SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 11-K [X] ANNUAL REPORT PURSUANT TO SECTION 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED] May 1, 1996 to December 31, 1996 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED] For the transition period from _______________ to ________________ Commission File Number 0-14003 ROTECH MEDICAL CORPORATION SAVINGS PLAN (Exact name of Registrant as specified in its charter) Florida 59-2115892 - -------------------------------------- ------------------------------------ (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification Number) 4506 L.B. McLeod Road, Suite F Orlando, Florida 32811 - ---------------------------------------- (Address of Principal Executive Offices) Registrant's telephone number, including area code: (407) 841-2115 ROTECH MEDICAL CORPORATION SAVINGS PLAN FORM 11-K ANNUAL REPORT DECEMBER 31, 1996 Page Independent Auditors' Report........................................ 3 Financial Statements for the Period May 1, 1996 (date of inception) to December 31, 1996: Statement of Net Assets Available for Plan Benefits................. 4 Statement of Changes in Net Assets Available for Plan Benefits...... 5 Notes to Financial Statements....................................... 6 Item 27a - Schedule of Assets Held for Investment Purposes..........10 Item 27d - Schedule of Reportable Transactions......................11 Signature Page......................................................12 Independent Auditors' Consent.......................................13 The schedules of party-in-interest transactions, obligations in default, and leases in default are omitted because the Plan had no such transactions, obligations, or leases. The supplemental schedule of assets acquired and disposed of for the period May 1, 1996 (date of inception) to December 31, 1996, is omitted because all such transactions were subject to exclusion under Section 2520.103-3 of the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. 2 ROTECH MEDICAL CORPORATION SAVINGS PLAN INDEPENDENT AUDITOR'S REPORT To the Trustee and Participants of RoTech Medical Corporation Savings Plan: We have audited the accompanying statement of net assets available for benefits of RoTech Medical Corporation Savings Plan (the Plan) as of December 31, 1996, and the related statement of changes in net assets available for benefits for the period May 1, 1996 (date of inception) to December 31, 1996. These financial statements are the responsibility of the Plan'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 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 audit provides a reasonable basis for our opinion. In our opinion, such financial statements present fairly, in all material respects, the net assets available for benefits of the Plan at December 31, 1996, and the changes in net assets available for benefits for the period then ended in conformity with generally accepted accounting principles. Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken as a whole. The supplemental schedules of (1) assets held for investment as of December 31, 1996, and (2) reportable transactions for the period ended December 31, 1996, are presented for the purpose of additional analysis and are not a required part of the basic financial statements, but are supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. These schedules are the responsibility of the Plan's management. Such schedules have been subjected to the auditing procedures applied in our audit of the basic 1996 financial statements and, in our opinion, are fairly stated in all material respects when considered in relation to the basic financial statements taken as a whole. /s/ Deloitte & Touche LLP Orlando, Florida June 25, 1997 3 STATEMENTS OF NET ASSETS AVAILABLE FOR PLAN BENEFITS DECEMBER 31, 1996 Assets Investments: Guaranteed Interest Account $ 144,475 Money Market Account 38,763 Government Securities Account 24,111 Bonds & Mortgage Account 30,098 Bond Emphasis Balanced Account 54,455 Stock Emphasis Balanced Account 109,881 Stock Index 500 Account 87,244 U.S. Stock Account 111,375 Medium Company Value Account 135,942 Medium Company Blend Account 125,912 Small Company Blend Account 177,453 International Stock Account 83,780 Real Estate Account 6,626 ---------- Total Separate Accounts 1,130,115 Other Plan Investments Rotech Medical Corporation Stock 287,014 Loans to Participants 19,515 ---------- TOTAL INVESTMENTS 1,436,644 Receivables: Employer's Contribution 117,247 Participants' Contribution 209,974 Other Receivables 480 ---------- TOTAL RECEIVABLES 327,701 TOTAL ASSETS $1,764,345 Liabilities: $ 0 TOTAL LIABILITIES $ 0 ---------- NET ASSETS AVAILABLE FOR PLAN BENEFITS $1,764,345 ========== 4 STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR PLAN BENEFITS Period Ended December 31, 1996 - ----------------------------------------------------------------------------------------------------------------------------------- Bond Stock Stock Med. Med. Guaranteed Money Gov't Bond & Emphasis Emphasis Index U.S. Company Company Interest Market Securities Mortgage Balanced Balanced 500 Stock Value Blend Account Account Account Account Account Account Account Account Account Account ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- Additions Contributions Employee $188,507 $38,949 $23,185 $31,876 $51,721 $115,361 $80,426 $109,656 $137,904 $128,498 Employer $ 22,711 $ 2,905 $ 734 $ 1,955 $ 1,617 $ 32 $ 2,156 $ 5,957 $ 1,023 $ 2,144 Other Net appreciation (depreciation) in fair value of investments: Interest Investments $ 3,662 $ 436 $ 643 $ 867 $ 1,535 $ 5,220 $ 4,856 $ 9,709 $ 8,214 $ 5,343 Total Additions $214,880 $42,290 $24,562 $34,698 $54,873 $120,613 $87,438 $125,322 $147,141 $135,985 Deductions: Benefits Paid $ 69,294 $ 3,526 $ 446 $ 4,600 $ 415 $ 6,207 $ 184 $ 13,948 $ 6,665 $ 5,540 Admin. Other $ 179 $ 0 $ 6 $ 0 $ 3 $ 0 $ 10 $ 0 $ 9 $ 8 Total Deductions: $ 69,473 $ 3,526 $ 452 $ 4,600 $ 418 $ 6,207 $ 194 $ 13,948 $ 6,674 $ 5,548 Net increase prior to Interfund Transfer $145,407 $38,764 $24,110 $30,098 $54,455 $114,406 $87,244 $111,374 $140,467 $130,437 Interfund Transfer (932) $ (4,525) $ (4,525) $ (4,525) -------- ------- ------- ------- ------- -------- ------- -------- -------- -------- Net Increase (Decrease) $144,475 $38,764 $24,110 $30,098 $54,455 $109,881 $87,244 $111,374 $135,942 $125,912 -------- ------- ------- ------- ------- -------- ------- -------- -------- -------- Net Assets Available for Benefits: Beginning of Year 0 0 0 0 0 0 0 0 0 0 End of Year $144,475 $38,764 $24,110 $30,098 $54,455 $109,881 $87,244 $111,374 $135,942 $125,912 ========================================================================================================== Small Company Real RoTech Blend Intl Stock Estate Particip. Medical Account Account Account Loans Corp. Stock Other Total ------- ------- ------- ----- ----------- ----- ----- Additions Contributions Employee $179,529 $73,024 $6,591 $ 0 $228,328 $209,974 $1,603,529 Employer $ 2,187 $ 5,419 $ 0 $ 304 $117,247 $ 166,391 Other $ 480 $ 480 Net appreciation (depreciation) in fair value of investments: Interest $ 856 $ 856 Investments $ 6,841 $ 5,771 $ 176 $ 59,769 $ 113,042 Total Additions $188,557 $84,214 $6,767 $ 856 $288,401 $327,701 $1,884,298 Deductions: Benefits Paid $ 6,570 $ 423 $ 141 $ 0 $ 1,759 $ 0 $ 119,718 Admin. Other $ 10 $ 12 $ 0 $ 0 $ 0 $ 0 $ 237 Total Deductions: $ 6,580 $ 435 $ 141 $ 0 $ 1,759 $ 0 $ 119,955 Net increase prior to Interfund Transfer $181,977 $83,779 $ 6,626 $ 856 $286,642 $327,701 $1,764,343 Interfund Transfer (4,525) $18,659 $ 373 ------- ------- ------- ------- -------- -------- ---------- Net Increase $177,452 $83,779 $ 6,626 $19,515 $287,015 $327,701 $1,764,343 (Decrease) Net Assets Available for Benefits: Beginning of Year 0 0 0 0 0 0 0 End of Year $177,452 $83,779 $6,626 $19,515 $287,015 $327,701 $1,764,343 ================================================================================ 5 NOTES TO FINANCIAL STATEMENTS PERIOD ENDED DECEMBER 31, 1996 - -------------------------------------------------------------------------------- A. DESCRIPTION OF PLAN The following description of the RoTech Medical Corporation (Company) Savings Plan (Plan) provides only general information. Participants should refer to the Plan agreement for a more comprehensive description of the Plan's provisions. 1. General. The Plan is a defined-contribution plan covering all full-time employees of the Company who have one year of service and are age twenty-one or older. It is subject to the provisions of the Employee Retirement Income Security Act of 1974 (ERISA). 2. Contributions. Each year, participants may contribute up to 15 percent of pretax annual compensation, as defined in the Plan. Participants may also contribute amounts representing distributions from other qualified defined-benefit or contribution plans. The Company contributes 10 percent of the participant contribution. Contributions are subject to certain limitations. 3. Participant Accounts. Each participant's account is credited with the participant's contribution and allocations of (a) the Company's contribution and (b) Plan earnings. Administrative expenses are paid by the Company. Allocations are based on participant earnings or account balances, as defined. Forfeited balances of terminated participants' non-vested accounts may first be applied to pay administrative expenses. Forfeitures not used to pay administrative expenses shall be used to reduce future company contributions. The benefit to which a participant is entitled is the benefit that can be provided from the participant's vested account. 4. Vesting. Participants are immediately vested in their contributions plus actual earnings thereon. Vesting in the Company's matching and discretionary contribution portion of their accounts plus actual earnings thereon is based on years of continuous service. A participant is 100 percent vested after five years of credited service. 5. Investment options. Upon enrollment in the Plan, a participant may direct employee contributions in any of 14 investment options. a. Guaranteed Interest Account - Funds are invested in private-market bonds, commercial mortgages and mortgage backed securities. The investments provide a guaranteed interest for a specified period of time as allowed by the Plan. 6 b. Money Market Account - Funds are invested in short-term, high quality commercial paper. c. Government Securities Account - Funds are invested in various types of obligations issued or guaranteed by the U.S. Government or its agencies. d. Bond & Mortgage Account - Funds are invested in intermediate-term, loans to companies, mostly bonds and commercial mortgages. e. Bond Emphasis Balanced Account - Funds are invested in other separate accounts of Principal Mutual Life Insurance Company. The account usually invests from 50-100% of the assets in conservative and moderate investment accounts and 0-50% in dynamic and aggressive investment accounts. f. Stock Emphasis Balanced Account-Funds are invested in other separate accounts of Principal Mutual Life Insurance Company. The account usually invests from 50-100% of the assets in dynamic and aggressive investment accounts, and 0-50% in conservative and moderate investment accounts. g. Stock Index 500 Account-Funds are invested primarily in the common stocks of those companies listed in the Standard & Poor's 500 Stock Index. h. U.S. Stock Account-Funds are invested in stocks of U.S. companies of all sizes considered to be good values when compared to their long-term earnings potential. i. Medium Company Value Account-Funds are invested in common stocks of medium sized companies whose prices are lower than average. j. Medium Company Blend Account-Funds are invested in common stocks of medium sized companies that offer a combination of value and good earnings potential. k. Small Company Blend Account-Funds are invested in stocks of smaller, seasoned companies where potential for long-term growth is expected to be above average. l. International Stock Account-Funds are invested in common stocks of companies outside of the U.S., mainly in western Europe and Asia. m. Real Estate Account-Funds are invested in developed, rent- producing properties such as warehouses, office buildings and retail properties. 7 n. RoTech Medical Corporation Stock - Funds are invested in common stock of RoTech Medical Corporation. 6. Participant loans. Participants may borrow from their fund accounts a minimum of $1,000 and to a maximum equal to the lesser of $50,000 (reduced by the highest outstanding loan balance loans during the one year period ending on the day before the new loan is made) or the greater of: (a) 50 percent of their vested account balance; (b) $10,000; either a or b is reduced by any outstanding loan balance on the date the new loan is made. Loan transactions are treated as a transfer to (from) the investment fund from (to) the Participants Loan fund. Loan terms range from one to five years. The loans are secured by the balance in the participant's account and bear interest at a rate commensurate with local prevailing rates as determined quarterly by the Plan administrator (Interest rate 10.25 percent at December 31, 1996). Principal and interest are paid ratably through bi-weekly payroll deductions. 7. Payment of benefits. On termination of service due to death, disability, or retirement, a participant may elect one of the following distribution options: single life annuity with installment refund; straight life or straight life with installment refund; 5, 10 and 15 year certain periods and life annuity; 50, 66 2/3 and 100% survivor annuities with installment refund; and fixed period annuities of at least 60 months and not greater than the life expectancy of the member and beneficiary. For termination of service due to other reasons, a participant may receive the value of the vested interest in his or her account as a lump-sum distribution. B. SUMMARY OF ACCOUNTING POLICIES Basis of Accounting ------------------- The financial statements of the Plan are prepared under the accrual method of accounting. Use of Estimates ---------------- The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Investment Valuation and Income Recognition ------------------------------------------- The Plan's investments are stated at fair value. The Company stock is valued at its quoted market price. Participant loans are valued at cost, which approximates fair value. Purchases and sales of securities are recorded on a trade-date basis. Interest income is recorded on the accrual basis. Dividends are recorded on the ex-dividend date. 8 C. INVESTMENTS Investments at December 31, 1996 are summarized as follows: Fair Value Guaranteed Interest Accounts $144,475 Money Market Account 38,764 Government Securities Account 24,110 Bonds & Mortgage Account 30,098 Bond Emphasis Balanced Account 54,455 Stock Emphasis Balanced Account 109,881 Stock Index 500 Account 87,244 U.S. Stock Account 111,374 Medium Company Value Account 135,942 Medium Company Blend Account 125,912 Small Company Blend Account 177,452 International Stock Account 83,779 Real Estate Account 6,626 Rotech Medical Corporation Stock 287,015 Participant Loans 19,515 ------------- Total 1,436,642 D. FEDERAL INCOME TAXES The Plan has filed for a determination letter with the Internal Revenue Service that the Plan is qualified and the trust established under the Plan is tax-exempt under the appropriate section of the Internal Revenue Code. E. PLAN TERMINATION Although it has not expressed any intention to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions set forth in ERISA. In the event of any termination of the Plan, participants shall become fully vested in their account balances. 9 ROTECH MEDICAL CORPORATION SAVINGS PLAN ITEM 27a- SCHEDULE OF ASSETS HELD FOR INVESTMENT PURPOSES DECEMBER 31, 1996 - ------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------- Fair Identity of Issuer Description Cost Value - ---------------------------------------------------------------------------------------------------- Principal Mutual Life Insurance Co. Guaranteed Interest $144,707 $144,475 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Money Market 38,346 38,764 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Government Securities 23,486 24,110 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Bond and Mortgage 29,370 30,098 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Bond Emphasis Balance 52,933 54,455 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Stock Emphasis Balanced 104,611 109,881 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Stock Index 500 82,401 87,244 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. U.S. Stock 103,047 111,374 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Medium Company Value 127,694 135,942 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Medium Company Blend 120,381 125,912 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Small Company Blend 170,102 177,452 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. International Stock 78,026 83,779 - ---------------------------------------------------------------------------------------------------- Pooled Separate Account Principal Mutual Life Insurance Co. Real Estate 6,452 6,626 - ---------------------------------------------------------------------------------------------------- RoTech Stock RoTech Medical Corporation Employer Securities, Common 227,302 287,015 - ---------------------------------------------------------------------------------------------------- Participant Loans Interest Rate 10.25% 0 19,515 - ---------------------------------------------------------------------------------------------------- Total $1,308,858 $1,436,642 - ---------------------------------------------------------------------------------------------------- 10 ROTECH MEDICAL CORPORATION SAVINGS PLAN Item 27d - SCHEDULE OF REPORTABLE TRANSACTIONS Period Ended December 31, 1996 - -------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- Total Total Value Total Value Net Description of Asset Purchases Total Sales of Purchases of Sales Gain/(Loss) - --------------------------------------------------------------------------------------------------- Guaranteed Interest 18 $212,072 $0 - --------------------------------------------------------------------------------------------------- Guaranteed Interest 17 $71,027 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Stock Emphasis Balanced 14 $110,908 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Stock Emphasis Balanced 13 $6,323 ($50) - --------------------------------------------------------------------------------------------------- Pooled Separate Account Stock Index 500 19 $82,623 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Stock Index 500 7 $234 $13 - --------------------------------------------------------------------------------------------------- Pooled Separate Account U.S. Stock 21 $118,179 0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account U.S. Stock 10 $16,513 $1,381 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Medium Company Value 20 $136,307 0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Medium Company Value 21 8,580 ($33) - --------------------------------------------------------------------------------------------------- Pooled Separate Account Medium Company Blend 19 $126,356 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Medium Company Blend 16 $5,787 (189) - --------------------------------------------------------------------------------------------------- Pooled Separate Account Small Company Blend 22 $177,681 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account Small Company Blend 20 $7,069 $(510) - --------------------------------------------------------------------------------------------------- Pooled Separate Account International Stock 15 $78,626 $0 - --------------------------------------------------------------------------------------------------- Pooled Separate Account International Stock 10 $618 $18 - --------------------------------------------------------------------------------------------------- RoTech Stock Employer Securities, Common 15 $229,193 $0 - --------------------------------------------------------------------------------------------------- RoTech Stock Employer Securities, Common 13 $1,948 $7 - --------------------------------------------------------------------------------------------------- 11 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rotech Medical Corporation as plan administrator has duly caused this annual report to be signed on its behalf by the undersigned, thereunto duly authorized. ROTECH MEDICAL CORPORATION, A Florida Corporation BY: /s/Rebecca R. Irish --------------------- Rebecca R. Irish, Treasurer Date: June 30, 1997 12