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Accuhealth Inc · 10-K · For 3/31/99

Filed On 7/14/99   ·   SEC File 0-17292   ·   Accession Number 1019056-99-424

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  As Of               Filer                 Filing     On/For/As Docs:Pgs              Issuer               Agent

 7/14/99  Accuhealth Inc                    10-K        3/31/99    4:55                                     Borer Financial Com..LLC

Annual Report   ·   Form 10-K
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-K        Annual Report                                         51    333K 
 2: EX-11       Statement re: Computation of Earnings Per Share        1      5K 
 3: EX-21       Subsidiaries of the Registrant                         1      5K 
 4: EX-27       Financial Data Schedule                                2±     8K 


10-K   ·   Annual Report
Document Table of Contents

Page (sequential) | (alphabetic) Top
 
11st Page
2Item 1. Description of Business
7Competition
10Item 2. Properties
"Item 3. Legal Proceedings
"Item 4. Submission of Matters to a Vote of Security-Holders
11Item 5. Market for Common Equity and Related Stockholder Matters
12Item 6. Selected Financial Data
13Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations
16Item 8. Financial Statements and Supplementary Data
"Item 9. Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
17Item 10. Directors and Executive Officers of the Registrant
19Item 11. Executive Compensation
21Item 12. Security Ownership of Certain Beneficial Owners and Management
23Item 13. Certain Relationships and Related Transactions
"Item 14. Exhibits, Financial Statement Schedules, and Reports on Form 8-K
28Report of Independent Auditors
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================================================================================ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-K (Mark One) |X| Annual report under Section 13 or 15(d) of the Securities Exchange Act of 1934 For the fiscal year ended March 31, 1999 |_| Transition report under Section 13 or 15(d) of the Securities Exchange Act of 1934 For transition period from ___________________ to ____________________ Commission file No. 0-17292 ACCUHEALTH, INC. (Exact name of registrant as specified) New York 13-3176233 -------- ---------- (State or other jurisdiction (I.R.S. Employer Identification No.) of incorporation or organization) 1575 Bronx River Avenue, Bronx, New York 10460 ---------------------------------------- ----- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (718) 518-9511 Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Common Stock, par value $.01 per share -------------------------------------- (Title of class) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X NO Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. |_| As of June 29, 1999, the aggregate market value of the Common Stock held by non-affiliates of the registrant was approximately $1,880,808. As of June 29, 1999, there were 4,819,589 shares of the Common Stock outstanding. DOCUMENTS INCORPORATED BY REFERENCE NONE ================================================================================
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PART I ITEM 1. DESCRIPTION OF BUSINESS Accuhealth, Inc. (the "Company") is one of the largest integrated providers of comprehensive home health care services in the New York, New Jersey and Connecticut area. Together with its wholly owned subsidiaries, the Company provides comprehensive home health care services, including administration of a wide array of infusion therapies, sales of oral medications and sales and rentals of durable medical equipment ("DME") and related supplies and home nursing. The Company has implemented a Regional Growth Strategy, expanding from one location in one state in 1996, to three offices in two states at June 30, 1999. The Company was incorporated in the State of New York on August 25, 1983. Effective August 20, 1990, the present name, Accuhealth, Inc., was adopted pursuant to an amendment to the Company's Certificate of Incorporation. The Company's principal offices are located at 1575 Bronx River Avenue, Bronx, New York 10460, and its telephone number is (718) 518-9511. Unless the context otherwise requires, references herein to the "Company" include Accuhealth, Inc. and all of its wholly owned subsidiaries. On July 1, 1997, the Company consummated its acquisition of ProHealthCare Infusion Services, Inc. ("PHCIS") pursuant to an agreement and plan of merger, dated as of March 14, 1997, by and among the Company, ACH Acquiring Corp., a New Jersey corporation and a subsidiary of the Company, PHCIS, ProHealthCare, Inc., a Delaware corporation and the parent of PHCIS, Thomas Laurita and David Brian Cohen (the "PHCIS Merger Agreement"). The Company has determined that the initial merger consideration of 300,000 shares of Company's Common Stock will be decreased by 59,386 shares of Company Common Stock pursuant to certain merger consideration adjustment provisions of the PHCIS Merger Agreement. The acquisition has been accounted for by the purchase method of accounting. PHCIS, based in Springfield, New Jersey, specializes in caring for complex HIV/AIDS patients and those suffering from cancer. PHCIS also has a strong disease management capability in treating patients suffering from congestive heart failure and cardiomyopathy. During the fiscal year ended March 31, 1999, management determined that the goodwill resulting from the PHCIS acquisition and Americare (a subsidiary of Healix) was impaired and warranted write off of the remaining balance. The impairment resulted from a severe decline in revenue, primarily caused by the filing for liquidation of HIP of New Jersey in February 1999. On December 1, 1997, the Company and Healix Healthcare, Inc. ("Healix") entered into an agreement and plan of merger (the "Merger Agreement") which provided for the merger of Healix with and into the Company (the "Merger"), with the Company being the surviving corporation. The Merger was consummated on April 9, 1998. In accordance with the Healix Merger Agreement, the shareholders of Healix received .740721 shares of the Company's common stock for each share of Healix common stock in a tax free exchange, with an aggregate of 1,488,850 shares of the Company's common stock issued in exchange for all of the issued and outstanding common shares of Healix. The merger resulted in Healix becoming a wholly owned subsidiary of Accuhealth, Inc. and was accounted for as a pooling of interests. Healix, together with its wholly owned subsidiaries, provides a full range of healthcare services to the alternate site including infusion therapy, home medical equipment, renal dialysis, skilled nursing and home health services. Healix is accredited by the JCAHO of Healthcare Organizations ("JCAHO") and operates throughout New York and New Jersey. The Company has diversified its business mix from approximately 61% of home infusion therapy revenues in 1996 to 40% for the year ended March 31, 1999. This shift reflects the addition and growth in institutional pharmacy management services, and sales of home medical equipment and oral medications. The Company expects that it will continue to shift its business mix towards home medical equipment and institutional pharmacy services and oral medications. Home infusion therapy however, will continue to represent an important part of the Company's business mix. The Company believes its ability to offer a full range of integrated home nursing, respiratory therapy, home medical equipment, oral medications, and infusion therapy throughout its market creates an important competitive advantage in obtaining patient referrals. Managed care organizations and other 2
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referral sources generally favor home health care providers that offer integrated health care services, because "one-stop shop" providers like the Company provide superior coordination of care and reduce the administrative and service quality complications of contracting with multiple providers. INDUSTRY OVERVIEW Home health care is among the fastest growing segments of the health care industry with estimated annual expenditures of 36.1 billion in 1995, up from an estimated $12.9 billion in 1990, representing a compounded annual growth rate of approximately 23%. The underlying growth factors in the home health care industry include: (i) the cost-effective nature of home health care; (ii) an increasing number of patients due to growth in the elderly population; (iii) technological advances that expand the range of home health care procedures; and (iv) patient preference for treatment in the home. The home health care industry is highly fragmented with more than 18,500 providers delivering home health care services in the United States. Many of these companies are local providers that offer a limited scope of services in a defined geographical area and lack the capital necessary to substantially expand their operations. Managed care organizations and cost containment initiatives by payors have driven the growth of home health care by emphasizing lower cost alternatives to hospitals and skilled nursing facilities. These organizations and payors seek coordinated, consistent quality home health care across broad geographic areas in order to serve their patients more effectively. BUSINESS STRATEGY Accuhealth's business objective is to enhance its position as one of the leading integrated providers of comprehensive home health care services in New York, Connecticut and New Jersey. Elements of the Company's strategy include: PROVIDE ONE-STOP SHOP FOR HOME HEALTH CARE SERVICES. Accuhealth provides payors, physicians and patients with fully integrated one-stop shop home health care services. The integration of comprehensive home health care services enhances the Company's appeal to managed care organizations and other referral sources that increasingly prefer single-source providers of home health care. The Company believes that full integration of services enables it to provide highly coordinated patient care and enable it to increase revenues and profitability by providing multiple services to an individual patient referral. FOCUS ON MANAGED CARE RELATIONSHIPS. The Company has intensified its managed care marketing efforts in order to take advantage of the increased market penetration of managed care organizations in the home health care market. The Company is the sole or principal provider for a number of large managed care plans, and the Company believes that its broad product offering, quality of service and regional focus contribute to the Company's competitive advantage. EXPAND THE MANAGEMENT SERVICES THE COMPANY PROVIDES ITS REFERRAL SOURCES. The Company seeks to expand the services it currently provides to the sources of its patient referrals to include the full range of patient care coordination and the management of the network of providers used to service the patient. As a cornerstone of this service strategy, the Company is implementing enhanced financial and clinical management information systems. The Company believes that these systems could improve profitability by efficiently servicing increased volumes of managed care referrals, increase productivity gains, reduce costs and provide outcomes data to payors. 3
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SERVICES AND PRODUCTS HOME INFUSION THERAPY. The Company offers comprehensive home infusion therapies. Home infusion therapy involves the administration of nutrients, antibiotics and other medications intravenously (into the vein), subcutaneously (under the skin), intramuscularly (into the muscle), intrathecally or epidurally (via spinal routes), or through feeding tubes into the digestive tract. Infusion therapy often begins during hospitalization of a patient and continues in the home. New patients are instructed in the administration of infusion therapy and related services by a registered nurse who provides the patient's first home treatment and continuing supervision of care. The Company's principal infusion therapies follow: ANTIBIOTIC THERAPY is the infusion of antibiotic medications into a patient's bloodstream to treat a variety of infections and diseases. ENTERAL NUTRITION is the infusion of essential nutrients through a feeding tube, and is necessary for patients who are unable to orally ingest adequate nutrients. TOTAL PARENTERAL NUTRITION is the infusion of a nutrient solution to restore and maintain electrolyte balance and nutritional function. PAIN MANAGEMENT is provided to patients experiencing acute pain as a result of traumatic injury, surgical procedures or other medical disorders. The Company provides a comprehensive approach to pain management that includes a thorough knowledge of available agents, routes of administration and appropriate dosage levels as directed. CHEMOTHERAPY is provided in the home or in other locations and allows patients with cancer an alternative to frequent and expensive hospital stays. PENTAMIDINE is an agent used specifically in the treatment of patients with AIDS who have experienced one or more of pneumocystis carinii pneumonia. HOME NURSING. The Company provides a wide range of nursing services to individuals with acute illness, long-term chronic conditions, permanent disabilities, terminal illness or post-procedural needs. Primary care or specialty physicians and managed care case managers typically refer patients to the Company. After reviewing the patient's medical records and treatment plan, a nurse, therapist or home health aide, where appropriate, provides care to the patient in the home. The plan of care may require a few visits over a short period of time or many visits over several years. The Company provides the following home nursing services. GENERAL NURSING care is the periodic assessment of the appropriateness of home health care, the performance of clinical procedures, and instruction of the patient and the family or other caregiver regarding proper treatments. Registered nurses or licensed practical nurses provide such care. Patients receiving such care typically include stabilized postoperative patients, patients who are acutely ill but who do not require hospitalization, and patients who are chronically or terminally ill. SPECIALTY NURSING care is the provision of specialized nursing services such as geriatric, pediatric or neonatal nursing. Nurses provide such care with the appropriate experience or certification in such specialty. Specialty nursing care also involves the instruction of the patient and the family or other caregiver in the self-administration of certain procedures, such as wound care and infection control, emergency procedures and the proper handling and usage of medication, medical supplies and equipment. THERAPY SERVICES consist of rehabilitation therapies such as physical, occupational and speech therapy to patients recovering from strokes, trauma or certain surgeries, services for high risk pregnancies, postpartum care, AIDS therapy, various medical social services, and case management services to insurance companies and self-insured employers. HOME HEALTH AIDE CARE is the provision of personal care services and assistance with activities of daily living such as personal hygiene and meal preparation. The Company's home health aides must pass certain competency tests and are supervised by a registered nurse. PRIMARY HOME HEALTH CARE is provided by the Company through state administered programs that pay for unskilled homemaker services to the elderly or the disabled, as ordered by a physician. A registered nurse makes the initial assessment and assigns a homemaker to provide housekeeping, shopping and limited personal care. 4
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RESPIRATORY THERAPY/MEDICAL EQUIPMENT. The Company provides a wide variety of home respiratory, monitoring and medical equipment. Respiratory therapists provide care to the patient according to the physician-directed plan of care and educate the patient and the family or other care giver regarding treatment requirements, use of equipment and self-care. The Company rents, sells and services respiratory equipment for patient use in the home and supplies patients with aerosol medications for use in respiratory therapy treatments. The Company's principal respiratory services include: OXYGEN SYSTEMS THAT ASSIST PATIENTS WITH BREATHING. The Company provides three types of oxygen systems: (i) oxygen concentrators, which are stationary units that filter ordinary air in order to provide a continuous flow of oxygen and are generally the most cost effective supply of oxygen for patients who require a continuous flow of supplemental oxygen; (ii) liquid oxygen systems, which are containers used for patients who require a continuous high flow of supplemental oxygen; and (iii) high pressure oxygen cylinders, which provide an ambulatory patient with the ability to obtain supplemental oxygen outside of the home. NEBULIZERS that deliver aerosol medications that are inhaled directly by the patients. Nebulizers are used to treat patients with asthma, chronic obstructive pulmonary disease, cystic fibrosis and neurologically related respiratory problems, and patients with AIDS. HOME VENTILATORS that mechanically sustain a patient's respiratory function in cases of severe respiratory failure. CONTINUOUS POSITIVE AIRWAY PRESSURE therapy that forces air through respiratory passageways during sleep. This treatment is provided to adults with sleep apnea, a condition in which a patient's normal breathing patterns are disturbed during sleep. Monitoring services are usually provided with this therapy. DURABLE MEDICAL EQUIPMENT. The Company also leases and sells convalescent equipment, in connection with the provision of its other services to patients in the hone. Such equipment includes hospital beds, wheelchairs, walkers, and patient lifts as well as medical and surgical supplies such as stethoscopes, orthopedic supplies, urinary catheters, syringes, and needles. The Company is able to increase revenues by providing durable medical equipment and supplies to its patients who are also receiving nursing, respiratory therapy or infusion therapy. The Company has contracts with three hospices in New York City to provide DME, on a non-exclusive basis to patients upon their discharge from the hospices. The Company also has contracts to provide DME, on a non-exclusive basis, to patients of seven nursing services whose trained personnel provide outpatient care. In addition, the Company's name appears on "approved provider" lists given to patients upon their discharge from approximately 30 hospitals in the New York metropolitan area. OTHER THERAPIES. Other therapies provided by the Company currently represent a small percentage of its business. These therapies are dobutamine therapy, blood components, IV gamma globulin, hydration therapy, tocolytic therapy and aerosol pentamidine. The Company also provides comprehensive pharmacy services to large institutional pharmacy clients including sub-acute and long term care facilities. These engagements typically involve the Company's managing and operating the pharmacy under contract with the institution and providing the drugs, medication, biologicals and supplies the patients require. SALES AND MARKETING The Company promotes its infusion therapy and durable medical equipment products and services via contacts with physicians whose patients use these services, hospital discharge planners, social workers and hospital nurses who work with patients requiring these services. The Company also works closely with nursing services and agencies that provide home care to patients. The Company also markets its products and services to insurance companies, Health Maintenance Organizations ("HMO's"), Preferred Provider Organizations ("PPO's") and case management companies. Marketing efforts emphasize the quality of the Company's services, cost containment and technological excellence offered by the Company. In addition, the Company participates in clinics run by New York City hospitals. Because the Company can provide oral medications to its home health care customers, the Company promotes itself as a "one-stop shop" for infusion therapy, durable medical equipment and pharmaceuticals. The Company stocks pharmaceuticals not widely used by the general population to meet the needs of critically ill patients. 5
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The Company has made special efforts to meet the needs of persons afflicted with AIDS. The Company has a contract with a nursing service program to supply DME for persons suffering from AIDS and provides special instructions to employees who visit the homes of persons afflicted with AIDS and other communicable diseases. The Company also markets to certain freestanding AIDS-specific rehabilitation centers and hospitals. The Company currently provides products and services to patients in two such facilities (Rivington House and Phoenix House both in Manhattan). The Company believes that its ability to provide a full range of services to clients in all of its market is a significant advantage in developing relationships with managed care organizations. In addition, the Company works with managed care organizations to meet their specialized demands for services, pricing, billing and other matters. QUALITY ASSURANCE The Company believes that quality of service is critical to its ability to obtain referrals and increase revenues and profitability. To assure the delivery of high-quality patient care, and to assure the overall quality of service, the Company has a quality improvement program designed to integrate and assess the quality improvement activities and processes across all services. The cornerstone of this quality improvement program is the company's internal compliance and quality improvement programs. These programs are designed to routinely measure compliance with federal and state regulations, JCAHO standards, and the Company's standards of care and practice. The survey process includes review of clinical and billing documentation, interviews of clinical personnel and observations of home visits performed by Company staff. Other quality assurance initiatives include measuring customer satisfaction, reporting adverse medical incidents monitoring risk management, and ensuring a safe and appropriate working environment. The Company is accredited by JCAHO and believes that managed care and other third-party payors generally prefer this accreditation. HUMAN RESOURCE MANAGEMENT The Company continuously recruits, screens, trains and offers benefits and other programs in an effort to attract and retain its personnel. Recruiting is conducted primarily through advertising, personnel agencies, direct contact with community groups and the use of bonuses. The Company provides orientation and training to new employees and continuing education for existing employees. The Company routinely develops and distributes quality improvement in-service materials, manuals, and forms to its nurses and has implemented an internal system of employee recognition and rewards. In addition, skilled nurses are initially assigned to a nurse preceptor until the Company believes that these new nurses have acquired a sufficient degree of home health care knowledge and experience. The Company also has implemented an infusion therapy verification program for skilled nurses. The retention of qualified employees is a high priority for the Company. As of March 31, 1999, the Company employs 180 individuals. Management believes that the Company's employee relations are good. None of the Company's employees are represented by a labor union or other collective bargaining organization. REIMBURSEMENT FROM THIRD-PARTY PAYORS The Company accepts assignment of Medicare claims, as well as claims with respect to other third-party payors, on behalf of its patients whenever the reimbursement coverage is adequate to ensure payment of the patient's obligations. The Company processes its customers' claims, accepts payment at prevailing and allowable rates and assumes the risks of delay for improperly billed services or non-payment for services which are determined by the third-party payor as being medically unnecessary. Although no assurance can be given that a significant number of future requests for reimbursement will not be denied, the Company's policies, procedures and prices are intended to minimize this risk. 6
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The Company works closely with the patients it serves to properly document and file claims for timely and direct reimbursement from third party payors and governmental agencies. Generally, the Company contacts third-party payors prior to the commencement of services or delivery of product in order to determine the patient's coverage and the percentage of costs that the payor will reimburse. The Company's reimbursement specialists carefully review such issues as lifetime limits, pre-existing condition clauses, the availability of special state programs and other reimbursement-related issues. The Company will often negotiate with the third-party payor on the patient's behalf to help ensure that coverage is available. In addition, the Company typically obtains an assignment of benefits from the patient that enables the Company to file claims for its services with the third-party payors. As a result, third-party payors pay the Company directly for the reimbursable amounts of its charges. Once reimbursement processing for a patient has been established by a third-party payor, claims processing and reimbursement tend to become routine, subject to continued patient eligibility and other coverage limitations. Like other health care companies, the Company's revenues and profitability are adversely affected by the continuing efforts of third-party payors to contain or reduce the costs of health care by lowering reimbursement rates, increasing case management review of bills for services and negotiating reduced contract pricing. Home health care, which is generally less costly to third-party payors than hospital-based care, has benefited from such cost containment objectives. However, as expenditures in the home health care market continue to grow, initiatives aimed at reducing costs of health care delivery at non-hospital sites are increasing. COMPETITION The home infusion therapy market is highly competitive and the Company anticipates that competition will intensify. There are many small local providers, some of whom do not offer the variety of therapies provided by the Company. There are also several large regional or national companies that offer more therapies than the Company. The primary competitive factors are quality of care, including responsiveness of service and quality of professional personnel; ability to establish and maintain relationships with referring physicians, hospitals, health maintenance organizations, clinics and nursing services; price and breadth of infusion therapies offered; general reputation with physicians, other referral sources and potential patients and the ability to function as a "one-stop shop." The DME business is also very competitive. The Company competes with national, regional and local specialty suppliers of medical equipment, chain drugstores and local independent drugstores. Competitive factors in DME markets generally track those stated above. Many of the Company's competitors have greater name recognition, broader geographic markets and substantially greater marketing, financial and administrative resources than the Company. Some of the larger existing and future competitors can be expected to expand the varieties of therapies offered. JCAHO ACCREDITATION The Company is accredited by JCAHO. Accreditation by JCAHO has become a prerequisite for contracts from many hospices and hospitals, certified home health agencies, insurance companies, HMO's and PPO's. INSURANCE Physicians, hospitals and other participants in the health care market are routinely subject to lawsuits alleging malpractice, product liability or related legal theories, many of which involve large claims and significant defense costs. The Company has in force general liability insurance with coverage limits of $1,000,000 per incident and $2,000,000 in the aggregate annually, and professional liability insurance on each of its pharmacy employees and professionals with coverage limits of $1,000,000 per claim and in the aggregate annually. The Company has not experienced difficulty in obtaining insurance in the past, and management believes that the Company's insurance coverage is reasonable given its claims history. 7
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The Company believes that the insurance that it maintains, in relationship to the size of its business, is customary in the home healthcare industry. However, there can be no assurance that any such insurance will be adequate to cover the Company's liabilities. CUSTOMERS During the years ended March 31, 1999, 1998 and 1997, services provided to Rivington House accounted for 14%, 15% and 19%, respectively, of the Company's net sales for that year. SUPPLIERS The Company does not depend upon a limited number of suppliers for the conduct of its continuing business and generally has second sources for all of the materials and products used in its business. The Company purchases drugs, solutions, medical equipment and other materials and leases certain equipment in connection with the Company's business from many suppliers and distributors. The Company is not currently experiencing and does not anticipate that it will experience in the future any material difficulty in purchasing or leasing the required products, supplies and equipment used in its business. During Fiscal 1999, the Company was unable to service certain patients due to the limited supply of a particular drug. Sources for the drug continue to be limited, and, accordingly, our ability to service these patients is indeterminable. In the event that existing suppliers or distributors are unable to or should fail to deliver products, supplies and equipment to the Company, management believes that alternate sources are available to adequately meet its needs at comparable prices. REGULATION The Company's business is subject to extensive and increasing regulation by federal, state and local government. The Federal agencies which regulate aspects of the Company's business include the Department of Health and Human Services, Healthcare Finance Administration, the Office of the Inspector General, the Food and Drug Administration, the Department of Labor, the Drug Enforcement Agency, and the Occupational Safety and Health Administration. In most states, home health care providers are regulated by the state department of health and board of pharmacy. The Company is subject to federal laws regulating the repackaging and dispensing of drugs and regulating interstate motor-carrier transportation and state laws regulating pharmacies, nursing services and certain types of home health agency activities. Under state laws, the Company's offices must be licensed prior to commencing business and must renew their licenses periodically. In addition, certain of the Company's employees are subject to state laws and regulations governing the professional practice of respiratory therapy, pharmacy and nursing. Failure to comply with regulatory laws could expose the Company to criminal and civil penalties, and jeopardize the licensure of one or more of its home health care agencies, or their participation in the Medicare, Medicaid and other reimbursement programs. As a provider of services under the Medicare and Medicaid programs, the Company is subject to the various "anti-fraud and abuse" laws, including the federal health care programs anti-kickback statute. This law prohibits any offer, payment, solicitation or receipt of any form of remuneration to induce the referral of business reimbursable under a federal health care program or in return for the purchase, lease, order, arranging for, or recommendation of items or services covered by any such program. Federal health care programs are defined as any health care plans or programs that are funded by the United States (other than certain federal employee health insurance benefits) and certain state health care programs that receive federal funds under various programs, such as Medicaid. A related law forbids the offer or transfer of any item or service for less than fair market value, or certain waivers of co-payment obligations, to a beneficiary of Medicare or a state health care program that is likely to influence the beneficiary's selection of healthcare providers. Violations of the anti-fraud and abuse laws can result in the imposition of substantial civil and criminal penalties and, potentially, exclusion from furnishing services under any federal health care programs. In addition, the states in which the Company operates generally have laws that prohibit certain direct or indirect payments or fee-splitting arrangements between health care providers where they are designed to obtain the referral of patients to a particular provider. 8
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Congress adopted legislation in 1989, known as the "Stark" Law, that generally prohibits a physician ordering clinical laboratory services for a Medicare beneficiary where the entity providing that service has a financial relationship (including direct or indirect ownership or compensation relationships) with the physician (or a member of his immediate family), and prohibits such entity from billing for or receiving reimbursement for such services, unless a specified exemption is available. Additional legislation became effective as of January 1, 1993 known as "Stark II" that extends the Stark Law prohibitions to services under state Medicaid programs, and beyond clinical laboratory services to all "designated health services", including home health services, durable medical equipment and supplies, outpatient prescription drugs, and parenteral and enteral nutrients, equipment, and supplies. Violators who are compensated by the Company are prohibited from making referrals to the Company, and the Company will be prohibited from seeking reimbursement for services rendered to such patients unless an exception applies. Several of the states in which the Company conducts business have also enacted statutes similar in scope and purpose to the federal fraud and abuse laws and the Stark Laws. Various federal and state laws impose criminal and civil penalties for making false claims for Medicare, Medicaid or other health care reimbursements. The Company believes that it bills for its services under such programs accurately. However, the rules governing coverage of, and reimbursements for, the Company's services are complex. There can be no assurance that these rules will be interpreted in a manner consistent with the Company's billing practices. In May 1995, the federal government instituted Operation Restore Trust, a health care fraud and abuse initiative focusing on nursing homes, home health care agencies and durable medical equipment companies located in the five states with the largest Medicare populations. New York, the Company's corporate base, was one of the original targeted states. The purpose of this initiative is to identify fraudulent and abusive practices such as billing for services not provided, providing unnecessary services and making prohibited referral payments to health care professionals. Operation Restore Trust has been responsible for significant fines, penalties and settlements. Operation Restore Trust was recently expanded to cover twelve additional states for the next two years. The program was also expanded to include reviews of psychiatric hospitals, certain independent laboratories and partial hospitalization benefits. Further, there are plans to eventually apply the program's investigation techniques in all fifty states and throughout the Medicare and Medicaid programs. One of the results of the program has been increased auditing and inspection of the records of health care providers and stricter interpretations of Medicare regulations governing reimbursement and other issues. Specifically, the government plans to double the number of comprehensive home health agency audits it performs each year (from 900-1800) and also to increase the number of claims reviewed by 25.0% (from 200,000 to 250,000). In general, the application of these anti-fraud and abuse laws is evolving. JCAHO has established written standards for home care services, including standards for services provided by home infusion therapy companies. Many payors use these criteria in order to select only the highest quality providers. The Company's facility presently complies with JCAHO's standards and has been accredited since February 1990. In addition, the Company received approval in 1991 from the New York State Department of Health to provide nursing services in New York State. CONCENTRATIONS OF CREDIT RISK Concentrations of credit risk with respect to trade accounts receivable include amounts due from third party payors, primarily governmental agencies (Medicare and Medicaid). At March 31, 1999, gross Medicare and Medicaid receivables aggregated $5,150,643. EMPLOYEES As at March 31, 1999, the Company employed 180 persons, of whom 168 were full-time employees and 12 were part-time employees. The supply of qualified staff is adequate and retainable in the New York City area. The Company considers its relations with its employees to be satisfactory. 9
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DISCLOSURE REGARDING FORWARD LOOKING STATEMENTS The Private Securities Litigation Reform Act of 1995 provides a "safe harbor" for forward-looking statements. Certain information in Items 1, 2, 3, 6, 7, and 8 of this Form 10-K include information that is forward looking, such as the Company's opportunities to increase sales through, among other things, increasing its number of patients, its anticipated liquidity and the Company's ability to achieve significant cost savings or synergies from its recent acquisition or other restructuring efforts. The matters referred to in forward-looking statements could be affected by the risks and uncertainties involved in the Company's business. These risks and uncertainties include, but are not limited to, the effect of economic and market conditions, the impact of the cost containment efforts of third-party payors and the Company's ability to obtain and maintain required licenses, as well as certain other risks described above in this Item under "Competition" and "Government Regulation," and in Item 7 in "Management's Discussion and Analysis of Financial Condition and Results of Operations." Subsequent written and oral forward looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by the cautionary statements in this paragraph and elsewhere in this Form 10-K. ITEM 2. PROPERTIES The Company's offices, pharmacies and warehousing are located in a 31,000 square-foot building (the "Facility") in the Bronx. The Company is lessee under a ten-year capital lease dated as of April 1, 1989 with the New York City Industrial Development Agency (the "IDA"), the lessor (the "Lease Agreement"). The IDA acquired the property in April 1989 by issuing an Industrial Development Bond (the "Bond"). At the end of the term of the capital lease, April 1, 1999, the Company communicated to IDA that it intends to exercise its option to purchase the Facility for one dollar plus any fees and expenses in connection with the redemption of the Bond. The Company is in the process of obtaining short term financing to pay off the outstanding principal and interest of approximately $235,000. The Company believes the Facility is in good condition and is adequate to meet its needs in Fiscal 1999. However, to enhance productivity and provide technological enhancements, the Company has signed a lease to rent 37,000 square feet in Yonkers, New York, where it plans to consolidate its major offices and warehouses at an average cost of approximately $26,000 per month over the life of the lease. The initial term is for a period of sixty five months with two renewals, each for a sixty month period. As a result of the Company's recent acquisitions (see Item 1. Description of Business), the Company also leases the space previously occupied by Healix Healthcare, Inc. in Valhalla, New York, Long Island City, New York, and ProHealthCare Infusion Services, Inc., Springfield, New Jersey. Each of these facilities is separately leased under terms ranging from 1-5 years with payments averaging from $1200 to $13,000 per month over the life of each lease. In connection with our new lease in Yonkers, the space previously occupied by Healix in Valhalla is currently being offered for sublease and the Facility in the Bronx is currently offered for sale. ITEM 3. LEGAL PROCEEDINGS In June 1995, a former employee had commenced an action in Supreme Court, New York County, New York against the Company and certain of its former and current officers, directors, and shareholders. The action alleged that the Company breached plaintiff's employment agreement by withholding at least $750,000 in commissions allegedly owed to him. As of June 1998, this matter had thought to have been settled through court recommended mediation. In May 1999, the former employee petitioned the court to reopen the matter. The matter is still pending with the court; however, management believes there will be no material adverse effect on the Company's consolidated financial position, results of operations or cash flows. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY-HOLDERS None. 10
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PART II ITEM 5. MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTERS MARKET The Company's common stock, par value $.01 per share (the "Common Stock") trades on the over-the-counter Bulletin Board under the symbol AHLT.U. The following table sets forth, for the periods indicated, the high and low closing bid prices for the Common Stock as reported by the NASDAQ Stock Market Trading and Market Services Department. Such over-the-counter market quotations reflect inter-dealer prices, without retail mark-up, markdown or commission and do not necessarily represent actual transactions. Fiscal 1999 Fiscal 1998 ----------- ----------- High Low High Low ---- --- ---- --- Quarter ended June 30............ 1-3/4 1-3/4 3-3/8 1-5/8 Quarter ended September 30....... 1-13/16 1-5/8 3-1/4 1-1/2 Quarter ended December 31........ 1-1/8 1-3/16 2-3/8 3/4 Quarter ended March 31........... 7/8 5/8 2-11/16 1-1/4 The Company's 6% Redeemable Cumulative Convertible Preferred Stock is subject to significant restrictions on sale and does not have a public trading market. NUMBER OF SHAREHOLDERS Management has been advised by the Company's transfer agent that there were 65 holders of record of the Common Stock as of June 30, 1999. Since most holders of the Company's stock have placed their shares in street name, this figure is much lower than the actual number of beneficial holders of common stock, which is estimated to be approximately 300 stockholders. DIVIDENDS To date, the Company has not paid any cash dividends on the Common Stock. The payment of dividends, if any, in the future is within the discretion of the Board of Directors and will depend upon the Company's earnings, its capital requirements and financial condition and other relevant factors. The Board does not intend to declare any dividends on the Common Stock in the foreseeable future, but instead intends to retain all earnings, if any, for use in the Company's business operations. The Company is obligated to pay annual dividends of $.12 per share on its 1,350,000 outstanding shares of 6% Redeemable Cumulative Convertible Preferred Stock. On October 10, 1998, 1,245,000 shares were converted into 1,431,750 shares of common stock leaving a balance of 105,000 6% Redeemable Cumulative Convertible Preferred Stock outstanding. Such dividends accrue daily, are payable each June 1 and December 1 and, at the election of the Company, may be paid in shares of Common Stock valued in accordance with the terms of such stock. Dividends on the Company's 6% Redeemable Cumulative Convertible Preferred Stock are payable in preference and priority to any payment of any dividends on the Common Stock. The Company satisfied its liability payable of June 1, 1998 by the issuance of 46,526, on December 17, 1998 and accrued 4,388 shares of the Company's Common Stock to be issued for the December 1, 1998 dividend. The Company satisfied its liability payable at June 1, 1997 and at December 1, 1997 by the issuance of 45,556 and 35,354 shares of the Company's Common Stock issued July 18, 1997 and January 15, 1998, respectively. The Company satisfied its liability payable at June 1, 1996 and at December 1, 1996 by the issuance of 52,856 and 104,509 shares of the Company's Common Stock issued July 8, 1996 and April 11, 1997, respectively. 11
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ITEM 6. SELECTED FINANCIAL DATA The following selected financial data have been derived from the consolidated financial statements of the Company, its subsidiaries and Healix for the years ended March 31, 1999, 1998, 1997, 1996 and 1995. The years ended March 31, 1999 and 1998 were audited and reported upon by Marcum & Kliegman LLP. For the years ended March 31, 1997, 1996 and 1995 of Accuheath, Inc. and its subsidiaries, prior to their restatement for the fiscal 1999 of interests, were audited and reported upon by Ernst & Young LLP, and should be read in conjunction with "Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations" and the consolidated financial statements and the notes thereto included elsewhere in this Form 10-K. The Company has not declared or paid any cash dividends on the Common Stock. On April 9, 1998, the Company completed a merger with Healix Healthcare, Inc. ("Healix") whereby 1,488,850 shares of the company's common stock were exchanged for all of the outstanding common stock of Healix. The merger constituted a tax-free organization and has been accounted for as a pooling of interests. Accordingly, all prior period consolidated financial statements presented have been restated to include the combined results of operations, financial position and cash flows of Healix as though it had always been a part of the Company. Prior to the merger, Healix had a fiscal year end of September 30. The following consolidated financial statements for the years ended March 31, 1998, 1997 and 1996 reflect restated numbers which combine financial statements for the twelve months ended March 31, 1998, 1997 and 1996 of Accuhealth, Inc. and its subsidiaries and September 30, 1997, 1996, and 1995 of Healix, respectively. STATEMENT OF OPERATIONS DATA: (In Thousands, except shares and per share data) · Enlarge/Download Table Fiscal Year ended March 31, ------------------------------------------------------------------------------------- 1999 1998 1997 1996 1995 ---- ---- ---- ---- ---- Net sales..................................... $ 38,127 $ 31,673 $ 24,694 $ 22,381 $ 20,534 Gross profit.................................. 14,062 14,749 11,129 10,871 9,826 Selling, general and administrative expenses.. 17,913 14,105 10,724 11,075 9,326 Interest expense, net......................... (1,627) (814) (631) (651) (695) Miscellaneous Income (Expense) 12 93 53 (137) 81 Recovery related to pre-investigation of management off book cash practices......... -- -- -- -- 525 Debt surrendered in settlement of claims...... -- -- -- -- 488 Write off of merger related costs............. -- (295) -- -- -- Income (loss) from continuing operations before income taxes........................ (5,466) (372) (173) (992) 899 Income Tax (Expense) Benefits................. 90 (104) 112 97 (97) Equity and loss from unconsolidated subsidiary -- -- (100) -- -- Discontinued operations....................... -- -- -- -- (278) Income (loss) before extraordinary item....... (5,376) (476) (161) (895) 524 Extraordinary items........................... -- -- 136 -- 60 Net income (loss) ............................ (5,376) (476) (25) (895) 584 Net income (loss) applicable to common stockholders............................... $ (5,463) $ (638) $ (187) $ (1,099) $ 476 Weighted average common stock outstanding Basic...................................... 4,357,239 3,243,192 2,889,273 2,762,124 2,899,003 Diluted.................................... 4,357,239 3,243,192 2,889,273 2,762,124 2,995,416 Earning (loss) per share data Basic...................................... ($1.25) ($.20) ($.06) ($0.40) $ 0.16 Diluted.................................... ($1.25) ($.20) ($.06) ($0.40) $ 0.16 Balance Sheet Data Total assets.................................. $ 21,970 $ 17,232 $ 12,449 $ 9,689 $ 8,909 Long-term liabilities......................... 7,497 1,487 1,527 720 1,182 Total liabilities............................. 25,824 14,852 10,143 7,216 5,990 Redeemable Preferred Stock.................... -- -- -- -- 2,710 Stockholders' equity (deficiency)............. (3,854) 2,380 2,306 2,473 (209) 12
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ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS This Management's Discussion and Analysis should be read in conjunction with the consolidated financial statements of the Company and related notes included elsewhere in this Form 10-K. RESULTS OF OPERATIONS: Fiscal Year Ended March 31, 1999 as Compared to Fiscal Year ended March 31, 1998 -------------------------------------------------------------------------------- Net sales for Fiscal 1999 increased approximately $6,454,000 to $38,127,000 from the $31,673,000 reported in Fiscal 1998. The increase was the result of increases in the Company's oral medication and institutional pharmacy revenues and durable medical equipment revenues offset by a decrease in infusion revenues. Gross profits for Fiscal 1999 were approximately $14.1 million and were 37% of total net sales as compared to approximately $14.7 million or 47% for Fiscal 1998. The decrease in the gross profit percentage was due primarily to the loss of a highly profitable infusion product revenues due to the lack of availability of the drug needed to service this product line and due to the increase in sales from institutional and oral medication which generated lower gross margins. Selling, general and administrative expenses increased approximately $3.8 million to $17.9 million or 47% of sales for 1999 from $14.1 million or 45% for sales for fiscal 1998. The increase was primarily due to increase in bad debt expenses ($3,175,000), goodwill write-offs ($1,300,000), consulting expenses ($160,000), insurance expense ($200,000), data processing maintenance ($160,000), auto leasing expense ($150,000), dispatch and delivery expense ($125,000), offset by a decrease in salaries ($500,000). Net Interest expense in Fiscal 1999 was $1,615,000 as compared to $814,000 in Fiscal 1998 due to increased net borrowings under our revolving line of credit and issuance of $6,250,000 in 12% Subordinated Debentures. Fiscal Year ended March 31, 1998 as Compared to Fiscal Year Ended March 31, 1997 -------------------------------------------------------------------------------- Net sales from Fiscal 1998 increased approximately $6,979,000 to $31,673,000 from the $24,694,000 reported in Fiscal 1997. The increase was the result of an increase in all lines of businesses, primarily the Company's oral medication revenues with more moderate increases from institutional pharmacy, infusion services and durable medical equipment revenues. Gross profits from Fiscal 1998 were approximately $14.7 million and were 47 % of total net sales as compared to approximately $11.1 million or 45% for Fiscal 1997. The increase in the gross profit percentage was due primarily to a higher gross profit margin on ProHealthCare's portion of the increase in the sales and an increase in managed care sales with carry margins that are greater than the Company's institutional pharmacy sales. Selling, general and administrative expenses increased approximately $3.4 million to $14.1 million or 45% of sales for 1998 from $10.7million or 43% for sales from Fiscal 1997. The increase was primarily due to increases in salaries ($500,000), consulting ($100,000), expenses relating to ProHealth Care, Infusion Services, Inc. which was acquired on July 1, 1997 ($720,000), merger expenses in connection with Healix Healthcare, Inc. ($295,000), legal settlements ($108,000), rent ($186,000), depreciation and amortization ($225,000). Net interest expense in Fiscal 1998 was $814,000 as compared to $631,000 in Fiscal 1997. LIQUIDITY AND FINANCIAL CONDITION As of March 31, 1999, the Company had working capital of approximately $550,000. 13
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The Company's cash provided by financing activities of approximately $7,386,000 was primarily attributable to the net proceeds of approximately $6,250,000 from the 12% Cumulative Convertible Notes and net proceeds of $3,028,000 under the Company's revolving credit facility and term loan offset by principal payments on capital leases. The cash used in operating activities of approximately $6,796,000 was primarily attributable to the net loss of approximately $5,376,000 and increases in accounts receivable of approximately $3,900,000 partially offset by goodwill write-offs. Accounts receivable include amounts due from third-party payors, primarily governmental agencies (Medicare and Medicaid). At March 31, 1999, gross Medicare and Medicaid receivables aggregated $5,150,643. Effective April 3 1998, the Company agreed to an amendment of the Loan and Security Agreement. The amendment extended the agreement through April 1, 2000 and allows the company to borrow, under certain conditions and terms, up to $9 million under a revolving loan agreement at an interest rate of prime plus 1 1/2%, as well as an overdraft line of $1,000,000 at prime plus 3%. The amendment also increased the term loan available to the Company to $750,000. In addition, the Company granted Rosenthal warrants to purchase 50,000 shares of the Company's common stock. At its meeting of the Board of Directors on June 25, 1998, the Company approved the issuance of 12% Cumulative Convertible Subordinated Notes in the face amount of $6,250,000. As a further component of this financing, the Company's current 6% cumulative convertible Preferred Stock was be converted to common stock in Accuhealth at a 15% premium per an agreement with the preferred stockholders. In December 1998 1,245,000 shares of 6% Cumulative convertible Preferred Stock was converted into 1,432,000 shares of the Company's common stock. The Company operates under cash flow pressure primarily due to difficulty in collecting its accounts receivable on a timely basis. Management has taken actions and is formulating additional plans to generate sufficient cash to meet its operating needs through March 31, 2000 and beyond. Among the actions taken are the restructuring of the reimbursement (collections) and customer service departments to enhance productivity and collection efforts, redirecting the sales initiatives to focus on the qualitative aspects of new business such as account profitability and collectibility of the Company's billings, obtaining better terms and financing from vendors and reducing corporate expenses, primarily compensation and bad debt expense. The Company has commenced discussions to increase the borrowing capacity under its revolving credit facility. During the year ended March 31, 1998, the Company adopted the provision of statements of accounting standards No. 128 Earnings per Share ("SFAS No. 128"). SFAS No. 128 eliminates the presentation of primary and fully diluted earnings per share ("EPS") and requires presentation of basic and diluted EPS. Basic EPS is computed by dividing income (loss) available to common stockholders by the weighted-average number of common shares outstanding for the period. Diluted EPS is computed by dividing the weighted average number of common shares and common stock equivalents outstanding. For the years ended March 31, 1999 and 1998, weighted average number of common shares outstanding throughout the periods includes shares issued by Accuhealth as a result of the Healix merger. Common stock equivalents have been excluded from the weighted-average shares for 1999, 1998, and 1997, as inclusion is anti-dilutive. Potentially diluted securities, which consist of stock options and warrants, may be potentially diluted in the future. All prior period EPS data has been restated to conform to the new pronouncement. Year 2000 Readiness The Company has completed its assessment of its computer systems and facilities that could be affected by the "Year 2000 problem" and has developed a plant to resolve the issue. The Year 2000 problem arose because many existing computer programs use only the last two digits to refer to a year. Therefore, these computer programs do not properly recognize a year that begins with "20" instead of the familiar "19". If not corrected, many computer applications could fail or create erroneous results. The Company is implementing its Year 2000 compliance program as part of a plan to replace and upgrade its information technology systems (the "Upgrade Program"). The Upgrade Program was initiated to replace information systems of certain substances of the Company acquired by merger, to fully integrate those systems with the Company's information technology systems, and to update the Company's information technology systems. The Company has divided the Upgrade Program into the following phases: assessment, planning, remediation and 14
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testing. The Company is currently approximately 30% complete with the Upgrade Program and anticipates being complete with all phases of the Upgrade Program, including year 2000 compliance by the fourth quarter of 1999. Although the Company believes that it will complete the Upgrade Program by the fourth quarter of 1999, there can be no assurance that such remediation will be completed or that the Company's operations will not be disrupted to some degree. The Company currently expects the Upgrade Program to be completed in a time frame to avoid any material adverse effect on operations. As of March 31, 1999, the Company had incurred approximately $285,000 of expenses in connection with the Upgrade Program. The Company expects to incur additional expenses of approximately $300,000 to complete the implementation of the Upgrade Program. The Company would have implemented the Upgrade Program irrespective of the Year 2000 problem, and although the Company expects that the implementation of the Upgrade Program will achieve Year 2000 compliance, the Company cannot separately assess the expenses relating to the Year 2000 compliance. The Company's inability to complete Year 2000 compliance on a timely basis or the inability of other companies with which the Company does business to complete their Year 2000 modifications on a timely basis could adversely affect the Company's operations. The Company has initiated communications with its major vendors to identify and, to the extent possible, to resolve issues involving the Year 2000 Problem. The Company is attempting to mitigate its risk with respect to the failure of such vendors to be Year 2000 compliant by, among other things, obtaining Year 2000 compliance certifications or written assurances from its material vendors. However, the Company has limited or no control over the actions of these suppliers. Thus, while the Company expects that it will be able to resolve any significant Year 2000 Problems with these systems, there can be no assurance that these suppliers will resolve any or all Year 2000 Problems with these systems before the occurrence of a material disruption to the business of the Company or any of its customers. Any failure of these suppliers to resolve Year 2000 Problems with their systems in a timely manner could have a material adverse effect on the Company's business, financial condition, and results of operation. Management believes that the most significant risk to the Company from the Year 2000 Problem is the effect such issues may have on third party payors, such as Medicare. News reports have indicated that various agencies of the federal government may have difficulty becoming year 2000 compliant before the Year 2000. The Company has not yet undertaken to quantify the effects of such noncompliance or to determine whether such quantification is even possible. The Company has initiated communications with its third party payors to identify and, to the extent possible, to resolve issues involving the Year 2000 problem. However, the Company has limited or no control over the actions of these third party payors. Thus, while the Company expects that it will be able to resolve any significant Year 2000 problems with these payors, there can be no assurance that these payors will resolve any or all Year 2000 problems with their systems before the occurrence of a material disruption to the business of the Company. Any failure of these third party payors to resolve Year 2000 problems with their systems in a timely manner could have a material adverse effect on the Company's business, financial condition, and results of operation. The Company is in the process of generating a Year 2000 contingency plan in the event compliance is not achieved. In connection therewith, the Company expects to identify reasonably likely scenarios which could arise in the event of the Company's Year 2000 noncompliance. Once these scenarios have been identified, the Company will develop plans in an attempt to reduce the impact of these noncompliance scenarios on the Company and its core functions. The Company expects to be substantially complete with this contingency plan by the third quarter of 1999. However, there can be no assurance that this contingency plan will be completed on a timely basis or that such a plan will protect the Company from experiencing a material adverse effect on its financial condition or results of operations. Potential consequences of the Company's failure to resolve its Year 2000 issues could include, among others, (i) the inability to accurately and timely process claims, respond to third party payor inquiries about claims, enroll customers, bill third party payors, collect receivables, pay vendors, record and disclose accurate data and perform other core functions (ii) increased scrutiny be regulators and breach of contractual obligations, and (iii) litigations in connection therewith. 15
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ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA Financial statements and financial statement schedules are included in the Consolidated Financial Statements, as a separate section of this Report, set forth on pages F-1 through F-21, attached hereto, and found immediately following the signature pages of this Report. ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE At a meeting held on March 5, 1998, the Board of Directors of the Company approved the engagement of Marcum & Kliegman LLP as its independent auditors for the fiscal year ending March 31, 1998 to replace the firm of Ernst & Young LLP ("E & Y"), who were dismissed as auditors of the Company effective April 15, 1998. The audit committee of the Board of Directors approved the change in auditors on March 25, 1998. The reports of E & Y on the Company's financial statements for the past two fiscal years did not contain an adverse opinion and were not qualified or modified as to uncertainty, audit scope, or accounting principles, except that E & Y's audit report for fiscal year 1996 was modified with regard to the Company's ability to continue as a going concern. In connection with the audits of the Company's financial statements for each of the two fiscal years ended March 31, 1997, there were no disagreements with E & Y on any matters of accounting principles or practices, financial statement disclosure, or auditing scope and procedures which, if not resolved to the satisfaction of E & Y would have caused E & Y to make reference to the matter in their report. 16
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PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT Listed below are the executive officers and directors of the Company at June 29, 1999: · Enlarge/Download Table Annual Meeting Officer or at Which Term Name Director Since Age Position will Expire ---- -------------- --- -------- ----------- E. Virgil Conway................. 1994 69 Director 1999 Glenn C. Davis................... 1994 50 President, Chief Executive 2000 Officer and Director Stanley Goldstein................ 1994 63 Chairman and Director 2001 Howard C. Landis................. 1998 45 Director 2001 Donald B. Louria, M.D............ 1994 70 Director 2000 Sally Hernandez-Pinero........... 1994 46 Director 2000 Corbett A. Price................. 1994 49 Director 1999 Jeffrey S. Freed, M.D............ 1998 54 Director and Executive Vice 2001 President--Strategy Set forth below are brief summaries of the business experience of the persons who were directors as of June 29, 1999: E. VIRGIL CONWAY chairs the Company's Audit and Stock Option Committees and was elected a director on April 29, 1994. Mr. Conway is a member of the Executive and Compensation and Nominations Committees. Since May 16, 1995, he has served as Chairman of the Board of the Metropolitan Transportation Administration of the City of New York and, from 1989 to 1996, he served as Chairman of the Audit Committee of the City of New York. From 1992 until July 1995, Mr. Conway served as Chairman of the Financial Accounting Standards Advisory Council. From 1968 through 1988, Mr. Conway served as Chairman and Chief Executive Officer and as a director of the Seamen's Bank for Savings, FSB. From 1986 until 1989, Mr. Conway also served as Vice Chairman of Seamen's Corporation. From 1967 to 1968, Mr. Conway served as an Executive Vice President and Trustee at the Manhattan Savings Bank. From 1964 to 1967, Mr. Conway served as First Deputy Superintendent of Banks of the State of New York and Secretary of the New York State Banking Board. Mr. Conway specializes in financial consulting. Mr. Conway serves on several corporate boards, including Union Pacific Corporation, Con Edison corporation, Urstadt-Biddle, a real estate investment trust, Trism, Inc., a specialized trucking firm, and mutual funds managed by Phoenix Home Life. GLENN C. DAVIS became a director, Chief Executive Officer and President of the Company on February 3, 1994 and since April 15, 1999 is serving as acting Chief Financial Officer. Mr. Davis is a member of the Executive Committee. From June 1993 until June 30, 1995, Mr. Davis was a general partner of Capstone Management Company, an investment partnership engaged principally in the initiation, acquisition and management of businesses in the health care industry. Mr. Davis is a certified public accountant. From 1980 until January 1993, Mr. Davis was a partner with Coopers & Lybrand, an international accounting and consulting firm. 17
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JEFFREY S. FREED, M.D., was elected a director on June 25, 1998 in connection with the Healix Healthcare, Inc. merger. Dr. Freed is a member of the Professional Conduct Committee. Since April 1998, Dr. Freed has served as Executive Vice President -- Strategic Development and Medical Director for Accuhealth. From March 1995 to March 1998, Dr. Freed was President and Medical Director of Healix Healthcare, Inc. He also is a Clinical Associate Professor of Surgery at the Mount Sinai School of Medicine and a practicing general surgeon. STANLEY GOLDSTEIN was elected Chairman of the Company's Board of Directors on April 29, 1994. Mr. Goldstein has been a private investor from 1981 until the present. Mr. Goldstein is Chairman of the Executive Committee. From June 1993 until June 30, 1995, Mr. Goldstein was a general partner of Capstone Management Company, an investment partnership engaged principally in initiation, acquisition and management of businesses in the health care industry. Mr. Goldstein is a certified public accountant. From 1964 until 1981, Mr. Goldstein was the founder and Managing Partner of Goldstein Golub Kessler & Company, Certified Public Accountants. Mr. Goldstein serves on the boards of directors of Security Mutual Life Insurance Company and Security Equity Life Insurance Company. HOWARD C. LANDIS was elected a director on June 25, 1998 pursuant to agreements executed in connection with the purchase by RFE Investment Partners V.L.P. of convertible subordinate debt. Mr. Landis is a member of the Audit Committee. Since 1980, Mr. Landis has been employed by RFE Management Corp., an investment manager of private equity investment funds. Since 1983 Mr. Landis has been a general partner of these private equity funds. Mr. Landis is also a director of a number of privately owned companies. DONALD B. LOURIA, M.D., M.A.C.P. was elected a director on April 29, 1994. Dr. Louria chairs the Professional Conduct Committee. Dr. Louria has been a Professor and Chairman of the Department of Preventive Medicine and Community Health of the University of Medicine and Dentistry of New Jersey-New Jersey Medical School from July 1969 until the present. Over the same period, among other appointments, Dr. Louria has served as a consultant in Infectious Diseases to Memorial Hospital for Cancer and Allied Diseases and, from 1971 until the present, has served on the Consultant Medical Staff in Infectious Diseases at St. Michael's Medical Center in Newark, New Jersey. SALLY B. HERNANDEZ-PINERO was elected a director on September 20, 1994. On May 1, 1999 Ms. Hernandez-Pinero became a Senior Vice President for Corporate Affairs for Related Companies LLP, a real estate development, management, syndication and financing company. Since June 1998 to April 1999 she was the Managing Director of Fannie Mae where she identified equity investment opportunities for the capital fund. She was previously a member of the law firm of Kalkines Arky Zall & Bernstein. Ms. Hernandez-Pinero served as Chairwoman of the New York City Housing Authority from February 1992 to January 1994. In that position she had direct operational responsibility for the nation's largest public housing program with 325 developments housing over 600,000 people, a staff of 16,000 and a budget of $1.45 billion. From January 1990 to February 1992, Ms. Hernandez-Pinero was Deputy Mayor for Finance and Economic Development, in which position she designed and supervised the development and implementation of business, industrial and commercial development policies for the City of New York. From January 1988 to January 1990 she served as Commissioner/Chairwoman of the Board of Directors of the Financial Services Corporation of New York City where she developed and implemented the course of action and priorities for that agency's economic development programs. Prior to January 1988, Ms. Hernandez-Pinero served as Deputy Borough President of Manhattan, General Counsel to the State of New York Mortgage Agency, and as an attorney with a number of community development and legal service organizations. Ms. Hernandez-Pinero is a director of Con Edison Corporation and the Dime Savings Bank and National Income Realty Trust. CORBETT A. PRICE was elected a director on September 20, 1994. Mr. Price chairs the Compensation and Nomination Committee and is a member of the Stock Option and Audit Committees. He is the Chairman and Chief Executive Officer of KURRON, a New York based health care management company which Mr. Price founded in January 1990. KURRON specializes in the rehabilitation of distressed hospitals and health care systems. Mr. Price began his career in health care management in 1975 at the Hospital Corporation of America, where he served as a Vice President from 1983 to 1989. As head of Hospital Corporation of America's Mid-Atlantic Division, he directed the operations of approximately twenty hospitals in four states and the District of Columbia. Mr. Price has advised the governments of Mexico, Barbados and Jamaica on health care delivery systems and facilities. The Company has Audit, Compensation and Nominations, Executive, Professional Conduct and Stock Options Committees. The Compensation and Nominations Committee administers the Company's stock option plans. 18
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ITEM 11. EXECUTIVE COMPENSATION From April 1, 1994 through May 31, 1994, the Company paid directors who were not officers of the Company $2,000 per meeting attended. In June 1994, the Board of Directors established a policy of paying directors who are not officers or consultants a fee of $6,000 per annum plus $1,000 per annum ($2,000 per annum for the Chair) for each committee on which they serve. Messrs. Conway and Price, Dr. Louria and Ms. Hernandez-Pinero are eligible for the foregoing fees. The Company does not intend to pay any fee to officers for serving as directors. Effective June 28, 1994, the Company entered into a Consulting Agreement with Mr. Goldstein for certain services to be rendered. Such consulting agreement calls for a monthly consulting fee and expense reimbursement of $5,000. Effective April 1, 1999 the consulting agreement was amended to have the monthly consulting fee and expense reimbursement reduced to $3,000 monthly. The following table sets forth all compensation earned, awarded or paid by the Company to its Chief Executive Officer, Executive Vice President and Chief Operating Officer and Senior Vice President -- Finance and Chief Financial Officer for the fiscal year ended March 31, 1999. No other person who was a director, executive officer or employee at any time during the fiscal year ended March 31, 1999, received salary and bonus in excess of $100,000 during or attributable to such fiscal year. · Download Table Summary Compensation Table -------------------------- Annual Long Term Compensation Compensation ------------ ------------ All Other Name and Principal Position Year Salary Bonus Compensation --------------------------- ---- ------ ----- ------------ Glenn C. Davis................... FY1999 $275,000 -- -- President and Chief Executive.. FY1998 $250,000 $ 25,000 -- Officer........................ FY1997 $200,000 -- -- Mary Comerford................... FY1999 $175,000 -- -- Executive Vice President and Chief Operating Officer Prisco DeMercurio................ FY1999 $125,000 $ 25,000 Senior Vice President and Chief Financial Officer Dr. Jeffrey S. Freed............. FY1999 $ 65,000 -- $ 41,000(1) Executive Vice President ----------------- (1) Comprised of life insurance premiums of $29,000 per year and an auto allowance of $12,000 per year. EMPLOYMENT AGREEMENT At the Company's Board of Directors meeting on June 25, 1998, the Company renewed its employment agreement with its President and Chief Executive Officer through May 2, 2001. The Company's President and Chief Executive Officer is entitled to an annual salary at a rate of $275,000 and 62,500 restricted shares of the Company's common stock. The agreement also provides for a severance payment equal to 150% of his annual compensation, including base salary and any initial bonus ("Annual Compensation"), at the date of termination if (i) his employment is terminated by him due to a breach of the agreement by the Company, (ii) the Company fails to offer to extend his employment for additional terms of one year on the same terms; or (iii) his employment terminates due to disability. If the employment is terminated due to his death, the severance payment is equal to 50% of his Annual Compensation at the date of death. The agreement further provides that, in the event of a merger or sale of substantially all of the assets of the Company, either the successor corporation or he may elect to terminate his employment and that, if his employment is so terminated, he will be entitled to receive a severance payment equal to 300% of his Annual Compensation at the date of termination. In addition, the agreement provides that he will not compete with the Company for 18 months after a termination of his employment, except that, if such termination is by the Company for cause, the non-competition period will be for 24 months. 19
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In connection with the Healix merger, Dr. Jeffrey S. Freed entered into an employment agreement with the Company. Under the employment agreement Dr. Freed shall serve a Executive Vice-President and be entitled to an annual salary at a rate of $65,000 and options to purchase 60,000 shares of the Company's common stock. The agreement also provides for reimbursement for business expenses incurred in the performance of the employment duties, a $1,000 per month auto allowance and payment of $28,245 per year of life insurance premiums pursuant to a Split-Dollar Agreement whereby the cash values of the policies are assigned to the employer as collateral for the ultimate repayment to the Employer for the premium outlay. The term of this agreement expires on December 31, 2001 (initial term) with a two year renewal, provision ending December 31, 2003 (renewal period). The agreement also provides for certain payments for termination due to death or disability equal to the Executives Base Salary, for termination to Employer's Breach equal to the later of (A) the remaining term of the agreement or (B) six months and if termination results from a change in control any unpaid Base Salary and a severance payment in the amount equal to 2.9 times the Executive's Base Salary. Further, the agreement contains Non-Solicitation; Non-Competition; and Confidentiality provisions ranging from one to three years as the circumstances as defined so warrant. In connection with the Healix merger, Mary B. Comerford entered into an employment agreement with the Company. Under the employment agreement, Ms. Comerford shall serve as Executive Vice President and be entitled to an annual salary at a rate of $175,000 a hire-on bonus of 50,000 shares of the Company's common stock issued in three annual installments (none issued as of March 31, 1999), an annual bonus based on certain performance criteria up to 50% of the base salary, and options to purchase 50,000 shares of the Employer Common Stock pursuant to the terms of an option agreement. The term of this agreement expires on December 31, 2001 (initial term) with a two year renewal provisions ending December 31, 2003 (renewal period). The agreement also provides for certain payments for termination due to death or disability equal to the Executive Base Salary, for termination due to Employer's Breach equal to the later of (A) the remaining term of the agreement or (B) six months and if termination results from a change in control any unpaid Base Salary and a severance payment in the amount equal to 2.9 times the Executive's Base Salary. Further, this agreement contains Non-Solicitation; Non-Competition; and Confidentiality provisions ranging from one to three years as the circumstances as defined so warrant. STOCK OPTIONS The following tables set forth information concerning exercisable options during the fiscal year ended March 31, 1999, with respect to the Common Stock. Stock options totalling 110,000 shares were granted in April, 1998 to two executive officers. No stock appreciation rights were granted to executive officers and no stock options or stock appreciation rights were exercised by executive officers during such year. · Download Table FISCAL YEAR-END OPTION VALUES Number of Shares Underlying Unexercised Options at Value of Unexercisable in-the-Money Fiscal Year End Options at Fiscal Year End --------------- -------------------------- Name Exercisable Unexercisable Exercisable Unexercisable ---- ----------- ------------- ----------- ------------- Glenn C. Davis 140,000 60,000(1) -- -- Jeffrey S. Freed 0 60,000(2) -- -- Mary Comerford 0 50,000(2) -- -- Prisco DeMercurio 25,000 25,000(1) -- -- (1) The option exercise price of such shares is $2.00 per share. (2) The option exercise price of such shares is $2.875 per share. 20
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ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The following table sets forth existing stock ownership as of June 29, 1999, with respect to the beneficial ownership of shares of Common Stock by (i) each person known by the Company to be the beneficial owner of 5% of more of the outstanding shares of Common Stock, (ii) each nominee for director, (iii) each director, and (iv) all officers and directors as a group, and the percentage of the outstanding shares of Common Stock represented thereby. Amount of Nature of Beneficial Name of Beneficial Owner(1) Ownership (1) Percent of Class (2) --------------------------- ------------- -------------------- Glenn C. Davis 260,760(3)(4)(5) 5.31 c/o Accuhealth, Inc. 1575 Bronx River Ave. Bronx, New York, 10460 Stanley Goldstein 333,842(3)(4)(6) 6.91 c/o Accuhealth, Inc. 1575 Bronx River Ave. Bronx, New York, 10460 E. Virgil Conway 34,229(11)(12) * Howard C. Landis 0 * Donald B. Louria, M.D. 31,500(7) * Sally Hernandez-Pinero 15,500(12) * Corbett A. Price 29,204(16) * Mary Comerford 124,072(17) 2.55% Prisco DeMercurio 0 * Special Situation Fund III, L.P. 706,928(8) 14.67 153 East 53rd Street New York, New York 10022 Penfield Partners, L.P. 324,027(9) 6.72 153 East 53rd Street New York, New York 10022 Special Situations Cayman Fund, L.P. 244,251(10) 5.07 153 East 53rd Street New York, New York 10022 CMNY Capital II, L.P. 355,368(13) 7.37 c/o Carl Marks & Company, Inc. 135 East 57th Street 27th Floor New York, New York 10022 Jeffrey S. Freed, M.D. 521,883(15) 10.69 All Directors and Executive 1,376,940(14) 26.80 Officers as a Group (10 persons) * Percentage of shares beneficially owned does not exceed 1% of the class. 21
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(1) As used herein, the term "beneficial ownership" with respect to a security is defined by Rule 13d-3 under the Securities Exchange Act of 1934 as consisting of sole or shared voting power (including the power to vote or direct the vote) and/or sole or shared investment power (including the power to dispose or direct the disposition of the shares) with respect to the security through any contract, arrangement, understanding, relationship or otherwise, including a right to acquire such power(s) during the next 60 days. Unless otherwise noted, beneficial ownership consists of sole ownership, voting and investment rights. (2) Percent of class assumes issuance of the shares subject to currently exercisable options and shares issuable upon the conversion of 6% Preferred Stock, as well as an equivalent increase in the number of shares outstanding. (3) Includes 40,000 and 20,000 shares issuable pursuant to currently exercisable stock options for Davis and Goldstein, respectively. (4) Includes 220,760 and 314,842 shares owned of record and beneficially for Davis and Goldstein, respectively. (5) Includes 50,000 shares issuable upon conversion of 50,000 shares of 6% Preferred Stock. (6) Includes 3,000 shares issuable upon conversion of 3,000 shares of 6% Preferred Stock. (7) Includes 24,500 shares issuable pursuant to currently exercisable stock options and 7,000 shares owned directly or in trust for the benefit of members of Dr. Louria's family. (8) Includes 706,928 shares owned of record and beneficially. (9) Includes 324,027 shares owned of record and beneficially. (10) Includes 244,251 shares owned of record and beneficially. (11) Includes 18,729 shares owned of record and beneficially. (12) Includes 15,500 shares issuable pursuant to currently exercisable stock options. (13) Includes 355,368 shares owned of record and beneficially. (14) Includes 1,057,940 shares owned of record and beneficially, 266,000 shares issuable pursuant to currently exercisable stock options and 53,000 shares issuable upon conversion of 53,000 shares of 6% Preferred Stock. (15) Includes 461,883 shares issued pursuant to the Healix acquisition to Jeffrey S. Freed, M.D., and 60,000 shares issuable pursuant to currently exercisable stock options. (16) Includes 13,704 shares owned of record and beneficially and 15,500 shares issuable pursuant to currently exercisable stock options. (17) Includes 74,072 shares owned of record and beneficially and 50,000 shares issuable pursuant to currently exercisable stock options. (17a) Based solely on a review of Forms 3, 4 and 5 (and amendments thereto) furnished to the Company, and certain written representations received by it, the Company is not aware of any person who, during the prior fiscal year, was a director, officer or beneficial owner of more than 10% of its outstanding Common Stock, during (or with respect to) the prior or (except as may have been previously reported) previous fiscal year, who failed to file with the Securities and Exchange Commission on a timely basis reports required by Section 16 (a) of the Securities Exchange Act of 1934.except that the following persons reported changes in their beneficial ownership of the Company's securities with respect to the following transactions in year-end filings on Form 5 rather than earlier in the year: the conversion of the Company's preferred stock to Common Stock on December 1, 1998 (Messrs. Conway and Goldstein); and the issuance of shares of the Company's common stock in the Healix merger on October 9, 1998 (Dr. Freed and Ms. Comerford); and the issuance of stock options on October 23, 1997 (Messrs, Conway and Price, Ms. Hernandez-Pinero and Dr. Louria). 22
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ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS As of June 28, 1994, the Company entered into a Consulting Agreement with Stanley Goldstein, who is Chairman of the Board. Mr. Goldstein does not receive compensation for services provided as a director of the Company during the term of his consulting agreement. Pursuant to such Consulting Agreement, Mr. Goldstein provides consulting services to the Company in, among other areas, capital financing, mergers and acquisitions. The Company has agreed to pay consulting fees to Mr. Goldstein in the amount of $4,000 per month and an office expense reimbursement of $1,000 per month for use of Mr. Goldstein's offices and support facilities in the performance of his consulting duties. In further consideration of Mr. Goldstein's consulting services, the Company granted to Mr. Goldstein an option to purchase 150,000 shares of Common Stock at prices ranging from $1.625 to $3.00 per share. During the fiscal year ended March 31, 1999 the Company issued 46,957 of its common stock in consideration of forgiveness of accrued consulting fees of $135,000 owed Mr. Goldstein. During the Fiscal year 1999, the Company granted a loan to Mr. Glenn C. Davis, President and CEO, in the amount of $100,000 due on demand, bearing interest of 8%. Such loan is collateralized by 50,000 shares of the Company's 6% cumulative convertible and Preferred Stock. ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K (a)(1), (a)(2) See the separate section of this report following Item 14 for a list of financial statements and schedules filed herewith. (a)(3) Exhibits as required by Item 601 of Regulation S-K are listed in Item 14(c) below. (b) The Company did not file any Reports on Form 8-K during the last quarter of the fiscal year ended March 31, 1999. (c) EXHIBITS 3.1 Registrant's Articles of Incorporation, as amended (incorporated herein by reference to Exhibit 3 (I) to the Registrant's Annual Report on Form 10-K for the fiscal year ended March 31, 1994) 3.2 Registrant's By-laws, as amended (incorporated herein by reference to Exhibit 3(ii) to the Registrant's Annual Report on Form 10-K for the fiscal year ended March 31, 1994) 10.01 Loan and Security Agreement dated April 28, 1994 between Rosenthal & Rosenthal, Inc. and the Registrant, Midview Drug, Inc., Accuhealth Home Care, Inc. and Citiview Drug Co., Inc. (the "Loan and Security Agreement") (incorporated herein by reference to Exhibit 10 (l) to the Registrant's Annual Report on Form 10-K for the fiscal year ended March 31, 1994) 10.02 Amendment No. 1 to the Loan and Security Agreement, dated as of February 1, 1996 10.03 Amendment No. 2 to the Loan and Security Agreement, dated as of February 1, 1997. 23
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10.04 Amendment No. 3 to the Loan and Security Agreement dated as of July 30, 1997. 10.05 Amendment No. 4 to the Loan and Security Agreement dated as of April 9, 1998. 10.06 Warrant dated April 28, 1994 for the Registrant's Common Stock issued by the Registrant to Rosenthal & Rosenthal, Inc. (incorporated herein by reference to Exhibit 10(m) to the Registrant's Annual Report on Form 10-K for the fiscal year ended March 31, 1994) 10.07 Employment Agreement dated May 2, 1994 between Glenn C. Davis and the Registrant (incorporated herein by reference to Exhibit 10.14 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.08 Consulting Agreement dated June 28, 1994 between Donald B. Louria, M.D. and the Registrant (incorporated herein by reference to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.09 Consulting Agreement dated June 28, 1994 between Stanley Goldstein and the Registrant (incorporated herein by reference to Exhibit 10.16 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.10 Amended and Restated 1988 Stock Option Plan (incorporated herein by reference to Exhibit B to the Registrant's 1994 Notice of Annual Meeting and Proxy Statement) 10.11 Option Agreement dated September 20, 1994 between Corbett A. Price and the Registrant (incorporated herein by reference to Exhibit 10.19 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.12 Option Agreement dated September 20, 1994 between E. Virgil Conway and the Registrant (incorporated herein by reference to Exhibit 10.21 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.13 Option Agreement dated September 20, 1994 between Sally Hernandez-Pinero and the Registrant (incorporated herein by reference to Exhibit 10.22 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.14 Option Agreement dated June 28, 1994 between Glenn C. Davis and the Registrant (incorporated herein by reference to Exhibit 10.24 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.15 Option Agreement dated June 28, 1994 between Stanley Goldstein and the Registrant (incorporated herein by reference to Exhibit 10.25 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.16 Option Agreement dated June 28, 1994 between Donald B. Louria, M.D. and the Registrant (incorporated herein by reference to Exhibit 10.27 to the Registrant's Annual Report on Form 10-K for the year ended March 31, 1995) 10.17 Agreement and Plan of Merger dated as of March 14, 1997 among Accuhealth, Inc., ACH Acquiring Corp., ProHealthCare, Inc., ProHealthCare Infusion Services, Inc., Thomas Laurita and David Brian Cohen. 10.18 Agreement and Plan of Merger, dated as of April 9, 1998, among Accuhealth, Inc., HHI Acquiring Corp., Healix HealthCare, Inc., Linda Barkan, Chaim Charytan, Mary Comerford, Jeffrey S. Freed, Donald Giaquinto, Robert Giaquinto, Robert Labra, Kathleen P. O'Brien McDonald and Arthur Schwacke, Jr. (incorporated by reference to Exhibit 2.1 to the Registrant's Current Report on Form 8-K, dated April 30, 1998). 24
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10.19 Registration Rights Agreement between Accuhealth, Inc. and Robert M. GiaQunito. 10.20 Registration Rights Agreement between Accuhealth, Inc. and Jeffrey S. Freed, M.D. 10.21 Registration Rights Agreement between Accuhealth, Inc. and Linda Barkan. 10.22 Employment Agreement dated April 1, 1998 between Dr. Jeffrey S. Freed and the Registrant 10.23 Employment Agreement dated April 1, 1998 between Mary Comerford and the Registrant 11 Statement re Computation of Per-Share Earnings 15.1 Letter from Ernst & Young LLP, dated April 23, 1998, regarding change in certifying accountant (incorporated by reference to Exhibit 16 to the Registrant's Current Report on Form 8-K/A, dated April 23, 1998). 21 Subsidiaries of the Registrant 27 Article 5 - Financial Data Schedule 25
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SIGNATURES In accordance with Section 13 or 15(d) of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. ACCUHEALTH, INC. Date: July 14, 1999 By: /s/ Glenn C. Davis ----------------------------------------- Glenn C. Davis President and Chief Executive Officer In accordance with the Exchange Act, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated. Date: July 14, 1999 By: /s/ Stanley Goldstein ----------------------------------------- Stanley Goldstein Chairman of the Board of Directors Date: July 14, 1999 By: /s/ Glenn C. Davis ----------------------------------------- Glenn C. Davis Chief Executive Officer, President and Director Date: July 14, 1999 By: /s/ E. Virgil Conway ----------------------------------------- E. Virgil Conway, Director Date: July 14, 1999 By: /s/ Jeffrey S. Freed, M.D. ----------------------------------------- Jeffrey S. Freed, M.D. Director Date: July 14, 1999 By: /s/ Howard C. Landis ----------------------------------------- Howard C. Landis Director Date: July 14, 1999 By: /s/ Donald B. Louria, M.D. ----------------------------------------- Donald B. Louria, M.D. Director Date: July 14, 1999 By: /s/ Sally Hernandez-Pinero ----------------------------------------- Sally Hernandez-Pinero, Director Date: July 14, 1999 By: /s/ Corbett A. Price ----------------------------------------- Corbett A. Price, Director 26
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· Enlarge/Download Table ACCUHEALTH, INC. AND SUBSIDIARIES INDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULES Page ---- Reports of Independent Auditors............................................................ F-2,3 Consolidated Balance Sheets at March 31, 1999 and March 31, 1998........................... F-4 Consolidated Statements of Operations and comprehensive income (loss) for the Years Ended March 31, 1999, 1998 and 1997.................................................... F-5 Consolidated Statements of Stockholders' Equity (Deficiency) for the Years Ended March 31, 1999, 1998 and 1997.................................................... F-6 Consolidated Statements of Cash Flows for the Years Ended March 31, 1999, 1998 and 1997.................................................... F-7-8 Notes to Consolidated Financial Statements................................................. F-9-23 Financial Statement Schedules II. Valuation and Qualifying Accounts..................................................... F-24 All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable and, therefore, have been omitted. F-1
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REPORT OF INDEPENDENT AUDITORS To the Board of Directors and Stockholders of Accuhealth, Inc. We have audited the accompanying consolidated balance sheets of Accuhealth, Inc. and subsidiaries as of March 31, 1999 and 1998, and the related consolidated statements of operations and comprehensive loss, stockholders' (deficiency) equity and cash flows for the years then ended. Our audit also included the financial statement schedule listed in index at item 14(a). 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 audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the 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 audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Accuhealth, Inc. and subsidiaries as of March 31, 1999 and 1998, and the results of their operations and their cash flows for the years then ended in conformity with generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein. We previously audited and reported on the consolidated statements of operations and cash flows of Healix Healthcare, Inc., and subsidiaries for the year ended September 30, 1996, prior to their restatement for the fiscal 1999 pooling of interests. The contribution of Healix Healthcare, Inc. and subsidiaries to total assets, revenues and net loss represented 32 percent, 608 percent, of the fiscal 1997 respective restated totals. Separate consolidated financial statements of Accuhealth, Inc. and subsidiaries included in the fiscal 1997 restated consolidated statements of operations and cash flows were audited and reported on separately by other auditors. We also have audited the combination of the accompanying consolidated statements of operations and cash flows for the year ended March 31, 1997, after restatement for the fiscal 1999 pooling of interests; in our opinion, such consolidated statements have been properly combined on the basis described in Note 1 of notes to consolidated financial statements. July 9, 1999 MARCUM & KLIEGMAN LLP New York, New York F-2
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REPORT OF INDEPENDENT AUDITORS The Board of Directors and Stockholders Accuhealth, Inc. We have audited the accompanying consolidated balance sheet of Accuhealth, Inc. and subsidiaries as of March 31, 1997 and the related consolidated statements of operations, stockholders' equity and cash flows for each of the two years in the period ended March 31, 1997. Our audits also included the financial statement schedule listed in the Index at Item 14(a). These financial statements and schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the 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 audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Accuhealth, Inc. and subsidiaries at March 31, 1997 and the consolidated results of their operations and their cash flows for each of the two years in the period ended March 31, 1997 in conformity with generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein. ERNST & YOUNG LLP New York, New York June 16, 1997 F-3
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· Enlarge/Download Table ACCUHEALTH, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (Amounts in thousands, except shares and per share data) March 31, -------------------- 1999 1998 -------- -------- ASSETS Current Assets: Cash ......................................................................... $ 85 $ 382 Marketable securities ........................................................ 2,372 -- Accounts receivable, less allowance for doubtful accounts of $1,615 in 1999 and $516 in 1998 ............................................ 14,499 10,221 Inventories .................................................................. 1,653 1,770 Prepaid expenses and other current assets .................................... 267 374 -------- -------- Total Current Assets ......................................................... 18,876 12,747 Revenue producing equipment, net ................................................ 901 493 Fixed assets, net ............................................................... 2,100 2,051 Goodwill, net ................................................................... -- 1,387 Other ........................................................................... 93 554 -------- -------- Total Assets ................................................................. 21,970 17,232 ======== ======== LIABILITIES AND STOCKHOLDERS' (DEFICIENCY) EQUITY Current Liabilities: Notes payable - revolving credit facility .................................... 7,765 5,354 Current portion of notes payable - other ..................................... 857 925 Margin payable ............................................................... 1,281 -- Accounts payable ............................................................. 5,517 5,052 Accrued expenses and other current liabilities ............................... 2,245 1,660 Current portion of capital lease - Facility .................................. 232 107 Current portion of other capital lease obligations ........................... 430 177 Deferred Income Taxes ........................................................ -- 90 -------- -------- Total Current Liabilities ................................................ 18,327 13,365 12% Subordinated Debentures ..................................................... 6,250 -- Notes payable - term loan ....................................................... 750 500 Notes payable - other, less current portion ..................................... 109 510 Capital lease - Facility, less current portion .................................. -- 232 Other capital lease obligations, less current portion ........................... 388 245 -------- -------- Total Liabilities ........................................................ 25,824 14,852 Commitments and Contingencies (See Notes 9 and 11) Stockholders' (Deficiency) Equity: Preferred Stock, $.01 par value: authorized 3,650,000 shares; no shares issued and outstanding Preferred stock, $.01 par value; 6% cumulative convertible, $213 and $2,754 liquidation preference in 1999 and 1998, respectively, authorized 1,350,000 shares; issued and outstanding 105,000 shares (1999) and 1,350,000 shares (1998) ......................................... 1 14 Common stock $0.1 par value; authorized 15,000,000 shares; 5,127,593 (1999) and 3,597,972 (1998) shares issued and outstanding ................................................................ 51 36 Additional paid-in capital ................................................... 7,606 7,385 Accumulated other comprehensive loss ......................................... (42) -- Accumulated deficit .......................................................... (10,846) (4,431) -------- -------- (3,230) 3,004 Less treasury stock (308,004 shares) at cost ................................. (624) (624) -------- -------- Total Stockholders' (Deficiency) Equity ......................................... (3,854) 2,380 -------- -------- Total Liabilities and Stockholders' (Deficiency) Equity ......................... $ 21,970 $ 17,232 ======== ======== See notes to consolidated financial statements. F-4
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· Enlarge/Download Table CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (Amounts in thousands, except shares and per share data) ----------------------------------------- YEARS ENDED MARCH 31, ----------------------------------------- 1999 1998 1997 ----------- ----------- ----------- Net sales ............................................................. $ 38,127 $ 31,673 $ 24,694 Cost of goods sold .................................................... 24,065 16,924 13,565 ----------- ----------- ----------- Gross profit ...................................................... 14,062 14,749 11,129 Selling, general and administrative expenses .......................... 17,913 14,105 10,724 Merger related costs .................................................. -- 295 -- ----------- ----------- ----------- Operating income (loss) ............................................... (3,851) 349 405 Other Income Expense: Net interest expense .............................................. (1,627) (814) (631) Miscellaneous income .............................................. 12 93 53 Equity in Loss from unconsolidated subsidiary ..................... -- -- (100) ----------- ----------- ----------- Income (Loss) Before Income Taxes ..................................... (5,466) (372) (273) Income Tax (Expense) Benefit .......................................... 90 (104) 112 ----------- ----------- ----------- Loss before Extraordinary Item ........................................ (5,376) (476) (161) Extraordinary Item -- forgiveness of debt net of applicable income tax of $13 ...................................... -- -- 136 Net loss .............................................................. (5,376) (476) (25) Redeemable preferred stock dividends and accretion .................... (87) (162) (162) ----------- ----------- ----------- Net loss applicable to common stockholders ............................ $ (5,463) $ (638) $ (187) =========== =========== =========== Weighted average common stock outstanding: Basic ............................................................. 4,417,711 3,243,192 2,889,273 Diluted ........................................................... 4,417,711 3,243,192 2,889,273 Earning (loss) per share data: Basic ............................................................. ($1.22) ($0.20) ($0.06) Diluted ........................................................... ($1.22) ($0.20) ($0.06) Net loss .......................................................... $ (5,376) $ (476) $ (25) Other Comprehensive loss, net of tax: Unrealized loss on marketable securities, net of tax benefits of $1 $ (42) $ 0 $ 0 ----------- ----------- ----------- Total comprehensive loss ....................................... $ (5,418) $ (476) $ (25) =========== =========== =========== See notes to consolidated financial statements. F-5
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· Enlarge/Download Table ACCUHEALTH, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENT OF STOCKHOLDERS' (DEFICIENCY) EQUITY YEARS ENDED MARCH 31, 1999, 1998, 1997 (Amounts in thousands, except shares and per share data) Preferred Stock Common Stock Treasury Stock --------------------------------------------------------------------------- Other $.01 $.01 Additional Compre- Number of Par Number of Par Paid-In Retained Number hensive Shares Value Shares Value Capital Earnings of Shares Cost (loss) Total --------------------------------------------------------------------------------------------- Balance, March 31, 1996, as previously reported............ 1,350,000 $ 14 1,630,233 $ 16 $ 6,008 $ (4,119) (308,004) $(624) $ $1,294 Shares issued to Healix in connection with pooling of interests...................... 1,488,850 14 509 655 1,179 --------------------------------------------------------------------------------------------- Balance, March 31, 1998, as restated. 1,350,000 14 3,119,083 30 6,517 (3,464) (308,004) (624) 2,473 Preferred stock dividends paid with common stock - July 8, 1996....... 52,856 1 80 (81) -0- Preferred stock dividends paid with common stock - April 11, 1997..... 104,509 1 80 (81) -0- Distributions to Healix stockholders. (142) (142) Net loss............................. (25) (25) --------------------------------------------------------------------------------------------- Balance, March 31, 1997.............. 1,350,000 14 3,276,448 32 6,677 (3,793) (308,004) (624) 2,306 Healix equity adjustments before the acquisition....................... 110 110 Issuance of common stock in connection with the merger................... 300,000 3 555 558 Preferred stock dividends paid with common stock - July 25, 1997...... 45,556 1 80 (81) -0- Preferred stock dividends paid with common stock - January, 1998...... 35,354 81 (81) -0- Redemption of shares................. (59,386) (118) (118) Net loss............................. (476) (476) --------------------------------------------------------------------------------------------- Balance - March 31, 1998............. 1,350,000 14 3,597,972 36 7,385 (4,431) (308,004) (624) 2,380 Healix loss for six months ended March 31, 1998 (unaudited)........ (952) (952) Preferred stock dividends paid with common stock - June 1, 1998....... 46,526 1 80 (81) Preferred stock conversion into common stock ................ (1,245,000) (13) 1,431,750 14 (1) Conversion of debt to common stock... 46,957 136 136 Preferred stock dividends paid with common stock - December 1998...... 4,388 6 (6) 0 Unrealized loss on marketable securities............. (42) (42) Net Loss............................. (5,376) (5,376) Balance, March 31, 1999.............. 105,000 $ 1 5,127,593 $ 51 $ 7,606 $(10,846) (308,004) $(624) $ (42)$(3,854) ============================================================================================= F-6
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· Enlarge/Download Table ACCUHEALTH, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (AMOUNTS IN THOUSANDS, EXCEPT SHARES AND PER SHARE DATA) YEARS ENDED MARCH 31, ----------------------------- 1999 1998 1997 ------- ------- ------- OPERATING ACTIVITIES Net loss ....................................................................... $(5,376) $ (476) $ (25) Adjustments to reconcile net loss to net cash used in operating activities: Deferred income taxes ...................................................... (90) 106 3 Amortization of financing costs ............................................ 12 8 Realized gain on sales of marketable securities............................. (12) -- -- Depreciation and amortization .............................................. 775 692 416 Write off of goodwill ...................................................... 1,305 -- -- Changes in operating assets and liabilities: Accounts receivable ..................................................... (3,901) (2,134) (1,777) Inventories ............................................................. (184) (167) (274) Prepaid expenses and other current assets ............................... 29 19 (239) Other assets ............................................................ 436 (222) (147) Deferred costs .......................................................... -- (121) (90) Accounts payable ........................................................ 131 1,049 1,134 Accrued expenses and other current liabilities .......................... 91 275 (250) ------- ------- ------- Cash used in operating activities ....................................... (6,796) (967) (1,241) ------- ------- ------- INVESTING ACTIVITIES Acquisition of goodwill .................................................... -- (32) (213) Purchases of marketable securities ......................................... (4,382) -- -- Proceeds from sales of marketable securities ............................... 1,980 -- -- Purchases of fixed assets and revenue producing equipment .................. (83) (204) (238) Cash acquired in connection with acquisition ............................... -- 22 -- Proceeds from margin payable ............................................... 1,281 -- -- ------- ------- ------- Cash used in investing activities .......................................... (1,204) (214) (451) ------- ------- ------- FINANCING ACTIVITIES Proceeds from issuance of capital stock .................................... -- 33 55 Proceeds from sale of subordinated debentures .............................. 6,250 -- -- Proceeds from note payable - revolving credit facility, net of payments .... 3,028 2,208 928 Proceed from notes payable - term loan ..................................... -- -- 500 Proceeds from (repayment of) notes payable, other, net ..................... (497) (246) 827 Principal payments on capital lease - facility ............................. (71) (54) (89) Payments on other capital lease obligations ................................ (874) (461) (347) Distribution to stockholders ............................................... -- -- (142) Repayment of stockholders loan ............................................. -- -- (149) ------- ------- ------- Cash provided by financing activities ...................................... 7,836 1,480 1,583 ------- ------- ------- Net increase (decrease) in cash ............................................ (164) 299 (109) Net changes in cash from October 1, 1997 to March 31, 1998 of Healix (unaudited) ..................................... (133) -- -- Cash at beginning of period ................................................ 382 83 192 ------- ------- ------- Cash at end of period ...................................................... $ 85 $ 382 $ 83 ======= ======= ======= F-7
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· Enlarge/Download Table ACCUHEALTH, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED) (AMOUNTS IN THOUSANDS, EXCEPT SHARES AND PER SHARE DATA) YEARS ENDED MARCH 31, ----------------------------- 1999 1998 1997 ------- ------- ------- Supplemental disclosure of cash flow information: Interest paid .............................................................. $ 1,137 $ 803 $ 616 ======= ======= ======= Income taxes paid .......................................................... $ 37 $ 41 $ 80 ======= ======= ======= Noncash investing and financing activities: Additions to capital leases and notes payable .............................. $ 774 $ 820 $ 363 Goodwill recorded pursuant to acquisition .................................. -- 1,208 -- Redemption of common shares ................................................ -- (119) -- Conversion of liabilities to common stock .................................. 135 78 -- Conversion of accounts payable to notes payable ............................ 600 350 -- Write-off of property and equipment ........................................ -- 12 -- Issuance of common stock in exchange for assets acquired ................... -- -- 55 Conversion of Preferred Stock to Common Stock .............................. 13 -- -- Unrealized Losses on Marketable Securities ................................. 42 -- -- The Company acquired the following noncash assets and liabilities in connection with its acquisition of ProHealthCare Infusion Services Inc. during fiscal year ended March 31, 1998: Accounts Receivable......................................................... $ 658 Inventory................................................................... 63 Property and Equipment...................................................... 65 Accounts Payable............................................................ (902) ------- Total................................................................ $ (116) ======= See notes to consolidated financial statements. F-8
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) 1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES DESCRIPTION OF BUSINESS Accuhealth Inc., ("Accuhealth") together with its subsidiaries (collectively, the "Company"), provides comprehensive home health care services, including administration of a wide array of infusion therapies, sales of oral medications and sales and rentals of durable medical equipment and related supplies. The Company operates throughout the New York, New Jersey and Connecticut metropolitan area. BASIS OF PRESENTATION The consolidated financial statements include the accounts of Accuhealth, Inc. and its subsidiaries, all of which are wholly owned. Significant intercompany accounts and transactions have been eliminated in consolidation. On July 1, 1997, the Company consummated its acquisition of ProHealthCare Infusion Services, Inc. ("PHCIS") pursuant to an agreement and plan of merger, dated as of March 14, 1997, by and among the Company, ACH Acquiring Corp., a New Jersey corporation and a subsidiary of the Company, PHCIS, ProHealthCare, Inc., a Delaware corporation and the parent of PHCIS, Thomas Laurita and David Brian Cohen (the "PHCIS Merger Agreement"). The Company has determined that the initial merger consideration of 300,000 shares of Company Common Stock will be decreased by 59,386 shares of Company Common Stock pursuant to certain merger consideration adjustment provisions of the PHCIS Merger Agreement. The aggregate purchase price for the acquisition of ProHealthCare, Inc. stock was $1,208 which includes the cost of the acquisition, direct costs and assumption of certain liabilities of PHCIS. The acquisition has been accounted for by the purchase method of accounting. Pro forma disclosure information in connection with this transaction is not included because it is considered immaterial as it relates to the Company's financial statements in accordance with the regulations of the Securities and Exchange Commission. During the fiscal year ended March 31, 1999, management determined that the goodwill resulting from the PHCIS Acquisition was impaired and warranted write off of the remaining balance. The impairment resulted from a severe decline in revenue, primarily caused by the filing for liquidation of HIP of New Jersey in February 1999. On April 9, 1998, Accuhealth completed a merger with Helix Healthcare, Inc. ("Healix") whereby 1,488,850 shares of Accuhealth's common stock were exchanged for all of the outstanding common stock of Healix. Each share of Healix common stock was exchanged for .740721 shares of Accuhealth's common stock. The merger constituted a tax-free organization and has been accounted for as a pooling of interests. Accordingly, all prior period consolidated financial statements presented have been restated to include the combined results of operations, financial position and cash flows of Healix as though it had always been a part of the Company. Prior to the merger, Healix had a fiscal year end of September 30. The accompanying consolidated financial statements for the years ended March 31, 1998 and 1997 reflect restated numbers which combine financial statements for the twelve months ended March 31, 1998 and 1997 of Accuhealth and September 30, 1997 and 1996 of Healix, respectively. Amounts shown in the consolidated statements of operations differ from those previously reported to stockholders due to a subsequent pooling-of-interests transaction. A reconciliation of sales and net income is as follows: F-9
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· Download Table ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) Years ended March 31 ------------------------ 1998 1997 --------- --------- Net Sales: The Company, as previously reported................ $ 18,603 $ 16,369 Healix (pooled company) for twelve months ended September 30, 1997 and 1996...................... $ 13,070 $ 8,325 --------- --------- $ 31,673 $ 24,694 ========= ========= Net income (loss): The Company as previously reported................. $ (206) $ 127 Healix (pooled company) for twelve months ended September 30, 1997 and 1996...................... $ (271) $ (152) --------- --------- $ (477) $ (25) ========= ========= MANAGEMENT PLANS Management has taken action and is formulating additional plans to strengthen the Company's working capital position and generate sufficient cash to meet its operating needs through March 31, 2000 and beyond. Among the actions taken are restructuring of the reimbursement and customer service departments to enhance productivity and collection efforts, obtaining better terms and financing from vendors and reducing corporate expenses. No assurances can be made that management will be successful in achieving its plans. INVENTORIES Inventories consist of over-the-counter and prescription drugs, infusion products and supplies, and home health care equipment and supplies and are priced at the lower of cost or market using the first-in, first-out ("FIFO") method. CONTRACTUAL ALLOWANCES Certain prescription pharmaceutical sales, medical equipment and supply revenues are recorded at the Company's established rates and reduced by estimated contractual allowances pursuant to third-party reimbursement arrangements. GOODWILL Goodwill in connection with the acquisitions is being amortized on a straight-line basis over a fifteen-year period. Amortization of goodwill charged to operations for the years ended March 31, 1999 and March 31, 1998 amounted to $96 and $56, respectively. In addition, $1,305 of unamortized goodwill has been written off during the last quarter ended March 31, 1999 as management determined such goodwill was impaired in accordance with Statement of Financial Accounting Standards No. 121, "Accounting for the Impairment of Long lived Assets and for long lived Assets to be disposed of." The amount of goodwill impairment was measured based on the projected discounted future operating cash flows compared to the carrying value of goodwill. FAIR VALUE OF FINANCIAL INSTRUMENTS Statement of Financial Accounting Standards No. 107, "Disclosures about Fair Value of Financial Instruments" requires that the Company disclose estimated fair values of financial instruments. The carrying amounts reported in the statement of financial position for current assets and current liabilities qualifying as financial instruments is a reasonable estimate of fair value. The fair value of long-term debt is estimated to approximate fair market value based on the current rates offered to the Company for debt of the same remaining maturities. F-10
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) MERGER RELATED COSTS Merger transaction costs related to the Healix merger consists of fees for attorneys, accountants, financial printing and other expenses directly related to the merger. The Company recorded expenses incurred of $295 related to this merger in the period ended March 31, 1998. FIXED ASSETS AND REVENUE PRODUCING EQUIPMENT Fixed assets and revenue producing equipment are stated at cost. Depreciation is computed principally by the straight-line method over the estimated useful lives of the assets and for revenue producing equipment and leasehold improvements, over the shorter of the estimated useful lives or the term of the related leases. EARNINGS PER SHARE The Company calculated earnings per share in accordance with the provision of statements of accounting standards No. 128 Earnings per Share ("SFAS No. 128"). SFAS No. 128 eliminates the presentation of primary and fully diluted earnings per share ("EPS") and requires presentation of basic and diluted EPS. Basic EPS is computed by dividing income (loss) available to common stockholders by the weighted-average number of common shares outstanding for the year. Diluted EPS is computed by dividing the weighted average number of common shares and common stock equivalents outstanding during the year. For the years ended March 31, 1998 and 1997, weighted average number of common shares outstanding throughout the periods includes shares issued by Accuhealth as a result of the Healix merger. Common stock equivalents have been excluded from the weighted-average shares for 1999, 1998 and 1997, as inclusion is anti-dilutive. Potentially diluted securities, which consist of convertible debentures, stock options and warrants, may be potentially diluted in the future. All prior period EPS data has been restated to conform to the new pronouncement. INCOME TAXES The Company files consolidated Federal, combined New York State and combined New York City income tax returns. The Company's method of accounting for income taxes is the liability method required by Statements of Accounting Standards No. 109, "Accounting for Income Taxes." Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. CASH AND CASH EQUIVALENTS The Company considers all highly liquid financial instruments with a maturity of three months or less when purchased to be cash equivalents. At March 31, 1999 and 1998, the Company had no cash equivalents. The Company has cash balances in banks and investments in a financial institution in excess of the maximum amount insured by the FDIC and SIPC as of March 31, 1999. USE OF ESTIMATES The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenue and expenses during the reporting period. Actual results could differ from those estimates. F-11
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) LONG-LIVED ASSETS In 1998, the Company adopted Statement of Financial Accounting Standards ("SFAS") No. 121, "Accounting for Impairment of Long-lived Assets and for Long-lived Assets to be Disposed of." In accordance with SFAS No. 121, the carrying values of long-lived assets are periodically reviewed by the Company and impairments are recognized if the expected future operating non-discounted cash flows derived from an asset are less than its carrying value. CONCENTRATIONS OF CREDIT RISK Concentrations of credit risk with respect to trade accounts receivable include amounts due from third party payers, primarily governmental agencies (Medicare and Medicaid). At March 31, 1999 and 1998, gross Medicare and Medicaid receivables aggregated $5,151 and $3,601, respectively. Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation for which action for noncompliance includes fines, penalties, and exclusion from the Medicare and Medicaid programs. The Company believes that it is in compliance with all applicable laws and regulations. The Company's revenues from one customer accounted for 14%, 15% and 19% of the Company's net sales for the years ended March 31, 1999, 1998 and 1997, respectively. At March 31, 1999, 1998 and 1997, 5%, 6% and 13%, respectively, of net accounts receivable was due from this customer. STOCK-BASED COMPENSATION In October 1995, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards No. 123, "Accounting for Stock-Based Compensation" ("SFAS 123"). SFAS 123 prescribes accounting and reporting standards for all stock-based compensation plans, including employee stock options, restricted stock, employee stock purchase plans and stock appreciation rights. SFAS 123 requires compensation expense to be recorded (i) using the new fair value method or (ii) using existing accounting rules prescribed by Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees" ("APB 25") and related interpretations with pro forma disclosure of what net income and earnings per share would have been had the Company adopted the new fair value method. The Company intends to continue to account for its stock based compensation plans in accordance with the provisions of APB 25. COMPREHENSIVE INCOME In 1998, the Company adopted Statement of Financial Accounting Standards No. 130 ("SFAS No. 130"), "Reporting Comprehensive Income." SFAS No. 130 establishes standards for reporting and display of comprehensive income, its components and accumulated balances. Comprehensive income is defined to include all changes in equity except those resulting from investments by owners and distributions to owners. Among other disclosures, SFAS No. 130 requires that all items that are required to be recognized under current accounting standards as components of comprehensive income be reported in a financial statement that is displayed with the same prominence as other financial statements. F-12
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) BUSINESS SEGMENT In 1998, the Company adopted Statement of Financial Accounting Standards No. 131 ("SFAS No. 131"), "Disclosures About Segments of an Enterprise and Related Information", which supersedes SFAS No. 14, "Financial Reporting for Segments of A Business Enterprise." SFAS No. 131 establishes standards for the way that public enterprises report information about operating segments in annual financial statements and requires reporting of selected information about operating segments in interim financial statements regarding products and services, geographic areas and major customers. SFAS No. 131 defines operating segments as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing performance. The company has determined that under SFAS No. 131, it operates in one segment of home health care services. The Company's customers and operations are within the United States. NEW ACCOUNTING PRONOUNCEMENTS In April 1998, Statement of Position ("SOP") 98-5, "Reporting on the Costs of Start-Up Activities" was issued. This SOP provides guidance on the financial reporting of start-up costs and organization costs. It requires the costs of start-up activities and organization costs to be expensed as incurred. The SOP is effective for financial statements for fiscal years beginning after December 15, 1998. The Company does not expect that the adoption of SOP No. 98-5 will have a material impact on its financial statements. In June 1998, the Financial Accounting Standards Board issued statement No. 133, "Accounting for Derivative Instruments and Hedging Activities," which is required to be adopted in years beginning after June 15, 1999. Management does not anticipate that the adoption of the new statement will have a significant effect on results of operations or the financial position of the Company. F-13
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) 2. MARKETABLE SECURITIES/MARGIN PAYABLE Companies are required to classify each of their investments into one of three categories, with different accounting for each category. At March 31, 1999, management has classified all their equity securities as available-for-sale securities, which are reported at fair market value, with unrealized gains and losses reported as other comprehensive income. Gains or losses on the sale of securities are recognized on a specific identification basis. The Company's investment in marketable securities for the year ended March 31, 1999 is summarized as follows: Amortized Unrealized Gain Fair Market Cost (loss) Value --------- -------- ---------- Balance - March 31, 1998....... $ 0 $ 0 $ 0 Purchases...................... $ 4,382 -- $ 4,382 Sales.......................... (1,980) -- (1,980) Realized gain.................. 12 -- 12 Unrealized loss................ -- (42) (42) --------- -------- ---------- Balance - March 31, 1999....... $ 2,414 $ (42) $ 2,372 ========= ======== ========== The Company may purchase up to 50% of its investments on margin advances by its broker. Interest, which is payable at 7% amounted to $31 during the year ended March 31, 1999. 3. REVENUE PRODUCING EQUIPMENT, NET The following summarizes the Company's investment in revenue producing equipment: · Enlarge/Download Table March 31, ----------------------- Estimated 1999 1998 Useful Lives ------------------------------------------ (In Thousands) Revenue producing Equipment primarily under capital lease... $ 3,154 $ 2,145 3-5 years Less accumulated depreciation and amortization.............................. 2,253 1,652 -------- -------- $ 901 $ 493 ======== ======== 4. FIXED ASSETS March 31, ----------------------- Estimated 1999 1998 Useful Lives ------------------------------------------ (In Thousands) Land under capital lease................... $ 136 $ 136 Building under capital lease............... 1,226 1,226 40 years Equipment, furniture and fixtures.......... 1,265 1,219 5-10 years Leasehold improvements..................... 4 4 10-15 years Equipment, furniture and fixture under capital leases........................... 804 681 5-10 years Building improvements...................... 337 328 40 years -------- -------- 3,772 3,594 Less accumulated depreciation and amortization, including $651 in 1999 and $578 in 1998 attributable to assets under capital leases..................... 1,672 1,543 -------- -------- $ 2,100 $ 2,051 ======== ======== F-14
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) 5. NOTES PAYABLE AND LONG-TERM DEBT NOTES PAYABLE - OTHER The Company's other notes which arose in connection with the purchase of inventories are as follows: (A) The Company converted a portion of its accounts payable into a notes payable to trade creditors in the principal amount aggregating $600 and $1,699 during the years ended March 31, 1999 and 1998, respectively.. These notes are payable in monthly installments of approximately $2 to $8 with interest rates ranging from 8.5% to 14.5%. The outstanding principal balance at March 31, 1999 and 1998 were $916 and $1,379, respectively. (B) In February 1997, the Company reached a settlement with the City of New York relating to an audit of General Corporation and Commercial Rent taxes for the years 1990 through 1992. In accordance with this settlement agreement, the outstanding principal balance at March 31, 1999 and March 31, 1998 of $50 and $56, respectively, is payable in monthly installments of $2 which includes interest at 10% per annum. A final balloon payment of $18 is due on March 1, 2000. The weighted average interest rate for notes payable-other was 11.3%, 11.7%, and 12.51% for the years ended March 31, 1999, 1998 and 1997, respectively. The average amount of notes payable-other outstanding for the years ended March 31, 1999 and 1998 was approximately $1,159 and $529 respectively. Notes payable other are principally short-term in nature. As such, fair value approximates the carrying value. Future minimum cash payments under notes payable - other and in the aggregate are as follows: Fiscal Year Amount ----------- -------- 2000 $ 857 2001 109 -------- $ 966 ======== NOTES PAYABLE - REVOLVING CREDIT FACILITY AND TERM LOAN In April 1994, the Company entered into a Loan and Security Agreement (the "Agreement") with Rosenthal and Rosenthal ("Rosenthal") to borrow, under certain conditions and terms, up to $2,500 at an interest rate of prime plus 4-7/8%. Borrowings under the Agreement are collateralized by certain assets of the Company, including accounts receivables, inventories, equipment and fixtures. The Company's ability to use this revolving credit facility is dependent upon the level of its eligible receivables, as defined in the Agreement. In addition, the Company granted Rosenthal warrants to purchase 70,000 shares of the Company's common stock (see Note 12). F-15
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) Effective February 1, 1996, the Company and Rosenthal amended the Loan and Security Agreement ("Amendment No. 1"). Amendment No. 1 extended the Agreement through April 28, 1997 and allowed the Company to borrow, under certain conditions and terms up to $3,500 (based on eligible accounts receivable, as defined) at an interest rate of prime plus 3 7/8%. Effective February 1, 1997, the Company and Rosenthal amended the Loan and Security Agreement ("Amendment No. 2") to extend the Agreement through April 1, 1998 and reduce the interest rate to prime plus 2 7/8%. In addition, the Company granted Rosenthal warrants to purchase an additional 30,000 shares of the Company's common stock (see Note 12). Commencing April 28, 1996, the Company was required to pay a facility fee of $35 per annum, which Amendment No. 2 increased to $40 per annum. Amendment No. 2 also provided a $500 term loan to the Company due on April 1, 1998 with interest payable monthly at a rate of prime plus 5%. Effective April 3, 1998, the Company agreed to an amendment of the Loan and Security Agreement. The amendment extended the agreement through April 1, 2000 and allows the Company to borrow, under certain conditions and terms, up to $9,000 under a revolving loan agreement at an interest rate of prime (prime at March 31, 1999 was 7.75%) plus 1 1/2%, as well as an overdraft line of $1,000 at prime plus 3%. The amendment also increased the term loan available to the Company to $750. In addition, the Company granted Rosenthal warrants to purchase 50,000 shares of the Company's common stock (see Note 12). In connection with the RFE Investment Partners L.P. financing approval in July 1998 (see Note 6), the Company granted Rosenthal warrants to purchase 10,000 shares of the Company's common stock (See Note 12). The revolving credit facility and the term loan bear interest at variable market rates and as such the carrying value approximates their fair value. The weighted average interest rate, including the facility fee, for the years ended March 31, 1999, 1998 and 1997 was 10.8%, 13.1% and 13.14%, respectively. The amount outstanding at March 31, 1999 and 1998 was $8,515, and $5,854 respectively. 6. 12% SUBORDINATED DEBENTURES On July 14, 1998 the Company entered into a Note Purchase Agreement with RFE Investment Partners L.P., ("RFE") whereby RFE purchased $5,000 of the Company's 12% Subordinated Debentures. On August 21, 1998, Amendment No. 1 to the Note Purchase Agreement was executed, whereby Sterling/Carl Marks Capital, Inc. was added as an "Additional Purchaser". Sterling/Carl Marks Capital, Inc. purchased an additional $750 of 12% Subordinated Debentures. On October 26, 1998, Amendment No. 2 to the Note Purchase Agreement was executed, whereby Austin Marxe was added as an "Additional Purchaser". Austin Marxe purchase an additional $500 of 12% Subordinated Debentures. Interest on the debentures is payable quarterly, in arrears. The Company may, at its sole discretion, accrue up to six quarterly interest payments, which would otherwise be due, until the maturity date. Such accrued interest payments shall bear interest at the same rate and are payable on the same terms as original interest on the debentures. Maturity dates on the above debentures are July 14, August 26, and October 26, 2003 for RFE, Sterling/Carl Marks Capital, Inc. and Austin Marxe, respectively. At the option of the note holders, the notes can be converted into shares of common stock equal to the quotient obtained by dividing the aggregate principal amount by the Conversion Price, as defined. The initial Conversion Price is $2.875 and the Conversion Price is subject to adjustment as set forth in the agreement. If a Conversion Event, as defined, occurs, the notes will be mandatory converted into the shares of common stock. F-16
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) In addition, on the maturity date, the Company is required to deliver a Common Stock Warrant, as defined, to each of the holders with an exercise price per share equal to $0.01, to purchase certain shares of the Company's common stock. The number of shares of Common Stock to be purchased will be computed based upon a pre-determined formula as prescribed in the agreement. 7. PROVISION FOR UNCOLLECTIBLE AMOUNT DUE FROM MAJOR CUSTOMER Since December 1996, the Company has been providing services to HIP Health Plan of New Jersey ("HIP"). In October 1997, HIP entered into a contract with Pinnacle Health Enterprises ("PHE"), a subsidiary of PHP Health Care Corporation (PHP), wherein PHE would manage the medical risk and provide all the health care services and supplies to HIP members and pay claims and contracts with providers on behalf of HIP. HIP requested that the Company coordinate its HIP network management and provider services and forward its invoices to PHE for processing and payment. On November 19, 1998, PHP, including PHE, filed for protection under Chapter 11 of the U.S. Bankruptcy Code. This action followed HIP's announced intention to terminate its Health Services Agreement with PHE. In December 1998, the Company received $795, representing 30% of open claims through November 20, 1998 and increased its allowance for doubtful accounts for the remaining balance of $1.1 million. This was in concert with the HIP Rehabilitation Plan implemented by the State of New Jersey. 8. CAPITAL LEASE OBLIGATIONS The Company leases its principal offices and warehouse facility and certain equipment, furniture and fixtures, rental equipment and leasehold improvements under capital lease agreements which expire through March 31, 2004. CAPITAL LEASE-FACILITY The Company occupies a pharmacy warehouse and office facility (the "Facility") which was obtained under a ten-year lease (the "Lease Agreement") with the New York City Industrial Development Agency (the "Agency") as lessor. The Agency issued to National Westminster Bank, U.S.A. (now "Fleet") $1,072 principal amount of its Industrial Development bonds (the "Bonds") pursuant to an Indenture of Mortgage and Agreement dated April 1, 1989 (the "Indenture") which created a lien on the facility. The Company also paid $228 in order for the Agency to purchase the warehouse. This amount and other acquisition costs are capitalized as land and building under capital lease (see Note 3). At the end of the term of the lease, the Company has communicated its intention to purchase the Facility for one dollar pursuant to the terms of the capital lease. The Lease Agreement and Guaranty Agreement require the Company and its subsidiaries to comply with certain covenants, including but not limited to, maximum debt to worth ratio, maximum allowable losses and debt service coverage ratio. In lieu of rent the Company pays principal on the Bonds in quarterly installments of $18, plus interest at the rate of prime (prime rate at March 31, 1999 was 7.75%) plus 1%. A final balloon payment of $232 plus interest thereon was due on April 1, 1999. Each of the Company's wholly owned subsidiaries has guaranteed the Company's obligations under the lease. The Lease Agreement and Guaranty Agreement also restrict the payment of cash dividends in any one year to an aggregate amount not to exceed 25% of the Company's net income for the immediately preceding year. The Company is currently in default of this balloon payment. The balloon payment of $232 is presently to be paid pursuant to a financing arrangement with Rosenthal, whereby Rosenthal will lend the Company $250 to be paid in six equal installments, plus interest at the rate of prime, plus 4%, commencing on November 30, 1999. If the Facility is sold prior to October 30, 1999, then the outstanding principal, plus interest, is due at closing. F-17
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) The obligation under capital lease-facility bears interest at variable market rates and as such the carrying value approximates its fair value. OTHER CAPITAL LEASES The Company leases durable medical equipment and computers under capital lease agreements which extend through March 31, 2004 with interest rates ranging from 6.50% to 16.71%. Future minimum cash payments under capital leases with initial or remaining noncancellable lease terms in excess of one year at March 31, 1999 are as follows: Capital Lease Other Capital Fiscal Year Facility Leases ----------- ------------ ------------ 2000....................................... $ 232 $ 509 2001....................................... -- 315 2002....................................... -- 77 2003....................................... -- 30 2004....................................... -- 15 ------------ ------------ 232 946 Less interest.............................. -- 128 ------------ ------------ Present value of net minimum obligations... 232 818 Less current portion....................... 232 430 ------------ ------------ Long term obligations at March 31, 1999.... $ 0 $ 388 ============ ============ 9. CONTINGENCIES The Company is involved in litigation through the normal course of business. The Company believes that the resolution of these matters will not have a material adverse effect on the financial position of the Company. 10. 6% CONVERTIBLE PREFERRED STOCK On December 14, 1994 and January 30, 1995, the Company completed the sale at $2.00 per share, of 1,325,000 shares of redeemable convertible preferred stock (the "Preferred Stock") with a 6% per annum cumulative dividend. During the quarter ended December 31, 1995, the Company sold at $2.50 per share, 25,000 additional shares of Preferred Stock to certain officers and directors of the Company. The Preferred Stock is convertible at any time at the option of the holder, subject to antidilution adjustments, into 1,350,000 shares of common stock. On October 10, 1998, 1,245,000 shares were converted in common shares at a 15% premium per an agreement with the Preferred stock holders. Accordingly, 1,431,750 shares of common stock were issued, leaving 105,000 shares of Preferred Stock outstanding. The holders of the Preferred Stock are entitled to voting rights equivalent to that of the common stock. The Preferred Stock is senior to the common stock in the event of a liquidation of the Company. The liquidation preference is $2.00 per share plus accrued and unpaid dividends. The Preferred Stock was subject to mandatory redemption requirements of up to $4.00 per share plus accrued dividends. As of June 16, 1995, the 6% Convertible Preferred shareholders agreed to modify their stockholder agreements to negate the mandatory redemption requirements. This modification eliminates the need for recognition of accretion effective June 16, 1995, and results in the 6% Convertible Preferred Shares being classified as equity rather than debt. The Company is obligated to pay annual dividends of $.12 per share on its 105,000 outstanding shares of Preferred Stock. Such dividends accrue daily, are payable each June 1 and December 1 and, at the election of the Company, may be paid in shares of Common Stock valued in accordance with the terms of such stock. Dividends on the Company's Preferred Stock are payable in preference and priority to any payment of any dividends on the common stock. F-18
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) The June 1, 1997 dividend was paid out in 45,556 shares of common stock on July 18, 1997. The December 1, 1997 dividend was paid out in 35,354 shares of common stock on January 15, 1998. The June 1, 1998 dividend was paid out in 46,526 shares of common stock on December 17, 1998. The December 1, 1998 dividend will be paid out in 4,388 shares of common stock in 1999. 11. COMMITMENTS OPERATING LEASES A vendor has a security interest in certain assets of the Company, including accounts receivable, inventories, equipment and fixtures. This security interest is subordinate and junior in all respects to the Loan and Security Agreement. RELATED PARTY TRANSACTIONS A director has a consulting arrangement with the Company whereby he receives a consulting fee of $4 per month and an office expense reimbursement of $1 per month. The Company's president/chief executive officer has a loan payable to the Company in the amount of $100 due on demand bearing interest at 8% per year and is collateralized by 50,000 shares of the Company's preferred stock. EMPLOYMENT AGREEMENT The Company's President and Chief Executive Officer is entitled to an annual salary at a rate of $250 and 25,000 shares of the Company's common stock. At the Company's Board of Directors meeting on June 25, 1998, the Company renewed its employment agreement with its President and Chief Executive Officer through May 2, 2001. Under the employment agreement, the Company's President and Chief Executive Officer is entitled to an annual salary at a rate of $275 and 62,500 restricted shares of the Company's common stock. In connection with the Healix merger, the Company entered into employment agreements with two officers. Under these agreements, the officers are entitled to an aggregate annual salary of $240 and 110,000 restricted shares of common stock. F-19
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) 12. STOCK OPTIONS AND WARRANTS In September 1988, the Company adopted, and in September 1994 amended, the 1988 Stock Option Plan ("Stock Option Plan"). In 1999, the Company adopted a 1998 stock option plan, whereby all options granted under the 1988 Option Plan will be rolled over to the 1998 stock option plan. Under the plan, an aggregate maximum of 2,000,000 shares of the Company's common stock may be granted. The Stock Option Plan is administered by the Board of Directors, who are responsible for determining the individuals who will be granted options, the number of shares to be subject to each option, the option price per share, and the exercise period of each option. The option price may not be less than the fair market value of the Company's common stock. The fair market value is defined in the Stock Option Plan to be the mean between the closing bid and the closing asked prices for the common stock of the Company on the date of grant. No option may have a term in excess of ten years. As to any stockholder who owns 10% or more of the Company's common stock, the option price per share will be no less than 110% of the fair market value of the Company's common stock on the date of grant and such options shall not have a term in excess of five years. During the years ended March 31, 1999 and 1998, the Board of Directors granted a total of 152,500 and 130,000 options, respectively, to purchase shares of the Company's common stock to employees with exercise prices ranging from $1.75 to $2.875 per share. These options are exercisable in four equal annual increments. Weighted Average Exercise Price Shares Per Share ------ --------- Outstanding at March 31, 1997............... 269,500 $2.03 Granted..................................... 130,000 2.38 Cancelled................................... (28,250) (1.99) ---------- ----- Outstanding at March 31, 1998............... 371,250 $2.22 Granted..................................... 152,500 $2.88 Cancelled................................... (4,500) (1.95) ---------- ----- Outstanding at March 31, 1999............... 519,250 $2.37 ========== ===== Exercisable at March 31, 1997............... 32,500 $2.81 ========== ===== Exercisable at March 31, 1998............... 66,450 $2.22 ========== ===== Exercisable at March 31, 1999............... 184,800 $2.29 ========== ===== F-20
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) Separate from options issued under the Stock Option Plan, in February 1992, the Board of Directors granted to three former directors of the Company a total of 60,000 options to purchase shares of the Company's common stock ("1992 Options"). The exercise price of the 1992 Options is the mean between the closing bid and the closing asked prices for the common stock of the Company on the date of grant, which was $4.75. These options may be exercised in 25% increments on the first, second, third and fourth anniversary of the date of issue, and have a term of ten years. There were 16,000 options outstanding as of March 31, 1999. During fiscal 1995, separate from options issued under the Stock Option Plan, the Company granted options to purchase 352,500 of common shares to officers and directors ("1995 Options"). The exercise prices of the 1995 Options range from $2.00 to $3.00. At March 31, 1999 and 1998, 295,000 and 287,500 shares of option are vested, and 0 and 50,000 shares of options were cancelled, respectively. There were 302,500 options outstanding as of March 31, 1999. In September 1995, separate from options issued under the Stock Option Plan, the Company granted options to purchase 45,000 of the Company's common shares to directors ("1996 Options"). The exercise price of the 1996 Options are $1.875 with the shares vesting over five years from the date of issuance. In June 1996, separate from options issued under the Stock Option Plan, the Company granted options to purchase 45,000 of the Company's common shares to directors ("1997 Options"). The exercise price of the 1997 Options are $1.625 with the shares vesting over five years from the date of issuance. In June 1996, separate from options issued under the Stock Option Plan, the Company granted options to purchase 50,000 of the Company's common shares to a director ("June 1996 Options"). The exercise price of the June 1996 Options are $1.625 with the shares vesting over five years from the date of issuance. In October 1996, separate from options issued under the Stock Option Plan, the Company granted options to purchase 20,000 of the Company's common shares to employees ("1997 Options"). The options carry an exercise price of $2.125 and vest over five years from the date of issuance. In October 1997, separate from options issued under the Stock Option Plan, the Company granted options to purchase 40,000 of the Company's common shares to directors ("1998 Options"). The exercise price of the 1998 options are $2.125, with the shares vesting over five years from the date of issuance. During fiscal 1998, separate from options issued under the Stock Option Plan, the Company granted options to purchase 70,000 of the Company's common shares to employees ("1998 Options"), with exercise prices ranging from $2.00 to $2.125. Fifty thousand of these options vest ratably over 24 months from the date of issuance, with the balance vesting in four equal increments beginning one year from date of issuance. F-21
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) During fiscal 1999, separate from options issued under the Stock Option Plan, the Company granted options to purchase 40,000 of the Company's common shares to directors ("1999 Options"). The exercise price of the 1999 options are $2.875, with the shares vesting over five years from the date of issuance. As of March 31, 1999 and 1998, an aggregate 1,147,750 and 1,068,750 shares, respectively, of the Company's common stock are reserved for issuance under the Stock Option Plan, and the 1990, 1992, 1995, 1996, 1997, 1998 and 1999 options. As of March 31, 1999, 620,733 shares of such options are exercisable. Pro forma information regarding net income and earnings per share is required by SFAS 123, and has been determined as if the Company had accounted for its employee stock options under the fair value method of SFAS 123. The fair market value for these options was estimated at the date of grant using a Black-Scholes option-pricing model with the following weighted-average assumptions for 1999, 1998 and 1997: · Enlarge/Download Table MARCH 31, --------------------------------- ASSUMPTION 1999 1998 1997 ---------- ---- ---- ---- Risk-free rate...................................... 5.34% 5.47% 6.2% Dividend yield...................................... 0% 0% 0% Volatility factor of the expected market price of the Company's common stock........................ 1.085 0.949 1.7 Average life........................................ 5 years 5 years 4.9 years The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options which have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions including the expected stock price volatility. Because the Company's employee stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management's opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options. For purposes of pro forma disclosures, the estimated fair value of the options is amortized to expense over the vesting period of the options. The Company's pro forma information follows: YEARS ENDED MARCH 31, ------------------------------ 1999 1998 1997 ---- ---- ---- Pro forma net loss.................. ($5,692) ($704) ($244) Pro forma net loss per share........ ($1.29) ($.22) ($0.85) The weighted average fair value of options granted during the years ended March 31, 1999, 1998 and 1997 were $0.86, $1.86 and $1.53, respectively, for shares granted. The weighted-average remaining contractual life of options exercisable at March 31, 1999 is 3 years. The exercise prices range from $1.625 to $4.75 for options outstanding as of March 31, 1999. F-22
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) In April 1994, pursuant to the terms of a Loan and Security Agreement (see Note 4), the Company granted to a financing company warrants to purchase 70,000 shares of common stock at a price of $2.00 per share. On February 1, 1996, the Company granted warrants to purchase an additional 30,000 shares of common stock at $2.50 per share expiring on April 28, 1998. On February 1, 1997, the expiration date of the 100,000 warrants was amended to be the later of April 1, 2001 or thirty-six months following the last day of any term to which the Loan Commitment has been extended and the exercise price for all warrants was restated to $2.00 per share. During the year ended March 31, 1999, the Company granted to this financing company two warrants to purchase 50,000 and 10,000 shares of the Company's common stock at a price of $2 and $2.875 per share, respectively, expiring on July 1, 2003. These 60,000 shares of warrants have been valued at $0.88 per share in records with SFAS 123. As of March 31, 1999, no warrants have been exercised and an aggregate of 160,000 of the Company's common stock are reserved for issuance under these warrants. 13. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN In December 1986, the Company established a profit sharing and thrift plan (the "Plan") covering substantially all eligible employees. The Plan qualifies under Section 401(k) of the Internal Revenue Code. The Company matches contributions equal to 25% of an eligible employee's pre-tax 401(k) contribution. The matching contribution is limited for any part of an eligible employee's pre-tax 401(k) contribution which exceeds 10% of their compensation. At the discretion of the Board of Directors, the Company may also make additional contributions dependent on profits each year for the benefit of eligible employees under the Plan. The Company's contribution to the Plan was approximately $71, $33, and $43 for the years ended March 31, 1999, 1998 and 1997, respectively. In August 1995, the Company adopted a deferred compensation plan for the Board of Directors (the "Directors Plan"). Under the Directors Plan, a director may elect to defer receipt of all or a specified portion of his or her compensation. As of March 31, 1999, no director had elected to defer any portion of his or her compensation. 14. INCOME TAXES The Company had net deferred assets and liabilities as follows: March 31, ------------------------ 1999 1998 ---------- --------- Federal, State and Local Net Operating Loss Carry forwards................... $ 3,075 $ 1,881 Allowance for Doubtful Accounts....... 727 197 Business Credit Carry-forwards........ 52 52 Other................................. 667 67 ---------- --------- Total................................. 4,521 2,197 Less: Valuation Allowance............ (4,521) (2,287) ---------- --------- Net Deferred Liabilities.............. $ 0 $ (90) ========== ========= The following is a reconciliation of the amount of the income tax expense (benefit) attributable to continuing operations to the amount of income tax that would result from applying the federal rate to pretax income from continuing operations: F-23
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) · Download Table For the years ended March 31, -------------------------------------- 1999 1998 1997 (Benefit) (Benefit) (Benefit) Liability Liability Liability --------- -------- --------- Income tax (benefit) at statutory rate at 34%....................... $ (1,216) $ (162) $ (9) Permanent Differences -- 6 Other decrease in valuation allowances related to the federal portion of continuing operations...................... (90) -- (49) Amount attributable and pooling of interests............ (26) -- (60) Loss producing no current benefit......................... 1,216 240 -- --------- -------- --------- $ (90) $ 104 $ (112) ========= ======== ========= At March 31, 1999, based upon tax returns filed and to be filed, the Company has net operating loss carryforwards for U.S. tax purposes of approximately $6,540 which will begin to expire in 2009 and a general business tax credit carryforward of approximately $52 available to reduce future payments of federal income taxes. The Company also has net operating loss carryforwards for New York State and City tax purposes of approximately $7,507 and $7,504, respectively. The valuation allowances increased $2,234 in 1999, decreased $382 in 1998 and increased $265 in 1996. These amounts are equal to the changes in deferred tax assets to reflect the uncertainty as to realization of such assets. The availability of net operating loss carryforwards and general business tax carryforwards is subject to various limitations under the Internal Revenue Code of 1986 as amended (the "Code"). Although a formal study has not been performed, it appears that as of March 31, 1995, the Company may have undergone an ownership change as defined by Section 382 of the Code. The effect of such an ownership change is to limit the amount of taxable income and tax liability that can be offset in any tax year by the net operating loss and credit carryovers. 15. SUBSEQUENT EVENTS In June 1995, a former employee had commenced an action in Supreme Court, New York County, New York against the Company and certain of its former and current officers, directors and shareholders. The action alleged that the Company breached plaintiff's employment agreement by withholding at least $750,000 in commissions allegedly owed to him. As of June 1998, this matter had thought to have been settled through court recommended mediation. In May 1999 the former employee petitioned the court to reopen the matter. The matter is still pending with the court; however, management believes there will be no material adverse effect on the Company's consolidated financial position, results of operations or cash flows. To enhance productivity and provide technological enhancements, the Company signed a lease in June, 1999 to rent 37,000 square feet in Yonkers, New York, where it plans to consolidate its major offices and warehouses at an average cost of approximately $26,000 per month over the life of the lease. The initial term is for a period of sixty-five months with two renewals each for a sixty month period. F-24
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ACCUHEALTH, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) (Amounts in thousands, except shares and per share data) · Enlarge/Download Table SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS Column A Column B Column C Column D Column E -------- -------- -------- -------- -------- Additions Balance at Charged to Beginning of Cost and Balance at End Period Expenses Deductions of Period ----------- ----------- ----------- ----------- Year Ended March 31, 1997 Allowance for Doubtful Accounts $ 320 $ 279 $ 238 $ 361 Year Ended March 31, 1998 Allowance for Doubtful Accounts $ 361 $ 336 $ 181 $ 516 Year Ended March 31, 1999 Allowance for Doubtful Accounts $ 516 $ 3,175 $ 2,076 $ 1,615 F-25

Dates Referenced Herein   and   Documents Incorporated By Reference

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This 10-K Filing   Date First   Last      Other Filings
1/1/939
2/3/9417
3/31/942324
4/1/9419
4/28/942324
4/29/941718
5/2/9424
5/31/9419
6/28/941924
9/20/941824
12/14/9444
1/30/9544
3/31/951250
5/16/9517
6/16/9544
6/30/951718
9/30/9512
12/31/9544
2/1/962349
3/31/961232
4/28/9642
6/1/9611
7/8/961132
9/30/96123610-Q
12/1/9611
2/1/972349
3/14/97235
3/31/9785110-K
4/11/971132
4/28/9742
6/1/971145
6/16/9729
7/1/97235
7/18/971145
7/25/9732
7/30/9724
9/30/971236NT 10-Q, 10-Q
10/1/9733
10/23/9722DEF 14A
12/1/97245
1/15/981145
3/5/9816
3/25/9816
3/31/98851NT 10-K, 10-K/A, 10-K
4/1/982542
4/3/9842
4/9/982358-K/A, 8-K
4/15/98168-K/A
4/23/9825
4/28/9849
4/30/98248-K
6/1/981145
6/25/981445
7/14/984210-K
8/21/9842
10/9/9822
10/10/981144
10/26/9842
11/19/9843
11/20/9843
12/1/981145
12/15/9839
12/17/981145
For The Period Ended3/31/99151NT 10-K
4/1/991043
4/15/9917
5/1/9918
6/15/9939
6/29/99121
6/30/99211NT 10-K, 10-Q
7/9/9928
Filed On / Filed As Of7/14/9926
10/30/9943
11/30/9943
3/1/041
3/31/01436NT 10-K, 10-K
4/1/01442
4/1/149
5/2/11945
12/31/120
7/1/349
10/26/342
12/31/320
3/31/44344
 
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