1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q [X] QUARTERLY REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 1998 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 COMMISSION FILE NUMBER 0-21910 CONTINUCARE CORPORATION (Exact Name of Registrant as Specified in its Charter) FLORIDA 59-2716023 (State or other jurisdiction (I.R.S. Employer Identification No.) of incorporation or organization) 100 SOUTHEAST SECOND STREET 36TH FLOOR MIAMI, FLORIDA 33131 (Address of principal executive offices) (Zip Code) (305) 350-7515 (Registrant's telephone number, including area code) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months, and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] At February 2, 1999, the Registrant had 14,606,283 shares of $0.0001 par value common stock outstanding. 2 CONTINUCARE CORPORATION INDEX PART I FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS Consolidated Balance Sheets - December 31, 1998 (Unaudited) and June 30, 1998........... 3 Consolidated Statements of Operations - Three Months Ended December 31, 1998 (Unaudited) and 1997 (Unaudited)..................................................... 4 Consolidated Statements of Operations - Six Months Ended December 31, 1998 (Unaudited) and 1997 (Unaudited)..................................................... 5 Consolidated Statements of Cash Flows - Six Months Ended December 31, 1998 (Unaudited) and 1997 (Unaudited)..................................................... 6 Notes to Consolidated Financial Statements December 31, 1998 (Unaudited)................ 7 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS..................................................... 10 PART II OTHER INFORMATION SIGNATURE PAGE..................................................................................... 17 2 3 PART I - FINANCIAL INFORMATION ITEM 1. - FINANCIAL STATEMENTS CONTINUCARE CORPORATION CONSOLIDATED BALANCE SHEETS ASSETS DECEMBER 31, 1998 JUNE 30, 1998 ----------------- ------------- (UNAUDITED) Current assets Cash and cash equivalents ........................................................ $ 3,867,146 $ 7,435,724 Accounts receivable, net of allowance for doubtful accounts of $4,442,000 at December 31, 1998 and $2,071,000 at June 30, 1998 ................ 9,660,111 9,009,462 Other receivables ................................................................ 1,037,921 1,091,744 Prepaid expenses and other current assets ........................................ 429,914 595,086 Income taxes receivable .......................................................... -- 1,800,000 ------------ ------------ Total current assets ......................................................... 14,995,092 19,932,016 Notes receivable, net of allowance for doubtful accounts of $5,510,000 at December 31, 1998 and at June 30, 1998 ............................................ 1,584,069 1,644,420 Equipment, furniture and leasehold improvements, net ................................ 3,760,672 5,496,025 Cost in excess of net tangible assets acquired, net of accumulated amortization of $4,401,000 at December 31, 1998 and $2,252,000 at June 30, 1998 ....................................................... 37,289,038 38,621,561 Other intangible assets net of accumulated amortization of $251,000 at December 31, 1998 ................................................................. 9,983,190 -- Deferred financing costs, net of accumulated amortization of $777,000 at December 31, 1998 and $400,000 at June 30, 1998 ................................... 3,087,656 3,373,999 Other assets, net ................................................................... 96,827 418,084 ------------ ------------ Total assets ................................................................. $ 70,796,544 $ 69,486,105 ============ ============ LIABILITIES AND SHAREHOLDERS' EQUITY Current liabilities Accounts payable ................................................................. $ 1,530,406 $ 816,844 Accrued expenses ................................................................. 6,986,034 5,223,153 Medical claims payable ........................................................... 2,512,417 966,251 Current portion of long term debt ................................................ 6,996,170 850,000 Accrued interest payable ......................................................... 634,077 623,556 Current portion of capital lease obligations ..................................... 49,676 328,295 ------------ ------------ Total current liabilities .................................................... 18,708,780 8,808,099 Long term debt ...................................................................... 3,639,917 -- Convertible subordinated notes payable .............................................. 45,000,000 46,000,000 Deferred tax liability .............................................................. 954,894 954,894 Obligations under capital lease ..................................................... 364,715 496,766 ------------ ------------ Total liabilities ............................................................ $ 68,668,306 $ 56,259,759 ------------ ------------ Commitments and contingencies Shareholders' equity Common stock; $0.0001 par value; 100,000,000 shares authorized, 17,536,283 shares issued at December 31, 1998 and 16,661,283 at June 30, 1998; 14,606,283 shares outstanding at December 31, 1998 and 13,731,283 at June 30, 1998 ................................................ 1,462 1,374 Additional paid-in capital ....................................................... 32,910,465 31,099,303 Retained deficit ................................................................. (25,541,009) (12,631,651) Treasury stock (2,930,000 shares) ................................................ (5,242,680) (5,242,680) ------------ ------------ Total shareholders' equity ..................................................... 2,128,238 13,226,346 ------------ ------------ Total liabilities and shareholders' equity ..................................... $ 70,796,544 $ 69,486,105 ============ ============ THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 3 4 CONTINUCARE CORPORATION CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) THREE MONTHS ENDED DECEMBER 31, ------------------------------------- 1998 1997 ------------ ------------ Operations continuing Revenue Medical services, net .......................................................... $ 51,684,581 $ 7,043,624 Management fees ................................................................ 266,754 81,250 ------------ ------------ Subtotal ..................................................................... $ 51,951,335 $ 7,124,874 Expenses Medical services ............................................................... 46,009,355 4,028,324 Payroll and employee benefits .................................................. 3,538,313 1,778,187 Provision for bad debt ......................................................... 1,593,067 193,480 Professional fees .............................................................. 436,494 375,198 General and administrative ..................................................... 2,642,909 2,073,966 Depreciation and amortization .................................................. 1,287,437 545,171 ------------ ------------ 55,507,575 8,994,326 Operations disposed of Revenue .......................................................................... 801,330 552,845 Expenses ......................................................................... 1,993,044 626,606 ------------ ------------ Subtotal ....................................................................... (1,191,714) (73,761) Provision for notes receivable ................................................. -- 2,167,000 ------------ ------------ Subtotal ....................................................................... (1,191,714) (2,240,761) ------------ ------------ Loss from operations ................................................................ (4,747,954) (4,110,213) Other income (expense) Loss on sale of subsidiary ..................................................... (4,152,250) -- Interest income ................................................................ 17,897 282,856 Interest expense ............................................................... (1,456,911) (760,075) ------------ ------------ Loss before income taxes ............................................................ (10,339,218) (4,587,432) Benefit for income taxes ............................................................ -- (1,618,001) ------------ ------------ Net Loss ............................................................................ $(10,339,218) $ (2,969,431) ============ ============ Net loss per share Basic .......................................................................... $ (.71) $ (.25) Diluted ........................................................................ $ (.71) $ (.25) Shares used in earnings per share calculations Basic .......................................................................... 14,606,283 11,922,283 Diluted ........................................................................ 14,606,283 11,922,283 THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 4 5 CONTINUCARE CORPORATION CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) SIX MONTHS ENDED DECEMBER 31, ------------------------------------- 1998 1997 ------------ ------------ Operations continuing Revenue Medical services, net .......................................................... $ 99,236,792 $ 9,248,789 Management fees ................................................................ 549,680 465,273 ------------ ------------ Subtotal ..................................................................... $ 99,786,472 $ 9,714,062 Expenses Medical services ............................................................... 86,639,284 4,613,901 Payroll and employee benefits .................................................. 7,249,389 2,980,922 Provision for bad debt ......................................................... 1,730,592 256,803 Professional fees .............................................................. 658,645 386,152 General and administrative ..................................................... 5,454,699 2,870,496 Depreciation and amortization .................................................. 2,899,307 648,734 ------------ ------------ 104,631,916 11,757,008 Operations disposed of Revenue .......................................................................... 1,924,092 1,627,441 Expenses ......................................................................... 3,641,081 1,431,306 ------------ ------------ Subtotal ....................................................................... (1,716,989) 196,135 Provision for notes receivable ................................................. -- 2,167,000 ------------ ------------ Subtotal ....................................................................... (1,716,989) (1,970,865) ------------ ------------ Loss from operations ................................................................ (6,562,433) (4,013,811) Other income (expenses) Loss on sale of subsidiary ..................................................... (4,152,250) -- Interest income ................................................................ 71,555 347,184 Interest expense ............................................................... (2,397,207) (795,828) ------------ ------------ Loss before income taxes and extraordinary items .................................... (13,040,335) (4,462,455) Benefit for income taxes ............................................................ -- (1,568,324) ------------ ------------ Net loss before extraordinary items ................................................. $(13,040,335) $ (2,894,131) Gain on extinguishment of debt, net of taxes ........................................ 130,977 -- ------------ ------------ Net loss ............................................................................ $(12,909,358) $ (2,894,131) ============ ============ Net loss per share before extraordinary items Basic .......................................................................... $ (.91) $ (.25) Diluted ........................................................................ $ (.91) $ (.25) Extraordinary items Basic .......................................................................... $ .01 $ -- Diluted ........................................................................ $ .01 $ -- Net loss per share Basic .......................................................................... $ (.90) $ (.25) Diluted ........................................................................ $ (.90) $ (.25) Shares used in earnings per share calculations Basic .......................................................................... 14,340,311 11,405,638 Diluted ........................................................................ 14,340,311 11,405,638 THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 5 6 CONTINUCARE CORPORATION CONSOLIDATED STATEMENT OF CASH FLOWS (UNAUDITED) SIX MONTHS ENDED DECEMBER 31, ------------------------------------- 1998 1997 ------------ ------------ CASH FLOWS FROM OPERATING ACTIVITIES Net income (loss) ................................................................ $(12,909,358) $ (2,894,131) Adjustments to reconcile net income to cash used in operating activities: Depreciation and amortization including amortization of deferred loan costs ......................................................... 3,527,148 683,318 Provision for bad debt ......................................................... 2,370,503 347,563 Provision for notes receivable ................................................. -- 2,167,000 Loss on sale of subsidiary ..................................................... 4,152,250 -- Gain on extinguishment of debt, net of taxes ................................... (130,977) -- Changes in assets and liabilities, excluding the effect of acquisitions: Increase in accounts receivable ................................................ (3,021,152) (2,845,549) Decrease (increase) in income taxes receivable ................................. 1,800,000 (1,342,518) Increase in prepaid expenses and other current assets .......................... (10,703) (699,677) Decrease (increase) in other receivables ....................................... 53,823 (567,000) Increase in intangible assets .................................................. -- (630,769) Decrease in other assets ....................................................... 321,257 214,693 Increase in medical claims payable ............................................. 1,546,166 -- Increase in accounts payable and accrued expenses .............................. 1,539,081 2,639,474 Increase in accrued interest payable ........................................... 10,521 528,956 Increase in income and other taxes payable ..................................... -- (619,445) ------------ ------------ Net cash used in operating activities ............................................... (751,441) (3,018,085) ------------ ------------ CASH FLOWS FROM INVESTING ACTIVITIES Cash paid for acquisitions ....................................................... (4,225,000) (19,443,403) Cash paid for purchase of contracts .............................................. (652,012) -- Property and equipment additions ................................................. (660,999) (1,065,592) Proceeds from sale of subsidiary ................................................. 120,000 -- Proceeds from notes receivable ................................................... 60,351 -- ------------ ------------ Net cash used in investing activities ............................................... (5,357,660) (20,508,995) ------------ ------------ CASH FLOWS FROM FINANCING ACTIVITIES Payment to extinguish debt ..................................................... (720,000) (2,500,000) Principal repayments under capital lease obligation ............................ (254,033) (18,620) Payment on acquisition notes ................................................... (1,317,252) Proceeds from long term debt ................................................... 5,000,000 48,500,000 Repayment of shareholder note .................................................. -- (599,000) Payment of deferred financing costs ............................................ (168,192) (3,050,257) Proceeds from issuance of common stock ......................................... -- 10,627,000 ------------ ------------ Net cash provided by financing activities ........................................... 2,540,523 52,959,123 ------------ ------------ Net increase (decrease) in cash and cash equivalents ................................ (3,568,578) 29,432,043 ------------ ------------ Cash and cash equivalents at beginning of period .................................... 7,435,724 6,989,580 ------------ ------------ Cash and cash equivalents at end of period .......................................... $ 3,867,146 $ 36,421,623 ============ ============ SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES: Stock issued for acquisition ........................................................ $ 1,811,250 $ 1,990,000 ============ ============ Note payable for purchase of contracts .............................................. $ 2,500,000 $ -- ============ ============ Note payable for amendment of contract .............................................. $ 3,509,983 $ -- ============ ============ Cash paid for income taxes .......................................................... $ -- $ 717,155 ============ ============ Cash paid for interest .............................................................. $ 1,840,000 $ 68,297 ============ ============ THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE CONSOLIDATED FINANCIAL STATEMENTS 6 7 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 1998 (UNAUDITED) NOTE 1 - UNAUDITED INTERIM INFORMATION The accompanying interim consolidated financial data for Continucare Corporation ("Continucare" or the "Company") are unaudited; however, in the opinion of management, the interim data include all adjustments, consisting of normal recurring accruals, necessary for a fair presentation of the results for the interim period. The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. The results of operations for the three months and six months ended December 31, 1998 are not necessarily indicative of the results to be expected for the year ending June 30, 1999. The interim unaudited consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended June 30, 1998 as set forth in the Company's Form 10-KSB. NOTE 2 - GENERAL The Company believes its cash on hand and anticipated cash flow from operations may not be sufficient to meet its obligations during fiscal 1999 and is taking steps to improve its cash flow position and profitability and obtain additional financing. Assuming the Company obtains the waiver for its noncompliance with certain financial covenants under its Credit Facility and First Union National Bank of Florida ("First Union") does not call the balance outstanding under the Credit Facility, as discussed in Note 6, improves its cash flow and profitability or obtains additional financing and remains in compliance with the financial covenants set forth in the Credit Agreement, the Company believes that it will be able to meet its obligations during fiscal 1999. However, there is no assurance that these assumptions will be met. NOTE 3 - BASIS OF PRESENTATION In fiscal 1998, the Company's focus shifted away from the behavioral health area, an area which had previously been a substantial source of the Company's revenue. In fiscal 1997, contracts to manage and provide staffing and billing services for behavioral health programs in hospitals and freestanding mental health rehabilitation centers represented approximately 86% of total revenue. In the first quarter of fiscal 1998, the Company assigned its behavioral health management contracts with freestanding centers and hospitals. During Fiscal 1999, the Company sold its diagnostic imaging services subsidiary, see note 9. Accordingly, the results pertaining to these services are segregated and classified as operations disposed of in the accompanying consolidated statements of operations. NOTE 4 - BUSINESS COMBINATION On April 10, 1997, the Company, through Continucare Physician Practice Management, Inc., a wholly owned subsidiary, acquired all of the outstanding stock of certain arthritis rehabilitation centers and affiliated physician practices. The acquisitions included the purchase of AARDS, INC. ("AARDS"), a Florida corporation formerly known as Norman G. Gaylis, M.D., Inc. In connection with the purchase the Company entered into a management agreement with ZAG Group, Inc. ("ZAG"), an entity controlled by the principals of AARDS. The management agreement, among other things, provided for ZAG to perform certain services in exchange for specified compensation. In addition, the Company entered into a put/call agreement with ZAG, which allowed 7 8 each of the parties to require the other party, after a two-year period, to either sell or purchase all the issued and outstanding capital stock of ZAG for a specified price to be paid in a combination of cash and common stock of the Company. In August 1998 the Company paid approximately $2 million to ZAG in connection with the cancellation of the put/call agreement of which $115,000 was paid in cash and the remaining $1,885,000 was paid by issuing 575,000 shares of the Company's common stock with a fair market value of approximately $1.6 million. In the event that the common stock issued does not have an aggregate fair market value of approximately $1,885,000 on October 15, 1999, the Company is obligated to pay additional cash consideration or issue additional shares of its common stock so that the aggregate value of the stock issued is approximately $1,885,000. The management agreement was terminated upon the cancellation of the put/call agreement. The total amount paid in connection with the cancellation of the put/call agreement is included in cost in excess of tangible assets acquired on the accompanying balance sheet and is being amortized over a weighted average life of 14 years. NOTE 5 - OTHER INTANGIBLE ASSETS In August 1998 the Company purchased professional provider contracts with approximately 30 physicians from an unrelated entity. The total purchase price was approximately $6.7 million of which $4.2 million was paid in cash at closing the remaining $2.5 million is payable in equal monthly installments over the ensuing 24 months. The total amount is included in other intangible assets on the accompanying consolidated balance sheet and is being amortized over 10 years, the term of the contracts. Effective August 1, 1998 the Company entered into two amendments to its professional provider agreements with an HMO. The amendments, among other things, extended the term of the original agreement from six to ten years and increased the percentage of Medicare premiums received by the Company effective January 1, 1999. In exchange for the amendments the Company signed a $4,000,000 non interest bearing promissory note (the "Note") with the HMO of which $1,000,000 will be paid over the 12 months commencing January 1999 and the remaining $3,000,000 over the ensuing 24 months. The $4,000,000, net of imputed interest calculated at 8% of approximately $500,000, is included in other intangible assets on the accompanying consolidated balance sheet and is being amortized over 9.6 years, the remaining term of the contract. NOTE 6 - LONG TERM DEBT As of December 31, 1998, the Company was not in compliance with certain covenants required under the terms of its Credit Facility. The Company is in the process of negotiating a waiver of its noncompliance from First Union, however, obtaining a waiver can not be assured. In the event First Union does not grant a waiver subject to the terms of the credit facility, it may demand repayment of the entire amount owed under the Credit Facility, $5,000,000 at December 31, 1998, therefore the total amount outstanding has been classified as a current liability in the accompanying December 31, 1998 consolidated balance sheet. In the event that the Company does not obtain a waiver from First Union, remains out of compliance with the loan covenants and payment is demanded, the Company believes it will need to obtain additional financing from sources outside of the Company to fund its obligation. The additional financing may be obtained from, but not limited to, the sale of stock, sale of assets or additional borrowings. The ultimate outcome of this matter may have a material adverse effect on the Company's financial position and operations. NOTE 7 - CONVERTIBLE SUBORDINATED NOTES PAYABLE In August 1998, the Company purchased $1.0 million face value of its 8% Convertible Subordinated Notes due 2002 for approximately $744,000, recognizing a gain of approximately $200,000 which is included in gain on extinguishment of debt on the accompanying consolidated statement of operations net of the related income taxes. NOTE 8 - CONTINGENCIES The Company is a party to the case of JAMES N. HOUGH, PLAINTIFF V. INTEGRATED HEALTH SERVICES, INC., A DELAWARE CORPORATION, AND REHAB MANAGEMENT SYSTEMS, INC., A FLORIDA CORPORATION ("RMS"), AND CONTINUCARE REHABILITATION SERVICES, INC., A 8 9 FLORIDA CORPORATION, in the Circuit Court of the Tenth Judicial Circuit in and for Polk County, Florida, Civil Division. Mr. Hough was the founder and former Chief Executive Officer and President of RMS. Mr. Hough sold RMS to Integrated Health Services, Inc. ("IHS"), and entered into an Employment Agreement (the "Employment Agreement") with IHS. RMS was acquired by Continucare in February 1998. Mr. Hough is seeking damages from the Employment Agreement and is alleging breach of contract. His initial demand of $1.1 million was rejected by the Company and the Company intends to vigorously defend the claim. The Company is a party to the case of MANAGED HEALTH CARE SYSTEMS AND AFFILIATES ("MHS") V. CONTINUCARE ACQUISITION CORP. AND CONTINUCARE HOME HEALTH SERVICES, INC. MHS is seeking in excess of $1 million damages for an alleged breach of contract. The Company believes the claim has little merit and intends to vigorously defend the claim. The Company is a party to the case of KAMINE CREDIT CORP: AS ASSIGNEE OF TRICOUNTY HOME HEALTH CARE SERVICES, INC. (KAMINE) V. CONTINUCARE CORPORATION. Kamine is seeking in excess of $5 million damages for alleged breach of contract. The Company believes the claim has little merit and intends to vigorously defend the claim. The Company is also involved in various legal proceedings incidental to its business. In the opinion of the Company's management, no individual item of litigation or group of similar items of litigation, taking into account the insurance coverage maintained by the Company and any accounts for self-insured retention, is likely to have a material adverse effect on the Company's financial position, results of operations or liquidity. The Company records its results of operations for its managed care contracts with HMOs based on information provided by the respective HMO and attempts to monitor the reliability of that information utilizing a variety of internal analytical tools. One HMO representing two managed care contracts provided information to the Company indicating a liability to the HMO of approximately $700,000 at June 30, 1998, and $3,737,000 at December 31, 1998. Based on such information, the Company's consolidated statements of operations include a loss of approximately $1,422,000 for the three months ended December 31, 1998 and $746,000 for the six months ended December 31, 1998, relating to the Company's relationship with the HMO. The Company believes, based on its internal analysis, that the information provided by the HMO may include claims that were improperly charged to the Company. The Company has advised the HMO of this issue and the HMO has advised the Company that it is undertaking a complete review of the information it previously provided. Because the HMO did not timely provide the information as required by the contractual relationship, this issue could not be resolved prior to the filing of this report. Accordingly the Company's consolidated statements of operations and balance sheets do not include an estimate of any amount that may be recoverable. NOTE 9 - LOSS ON SALE OF SUBSIDIARY On December 27, 1998, the Company sold the stock of its diagnostic imaging services subsidiary (the "subsidiary") for a cash purchase price of $120,000. Prior to the sale, the subsidiary conveyed through dividends all of the accounts receivable of the subsidiary to the Company. All obligations existing on the date of sale remained the obligations of the Company. As a result of this transaction, the Company recorded a loss on sale of subsidiary of approximately $4,152,000, including a write off of approximately $1,800,000 of costs in excess of the net assets acquired, and an accrual for operating leases not assumed by the seller which expire through 2007 of approximately $1,000,000. NOTE 10 - SUBSEQUENT EVENT On February 9, 1999 the Company signed a term sheet to sell its rehabilitation subsidiary. The purchase is contingent upon the purchaser completing acceptable due diligence, execution of a definitive agreement on or before March 31, 1999 and approval by both parties' Board of Directors. In the event all the contingencies are resolved and the subsidiary is sold the Company anticipates recognizing a loss on the transaction, however, the amount of the loss cannot be determined. 9 10 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS CERTAIN FACTORS AFFECTING FUTURE OPERATING RESULTS This Form 10-Q contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 including statements regarding the potential adjustment to information provided by an HMO which are reflected in the Company's consolidated financial statements. There is no assurance that any adjustment will be achieved nor, if achieved, that the amount of such an adjustment would be significant. When used in this Form 10-Q, the words "believe," "anticipate," "think," "intend," "plan," "will be," and similar expressions, identify such forward-looking statements. Such statements regarding future events and/or the future financial performance of the Company are subject to certain risks and uncertainties, which could cause actual events or the actual future results of the Company to differ materially from any forward-looking statement. Certain factors that might cause such a difference are set forth in the Company's Form 10-K for the period ended June 30, 1998, including the following: (1) limited operating history of Continucare in current business, (2) various risks associated with the acquisition of businesses including the expenses associated with the integration of the acquired businesses, difficulties in assimilating the operations of the acquired entities, and diversion of management resources; (3) statutory and regulatory changes, retroactive and prospective rate adjustments, administrative rulings and funding restrictions, any of which could limit or reduce reimbursement levels; (4) ability to attract and retain a sufficient number of qualified medical professionals; and (5) fluctuations in the volume of services rendered and/or the number of patients using the Company's services. GENERAL Continucare is a provider of integrated outpatient healthcare services in Florida. The Company provides a broad continuum of healthcare services through its network of physician practices, outpatient clinics, rehabilitation centers, home healthcare services, diagnostic imaging services and laboratory services (within its group physician practices). As a result of its ability to provide a quality continuum of healthcare services through approximately 300 locations, the Company has become a preferred healthcare provider in Florida to some of the nation's largest managed care organizations, including (i) Humana Medical Plans, Inc., for which, as of December 31, 1998, it managed the care for approximately 22,000 patients on a capitated basis and (ii) Foundation Health Corporation Affiliates, for which, as of December 31, 1998, it managed the care for approximately 39,000 patients on a capitated basis. As of December 31, 1998, the Company's Florida delivery services network included approximately 300 physicians. In fiscal 1998, the Company's focus shifted away from the behavioral health area, an area which had previously been a substantial source of the Company's revenue. In the fiscal year 1997, the contracts to manage and provide staffing and billing services for behavioral health programs in hospitals and freestanding mental health rehabilitation centers represented approximately 86% of total revenue. In the first quarter of fiscal 1998, the Company assigned its behavioral health management contracts with freestanding centers and hospitals. During Fiscal 1999 the Company sold its diagnostic imaging services subsidiary, see Note 9. Accordingly, the results pertaining to these services are segregated and classified as operations disposed of in the accompanying consolidated statement of operations. Comparative data for the three months and six months ended on December 31, 1998 and the three months and six months ended December 31, 1997 would represent this change in focus on the Company's businesses, and the Company has limited its discussion with respect to comparison of these periods. RESULTS OF OPERATIONS The following discussion and analysis should be read in conjunction with the unaudited consolidated statements and notes thereto appearing elsewhere in this Form 10-Q. 10 11 THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE THREE MONTHS ENDED DECEMBER 31, 1998 AS COMPARED TO THE THREE MONTHS ENDED DECEMBER 31, 1997 REVENUE FROM OPERATIONS CONTINUING Medical services revenue increased from approximately $7,044,000 for the three months ended December 31, 1997 to approximately $51,685,000 for the three months ended December 31, 1998. The Company made a number of acquisitions during fiscal 1998 as it developed its outpatient services strategy. The substantial increase of approximately $44,641,000 in medical services revenues for the three months ended December 31, 1998 was a result of these acquisitions. Approximately 18% of the Company's medical services revenue is derived from fee-for-service arrangements and 82% from capitated payments from HMOs. Fee-for-service revenue represents amounts realized that relate directly to medical services provided by a facility owned by the Company. Capitated revenue represents a fixed monthly fee from a HMO in exchange for the Company assuming responsibility for the provision of medical services for each covered individual. The Company also has arrangements with hospitals whereby a percentage of the hospital's charges are remitted to the Company for services provided to patients of the hospital. EXPENSES FROM OPERATIONS CONTINUING Medical services expense of approximately $46,009,000 for the three months ended December 31, 1998, represent the direct cost of providing medical services to patients as well as the medical claims incurred by the Company under the capitated contracts with HMOs. The costs of the medical services provided include the salaries and benefits of health professionals providing the services, insurance and other costs necessary to operate the centers. Medical claims costs represent the cost of medical services provided by providers other than the Company but which are to be paid by the Company for individuals covered by capitated arrangements with HMOs. Medical services of approximately $4,028,000 for the three months ended December 31, 1997 represent the direct cost of providing medical services to patients, including salaries and benefits and insurance and other costs. The increase of approximately $41,981,000 was attributable to the acquisitions noted above. Payroll and related benefits increased by approximately $1,760,000, or 99.0%, from approximately $1,778,000 for the three months ended December 31, 1997 to approximately $3,538,000 for the three months ended December 31, 1998. This increase was a direct result of the growth from the acquisitions made during 1998. Provision for bad debts was approximately $1,593,000 for the three months ended December 31, 1998, as compared to approximately $193,000 for the three months ended December 31, 1997. The increase is due to growth in revenues from acquisitions during 1998. Professional fees were approximately $436,000, or 0.8%, of total revenue, for the three months ended December 31, 1998 as compared to approximately $375,000, or 5.3%, of total revenue, for the three months ended December 31, 1997. General and administrative expenses were approximately $2,643,000, or 5.1%, of total revenue, for the three months ended December 31, 1998, as compared to approximately $2,074,000, or 29.1%, of total revenues, for the three months ended December 31, 1997. The increase of approximately $569,000 was primarily related to the administrative costs related to the rehabilitation entities, home health agencies and outpatient primary care centers acquired during fiscal year 1998. Depreciation and amortization increased to approximately $1,287,000, or 2.5%, of total revenue, for the three months ended December 31, 1998 as compared to approximately $545,000, or 7.7%, of total revenue, for the 11 12 three months ended December 31, 1997 primarily as a result of the amortization of goodwill and other intangibles related to the acquisitions noted above. REVENUES AND EXPENSES FROM OPERATIONS DISPOSED OF Revenue increased approximately $250,000 from approximately $550,000 for the three months ended December 31, 1997 to approximately $800,000 for the three months ended December 31, 1998. The increase related to additional services performed. Expenses increased approximately $1,366,000 from approximately $627,000 for the three months ended December 31, 1997 to approximately $1,993,000 for the three months ended December 31, 1998. The increase was related to additional operational costs incurred related to the disposition of the subsidiary. LOSS ON SALE OF SUBSIDIARY The loss on sale of approximately $4,152,000 for the three months ended December 31, 1998 related to the sale of the Company's diagnostic division. There were no such losses recorded for the three months ended December 31, 1997. The Company may dispose of additional assets in the future and may realize losses in connection with those disposals. INTEREST Consolidated net interest income (expense) for the three months ended December 31, 1998, was approximately ($1,439,000), or (2.8%), of total revenues, compared to approximately ($477,000), or (6.7%), of total revenue, for the three months ended December 31, 1997. Approximately $1,088,000 of interest expense for the three months ended December 31, 1998 primarily relates to the $45 million of 8% Convertible Subordinated Notes due September 30, 2002, (the "Notes") issued on October 30, 1997 and amortization of deferred financing costs incurred in connection with issuing the Notes. Interest on the Notes is payable semiannually beginning April 30, 1998. NET LOSS Continucare's consolidated net loss for the three months ended December 31, 1998 was approximately ($10,339,000) compared to net loss for the three months ended December 31, 1997 of approximately ($2,969,000). The increase of approximately $7,370,000 was primarily attributable to the loss on sale of subsidiary of approximately $4,152,000 and the items discussed above. THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE SIX MONTHS ENDED DECEMBER 31, 1998 AS COMPARED TO THE SIX MONTHS ENDED DECEMBER 31, 1997 REVENUE FROM OPERATIONS CONTINUING Medical Services revenue increased from approximately $9,249,000 for the six months ended December 31, 1997 to approximately $99,237,000 for the six months ended December 31, 1998. The Company made a number of acquisitions during fiscal 1998 as it developed its outpatient services strategy. The substantial increase of approximately $89,988,000 in medical services revenues for the six months ended December 31, 1998 was a result of these acquisitions. Approximately 19.8% of the Company's medical services revenue is derived from fee-for-service arrangements 79.6% from capitated payments from HMOs and remaining 0.6% from other sources. Fee-for-service revenue represents amounts realized that relate directly to medical services provided by a facility owned by the Company. Capitated revenue represents a fixed monthly fee from a HMO in exchange for 12 13 the Company assuming responsibility for the provision of medical services for each covered individual. The Company also has arrangements with hospitals whereby a percentage of the hospital's charges are remitted to the Company for services provided to patients of the hospital. EXPENSES FROM OPERATIONS CONTINUING Medical services expense of approximately $86,639,000 for the six months ended December 31, 1998, represent the direct cost of providing medical services to patients as well as the medical claims incurred by the Company under the capitated contracts with HMOs. The costs of the medical services provided include the salaries and benefits of health professionals providing the services, insurance and other costs necessary to operate the centers. Medical claims costs represent the cost of medical services provided by providers other than the Company but which are to be paid by the Company for individuals covered by capitated arrangements with HMOs. Medical services of approximately $4,614,000 for the six months ended December 31, 1997 represent the direct cost of providing medical services to patients, including salaries and benefits and insurance and other costs. The increase of approximately $82,025,000 was attributable to the acquisitions noted above. Payroll and related benefits increased by approximately $4,268,000, or 143.2%, from approximately $2,981,000 for the six months ended December 31, 1997 to approximately $7,249,000 for the six months ended December 31, 1998. This increase was a direct result of the growth from the acquisitions made during 1998. Provision for bad debts was approximately $1,731,000, or 1.7%, of total revenues for the six months ended December 31, 1998, as compared to approximately $257,000, or 2.6%, of total revenue for the six months ended December 31, 1997. The dollar amount increase is due to the revenue increase from the acquisitions during 1998. Professional fees were approximately $659,000, or 0.7%, of total revenue, for the six months ended December 31, 1998 as compared to approximately $386,000, or 4.0%, of total revenue, for the six months ended December 31, 1997. The increase of approximately $273,000 is due to the increased size of the Company. General and administrative expenses were approximately $5,455,000, or 5.6%, of total revenue, for the six months ended December 31, 1998, as compared to approximately $2,870,000, or 29.5%, of total revenues, for the six months ended December 31, 1997. The increase of approximately $2,585,000 was primarily related to the increased costs attributable to the administrative costs related to the rehabilitation entities, home health agencies, outpatient primary care centers and the outpatient radiology and diagnostic imaging services company acquired during fiscal year 1998. Depreciation and amortization increased to approximately $2,899,000, or 2.9%, of total revenue, for the six months ended December 31, 1998 as compared to approximately $649,000, or 6.7%, of total revenue, for the six months ended December 31, 1997 primarily as a result of the amortization of goodwill and other intangibles related to the acquisitions noted above. REVENUES AND EXPENSES FROM OPERATIONS DISPOSED OF Revenue increased approximately $297,000 from approximately $1,627,000 for the three months ended December 31, 1997 to approximately $1,924,000 for the three months ended December 31, 1998. The increase related to additional services performed. Expenses increased approximately $2,210,000 from approximately $1,431,000 for the three months ended December 31, 1997 to approximately $3,641,000 for the three months ended December 31, 1998. The increase was related to additional operational cost incurred related to the disposition of the subsidiary. The Company had no revenues or expenses during the six months ended December 31, 1998, associated with operations disposed of during 1998. 13 14 LOSS ON SALE OF SUBSIDIARY The loss on sale of approximately $4,152,000 for the six months ended December 31, 1998 related to the sale of the Company's diagnostic division. There were no such losses recorded for the six months ended December 31, 1997. The Company may dispose of additional assets in the future and may realize losses in connection with those disposals. INTEREST Consolidated net interest income (expense) for the six months ended December 31, 1998, was approximately ($2,326,000), or (2.3%), of total revenues, compared to approximately ($449,000), or (4.6%), of total revenue, for the six months ended December 31, 1997. Approximately $2,177,000 of interest expense for the six months ended December 31, 1998 primarily relates to the $45 million of 8% Convertible Subordinated Notes due September 30, 2002, (the "Notes") issued on October 30, 1997 and amortization of deferred financing costs incurred in connection with issuing the Notes. Interest on the Notes is payable semiannually beginning April 30, 1998. NET LOSS Continucare's consolidated net loss for the six months ended December 31, 1998 was approximately ($12,909,000) compared to net loss for the six months ended December 31, 1997 of approximately ($2,894,000) for the reasons discussed above. The increase of approximately $10,015,000 was primarily attributable to the loss on sale of subsidiary of approximately $4,152,000 and the items discussed above. LIQUIDITY AND CAPITAL RESOURCES In August 1998, the Company entered into a credit facility (the "Credit Facility") with First Union National Bank of Florida ("First Union") which provides for a $5,000,000 Acquisition Facility and a $5,000,000 Revolving Loan. Under the terms of the Credit Facility, the Company may elect the interest rate to be either the bank's prime rate or the London InterBank Offered Rate plus 250 basis points. Interest only on each acquisition advance under the Acquisition Facility is payable monthly in arrears for the first six months. Commencing six months from the date of each acquisition advance, the advance shall be repayable in equal monthly amortization payments, based upon a five year amortization. The Company borrowed the entire $5 million Acquisition Facility to fund acquisitions in the first quarter of 1999. Interest only on the Revolving Loan advances is payable quarterly in arrears. In all events, the Revolving Loan matures and all unpaid principal and interest is due in full on August 31, 2001. The $5,000,000 Revolving Loan is comprised of (i) $2,000,000 reserved for a pending letter of credit arrangement, and (ii) $3,000,000 which can be drawn commencing September 30, 1999, as long as the Company is in compliance with all covenants of the Credit Facility at such time. The Credit Facility (a) is secured by substantially all of the assets of the Company, (b) is decreased by $1.5 million placed in a restricted account at First Union if the pending letter of credit is issued, which will be released when certain covenants have been met by the Company and (c) contains restrictive covenants which, among other things, require the Company to maintain certain financial ratios and minimum liquidity requirements and limit the incurrence of additional debt, the payment of dividends and the amount of capital expenditures. As of December 31, 1998, the Company was not in compliance with certain covenants required under the terms of its Credit Facility. The Company is in the process of negotiating a waiver of its noncompliance from First Union, however, obtaining a waiver can not be assured. In the event First Union does not grant a waiver subject to the terms of the credit facility, it may, subject to the terms of the Credit Facility, demand repayment of the entire amount owed under the Credit Facility ($5,000,000 at December 31, 1998). In the event that the Company does not obtain a waiver from First Union, remains out of compliance with the loan covenants and payment is demanded, the Company believes it will need to obtain additional financing from sources outside of the Company to fund its obligation. The additional financing may be obtained from, but not limited to, the sale of stock, sale of assets or additional borrowings. The ultimate outcome of this matter may have a material adverse effect on the Company's financial position and operations. 14 15 For the six months ended December 31, 1998, net cash used in operating activities was approximately $751,000 primarily as a result of the net loss. For the six months ended December 31, 1998, net cash used in investing activities was approximately $5,358,000, primarily related to the purchase of contracts with approximately 30 physicians from an unrelated entity. Net cash provided by financing activities for the six months ended December 31, 1998 was approximately $2,541,000, comprised primarily of the $5 million borrowed under the Acquisition Facility, partially offset by repayments of other debt. The Company's working capital deficit was approximately $3,714,000 at December 31, 1998, which includes the $5,000,000 outstanding under the acquisition facility due to the Company's violation of certain financial covenants, see Note 6 to the accompanying consolidated financial statements, compared to working capital of $11,124,000 at June 30, 1998. During the six months ended December 31, 1998, capital expenditures amounted to approximately $661,000. Capital expenditures during fiscal 1999 principally for computers and equipment are not expected to exceed $1.0 million. The Company believes its cash on hand and anticipated cash flow from operations may not be sufficient to meet its obligations during fiscal 1999 and is taking steps to improve its cash flow position, profitability and obtain additional financing. Assuming the Company obtains the waiver for its noncompliance with certain financial covenants under its Credit Facility and First Union does not call the balance outstanding under the Credit Facility, as discussed in Notes 2 and 6 to the Consolidated Financial Statements, improves its cash flow and profitability or obtains additional financing and remains in compliance with the financial covenants set forth in the Credit Agreement, the Company believes that it will be able to meet its obligations during fiscal 1999. However, there is no assurance that these assumptions will be met. IMPACT OF YEAR 2000 The Year 2000 Issue is the result of the computer programs being written using two digits rather than four to define the applicable year. Any of the Company's computer programs that have time-sensitive software may recognize a date using "00" as the year 1900 rather than the year 2000. This could result in a system failure or miscalculations causing disruptions of operations and patient care, including, among other things, a failure of certain patient care applications and equipment, a failure of control systems, a temporary inability to process transactions, send invoices, or engage in similar normal business activities. Based on a recent and ongoing assessment, the Company determined that it will be required to modify or replace certain portions of its software, hardware and patient care equipment so that its systems will function properly with respect to dates in the year 2000 and thereafter. Affected systems will include clinical and biomedical instrumentation and equipment used within the Company for purposes of direct or indirect patient care such as imaging, laboratory, pharmacy and respiratory devices; cardiology measurement and support devices; emergency care devices (including monitors, defibrillators, dialysis equipment and ventilators); and general patient care devices (including telemetry equipment and intravenous pumps). The Company presently believes that with modifications to existing software and conversions to new clinical and biomedical instrumentation and equipment, the Year 2000 Issue will not pose significant operational problems. However, if such modifications and conversions are not made, or are not completed timely, the Year 2000 Issue could have a material impact on the operations of the Company. The Company has initiated formal communications with all of its significant suppliers to determine the extent to which the Company's interface systems are vulnerable to those third parties' failure to remediate their own Year 2000 Issues. The Company's total Year 2000 project cost and estimates to complete include the costs and time associated with the impact of third-party Year 2000 Issues based on presently available information. However, there can be no guarantee that the systems of other companies on which the Company's systems rely will be timely converted and would not have an adverse effect on the Company's systems. 15 16 The Company will utilize both internal and external resources to reprogram, or replace and test the software and patient care equipment for Year 2000 modifications. The Company anticipates completing Year 2000 project by June 30, 1999, which is prior to any anticipated impact on its operating systems. The total cost of the Year 2000 project is estimated at $700,000 and is being funded through operating cash flows. Of the total projected cost, approximately $500,000 is attributable to the purchase of new software and patient care equipment, which will be capitalized. The remaining $200,000, which will be expensed as incurred, is not expected to have a material effect on the results of operations. Through December 31, 1998, the Company has incurred approximately $650,000 ($150,000 expensed and $500,000 capitalized for new systems and equipment). The costs of the project and the date on which the Company believes it will complete the Year 2000 modifications are based on management's best estimates, which were derived utilizing numerous assumptions of future events, including the continued availability of certain resources, third party modification plans and other factors. However, there can be no guarantee that these estimates will be achieved and actual results could differ materially from those anticipated. Specific factors that might cause material differences include, but are not limited to, the availability and costs of replacement equipment and personnel trained in this area, the ability to locate and correct all relevant computer codes, and similar uncertainties. PART II - OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS The Company is involved in various legal proceedings incidental to its business. Reference is made to Note 8 of the Company's Consolidated Financial Statements. In the opinion of the Company's management, no individual item of litigation or group of similar items of litigation, taking into account the insurance coverage maintained by the Company and any accounts for self-insured retention, is likely to have a material adverse effect on the Company's financial position, results of operations or liquidity. ITEM 2. CHANGES IN THE RIGHTS OF THE COMPANY'S SECURITY HOLDERS Not applicable. ITEM 3. DEFAULTS UPON SENIOR SECURITIES As of December 31, 1998, the Company was not in compliance with certain covenants required under the terms of its Credit Facility. The Company is in the process of obtaining a waiver of the noncompliance from First Union National Bank of Florida ("First Union"). In the event First Union does not grant a waiver subject to the terms of the credit facility it may demand repayment of the entire amount owed under the credit facility, $5,000,000 at December 31, 1998. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Not applicable. ITEM 5. OTHER INFORMATION Not applicable. ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits Financial Data Schedule (for SEC use only.) (b) Reports on Form 8-K None. 16 17 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Company has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. CONTINUCARE CORPORATION Dated: February 19, 1999 By: /s/ CHARLES M. FERNANDEZ ------------------------------------ Charles M. Fernandez, Chairman, Chief Executive Officer, President Dated: February 19, 1999 By: /s/BRUCE ALTMAN ------------------------------------ Bruce Altman Senior Vice President and Chief Financial Officer 17