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Nanobac Pharmaceuticals Inc – ‘424B3’ on 7/31/96

As of:  Wednesday, 7/31/96   ·   Accession #:  950144-96-4736   ·   File #:  333-03908

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 7/31/96  Nanobac Pharmaceuticals Inc       424B3                  1:194K                                   Bowne of Atlanta Inc/FA

Prospectus   —   Rule 424(b)(3)
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 424B3       National Diagnostics, Inc. Form 424B3                 75    349K 


Document Table of Contents

Page (sequential) | (alphabetic) Top
 
11st Page   -   Filing Submission
3Prospectus Summary
"The Company
"The Offering
4Risk Factors
8Use of Proceeds
9Selling Shareholders
10Plan of Distribution
"Price Range of Common Equity
11Dividend Policy
"Management's Discussion and Analysis or Plan of Operation
15Liquidity and Capital Resources
18Description of Business
21The Company's Growth Strategy
"Center Development and New Center Acquisitions
24Operations
25The SunPoint Facility
"The Orange Park Facility
26NDCI Mobile Services
28Government Regulation
32Legal Proceedings
33Management
34Executive Compensation
35Certain Transactions
37Principal Shareholders
"Description of Securities
38Warrants
40Legal Matters
"Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
"Experts
52Report of Independent Certified Public Accountants
59CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) Years ended December 31, 1995 and 1994
60Notes to Consolidated Financial Statements
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SUBJECT TO COMPLETION, DATED JULY 2, 1996 Prospectus Filed pursuant to Rule 424b3 Registration No. 333-03908 742,864 SHARES NATIONAL DIAGNOSTICS, INC. Common Stock National Diagnostics, Inc. and its wholly-owned subsidiaries (the "Company") provide diagnostic imaging services through several outpatient centers in Florida. The Company's principal facility, located in Brandon, Florida, just east of Tampa, accounted for 63% of the Company's net revenues during 1995. Of, the Common Stock, no par value, being offered hereby, 92,705 shares will be sold by the Company upon exercise of the Company's stock purchase warrants sold in connection with the Company's initial public offering (the "Warrants") and 650,159 shares will be sold from time to time by the selling shareholders. The Company will pay certain of the expenses of this offering; however, the selling shareholders will bear the cost of all brokerage commissions and discounts incurred in connection with the sale of their shares. The Company will not receive any of the proceeds from the sale of the shares being sold by the selling shareholders. Of the shares being offered by the selling shareholders, a total of 487,533 shares (75.0% of the selling shareholders' shares and 19.2% of the total number of shares outstanding as of the date of this Prospectus) are being offered by the Company's Chief Executive Officer and President (both of whom also are directors) or persons or entities whose shares they are deemed to beneficially own, and by two of the Company's outside directors. The Common Stock is quoted on the Nasdaq SmallCap Market under the symbol "NATD." On June 27, 1996, the closing price of the Common Stock was $3-7/8. SEE "RISK FACTORS" ON PAGES 4 THROUGH 7 FOR A DISCUSSION OF CERTAIN FACTORS THAT SHOULD BE CONSIDERED IN CONNECTION WITH AN INVESTMENT IN THE COMMON STOCK TO WHICH THIS PROSPECTUS RELATES. THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS THE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE. [Enlarge/Download Table] ======================================================================================================================= PROCEEDS TO PRICE TO UNDERWRITING PROCEEDS TO SELLING PUBLIC DISCOUNT COMPANY (1) SHAREHOLDERS(2) ----------------------------------------------------------------------------------------------------------------------- Per Share $ 3.00 -0- $ 3.00 ----------------------------------------------------------------------------------------------------------------------- Total $278,115.00 -0- $278,115.00 ======================================================================================================================= (1) Before deduction of expenses payable by the Company estimated at $25,000. (2) The selling shareholders will not receive any proceeds from the exercise of the Warrants. Proceeds to the selling shareholders from the sale of their shares will depend on the market price of the Common Stock at the time of sale. Sales by the Company will be made directly to the Warrant holders. Sales by the selling shareholders may be made in the over-the-counter market or on one or more exchanges, or otherwise at prices and at terms then prevailing or at prices related to the then current market price, or in negotiated transactions, or to one or more underwriters for resale to the public. The date of this Prospectus is July 19, 1996.
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AVAILABLE INFORMATION The Company is subject to the informational requirements of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and, in accordance therewith, files reports and other information with the Securities and Exchange Commission (the "Commission"). Reports and other information concerning the Company may be inspected at the public reference facilities maintained by the Commission at Room 1024, Judiciary Plaza, 450 Fifth Street, N.W., Washington, D.C. 20549, and at the regional offices of the Commission: New York Office, Seven World Trade Center, 13th Floor, New York, New York 10048 and Chicago Office, Northwestern Atrium Center, 500 West Madison Street, Suite 1400, Chicago, Illinois 60661. Copies of such material may also be obtained from the public reference section of the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549-1004 at prescribed rates. The Commission also maintains a Web site that contains reports, proxy and information statements and other information regarding registrants, including the Company, that file electronically with the Commission. The address of such Web site is http://www.sec.gov. This Prospectus does not contain all the information set forth in the Registration Statement and exhibits thereto which the Company has filed with the Commission under the Securities Act of 1933, as amended, to which reference is hereby made. 2
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PROSPECTUS SUMMARY The following is a summary of certain information contained elsewhere in this Prospectus. Reference is made to, and this summary is qualified in its entirety by, the more detailed information and financial statements, including the notes thereto, contained elsewhere in this Prospectus. Unless the context requires otherwise, the term "the Company" as used in this Prospectus refers to National Diagnostics, In. and its subsidiaries. THE COMPANY National Diagnostics, Inc. and its wholly-owned subsidiaries (the "Company") provide diagnostic imaging services through several outpatient centers in Florida. The Company's principal facility, located in Brandon, Florida, just east of Tampa, accounted for 63% of the Company's net revenues during 1995. The Company provides full service diagnostic imaging services to patients and physicians in a comfortable, service-oriented environment located outside an institutional setting. Diagnostic imaging services provided include magnetic resonance imaging, computer tomography, ultrasound, nuclear medicine, general radiology and fluoroscopy, neurodiagnostic testing and mammography. The Company was incorporated in Florida in June 1994. Its executive headquarters are located at 737B West Brandon Boulevard, Brandon, Florida 33511, and its telephone number is (813) 661-9501. THE OFFERING [Enlarge/Download Table] Common Stock offered by the Company . . . . . . . . . . . . . . . . . . . . 92,705 Shares Common Stock offered by the Selling Shareholders . . . . . . . . . . . . . . 650,159 Shares --------- Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 742,864 Shares ========= Common Stock to be outstanding after the Offering . . . . . . . . . . . . . 2,732,334 Shares Use of proceeds by the Company(1) . . . . . . . . . . . . . . . . . . . . . Working capital Symbol for the Common Stock . . . . . . . . . . . . . . . . . . . . . . . . "NATD" ------------------------ (1) The Company will not receive any of the proceeds from the sale of shares of Common Stock by the selling shareholders. 3
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RISK FACTORS Prospective investors should carefully consider the following information in conjunction with the other information contained or incorporated by reference in this Prospectus before purchasing shares of Common Stock in the offering. Significant Long-Term Liabilities, Including Capitalized Lease Obligations. The Company has significant outstanding debt comprised principally of capitalized lease obligations relating to the Company's equipment. As of March 31, 1996, the Company had total outstanding indebtedness, including capitalized lease obligations, of approximately $3.1 million. The typical equipment lease is secured by a first lien on the equipment, as well as other assets. The Company is the primary obligor under each such lease. Certain of the Company's long-term debt obligations are personally guaranteed by the Company's principal shareholders and their spouses. A default under an equipment lease could materially adversely affect the operations of the Company. Net Losses; Accumulated Deficit; Working Capital Deficit. As a result of a net loss of $835,000 for the year ended December 31, 1995, the Company had an accumulated deficit of $806,500 as of year-end 1995 and $706,100 as of March 31, 1996. During the fourth quarter of 1995, due to the rapid expansion of facilities and increase in additional personnel and related costs, the Company began to experience difficulty in timely meeting its current obligations to its trade vendors and interpreting physicians. See "Management's Discussion and Analysis or Plan of Operations." As a result, the interpreting physician group for two of the Company's facilities terminated its contract and filed suit against the Company alleging breach of contract for failure to timely pay its fees. See "Business -- Legal Proceedings." Due to cost-cutting measures that the Company began implementing at the end of 1995 and increases in revenues during 1996 that resulted in a net profit of $100,370 for the three months ended March 31, 1996, the Company presently believes that it can satisfy its working capital needs. However, there can be no assurance that the Company will not experience negative cash flow in the future. Limitations and Delays in Reimbursement. The health care environment is undergoing significant change as third party payors attempt to control the cost, utilization and delivery of health care services. Although patients are ultimately responsible for the payment for services rendered, substantially all of the Company's revenues are derived from third party payors, including commercial insurers and Medicare. Medicare, Medicaid and managed care providers, including HMOs, have historically represented more than 50% of the Company's annual collections. Medicare allowable fees are less than the Company's standard billing rates. In addition, many of the Company's managed care and HMO providers typically negotiate with the Company for discounts from the Medicare allowable rates. Over the last few years, Medicare rates payable with respect to certain imaging procedures have been reduced, and the Company believes that additional reductions may be implemented from time to time. Reduction in Medicare rates may lead to reductions in reimbursement rates by other third-party payors as well. Further, successful efforts by such third-party payors to contain or reduce payments made to health care providers through the reduction of reimbursement amounts and rates, closer scrutiny of reimbursement claims, changes in services covered, delays or denials of reimbursement claims, negotiated or discounted pricing and other similar measures could materially adversely affect the Company's revenues, profitability and cash flow. The Company's reimbursement cycles are dependent upon the reimbursement policies of third- party payors, as well as the ability of the Company to properly document, file and collect claims for reimbursement in a timely manner. 4
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Restrictions Imposed by Government Regulation. The health care industry is highly regulated. The ownership, operation and acquisition of outpatient diagnostic centers is subject to various federal and state laws, regulations and approvals concerning such matters as physician referrals and licensing of facilities and personnel. Violation of these laws can result in, among other penalties, the closing of the Company's facilities and loss of Medicare and Medicaid reimbursement. Dependence on Referring Physicians. Certain physicians, in private practice or affiliated with managed care organizations, refer a significant percentage of the Company's patients. A significant reduction in the number of patients referred could materially adversely affect the Company's operating results. Development Strategy. The Company's strategy for growth includes increasing the revenues and profitability of existing facilities in addition to developing or acquiring additional satellite or full service offices in Florida, with potential for expansion to other regions in the southeastern United States. There can be no assurance, however, that additional suitable expansion locations can be found, that necessary financing can be obtained for the acquisition of additional diagnostic equipment or that the operations of satellite centers or additional full service offices can be effectively or profitably operated and integrated into the Company's existing operations. Competition in expansion areas is expected to be intense and, in addition to local hospital and physician groups, will include regional and national diagnostic imaging service companies, many of which have greater financial resources that the Company. In addition, new centers may incur operating losses, which could be significant, during their development stages, and could materially adversely affect the operating results and financial condition of the Company. Dependence on Key Personnel. The Company is dependent upon the services of its President and Chief Operating Officer, Curtis L. Alliston. The loss of Mr. Alliston could have a material adverse effect on the Company's operations and plans for future development. The Company currently does not carry key-man life insurance on Mr. Alliston. Dependence on Qualified Interpreting Physicians. The Company's strategy of maintaining the high quality of its services is dependent upon its ability to obtain and maintain arrangements with qualified interpreting physicians. No assurance can be given that the Company's contractual arrangements with its interpreting physician groups can be maintained, or if terminated, that other agreements could be reached on terms no less favorable to the Company that those contained in its existing arrangements. No assurance can be given that the Company's current interpreting physician groups will continue to perform satisfactorily or continue to practice in the markets served by the Company. In addition, with respect to new centers, there can be no assurance that arrangements can be entered into on acceptable terms with existing or new interpreting groups. Technological Obsolescence. The software and, to a lesser extent, hardware utilized by the Company in the provision of diagnostic imaging services have been characterized by rapid technological changes. Although the Company believes that its equipment can generally be upgraded as necessary, the development of new technologies or refinements of existing technologies might make the Company's existing equipment technologically or economically obsolete. If such obsolescence were to occur, the Company might have to purchase new equipment which could have a material adverse effect on the Company's earnings and cash flow. Although the Company is not currently aware of any pending technological developments which the Company's equipment cannot be upgraded to incorporate, there can be no assurance that such developments will not occur. 5
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Lack of Medical Malpractice Insurance. Insofar as the Company is not engaged in the practice of medicine, it does not carry medical malpractice insurance. Although the Company has never been subject to a malpractice claim, the filing of a malpractice claim against the Company, even if ultimately unsuccessful, could result in significant costs to the Company. Interpreting physicians are required to carry their own medical malpractice insurance. Control by Existing Shareholders. Jugal K. Taneja and Curtis L. Alliston, executive officers and directors of the Company, will have the ability to elect all directors, authorize certain transactions that require shareholder approval and otherwise control the Company's policies, without concurrence of the Company's minority shareholders. As of the date of this Prospectus, Mr. Taneja beneficially owned 1,155,013 shares of Common Stock (45.5% of the shares outstanding), including an aggregate of 235,013 shares held by Mr. Taneja's wife, a trust for the benefit of Mr. Taneja's children and a limited partnership of which Mr. Taneja is the general partner, each of whom is a selling shareholder. As of the date of this Prospectus, Mr. Alliston beneficially owned 585,013 shares of Common Stock (23.0% of the shares outstanding), including 100,000 shares held by a limited partnership which was established for the benefit of Mr. Alliston's children and which is a selling shareholder. If all the shares offered pursuant to this Prospectus are sold by the selling shareholders whose shares are deemed beneficially owned by Messrs. Taneja or Mr. Alliston, Mr. Taneja would beneficially own 920,000 shares (36.2% of the Common Stock outstanding as of the date of this Prospectus) and Mr. Alliston would beneficially own 350,000 shares (13.8% of the Common Stock outstanding as of the date of this Prospectus), and together will continue to control a majority of the Company's outstanding Common Stock. See "Selling Shareholders." Absence of Cash Dividends. Management of the Company does not intend to declare or pay cash dividends in the foreseeable future. Under the terms of its credit facility with SouthTrust Bank of West Florida, the Company is prohibited from paying dividends without the bank's prior written consent. Volatility of Price of Common Stock. The price of securities of publicly traded corporations may fluctuate over a wide range. Moreover, because the Common Stock is thinly traded, it may experience wide fluctuations in price. Sales of substantial amounts of the Common Stock, or the perception that such sales may occur, could adversely affect the market price of the Common Stock. Impact of Potential Delisting from the Nasdaq SmallCap Market on Marketability of Securities. Under current rules of the NASD for continued listing on The Nasdaq SmallCap Market, a company generally must maintain at least $2,000,000 in total assets, at least $1,000,000 in net worth and a minimum bid price of $1.00 per share. The Company had approximately $1,273,400 in total stockholders' equity as of December 31, 1995 and $1,373,800 as of March 31, 1996. If the Company should incur additional operating losses, it may be unable to maintain the standards for continued listing and the Common Stock could be subject to delisting from the Nasdaq system. If the Company's Common Stock was delisted by Nasdaq, trading in the Common Stock thereafter could be conducted on the NASD bulletin board or in the over-the-counter market in what is commonly referred to as the "Pink Sheets." If this results were to occur, an investor would find it more difficult to dispose of or to obtain accurate quotations as to the price of the Common Stock. In addition, if the Common Stock was delisted, it would be subject to a rule that imposes additional sales practice requirements on broker-dealers who sell such securities to persons other than certain established customers and institutional accredited investors. For transactions covered by this rule, the broker-dealer must make a special suitability determination for the purchaser and have received the purchaser's written consent to the 6
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transaction prior to sale. Consequently, the delisting, if it were to occur, would adversely affect the ability of broker-dealers to sell the Company's securities and the ability of purchasers in this offering to sell their securities in the secondary market. Further Issuance of Securities by the Company. The Company has 9,000,000 shares of Common Stock and 1,000,000 shares of Preferred Stock authorized for issuance, of which 2,539,629 shares of Common Stock were outstanding as of the date of this Prospectus. An additional 142,705 shares are reserved for issuance upon exercise of warrants (including the Warrants underlying a portion of the shares of Common Stock to which this Prospectus relates) with an exercise price of $3.00 per share expiring on September 19, 1997 and 100,000 shares are reserved for exercise upon exercise of warrants with an exercise price of $3.00 share held by a selling shareholder. The remaining shares not issued or reserved for specific purposes may be issued without any action or approval of the Company's shareholders. Although there are no present plans, agreements or undertakings involving the issuance of such shares, other than 80,000 shares proposed to be issued to a consultant ("Management's Discussion and Analysis or Plan of Operation -- Liquidity and Capital Resources"), any such issuances could be used as a method of discouraging, delaying or preventing a change in control of the Company or could dilute the public ownership of the Company. There can be no assurance that the Company will not undertake to issue such shares if it deems it appropriate to do so. 7
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THE COMPANY National Diagnostics, Inc. and its wholly-owned subsidiaries (the "Company") provide diagnostic imaging services through several outpatient centers in Florida. The Company's principal facility, located in Brandon, Florida, just east of Tampa, accounted for 63% of the Company's net revenues during 1995. The Company provides full service diagnostic imaging services to patients and physicians in a comfortable, service-oriented environment located outside an institutional setting. Diagnostic imaging services provided include magnetic resonance imaging, computer tomography, ultrasound, nuclear medicine, general radiology and fluoroscopy, neurodiagnostic testing and mammography. The Company was incorporated in Florida in June 1994. Its executive headquarters are located at 737B West Brandon Boulevard, Brandon, Florida 33511, and its telephone number is (813) 661-9501. USE OF PROCEEDS The net proceeds from the sale of shares by the Company will be used by the Company for working capital. The Company will not receive any of the proceeds from the sale of shares of Common Stock by the selling shareholders. See "Selling Shareholders" and "Plan of Distribution." 8
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SELLING SHAREHOLDERS The following table sets forth certain information concerning the shareholders offering for sale a portion of the shares of Common Stock to which this Prospectus relates (the "Selling Shareholders"). [Enlarge/Download Table] SHARES BENEFICIALLY OWNED MAXIMUM SHARES BENEFICIALLY OWNED PRIOR TO OFFERING NUMBER OF AFTER OFFERING (2) ------------------------- SHARES BEING ------------------------- NAME SHARES PERCENT OFFERED (1) SHARES PERCENT ---- ---------- ------- ------------ --------- -------- Curtis L. Alliston (3) . . . . . 485,013 19.1% 135,013 350,000 13.3% Alliston Family Limited Partnership (3) . . . . . . . . . 100,000 3.9% 100,000 -- -- Ronald Baugh (4) . . . . . . . . 56,790 2.2% 56,790 -- -- First Delhi Trust (5) . . . . . 100,000(12) 3.9% 100,000 -- -- Philip Lieber (6) . . . . . . . . 5,836 * 5,836 -- -- Mark A. Marsella (7) . . . . . . 100,000 3.8%(7) 100,000 -- -- Manju Taneja (8) . . . . . . . . 100,000(12) 3.9% 100,000 -- -- Martin A. Traber (9). . . . . . . 11,671 * 11,671 -- -- Donald G. Ward (10) . . . . . . . 5,836 * 5,836 -- -- Westminster Trust Company Limited Partnership (11) . . . . 35,013(12) 1.4% 35,013 -- -- --------- ---- ------- ------- ---- TOTAL . . . . . . . . . . . . . . 1,000,159 37.9% 650,159 350,000 13.3% ========= ==== ======= ======= ==== --------------------------- *Less than 1%. (1) Except for the shares being offered by the Alliston Family Limited Partnership, Mark A. Marsella and Manju Taneja and except for 33,448 of the shares being offered by Ronald Baugh, the shares being offered by the Selling Shareholders consist of shares they received from the Company in December 1995 in exchange for their interests in a real estate partnership that owns the Company's fixed site facility in Orange Park, Florida. (2) The Selling Shareholders may sell from time to time all or a portion of the shares offered by each. The amounts shown assume the sale of all the shares being offered by each Selling Shareholder. (3) Mr. Alliston is the President, Chief Operating Officer and a director of the Company. In addition to owning 485,013 shares individually, he also is deemed to be the beneficial owner of the 100,000 shares owned by the Alliston Family Limited Partnership. (4) Mr. Baugh is the President and Chief Operating Officer of the Company's wholly-owned subsidiary, National Diagnostics/Orange Park, Inc. (5) First Delhi Trust is a trust established for the benefit of the children of Jugal K. Taneja, Chief Executive Officer and a director of the Company. (6) Mr. Lieber is a consultant to the Company. (7) Mark A. Marsella, a consultant to the Company will receive warrants to purchase Common Stock at a price of $3 per share in exchange for consulting services. The shares proposed to be sold by Mr. Marsella in the offering are issuable upon exercise of such warrants. (8) Manju Taneja is the wife of Jugal K. Taneja, Chief Executive Officer and a director of the Company. (9) Mr. Traber is a director of the Company and a partner in the law firm of Foley & Lardner, counsel to the Company. (10) Mr. Ward is a director of the Company. (11) The general partner of Westminster Trust Company Limited Partnership is Jugal K. Taneja, Chief Executive Officer and a director of the Company. (12) Mr. Taneja is deemed to be the beneficial owner of these shares. As of the date of this Prospectus, Mr. Taneja is deemed to be the beneficial owner of an aggregate of 1,155,013 shares. If all the shares of First Delhi Trust, Manju Taneja and Westminster Trust Company Limited Partnership proposed to be sold by such persons in the offering are so sold, Mr. Taneja will beneficially own 920,000 shares (36.2% of the Common Stock outstanding as of the date of this Prospectus). 9
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PLAN OF DISTRIBUTION The shares to be sold by the Company upon exercise of the Warrants will be sold directly by the Company. No commissions will be paid in connection with sales by the Company. The shares to be sold from time to time by the Selling Shareholders or by their permitted transferees may be sold in sales made in the over-the-counter market or on one or more exchanges, or otherwise at prices and at terms then prevailing or at prices related to the then current market price, or in negotiated transactions, or to one or more underwriters for resale to the public. The shares sold may be sold by one or more of the following: (a) a block trade in which the broker or dealer so engaged will attempt to sell the shares as agent but may position and resell a portion of the block as principal to facilitate the transaction; (b) purchases by a broker or dealer as principal and resale by such broker or dealer for its account pursuant to this Prospectus; (c) an exchange distribution in accordance with the rules of such exchange; (d) ordinary brokerage transactions and transactions in which the broker solicits purchasers; or (e) an underwritten public offering. In effecting sales, brokers or dealers engaged by the Selling Shareholders may arrange for other brokers or dealers to participate. Brokers or dealers will receive commissions or discounts from the Selling Shareholders in amounts to be negotiated immediately prior to the sale. Such brokers or dealers and any other participating brokers or dealers may be deemed to be "underwriters" within the meaning of the Securities Act of 1933 in connection with such sales. In addition, any securities covered by this Prospectus which qualify for sale pursuant to Rule 144 may be sold under Rule 144 rather than pursuant to this Prospectus. Brokers or dealers may be entitled to indemnification by the Company and the Selling Shareholders against certain liabilities, including liabilities under the Securities Act of 1933. PRICE RANGE OF COMMON EQUITY Since October 12, 1994, the Company's Common Stock has been traded separately in the Nasdaq SmallCap Market under the symbol NATD and NATW, respectively. The following table sets forth the high and low bid prices for the Common Stock as reported by Nasdaq for the periods indicated. These prices are not necessarily indicative of prices at which actual buy and sell transactions could occur. [Download Table] COMMON STOCK WARRANTS ------------------------ ---------------------- HIGH LOW HIGH LOW ------ -------- ------ ----- 1994 Fourth Quarter (from October 12) $4-3/4 $3 $2-7/8 $ 3/4 1995 First Quarter $6-1/4 $1-7/8 $3-3/4 $ 1/2 Second Quarter $4 $1-1/2 $1-1/8 $ 1/4 Third Quarter $1-7/8 $1 $13/16 $7/16 Fourth Quarter $3-1/2 $1-11/16 $ 5/8 $ 3/8 1996 First Quarter $3-1/4 $2-5/16 $ 1/4 $ 1/4 Second Quarter $4-1/2 $2-1/2 $1-1/8 $ 1/4 10
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On June 27, 1996, the closing price for the Common Stock was $3-7/8 per share, and there were approximately 35 holders of record. The majority of over 300 individual shareholders held their stock in a "street name". On June 25, 1996, the closing price for the Warrants was $7/8 per Warrant, and there were approximately four holders of record. DIVIDEND POLICY The Company has not paid cash dividends on its Common Shares and does not anticipate doing so in the foreseeable future. The Company intends to retain earnings, if any, for future growth and expansion opportunities. Furthermore, under the terms of an existing $800,000 credit facility (consisting of a $300,000 term loan and a $500,000 line of credit) with SouthTrust Bank of West Florida, Brandon Diagnostic Center, Ltd.'s ability to pay dividends and make distributions is restricted. In accordance with the agreement the Company may not pay or declare dividends without prior written consent of the bank. Payment of cash dividends in the future, as to which there can be no assurance, will be dependent upon the Company's earnings, financial condition, capital requirements and other factors determined to be relevant by the Board of Directors. MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION The following discussion and analysis of the Company's financial condition and results of operations should be read in conjunction with the Company's audited consolidated financial statements and pro forma consolidated financial information included elsewhere herein. RESULTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, 1996 COMPARED TO THREE MONTHS ENDED MARCH 31, 1995. Net revenues for the three months ended March 31, 1996 were $2,189,706 compared to $1,342,031 for the same period in 1995, representing a 63% increase. The increase is primarily attributable to an increase in the volume of procedures performed. The Company generated net revenues of $445,127 and $134,214 in the first quarter of 1996 as a result of the addition of the National Diagnostics/Orange Park, Inc ("Orange Park") in February 1995 and National Diagnostics/Cardiology, Inc. ("Cardiology") in September 1995, respectively. Direct operating expenses for the three months ended March 31, 1996 were $1,056,156 compared to $677,517 for the same period in 1995, representing a 55.9% increase. Direct operating expenses as a percentage of net revenue decreased to 48.2% from 50.5% for the three months ended March 31, 1996 and 1995, respectively. The increase in direct operating expenses was primarily due to the addition of Orange Park and Cardiology. The decrease of direct costs as a percent of net revenue was a result of certain cost cutting measures taken by the Company in December 1995 including obtaining more favorable contracts for medical supplies. General and administrative expenses for the three months ended March 31, 1996 were $722,904 compared to $470,217 for the same period in 1995, representing a 53.7% increase. The increase is primarily attributable to the addition of the Orange Park and Cardiology facilities and additional personnel 11
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costs. Personnel were added in response to the increase volume of procedures performed overall and the expansion of facilities. The substantial increase in net revenues over that experienced in 1995 (a 14% or $264,000 increase in revenues from the preceding quarter ending December 31, 1995 and containment of operating expenses down 7% or $157,000 from the preceding quarter ending December 31, 1995) resulted in a net profit of $100,370 for the three months ended March 31, 1996 from a net (loss) of $(72,529) for the three months ended March 31, 1995. Net income for the Brandon Diagnostic Center ("Brandon"), the Company's most mature center, increased to $318,355 on revenues of $1,272,847 for the three months ended March 31, 1996 from $140,824 on revenues of $1,029,128 for the three months ended March 31, 1995 as a result of expanded services and additional capacity to perform services. Net income for the National Diagnostics/SunPoint, Inc. ("SunPoint") facility increased to $21,247 on revenues of $337,518 for the three months ended March 31, 1996 from a loss of $(110,438) on revenues of $270,257 for the same period in 1995 as a result of increased revenues and decreased expenses. National Diagnostics/Orange Park, Inc. ("Orange Park") did not become a full fixed site facility until the 3rd quarter of 1995. However, Orange Park realized a loss of $(108,151) on revenues of $445,127 for the quarter ending March 31, 1996 compared to the preceding quarter's loss of $(147,312) on revenues of $504,366. National Diagnostics/Cardiology, Inc. ("Cardiology") was not operational until the 3rd quarter of 1995. However, Cardiology realized a profit of $1,003 on revenues of $134,214 for the quarter ending March 31, 1996 compared to the preceding quarter's loss of $15,662 on revenues of $132,806. National Diagnostics, Inc. ("Parent") company which provides executive management, billing and accounting functions for its subsidiaries realized a loss of $(128,563) on management fees of $173,000 for the quarter ending March 31, 1996 compared to a loss of $(65,314) on management fees of $56,000 for the same period in 1995. The management fees charged to its subsidiaries eliminated upon consolidation. The billing services and costs did not commence until the 3rd quarter of 1995. YEAR ENDED DECEMBER 31, 1995 COMPARED TO YEAR ENDED DECEMBER 31, 1994. Net revenues for fiscal 1995 were $6,232,515 as compared to $3,708,603 for fiscal 1994, representing a 68% increase. This increase was primarily attributable to new start up facilities and an increase in the volume of procedures performed at pre-existing facilities. SunPoint completed its first full year of operation (two months operation in 1994); Orange Park mobil operations started up in February 1995, opening a fixed site facility in August; and in September a mobil MRI facility and a mobil cardiology unit were placed in service. The 1995 start ups accounted for approximately 52% of the increased in revenues. The Brandon facility increased its revenues 8% to $3,922,000 in 1995. The Company's net accounts receivable increased $886,145 to $1,500,841 from $614,696 at December 31, 1995 and 1994, respectively. Approximately 87% of this increase is the direct result of the Company's start up operations inclusive of the SunPoint facility opened in November, 1994. The cash position of the Company decreased to $128,094 from $1,497,510 at December 31, 1995 and 1994, respectively. Approximately 23% or $309,000 of this decrease was a result of the Company's operational losses (for further discussion regarding cash and liquidity see "Liquidity and Capital Resources"). The following table sets forth selected operating results as a percentage of net revenues for 1995 as compared to 1994. 12
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[Download Table] FISCAL FISCAL 1995 1994 ------ ------ Net Revenue 100.0% 100.0% Direct Operating Expenses 56.0 44.4 General and Administrative Expense 42.3 27.8 Depreciation and Amortization 14.2 15.2 Operating Income (loss) (12.6) 12.6 Interest 5.3 7.3 Other Income 1.7 0.3 Income Taxes (benefit) (2.9) 0.2 Net Income (Loss) (13.3) 5.4 Direct operating expenses increased 112.3% to $3,494,691 for 1995 from $1,646,175 for 1994, also increasing as a percentage of net revenue. This increase is attributable to several factors: (1) an increase in certain costs which do not vary proportionately with revenue changes (example: rents increased approximately $147,000 to $189,915 and compensation for start ups and expansion increased approximately $493,000 to $898,317) and (2) increased fee expense to the Company for its interpreting physicians for Brandon in accordance with the terms of their agreement (an increase of approximately $234,000 to $786,713). The increase was also a result of the additional cost of medical supplies resulting from the increase in the volume of procedures performed. General and Administrative Expenses increased 155.8% to $2,639,696 for 1995 as compared to $1,031,807 for 1994, also increasing as a percentage of net revenue. This increase was primarily attributable to the addition of personnel and the related payroll and related benefit costs associated with such personnel. Such personnel costs increased approximately $826,000 to $1,178,440 inclusive of executive compensation. The personnel were added in response to the expansion of facilities and increased volume of procedures performed. Executive compensation increased from approximately $163,000 in 1994 to $468,000 in 1995 as a result of changes in employment contracts (see Note 11 to the financial statements) and the employment of two additional executives in 1995. General and administrative expenses also increased more rapidly than net revenues because of start-up operations relating to the addition of Orange Park and Cardiology (an increase of $477,000 exclusive of personnel related costs). Additionally, the Company took a charge of $82,000 against earnings representing costs associated with a secondary stock offering which the Board determined not to be in the best interest of the Company due to market conditions. Depreciation and Amortization increased 58.3% to $889,530 in 1995 as compared to $561,767 during 1994, while decreasing as a percentage of net revenue. The dollar increase was attributable to the acquisition of new equipment for the start-ups and amortization of previously capitalized start-up costs which are amortized over 12 months. Interest expenses increased to $334,499 in 1995 from $273,466 in 1994 as a result of additional financing for equipment acquisitions and working capital. 13
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The increase in net revenues was offset by greater increases in expenses resulting in a net loss of $(835,058) for 1995 compared to a net profit of $119,535 in 1994. This is primarily attributable to the start up operations which bear the costs of a fully operational diagnostic facility while building its patient and referring physician base from day one. Revenues have steadily increased through out the year while operating losses have been declining since the second quarter high. YEAR ENDED DECEMBER 31, 1994 COMPARED TO YEAR ENDED DECEMBER 31, 1993. Net revenues for fiscal 1994 were $3,708,603 as compared to $2,766,532 for fiscal 1993, representing a 34% increase. This increase was primarily attributable to an increase in the volume of procedures performed. The increased number of procedures was attributable, in turn, to an expansion of the Company's physician referral base resulting from marketing initiatives implemented by the clinical coordinator added to the Company's Brandon staff in late 1993 and referrals obtained from the shareholders of the prior corporate limited partner of Brandon Diagnostic Center, Ltd. The Company also generated additional net revenues of approximately $87,000 in 1994 as a result of the opening of its SunPoint Diagnostic Center on November 7, 1994. The following table sets forth selected operating results as a percentage of net revenues for 1994 as compared to 1993. [Download Table] FISCAL FISCAL 1994 1993 ------ ------ Net Revenue 100.0% 100.0% Direct Operating Expenses 44.4 46.8 General and Administrative Expense 27.8 27.9 Depreciation and Amortization 15.2 18.2 Operating Income 12.6 7.1 Interest 7.3 11.1 Other Income 0.3 0.2 Income Taxes 0.2 - Net Income (Loss) 5.4 (3.8) Direct operating expenses increased 27.3% to $1,646,175 for 1994 from $1,293,568 for 1993, while decreasing as a percentage of net revenue. This increase is attributable primarily to an increase in the cost of medical supplies resulting from the increase in the volume of procedures performed. Also, as net revenue increased throughout 1993 and 1994, the compensation paid by the Company to its Brandon interpreting physician group increased (by $180,000 in 1994 over 1993, or 47%) in accordance with the terms of its agreement. Because of the fixed cost nature of the Company's diagnostic equipment, the Company's direct operating expenses resulting from the increase in the volume of procedures performed increased at a rate less than the rate of increase in the Company's net revenue. General and Administrative Expenses increased 33.8% to $1,031,807 for 1994 as compared to $770,987 for 1993, while decreasing slightly as a percentage of net revenue. This increase was 14
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attributable to the addition of personnel in response to the increased volume of procedures performed and the additional payroll and related benefit costs associated with such personnel. Depreciation and Amortization increased 11.4% to $561,767 in 1994 as compared to $504,466 during 1993, while decreasing as a percentage of net revenue. The dollar increase was attributable to the acquisition of upgrades to the Company's MRI equipment and the amortization of goodwill. Interest expenses decreased to $273,466 in 1994 from $309,629 in 1993 as a result of the refinancing of certain of the Company's long-term capital lease obligations, which included a reduction in the interest rates paid by the Company described below under "Liquidity and Capital Resources." The substantial increase in net revenues resulted in increases in operating and net income. Throughout fiscal 1994, the Company's net revenue increased as a result of an increase in diagnostic procedures performed to a level sufficient to cover the Company's fixed costs associated with the diagnostic equipment. As a result, incremental increases in net revenues resulted in increased net income. LIQUIDITY AND CAPITAL RESOURCES Medical equipment, capital improvements, acquisitions and new center development historically have been funded through third-party capital lease and debt obligations and internally generated cash flow. The leases are generally secured by the equipment, and sometimes other assets, of particular facilities. Interest rates in connection with the leases and borrowing range from fixed rates of up to 12.25% to a variable rate equal to the bank prime rate, plus 1 to 2%. In June 1993 certain lease obligations approximating $2,400,000 were refinanced extending the terms of the leases approximately 16 months and lowering the interest rates an average 1.1% to approximately 10.2%. This was the primary factor affecting the $36,000 reduction of interest expense to $273,466 in 1994 from $309,629 in 1993. Certain of the Company's long-term debt obligations are personally guaranteed by Messrs. Taneja and Alliston and their spouses. Capital expenditures, including capital lease obligations, for the years ended December 31, 1995 and 1994 totaled approximately $2,610,000 and $1,376,000, respectively. The Company anticipates capital expenditures of approximately $1,100,000 during 1996, including costs associated with the anticipated establishment of a new facility, equipment and leasehold improvement costs. The Company anticipates that capital expenditures pertaining to equipment will be financed primarily through capital leases and debt financing currently being negotiated. The Company has already entered into a $624,000 capital lease commitment with an interest rate of approximately 11% for an equipment upgrade the Company expects to take receipt of in the first half of 1996. The Company's determination whether to proceed with new facilities in Florida or elsewhere in the southeastern United States will depend on management's consideration of such factors as (i) the demographics of a particular area, (ii) competition from other diagnostic service providers in such area, (iii) physician referral patterns, (iv) the mix of managed care providers, Medicare/Medicaid patients and patients insured by commercial insurance carriers, (v) estimates of potential sales in relation to the capital investment required to establish a facility, (vi) the availability of commercial lease property for a start-up facility, and (vii) financial analysis of potential acquisition targets. On March 6, 1995, Brandon Diagnostic Center, Ltd. entered into a credit facility with SouthTrust Bank of West Florida, consisting of a $300,000 five-year term loan and a $500,000 revolving line of credit. The proceeds of the term loan were used to refinance an existing $300,000 term loan with another 15
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financial institution. Interest on both the revolving line of credit and term loan are payable at the bank's prime rate (9.0% as of May 5, 1996), plus one percent. As of June 27, 1996, the outstanding principal balance thereunder was $400,500. Pursuant to the terms of the agreement, as of June 27, 1996, an additional $99,500 of available credit remained to be borrowed. The revolving line of credit discussed in the preceding paragraph is secured by the Brandon facility's account receivables which approximated $910,000, or 49% of the Company's total receivables, as of March 31, 1996. The Company's receivables at March 31, 1996 increased 23% to $1,852,148 from December 31, 1995, and its receivables at December 31, 1995 were $1,500,841, or 144% higher than at December 31, 1994. The Company attributes this increase mainly to start-up operations. While the Company has experienced some delays in collections at its newest facility, the Company feels it is merely a temporary condition. The revolving line of credit originally expired on May 30, 1996 but was extended until June 30, 1996, and the Company is currently negotiating to obtain a renewal. The Company is also discussing the possibility of increasing or refinancing the line of credit by financing all of its trade receivables, thereby expanding available credit by as much as $400,000. Additionally, the Company is placing additional emphasis on the collection of receivables with an increase in staff and refinement of its existing billing and collection efforts. Due to the rapid expansion of facilities and increase in additional personnel and related costs, the Company began to experience in the fourth quarter of 1995 difficulty in meeting timely its current obligations to its trade vendors and interpreting physicians. The physician group for Brandon and SunPoint terminated the reading contract and subsequently entered into litigation (see "Business--Legal Proceedings"). All fixed commitments to the Company's banking and leasing creditors have been timely satisfied. In December 1995, the Company identified over $650,000 in annual cost cutting measures, all of which management has acted upon. These measures included but were not limited to: reduction of radiologist fees by renegotiated contracts (annual savings $227,000); personnel cutbacks and realignments (annual savings $202,000); one time cost reductions ($77,000); group and liability insurance premium reductions (annual savings $49,000) and others. The Company attributes the positive performance of the first quarter of 1996 to these savings and increased revenues (based on unaudited numbers). The Company expects this trend to continue. However, there is no assurance that these goals will be met. In 1995 the Company reduced its net cash by $1,369,000. Operating activities utilized 23% or $376,000 of the total cash reduction of $1,643,000; 77% or $1,267,000 of the total cash reduction resulted from the Company's investing activities which consisted primarily of the purchase of property and equipment for its start up facilities. Net cash of $273,000 from financing activities reduced the total utilization of cash to the net reduction of $1,369,000. The Company generated $158,130 from operations in the 1st quarter 1996 compared to the same period in 1995 when operations used $(211,717). Investing activities used $18,927 for the acquisition of equipment. Financing activities used $103,778; approximately $163,000 was used toward debt retirement offset by approximately $58,000 of proceeds from additional borrowing. The Company increased its net cash balance after the above transaction by approximately $35,000. The Company attributes the positive performance experienced in the first quarter to the increase in revenues and certain cost cutting measures the Company undertook in December 1995. Based on the Company's belief that the positive performance from operations will continue and other financing factors discussed herein, the Company believes that its presently anticipated short and long-term needs for operations, capital debt 16
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repayments and capital expenditures with respect to its current operations can be satisfied through internally generated funds, third party leasing, and its existing credit facilities with South Trust Bank of West Florida. (See also the Company's growth strategy below). There is no assurance that these short-term needs can be met. Pursuant to a prior and a subsequent agreement the Company issued in the 2nd quarter 33,448 common shares of stock to retire approximately $67,000 of current debt owed to a Company executive. Additionally, a $50,000 note payable to the Company executive was refinanced with a principal reduction to be made in twelve equal monthly installments commencing September, 1996. On September 19, 1995, the Company concluded its offer to the Company's holders of outstanding common stock purchase warrants to exchange every five warrants owned by them for two shares of the Company's common stock. Ninety four percent of the outstanding warrants were tendered in exchange for 642,918 shares of common stock. The Board believes the exchange simplified the Company's capital structure. The Company's remaining growth strategies will require additional funds. In the event the Company proceeds with the establishment of additional facilities, or encounter favorable acquisition opportunities in the near future, the Company may incur, from time to time, additional indebtedness and attempt to issue equity or debt securities in public or private transactions. The Company entered into a contract effective April 1, 1996 with financial consultants. They will assist in the formulation and execution of the Company's continued acquisition and financing program. As partial compensation the Company intends to issue warrants to purchase 40,000 common shares exercisable at $2.50 per share and 40,000 common shares exercisable at $3.00 per share. Additionally, the Company entered into a consulting contract effective April 1, 1996 to structure the Company's management and financial information systems for future expansion. As partial compensation the Company will issue warrants to purchase 100,000 shares, exercisable at $3.00 per share. There is no assurance that the Company will be successful in securing additional financing or capital through equity or debt securities. The Company has over the last few years experienced increased pressures on reimbursement from third parties. The Company expects such pressures to cause reduced pricing in the aggregate for diagnostic procedures in the future. Due primarily from the Company's revenue mix the effects of reduced pricing have been minimized and have only recently been measurable. Approximately 47% of the Company's revenue has been derived from private insurance carriers, individuals, worker's compensation and other sources that have not experienced reimbursement pressures characteristic of managed care providers, Medicare and Medicaid. Additionally, the Company has entered into certain capitation contracts with minimum flooring reimbursements which the Company believes will ultimately bring new found business to the Centers. The capitation contracts are fixed fee arrangements made with HMO's wherein the Company receives a fixed fee per HMO participant regardless of whether the participant receives patient services or not. A minimum floor reimbursement (example: 65% of the Medicare allowable rate) is agreed to which serves to minimize the risk to the Company should an excess number of participants require patient services. The advantage to the Company results when the aggregated fixed fee per HMO participant exceeds the fees earned from actual HMO participant patient services rendered. Additionally, the Company may obtain regular fee for service revenues from referred HMO participants for services not covered under the capitation contract. 17
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SEASONALITY The Company usually experiences approximately an 8 to 12% decrease in revenues during the third quarter of the fiscal year due to reduced activity during the summer months. This trend was not evident in 1995 due to the upward trend for services experienced in the new start ups. EFFECTS OF INFLATION The impact of inflation and changing prices on the Company has been primarily limited to salary, medical and film supplies and rent increases and has not been material to the Company's operations to date. Management is aware of increased inflationary expectations and believes that the Company may not be able to raise the prices for its diagnostic imaging procedures in an amount sufficient to offset inflation. The Company, however, does believe that this can be offset by increased volume. DESCRIPTION OF BUSINESS GENERAL National Diagnostics, Inc., its wholly-owned subsidiaries, SunPoint Diagnostic Center, Inc. ("SunPoint"), National Diagnostics/Orange Park, Inc. ("Orange Park"), National Diagnostics/Cardiology, Inc. ("Cardiology"), Alpha Associates, Inc. ("Alpha Associates") and Alpha Acquisitions Corp. ("Alpha Acquisitions"), and Brandon Diagnostic Center, Ltd., a limited partnership of which Alpha Associates and Alpha Acquisitions are the general and limited partner, respectively, provide diagnostic imaging services through several outpatient centers located in the State of Florida. Sundance Partners (a wholly owned general partnership) owns the land and building associated with the outpatient center leased to Orange Park. (As used herein, the term "Company" refers to National Diagnostics, Inc., including its subsidiaries.) The Company's principal facility is located in Brandon, just east of Tampa. This facility accounted for 63% of the Company's net revenues in 1995. The Company also opened a new facility in Ruskin, Florida in November, 1994 and acquired, through its Orange Park subsidiary, substantially all of the assets of an existing mobil diagnostic imaging business in greater metropolitan Jacksonville in February, 1995. In August, 1995 the company opened in the Jacksonville area a third fixed site facility. In September, 1995 the Company expanded its mobil facilities by adding both a mobil MRI unit and mobil cardiology unit in the Jacksonville area. The Company provides full service diagnostic imaging services to patients and physicians in a comfortable, service-oriented environment located outside of an institutional setting. Diagnostic imaging services provided include magnetic resonance imaging ("MRI"), computer tomography ("CT"), ultrasound, nuclear medicine, general radiology and fluoroscopy, neurodiagnostic testing, and mammography. The Company's diagnostic imaging procedures are performed by trained radiologic technologists and board certified radiologists. Medical services are provided at each facility by interpreting physicians, who are board certified radiologists and members of physician groups with whom the Company has entered into long-term contracts. The Company provides management, administrative, marketing and technical services, as well as equipment and facilities, to its interpreting physicians. The Company accepts Medicare, Medicaid, Worker's Compensation and most commercial insurance. The Company has contracted with many health maintenance organizations and preferred provider organizations. In 1994 and 1995, the Company's total net revenues were $3,708,603 and $6,232,515, respectively, reflecting approximately 18,000 and 29,000 respective diagnostic imaging procedures. 18
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The Company's Brandon facility is operated through Brandon Diagnostic Center, Ltd., a Florida limited partnership 60% of which is held by Alpha Associates as the sole general partner, and, prior to November, 1993, 40% of which was held by a corporate limited partner owned by shareholders who were physicians that referred patients to the Brandon facility. To comply with the referral prohibition laws, Alpha Acquisitions was formed in September of 1993 for the purpose of acquiring the limited partnership interest held by the limited partner. Effective November 1, 1993, Alpha Acquisitions acquired all of the limited partner interest for a total purchase price of approximately $450,000, which included the assumption of debt obligations in the aggregate amount of approximately $408,000 with interest accruing on the outstanding principal balance at various rates ranging from the prime rate plus one percent to eleven percent per annum, payable in installments through September 1, 1995. Prior to the formation of the Company as a holding company, all of the issued and outstanding shares of Alpha Associates and Alpha Acquisitions were owned by Jugal K. Taneja and Curtis L. Alliston. In connection with the formation of the Company as a holding company, Messrs. Taneja and Alliston transferred all of the issued and outstanding shares of Alpha Associates and Alpha Acquisitions to the Company in exchange for 1,200,000 common shares and 1,200,000 common share purchase warrants. Neither Mr. Taneja nor Mr. Alliston are physicians. The Company was incorporated in Florida in June of 1994. The Company's executive headquarters are located at 737B West Brandon Blvd., Brandon, Florida 33511, and its telephone number is (813) 661-9501. DIAGNOSTIC IMAGING SERVICES INDUSTRY Overview. During the past ten years, the diagnostic imaging industry has experienced substantial growth as well as a major shift from inpatient to outpatient delivery of services. Due to the contrast and detail of a high quality MRI scan, the use of MRI equipment frequently facilitates the identification of disease and disorders of a patient and often reduces the amount and cost of care needed to treat the patient and the need for certain invasive procedures, like exploratory surgery. The number of MRI units in operation has increased from fewer than 100 in 1984 to more than 4,800 in 1994. This rapid growth resulted from increasing acceptance by physicians and patients of MRI as well as an increasing need for MRI usage in imaging different body organ systems and disease conditions. New software programs and hardware capabilities, coupled with new contrast agents (chemicals administered to the patient that enhance the signal generated by body tissues), are anticipated to expand further the usage of the technology by physicians. In addition, inpatient health care cost containment pressures have led to the growth of outpatient delivery of services. Prior to 1983, most imaging services were delivered to patients in a hospital radiology department. In 1983, the federal government instituted the Prospective Payments System, which limited the amount paid by Medicare to hospitals for inpatient care for most categories of diseases. This restrictive reimbursement environment was a prime factor in the shift from inpatient to freestanding, outpatient imaging centers, since hospitals became less likely to purchase or lease expensive diagnostic imaging equipment. Ownership of outpatient diagnostic imaging centers remains highly fragmented, with no dominant national provider. Most of the equity in outpatient centers is owned by hospitals, independent 19
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radiologists, management companies or other groups. This fragmentation provides the Company with potential acquisition opportunities. Equipment and Modalities. Diagnostic imaging systems are based on the ability of energy waves to penetrate human tissue and generate images of the body which can be displayed either on film or on a video monitor. Imaging systems have evolved from conventional x-rays to the advanced technologies of MRI, computerized tomography, ultrasound, nuclear medicine, neurology and mammography. The principal diagnostic imaging modalities used by the Company include the following: Magnetic Resonance Imaging. MRI is a sophisticated diagnostic imaging system that utilizes a strong magnetic field in conjunction with low energy electromagnetic waves which are processed by a dedicated computer to produce high resolution multiple images of body tissue. A principal virtue of MRI imaging is that atoms in various kinds of body tissue behave differently in response to a magnetic field, enabling the differentiation of internal organs and normal and diseased tissue. During an MRI procedure, a patient is placed in a large, cylindrical magnet. Multiple images to various planes and cross-sections can be created without moving the patient. The images can be displayed on a computer screen, stored within the computer, or transferred to film for interpretation by a physician and retention in a patient's file. Unlike computerized tomography and general radiology and fluoroscopy, MRI does not utilize ionizing radiation which can cause tissue damage in high doses. As with many other diagnostic imaging technologies, MRI is generally non-invasive. Computerized Tomography. CT is used to detect tumors and other conditions affecting the skeleton and internal organs. CT provides higher resolution images than conventional x-rays, but generally not as well defined as those produced by MRI. During a CT procedure, a patient is placed inside a ring on which a rotating x-ray tube is mounted. A dedicated computer directs the movement of the x-ray tube to produce multiple cross sectional images of a particular organ or area of the body. Ultrasound. Ultrasound has widespread application, particularly for procedures in obstetrics, gynecology and cardiology. Ultrasound imaging relies on the computer-assisted processing of sound waves to develop images of internal organs and the vascular system. The sound waves are generated and recorded by probes that are either passed over or inserted into the body. A dedicated computer processes sound waves as they are reflected by body tissue, providing an image that may be viewed immediately on a computer screen or recorded continuously or in single images for further interpretation. Nuclear Medicine. Nuclear medicine is used primarily to study anatomy and metabolic functions. During a nuclear medicine procedure, short-lived radioactive isotopes are administered to the patient by ingestion or injection. The isotopes break down rapidly, releasing small amounts of radioactivity that can be recorded by a gamma or scintigraphic camera and processed by a computer to produce a flat image of various anatomical structures. General Radiology and Fluoroscopy. The most frequently used type of imaging equipment, radiology uses "x-rays" or ionizing radiation to penetrate the body and record its 20
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images on film. Fluoroscopy uses a video viewing system for real-time monitoring of the organs being visualized. Neurology. Neurological diagnostic testing, consisting of nerve conduction studies, electromyography, evoked-potentials and electroencephalography (EEG), is used for the evaluation of patients with suspected radiculophy of the cervical and lumbar nerves and diseases of the nervous system, such as multiple sclerosis (MS). Neurological diagnostic testing equipment is designed to assess the integrity, conduction ability and functioning of the nervous system through electro-physiological stimulation. Mammography. Mammography is a specialized form of radiology equipment using low dosage x-rays to visualize breast tissue. It is the primary screening tool for breast cancer. THE COMPANY'S GROWTH STRATEGY The Company's strategy for growth involves increasing the revenues and profitability of its existing facilities, establishing and developing additional diagnostic imaging centers and acquiring existing imaging facilities in certain target markets, as well as expanding its existing operations to include mobile diagnostic imaging capabilities. Expansion of Existing Facilities. The Brandon facility is currently a full service imaging facility. In 1994, the Brandon facility was expanded to provide additional capacity for its general radiographic and fluoroscopy services to meet the increasing demand for such services in the Brandon area. The Brandon facility was further expanded in March, 1995 to include a Center for Women that focuses on providing additional mammography and ultrasound services. In June, 1995, the Company relocated Orange Park's principal facility from Middleburg to Orange Park and expanded the range of diagnostic imaging services offered thereby. With the addition of a mobil MRI unit in September, 1995 to its modalities Orange Park became a full-service imaging facility. See "--The Orange Park Facility." In September, 1995, Cardiology placed into service a mobile cardiology unit and has expanded its service area in the Northeast Florida to the greater Jacksonville area, Fernandina Beach, Lake City and Palatka. The SunPoint Diagnostic Center is a full-service imaging facility, with the exception of MRI. The Company intends to add MRI capabilities to the SunPoint facility at such time as the demand for such services warrants the acquisition of MRI equipment. See "The SunPoint Facility." Center Development and New Center Acquisitions. The Company's external growth strategy includes the development and/or acquisition of diagnostic imaging facilities in target areas identified by management initially in the State of Florida, with the potential for expansion to other regions in the Southeastern United States. The Company intends to operate each newly developed or acquired facility through a separate, wholly-owned subsidiary. In seeking suitable locations for the development of new centers or the acquisition of existing centers, the 21
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Company will focus primarily on demographic studies and its analysis of local competition, physician referral patterns and imaging services supply and demand. Also, the Company will focus on its ability to either utilize the professional services of its existing interpreting physicians to interpret test results or affiliate with other qualified interpreting physicians. Currently, the Company intends to slow its external expansion in 1996; focusing more directly on the continuing effort to build efficiencies and profitability into existing new start ups. There are plans to open one additional fixed site facility in the Riverside area of Jacksonville, Florida in mid 1996. No assurances can be given, however, that adequate financing will be available to fund the development of this or any other new facilities. Installation and maintenance costs on equipment can be substantial, particularly with respect to MRI units. Consequently, new facilities initially will include most or all of the modalities offered by the existing Brandon facility, with the exception of MRI. MRI has historically accounted for approximately 20-30% of the Company's revenues. MRI procedures are expensive to perform and have historically generated high margins for the Company. Due to the significant capital expenditure required to install and maintain MRI equipment, however, a minimum average number of procedures must be performed daily at each facility offering MRI to cover fixed costs associated with MRI equipment. As a result, the Company currently intends to perform all MRI procedures required by its facilities not offering MRI directly either at the Company's nearest full service facility or via a mobile MRI unit acquired by Orange Park and placed into operation in September, 1995. The Company expects to provide MRI services in this manner until such time as management determines that the demand for MRI procedures at a particular facility is at a level that will generate revenue sufficient to cover fixed costs associated with MRI equipment. The Company also believes that it can successfully acquire existing imaging centers. Acquisition opportunities have diminished that were tied to the enactment of federal and state laws and regulations restricting physician referrals to health care facilities in which such physicians have a financial interest and limiting permissible affiliations between tax exempt hospitals and "for profit" outpatient medical centers. See "Business--Government Regulation." The required divestitures of physician-owned centers have already occurred. Nevertheless, management believes that acquisition opportunities continue to exist due to the fragmented nature of the imaging center business. The Company believes that it can successfully integrate the operations of its new facilities and any facilities that it chooses to acquire by achieving economics of scale using its existing corporate infrastructure. Increased Mobile Diagnostic Imaging Capabilities. The Company's growth strategy also includes expanding its mobile diagnostic imaging capabilities. In January, 1995, the Company entered into an agreement with an established group of cardiologists in Orange Park, Florida to provide mobile nuclear cardiology imaging services. In September 1995 the Company placed into operation a fully operational mobile unit to service such group as well as other cardiological centers and specialists. See "--NDCI Mobile Services." The Company's Orange Park facility currently provides mobile ultrasound and neurological diagnostic imaging services. The Company expanded the operations of its Orange Park subsidiary in September, 1995 with the inclusion of mobile MRI services. See "--The Orange Park Facility." 22
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There can be no assurances that the Company can or will successfully implement its center growth or external growth strategies. THE BRANDON, FLORIDA FACILITY The Brandon, Florida facility was established in 1991 as a full-service diagnostic facility specializing in outpatient radiology. The Brandon facility generally provides medical diagnostic services to the general population living within approximately ten miles of Brandon, Florida. The Brandon, Florida area population, currently in excess of 250,000, consists primarily of an expanding base of middle income families and retirees. In 1994 and 1995, the Brandon facility generated net revenues of approximately $3,600,000 and $3,900,000, respectively, reflecting approximately 17,000 and 21,000 respective diagnostic imaging procedures. Imaging Equipment. The Company obtains its imaging equipment from large, well-established companies, including Siemens Medical Systems Inc., Toshiba, Inc., Lo-Red Co. and Raytheon, Inc. The Company is not dependent on any one supplier and believes that it has satisfactory relationships with its suppliers. The Brandon facility currently has one unit for each of MRI, CT, ultrasound and nuclear medicine and two units for each of mammography, radiology and fluoroscopy. Equipment acquisition costs can vary dramatically, depending upon the model and peripheral equipment acquired. The Company reviews the technological capabilities of new product offerings in order to improve and upgrade equipment when necessary. Currently, equipment costs range as follows: [Download Table] Equipment Price Range ------------------------- ------------------------------------- MRI $900,000 to $1,700,000 CT 300,000 to 900,000 Ultrasound 100,000 to 250,000 Nuclear Medicine 250,000 to 400,000 Radiology 40,000 to 75,000 Fluoroscopy 200,000 to 350,000 Mammography 50,000 to 80,000 Neurology 25,000 to 60,000 Installation and maintenance costs on the equipment can be substantial, particularly with respect to MRI units. Installation costs can range from $35,000 to $125,000 for an MRI unit, depending on the particular installation circumstances. Annual expenses for equipment maintenance and repairs at the Brandon facility were approximately $105,000 and $137,000 for the fiscal years ended December 31, 1994 and December 31, 1995, respectively. The Company typically enters into agreements with equipment manufacturers or other third parties for equipment maintenance. 23
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The Company generally obtains financing for its equipment from lenders and lessors, with the equipment and other assets serving as security for the loans. Leases for smaller medical equipment average three years and leases for larger medical equipment are for seven years. Certain of such leases are personally guaranteed by Messrs. Taneja and Alliston and their spouses. Operations. The Company provides diagnostic imaging services to patients referred by physicians who are either in private practice or affiliated with managed care providers or other groups. Patients are scheduled for an appointment, informed of any medications needed for the test, and pre-qualified with respect to their medical requirements and insurance coverage by Company personnel. Procedures are designed to avoid the admission and administrative complexities of in-hospital diagnostic imaging services. All of the Company's imaging services are performed on an outpatient basis by trained medical technologists under the direction of the interpreting physician. Following the diagnostic procedures, the images are reviewed by the interpreting physicians, who prepare a report of these tests and their findings. These reports are transcribed by Company personnel and then delivered to the referring physicians. The interpreting physicians are board certified specialists in radiology, nuclear medicine, nuclear cardiology or neuroradiology, as appropriate. Such interpreting physicians are members of an independent health care provider group with which the Company has entered into a long-term contract, and are not employees of the Company. The Company is not engaged in the practice of medicine. Typically, patients are charged an all-inclusive fee for the imaging studies. The administrative staff is responsible for billing and collecting the fee. Patients at the Brandon facility are invoiced in the name of Brandon Diagnostic Center. The interpreting physician's professional association ("P.A.") with which the Company has currently contracted for interpreting physician services at the Brandon facility receives a fixed percentage (fourteen percent) of monthly collections. The interpreting physician's P.A. is responsible for subcontracting with additional physicians to assure adequate coverage during peak times, absences, etc. The Company believes that the structure of its compensation arrangement with its interpreting physicians encourages high quality service and fairly compensates these physicians for the interpretation services they provide. The Company's agreement with its interpreting physicians is typically for a three-year term and requires each physician to obtain medical malpractice insurance. Brandon facility's interpreting physician is certified by the American Board of Radiology. The following is a brief biographical summary of the Brandon facility's principal interpreting physician: DR. ROBERT D. MARSHALL, M.D. received his Doctor of Medicine degree from the University of Miami School of Medicine, Miami, Florida in June, 1974. Dr. Marshall performed his internship and residency from 1974 to 1978 at the University of South Florida, School of Medicine, Tampa, Florida. In February, 1987 Dr. Marshall received a fellowship in MRI at Huntington Memorial Hospital, Pasadena, California. In addition to training in MRI, Dr. Marshall received training and experience in computer tomography, mammography, ultrasound and nuclear medicine in 1977 and 1978. The Brandon facility is open from 7:30 a.m. to 6:00 p.m. Monday through Friday, 8:00 a.m. to 2:00 p.m. on Saturdays and on an as-needed basis on Sundays. 24
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THE SUNPOINT FACILITY The Company, through its SunPoint subsidiary, opened its SunPoint Diagnostic Center in Ruskin, Florida, approximately twenty miles south of Brandon, in November, 1994. This facility is located near the Sun City Center retirement community. The Ruskin area has a total population of approximately 45,000, including roughly 38,000 retirees. The SunPoint facility is a full-service imaging facility, with the exception of MRI. It currently has one unit for each of CT, ultrasound, nuclear medicine, mammography, radiology and fluoroscopy. The equipment located at the SunPoint facility is obtained from the same manufacturers as the Brandon facility equipment. Consistent with the Company's expansion strategy, the Company intends to add MRI capabilities to the SunPoint Diagnostic Center only as the demand for such services develops and warrants the acquisition of MRI equipment. Until such time, all MRI procedures required by SunPoint facility patients will be performed at the nearby Brandon facility. All SunPoint patients requiring MRI procedures are offered a free shuttle service to and from the Brandon facility. The operational procedures at the SunPoint facility are virtually identical to those described above under "--The Brandon Facility--Operations," with the exception that patients are invoiced in the name of SunPoint Diagnostic Center. The SunPoint facility is staffed by eight employees and one interpreting physician, who rotates with the other interpreting physician serving the Brandon facility. The interpreting physician's P.A. with which the Company has currently contracted for interpreting physician services at the SunPoint Diagnostic Center receives a fixed percentage (fourteen percent) of monthly collections. The SunPoint facility is currently open from 7:30 a.m. to 5:30 p.m. Monday through Friday, and on an as needed basis on Saturdays. THE ORANGE PARK FACILITY In February, 1995, the Company, through its Orange Park subsidiary, acquired substantially all of the assets of Medical Imaging Consultants, Inc. and certain of its affiliates, providers of both mobile and fixed site ultrasound and related diagnostic testing services in the cardiac, cerebral vascular and neurophysiology areas. (See Note 12 to the Consolidated Financial Statements.) Orange Park currently provides mobile and fixed site neurological and ultrasound imaging diagnostic services in Clay, Duval, Nassau and St. Johns counties in northeastern Florida. Its principal facility is located in Orange Park, Florida, where it has three units for neurology and one unit for ultrasound. All equipment at the Orange Park facility is either owned directly or leased through an independent leasing company. The Orange Park became a full service imaging facility, including MRI, by September, 1995. The Company has one unit for each of CT, nuclear medicine, mammography, radiology, fluoroscopy and a mobile MRI facility at its Orange Park subsidiary. This mobile unit is used to provide MRI services at Orange Park and any future facilities developed by the Company in northeastern Florida. See "--The Company's Growth Strategy--Center Development and New Center Acquisitions." Orange Park follows the same operational procedures as the Company's other facilities, except that patients are invoiced directly in the name of Orange Park. The Orange Park facility is currently staffed by seven employees, including three trained medical technologists who perform all of the imaging services at the Orange Park facility. All interpreting services are provided by eight interpreting 25
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physicians who are members of an independent health care provider group with which the Company has entered into a long-term contract. These physicians are not employees of the Company and the Company is not engaged in the practice of medicine. The interpreting physician group with which the Company has contracted for interpreting physician services at the Orange Park facility receives a monthly fee equal to 17% of the monthly collections. The Orange Park facility is currently open from 7:30 a.m. to 5:30 p.m. Monday through Friday, and on an as-needed basis on Saturdays. NDCI MOBILE SERVICES In January, 1995, the Company, through its NDCI subsidiary, entered into an exclusive agreement with Diagnostic Cardiology Associates, an established group of 18 cardiologists based in Jacksonville and other physician groups in northeast Florida, to provide mobile nuclear cardiology imaging services. The Company acquired a mobile unit and placed it into operation in September, 1995. Since then the Company has expanded its operations to Fernandina Beach, Lake City and Palatka, Florida. The Company will seek to enter into similar arrangements with other groups of cardiologists, but no assurances can be made that such opportunities exist or can be realized. MARKETING The Company provides diagnostic imaging services to patients referred by physicians who are either in private practice or affiliated with managed care providers or groups. Consequently, the Company's marketing program focuses on establishing and maintaining referring physician relationships by efficiently providing needed medical services to patients of those physicians, and maximizing reimbursement yields. The Company's marketing program targets selected market segments consisting of local physicians who may have a need for diagnostic imaging services. The Company utilizes a variety of marketing techniques in its market areas to educate physicians in the availability and capabilities of the various imaging technologies, including personal visits by the Company's clinical coordinators to local physicians and their staffs, direct mailings of marketing brochures and participation in seminars on recent developments in diagnostic imaging and related technology. The Company's clinical coordinators seek to maintain the satisfaction of referring physicians by frequent contact with them, both to ascertain the physicians' needs and, when appropriate, to seek suggestions on how to improve the Company's delivery of services. The Company continually seeks to improve the quality of its services by encouraging interaction between referring physicians and interpreting physicians. The Company has also developed a database containing referring physician and patient information in order to more effectively coordinate its marketing activities with respect to its referring physicians. The Company has joined the Florida Imaging Network, Inc., an association recently established to develop and operate a statewide diagnostic imaging services network to interface with managed care providers in the State of Florida. The Company believes that this will provide an additional method of expanding its referral base. REIMBURSEMENT, BILLING AND COLLECTION The Company charges patients a fee for each imaging study performed, which is billed in the name of the applicable diagnostic center. The Company generally accepts assignment by the patient of payment from insurers and is reimbursed for services performed by payment, directly and indirectly, 26
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from third-party commercial insurers, managed care organizations, government payors, workmen's compensation and other sources. In many instances, the patient is responsible for payment of a co-payment or deductible and, in some instances, the patient remains responsible for payment of the entire fee. The extent to which services provided by the Company are reimbursable depends upon a number of factors, including the type of insurance coverage carried by the patient, the type of imaging services provided to the patient, prevailing practices in the relevant geographic area and the identity of the third-party payor. The following table sets forth the approximate percentages of collections received during 1995 in each of the following categories: [Download Table] PERCENT OF SOURCE COLLECTIONS ---------------------------- ----------- Managed Care/HMO 31% Private Insurance 31 Medicare/Medicaid 23 Private Pay 11 Workmen's Compensation 4 The Company maintains a competitive billing strategy based upon evaluation of available pricing data. The Company maintains sufficient price flexibility to enable it to compete with other MRI imaging services provided in the local community. Obtaining the maximum amount of allowable reimbursement and collecting receivables on a timely basis are critical to the Company's success and are a priority of management. The Company has developed and is continuing to develop systems to process claims. The Company endeavors to provide complete and accurate claims data to the relevant payor sources to obtain the maximum amount of allowable reimbursement and to accelerate the collection of accounts receivable. Approximately seven of the Company's employees are involved in reimbursement, billing and collection activities. There can be no assurance that the Company will be successful with respect to the foregoing. Third-party payors, including Medicare, Medicaid and certain commercial payors, have taken extensive steps to contain or reduce the costs of health care. A significant change in coverage or a reduction in payment rates by third-party payors could have a material adverse effect upon the Company's business. In 1995 and 1994, approximately .3% and 0.6%, respectively, of the Company's total revenues were derived from providing imaging services to patients involved in personal injury claims. The Company sometimes experiences significant collection delays in connection with these services due to the fact that the Company may not be paid for its services until the underlying legal action is resolved. COMPETITION The outpatient diagnostic imaging industry is highly competitive. The Company believes that its principal competitors are hospitals, independent or management company-owned imaging centers, some of which are owned, in whole or in part, by physician investors, and mobile diagnostic units. Some of these competitors have greater financial and other resources than the Company. The Company's sole 27
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competitor in the immediate Brandon area is a 120 bed hospital providing full inpatient service and its sole competitor in the Ruskin area is a 50 bed hospital also providing full inpatient service. The Company has many competitors in the Jacksonville area, including hospitals, independent or management company-owned imaging centers and mobile diagnostic units, but, to the best of management's knowledge, none of these competitors is a full modality center offering mobile and fixed site diagnostic imaging services. The Company believes that as a result of its operating efficiencies, it can provide outpatient diagnostic services more competitively than other local providers. Principal competitive factors include quality and timeliness of test results, type and quality of equipment, facility location, convenience of scheduling and availability of patient appointment times. The Company may benefit, or experience increased competition, to the extent proposed or future regulations will reduce self referrals from physician investors and make their referrals part of the market for which any center may compete. The Company currently has no physician investors and, therefore, derives 100% of its revenues from non-investor referrals. GOVERNMENT REGULATION The health care industry is highly regulated at the federal, state and local levels. Although the following is not an exhaustive discussion, it summarizes the key regulatory factors that affect the Company's operations and development activities: Certificates of Need and Licensing. Under Certificate of Need laws, a health care provider is typically required to substantiate the need for, and financial feasibility of, certain expenditures related to the construction of new facilities, commencement of new services or purchases of medical equipment in excess of statutory thresholds. The provision of outpatient health services, including outpatient MRI, is exempt from Certificate of Need review in the State of Florida. The operations of outpatient imaging centers are subject to federal and state regulations relating to licensure, standards of testing, accreditation of certain personnel and compliance with governmental reimbursement programs. The Company is required to obtain and maintain general business licenses from certain counties in which it operates centers, as well as licenses from the State of Florida for the handling and disposal of radioactive materials used in nuclear medicine procedures. Radioactive materials are currently delivered daily to the Company's Brandon, SunPoint and Cardiology facilities. Medical waste contaminated with radioactive material is placed in locked hazardous waste containers and picked up daily for disposal by a licensed hazardous waste vendor. The Company is subject to surprise inspection by nuclear inspectors. Although the Company believes that it has obtained all necessary licenses, the failure to obtain a required license could have a material adverse effect on the Company's business. The Company believes that diagnostic testing will continue to be subject to intense regulation at the federal and state levels and it cannot predict the scope and effect thereof. Medicare/Medicaid Anti-Kickback Provisions. The Medicare/Medicaid Anti-Kickback Statute (the "Anti-Kickback Statute") prohibits the offering, payment, solicitation or receipt of any form of remuneration in return for the referral of Medicare or Medicaid patients for any item or service that is covered by Medicare or Medicaid. Violation of the Anti-Kickback Statute is punishable by substantial fines, imprisonment for up to five years or both. In addition, the Medicare and Medicaid Patient and Program Protection Act of 1987 (the "Protection Act") provides that persons guilty of violating the Anti-Kickback Statute may be excluded from participating as providers or suppliers in the Medicare or Medicaid programs. Investigations leading to prosecutions and/or program exclusion may be conducted 28
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by the Office of the Inspector General ("OIG") of the United States Department of Health and Human Services ("HHS"), the United States Department of Justice and State of Florida agencies. Under the Anti-Kickback Statute, law enforcement authorities, HHS and the courts are increasingly scrutinizing arrangements between health care providers and referral sources (such as physicians) in order to ensure that the arrangements are not designed as a mechanism to exchange remuneration for patient referrals. This scrutiny is not limited to financial arrangements that involve a direct payment for patient referrals, but extends to payment mechanisms that carry the potential for inducing Medicare or Medicaid referrals, including situations where physicians hold investment interests in, or compensation arrangements with, a health care entity to which such physicians refer patients. Safe Harbor Regulations. The Protection Act directed the OIG to publish regulations delineating health care payment practices that would not be subject to criminal prosecution and would not provide a basis for program exclusion under the Anti-Kickback Statute. In 1991, the OIG published final safe harbor regulations that specify the conditions under which certain kinds of financial arrangements, including (I) investment interests in public companies, (ii) investment interests in small entities, (iii) management and personal services contracts, and (iv) leases of space and equipment, will be protected from criminal prosecution or civil sanctions under the Anti-Kickback Statute. The OIG has stated that failure to satisfy the conditions of an applicable "safe harbor" does not necessarily indicate that the arrangement in question violates the Anti-Kickback Statute, but means that the arrangement is not among those that the "safe harbor" regulations protect from criminal or civil sanctions under that law. One provision of the Safe Harbor Regulations includes a public company exception applicable to investment in the Company by referring physicians. The Company currently does not qualify for this exception. A return on investment, such as a dividend or interest, is not a prohibited payment if, within the previous fiscal year or 12 month period, the public company possesses more than $50 million in undepreciated net tangible assets which are related to the furnishing of health care items and services and the Company meets all five of the following standards: i) Equity securities must be registered with the Commission under 15 U.S.C. 78l(b) or (g); ii) The investment interest of an investor in a position to make or influence referrals to, furnish items or services to, or otherwise generate business for, the Company must be obtained on terms equally available to the public through trading on a registered national securities exchange or on Nasdaq; iii) The Company or any investor must not market or furnish the Company's items or services to passive investors (non-management shareholders) differently than to non-investors; iv) The Company must not loan funds to or guarantee a loan for an investor who is in a position to make or influence referrals to furnish items or services to, or otherwise generate business for the entity if the investor uses any part of the loan to make the investment; and v) The amount of payment to the investor in return for the investment interest must be directly proportional to the amount of the investor's capital investment. 29
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The Company does not meet the $50 million net tangible assets criterion and, therefore, in order to avoid any issue as to fraud and abuse compliance, a physician who owns any of the Company's securities might be prohibited from making any patient referrals to the Company's diagnostic imaging facilities, whether or not the remaining standards have been complied with. With respect to the arrangements between the Company and its interpreting physicians, there is a safe harbor for personal service agreements which requires that such arrangements be in writing and last for at least one year, and that the compensation paid to the physicians be based on the fair market value of the professional services they provide and not on any referrals or business generated between the parties. To the extent that the compensation arrangements with the interpreting physicians do not fit within all of the requirements of the safe harbor, they are not per se illegal, but in order to avoid all risk of fraud and abuse issues, the interpreting physicians would not be permitted to make any referrals to the Company for imaging services. Florida Prohibition of Referrals. On March 13, 1992, the Florida Legislature passed the "Patient Self-Referral Act of 1992" (the "1992 Act"), which took effect April 9, 1992. The Act, as amended in 1993, prohibits physicians' referrals of patients for designated health services, including diagnostic imaging services, to facilities in which they own an investment interest. Therefore, physicians who own common shares or common share purchase warrants are prohibited from making any patient referrals to the Company's diagnostic imaging facilities. Medicare Reimbursement. Diagnostic imaging services provided to Medicare beneficiaries are reimbursed based on Medicare's Resource-Based Relative Value Scale, which sets limits on reimbursement for both the technical and physician components of these services. There is no guarantee that the amount paid by Medicare, either now or in the future, will be adequate to meet the Company's costs of providing the imaging services. There is also no guarantee that the U.S. Government will not enact law or adopt regulations restricting the ability of free-standing diagnostic imaging centers from providing services to Medicare or Medicaid patients, although the Company is currently unaware of any proposal to do so. Omnibus Budget Reconciliation Act of 1993. As part of the Omnibus Budget Reconciliation Act of 1993, Congress passed the "Stark II" law, which prohibits a physician from referring Medicare and other federal program patients for designated health services, including imaging services, to certain entities with which the physician or a member of his or her immediate family has a financial relationship. A "financial relationship" would include either an ownership interest in, or compensation arrangement with, the entity. The Stark II law has been incorporated into Section 1877 of Title XVIII of the Social Security Act. The Company, as a provider of radiology and other diagnostic services, would be such an entity, and therefore, a physician with such a financial relationship with the Company could not make referrals of Medicare or Medicaid business to the Company, unless the relationship falls within one of the limited exceptions offered by Stark II. These limitations became effective January 1, 1995. Stark II provides an exception for referrals by a physician who, or a member of whose immediate family, owned investment securities in a public entity which may be purchased on terms generally available to the public, but only if the entity met the following criteria: (I) its securities are listed on a recognized stock exchange or traded on Nasdaq; and (ii) the entity has at the end of its most recent fiscal year or on average during the previous three fiscal years, stockholder equity exceeding $75 million. The Company does not meet these criteria and, therefore, a physician who owns Common Stock or Warrants to purchase Common Stock of the Company is prohibited from making Medicare and other federal 30
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program patient referrals to any of the Company's diagnostic imaging facilities. The Company also is prohibited from presenting a claim for services rendered in connection with such a prohibited referral. It would not be necessary for the Company to have knowledge that the referral was unlawful in order for there to be a violation for which the penalty could be denial of payment for the claim or a refund to the payer. Penalties of up to $15,000 for each violation and exclusion from Medicare and other programs could be assessed if a bill is presented and the entity knows or should have known that it is the result of a prohibited referral. Physicians with compensation arrangements with the Company, such as its interpreting physicians, also are subject to the foregoing referral prohibition, unless the arrangement fits within a Stark II exception. Stark II permits personal arrangements between such physicians and the Company if various criteria are met, including that the arrangement is set out in writing, has a duration of at least one year and the compensation paid to the physicians represents the fair market value of the professional services provided and does not take into account the volume or value of any referrals or other business generated between the parties. Stark II also specifically states that a prohibited referral does not include a request by a radiologist for diagnostic radiology services if such services are furnished by or under the supervision of that radiologist. To its knowledge the Company currently does not have any physicians who are significant shareholders and, therefore, the Company's revenue growth has been derived entirely from non-investor physician referrals. In the event the Company has physician shareholders in the future, however, federal and state law will prohibit referrals by such investors to any of the Company's imaging centers. As a provider of diagnostic services, the Company is required to report the names and unique identification number of physicians who, or whose immediate family members, have an investment interest in or compensation arrangement with the Company. The Company's current shareholders are not physicians and, therefore, do not provide referrals in potential violation of the foregoing provisions. In the future, however, many of the Company's Common Shares or Warrants may be held by physicians or their immediate family members or in "street name", and therefore, not readily subject to discovery. Management believes that monitoring of such ownership would be extremely difficult. However, management is investigating methods of minimizing its exposure to inadvertently accepting a prohibited referral. Management will also assess and monitor its compensation arrangements with physicians. Although the Company believes that it is in material compliance with all applicable federal and state laws and regulations, there can be no assurance that such laws or regulations will not be enacted, interpreted or applied in the future in such a way as to have a material adverse impact on the Company, or that federal or state governments will not impose additional restrictions upon all or a portion of the Company's activities, which might adversely affect the Company's business. EMPLOYEES As of May 17, 1996, the Company had 79 employees (all full time), including 4 executive officers, 41 administrative personnel, 1 sales and marketing person and 33 technical personnel. The Company is not a party to any collective bargaining agreement and considers its relationship with its employees to be good. 31
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INSURANCE The Company carries workmen's compensation insurance, comprehensive and general liability coverage, fire and allied perils coverage in amounts deemed adequate by management. The Company is not engaged in the practice of medicine and, therefore, does not carry medical malpractice insurance. See "Risk Factors." There is no assurance that potential claims will not exceed the coverage amounts, that the cost of coverage will not substantially increase or require the Company to insure itself or that certain coverages will not be reduced or become unavailable. The Company also requires that physicians practicing at the imaging centers carry medical malpractice insurance to cover their individual practices. The interpreting physicians are responsible for the costs of this insurance. LEGAL PROCEEDINGS In December, 1995 the physician group which contracted with Brandon and SunPoint for radiology readings terminated the contract. On February 9, 1996 the physician group filed a suit entitled East Pasco Radiology Associates, P.A. vs. Brandon Diagnostic Center, Ltd., and SunPoint Diagnostic Center, Inc. in the Hillsborough County Florida Circuit Court against the Company alleging the center materially breached the contract by failing to pay physician fees timely and incorrectly billing certain procedures. The physician group seeks $400,000 in damages. The Company denies any material breach of the contract, and the court recently denied the plaintiff's motion for partial summary judgment for $400,000 in damages. Management feels it has reserved an adequate loss provision in the event of an adverse outcome. On March 10, 1995 legal action was instituted against A.T. Brod & Co., Inc. (a national stock brokerage firm) by a terminated employee of A. T. Brod & Co., Inc ("A.T. Brod"). A. T. Brod was a major market maker for National Diagnostic, Inc. stock. The Company was named in the suit entitled James I. Blackey vs. A.T. Brod & Co., Inc., Arthur M. Stupay, Jugal Taneja, R.K. Khosla, Bancapital Investment Corporation, and National Diagnostics, Inc. pending the Supreme Court of the State of New York, County of Erie, Index Number I-1995-2249. Mr. J. Taneja is Chairman and Chief Executive Officer of the Company and a director of both A. T. Brod (which has ceased operations) and the Company. The action alleges wrongful discharge, breach of contract, defamation of character, conspiracy and tortious interference with a contract arising out of the alleged wrongful termination of the plaintiff by A.T. Brod and seeks compensatory and punitive damages of $2,830,000. On June 14, 1995, a motion was made under the rules of the National Association of Dealers to compel arbitration of the matter and to stay the action in entirety against the Company pending the outcome of the arbitration. Upon receiving the motion, the plaintiff's attorney indicated he agreed with the defendants' position, consenting to arbitration and to stay the action pending the outcome of that arbitration. Through June 27, 1996, the plaintiff's attorney has taken no steps to advance his claim in arbitration. Based upon information available to defendants' counsel through this date, the claim appears to be not meritorious. 32
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MANAGEMENT DIRECTORS AND EXECUTIVE OFFICERS The directors and executive officers of the Company are as follows: JUGAL K. TANEJA, Age 51, is (since the Company's inception in June, 1994) a director, the Chief Executive Officer and Secretary of the Company. He also serves as a Chief Executive Officer and President of Bancapital Mortgage Corporation. The Bancapital group of entities are involved in mortgage banking and venture capital activities. Mr. Taneja also serves (since October, 1991) as the Chairman, Chief Executive Officer and director of NuMED Home Health Care, Inc. and Chief Executive Officer and director of NuMED Surgical, Inc., publicly-held entities involved in the home health care and medical equipment industries. He also serves as the President and director of Bancequity Petroleum, Inc. and Chief Operating Officer, Senior Vice President and director of BT Energy Corporation, entities involved in the oil and gas industry. Mr. Taneja serves as a director of Bristol Financial Ventures, Inc., an entity involved in venture capital activities and Direct Rx, Inc., a mail order pharmacy supply operation. Before his association with Bancapital and NuMED, Mr. Taneja served as Senior Vice President of Union Commerce Bank and Huntington National Bank. CURTIS L. ALLISTON, Age 52, is (since the Company's inception in June, 1994) a director, the President and Chief Operating Officer of the Company. He also serves as a director and the President and Chief Executive Officer of Brandon Clinical Associates, Inc., a home health care group, and President and Chief Executive Officer of Alliston Enterprises, an investment and construction company. From 1988 to 1992, he served as President and Chief Executive Officer of Tampa Medical Group Management, a medical practice management firm, and President and Chief Executive Officer of Bay Cardiac Imaging, a mobile cardiac ultrasound service provider. Mr. Alliston was the founder of Positron Partners, Inc., a joint venture specializing in positron emission tomography, and served as its President and Chief Executive Officer from 1990 to 1992. Also, from 1990 to 1993, Mr. Alliston served as the President and Chief Executive officer of Cleveland Avenue Real Estate Partners, a medical real estate investment group. MARTIN A. TRABER, Age 48, is a director (since the Company's inception in June, 1994) of the Company. He is also a partner in the law firm of Foley & Lardner, a national general practice law firm. He has also served as an Adjunct Professor of Law at Cleveland Marshall Law School where he structured a course on and lectured in the area of real estate finance. Prior to joining Foley & Lardner in August, 1994, he practiced with Arter & Hadden since 1970 and was a partner in its Cleveland office. Mr. Traber is a director of Bancapital Mortgage Company, Emory Mortgage Corporation and Schmidt Mortgage Company, mortgage lending entities affiliated with the Bancapital Corporation. DONALD G. WARD, Age 53, a director of the Company since March, 1995, has served as Administrative Director of Clay Cardiology Associates, P.A., a group of cardiology specialists associated with several major hospitals in northeastern Florida and northeastern Georgia, since 1992. From 1990 to 1992, Mr. Ward was the Director of Special Projects/Mobile Imaging Services for St. Vincent's Health Care Systems in Jacksonville, Florida. Prior thereto, he has served in various positions in the health care industry. 33
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SUSAN J. CARMICHAEL, Age 48, a director of the Company since the second quarter of 1995, is currently President and Chief Operating Officer (since September, 1993) of NuMED Home Health Care, Inc. and has served as a director of NuMED since 1991. Ms. Carmichael was the past President of Whole Person Home Health Care and Pennsylvania Medical Concepts prior to its being purchased by NuMED in 1991 as NuMED's entrance into the home health industry. NuMED employs an average of 500+ employees and cares for 700+ clients in Florida, Pennsylvania, and Ohio. From 1981 to 1985, Ms. Carmichael, was co-owner, President, and Chairperson of the Board of Health Consulting Associates (1981-1985). EXECUTIVE COMPENSATION The following table sets forth certain information concerning compensation paid to or earned by the Company's Chief Executive Officer and President. No other executive officer earned more than $100,000 for the fiscal years ended December 31, 1994 and 1995. The directors of the Company receive no compensation. SUMMARY COMPENSATION TABLE [Enlarge/Download Table] LONG-TERM ANNUAL COMPENSATION COMPENSATION AWARDS ----------------------------------------------------------------------------- FISCAL ALL OTHER SECURITIES UNDERLYING NAME AND PRINCIPAL POSITION YEAR SALARY BONUS COMPENSATION OPTIONS --------------------------------------------------------------------------------------------------------------- Jugal K. Taneja, 1995 $ 76,250 $75,614 $18,958(1) 25,000 Chief Executive Officer 1994 10,000 10,000 16,400(1) - 1993 - - - - Curtis L. Alliston, 1995 $150,000 $69,125 $19,708(1) 25,000 President and Chief 1994 83,600 54,000 8,700(1) - Operating Officer 1993 75,000 - 6,750(1) - -------------------------- (1) Represents club dues and automobile expense allowance. The following table sets forth information with respect to grants of options to purchase shares of Common Stock during 1995 to the executive officers named in the Summary Compensation Table. The amounts shown as potential realizable values on the options are based on assumed annualized rates of appreciation in the price of the Common Stock of 0%, 5% and 10% over the term of the options, as set forth in rules of the Securities and Exchange Commission. Actual gains, if any, on stock option exercises are dependent on future performance of the Common Stock. There can be no assurance that the potential realizable values reflected in this table will be achieved. 34
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STOCK OPTION GRANTS IN 1995 [Enlarge/Download Table] Market POTENTIAL REALIZABLE VALUE AT % OF TOTAL Price per ASSUMED OPTIONS Share of ANNUAL RATES OF STOCK PRICE Number of GRANTED TO Underlying APPRECIATION FOR OPTION TERM(2) Securities EMPLOYEES Security on ------------------------------- Underlying IN FISCAL EXERCISE Date of EXPIRATION NAME Options Granted 1995 PRICE PER SHARE Grant(1) DATE 0% 5% 10% ------------------------ --------------- ---------- --------------- ----------- ---------- ------- --------- --------- Jugal K. Taneja . . . . 25,000 41.7% $1.06 $1.06 04/21/05 -0- $16,666 $42,234 Curtis L. Alliston . . 25,000 41.7% 1.06 1.06 04/21/05 -0- 16,666 42,234 ------------------------ (1) The options shown on this table were immediately exercisable on the date of grant. (2) The options shown on this table were exercised on December 6, 1995. The following table sets forth information concerning each exercise of options during 1995 by the executive officers named in the Summary Compensation Table. No options were outstanding as of December 31, 1995. OPTION EXERCISES IN 1995 [Download Table] SHARES ACQUIRED ON NAME EXERCISE VALUE REALIZED ($) -------------------------------------- ------------------ ------------------ Jugal K. Taneja . . . . . . . . . . . 25,000 $56,313 Curtis L. Alliston . . . . . . . . . 25,000 56,313 CERTAIN TRANSACTIONS The Company provides diagnostic imaging services in Brandon, Florida through Brandon Diagnostic Center, Ltd., a limited partnership ("Brandon"). Brandon is 60% owned by its general partner, Alpha Associates, Inc., a Florida corporation ("Alpha Associates"), and 40% owned by its sole limited partner Alpha Acquisition Corp., a Florida corporation ("Alpha Acquisition"). Prior to the formation of the Company in June 1994, all of the issued and outstanding capital stock of Alpha Associates and Alpha Acquisition was owned by Messrs. Taneja and Alliston. In connection with the formation of the Company, Messrs. Taneja and Alliston transferred all of the capital stock of Alpha Associates and Alpha Acquisition to the Company in exchange for an aggregate of 1,200,000 shares of Common Stock and warrants to purchase 1,200,000 shares of Common Stock at $7.20 per share. Alpha Associates and Alpha Acquisition thereupon became wholly-owned subsidiaries of the Company. From April to December, 1995, the Company's wholly-owned subsidiary, National Diagnostics/Orange Park, Inc. ("Orange Park"), was a party to a lease agreement with Sundance Partners, a Florida general partnership ("Sundance"). The lease related to Orange Park's approximately 5,100 square foot diagnostic facility in Orange Park, Florida and was for a term of ten years providing annual rental payments of approximately $44,000, subject to annual adjustments based on the Consumer Price Index. The Company was the guarantor of Orange Park's 35
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obligations under the lease. Messrs. Taneja, Alliston, Traber and Ward (directors of the Company) and Mr. Baugh (the President and Chief Operating Officer of Orange Park) were all general partners of Sundance and collectively own a 95% interest therein. Mr. Alliston was the managing partner of Sundance. In December 1995, the Company purchased a 100% interest in Sundance for $346,000, paid through the assumption of mortgage indebtedness and the balance in shares of Common Stock. See Note 13 to the Notes to Consolidated Financial Statements. At the time Company executives (Messrs. Taneja and Alliston) owning approximately a 65% interest in the Company held a controlling interest (approximately 60%) in Sundance. Sundance's cost basis in the underlying property was approximately $346,000 with an appraised value of $660,000 (see note 12 to the financial statements). Mr. Taneja previously advanced funds, evidenced by four demand promissory notes, to Alpha Associates. The funds were advanced on March 26, April 18, November 4 and December 29, 1993 and April 1, 1994. The loans bore interest at 10% per annum and were payable on demand. The Company repaid the aggregate amount outstanding to Mr. Taneja pursuant to such loans with the proceeds from the Company's initial public offering (the "Offering") completed in September 1994. Mr. Alliston previously advanced funds, evidenced by three demand promissory notes, to Alpha Associates. The funds were advanced on October 12, 1993, December 29, 1993 and April 1, 1994. The loans bore interest at 10% per annum and were payable on demand. The Company repaid the aggregate amount outstanding to Mr. Alliston pursuant to such loan with the Proceeds from the Offering. In connection with Brandon's start-up expenses, including costs associated with the initial buildout and obtaining equipment, furniture and fixtures, the shareholders of Alpha Associates, including Mr. Alliston, advanced approximately $287,000 in 1992, evidenced by promissory notes issued by Alpha Associates. In connection with Mr. Taneja's purchase of 67% of the outstanding common stock of Alpha Associates in March 1993, the outstanding debt was restructured to substitute Mr. Taneja as a lender. Interest on the outstanding balance pursuant to the advance accrued at the prime rate plus 1 1/2% annually. The Company repaid the aggregate amount outstanding to Messrs. Taneja and Alliston pursuant to such loan with the proceeds from the Offering. On April 21, 1995 the Board of Directors approved an Employee Stock Option Plan ("Employee Plan") and a Non-Employee Director Stock Option plan ("Director Plan") for the purpose of competing successfully in attracting, motivating, and retaining employees and non-employee directors with outstanding abilities. Options granted under the Employee Plan are intended to be incentive stock options. The total number of shares to which options may be granted under the Employee and Director Plans is 200,000 shares. Generally, the exercise price shall be fixed at no less than 100% of the average fair market value of the shares at date of option. In 1995 pursuant to the Director Plan members of the Board of Directors were issued options for 80,000 shares. These options were exercised at $1.06 per share for which the Company received $84,800. During 1995 there were no options granted under the Employee Plan and at December 31, 1995 there were no outstanding options under either plan. In July, 1995 the Company offered to holders of 1,700,000 outstanding common stock purchase warrants the opportunity to exchange five warrants for two shares of Common Stock. In September, 1995 the offer was concluded. Approximately 94% of the outstanding warrants were tendered in exchange for 642,918 shares of Common Stock. Messrs. Taneja and Alliston received 320,000 and 160,000 shares of Common Stock, respectively in exchange for the warrants they were holding. All future material affiliated transactions and loans will be made or entered into on terms no less favorable to the Company than those that can be obtained from unaffiliated third parties, and all future material affiliated members of the Company's board of directors who do not have an interest in the transaction. 36
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PRINCIPAL SHAREHOLDERS The following table sets forth certain information regarding the beneficial ownership of Common Stock as of June 15, 1996, with respect to: (i) each of the Company's directors; (ii) each of the Company's executive officers named in the Summary Compensation Table above; (iii) all directors and executive officers of the Company as a group; and (iv) each person known by the Company to own beneficially more than 5% of the Common Stock. Except as otherwise indicated, each of the shareholders listed below has sole voting and investment power over the shares beneficially owned. [Enlarge/Download Table] BENEFICIALLY OWNED NAME SHARES PERCENT -------------------------------------------------------------- --------- ------- Jugal K. Taneja(1)(2) . . . . . . . . . . . . . . . . . . . . 1,155,013 45.5% Curtis L. Alliston(1)(3) . . . . . . . . . . . . . . . . . . 585,013 23.0 Donald G. Ward . . . . . . . . . . . . . . . . . . . . . . . 5,936 * Martin A. Traber . . . . . . . . . . . . . . . . . . . . . . 11,671 * Susan J. Carmichael . . . . . . . . . . . . . . . . . . . . . - - Directors and executive officers as a group (5 persons)(4) 1,757,633 69.2 -------------------------- * Less than 1% (1) The business address of Messrs. Taneja and Alliston is 737B West Brandon Boulevard, Brandon, Florida 33511. (2) Includes 100,000 shares of Common Stock held by First Delhi Trust, which was established for the benefit of Mr. Taneja's children and over which Mr. Taneja exercises voting rights, and 35,013 shares of Common Stock held by Westminster Trust, which is a limited partnership controlled by Mr. Taneja, and 100,000 shares of Common Stock held by Manju Taneja, Mr. Taneja's wife. (3) Includes 100,000 shares of Common Stock held by Alliston Family Limited Partnership, which was established for the benefit of Mr. Alliston's children, over which Mr. Alliston exercises voting rights. (4) Includes notes (1) through (3) above. DESCRIPTION OF SECURITIES GENERAL The authorized capital stock of the Company consists of 9,000,000 shares of Common Stock, no par value and 1,000,000 shares of Preferred Stock. As of the date of this Prospectus, there were 2,539,629 shares of Common Stock issued and outstanding and no shares of Preferred Stock issued and outstanding. Additionally, 92,705 Warrants were outstanding as of that date. COMMON STOCK The holders of Common Stock are entitled to one vote for each share held of record on all matters submitted to a vote of shareholders. Cumulative voting in the election of directors is not permitted. Subject to preferences that may be granted to holders of preferred stock, holders of Common Stock are entitled to receive ratably such dividends as may be declared by the Board of Directors out of funds legally available therefor. See "Dividend Policy." In the event of the liquidation, dissolution or 37
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winding up of the Company, holders of Common Stock are entitled to share ratably in all assets remaining after payment of liabilities and the liquidation preference granted to the holders of preferred stock. Holders of Common Stock have no conversion, preemptive or other rights to subscribe for additional shares or other securities, and there are no redemption or sinking fund provisions with respect to such shares. The issued and outstanding shares of Common Stock are, and the shares of Common Stock offered hereby will be upon payment therefor, fully paid and nonassessable. PREFERRED STOCK The Board of Directors has the authority to issue up to 1,000,000 shares of Preferred Stock in one or more series and to fix the number of shares constituting any such series and the rights and preferences thereof, including dividend rates, terms of redemption (including sinking fund provisions), redemption price or prices, voting rights, conversion rights and liquidation preferences of the shares constituting such series, without any further vote or action by the Company's stockholders. Issuances of shares of Preferred Stock may have the effect of making it more difficult to remove the present management of the Company or obtain control of the Company. WARRANTS One Warrant represents the right of the registered holder to purchase one share of Common Stock at an exercise price of $3.00 per share, subject to adjustment (the "Purchase Price"). The Purchase Price was lowered from $7.20 to $3.00 effective May 24, 1996 by action of the Company's Board of Directors. A holder of Warrants may exercise such Warrants by surrendering the certificate evidencing such Warrants to the warrant agent (which also is the Company's transfer agent), together with the form of election to purchase on the reverse side of such certificate properly completed and executed and the payment of the exercise price and any transfer tax. If less than all of the Warrants evidenced by the certificate are exercised, a new certificate will be issued for the remaining number of Warrants. The Warrants will be entitled to the benefit of adjustments in the Purchase Price and in the number of shares of Common Stock and/or other securities deliverable upon the exercise thereof upon the occurrence of certain events, including a stock dividend, stock split, reclassification, reorganization, consolidation or merger. The Warrants may be exercised at any time on or before September 19, 1997. No holder, as such, of Warrants shall be entitled to vote or receive dividends or be deemed the holder of Common Stock for any purpose whatsoever until such Warrants have been duly exercised and the Purchase Price has been paid in full. The Company has the right, upon 20 days' prior written notice, to call the Warrants: (i) for the price of $0.01 per Warrant if the last sale price of the Common Stock has equaled or exceeded $7.20 for at least 20 consecutive trading days; or (ii) at such a price and subject to such terms and conditions as the underwriter for the Company's initial public offering may agree. The Warrants can only be redeemed if a current Prospectus covering the Warrants and the Common Stock issuable thereunder is then in effect. The Warrants will remain exercisable during the 20 day notice period. Redemption of the Warrants may force the holders to: (i) exercise the Warrants and pay the exercise price at a time when it may be disadvantageous for them to do so; or (ii) sell the Warrants at the current market price when they might otherwise wish to hold the Warrants. The form of the Warrant has been filed as an exhibit to the Registration Statement of which this Prospectus is a part. 38
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CERTAIN PROVISIONS OF FLORIDA LAW The Company is subject to several anti-takeover provisions under Florida law that apply to a public corporation organized under Florida law unless the corporation has elected to opt out of such provisions in its Articles of Incorporation or (depending on the provision in question) its Bylaws. The Company has not elected to opt out of these provisions. The Florida Business Corporation Act (the "Florida Act") contains a provision that prohibits the voting of shares in a publicly-held Florida corporation which are acquired in "control share acquisition" unless the Board of Directors approves the control share acquisition or the holders of a majority of the corporation's voting shares (exclusive of shares held by officers of the corporation, inside directors or the acquiring party) approve the granting of voting rights as to the shares acquired in the control share acquisition. A control share acquisition is defined as an acquisition that immediately thereafter entitles the acquiring party to vote in the election of directors within each of the following ranges of voting power: (i) one-fifth or more but less than one third of such voting power, (ii) one third or more but less than a majority of such voting power and (iii) more than a majority of such voting power. The Florida Act also contains an "affiliated transaction" provision that prohibits a publicly-held Florida corporation from engaging in a broad range of business combinations or other extraordinary corporate transactions with an "interested stockholder" unless (i) the transaction is approved by a majority of disinterested directors before the person becomes an interested stockholder, (ii) the interested stockholder has owned at least 80% of the corporation's outstanding voting shares for at least five years, or (iii) the transaction is approved by the holders of two-thirds of the corporation's voting shares other than those owned by the interested stockholder. An interested stockholder is defined as a person who together with affiliates and associates beneficially owns more than 10% of the corporation's outstanding voting shares. INDEMNIFICATION The Company's By-Laws provide that the Company shall indemnify and hold harmless all directors or officers of the Company, any person serving at the request of the Company as a director or officer of another corporation, or any person serving at the request of the Company as a director or officer of another corporation, or any person serving as its representative in a partnership, joint venture, trust or other enterprise, to the fullest extent legally permissible under the laws of the State of Florida from time to time in effect, against any liability asserted against such person and incurred in any such capacity or arising out of such status. Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the Company pursuant to the foregoing provisions, or otherwise, the Company has been advised that in the opinion of the Commission such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable. TRANSFER AGENT AND REGISTRAR The transfer agent and registrar for the Common Stock and the Warrants is American Securities Transfer, Inc., Lakewood, Colorado. 39
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LEGAL MATTERS The validity of the shares of Common Stock to which this Prospectus relates will be passed upon for the Company by Foley & Lardner, Tampa, Florida. Martin A. Traber, a partner of Foley & Lardner, owns 11,671 shares of Common Stock and is a Selling Shareholder. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE On November 21, 1995, the Company replaced Kirkland, Brakeman, Russ, Murphy & Tapp and engaged Grant Thornton LLP as its new independent accountant. During the Company's two most recent fiscal years and any subsequent interim period preceding the change in accountants, there were no disagreements with the former accountant on any matter of accounting principles or practices, financial statement disclosure, or auditing scope or procedure. EXPERTS The consolidated financial statements of the Company as of and for the year ended December 31, 1995, have been included herein and in the registration statement in reliance upon the report of Grant Thornton LLP, independent certified public accountants, and upon the authority of said firm as experts in accounting and auditing. The consolidated financial statements of the Company as of December 31, 1994 have been included herein and in the registration statement in reliance upon the report of Kirkland, Brakeman, Russ, Murphy & Tapp, independent certified public accountants, and upon the authority of said firm as experts in accounting and auditing. 40
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES INDEX TO CONSOLIDATED FINANCIAL STATEMENTS [Enlarge/Download Table] PAGE NUMBER ----------- CONDENSED CONSOLIDATED BALANCE SHEETS at December 31, 1995 and March 31, 1996 (unaudited) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-2 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS for the three months ended March 31, 1995 (unaudited) and 1996 (unaudited) . . . . . . . . . . . . . . . . . . . F-4 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS for three months ended March 31, 1995 (unaudited) and 1996 (unaudited) . . . . . . . . . . . . . . . . . . . . . F-5 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited) . . . . . . . . . . . . . . . . . . . . . . . . . . F-6 REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-12 REPORT OF INDEPENDENT AUDITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-13 CONSOLIDATED BALANCE SHEETS As of December 31, 1995 and 1994 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-14 CONSOLIDATED STATEMENTS OF OPERATIONS Years ended December 31, 1995 and 1994 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-16 CONSOLIDATED STATEMENTS OF CASH FLOWS Years ended December 31, 1995 and 1994 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-17 CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) Years ended December 31, 1995 and 1994 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-19 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-20 F-1
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS ASSETS [Download Table] March 31, December 31, 1996 1995 (Unaudited) ------------- ----------- Current assets: Cash $ 128,094 $ 163,519 Accounts receivable, net of allowance of $342,900 and $365,300 in 1995 and 1996, respectively 1,500,841 1,852,148 Prepaid expenses and other current assets 301,761 355,661 ----------- ----------- Total current assets 1,930,696 2,371,328 ----------- ----------- Property and equipment 6,732,150 6,812,914 Less: accumulated depreciation and amortization (2,197,420) (2,423,971) ----------- ----------- Net property and equipment 4,534,730 4,388,943 ----------- ----------- Other assets: Excess of purchase price over net assets acquired, net of accumulated amortization of $36,547 and $42,916 in 1995 and 1996 respectively 452,914 446,545 Deposits 53,115 56,471 Other 57,805 45,844 Total other assets 563,834 548,860 ----------- ----------- $ 7,029,260 $7,309,131 =========== ========== SEE ACCOMPANYING NOTES. F-2
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES LIABILITIES AND STOCKHOLDERS' EQUITY [Download Table] March 31, December 31, 1996 1995 (Unaudited) ------------ ----------- Current liabilities: Lines of Credit $ 409,500 $ 450,500 Note Payable 8,000 8,000 Note due to related party 49,243 50,000 Current installments of long-term debt 100,487 98,000 Current installments of obligations under capital leases 648,909 652,000 Accounts payable 604,479 668,987 Accrued radiologist fees 225,815 281,198 Accrued expenses, other 411,262 439,155 Due to related party 57,231 75,057 ----------- ----------- Total current liabilities 2,514,926 2,722,897 Long-term liabilities: Long-term debt, excluding current installments 541,124 520,414 Obligations under capital leases, excluding current installments 2,489,444 2,415,759 Deferred lease payments 210,335 276,260 ----------- ----------- Total liabilities 5,755,829 5,935,330 ----------- ----------- Commitments and contingencies Stockholders' equity: Preferred stock, no par value, 1,000,000 shares authorized, no shares issued and outstanding - - Common stock, no par value, 9,000,000 shares authorized, 2,539,629 shares issued and outstanding in 1996 and 1995 668 668 Additional paid-in capital 2,079,267 2,079,267 Retained earnings (deficit) (806,504) (706,134) ----------- ----------- Net stockholders' equity 1,273,431 1,373,801 ----------- ----------- $ 7,029,260 $ 7,309,131 =========== =========== SEE ACCOMPANYING NOTES. F-3
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS [Download Table] Three months Three months ended ended March 31, March 31, 1995 1996 (Unaudited) (Unaudited) -------------- ------------ Revenue, net $1,342,031 $2,189,706 ---------- ---------- Operating expenses: Direct operating expenses 677,517 1,056,156 General and administrative 470,217 722,904 Depreciation and amortization 198,594 244,881 ---------- ---------- Total operating expenses 1,346,328 2,023,941 ---------- ---------- Operating income (loss) (4,297) 165,765 Interest expense 75,538 97,837 Other income (loss) 7,306 32,442 ---------- ---------- Income (loss) before income taxes (72,529) 100,370 Income taxes - - ---------- ---------- Net income (loss) $(72,529) $100,370 ========== ========== Net income (loss) per common share $(.04) $.04 ========== ========== Weighted average number of common shares outstanding $1,700,000 $2,539,629 ========== ========== SEE ACCOMPANYING NOTES. F-4
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS [Enlarge/Download Table] Three months Three months ended ended March 31, March 31, 1995 1996 (Unaudited) (Unaudited) -------------- ------------- Cash flows from operating activities: Net income (loss) $ (72,529) $100,370 Adjustments to reconcile net income (loss) to net cash provided by operating activities: Income taxes (11,000) - Depreciation and amortization 198,594 244,881 Provision for bad debts - 22,400 Increase in accounts receivable (241,914) (373,707) Loss on disposition of equipment - 4,377 (Increase) in prepaid expenses and other current assets (141,289) (53,900) Increase in organization & start-up costs (28,732) - Increase in accounts payable 85,153 64,508 Increase in accrued radiologist fees - 55,383 Increase in other accrued expenses - 27,893 Increase in deferred lease payments - 65,925 --------- -------- Net cash provided by operating activities (211,717) 158,130 --------- -------- Cash flows provided (used) by investing activities: Purchases of property and equipment (176,211) (18,927) Increase in notes receivable (17,089) - Increase in goodwill (69,535) - --------- -------- Net cash used by investing activities (262,835) (18,927) --------- -------- Cash flows provided (used) by financing activities: Increase (net) in line of credit - 41,000 Repayment of long-term borrowings (313,567) (23,197) Proceeds of borrowing from related parties - 18,583 Principal payments under capital lease obligations (132,411) (136,808) Proceeds from borrowings on long-term debt 345,378 - Increase in deposits (88,678) - Proceeds from borrowings on other notes payable 48,697 (3,356) --------- -------- Net cash (used) by financing activities (140,581) (103,778) --------- -------- Net increase (decrease) in cash (615,133) 35,425 Cash at beginning of period 1,497,510 128,094 --------- -------- Cash at end of period $ 882,377 $163,519 ========= ======== Supplemental disclosure of cash flow information: Interest paid $ 76,649 $ - ========= ======== Asset added under capital lease $ - $ 66,214 ========= ======== SEE ACCOMPANYING NOTES. F-5
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES MARCH 31, 1996 (UNAUDITED) (1) SIGNIFICANT ACCOUNTING POLICIES The accounting policies followed by National Diagnostics, Inc., and Subsidiaries (the "Company") for quarterly financial reporting purposes are the same as those disclosed in the Company's annual financial statements. In the opinion of management, the accompanying condensed consolidated financial statements reflect all adjustments (which consist only of normal recurring adjustments) necessary for a fair presentation of the information presented. The interim results are not necessarily indicative of the results that may be expected for the full fiscal year. The quarterly condensed consolidated financial statements herein have been prepared by the Company without audit. Certain information and footnote disclosures included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. Although the Company management believes the disclosures are adequate to make the information not misleading, it is suggested that these quarterly condensed consolidated financial statements be read in conjunction with the audited annual financial statements and footnotes thereto. In preparing financial statements in conformity with generally accepted accounting principles, management makes estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements, as well as the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. (2) PROPERTY AND EQUIPMENT Property and equipment consists of the following: [Download Table] Estimated December 31, March 31, service 1995 1996 life (years) ------------ ---------- ------------ Land $ 85,000 $ 85,000 Building 253,041 253,041 39 Medical Equipment 5,200,475 5,277,900 7 Office furniture and equipment 477,739 483,347 7 Vehicles 232,542 228,165 5 Leasehold improvements 483,353 485,461 3-5 ---------- ---------- $6,732,150 $6,812,914 ========== ========== F-6
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES (3) LINES OF CREDIT The banks have a first security interest on certain accounts receivable. The lines have varying interest rates ranging from bank index plus 1 to 2 percent (at March 31, 1996, 10.25%). [Download Table] Line of credit limit $550,000 Qualifying borrowing base 550,000 Outstanding loan balance 450,500 Payment and declaration of dividends are restricted. In accordance with the loan agreement the Company may not pay or declare dividends without the prior written consent of the bank. No dividends have been paid or declared at March 31, 1996. (4) LONG-TERM DEBT Long-term debt is summarized as follows: [Download Table] December 31, March 31, 1995 1996 ------------ --------- Installment loans payable which consist of a number of separate installment loan contracts secured by equipment and vehicles. The loans require monthly installments of principal and interest over terms that vary from two to five years. At March 31, 1996, the loans bear interest at rates ranging from 9.5% to 12.25%. 346,334 324,071 Mortgage note payable in monthly installments of $2,445.88 including interest at 8.75%; maturing April, 2020; secured by mortgaged real estate property. 295,277 294,343 -------- -------- Total long-term debt 641,611 618,414 Less current installments of long-term debt 100,487 98,000 -------- -------- Long-term debt, excluding current installments $541,124 $520,414 ======== ======== F-7
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES The aggregate principal payments of long-term debt required annually are: [Download Table] Nine months ending December 31: 1996 $ 77,289 Year ending December 31: 1997 96,493 1998 91,967 1999 74,142 2000 5,184 2001 5,657 Thereafter 267,682 -------- $618,414 ======== (5) LEASES The Company has entered into capital leases for medical equipment which expire in 2002. The gross amount of equipment and related accumulated amortization recorded under capital leases are as follows: [Download Table] December 31, March 31, 1995 1996 ------------ ---------- Medical equipment $5,012,412 $4,630,105 Less accumulated amortization 2,045,692 1,887,248 ---------- ---------- $2,966,720 $2,742,857 ========== ========== Amortization of assets held under capital lease is included with depreciation expense. The present value of future minimum capital lease payments is as follows: [Download Table] Nine months ending December 31: 1996 $514,777 Year ending December 31: 1997 791,556 1998 877,911 1999 501,317 2000 238,418 2001 142,474 Thereafter 1,306 -------- F-8
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES [Download Table] Present value of minimum capital lease payments 3,067,759 Less current installments of obligations under capital leases 652,000 ---------- Obligations under capital leases, excluding current installments $2,415,759 ========== The Company is obligated under noncancellable operating leases that expire through 2001. Rental expense related to these noncancellable leases was approximately $53,600 and $100,250 for the three months ended March 31, 1995 and 1996, respectively. (6) NOTE PAYABLE TO RELATED PARTY Note payable to related party is as follows: [Download Table] December 31, March 31, 1995 1996 ------------ --------- Note payable with interest at 8.5%, payable in twelve monthly installments of $4,167 plus interest commencing September 1996. $49,243 $50,000 ======= ======= Interest expense to related parties totaled $379 and $757 for the three months ended March 31, 1995 and 1996, respectively. (7) OTHER NOTES PAYABLE Other notes payable are summarized as follows: [Download Table] December 31, March 31, 1995 1996 ------------ --------- Note payable with interest at 9.5%, due April, 1996; unsecured $8,000 $8,000 ====== ====== (8) INCOME TAXES The Company had no income tax expense for the three months ended March 31, 1995 and 1996. The income tax provision for 1995 and 1996 reconciled to the tax computed at the statutory rate of 34% is as follows: F-9
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES [Download Table] 1995 1996 Income taxes (benefit) at statutory rate $(25,000) $34,000 State income taxes (3,000) 4,000 Increase in valuation allowance 24,000 - Nondeductible expenses 4,000 3,000 Utilization of operating loss carryforwards - (41,000) --------- ------- $ - $ - ========= ======= The deferred tax asset and liability consist of the following: [Download Table] December 31, March 31, 1995 1996 ------------ --------- Assets Net operating loss carry forward $158,000 $110,000 Allowance for doubtful accounts 133,700 142,500 Deferred rents 75,800 107,700 Accrued compensation 18,600 - Pre-opening costs 29,900 25,900 Acquisition basis difference 122,300 122,000 -------- -------- 538,300 508,100 Less: valuation allowance (310,900) (269,300) -------- -------- 227,400 238,800 -------- -------- Liabilities Fixed assets 227,000 238,300 Goodwill 400 500 -------- -------- 227,400 238,800 -------- -------- Deferred taxes $ - $ - ======== ======== At March 31, 1996 approximately $232,000 in net operating carry forwards remain which will expire if not utilized by 2010. (9) BUSINESS COMBINATIONS On February 1, 1995, the Company formed a wholly-owned subsidiary, National Diagnostics/Orange Park, Inc. (Orange Park) and purchased certain assets for $112,000 from a F-10
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES medical imaging diagnostic center in Middleburg, Florida. This transaction was accounted for as a purchase. The purchase price is paid as follows: $62,000 was paid at closing and $50,000 is to be paid in 12 monthly installments beginning September 1996 as reflected in the December 31, 1995 balance sheet as a "Note due to related party" for $49,243. Pro forma information is not provided herein because of the transaction's insignificant effect on the Company's financial statement. Additionally, the Company is to issue an amount of its unregistered stock which when multiplied by a price per share equal to the average of the bid and ask price for the five trading days immediately preceding the Closing date equals the amount paid by the seller for operating expenses on behalf of the Company during the period February 1, 1995 (date of purchase) through July 31, 1995. The amount to be reimbursed to this individual, $57,231, is reflected in the December 31, 1995 balance sheet as "Due to related party". This issuance of Common Stock relates to expense reimbursements and is not associated with a contingent purchase price adjustment. (10) LEGAL ACTION On February 9, 1996 the physician group, which in December, 1995 terminated its contract for reading services with the Brandon and SunPoint centers, filed suit against the centers alleging the centers materially breached the contract by failing to pay physician fees timely and incorrectly billed certain procedures. The Company denies any material breach to the contract and has filed a motion to dismiss. Management feels it has reserved an adequate loss provision in the event of an adverse outcome. On March 10, 1995 legal action was instituted against A.T. Brod & Co., Inc. (a national stock brokerage firm) by a terminated employee of A.T. Brod & Co., Inc. ("A.T. Brod"). A.T. Brod was a major market maker for National Diagnostics, Inc. stock. The action alleges wrongful discharge, breach of contract, defamation of character, conspiracy and tortious interference with a contract arising out of the alleged wrongful termination of the plaintiff by A.T. Brod. The Company was named in the suit. Compensatory and punitive damages of $2,830,000 are sought. On June 14, 1995, a motion was made under the rules of the National Association of Dealers to compel arbitration of the matter and to stay the action in entirety against the Company pending the outcome of the arbitration. Upon receiving the motion, the plaintiff's attorney indicated he agreed with the defendants' position, consenting to arbitration and to stay the action pending the outcome of that arbitration. Through June 27, 1996, the plaintiff's attorney has taken no steps to progress his claim in arbitration. Based upon information available to defendants' counsel through this date, counsel indicates the claim appears to be not meritorious. The Company feels the suit is without merit and intends to vigorously defend itself. The ultimate outcome of this legal matter cannot be determined at this time, and accordingly, no adjustments have been made to the consolidated financial statements. F-11
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GRANT THORNTON GRANT THORNTON LLP Accountants and Management Consultants The U.S. Member Firm of Grant Thornton International Suite 3850 101 East Kennedy Boulevard Tampa, FL 33602-5154 813 229-7201 FAX 813 223-3015 Report of Independent Certified Public Accountants Board of Directors National Diagnostics, Inc. We have audited the accompanying consolidated balance sheet of National Diagnostics, Inc. and Subsidiaries as of December 31, 1995, and the related consolidated statements of operations, stockholders' equity, and cash flows for the year then ended. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of National Diagnostics, Inc. and Subsidiaries as of December 31, 1995, and the consolidated results of their operations and their consolidated cash flows for the year then ended in conformity with generally accepted accounting principles. GRANT THORNTON LLP Tampa, Florida March 20, 1996 F-12
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KIRKLAND, BRAKEMAN, RUSS, MURPHY & TAPP CERTIFIED PUBLIC ACCOUNTANTS 13577 Feather Sound Drive, Suite 400 Clearwater, FL 34622-5539 (813) 572-1400 Fax (813) 571-1933 Independent Auditors' Report Board of Directors and Stockholders National Diagnostics, Inc. and Subsidiaries: We have audited the accompanying consolidated balance sheet of National Diagnostics, Inc. and subsidiaries as of December 31, 1994, and the related consolidated statements of operations, stockholders' equity (deficit), and cash flows for the year then ended. These financial statements are the responsibility of National Diagnostics, Inc. and subsidiaries' management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of National Diagnostics, Inc. and subsidiaries as of December 31, 1994, and the consolidated results of their operations and their cash flows for the year then ended, in conformity with generally accepted accounting principles. Kirkland, Brakeman, Russ, Murphy & Tapp February 19, 1995 Clearwater, Florida F-13
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS ASSETS [Download Table] December 31, December 31, 1995 1994 ---------- ---------- Current assets: Cash $ 128,094 $1,497,510 Accounts receivable, net of allowance of $342,900 and $98,600 in 1995 and 1994, respectively 1,500,841 614,696 Prepaid expenses and other current assets 301,761 91,265 ---------- ---------- Total current assets 1,930,696 2,203,471 ---------- ---------- Property and equipment 6,732,150 4,755,227 Less: accumulated depreciation and amortization (2,197,420) (1,598,884) ---------- ---------- Net property and equipment 4,534,730 3,156,343 ---------- ---------- Other assets: Excess of purchase price over net assets acquired, net of accumulated amortization of $36,547 and $12,400 in 1995 and 1994, respectively 452,914 407,567 Deposits 53,115 13,534 Other 57,805 91,388 ---------- ---------- Total other assets 563,834 512,489 ---------- ---------- $7,029,260 $5,872,303 ========== ========== The accompanying notes are an integral part of the consolidated financial statements. F-14
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES LIABILITIES AND STOCKHOLDERS' EQUITY [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Current liabilities: Lines of credit $ 409,500 $ - Note Payable 8,000 - Note due to related party 49,243 - Current installments of long-term debt 100,487 73,000 Current installments of obligations under capital leases 648,909 556,415 Current installments of other notes payable - 102,187 Accounts payable 604,479 284,587 Accrued radiologist fees 225,815 - Accrued expenses, other 411,262 216,470 Due to related party 57,231 - Income taxes payable - 11,000 ----------- ----------- Total current liabilities 2,514,926 1,243,659 Long-term liabilities: Long-term debt, excluding current installments 541,124 237,665 Obligations under capital leases, excluding current installments 2,489,444 2,249,346 Deferred lease payments 210,335 - Deferred income taxes payable - 169,000 ----------- ----------- Total liabilities 5,755,829 3,899,670 ----------- ----------- Commitments and contingencies Stockholders' equity: Preferred stock, no par value, 1,000,000 shares authorized, no shares issued and outstanding - - Common stock, no par value, 9,000,000 shares authorized, 2,539,629 and 1,700,000 shares issued and outstanding in 1995 and 1994 668 500 Additional paid-in capital 2,079,267 1,943,579 Retained earnings (deficit) (806,504) 28,554 ----------- ----------- Net stockholders' equity 1,273,431 1,972,633 ----------- ----------- $ 7,029,260 $ 5,872,303 =========== =========== The accompanying notes are an integral part of the consolidated financial statements. F-15
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS [Download Table] Year Ended Year Ended December 31, December 31, 1995 1994 ------------ ------------ Revenue, net $6,232,515 $3,708,603 Operating expenses: Direct operating expenses 3,494,691 1,646,175 General and administrative 2,634,973 1,031,807 Depreciation and amortization 889,530 561,767 ---------- ---------- Total operating expenses 7,019,194 3,239,749 ---------- ---------- Operating income (loss) (786,679) 468,854 Interest expense 334,499 273,466 Other income 106,120 12,147 ---------- ---------- Income (loss) before income taxes (1,015,058) 207,535 Income tax (benefit) (180,000) 9,000 ---------- ---------- Net income (loss) $ (835,058) $ 198,535 ========== ========== Pro forma data: Historical net income $ 198,535 Pro forma adjustment to provision income taxes (unaudited) 79,000 ---------- Pro forma net income (unaudited) $ 119,535 ========== Historical net (loss) per common share $ (.44) ========== Pro forma net income per common share (unaudited) $ .09 ========== Weighted average number of common shares outstanding 1,887,672 1,331,507 ========== ========== The accompanying notes are an integral part of the consolidated financial statements. F-16
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS [Download Table] Year ended Year ended December 31, December 31, 1995 1994 ------------ ------------ Cash flows from operating activities: Net income (loss) $ (835,058) $ 198,535 Adjustments to reconcile net income (loss) to net cash provided (used) by operating activities: 799,889 561,767 Depreciation and amortization 244,300 21,000 Provision for bad debts (169,000) (2,000) Deferred income taxes (37,712) - Gain on disposition of equipment Increase in accounts receivable (1,130,445) (233,879) Increase in prepaid expenses and other current assets (187,898) (138,725) Increase in accounts payable and accrued expenses 740,499 152,152 Increase (decrease) in income taxes payable (11,000) 11,000 Increase in deferred lease payments 210,335 - ---------- ---------- Net cash provided (used) by operating activities (376,090) 569,850 ---------- ---------- Cash flows provided by (used in) investing activities: Purchases of property and equipment (1,204,763) (447,140) Payment for purchase of Orange Park (62,000) - ---------- ---------- Net cash used in investing activities (1,266,763) (447,140) ---------- ---------- Cash flows provided by (used in) financing activities: Proceeds from issuance of common stock, net 84,800 2,396,360 Proceeds from borrowings on line of credit 409,500 - Proceeds from note payable 8,000 - Proceeds from borrowings on long-term debt 415,464 75,684 Repayment of cash overdraft - (7,355) Repayment of long-term borrowings (84,518) (185,795) Proceeds of borrowing from related parties 106,474 84,667 Repayment of related parties borrowings - (494,982) Repayment of other notes payable (102,187) (125,866) Principal payments under capital lease obligations (524,515) (366,173) Increase in deposits (39,581) (1,740) ---------- ---------- Net cash provided by financing activities $ 273,437 $1,374,800 ---------- ---------- F-17 (continued)
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES [Download Table] Year ended Year ended December 31, December 31, 1995 1994 ------------ ------------ Net increase (decrease) in cash (1,369,416) 1,497,510 Cash at beginning of period 1,497,510 - ---------- ---------- Cash at end of period $ 128,094 $1,497,510 ========== ========== Supplemental disclosure of cash flow information: Interest paid $ 330,000 $ 267,000 ========== ========== Income tax paid 15,723 - ========== ========== Capital lease obligations incurred $1,066,889 $ 929,000 ========== ========== In February 1995, the Company acquired certain business assets (principally mobil equipment) totaling $203,000 related to its Orange Park facility for consideration of $62,000 cash, issuance of a note payable of $45,000, the obligation to issue common stock in the amount of $51,000 and the assumption of liabilities of $45,000 (see note 12). In December of 1995, the Company acquired a partnership interest representing real estate assets of $346,000 by assuming long-term debt of $295,000 and the issuance of common stock of $51,000 (see note 12). The accompanying notes are an integral part of the consolidated financial statements. F-18
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) YEARS ENDED DECEMBER 31, 1995 AND 1994 [Enlarge/Download Table] Retained Net Additional Earnings Stockholders' Common Paid-In (accumulated Equity Stock Capital deficit) (deficit) ------ ----------- ------------ ------------- Balances at December 31, 1993 $400 $ 3,900 $(455,562) $ (451,262) Sale of 500,000 shares of National Diagnostics, Inc. common stock at $6.00 per share, net of offering costs 100 2,396,260 - 2,396,360 Reinstate deferred income taxes on termination of S Corporation status - - (171,000) (171,000) Reclassify undistributed earnings in S Corporation to additional paid-in capital - (456,581) 456,581 - Net Income - - 198,535 198,535 ---- ---------- --------- ---------- Balances at December 31, 1994 $500 $1,943,579 $ 28,554 $1,972,633 ---- ---------- --------- ---------- Exchange of 642,918 shares of National Diagnostics, Inc. common stock at $1.5625 per share for 1,607,295 warrants at $.625 per warrant 129 (129) - - Exercise of director stock options (80,000 shares) 16 84,784 - 84,800 Issuance of common stock (116,711 shares) 23 51,033 - 51,056 Net Loss - - (835,058) (835,058) ---- ---------- --------- ---------- Balance at December 31, 1995 $668 $2,079,267 $(806,504) $1,273,431 ==== ========== ========= ========== The accompanying notes are an integral part of the consolidated financial statements. F-19
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements DECEMBER 31, 1995 AND 1994 1) ORGANIZATION AND BASIS OF PRESENTATION The consolidated financial statements include the accounts of National Diagnostics, Inc. (Company), Alpha Associates, Inc. (Associates), and Alpha Acquisitions Corp. (Acquisitions). Associates and Acquisitions hold 100% of the partnership interests in Brandon Diagnostic Center, Ltd. (Brandon). National Diagnostics, Inc., is a holding company which was formed in June 1994. The Company, Associates, and Acquisitions had common stockholders. In September 1994, the stockholders exchanged all of their shares of common stock of Associates and Acquisitions for 1,200,000 shares of common stock and 1,200,000 common share purchase warrants exercisable at $7.20 per share of the Company. The stock exchange resulted in a combination of entities under common control and was accounted for by combining the historical amount of the companies (similar to a pooling of interests). These consolidated financial statements reflect the retroactive combination of the Company, Associates, and Acquisitions. Effective September 20, 1994, the Company completed an Initial Public Offering (IPO) of 500,000 units wherein each unit consists of one share of common stock and one common share purchase warrant exercisable at $7.20 per share. The net proceeds from this sale were approximately $2,400,000. On November 7, 1994, the Company formed a wholly-owned subsidiary and opened SunPoint Diagnostic Center, Inc. (SunPoint). On February 1, 1995, the Company formed a wholly-owned subsidiary, National Diagnostics/Orange Park, Inc. (Orange Park) and purchased the assets of a mobile company. Orange Park opened a fixed site center in July, 1995, to add to its radiology services. On September 1, 1995, the Company formed a wholly-owned subsidiary National Diagnostics/Cardiology, Inc. (Cardiology) and placed into service a mobil cardiology unit. On December 31, 1995, the Company and Orange Park acquired a 100% interest in a real estate partnership which owns the fixed site facility for Orange Park. The Company provides medical imaging services to patients in Brandon (Brandon), Ruskin (SunPoint), and greater Jacksonville area (Orange Park and Cardiology), Florida. In preparing financial statements in conformity with generally accepted accounting principles, management makes estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements, as well as the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. F-20
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements 2) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES A) PROPERTY AND EQUIPMENT Property and equipment is stated at cost. Depreciation expense is charged to operations over the estimated useful service period of the assets using the straight-line method. Property and equipment held under capital leases are amortized straight-line over the shorter of the lease term or estimated useful life of the asset. The Company uses accelerated depreciation for tax purposes. B) INCOME TAXES The stockholders of the Company, Associates and Acquisitions previously elected to file federal income tax returns under "Subchapter S" of the Internal Revenue Code. As an S Corporation, the earnings of each company are reported by the individual shareholders and therefore the Company is not responsible for federal or certain state income taxes. The S Corporation elections terminated in connection with the IPO of common stock. The accompanying statements of operations for the period ended December 31, 1994 reflect a provision for income taxes on a proforma basis as if the Company were liable for federal, state and local income taxes as taxable corporate entities through September 20, 1994. Income taxes are provided based upon provisions of Statement of Financial Accounting Standards No. 109, "Accounting for Income Taxes". Under the asset and liability method of Statement 109, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Under Statement 109, the effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. C) PRE-OPENING COSTS Pre-opening costs consisting of outside consulting, other directly related professional fees, personnel costs for training, equipment testing and calibration and office set up which are incurred prior to Center opening are deferred and amortized over 12 months commencing with a Center's opening. Such costs which are included in other assets and other current assets totaled approximately $196,518 and $87,000 at December 31, 1995 and 1994, respectively. D) EXCESS OF PURCHASE PRICE OVER NET ASSETS ACQUIRED Excess of purchase price over net assets acquired are amortized over 20 years. Management reviews the performance of the related assets on a quarterly basis to F-21
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements determine if impairment has taken place. No impairment costs have been realized in the current years. E) CASH AND CASH EQUIVALENTS For financial statements purposes cash equivalents include short-term investments with an original maturity of ninety days or less. At December 31, 1995 and 1994, respectively, the Company had investments in money market accounts of $4,384 and $1,344,514. F) ACCOUNTING FOR THE IMPAIRMENT OF LONG-LIVED ASSETS AND FOR LONG-LIVED ASSETS TO BE DISPOSED OF In March 1995, the Financial Accounting Standards Board issued the Statement of Financial Accounting Standards 121, Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed of (SFAS 121). SFAS 121 requires that long-lived assets and certain identifiable intangibles held and used by an entity along with goodwill should be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If the sum of the expected future cash flows (undiscounted and without interest) is less than the carrying amount of the asset, an impairment loss is recognized. Measurement of that loss would be based on the fair value of the asset. SFAS 121 also generally requires long-lived assets and certain identifiable intangibles to be disposed of to be reported at the lower of the carrying amount or the fair value less cost to sell. SFAS 121 is effective for the Company's 1996 fiscal year end. The Company has not finalized its assessment of the potential impact of adopting SFAS 121 at this time; however, on a preliminary basis management does not believe the impact will be material to the financial statements. G) REVENUE RECOGNITION Revenues are recognized on the date services and related products are provided to patients and are recorded at amounts estimated to be received under reimbursement arrangements with third party payors, including private insurers, prepaid health plans, Medicare and Medicaid. For all years presented, approximately 19% to 23% of the Company's revenues are reimbursed under arrangements with Medicare/Medicaid. No other third party payor group represents 10% or more of the Company's revenues. Therefore, concentration of credit risk with respect to the remaining accounts receivable is limited due to the large number of payors representing the patient base. The Brandon facility contributed 63% and 98% of total revenues for 1995 and 1994, respectively. H) ACCOUNTING FOR STOCK BASED COMPENSATION SFAS No. 123 "Accounting for Stock Based Compensation" was issued by the Financial Accounting Standards Board in October 1995. As it relates to stock options granted to F-22
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements employees, SFAS No. 123 permits companies to continue using the accounting method promulgated by the Accounting Principals Board Opinion No. 25 ("APB No. 25"), "Accounting for Stock Issued to Employees," to measure compensation or to adopt the fair value based method prescribed by SFAS No. 123. If APB No. 25's method is continued, pro forma disclosures are required as if SFAS No. 123 accounting provisions were followed. SFAS No. 123's accounting recognition method can be adopted anytime subsequent to the issuance of the Statement in October 1995, and would pertain to stock option awards granted or modified or settled for cash after the date of adoption. If the Company elects to continue using the method under APB No. 25, SFAS No. 123's pro forma disclosures are required after December 31, 1995. Management has not completely analyzed the provisions of SFAS No. 123; accordingly, management has not determined whether or not SFAS No. 123's accounting recognition provisions will be adopted or APB No. 25's method will be continued. In addition, management has not yet determined the potential effect that SFAS No. 123's accounting provisions, if adopted, will have on the Company's financial statements. I) EARNINGS PER COMMON SHARE Earnings (loss) per share for the years ended December 31, 1995 and 1994, are computed using the weighted average number of common shares. Generally, common stock equivalents such as outstanding incentive stock options and warrants are included in the calculation if they have a dilutive effect on earnings per share. The Company's options and warrants were not included in the calculation because they had an antidilutive effect. J) FAIR VALUE OF FINANCIAL INSTRUMENTS At December 31, 1995, the carrying amount of cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term maturities of these assets. The carrying amounts, current and long-term portions of notes payable, and long-term obligations approximate fair market value since the interest rates on most of these instruments change with market interest rates. K) OPERATIONAL MATTERS AND LIQUIDITY During the current year the Company experienced losses of $(835,000) and began to experience in the fourth quarter difficulty in meeting timely its current obligations to its trade vendors. This was attributed to the rapid expansion of facilities and increase in additional personnel and related costs. All fixed commitments to its banking and leasing creditors have been timely satisfied. In response, in December 1995, the Company identified over $650,000 in annual cost cutting measures; all of which management has acted upon. These measures include but are not limited to: reduction of radiologist fees by renegotiated contracts (annual savings $227,000); personnel cutbacks and realignments (annual savings $202,000); one time cost reductions ($77,000); group and liability insurance premium reductions (annual savings $49,000) and others. The Company feels F-23
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements that this action coupled with the continued increase in revenues will return the Company to a profitable situation. The Company has already felt the positive effect of these savings and increased revenues (based on unaudited numbers) with a profitable January. The Company expects this trend to continue with a favorable first quarter, 1996. There is no assurance that these goals will be met. 3) PROPERTY AND EQUIPMENT Property and equipment consists of the following: [Download Table] Estimated December 31, December 31, service 1995 1994 life (years) ------------ ------------ ------------ Land $ 85,000 $ - - Buildings 253,041 - 39 Medical Equipment 5,200,475 4,123,789 7 Office furniture and equipment 477,739 341,231 7 Leasehold improvements 483,353 279,351 3-5 Vehicles 232,542 - 5-7 Construction in progress - 10,856 ---------- ---------- $6,732,150 $4,755,227 ========== ========== 4) LINES OF CREDIT The banks have a first security interest on certain accounts receivable. The lines have varying interest rates ranging from bank index plus 1 to 2 percent (at December 31, 1995, 10.75%). [Download Table] 1995 -------- Line of credit limit $550,000 Qualifying borrowing base 483,719 Outstanding loan balance 409,500 Payment and declaration of dividends are restricted. In accordance with the loan agreement the Company may not pay or declare dividends without the prior written consent of the bank. No dividends have been paid or declared at December 31, 1995. F-24
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements 5) LONG-TERM DEBT Long-term debt is summarized as follows: [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Note payable in monthly installments of $8,508 including interest, at prime plus 1.50% (10% at December 31, 1995), through April 1996 and a final installment of $213,000 due in May 1996; secured by equipment and personal guarantees of officers/stockholders $ - $310,665 Installment loans payable which consist of a number of separate installment loan contracts secured by equipment and vehicles. The loans require monthly installments of principal and interest over terms that vary from two to five years. At December 31, 1995, the loans bear interest at rates ranging from 9.5% to 12.25%. 346,334 - Mortgage note payable in monthly installments of $2,445.88 including interest at 8.75%; maturing April, 2020; secured by mortgaged real estate property. 295,277 - ------- -------- Total long-term debt 641,611 310,665 Less current installments of long-term debt 100,487 73,000 -------- -------- Long-term debt, excluding current installments $541,124 $237,665 ======== ======== F-25
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements The aggregate principal payments of long-term debt required annually are: [Download Table] Year ending December 31: 1996 $100,487 1997 96,493 1998 91,967 1999 74,142 2000 5,184 Thereafter 273,338 -------- $641,611 ======== 6) LEASES The Company has entered into capital leases for medical equipment which expire in 2001. The gross amount of equipment and related accumulated amortization recorded under capital leases are as follows: [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Medical equipment $5,012,412 $3,709,065 Less accumulated amortization 2,045,692 1,283,141 ---------- ---------- $2,966,720 $2,425,924 ========== ========== Amortization of assets held under capital lease is included with depreciation expense. The present value of future minimum capital lease payments is as follows: [Download Table] Year ending December 31: 1996 $ 648,909 1997 781,416 1998 866,730 1999 488,989 2000 224,834 Thereafter 127,475 ---------- Present value of minimum capital lease payments 3,138,353 F-26
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements [Download Table] Less current installments of obligations under capital leases 648,909 ----------- Obligations under capital leases, excluding current installments $ 2,489,444 =========== The Company is obligated under noncancellable operating leases that expire through 1999. Future minimum lease payments under these leases are as follows: [Download Table] Year ending December 31: 1996 $ 401,000 1997 279,000 1998 168,000 1999 92,000 2000 53,000 Thereafter 55,000 ---------- $1,048,000 ========== Rental expense related to these non-cancelable leases was approximately $396,000 and $105,000 for the years ended December 31, 1995 and 1994, respectively. 7) NOTE PAYABLE TO RELATED PARTY Note payable to related party is as follows: [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Note payable with imputed interest at 10%, due January 31, 1996 $49,243 $ - ======= ======== Interest expense to related parties totaled $4,021 and $41,300 for the years ended December 31, 1995 and 1994, respectively. 8) OTHER NOTES PAYABLE Other notes payable are summarized as follows: F-27
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Promissory note payable with interest imputed at 11%, due September 1, 1995: Repaid in 1995 $ - $ 79,779 Promissory note payable with interest imputed at 11%, due April 1, 1995: Repaid in 1995 - 22,408 Note payable with interest at 9.5%, due April, 1996; unsecured 8,000 - ------ -------- Total other notes payable $8,000 $102,187 ====== ======== 9) INCOME TAXES The provision for income tax expense (benefit) at December 31, consists of the following: [Download Table] 1995 1994 --------- -------- Current $ (11,000) $ 11,000 Deferred (169,000) (2,000) --------- -------- $(180,000) $ 9,000 ========= ======== The income tax provision for 1995 and 1994 reconciled to the tax computed at the statutory rate of 34% is as follows: [Download Table] 1995 1994 --------- -------- Income taxes at statutory rate $(345,100) $ 73,000 State income taxes (50,800) 5,000 Alternative minimum taxes - 8,000 Effect of S Corporation earnings - (77,000) Increase in valuation allowance, exclusive of amount due to acquisition 188,600 - Nondeductible expenses 15,300 - Other 12,000 - --------- -------- $(180,000) $ 9,000 ========= ======== F-28
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements The deferred tax asset and liability consist of the following at December 31: [Download Table] 1995 1994 -------- -------- Assets Net operating loss carry forward $158,000 $ - Allowance for doubtful accounts 133,700 38,000 Deferred rents 75,800 - Nondeductible accrued compensation 18,600 - Pre-opening costs 29,900 - Acquisition basis difference 122,300 - -------- -------- 538,300 38,000 Less: valuation allowance (310,900) - -------- -------- 227,400 38,000 -------- -------- Liabilities Fixed assets 227,000 207,000 Goodwill 400 - -------- -------- 227,400 207,000 -------- -------- Net deferred taxes $ - $169,000 ======== ======== On December 31, 1995 the Company and Orange Park acquired a 100% interest in a real estate partnership in a taxable transaction (see notes 1 and 12). The Company will elect to step up the basis in the assets of the partnership for income tax purposes while the assets are recorded at historical cost for financial reporting purposes. This results in the acquisition basis deferred tax asset shown above. A valuation allowance of an equal amount has been recorded due to the uncertainty of the asset's realization. Management, using SFAS 109 criteria and based principally on 1995 taxable loss along with expectations for 1996, concluded that the above valuation allowance at December 31, 1995, was reasonable. In the fourth quarter deferred tax liabilities were offset by deferred tax assets. At December 31, 1995 approximately $405,000 in net operating carry forwards remain which will expire if not utilized by 2010. Deferred income taxes payable of $171,000 were recorded at September 30, 1994 with a corresponding charge to retained earnings representing the tax effect of the cumulative temporary differences as a result of the termination of the S Corporation tax status. F-29
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements 10) CONCENTRATION OF ACCOUNTS RECEIVABLE The Company's accounts receivable are due from the following: [Download Table] December 31, December 31, 1995 1994 ------------ ------------ Commercial insurance carriers $ 530,000 $146,800 Managed care providers 382,400 255,800 Private patients 528,400 189,300 Worker's compensation 100,700 35,900 Medicare 302,241 85,496 ---------- -------- $1,843,741 $713,296 ========== ======== 11) COMMITMENTS AND CONTINGENCIES A) GUARANTEES The lines of credit and an equipment loan of the Company are fully or partially guaranteed by its majority stockholders. B) EMPLOYMENT CONTRACTS In April 1995 the Company entered into new contracts with the President and Chief Executive Officer effective April 1, 1995. The President and Chief Executive Officer received increased salaries under the new contracts, $150,000 and $75,000 respectively plus certain benefits. In November 1995 these contracts were replaced with new three year contracts effective July 1, 1995. Under the new contracts the bonus arrangement was restructured. Each executive is to receive a 5% bonus of the annual net income of the Company in excess of the prior fiscal year's income. Additionally, a bonus 2.5% of net revenue in excess of the prior year's net revenue is to be paid to each executive. Total compensation earned by the Chief Executive Officer and the President under the current and previously existing contracts for the years ended December 31, 1995 and 1994 was approximately $414,764 and $102,000, respectively. The Company entered into an employment agreement with the President of Orange Park for a three year period commencing February 1, 1995. The executive is to receive as compensation an annual salary of $85,000 plus certain benefits. In addition, the executive will earn a 10% bonus based on the increase in adjusted profits of the Orange Park center. F-30
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements In November, 1995 the Company entered into a three year employment agreement with the Vice President of Development. The executive is to receive a salary of $85,000 plus certain benefits. C) PROFESSIONAL SERVICES AGREEMENT The Company had entered into agreements with a physician group to provide radiological services. For the period January 1, 1994 through December 1995, the Company paid the physician group operating in Brandon 15% of the first $200,000 net receipts from reading fees and 25% of net receipts from reading fees over $200,000. For the period November 1, 1994 through December 1995, the Company paid the physician group operating in SunPoint 15% of the first $100,000 on net receipts and 20% of net receipts over $100,000. These contracts were terminated in December and the Company entered into new contracts wherein physicians' reading fees for both Brandon and SunPoint are paid at the rate of 14% of net receipts. The Company pays the physician group operating in Orange Park 17% of net receipts from reading fees. The Company is currently negotiating the reading contracts to make them similar for each location. Physician service expense under the current and previously existing contracts for the years ended December 31, 1995 and 1994 was approximately $1,013,424 and $562,000, respectively. 12) BUSINESS COMBINATIONS On February 1, 1995, the Company purchased certain assets for $112,000 from a medical imaging diagnostic center in Middleburg, Florida. This transaction was accounted for as a purchase. The purchase price was paid as follows: $62,000 was paid at closing and $50,000 is to be paid in 12 monthly installments beginning September 1996 as reflected in the December 31, 1995 balance sheet as a "Note due to related party" for $49,243. Pro forma information is not provided herein because of the transaction's insignificant effect on the Company's financial statement. Additionally, the Company is to issue an amount of its unregistered stock which when multiplied by a price per share equal to the average of the bid and ask price for the five trading days immediately preceding the Closing date equals the amount paid by the seller for operating expenses on behalf of the Company during the period February 1, 1995 (date of purchase) through July 31, 1995. The amount to be reimbursed to this individual, $57,231, is reflected in the December 31, 1995 balance sheet as "Due to related party". This issuance of Common Stock relates to expense reimbursements and is not associated with a contingent purchase price adjustment. F-31
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements On December 31, 1995 the Company and a subsidiary purchased for $346,334 (approximately the seller's cost basis) a 100% interest in a general partnership formed earlier in 1995 which owns the fixed site facility used by Orange Park. As the Company's consideration for the partnership interest, a mortgaged note of $295,278 was assumed and 116,711 shares of Common Stock were issued. Since the Company's controlling shareholders also controlled the general partnership, the combination was recorded at historical cost similar to a pooling of interest. Accordingly, a value of $.44 per share was ascribed to the stock issued. This combination had an immaterial impact on the Company's statement of operations of 1995. 13) SHAREHOLDERS' EQUITY STOCK OPTIONS On April 21, 1995 the Board of Directors approved an Employee Stock Option Plan ("employee plan") and a Non-employee Director Stock Option plan ("director plan") for the purpose of competing successfully in attracting, motivating, and retaining employees and non-employee directors with outstanding abilities. Options granted under the employee plan are intended to be incentive stock options. The total number of shares to which options may be granted under the employee and director plans are 200,000 shares. Generally, the exercise price shall be fixed at no less than 100% of the average fair market value of the shares at date of option. In 1995 pursuant to the director plan the Board of Directors were issued options for 80,000 shares. These options were exercised at $1.06 per share for which the Company received $84,800. During 1995 there were no options granted under the Employee Plan and at December 31, 1995 there are no outstanding options under either plan. WARRANTS In July, 1995, in order to simplify its capital structure the Company offered to holders of outstanding common stock purchase warrants (1,700,000) the opportunity to exchange five warrants for two shares of stock. In September, 1995 the offer was concluded. Approximately 94% of the outstanding warrants were tendered in exchange for 642,918 shares of common stock. At December 31, 1995 there remains outstanding 92,705 stock purchase warrants which are exercisable at $7.20 per share through their expiration date on September 19, 1997. 14) RELATED PARTIES In February 1995, the Company purchased certain assets of a mobil facility (see Purchase Transactions) and hired as President of Orange Park the owner of the mobil facility. At December 31, 1995 the Company is indebted to this executive approximately for $106,000 which is reflected in the December 31, 1995 balance sheet as a "Note due to related party" for $49,243 and "Due to related party" for $57,231. F-32
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements In December 1995, the Company purchased for $346,000 a 100% interest in a general partnership (see Purchase Transactions). At the time certain Company executives owning approximately 69% interest in the Company held controlling interest (approximately 60%) in the general partnership. The partnership costs in the underlying property was approximately $346,000 with an appraised value of $660,000 (see note 12). 15) LEGAL ACTION On February 9, 1996 the physician group, which in December, 1995 terminated its contract for reading services with the Brandon and SunPoint centers, filed suit against the centers alleging the centers materially breached the contract by failing to pay physician fees timely and incorrectly billed certain procedures. The Company denies any material breach to the contract and has filed a motion to dismiss. Management believes it has reserved an adequate loss provision in the event of an adverse outcome. On March 10, 1995 legal action was instituted against A.T. Brod & Co., Inc. (a national stock brokerage firm) by a terminated employee of A.T. Brod & Co., Inc. ("A.T. Brod"). A.T. Brod was a major market maker for National Diagnostics, Inc. stock. The Company was named in the suit entitled James I. Blackey vs. A.T. Brod & Co., Inc., Arthur Stupay, Jugal Taneja, R.K. Khosla, Bancapital Investment Corporation, and National Diagnostics, Inc. pending the Supreme Court of the State of New York, County of Erie, Index Number I-995-2249. Mr. J. Taneja is Chairman, Chief Executive Officer and Director of both A.T. Brod and the Company. The action alleges wrongful discharge, breach of contract, deformation of character, conspiracy and tortious interference with a contract arising out of the alleged wrongful termination of the plaintiff by A.T. Brod and seeks compensatory and punitive damages of $2,830,000. On June 14, 1995, a motion was made under the rules of the National Association of Dealers to compel arbitration of the matter and to stay the action in entirety against the Company pending the outcome of the arbitration. Upon receiving the motion, the plaintiff's attorney indicated he agreed with the defendants' position, consenting to arbitration and to stay the action pending the outcome of that arbitration. Through June 27, 1996, the plaintiff's attorney has taken no steps to progress his claim in arbitration. Based upon information available to defendants' counsel through this date, counsel indicates the claim appears to be not meritorious. The Company feels the suit is without merit and intends to vigorously defend itself. The ultimate outcome of this legal matter cannot be determined at this time, and accordingly, no adjustments have been made to the consolidated financial statements. 16) SUBSEQUENT EVENT The Company in March 1996 entered into a lease commitment for medical equipment it expects to take receipt of in June, 1996. It will be an upgraded replacement for a previously leased piece of equipment. Cost of the unit will approximate $624,000 which will be financed with F-33
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NATIONAL DIAGNOSTICS, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements a 72 month lease to be accounted for as a capital lease. Payment will be made in 66 monthly installments of $12,770. Future minimum lease payments are as follows: [Download Table] FUTURE LEASE PAYMENTS --------------------- 1996 $26,000 1997 153,000 1998 153,000 1999 153,000 2000 139,000 F-34
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================================================================================ NO DEALER, SALESPERSON OR ANY OTHER PERSON HAS BEEN AUTHORIZED TO GIVE ANY INFORMATION OR TO MAKE ANY REPRESENTATIONS OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS IN CONNECTION WITH THE OFFER MADE BY THIS PROSPECTUS AND, IF GIVEN OR MADE, SUCH INFORMATION OR REPRESENTATIONS MUST NOT BE RELIED UPON AS HAVING BEEN AUTHORIZED BY THE COMPANY OR BY THE UNDERWRITERS. NEITHER THE DELIVERY OF THIS PROSPECTUS NOR ANY SALE MADE HEREUNDER SHALL UNDER ANY CIRCUMSTANCES CREATE AN IMPLICATION THAT THERE HAS BEEN NO CHANGE IN THE AFFAIRS OF THE COMPANY SINCE THE DATE HEREOF. THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFER OR SOLICITATION BY ANYONE IN ANY JURISDICTION IN WHICH SUCH OFFER OR SOLICITATION IS NOT AUTHORIZED OR IN WHICH THE PERSON MAKING SUCH OFFER OR SOLICITATION IS NOT QUALIFIED TO DO SO OR TO ANYONE TO WHOM IT IS UNLAWFUL TO MAKE SUCH OFFER OR SOLICITATION. ----------------- TABLE OF CONTENTS [Download Table] Page ---- PROSPECTUS SUMMARY . . . . . . . . . . . . . . . . . . . . . . . 3 RISK FACTORS . . . . . . . . . . . . . . . . . . . . . . . . . . 4 THE COMPANY . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 USE OF PROCEEDS . . . . . . . . . . . . . . . . . . . . . . . . . 8 SELLING SHAREHOLDERS . . . . . . . . . . . . . . . . . . . . . . 9 PLAN OF DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . 10 PRICE RANGE OF COMMON EQUITY . . . . . . . . . . . . . . . . . . 10 DIVIDEND POLICY . . . . . . . . . . . . . . . . . . . . . . . . . 11 MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . 11 DESCRIPTION OF BUSINESS . . . . . . . . . . . . . . . . . . . . . 18 MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 EXECUTIVE COMPENSATION . . . . . . . . . . . . . . . . . . . . . 34 CERTAIN TRANSACTIONS . . . . . . . . . . . . . . . . . . . . . . 35 PRINCIPAL SHAREHOLDERS . . . . . . . . . . . . . . . . . . . . . 37 DESCRIPTION OF SECURITIES . . . . . . . . . . . . . . . . . . . . 37 LEGAL MATTERS . . . . . . . . . . . . . . . . . . . . . . . . . . 40 CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE . . . . . . . . . . . . . . . . . . . . . 40 EXPERTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 FINANCIAL STATEMENTS . . . . . . . . . . . . . . . . . . . . . . F-1 742,864 Shares National Diagnostics, Inc. ------------- PROSPECTUS ------------- Common Stock July 19, 1996 ================================================================================

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