- - -------------------------------------------------------------------------------- - - -------------------------------------------------------------------------------- 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 June 30, 1999 Commission File Number 333-57191 EVEREST HEALTHCARE SERVICES CORPORATION (Exact name of registrant as specified in its charter) Delaware 36-4045521 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) AMARILLO ACUTE DIALYSIS SPECIALISTS, L.L.C. (Exact name of registrant as specified in its charter) Texas 75-2600377 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) CON-MED SUPPLY COMPANY, INC. (Exact name of registrant as specified in its charter) Illinois 36-3147024 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) CONTINENTAL HEALTH CARE, LTD. (Exact name of registrant as specified in its charter) Illinois 36-3084746 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) DIALYSIS SPECIALISTS OF CORPUS CHRISTI, L.L.C. (Exact name of registrant as specified in its charter) Texas 74-2749663 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) DIALYSIS SPECIALISTS OF SOUTH TEXAS, L.L.C. (Exact name of registrant as specified in its charter) Texas 74-2749664 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) DUPAGE DIALYSIS LTD. (Exact name of registrant as specified in its charter) Illinois 36-3029873 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST MANAGEMENT, INC. (Exact name of registrant as specified in its charter) Delaware 36-4045521 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) HEMO DIALYSIS OF AMARILLO, L.L.C. (Exact name of registrant as specified in its charter) Texas 75-2592110 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) HOME DIALYSIS OF AMERICA, INC. (Exact name of registrant as specified in its charter) Arizona 86-0711476 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) HOME DIALYSIS OF DAYTON, INC. (Exact name of registrant as specified in its charter) Ohio 31-1423002 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) MERCY DIALYSIS CENTER, INC. (Exact name of registrant as specified in its charter) Wisconsin 39-1589773 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) NEW YORK DIALYSIS MANAGEMENT, INC. (Exact name of registrant as specified in its charter) New York 36-3702390 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) NORTH BUCKNER DIALYSIS CENTER, INC. (Exact name of registrant as specified in its charter) Delaware 36-4206319 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST HEALTHCARE INDIANA, INC. (Exact name of registrant as specified in its charter) Indiana 36-3575844 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) WSKC DIALYSIS SERVICES, INC. (Exact name of registrant as specified in its charter) Illinois 36-2668594 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST NEW YORK HOLDINGS, INC. (Exact name of registrant as specified in its charter) New York 36-4276708 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST ONE IPA, INC. (Exact name of registrant as specified in its charter) New York 13-3988854 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST TWO IPA, INC. (Exact name of registrant as specified in its charter) New York 36-4276710 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) EVEREST THREE IPA, INC. (Exact name of registrant as specified in its charter) New York 36-5276711 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) ACUTE EXTRACORPOREAL SERVICES, L.L.C. (Exact name of registrant as specified in its charter) Delaware 36-4265964 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) DIALYSIS SPECIALISTS OF CENTRAL CINCINNATI, LTD. (Exact name of registrant as specified in its charter) Ohio 31-1499030 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) HOME DIALYSIS OF FAIRFIELD, INC. (Exact name of registrant as specified in its charter) Ohio 31-1418495 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) HOME DIALYSIS OF COLUMBUS, INC. (Exact name of registrant as specified in its charter) Ohio 31-1430557 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) DIALYSIS SPECIALISTS OF TULSA, INC. (Exact name of registrant as specified in its charter) Oklahoma 73-1508212 (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) NORTHERN NEW JERSEY DIALYSIS, L.L.C. (Exact name of registrant as specified in its charter) Delaware Applied for (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) 101 North Scoville, Oak Park, Illinois 60302 (Address of principal executive offices) (zip code) Registrant's telephone number, including area code: (708) 386-1000 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 [_] As of August 16, 1999, the number of shares outstanding of the Common Stock of Everest Healthcare Services Corporation, par value $.001 per share, was 12,884,720. - - -------------------------------------------------------------------------------- - - -------------------------------------------------------------------------------- PART I--FINANCIAL INFORMATION Page No. -------- Item 1. Financial Statements Consolidated Balance Sheet September 30, 1998 and June 30, 1999 (unaudited)................. 2 Consolidated Income Statement--(unaudited) For the three months and nine months ended June 30, 1998 and 1999............................................................. 3 Consolidated Statement of Cash Flow--(unaudited) For the three months and nine months ended June 30, 1998 and 1999............................................................. 4 Notes to the Consolidated Financial Statements...................... 5 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations............................................ 10 Item 3. Quantitative and Qualitative Disclosures About Market Risk.... 16 PART II--OTHER INFORMATION Item 1. Legal Proceedings............................................. 17 Item 2. Changes in Securities and Use of Proceeds..................... 17 Item 3. Defaults Upon Senior Securities............................... 17 Item 4. Submission of Matters to a Vote of Security Holders........... 17 Item 5. Other Information............................................. 17 Item 6. Exhibits and Reports on Form 8-K.............................. 18 1 - - -------------------------------------------------------------------------------- PART I--FINANCIAL INFORMATION - - -------------------------------------------------------------------------------- EVEREST HEALTHCARE SERVICES CORPORATION CONSOLIDATED BALANCE SHEET September June 30, 30, 1998 1999 ------------ ------------ (unaudited) ASSETS - - ------ Current assets: Cash and cash equivalents.......................... $ 12,525,567 $ 2,633,791 Patient accounts receivable, less allowance of $6,481,000 and $8,632,000......................... 41,473,765 50,508,301 Other current assets............................... 12,072,099 14,794,094 ------------ ------------ Total current assets............................. 66,071,431 67,936,186 Other assets: Goodwill, net...................................... 58,815,302 70,039,672 Intangible assets, net............................. 26,446,720 35,611,803 Amounts due from affiliates........................ 16,643,738 9,953,144 Other.............................................. 2,983,319 2,008,577 ------------ ------------ Total other assets............................... 104,889,079 117,613,196 Property and equipment, net.......................... 27,734,949 29,520,913 ------------ ------------ $198,695,459 $215,070,295 ============ ============ LIABILITIES AND STOCKHOLDERS' EQUITY - - ------------------------------------ Current liabilities: Accounts payable................................... $ 8,845,097 $ 11,468,048 Accrued liabilities................................ 19,148,881 18,617,915 Current portion of long-term debt.................. 606,624 634,587 Current portion of capital lease obligations....... 506,058 242,149 ------------ ------------ Total current liabilities........................ 29,106,660 30,962,699 Long-term debt, less current portion ................ 108,146,981 121,574,857 Capital lease obligations, less current portion...... 311,408 159,962 Deferred income taxes................................ 1,500,000 1,500,000 Minority interests................................... 1,374,764 1,612,266 Stockholders' equity: Common stock, $.001 par value, 20,000,000 shares authorized; 12,884,720 shares issued and outstanding....................................... 12,885 12,885 Additional paid-in capital......................... 55,171,224 55,171,224 Retained earnings.................................. 3,071,537 4,076,402 ------------ ------------ Total stockholders' equity....................... 58,255,646 59,260,511 ------------ ------------ $198,695,459 $215,070,295 ============ ============ See notes to consolidated financial statements. 2 EVEREST HEALTHCARE SERVICES CORPORATION UNAUDITED CONDENSED CONSOLIDATED INCOME STATEMENT Three Months Ended Nine Months Ended June 30, June 30, ------------------------ -------------------------- 1998 1999 1998 1999 ----------- ----------- ------------ ------------ Net revenues............. $40,697,384 $49,227,906 $108,228,678 $132,851,909 Operating expenses: Patient care costs..... 24,406,759 31,040,578 67,577,966 83,642,441 General and administrative........ 8,794,553 9,860,552 21,919,051 27,139,028 Provision for bad debts................. 1,601,895 1,108,763 3,522,636 3,232,730 Depreciation and amortization.......... 1,896,839 2,600,722 4,933,199 7,542,910 ----------- ----------- ------------ ------------ Total operating expenses............ 36,700,046 44,610,615 97,952,852 121,557,109 ----------- ----------- ------------ ------------ Income from operations... 3,997,338 4,617,291 10,275,826 11,294,800 Nonoperating income (expense): Interest expense....... (2,741,055) (3,564,952) (4,942,446) (9,372,008) Interest income........ 595,942 142,244 1,314,314 1,018,520 Equity in earnings of unconsolidated subsidiaries.......... 210,864 (74,125) 861,830 590,216 Minority interests in earnings.............. (9,667) (136,719) (542,447) (660,486) Other.................. -- -- -- -- ----------- ----------- ------------ ------------ (1,943,916) (3,633,552) (3,308,749) (8,423,758) ----------- ----------- ------------ ------------ Income before income taxes................... 2,053,422 983,739 6,967,077 2,871,042 Income taxes............. 1,285,385 639,430 3,903,983 1,866,177 ----------- ----------- ------------ ------------ Net income............... $ 768,037 $ 344,309 $ 3,063,094 $ 1,004,865 =========== =========== ============ ============ See notes to consolidated financial statements. 3 EVEREST HEALTHCARE SERVICES CORPORATION UNAUDITED CONSOLIDATED STATEMENT OF CASH FLOWS Three Months Ended Nine Months Ended June 30, June 30, -------------------------- -------------------------- 1998 1999 1998 1999 ------------ ------------ ------------ ------------ Operating Activities: Net income............. $ 768,037 $ 344,309 $ 3,063,094 $ 1,004,865 Adjustments to reconcile net income to net cash provided by (used in) operating activities: Provision for bad debts............... 1,601,895 1,108,763 3,522,636 3,232,730 Depreciation and amortization........ 1,896,839 2,600,722 4,933,199 7,542,910 Equity in earnings of unconsolidated subsidiaries........ (210,864) 74,125 (861,830) (590,215) Minority interests in earnings............ 9,667 136,719 542,447 660,486 Changes in assets and liabilities (net effect of acquisitions): Patient and other accounts receivable........ (5,286,920) (3,809,188) (7,486,673) (10,508,606) Other assets....... (5,314,282) (220,052) (7,652,554) (233,384) Accounts payable, accrued liabilities and other liabilities....... 4,457,202 (911,924) 7,701,923 775,304 ------------ ------------ ------------ ------------ Net cash provided by (used in) operating activities...... (2,078,426) (676,526) 3,762,242 1,884,090 Investing Activities: Additions to property and equipment......... (7,017,255) (1,017,491) (10,270,492) (4,539,484) Acquisition of businesses, net of cash acquired......... (4,020,411) (15,339,413) (15,792,916) (24,370,942) Decrease in amounts due from affiliates....... 1,808,430 1,444,572 101,856 4,269,576 ------------ ------------ ------------ ------------ Net cash used in investing activities...... (9,229,236) (14,912,332) (25,961,552) (24,640,850) Financing Activities: Proceeds from long-term debt.................. 100,000,000 23,916,024 149,303,574 47,316,024 Payments on long-term debt.................. (37,899,181) (10,635,685) (74,227,638) (34,035,685) Payments on shareholders notes.... (7,208,809) -- (7,442,467) -- Payments on capital leases................ (395,898) 160,086 (962,253) (415,355) Distributions to members............... -- -- (600,022) -- ------------ ------------ ------------ ------------ Net cash provided by financing activities...... 54,496,112 13,440,425 66,071,194 12,864,984 Increase (decrease) in cash and cash equivalents........... 43,188,450 (2,148,433) 43,871,884 (9,891,776) Cash and cash equivalents, beginning of period............. 3,140,103 4,782,224 2,456,669 12,525,567 ------------ ------------ ------------ ------------ Cash and cash equivalents, end of period................ $ 46,328,553 $ 2,633,791 $ 46,328,553 $ 2,633,791 ============ ============ ============ ============ See notes to consolidated financial statements. 4 EVEREST HEALTHCARE SERVICES CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1. Basis of Presentation and Reorganization Effective November 30, 1997, Peak Healthcare, L.L.C. (Peak), the predecessor to the Company, was reorganized whereby the following transactions occurred simultaneously. The members of Peak contributed all of their interests in Peak for an equal number of membership interests in Peak Liquidating, L.L.C. (Peak Liquidating), a newly formed limited liability company. The operating agreement and number and classes of interests of Peak Liquidating were identical to Peak. Upon the exchange, Peak Liquidating, the sole member of Peak, contributed its interests in Peak for shares of common stock of Everest Healthcare II, Inc. (Everest II), a newly-formed subchapter C Corporation. The number of shares of common stock of Everest II received by Peak Liquidating was equal to the number of shares of Everest held by Peak. The number and class of authorized shares of Everest II upon formation was identical to that of Everest. Following the exchange, Peak was liquidated. Upon the consummation of these transactions, Everest II issued shares of common stock, representing approximately 30% of the shares of the Company, to the minority interest holders in Everest in exchange for their shares of Everest common stock. The acquisition of minority interest was treated as a purchase in accordance with generally accepted accounting principles and goodwill of approximately $12.4 million was recognized. Upon the consummation of these transactions, Everest became a wholly owned subsidiary of Everest II. In March 1998, Everest was merged into Everest II. Upon the merger, Everest II (the surviving entity) changed its name to Everest Healthcare Services Corporation. All references to the Company or Everest refer collectively to Peak and its subsidiaries prior to the reorganization, and Everest Healthcare Services Corporation and its subsidiaries subsequent to the reorganization. 2. Interim Financial Statements The financial information at June 30, 1999 and for the three months and nine months ended June 30, 1998 and 1999 is unaudited but includes all adjustments (consisting only of normal recurring adjustments) that the Company considers necessary for a fair presentation of the financial position at such date and the results of operations and cash flows for those periods. Results of operations for the nine months ended June 30, 1999 are not necessarily indicative of the results that may be expected for the entire year. The unaudited interim consolidated financial statements have been prepared in conformity with generally accepted accounting principles and reporting practices. Certain information in footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles has been condensed or omitted pursuant to the rules and regulations of the Securities and Exchange Commission; however, the Company believes the disclosures are adequate to make the information not misleading. The unaudited interim consolidated financial statements contained herein should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company's Form 10-K as filed with the Securities and Exchange Commission on December 29, 1998. 3. New Accounting Standards In June 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards No. 131, "Disclosures About Segments of an Enterprise and Related Information" (SFAS 131). The provisions of SFAS 131 establish standards for the way companies report information about operating segments in annual financial statements and require that such companies report selected information about operating segments in interim financial reports issued to shareholders. The provisions of SFAS 131 require the disclosure of segment information be based on a "management approach" whereby disclosures are made of information that is available and evaluated regularly by the chief decision makers of the Company in deciding how to allocate resources and assessing performance. Application of the provisions of SFAS 131 will be required for the year ended September 30, 1999. The Company operates in two business segments; as a provider of chronic dialysis services and as a contract service provider of extracorporeal services including acute dialysis perfusion, apheresis, and autotransfusion. The Company believes that the adoption of SFAS 131 will not have a material impact on its future disclosure requirements. 5 In February 1998, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards No. 132 (SFAS 132), "Employers' Disclosures about Pensions and Other Postretirement Benefits." SFAS 132 revises the previous disclosure requirements of pension and postretirement plans. The Statement does not change the recognition or measurement of pension plans. The Company is evaluating the disclosure requirements of SFAS 132 and believes that its adoption will not have a material impact on its future disclosure requirements. 4. Reclassifications Certain reclassifications have been made to the prior period's financial statements to conform to the 1999 presentation. 5. Business Combinations In February 1999, the Company acquired the remaining outstanding equity interest that it previously had not owned in Dialysis Specialists of Central Cincinnati, Ltd. (Central Cincinnati), an outpatient dialysis facility located in Norwood, Ohio. Prior to the acquisition, the Company owned a 37.9% interest in Central Cincinnati and accounted for the investment under the equity method of accounting. The purchase price, including costs of the transaction, was approximately $5.6 million. Goodwill recognized in the acquisition was approximately $4.8 million. In February 1999, the Company increased its investment in Dialysis Specialists of Topeka, Inc. (Topeka) from 25% to 75%. Topeka is an outpatient dialysis facility located in Topeka, Kansas. Prior to the acquisition, the Topeka investment was accounted for under the equity method of accounting. The purchase price, including costs of the transaction, was approximately $1.3 million. Goodwill recognized in the acquisition was approximately $600,000. In March 1999, the Company acquired the remaining outstanding equity interest that it previously had not owned in Home Dialysis of Fairfield, Inc. (Fairfield), a home dialysis facility located in Fairfield, Ohio. Prior to the acquisition, the Company owned a 50% interest in Fairfield and accounted for the investment under the equity method of accounting. The purchase price, including costs of the transaction, was approximately $2.8 million. Goodwill recognized in the acquisition was approximately $1.9 million. In March 1999, the Company acquired the remaining outstanding equity interest that it previously had not owned in Home Dialysis of Columbus, Inc. (Columbus), an outpatient dialysis facility and a home dialysis facility located in Columbus, Ohio. Prior to the acquisition, the Company owned a 49% interest in Columbus and accounted for the investment under the equity method of accounting. The purchase price, including costs of the transaction, was approximately $500,000. Goodwill recognized in the acquisition was approximately $500,000. Effective May 1999, the Company acquired the remaining outstanding equity interest in the Dialysis Specialists of Tulsa, Inc. (Tulsa), an outpatient dialysis facility located in Tulsa, Oklahoma. Prior to this transaction, the Company owned a 33% interest in Tulsa, and accounted for the investment under the equity method of accounting. The purchase price, including the costs of the transaction, was approximately $4.4 million. Goodwill recognized in the acquisition was approximately $3.6 million. These acquisitions have been accounted for under the purchase method of accounting. Accordingly, the allocation of the cost of the acquired assets and liabilities has been made on the basis of the estimated fair value. The consolidated financial statements include the operating results of each business from the date of acquisition. 6. Subsequent Events Effective July 19, 1999, the Company purchased certain assets and operations of Englewood Dialysis Facility, LLC an outpatient dialysis facility located in Englewood, New Jersey. The purchase price, including costs of the transaction, was approximately $10.0 million. This transaction was accounted for as a purchase resulting in the recording of goodwill of approximately $7.3 million. In June 1999, the Company funded the amount of the purchase price in an escrow account that was subsequently distributed as of the date of closing on July 19, 1999. 6 7. Credit Facility On June 30, 1999, the Company refinanced its prior credit facility (the "Prior Credit Facility") with Harris Trust and Savings Bank as agent bank. The new credit facility (the "Credit Facility") consists of three separate facilities; a revolving credit facility, an acquisition credit facility and a year 2000 credit facility. The revolving credit facility of $35.0 million matures on June 30, 2002 (the "Revolving Credit Facility"). The borrowings on the Revolving Credit Facility are limited to 75% of eligible accounts receivable and up to 50% of eligible inventory. Interest is payable at the Company's option of either the higher of the bank's prime rate (7.75% at June 30, 1999) or the Federal Funds rate plus 1/2 of 1%, plus 0.00%-1.00%, or the London Interbank Offered Rate (LIBOR) (5.23625% at June 30, 1999) plus 2.00%-2.75%. Commitment fees of 0.50% of the unused portion of the Revolving Credit Facility are payable quarterly. No amounts were drawn on the revolving credit facility at June 30, 1999. The acquisition credit facility of $65.0 million matures on June 15, 2005 (the "Acquisition Credit Facility"). Under the Acquisition Credit Facility, all of the borrowings outstanding thereunder on each of June 30, 2000, 2001 and 2002 must be converted to one or more seven-year term loans with balloon payments due on June 15, 2005. Interest is payable at the Company's option of either the higher of the bank's prime rate or the Federal Funds rate plus 1/2 of 1%, plus 0.25%-1.25%, or LIBOR plus 2.25%-3.00%. Commitment fees of 0.75% of the unused portion of the Acquisition Credit Facility are payable quarterly. At June 30, 1999, the Company had outstanding approximately $13.8 million under the acquisition credit facility. A year 2K credit facility of $40.0 million is available from January 1, 2000 through June 30, 2000 (the "Year 2000 Credit Facility"). The purpose of the Year 2000 Credit Facility is to finance government related accounts receivable which are unpaid due to difficulties related to the year 2000. Interest is payable at the Company's option of either the higher of the bank's prime rate or the Federal Funds rate plus 1/2 of 1%, plus 0.00%-1.00%, or LIBOR plus 2.00%-2.75%. Commitment fees of 0.50% of the unused portion of the Year 2000 Credit Facility are payable quarterly. The Credit Facility contains covenants, which among other things require the Company to maintain certain financial ratios and minimum levels of net worth. The Credit Facility, including any interest rate hedging transactions provided by Harris Trust and Savings Bank or any syndicated bank, are collateralized by a lien on all of the assets of the Company. 8. Other Financial Information The Company is a holding company with no independent assets or operations. Therefore, the Company relies primarily upon payment from its subsidiaries for the funds necessary to meet its obligations, including the payment of interest. The ability of the subsidiaries to fund the obligations is subject to significant restrictions, will be dependent upon the earnings of the subsidiaries, and will be subject to applicable laws and approval by the subsidiaries. Full separate statements of the Guarantor Subsidiaries have not been presented as the guarantors are wholly owned subsidiaries of the Company. Management does not believe that inclusion of such financial statements would be material to investors. The guarantees of the Guarantor Subsidiaries are full, unconditional, and joint and several. 7 The following table sets forth the financial data at June 30, 1999 and for the nine months then ended: Non- Parent Guarantor Guarantor Company Subsidiaries Subsidiaries Eliminations Consolidated ------------ ------------- ------------ ------------- ------------- Statement of Operations Data: Net revenue.......................... $ -- $108,018,144 $ 25,263,970 $ (430,205) $ 132,851,909 Patient care costs................... -- 65,182,744 18,459,697 -- 83,642,441 General and administrative expenses.. 3,388,632 21,935,382 2,245,219 (430,205) 27,139,028 Provision for bad debts.............. -- 2,740,980 491,750 -- 3,232,730 Depreciation and amortization........ 1,520,234 4,969,969 1,052,707 -- 7,542,910 ------------ ------------- ------------ ------------- ------------- Income (loss) from operations........ (4,908,866) 13,189,069 3,014,597 -- 11,294,800 Interest expense, net................ (7,448,317) (104,918) (800,253) -- (8,353,488) Equity in earnings of subsidiaries... -- 590,216 -- -- 590,216 Minority interests in earnings....... -- (523,297) (137,189) -- (660,486) Other................................ -- (328,724) 328,724 -- -- ------------ ------------- ------------ ------------- ------------- Income before income taxes expense... (12,357,183) 12,822,346 2,405,879 -- 2,871,042 Income tax expense................... -- 1,528,631 337,546 -- 1,866,177 ------------ ------------- ------------ ------------- ------------- Net income (loss).................... $(12,357,183) $ 11,293,715 $ 2,068,333 $ -- $ 1,004,865 ============ ============= ============ ============= ============= Balance Sheet Data: Assets: Cash and cash equivalents............ $ (817,360) $ 1,172,200 $ 2,278,951 $ -- $ 2,633,791 Patient accounts receivable and other............................... 801,586 44,928,486 7,785,342 (2,174,541) 51,340,873 Other current assets................. -- 13,670,661 290,862 -- 13,961,523 Property and equipment, net.......... 8,199,573 18,386,454 2,934,886 -- 29,520,913 Goodwill, net........................ 12,734,055 42,440,470 14,865,147 -- 70,039,672 Amounts due from affiliates.......... 36,104,983 (21,623,223) (4,528,616) -- 9,953,144 Investment in affiliates............. 54,433,537 6,238,604 1,490,050 (61,120,596) 1,041,595 Other assets, net.................... 17,378,413 19,008,462 191,909 -- 36,578,784 ------------ ------------- ------------ ------------- ------------- Total assets......................... $128,834,787 $ 124,222,114 $ 25,308,531 $ (63,295,137) $ 215,070,295 ============ ============= ============ ============= ============= Liabilities and Stockholders' Equity: Current liabilities.................. $ 6,116,492 $ 21,660,140 $ 4,670,140 $ (1,484,073) $ 30,962,699 Long-term liabilities................ 108,677,484 8,469,858 8,390,211 (690,468) 124,847,085 Total stockholders' equity........... 14,040,811 94,092,116 12,248,180 (61,120,596) 59,260,511 ------------ ------------- ------------ ------------- ------------- Total liabilities and stockholders' equity.............................. $128,834,787 $ 124,222,114 $ 25,308,531 $ (63,295,137) $ 215,070,295 ============ ============= ============ ============= ============= Statement of Cash Flows Data: Operating activities: Net income (loss).................... $(12,357,183) $ 11,293,715 $ 2,068,333 $ -- $ 1,004,865 Adjustments to reconcile net income (loss) to net cash provided by operating activities: Provision for bad debts.............. -- 2,740,980 491,750 -- 3,232,730 Depreciation and amortization........ 1,520,234 4,969,969 1,052,707 -- 7,542,910 Equity in earnings of subsidiaries... -- (590,215) -- -- (590,215) Minority interests in earnings....... -- 797,675 (137,189) -- 660,486 Net change in operating assets and liabilities (net of effect of -- -- -- -- -- acquisitions)....................... (15,496,267) 7,688,188 (2,158,607) -- (9,966,686) ------------ ------------- ------------ ------------- ------------- Net cash provided by (used in) operating activities................ (26,333,216) 26,900,312 1,316,994 -- 1,884,090 Investing activities: Additions to property and equipment........................... (274,775) (4,487,012) 222,303 -- (4,539,484) Acquisition of businesses, net of cash acquired....................... -- (24,370,942) -- -- (24,370,942) (Increase) decrease in amounts due from affiliates..................... 1,293,997 3,790,688 (815,109) -- 4,269,576 ------------ ------------- ------------ ------------- ------------- Net cash provided by (used in) investing activities................ 1,019,222 (25,067,266) (592,806) -- (24,640,850) Financing Activities: Proceeds from notes payable.......... 47,316,024 -- -- -- 47,316,024 Payments on notes payable............ (33,550,000) (485,685) -- -- (34,035,685) Other................................ -- (415,355) -- -- (415,355) ------------ ------------- ------------ ------------- ------------- Net cash provided by (used in) financing activities................ 13,766,024 (901,040) -- -- 12,864,984 Increase (decrease) in cash and cash equivalents......................... (11,547,970) 932,006 724,188 -- (9,891,776) Cash and cash equivalents at beginning of year................... 10,730,610 240,194 1,554,763 -- 12,525,567 ------------ ------------- ------------ ------------- ------------- Cash and cash equivalents at end of year................................ $ (817,360) $ 1,172,200 $ 2,278,951 $ -- $ 2,633,791 ============ ============= ============ ============= ============= 8 The following table sets forth the financial data at June 30, 1998 and for the nine months then ended: Non- Parent Guarantor Guarantor Company Subsidiaries Subsidiaries Eliminations Consolidated ------------ ------------ ------------ ------------ ------------ Statement of Operations Data: Net revenues........... $ 169,905 $ 87,686,258 $20,372,515 $ -- $108,228,678 Patient care costs..... -- 52,182,393 15,395,573 -- 67,577,966 General and administrative expenses.............. 2,667,816 16,942,372 2,308,863 -- 21,919,051 Provision for bad debts................. -- 3,143,377 379,259 -- 3,522,636 Depreciation and amortization.......... 553,418 3,604,671 775,110 -- 4,933,199 ------------ ------------ ----------- ----- ------------ Income (loss) from operations............ (3,051,329) 11,813,445 1,513,710 -- 10,275,826 Interest expense (net)................. (3,514,134) 750,393 (864,391) -- (3,628,132) Equity in earnings of unconsolidated subsidiaries.......... -- 861,830 -- -- 861,830 Minority interests in earnings.............. -- (399,084) (143,363) -- (542,447) ------------ ------------ ----------- ----- ------------ Income before income taxes................. (6,565,463) 13,026,584 505,956 -- 6,967,077 Income tax............. -- 3,851,726 52,257 -- 3,903,983 ------------ ------------ ----------- ----- ------------ Net income (loss)...... $ (6,565,463) $ 9,174,858 $ 453,699 $ -- $ 3,063,094 ============ ============ =========== ===== ============ Statement of Cash Flows Data: Operating activities: Net income (loss)...... $ (6,565,463) $ 9,174,858 $ 453,699 $ -- $ 3,063,094 Adjustments to reconcile net income to net cash provided by (used in) operating activities: Provision for bad debts................ -- 3,143,377 379,259 -- 3,522,636 Depreciation and amortization......... 553,418 3,604,671 775,110 -- 4,933,199 Equity in earnings of unconsolidated subsidiaries......... -- (861,830) -- -- (861,830) Minority interests in earnings............. -- 399,084 143,363 -- 542,447 Net change in operating assets and liabilities (net of effect of acquisitions)........ (7,492,503) 1,105,669 (1,050,470) -- (7,437,304) ------------ ------------ ----------- ----- ------------ Net cash provided by (used in) operating activities........... (13,504,548) 16,565,829 700,961 -- 3,762,242 Investing activities: Additions to property and equipment......... -- (10,270,492) -- -- (10,270,492) Acquisition of businesses, net of cash acquired......... (15,792,916) -- -- -- (15,792,916) Increase in amounts due from affiliates....... -- 101,856 -- -- 101,856 ------------ ------------ ----------- ----- ------------ Net cash used in investing activities.. (15,792,916) (10,168,636) -- -- (25,961,552) Financing activities: Proceeds from notes payable............... 149,303,574 -- -- -- 149,303,574 Payments on notes payable............... (82,632,358) -- -- -- (82,632,358) Other.................. -- (600,022) -- -- (600,022) ------------ ------------ ----------- ----- ------------ Net cash provided by (used in) financing activities............ 66,671,216 (600,022) -- -- 66,071,194 Increase in cash and cash equivalents....... 37,373,752 5,797,171 700,961 -- 43,871,884 Cash and cash equivalents at beginning of period.... 816,398 316,418 1,323,853 -- 2,456,669 ------------ ------------ ----------- ----- ------------ Cash and cash equivalents at end of period................. $ 38,190,150 $ 6,113,589 $ 2,024,814 $ -- $ 46,328,553 ============ ============ =========== ===== ============ 9 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion and analysis of the financial condition and results of operations of the Company should be read in conjunction with the more detailed information contained in the Consolidated Financial Statements and notes thereto appearing elsewhere in this Report and in the Company's Report on Form 10-K for the fiscal year ended September 30, 1998. CAUTIONARY NOTICE REGARDING FORWARD-LOOKING STATEMENTS This Report contains certain "forward-looking statements" with respect to results of operations and businesses of the Company. All statements other than statements of historical facts included in this Report, including those regarding market trends, the Company's financial position, business strategy, projected costs, and plans and objectives of management for future operations, are forward-looking statements. In general, such statements are identified by the use of forward-looking words or phases including, but not limited to, "intended," "will," "should," "may," "expects," "anticipates," and "anticipated" or the negative thereof or variations thereon or similar terminology. These forward-looking statements are based on the Company's current expectations. Although the Company believes that the expectations reflected in such forward-looking statements are reasonable, there can be no assurance that such expectations will prove to be correct. Because forward- looking statements involve risks and uncertainties, the Company's actual results could differ materially. See the "Risk Factors" section of the Company's Registration Statement on Form S-4 (File No. 333-57191) for a discussion of certain risks applicable to the Company and its business. Overview Everest is a leading provider of dialysis and other blood treatment services. Founded in 1968 and principally owned by nephrologists, the Company has a long- standing focus on developing strong relationships with physicians to provide high-quality patient care. The Company is the nation's sixth-largest provider of chronic dialysis outpatient services and serves over 5,900 patients through 63 facilities in 12 states. Everest also contracts with 102 hospitals in 11 states to provide a broad range of other extracorporeal blood treatment services, including inpatient acute dialysis, perfusion, apheresis and auto- transfusion (together, "Contract Services"). Pursuant to management contracts, Everest provides management services to (i) a physician practice group comprised of 26 nephrologists, primarily in the Chicago and northwest Indiana areas, and (ii) certain minority-owned or unaffiliated dialysis facilities. For the nine months ended June 30, 1999, the Company derived 84.8% of its net revenues from chronic dialysis services, 13.5% from Contract Services and 1.7% from management services. Sources of Revenues The Company's net revenues from chronic dialysis services are derived from: (i) in-center dialysis and home dialysis services including drugs and supplies; and (ii) management contracts with hospital-based and other outpatient dialysis programs. The majority of the Company's in-center and home dialysis services are paid for under the Medicare End-Stage Renal Disease ("ESRD") program in accordance with rates established by the Health Care Financing Administration ("HCFA"). Additional payments are provided by other third-party payors (particularly by employer group health plans during the first thirty months of treatment), generally at rates higher than those reimbursed by Medicare. Everest is currently seeking to expand the portion of its revenues attributable to non-government payors by entering into contracts with managed care companies and other private payors. Because dialysis is an ongoing, life-sustaining therapy used to treat a chronic condition, utilization of the Company's chronic dialysis services is generally predictable and not subject to seasonal or economic fluctuations. ESRD patients may receive up to 156 dialysis treatments per year; however, due to hospitalization and no shows the Company's average number of treatments per patient per year is 136. Unless the patient moves to another dialysis facility, receives a kidney transplant or dies, the revenues generated per patient per year can be estimated with reasonable accuracy. 10 The Company's Contract Services revenues are derived from acute dialysis, perfusion, apheresis and auto-transfusion services provided to hospitalized patients pursuant to contracts with hospitals. Rates paid for such services are negotiated with individual hospitals. Because extracorporeal blood treatment services are required for patients undergoing major surgical procedures, utilization of the Company's Contract Services is not subject to seasonal or economic fluctuations. The Company's revenues also include fees paid under management services contracts. Management service fee revenue is recognized when earned. Management service fees are based on contracted rates. The contracted rates are estimates based upon the cost of services provided such as billing, accounting, technical support, cash management and facilities management. Acquisitions Acquisitions of dialysis and Contract Services providers have been recorded under purchase accounting with the purchase price being principally allocated to fixed assets, accounts receivable and inventory based on respective estimated fair market values at the date of acquisition. Any excess of the purchase price over the fair value of identifiable assets (including identifiable intangible assets) is allocated to goodwill, which is amortized over 25 years. The results of these acquisitions have been included in the results of operations from their respective acquisition dates. The Company regularly evaluates the potential acquisition of, and holds discussions with, various potential acquisition candidates; as a general rule, the Company does not intend to publicly announce such acquisitions until a definitive agreement has been reached. During the three months ended June 30, 1999, the Company acquired additional equity in one entity in which it previously held a minority interest. In May 1999, the Company acquired the remaining equity interests in Dialysis Specialists of Tulsa, Inc. The Company's interest was increased from 33.33% to 100.0%. This acquisition represents 21 stations and 136 patients. Results of Operations Three Months Ended June 30, 1999 Compared to Three Months Ended June 30, 1998 Net Revenues. Net revenues increased $8.5 million or 20.9% to $49.2 million for the three months ended June 30, 1999 from $40.7 million for the three months ended June 30, 1998. This increase resulted primarily from a 17.5% increase in the number of treatments to 176,005 for the three months ended June 30, 1999 from 146,792 for the three months ended June 30, 1998. This growth in treatments is the result of acquisitions and development of various dialysis facilities and a 7.0% increase in same store treatments for the three months ended June 30, 1999 over the three months ended June 30, 1998. The average net revenue per treatment increased from $241 for the three months ended June 30, 1998 to $243 for the three months ended June 30, 1999. The remaining increase in net revenues is attributable to the acquisition of a Contract Services business and increases in the acute and extracorporeal hospital services. Patient Care Costs. Patient care costs consist of costs directly related to the care of patients, including direct and indirect labor, drugs and other medical supplies and operational costs of the facilities. Patient care costs increased $6.6 million or 27.0% to $31.0 million for the three months ended June 30, 1999 from $24.4 million for the three months ended June 30, 1998. This increase resulted primarily from an increase in the number of treatments performed during the period that caused a corresponding increase in the use of labor, drugs and supplies. General and Administrative Expenses. General and administrative expenses include corporate office costs and other administrative costs including accounting, billing, quality assurance, facility costs, treasury and information systems. General and administrative expenses increased $1.1 million or 12.5% to $9.9 million for the three months ended June 30, 1999 from $8.8 million for the three months ended June 30, 1998. This increase is mainly attributable to the continued growth of the corporate infrastructure, including the expansion of information systems and Year 2000 costs. 11 Provision for Bad Debts. The Company provides for doubtful accounts in the same period that revenue is recognized based on management's estimate of the collectibility of the accounts receivable based upon several factors such as payor mix and billing practices. Provision for bad debts decreased $500,000 or 31.3% to $1.1 million for the three months ended June 30, 1999 from $1.6 million for the three months ended June 30, 1998. This decrease was a result of the timing of the bad debt provision in fiscal 1998. The Company significantly increased its provision for bad debts during fiscal 1998 due to the commercial price increase that was effected in the fourth quarter of fiscal 1997. Since that point in time, no significant changes in commercial pricing have occurred. Depreciation and amortization. Depreciation and amortization increased approximately $700,000 or 36.8% to $2.6 million for the three months ended June 30, 1999 from $1.9 million for the three months ended June 30, 1998. The increase was due to increased amortization of goodwill and other intangibles as a result of business acquisitions (including the purchase of minority interests). Income from Operations. Income from operations increased approximately $600,000 or 15.0% to $4.6 million for the three months ended June 30, 1999 from $4.0 million for the three months ended June 30, 1998. Income from operations as a percentage of net revenues decreased slightly to 9.4% for the three months ended June 30, 1999 as compared to 9.8% for the three months ended June 30, 1998. Interest Expense, Net. Interest expense, net of interest income, increased approximately $1.3 million or 61.9% to $3.4 million for the three months ended June 30, 1999 from $2.1 million for the three months ended June 30, 1998. The increase in interest expense, net of interest income, was attributable to the interest associated with the senior subordinated debt and the amortization of deferred financing costs. This increase was offset by a decrease in the net borrowings under the Prior Credit Facility. Equity in Earnings of Subsidiaries. Equity in earnings of subsidiaries represents the Company's portion of earnings in unconsolidated joint ventures. The Company recognized a loss of approximately $74,000 from unconsolidated joint ventures for the three months ended June 30, 1999 as compared to recognizing equity in earnings of subsidiaries of $211,000 for the three months ended June 30, 1998. The change in the equity in earnings was due to the Company's strategy of rolling-up the more profitable unconsolidated joint ventures. Minority Interests in Earnings. Minority interests in earnings represents the proportionate equity interests of other partners in the Company's consolidated entities that are not wholly owned. The minority interests in earnings increased approximately $127,000 to $137,000 for the three months ended June 30, 1999 as compared to $10,000 for the three months ended June 30, 1998. This is due to an increase in the earnings of majority owned entities. Income Taxes. Income taxes decreased approximately $661,000 or 50.8% to $639,000 for the three months ended June 30, 1999 from $1.3 million for the three months ended June 30, 1998 as a result of the factors discussed above. Nine Months Ended June 30, 1999 Compared to Nine Months Ended June 30, 1998 Net Revenues. Net revenues increased $24.7 million or 22.8% to $132.9 million for the nine months ended June 30, 1999 from $108.2 million for the nine months ended June 30, 1998. This increase resulted primarily from a 23.8% increase in the number of treatments from 394,363 for the nine months ended June 30, 1998 to 488,128 for the nine months ended June 30, 1999. This growth in treatments is the result of the acquisition and development of various dialysis facilities and an 7.8% increase in same store treatments for the nine months ended June 30, 1999 over the nine months ended June 30, 1998. The net revenue per treatment remained constant at $232 per treatment for the nine months ended June 30, 1999 and 1998. Factoring in the contractual adjustments of $1.4 million which occurred in the first quarter of fiscal 1999, the average net revenue per treatment would have increased from $227 in the third quarter of fiscal 1998 to $236 in the third quarter of fiscal 1999. The remaining increase in net revenues is attributable to the acquisition of a Contract Services business and increases in the acute and extracorporeal hospital services. 12 Patient Care Costs. Patient care costs consist of costs directly related to the care of patients, including direct and indirect labor, drugs and other medical supplies and operational costs of the facilities. Patient care costs increased $16.0 million or 23.7% to $83.6 million for the nine months ended June 30, 1999 from $67.6 million for the nine months ended June 30, 1998. This increase resulted primarily from an increase in the number of treatments performed during the period that caused a corresponding increase in the use of labor, drugs and supplies. Patient care costs as a percentage of net revenues remained relatively constant at 62.5% for the nine months ended June 30, 1998 versus 62.9% for the nine months ended June 30, 1999. General and Administrative Expenses. General and administrative expenses include corporate office costs and other administrative costs including accounting, billing, quality assurance, facility costs, treasury and information systems. General and administrative expenses increased $5.2 million or 23.7% to $27.1 million for the nine months ended June 30, 1999 from $21.9 million for the nine months ended June 30, 1998. This increase is mainly attributable to the continued growth of the corporate infrastructure, including the expansion of information systems and Year 2000 costs. Provision for Bad Debts. The Company provides for doubtful accounts in the same period that revenue is recognized based on management's estimate of the collectibility of the accounts receivable based upon several factors such as payor mix and billing practices. Provision for bad debts decreased $300,000 or 8.6% to $3.2 million for the nine months ended June 30, 1999 from $3.5 million for the nine months ended June 30, 1998. Depreciation and Amortization. Depreciation and amortization increased approximately $2.6 million or 53.1% to $7.5 million for the nine months ended June 30, 1999 from $4.9 million for the nine months ended June 30, 1998. The increase was due to increased amortization of goodwill and other intangibles as a result of business acquisitions (including the purchase of minority interests). Income from Operations. Income from operations improved slightly to $11.3 million for the nine months ended June 30, 1999 from $10.3 million for the nine months ended June 30, 1998. However, income from operations as a percentage of net revenues decreased to 8.5% for the nine months ended June 30, 1999 as compared to 9.5% for the nine months ended June 30, 1998. This decrease was mainly attributable to the increase in depreciation and amortization expense. Interest Expense, Net. Interest expense, net of interest income, increased $4.8 million or 133.3% to $8.4 million for the nine months ended June 30, 1999 from $3.6 million for the nine months ended June 30, 1998. The increase in interest expense, net of interest income, was attributable to the interest associated with the senior subordinated debt and the amortization of deferred financing costs. This increase was offset by a decrease in the net borrowings under the Prior Credit Facility. Equity in Earnings of Subsidiaries. Equity in earnings of subsidiaries represents the Company's portion of earnings in unconsolidated joint ventures. The Company recognized equity in earnings of subsidiaries of approximately $590,000 for the nine months ended June 30, 1999 as compared to $862,000 for the nine months ended June 30, 1998. The Company continues to acquire the remaining interests in minority owned entities. As a result, the number of minority owned joint ventures is diminishing and, hence, the amount of income generated from such entities has decreased. Minority Interests in Earnings. Minority interests in earnings represents the proportionate equity interests of other partners in the Company's entities that are not wholly owned. The minority interests in earnings increased approximately $118,000 to $660,000 for the nine months ended June 30, 1999 as compared to $542,000 for the nine months ended June 30, 1998. Income Taxes. Income taxes decreased approximately $2.0 million or 51.3% to $1.9 million for the nine months ended June 30, 1999 from $3.9 million for the nine months ended June 30, 1998 as a result of the factors discussed above. 13 Year 2000 Compliance by the Company and Others Year 2000 compliance concerns the ability of certain computerized information systems to properly recognize date-sensitive information as the year 2000 approaches. Systems that do not recognize such information could generate erroneous data or cause systems to fail; this problem may occur as early as calendar year 1999. The Company is at risk both for its own Year 2000 compliance and for the Year 2000 compliance of those with whom it does business, particularly third party payors. The Company has established a Year 2000 Task Force to study and address Year 2000 issues. The Task Force consists of the Company's Director of Technology and Chief Information Officer, and representatives from all major areas of the Company, including facilities, Bio-Med, purchasing, telecommunications and technology. The Task Force is divided into several sub-Task Forces, each with a separate function. The Task Force meets weekly where all sub-Task Forces report progress. The Company has also hired four consultants that devote full time attention to Year 2000 issues. The Task Force has formulated and begun to implement a plan with six stages, as follows: (1) awareness, (2) inventory, (3) impact analysis, (4) remediation, (5) testing and (6) implementation. "Awareness" involves the education of our employees and is an ongoing process that will continue past January 2000. "Inventory" involves taking stock of our systems, a process that is underway and progressing through each unit and corporate office. "Impact analysis" involves determining which items are not Year 2000 compliant and how they will affect the Company's business. "Remediation" is the process of determining what to do with non-compliant items. Options are to fix the problem, replace the item with new software or equipment or retire the item. "Testing" involves verifying that the fixed or replaced item is now Year 2000 compliant. "Implementation" is the process of placing the tested item into production. Phases (1) through (6) are currently in progress; the Company's goal is to complete all phases and be Year 2000 compliant by October 30, 1999. Contingency planning has commenced for dialysis units and corporate offices. The Company's plan includes patient education, the establishment of a disaster committee, list of units and when they are dialyzing, a plan to have all units checked on January 1, 2000 for operational readiness and a plan to insure that all units alert local utilities to their medical status. A final step is to put into place various scenarios on what to do if the building is without power or water. The Company has five major information technology systems, the present compliance of which is described below: 1. Client tracking system. This system is Year 2000 compliant. 2. Accounting package. The existing accounting package is not Year 2000 compliant. A Year 2000 upgrade will be available in the fourth quarter of fiscal 1999 and will be installed during October 1999. 3. Interim accounting package for Contract Services. This package is Year 2000 compliant. 4. Physician billing. The Company installed a new billing system which is Year 2000 compliant. 5. Facilities billing. This system is not yet Year 2000 compliant. It has been analyzed, and arrangements are being made with the vendor to upgrade the system. The upgrade will be completed by October 1999. These systems would have been upgraded or replaced to support Company growth irrespective of the Year 2000 issue. The process of upgrading or replacing these systems was not accelerated by Year 2000 considerations. 14 The Company has started a full review of the Year 2000 compliance of its non- information technology systems (i.e., embedded technology such as micro- controllers). The Company anticipates that the total amounts it will expend on Year 2000 issues are as follows: Consultants................................................... $ 750,000 Hardware...................................................... 558,000 Software...................................................... 165,000 Bio-Med Embedded Technology................................... 100,000 ---------- Total..................................................... $1,573,000 ========== Approximately 50% of the Year 2000 budget has been spent through the third quarter of fiscal 1999. The Company has and is funding Year 2000 expenditures through its working capital. The Company anticipates that the majority of its systems will be Year 2000 compliant by November 1999. Management believes that the most significant risk to the Company of Year 2000 issues is the effect such issues may have on third-party payors, such as Medicare. With respect to Medicare payments, neither HCFA nor its fiscal intermediaries have any contingency plan in place. However, HCFA has mandated that its fiscal intermediaries submit a draft of their contingency plans to it and that they be prepared to ensure that no interruption of Medicare payments results from Year 2000 related failures of their systems. The Task Force has begun to consider worst case scenarios and is currently working on contingency plans to deal with those scenarios. In the third quarter of 1999, the Company amended its credit facility with the Harris Bank. The new Credit Facility provides, among other things, for a $40 million Year 2000 Credit Facility to finance government related accounts receivable which are unpaid due to difficulties related to the year 2000 (See "Management's Discussion and Analysis of Financial Condition and Results of Operations--Liquidity and Capital Resource"). There can be no assurance that Year 2000 issues will not have a material adverse effect on the Company's business, results of operations and financial condition. Liquidity and Capital Resources The Company requires capital primarily for the acquisition and development of dialysis centers and Contract Services businesses, the purchase of property and equipment for existing centers and to finance working capital requirements. At June 30, 1999, the Company's working capital was $36.9 million. The Company's net cash provided by operating activities was $1.9 million for the nine months ended June 30, 1999. Cash provided by operating activities consists of net income increased by non-cash expenses such as depreciation, amortization and the provision for bad debts and adjusted by the changes in components of working capital, primarily receivables, payables and accrued expenses. The Company's net cash used in investing activities was $24.6 million for the nine months ended June 30, 1999. The Company's principal sources and uses of cash consist of investing activities related to purchases of new equipment and leasehold improvements for existing dialysis centers, the purchase of majority interests in five dialysis centers and a decrease in net advances due from affiliated entities. Net cash provided by financing activities was approximately $12.9 million for the nine months ended June 30, 1999. The primary sources and uses of cash from financing activities were net borrowings or repayments under the Prior Credit Facility. The Company does not have any current material commitments for capital expenditures. On June 30, 1999, the Company refinanced its Prior Credit Facility with Harris Trust and Savings Bank as agent bank, the same commercial bank that provided the Prior Credit Facility. The new Credit Facility consists of three separate facilities: (i) the $35.0 million Revolving Credit Facility maturing on June 30, 2002; (ii) $65.0 million Acquisition Credit Facility maturing on June 15, 2005, which includes the requirement to convert all of 15 the borrowings outstanding thereunder on each of June 30, 2000, 2001 and 2002 to one or more seven-year term loans with balloon payments due on June 15, 2005 (the "Term Loans"); and (iii) the $40.0 million Year 2000 Credit Facility, available from January 1, 2000 through June 30, 2000, to finance government related accounts receivable which are unpaid due to difficulties related to the year 2000. The total amount drawn under the Credit Facility may not exceed $140.0 million. The Credit Facility contains operating and financial covenants, including, without limitation, requirements to maintain leverage and debt service coverage ratios and minimum tangible net worth. In addition, the Credit Facility includes customary covenants relating to the delivery of financial statements, reports, notices and other information, access to information and properties, maintenance of insurance, payment of taxes, maintenance of assets, nature of business, corporate existence and rights, compliance with applicable laws, including environmental laws, transactions with affiliates, use of proceeds, limitation on indebtedness, limitations on liens, limitations on certain mergers and sales of assets, limitations on stock repurchases, and limitation on debt payments and other distributions including prepayment or redemption of the Company's Senior Subordinated Notes due 2008. The Credit Facility contains certain events of default after expiration of applicable grace periods, including defaults relating to: (i) nonpayment of principal, interest, fees or other amounts; (ii) violation of covenants; (iii) material inaccuracy of representations and warranties; (iv) bankruptcy; (v) material judgments; (vi) certain ERISA liabilities; and (vii) actual or asserted invalidity of any loan documents. In November 1996, the Company issued notes in the aggregate principal amount of $7.0 million as part of the purchase price for its acquisition of The Extracorporeal Alliance. The notes bear interest at a variable rate equal to the five-year Treasury note rate plus three percent and mature on October 31, 2002. A significant component of the Company's growth strategy is the acquisition and development of dialysis centers and the acquisition of Contract Services businesses. The Company believes that the existing cash and funds from operations, together with funds available under the Credit Facility, will be sufficient to meet the Company's acquisition, development, expansion, capital expenditure and working capital needs for at least the next twelve months. In order to finance certain strategic acquisition opportunities, the Company may from time to time incur additional short and long-term bank indebtedness and may issue equity or debt securities, the availability and terms of which will depend on market and other conditions. There can be no assurance that the Company will be successful in implementing its growth strategy or that adequate sources of capital will be available in the future as needed on terms acceptable to the Company. Impact of Inflation A substantial portion of the Company's net revenues is subject to reimbursement rates that are regulated by the federal government and do not automatically adjust for inflation. The Company is unable to increase the amount it receives for the services provided by its dialysis businesses that are reimbursed under the Medicare composite rate. Increased operating costs due to inflation, such as labor and supply costs, without a corresponding increase in reimbursement rates, may adversely affect the Company's earnings in the future. However, part of the Company's growth strategy is to acquire additional Contract Services businesses which are not directly dependent on reimbursement from government agencies. In addition, the Company believes that the effect of inflation is further mitigated by a recent change in current governmental health care laws that extends the coordination of benefits period for ESRD patients who are covered by an employer group health plan from 18 to 21 months to 30 to 33 months before Medicare becomes the primary payor. ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The Company does not engage in hedging or other market structure derivative trading activities. Additionally, the Company's debt obligations are primarily fixed-rate in nature and, as such, are not sensitive to changes in interest rates. The Company does not believe that its market risk financial instruments on June 30, 1999 would have a material effect on future operations or cash flow. 16 - - -------------------------------------------------------------------------------- PART II--OTHER INFORMATION - - -------------------------------------------------------------------------------- ITEM 1. LEGAL PROCEEDINGS The Company is subject to claims and suits in the ordinary course of business, including those arising from patient treatment. The Company believes it will be covered by malpractice insurance with respect to these claims and does not believe that the ultimate resolution of pending proceedings will have a material adverse effect on the Company. However, claims against the Company, regardless of their merit or eventual outcome, could require management to devote time to matters unrelated to the operation of the Company's business, and may also have a material adverse effect on the Company's ability to attract patients or expand its business. ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS (a) Not applicable. (b) Not applicable. (c) Not applicable. (d) On May 5, 1998, the Company sold (the "Initial Offering") its $100,000,000 9 3/4% Senior Subordinated Notes due 2008, Series A (the "Private Notes"). On October 2, 1998, the Company delivered in exchange (the "Exchange") for the Private Notes its $100,000,000 9 3/4% Senior Subordinated Notes due 2008, Series B (the "Notes"). The net proceeds to the Company from the Initial Offering were $95.2 million, after deducting the initial purchaser's discount and offering expenses. The Company used $48.4 million of the net proceeds to repay indebtedness under the Company's prior credit facility that bore interest at a weighted average rate of 8.99% per annum as of June 30, 1998 and was to mature in May 2000. $7.2 million of the net proceeds were used to repay loans made to the Company by certain of its shareholders. $5.1 million of these loans bore interest at the prime rate plus 1% per annum and matured at various times throughout 1998. $2.1 million of these loans bore interest at the prime rate plus 1% per annum and matured on November 29, 2000. The Company used $19.2 million of net proceeds to acquire a management services agreement and $4.7 million to acquire land and buildings. The Company used approximately $10.0 million to acquire controlling interests in four dialysis facilities. Additionally, the Company used the remaining $5.7 million of the net proceeds for working capital purposes. ITEM 3. NOT APPLICABLE ITEM 4. NOT APPLICABLE ITEM 5. NOT APPLICABLE 17 ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits Exhibit No. Exhibit ----------- ------- 2 Plan and Agreement of Merger dated June 28, 1999 by and between Ohio Valley Dialysis Centers, Inc., Northwest Indiana Dialysis Centers, Inc. and Lake Avenue Dialysis Centers, Inc. 27 Financial Data Schedule. (b) A report on Form 8-K was filed on July 28, 1999 reporting: (1) the hiring of Lawrence D. Damron as Chief Financial Officer; (2) the amendment and restatement of the Credit Agreement; (3) the consolidation of Everest's Indiana entities; and (4) the acquisition of Englewood Dialysis Facility, L.L.C. 18 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest Healthcare Services Corporation /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 19 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Amarillo Acute Dialysis Specialists, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 20 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Con-Med Supply Company, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 21 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Continental Health Care, Ltd. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 22 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Dialysis Specialists of Corpus Christi, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 23 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Dialysis Specialists of South Texas, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 24 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. DuPage Dialysis Ltd. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 25 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest Management, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 26 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Hemo Dialysis of Amarillo, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 27 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Home Dialysis of America, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 28 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Home Dialysis of Dayton, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 29 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Mercy Dialysis Center, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 30 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. New York Dialysis Management, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 31 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. North Buckner Dialysis Center, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 32 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest Healthcare Indiana, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 33 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. WSKC Dialysis Services, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 34 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest New York Holdings, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 35 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest One IPA, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 36 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest Two IPA, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 37 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Everest Three IPA, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 38 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Acute Extracorporeal Services, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 39 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Dialysis Specialists of Central Cincinnati, Ltd. /s/ Craig W. Moore By: __________________________________ Craig W. Moore President and Chief Executive Officer /s/ Lawrence D. Damron By: __________________________________ Lawrence D. Damron Chief Financial Officer 40 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Home Dialysis of Fairfield, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore President and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 41 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Home Dialysis of Columbus, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore President and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 42 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Dialysis Specialists of Tulsa, Inc. /s/ Craig W. Moore By: _________________________________ Craig W. Moore President and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 43 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 16th day of August, 1999. Northern New Jersey Dialysis, L.L.C. /s/ Craig W. Moore By: _________________________________ Craig W. Moore Chairman and Chief Executive Officer /s/ Lawrence D. Damron By: _________________________________ Lawrence D. Damron Chief Financial Officer 44 INDEX TO EXHIBITS Exhibit No. Exhibit ----------- ------- 2 Plan and Agreement of Merger dated June 28, 1999 by and between Ohio Valley Dialysis Centers, Inc., Northwest Indiana Dialysis Centers, Inc. and Lake Avenue Dialysis Centers, Inc. 27 Financial Data Schedule. 45