1 FORM 10-Q SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 1997 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from ___ to ___ Commission File Number 1-10963 RX MEDICAL SERVICES CORP. - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) NEVADA 87-0436782 (State or other jurisdiction of (IRS Employer incorporation or organization) Identification No.) 888 EAST LAS OLAS BOULEVARD, SUITE 210, FORT LAUDERDALE, FLORIDA 33301 ---------------------------------------------------------------------- (Address of principal executive offices) (Zip code) (954) 462-1711 - -------------------------------------------------------------------------------- (Registrant's telephone number including area code) Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes (X) No ( ) The number of shares outstanding of the registrant's common stock, par value $.002 per share, at September 30, 1997, was 9,164,117 shares. 1 of 16 2 RX MEDICAL SERVICES CORP. FORM 10-Q Nine Months Ended September 30, 1997 INDEX PAGE NO. -------- PART I. FINANCIAL INFORMATION 3 Item 1. Financial Statements 3 Item 2. Management Discussion and Analysis of Financial Condition and Results of Operations 10 PART II. OTHER INFORMATION 14 Item 5. Other Information 14 Item 6. Exhibits and Reports on Form 8-K 14 SIGNATURES 15 2 of 16 3 Item 1. Financial Statements. Rx Medical Services Corp. Consolidated Statements of Operations (Unaudited) (Dollars in thousands except per share amounts) Three Months Ended September 30, Nine Months Ended September 30, -------------------------------- ------------------------------- 1997 1996 1997 1996 ------------ ------------- ----------- ---------- Revenues: Hospitals and medical clinics $ 4,685 $ 6,043 $ 15,218 $ 13,836 Pharmaceutical products 7 -- 346 -- -------- -------- -------- -------- 4,692 6,043 15,564 13,836 -------- -------- -------- -------- Costs and expenses: Compensation and benefits 2,725 3,285 8,604 7,601 Pharmaceutical products 6 -- 288 -- Supplies 454 701 1,438 1,533 Fees for services 757 944 2,209 2,081 Bad debts 413 860 1,320 1,898 Depreciation and amortization 40 58 118 119 Occupancy 182 504 516 1,128 Occupancy-related party 241 -- 722 -- Equipment rental and maintenance 150 269 407 502 Equipment rental-related party 46 -- 137 -- Other 619 728 1,838 1,444 -------- -------- -------- -------- 5,633 7,349 17,597 16,306 -------- -------- -------- -------- Operating loss (941) (1,306) (2,033) (2,470) Other income (expense): Interest (12) (40) (37) (142) Interest - related party (1,608) (1,175) (4,698) (2,941) Loss on investment in partnership -- -- -- (124) Gain (loss) on settlement of liabilities 43 495 (30) 518 Other income 19 21 83 94 -------- -------- -------- -------- (1,558) (699) (4,682) (2,595) -------- -------- -------- -------- Loss from continuing operations (2,499) (2,005) (6,715) (5,065) Gain from discontinued operations -- -- 80 -- -------- -------- -------- -------- Net loss $ (2,499) $ (2,005) $ (6,635) $ (5,065) ======== ======== ======== ======== Net loss per common share: Loss from continuing operations $ (0.27) $ (0.23) $ (0.73) $ (0.59) Gain from discontinued operations -- -- 0.01 -- -------- -------- -------- -------- Net loss per common share $ (0.27) $ (0.23) $ (0.72) $ (0.59) ======== ======== ======== ======== Weighted average common shares outstanding 9,164 8,539 9,164 8,539 ======== ======== ======== ======== The accompanying notes are an integral part of these financial statements. 3 of 16 4 Rx Medical Services Corp. Consolidated Balance Sheets (Dollars in thousands) September 30, December 31, 1997 1996 ------------- ------------ (Unaudited) Assets: Current assets: Cash $ 369 $ 685 Accounts receivable (less allowance for doubtful accounts of $4,173 and $3,607 at 1997 and 1996, respectively) 4,129 4,106 Inventories 467 301 Other 93 167 ------- ------- Total current assets 5,058 5,259 ------- ------- Assets held for sale -- 750 Property and equipment, at cost Land and buildings 713 -- Equipment 828 425 Furniture, fixtures and improvements 183 85 ------- ------- 1,724 510 Less: accumulated depreciation and amortization (240) (129) ------- ------- 1,484 381 Other assets (less allowance for doubtful accounts of $671 at 1997 and 1996) 60 -- ------- ------- Total assets $ 6,602 $ 6,390 ======= ======= The accompanying notes are an integral part of these financial statements. 4 of 16 5 Rx Medical Services Corp. Consolidated Balance Sheets (continued) (Dollars in thousands) September 30, December 31, 1997 1996 ------------- ------------ (Unaudited) Current liabilities: Notes payable - related party $ 37,878 $ 32,022 Accounts payable 2,200 1,753 Accrued liabilities 2,007 1,767 Accrued liabilities - related party 1,339 245 Accrued compensation, benefits and related taxes 863 851 Current portion of long-term debt 25 229 Current portion of long-term debt - related party 3,062 3,062 Current portion of capital lease obligations 41 41 -------- -------- Total current liabilities 47,415 39,970 Long-term liabilities: Long-term debt 204 592 Net liabilities of discontinued operations 100 100 Obligations under capital leases 95 124 -------- -------- Total long-term liabilities 399 816 -------- -------- Total liabilities 47,814 40,786 -------- -------- Commitments and contingencies -- -- Shareholders' deficit: Convertible preferred stock, $.001 par value, authorized shares 20,000,000, issued and outstanding 708,775 shares at 1997 and 1996; aggregate liquidation preference of $2,134 at 1997 and 1996 1 1 Convertible preferred stock, $5.00 par value, authorized shares 1,091,250, issued and outstanding 600,270 shares at 1997 and 1996; aggregate liquidation preference of $3,542 and $3,362 at 1997 and 1996, respectively 3,001 3,001 Common stock, $.002 par value, authorized 25,000,000 shares, issued and outstanding 9,164,117 shares at 1997 and 1996 18 18 Additional paid-in capital 37,293 37,473 Accumulated deficit (81,524) (74,888) Treasury stock, 605,554 and 589,450 shares of common stock, at par value, at 1997 and 1996, respectively (1) (1) -------- -------- Total shareholders' deficit (41,212) (34,396) -------- -------- Total liabilities and shareholders' deficit $ 6,602 $ 6,390 ======== ======== The accompanying notes are an integral part of these financial statements. 5 of 16 6 Rx Medical Services Corp. Consolidated Statements of Cash Flows (Unaudited) (Dollars in thousands) Nine Months Ended September 30, ------------------------------- 1997 1996 ---------- ---------- Cash flows from operating activities: Net loss $ (6,635) $ (5,065) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 111 119 Provision for bad debts 1,320 1,898 Loss on sale and disposal of property and equipment 13 38 (Gain) loss on settlement of liabilities 30 (518) Loss on investment in partnership -- 124 Changes in operating assets and liabilities, net of effects of acquisition: Increase in accounts receivable (1,067) (3,769) Increase in inventories (16) -- (Increase) decrease in other assets 8 (175) Increase in accounts payable and accrued liabilities 455 445 Increase in accrued liabilities - related party 1,094 -- Change in discontinued operations -- (1,091) -------- -------- Net cash used in operating activities (4,687) (7,994) -------- -------- Cash flows from investing activities: Acquisition of property and equipment (237) (202) Acquisition, net of cash acquired (1,166) -- Purchase of accounts receivable -- (3,131) -------- -------- Net cash used in investing activities (1,403) (3,333) -------- -------- Cash flows from financing activities: Proceeds from notes payable - related party 5,856 12,241 Proceeds from long-term debt -- 26 Payments on long-term debt and obligations under capital leases (82) (121) -------- -------- Net cash provided by financing activities 5,774 12,146 -------- -------- Net increase (decrease) in cash (316) 819 Cash - beginning of period 685 -- -------- -------- Cash - end of period $ 369 $ 819 ======== ======== (continued) 6 of 16 7 Rx Medical Services Corp. Consolidated Statements of Cash Flows (Continued) (Unaudited) (Dollars in thousands) Nine Months Ended September 30, ------------------------------- 1997 1996 ---------- ----------- The following is supplementary information relating to the consolidated statement of cash flows: Details of businesses acquired: Fair value of assets acquired $1,542 $ -- Liabilities assumed $ 376 $ -- ------ ------ Cash paid $1,166 $ -- ====== ====== Non cash investing and financing activities: Equipment purchased under capital leases $ -- $ 193 ====== ====== For the nine months ended September 30, 1997 and 1996, interest paid, including interest on obligations under capitalized leases was $3,402, and $118 respectively. No income taxes were paid during these periods. The accompanying notes are an integral part of these financial statements. 7 of 16 8 Rx MEDICAL SERVICES CORP. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) NOTE 1 - Basis of Presentation The accompanying unaudited consolidated financial statements, which are for interim periods, do not include all disclosures provided in the audited annual consolidated financial statements. These unaudited consolidated financial statements should be read in conjunction with the consolidated financial statements and the footnotes thereto, together with management's discussion and analysis of financial condition and results of operations, contained in the Annual Report on Form 10-K for the year ended December 31, 1996 of Rx Medical Services Corp. (the "Company"), as filed with the Securities and Exchange Commission. The December 31, 1996 balance sheet was derived from audited consolidated financial statements, but does not include all disclosures required by generally accepted accounting principles. The Company began operating its hospital management division in 1995 and revenues include the results of operations from August 1, 1995. In 1996, the Company began operating two additional hospitals - the Dickenson County Medical Center located in Clintwood, Virginia ("DCMC") and the Whitwell Medical Center located in Whitwell, Tennessee ("WMC"). Revenues include the results of operations of DCMC from April 1, 1996 and WMC from April 1, 1996 to October 31, 1996. In 1997, the Company began operating the Podiatry Hospital of Pittsburgh ("PHP") located in Pittsburgh, Pennsylvania, and revenues include the results of operations from that facility from January 1, 1997. For the year ended December 31, 1996, the medical diagnostic services business segment has been reflected as discontinued operations in accordance with Accounting Principles Board Opinion No. 30 which provides for the reporting of operating results of discontinued operations separately from the continuing operations. The Company has experienced significant losses in each of the past three years, had a working capital deficit of $42.4 million at September 30, 1997, is in default with respect to certain indebtedness and there are uncertainties regarding the Company's compliance with federal and state self-referral regulations while operating its medical diagnostic services business segment. However, the accompanying financial statements have been prepared on the basis that the Company will continue as a going concern because management believes it has an attainable plan to overcome these matters and provide sufficient capital to operate for the coming year. The Company's ability to continue as a going concern is also dependent on the settlement of various lawsuits and the continued funding of its operations from its primary lender, National Century Financial Enterprises, Inc. (the "Financing Source") or an alternative source, without which funding the Company's ability to continue as a going concern would be adversely impacted. While the Company has not yet reached operational profitability, the Company has several plans in progress to improve profitability, as well as cash flow, including the continued development of its hospital management and pharmaceutical products distribution businesses, while also seeking the acquisition of ancillary related businesses. This expansion will focus on increased revenues, market share and positive cash flow. Also, expense reductions are expected to be achieved through the continuing implementation of aggressive cost cutting and reorganization strategies. 8 of 16 9 Rx MEDICAL SERVICES CORP. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) In the opinion of management, the accompanying unaudited consolidated financial statements contain all adjustments (which are of a normal recurring nature) necessary for a fair presentation of the financial position and results of operations. The results of operations for the interim periods are not necessarily indicative of the results to be expected for the full year. NOTE 2 - Earnings Per Share Net loss per common share was computed by dividing net loss by the weighted average number of shares outstanding. Common share equivalents resulting from options and warrants have not been included since their effect would be antidilutive. NOTE 3 - Notes Payable - Related Party At September 30, 1997, notes payable included approximately $37.9 million due to the Financing Source, through which the Company has obtained financing collateralized by certain accounts receivable. 9 of 16 10 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS. RESULTS OF OPERATIONS THREE MONTHS: Revenues from hospitals and medical clinics for the three months ended September 30, 1997 were $4.7 million compared to $6.0 million for the three months ended September 30, 1996. The decrease in revenues from hospitals and medical clinics is primarily the result of (a) an increase in patient services provided at DCMC which resulted in an increase of revenues of approximately $0.2 million; (b) the Company ceased operating WMC on October 31, 1996, therefore no revenues were generated during the three months ended September 30, 1997, which resulted in a decrease of approximately $1.9 million; (c) the acquisition of PHP effective January 1, 1997 which generated revenues of approximately $0.6 million for the three months ended September 30, 1997; and (d) a cumulative decrease at other Company hospital and medical clinics of approximately $0.2 million. The pharmaceutical products distribution division generated nominal revenues during the three months ended September 30, 1997 due to litigation commenced as a result of a dispute between the Company and its joint venture partner. Notwithstanding this litigation the pharmaceutical products distribution division is moving forward and anticipates generating revenues in the first quarter of 1998. The Company began this division in 1996 but it did not generate revenues until the fourth quarter of 1996 and thus the reason why no revenues are reflected for the three months ended September 30, 1996. Costs and expenses decreased 24% to $5.6 million for the three months ended September 30, 1997 from $7.3 million for the three months ended September 30, 1996. Of these 1997 expenses, hospital management operations accounted for $5.2 million, pharmaceutical distribution accounted for $0.1 million, and the corporate expenses of the Company were $0.3 million. The decrease in costs and expenses is primarily the result of (a) an increase in patient services provided at DCMC resulting in an increase of costs and expenses of approximately $0.3 million; (b) the Company ceased operating WMC on October 31, 1996, therefore no costs and expenses were incurred during the three months ended September 30, 1997, which resulted in a decrease of approximately $2.2 million; (c) the acquisition of PHP effective January 1, 1997 which generated costs and expenses of approximately $1.0 million for the three months ended September 30, 1997; (d) costs and expenses associated with the pharmaceutical products distribution division, which first incurred costs in the fourth quarter of 1996, of approximately $0.1 million; and (e) a cumulative decrease at other Company hospital and medical clinics and the Company's corporate headquarters of approximately $0.9 million. 10 of 16 11 Interest expense increased 33% to $1.6 million for the three months ended September 30, 1997 from $1.2 million for the three months ended September 30, 1996. This increase is due to a higher level of borrowings from the Financing Source. (see "Financial Condition, Liquidity, and Capital Resources" below). NINE MONTHS: Revenues from hospitals and medical clinics for the nine months ended September 30, 1997 were $15.2 million compared to $13.8 million for the nine months ended September 30, 1996. The increase in revenues from hospitals and medical clinics is primarily the result of (a) the nine months ended September 30, 1997 includes nine months of operations from DCMC while the nine months ended September 30, 1996 only includes six months of operations from DCMC resulting in an increase of revenues of approximately $4.9 million; (b) the Company ceased operating WMC on October 31, 1996, therefore no revenues were generated during the nine months ended September 30, 1997, which resulted in a decrease of approximately $4.2 million; (c) the acquisition of PHP on January 1, 1997 which generated revenues of approximately $1.7 million for the nine months ended September 30, 1997; and (d) a cumulative decrease at other Company hospital and medical clinics of approximately $1.0 million. Revenues from the pharmaceutical products distribution division for the nine months ended September 30, 1997 were $0.3 million. The Company began this division in 1996 but it did not generate revenues until the fourth quarter of 1996 and thus the reason why no revenues are reflected for the nine months ended September 30, 1996. Costs and expenses increased 8% to $17.6 million for the nine months ended September 30, 1997 from $16.3 million for the nine months ended September 30, 1996. Of these 1997 expenses, hospital management operations accounted for $16.0 million, pharmaceutical distribution accounted for $0.6 million, and the corporate expenses of the Company were $1.0 million. The increase in costs and expenses is primarily the result of (a) the nine months ended September 30, 1997 includes nine months of operations from DCMC while the nine months ended September 30, 1996 only includes six months of operations from DCMC which resulted in an increase of costs and expenses of approximately $4.8 million; (b) the Company ceased operating WMC on October 31, 1996, therefore no costs and expense were incurred during the nine months ended September 30, 1997, which resulted in a decrease of approximately $4.4 million; (c) the acquisition of PHP on January 1, 1997 which generated costs and expenses of approximately $2.9 million for the nine months ended September 30, 1997; (d) costs and expenses associated with the pharmaceutical products distribution division, which first incurred costs in the fourth quarter of 1996, of approximately $0.6 million; and (e) a cumulative decrease at other Company hospital and medical clinics and the Company's corporate headquarters of approximately $2.6 million. 11 of 16 12 Interest expense increased 52% to $4.7 million for the nine months ended September 30, 1997 from $3.1 million for the nine months ended September 30, 1996. This increase is due primarily to a higher level of borrowings from the Financing Source (see "Financial Condition, Liquidity, and Capital Resources" below). No provision for income taxes has been provided on the gain from discontinued operations since existing net operating loss carryforwards from continuing operations may be substantially limited. FINANCIAL CONDITION, LIQUIDITY, AND CAPITAL RESOURCES During the nine months ended September 30, 1997, the Company's working capital deficit increased by approximately $7.6 million to $42.4 million. This increase in the working capital deficit was primarily due to a $5.9 million increase in the level of funding from the Financing Source as well as operating losses. In addition, the Company is a defendant in various lawsuits. Through September 30, 1997, the Company's ability to continue as a going concern is dependent on successful resolution of the lawsuits and the continued funding of its operations by the Financing Source. Without this funding, the Company's ability to operate its business would be adversely impacted. As a result of the elimination by the Company of a portion of its unprofitable operations, the continued dependence on the Financing Source has been lessened. However, until the Company's revenues increase so as to exceed the Company's operating expenses, the Company will continue to utilize funding from the Financing Source, or other alternative sources of funding, to the extent available. To the extent fundings from the Financing Source are insufficient to pay the Company's operating expenses, the Company will require alternative sources of funding. There can be no assurance that any alternative sources of financing will be available to the Company at such point in time, or if obtainable, on terms that are commercially feasible. The Company's continuing operations (i.e. hospital management ("CHC") and pharmaceutical products distribution ("BHC")) are presently being funded through financing agreements with the Financing Source and the Company's various operating facilities. Agreements to finance eligible accounts receivable exist with Smith County Hospital, DCMC, PHP, and the retail pharmacy used by BHC in Florida to facilitate the delivery of biological products to patients. At September 30, 1997, approximately $16.9 million had been funded (net) by the Financing Source and its related affiliates under these current agreements. Of this amount, approximately $3.5 million had been funded under agreement with WMC, which the Company ceased operating on October 31, 1996. While the Company has not yet reached profitability operationally, it has several plans of action in progress designed to improve profitability as well as cash flow. The Company has divested a portion of its loss operations and will continue to pursue additional sources of revenues by expanding its hospital operations and other specialty medical services. 12 of 16 13 GOING CONCERN The reports of the independent auditors of the Company on its 1996, 1995 and 1994 consolidated financial statements express substantial doubt about the Company's ability to continue as a going concern. Factors contributing to this substantial doubt include recurring operating losses, a working capital deficiency and delinquencies, defaults on its accounts payable and other outstanding liabilities, litigation, as well as to the uncertainty of the Company's compliance with certain Medicare and state statutes and regulations. As of January 1, 1995, the Company's subsidiary that operated the medical diagnostic services business segment ("Manatee") was unable to comply with certain provisions of the OBRA 1993 amendments to the Stark Act, as well as, certain similar state statutes. Although the Company has not been the subject of, and is not currently the subject of, any administrative proceedings concerning violations of federal or state self-referral statutes or regulations, in the event that the Company is found to have violated such statutes and regulations, it could be subject to cumulative fines and penalties and could also be required to make refunds, which may aggregate up to approximately $50.0 million. The Company believes, however, that due to the filing of the Chapter 7 bankruptcy petition for Manatee in April 1996, the likelihood of such enforcement actions occurring is remote. As mentioned in the Financial Condition section, the Company is dependent on the continued funding currently being received from the Financing Source to continue operations. The discontinuance of such funding, and the unavailability of financing to replace such funding, could result in the Company ceasing its operations. 13 of 16 14 PART II. OTHER INFORMATION ITEM 5. OTHER INFORMATION. The registrant held its 1997 annual meeting of stockholders on November 20, 1997 in Columbus, Ohio. At the annual meeting, the following directors were elected to hold office until the next annual meeting of stockholders or until their respective successors are elected and qualify: Michael L. Goldberg, Phillip E. Pearce, Michael J. Pickering, M.D. and Randolph H. Speer. Lance K. Poulsen, a nominee to be a director of registrant, withdrew his nomination prior to the annual meeting for personal reasons. No terms of existing directors continued after the annual meeting of stockholders. The number of votes cast for, or withheld, with respect to each nominee, was as follows: FOR WITHHELD --- -------- Michael L. Goldberg 6,518,522 64,258 Phillip E. Pearce 6,534,628 48,152 Michael J. Pickering, M.D. 6,534,628 48,152 Randolph H. Speer 6,529,003 53,777 No other matter was submitted to a vote of stockholders. ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K. SEQUENTIALLY NUMBERED PAGE ------------- a) Exhibit 11: Computation of primary earnings per share. 16 b) Reports on Forms 8-K were filed as follows: None 14 of 16 15 SIGNATURES Pursuant to the requirements 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. Rx MEDICAL SERVICES CORP. By: /s/ Randolph H. Speer --------------------------- Randolph H. Speer President and Principal Accounting Officer Date: January 5, 1998 15 of 16