UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (X) Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the Quarterly Period Ended March 31, 1996 or ( ) Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the transition period from_________to__________ Commission File Number 33-80731 PHYSICIAN SUPPORT SYSTEMS, INC. ______________________________________________________ (Exact name of registrant as specified in its charter) Delaware 13-3624081 ____________________________ __________________ (State or other jurisdiction (I.R.S. Employer of incorporation or Identification No.) organization) ROUTE 230 AND EBY-CHIQUES ROAD MT. JOY, PENNSYLVANIA 17552 ___________________________________________________________________ (Address of principal executive offices) (Zip Code) (717) 653-5340 ______________ Registrant's telephone number, including area code Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No _____ ______ Indicate the number of shares outstanding of each of issuer's classes of common stock, as of the latest practicable date. Common Stock, par value $.001 per share 6,265,000 Shares _______________________________________ _______________________ Class Outstanding at May 10, 1996 PHYSICIAN SUPPORT SYSTEMS, INC. INDEX Page No. -------- PART I. FINANCIAL INFORMATION Item 1. Financial Statements Condensed Consolidated Balance Sheets - March 31, 1996 and December 31, 1995 2 Condensed Consolidated Statements of Operations - Three Months Ended March 31, 1996 and 1995 3 Condensed Consolidated Statements of Cash Flows -- Three Months Ended March 31, 1996 and 1995 4 Notes to Condensed Consolidated Financial Statements 5 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 6 PART II. OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K 8 Signature 9 Index of Exhibits 1 Part I. Financial Information Item 1. Financial Statements PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS MARCH 31, DECEMBER 31, 1996 1995 ------------ ----------- (UNAUDITED) ASSETS Current assets: Cash and cash equivalents................................... $ 20,157,363 $ 394,405 Accounts receivable ........................................ 2,730,158 3,993,408 Accounts receivable -- unbilled............................. 5,520,131 3,847,616 Prepaid expenses and other current assets................... 771,059 419,921 Deferred income taxes....................................... -- 388,293 ------------ ----------- Total current assets................................... 29,178,711 9,043,643 Property and equipment -- net.................................... 2,517,946 2,414,882 Intangible assets -- net......................................... 22,616,581 11,965,026 Other assets..................................................... 74,455 68,147 ------------ ----------- Total.................................................. $ 54,387,693 $23,491,698 ------------ ----------- ------------ ----------- LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIENCY) Current liabilities: Accounts payable............................................ $ 590,013 $ 442,172 Accrued expenses............................................ 5,921,556 4,856,346 Short-term borrowings....................................... -- 500,000 Current portion of long-term debt........................... -- 2,099,167 Current portion of other long-term liabilities.............. 520,203 603,782 Deferred income taxes....................................... 38,767 -- ------------ ----------- Total current liabilities.............................. 7,070,539 8,501,467 ------------ ----------- Long-term debt................................................... 5,500,000 13,830,763 ------------ ----------- Other long-term liabilities...................................... 1,286,677 1,158,237 ------------ ----------- Deferred income taxes............................................ 911,947 911,947 ------------ ----------- Commitments and contingencies Redeemable preferred stock: Par value $.01 per share: authorized 10,000 shares; 10% Preferred Stock, Series A and B, stated value $500 per share, outstanding 2,932.032 shares of each series at December 31, 1995............................... -- 2,932,032 ------------ ----------- Stockholders' equity (deficiency): Preferred stock, par value $.01 per share: authorized 10,000,000 shares; none outstanding Common stock, par value $.001 per share: authorized 100,000,000 shares; outstanding 6,265,000 and 2,240,000 shares at March 31, 1996 and December 31, 1995 respectively.............................................. 6,265 2,240 Additional paid-in capital.................................. 43,677,952 125,760 Accumulated deficit......................................... (4,065,687) (3,970,748) ------------ ----------- 39,618,530 (3,842,748) ------------ ----------- Total.................................................. $ 54,387,693 $23,491,698 ------------ ----------- ------------ ----------- See notes to condensed consolidated financial statements. 2 PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, ---------------------------- 1996 1995 ----------- ----------- (UNAUDITED) (UNAUDITED) Revenue.............................................................. $ 6,399,412 $ 4,559,882 ----------- ----------- Operating expenses: Salaries and wages.............................................. 3,325,326 2,393,069 General and administrative...................................... 2,217,810 1,678,023 Depreciation and amortization................................... 961,007 840,810 ----------- ----------- Total operating expenses................................... 6,504,143 4,911,902 ----------- ----------- Income (loss) from operations........................................ (104,731) (352,020) ----------- ----------- Other (income) expense: Interest income................................................. (136,477) (1,561) Interest expense................................................ 146,364 369,118 ----------- ----------- Total other (income) expense............................... 9,887 367,557 ----------- ----------- Income (loss) before income taxes (benefit).......................... (114,618) (719,577) Income taxes (benefit)............................................... (56,000) (157,194) ----------- ----------- Net income (loss).................................................... (58,618) (562,383) Preferred stock dividends............................................ (36,320) (64,872) ----------- ----------- Net income (loss) applicable to common stock......................... $(94,938) $(627,255) ----------- ----------- ----------- ----------- Net income (loss) per share.......................................... $(0.02) $(0.28) ----------- ----------- ----------- ----------- Weighted average shares outstanding.................................. 4,398,012 2,240,000 ----------- ----------- ----------- ----------- See notes to condensed consolidated financial statements. 3 PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS THREE MONTHS ENDED MARCH 31, ------------------------------- 1996 1995 ----------- ----------- (UNAUDITED) (UNAUDITED) Cash flows from operating activities: Net income (loss).............................................. $ (58,618) $ (562,383) Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Depreciation and amortization............................. 961,007 840,810 Deferred income taxes..................................... (56,000) (153,227) Other long-term liabilities............................... (83,660) (412,285) Changes in operating assets and liabilities: Accounts receivable.................................. 1,906,185 (278,961) Accounts receivable -- unbilled...................... (263,259) 56,669 Prepaid expenses, other current assets and other assets............................................. (319,637) 85,439 Accounts payable..................................... 82,205 260,277 Accrued expenses..................................... (1,812,008) 138,121 Deferred purchase price.............................. (166,666) -- ------------ ----------- Net cash provided by (used in) operating activities.................................... 189,549 (25,540) ------------ ----------- Cash flows from investing activities: Acquisitions, net of cash acquired............................. (9,953,368) -- Capital expenditures........................................... (76,405) (211,284) ------------ ----------- Net cash used in investing activities........... (10,029,773) (211,284) ------------ ----------- Cash flows from financing activities: Net proceeds from sale of common stock......................... 43,556,217 -- Repayment of short-term borrowings............................. (500,000) -- Principal payments on long-term debt........................... (10,429,930) (233,333) Principal payments on capital lease obligations................ (54,753) (65,544) Redemption of preferred stock.................................. (2,932,032) -- Redeemable preferred stock distributions....................... (36,320) -- ------------- ----------- Net cash provided by (used in) financing activities.......................... 29,603,182 (298,877) ------------ ----------- Net increase (decrease) in cash and cash equivalents................ 19,762,958 (535,701) Cash and cash equivalents, beginning of period...................... 394,405 878,350 ------------ ----------- Cash and cash equivalents, end of period............................ $20,157,363 $ 342,649 ----------- ----------- ----------- ----------- Supplemental investing activity: Fair value of assets acquired.................................. $13,850,820 $ -- Cash acquired.................................................. (193,261) -- Liabilities assumed............................................ 1,812,541 -- Deferred purchase price........................................ (1,912,000) -- ----------- ----------- Net cash paid for acquisitions.................. $9,953,368 $ -- ----------- ----------- ----------- ----------- Supplemental disclosure of cash flow information: Cash paid for interest......................................... $ 381,509 $ 424,020 ----------- ----------- ----------- ----------- Capital lease obligations incurred in acquisition of equipment.................................................... $ -- $ -- ----------- ----------- ----------- ----------- See notes to condensed consolidated financial statements. 4 PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS THREE MONTHS ENDED MARCH 31, 1996 AND 1995 1. BASIS OF PRESENTATION The unaudited condensed consolidated financial statements included herein have been prepared by the Company in accordance with the rules and regulations of the Securities and Exchange Commission and consequently do not include all of the disclosures normally required by generally accepted accounting principles. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and related notes thereto included in the Company's Annual Report on Form 10-K. The unaudited financial information contained herein reflects all adjustments (consisting of only normal recurring accruals) which, in the opinion of management, are necessary for a fair presentation of the results of operations for the three month periods ended March 31, 1996 and 1995. 2. COMMON STOCK a. Sale of common stock--On February 12, 1996, the Company authorized the issuance of up to 10,000,000 shares of preferred stock, increased the number of authorized shares of common stock from 5,000 to 100,000,000, changed the par value of its common stock from $.01 to $.001 per share and effected a 1,400-for- one stock split. In addition, on February 12, 1996, the Company sold 4,025,000 shares of common stock for $12 per share in its initial public offering of common stock. The net proceeds of such offering of approximately $43,556,000 were used to repay all outstanding short and long-term debt except for the Spring acquisition subordinated note, redeem all outstanding shares of preferred stock and acquire three businesses (North Coast Health Care Management Group (which consisted of three affiliated companies) ('NCHC Group'), Medical Management Support, Inc. ('MMS') and Data Processing Systems, Inc. ('DPS') (together, the 'Acquired Businesses')) currently providing business management services to physicians. b. 1996 Stock Option Plan--On February 9, 1996, the Company adopted the 1996 Stock Option Plan (the 'Plan'). A total of 939,750 authorized but unissued shares of common stock are reserved for issuance under the Plan. All options issued under the Plan have an exercise price of not less than 100% of the fair market value of a share of the Company's common stock on the date of the grant, vest over five years and must be exercised within ten years from the date of the grant. Through March 31, 1996, the Company has issued 120,000 options under the Plan at exercise prices ranging from $12 to $15 per share. 3. BUSINESS COMBINATIONS On February 15, 1996, the Company acquired 100 percent of the outstanding common stock and substantially all of the assets and liabilities of the companies that made up the NCHC Group and substantially all of the assets and liabilities of MMS and DPS. On May 8, 1996, the Company acquired substantially all of the assets and liabilities of PBS Northwest, Inc. ('PBS'). The aggregate purchase price of the foregoing acquisitions was approximately $14,650,000 in cash and deferred payments. All of these acquisitions either have been or will be accounted for under the purchase method of accounting, and, accordingly, the net assets acquired either have been or will be recorded at their fair values on the dates of acquisition. Excess purchase price over fair value of net assets acquired either has been or will be amortized on the straight-line method over 20 years. The unaudited consolidated results of operations on a pro forma basis as if the Company had sold 4,025,000 shares of common stock for $12 per share, repaid short and long-term debt (except for the Spring acquisition subordinated note), redeemed all outstanding shares of preferred stock and consummated the above acquisitions on January 1, 1995 are as follows: Three Months Ended March 31, ---------------------------- 1996 1995 ---- ---- Revenue $7,693,000 $6,969,000 ---------- ---------- ---------- ---------- Net income (loss) $ 169,000 $ (106,000) ---------- ---------- ---------- ---------- Net income (loss) per share $ 0.03 $ (0.02) ---------- ---------- ---------- ---------- Weighted average shares outstanding 6,265,000 6,265,000 ---------- ---------- ---------- ---------- 4. LONG-TERM DEBT On February 15, 1996, the Company repaid all outstanding short and long- term debt except for the Spring acquisition subordinated note. On May 2, 1996, the Company received a commitment from its bank for a $15 million line of credit through June 30, 1998. 5 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OVERVIEW The Company is a leading provider of business management services to hospital-affiliated physicians. In providing its clients with business management services, the Company manages the billing process for its clients, including preparation and follow-up on bills from physicians for medical services provided by such physicians to their patients. The Company is generally compensated with a management fee based upon net receipts of its clients. On February 12, 1996, the Company sold 4,025,000 shares of common stock for $12 per share in its initial public offering of common stock. The net proceeds of such offering of approximately $43,556,000 were used to repay all outstanding short and long-term debt except for the Spring acquisition subordinated note, redeem all outstanding shares of preferred stock and acquire three businesses (North Coast Health Care Management Group (which consisted of three affiliated companies) ('NCHC Group'), Medical Management Support, Inc. ('MMS') and Data Processing Systems, Inc. ('DPS') (together, the 'Acquired Businesses')) currently providing business management services to physicians. See 'ACQUISITIONS.' This Management's Discussion and Analysis of Financial Condition and Results of Operations should be read in conjunction with the Company's latest annual report on Form 10-K. ACQUISITIONS On February 15, 1996 (effective February 1, 1996), the Company acquired 100 percent of the outstanding common stock and substantially all the assets and liabilities of the companies that made up the North Coast Health Care Management Group (which consisted of three affiliated companies) ('NCHC Group') for approximately $8,000,000 in cash and deferred payments. On February 15, 1996, the Company acquired substantially all the assets and liabilities of Medical Management Support, Inc. ('MMS') for approximately $2,500,000 in cash. On February 15, 1996, the Company acquired substantially all the assets and liabilities of Data Processing Systems, Inc. ('DPS') for approximately $1,150,000 in cash and deferred payments. The payment of the deferred payments is subject to DPS' retention of clients. On May 8, 1996, the Company acquired substantially all the assets and liabilities of PBS Northwest, Inc. ('PBS') for approximately $3,000,000 in cash. Each of the foregoing acquisitions was or will be accounted for under the purchase method of accounting, and, accordingly, the net assets acquired were or will be recorded at their fair values on the date of acquisition. Excess purchase price over fair value of net assets acquired is being or will be amortized on the straight-line method over 20 years. RESULTS OF OPERATIONS The following table sets forth, for the periods presented, the percentages of net revenue represented by certain items reflected in the Company's statement of operations. THREE MONTHS ENDED -------------------------------- MARCH 31, 1996 MARCH 31, 1995 -------------- -------------- Revenues 100.0% 100.0% Salaries and wages 52.0 52.5 General and administrative expenses 34.7 36.8 Depreciation and amortization 15.0 18.4 ------ ------ Income (loss) from operations (1.6) (7.7) Interest income (2.1) -- Interest expense 2.3 8.1 ------ ------ Income (loss) before income taxes (benefit) (1.8) (15.8) Income taxes (benefit) (0.9) (3.5) ------ ------ Net income (loss) (0.9)% (12.3)% ------ ------ ------ ------ Revenues Revenues increased approximately 40% from $4,560,000 for the three months ended March 31, 1995 to $6,399,000 for the three months ended March 31, 1996. Such increase resulted from businesses acquired during the three months ended March 31, 1996, and increases in the number of clients served by the Company in the three months ended March 31, 1996 compared to the three months ended March 31, 1995. Salaries and Wages Salaries and wages increased approximately 39% from $2,393,000 for the three months ended March 31, 1995 to $3,325,000 for the three months ended March 31, 1996. Such increase resulted from businesses acquired during the three months ended March 31, 1996, increases in the number of clients served by the Company and increases related to entry into new geographic markets where revenues to be realized lag expenses incurred. 6 General and Administrative Expenses General and administrative expenses increased approximately 32% from $1,678,000 for the three months ended March 31, 1995 to $2,218,000 for the three months ended March 31, 1996. Such increase resulted from businesses acquired during the three months ended March 31, 1996, increases in the number of clients served by the Company and increases related to entry into new geographic markets where revenues to be realized lag expenses incurred. Depreciation and Amortization Depreciation and amortization increased approximately 14% from $841,000 for the three months ended March 31, 1995 to $961,000 for the three months ended March 31, 1996. Such increase resulted primarily from businesses acquired during the three months ended March 31, 1996. Interest Income Interest income increased from $2,000 for the three months ended March 31, 1995 to $136,000 for the three months ended March 31, 1996 as a result of interest earned on excess cash proceeds from the Company's initial public offering of common stock. Interest Expense Interest expense decreased approximately 60% from $369,000 for the three months ended March 31, 1995 to $146,000 for the three months ended March 31, 1996. Such decrease resulted from decreased levels of short and long-term debt after repayment of such borrowings from proceeds from the Company's initial public offering of common stock. Income Taxes (Benefit) The Company's effective rate for income taxes (benefit) increased from 22% for the three months ended March 31, 1995 to 49% for the three months ended March 31, 1996. Such increase resulted from differing levels in each year of projected annual pretax income or loss and the effect on such projected levels of items not deductible for federal income tax purposes. Net Loss and Net Loss Per Share Net loss and net loss per share result from the accumulation of the items described above and the increase in the weighted average number of shares outstanding resulting from the Company's initial public offering of common stock. LIQUIDITY AND CAPITAL RESOURCES The Company's working capital and cash and cash equivalents were $22,108,000 and $20,157,000, respectively, at March 31, 1996 compared to $542,000 and $394,000, respectively, at December 31, 1995. Such increases in working capital and cash and cash equivalents result primarily from excess cash proceeds from the Company's initial public offering of common stock. Such excess proceeds are primarily invested in obligations of the U.S. Treasury or other U.S. government agencies or other highly liquid short-term corporate securities. The Company's total short and long-term debt was $5,500,000 at March 31, 1996 compared to $16,430,000 at December 31, 1995. The Company repaid all outstanding short and long-term debt except for the Spring subordinated note out of proceeds from its initial public offering of common stock. On May 2, 1996, the Company received a commitment from its bank for a $15 million line of credit through June 30, 1998. The Company believes anticipated cash flow from operations, cash and cash equivalents on hand and borrowing capacity from its line of credit commitment are adequate for its anticipated financing needs. 7 PART II. OTHER INFORMATION ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) EXHIBITS EXHIBIT NUMBER DESCRIPTION -------------- ----------- 10 Employment Agreement, dated as of February 14, 1996, by and between the Company and David S. Geller 27 Financial Data Schedule (b) No current report on form 8-K was filed during the fiscal period to which this report relates. 8 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, on May 15, 1996. PHYSICIAN SUPPORT SYSTEMS, INC. By: /s/ DAVID S. GELLER ................................... DAVID S. GELLER SENIOR VICE PRESIDENT CHIEF FINANCIAL OFFICER (Duly Authorized Officer and Principal Financial Officer) 9 EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION -------------- ----------- [S] [C] 10 Employment Agreement, dated as of February 14, 1996, by and between the Company and David S. Geller 27 Financial Data Schedule