ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS AS OF JUNE 30, 1998 AND 1997 TOGETHER WITH REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS <PAGE 183> REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS To the Shareholders of Advanced Clinical Systems, Inc.: We have audited the accompanying consolidated balance sheets of ADVANCED CLINICAL SYSTEMS, INC. (a Delaware corporation) and subsidiaries as of June 30, 1998 and 1997, and the related consolidated statements of income, shareholders' equity and cash flows for the years then ended. These consolidated financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall consolidated financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Advanced Clinical Systems, Inc. and subsidiaries as of June 30, 1998 and 1997, and the results of their operations and their cash flows for the years then ended in conformity with generally accepted accounting principles. /s/ Arthur Andersen LLP Nashville, Tennessee August 12, 1998 <PAGE 184> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS JUNE 30, 1998 AND 1997 ASSETS 1998 1997 - ------------------------------- ---------- ---------- CURRENT ASSETS: 	Cash $ 567,683 $ 412,986 	Trade receivables, net of allowance for doubtful accounts of $499,745 and $509,708, respectively 2,316,724 2,128,141 	Other receivables, net 19,889 74,387 	Income taxes receivable 250,000 - 	Prepaid expenses and other current assets 43,574 31,273 	Deferred tax asset 303,286 345,889 ---------- ---------- 		Total current assets 3,501,156 2,992,676 ---------- ---------- PROPERTY AND EQUIPMENT, net of accumulated depreciation 317,639 487,573 OTHER ASSETS: 	Excess of cost over fair value of net assets acquired, net of accumulated amortization 386,105 443,515 	Start-up costs, net of accumulated amortization 39,455 166,159 	Loan costs, net of accumulated Amortization 125,095 - 	Deferred tax asset 334,905 193,638 	Other assets 29,836 29,102 ---------- ---------- Total assets 	$4,734,191 	$4,312,663 ---------- ---------- LIABILITIES AND SHAREHOLDERS' EQUITY - ------------------------------------ CURRENT LIABILITIES: 	Line of credit 	$ 500,000 	$	 - 	Current portion of notes Payable 246,105 - 	Current portion of capital lease obligations 24,266 53,048 	Accounts payable 351,859 369,785 	Accrued salaries and benefits 439,768 512,233 	Other accrued expenses 39,668 105,744 	Income taxes payable - 245,484 ---------- ---------- Total current liabilities 1,601,666 1,286,294 ---------- ---------- NON-CURRENT LIABILITIES: 	Notes payable, net of current portion 5,218,735 - 	Notes payable to shareholders - 610,000 	Interest payable to shareholders - 389,805 	Capital lease obligations, net of current portion 18,707 42,505 	Other long-term obligations 80,000 - ---------- ---------- Total noncurrent Liabilities 5,317,442 1,042,310 ---------- ---------- SHAREHOLDERS' EQUITY: 	Common stock - $.01 par value; 10,000,000 shares authorized; 4,202,370 and 2,869,666 shares issued, respectively 42,024 28,697 	Additional paid-in capital, net of deferred compensation of $0 and $21,972, respectively 2,330,189 1,261,223 	Retained earnings 		1,392,365 694,139 	Treasury stock, at cost	 (5,949,495) - ---------- ---------- Total shareholders' equity	 (2,184,917) 1,984,059 ---------- ---------- Total liabilities and shareholders' equity $ 4,734,191 $ 4,312,663 ---------- ---------- The accompanying notes to consolidated financial statements are an integral part of these consolidated balance sheets. <PAGE 185> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME FOR THE YEARS ENDED JUNE 30, 1998 AND 1997 1998 1997 ---------- ---------- NET REVENUES $ 12,925,752	$ 11,928,867 OPERATING EXPENSES: 	Salaries and benefits 7,241,373 7,411,124 	Other operating expenses	 3,588,232 3,245,681 Depreciation and amortization		410,819 534,695 Litigation settlement 	283,325 - ---------- ---------- Total operating expenses	 11,523,749 11,191,500 ---------- ---------- OTHER REVENUES (EXPENSES): 	Interest expense	 (209,911) (145,819) 	Investment income 18,297 57,329 	Other 9,662 1,278 ---------- ---------- Total other expense (181,952) (87,212) ---------- ---------- INCOME BEFORE TAXES 1,220,051 650,155 PROVISION (BENEFIT) FOR INCOME TAXES: 	Current 620,489 441,317 	Deferred (98,664) (428,355) ---------- ---------- 521,825 12,962 ---------- ---------- NET INCOME $ 698,226 $ 637,193 ---------- ---------- The accompanying notes to consolidated financial statements are an integral part of these consolidated statements. <PAGE 186> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY FOR THE YEARS ENDED JUNE 30, 1998 AND 1997 Additional Common Stock Treasury Stock Paid-in Retained Shares Amount Shares AmountCapitalEarningsTotal ---------- --------- --------- --------- --------- ---------- -------- BALANCE AT JUNE 30, 1996 2,868,666 $28,687 - - $1,237,640 $56,946 1,323,273 Exercise of options 1,000 10 - - 1,490 - 1,500 Amortization of deferred compensation - - - - 22,093 - 22,093 Net income - - - - - 637,193 637,193 BALANCE AT JUNE 30, 1997 2,869,666 28,697 - - 1,261,223 694,139 1,984,059 Conversion of convertible notes payable 1,332,030 13,320 - - 1,045,990 - 1,059,310 Purchase of treasury shares - - 2,902,253 (5,949,495) - - (5,949,495) Exercise of options 674 7 - - 1,004 - 1,011 Amortization of deferred compensation - - - - 21,972 - 21,972 Net income - - - - - 698,226 698,226 BALANCE AT JUNE 30, --------- ------ --------- ----------- --------- --------- ----------- 1998 4,202,370 42,024 2,902,253 (5,949,495) 2,330,189 1,392,365(2,184,917) The accompanying notes to consolidated financial statements are an integral part of these consolidated statements. <PAGE 187> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED JUNE 30, 1998 AND 1997 (Increase (Decrease) in Cash) 1998 1997 ---------- ---------- CASH FLOWS FROM OPERATING ACTIVITIES: Net income $ 698,226 $ 637,193 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 410,819 534,695 Deferred income taxes (98,664) (428,355) Amortization of deferred Compensation 21,972 22,093 Changes in assets and liabilities, net of effect of acquisition: Trade receivables, net (188,583) (91,637) Other receivables, net 54,498 125,895 Prepaid expenses and other current assets (262,301) 171,344 	Accounts payable (17,926) (130,037) 	Accrued expenses (244,520) 392,572 ---------- ---------- Net cash provided by operating activities 373,521 1,233,763 ---------- ---------- CASH FLOWS FROM INVESTING ACTIVITIES: Purchases of property and equipment, Net (50,194) (143,469) Other (734) (85,534) ---------- ---------- Net cash used in investing Activities (50,928) (229,003) ---------- ---------- CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from notes payable, net of Payments 5,464,840 - Proceeds from line of credit 500,000 - Payment of loan costs (131,672) - Payment on line of credit - 	 (765,000) Purchase of treasury stock (5,949,495) - Payments on capital lease Obligations 	 (52,580) 	 (28,817) Other 1,011 1,500 ---------- ---------- Net cash used in financing Activities (167,896) (792,317) ---------- ---------- NET INCREASE IN CASH 154,697 212,443 CASH, at beginning of year 412,986 200,543 ---------- ---------- CASH, at end of year $ 567,683 $ 412,986 ---------- ---------- (Continued) <PAGE 188> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED JUNE 30, 1998 AND 1997 (Increase (Decrease) in Cash) (Continued) 1998 1997 ---------- ---------- 	 SUPPLEMENTAL INFORMATION: Cash payments of interest expense	 $ 150,400 $ 76,358 Cash payments of income taxes 	$1,129,973 	 $ 68,040 NONCASH INVESTING AND FINANCING ACTIVITIES: Conversion of notes payable to shareholders into common stock $1,059,310 $ - Liabilities assumed in Acquisition $	 - $ 59,605 Capital lease of equipment $ - $ 58,660 The accompanying notes to consolidated financial statements are an integral part of these consolidated statements. <PAGE 189> ADVANCED CLINICAL SYSTEMS, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 1998 AND 1997 1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES The Company 		 Advanced Clinical Systems, Inc. (the "Company") provides management services to hospitals and community mental health centers under long-term contracts for the operation of inpatient and outpatient clinics dedicated either to the diagnosis and treatment of individuals suffering with mental health conditions or chronic pain. The Company also provides practice management services to physicians and other clinicians in connection with the Company's programs at those hospitals. At June 30, 1998, the Company provides mental health management services to fourteen hospitals and two community mental health centers through its wholly-owned subsidiary, New Day, Inc., and provides chronic pain management services to eight hospitals through its wholly-owned subsidiary, Pain Care, Inc. Principles of Consolidation The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. As of June 30, 1998, the Company's investment in an unconsolidated partnership was accounted for using the equity method and the investment is included in other assets. All intercompany accounts and transactions have been eliminated. Revenue Recognition 		 Approximately 90% and 85% of the Company's net operating revenues for 1998 and 1997, respectively, consist of management fees earned from contracts with hospitals and community mental health centers. Remaining net operating revenues consist primarily of patient service revenues and management fees earned from contracts with physician practices. Provision for Doubtful Accounts Provision for estimated uncollectible accounts receivable is included in operating expenses. <PAGE 190> -2- Property and Equipment Property and equipment are stated at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the property and equipment. The general range of estimated useful lives is 3-10 years. Maintenance and repairs are charged to operations while significant renewals and replacements are capitalized. When assets are sold or retired, the cost and related accumulated depreciation are removed from the accounts and any resulting gain or loss is included in the consolidated statement of income. The Company uses accelerated depreciation methods for tax reporting purposes. Other Assets The excess of cost over fair value of net assets acquired ("goodwill") is being amortized over 15 years using the straight-line method. Start-up costs generally include development fees, salaries and wages, travel and other related costs incurred with the development of new clinics. These costs are amortized over 36 months using the straight-line method beginning when patients are initially served. Effective April 1, 1997, the Company changed its method of accounting for start-up costs from capitalizing start-up costs and amortizing those costs over 36 months to expensing the new start-up costs as incurred. The change in the method of accounting for start-up costs resulted in a charge to operations of $50,625 for the year ended June 30, 1997. Capitalized costs through March 31, 1997, are being amortized over their remaining life under the Company's original policy. In April 1998, the Company incurred $131,672 in loan costs associated with the financing arrangements described in Note 5. These costs are being amortized over the life of the related debt. The Company evaluates, on a continual basis, the realizability of intangible assets using measurements of earnings before amortization, as well as operating cash flows for the respective operations. The Company considers the effects of external changes to the Company's business environment, including competitive pressures, market erosion and technological and regulatory changes. 		 Income Taxes The Company accounts for income taxes in accordance with Statement of Financial Accounting Standards ("SFAS") No. 109, "Accounting for Income Taxes." Certain elements of income and expense are recognized in different periods for income tax reporting than for financial reporting. Such differences are primarily attributable to the Company's use of accelerated depreciation methods for equipment and timing differences related to the deduction of bad debt expense and accrued expenses. See Note 4 for further information related to income taxes. <PAGE 191> -3- Concentration of Credit Risks The Company's credit risks relate primarily to cash and trade receivables. Cash is primarily held in bank accounts with financial institutions in the southeastern region of the United States. Trade receivables consist primarily of amounts due from hospitals, community mental health centers and physician practices in the southeastern region of the United States. The Company continually monitors the financial condition and operations of its clients to determine adequacy of allowances for doubtful accounts on these receivables. The Company has risk of accounting losses should uncollectible amounts exceed current allowances. Litigation Settlement In fiscal 1995, the Company was named as a defendant in a lawsuit in which the plaintiff alleged breach of contract. In fiscal 1998, the Company settled the suit with the plaintiff for $283,325, including legal fees of $43,325. Use of Estimates 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 and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results may differ from those estimates. Accounting Developments In February 1997, the Financial Accounting Standards Board issued SFAS No. 129, "Disclosure of Information about Capital Structure." SFAS No. 129 establishes standards for disclosing information about an entity's capital structure. The statement was adopted during fiscal year 1998, and the adoption did not have a material impact on the Company's results of operations, financial condition or cash flows. In April 1998, the Accounting Standards Executive Committee of the American Institute of Certified Public Accountants issued Statement of Position ("SOP") 98-5, "Reporting on the Costs of Start-up Activities." The SOP is effective for fiscal years beginning after December 15, 1998, and requires entities to expense costs of start-up activities as incurred. As discussed in "Other Assets" above, the Company changed its method of accounting for start-up costs in April 1997. Accordingly, management does not expect the adoption to have a material impact on the Company's results of operations, financial condition or cash flows. Reclassifications Certain reclassifications have been made to the 1997 consolidated financial statements in order to conform with the 1998 presentation. <PAGE 192> -4- 2. PROPERTY AND EQUIPMENT Property and equipment, at cost, consists of the following at June 30, 1998 and 1997: 1998 1997 ---------- ---------- Clinic leasehold improvements $ 197,512 $ 197,512 Equipment, furniture and Fixtures 587,901 738,124 Automobiles 171,301 171,301 ---------- ---------- 956,714 	 1,106,937 Less accumulated depreciation 	 (639,075) 	 (619,364) ---------- ---------- $ 317,639 $ 487,573 ---------- ---------- 3. EMPLOYEE BENEFIT PLAN The Company has a defined-contribution employee benefit plan that was established under provisions of section 401(k) of the Internal Revenue Code. Substantially all full-time regular employees of the Company and its subsidiaries are eligible to participate in the plan. Under the plan's provisions, an employee may contribute, on a tax-deferred basis, up to 15% of total cash compensation, not to exceed, within a calendar year, the amount allowable by the Commissioner of Internal Revenue. Matching contributions and discretionary contributions can be made by the Company in an amount determined by the Board of Directors each year. The Company did not make matching or discretionary contributions for the years ended June 30, 1998 or 1997. 4. INCOME TAXES The provision (benefit) for income taxes includes the following components for the years ended June 30, 1998 and 1997: 	 1998 1997 ---------- ---------- Current income taxes Federal $ 527,415 $ 375,119 	State 93,074 66,198 ---------- ---------- Total current tax provision 620,489 441,317 ---------- ---------- Deferred income taxes 	Federal (83,864) 	 (364,102) 	 State (14,800) (64,253) ---------- ---------- Total deferred tax benefit (98,664) (428,355) ---------- ---------- Total income tax provision $ 521,825 $ 12,962 ---------- ---------- <PAGE 193> -5- Deferred income taxes reflect the tax effects of differences between the carrying amounts of assets and liabilities for financial reporting and income tax purposes. The significant components of the Company's net deferred tax assets and liabilities, at the respective tax rates, as of June 30, 1998 and 1997 are as follows: 1998 1997 Non- Non- Current Current Current Current --------- --------- --------- ------- Deferred tax assets: Allowance for accounts receivable $ 199,898 $	- $ 203,883 $ - Accrued liabilities 103,388 		- 142,006 - Accelerated Depreciation - 303,594 - 153,538 Other - 31,311 - 40,100 --------- --------- --------- ------- 	 Total deferred tax assets $ 303,286 $334,905 $ 345,889 $193,638 --------- --------- --------- -------- In fiscal 1997, the Company eliminated valuation allowances in the amount of $269,332 applied against deferred tax assets based upon its tax planning strategies and future income projections. 5. FINANCING ARRANGEMENTS 			 Effective November 29, 1994, the Company negotiated a revolving line of credit with a bank which provided for borrowings up to $1,400,000. Borrowings accrue interest at an adjustable market rate payable monthly and are secured by a first lien on the accounts receivable, financial instruments and intangible assets of the Company. As of June 30, 1997, there were no outstanding borrowings under this line of credit. The line of credit expired November 15, 1997. As of that date, there were no outstanding borrowings under the line of credit. 	 Effective April 3, 1998, the Company negotiated a new revolving line of credit with a bank which provides for borrowings up to $1,200,000. Borrowings accrue interest at an adjustable market rate (8.78% at June 30, 1998) and are payable monthly. Line of credit borrowings are secured by liens on certain assets of the Company. The line of credit expires on March 31, 2004. As of June 30, 1998, the Company had outstanding borrowings related to the line of credit of $500,000. <PAGE 194> -6- Effective April 3, 1998, the Company issued notes payable to a bank to fund the repurchase of a portion of the Company's outstanding common shares (see Note 7). Notes payable consist of following: June 30, 1998 1997 ---------- ---------- Note payable to bank, issued April 3, 1998, interest at a variable rate (9.53% at June 30, 1998), maturing March 31, 2003 $3,714,840 $	- Note payable to bank, issued April 3, 1998, interest at a variable rate (10.03% at June 30, 1998), maturing March 31, 2004 	 1,750,000 - ---------- ---------- 5,464,840 - Less current portion 	 (246,105) - ---------- ---------- $ 5,218,735 $	- ---------- ---------- Principal payments required on long-term debt are as follows: 		 1999 $ 246,105 2000 609,375 2001 796,875 2002 1,042,500 2003 	 1,019,985 Thereafter 1,750,000 ----------- $ 5,464,840 ----------- The Company's revolving line of credit and notes payable contain certain financial covenants which, among other restrictions, restrict total debt, impose minimum coverage ratios, limit capital expenditures and require a minimum net worth. As of June 30, 1998, the Company was in compliance with all financial covenants. <PAGE 195> -7- 6. NOTES PAYABLE TO SHAREHOLDERS		 Notes payable to shareholders at June 30, 1997, consists of subordinated convertible debt agreements. The total outstanding principal and compounded accrued interest payable is payable upon maturity or may be converted into shares of the Company's common stock at the option of the shareholders as follows: June 30, 1997 Accrued Principal Interest ---------- ---------- Notes payable to shareholders, issued September 1, 1991, interest at 9%, maturing September 1, 1998, convertible at $0.75 per share $ 460,000 $ 311,058 Notes payable to shareholders, issued February 25, 1992, interest at 8%, maturing February 25, 1999, convertible at $1.00 per share 150,000 		78,747 ---------- ---------- $ 610,000 $ 389,805 ---------- ---------- During fiscal 1998, the notes payable were converted into common stock according to the terms of the convertible debt agreements. See Note 7 for additional discussion of equity transactions. 7. SHAREHOLDERS' EQUITY Convertible Notes Payable As discussed in Note 6, during fiscal 1998, convertible notes payable to shareholders were converted into 1,332,030 shares of common stock pursuant to the subordinated convertible debt agreements. Treasury Stock In fiscal 1998, the Board of Directors authorized the repurchase of a portion of the Company's outstanding common stock. Accordingly, the Company acquired 2,902,253 shares of the Company's common stock for $5,949,495. The treasury shares are stated at cost in the accompanying consolidated balance sheets. <PAGE 196> -8- Stock Options 	 Pursuant to the Company's 1991 Incentive Stock Option Plan (the "Plan"), the Company provides for the grant of stock options to certain employees to purchase in the aggregate up to 1,350,000 shares of common stock. Awarded options typically vest and become exercisable in incremental installments within two to five years from the date of grant and expire no later than ten years from the date of grant. All options are deemed to have been granted for prices at or above fair market value of the stock at the date of the grant as determined by the Board of Directors and management. The following table summarizes stock option transactions for the years ending June 30, 1998 and 1997: Weighted- Average Exercise Shares Under Price Per Option Share ---------- ---------- Outstanding at June 30, 1996 452,000 $1.28 Granted 83,000 $2.00 Canceled (63,500) $1.94 Exercised (1,000) $1.50 ---------- ---------- Outstanding at June 30, 1997 470,500 $1.32 Granted 3,000 $2.50 Canceled (40,000) $1.56 Exercised (674) $1.50	 ---------- ---------- Outstanding at June 30, 1998 432,826 $1.30 ---------- ---------- There were 347,659 and 353,333 options exercisable at June 30, 1998 and 1997, respectively, with a weighted average exercise price of $1.17. At June 30, 1998, there are 160,000 options outstanding with exercise prices between $.50 and $1.49, with a weighted average exercise price of $.75 and a weighted average remaining contractual life of 6 months. All of these options are exercisable at June 30, 1998. 272,826 options outstanding at June 30, 1998, have exercise prices between $1.50 and $2.50, with a weighted average exercise price of $1.63 and a weighted average remaining contractual life of 1.5 years. Of these, 187,659 are exercisable at June 30, 1998 and have a weighted average exercise price of $1.52. In accordance with SFAS No. 123, "Accounting for Stock-Based Compensation," the Company continues to account for options issued to employees under Accounting Principles Board Opinion No. 25. All options have been granted with exercise prices equal to or greater than market value of the Company's common stock on the date of grant. As a result, no compensation cost has been recognized in the accompanying consolidated financial statements. <PAGE 197> -9- SFAS No. 123 established new financial and reporting standards for stock-based compensation plans. As the Company has adopted the disclosure-only provision of SFAS No. 123, no compensation cost has been recognized related to the Plan. If the Company had recognized compensation cost for the Plan based on the fair value method prescribed by SFAS No. 123, the Company's net income would have been reduced by $5,727 and $8,910 for the years ended June 30, 1998 and 1997, respectively. The fair value of each option on its grant date has been estimated for pro forma purposes using the Black Scholes option- pricing model using the following weighted average assumptions: 1998 1997 ---------- ---------- Risk free interest rate 5.70% 5.74% Expected life of options 5 years 2.68 years Expected dividends $ - $	 - Weighted average fair value $ .62 $ .20 Deferred Compensation During fiscal 1995, the Company issued non-qualified stock options to employees at exercise prices below fair market value, as estimated by the Company's management. Deferred compensation of $120,000 has been provided for these stock options as determined by the differences between the option prices and fair market value as of the grant date. Of this amount, $21,972 and $22,093 were charged to operations during fiscal 1998 and fiscal 1997, respectively. The deferred compensation is being amortized using the straight-line method over the five-year vesting period of the options. Warrants The Company issued stock warrants in fiscal year 1995 for 30,000 shares of common stock at $1.50 per share to an employee. The Company issued stock warrants in fiscal year 1997 for 20,000 shares of common stock at $2.00 per share in relation to consulting services received by the Company. The Company issued stock warrants in fiscal year 1998 for 28,000 shares of common stock at $2.05 per share in relation to the execution of a financing arrangement (see Note 5). In November 1996, the Company issued a stock warrant for 5,000 shares of common stock at $.01 per share related to an acquisition. This warrant was canceled during fiscal 1998. Stock Appreciation Rights In fiscal 1998, the Company adopted a Stock Appreciation Right plan ("SAR Plan"). The SAR Plan provides for payments to key employees in the event certain contingent events occur. The payments to the key employees would be based on appreciation in the Company's common stock value from a per share base value, as determined by the employees' respective SAR Plan agreement. The SAR Plan expires June 30, 1999. <PAGE 198> -10- 8. COMMITMENTS AND CONTINGENCIES Litigation The Company is a defendant in various legal proceedings arising in the ordinary course of business. Although the results of litigation cannot be predicted with certainty, management believes that the outcome of pending litigation will not have a material adverse effect on the Company's results of operations, financial position or cash flows. Malpractice Liability Insurance The Company carries malpractice liability insurance of $1,000,000 per incident and $3,000,000 in the aggregate on a claims-made basis for possible liability claims and losses. Lease Agreements The Company leases certain facilities under noncancellable operating lease agreements expiring through 2005. Certain leases contain renewal options for an additional two to four years. Additionally, the Company has entered into various capital lease agreements for certain equipment. Future minimum lease commitments as of June 30, 1998 are as follows for these lease agreements: Operating Capital Leases Leases ---------- ---------- 1999 $ 258,393 $ 24,266 2000 209,463 18,707 2001 173,964 - 2002 115,905 - 2003 99,517 - Thereafter 123,147 - ---------- ---------- $ 980,389 $ 42,973 ---------- ---------- Rental expense for the years ended June 30, 1998 and 1997 was $249,264 and $237,883, respectively. <PAGE 199> -11- Regulatory Compliance The Company is required to comply with certain federal and state regulations related to physician self-referral and anti-kickback rules, the corporate practice of medicine and fee splitting. The Company continually monitors its contracts and business practices to make changes as necessary in order to be in compliance with these regulations. The Company could be subject to certain fines and penalties if it was determined that its contracts or business practices violated these regulations; however, management believes that there would be no material adverse affect to the Company's results of operations, financial position or cash flows if such determination was made. 9. LEGISLATION, REGULATIONS AND MARKET CONDITIONS The health care industry is subject to numerous laws and regulations of Federal, state, and local governments. These laws and regulations include, but are not necessarily limited to, matters such as licensure, accreditation, government health care program participation requirements, reimbursement for patient services, and Medicare and Medicaid fraud and abuse. In addition, the Federal government is reviewing certain payment mechanisms, including Medicare Prospective Payment System rates for services as those provided by the Company, which could have an effect on the Company's operations. Recently, government activity has increased with respect to investigations and allegations concerning possible violations of fraud and abuse statutes and regulations by health care providers. 	Violations of these laws and regulations could result in expulsion from government health care programs together with the imposition of significant fines and penalties, as well as significant repayments for patient services previously billed. Management believes that the Company is in compliance with fraud and abuse statutes as well as other applicable governmental laws and regulations. Compliance with such laws and regulations can be subject to future government review and interpretation as well as regulatory actions unknown or unasserted at this time. <Page 200>