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, 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 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 ( ) No ( X ) The number of shares outstanding of the registrant's common stock, par value $.002 per share, at September 30, 1998, was 17,353,864 shares. 2 RX MEDICAL SERVICES CORP. FORM 10-Q Nine Months Ended September 30, 1998 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 15 PART II. OTHER INFORMATION 18 Item 1. Legal Proceedings 18 Item 2. Changes in Securities and Use of Proceeds 18 Item 3. Defaults Upon Senior Securities 18 Item 4. Submission of Matters to a Vote of Security Holders 18 Item 5. Other Information 18 Item 6. Exhibits and Reports on Form 8-K 18 SIGNATURES 19 2 of 19 3 Item 1. Financial Statements. RX MEDICAL SERVICES CORP. Consolidated Statements of Operations (Dollars in thousands except per share amounts) Three Months Ended Nine Months Ended September 30, September 30, ---------------------- ---------------------- 1998 1997 1998 1997 (Unaudited) (Unaudited) (Unaudited) (Unaudited) -------- -------- -------- -------- Revenues: Hospitals and medical clinics $ 3,776 $ 4,685 $ 12,232 $ 15,218 Pharmaceutical products 424 7 892 346 -------- -------- -------- -------- 4,200 4,692 13,124 15,564 -------- -------- -------- -------- Costs and expenses: Compensation and benefits 2,331 2,725 7,183 8,604 Pharmaceutical products 224 6 572 288 Supplies 513 454 1,411 1,438 Fees for services 580 757 1,964 2,209 Bad debts 507 413 984 1,320 Depreciation and amortization 63 40 179 118 Occupancy 187 182 543 516 Occupancy-related party 241 241 722 722 Equipment rental and maintenance 90 150 304 407 Equipment rental-related party 46 46 137 137 Other 456 619 1,462 1,838 -------- -------- -------- -------- 5,238 5,633 15,461 17,597 -------- -------- -------- -------- Operating loss (1,038) (941) (2,337) (2,033) Other income (expense): Interest (43) (12) (230) (37) Interest - related party (1,942) (1,608) (5,415) (4,698) Gain (loss) on settlement of liabilities (200) 43 (50) (30) Other income 36 19 139 83 -------- -------- -------- -------- (2,149) (1,558) (5,556) (4,682) -------- -------- -------- -------- Loss from continuing operations (3,187) (2,499) (7,893) (6,715) Gain from discontinued operations 31 -- 105 80 Extraordinary Item: Gain on settlement of indebtedness 3,195 -- 3,195 -- -------- -------- -------- -------- Net loss $ 39 $ (2,499) $ (4,593) $ (6,635) ======== ======== ======== ======== Net loss per common share: Loss from continuing operations $ (0.20) $ (0.28) $ (0.68) $ (0.75) Gain from discontinued operations 0.01 -- 0.01 0.01 Gain on settlement of indebtedness 0.19 -- 0.27 -- -------- -------- -------- -------- Net loss per common share $ -- $ (0.28) $ (0.40) $ (0.74) ======== ======== ======== ======== The accompanying notes are an integral part of these financial statements. 3 of 19 4 RX MEDICAL SERVICES CORP. Consolidated Balance Sheets (Dollars in thousands) September 30, December 31, 1998 1997 -------- -------- (Unaudited) Assets: Current assets: Cash $ 203 $ 110 Accounts receivable (less allowance for doubtful accounts of $3,435 and $3,730 at 1998 and 1997, respectively) 3,121 4,074 Inventories 441 533 Other 243 85 -------- -------- Total current assets 4,008 4,802 -------- -------- Property and equipment, at cost Land and buildings 713 713 Equipment 1,262 930 Furniture, fixtures and improvements 193 192 -------- -------- 2,168 1,835 Less: accumulated depreciation and amortization (477) (298) -------- -------- 1,691 1,537 Other assets (less allowance for doubtful accounts of $263 and $671 at 1998 and 1997, respectively) 175 134 -------- -------- Total assets $ 5,874 $ 6,473 ======== ======== The accompanying notes are an integral part of these financial statements. 4 of 19 5 RX MEDICAL SERVICES CORP. Consolidated Balance Sheets (continued) (Dollars in thousands) September 30, December 31, 1998 1997 -------- -------- (Unaudited) Liabilities and shareholders' deficit: Current liabilities: Notes payable $ 20 $ 20 Notes payable - related party 44,865 40,232 Accounts payable 4,023 2,793 Accrued liabilities 1,008 2,052 Accrued liabilities - related party 83 640 Accrued compensation, benefits and related taxes 905 849 Current portion of long-term debt 25 3,087 Current portion of long-term debt-related party 86 -- Current portion of capital lease obligations 41 41 Current portion of capital lease obligations-related party 58 -- -------- -------- Total current liabilities 51,114 49,714 Long-term liabilities: Long-term debt 183 202 Long-term debt-related party 484 Net liabilities of discontinued operations 25 100 Obligations under capital leases 69 86 Obligations under capital leases-related party 166 -- -------- -------- Total long-term liabilities 927 388 -------- -------- Total liabilities 52,041 50,102 -------- -------- Commitments and contingencies -- Shareholders' deficit: Convertible preferred stock, $.001 par value, authorized shares 20,000,000, issued and outstanding 63,836 and 422,488 shares at 1998 and 1997; aggregate liquidation preference of $322 and $2,134 at 1998 and 1997 1 1 Convertible preferred stock, $5.00 par value, authorized shares 1,091,250, issued and outstanding 600,270 shares at 1997; aggregate liquidation preference of $3,602 at 1997 -- 3,001 Convertible preferred stock, $.001 par value, authorized shares 1,500,000, issued and outstanding 800,000 shares at 1998; aggregate liquidation preference of $27 at 1998 1 -- Common stock, $.002 par value, authorized 25,000,000 shares, issued and outstanding 17,353,864 and 9,164,117 shares at 1998 and 1997, respectively 34 18 Additional paid-in capital 42,272 37,233 Accumulated deficit (88,474) (83,881) Treasury stock, 605,554 shares of common stock, at par value, at 1998 and 1997 (1) (1) -------- -------- Total shareholders' deficit (46,167) (43,629) -------- -------- Total liabilities and shareholders' deficit $ 5,874 $ 6,473 ======== ======== The accompanying notes are an integral part of these financial statements. 5 of 19 6 RX MEDICAL SERVICES CORP. Consolidated Statements of Cash Flows (Dollars in thousands) Nine Months Ended September 30, ------------------------------- 1998 1997 -------- -------- (Unaudited) (Unaudited) Cash flows from operating activities: Net loss $ (4,593) $ (6,635) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 179 111 Provision for bad debts 984 1,320 Loss on sale and disposal of property and equipment -- 13 (Gain) loss on settlement of liabilities (150) 30 Gain on settlement of indebtedness (3,195) -- Changes in operating assets and liabilities, net of effects of acquisition: Increase in accounts receivable (26) (1,067) (Increase) decrease in inventories 92 (16) (Increase) decrease in other assets (200) 8 Increase in accounts payable and accrued liabilities 1,556 455 Increase (decrease) in accrued liabilities - related party (556) 1,094 Change in discontinued operations (75) -- -------- -------- Net cash used in operating activities (5,984) (4,687) -------- -------- Cash flows from investing activities: Acquisition of property and equipment (70) (237) Acquisition, net of cash acquired -- (1,166) -------- -------- Net cash used in investing activities (70) (1,403) -------- -------- Cash flows from financing activities: Proceeds from notes payable and long-term debt - related party 6,004 5,856 Payments on notes payable, long-term debt and obligations under capital leases (633) (82) Payments on obligations under capital leases - related party (24) -- Proceeds from the sale of preferred stock 800 -- -------- -------- Net cash provided by financing activities 6,147 5,774 -------- -------- Net decrease in cash 93 (316) Cash - beginning of period 110 685 -------- -------- Cash - end of period $ 203 $ 369 ======== ======== (Continued) 6 of 19 7 RX MEDICAL SERVICES CORP. Consolidated Statements of Cash Flows (Continued) (Dollars in thousands) Nine Months Ended September 30, ------------------------------- 1998 1997 -------- -------- (Unaudited) (Unaudited) 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 ======== ======== Noncash investing and financing activities: Equipment purchased under capital leases $ 263 $ -- ======== ======== Common stock issued for payment of dividends in arrears $ 600 $ -- ======== ======== Common stock issued to reduce note payable - related party $ 800 $ -- ======== ======== For the nine months ended September 30, 1998 and 1997, interest paid, including interest on obligations under capitalized leases was $6,566 and $3,402, respectively. No income taxes were paid during these periods. The accompanying notes are an integral part of these financial statements. 7 of 19 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, 1997 of Rx Medical Services Corp. (the "Company"), as filed with the Securities and Exchange Commission. 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. The December 31, 1997 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 Pittsburgh Specialty Hospital ("PSP"), formerly known as the Podiatry Hospital of Pittsburgh, located in Pittsburgh, Pennsylvania, and revenues include the results of operations from that facility from January 1, 1997. For the year ended December 31, 1997, 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 $47.1 million at September 30, 1998, 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 dependent on the continued funding of its operations from its primary lender, National Century Financial Enterprises, Inc. and it's affiliates (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 is exploring plans to improve profitability, as well as cash flow, including the continued development of its hospital 8 of 19 9 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 cost cutting and reorganization strategies. Note 2 - Earnings Per Share Statement of Financial Accounting Standards No. 128, "Earnings Per Share," requires public companies to present basic earnings (net loss) per share and, if applicable, diluted earnings (net loss) per share for all periods that statements of operations are presented. The statement is effective for all financial statements issued for periods ending after December 15, 1997 and requires restatement of earnings (net loss) per share for all periods presented. The Company has only presented basic net loss per share since (a) the potential common shares of the Company would be anti-dilutive and (b) the Company has reflected net losses from continuing operations for all periods presented and thus the diluted net loss per share would be the same as basic net loss per share. The following tables reflect the computation of the net loss per common share (in thousands except per share amounts): ---------------------------------------------------------------------- Three Months Ended September 30, ---------------------------------------------------------------------- 1998 1997 ---------------------------------- ---------------------------------- Per-Share Per-Share Amount Amount Amount Amount ---------------- ---------------- --------------- ----------------- Loss from continuing operations $ (3,187) $ (0.19) $ (2,499) $ (0.27) Dividends on preferred stock (25) (0.01) (60) (0.01) ---------------- ---------------- --------------- ----------------- Loss available to common shareholders' (3,212) (0.20) (2,559) (0.28) Gain from discontinued operations 31 0.01 -- -- Gain on settlement of indebtedness 3,195 0.19 -- -- ================ ================ =============== ================= Net income (loss) $ 14 $ (0.00) $ (2,559) $ (0.28) ================ ================ =============== ================= Weighted average common shares outstanding 16,408 9,164 ================ =============== 9 of 19 10 ---------------------------------------------------------------------- Nine Months Ended September 30, ---------------------------------------------------------------------- 1998 1997 ---------------------------------- ---------------------------------- Per-Share Per-Share Amount Amount Amount Amount ---------------- ---------------- --------------- ----------------- Loss from continuing operations $ (7,893) $ (0.67) $ (6,715) $ (0.73) Dividends on preferred stock (145) (0.01) (180) (0.02) ---------------- ---------------- --------------- ----------------- Loss available to common shareholders' (8,038) (0.68) (6,895) (0.75) Gain from discontinued operations 105 0.01 80 0.01 Gain on settlement of indebtedness 3,195 0.27 -- -- ================ ================ =============== ================= Net loss $ (4,738) $ (0.40) $ (6,815) $ (0.74) ================ ================ =============== ================= Weighted average common shares outstanding 11,777 9,164 ================ =============== Note 3 - Notes Payable - Related Party At September 30, 1998, notes payable included approximately $44.9 million due to the Financing Source, through which the Company has obtained financing collateralized by certain accounts receivable and property. Note 4 - Long-Term Debt On July 23, 1998, the pending lawsuit against the Company and Manatee Medical Laboratories, Inc. by Eduardo R. Latour, as Trustee for Physicians Reference Lab Short Term Trust filed in the Circuit Court for Pinellas County, Florida (Case No. 96-00683 -CI-15) was settled. A stipulation of settlement was entered into by the parties pursuant to which a voluntary dismissal with prejudice was filed with the Clerk of the Court. Pursuant to the settlement $3.1 million of long-term debt and $0.7 million of accrued interest was retired for $0.6 million in cash. The Company, due to the settlement of this lawsuit, recognized a gain on settlement of indebtedness of $3.2 million during the third quarter of 1998. Note 5 - Commitments and Contingencies On July 27, 1998, the lawsuit pending in the United States District Court, Eastern District of California (Fresno) under the title SHARI RAINWATER AND GREG RAINWATER V. RX MEDICAL SERVICES CORP., ET. AL. (Case No. CV-F-95-5596 REC/DIR) was settled for $200,000 in cash. A notice of settlement and a stipulation for settlement were filed with Clerk of the Court The "Year 2000 Issue" exists because many computer systems and applications, building infrastructure components, computer aided medical equipment and other operations related equipment that have date sensitive systems, which currently use two-digit fields to designate a year, may recognize the year 2000 as 1900, or not at all. This could result in system and/or equipment failures or miscalculations causing disruption of operations. The Company has 10 of 19 11 performed an initial assessment of the impact of the "Year 2000 Issue" and based on this initial assessment, the Company believes that its accounting systems and operations may substantially avoid the "Year 2000 Issue", thereby enabling it to properly process critical financial and operational information and that the cost associated with addressing the "Year 2000 Issue" is not expected to be material. There can be no assurance, however, that the systems of other entities on which the Company's systems and operations rely will be timely converted to address the "Year 2000 Issue", or that a failure to convert by another entity, or a conversion that is incompatible with the Company's systems, would not have a material adverse effect on the Company's financial position and results of operations. Note 6 - Shareholders' Deficit Effective July 1, 1998, the 600,270 issued and outstanding shares of the Company's Series F Preferred Stock, held in the name of Intercontinental Investment Associates, Ltd., a Nevada limited liability company ("IIA"), which is an affiliate of the Financing Source, were converted into 600,270 shares of the Company's Common Stock. On July 1, 1998, a holder of Series C Preferred Stock exchanged 16,759 shares of Series C Preferred Stock for 28,775 shares of the Company's Common Stock. On July 14, 1998, the Board of Directors of the Company authorized the creation of the Series G Preferred Stock. The number of shares of Series G Preferred Stock, par value of $.001, that the Company is authorized to issue is 1,500,000 shares. Each share of Series G Preferred Stock is convertible into the Company's Common Stock based on the market value of the Company's Common Stock on the date of conversion. The holders of the shares of Series G Preferred Stock can convert twenty-five percent (25%) of their original shares into the Company's Common Stock commencing on July 1, 1999 and on July 1st of each succeeding year, through July 1, 2002, when all remaining shares of Series G Preferred Stock automatically convert into the Company's Common Stock. This series of preferred stock pays dividends quarterly at the rate of $.15 per share per annum, payable at the Company's discretion in cash or the Company's Common Stock. On July 14, 1998, the Board of Directors of the Company authorized the issuance to IIA of 800,000 shares of Series G Preferred Stock in consideration for a cash funding to the Company by the Financing Source of approximately $800,000 which was utilized by the Company to finance the litigation settlements described above. No registration was required for the issuance of these 800,000 shares under the Securities Act of 1933, as amended, based on the exemption contained in Section 4(2) thereof as a transaction not involving a public offering. On July 14, 1998, the Company authorized the issuance of 5,000,000 shares of its Common Stock, par value $.002 per share, to IIA. These shares were issued in consideration of the cancellation by the Financing Source of $800,000 of indebtedness owed by the Company to an affiliate of the Financing Source and was based on the market value of the Company's Common Stock of $.16 per share on July 14, 1998, the date the indebtedness was canceled. 11 of 19 12 On July 23, 1998, a holder of Series C Preferred Stock exchanged 341,893 shares of Series C Preferred Stock for 1,000,000 shares of the Company's Common Stock. Based on the number of shares of the Company's Common Stock issued to IIA and the four individual owners of IIA, a change in the control of the Company has occurred. IIA owns directly or indirectly 9,235,972 shares of the 17,353,864 shares of the Company's $.002 par value Common Stock issued and outstanding as of September 30, 1998. This ownership represents 53.2% of the issued and outstanding shares of the Company's $.002 par value Common Stock as of September 30, 1998. The ownership percentage does not take into account following: a) Dividends in arrears of $120,054 on the Series F Preferred Stock, which were in the name of IIA, as of September 30, 1998, which is to be paid by the issuance of 628,950 shares of the Company's Common Stock, b) the issuance to IIA of 800,000 shares of Series G Preferred Stock, which are convertible into the Company's Common Stock, or c) dividends in arrears of $25,643 on the Series G Preferred Stock as of September 30, 1998, which are to be paid by the issuance of 170,960 shares of the Company's Common Stock. Note 7- Comprehensive Income Statement of Financial Accounting Standards No. 130, "Reporting Comprehensive Income," requires entities presenting a complete set of financial statements to include details of comprehensive income that arises in the reporting period in a financial statement that is displayed with the same prominence as other financial statements. The statement does not affect the measurement of the components of comprehensive income or introduce new categories of comprehensive income. The statement does not apply to entities that have no items of comprehensive income in any period presented. This statement is effective for periods beginning after December 31, 1997. This statement does not apply to the Company's financial statements as there are no items of comprehensive income in any of the periods being presented. Note 8 - Segment Information Statement of Financial Accounting Standards No. 131, "Disclosures about Segments of an Enterprise and Related Information," requires disclosure of net profit or loss, certain specific revenue and expense items and certain asset items by reportable segments and how reportable segments are determined. The statement defines a reportable segment as a component of an entity about which separate financial information is produced internally, that is evaluated by the chief operating decision-maker to assess performance and allocate resources. This statement is effective for fiscal years beginning after December 15, 1997. The Company operates in two business segments: the operation and management of hospitals and medical clinics, and the distribution of pharmaceutical products. During 1995, the Company 12 of 19 13 discontinued its medical diagnostic services business segment which has been reported as net liabilities of discontinued operations in the consolidated financial statements. The following tables present information on the Company's two business segments (in thousands): ---------------------------------------------------------------------------------- As Of And For The Nine Months Ended September 30, 1998 ---------------------------------------------------------------------------------- Hospitals and Medical Pharmaceutical Clinics Products Corporate Total ------------------ ------------------- ------------------ ------------------ Revenues $12,232 $892 $ -- $13,124 Operating profit (loss) $(1,513) $158 $(982) $(2,337) Capital expenditures $ 333 $ -- $ -- $ 333 Depreciation and Amortization expense $ 155 $ 3 $ 21 $ 179 Identifiable assets at end of period $ 5,664 $ 27 $ 183 $ 5,874 ---------------------------------------------------------------------------------- As Of And For The Nine Months Ended September 30, 1997 ---------------------------------------------------------------------------------- Hospitals and Medical Pharmaceutical Clinics Products Corporate Total ------------------ ------------------- ------------------ ------------------ Revenues $15,218 $ 346 $ -- $15,564 Operating loss $ (790) $(255) $(988) $(2,033) Capital expenditures $ 165 $ 9 $ 63 $ 237 Depreciation and Amortization expense $ 94 $ -- $ 24 $ 118 Identifiable assets at end of period $ 6,366 $ 44 $ 192 $ 6,602 13 of 19 14 Note 9 - Subsequent Events On October 16, 1998 the Company issued 628,950 shares of the Company's Common Stock to pay the dividends in arrears, as of September 30, 1998, on the Series F Preferred Stock of $120,054. 14 of 19 15 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, 1998 were $3.8 million compared to $4.6 million for the three months ended September 30, 1997. The decrease in revenues from hospitals and medical clinics is primarily the result of (a) a decrease in patient services provided at DCMC which resulted in a decrease of revenues of approximately $0.6 million, and (b) a cumulative decrease at other Company hospital and medical clinics of approximately $0.2 million. Revenues from the pharmaceutical products distribution division for the three months ended September 30, 1998 were $0.4 million. Nominal revenues were generated 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 during the fourth quarter of 1998. Costs and expenses decreased 8% to $5.2 million for the three months ended September 30, 1998 from $5.6 million for the three months ended September 30, 1997. Of these 1998 expenses, hospital management operations accounted for $4.6 million, pharmaceutical products distribution accounted for $0.3 million, and the corporate expenses of the Company were $0.3 million. The decrease in costs and expenses is primarily the result of (a) a decrease in patient services provided at DCMC resulting in a decrease of costs and expenses of approximately $0.4 million; (b) an increase in sales from the pharmaceutical products distribution division resulting in a increase in costs and expense of approximately $0.2 million, and (c) a cumulative decrease at other Company hospital and medical clinics and the Company's corporate headquarters of approximately $0.2 million. Interest expense increased 25% to $2.0 million for the three months ended September 30, 1998 from $1.6 million for the three months ended September 30, 1997. 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, 1998 were $12.3 million compared to $15.2 million for the nine months ended September 30, 1997. The decrease in revenues from hospitals and medical clinics is primarily the result of (a) a decrease in patient services provided at DCMC which resulted in a decrease of revenues of approximately $2.3 million, and (b) a cumulative decrease at other Company hospital and medical clinics of approximately $0.6 million. 15 of 19 16 Revenues from the pharmaceutical products distribution division for the nine months ended September 30, 1998 were $0.8 million compared to $0.3 million for the nine months ended September 30, 1997. This increase is primarily due to the current pharmaceutical product mix being in high demand and thus commanding higher sales prices. Costs and expenses decreased 14% to $15.5 million for the nine months ended September 30, 1998 from $17.6 million for the nine months ended September 30, 1997. Of these 1998 expenses, hospital management operations accounted for $13.8 million, pharmaceutical products distribution accounted for $0.7 million, and the corporate expenses of the Company were $1.0 million. The decrease in costs and expenses is primarily the result of (a) a decrease in patient services provided at DCMC resulting in a decrease of costs and expenses of approximately $1.4 million; (b) a decrease in patient services and the implementation of cost cutting strategies at PSP resulting in a decrease of costs and expenses of approximately $0.2 million; and (c) a cumulative decrease at other Company hospital and medical clinics and the Company's corporate headquarters of approximately $0.5 million. Interest expense increased 19% to $5.6 million for the nine months ended September 30, 1998 from $4.7 million for the nine months ended September 30, 1997. This increase is due to a higher level of borrowings from the Financing Source. (see "Financial Condition, Liquidity, and Capital Resources" below). FINANCIAL CONDITION, LIQUIDITY, AND CAPITAL RESOURCES During the nine months ended September 30, 1998, the Company's working capital deficit increased by approximately $2.2 million to $47.1 million. This increase in the working capital deficit was primarily due to the $4.6 million increase in the level of funding from the Financing Source, the settlement of the Manatee Medical Laboratories, Inc. lawsuit which reduced the current portion of long-term debt and related accrued interest by $3.2 million and continuing operating losses. Through September 30, 1998, the Company's ability to continue as a going concern is dependent on 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 are presently being funded through financing agreements with the Financing Source and the Company's various operating subsidiaries. Agreements to finance eligible accounts receivable exist with five of the Company's operating subsidiaries. 16 of 19 17 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. YEAR 2000 COMPLIANCE See Note 5 - Commitments and Contingencies in Item 1 Financial Statements. GOING CONCERN The reports of the independent auditors of the Company on its 1997, 1996 and 1995 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. 17 of 19 18 PART II. OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS. a) See Note 4 - Long-Term Debt in Item 1 Financial Statements b) See Note 5 - Commitments And Contingencies in Item 1 Financial Statements ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS. See Note 6 - Shareholders' Deficit in Item 1 Financial Statements ITEM 3. DEFAULTS UPON SENIOR SECURITIES. None ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS. None ITEM 5. OTHER INFORMATION. None ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K. None 18 of 19 19 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 4, 1999 19 of 19