. -17- 1. UNAUDITED PRO FORMA BALANCE SHEET ADJUSTMENTS (a) Adjustment to reclassify common stock of EEC to paid-in-capital. (b) Adjustment to reclassify treasury stock of EEC to paid-in-capital. (c) Adjustment to reflect repayment of related party demand notes with PSS stock. Note that such notes were included in current portion of other long-term liabilities. (d) Adjustment to reclassify undistributed S Corporation earnings to additional paid-in capital and to reflect the acquisition of MIS Group by PSS. The purchase price of $10,634 (including $3,698,000 of cash and 285,998 shares of common stock valued at $6,184,000 and including transaction fees of approximately $750,000) is allocated as follows: ($000S) ------- Current assets...................................... $ 4,092 Fixed assets........................................ 812 Goodwill............................................ 15,473 Current liabilities................................. (7,755) Long-term liabilities............................... (1,988) ------- Total purchase price........................ $10,634 ======= Goodwill is being amortized over 20 years. 2. UNAUDITED PRO FORMA STATEMENT OF OPERATIONS ADJUSTMENTS (e) Adjustment to reflect the decrease in compensation expense as a result of employment agreements with NCHCM executive officers entered into as a result of the acquisition by PSS. (f) Adjustment to reflect the increase in amortization expense associated with the intangible assets recorded by PSS in purchase accounting related to the acquisitions. The goodwill associated with the acquisitions is being amortized on a straight line basis over an estimated life of 20 years. (g) Adjustment to reflect the decrease in interest expense and increase in interest income associated with the repayment of long-term debt as a result of the offering. (h) Adjustment to decrease interest expense at EEC as a result of repayment of demand notes with PSS stock. (i) Adjustment to decrease interest income earned by PSS as a result of using cash to purchase common stock and to repay notes payable of the MIS Group at the time of the acquisition. (j) Adjustment to reflect the income tax effects of the acquisitions or adjustments shown herein. (k) The weighted average shares outstanding used to calculate pro forma earnings per share is 8,665,626 shares, representing the number of shares issued and outstanding as a result of the Company's initial public offering, the acquisition of ALM, the merger with SSI, the merger with EEC and the acquisition of MIS. -18- (C) EXHIBITS. 99.1 -- Physician Support Systems, Inc., Form 10-K (File 33-80731) for the year ended December 31, 1995, previously filed and incorporated herein by reference. 99.2 -- Physician Support Systems, Inc., Form 10-Q (File 33-80731) for the quarter ended June 30, 1996, previously filed and incorporated herein by reference. 99.3 -- Physician Support Systems, Inc. Form 8-K (File 33-80731) dated May 14, 1996, as amended by Amendment No. 1 thereto dated July 15, 1996, previously filed and incorporated herein by reference. 99.4 -- Physician Support Systems, Inc. Form 8-K (File 33-80731) dated June 4, 1996, as amended by Amendment No. 1 thereto dated August 2, 1996, previously filed and incorporated herein by reference. 99.5 -- Physician Support Systems, Inc. Form 8-K (File 33-80731) dated July 8, 1996, as amended by Amendment No. 1 thereto dated September 6, 1996, previously filed and incorporated herein by reference. 99.6 -- Physician Support Systems, Inc. Form 8-K (File 33-80731) dated September 13, 1996, as amended by Amendment No. 1 thereto dated November 12, 1996, previously filed and incorporated herein by reference. -19- SIGNATURES Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this Amendment No. 1 to its report to be signed on its behalf by the undersigned hereunder duly authorized. PHYSICIAN SUPPORT SYSTEMS, INC. Dated: November 15, 1996 By: /s/ DAVID S. GELLER ------------------------------- DAVID S. GELLER SENIOR VICE PRESIDENT -20-