1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q [X] QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 1999 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 COMMISSION FILE NUMBER 001-12115 CONTINUCARE CORPORATION (Exact Name of Registrant as Specified in its Charter) FLORIDA 59-2716023 (State or other jurisdiction (I.R.S. Employer Identification No.) of incorporation or organization) 80 SOUTHWEST EIGHTH STREET SUITE 2350 MIAMI, FLORIDA 33130 (Address of principal executive offices) (Zip Code) (305) 350-7515 (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, and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] At February 9, 2000, the Registrant had 14,740,091 shares of $0.0001 par value common stock outstanding. 2 CONTINUCARE CORPORATION INDEX PART I FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS Consolidated Balance Sheets - December 31, 1999 (Unaudited) and June 30, 1999........... 3 Consolidated Statements of Operations - Three Months Ended December 31, 1999 (Unaudited) and 1998 (Unaudited)..................................................... 4 Consolidated Statements of Operations - Six Months Ended December 31, 1999 (Unaudited) and 1998 (Unaudited)..................................................... 5 Consolidated Statements of Cash Flows - Six Months Ended December 31, 1999 (Unaudited) and 1998 (Unaudited)..................................................... 6 Notes to Consolidated Financial Statements - December 31, 1999 (Unaudited).............. 7 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.............................................................................. 12 ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.............................. 21 PART II OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS....................................................................... 21 ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS............................................... 22 ITEM 3. DEFAULTS UPON SENIOR SECURITIES......................................................... 22 SIGNATURE PAGE..................................................................................... 24 2 3 PART I - FINANCIAL INFORMATION ITEM 1. - FINANCIAL STATEMENTS CONTINUCARE CORPORATION CONSOLIDATED BALANCE SHEETS DECEMBER 31, 1999 JUNE 30, 1999 ----------------- ------------- (UNAUDITED) ASSETS Current assets Cash and cash equivalents........................................... $1,615,350 $3,185,077 Accounts receivable, net of allowance for doubtful accounts of $5,752,000 at December 31, 1999 and June 30, 1999.................. 37,303 604,524 Due from Medicare................................................... 457,796 -- Other receivables................................................... 359,198 266,057 Prepaid expenses and other current assets........................... 226,491 298,899 ----------- ------------- Total current assets............................................ 2,696,138 4,354,557 Equipment, furniture and leasehold improvements, net................... 1,039,496 1,098,289 Cost in excess of net tangible assets acquired, net of accumulated amortization of $4,825,000 at December 31, 1999 and $3,837,000 at June 30, 1999.......................................... 21,038,670 22,346,156 Deferred financing costs, net of accumulated amortization of $1,422,000 at December 31, 1999 and $1,203,000 at June 30, 1999...... 2,238,604 2,551,811 Other assets, net...................................................... 84,439 69,165 ----------- ------------- Total assets.................................................... $27,097,347 $30,419,978 =========== ============= LIABILITIES AND SHAREHOLDERS' DEFICIT Current liabilities Accounts payable.................................................... $727,762 842,442 Accrued expenses.................................................... 2,367,348 2,358,346 Accrued salaries and benefits....................................... 1,326,555 1,856,140 Medical claims payable.............................................. 2,293,637 4,825,081 Due to Medicare..................................................... -- 302,358 Due to related parties.............................................. 150,000 -- Convertible subordinated notes payable.............................. 41,000,000 45,000,000 Current portion of long term debt................................... 5,725,912 6,857,946 Accrued interest payable............................................ 3,826,612 2,400,022 Current portion of capital lease obligations........................ 123,869 112,652 ----------- ------------- Total current liabilities....................................... 57,541,695 64,554,987 Capital lease obligations, less current portion........................ 204,846 123,436 Long term debt, less current portion................................... 1,833,051 1,396,753 ----------- ------------- Total liabilities............................................... $59,579,592 $66,075,176 Commitments and contingencies Shareholders' deficit Common stock; $0.0001 par value; 100,000,000 shares authorized, 17,736,283 shares issued and 14,740,091 shares outstanding at December 31, 1999; and 17,536,283 shares issued and 14,540,091 shares outstanding at June 30, 1999..................... 1,475 1,455 Additional paid-in capital.......................................... 33,022,945 32,910,465 Accumulated deficit................................................. (60,081,964) (63,142,417) Treasury stock (2,996,192 shares)................................... (5,424,701) (5,424,701) ----------- ------------- Total shareholders' deficit....................................... (32,482,245) (35,655,198) ----------- ------------- Total liabilities and shareholders' deficit....................... $27,097,347 $30,419,978 =========== ============= THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 3 4 CONTINUCARE CORPORATION CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) THREE MONTHS ENDED DECEMBER 31, ------------------------------- 1999 1998 ------------- ------------ Revenue Medical services, net ........................................ $ 28,840,728 $ 52,485,911 Management fees .............................................. -- 266,754 ------------ ------------ Subtotal ................................................... 28,840,728 52,752,665 Expenses Medical services: Medical claims ........................................... 17,971,599 34,489,028 Contractual revision of previously recorded medical claims liability................................................. (3,053,853) -- Other .................................................... 6,101,964 12,297,518 Payroll and employee benefits ................................ 1,409,532 3,693,392 Provision for bad debt ....................................... -- 2,119,978 Professional fees ............................................ 304,852 464,722 General and administrative ................................... 1,515,541 3,006,993 Loss on sale of subsidiary ................................... -- 4,152,250 Depreciation and amortization ................................ 760,166 1,415,173 ------------ ------------ Subtotal ................................................... 25,009,801 61,639,054 Income (loss) from operations ..................................... 3,830,927 (8,886,389) Other income (expense) Interest income .............................................. 5,991 17,897 Interest expense ............................................. (1,091,090) (1,470,726) ------------ ------------ Net income (loss) ................................................. $ 2,745,828 $(10,339,218) ============ ============ Basic and diluted income (loss) per common share: Net income (loss) ............................................ $ .19 $ (.71) ============ ============ Weighted average shares outstanding Basic and diluted ............................................ 14,703,135 14,606,283 ============ ============ THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 4 5 CONTINUCARE CORPORATION CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) SIX MONTHS ENDED DECEMBER 31, ----------------------------- 1999 1998 ------------- ------------ Revenue Medical services, net ........................................ $ 57,473,221 $ 101,160,884 Management fees .............................................. 450,000 549,680 ------------- ------------- Subtotal ................................................... 57,923,221 101,710,564 Expenses Medical services: Medical claims ........................................... 39,445,092 63,120,064 Contractual revision of previously recorded medical claims liability................................................. (3,053,853) -- Other .................................................... 12,060,661 25,052,105 Payroll and employee benefits ................................ 3,279,091 7,691,950 Provision for bad debt ....................................... -- 2,370,503 Professional fees ............................................ 458,220 725,564 General and administrative ................................... 3,024,386 6,133,678 Loss on sale of subsidiary ................................... -- 4,152,250 Depreciation and amortization ................................ 1,567,700 3,149,749 ------------- ------------- Subtotal ................................................... 56,781,297 112,395,863 Income (loss) from operations ..................................... 1,141,924 (10,685,299) Other income (expense) Interest income .............................................. 24,567 71,555 Interest expense ............................................. (2,162,235) (2,426,591) Other ........................................................ 280,000 -- ------------- ------------- Net loss before extraordinary items ............................... (715,744) (13,040,335) Gain on extinguishment of debt .................................... 3,776,197 130,977 ------------- ------------- Net income (loss) ................................................. $ 3,060,453 $ (12,909,358) ============= ============= Basic and diluted income (loss) per common share: Loss before extraordinary item ............................... $ (.05) $ (.91) Extraordinary gain on extinguishment of debt ................. $ .26 $ .01 ------------- ------------- Net income (loss) ............................................ $ .21 $ (.90) ============= ============= Weighted average shares outstanding Basic and diluted ............................................ 14,620,525 14,340,311 ============= ============= THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 5 6 CONTINUCARE CORPORATION CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) SIX MONTHS ENDED DECEMBER 31, ----------------------------- 1999 1998 ----------- --------------- CASH FLOWS FROM OPERATING ACTIVITIES Net income (loss) .................................................... $ 3,060,453 $(12,909,358) Adjustments to reconcile net income (loss) to cash used in operating activities: Depreciation and amortization including amortization of deferred loan costs ............................................. 2,062,485 3,527,148 Provision for bad debt ............................................. -- 2,370,503 Loss on sale of subsidiary ......................................... -- 4,152,250 Contractual revision of previously recorded medical claims liability (350,546) -- Gain on extinguishment of debt ..................................... (3,776,197) (130,977) Changes in operating assets and liabilities, excluding the effect of acquisitions and disposals: Decrease (increase) in accounts receivable ......................... 567,221 (3,732,648) Decrease in income taxes receivable ................................ -- 1,800,000 Decrease (increase) in prepaid expenses and other current assets ... 72,408 (10,703) (Increase) decrease in other receivables ........................... (93,141) 53,823 (Increase) decrease in other assets ................................ (15,274) 711,496 (Decrease) increase in medical claims payable ...................... (2,531,444) 1,546,166 Increase in due to (from) Medicare ................................. (122,598) 321,257 (Decrease) increase in accounts payable and accrued expenses ....... (635,263) 1,539,081 Increase in accrued interest payable ............................... 1,639,923 10,521 ------------ ------------ Net cash used in operating activities ................................... (121,973) (751,441) ------------ ------------ CASH FLOWS FROM INVESTING ACTIVITIES Cash paid for acquisitions ........................................... -- (4,225,000) Cash paid for purchase of contracts .................................. -- (652,012) Property and equipment additions ..................................... (81,804) (660,999) Proceeds from sale of subsidiary ..................................... -- 120,000 Proceeds from notes receivable ....................................... -- 60,351 ------------ ------------ Net cash used in investing activities ................................... (81,804) (5,357,660) ------------ ------------ CASH FLOWS FROM FINANCING ACTIVITIES Payment to extinguish debt ......................................... (210,000) (720,000) Principal repayments under capital lease obligation ................ (10,321) (254,033) Payment on notes payable ........................................... (1,145,629) (1,317,252) Proceeds from long term debt ....................................... -- 5,000,000 Payment of deferred financing costs ................................ -- (168,192) ------------ ------------ Net cash (used in) provided by financing activities ..................... (1,365,950) 2,540,523 ------------ ------------ Net decrease in cash and cash equivalents ............................... (1,569,727) (3,568,578) ------------ ------------ Cash and cash equivalents at beginning of period ........................ 3,185,077 7,435,724 ------------ ------------ Cash and cash equivalents at end of period .............................. $ 1,615,350 $ 3,867,146 ============ ============ SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES: Stock issued for acquisition ............................................ $ -- $ 1,811,250 ============ ============ Note payable for purchase of contracts .................................. $ -- $ 2,500,000 ============ ============ Note payable for amendment of contract .................................. $ -- $ 3,509,983 ============ ============ Note payable issued for refunds due to Medicare for overpayments ........ $ 637,556 $ -- ============ ============ Purchase of furniture and fixtures with proceeds of capital lease obligations ............................................................. $ 102,948 $ -- ============ ============ Contractual revision of previously recorded medical claims liability .... $ 350,546 $ -- ============ ============ Cash paid for interest .................................................. $ 40,643 $ 1,840,000 ============ ============ THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 6 7 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 1999 (UNAUDITED) NOTE 1 - UNAUDITED INTERIM INFORMATION The accompanying unaudited consolidated financial statements of Continucare Corporation ("Continucare" or the "Company") have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the six months ended December 31, 1999 are not necessarily indicative of the results that may be expected for the year ended June 30, 2000. The balance sheet at June 30, 1999 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company's annual report on Form 10-K/A-2 for the year ended June 30, 1999. Certain reclassifications have been made to the prior year amounts to conform to the current year. NOTE 2 - GENERAL Continucare is a provider of integrated outpatient healthcare and home healthcare services in Florida. Continucare's predecessor, Zanart Entertainment, Incorporated ("Zanart") was incorporated in 1986. On August 9, 1996, a subsidiary of Zanart merged into Continucare Corporation (the "Merger"), which was incorporated on February 1, 1996 as a Florida Corporation ("Old Continucare"). As a result of the Merger, the shareholders of Continucare became shareholders of Zanart, and Zanart changed its name to Continucare Corporation. As of December 31, 1999, the Company operated, owned and/or managed: eighteen Staff Model clinics in South and Central Florida; an Independent Practice Association ("IPA") with 107 physicians; and two Home Health agencies. For the six months ended December 31, 1999 approximately 54% of net medical services revenue was derived from managed care contracts with Humana Medical Plans, Inc.("Humana") and 42% of net medical services revenue was derived from managed care contracts with Foundation Health Corporation ("Foundation"). For the six months ended December 31, 1998, approximately 29% of revenue was derived from Humana and 51% was derived from Foundation. Throughout fiscal 1998 and 1999 the Company experienced adverse business operations, recurring operating losses, negative cash flow from operations, and a significant working capital deficiency developed. Furthermore, as discussed below and further in Note 3, the Company was unable to make the interest payments due April 30, 1999 and October 31, 1999 on the Company's Convertible Subordinated Notes Payable (the "Notes"). The Company's operating difficulties have in large part been due to the underperformance of various entities which were acquired in fiscal years 1999, 1998 and 1997, the inability to effectively integrate and realize increased profitability through anticipated economies of scale with these acquisitions, as well as reductions in reimbursement rates under the Balanced Budget Act of 1997. 7 8 The financial statements of the Company have been prepared assuming that the Company will continue as a going concern. To strengthen Continucare financially and remain a going concern, the Company began a business rationalization program (the "Business Rationalization Program") during the fiscal year ended June 30, 1999 to divest itself of certain unprofitable operations and to close other underperforming subsidiary divisions, and a financial restructuring program (the "Financial Restructuring Program") to strengthen its financial condition and performance. In connection with the implementation of its Business Rationalization Program, Continucare sold or closed its Outpatient Rehabilitation subsidiary, its Diagnostic Imaging subsidiary and Physician Practice subsidiary. These divestitures generated net cash proceeds of approximately $5,642,000 (after the payment of transaction costs and other employee-related costs). The rationalization liability associated with these divestitures was approximately $965,000 at June 30, 1999 and relates to operating lease accruals requiring monthly payments through 2007. During the six months ended December 31, 1999, payments totaling approximately $3,000 were made on these leases. No other changes occurred in the rationalization liability. The Business Rationalization Program has assisted management with the commencement and implementation of its Financial Restructuring Program and has allowed the Company to focus its resources on a core business model. As a part of the Business Rationalization Program, the Company negotiated a restructuring of the Company's Notes, which is described in Note 3 below. While the Company believes that the Business Rationalization Program and Financial Restructuring Program will improve its cash flow and profitability, there can be no assurance that it will be able to continue implementing any of the necessary programs and, if implemented, that the programs will improve the Company's cash flow and profitability sufficiently to fund its operations and satisfy its obligations as they become due. NOTE 3 - CONVERTIBLE SUBORDINATED NOTES PAYABLE On October 30, 1997, the Company issued $46,000,000 of the Notes which accrue interest at 8% and are due on October 31, 2002. On August 12, 1998, the Company repurchased $1,000,000 of the Notes and recorded an extraordinary gain on retirement of debt of $130,977. On April 30, 1999 (the "April Default Date"), the Company defaulted on its semi-annual payment of interest on the outstanding Notes. Within thirty (30) days of the April Default Date, the Company commenced negotiations with an informal committee of the holders of the Notes. On the April Default Date, the outstanding principal balance of the Notes was $45,000,000 and the related accrued interest was approximately $1,800,000. On July 2, 1999, the Company repurchased $4,000,000 of the Notes for $210,000 and recorded a gain on extinguishment of debt of $3,776,197. The Company funded the purchase of the Notes from working capital. The Company has not provided for income taxes on the gain because it believes that it will be able to utilize certain of its net operating loss carryforwards to offset any income tax liability related to the transaction. On October 31, 1999 (the "October Default Date") the Company defaulted on its semi-annual payment of interest on the outstanding Notes. The total amount of accrued interest on the outstanding Notes at October 31, 1999 was approximately $3,300,000. On September 29, 1999 the Company announced an agreement in principle with the holders of the Notes to enter into a settlement and restructuring agreement with respect to the remaining $41,000,000 principal balance and approximately $3,300,000 of interest thereon accruing through October 31, 1999 (the "Restructuring"). This agreement in principle was ratified on December 9, 1999 through the execution of a Consent Letter and Agreement to the First Supplemental Indenture. The terms of the First Supplemental Indenture include the following: (a) $31,000,000 of the outstanding principal of the Notes will be converted, on a pro rata basis, into the Company's common stock at a conversion rate of $2.00 per share (approximately 15,500,000 shares of capital stock); (b) all interest accrued on the Notes through October 31, 1999 will be forgiven (approximately $3,300,000); (c) no interest will accrue on the $31,000,000 from November 1, 1999 through the date of the restructuring; (d) the interest payment default on the remaining $10,000,000 principal balance of the Notes will be waived and the Notes will be reinstated on the Company's books and records as a performing non-defaulted loan (the "Reinstated Subordinated Debentures"); (e) the Reinstated Subordinated Debentures will bear interest at the rate of 7% per annum commencing November 1, 1999; and (f) the conversion rate for the Reinstated Subordinated Debentures will be modified as follows: 8 9 TERM CONVERSION RATE - ------------------------------------------------------------------------ Through October 31, 2000......................... $7.25 November 1, 2000 to Maturity..................... $2.00 The successful completion of the Restructuring is subject to a number of significant risks and uncertainties including, but not limited to, the following conditions precedent: (a) procuring a $3,000,000 bank credit facility (the "New Credit Facility"); (b) obtaining a financially responsible person(s) (the "Guarantor") to personally guarantee the "New Credit Facility" for the Company; and (c) obtaining shareholder ratification of the Restructuring. These conditions must be satisfied prior to February 15, 2000. In consideration for providing the guaranty the Company will issue to the Guarantor 3,000,000 shares of the Company's common stock. The New Credit Facility will replace the Company's existing bank credit facility, and it will be used to finance the Company's working capital and capital expenditure requirements. The Company has a meeting of its shareholders scheduled for February 14, 2000 in order to, among other things, obtain shareholder approval of the Restructuring. NOTE 4 - LONG-TERM DEBT In August 1998, the Company entered into a credit facility with First Union Bank (the "Credit Facility"). The Credit Facility provided for a $5,000,000 acquisition facility and a $5,000,000 revolving loan. The Company borrowed the entire $5,000,000 acquisition facility to fund acquisitions. The Company never utilized the revolving loan. Since December 31, 1998 the Company has not been in compliance with the terms and conditions of the acquisition facility. During April 1999, the Company used approximately $4,000,000 of the net proceeds from the sale of its Rehabilitation subsidiary to reduce the outstanding balance of the Credit Facility. In connection with the payment, the Company entered into an amendment to the Credit Facility, which provided, among other things, for the repayment of the remaining outstanding principal balance by December 31, 1999. At December 31, 1999 and June 30, 1999, respectively, the outstanding balance of the Credit Facility was approximately $135,000 and $1,000,000 and is included in Current Portion of Long-Term Debt on the accompanying consolidated balance sheet. The Company obtained a waiver which extended the due date on the remaining balance to February 1, 2000 and repaid the remaining outstanding balance on January 31, 2000. Effective December 31, 1999, the Company negotiated an amendment to its contract with Foundation (the "Amendment"). The Amendment reduces the Company's prior medical claims and long-term debt liabilities to Foundation as of May 31, 1999 to $1,500,000. The Amendment also requires the Company to remit to Foundation any reinsurance proceeds received for claims generated from Foundation members for the period June 1, 1998 through August 31, 1999 up to a maximum of $1,327,400. As a result of this Amendment the Company recorded a contractual revision of previously recorded medical claims liability of approximately $3,054,000. This Amendment resulted in the reduction of medical claims payable by approximately $2,703,000 and the reduction of long-term debt by approximately $351,000. NOTE 5 - EARNINGS PER SHARE Options and warrants to purchase 473,000 and 1,824,500 shares of the Company's common stock were outstanding at December 31, 1999 and 1998, respectively, but were not included in the computation of diluted earnings (loss) per share because the effect would be antidilutive. 9 10 NOTE 6 - RELATED PARTY TRANSACTIONS In May 1999, the Company entered into an agreement with Harter Financial, Inc. ("Harter") to assist it with a financial reorganization and to represent the Company in negotiating the restructuring of the Notes and a settlement with the noteholders. As compensation for its services, Harter received an initial fee of $50,000 on May 18, 1999. On October 18, 1999, the Board of Directors approved a final compensation package to be paid to Harter consisting of a cash payment of $150,000 and the issuance of 200,000 unregistered shares of the Company's common stock, which were valued at $112,500 based on the closing price of the Company's stock on the date of grant. Mr. Angel, the Company's president and CEO is also the president and a 15% shareholder of Harter. However, as of May 18, 1999, Mr. Angel was not an officer or director of the Company. NOTE 7 - CONTINGENCIES On April 10, 1997, the Company, through Continucare Physician Practice Management, Inc., ("CPPM") a wholly-owned subsidiary, acquired all of the outstanding stock of certain arthritis rehabilitation centers and affiliated physician practices. The acquisitions included the purchase of AARDS, INC., a Florida corporation formerly known as Norman B. Gaylis, M.D., Inc., of Rosenbaum, Weitz & Ritter, Inc., a Florida corporation, and of Arthritis & Rheumatic Disease Specialties, Inc., a Florida corporation, from Sheridan Healthcare, Inc. (collectively "AARDS"). In connection with the purchase of AARDS, the Company entered into a management agreement with ZAG Group, Inc. ("ZAG"), an entity controlled by Jay Ziskind, Ken Arvin and Dr. Norman Gaylis. The management agreement, among other things, provided for ZAG to perform certain services in exchange for specified compensation. In addition, the Company entered into a put/call agreement with ZAG, which allowed each of the parties to require the other party, after a two-year period, to either sell or purchase all the issued and outstanding capital stock of ZAG for a specified price to be paid in a combination of cash and common stock of the Company. In September 1998, the Company paid approximately $2,000,000 to ZAG in connection with an agreement and plan of merger executed between the Company and ZAG which effectively canceled the put/call agreement. Cash of $115,000 was paid and the remaining $1,885,000 was paid by issuing 575,000 unregistered shares of the Company's common stock with a fair market value of approximately $1,600,000 on the date of issuance. However, in the event that the common stock issued does not have an aggregate fair market value of approximately $1,885,000 on October 15, 1999, the agreement and plan of merger provides that the Company shall pay additional cash consideration or issue additional shares of its common stock so that the aggregate value of the stock issued is approximately $1,885,000. Additional consideration of approximately $1,600,000 in cash or approximately 2,133,000 shares of the Company's common stock (based on the December 31, 1999 market price) would have to be issued. At this time, no additional payment has been made to ZAG. On November 15, 1999, the Company commenced litigation against ZAG and its affiliated parties alleging breach of fiduciary duties, improper billing, and seeking return of all consideration previously paid by the Company to ZAG, and damages as well as seeking rescission of the agreement and plan of merger. A counterclaim was filed against the Company on December 20, 1999 in the Circuit Court of the 11th Judicial District in and for Dade County, Florida. The counterclaim alleged breach of contract, tortious interference and conversion. In the event the Company is unsuccessful in this litigation, Continucare may be required to pay in excess of $1,600,000 of additional consideration, in the form of either cash or stock, representing the difference between $1,885,000 and the fair market value of the 575,000 unregistered shares of Continucare common stock previously issued to ZAG in connection with the agreement and plan of merger. On September 19, 1997, the Company acquired the stock of Maxicare, Inc. ("Maxicare"), a Florida based home health agency for $4,200,000 including approximately $900,000 of liabilities assumed. In addition, $300,000 of additional purchase price is contingent upon maintaining various performance criteria and, if earned, would be due in equal installments in September 1999 and 1998. No amounts have been paid to the former owner of Maxicare, Inc. pursuant to the contingent purchase price from the acquisition. 10 11 Two former subsidiaries of the Company are parties to the case of JAMES N. HOUGH, PLAINTIFF, v. INTEGRATED HEALTH SERVICES, INC., A DELAWARE CORPORATION, AND REHAB MANAGEMENT SYSTEMS, INC., A FLORIDA CORPORATION ("RMS"), AND CONTINUCARE REHABILITATION SERVICES, INC., A FLORIDA CORPORATION. This case was filed in the Circuit Court of the Tenth Judicial Circuit in and for Polk County, Florida in June 1998. Mr. Hough was the founder and former Chief Executive Officer and President of RMS. Mr. Hough sold RMS to Integrated Health Services, Inc., ("IHS"), and entered into an Employment Agreement (the "Employment Agreement") with IHS. The complaint alleges breach of contract for the removal of Hough as President and also alleges actions by IHS that interfered with Hough's ability to realize his income potential under the provisions of the agreement. RMS was acquired by Continucare in February 1998. Mr. Hough is seeking damages from the Employment Agreement and is alleging breach of contract. His initial demand of $1.1 million was rejected by the Company and the Company intends to vigorously defend the claim. The Company is a party to the case of MANAGED HEALTHCARE SYSTEMS ("MHS") v. CONTINUCARE CORPORATION & CONTINUCARE HOME HEALTH SERVICES, INC ("CHHS"). This case was filed in the Commonwealth of Massachusetts in August 1998. The complaint alleges breach of contract for alleged verbal representations by CHHS in negotiations to acquire MHS and seeks damages in excess of $2,750,000 and treble damages. The Company believes the action has little merit and intends to vigorously defend the claim. The case of KAMINE CREDIT CORPORATION ("KAMINE") AS ASSIGNEE OF TRI COUNTY HOME HEALTH v. CONTINUCARE CORPORATION was voluntarily dismissed without prejudice on December 3, 1999. The Company is a party to the case of WARREN GROSSMAN, M.D., ALAN REICH, M.D., AND RICHARD STRAIN, M.D. v. CONTINUCARE PHYSICIAN PRACTICE MANAGEMENT, INC. AND CONTINUCARE CORPORATION. This case was filed in May 1999 in the Circuit Court for Broward County, Florida. The complaint alleges breach of employment contracts based on the early termination of the Plaintiffs' employment. The original complaint, as filed, sought damages in excess of $15,000; however, during discovery by the Company in connection with the case, it was determined that the Plaintiffs are seeking damages in excess of $2,500,000. On January 5, 2000, the Company filed a counterclaim alleging breach of contract in connection with the Plaintiffs' failure to return certain computer equipment, as well as a breach of the non-compete covenant. Discovery is pending. The Company believes the action has little merit and intends to vigorously defend the claim. The Company is subject to a variety of claims and suits that arise from time to time out of the ordinary course of its business, substantially all of which involve vendor-lease claims and/or claims related to the alleged malpractice of employed and contracted medical professionals. 11 12 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS CERTAIN FACTORS AFFECTING FUTURE OPERATING RESULTS This Form 10-Q contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. When used in this Form 10-Q, the words "believe," "anticipate," "think," "intend," "plan," "will be," and similar expressions, identify such forward-looking statements. Such statements regarding future events and/or the future financial performance of the Company are subject to certain risks and uncertainties, which could cause actual events or the actual future results of the Company to differ materially from any forward-looking statement. Certain factors that might cause such a difference are set forth in the Company's Form 10-K/A-2 for the period ended June 30, 1999, including the following: the success or failure of the Company in implementing its current business and operational strategies; the ability of the Company to consummate the Restructuring on the terms specified in the First Supplemental Indenture and the timing of such consummation; the approval of the Restructuring by the Company's shareholders; the successful implementation of the Company's Business Rationalization Program and Financial Restructuring Program; the availability, terms and access to capital and customary trade credit; general economic and business conditions; competition; changes in the Company's business strategy; availability, location and terms of new business development; availability and terms of necessary or desirable financing or refinancing; unexpected costs of year 2000 compliance or failure by the Company or other entities with which it does business to achieve compliance; labor relations; the outcome of pending or yet-to-be instituted legal proceedings; and labor and employee benefit costs. GENERAL Continucare is a provider of integrated outpatient healthcare and home healthcare services in Florida. As of December 31, 1999, the Company operated, owned and/or managed: eighteen Staff Model clinics in South and Central Florida; an Independent Practice Association (the "IPA") with 107 physicians; and two home health agencies. Throughout fiscal 1998 and 1999 the Company experienced adverse business operations, recurring operating losses, negative cash flow from operations, and a significant working capital deficiency developed. Furthermore, as discussed below under "Liquidity and Capital Resources" and in Note 3 of the consolidated financial statements, the Company was unable to make the interest payments due April 30, 1999 and October 31, 1999 on the Convertible Subordinated Notes Payable (the "Notes").The Company's operating difficulties have in large part been due to the underperformance of various entities which were acquired in fiscal years 1999, 1998 and 1997, the inability to effectively integrate and realize increased profitability through anticipated economies of scale with these acquisitions, as well as reductions in reimbursement rates under the Balanced Budget Act of 1997. The financial statements of the Company have been prepared assuming that the Company will continue as a going concern. To strengthen the Company financially, and remain a going concern, the Company began a business rationalization program (the "Business Rationalization Program") during the fiscal year ended June 30, 1999 to divest itself of certain unprofitable operations and to close other underperforming subsidiary divisions and a financial restructuring program (the "Financial Restructuring Program") to strengthen its financial condition and performance. In connection with the implementation of its Business Rationalization Program, the Company considered a variety of factors in determining which entities to divest and which entities to reorganize. Some of the determining factors include: (i) projected changes in the cost structure; (ii) changes in reimbursement rates; (iii) changes in regulatory environment; (iv) loss of management personnel; (v) loss of contracts; and (vi) timely opportunity for disposal. As a result of this analysis, the Company has sold or closed its Outpatient Rehabilitation subsidiary, Diagnostic Imaging subsidiary and Physician Practice subsidiary. These divestitures generated net cash proceeds of approximately $5,642,000 (after the payment of transaction costs and other costs) during the fiscal year ended June 30, 1999. The Business Rationalization Program has assisted management with the commencement and implementation of its Financial 12 13 Restructuring Program and has allowed the Company to focus its resources on a core business model. While the Company believes that the Business Rationalization Program and Financial Restructuring Program will improve its cash flow and profitability, there can be no assurance that it will be able to continue implementing any of the necessary programs and, if implemented, that the programs will improve the Company's cash flow and profitability sufficiently to fund its operations and satisfy its obligations as they become due. REIMBURSEMENT CONSIDERATIONS The Company receives reimbursement from the Medicare and Medicaid programs or payments from insurers, self-funded benefit plans or other third-party payors. The Medicare and Medicaid programs are subject to statutory and regulatory changes, retroactive and prospective rate adjustments, administrative rulings and funding restrictions, any of which could have the effect of limiting or reducing reimbursement levels. Although the Company derived less than 5% of its net patient service revenue directly from Medicare and Medicaid in fiscal 1999, a substantial portion of the Company's managed care revenues are based upon Medicare reimbursable rates. Therefore, any changes which limit or reduce Medicare reimbursement levels could have a material adverse effect on the Company. Significant changes have been and may be made in the Medicare program, which could have a material adverse effect on the Company's business, results of operations, prospects, financial results, financial condition or cash flows. In addition, legislation has been or may be introduced in the Congress of the United States which, if enacted, could adversely affect the operations of the Company by, for example, decreasing reimbursement by third-party payors such as Medicare or limiting the ability of the Company to maintain or increase the level of services provided to patients. The Balanced Budget Act of 1997 (the "Budget Act") enacted in August 1997 contains numerous provisions related to Medicare and Medicaid reimbursement. It is unclear whether any or all of these provisions will be implemented by the Health Care Financing Administration ("HCFA") as scheduled. The general thrust of the provisions dealing with Medicare and Medicaid contained in the Budget Act are intended to incentivize providers to deliver services efficiently at lower costs. The Budget Act also requires the Secretary of Health and Human Services ("HHS") to implement a prospective payment system ("PPS") for home health agencies ("HHAs"). Prospective rates determined by the HHS would reflect a 15% reduction to the cost limits and per-patient limits in place as of September 30, 1999. In the event the implementation deadline is not met, the reduction will be applied to the reimbursement system then in place. Until PPS takes effect on October 1, 2000, the Budget Act established an interim payment system ("IPS") that provides for the lowering of reimbursement limits for home health visits. For cost reporting periods beginning on or after October 1, 1997, Medicare-reimbursed HHAs will have their cost limits determined as the lesser of (i) actual costs (ii) 105% of median costs of freestanding home health agencies, or (iii) an agency-specific per-patient cost limit, based on 98% of 1994 costs adjusted for inflation. The new IPS cost limits apply to the Company for the cost reporting periods beginning after October 1997. The failure to implement a PPS for HHAs services in the next several years could adversely affect the Company and its growth strategy. For cost reporting periods beginning on or after October 1, 1997, the Budget Act requires HHAs to submit claims for payment for home health services only on the basis of the geographic location at which the service was furnished. HCFA has publicly expressed concern that some HHAs are billing for services from administrative offices in locations with higher per-visit cost limitations than the cost limitations in effect in the geographic location of the home health agency furnishing the service. The Company is unable to determine the reimbursement impact resulting from payments for services based upon geographic location until HCFA finalizes related regulatory guidance. Any resultant reduction in the Company's cost limits could have a material adverse effect on the Company's business, financial condition or results of operations. However, until regulatory guidance is issued, the effect of such reductions cannot be predicted with any level of certainty. Various other provisions of the Budget Act may have an impact on the Company's business and results of operations. For example, venipuncture will no longer be a covered skilled nursing home care service unless it is performed in connection with other skilled nursing services. Additionally, payments will be frozen for durable medical equipment, excluding orthotic and prosthetic 13 14 equipment, and payments for certain reimbursable drugs and biologicals will be reduced. Beginning with services furnished on or after January 1, 1998, coverage of home health services is currently being shifted over a period of six years from Medicare Part A to Medicare Part B except for a maximum of 100 visits during a spell of illness after a three-day hospitalization initiated within 14 days after discharge or after receiving any covered services in a skilled nursing facility, each of which will continue to be covered under Medicare Part A. Another provision of the Budget Act would reduce Medicare reimbursements to acute care hospitals for non-Medicare patients who are discharged from the hospital after a very short inpatient stay to the care of a home health agency. The impact of these reimbursement changes could have a material adverse effect on the Company's business, financial condition or results of operations. However, this impact cannot be predicted with any level of certainty at this time. Among the other changes which the Budget Act is attempting to accomplish are the following: (i) reducing the amounts which the federal government will pay for services provided to Medicare and Medicaid beneficiaries by an estimated $115 billion and $13 billion, respectively over a five-year period; (ii) reducing payments to hospitals for inpatient and outpatient services provided to Medicare beneficiaries by an estimated $44 billion over a five-year period; (iii) establishing the Medicare+Choice Program, which expands the availability of managed care alternatives to Medicare beneficiaries, including Medical Savings Accounts; (iv) converting the Medicare reimbursement of outpatient hospital services from a reasonable cost basis to a PPS; (v) adjusting the manner in which Medicare calculates the amount of copayments which are deducted from the Medicare payment to hospitals for outpatient services; (vi) freezing the Medicare hospital PPS and PPS-exempt hospital and distinct part unit update for Fiscal year 1998 and 1999, and limiting the level of annual updates for subsequent years; (vii) reducing various other Medicare payments to providers; (viii) repealing the federal Boren Amendment, which imposed certain requirements on the level of reimbursement paid to hospitals for services rendered to Medicaid beneficiaries; (ix) permitting states to mandate managed care for Medicaid beneficiaries without the need for federal waivers; (x) instituting permanent, mandatory exclusion from any federal health care program for those convicted of three health care-related crimes, and a mandatory 10-year exclusion for those convicted of two health care-related crimes. Additionally, the Secretary of HHS will be able to deny entry into Medicare or Medicaid or deny renewal to any provider or supplier convicted of any felony that the Secretary deems to be "inconsistent with the best interests" of the program's beneficiaries; and (xi) creating a new civil monetary penalty for violations of the Federal Medicare/Medicaid Anti-Fraud and Abuse Amendments to the Social Securities Act ("Anti-Kickback Law") for cases in which a person contracts with an excluded provider for the provision of health care items or services where the person knows or should know that the provider has been excluded from participation in a federal health care program. Violations will result in damages three times the remuneration involved, as well as a penalty of $50,000 per violation. There can be no assurance that the Company will not be subject to the imposition of a fine or other penalty from time to time. RESULTS OF OPERATIONS The following discussion and analysis should be read in conjunction with the unaudited consolidated financial statements and notes thereto appearing elsewhere in this Form 10-Q. The statements of operations include the operations of acquisitions made during the six months ended December 31, 1998 from their respective acquisition dates. THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE THREE MONTHS ENDED DECEMBER 31, 1999 AS COMPARED TO THE THREE MONTHS ENDED DECEMBER 31, 1998 REVENUE Medical services revenues for the three months ended December 31, 1999 decreased 45% to approximately $28,841,000 from approximately $52,486,000 for the three months ended December 31, 1998. During Fiscal 1999 the Company disposed of certain underperforming assets and subsidiaries (the "Rationalized 14 15 Entities"). See "Business--General." During the three months ended December 31, 1998, medical services revenue from the Rationalized Entities was approximately $8,154,000. As part of the Company's Business Rationalization Program, the Company significantly reduced the number of physician practices in its IPA subsidiary and is no longer at risk for the commercial members of its IPA physicians. During the three months ended December 31, 1998, the Company provided managed care services for approximately 100,700 IPA member months (members per month multiplied by the months for which services were available), which resulted in approximately $23,455,000 in revenue. During the three months ended December 31, 1999, the number of IPA member months decreased to approximately 13,406, which resulted in approximately $7,036,000 in revenue. Commercial member months contributed approximately $5,011,000 of revenue during the three months ended December 31, 1998. IPA Medicare member months have decreased 67% from approximately 35,400 member months during the three months ended December 31, 1998 to approximately 11,700 member months during the three months ended December 31, 1999. IPA Medicare member months contributed approximately $6,529,000 and $17,244,000 during the three months ended December 31, 1999 and 1998, respectively. As a result of the rationalization of the non-managed care entities, the revenue generated by its managed care entities under the Company's contracts with HMO's increased to 95.4% of medical services revenues for the three months ended December 31, 1999 compared to 81.8% of medical services revenues for the three months ended December 31, 1998. Revenue generated by the Humana contract was 56.5% and 29.4% of medical services revenue for the three months ended December 31, 1999 and 1998, respectively. Revenue generated by Foundation contracts was 38.9% and 52.2% of medical services revenue for the three months ended December 31, 1999 and 1998, respectively. Revenue received under fee for service arrangements which require the Company to assume the financial risks relating to payor mix and reimbursement rates accounted for approximately 18.7% of medical services revenue for the three months ended December 31, 1998. The contribution from fee for service revenue for the three months ended December 31, 1999 was insignificant, primarily as a result of the Business Rationalization Program and the divestiture of the Diagnostic Imaging and Physician Practice subsidiaries. Medicare and Medicaid, as a percentage of the Company's medical service revenue, decreased from 7.2% to 4.6% of medical services revenue for the three months ended December 31, 1998 to December 31, 1999, respectively. This decrease was attributable to a substantial increase in managed care revenues, the downsizing of the home health division through the elimination of subcontracting relationships and the respective sale and closing of the outpatient rehabilitation and physician practice subsidiaries. Management fee revenue of approximately $267,000 for the three month period ended December 31, 1998 relates to services provided by the Outpatient Rehabilitation and Physician Practice subsidiaries, which were respectively sold and closed during Fiscal 1999. EXPENSES Medical services expenses for the three month period ended December 31, 1999 were approximately $21,020,000 or 73% of medical services revenue, compared to approximately $46,787,000 or 89% of medical services revenue for the three month period ended December 31, 1998. The decrease is primarily due to the Company's Rationalization Program. During the three months ended December 31, 1998, medical services expenses for the Rationalized Entities were approximately $5,265,000. Medical services expenses of the Company's IPA decreased from approximately $24,330,000 to approximately $7,065,000 as a result of the decrease in IPA members for which the Company is at risk. In addition, effective December 31, 1999, the Company amended its IPA contract with Foundation which reduced the Company's medical claims and long-term debt liabilities to Foundation for prior medical claims by approximately $3,054,000, resulting in a corresponding decrease in medical services expenses (See Note 4 of the Company's Consolidated Financial Statements.). 15 16 Medical claims represent the costs of medical services provided by providers other than the Company but which are to be paid by the Company for individuals covered by the Company's capitated risk contracts with HMOs. Claims expense was approximately $17,972,000 and $34,489,000 for the three months ended December 31, 1999 and 1998, respectively, or 62.3% and 65.7% of medical services revenues). The decrease in claims expense as a percentage of medical services revenue is due to lower average claims costs per member for both the Company's staff model centers and the Company's IPA. Other direct costs include the salaries and benefits of health professionals providing the services, capitation payments to the Company's contracted IPA physicians, and other costs necessary to operate the Company's facilities. Other direct costs were approximately $6,102,000 and $12,298,000 for the three months ended December 31, 1999 and 1998, respectively, or 21.2% and 23.4% of medical services revenues. Payroll and employee benefits for administrative personnel was approximately $1,410,000 for the three months ended December 31, 1999, or 4.9% of revenues, compared to approximately $3,693,000 or 7% of revenue for the three months ended December 31, 1998. The decrease in these costs as a percent of revenues is primarily due to the rationalization of employees. Payroll and employee benefits for the Rationalized Entities was approximately $1,418,000 for the three months ended December 31, 1998. General and administrative expenses for the three months ended December 31, 1999 were approximately $1,516,000 or 5.3% of revenues compared to approximately $3,007,000 or 6% of revenues for the three months ended December 31, 1998. The decrease in general and administrative expense as a percent of revenues resulted from a reduction of overhead costs as part of the Company's Business Rationalization Program. During the three months ended December 31, 1998 general and administrative expenses from the Rationalized Entities was approximately $1,583,000. Amortization expense of intangible assets was approximately $679,000 for the three months ended December 31, 1999, as compared to approximately $1,098,000 for the three months ended December 31, 1998. Amortization expense for the Rationalized Entities was approximately $223,000 for the three months ended December 31, 1998. Additionally, during fiscal year ended June 30, 1999, the Company determined that approximately $11,700,000 of other intangible assets were impaired and, accordingly, wrote off the impaired assets. Amortization expense related to these impaired assets which was included in the three months ended December 31, 1998 totaled approximately $350,000. Bad debt expense for the three months ended December 31, 1998, was related to certain of the Rationalized Entities which generated revenues primarily through fee-for-service billings to third party payors and individual patients. The absence of bad debt expense for the three months ended December 31, 1999 is directly attributable to the increase in the percentage of revenue received under the Company's HMO contracts, for which bad debt expense is nominal. During the three months ended December 31, 1998, the Company recorded a loss on disposal of subsidiary of $4,152,000 associated with the Company's Business Rationalization Program. No such charge was recorded during the three months ended December 31, 1999. INCOME (LOSS) FROM OPERATIONS Income from operations for the three months ended December 31, 1999 was approximately $3,831,000 or 13.3% of total revenues, compared to an operating loss of approximately $8,886,000 or 17% of total revenues for the three months ended December 31, 1998. The operating loss of the Rationalized Entities for the three months ended December 31, 1998 was approximately $6,779,000. NET INCOME/LOSS Net income for the three months ended December 31, 1999 was approximately $2,746,000 compared to a net loss of approximately $10,339,000 for the three months ended December 31, 1998. 16 17 THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE SIX MONTHS ENDED DECEMBER 31, 1999 AS COMPARED TO THE SIX MONTHS ENDED DECEMBER 31, 1998 REVENUE Medical services revenues for the six months ended December 31, 1999 decreased 43.2% to approximately $57,473,000 from approximately $101,161,000 for the six months ended December 31, 1998. During Fiscal 1999 the Company disposed of certain underperforming assets and subsidiaries (the "Rationalized Entities"). See "Business--General." During the six months ended December 31, 1998, medical services revenue from the Rationalized Entities was approximately $16,641,000. As part of the Company's Business Rationalization Program, the Company significantly reduced the number of physician practices in its IPA subsidiary and is no longer at risk for the commercial members of its IPA physicians. IPA commercial member months contributed approximately $9,530,000 of revenue during the six months ended December 31, 1998. IPA Medicare member months have decreased approximately 60% from approximately 65,700 member months during the six months ended December 31, 1998 to 26,400 member months during the six months ended December 31, 1999. IPA Medicare member months contributed approximately $14,316,000 and $32,221,000 during the six months ended December 31, 1999 and 1998, respectively. As a result of the rationalization of the non-managed care entities, the revenue generated by its managed care entities under the Company's contracts with HMO's amounted to 96% and 80% of medical services revenues for the six months ended December 31, 1999 and 1998, respectively. Revenue generated by the Humana contract was 54% and 29% of medical services revenue for the six months ended December 31, 1999 and 1998, respectively. Revenue generated by the Foundation contract was 42% and 51% of medical services revenue for the six months ended December 31, 1999 and 1998, respectively. Revenue received under fee for service arrangements which require the Company to assume the financial risks relating to payor mix and reimbursement rates accounted for approximately 20% of medical services revenue for the six months ended December 31, 1998. The contribution from fee for service revenue for the six months ended December 31, 1999 was insignificant, primarily as a result of the Business Rationalization Program and the divestiture of the Diagnostic Imaging and Physician Practice subsidiaries. Medicare and Medicaid, as a percentage of the Company's medical service revenue, decreased from 7.9% to 4.3% of medical services revenue for the six months ended December 31, 1998 to December 31, 1999, respectively. This decrease was attributable to a substantial increase in managed care revenues, the downsizing of the home health division through the elimination of subcontracting relationships and the respective sale and closing of the outpatient rehabilitation and physician practice subsidiaries. Management fee revenue of $450,000 for the six months ended December 31, 1999 relates primarily to fees received in July, 1999 through September, 1999 from Foundation. Management fee revenue of approximately $550,000 for the six months ended December 31, 1998 relates to services provided by the Outpatient Rehabilitation and Physician Practice subsidiaries which were respectively sold and closed during Fiscal 1999. EXPENSES Medical services expenses for the six month period ended December 31, 1999 were approximately $48,452,000 or 84% of medical services revenue, compared to approximately $88,172,000 or 87% of medical services revenue for the six month period ended December 31, 1998. The decrease is primarily due to the Company's Rationalization Program. During the six months ended December 31, 1998, medical services expenses for the Rationalized Entities were approximately $10,841,000. Medical services expenses of the Company's IPA decreased from approximately $43,454,000 to approximately $16,323,000 as a result of the decrease in IPA members for which the Company is at risk. In addition, effective December 31, 1999, the Company amended its IPA contract with Foundation which reduced the Company's medical claims and long-term debt liabilities to Foundation for prior medical claims by approximately $3,054,000, resulting in a corresponding decrease in medical services expense (See Note 4 of the Company's Consolidated Financial Statements). 17 18 Medical claims represent the costs of medical services provided by providers other than the Company but which are to be paid by the Company for individuals covered by the Company's capitated risk contracts with HMOs. Claims expense was approximately $39,445,000 and $63,120,000 for the six months ended December 31, 1999 and 1998, respectively, or 68.6% and 62.4% of medical services revenues. The Company began experiencing an increase in its claims loss ratio in the second quarter of fiscal 1999 which continued through the first quarter of fiscal 2000. The Company has taken steps to reduce the ratio, including the reduction in the number of IPA members for which the Company is at risk. While claims costs as a percentage of medical services revenues decreased in the second quarter of fiscal 2000 for both the staff model centers and the IPA to approximately 62.3% of medical services revenues, there can be no assurance that the Company's measures will be effective and that the claims loss ratio will not increase in the future. Other direct costs include the salaries and benefits of health professionals providing the services, capitation payments to the Company's contracted IPA physicians and other costs necessary to operate the Company's facilities. Other direct costs were approximately $12,061,000 and $25,052,000 for the six months ended December 31, 1999 and 1998, respectively, or 21.0% and 24.8% of medical services revenues. Payroll and employee benefits for administrative personnel was approximately $3,279,000 for the six months ended December 31, 1999, or 5.7% of revenues, compared to approximately $7,692,000 or 8% of revenue for the six months ended December 31, 1998. The decrease in these costs as a percent of revenues is primarily due to the rationalization of employees. Payroll and employee benefits for the Rationalized Entities was approximately $3,154,000 for the six months ended December 31, 1998. General and administrative expenses for the six months ended December 31, 1999 were approximately $3,024,000 or 5.2% of revenues compared to approximately $6,134,000 or 6% of revenues for the six months ended December 31, 1998. The decrease in general and administrative expense as a percent of revenues resulted from a reduction of overhead costs as part of the Company's Business Rationalization Program. During the six months ended December 31, 1998 general and administrative expenses from the Rationalized Entities was approximately $3,226,000. Amortization expense of intangible assets was approximately $1,324,000 for the six months ended December 31, 1999, as compared to approximately $2,189,000 for the six months ended December 31, 1998. Amortization expense for the Rationalized Entities was approximately $489,000 for the six months ended December 31, 1998. Additionally, during fiscal year ended June 30, 1999, the Company determined that approximately $11,700,000 of other intangible assets were impaired and, accordingly, wrote off the impaired assets. Amortization expense related to these impaired assets which was included in the six months ended December 31, 1998 totaled approximately $659,000. Bad debt expense for the six months ended December 31, 1998, was related to certain of the Rationalized Entities which generated revenues primarily through fee-for-service billings to third party payors and individual patients. The absence of bad debt expense for the six months ended December 31, 1999 is directly attributable to the increase in the percentage of revenue received under the Company's HMO contracts, for which bad debt expense is nominal. During the six months ended December 31, 1998, the Company recorded a loss on disposal of subsidiary of $4,152,000 associated with the Company's Business Rationalization Program. No such charge was recorded during the six months ended December 31, 1999. 18 19 INCOME/LOSS FROM OPERATIONS Income from operations for the six months ended December 31, 1999 was approximately $1,142,000 or 2.0% of total revenues, compared to an operating loss of approximately $10,685,000 or 11% of total revenues for the six months ended December 31, 1998. The operating loss of the Rationalized Entities for the six months ended December 31, 1998 was approximately $7,869,000. EXTRAORDINARY GAIN ON EXTINGUISHMENT OF DEBT In July, 1999, the Company recorded an extraordinary gain on extinguishment of debt of approximately $3,776,000 as a result of repurchasing $4,000,000 of its outstanding convertible subordinated notes payable for a cash payment of $210,000 and the write-off of related deferred financing costs and accrued interest payable. The Company has not provided for income taxes on the gain because it believes that it will be able to utilize certain of its net operating loss carryforwards to offset any income tax liability related to the transaction. (See Note 3 of the consolidated financial statements). In August, 1998, the Company recorded an extraordinary gain on extinguishment of debt of approximately $130,000 as a result of repurchasing $1,000,000 of the Notes for a cash payment of approximately $700,000 and the write-off of related deferred financing costs and accrued interest payable. NET INCOME/LOSS Net income for the six months ended December 31, 1999 was approximately $3,060,000 compared to a net loss of approximately $12,909,000 for the six months ended December 31, 1998. LIQUIDITY AND CAPITAL RESOURCES The discussion herein has been prepared assuming that the Company will continue as a going concern. In order to strengthen itself financially and remain a going concern, the Company, during the fiscal year ended June 30, 1999, divested itself of certain unprofitable operations and disposed of other underperforming assets. The Company did not make the April 30, 1999 (the "April Default Date") semi-annual payment of interest on its Subordinated Notes Payable or the October 31, 1999 (the "October Default Date") semi-annual payment. The amount of interest due as of April 30, 1999 and October 31, 1999 was $1,800,000 and $3,300,000, respectively. Within thirty (30) days of the April Default Date, the Company commenced negotiations with an informal committee of the holders the Notes to restructure a portion of the debt and related interest in exchange for common stock and to obtain terms on the remaining portion of the debt that are more favorable to the Company. On July 2, 1999 the Company repurchased $4,000,000 face value of its Notes for approximately $210,000, recognizing a gain on extinguishment of debt of approximately $3,776,000. The Company funded the purchase of the Notes from working capital. On September 29, 1999 the Company announced an agreement in principle with the holders of the Notes to enter into a settlement and restructuring agreement with respect to the remaining $41,000,000 principal balance and approximately $3,300,000 of interest thereon accruing through October 31, 1999. The agreement was ratified on December 9, 1999 through the execution of a Consent Letter and Agreement. (See Note 3 of the Company's Consolidated Financial Statements.) In August 1998, the Company entered into a credit facility with First Union Bank (the "Credit Facility"). The Credit Facility provided for a $5,000,000 acquisition facility and a $5,000,000 revolving loan. The Company borrowed the entire $5,000,000 acquisition facility to fund acquisitions. The Company never utilized the revolving loan. Since December 31, 1998 the Company has not been in compliance with the terms and conditions of the acquisition facility. During April 1999, the Company used approximately $4,000,000 of the net proceeds from the sale of its Rehabilitation Subsidiary to reduce the outstanding balance of the Credit Facility. In connection with the payment, the Company entered into an amendment to the Credit Facility, which provided, among other things, for the repayment of the remaining outstanding principal balance 19 20 by December 31, 1999. At December 31, 1999 and June 30, 1999, respectively, the outstanding balance of the Credit Facility was approximately $135,000 and $1,000,000 and is included in Current Portion of Long-Term Debt in the accompanying consolidated financial statements. The Company obtained a waiver which extended the due date of the remaining balance to February 1, 2000 and repaid the outstanding balance on January 31, 2000. Effective December 31, 1999, the Company negotiated an amendment to its contract with Foundation (the "Amendment"). The Amendment reduces the Company's prior medical claims and long-term debt liabilities to Foundation as of May 31, 1999 to $1,500,000. The Amendment also requires the Company to remit to Foundation any reinsurance proceeds received for claims generated from Foundation members for the period June 1, 1998 through August 31, 1999 up to a maximum of $1,327,400. As a result of this Amendment the Company recorded a contractual revision of previously recorded medical claims liability of approximately $3,054,000. This Amendment resulted in the reduction of medical claims payable by approximately $2,703,000 and the reduction of long-term debt by approximately $351,000. The Company's loss before extraordinary gain on extinguishment of debt was approximately $716,000 for the six months ended December 31, 1999. Net cash used in operating activities for the six months ended December 31, 1999 was approximately $122,000 due primarily to the loss before the extraordinary item, a decrease in accounts payable and accrued expenses of approximately $635,000, a decrease of medical claims payable of approximately $2,531,444, and offset by non-cash amortization and depreciation expenses of approximately $2,062,000, a decrease in accounts receivable of approximately $567,000, and an increase in accrued interest payable of approximately $1,640,000. Net cash used in investing activities for the six months ended December 31, 1999 was approximately $82,000 for the purchase of computer equipment in conjunction with the Company's Year 2000 computer plan. Net cash used in financing activities for the six months ended December 31, 1999 was approximately $1,366,000, comprised primarily of $210,000 paid to redeem $4,000,000 of the Company's convertible subordinated notes payable, and approximately $1,146,000 of repayments on the Company's Credit Facility and other notes payable. The Company's working capital deficit was approximately $54,846,000 at December 31, 1999, which includes the classification of $41,000,000 of the Notes as current liabilities due to the Company's default on the April 30, 1999 and October 31, 1999 interest payments. The Company believes that it will be able to fund all of its capital commitments and operating cash requirements from a combination of cash on hand, expected cash flow improvements, and the new credit facility. The Company anticipates its capital expenditures for fiscal 2000 will not exceed $350,000, a reduction of $400,000 (or 53%) over the prior year. Although the Company had completed the divestiture of most of its unprofitable operations and the reduction in its personnel by June 30, 1999, the Company does not believe it will be able to demonstrate profitable operations or demonstrate positive cash flow unless it completes the restructuring of the Notes. The Company has no current knowledge of any intermediary audit adjustment trends with respect to previously filed cost reports. However, as is standard in the industry, the Company remains at risk for disallowance and other adjustment to previously filed cost reports until final settlement. The Company's average settlement period with respect to its cost reports has historically ranged from two to three years. The Company has taken and continues to take steps to improve its cash flow and profitability through the implementation of its Business Rationalization Program and Financial Restructuring Program by: (1) assessing the possible divestiture of non-profitable business units; (2) reducing personnel levels and other overhead costs; (3) negotiating with the holders of the Notes; and (4) renegotiating certain of its agreements with HMOs. However, currently none of the Company's operations are being held for sale. While the Company believes that these measures will improve its cash flow and profitability, there can be no assurances that it will be able to implement any of the above steps and, if implemented, the steps will improve the Company's cash flow and profitability sufficiently to fund its operations and satisfy its obligations as they become due. 20 21 If there are continuing operating losses, Continucare may need additional capital to fund its operations, and there can be no assurance that such additional capital can be obtained or, if obtained, that it will be on terms acceptable to Continucare. The incurring or assumption by the Company of additional indebtedness could result in the issuance of additional equity and/or debt which could have a dilutive effect on current shareholders and a significant effect on the Company's operations. Additionally, the Company has fallen below the continued listing requirements of the American Stock Exchange with respect to the requirements that the Company maintain stockholders' equity of at least $2 million and not sustain losses from continuing operations and/or net losses in two of its three most recent fiscal years. At December 31, 1999, the Company had a shareholders' deficit of approximately $32,482,000. There can be no assurance that the listing of the Company's common stock will be continued. IMPACT OF YEAR 2000 The Year 2000 Issue is the result of the computer programs being written using two digits rather than four to define the applicable year. Any computer programs that have time sensitive software may recognize a date using "00" as the year 1900 rather than the Year 2000. This could result in a system failure or miscalculations causing disruptions of operations and patient care, including, among other things, a failure of certain patient care applications and equipment, a failure of control systems, a temporary inability to process transactions, send invoices, or engage in similar normal business activities. Since January 1, 2000 the Company has experienced no disruptions in its systems or those of third parties, or other computer related problems as a result of processing dates beyond 1999. However, there can be no assurances that the Company will not experience Year 2000 related problems in the future. ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The Company has no material risk associated with interest rates, foreign currency exchange rates or commodity prices. PART II - OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS As previously discussed in the Company's quarterly report on Form 10-Q/A for the quarterly period ended September 30, 1999, on November 15, 1999, the Company commenced litigation against ZAG and its affiliated parties alleging breach of fiduciary duties, improper billing, and seeking return of all consideration previously paid by the Company to ZAG, and damages, as well as seeking rescission of the agreement and plan of merger. A counterclaim was filed against the Company on December 20, 1999 in the Circuit Court of the 11th Judicial District in and for Dade County, Florida. The counterclaim alleged breach of contract, tortious interference and conversion. In the event the Company is unsuccessful in this litigation, Continucare may be required to pay in excess of $1,600,000 of additional consideration, in the form of either cash or stock, representing the difference between $1,885,000 and the fair market value of the 575,000 unregistered shares of Continucare common stock previously issued to ZAG in connection with the agreement and plan of merger. 21 22 The case of KAMINE CREDIT CORPORATION ("KAMINE") AS ASSIGNEE OF TRI COUNTY HOME HEALTH v. CONTINUCARE CORPORATION which was previously discussed in the Company's quarterly report on Form 10-Q/A for the quarterly period ended September 30, 1999, was voluntarily dismissed without prejudice on December 3, 1999. The Company is a party to the case of WARREN GROSSMAN, M.D. ALAN REICH, M.D. and RICHARD Strain, M.D. v. CONTINUCARE PHYSICIAN PRACTICE MANAGEMENT, INC. and CONTINUCARE CORPORATION. This case was filed in May, 1999, in the Circuit Court for Broward County, Florida. The complaint alleges breach of employment contracts based on the early termination of the Plaintiffs' employment. The original complaint, as filed, sought damages in excess of $15,000; however, during discovery by the Company in connection with the case, it was determined that the Plaintiffs are seeking damages in excess of $2,500,000. On January 5, 2000, the Company filed a counterclaim alleging breach of contract in connection with the Plaintiffs' failure to return certain computer equipment, as well as a breach of the non-compete covenant. Discovery is pending. The Company believes the action has little merit and intends to vigorously defend the claim. The Company is subject to a variety of claims and suits that arise from time to time out of the ordinary course of its business, substantially all of which involve vendor-lease claims and/or claims related to the alleged malpractice of employed and contracted medical professionals. ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS On October 18, 1999, the Company issued 200,000 unregistered shares of the Company's common stock to Harter Financial, Inc. as partial consideration for its services rendered to the Company in connection with negotiating the restructuring of the Notes and as settlement with the noteholders. (See Note 6 to the Consolidated Financial Statements.) All such shares were issued pursuant to an exemption set forth under Section 4(2) of the Securities Act of 1933, as amended. ITEM 3. DEFAULTS UPON SENIOR SECURITIES At December 31, 1999, the Company was not in compliance with certain covenants of it's Credit Facility including requirements with respect to: (i) interest coverage ratio (ii) senior debt ratio, (iii) current ratio and (iv) net worth. In April 1999, the Company entered into an amendment to its Credit Facility, which provided, among other things, for repayment of the remaining outstanding principal balance by December 31, 1999. The amendment, however, did not include a waiver of non-compliance of the covenants under the Credit Facility. At December 31, 1999, the outstanding balance was approximately $135,000. The Company obtained a waiver which extended the due date for the remaining balance to February 1, 2000 and repaid the remaining outstanding balance on January 31, 2000. The Company did not make the April 30, 1999 or October 31, 1999 semi-annual payments of interest on its Notes. At December 31, 1999 the Company had $41,000,000 principal amount of the Notes outstanding and accrued interest of approximately $3,827,000. (See Note 3 to the consolidated financial statements) ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Not Applicable 22 23 ITEM 5. OTHER INFORMATION Not Applicable ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits 4.1 First Supplemental Indenture 27.1 Financial Data Schedule 99.1 Consent Letter and Agreement to the First Supplemental Indenture (b) Reports on Form 8-K None. 23 24 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Company has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. CONTINUCARE CORPORATION Dated: February 11, 2000 By: /s/ SPENCER J. ANGEL ----------------------------------------- Spencer J. Angel Chief Executive Officer and President By: /s/ JANET L. HOLT ----------------------------------------- Janet L. Holt Chief Financial Officer 24