1 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 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 0-15416 -------------- RESPONSE ONCOLOGY, INC. - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Tennessee 62-1212264 - --------------------------------- ------------------- (State or Other Jurisdiction (I. R. S. Employer of Incorporation or Organization) Identification No.) 1775 Moriah Woods Blvd., Memphis, TN 38117 - ---------------------------------------- ---------- (Address of principal executive offices) (Zip Code) (901) 761-7000 - -------------------------------------------------------------------------------- (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 period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No ---- ---- Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Common Stock, $.01 Par Value, 12,021,828 shares as of April 25, 1998. - 1 - 2 INDEX PART I. FINANCIAL INFORMATION Page ---- Item 1. Financial Statements Consolidated Balance Sheets, March 31, 1998 and December 31, 1997------------------------------------------------------------------3 Consolidated Statements of Earnings for the Three Months Ended March 31, 1998 and March 31, 1997---------------------------------------------------------------------4 Consolidated Statements of Cash Flows for the Three Months Ended March 31, 1998 and March 31, 1997 --------------------------------------------------------------------5 Notes to Consolidated Financial Statements----------------------------------------------------------------------------------6 Item 2 Management's Discussion and Analysis of Financial Condition and Results of Operations-----------------------------------------------------------------------------------------9 PART II. OTHER INFORMATION Item 5. Market Information and Related Stockholder Matters---------------------------------------------------12 Item 6. Exhibits and Reports on Form 8-K --------------------------------------------------------------------12 Signatures -----------------------------------------------------------------------------------------------------13 - 2 - 3 PART I - FINANCIAL INFORMATION ITEM 1: FINANCIAL STATEMENTS RESPONSE ONCOLOGY, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (Dollar amounts in thousands) March 31, 1998 December 31, 1997 (Unaudited) (Note 1) --------- --------- ASSETS CURRENT ASSETS Cash and cash equivalents $ 476 $ 2, 425 Accounts receivable, less allowance for doubtful accounts of $2,238 and $3,130 19,771 16,910 Supplies and pharmaceuticals 2,812 2,772 Prepaid expenses and other current assets 6,374 4,219 Due from affiliated physician groups 15,361 14,823 --------- --------- TOTAL CURRENT ASSETS 44,794 41,149 Property and equipment, less accumulated depreciation and amortization of $10,062 and $9,727 3,570 3,555 Deferred charges, less accumulated amortization of $428 and $513 350 386 Management service agreements, less accumulated amortization of $4,706 and $4,016 102,666 103,054 Deferred income taxes 2,618 2,618 Other assets 1,074 931 --------- --------- TOTAL ASSETS $ 155,072 $ 151,693 ========= ========= LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable $ 10,788 $ 9,751 Accrued expenses and other liabilities 5,774 4,370 Current portion of notes payable 37,837 8,537 Current portion of capital lease obligations 48 45 --------- --------- TOTAL CURRENT LIABILITIES 54,447 22,703 Capital lease obligations, less current portion 27 44 Notes payable, less current portion 5,591 35,399 Deferred income taxes 26,348 26,162 Minority interest 718 1,037 STOCKHOLDERS' EQUITY Series A convertible preferred stock, $1.00 par value, authorized 3,000,000 shares; issued and outstanding 27,233 shares at each period end, liquidating preference $11.00 per share 27 27 Common Stock, $.01 par value, authorized 30,000,000 shares; issued and outstanding 12,021,828 and 11,972,358 shares, respectively 120 120 Paid-in capital 101,703 101,402 Accumulated deficit (33,909) (35,201) --------- --------- 67,941 66,348 --------- --------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 155,072 $ 151,693 ========= ========= See accompanying notes to consolidated financial statements. - 3 - 4 RESPONSE ONCOLOGY, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF EARNINGS (UNAUDITED) (Dollar amounts in thousands except for share data) Three Months Ended ---------------------------------- March 31, 1998 March 31, 1997 -------------- -------------- NET REVENUE $ 29,595 $ 24,365 COSTS AND EXPENSES Salaries and benefits 5,871 5,117 Pharmaceuticals and supplies 15,030 11,168 Other operating costs 2,958 2,576 General and administrative 1,469 1,122 Depreciation and amortization 1,090 1,311 Interest 704 1,104 Provision for doubtful accounts 219 376 ----------- ----------- 27,341 22,774 ----------- ----------- EARNINGS BEFORE INCOME TAXES AND MINORITY INTEREST 2,254 1,591 Minority owners' share of net earnings 170 192 ----------- ----------- EARNINGS BEFORE INCOME TAXES 2,084 1,399 Provision for income taxes 792 532 ----------- ----------- NET EARNINGS $ 1,292 $ 867 =========== =========== EARNINGS PER COMMON SHARE: Basic $ 0.11 $ 0.09 =========== =========== Diluted $ 0.11 $ 0.09 =========== =========== Weighted average number of common shares: Basic 12,008,254 10,088,418 =========== =========== Diluted 12,217,188 10,149,178 =========== =========== See accompanying notes to consolidated financial statements. - 4 - 5 RESPONSE ONCOLOGY, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) (Dollar amounts in thousands) Three Months Ended ---------------------------------- March 31, 1998 March 31, 1997 -------------- -------------- OPERATING ACTIVITIES Net earnings $ 1,292 $ 867 Adjustments to reconcile net earnings to net cash used in operating activities: Depreciation and amortization 1,090 1,311 Provision for doubtful accounts 219 376 Minority owners' share of net earnings 170 192 Changes in operating assets and liabilities net of effect of acquisitions: Accounts receivable (3,080) (2,910) Supplies and pharmaceuticals, prepaid expenses and other current assets (2,128) (505) Deferred charges and other assets (139) 54 Due from affiliated physician groups (538) (1,959) Accounts payable and accrued expenses 2,440 1,284 ------- ------- NET CASH USED IN OPERATING ACTIVITIES (674) (1,290) INVESTING ACTIVITIES Purchase of equipment (350) (240) Distribution to joint venture partner (489) -- Acquisition of non-medical assets of affiliated physician groups (39) -- ------- ------- NET CASH USED IN INVESTING ACTIVITIES (878) (240) FINANCING ACTIVITIES Bank overdraft -- 783 Financing costs incurred -- (18) Proceeds from exercise of stock options 300 -- Proceeds from notes payable -- 7,151 Principal payments on notes payable (685) (7,784) Proceeds from note payable to parent -- 1,005 Principal payments on capital lease obligations (12) (22) ------- ------- NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES (397) 1,115 DECREASE IN CASH AND CASH EQUIVALENTS (1,949) (415) Cash and cash equivalents at beginning of period 2,425 415 ------- ------- CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 476 $ -- ======= ======= See accompanying notes to consolidated financial statements. - 5 - 6 RESPONSE ONCOLOGY, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS March 31, 1998 NOTE 1 -- BASIS OF PRESENTATION The accompanying unaudited condensed financial statements 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 for complete financial statements by generally accepted accounting principles. In the opinion of Management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Certain amounts have been reclassified for comparative purposes with no effect on net earnings. Operating results for the three month period ended March 31, 1998 are not necessarily indicative of the results that may be expected for the year ending December 31, 1998. For further information, refer to the consolidated financial statements and footnotes thereto included in Response Oncology, Inc. and Subsidiaries' (the "Company's") annual report on Form 10-K for the year ended December 31, 1997. Net Revenue: The following table is a summary of net revenue by source for the respective three month periods ended March 31, 1998 and 1997. Patient services revenue is recorded net of contractual allowances and discounts of $1,355,000 and $1,701,000 for the quarters ended March 31, 1998 and 1997, respectively. The Company's revenue from practice management affiliations includes a fee equal to practice operating expenses incurred by the Company (which excludes expenses that are the obligation of the physicians, such as physician salaries and benefits) and a management fee either fixed in amount or equal to a percentage of each affiliated oncology group's adjusted net revenue or net operating income. In certain affiliations, the Company may also be entitled to a performance fee if certain financial criteria are satisfied. (In thousands) Three Months Ended March 31, -------------------------- 1998 1997 ------- ------- Net patient services revenue $ 8,459 $8,754 Practice management service fees 14,060 10,875 Pharmaceutical sales to physicians 5,857 4,153 Physician investigator studies 1,219 583 ======= ======= $29,595 $24,365 ======= ======= Net Earnings Per Common Share: In February 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards No. 128, "Earnings Per Share" (SFAS 128), which changes the computation and presentation of earnings per share. SFAS 128 requires the presentation of basic and diluted earnings per share, replacing primary and fully diluted earnings per share previously required. Earnings per share for all prior years presented have been presented in accordance with SFAS 128. - 6 - 7 A reconciliation of the basic earnings per share and the diluted earnings per share computation is presented below for the three months ended March 31, 1998 and 1997. (Dollar amounts in thousands except per share data) Three Months Ended March 31, ---------------------------------- 1998 1997 ----------- ----------- Weighted average shares outstanding 12,008,254 10,088,418 Net effect of dilutive stock options and warrants based on the treasury stock method 208,934 60,760 ----------- ----------- Weighted average shares and common stock equivalents 12,217,188 10,149,178 ----------- ----------- Net earnings $ 1,292 $ 867 =========== =========== Diluted per share amount $ 0.11 $ 0.09 =========== =========== NOTE 2 -- PARENT COMPANY Prior to July 25, 1997 Response Oncology was a subsidiary of Seafield Capital Corporation ("Seafield"). On July 1, 1997, Seafield's Board of Directors declared a dividend to Seafield's shareholders of all shares of common stock of Response owned by Seafield. For each shareholder of record on July 11, 1997, 1.2447625 shares of Response common stock were distributed on July 25, 1997 for each share of Seafield common stock outstanding. The distribution of all shares of Response stock held by Seafield to Seafield's shareholders was effected as a dividend. The Seafield shareholders paid no consideration for any shares of Response stock received in the distribution. NOTE 3 -- NOTES PAYABLE The Company has a $45.0 million Credit Facility to fund the Company's acquisition and working capital needs. The Credit Facility, comprised of a $35.0 million Acquisition Facility and a $10.0 million Working Capital Facility, is collateralized by the common stock of the Company's subsidiaries. The Credit Facility bears interest at a variable rate equal to LIBOR plus a spread between 1.5% and 2.125%, depending upon borrowing levels. At March 31, 1998, $29.2 million aggregate principal was outstanding under the Credit Facility with a current interest rate of approximately 8.2%. The Credit Facility contains affirmative and negative covenants which, among other things, require that the Company maintain certain financial ratios, including minimum fixed charges coverage, funded debt to EBITDA, net worth and current ratio. On March 31, 1998, the Credit Facility was modified and amended, effective April 21, 1997, to provide for redefinitions of certain restrictive covenants. In May 1997, the Company entered into a LIBOR based interest rate swap agreement ("Swap Agreement") with an affiliate of the Company's primary lender as required by the terms of the Credit Facility. Amounts hedged under the Swap Agreement accrue interest at the difference between 6.42% and the thirty-day LIBOR rate and are settled monthly. As of March 31, 1998, approximately 51% of the Company's outstanding principal balance under the Credit Facility was hedged under the Swap Agreement. The Swap Agreement matures in March 1999 and is cancelable at the lender's option after July 1998. Additionally, long-term unsecured amortizing promissory notes bearing interest at rates from 4% to 9% were issued as partial consideration for the practice management affiliations. Principal and interest under the long-term notes may, at the election of the holders, be paid in shares of common stock of the Company based upon - 7 - 8 conversion rates ranging from $13.75 to $17.50. The unpaid principal amount of the long-term notes was $14.0 million at March 31, 1998. NOTE 4 -- INCOME TAXES Upon the consummation of the physician practice management affiliations, the Company recognized deferred tax assets and liabilities for the future tax consequences attributable to differences between the financial statement carrying amounts of purchased assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. NOTE 5 -- COMMITMENTS AND CONTINGENCIES With respect to professional and general liability risks, the Company currently maintains an insurance policy that provides coverage during the policy period ending August 1, 1998, on a claims-made basis, for $1,000,000 per claim in excess of the Company retaining $25,000 per claim, and $3,000,000 in the aggregate. Costs of defending claims are in addition to the limit of liability. In addition, the Company maintains a $10,000,000 umbrella policy with respect to potential general liability claims. Since inception, the Company has incurred no professional or general liability losses and as of March 31, 1998, the Company was not aware of any pending professional or general liability claims. The Company has a commitment to lease medical equipment under 54 month operating leases. Annual rentals under this commitment approximate $560,000. NOTE 6 -- DUE FROM AFFILIATED PHYSICIANS Due from affiliated physicians consists of management fees earned and payable pursuant to the management service agreements ("Service Agreements"). In addition, the Company may also fund certain working capital needs of the affiliated physicians from time to time. NOTE 7 -- NEW ACCOUNTING STANDARDS As of January 1, 1998, the Company adopted Statement 130, "Reporting Comprehensive Income." Statement 130 establishes new rules for the reporting and display of comprehensive income and its components. The adoption of this Statement had no impact on the Company's net income or shareholder's equity. In June 1997, the FASB issued SFAS No. 131, "Disclosures about Segments of an Enterprise and Related Information." SFAS No. 131 requires that the Company report financial and descriptive information about its reportable segments. Financial information is required to be reported on the basis that is used internally for evaluating segment performance and deciding how to allocate resources to segments. This statement also requires that the Company report descriptive information about the way the operating segments were determined, the products and services provided by the operating segments, differences between the measurements used in reporting segment information and those used in the Company's financial statements, and changes in the measurement of segment amounts from period to period. SFAS No. 131 is effective for financial statements for periods beginning after December 15, 1997. The adoption of this statement will provide additional disclosures in the financial statements for the year ended December 31, 1998. - 8 - 9 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OVERVIEW Response Oncology, Inc. (the "Company") is a comprehensive cancer management company. The Company provides advanced cancer treatment services through outpatient facilities known as IMPACT(R) Centers under the direction of practicing oncologists; owns the assets of and manages the nonmedical aspects of oncology practices; and conducts clinical research on behalf of pharmaceutical manufacturers. Approximately 400 medical oncologists are associated with the Company through these programs. The Company opened 4 new centers in the quarter ended March 31, 1998 bringing the total network to 52 IMPACT(R) Centers. The network includes 28 wholly owned centers, 15 managed programs, and 9 centers owned and operated in joint venture with a host hospital. In January 1996, the Company implemented a diversification strategy into physician practice management. As of March 31, 1998 the practice management division included affiliations with 44 physicians in 12 medical oncology practices in Florida and Tennessee. The Company has sought deep geographic penetration in its markets believing that significant market share is crucial to achieving efficiencies, revenue enhancements, and marketing of complete cancer services to diverse payors including managed care. Pursuant to Service Agreements, the Company provides management services that extend to all nonmedical aspects of the operations of the affiliated practices. The Company is responsible for providing facilities, equipment, supplies, support personnel, and management and financial advisory services. The Company's resulting revenue from Service Agreements include a fee equal to practice operating expenses incurred by the Company and a management fee either fixed in amount or equal to a percentage of each affiliated practice's adjusted net revenue or operating income. In certain affiliations, the Company may also be entitled to a performance fee if certain financial criteria are satisfied. RESULTS OF OPERATIONS The Company recorded net earnings for the quarter ended March 31, 1998 of $1,292,000 or $0.11 per diluted share compared to net earnings of $867,000 or $ 0.09 per diluted share for the same period in 1997. Earnings before income taxes for the quarter ended March 31, 1998 were $2,084,000 compared to $1,399,000 for the same period of 1997. Net revenue for the quarter ended March 31, 1998 was $29,595,000 compared to $24,365,000 for the quarter ended March 31, 1997, an increase of $5,230,000 or 21%. Growth in net revenue for the quarter ended March 31, 1998 was driven by; an increase in revenue from the practice management division, increased pharmaceutical sales to physicians and increased revenues from the clinical research division. For the first quarter, practice management fees increased by 29%, from $10,875,000 in 1997 to $14,060,000 in 1998. The number of physicians in practice management relationships with the Company increased from 38 on March 31, 1997 to 44 on March 31, 1998. Pharmaceutical sales to physicians increased $1,704,000 or 41% from the first quarter of 1997 to the first quarter of 1998. Revenue from the clinical research division increased 109% from the three month period ended March 31, 1997 to the three month period ended March 31, 1998 for an increase of $636,000. While salaries and benefits expense increased $754,000 for the quarter ended March 31, 1998 over the same period in 1997, the expense as a percentage of net revenue decreased from 21% for the first quarter of 1997 to 20% for the first quarter of 1998. - 9 - 10 Pharmaceuticals and supplies expense increased by $3,862,000 or 35% for the quarter ended March 31, 1998 over the corresponding period in 1997. The Company attributes the increase primarily to growth in the practice management division as well as a significant increase in pharmaceutical sales to physicians. Interest expense was $704,000 for the first quarter of 1998 as compared to $1,104,000 for the first quarter of 1997, a decrease of $400,000 as a result of the conversion of the note payable to Seafield to shares of the Company's common stock during the first quarter of 1997. LIQUIDITY AND CAPITAL RESOURCES At March 31, 1998, the Company's working capital was $(9.7) million with current assets of $44.8 million and current liabilities of $54.4 million. Cash and cash equivalents represented $.5 million of the Company's current assets. Current liabilities includes the entire principal balance under the Company's Acquisition facility which is due in March 1999. Cash used in operating activities was $.7 million in the first quarter of 1998 compared to cash used in operating activities of $1.3 million for the same period in 1997. Cash used in investing activities was $.9 million and $.2 million for the quarters ended March 31, 1998 and 1997, respectively. Cash used in financing activities was $.4 million for the first quarter of 1998 and provided by financing activities was $1.1 million for the same period in 1997. The Company has a $45.0 million Credit Facility to fund the Company's acquisition and working capital needs. The Credit Facility, comprised of a $35.0 million Acquisition Facility and a $10.0 million Working Capital Facility, is collateralized by the common stock of the Company's subsidiaries. The Credit Facility bears interest at a variable rate equal to LIBOR plus a spread between 1.5% and 2.125%, depending upon borrowing levels. At March 31, 1998, $29.2 million aggregate principal was outstanding under the Credit Facility with a current interest rate of approximately 8.2%. The Credit Facility contains affirmative and negative covenants which, among other things, require that the Company maintain certain financial ratios, including minimum fixed charges coverage, funded debt to EBITDA, net worth and current ratio. On March 31, 1998, the Credit Facility was modified and amended, effective April 21, 1997, to provide for redefinitions of certain restrictive covenants. In May 1997, the Company entered into a LIBOR based interest rate swap agreement ("Swap Agreement") with an affiliate of the Company's primary lender as required by the terms of the Credit Facility. Amounts hedged under the Swap Agreement accrue interest at the difference between 6.42% and the thirty-day LIBOR rate and are settled monthly. As of March 31, 1998, approximately 51% of the Company's outstanding principal balance under the Credit Facility was hedged under the Swap Agreement. The Swap Agreement matures in March 1999 and is cancelable at the lender's option after July 1998. Additionally, long-term unsecured amortizing promissory notes bearing interest at rates from 4% to 9% were issued as partial consideration for the practice management affiliations. Principal and interest under the long-term notes may, at the election of the holders, be paid in shares of common stock of the Company based upon conversion rates ranging from $13.75 to $17.50. The unpaid principal amount of the long-term notes was $14.0 million at March 31, 1998. In October 1996, the Company procured a $23.5 million credit facility from Seafield (the "Seafield Facility") to finance acquisitions and for working capital. At December 31, 1996, $22.5 million was outstanding under the Seafield Facility at an interest rate of 8%. On February 26, 1997, the $23.5 million loan and accrued interest of $.6 million was converted into 3,020,536 shares of the Company's common stock at a rate of $8 per share. - 10 - 11 The Company has a commitment to lease medical equipment in 1998 under 54 month operating leases. Annual rentals under this commitment approximate $560,000. IMPACT OF YEAR 2000 The year 2000 issue is the result of computer programs being written using two digits rather than four to define the applicable year. Any computer program that has date sensitive software may recognize a date using "00" as the year 1900 rather than as the year 2000. This could result in a system failure or miscalculations causing disruptions of operations, including, among other things, a temporary inability to process transactions, send invoices, or engage in similar normal business activities. The Company has recently assessed its internal computer systems and believes that the current systems used will properly utilize dates beyond December 31, 1999. The Company has been informed that their outside software vendors are in the process of studying the year 2000 issue. Upon completion of the vendors' studies which are expected in late 1998, the Company will determine the extent to which it is vulnerable to the third parties' failure to remediate their own year 2000 issues and the costs associated with resolving this issue. - 11 - 12 PART II - OTHER INFORMATION ITEM 5 MARKET INFORMATION AND RELATED STOCKHOLDER MATTERS On July 1, 1997, Seafield's Board of Directors declared a dividend to Seafield's shareholders of all shares of common stock of Response owned by Seafield. For each shareholder of record on July 11, 1997, 1.2447625 shares of Response common stock were distributed on July 25, 1997 for each share of Seafield common stock outstanding. The distribution of all shares of Response stock held by Seafield to Seafield's shareholders was effected as a dividend. The Seafield shareholders paid no consideration for any shares of Response stock received in the distribution. ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (A) EXHIBITS 10.1 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc., a Tennessee corporation and Kenneth L. Scott. 10.2 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc. and Joseph T. Clark. 10.3 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc. and Carlton Sedberry 10.4 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc. and Mary E. Clements 10.5 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc. and William H. West, M.D. 10.6 Employment Agreement effective as of January 1, 1998 by and between Response Oncology, Inc. and Charles Weaver, M.D. 27 Financial Data Schedule (for SEC use only) - 12 - 13 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Response Oncology, Inc. has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. RESPONSE ONCOLOGY, INC. By: /s/ Mary E. Clements -------------------------------------- Mary E. Clements Chief Financial Officer and Principal Accounting Officer Date: May 15, 1998 By: /s/ Dena L. Mullen -------------------------------------- Dena L. Mullen Director of Finance Date: May 15, 1998 By: /s/ Peter A. Stark -------------------------------------- Peter A. Stark Controller Date: May 15, 1998 -13-