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FORM 10-KSB
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
For the Fiscal Year Ended December 31, 1996
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ___ to ___
Commission File Number 0-27654
LONG ISLAND PHYSICIAN HOLDINGS CORPORATION
(Name of small business issuer in its charter)
New York 11-3232989
(State or other jurisdiction (I.R.S. Employer
of incorporation or organization) Identification No.)
One Huntington Quadrangle Suite 4C-01
Melville, New York 11747
(Address of principal executive offices) (Zip Code)
Issuer's telephone number: (516) 454-1900
Securities registered
pursuant to Section 12(b) of the Act:
None
Securities registered
pursuant to Section 12(g) of the Act:
Class A Common Stock, par value $.001
Class B Common Stock, par value $.001
Check whether the issuer (1) filed all reports required to be filed by Section
13 or 15(d) of the Securities Exchange Act of 1934 during the past 12 months (or
for such shorter period that the issuer was required to file such reports), and
(2) has been subject to such filing requirements for the past 90 days.
Yes X No ___
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Check if there is no disclosure of delinquent filers in response to Item 405 of
Regulation S-B is not contained in this form, and no disclosure will be
contained, to the best of Issuer's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-KSB or any
amendment to this Form 10-KSB [ ].
The Issuer's revenues for the year ended December 31, 1996 were
$23,834,000.
The aggregate market value of the Issuer's common stock held by
non-affiliates of the Issuer (assuming for this purpose that all officers,
directors and holders of more than 10% of the Company's outstanding voting stock
are affiliates) cannot be determined since there is no trading market for such
stock.
As of March 15, 1997 there were 1,506 shares of Class A common stock and
4,334 shares of Class B common stock outstanding.
Transitional Small Business Disclosure Format (check one:) Yes ___ No X.
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PART I
1. Description of Business
General
Long Island Physician Holdings Corporation (the "Company" or "LIPH"),
incorporated on October 11, 1994 in the State of New York as a holding company
and controlled by physicians residing in New York State and practicing on Long
Island, New York for purposes aimed at advancing the delivery of healthcare.
At December 31, 1996, the Company owned a seventy-three (73%) percent
interest in MDNY Healthcare, Inc. ("MDNY"), formally MDLI Healthcare, Inc., a
licensed health maintenance organization ("HMO"). At December 31, 1996, the
Company had invested approximately $ 9,070,000 for this interest in MDNY,
including a subscription for $351,932, which was paid in 1997. The remaining
equity interest in MDNY of $3,360,000, including a subscription of $500,000,
which was paid in January 1, 1997, is owned by the Catholic Healthcare Network
of Long Island, Inc. ("CHNLI"). As a result of the Company's 73% ownership of
MDNY, MDNY's financial statements are consolidated into the Company's audited
financial statements.
On November 12, 1996, the Company formed a wholly-owned subsidiary, LIPH
LLC and contributed all of the Company's stock interests in three practice
associations (Island Practice Association IPA, Inc., Island Behavioral Health
Association IPA, Inc., Island Dental Professional Association IPA, Inc.)
("IPA's") , NextStage Healthcare, Inc. ("NextStage"), Mainstreet Practice
Management Inc. ("Mainstreet"), Mainstreet Dental Management Corporation
("Mainstreet Dental"), as well as certain other assets to LIPH LLC.
On November 14, 1996, the Company declared a dividend and distributed to
all shareholders of record on November 17, 1996, all of the Membership Interests
in LIPH LLC which were valued at $733,526.
MDNY is an independent practice association-model HMO licensed by the State
of New York to operate in Nassau and Suffolk counties. MDNY's operations
commenced on January 1, 1996. At December 31, 1996, MDNY had 18,830 members,
comprised of individuals and families, enrolled in its health maintenance plans.
MDNY's primary product line includes point-of-service plans, traditional health
maintenance organizations plans ("HMO"), and Medicare plans. A significant
portion of MDNY's enrollees, approximately 65% of total enrollees, are covered
by one employer, CHNLI, a related party.
MDNY's HMO products are offered through two programs - MDSelect and
MDClassic, each designed to meet specific needs and health benefit objectives.
In the MDSelect program, a member selects a personal physician (PCP) who
specializes in primary care and who will work with them to oversee all their
healthcare needs. The PCP is the member's link to the network of medical
professionals and specialists in MDNY's network. In the MDClassic program, at
the time of enrollment, members select their PCP and also have immediate access
to the MDNY
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network of specialists, without referral from the PCP. HMO premiums account for
approximately 82% of total premiums earned.
MDNY's point-of-service product allows members more flexible coverage as
compared to the HMO product. As with the HMO, members may access MDNY's
preferred network. Additionally, the point-of-service product gives members the
freedom to select any physician outside the MDNY preferred network, even without
a referral. Members who use this option must meet an annual deductible and pay
the appropriate coinsurance. MDNY's point-of-service products are offered
through the MDClassic and MDSelect programs. Point-of-service premiums account
for approximately 18% of total premiums earned.
In addition to the HMO and point-of-service products, beginning January 1,
1997, MDNY began offering MDNY Medicare Plans to Medicare eligible individuals.
Under risk contracts with the Federal Health Care Financing Administration
("HCFA"), MDNY is paid a fixed per member per month capitation amount by the
HCFA based upon a formula of the projected medical expense of each Medicare
member. MDNY bears the risk that the actual costs of the healthcare services may
exceed the per member per month capitation amount received by MDNY.
MDNY maintains a contractual network with the Island Dental Professional
Association I.P.A. in its service area through which it offers dental plans in
conjunction with its health benefit plans. At June 30, 1997, MDNY had 25,484
persons enrolled in its medical insurance plans.
In consideration of a management fee payable out of premium revenues by
MDNY, NextStage provides the Company and the related IPA's with a wide range of
management services, including credentialing of providers pursuant to the terms
of the Management Services Agreement described below.
Each IPA has contracted with MDNY for the provision of applicable
healthcare services. Each IPA is responsible for contracting with individual
healthcare providers. Oversight for the initial and continuous screening of
participating healthcare providers is vested in the IPA's.
As of March 15, 1997, the Company had no full-time employees, other than
the Medical Director (who by statute is required to be an employee of MDNY).
Pursuant to a Management Services Agreement dated October 11, 1995 (the
"Management Services Agreement"), the Company, CHNLI and MDNY retained NextStage
to provide a variety of management, administrative and operational services on
behalf of MDNY and the Practice Associations.
LIPH is contemplating a transaction whereby it will be merged into a new
entity, MDNY Holdings, Inc. ("Holdings"), as a result of which the shareholders
of LIPH will receive voting and non-voting interests in Holdings in the same
proportion as their ownership in MDNY. CHNLI will own the same proportion in
Holdings as it currently holds in MDNY. MDNY will then become a wholly-owned
subsidiary of Holdings.
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Regulatory Matters
The operations of MDNY, the Company and the Practice Associations are
subject to substantial regulations and to risks associated with changes in such
regulations. In management's opinion, MDNY, the Company and the Practice
Associations are substantially in compliance with such regulations.
Federal Regulation:
One of the most significant applicable federal laws is the Health
Maintenance Organization Act of 1973, as amended (the "HMO Act"), and the rules
and regulations promulgated thereunder. The HMO Act governs federally qualified
HMO's, and prescribes the manner in which such HMO's must be organized and
operated.
State Regulation:
New York State regulates HMOs pursuant to Article 44 of the Public Health
Law. Subject to the provisions of Article 44, HMOs are exempt from the Insurance
Law and regulations. State laws require that MDNY obtain a Certificate of
Authority from the NYS Department of Health in order to operate as an HMO, which
certificate was issued to MDNY on November 1, 1995. As an HMO, MDNY is subject
to a full panoply of regulatory requirements imposed by the State of New York,
including requirements governing reporting, quality assurance, provider
contracting, management agreements, financial and solvency issues, rate-setting,
scope of benefits, marketing and related matters. In addition, HMOs are subject
to comprehensive on-site evaluations conducted by the NYS Departments of Health
and Insurance every three years.
By law and regulation, MDNY is required to satisfy certain financial and
solvency requirements. In particular, pursuant to New York State Department of
Health regulation, MDNY must have reserves of $100,000 or five percent (5%) of
the estimated expenditures for health care services for the year. MDNY had
available cash in excess of such amount as of December 31, 1996.
In addition, certain Federal and New York State laws limit the extent to
which healthcare providers may refer patients to businesses or facilities in
which the health care provider has a financial interest. In pursuing
healthcare-related business opportunities and investments in the future, the
Company will be required to limit its ownership, investment and payment
practices and procedures and may be unable to invest in, contract with, or own
certain healthcare entities unless the proposed arrangement satisfies the terms
of applicable Federal and New York State laws.
Furthermore, fees paid by MDNY for management services provided to the
Company and Practice Associations by NextStage pursuant to the Management
Services Agreement are based on a percentage of premium revenues and are subject
to New York State Department of Health approval.
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Effective January 1, 1997 New York State enacted the Health Care Reform Act
of 1996 (the "Act") which allows all private healthcare payors to negotiate
payment rates for inpatient hospital services. Previously, only HMO's could
negotiate rates for these services. Also, effective January 1, MDNY is required
to make payments to state funding pools to finance hospital bad debt and charity
care, graduate medical education, and other state programs under the Act.
Previously, hospital bad debt and charity care and graduate medical education
were financed by surcharges on payments to hospitals for inpatient services.
It is difficult to predict whether additional regulatory requirements may
apply to the operations of MDNY, the Company and the Practice Associations. It
should be assumed, however, that the health care delivery system in New York
State will continue to be subject to a high level of regulatory control, which
may impose additional limitations on the ability of the Company to engage in
various financial transactions.
Federal and New York State policymakers are continually considering changes
to laws and regulations applicable to HMOs. Over the past year, bills have been
introduced in the New York legislature which would require HMOs to allow any
physician to participate in the HMO regardless of geographic need would subject
HMOs to liability for delays in patient treatment pending HMO authorization
therefor, and other important factors that would subject HMOs to other new
regulatory requirements. In addition, Congress is considering significant
changes to both the Medicare and Medicaid programs.
The proposed regulatory changes described above, if enacted, could increase
health care costs and administrative expenses. In addition, the various bills
introduced in Congress and the state legislature contain provisions which may
facilitate entry of competing managed care organizations into MDNY's service
areas.
Competition
The Healthcare industry, both generally and in the Metropolitan Area, is
characterized by intense competition. MDNY is competing with other HMOs, prepaid
medical plans and conventional health insurers, many of which have been in
existence for longer periods of time than MDNY, are better established than MDNY
and have substantially greater financial resources, management experience and
product development programs than MDNY. In addition, other firms with resources
greater than those of MDNY and the Company may enter into competition with MDNY
by providing, for example, alternative healthcare delivery systems or by
offering greater benefits for a smaller premium payment. There can be no
assurance that MDNY will be able to compete successfully against such other
firms. If MDNY is unable to attract subscribers for its medical services, it
will adversely affect MDNY's ability to generate revenues, thereby limiting
MDNY's ability to make provider payments to the Practice Associations and make
distributions to MDNY Holdings, LLC, a newly formed New York limited liability
company ("Holdings").
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MDNY Expansion Plans
MDNY is seeking to expand its financial and service resources and to expand
its service area by offering equity interests in MDNY Holdings, LLC, to health
care providers and hospitals in other areas of New York State who will also
organize IPAs or other entities which will contract with MDNY for the provision
of medical and hospital services to MDNY's enrollees. Presently, MDNY is
actively pursuing expansion into the Hudson Valley region of New York State,
Five Boroughs of New York City and the Western New York area.
Contemplated Restructuring of MDNY Ownership
The Company presently owns all the shares of Class A common stock and CHNLI
owns all of the Class B common stock of MDNY Healthcare, Inc. MDNY, the Company
and CHNLI have agreed that to facilitate MDNY's expansion plans, the equity
interests in MDNY should be owned by MDNY Holdings, LLC, which has been
organized for that purpose. CHNLI and all future investors would own interests
in Holdings rather than MDNY and the shareholders of the Company will hold
interests in Holdings directly rather than through their interests in the
Company (the "MDNY Restructuring").
To accomplish the MDNY Restructuring, which was approved April 15, 1997, it
would include the following steps: (i) immediately prior to the merger, CHNLI
will exchange its 336 shares of MDNY Class B voting common stock for
newly-created Class C voting Common Stock of the Company and Class B Common
Stock of the Company in proportions which will preserve the relative voting
rights of CHNLI and the Company in MDNY that existed prior to the MDNY
Restructuring and (ii) the Company will be merged into Holdings, as a result of
which the shareholders of the Company, including CHNLI, will receive voting and
non-voting interests in Holdings in the same proportion as their ownership of
shares of Class A, Class B and Class C Common Stock of the Company immediately
prior to the MDNY Restructuring. Due to the fact that the exchange is to occur
simultaneously with the merger of the Company into Holdings, there will be no
significant effect on existing shareholders of the Company as a result of the
issuance of Class C Common Stock. The distribution of Holdings Interests to the
Company's shareholders and CHNLI will be effected pursuant to an exemption from
the registration requirements of the Securities Act for intrastate offerings.
The merger and the exchange are subject to the satisfaction of certain
conditions and is expected to take place just prior to the time MDNY expects to
complete a sale of equity securities in one of its expansion areas.
2. Description of Property
In April 1997, the Company relocated its offices to One Huntington
Quadrangle, Suite 4C01, Melville, NY 11747. NextStage provides the Company's
officers with office facilities. The new lease, under which NextStage is the
Leasee, expires February 15, 2002. The prior space at 275 Broadhollow Road,
Melville, New York has been assigned for sublease to North Fork Bank for the
balance of the lease term which expires June 30, 1999.
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3. Legal Proceedings
None.
4. Submission of Matters to a Vote of Security Holders.
Not Applicable
PART II
5. Market for Common Equity and Related Stockholder Matters
There is no present market for the shares of the Company. In addition, the
Company's Common Stock is subject to various transfer restrictions. Under
certain circumstances, the Company has a right, but not the obligation, to
purchase stock of the Company to be transferred at a price based on the per
share value determined by an independent certified public accountant.
The Company has never paid any dividends on its Common Stock, and does not
anticipate that dividends on the Common Stock will be declared and paid at any
time in the foreseeable future. Payment of dividends will be contingent upon the
Company's revenues and earnings, if any, and the capital requirements and
general financial condition of the Company and of its subsidiaries. The payment
of dividends in the future is entirely within the discretion of the Company's
Board of Directors. It is the present intention of the Company's Board of
Directors to retain all earnings, if any, for use in connection with its
business operations. Accordingly, the Board does not anticipate declaring any
dividends in the foreseeable future.
Between September 22, 1995 and January 20, 1996, the Company sold 1,506
shares of its Class A Common Stock and 4,333 shares of its Class B Common Stock
to medical practitioners who were bona fide residents of the State of New York
pursuant to an exemption from the registration requirements of the Securities
Act of 1933 for intrastate offerings as set forth in Section 3(a)(11) of said
Act.
6. Management's Discussion and Analysis of Financial Condition and Results of
Operations
Overview
The Company was organized to advance the cost-effective delivery of high
quality healthcare on Long Island, New York. In order to achieve this, it was
recognized that its healthcare professionals needed to be able to make the
healthcare delivery decisions for their patients.
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Concurrent with the establishment of MDNY, a management company, NextStage,
was established both to provide the administrative services for MDNY and LIPH as
well as assist LIPH in other endeavors that advance LIPH's interests. All the
staff supporting MDNY and LIPH, except the Medical Director (who by statute is
required to be an employee of the HMO) are NextStage employees.
The creation of these entities has enabled LIPH to begin to achieve the
changes sought by its formation. As of November 1, 1995, MDNY received its New
York State license as an HMO, and as of January 1, 1996, MDNY enrolled its first
subscribers and commenced operations.
As a holding company, LIPH does not have any operations that need or
provide funds. However, LIPH does require funds for legal, accounting and
corporate maintenance.
Until November 13, 1996, the Company owned (i) all of the shares of common
stock of the three IPA's which have service contracts with MDNY, (ii) all of the
shares of MainStreet, (iii) a one-third (1/3) interest in NextStage, and (iv) a
minority interest in MainStreet Dental. The Company was also the holder of a
note for $250,000 from Queens Physician Holdings Corp. On that date the Company
exchanged its shares in the IPAs, its other investments and certain other assets
for all of the voting and non-voting membership interests of LIPH, LLC, a newly
formed New York limited liability company and declared a distribution of the
voting and non-voting membership interests in LIPH, LLC to the shareholders of
record of the Company on November 14, 1996. As a result of the restructuring,
the only assets remaining with Company as of November 14, 1996, were its
interest in MDNY common stock, its cash and certain prepaid expenses. Prior to
the contemplated merger of the Company into MDNY Holdings, LLC as described in
item 1, the Company's remaining cash and prepaid expenses, less a reserve for
certain liabilities will be transferred to LIPH, LLC as part of the exchange. In
addition, LIPH, LLC agreed to grant options to holders of outstanding options to
acquire shares of the Company's common stock. Such option holders will receive
options to acquire non-voting membership interests in LIPH, LLC. The total
exercise price of the original options will be allocated between those options
and the new LIPH, LLC options in the same proportions that the cost of the LIPH
assets distributed to LIPH, LLC bears to the cost of the assets retained by
LIPH.
Results of Operations
1996 Compared with 1995
Revenue:
During 1995, the Company was in its start-up phase and did not commence
operations until January 1, 1996. The only revenue generated was interest income
relating to cash temporarily invested in money market accounts.
However, revenues for the year ended December 31, 1996, were approximately
$23,343,000, generated primarily through earned health premiums by or on behalf
of MDNY's
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enrollees. At December 31, 1996, MDNY had 18,830 enrollees. Investment income
for the year was approximately $491,000.
Costs and Expenses:
Total expenses for the year ended December 31, 1996 was $28,080,902 as
compared to $4,480,570 for the year ended December 31, 1995. The primary reason
for the $23,600,332 increase is a result of incurring $19,444,504 of medical
claims expenses in 1996 relating to the commencement of operations. The
remaining portion of the increase in expenses is due to increases in management
service expenses due to the commencement of operations.
During 1996, the Company incurred $1.6 million of consulting and
professional fees relating Company restructuring and obtaining licensing for the
MDNY's Medicare Plan. During 1995, the Company incurred approximately $1.3
million in organizational costs primarily for legal costs to obtain appropriate
licensing and for healthcare business consultants utilized to develop and design
the overall business strategy and develop the provider network.
In addition during 1995, the Company and MDNY began the process of hiring a
qualified management team and support staff to prepare for MDNY's inception of
full operations. Such salaries and related costs approximated $884,000 for 1995
as compared to approximately $3,801,000 for 1996. The increase in salary
expenses relates to the commencement of operations on January 1, 1997.
General and administrative costs of approximately $776,000 were incurred in
connection with recruiting, rent, printing and other general costs, including
marketing and advertisement of MDNY during 1995. In 1996, these costs increased
to approximately $2,310,000 primarily due to increased marketing expenses
associated with soliciting enrollees, increase rental payments, increased
recruitment expenses relating to employing qualified personnel to operate an
HMO, and increased depreciation expenses.
Net Loss:
Net loss for the year ended 1996 was $3,912,579 compared to a net loss for
the year ended 1995 of $2,938,432. The increased loss of $912,147 was is a
function of MDNY incurring significant costs associated with the commencement of
operations whereas prior year expenses were related to development and design of
the HMO. The Company's future profitability is dependent, in part, on its
ability to predict and maintain effective control over healthcare costs while at
the same time increasing enrollment in existing service areas and expanding into
new service areas. The Company will continue to make significant commitments in
marketing to potential enrollees on Long Island and expansion areas. In
addition, the Company will incur the necessary costs to expand MDNY's service
area.
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Liquidity and Capital Resources:
Cash flows used in operations and investing activities of $903,449 and
$2,914,922, respectively, offset by net cash provided from financing activities
of $2,740,223 contributed to the net decrease in cash and cash equivalents of
$1,078,148. Net cash used in operating and investing activities relates
primarily to costs and investments made to begin and continue operations of the
HMO. Cash received from financing activities were obtained in conjunction with
the Company's offering of securities.
The Company currently plans to expand its operations into the Hudson Valley
region of New York State, the five boroughs of New York City, and the western
New York State area through additional equity offerings by MDNY Holdings, LLC.
Although the Company believes that the anticipated future cash flow from
operations, along with cash on hand and available, will be sufficient to meet
working capital requirements during 1997, the continued success of the Company
is dependent of the success of the expansion area private placement offerings.
In addition, in accordance with New York State Insurance Department
regulations, the Company is required to maintain certain amounts on deposit in
an escrow account for the protection of enrollees. The Company had $462,550 of
cash, along with $1,164,372 of U.S. Treasury Securities, on deposit in escrow at
December 31, 1996.
Inflation:
The Company does not anticipate that inflation will have any significant
effect on its business particularly since the United States, the only market in
which the Company currently intends to operate, is presently experiencing a
relatively low rate of inflation.
Certain Factors That May Affect Future Results:
From time to time, information provided by the Company, statements made by
its employees or information included in its filings with the Securities
Exchange Commission (including this Form 10KSB) may contain statements which are
not historical facts, so-called "forward-looking statements", which involve
risks and uncertainties. Forward-looking statements are made pursuant to the
safe harbor provisions of the Private Securities Litigation Reform Act of 1995.
Relating to the sufficiency of funds for the Company's reserve requirements, the
Company's expectation that future cash flow will continue to be provided from
operations and the Company's not presently anticipating that inflation will have
any significant impact on its business may be forward-looking statements. The
Company's actual future results may differ significantly from those stated in
any forward-looking statements. Factors that may cause such differences include,
but are not limited to, the factors discussed below. Each of these factors, and
others, are discussed from time to time in the Company's filings with the
Securities and Exchange Commission.
The Company's future results are subject to substantial risks and
uncertainties. The Company may require additional capital in the future and
there is no assurance that without
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expanding into the proposed Expansion Areas, MDNY will be able to meet these
capital needs based on results of operations. This could have an adverse effect
on the Company's business, results of operations and financial condition.
MDNY's profitability, and the profitability of the Company, and future
profitability of Holdings, is dependent on the ability of MDNY to correctly
anticipate increases in healthcare costs and to manage such increases
effectively. Factors such as those described under "Business Competition",
include MDNY's ability to engage and retain qualified marketing employees and
independent brokers and other factors could have a material effect on MDNY's
plans to increase its enrollment. Factors such as increased costs and
utilization of high-technology diagnostic testing and treatments, increased
medical malpractice insurance costs, increased operating expenses for hospitals
and healthcare providers, changes in federal and/or state legislation (including
reimbursement legislation), as well as major public health crises and epidemics
are all contributing to the costs of delivery in the United States. As a result
of these external factors, as well as other unforeseen factors, there can be no
assurance that MDNY and the Practice Associations will be able to attract and
retain substantial numbers of new enrollees or to accurately anticipate and
effectively manage future healthcare cost increases. To the extent that
healthcare costs increase and MDNY is unable to pass-along such increases in the
form of higher premiums, the Practice Associations may be unable to provide the
required services to MDNY's enrollees for the percentage of premium revenues
payable to them by MDNY.
The provisions of healthcare services, in general, subjects MDNY to high
levels of regulatory review in New York State. MDNY may not operate as an HMO in
any of the expansion areas until the Expansion Applications are approved by the
NYS Department of Health. Further, MDNY's activities, including premiums charged
to subscribers, payments made to providers of care, business transactions
(including management service agreements) entered into with other parties,
marketing practices, quality assurance activities and the full range of other
business operations are subject to NYS Department of Health review and/or
approval. Under current New York law, the Practice Associations are not
permitted to engage in business activities other than providing medical
services, except those as may be expressly permitted by New York State.
7. Financial Statements and Supplementary Data
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Long Island Physician Holdings Corporation
Index to Financial Statements
<TABLE>
<CAPTION>
Pages
<S> <C>
Report of Independent Accountants F-2
Financial statements:
Consolidated Balance Sheets, December 31, 1996 and 1995 F-3
Consolidated Statements of Operations and Accumulated Deficit
for the years ended December 31, 1996 and 1995 F-4
Consolidated Statements of Cash Flows for the years ended December 31, 1996 and 1995 F-5
Notes to Consolidated Financial Statements F-6 - F-11
</TABLE>
F-1
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Report of Independent Accountants
To the Shareholders and Board of Directors of
Long Island Physician Holdings Corporation:
We have audited the accompanying consolidated financial statements of Long
Island Physician Holdings Corporation listed in the index on page F-1 of this
Form 10-KSB. 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 consolidated financial position of Long
Island Physician Holdings Corporation as of December 31, 1996 and 1995, and the
results of its operations and its cash flows for the years then ended in
conformity with generally accepted accounting principles.
/s/ COOPERS & LYBRAND L.L.P.
Melville, New York
February 14, 1997.
F-2
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Long Island Physician Holdings Corporation
Consolidated Balance Sheets
December 31, 1996 and 1995
<TABLE>
<CAPTION>
ASSETS: 1996 1995
<S> <C> <C>
Cash and cash equivalents $ 6,488,324 $ 7,566,472
Cash escrow 1,036,223
Premium receivables (net of allowance for uncollectible accounts
of $44,837 in 1996) 1,243,582
Reinsurance recoverable (net of allowance for uncollectible accounts
of $100,946 in 1996) 235,541
Due from NextStage Healthcare Management of New York, Inc. 63,428 711,357
Advances to affiliate 100,000
Investment in NextStage Healthcare Management of New York, Inc. 20,000
Goodwill 249,404
Other assets 45,199 32,982
---------------- ----------------
Total current assets 8,325,478 9,467,034
Restricted cash and investments 1,626,922
Management fee retainer 648,657
---------------- ----------------
Total assets $ 10,601,057 $ 9,467,034
================ ================
LIABILITIES AND STOCKHOLDERS' EQUITY:
Medical claims payable $ 5,222,417
Due to affiliate for operating expenses $ 1,079,586
Deferred revenue 425,054
Other liabilities 278,310 10,934
---------------- ----------------
Total current liabilities 5,925,781 1,090,520
Minority interest in MDNY Healthcare, Inc. 781,271 40,404
Stockholders' equity:
Class A common stock, $.01 par value; 10,000 shares authorized,
1,506 and 1,467 issued and outstanding in 1996 and 1995, respectively 2 2
Class B common stock, $.001 par value; 25,000 shares authorized,
4,333 and 4,270 issued and outstanding in 1996 and 1995, respectively 4 4
Additional paid-in capital 11,478,536 11,274,536
Accumulated deficit (7,584,537) (2,938,432)
---------------- ----------------
Total stockholders' equity 3,894,005 8,336,110
---------------- ----------------
Total liabilities and stockholders' equity $ 10,601,057 $ 9,467,034
================ ================
</TABLE>
The accompanying notes are an integral part of the financial statements.
F-3
<PAGE>
Long Island Physician Holdings Corporation
Consolidated Statements of Operations and Accumulated Deficit
for the years ended December 31, 1996 and 1995
<TABLE>
<CAPTION>
1996 1995
<S> <C> <C>
Revenue:
Premiums earned $ 23,343,111
Investment and other income 491,149 $ 222,542
--------------- ----------------
Total revenue 23,834,260 222,542
Expenses:
Medical claims expense 19,444,504
Management fees paid to related parties 7,736,961 2,990,836
General and administrative expenses 854,600 1,489,734
Provision for uncollectible accounts 44,837
--------------- ----------------
Total expenses 28,080,902 4,480,570
--------------- ----------------
Loss from operations (4,246,642) (4,258,028)
Loss on operations of spun-off subsidiary (654,474)
Loss in equity investment (20,000)
--------------- ----------------
Loss before minority interest (4,921,116) (4,258,028)
Minority interest in loss of subsidiary 1,008,537 1,319,596
--------------- ----------------
Net loss (3,912,579) (2,938,432)
Accumulated deficit, beginning of year (2,938,432)
Distribution to shareholders of spun-off subsidiary (733,526)
--------------- ----------------
Accumulated deficit, end of year $ (7,584,537) $ (2,938,432)
=============== ================
Loss per share $ (670) $ (512)
=============== ================
Weighted average shares 5,839 5,737
=============== ================
</TABLE>
The accompanying notes are an integral part of the financial statements.
F-4
<PAGE>
Long Island Physician Holdings Corporation
Consolidated Statements of Cash Flows
for the year ended December 31, 1996 and 1995
<TABLE>
<CAPTION>
1996 1995
<S> <C> <C>
Cash flows from operating activities:
Net loss $ (3,912,579) (2,938,432)
Adjustments to reconcile net loss to net cash flows from operating activities:
Provision for uncollectible accounts 145,783
Loss from spun-off subsidiaries 654,474
Loss in equity investment 20,000
Expenses paid by minority interest shareholders 360,000
Minority interest in loss of subsidiary (1,008,537) (1,319,596)
Changes in assets and liabilities:
Medical claims payable 5,222,417
Management fee retainer (648,657)
Premium receivable (1,288,419)
Other assets (348,704) (32,982)
Liability for operating expenses (1,079,586) 1,079,586
Other liabilities 692,430 10,934
Net advances to NextStage Healthcare Management, Inc. 647,929 (711,357)
---------------- ----------------
Net cash used in operating activities (903,449) (3,551,847)
---------------- ----------------
Cash flows from investing activities:
Purchase of U.S. Treasury Securities (1,164,372)
Cash received from (advanced to) affiliate 100,000 (100,000)
Investment in NextStage Healthcare Management, Inc. (20,000)
Deposits in restricted cash account (462,550)
Investment in spun-off subsidiaries (1,388,000)
---------------- ----------------
Net cash used in investing activities (2,914,922) (120,000)
---------------- ----------------
Cash flows from financing activities:
Payments of stock issuance costs (199,458)
Proceeds from issuance of common stock 204,000 11,474,000
Receipts for (payments to) cash escrow reserve 1,036,223 (1,036,223)
Proceeds from notes payable 1,850,000
Cash received by MDNY from minority shareholders 1,500,000
Repayments of notes payable (850,000)
---------------- ----------------
Net cash provided by financing activities 2,740,223 11,238,319
---------------- ----------------
Net decrease in cash and cash equivalents (1,078,148)
Cash and cash equivalents, beginning of year 7,566,472
---------------- ----------------
Cash and cash equivalents, end of year $ 6,488,324 7,566,472
================ ================
</TABLE>
Non-cash activity:
In 1996, the Company distributed its investment in certain subsidiaries of
$733,526, net of losses of $654,474 to its shareholders.
In 1995, the Company issued 500 shares of Class B common stock as repayment
for $1,000,000 note payable.
In 1995, MDLI issued 36 shares of Class B stock in lieu of expenses of
$360,000 paid by minority shareholder of MDLI.
The accompanying notes are an integral part of the financial statements.
F-5
<PAGE>
Long Island Physician Holdings Corporation
Notes to Consolidated Financial Statements
1. Organization:
Long Island Physician Holdings Corporation (the "Company" or "LIPH") was
incorporated on October, 11, 1994 in the State of New York as a holding
company for purposes aimed at advancing the delivery of healthcare on
Long Island, New York (Queens, Nassau and Suffolk Counties). The Company
is controlled by individual physicians residing in New York State. The
accompanying consolidated financial statements include the activity of
the Company and its majority owned subsidiary, MDNY Healthcare, Inc.
("MDNY"), a health maintenance organization.
MDNY's operations commenced on January 1, 1996. In the prior year, MDNY
was a development stage enterprise.
2. Summary of Significant Accounting Policies:
Principles of Consolidation
The consolidated financial statements include the accounts of the Company
and its majority-owned subsidiary, MDNY. Intercompany balances and
activities are eliminated in consolidation. During 1996, the Company
invested $1,388,000 in various companies and certain other assets. Such
companies generated losses of $654,474 in 1996. The remaining net book
value of $733,526 was contributed to a subsidiary, LIPH L.L.C., which
company was then spun-off as a dividend to the shareholders of LIPH. (See
Note 6.)
Cash and Cash Equivalents
The Company includes investments in highly liquid debt instruments with
an original maturity of three months or less to be cash equivalents.
The Company maintains its excess cash reserves in a money market account.
In order to minimize risk of loss, such funds are maintained with a major
New York bank.
Restricted Cash
In accordance with New York State Insurance Department regulations, the
Company is required to maintain certain amounts on deposit in an escrow
account for the protection of enrollees. The Company had $462,550 of
cash, along with $1,164,372 of U.S. Treasury Securities, on deposit in
escrow at December 31, 1996.
Investments
Marketable debt securities consisting of U.S. Treasury securities,
classified as available for sale, are carried at fair value, which
approximates cost.
F-6
<PAGE>
Notes to Financial Statements, Continued
Goodwill
As a result of the purchase of additional shares in MDNY in 1996, the
Company has recorded goodwill for the excess of purchase price over the
net book value of the acquired investment. Such goodwill is being
amortized over 15 years.
Premium Revenue
Membership contracts are written on an annual basis subject to
cancellation by the employer group upon thirty days written notice.
Premiums are due monthly and are recognized as revenue during the period
in which the Company is obligated to provide services to subscribers.
Premiums collected in advance are deferred and recorded as unearned
premium revenue.
Reinsurance
Reinsurance premiums are included as healthcare costs and reinsurance
recoveries, net of allowance for uncollectible accounts, are reported as
a reduction of related healthcare costs.
Healthcare Service Costs
The Company contracts with various healthcare providers for the provision
of certain medical care services to its members. The costs of inpatient
hospitalization and outside medical services provided or contracted for
are accrued in the period they are incurred. The costs of claims incurred
but not reported are estimated based on historical data, current
enrollment statistics, patient census data and other information. Such
estimates and the resulting reserves are continually reviewed and
updated, and any adjustments resulting therefrom are reflected in
earnings currently. The liability for these costs is recorded as medical
claims payable.
Cash Escrow
During 1996 and 1995, restricted cash was held on deposit in an escrow
account with a third-party to cover the refund to any subscriber of
common stock in connection with the Company's intrastate securities
offering. The cash held in escrow at December 31, 1995 was released upon
completion of the "credentialing" process during 1996.
Income Taxes
Under the balance sheet-based liability method specified by Statement of
Financial Accounting Standards No. 109, "Accounting for Income Taxes",
("SFAS 109"), deferred tax assets and liabilities are determined based on
the difference between the financial statement and tax bases of assets
and liabilities as measured by the enacted tax rates which will be in
effect when the differences reverse. The Company records a valuation
allowance to reduce deferred tax assets to the amount expected to be
realized.
As of December 31, 1996 and 1995, the Company's net operating loss for
tax purposes will differ from the loss for financial reporting purposes
as a result of certain costs being capitalized and expensed over a
five-year period for tax purposes. The Company has recorded a full
valuation allowance against the potential future benefit of such deferred
tax assets.
F-7
<PAGE>
Notes to Financial Statements, Continued
Estimates
The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities
and disclosure of contingent assets and liabilities at the date of the
financial statements and the reported amounts of revenues and expenses
during the reporting period. Actual results could differ from those
estimates. The most significant estimates relate to claims incurred but
not reported which approximate $5.1 million at December 31, 1996.
Loss Per Share
Loss per share is based on the number of shares of Class A common stock
and Class B common stock outstanding during the period. Such shares were
authorized for issuance in connection with the closing of the private
placement offering on September 22, 1995 and, accordingly, are deemed
outstanding for the full year.
3. MDNY Healthcare, Inc:
At December 31, 1996, the Company holds 907 shares of MDNY's $.001 par
value Class A common stock, for which it paid $9,070,000 and a
subscription receivable for $351,932. The Catholic Healthcare Network of
Long Island ("CHNLI") holds 336 shares of MDNY's $.001 par value Class B
common stock for which it paid $1,360,000 and a subscription receivable
for $500,000. The subscriptions are payable through 1997. CHNLI's
ownership interest in MDNY is reflected as minority interest in the
accompanying consolidated financial statements.
The holders of Class A common stock, voting as a class, shall elect 10
directors by the affirmative vote of the majority of the issued and
outstanding Class A common stock entitled to vote thereon. The holders of
Class B common stock, voting as a class, shall elect 4 directors by the
affirmative vote of the majority of the issued and outstanding Class B
common stock entitled to vote thereon. The holders of Class A and Class B
common stock, voting together, shall elect four directors by the
affirmative vote of the majority of the issued and outstanding Class A
and Class B common stock entitled to vote thereon.
CHNLI shall have the following additional rights:
o CHNLI, being the owner of 100% of MDNY's Class B common stock,
shall have the right to nominate and elect four members of the MDNY
board of directors, and have representation on certain key
committees of the MDNY board.
o A supermajority voting provision is included in the MDNY by-laws
with respect to (i) the selection and inclusion of network
hospitals, (ii) amendment, modification or change to the MDNY
by-laws, (iii) any modification or change to risk pool funding
methodologies, (iv) the issuance of additional shares of MDNY
stock, and (v) the transfer by either CHNLI or the Company of any
MDNY stock held by either entity. The separate and affirmative vote
of (1) at least a majority of the CHNLI-elected directors and (2)
at least a majority of the
F-8
<PAGE>
Notes to Financial Statements, Continued
non-CHNLI-appointed directors shall be required to effect any of
the foregoing actions of the MDNY board.
o CHNLI hospitals shall be engaged by MDNY as the exclusive provider
of available in-patient services within each CHNLI member's local
service area. Certain of the CHNLI hospitals have also been granted
exclusive provider arrangements for specific specialty services,
including the engagement of St. Francis as MDNY's exclusive
provider of tertiary cardiac services such as open heart surgery.
o The Company and CHNLI will receive a management fee equal to one
percent of premiums after MDNY achieves break-even (defined as the
enrollment of 50,000 lives). A management fee was not provided to
the Company or CHNLI during 1996 as MDNY does not yet cover 50,000
lives.
4. State Reserve Requirements:
As a condition of continued licensure by the State of New York, the
Company must maintain a minimum level of statutory capital to protect its
subscribers in the event the Company is unable to meet its obligations.
The amount of this statutory capital requirement is based on a percentage
of premium revenue. The Company meets such requirements as of December
31, 1996.
5. Reinsurance:
The Company entered into a stop-loss insurance agreement with an
insurance company to limit its losses on individual claims. Under the
terms of this agreement, a portion of paid claims in excess of $75,000
for hospital services and $15,000 for physician services are reimbursed
to the Company.
Stop-loss insurance premiums of approximately $318,000 are included in
healthcare costs. Approximately $243,000 of stop-loss recoveries, net of
allowance for uncollectible accounts, are deducted from healthcare costs.
Reinsurance recoverables, net of allowance for doubtful accounts,
recorded at December 31, 1996 are $235,541.
6. Stockholder's Equity:
During 1995, the Company offered its shares through a private placement
offering to various office based physicians, psychologists, podiatrists
and dentists practicing on Long Island, New York (Queens, Nassau and
Suffolk Counties, New York).
F-9
<PAGE>
Notes to Financial Statements, Continued
Shares of Class A and Class B common stock were offered to physicians
based on their service specialty at a price of $2,000 per share. The
Class A common stock is voting stock and has been offered only to primary
care physicians, specialty care physicians, anesthesiologists and oral
surgeons. The Class B common stock is non-voting stock. Holders of Class
B common stock will not be entitled to vote their shares of Class B
common stock at meetings of the Company's stockholders, except as
provided by the Business Corporation Law of the State of New York with
respect to certain extraordinary corporate transactions.
During 1995, the Company has raised $11,474,000 of equity in connection
with the offering, net of offering costs of $199,458. During 1996, the
Company issued 39 Class A shares and 63 Class B shares for $204,000.
During 1996, the Company has issued to certain organizers 1,115 options
to purchase shares of Class B common stock at $2,000 per share,
exercisable at any time after July 1, 1998. The options are
non-transferable and expire on July 1, 2005.
On November 12, 1996, the Company formed a wholly-owned subsidiary, Long
Island Physician Holdings L.L.C. ("LIPH LLC") and contributed all of the
Company's stock interests in Island Practice Association IPA, Inc.,
Island Behavioral Health Association IPA, Inc., Island Dental
Professional Association IPA, Inc., NextStage Healthcare, Inc.,
Mainstreet Practice Management Inc., Mainstreet Dental Management
Corporation, as well as certain other assets to LIPH L.L.C.
On November 14, 1996, the Company declared a dividend and distributed to
all shareholders of record on November 17, 1996, all of the Membership
Interests in LIPH LLC in the amount of $733,526.
7. Related Parties:
MDNY has a management services agreement with NextStage Healthcare
Management of New York, Inc. ("NextStage Management") This agreement
stipulates that NextStage Management will provide management and
consulting services to MDNY for a five year period ending October 10,
2000. NextStage will perform most administrative services on behalf of
MDNY. Under the terms of the agreement, MDNY is currently providing
NextStage Management a management fee of 100% of costs incurred. When
MDNY's covered lives exceed 50,000, fees charged by NextStage Management
will be based on a percentage of premiums. Management fee expenses
incurred in 1996 and 1995 were $7,736,961 and $2,990,836, respectively.
F-10
<PAGE>
Notes to Financial Statements, Continued
Management fee expenses included charges for the following:
<TABLE>
<CAPTION>
1996 1995
<S> <C> <C>
Salaries and related costs $ 3,800,566 $ 884,146
Consulting and professional fees 1,626,063 1,330,827
General and administrative expenses 1,544,295 595,808
Marketing expenses 483,687 180,055
Depreciation expense 282,350
--------------- ----------------
$ 7,736,961 $ 2,990,836
=============== ================
</TABLE>
Under the management service agreement with NextStage Management, the
Company is required to deposit a management fee retainer. The amount of
the required deposit is based on a calculation of one month's management
fee. The amount on deposit with NextStage Management at December 31, 1996
is $648,657.
Shareholders of LIPH, primarily physicians who are members of practice
associations, and CHNLI will provide the majority of healthcare services
to MDNY.
The Company has entered into contracts with MDNY-affiliated practice
associations which provide that the Company shall withhold a portion of
paid claims as part of a risk-sharing methodology and pay these practice
associations, collectively as payment for covered services, 83% of
premiums. Withheld amounts due to these practice associations at December
31, 1996 are $85,534 and are included in medical claims payable.
The Company has incurred certain expenses on behalf of related companies
in connection with the expansion of MDNY's service area. If these
expansion plans are successful, the Company will be reimbursed for a
portion of the expenses incurred. Related costs incurred of approximately
$609,000 were expensed in 1996.
LIPH is contemplating a transaction whereby it will be merged into a new
entity, MDNY Holdings, Inc. ("Holdings"), as a result of which the
shareholders of LIPH will receive voting and non-voting interests in
Holdings in the same proportion as their ownership in MDNY. CHNLI will
own the same proportion in Holdings as it currently holds in MDNY. MDNY
will then become a wholly-owned subsidiary of Holdings. Management
intends to complete this transaction during 1997.
F-11
8. Changes in and Disagreements with Accountants on Accounting and Financial
Disclosure
There were no changes in accountants nor any disagreements with accountants
on any matter of accounting principles or practices or financial statement
disclosure required to be reported under this Item.
12
<PAGE>
PART III
9. Directors, Executive Officers, Promoters and Control Persons;
Compliance with Section 16(a) of the Exchange Act
The table below sets forth the names, ages and titles of the persons who
are the directors and executive officers of the Company as of the date of this
report and the year in which their terms of office expire:
Term
Name Age Position Expires
- ---------------------------- --- --------------------------- -------
David J. Weissberg, M.D. 42 Chairman of the Board and 1999
President
M.A. Mirza, M.D. 51 Director and Vice President 1999
Babu Easow, M.D. 47 Director and Secretary 1999
Paul Kolker, M.D. 60 Director and Treasurer 1999
Eli Anker, M.D. 47 Director 1999
Jeffrey R. Ashkin, M.D. 52 Director 1999
Marion Bergman, M.D. 44 Director 1999
Charles A. Calabrese, M.D. 44 Director 1999
Salvatore J. Caravella, M.D. 39 Director 1999
Anthony P. Caruso, M.D. 46 Director 1998
Lew E. Cibeu, M.D. 63 Director 1998
Martin B. Cohen, M.D. 56 Director 1998
Anthony DiBlanda, D.C. 32 Director 1997
Alan Dietzek, M.D. 39 Director 1998
Geri DiGiovanna, D.O. 31 Director 1998
Jeffrey M. Epstein, M.D. 44 Director 1998
Franco Gallo, M.D. 34 Director 1998
Steven M. Goldberg, M.D. 41 Director 1998
David T. Goldman, M.D. 41 Director 1998
Linda Harkavy, M.D. 41 Director 1998
Robert A. Jason, M.D. 38 Director 1998
Gregory W. Kalmar, D.D.S. 49 Director 1999
Martin P. Kaplan, M.D. 48 Director 1998
Steven Kobren, M.D. 36 Director 1997
Amy Koreen, M.D. 33 Director 1999
Michael Ladinsky, D.O. 36 Director 1997
Steven A. Napoli, M.D. 41 Director 1997
Andrew A. Pastewski, M.D. 59 Director 1997
Asvin M. Patel, M.D. 42 Director 1997
Ronald R. Perrone, M.D. 48 Director 1999
Andrew J. Peters, M.D. 61 Director 1997
Reed Phillips, M.D. 48 Director 1997
13
<PAGE>
Lynn Pierri, D.D.S., M.S. 41 Director 1997
Rosario Romano, M.D. 48 Director 1997
Robert E. Sarnataro, M.D. 42 Director 1997
Bruce A. Seideman, M.D. 38 Director 1999
Jitendra Shah, M.D. 50 Director 1997
William E. Shuell, M.D. 45 Director 1997
Joseph Tamburrino, D.P.M. 50 Director 1998
Gary Wohlberg, M.D. 41 Director 1997
Eli Anker, M.D. conducts a medical practice in general and vascular surgery
with the Island Surgical and Vascular Group, P.C. in Islip Terrace, New York, a
practice he has conducted since 1977. Dr. Anker has been a director of the
Company since its inception.
Jeffrey R. Ashkin, M.D., conducts a medical practice in gastroenterology in
Bay Shore, New York, a practice he has conducted since 1976. Dr. Ashkin has been
a director of the Company since its inception.
Marion Bergman, M.D., conducts a medical practice in pulmonary diseases and
internal medicine in Patchogue, New York, a practice she has conducted since
1981. Dr. Bergman has been a director of the Company since its inception.
Charles A. Calabrese, M.D., conducts a medical practice in plastic surgery
in Stony Brook, New York, a practice he has conducted since 1987. Dr. Calabrese
has been a director of the Company since its inception.
Salvatore J. Caravella, M.D., conducts a medical practice in pediatrics in
Huntington, New York, a practice he has conducted since 1988. Dr. Caravella is
also employed as a neonatologist at the Westchester County Medical Center, a
position he has held since 1988. Dr. Caravella has been a director of the
Company since its inception.
Anthony P. Caruso, M.D., conducts a medical practice in otolaryngology in
Southampton, New York, a practice he has conducted since 1979. Dr. Caruso has
been a director of the Company since its inception.
Lew E. Cibeu, M.D., conducts a medical practice in pediatrics in Islip
Terrace, New York, a practice he has conducted since 1962. Dr. Cibeu has been a
director of the Company since April 1995.
Martin B. Cohen, M.D., conducts a medical practice in pediatrics in
Huntington, New York, a practice he has conducted since 1970. Dr. Cohen has been
a director of the Company since April 1995.
Anthony DiBlanda, D.C., conducts a multispecialty practice in
musculo-skeletal medicine in Nesconset, New York, a practice he has conducted
since 1991. Dr. DiBlanda has been a director of the Company since 1996.
14
<PAGE>
Alan Dietzek, M.D., conducts a medical practice in vascular surgery in
Great Neck, New York, a practice he has conducted since 1993. Prior to that, Dr.
Dietzek conducted a medical practice in vascular surgery at North Shore
University Hospital from July 1990 through May 1993. Dr. Dietzek has been a
director of the Company since April 1995.
Geri DiGiovanna, D.O., conducts a medical practice in family practice in
Massapequa Park, New York, a practice she has conducted since 1993. Dr.
DiGiovanna has been a director of the Company since April 1995.
Babu Easow, M.D., conducts a medical practice in cardiology in Riverhead,
New York, a practice he has conducted since 1982. Dr. Easow has been a director
of the Company since its inception and was elected secretary of the Company in
1997.
Jeffrey M. Epstein, M.D., conducts a medical practice in neurosurgery in
West Islip, New York, a practice he has conducted since 1991. Dr. Epstein served
as the Secretary of South Shore Neurologic Association from June 1988 to
November 1991. Dr. Epstein has been a director of the Company since its
inception.
Franco Gallo, M.D., conducts a medical practice in gastroenterology with
Gastroenterology Associates of Suffolk, P.C., in Port Jefferson, New York, a
practice he has conducted since July 1994. Prior to joining this practice, Dr.
Gallo was a fellow in gastroenterology at Stony Brook University Hospital, Stony
Brook, New York, and the Northport VA Medical Center, Northport, New York from
July 1991 to June 1994. Dr. Gallo served his internship and residency at Stony
Brook University Hospital and the Northport VA Medical Center from July 1988 to
June 1991. Dr. Gallo has been a director of the Company since its inception.
Steven M. Goldberg, M.D., conducts a medical practice in internal medicine
and cardiology in Great Neck, New York, a practice he has conducted since 1990.
Dr. Goldberg has been a director of the Company since April 1995.
David T. Goldman, M.D., conducts an urgent care and primary care medical
practice in Center Moriches, New York, a practice he has conducted since 1988.
Dr. Goldman has been a director of the Company since its inception.
Linda Harkavy, M.D., conducts a medical practice in radiology with, and
serves as president of Sunrise Medical Imaging, P.C., in Valley Stream, New
York, a practice she has conducted and a position she has held since 1992. Prior
to conducting her practice at Sunrise Medical Imaging, P.C., Dr. Harkavy has
been in the academic and private practice of radiology since 1985. Dr. Harkavy
has been a director of the Company since its inception.
Robert A. Jason, M.D., conducts a medical practice in gynecology in Great
Neck, New York, a practice he has conducted since 1986. Dr. Jason has been a
director of the Company since April 1995.
15
<PAGE>
Gregory W. Kalmar, D.D.S., conducts a practice in family and cosmetic
dentistry in Huntington, New York, a practice he has conducted since 1974. From
1982, Dr. Kalmar has also been an attending dentist at Nassau County Medical
Center, East Meadow, New York. Dr. Kalmar was elected to the Board in August
1996.
Marin P. Kaplan, M.D., conducts a medical practice in pediatrics in Port
Jefferson Station, New York, a practice he has conducted since 1978. Dr. Kaplan
has been a director of the Company since April 1995.
Steven Kobren, M.D., conducts a medical practice in internal medicine in
Great Neck, New York, a practice he has conducted since 1989. Dr. Kobren has
been a director of the Company since April 1995.
Paul Kolker, M.D. conducts a medical practice in thoracic and
cardiovascular surgery in Roslyn, New York, a practice he has conducted since
1969. Dr. Kolker has been a director of the Company and served as Treasurer
since its inception.
Amy Koreen, M.D., is an assistant professor of psychiatry and a research
psychiatrist at Long Island Jewish Medical Center/Albert Einstein College of
Medicine, positions she has held since July 1993. She also conducts a medical
practice in psychiatry in Huntington, New York, a practice she has conducted
since 1994. Prior to that time, Dr. Koreen completed a fellowship in biological
psychiatry and neuropsychopharmocology at Long Island Jewish Medical Center. Dr.
Koreen has been a director of the Company since its inception.
Michael Ladinsky, D.O., conducts a medical practice in family practice in
East Islip, New York, a practice he has conducted since 1988. Dr. Ladinsky has
been a director of the Company since April 1995.
M.A. Mirza, M.D., conducts a medical practice in orthopedic surgery in
Smithtown, New York, a practice he has conducted since 1974. Dr. Mirza is the
President of Moorewood Partners, a position he has held since 1982, and
President of Northshore Smithtown Development, a position he has held since
1989. Dr. Mirza is the Medical Director, since 1990, and President, since 1989,
of Northshore Surgicenter, located in Smithtown, New York. Dr. Mirza has been a
director and the Vice President of the Company since its inception.
Steven A. Napoli, M.D., conducts a medical practice in ophthalmology in
Port Jefferson, New York, a practice he has conducted since 1987. Dr. Napoli has
been a director of the Company since its inception.
Andrew A. Pastewski, M.D., conducts a medical practice in general surgery
in Patchogue, New York, a practice he conducted since 1973. Dr. Pastewski has
been a director of the Company since its inception.
16
<PAGE>
Asvin M. Patel, M.D., conducts a medical practice in family practice in
Hicksville, New York, a practice he has conducted since 1986. Dr. Patel has been
a director of the Company since April 1995.
Ronald R. Perrone, M.D., conducts a medical practice in anesthesiology in
Melville, New York, a practice he has conducted since 1989. Dr. Perrone has been
a director of the Company since its inception.
Andrew J. Peters, M.D., conducts a medical practice in internal medicine in
Rockville Centre, New York, a practice he has conducted since 1966. Dr. Peters
has been a director of the Company since its inception.
Reed Phillips, M.D., conducts a medical practice in oncology in Glen Head,
New York, a practice he has conducted since 1980. Dr. Phillips has been a
director of the Company since its inception.
Lynn S. Pierri, D.D.S., M.S., conducts a dental practice in oral and
maxillofacial surgery in Smithtown, New York, a practice she has conducted since
1986. Dr. Pierri has been a director of the Company since April 1995.
Rosario Romano, M.D., conducts a medical practice in internal medicine in
Port Jefferson, New York, a practice he has conducted since 1985. Dr. Romano has
been a director of the Company since its inception.
Robert E. Sarnataro, M.D., conducts a medical practice in internal medicine
in Flushing, New York, a practice he has conducted since 1985. Dr. Sarnataro has
been a director of the Company since April 1995.
Bruce A. Seideman, M.D., conducts a medical practice in orthopedic surgery
with Orthopedic Associates of Manhasset in Manhasset, New York, a practice he
has conducted since 1987. Dr. Seideman has been a director of the Company since
its inception.
Jitendra Shah, M.D., conducts a medical practice in family medicine in
Patchogue, New York, a practice he has conducted since 1980. Dr. Shah has been a
director of the Company since April 1995.
William E. Shuell, M.D., conducts a medical practice in obstetrics/
gynecology in Southampton, New York, a practice he has conducted since 1989. Dr.
Shuell has been a director of the Company since its inception.
Joseph Tamburrino, D.P.M., conducts a practice in podiatric medicine in
Westbury and Bay Shore, New York, a practice he has conducted since 1974 and
1980, respectively. Dr. Tamburrino was elected to the Board in August 1996.
17
<PAGE>
David J. Weissberg, M.D., conducts a medical practice in orthopedic surgery
with the Huntington Medical Group, in Huntington Station, New York, a practice
he has conducted since 1985. He has served as Chairman of the Board of Directors
and as the President of the Company since its inception.
Gary Wohlberg, M.D., conducts a medical practice in pulmonology in Bay
Shore, New York, a practice he has conducted since 1986. Dr. Wohlberg has been a
director of the Company since its inception.
The Company's by-laws provide for a Board of Directors that is comprised of
three classes of directors, each class serving a term of three years.
The Company expects to pay a $200 fee to each of its Directors for each
meeting a Director attends.
Compliance with Section 16(a) of the Securities Exchange Act of 1939
Based solely on a review of Forms 3 and 5 (and amendments thereto)
furnished to the Company, and certain written representations received by it,
the Company understands that during the years ended December 31, 1995 and
December 31, 1996, each of its present directors failed to file, on a timely
basis, two reports as required by Section 16(a) of the Securities Exchange Act
of 1934, and LIPH Bridge Partners, Inc., the beneficial owner of in excess of
10% of the Company's Class B Common Stock, failed to file, on a timely basis,
one such report. All such reports have been filed.
10. Executive Compensation
The Company did not pay any cash compensation to its directors or officers
in 1996.
11. Aggregated Option/SAR Exercises in Last Fiscal Year and
Fiscal Year End Option Values
The Company has no SARs outstanding. No stock options were exercised by any
executive officer or director during 1996.
During the year ended December 31, 1996, the present directors of the
Company were granted options to purchase 601 shares of Class B Common Stock.
18
<PAGE>
<TABLE>
<CAPTION>
OPTION GRANTS IN LAST YEAR (1)
Individual Grants
- ------------------------------------------------------------------------------------------------------------------------------
Potential Realizable Value At
Assumed Annual Rates of Stock
Price Appreciation
for Option Term (2)
Name Options Percent of Exercise or Fair Market Expiration
- --------------------------- Granted Total Options Base Price Value on Date 5% ($) 10% ($)
------- Granted to ($/Sh) Date of ---------- ------ -------
Employees in ----------- Grant
Fiscal Year ($/Sh)
------------- -----------
<S> <C> <C> <C> <C> <C> <C> <C>
David J. Weissberg, M.D. 18 1.6% $2,000 0 7/01/05 $18,000 $36,000
M. A. Mirza, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Babu Easow, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Paul Kolker, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Eli Anker, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Jeffrey R. Ashkin, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Marion J. Bergman, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Charles A. Calabrese, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Salvatore Caravella, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Anthony P. Caruso, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Lew E. Cibeu, M.D. 9 .8 2,000 0 7/01/05 9,000 18,000
Martin B. Cohen, M.D. 12 1.1 2,000 0 7/01/05 12,000 24,000
Anthony DiBlanda, D.C. 9 .8 2,000 0 7/01/05 9,000 18,000
Geri E. DiGiovanna, D.O. 9 .8 2,000 0 7/01/05 9,000 18,000
Alan M. Dietzek, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Jeffrey M. Epstein, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Franco Gallo, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
David Goldman, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Steven M. Goldberg, M.D. 12 1.1 2,000 0 7/01/05 12,000 24,000
Linda Harkavy, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Robert A. Jason, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Gregory W. Kalmar, D.D.S. 12 1.1 2,000 0 7/01/05 12,000 24,000
Martin P. Kaplan, M.D. 12 1.1 2,000 0 7/01/05 12,000 24,000
Steven Kobren, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Amy R. Koreen, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Michael Ladinsky, D.O. 9 .8 2,000 0 7/01/05 9,000 18,000
Steven A. Napoli, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Andrew A. Pastewski, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Asvin M. Patel, M.D. 12 1.1 2,000 0 7/01/05 12,000 24,000
Ronald R. Perrone, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Andrew Peters, M.D. 12 1.1 2,000 0 7/01/05 12,000 24,000
Reed E. Phillips, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Lynn Pierri, D.D.S., M.S. 15 1.3 2,000 0 7/01/05 15,000 30,000
Rosario J. Romano, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
Robert E. Sarnataro, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Bruce A. Seideman, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Jitendra Shah, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
William E. Shuell, M.D. 15 1.3 2,000 0 7/01/05 15,000 30,000
Joseph Tamburrino, D.P.M. 4 .4 2,000 0 7/01/05 4,000 8,000
Gary Wohlberg, M.D. 18 1.6 2,000 0 7/01/05 18,000 36,000
</TABLE>
- ------------
(1) Options are to purchase Class B Common Stock and generally become
exercisable commencing July 1, 1998
(2) Amounts represent hypothetical gains that could be achieved for options if
exercised at the end of the option term. These gains are based on assumed
rates of stock price appreciation of 5% and 10% annually from the date the
options are granted.
There were no unexercised options which were in the money as of
December 31, 1996.
19
<PAGE>
12. Security Ownership of Certain Beneficial Owners and Management
As of March 15, 1997, the shareholders of record were: 1,507 shareholders
of record of Class A Common Stock (the "Class A Common Stock") and 4,334
shareholders of record of Class B Common Stock (the "Class B Common Stock")
(together, the Class A Common Stock and the Class B Common Stock, the "Common
Stock"). All shareholders of Class A Common Stock are also shareholders of Class
B Common Stock.
The following table sets forth certain information, as of March 15, 1997,
regarding the beneficial ownership of the Company's Common Stock by (i) all
persons known by the Company to own beneficially more than 5% of its outstanding
Common Stock, (ii) each director and officer of the Company and (iii) all
directors and officers of the Company as a group. Unless otherwise stated, the
Company believes that the beneficial owners of the shares listed below have sole
investment and voting power with respect to such shares.
Amount and Nature
Title of of Beneficial Percent of
Class Beneficial Owner Ownership Class(1)
- -------- ---------------- ----------------- -----------------
Class A Class B Class A Class B
------- ------- ------- -------
Common Stock LIPH Bridge Partners, Inc. 0 500(2) 0 11.5
Common Stock David J. Weissberg, M.D. 1 502(3) * 11.6
Common Stock M.A. Mirza, M.D. 1 2 * *
Common Stock Babu Easow, M.D. 1 502(3) * 11.6
Common Stock Paul Kolker, M.D. 1 502(3) * 11.6
Common Stock Eli Anker, M.D. 1 2 * *
Common Stock Jeffrey R. Ashkin, M.D. 1 2 * *
Common Stock Marion Bergman, M.D. 1 2 * *
Common Stock Charles A. Calabrese, M.D. 1 2 * *
Common Stock Salvatore J. Caravella, M.D. 1 2 * *
Common Stock Anthony P. Caruso, M.D. 1 2 * *
Common Stock Lew E. Cibeu, M.D. 1 1 * *
Common Stock Martin B. Cohen, M.D. 1 1 * *
Common Stock Anthony DiBlanda, D.C. 0 2 * *
Common Stock Alan Dietzek, M.D. 1 2 * *
Common Stock Geri DiGiovanna, M.D. 1 1 * *
Common Stock Jeffrey M. Epstein, M.D. 1 2 * *
Common Stock Franco Gallo, M.D. 1 2 * *
Common Stock Steven M. Goldberg, M.D. 1 2 * *
Common Stock David T. Goldman, M.D. 1 1 * *
Common Stock Linda Harkavy, M.D. 1 5 * *
Common Stock Robert A. Jason, M.D. 1 502(3) * 11.6
Common Stock Gregory W. Kalmar, D.D.S. 0 2 * *
Common Stock Martin P. Kaplan, M.D. 1 1 * *
Common Stock Steven Kobren, M.D. 1 2 * *
Common Stock Amy Koreen, M.D. 1 2 * *
Common Stock Michael Ladinsky, M.D. 1 1 * *
Common Stock Steven A. Napoli, M.D. 1 2 * *
Common Stock Andrew A. Pastewski, M.D. 1 2 * *
20
<PAGE>
Common Stock Asvin M. Patel, M.D. 1 1 * *
Common Stock Ronald R. Perrone, M.D. 1 2 * *
Common Stock Andrew J. Peters, M.D. 1 1 * *
Common Stock Reed Phillips, M.D. 1 2 * *
Common Stock Lynn Pierri, D.D.S., M.S. 1 19 0 *
Common Stock Rosario Romano, M.D. 1 11 * *
Common Stock Robert E. Sarnataro, M.D. 1 4 * *
Common Stock Bruce A. Seideman, M.D. 1 2 * *
Common Stock Jitendra Shah, M.D. 1 1 * *
Common Stock William E. Shuell, M.D. 1 2 * *
Common Stock Joseph Tamburrino, D.P.M. 0 3 * *
Common Stock Gary Wohlberg, M.D. 1 2 * *
Common Stock All officers and directors
as a group (40 persons) 37 603(3) 2.5 13.9
- ------------
* Represents less than 1%.
(1) Percentages are computed on the basis of a total of 5,841 shares of Common
Stock (1,507 shares of Class A Common Stock and 4,334 shares of Class B
Common Stock) issued and outstanding on March 15, 1997, plus the number of
shares, if any, which the named person has the right acquire directly or
indirectly within sixty (60) days.
(2) Includes 500 shares of the Company's Class B Common Stock beneficially owned
by LIPH Bridge Partners, Inc. ("Bridge Partners"). Drs. Weissberg, Kolker,
Easow and Jason are shareholders and directors of Bridge Partners.
Collectively, the officers and directors of Bridge Partners have the power
to direct the disposition of shares of Common Stock owned by Bridge
Partners.
(3) Includes 500 shares of the Company's Class B Common Stock beneficially owned
by Bridge Partners.
13. Certain Relationships and Related Transactions
The Company has issued to certain organizers 1,115 options to purchase
shares of Class B Common Stock at $2,000.00 per share exercisable at any time
after July 1, 1998, subject to acceleration in the event of certain merger or
sale of asset transactions of which the transactions referred to in Item 3
herein are not included. The options are non-transferable and expire on July 1,
2005. Among the persons who have received said options are certain members of
the Company's Board of Directors. The directors who were granted options and the
number of options they were granted are set out under the caption "Executive
Compensation - Option Grants in Last Year."
Certain Relationships
The Company has entered into a Management Services Agreement with NextStage
Healthcare Management of New York, Inc. ("NextStage"). This agreement provides,
among other things, that NextStage will provide management and consulting
services to MDNY, the Company and CHNLI for a five year period ending October
10, 2000. NextStage will perform most administrative services on behalf of MDNY.
Under the terms of the agreement, MDNY presently provides NextStage with a
management fee equal to 100% of costs incurred. Once MDNY's covered lives exceed
50,000, fees charged by NextStage will be based on a percentage of MDNY's
premium revenues. Management fee expenses incurred in 1995 were $2,990,836 and
the amount due to NextStage at December 31, 1995 was $1,079,586. As of December
31,
21
<PAGE>
1996, MDNY had incurred an additional $7,736,961 in management fees to
NextStage, of which $63,428 was outstanding at December 31, 1996.
Management fee expenses included charges for the following:
1996 1995
---------- ----------
Salaries and related costs $3,800,566 $ 884,146
Consulting and professional fees 1,626,063 1,330,827
General and administrative expenses 1,544,295 595,808
Marketing expenses 483,687 180,055
Depreciation expense 282,350
---------- ----------
$7,736,961 $2,990,836
========== ==========
Previously, Mr. Richard Radoccia, Mr. Jay Kossman and Mr. John Gaines were
retained by the Company as consultants in connection with the structure,
formation and organization of the Company and its subsidiaries pursuant to which
they received a monthly fee paid by the Company plus reimbursement of expenses.
These three individuals received $208,750 in aggregate consulting fees in 1995.
Messrs. Radoccia and Kossman are shareholders of NextStage Holdings, Inc. and,
therefore, have an indirect equity interest in Nextstage. Messrs. Radoccia and
Kossman are also employees of Nextstage serving as part of its management staff.
As of December 31, 1995, the Company had a receivable from NextStage of
approximately $711,357 that represents funds advanced to NextStage to meet
expenses paid on behalf of MDNY. These advances have been repaid to the Company
during 1996.
Prior to the release of the proceeds of the LIPH Common Stock offering from
escrow, the Company borrowed $850,000 from Founding Physicians Association, Inc.
("Founding Physicians") and $1,000,000 from LIPH Bridge Partners, Inc. ("Bridge
Partners") in order to meet working capital needs during its start-up period.
Both of these lenders were newly-formed corporations owned by certain physicians
who are shareholders and directors of the Company. The following directors of
the Company are beneficial owners of Founding Physicians: Drs. Anker, Ashkin,
Bergman, Caravella, Caruso, Epstein, Kaplan, Koreen, Kolker, Napoli, Pastewski,
Phillips, Romano, Shuell, Shah, Weissberg and Wohlberg. The following directors
of the Company are beneficial owners of Bridge Partners: Drs. Weissberg, Kolker,
Easow and Jason. The loan from Founding Physicians has been repaid. Under the
terms of the Bridge Partners loan, the debt was converted into 500 shares of
Class B Common Stock of the Company issued to Bridge Partners at the stated
offering price of $2,000.00 per share.
In addition, NextStage issued options to purchase additional shares of
common stock to the Company, NextStage Holdings, Inc. and Bridge Partners. The
Company's fifteen (15) options are exercisable in groups of five (5) shares,
with exercise prices per share of $10,000, $15,000 and $25,000, respectively.
NextStage Holdings, Inc.'s twenty (20) options are exercisable in groups of five
shares with an exercise price per share of $10,000, $15,000, $20,000 and
$25,000, respectively. Bridge Partners' five (5) options have an exercise price
of $20,000 per share. All of the above options may be exercised in whole or in
part at any time on or prior to March 1, 2006.
22
<PAGE>
The Company has entered into contracts with MDNY-affiliated IPA's which
provide that the Company shall withhold a portion of paid claims as part of a
risk-sharing methodology and pay these IPA's, collectively as payment for
covered services, 83% of premiums. Withheld amounts due to these IPA's at
December 31, 1996 are $85,534.
The Company has incurred certain expenses on behalf of related companies in
connection with the expansion of MDNY's service area. If these expansion plans
are successful, the Company will be reimbursed for a portion of the expenses
incurred. Related costs incurred of approximately $609,000 were expensed during
1996.
14. Exhibits and Reports on Form 8-K
(a) Exhibits
Exhibit 3.1 - Certificate of Incorporation
Exhibit 3.2 - By-Laws (Incorporated by reference as Exhibit 3.3 to Form 10SB
filed January 26, 1996)
Exhibit 10.1 - Shareholders Agreement dated October 11, 1995 among MDNY
Healthcare, Inc., Long Island Physician Holdings Corporation and
Catholic Healthcare Network of Long Island, Inc. (Incorporated by
reference as Exhibit to Form 10-SBA2 filed March 21, 1996)
Exhibit 10.2 - Management Services Agreement dated October 11, 1995, among MDNY
Healthcare, Inc., NextStage Healthcare Management, Inc., Long
Island Physician Holdings Corporation and Catholic Healthcare
Network of Long Island, Inc. (Incorporated by reference as
Exhibit to Form 10-SBA2 filed March 21, 1996)
Exhibit 10.3 - Form of Option Agreement with each of the Company's Directors
(Incorporated by reference as Exhibit to Form 10-SBA2 filed March
21, 1996)
Exhibit 21 - Subsidiaries of Registrant
Exhibit 27 - Financial Data Summary
23
<PAGE>
(b) Reports on Form 8-K
No reports on Form 8-K were filed in the fourth quarter of 1996.
SIGNATURES
In accordance with Section 13 or 15(d) of the Securities Exchange Act of 1934,
the Registrant caused this report to be signed on its behalf by the undersigned,
thereunto duly authorized.
LONG ISLAND PHYSICIAN HOLDINGS CORPORATION
(Registrant)
Date: June 15, 1997 By: /s/ David J. Weissberg
David J. Weissberg, 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.
Name Title Date
---- ----- ----
/s/ David J. Weissberg President, Chief
- ---------------------------- Executive Officer and Director June 15, 1997
David J. Weissberg, M.D.
/s/ Paul Kolker Treasurer, Chief
- ---------------------------- Financial Officer and Director June 15, 1997
Paul Kolker, M.D.
/s/ M.A. Mirza
- ---------------------------- Vice President and Director June 15, 1997
M.A. Mirza, M.D.
/s/ Babu Easow
- ---------------------------- Secretary and Director June 15, 1997
Babu Easow, M.D.
/s/ Eli Anker
- ---------------------------- Director June 15, 1997
Eli Anker, M.D.
/s/ Jeffrey R. Ashkin
- ---------------------------- Director June 15, 1997
Jeffrey R. Ashkin, M.D.
/s/ Marion Bergman
- ---------------------------- Director June 15, 1997
Marion Bergman, M.D.
/s/ Charles A. Calabrese
- ---------------------------- Director June 15, 1997
Charles A. Calabrese, M.D.
24
<PAGE>
/s/ Salvatore J. Caravella
- ---------------------------- Director June 15, 1997
Salvatore J. Caravella, M.D.
/s/ Anthony P. Caruso
- ---------------------------- Director June 15, 1997
Anthony P. Caruso, M.D.
/s/ Lew E. Cibeu
- ---------------------------- Director June 15, 1997
Lew E. Cibeu, M.D.
/s/ Martin B. Cohen
- ---------------------------- Director June 15, 1997
Martin B. Cohen, M.D.
/s/ Anthony DiBlanda
- ---------------------------- Director June 15, 1997
Anthony DiBlanda, D.C.
/s/ Alan Dietzek
- ---------------------------- Director June 15, 1997
Alan Dietzek, M.D.
/s/ Geri DiGiovanna
- ---------------------------- Director June 15, 1997
Geri DiGiovanna, D.O.
/s/ Jeffrey M. Epstein
- ---------------------------- Director June 15, 1997
Jeffrey M. Epstein, M.D.
/s/ Franco Gallo
- ---------------------------- Director June 15, 1997
Franco Gallo, M.D.
/s/ Steven M. Goldberg
- ---------------------------- Director June 15, 1997
Steven M. Goldberg, M.D.
/s/ David T. Goldman
- ---------------------------- Director June 15, 1997
David T. Goldman, M.D.
/s/ Linda Harkavy
- ---------------------------- Director June 15, 1997
Linda Harkavy, M.D.
/s/ Robert A. Jason
- ---------------------------- Director June 15, 1997
Robert A. Jason, M.D.
/s/ Gregory W. Kalmar
- ---------------------------- Director June 15, 1997
Gregory W. Kalmar, D.D.S.
/s/ Martin P. Kaplan
- ---------------------------- Director June 15, 1997
Martin P. Kaplan, M.D.
/s/ Steven Kobren
- ---------------------------- Director June 15, 1997
Steven Kobren, M.D.
/s/ Amy Koreen
- ---------------------------- Director June 15, 1997
Amy Koreen, M.D.
/s/ Michael Ladinsky
- ---------------------------- Director June 15, 1997
Michael Ladinsky, D.O.
/s/ Steven A. Napoli
- ---------------------------- Director June 15, 1997
Steven A. Napoli, M.D.
/s/ Andrew A. Pastewski
- ---------------------------- Director June 15, 1997
Andrew A. Pastewski, M.D.
/s/ Asvin M. Patel
- ---------------------------- Director June 15, 1997
Asvin M. Patel, M.D.
/s/ Ronald R. Perrone
- ---------------------------- Director June 15, 1997
Ronald R. Perrone, M.D.
25
<PAGE>
/s/ Andrew J. Peters
- ---------------------------- Director June 15, 1997
Andrew J. Peters, M.D.
/s/ Reed Phillips
- ---------------------------- Director June 15, 1997
Reed Phillips, M.D.
/s/ Lynn Pierri
- ---------------------------- Director June 15, 1997
Lynn Pierri, D.D.S., M.S.
/s/ Rosario Romano
- ---------------------------- Director June 15, 1997
Rosario Romano, M.D.
/s/ Robert E. Sarnataro
- ---------------------------- Director June 15, 1997
Robert E. Sarnataro, M.D.
/s/ Bruce A. Seideman
- ---------------------------- Director June 15, 1997
Bruce A. Seideman, M.D.
/s/ Jitendra Shah
- ---------------------------- Director June 15, 1997
Jitendra Shah, M.D.
/s/ William E. Shuell
- ---------------------------- Director June 15, 1997
William E. Shuell, M.D.
/s/ Joseph Tamburrino
- ---------------------------- Director June 15, 1997
Joseph Tamburrino, D.P.M.
/s/ Gary Wohlberg
- ---------------------------- Director June 15, 1997
Gary Wohlberg, M.D.
26
<PAGE>
INDEX TO EXHIBITS
Sequentially
Exhibit Numbered
No. Description Pages
------- ----------- ------------
3.1 Certificate of Incorporation*
3.2 By-Laws***
3.3 Proposed Amended and Restated By-Laws**
3.4 Submission of Matters to a Vote of Security Holders
10.1 Shareholders Agreement*
10.2 Management Services Agreement***
10.3 Form of Option Agreement**
21 Subsidiaries of Registrant*
27 Financial Data Summary
- ------------
* Filed January 26, 1996 as Exhibit to Form 10-SB
** Filed January 26, 1996 as Exhibit to Form 10-SB and March 21, 1996 as
Exhibit to Form 10-SB/A
*** Filed herewith
27
Exhibit 21 Subsidiaries of Registrant
Name State of Organization Percentage Ownership
- --------- --------------------- --------------------
MDNY Healthcare, Inc. New York 73%
<TABLE> <S> <C>
<ARTICLE> 5
<S> <C>
<PERIOD-TYPE> YEAR
<FISCAL-YEAR-END> DEC-31-1996
<PERIOD-START> JAN-01-1996
<PERIOD-END> DEC-31-1996
<CASH> 6,488,324
<SECURITIES> 0
<RECEIVABLES> 1,243,582
<ALLOWANCES> 0
<INVENTORY> 0
<CURRENT-ASSETS> 8,325,478
<PP&E> 0
<DEPRECIATION> 0
<TOTAL-ASSETS> 10,601,057
<CURRENT-LIABILITIES> 5,925,781
<BONDS> 0
0
0
<COMMON> 6
<OTHER-SE> 3,893,999
<TOTAL-LIABILITY-AND-EQUITY> 10,601,057
<SALES> 23,343,111
<TOTAL-REVENUES> 23,834,260
<CGS> 0
<TOTAL-COSTS> 0
<OTHER-EXPENSES> 28,080,902
<LOSS-PROVISION> 0
<INTEREST-EXPENSE> 0
<INCOME-PRETAX> (3,912,579)
<INCOME-TAX> 0
<INCOME-CONTINUING> 0
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> (3,912,579)
<EPS-PRIMARY> (670)
<EPS-DILUTED> 0
</TABLE>
