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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
[X] QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 1998.
[ ] 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: 0-19786
PHYCOR, INC.
----------------------------------------------------
(Exact Name of Registrant as Specified in Its Charter)
TENNESSEE 62-1344801
------------------------------ ----------------
(State or Other Jurisdiction of (I.R.S. Employer
Incorporation or Organization) Identification No.)
30 BURTON HILLS BLVD., SUITE 400
NASHVILLE, TENNESSEE 37215
------------------------------ --------
(Address of Principal Executive (Zip Code)
Offices)
Registrant's Telephone Number, Including Area Code: (615) 665-9066
--------------
NOT APPLICABLE
--------------------------------------------------
(Former Name, Former Address and Former Fiscal Year,
if Changed Since Last Report)
Indicate by check mark whether the registrant: (1) has filed all
reports required to be filed by Section 13 or 15 (d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. YES X NO
----- -----
As of May 12, 1998, 66,862,437 shares of the Registrant's Common Stock
were outstanding.
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PHYCOR, INC. AND SUBSIDIARIES
Consolidated Balance Sheets
March 31, 1998 (unaudited) and December 31, 1997
(All dollar amounts are expressed in thousands)
ASSETS 1998 1997
------ ----- -----
(Unaudited)
Current assets:
Cash and cash equivalents $ 43,820 38,160
Accounts receivable, net 424,384 391,668
Inventories 18,629 18,578
Prepaid expenses and other assets 50,827 48,158
---------- ---------
Total current assets 537,660 496,564
Property and equipment, net 248,355 235,685
Intangible assets, net 863,606 807,726
Other assets 17,597 22,801
---------- ---------
Total assets $1,667,218 1,562,776
========== =========
LIABILITIES AND SHAREHOLDERS' EQUITY
------------------------------------
Current liabilities:
Current installments of long-term debt $ 1,194 1,144
Current installments of obligations under capital leases 3,495 3,564
Accounts payable 36,637 34,622
Due to physician groups 56,816 50,676
Purchase price payable 126,533 114,971
Salaries and benefits payable 40,150 37,141
Other accrued expenses and liabilities 73,011 51,145
---------- ---------
Total current liabilities 337,836 293,263
Long-term debt, excluding current installments 248,818 210,893
Obligations under capital leases, excluding current installments 4,718 5,093
Purchase price payable 28,748 23,545
Deferred tax credits and other liabilities 55,914 57,918
Convertible subordinated notes payable to physician groups 54,173 61,576
Convertible subordinated debentures 200,000 200,000
---------- ---------
Total liabilities 930,207 852,288
---------- ---------
Shareholders' equity :
Preferred stock, no par value; 10,000,000 shares authorized -- --
Common stock, no par value; 250,000,000 shares authorized; issued and
outstanding, 66,316,000 shares in 1998 and 63,273,000 shares
in 1997 679,309 645,288
Retained earnings 57,702 65,200
---------- ---------
Total shareholders' equity 737,011 710,488
---------- ---------
Total liabilities and shareholders' equity $1,667,218 1,562,776
========== =========
See accompanying notes to consolidated financial statements.
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PHYCOR, INC. AND SUBSIDIARIES
Consolidated Statements of Operations
Three months ended March 31, 1998 and 1997
(All amounts are expressed in thousands, except for earnings per share)
(Unaudited)
THREE MONTHS ENDED
MARCH 31,
--------------------
1998 1997
---- ----
Net revenue $ 322,695 250,652
Operating expenses:
Clinic salaries, wages and benefits 120,711 94,864
Clinic supplies 53,106 39,264
Purchased medical services 9,236 7,028
Other clinic expenses 48,902 39,023
General corporate expenses 7,456 6,487
Rents and lease expense 30,063 22,243
Depreciation and amortization 18,175 13,722
Provision for clinic restructuring and merger expenses 36,196 --
--------- --------
Net operating expenses 323,845 222,631
--------- --------
Earnings (loss) from operations (1,150) 28,021
Interest income (745) (1,053)
Interest expense 7,522 6,159
--------- --------
Earnings (loss) before income taxes and minority interest (7,927) 22,915
Income tax (benefit) expense (3,255) 7,704
Minority interest in earnings of consolidated partnerships 2,826 2,904
--------- --------
Net earnings (loss) $ (7,498) 12,307
========= ========
Earnings (loss) per share:
Basic $ (.12) .21
Diluted (.12) .19
========= ========
Weighted average number of shares and dilutive share
equivalents outstanding:
Basic 64,928 58,396
Diluted 64,928 63,549
========= ========
See accompanying notes to consolidated financial statements.
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PHYCOR, INC. AND SUBSIDIARIES
Consolidated Statements of Cash Flows
Three months ended March 31, 1998 and 1997
(All dollar amounts are expressed in thousands)
(Unaudited)
THREE MONTHS ENDED
MARCH 31,
-------------------
1998 1997
---- ----
Cash flows from operating activities:
Net earnings (loss) $ (7,498) 12,307
Adjustments to reconcile net earnings (loss) to net cash provided
by operating activities:
Depreciation and amortization 18,175 13,722
Minority interests 2,826 2,904
Provision for clinic restructuring and merger expenses 36,196 --
Increase (decrease) in cash, net of effects of acquisitions, due to changes in:
Accounts receivable (21,131) (15,416)
Inventories 282 118
Prepaid expenses and other assets (3,080) 3,325
Accounts payable (625) (5,485)
Due to physician groups 7,316 7,686
Other accrued expenses and liabilities 4,108 (1,275)
-------- --------
Net cash provided by operating activities 36,569 17,886
-------- --------
Cash flows from investing activities:
Payments for acquisitions, net (34,539) (150,959)
Purchase of property and equipment (20,155) (17,922)
Payments to acquire other assets (10,312) (1,798)
-------- --------
Net cash used by investing activities (65,006) (170,679)
-------- --------
Cash flows from financing activities:
Net proceeds from issuance of stock 6,963 212,565
Proceeds from long-term borrowings 36,000 155,000
Repayment of long-term borrowings (6,920) (210,098)
Repayment of obligations under capital leases (767) (1,972)
Distributions of minority interests (1,179) (676)
-------- --------
Net cash provided by financing activities 34,097 154,819
-------- --------
Net increase in cash and cash equivalents 5,660 2,026
Cash and cash equivalents - beginning of period 38,160 30,530
-------- --------
Cash and cash equivalents - end of period $ 43,820 32,556
======== ========
See accompanying notes to consolidated financial statements.
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PHYCOR, INC. AND SUBSIDIARIES
Consolidated Statements of Cash Flows, Continued
Three months ended March 31, 1998 and 1997
(All dollar amounts are expressed in thousands)
(Unaudited)
THREE MONTHS ENDED
MARCH 31,
-------------------
1998 1997
---- ----
SUPPLEMENTAL SCHEDULE OF INVESTING ACTIVITIES:
Effects of acquisitions:
Assets acquired, net of cash $ 85,581 257,568
Liabilities assumed, net of deferred purchase price payments (25,518) (89,759)
Issuance of convertible subordinated notes payable (1,317) (8,672)
Issuance of common stock (21,457) (8,178)
Cash received from disposition of clinic assets (2,750) --
-------- --------
Payments for acquisitions $ 34,539 150,959
======== ========
SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES:
Capital lease obligations incurred to acquire
equipment $ 180 172
======== ========
Conversion of subordinated notes payable
to common stock $ 2,000 7,670
======== ========
See accompanying notes to consolidated financial statements.
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PHYCOR, INC. AND SUBSIDIARIES
Notes to Unaudited Consolidated Financial Statements
Three months ended March 31, 1998 and 1997
(1) BASIS OF PRESENTATION
---------------------
The accompanying unaudited consolidated financial statements have been
prepared in accordance with generally accepted accounting principles for
interim financial reporting and in accordance with Rule 10-01 of
Regulation S-X.
In the opinion of management, the unaudited interim consolidated
financial statements contained in this report reflect all adjustments,
consisting of only normal recurring accruals, which are necessary for a
fair presentation of the financial position, and the results of
operations for the interim periods presented. The results of operations
for any interim period are not necessarily indicative of results for the
full year.
These consolidated financial statements, footnote disclosures and other
information should be read in conjunction with the consolidated financial
statements and the notes thereto included in the Company's Annual Report
on Form 10-K, as amended by the Annual Report on Form 10-K/A, for the
year ended December 31, 1997.
(2) ACQUISITIONS
------------
(A) MULTI-SPECIALTY MEDICAL CLINICS
-------------------------------
Through March 31, 1998 and during 1997, the Company, through
wholly-owned subsidiaries, acquired certain operating assets of the
following clinics:
CLINIC EFFECTIVE DATE LOCATION
----- -------------- --------
1998:
Grove Hill Medical Center March 1, 1998 New Britain, Connecticut
1997:
Vancouver Clinic January 1, 1997 Vancouver, Washington
First Physicians Medical Group February 1, 1997 Palm Springs, California
St. Petersburg-Suncoast Medical Group February 28, 1997 St. Petersburg, Florida
Greater Chesapeake Medical Group May 1, 1997 Annapolis, Maryland
Welborn Clinic June 1, 1997 Evansville, Indiana
White-Wilson Medical Center July 1, 1997 Ft. Walton Beach, Florida
Maui Medical Group September 1, 1997 Maui, Hawaii
Murfreesboro Medical Clinic October 1, 1997 Murfreesboro, Tennessee
West Florida Medical Center Clinic October 1, 1997 Pensacola, Florida
Northern California Medical Association December 1, 1997 Santa Rosa, California
Lakeview Medical Center (A) December 1, 1997 Suffolk, Virginia
(A) Lakeview Medical Center was operated under a management agreement
during December 1997. Effective January 1, 1998, the Company
completed the purchase of certain clinic operating assets and entered
into a long-term service agreement with the affiliated physician
group.
(Continued)
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PHYCOR, INC. AND SUBSIDIARIES
Notes to Unaudited Consolidated Financial Statements
The acquisitions were accounted for as purchases, and the
accompanying consolidated financial statements include the results
of operations from the dates of the respective acquisitions.
Simultaneous with each acquisition, the Company entered into a
long-term service agreement with the related clinic physician
group. The service agreements are 40 years in length. In
conjunction with certain acquisitions, the Company is obligated to
make deferred payments to physician groups.
(B) NORTH AMERICAN MEDICAL MANAGEMENT, INC. (NORTH AMERICAN)
-------------------------------------------------------
Effective January 1, 1995, the Company completed its merger with
North American, an operator and manager of independent practice
associations (IPAs). The Company made additional payments for the
North American acquisition pursuant to an earn-out formula during
1996 and 1997 totaling $35.0 million. A final payment of $35.0
million was made in April 1998, of which $13.0 million was paid in
shares of the Company's common stock.
(C) PHYCOR MANAGEMENT CORPORATION (PMC)
----------------------------------
In June 1995, the Company purchased a minority interest of
approximately 9% in PMC and has managed PMC pursuant to a 10-year
administrative services agreement. PMC develops and manages IPAs
and provides other services to physician organizations. PhyCor
acquired the remaining interest of PMC on March 31, 1998 for an
aggregate purchase price of approximately $21.0 million paid in
shares of the Company's common stock.
(3) NET REVENUE
-----------
Clinic service agreement revenue is equal to the net revenue of the
clinics, less amounts retained by physician groups. Net clinic revenue is
recorded by the physician groups at established rates reduced by
provisions for doubtful accounts and contractual adjustments. Contractual
adjustments arise due to the terms of certain reimbursement and managed
care contracts. Such adjustments represent the difference between charges
at established rates and estimated recoverable amounts and are recognized
in the period the services are rendered. Any differences between
estimated contractual adjustments and actual final settlements under
reimbursement contracts are recognized as contractual adjustments in the
year final settlements are determined. The physician groups, rather than
the Company, enter into the managed care contracts. Through calculation
of its service fees, the Company shares indirectly in any capitation risk
assumed by its affiliated physician groups.
IPA management revenue is equal to the difference between the amount of
capitation and risk pool payments payable to the IPAs managed by the
Company less amounts retained by the IPA. The Company is not a party to
the capitated contracts entered into by the IPAs, but it is exposed to
losses to the extent of its share of deficits, if any, of the capitated
revenue of the IPAs.
(Continued)
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PHYCOR, INC. AND SUBSIDIARIES
Notes to Unaudited Consolidated Financial Statements
The following represent amounts included in the determination of net
revenue (in thousands):
THREE MONTHS ENDED
MARCH 31,
---------------------
1998 1997
---- ----
Gross physician group revenues $841,519 643,157
Less:
Provisions for doubtful accounts and contractual adjustments 339,289 242,833
-------- -------
Net physician group revenue 502,230 400,324
IPA revenue 120,983 86,990
-------- -------
Net physician group and IPA revenue 623,213 487,314
Less amounts retained by physician groups and IPAs:
Physician group 176,033 147,775
Clinic technical employee compensation 23,228 17,295
IPAs 101,257 71,592
-------- -------
Net revenue $322,695 250,652
======== =======
(4) CAPITALIZATION
--------------
In the first quarter of 1997, the Company completed a public offering of
7,295,000 shares of its common stock at a price of $30.00 per share. Net
proceeds from the offering of approximately $210.5 million were used to
repay bank debt and accrued interest.
(5) ASSETS TO BE DISPOSED OF AND RESTRUCTURED
-----------------------------------------
In the fourth quarter of 1997, the Company determined to dispose of
certain clinic operations because of a variety of negative operating and
market issues. The Company completed the disposal of one clinic in the
first quarter of 1998, a second clinic in April 1998 and expects to
complete the disposal of the third clinic by the end of 1998. Losses on
the two clinics divested approximated the amounts accrued. Clinic net
assets to be disposed of include current assets, property and equipment,
intangibles and other assets totaling $1,807,000 and $3,237,000 at March
31, 1998 and December 31, 1997, respectively, and have been included in
prepaid expenses and other current assets. Net losses from the clinics to
be disposed of totaled $152,000 and $666,000 in the first quarter of 1998
and in 1997, respectively.
In addition, restructuring charges totaling $22.0 million were recorded
in the first quarter of 1998 with respect to seven of the Company's
clinics that are being sold or restructured and included facility and
lease termination costs, severance and other exit costs in the amount of
$15,316,000, $4,611,000 and $2,073,000, respectively.
(Continued)
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The Company is closing, consolidating or subleasing various leased
facilities associated with the related physician groups and expects to
complete such closings or subleases in 1998. During the first quarter of
1998, the Company paid approximately $1.5 million in costs associated
with the above activities.
(6) MERGER EXPENSES
---------------
The Company recorded a pre-tax charge to earnings of approximately $14.2
million in the first quarter of 1998 relating to the termination of its
merger agreement with MedPartners, Inc. This charge represents PhyCor's
share of investment banking, legal, travel, accounting and other expenses
incurred during the merger process.
(7) NEW ACCOUNTING PRONOUNCEMENT
----------------------------
Effective January 1, 1998, the Company adopted Statement of Financial
Accounting Standards No. 130 "Reporting Comprehensive Income".
Comprehensive income generally includes all changes in equity during a
period except those resulting from investments by shareholders and
distributions to shareholders. Net income (loss) and comprehensive income
(loss) were the same for the first quarter of 1998 and 1997.
(8) SUBSEQUENT EVENT
----------------
Effective April 1, 1998, the Company changed its policy with respect to
amortization of intangible assets. All existing and future intangible
assets will be amortized over a period not to exceed 25 years from the
inception of the respective intangible assets. Had the Company adopted
this policy at the beginning of 1997, amortization expense would have
increased and diluted earnings per share would have decreased by
approximately $2.8 million and $0.03, respectively. On the same basis,
for the first quarter of 1998, amortization expense would have increased
by approximately $3.3 million resulting in a decrease in diluted earnings
per share of $0.03.
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Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS
OVERVIEW
PhyCor is a physician practice management company that acquires and
operates multi-specialty medical clinics and develops and manages independent
practice associations ("IPAs"). Including the pending transactions discussed
below, the Company currently operates 60 clinics with approximately 4,130
physicians in 29 states and manages IPAs with over 21,900 physicians in 35
markets. The Company's affiliated physicians provide medical services under
capitated contracts to approximately 1,233,000 patients, including approximately
184,000 Medicare-eligible patients.
The Company's strategy is to position its affiliated multi-specialty
medical clinics and IPAs to be the physician component of organized health care
systems. PhyCor believes physician organizations create the value in these
networks because physician decisions determine the cost and quality of health
care.
A substantial majority of the Company's revenue in the first quarter of
1998 and 1997 was earned under service agreements with multi-specialty medical
clinics. Revenue earned under substantially all of the service agreements is
equal to the net revenue of the clinics, less amounts retained by physician
groups. The service agreements contain financial incentives for the Company to
assist the physician groups in increasing clinic revenues and controlling
expenses.
To increase clinic revenue, the Company works with the affiliated
physician groups to recruit additional physicians, merge other physicians
practicing in the area into the affiliated physician groups, negotiate contracts
with managed care organizations and provide additional ancillary services. To
reduce or control expenses, among other things, PhyCor utilizes national
purchasing contracts for key items, reviews staffing levels to make sure they
are appropriate and assists the physicians in developing more cost-effective
clinical practice patterns.
The Company has increased its focus on the development of IPAs to
enable the Company to provide services to a broader range of physician
organizations, to enhance the operating performance of existing clinics and to
further develop physician relationships. The Company develops IPAs that include
affiliated clinic physicians to enhance the clinics' attractiveness as providers
to managed care organizations.
During the first quarter of 1998, PhyCor affiliated with one
multi-specialty clinic and numerous smaller medical practices and completed its
purchase of certain operating assets of Lakeview Medical Center located in
Suffolk, Virginia, which was operated under a management agreement during
December 1997, adding a total of $62.3 million in assets. The principal assets
acquired were accounts receivable, property and equipment and service agreement
rights, an intangible asset. The consideration for the acquisitions consisted of
approximately 60% cash, 38% liabilities assumed and 2% convertible notes. The
cash portion of the purchase price was funded by a combination of operating cash
flow and borrowings under the Company's bank
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credit facility. Property and equipment acquired consists mostly of clinic
operating equipment.
In December 1997, the Company announced that it had signed two separate
agreements to purchase Atlanta-based First Physician Care, Inc. ("FPC"), a
provider of practice management services, and Seattle-based CareWise, Inc.
("CareWise"), a nationally recognized leader in the consumer decision support
industry. Both transactions, which are expected to be accounted for as
poolings-of-interests, are currently expected to close in July of 1998. The
Company expects to issue approximately 5.9 million shares of Common Stock in
conjunction with these transactions.
On May 11, 1998, the Company announced that it had entered into an
interim management agreement and letter of intent to acquire certain assets and
enter into a long-term service agreement with Watson Clinic, a 167-physician
multi-specialty group based in Lakeland, Florida.
The Company has historically amortized the goodwill and other
intangible assets related to its service agreements over the periods during
which the agreements are effective, ranging from 25 to 40 years. Effective April
1, 1998, the Company adopted a maximum of 25 years as the useful life for
amortization of its intangible assets, including those acquired in prior years.
Had this policy been in place for 1997, amortization expense would have
increased by approximately $2.8 million in the first quarter of 1997 and $11.2
million for the full year. Applying the Company's historical tax rate, diluted
earnings per share would have been reduced by $0.03 in the first quarter of 1997
and $0.10 for the full year of 1997. On the same basis, for the first quarter of
1998, amortization expense would have increased by $3.3 million resulting in a
decrease in diluted earnings per share of $0.03.
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RESULTS OF OPERATIONS
The following table shows the percentage of net revenue represented by
various expense and other income items reflected in the Company's Consolidated
Statements of Operations.
THREE MONTHS
ENDED MARCH 31,
1998 1997
------ ------
Net revenue................................. 100.0% 100.0%
Operating expenses
Clinic salaries, wages and benefits...... 37.4 37.8
Clinic supplies.......................... 16.5 15.6
Purchased medical services............... 2.9 2.8
Other clinic expenses.................... 15.1 15.6
General corporate expenses............... 2.3 2.6
Rents and lease expense.................. 9.3 8.9
Depreciation and amortization............ 5.6 5.5
Provision for clinic restructuring
and merger expenses................... 11.2 --
------ ------
Operating expenses.......................... 100.3 (A) 88.8
------ ------
Earnings (loss) from operations....... (0.3)(A) 11.2
Interest income............................. (0.2) (0.4)
Interest expense............................ 2.3 2.4
------ ------
Earnings (loss) before income taxes
and minority interest................ (2.4)(A) 9.2
Income tax (benefit) expense................ (1.0)(A) 3.1
Minority interest........................... 0.9 1.2
------ ------
Net earnings (loss)................... (2.3)%(A) 4.9%
====== ======
(A) Excluding the effect of the provision for clinic restructuring and merger
expenses in 1998, operating expenses, earnings from operations, earnings before
income taxes and minority interest, income tax expense and net earnings, as a
percent of net revenue, would have been 89.1%, 10.9%, 8.8%, 3.2% and 4.6%,
respectively.
1998 Compared to 1997
Net revenue increased $72.0 million from $250.7 million for the first
quarter of 1997 to $322.7 million for the first quarter of 1998, or 28.7%. The
increase in clinic net revenue was $67.9 million including $47.6 million in
service fees resulting from newly acquired clinics in 1998 or the timing of
entering into new service agreements in 1997 and was comprised of (i) a $59.0
million increase in service fees for reimbursement of clinic expenses incurred
by the Company and (ii) a $8.9 million increase in the Company's share of clinic
operating income and net physician group revenue. Net revenue from the 39
service agreements and 27 IPA markets (excluding clinics restructured or sold
during the quarter) in effect for both quarters, increased by $23.7 million, or
10.8%, for the quarter compared with the same period in 1997. Same market growth
resulted from the addition of new physicians, the expansion of ancillary
services, and increases in patient volume and fees.
During the first quarter of 1998, most categories of operating expenses
were relatively stable as a percentage of net revenue when compared to the same
period in 1997, despite the
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large increase in the dollar amounts resulting from acquisitions and clinic
growth. The decrease in clinic salaries, wages and benefits and other clinic
expenses as a percentage of net revenue resulted from the acquisition of clinics
with lower levels of these expenses compared to the existing base of clinics.
The increase in clinic supplies and rents and lease expense as a percentage of
net revenue resulted from the acquisition of clinics with higher levels of these
expenses compared to the existing base of clinics. The addition of pharmacies at
certain existing clinics and new clinics which operate pharmacies also resulted
in increased clinic supplies expense as a percentage of net revenue. While
general corporate expenses decreased as a percentage of net revenue, the dollar
amount of general corporate expenses increased as a result of the addition of
corporate personnel to accommodate increased acquisition activity and to respond
to increasing physician group needs for support in managed care negotiations,
information systems implementation and clinical outcomes management programs.
The provision for clinic restructuring of $22.0 million in the first
quarter of 1998 relates to seven of the Company's clinics that are being
restructured or sold and includes facility and lease termination costs,
severance and other exit costs. In the fourth quarter of 1997, the Company
recorded a non-recurring charge of $83.4 million related to asset revaluation at
these same clinics. The charges address issues which developed in four of the
Company's multi-specialty clinics which represent the Company's earliest
developments of such clinics through the formation of new groups. Three other
clinics included in the 1997 charge represent clinics disposed of or to be
disposed of during 1998 because of a variety of negative operating and market
issues. For additional discussion, see "Liquidity and Capital Resources".
The Company also recorded a pre-tax charge to earnings of approximately
$14.2 million in the first quarter of 1998 relating to the termination of its
merger agreement with MedPartners, Inc. This charge represents PhyCor's share of
investment banking, legal, travel, accounting and other expenses incurred during
the merger process.
The Company expects an effective tax rate of approximately 37.0% in
1998 before the tax benefit of the provision for clinic restructuring and merger
expenses discussed above as compared to a rate of 38.5% in 1997.
LIQUIDITY AND CAPITAL RESOURCES
At March 31, 1998, the Company had $199.8 million in working capital,
compared to $203.3 million as of December 31, 1997. Also, the Company generated
$36.6 million of cash flow from operations for the first quarter of 1998
compared to $17.9 million for the first quarter of 1997. At March 31, 1998, net
accounts receivable of $424.4 million amounted to 71 days of net clinic revenue
compared to $391.7 million and 72 days at the end of 1997.
In the first quarter of 1998, $2.0 million of convertible subordinated
notes issued in
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connection with physician group asset acquisitions were converted into Common
Stock. These conversions, option exercises and other issuances of Common Stock
less the net loss for the first quarter of 1998 resulted in an increase of $26.5
million in shareholders' equity compared to December 31, 1997.
Capital expenditures during the first quarter of 1998 totaled $20.2
million. The Company is responsible for capital expenditures at its affiliated
clinics under the terms of its service agreements. The Company expects to make
approximately $54.0 million in capital expenditures during the remainder of
1998.
In June 1995, the Company purchased a minority interest of
approximately 9% in PhyCor Management Corporation ("PMC") and has managed PMC
pursuant to a 10-year administrative services agreement. PMC develops and
manages IPAs and provides other services to physician organizations. PhyCor
acquired the remaining interests of PMC on March 31, 1998 for approximately
956,300 shares of the Company's Common Stock.
Effective January 1, 1995, the Company completed its acquisition of
North American Medical Management, Inc. ("North American"). The Company paid
$20.0 million at closing and has made additional payments pursuant to an
earn-out formula during 1996 and 1997 totaling $35.0 million. A final payment of
$35.0 million was made pursuant to the earnout formula in April 1998. Of the
final payment, $13.0 million was made in shares of the Company's Common Stock.
In addition, deferred acquisition payments are payable to physician
groups in the event such physician groups attain predetermined financial targets
during established periods of time following the acquisitions. If each group
satisfied their applicable financial targets for the periods covered, the
Company would be required to pay an aggregate of approximately $83.0 million of
additional consideration over the next five years, of which a maximum of $20.9
million would be payable during the remainder of 1998.
In the fourth quarter of 1997, the Company recorded a non-recurring
pre-tax charge to earnings of $83.4 million related to the revaluation of assets
of seven of the Company's multi-specialty clinics. In the first quarter of 1998,
the Company also recorded an additional charge of approximately $22.0 million
relating to these clinics that are being restructured or sold. The non-recurring
pre-tax charge was partially in response to issues which arose in four of the
Company's multi-specialty clinics which represent the Company's earliest
developments of such clinics through the formation of new groups. The clinics
were considered to have an impairment of certain current assets, property and
equipment, other assets and, primarily, intangible assets as a result of certain
groups of physicians within a larger clinic terminating their relationship with
the medical group affiliated with the Company and therefore affecting the future
cash flows. The Company has modified its approach to this type of group
formation, and recent group formations have been more successful. Three other
clinics included in the charge represent clinics being disposed of because of a
variety of negative operating and market issues including those related to
market position and clinic demographics, physician relations, operating results
and ongoing viability of the existing medical group. Although these factors have
been present individually
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from time to time in various affiliated clinics and could occur in future
clinic operations, the combined effect of the existence of these factors at the
clinics disposed of resulted in clinic operations that made it difficult for the
Company to effectively manage the clinics. One of these operations was sold in
the first quarter of 1998 and the second sale was completed April 1, 1998. The
remaining transaction is expected to be completed by the end of 1998. Losses on
the two clinics divested approximated the amounts accrued. These assets were
sold below carrying value for the reasons noted above, and given such facts, a
sale at a discount to carrying value was considered more cost effective than a
liquidation which might subject the Company to additional costs. The Company is
not aware of circumstances that suggest that the clinics included in the
non-recurring charge are indicative of a trend in the Company's operations or
the industry in which the Company operates. There can be no assurance, however,
that in the future a similar combination of negative characteristics will not
develop at a clinic affiliated with the Company and result in the termination of
the applicable service agreement or that in the future additional clinics will
not terminate their relationships with the Company in a manner that may
materially adversely affect the Company.
PhyCor has been the subject of an audit by the Internal Revenue Service
("IRS") covering the years 1988 through 1993. The IRS has proposed adjustments
relating to the timing of recognition for tax purposes of certain revenue and
deductions relating to uncollectible accounts and a recharacterization of the
Company's relationship with affiliated physician groups. PhyCor disagrees with
the positions asserted by the IRS including any recharacterization and is
vigorously contesting these proposed adjustments. The Company believes that any
adjustments resulting from resolution of this disagreement would not affect
reported net earnings of PhyCor but would defer tax benefits and change the
levels of current and deferred tax assets and liabilities. For the years under
audit, and potentially, for subsequent years, any such adjustments could result
in material cash payments by the Company. PhyCor does not believe the resolution
of this matter will have a material adverse effect on its financial condition,
although there can be no assurance as to the outcome of this matter.
In April 1998, the Company completed modifications to its bank credit
facility which included the revision of certain terms and conditions. The
Company's bank credit facility provides for a five-year, $500.0 million
revolving line of credit for use by the Company prior to April 2003 for
acquisitions, working capital, capital expenditures and general corporate
purposes. The total drawn cost under the facility is either .275% to .75% above
the applicable eurodollar rate or the agent's base rate plus .10% to .225% per
annum. On October 17, 1997, the Company entered into an interest rate swap
agreement to fix the interest rate on $100 million of debt at 5.85% relative to
the three month floating LIBOR. The interest rate swap agreement matures in
October 2002 with a lender's option to terminate beginning October 1999.
The Company's bank credit facility contains covenants which, among
other things, require the Company to maintain certain financial ratios and
impose certain limitations or prohibitions on the Company with respect to (i)
the incurring of certain indebtedness, (ii) the creation of security interests
on the assets of the Company, (iii) the payment of cash dividends on, and the
redemption or repurchase of, securities of the Company, (iv) investments and (v)
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acquisitions. The Company is required to obtain bank consent for an acquisition
with an aggregate purchase price of $75.0 million or more. The Company was in
compliance with such covenants at March 31, 1998.
At March 31, 1998, the Company had cash and cash equivalents of
approximately $43.8 million, and as of May 12, 1998, $204.6 million available
under its bank credit facility. The Company believes that the combination of
funds available under the Company's bank credit facility, together with cash
reserves and cash flow from operations, should be sufficient to meet the
Company's current planned acquisition, expansion, capital expenditures and
working capital needs through 1998. The mergers of Carewise and FPC with PhyCor
are expected to close in July of 1998. PhyCor expects to finance the
transactions with a combination of approximately 5.9 million shares of newly
issued Common Stock.
In addition, in order to provide the funds necessary for the continued
pursuit of the Company's long-term expansion strategy, the Company expects to
continue to incur, from time to time, additional short-term and long-term
indebtness and to issue equity and debt securities, the availability and terms
of which will depend upon market and other conditions. There can be no assurance
that such additional financing will be available on terms acceptable to the
Company.
Forward-looking statements of PhyCor included herein or incorporated by
reference including, but not limited to, those regarding future business
prospects, the acquisition of additional clinics, the development of additional
IPAs, the adequacy of PhyCor's capital resources, the future profitability of
capitated fee arrangements and other statements regarding trends relating to
various revenue and expense items, could be affected by a number of risks,
uncertainties and other factors described in the Company's Annual Report on Form
10-K, as amended on Form 10-K/A, for the year ended December 31, 1997.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
No disclosure required.
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PART II
OTHER INFORMATION
ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS.
From time to time, the Company issues subordinated convertible notes
and warrants to purchase shares of the Company's Common Stock in connection with
the acquisition of the assets of multi-specialty clinics and physician practice
groups. In general, the subordinated convertible notes are convertible into
shares of the Company's Common Stock following the anniversary of the issuance
of the notes at a conversion price based on the market price of the Common Stock
at the time the note was issued. The Company issues subordinated convertible
notes, warrants, and shares of Common Stock upon conversion of notes and
exercise of warrants in transactions intended to be exempt from the registration
requirements of the Securities Act of 1933, as amended, pursuant to Sections
3(a)(11), 3(b) or 4(2) thereunder. During the first quarter of 1998, the Company
issued the following subordinated convertible notes, warrants and shares of
Common Stock upon conversion of notes:
On January 1, 1998, the Company issued subordinated convertible notes
in the aggregate principal amount of $1,489,000 to Lakeview Medical
Center.
On March 1, 1998, the Company issued subordinated convertible notes in
the aggregate principal amount of $7,000,000 to Grove Hill Medical
Center, P.C.
On March 10, 1998 and March 23, 1998, the Company issued 52,138 shares
and 156,413 shares of Common Stock to Burns Clinic upon conversion of
subordinated convertible notes in the principal amounts of $500,000 and
$1,500,000, respectively.
On March 31, 1998, the Company issued a total of 956,296 shares of
Common Stock to shareholders of PhyCor Management Corporation ("PMC")
in exchange for the Class B Common Stock of PMC.
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K.
(A) EXHIBITS.
EXHIBIT
NUMBER DESCRIPTION OF EXHIBITS
------- -----------------------
3.1 -- Restated Charter of Registrant(1)
3.2 -- Amendment to Restated Charter of the Registrant (2)
3.3 -- Amendment to Restated Charter of the Registrant (3)
3.4 -- Amended Bylaws of the Registrant (1)
4.1 -- Specimen of Common Stock Certificate (4)
4.2 -- Shareholder Rights Agreement, dated February 18, 1994, between the Registrant
and First Union National Bank of North Carolina (5)
27.1 -- Financial Data Schedule (for SEC use only)
27.2 -- Financial Data Schedule (for SEC use only)
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(1) Incorporated by reference to Exhibits 3.2 filed with the Registrant's
Annual Report on Form 10-K for the year ended December 31, 1994,
Commission No. 0-19786.
(2) Incorporated by reference to Exhibits 4.2 filed with the Registrant's
Registration Statement on Form S-3 Registration No. 33-93018.
(3) Incorporated by reference to Exhibits 4.3 filed with the Registrant's
Registration Statement on Form S-3 Registration No. 33-98528.
(4) Incorporated by reference to Exhibits 4.2 filed with the Registrant's
Registration Statement on Form S-1 Registration No. 33-44123.
(5) Incorporated by reference to exhibits filed with the Registrant's Annual
Report on Form 8-K dated February 18, 1994, Commission No. 0-19786.
(B) REPORTS ON FORM 8-K.
The Company filed a Current Report on Form 8-K on January 8, 1998
announcing the termination of the Plan and Agreement of Merger, dated October
29, 1997, with MedPartners, Inc. pursuant to Item 5 of Form 8-K; a Current
Report on Form 8-K on January 16, 1998 announcing expected pre-tax charges to
earnings in the fourth quarter of 1997 and the first quarter of 1998 pursuant to
Item 5 of Form 8-K; and a Current Report on Form 8-K on March 23, 1998
containing pro forma financial statements in compliance with the disclosure
requirements of the Securities and Exchange Commission regarding the financial
statements of businesses acquired or to be acquired.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant caused this report to be signed on its behalf by the undersigned
thereunto duly authorized.
PHYCOR, INC.
By: /s/ John K. Crawford
---------------------------------
John K. Crawford
Chief Financial Officer
Date: May 14, 1998
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