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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C.
------------------------
FORM 10-K/A
(AMENDMENT NO. 1)
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
OF 1934
FOR THE FISCAL YEAR ENDED JUNE 30, 1999
[ ] 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 1-13845
BALANCED CARE CORPORATION
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
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<S> <C>
DELAWARE 25-1761898
(STATE OR OTHER JURISDICTION OF (I.R.S. EMPLOYER
INCORPORATION OR ORGANIZATION) IDENTIFICATION NO.)
</TABLE>
1215 MANOR DRIVE
MECHANICSBURG, PENNSYLVANIA 17055
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES, INCLUDING ZIP CODE)
SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT:
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<CAPTION>
TITLE OF EACH CLASS NAME OF EACH EXCHANGE ON WHICH REGISTERED
------------------- -----------------------------------------
<S> <C>
COMMON STOCK $.001 PAR VALUE AMERICAN STOCK EXCHANGE
</TABLE>
SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: NONE
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 the definitive proxy statement incorporated
by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [
]
The aggregate market value of the voting stock held by non-affiliates of
the registrant as of September 22, 1999 was approximately $18,241,458 based on
the last reported sales price of $1.25 as reported by the American Stock
Exchange. Shares of common stock known by the registrant to be beneficially
owned by executive officers or directors of the registrant are not included in
the computation; however, shares of common stock reported to be beneficially
owned by holders of 5% or more of the common stock are included in the
computation. The registrant has made no determination whether any of such
persons are "affiliates" within the meaning of Rule 12b-2 under the Securities
Exchange Act of 1934. The number of shares of common stock outstanding on
September 22, 1999 was 16,722,846 shares.
DOCUMENTS INCORPORATED BY REFERENCE:
Selected portions of the 1999 Proxy Statement are incorporated into Part III of
this Report.
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PART I
This Form 10-K/A (Amendment No. 1) amends and restates, in its entirety,
the Company's Form 10-K previously filed on September 28, 1999 to correct the
following only: (i) certain typographical errors in footnotes 17 and 20 and (ii)
the omission of Exhibit No. 23.1.
ITEM 1--BUSINESS
THE COMPANY
Balanced Care Corporation (the "Company") was formed in April 1995 to
develop senior care continuums which meet the needs of upper middle, middle and
moderate income populations in non-urban, secondary markets. The Company
considers upper middle, middle and moderate income populations to consist of
those individuals whose income and assets enable them to afford senior living
and care services at average daily rates of $85, $75 and $65, respectively. The
Company utilizes assisted living facilities in selected markets as the primary
entry point and service platform and has developed a care continuum (the
"Balanced Care Continuum") consisting of various health care and hospitality
services, including, where appropriate, physical, occupational and speech
therapy, personal and health care services on an intermittent basis, dementia
and Alzheimer's services and skilled/subacute care delivered in a skilled
nursing setting, which enables residents to age in place. The Company believes
that non-urban, secondary markets are underserved, highly fragmented and less
prone to intense competition from larger providers. The Company believes that
these factors will enable it to establish a leading position as a provider of a
market differentiated, consumer preferred continuum of senior care services in
such markets. To achieve its goals, the Company intends to: (i) provide a range
of high quality, individualized senior care services and programs; (ii) focus on
non-urban, secondary markets; (iii) pursue growth through selective
acquisitions; (iv) achieve the benefits of regional density by clustering; (v)
expand referral networks and strategic alliances; and (vi) become the operator
of choice in its selected markets.
The Company has grown primarily through acquisitions and by designing,
developing, operating and managing its Outlook Pointe(R) signature series
assisted living facilities. The following table summarizes the Company's
operating facilities at June 30, 1999 and 1998:
<TABLE>
<CAPTION>
JUNE 30,
-------------------------------------------------------------------
1999 1998
-------------------------------- --------------------------------
OWNED LEASED MANAGED TOTAL OWNED LEASED MANAGED TOTAL
----- ------ ------- ----- ----- ------ ------- -----
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Developed Assisted Living
Facilities......................... -- 6 28 34 -- 1 11 12
Acquired Assisted Living
Facilities......................... 5 13 -- 18 13 12 -- 25
Skilled Nursing Facilities........... 2 11 -- 13 2 11 -- 13
Independent Living Facilities........ -- 4 -- 4 -- 4 -- 4
-- -- -- -- -- -- -- --
7 34 28 69 15 28 11 54
== == == == == == == ==
</TABLE>
As of June 30, 1999, the Company had operations in Pennsylvania, Missouri,
Arkansas, Ohio, Virginia, North Carolina, Tennessee, West Virginia and Florida.
These operating facilities have a capacity for 3,266 assisted living residents,
1,294 skilled nursing patients and 117 independent living residents. The Company
also operates a home health care agency in Missouri and rehabilitation therapy
operations in Pennsylvania and Arkansas. In December 1998, the Company sold its
seven owned assisted living facilities in Wisconsin, which had been carried as
an asset held for sale since June 30, 1997.
In addition to the 34 Outlook Pointe(R) signature series assisted living
facilities opened as of June 30, 1999, the Company has signed agreements to
develop and manage 18 assisted living facilities currently under construction,
which are scheduled to open at various times through April 2000. These
facilities will increase the depth of the Company's operations in Pennsylvania,
Missouri, Arkansas, Ohio, Virginia, North Carolina, Tennessee, West Virginia and
Florida and will add operations in Indiana and Maryland.
The Balanced Care continuum delivers consumer-focused health care and
hospitality services that balance seniors' desire for independence with their
evolving health care needs. The Company's philosophy
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includes the belief that providing health care services, coupled with wellness
and preventative therapy will strengthen residents, improve their health and
forestall the deterioration that generally accompanies aging, thus extending
their lives and lengths of stay in assisted living facilities. Balanced Gold(R),
the Company's wellness-oriented program, has been developed to predict and
proactively address resident care needs, including stabilizing and improving
residents' cognitive, emotional and physical well-being. Preventative,
restorative and rehabilitative services are also available to residents through
outpatient medical rehabilitation, home health care, programs for residents with
Alzheimer's and other services provided by the Company or by an alliance partner
or other third party. By offering services and programs that are intended to
enable residents to stay healthier longer and prolong their stay at assisted
living facilities, the Company believes that its services and programs address
the preferences and needs of seniors, while at the same time forestalling the
need for residents to move to a more costly long-term care setting, such as a
skilled nursing facility. As resident needs mandate migration into a skilled
nursing or subacute program, the Company believes that skilled nursing
facilities will provide a transition for the resident with a focus on
demonstrated outcomes and cost effective care. In north central Pennsylvania and
Missouri the Company owns and/or operates skilled nursing facilities. In other
regions where the Company does not own or manage skilled nursing operations, the
Company has formed alliances with skilled nursing facility providers to
transition residents that require skilled care. The Company believes that its
approach to senior care will enable it to be a leading provider of a continuum
of senior care services in targeted non-urban, secondary markets.
THE SENIOR CARE INDUSTRY
The senior care industry is characterized by a wide range of living
accommodations and health care services. For those who are able to live in a
home setting, home health care and other limited services can be provided.
Community housing or retirement centers, which are commonly referred to as
independent living facilities, are also available to persons who need limited
assistance, such as with meal preparation, housekeeping and laundry. Assisted
living facilities are typically for those persons whose physical or cognitive
frailties have reached a state where other living accommodations can no longer
provide the level of care required but who do not yet need the continuous
medical attention provided in a skilled nursing facility. Generally, assisted
living facilities provide a combination of housing and 24-hour personal support
services designed to assist seniors with activities of daily living ("ADLs"),
which include bathing, eating, personal hygiene, grooming, ambulating and
dressing. Certain assisted living facilities also offer higher levels of
personal assistance for residents with physical needs, Alzheimer's disease or
other forms of dementia. Skilled nursing facilities provide care for those who
need non-schedulable nursing care on a daily basis.
The senior care industry, including assisted living, is highly fragmented
and characterized by numerous providers whose services, experience and capital
resources vary widely. The Company believes that few operators of assisted
living facilities, particularly those in secondary markets, focus on providing a
range of senior living and health care services that have been designed to
enable residents to stay in a preferred setting longer.
The Company believes that the assisted living industry is evolving as the
preferred alternative to meet the growing demand for a cost effective setting
for those seniors who cannot live independently due to physical or cognitive
frailties, but who do not require the more intensive medical attention provided
by a skilled nursing facility. According to the United States Bureau of the
Census, approximately 45% of persons aged 85 years and older, approximately 24%
of persons aged 80 to 84 and approximately 20% of persons aged 75 to 79 need
assistance with ADLs. In 1998, according to industry estimates, there were an
estimated 300,000 assisted living units in the United States, with a need for an
additional 1,500,000 units.
The Company believes that a number of factors will contribute to the
continued growth of the assisted living industry, including:
Consumer Preference. The Company believes that assisted living is
increasingly becoming the preferred setting for prospective residents as well as
their families, who are often the decision makers for seniors. Assisted living
is generally a more attractive, service-oriented and lower-cost alternative to
other types of
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senior care facilities, offering seniors greater independence and allowing them
to age in place in a residential setting.
Cost Effectiveness. Assisted living facilities provide a cost-effective
alternative to other types of facilities that may provide more care than a
senior needs. The average annual cost for a patient in a skilled nursing
facility approaches $40,000 and, in the case of a private pay patient, can
exceed $75,000 per year in certain markets. In contrast, the average annual cost
for a resident of an assisted living facility is generally 30% to 50% lower than
skilled nursing facilities located in the same region. Additionally, the Company
also believes that the cost of assisted living services compares favorably with
home health care, particularly when costs associated with housing, meals and
personal care assistance are taken into consideration.
Changing Income and Family Dynamics. The Company believes that the
increasing income of seniors, as well as changing family dynamics, will increase
the demand for assisted living and health care services. According to the United
States Bureau of the Census, the median income of the elderly population has
been increasing. Accordingly, the Company believes that the number of seniors
who are able to afford high-quality senior residential services such as those
offered by the Company will also increase. Additionally, the number of
two-income households has increased over the last decade and the geographical
separation of senior family members from their adult children has become more
common. As a result, many families that traditionally would have provided the
care and services offered by the Company to senior family members are less able
to do so. The Company believes that assisted living facilities represent an
attractive and independent environment for senior family members.
Demographics. The target market for the Company's services are persons 83
years and older, one of the fastest growing segments of the United States
population. According to the United States Bureau of the Census, the portion of
the United States population aged 80 and older is expected to increase by
approximately 29%, from approximately 13.0 million in 1990 to approximately 16.8
million by the year 2000, and the number of persons aged 85 and older, as a
segment of the United States population, is expected to increase by
approximately 43%, from approximately 3.0 million in 1990 to over 4.3 million by
the year 2000. Furthermore, the number of persons requiring memory care
assistance is also expected to increase in the coming years. According to data
published by the American Psychiatric Association, Alzheimer's disease affects
approximately 5% to 8% of individuals over the age 65, 15% to 20% of individuals
over the age of 75 and 25% to 50% of individuals over the age of 85.
Supply/Demand Imbalance. The Company believes that non-urban secondary
markets are often underserved with respect to assisted living facilities. Based
on bed-need analyses performed by the Company in connection with the development
of its assisted living facilities, the need for the Company's services in its
target markets is typically three times the number of beds developed. When
combined with its market-differentiated services package, the Company believes
that it is well-positioned to be the preferred provider of senior care services
in its targeted markets.
While the senior population is growing significantly, the supply of skilled
nursing beds per thousand persons for those aged 85 years and older is
declining. This imbalance may be attributed to a number of factors in addition
to the aging of the population. Many states, in an effort to maintain controls
of Medicaid expenditures on long-term care, have implemented more restrictive
certificate-of-need regulations or similar legislation that restricts the supply
of licensed skilled nursing facility beds. Additionally, acuity-based
reimbursement systems have encouraged skilled nursing facilities to focus on
higher-acuity patients. The Company also believes that high construction costs
and limits on government reimbursement for the full cost of construction and
start-up expenses will also contain the growth and supply of traditional skilled
nursing beds. These factors, taken in combination, result in relatively fewer
skilled nursing beds available for the increasing number of seniors who require
assistance with ADLs but do who not require 24 hour per day medical attention.
CARE AND SERVICES PROGRAMS
The Company offers a continuum of services to seniors that includes
assisted living, intermittent healthcare service, rehabilitation, social and
activity programs, home health care, memory care and Alzheimer's services,
skilled nursing, subacute care and independent living services.
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ASSISTED LIVING SERVICES
Admission; Resident Care Plan. The assisted living admission process is
crucial to the proper placement of residents and the development of tailored
resident care plans. A lifestyle assessment is conducted in consultation with
the resident, as well as his or her family and medical consultants, to determine
the resident's care and services preferences. An individualized care plan is
developed to ensure that all staff members rendering services meet the
resident's specific needs and preferences whenever possible. Each resident's
care plan is reviewed, at a minimum, quarterly to determine when a change in
services is needed. The Company seeks to provide assisted living services that
allow a resident to maintain a dignified, independent lifestyle. Residents and
their families are encouraged to be partners in their care and to take as much
responsibility as possible for their well being.
Care and Services. The Company offers a range of assisted living care and
services which are available 24 hours per day at each of its assisted living
facilities. The core services package offered by the Company includes personal
care, support and certain health care services. Personal care services include
assistance with ADLs, such as ambulating, bathing, dressing, eating, grooming,
personal hygiene, monitoring or assistance with medications and confusion
management. Support services include meal preparation, assistance with social
and recreational activities, laundry services, general housekeeping, maintenance
services and transportation services. Additional services, which are offered at
an extra charge, include extra transportation services, beauty and barber
services, extra laundry services and non-routine care services. All or part of
the Balanced Gold(R) program is included in the Company's core services package
at each of its signature series assisted living facilities, depending on the
facility's pricing structure. To the extent permitted by state regulatory
requirements, the Company's facilities have been designed to accommodate special
programs including those for residents with Alzheimer's and other forms of
dementia, as well as medical rehabilitation and home health care services.
Medical rehabilitation services are provided by certified physical, occupational
and speech therapists and psychologists, with physician oversight. Through June
30, 1999 the Company utilized a mix of its own rehabilitation services companies
and contracts with independent providers to deliver therapy services to
residents. By June 30, 2000, the Company will have discontinued its own
rehabilitation services and will exclusively utilize independent providers to
deliver therapy services. Home health care services are provided through the
Company's licensed home health agency in Missouri or by a third party.
Balanced Gold(R). The Company's Balanced Gold(R) program is a wellness
oriented program that is designed to address a variety of factors that adversely
affect the health of assisted living residents, including balance and gait
difficulties, incontinence, cognitive impairment, stress due to pain and chronic
conditions and grieving due to multiple losses in the resident's life. Depending
on the pricing structure for the facility, all or part of the Balanced Gold(R)
program is included in the Company's core services package. Company staff and
the residents determine which activities are best suited to each resident's
needs.
"TreasuresSM" Memory Care. The Company has developed, with the assistance
of its Health Care Advisory Board, an approach to Alzheimer's and other forms of
dementia that includes specialized assessments and clinical approaches for early
and accurate detection, placement and intervention. To meet the needs of
residents with memory care needs and other related forms of dementia, the
Company has developed its "TreasuresSM" memory care program, formerly, the
"Keepsakes" program to maintain familiarity, reduce confusion, and still provide
a pleasant and appropriate living environment for these residents. The Company's
Outlook Pointe(R) signature series assisted living facilities are all designed
to deliver these specialized services to the extent permitted by state
regulatory requirements. The Company also has implemented this program at three
of its acquired assisted living facilities.
The Company currently operates a TreasuresSM Memory Care program at seven
of its assisted living facilities and at one dedicated unit in its skilled
nursing facilities. The Company plans to develop its TreasuresSM program at each
of its existing assisted living facilities and in all facilities under
construction. These units feature areas specifically designed to provide
attention, care and services needed to help residents with Alzheimer's maintain
a higher quality of life. The Alzheimer's team members are specially trained to
understand behavior, maximize function, promote safety and encourage resident
independence.
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Medication Management. Each assisted living facility contracts with a
pharmacy to provide prescription drugs to those residents who desire to utilize
the service. Residents are free to use a pharmacy of their choice, but are
required to comply with a pre-designated method of packaging the
pharmaceuticals. Additionally, subject to state regulatory requirements, at the
resident's request, and based on the facility's assessment of the resident's
needs, the assisted living facility may manage a resident's medications by
storing prescription drugs within the facility, delivering the drugs to the
resident and reminding the resident when the medications need to be taken.
Assisted Living Charges. Monthly assisted living resident charges are
based, in part, on the type of living suite selected and are set at rates
designed to be within the means of seniors in the secondary markets served by
the Company. In addition to its core services package, at certain facilities,
including all newly developed Outlook Pointe(R) facilities, the Company offers
additional levels of services to residents whose frailties or medical condition
are more acute. The pricing structure utilized by Balanced Care is driven by
local market characteristics and competition. A competitive analysis is done of
each market, prices are established and based on the results of that study. In
most cases, base rates are established reflecting the size of the unit, the
view, access to the dining room etc. These base rates include three meals, basic
housekeeping, basic laundry services, help with one, ADL (activity of daily
living) and access to the Balanced Gold program and basic transportation
services. Based on the results of the initial lifestyle assessment, a point
value is assessed for each resident and additional care needs are determined.
Each assessment is individual and the plan of care is unique to that individual.
Charges for these extra services are categorized into four levels of care, all
contingent upon the total number of points scored on the lifestyle assessment.
This assessment is reviewed and re-assessed each quarter, at a minimum. These
extra costs, which can vary from building to building, generally amount to
$400/month for Level II, $800/month for Level III and $1,200/month for Level IV.
As of June 30, 1999, approximately 50% of the Company's assisted living
residents received services at levels offering additional services.
Substantially all of the Company's current revenues from the provision of
assisted living services are attributable to private payors.
MEDICAL REHABILITATION SERVICES
The Company's philosophy for addressing seniors' living and care needs
includes the belief that preventative therapy will strengthen residents, improve
their overall health and forestall the deterioration that generally accompanies
aging, thus extending their lives and lengths of stay in assisted living
facilities. The Company has developed specialized medical rehabilitation
programs to address the needs of seniors, including programs to specifically
address balance and gait difficulties, incontinence, lymphodema, pain and
osteoarthritis, as well as specific preventative therapy programs for seniors.
For residents in the Company's Outlook Pointe(R) signature series assisted
living facilities, each rehabilitation program is followed up with specialized
regimens offered as part of the Balanced Gold(R) activities program. Should a
resident's condition warrant additional rehabilitation, on-staff and contracted
therapists are available.
The Company currently provides medical rehabilitation services, including
physical and occupational therapy, on an outpatient basis to residents at ten of
its assisted living facilities as well as to patients in a surrounding
community. These outpatient services are currently provided through the
Company's licensed rehabilitation agencies in Pennsylvania and Arkansas or
certain of its skilled nursing facilities. Rehabilitation services are provided
at the Company's other facilities through contract services, outpatient
rehabilitation facilities or home health agencies. As previously discussed, by
June 30, 2000 ("Fiscal 2000") the Company plans to discontinue its own
rehabilitation agencies and exclusively utilize independent agencies to provide
therapy services. Substantially all of the Company's current revenues from
provision of medical rehabilitation services are attributable to federal
government reimbursement programs.
HOME HEALTH CARE SERVICES
The Company provides home health care services through its licensed home
health agency in Missouri to residents of its assisted and independent living
facilities and patients from the surrounding areas. The services the Company
provides include: (i) general and specialty nursing services to individuals with
acute illness,
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long-term chronic health conditions, permanent disabilities, terminal illnesses
or post-procedural needs; (ii) therapy services consisting of, among other
things, physical, occupational and speech therapies; (iii) personal care
services and assistance with ADLs; (iv) hospice care for persons in the final
phases of incurable diseases; (v) respiratory, monitoring, medical equipment and
supplies; and (vi) a comprehensive range of home infusion and enteral therapies.
Assisted living residents receiving home health care services may require
skilled nursing services as their medical conditions warrant.
Substantially all of the Company's current revenues from provision of home
health care services are attributable to federal government reimbursement
programs.
SKILLED NURSING SERVICES
The Company currently provides skilled nursing services at three facilities
in Pennsylvania (169 licensed beds) and ten facilities in southwest Missouri
(1,125 licensed beds). The Company's skilled nursing facilities provide
traditional long-term care through 24-hour per day skilled nursing care by
registered nurses, licensed practical nurses and certified nursing aides. The
Company also offers physical rehabilitation at its skilled nursing facilities,
including physical, occupational and speech therapies. Board certified
physicians direct the skilled nursing services offered at these facilities.
For the fiscal year ended June 30, 1999 ("Fiscal 1999"), approximately 74%
of the Company's patient services revenues were attributable to federal and
state government reimbursement programs.
INDEPENDENT LIVING SERVICES
The Company operates four independent living facilities in Missouri located
adjacent to skilled nursing facilities operated by the Company. Services
provided at such facilities include: meal preparation, housekeeping, laundry and
transportation. These facilities are licensed as assisted living facilities and
may be converted from independent living facilities at the option of the
Company.
All of the Company's current revenues from the provision of independent
living services are attributable to private payors.
THE OUTLOOK POINTE(R) SIGNATURE SERIES ASSISTED LIVING FACILITY MODELS
The architectural and interior design concepts of the Outlook Pointe(R)
signature series assisted living facility models incorporate the Company's
operating philosophy of protecting resident privacy, enabling freedom of choice,
encouraging independence and fostering individuality in a home-like setting. The
buildings are residential in appearance, designed as "neighborhoods" within a
"community." All are constructed to meet institutional health care facility
standards. The building designs incorporate the Company's mission and dedication
to providing a new outlook for seniors, encouraging choice, wellness, and
vitality. The Company believes that its residential environment accomplishes:
(i) lessening the trauma of change for residents and their families; (ii)
achieving operational efficiencies; (iii) facilitating resident mobility and
ease of access by caregivers; and (iv) differentiating the Company from other
assisted living and long-term care operators.
The models are freestanding buildings that range in size from 48 units to
106 units and are designed to accommodate the full range of assisted living
services offered by the Company, including the Company's Balanced Gold(R) and
"Treasures(SM)" Memory Care programs. The buildings are usually one to two
stories and of incombustible construction, and are designed to accommodate
future expansion. The design of the facilities allows specialized grouping of
residents, including residents receiving care in the "Treasures(SM)" program,
and a central core for resident interaction. In addition, the buildings are
designed with fully-equipped therapy gyms and treatment rooms for provision of
medical rehabilitation services. Resident units, including studio, privacy,
companion and one bedroom suites, are functionally grouped as "neighborhoods"
within a "community" and are configured internally to provide private bath,
living area and sleeping area with emergency call systems and cable television
service. Porches, terraces, gardens and activity areas are designed to fulfill
outdoor interests of residents.
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The Company has three basic building plan design prototypes which provide
it with flexibility in adapting the model to a particular site and to
accommodate the various income and care levels demanded in a particular market.
OPERATING FACILITIES
The following table sets forth certain information as of June 30, 1999 with
respect to the senior living and care facilities operated by the Company.
<TABLE>
<CAPTION>
RESIDENT CAPACITY
OWNED(O)/ BY CARE LEVEL(1) DATE
LEASED(L)/ --------------------- ------------------
FACILITY LOCATION MANAGED(M) ALF SNF ILF OPENED ACQUIRED
- ----------------- ---------- ----- ----- --- ------ --------
<S> <C> <C> <C> <C> <C> <C>
Currently Operated:
PENNSYLVANIA
Allison Park Outlook Pointe(R) at
Allison Park.................... L 79 -- -- -- 3/96
State College Outlook Pointe(R) at
State College................... L 54 -- -- 5/97 --
Altoona Outlook Pointe(R) at
Altoona......................... L 54 -- -- 10/97 5/99(2)
Harrisburg Outlook Pointe(R) at
Harrisburg...................... L 57 -- -- 12/97 3/99(2)
Reading Outlook Pointe(R) at
Reading......................... L 56 -- -- 1/98 5/99(2)
Bloomsburg Outlook Pointe(R)
Commons at Bloomsburg(4)........ L 65 -- -- -- 1/97
Darlington Outlook Pointe(R)
Commons at South Beaver(4)...... O 89 -- -- -- 10/97
Kingston Outlook Pointe(R) Commons
at Kingston(4).................. L 78 -- -- -- 1/97
Balanced Care, Kingston(4)...... L -- 65 -- -- 1/97
Peckville Outlook Pointe(R) Commons
at Mid Valley(4)................ L 71 -- -- -- 1/97
Balanced Care, Mid Valley(4).... L -- 38 -- -- 1/97
Old Forge Outlook Pointe(R) Commons
at Old Forge(4)................. L 49 -- -- -- 1/97
Wyoming Outlook Pointe(R) Commons
at Wyoming(4)................... L 50 -- -- -- 1/97
Butler Outlook Pointe(R) at
Butler(4)....................... O 36 -- -- -- 10/97
Sarver Outlook Pointe(R) Commons at
Sarver(4)....................... O 36 -- 4 -- 10/97
Saxonburg Outlook Pointe(R) Commons
at Saxonburg(4)(5).............. L 107 -- 16 -- 10/97
</TABLE>
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<TABLE>
<CAPTION>
RESIDENT CAPACITY
OWNED(O)/ BY CARE LEVEL(1) DATE
LEASED(L)/ --------------------- ------------------
FACILITY LOCATION MANAGED(M) ALF SNF ILF OPENED ACQUIRED
- ----------------- ---------- ----- ----- --- ------ --------
<S> <C> <C> <C> <C> <C> <C>
Bloomsburg Balanced Care, Eyers
Grove(4)(5)..................... L -- 66 -- -- 1/98
Millville Outlook Pointe(R) Commons
at Eyers Grove(4)............... O 51 -- -- -- 1/98
Peckville Outlook Pointe(R) at Mid
Valley(3)....................... M 40 -- -- 8/98 --
Scranton Outlook Pointe(R) Commons
at Scranton(3).................. M 72 -- -- 10/98 --
Berwick Outlook Pointe(R) Commons
at Berwick(3)................... M 72 -- -- 10/98 --
Reedsville Outlook Pointe(R)
Commons at Lewistown(3)......... M 72 -- -- 11/98 --
Lewisburg Outlook Pointe(R) Commons
at Lewisburg(3)................. M 73 -- -- 11/98 --
Mechanicsburg Outlook Pointe(R) at
Creekview(3).................... M 103 -- -- 11/98 --
Dillsburg Outlook Pointe(R) at
Logan Meadows(3)................ M 62 -- -- 12/98 --
Beaver Falls Outlook Pointe(R) at
Chippewa(3)..................... M 69 -- -- 2/99 --
York Outlook Pointe(R) at
York(3)......................... M 66 -- -- 2/99 --
Bridgeville Outlook Pointe(R) at
Lakemont Farms(3)............... M 106 -- -- 6/99 --
----- ----- ---
SUBTOTAL................... 1,667 169 20
ARKANSAS
Sherwood Outlook Pointe(R) at
Sherwood........................ L 41 -- 16 9/97 4/99(2)
Mountain Home Outlook Pointe(R) at
Mountain Home................... L 41 -- 16 10/97 4/99(2)
Maumelle Outlook Pointe(R) at
Maumelle(3)..................... M 41 -- 16 10/97 --
Pocohontas Outlook Pointe(R) at
Pocahontas(3)................... M 41 -- 16 10/97 --
Blytheville Outlook Pointe(R) at
Blytheville(3).................. M 55 -- 2 11/97 --
----- ----- ---
SUBTOTAL................... 219 0 66
</TABLE>
9
<PAGE> 10
<TABLE>
<CAPTION>
RESIDENT CAPACITY
OWNED(O)/ BY CARE LEVEL(1) DATE
LEASED(L)/ --------------------- ------------------
FACILITY LOCATION MANAGED(M) ALF SNF ILF OPENED ACQUIRED
- ----------------- ---------- ----- ----- --- ------ --------
<S> <C> <C> <C> <C> <C> <C>
VIRGINIA
Harrisonburg Outlook Pointe(R) at
Harrisonburg(3)................. M 57 -- -- 5/98 --
Roanoke Outlook Pointe(R) at
Roanoke(3)...................... M 65 -- -- 5/98 --
Stafford Outlook Pointe(R) at
Stafford(4)..................... L 41 -- -- -- 6/98
Danville Outlook Pointe(R) at
Danville(3)..................... M 66 -- -- 7/98 --
----- ----- ---
SUBTOTAL................... 229 0 0
OHIO
Ravenna Outlook Pointe(R) at
Ravenna(3)...................... M 57 -- -- 2/98 --
Mansfield Outlook Pointe(R) at
Ontario(3)...................... M 66 -- -- 8/98 --
Lima Outlook Pointe(R) at
Lima(3)......................... M 66 -- -- 9/98 --
Xenia Outlook Pointe(R) at
Xenia(3)........................ M 102 -- -- 1/99 --
Medina Outlook Pointe(R) at
Medina(3)....................... M 80 -- -- 2/99 --
----- ----- ---
SUBTOTAL...................... 371 0 0
NORTH CAROLINA
Raleigh Outlook Pointe(R) at
Northridge(4)................... O 116 -- -- -- 12/97
Greensboro Outlook Pointe(R) at
Greensboro(3)................... M 47 -- -- 10/98 --
----- ----- ---
SUBTOTAL...................... 163 0 0
MISSOURI
Dixon Balanced Care, Dixon......... L -- 60 -- -- 8/96
Hermitage Balanced Care,
Hermitage....................... L -- 120 -- -- 8/96
Lebanon Balanced Care, Lebanon
North........................... L -- 180 -- -- 8/96
Balanced Care, Lebanon South.... L 12 106 -- -- 8/96
The Terraces at Lebanon South... L 31 -- -- -- 8/96
Nixa
Balanced Care, Nixa............. L -- 82 -- -- 8/96
The Terraces at Nixa............ L 30 -- -- -- 8/96
</TABLE>
10
<PAGE> 11
<TABLE>
<CAPTION>
RESIDENT CAPACITY
OWNED(O)/ BY CARE LEVEL(1) DATE
LEASED(L)/ --------------------- ------------------
FACILITY LOCATION MANAGED(M) ALF SNF ILF OPENED ACQUIRED
- ----------------- ---------- ----- ----- --- ------ --------
<S> <C> <C> <C> <C> <C> <C>
Republic Balanced Care, Republic... O -- 127 -- -- 8/96
Springfield
Balanced Care, Springfield
East.......................... L -- 120 -- -- 8/96
The Terraces at Springfield
East.......................... L -- -- 31 -- 8/96
Balanced Care, Springfield West
I............................. L -- 90 -- -- 8/96
Balanced Care, Springfield West
II............................ L -- 180 -- -- 8/96
The Terraces at Springfield..... L 28 -- -- -- 1/97
Nevada
Balanced Care, Nevada........... O -- 60 -- -- 8/96
The Terraces at Nevada.......... L 30 -- -- -- 1/97
The Terraces of Balanced Care... L 22 -- -- -- 5/97
The Terraces of Balanced Care... L 24 -- -- -- 5/97
Butler The Terraces of Balanced
Care............................ L 23 -- -- -- 5/97
Lamar The Terraces of Balanced
Care............................ L 24 -- -- -- 8/97
----- ----- ---
SUBTOTAL...................... 224 1,125 31
WEST VIRGINIA
Martinsburg Outlook Pointe(R) at
Martinsburg(3).................. M 63 -- -- 1/99 --
TENNESSEE
Jackson Outlook Pointe(R) at
Jackson(3)...................... M 66 -- -- 1/99 --
Bristol Outlook Pointe(R) at
Bristol(3)...................... M 66 -- -- 2/99 --
Murfreesboro Outlook Pointe(R) at
Murfreesboro(3)................. M 66 -- -- 3/99 --
Johnson City Outlook Pointe(R) at
Johnson City(3)................. M 66 -- -- 6/99 --
----- ----- ---
SUBTOTAL................... 264 0 0
FLORIDA
Pensacola Outlook Pointe(R) at
Pensacola(3).................... M 66 -- -- 6/99 --
----- ----- ---
TOTAL...................... 3,266 1,294 117
----- ----- ---
</TABLE>
- ---------------
(1) "ALF" means assisted living facility, "SNF" means skilled nursing facility
and "ILF" means independent living facility. The Company's ILFs in Missouri
are licensed as ALFs and may be converted to ALFs as the needs of its
residents so require.
(2) During Fiscal 1999, the Company exercised its option to acquire the stock of
the Operator/Lessee of the facilities. As a result, the Company acquired the
leasehold interest in the named facility. See "Business -- Development."
(3) The Company manages the facility for the Operator/Lessee and has an option
to acquire the stock of the Operator/ Lessee. See "Business -- Development."
(4) Denotes a name change.
(5) In the third quarter of Fiscal 1999, the Company completed the sale and
subsequent leaseback of two of its facilities to an unrelated third party.
11
<PAGE> 12
DEVELOPMENT
An integral element of the Company's growth to date has been the design,
development and opening of the Outlook Pointe(R) signature series assisted
living facilities which are owned by independent Operators/ Lessees and managed
by the Company. The Company believes that the signature series assisted living
facilities meet the needs of the upper middle, middle and moderate income
populations in its markets and are designed to provide the broad range of
services contemplated by its Balanced Care Continuum strategy over a range of
pricing options. The Company has opened 34 of its Outlook Pointe(R) signature
series assisted living facilities as of June 30, 1999.
The Company's development projects have generally involved entering into
development agreements with third party owners, which are typically Real Estate
Investment Trusts or REITs (each, an "Owner"). An independent third party
company (the "Operator/Lessee") leases the assisted living facility from the
Owner when construction has been completed and provides funding for the working
capital during the initial occupancy period. The Company manages the assisted
living facility pursuant to a management agreement for a term of two to nine
years in return for a management fee approximating 6% of the net revenue of the
facility. The foregoing off-balance sheet financing structure is referred to as
the "Black-Box Structure". The Company's development activities are
significantly affected by volatility in the capital markets and specific
transaction terms which affect the Company's ability to utilize non-binding
financing commitments from REIT's and other lenders. More specifically, there
was a significant reduction in the amount of REIT financing available for new
assisted living construction in Fiscal 1999. Furthermore, the ability of the
Company to negotiate acceptable transaction terms and to currently recognize
income on development fees has become increasingly difficult due to accounting
pronouncements and guidance issued by the Emerging Issues Task Force ("EITF")
and the Securities and Exchange Commission staff. Finally, the Company's
leverage (i.e. debt and other financial commitments in relation to equity) has
increased due to its extensive use of operating leases to finance the
construction of its Outlook Pointe(R) assisted living facilities.
As a direct result of the foregoing, the Company has been unable to obtain
financing on acceptable terms to continue development of its Outlook
Pointe(R)signature series assisted living facilities. As a result, in Fiscal
1999, management focused the Company's efforts on the operations of existing
facilities, and facilities which are now under construction, and substantially
reduced its development activities with respect to new sites and projects. The
Company has terminated, or allowed the expiration of, most of its land options
on previously secured sites. Management has taken these steps to focus on
building market share in existing markets, to channel its financial and human
resources into meeting facility occupancy goals, and to build brand recognition
throughout the Balanced Care system. The Company had 18 assisted living
facilities under construction at June 30, 1999, which the Company will continue
to develop. If, and when, capital becomes available to the Company on acceptable
terms, the Company expects to implement a program of limited development
consisting of approximately four to five projects per quarter that meet the
Company's development standards.
12
<PAGE> 13
The following table sets forth certain information as of June 30, 1999
regarding the 18 Outlook Pointe(R) signature series assisted living facilities
for which the construction process has commenced and which the Company is
developing for other independent Operators/Lessees. The Company has an agreement
to manage each facility for an Operator/Lessee under the Black-Box Structure.
<TABLE>
<CAPTION>
ESTIMATED
CONSTRUCTION ESTIMATED
RESIDENT START DATE COMPLETION DATE
ASSISTED LIVING FACILITY LOCATION CAPACITY (QUARTER END) (QUARTER END)
- --------------------------------- -------- ------------- ---------------
<S> <C> <C> <C>
PENNSYLVANIA
Shippensburg....................................... 66 Commenced Sept. 1999
Loyalsock.......................................... 66 Commenced Dec. 1999
Lebanon............................................ 66 Commenced Sept. 1999
-----
Subtotal................................... 198
OHIO
Hilliard........................................... 106 Commenced Dec. 1999
Centerville........................................ 106 Commenced Dec. 1999
Westerville........................................ 106 Commenced June 2000
Sagamore Hills..................................... 105 Commenced Dec. 1999
-----
Subtotal................................... 423
TENNESSEE
Hendersonville..................................... 66 Commenced Dec. 1999
Kingsport.......................................... 66 Commenced Sept. 1999
Knoxville.......................................... 106 Commenced Dec. 1999
Morristown......................................... 66 Commenced Dec. 1999
Oak Ridge.......................................... 66 Commenced Dec. 1999
-----
Subtotal................................... 370
FLORIDA
Tallahassee........................................ 106 Commenced Dec. 1999
VIRGINIA
Chesterfield....................................... 80 Commenced Dec. 1999
WEST VIRGINIA
Teay's Valley...................................... 66 Commenced Dec. 1999
INDIANA
Anderson........................................... 66 Commenced Sept. 1999
Evansville......................................... 106 Commenced Dec. 1999
-----
Subtotal................................... 172
MARYLAND
Hagerstown......................................... 66 Commenced Sept. 1999
-----
TOTAL...................................... 1,481
</TABLE>
ACQUISITIONS AND STRATEGIC ALLIANCES
Since its inception, the Company has acquired 18 assisted living
facilities, five Outlook Pointe(R) signature series assisted living facilities
from Operator/Lessees, 13 skilled nursing facilities, and four independent
living facilities, as well as a home health care agency. While the Company is
focusing management's efforts on the operations of existing facilities and
facilities now under construction, it may consider selective acquisitions in the
future through joint ventures, or other alliances when, and if, capital becomes
available to the Company on acceptable terms.
13
<PAGE> 14
For development projects which utilized the Black-Box Structure, the
Company has the option to purchase the equity or assets of the Operator/Lessee
pursuant to a formula set forth in an Option Agreement and a Shortfall Funding
Agreement respectively. As consideration for the option, which is exercisable by
the Company at any time during the term of the Option Agreement, the Company
pays option payments to the Operator/Lessee. Without the Owner's prior consent,
the Operator/Lessee may not sell its equity or assets to any third party other
than the Company. During Fiscal 1999, the Company exercised its option to
purchase the Operator/Lessees equity interests on five projects which were
managed by the Company located in Harrisburg, Altoona, and Reading, Pennsylvania
and in Sherwood and Mountain Home, Arkansas. Based on capital availability, the
Company plans to exercise its options to purchase the equity interests on
approximately 16 of its managed operations during Fiscal 2000. See "Management's
Discussion and Analysis of Financial Condition and Results of
Operations -- Liquidity and Capital resources."
OPERATIONS
CENTRALIZED CORPORATE MANAGEMENT
The Company's corporate and other administrative functions are centralized
so that the facility-based management and staff can focus on resident care. The
Company's corporate office, located in Mechanicsburg, Pennsylvania, is generally
responsible for: (i) establishing Company-wide policies and procedures relating
to, among other things, resident care and operations; (ii) performing accounting
and finance functions; (iii) developing and implementing employee training
programs and materials; (iv) coordinating human resources; (v) food services and
environmental functions; (vi) designing marketing programs and coordinating
marketing functions; and (vii) providing strategic direction.
The Company manages the operations of each of its facilities through
standardized management reporting and centralized control of capital
expenditures and the purchase of larger and more frequently used supplies.
Facility expenditures are monitored by regional operations teams headed by one
of the Company's Regional Vice Presidents who are responsible for the financial
performance of the facilities in their region. The operational activities of the
Company's assisted living facilities are directed by the Company's Chief
Operating Officer, its Executive Vice President of Operations, its Senior Vice
President -- Operations, and its Vice President -- Missouri Division, who are
responsible, with the regional Vice Presidents, for the opening and operation of
these facilities.
COMMUNITY -- BASED MANAGEMENT
An assisted living Community Director or skilled nursing Facility
Administrator manages the operations at each assisted living or skilled nursing
facility, including oversight of the quality of care, delivery of resident
services, and monitoring of financial performance, and is responsible for all
personnel, including assisted living, food service, maintenance, activities,
security, housekeeping, and, where applicable, nursing. Directors and
Administrators are compensated based on attaining certain quality service goals
and on the financial goals of the facility. In most cases, each facility also
has department managers that direct nursing or care services, dining services,
activities, transportation, environmental, housekeeping and marketing functions.
In its assisted living communities, the Company has adopted the concept of
a multi-task work environment whereby each employee's responsibilities span a
number of traditional job descriptions. For example, an employee may, during the
course of a day, provide housekeeping, food delivery service, activities, and
assistance with ADLs to residents. On-site care managers and residents'
assistants provide most of the actual resident care in conjunction with a small
support team consisting of a nurse, a housekeeper, a maintenance helper, an
administrative coordinator and a small dining service team.
The Company actively recruits personnel to maintain adequate staffing
levels at its existing facilities, as well as additional staff for new or
acquired facilities, prior to opening. The Company has adopted comprehensive
recruiting and screening programs for management for positions that utilize
personnel profiling, corporate office interviews, and background checks. The
Company offers system-wide training and orientation for its resident care
employees, department managers, and executive staff at the facility level
through Company-sponsored programs.
14
<PAGE> 15
QUALITY ASSURANCE AND TRAINING
The Company's quality assurance program is designed to achieve, maintain
and enhance high performance in the area of resident and family satisfaction,
employee development, Fiscal responsibility and corporate integrity, along with
continuous internal quality improvement. Corporate office staff oversee the
implementation of the quality assurance program at each of the Company's
facilities. Resident and family participation is encouraged and feedback is
sought through satisfaction surveys, focus groups, resident councils and
discussions with family members. The Company provides intensive training
programs to ensure that its quality standards are achieved by its employees at
each facility, and strives to meet employees' needs and provide a respectful and
cooperative environment. Employees are responsible for handling finances with
efficiency and integrity and adhere to an ethical code of conduct. Internal
standards for all areas of service have been established which the Company
believes meet or exceed those of regulatory agencies. Monitoring and improving
internal performance in regard to these standards is facilitated by
cross-functional performance improvement teams. Additionally, inspections of
each facility are conducted regularly by corporate staff who review all aspects
of operations, care and services provided.
MARKETING
The Company's sales and marketing program has been developed by the
corporate sales and marketing staff under the direction of the Company's Vice
President of Sales and Vice President of Marketing and is modified in accordance
with the needs of each community. The Marketing Department focuses on creating
awareness of the Company and its services among prospective residents, their
families, medical and professional referral sources and other key decision
makers. The Sales Department focuses on recruiting, hiring, and training sales
personnel, and monitors their performance against census plans. Sales and
marketing efforts are implemented on a regional and local level under the
supervision of Regional Marketing Directors and facility Community Directors.
Before opening a new assisted living facility, the Company contacts
referral sources and conducts marketing programs that generate public awareness
beginning with the start of construction and intensify several months prior to
opening of the facility. An on-site Marketing Coordinator and Community Director
are at the facility approximately four and six months, respectively, prior to
the opening of the facility and are supported by the Company's corporate
marketing department. The Company generally expects occupancy of newly developed
assisted living facilities to reach a pre-opening goal of 20%, and expects to
add an additional four to five new residents monthly reaching a targeted
occupancy of 92% within 10 to 21 months after opening, depending on the size of
the facility.
Once a facility opens, the Company believes that satisfied residents and
their families are its most important referral sources. The Company's emphasis
on high quality services and resident satisfaction create a strong referral base
in the surrounding community. In addition, the Company focuses on developing the
reputation of the facilities for quality care and its full array of excellent
service programs among potential referral sources.
MANAGEMENT INFORMATION SYSTEMS/YEAR 2000 READINESS DISCLOSURE
The Company's Information Systems department, under the direction of the
Company's Vice President of Corporate Services, develops, implements and
maintains management and financial systems which enable the Company to closely
monitor operating costs and quickly distribute financial and operating
information to appropriate levels of management in a cost efficient manner. The
Company uses flexible input methods and communications to allow for distributed
data collection and analysis. As a result of the curtailment of future
development plans, the Company has postponed its plans to upgrade the existing
financial system to accommodate future growth, which was scheduled to begin
during Fiscal 1999. Management believes that its current data systems are
adequate for current operations and provide the flexibility to accommodate the
planned growth of its operations without disruption or significant modification
to existing systems through Fiscal 2000. However, computer software and/or
hardware that was designed to define the year with a two digit date field rather
than a four digit field may fail or miscalculate data in the year 2000, causing
disruption
15
<PAGE> 16
to the operations or business activities of the Company. See "Management's
Discussion and Analysis of Financial Condition and Results of Operations."
COMPETITION
The health care industry is highly competitive and the Company believes
that competition in its current and targeted markets will continue to increase.
There are currently few regulatory and other barriers to entry in the assisted
living industry. The Company faces competition for residents from numerous
local, regional and national providers of facility-based assisted living and
long-term care, including skilled nursing facilities, as well as medical
rehabilitation and home health care providers. The Company believes the primary
competitive factors in the senior care industry are: (i) reputation for, and
commitment to, high quality care; (ii) quality of support services offered (such
as home health care and food services); (iii) price of services; (iv) physical
appearance and amenities associated with the facilities; and (v) location.
Because seniors tend to choose senior living facilities near their homes, the
Company's principal competitors are other senior living and long-term care
facilities in the same geographic areas as the Company's facilities. The Company
also competes with other health care businesses with respect to attracting and
retaining nurses, technicians, aides, and other high quality professional and
non-professional employees and managers.
GOVERNMENT REGULATION
The health care industry is subject to extensive federal, state and local
regulation. The various layers of governmental regulation affect the Company's
business by controlling its growth, requiring licensure or certification of its
facilities, regulating the use of its facilities and controlling reimbursement
to the Company for services provided. Licensing, certification and other
applicable governmental regulations vary from jurisdiction to jurisdiction and
are revised periodically. It is not possible to predict the content or impact of
future legislation and regulations affecting the health care industry.
Laws and regulations governing skilled nursing facilities are particularly
extensive and establish minimum standards in a variety of areas, including
physical plant specifications; personnel training and education; the level of
nursing, physician, rehabilitation, social, dietary and recreational services to
be provided; and safety and evacuation plans. The Omnibus Reconciliation Act of
1987 ("OBRA") significantly redefined the scope and nature of federal
regulations governing skilled nursing facilities certified to participate in the
Medicare and Medicaid programs, with an emphasis on resident rights and quality
of care. Skilled nursing facilities are also generally subject to and must
comply with state and/or local building and fire codes. In addition, some
states, including Missouri, have certificate of need laws applicable to skilled
nursing facilities. Certificate of need laws require that a state agency
determine that a sufficient need exists for a facility before it may be opened.
These laws may also regulate permitted capital expenditures and expansion of
services and beds.
Skilled nursing facilities, like other health care providers, are
periodically inspected by governmental agencies with authority over licensing
and certification for participation in the Medicare and Medicaid programs. New
survey and certification requirements under OBRA for participation in the
Medicare and Medicaid programs became effective in 1995, significantly changing
the process of surveying long term care facilities. These requirements
established a graduated system of penalties and remedies to match the severity
of the deficiency. Facility deficiencies may result in the imposition of fines
and penalties, a need to undertake corrective actions, a temporary moratorium on
admissions pending correction of deficiencies, and could result in
decertification from the Medicare and Medicaid programs or loss of licensure and
closure of the facility. To date, these regulations have not had a material
adverse effect on the Company's operations. On March 25, 1999, President Clinton
signed the Nursing Home Resident Protections Amendments of 1999, which require
nursing facilities that voluntarily withdraw from the Medicaid program to
continue to accept Medicaid reimbursement and remain subject to Medicaid
requirements with respect to residents who were eligible for Medicaid
immediately preceding the voluntary withdrawal. In addition, the federal
government, through the Health Care Financing Administration has issued new
instructions to state agencies that are responsible for surveys of nursing
facilities. In March 1999, the Health Care Financing Administration, sent a
letter to state survey agencies regarding the need to timely and comprehensively
investigate complaints in nursing facilities and take appropriate action where
warranted. In July 1999, the Health Care Financing Administration
16
<PAGE> 17
substantially revised survey procedures in nursing facilities to include a
presurvey analysis of the facility's compliance record based upon resident and
facility data that facilities must report to the federal government on a
continual basis. The Company believes it is in substantial compliance with
applicable federal and state laws, rules and regulations governing nursing
facilities, but it is unable to predict the extent to which these changes in
procedure will have an impact on the Company's business.
In March 1997, the federal government, through the Health Care Financing
Administration, proposed revisions to the conditions for participation in the
Medicare program applicable to home health care providers. These revised
conditions, as proposed, focused on matters such as patient rights, outcomes of
care, patient assessment, care planning, and quality assessment. In January
1999, the Health Care Financing Administration published final rules to
implement proposed changes regarding comprehensive assessments of patients and
reporting requirements associated with such assessments, known as Outcome and
Assessment Information Set ("OASIS"). These final rules were effective on
February 24, 1999, but other portions of the proposed 1997 rules have not been
finalized. The Company is not able to predict at this time what the content of
the outstanding proposed rules, if finalized, will be and it is too soon to
quantify the impact that the February 1999 final rules may have on the Company's
home health care services.
The Company's assisted living facilities are subject to regulation by
various state and local agencies. There are currently no federal laws or
regulations specifically governing assisted living facilities. State
requirements relating to the licensing and operation of assisted living
facilities vary from state to state; however, most states regulate many aspects
of a facility's operations, including physical plant requirements; resident
rights; personnel training and education; requisite levels of resident
independence; administration of medications; safety and evacuation plans; and
the level and nature of services to be provided, including dietary and
housekeeping. In most states, assisted living facilities must also comply with
state and local building and fire codes and certain other licenses or
certifications, such as a food service license, may be required. In addition, in
several states, including Arkansas, Missouri, Kentucky and New Jersey
certificate of need laws apply to assisted living facilities. Assisted living
facilities are subject to periodic survey by governmental agencies with
licensing authority. In certain circumstances, failure to satisfy survey
standards could result in a loss of licensure and closure of a facility.
Because assisted living facilities historically have not been considered as
traditional health care entities and government and private insurers generally
have not reimbursed providers for assisted living services, these facilities
have not been subject to the degree of regulation which governs nursing homes
and other health care providers. As assisted living emerges as a cost-effective
alternative to nursing facility care, it is anticipated that assisted living
facilities could become subject to more extensive regulation, particularly in
the areas of licensure and reimbursement. The content of such regulations, the
extent of any increased regulation and the impact of any such regulation on the
Company cannot be predicted at this time and there can be no assurance that such
regulations will not adversely affect the Company's business. Assisted living
facilities may be eligible to participate as Medicaid providers and receive
reimbursement through Medicaid waiver programs and managed care plans. The
Company has elected to participate in Medicaid programs in Arkansas and North
Carolina.
As a Medicare and Medicaid provider with respect to its skilled nursing
facilities and rehabilitation and home health care operations, the Company is
subject to a variety of laws regulating relationships among health care
facilities, providers and physicians. Among these laws is the federal "Stark
Act" legislation which prohibits, with some exceptions, a physician from
referring patients for certain designated health care services, including home
health care and certain rehabilitation services, to entities in which the
physician or a member of his or her family has a financial interest. In early
1998, proposed regulations relating to the Stark Act were issued. In addition,
several legislative reforms of the Stark Act have been introduced in Congress in
1999. The Company is not able to predict at this time what the content of final
regulations may be or whether the Stark Act will be revised. Therefore, the
Company also cannot predict the impact revised legislation or final regulations
may have on the Company's business and operations. The Company, is also subject
to federal anti-kickback laws which prohibit the payment or receipt of any
remuneration in return for, or to induce, the referral of patients for items or
services that are paid for, in whole or in part, by Medicare or Medicaid.
Violation of these provisions could result in civil or criminal penalties, as
well as exclusion from participation
17
<PAGE> 18
in the Medicare and Medicaid programs. There are currently a number of federal
initiatives being undertaken to increase enforcement of the federal
anti-kickback law and other antifraud and abuse provisions. The federal
government, through the Office of Inspector General, recently released a model
compliance plan for home health agencies. The model plan identifies a number of
risk areas where home health agencies need to pay particular attention to their
practices and further requires the home health agency to exercise oversight over
parties with which it does business. The Company has established a corporate
compliance code of conduct relating to, among other things, resident and patient
care, and fraud and abuse/legal policy and procedures. Additionally, the
Balanced Budget Act of 1997 (the "Budget Act"), signed into law on August 5,
1997, contains a number of antifraud provisions designed to further fight abuse
and enhance program integrity. Certain states have also enacted anti-kickback
laws patterned on the federal law. The Company believes that its operations are
in substantial compliance with the laws applicable to Medicare and Medicaid
providers, including antifraud and abuse provisions; however, there can be no
assurance that the administrative or judicial interpretation of such laws or the
regulations promulgated thereunder will not in the future have a material
adverse impact on the Company's operations or that the Company will not be
subject to an investigation which would require a significant investment of time
and manpower by the Company.
The Company derives a significant portion of its revenues from federal and
state reimbursement programs. All of the skilled nursing facilities operated by
the Company are certified to receive benefits under Medicare and Medicaid, and
the Company's home health care agency is certified under Medicare. The
reimbursement methodology for a variety of health care providers has changed
significantly as a result of provisions contained in the Budget Act, which
provisions materially impacted the Company's operations and financial condition.
The Budget Act provides for the establishment of a prospective payment system
("PPS") for skilled nursing services (rather than the retrospective cost-based
methodology in place prior to July 1, 1998). The PPS for skilled nursing
facilities is being phased in over three cost reporting periods, commencing on
or after July 1, 1998. During the transition period, the payment rate is based
on a percentage blend of a facility-specific rate and a federal per diem rate.
Once the PPS is fully implemented, skilled nursing facilities will be paid a
federal per diem rate for covered services, which include routine and ancillary
services and most capital-related costs. In conjunction with PPS, consolidated
billing for Medicare Part A Services is required for skilled nursing facilities.
Under consolidated billing for Medicare Part A Services, facilities must bill
Medicare for all of the services residents receive, including all therapy
services. The Company's skilled nursing facilities began utilizing this new rate
methodology on July 1, 1998. The Company expects Fiscal 2000 results at the
skilled nursing facilities to be similar to Fiscal 1999. To maximize operating
results under the new regulations the Company has embarked upon a program to
reduce costs and manage acuity levels. These steps included: (i) a renegotiation
of therapy service contracts; (ii) a reduction of nursing costs through managing
hours worked to patient acuity; (iii) evaluation of the need for high-cost
programs; and (iv) consolidating and eliminating certain non-patient related
services. The financial impact of these operational changes and the new Medicare
reimbursement rates are reflected in the Fiscal 1999 operating results and
further discussed in "Management's Discussion and Analysis of Financial
Condition and Results of Operations -- Result of Operations."
The Budget Act additionally establishes a PPS for home health care services
pursuant to which all services which are currently paid on a reasonable cost
basis will be paid on a prospective basis. The PPS for home health care services
has been delayed until at least February 2000 to allow for Medicare Y2K systems
transition. When home health PPS is implemented, there is to be a transition
period not to exceed four years. Until such time as there is full implementation
of the PPS for home health care services, the Budget Act imposes a number of
interim modifications on reimbursement, including a reduction in per visit cost
limits. The interim payment system implemented by the Health Care Financing
Administration is effective retroactive to October 1997 and has resulted in
required repayments to the federal government by a number of home health
agencies. Reimbursement of these provider overpayments and the imposition of per
visit cost limits have created significant financial hardship for providers,
with a number of home health providers having ceased operations. In an effort to
offset the hardship caused by the repayment obligation, the Health Care
Financing Administration has authorized repayments over a 12-month period,
rather than requiring a lump sum payment. The Budget Act also modifies
reimbursement rates for rehabilitation agencies and outpatient therapy
providers. It is not possible to predict at this time the impact that any or all
these changes in
18
<PAGE> 19
reimbursement methodology may have on the business, results of operations or
financial condition of the Company, though the reform measures are intended to
reduce the amounts paid by the government for these services.
State Medicaid programs currently apply to all of the Company's skilled
nursing facilities. In some of the states where the Company has assisted living
facilities, Medicaid programs apply to the facilities through Medicaid waiver
programs or other Medicaid rules. While these programs differ in certain aspects
from state to state, they are all subject to requirements imposed by the federal
government, which provides approximately 50% of the funds available under these
programs. In Missouri, where the Company operates skilled nursing facilities,
payments are based upon specific cost reimbursement formulas established by that
state, which are generally based on historical costs with adjustment for
inflation. Pennsylvania instituted a case mix reimbursement system in 1996 which
reimburses skilled nursing facilities based upon a combination of resident
acuity and cost data.
For Fiscal 1999, the Company derived approximately 26% of its gross patient
revenues from Medicare and approximately 48% of its gross patient revenues from
Medicaid. For the years ended June 30, 1998 and 1997, the Company derived
approximately 43% and 38% of its gross patient revenues from Medicare,
respectively, and approximately 37% and 38% of its gross patient revenues from
Medicaid, respectively.
Both governmental and private-payor sources have instituted cost
containment measures designed to limit payments made to long-term health which
adversely affect reimbursements to the Company. Furthermore, although federal
regulations do not recognize state budget deficiencies as a legitimate ground to
curtail funding of their Medicaid cost reimbursement programs, states have
nevertheless curtailed such funding in the past. No assurance can be given that
states will not do so in the future or that the future funding of Medicaid
programs will remain at levels comparable to present levels.
Government reimbursement programs are also subject to statutory and
regulatory changes, administrative rulings and interpretations, determinations
by reimbursement intermediaries, and governmental funding restrictions, all of
which may materially increase or decrease the rate of program payments to health
care providers operated by the Company. In addition, there can be no assurance
that facilities or other providers owned, leased or managed by the Company, now
or in the future, will initially meet or continue to meet the requirements for
participation in such programs.
The Company believes the structure and composition of government regulation
of health care will continue to change and, as a result, it regularly monitors
developments in the law. The Company expects to modify its agreements and
operations from time to time as the business and regulatory environment changes.
While the Company believes it will be able to structure all its agreements and
operations in accordance with applicable law, there can be no assurance that its
arrangements will not be successfully challenged.
Under the Americans with Disabilities Act of 1990, all places of public
accommodation are required to meet certain federal requirements related to
access and use by disabled persons. A number of additional federal, state and
local laws exist which also may require modifications to existing and planned
properties to create access by disabled persons. While the Company believes that
its properties are substantially in compliance with present requirements or are
exempt therefrom, if required changes involve a greater expenditure than
anticipated or must be made on a more accelerated basis than anticipated,
additional costs would be incurred by the Company. Further, legislation may
impose additional burdens or restrictions with respect to access by disabled
persons, the costs of compliance with which could be substantial.
The Company is subject to various federal, state and local environmental
laws and regulations. Such laws and regulations often impose liability whether
or not the owner or operator knew of, or was responsible for, the presence of
hazardous or toxic substances. The costs of any required remediation or removal
of these substances could be substantial and the liability of an owner or
operator as to any property is generally not limited under such laws and
regulations and could exceed the property's value and the aggregate assets of
the owner or operator. The presence of these substances, or failure to remediate
such contamination properly, may also affect adversely the owner's ability to
sell or rent the property, or to borrow using the property as collateral. Under
these laws and regulations, an owner, operator or an entity that arranges for
the disposal of
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hazardous or toxic substances, such as asbestos-containing materials, at the
disposal site, may also be liable for the costs of any required remediation or
removal of the hazardous or toxic substances at the disposal site. In connection
with the ownership or operation of its properties, the Company could be liable
for these costs, as well as certain other costs, including governmental fines
and injuries to persons or properties.
The Company is also evaluating the impact of the recent report issued by
the United States General Accounting Office in April 1999 entitled "Assisted
Living Quality-of-Care and Consumer Protection Issues in Four States" (the "GOA
Report") on its methods of delivery. Generally, the GAO Report found that
assisted living facilities do not routinely provide prospective residents with
key information they need so they can compare what several facilities offer and
determine whether a facility is appropriate for their needs. The GAO Report also
found that some assisted living residents are encountering quality of care and
consumer protection problems. Due to the recent nature of the GAO Report, the
Company cannot predict the impact on its methods of delivery. The Company will
continue to evaluate the issues raised by the GAO Report and will take what
actions, if any, are required to provide adequate quality of care and consumer
protections to its residents.
LIABILITY AND INSURANCE
Providing health care services involves an inherent risk of liability.
Participants in the senior living and health care services industry are subject
to lawsuits alleging negligence or related legal theories, many of which may
involve large claims and result in the incurrence of significant defense costs.
The Company currently maintains property, liability and professional medical
malpractice insurance policies for the Company's owned, leased and managed
facilities with such coverages and deductibles which management believes are
prudent, adequate and in keeping with industry practice. The Company also has an
umbrella excess liability protection policy in the amount of $5.0 million to
$10.0 million per location. In addition, the Company maintains policies for
employee practices and officers and directors liability in the amounts of $1.0
million and $10.0 million respectively. There can be no assurance that a claim
in excess of the Company's insurance will not be asserted. A claim against the
Company not covered by, or in excess of, the Company's insurance, could have a
material adverse affect on the Company. The Company's insurance policies are
reviewed annually. There can be no assurance that the Company will be able to
obtain liability insurance in the future or that, if such insurance is
available, it will be available on acceptable terms.
EMPLOYEES
As of June 30, 1999, the Company had approximately 2,900 employees. None of
the Company's employees is represented by a union. The Company considers its
employee relations to be good. Although the Company believes it is able to
employ sufficient skilled personnel to staff the facilities it operates or
manages, a shortage of skilled personnel in any of the geographic areas in which
it operates could affect adversely the Company's ability to recruit and retain
qualified employees and its operating expenses.
RISK FACTORS
This Annual Report on Form 10-K contains various "forward looking
statements" within the meaning of the Private Securities Litigation Reform Act
of 1995. These statements, which represent the Company's expectations or beliefs
concerning various future events, include the following: statements concerning
anticipated effects on earnings, cost savings and operations of the Company; net
cash flow; industry trends; certain expected capital expenditures; computer
software modification and replacement; the outcome of any government inquiries,
litigation or other proceedings; the impact of government regulation; and future
environmental costs. These statements are based on current expectations that
involve a number of risks and uncertainties, including the following:
Limited Operating History. The Company was formed in April 1995 and has a
limited operating history. The Company had net income (loss) of ($909,000),
($4,492,000) and $3,575,000 for its Fiscal years ended June 30, 1996, 1997 and
1998, respectively, and had a net loss of $23,637,000 for Fiscal 1999. As of
June 30, 1999, the Company had an accumulated deficit of $25,473,000. The
Company's newly developed assisted
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living facilities are expected to incur operating losses until they achieve
break-even occupancy levels of approximately 78%. The Company expects to achieve
targeted stabilized occupancy levels of approximately 92% approximately 10 to 21
months after opening, depending on the size of the facility. In addition, the
Company's acquired operations, even if profitable when acquired, may incur
operating losses pending their integration into the Company's business. Several
of the facilities that have been acquired by the Company experienced operating
losses in the Fiscal years ended June 30, 1997, 1998 and 1999. See "Selected
Financial Data" and "Management's Discussion and Analysis of Financial Condition
and Results of Operations". Accordingly, there can be no assurance that the
Company will not continue to incur losses. Failure to achieve profitability
could have a material adverse effect on the Company's business, results of
operations and financial condition.
Implementation of Strategies. To date, the Company's growth has been
primarily attributable to development of assisted living facilities and
acquisitions of assisted living and skilled nursing facilities. The Company's
first Outlook Pointe(R) signature series assisted living facility opened in May
1997. The Company has opened 34 additional Outlook Pointe(R) signature series
assisted living facilities through June 30, 1999. As discussed previously, the
Company has decided to emphasize the focus of management's efforts on the
operations of existing facilities and facilities which are now under
construction and to substantially reduce its development activities with respect
to new sites and projects. Management is focused on building market share in
existing markets, channeling its financial and human resources into meeting
facility occupancy goals and building brand recognition throughout the Balanced
Care system. If, and when, capital becomes available to the Company on
acceptable terms, the Company expects to begin incremental development of its
signature series assisted living facilities on a limited basis of approximately
four to five projects per quarter that meets the Company's development
standards. Any future growth strategies may place a significant burden on the
Company's management resources and require the development, implementation and
continual enhancement of sufficient operational, resident care, financial and
management information systems. Successful implementation of the Company's
strategies will also depend on its ability to raise capital and carry out its
strategic plans and to attract, motivate and retain management, professional,
marketing and other key personnel. There can be no assurance that its strategies
can be implemented successfully or that sufficient management resources and
operational, resident or patient care, financial and management information
systems will be available. If the Company is unable to manage its growth or to
implement its strategies effectively, its business, results of operations and
financial condition could be materially and adversely affected.
Need for Additional Capital. The Company has financing to fund the 18
projects under construction at June 30, 1999. The Company will need additional
capital resources to fund any new development projects or acquisitions,
including the working capital required to fund any new development projects
during the start-up phase until a break-even point is attained. For the 28
communities managed and 18 projects under construction at June 30, 1999, the
Company estimates that it will be required to make future working capital
shortfall contributions of $3 million in connection with certain of these
projects through Fiscal 2000. The Company also estimates that it will require
approximately $14 million in cash if it exercises its options to purchase the
stock or assets of Operators/Lessees for all projects currently managed (28) or
to be managed (the 18 under construction). The Company expects to exercise these
options for all of these facilities over the next two to three years. The
Company's future growth will depend on its ability to obtain capital financing
on acceptable terms to exercise its purchase options and to fund any future
development and acquisition transactions. The Company may seek additional
financing through public or private financing sources, including equity, debt or
lease financing, or through the sale of certain assets. Financing transactions
effected through the issuance of securities could result in substantial dilution
to holders of Common Stock. There can be no assurance that adequate funding will
be available as needed or on terms acceptable to the Company. Insufficient
financial resources could result in the Company delaying or eliminating its
plans to exercise purchase options, thereby slowing the growth of its
operations, which could have a material adverse effect on the Company's
business, results of operations and financial condition. See "Management's
Discussion and Analysis of Financial Condition and Results of
Operations -- Liquidity and Capital Resources."
Assisted Living Facility Construction and Occupancy Risks. To date, the
Company has developed, built and opened 34 of its Outlook Pointe(R) signature
series assisted living facilities. By June 30, 2000, the Company
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plans to open an additional 18 Company-designed assisted living facilities under
construction at June 30, 1999 with an aggregate capacity of 1,481 residents.
This will bring the total of developed Outlook Pointe(R) facilities to 52, with
a capacity of 3,655 residents. Achievement of this goal will depend upon a
number of factors, including the Company's ability to obtain adequate occupancy,
licensing and other required governmental permits on a timely basis, and to
control construction costs and project completion schedules for the projects
currently under construction. In addition, numerous factors outside the
Company's control will impact the successful completion of its development
projects, including shortages of, or the inability to obtain, labor or
materials, changes in applicable laws or regulations or in the method of
applying such laws and regulations, the failure of general contractors or
subcontractors to perform under their contracts, strikes and adverse weather.
There can be no assurance that the Company will not encounter delays in
completing its existing development program or that it will be successful in
developing and constructing any other assisted living facilities. Also, there
can be no assurance that completed facilities will achieve targeted occupancy
rates or otherwise be economically successful. The Company's inability to
complete its existing development plans or the delay of those plans could have a
material adverse effect on its business, results of operations and financial
condition.
Acquisition Risks; Difficulties of Integration. To date, the Company's
growth rate has been significantly increased by acquisitions. Based on capital
availability, the Company may continue to expand its business through strategic
acquisitions. Pursuit of an acquisition strategy entails the risks inherent in
assessing the value, strengths, weaknesses, contingent or other liabilities and
potential profitability of acquisition candidates and in integrating the
operations of acquired businesses. The Company's success in effecting
acquisitions will depend on numerous factors, including its ability to identify
suitable acquisition candidates and negotiate acceptable purchase terms, the
competition for acquisitions, the Company's ability to finance acquisitions, and
the availability of appropriate government licenses and approvals. Successful
integration of acquired businesses will depend on the Company's ability to
effect any required changes in operations or personnel, and may require
renovation or other capital expenditures or the funding of unforeseen
liabilities. There can be no assurance that the Company will consummate future
acquisitions, that operations of acquired facilities can be successfully
integrated or that acquired operations will be profitable.
Substantial Fixed Charges; Pledge of Assets. The Company leases most of
its facilities under long-term operating leases. Lease and debt service
obligations of the Company for Fiscal 1999 aggregated approximately $11,500,000.
Leases generally provide for rent increases and require the Company to pay
taxes, utilities and insurance obligations. All of the Company's managed
facilities (including the 18 under construction) are financed by operating
leases. The Company intends to continue to acquire the leasehold interests of
facilities financed under the Black-Box Structure and thus expects that the
amount of its lease-related obligations will increase as the Company pursues
this strategy. As a result, an increasing portion of the Company's cash flow
will be devoted to lease payments and debt service, which will reduce the amount
of cash flow otherwise available to support the Company's growth. Such leases
and mortgages also typically contain rent coverage and other financial
covenants. There can be no assurance that the Company will generate sufficient
cash flow from operations to cover required lease and debt service payments or
that the financial performance of the Company or of particular subsidiaries or
facilities will be adequate to meet applicable financial covenants. Any payment
or other default could cause a lender to foreclose upon any collateral securing
the indebtedness or, in the case of an operating lease, could terminate the
lease, resulting in a loss of revenue and asset value to the Company. In certain
cases, indebtedness secured by real estate of a facility is also secured by a
pledge of the Company's operating interest in the facility and, in certain other
cases, indebtedness and facility leases are secured by a pledge of stock of
certain of the Company's subsidiaries. Since most of the Company's leases and
financing agreements contain cross-default and cross-collateralization
provisions, a default by the Company on one of its payment obligations could
adversely affect a significant number of the Company's other obligations and
properties. See "Management's Discussion and Analysis of Financial Condition and
Results of Operations -- Liquidity and Capital Resources."
Government Regulation. The health care industry is subject to extensive
federal and state regulation and frequent regulatory change. Federal, state and
local laws governing long-term care and other services provided to seniors
address, among other things, adequacy of medical care, distribution of
pharmaceuticals, operating policies, licensing and certificate of need
requirements. Long-term care facilities are also periodically
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inspected to assure continued compliance with various standards and licensing
requirements under state law. There are currently no federal laws or regulations
specifically defining or regulating assisted living facilities. However, while
many states have not yet enacted specific assisted living laws or regulations,
the Company's assisted living facilities are subject to state regulation,
licensing, approvals by state and local health, welfare and social service
agencies and other regulatory authorities and compliance with building codes and
environmental laws. In addition, in several states, including Arkansas,
Missouri, New Jersey, Kentucky and North Carolina, certificate of need laws
apply to assisted living facilities. Certificate of need or similar laws require
that a state agency approve certain acquisitions and determine that a need
exists for certain services, the addition of beds and capital expenditure or
other changes. When the issuance or renewal of certificates of need or other
similar government approvals are required, changes in existing laws or adoption
of new laws could adversely affect the Company's development or acquisition
strategy and/or its operations if it is unable to obtain such certificates of
need approvals or renewals thereof. Also, health care providers have been
subjected to increasing scrutiny under anti-trust laws as the integration and
consolidation of the health care industry increases and affects competition.
Regulation of the assisted living industry is evolving. The Company cannot
predict the content of new regulations and their effect on its business. There
can be no assurance that regulatory or other legal developments will not affect
adversely the Company's business, results of operations and financial condition.
Federal and state anti-remuneration laws, such as the Medicare/Medicaid
anti-kickback law, govern certain financial arrangements (including employment
or service contracts) between health care providers and others who may be in a
position to refer or recommend patients or services to such providers. These
laws prohibit, among other things, certain direct and indirect payments that are
intended to induce the referral of patients to, the arranging for services by,
or the recommending of a particular provider of health care items or services.
The Medicare/Medicaid anti-kickback law has been broadly interpreted to apply to
certain contractual relationships between health care providers and sources of
patient referral. A number of similar state laws exist which often have not been
interpreted by courts or regulatory agencies. The Department of Health and Human
Services periodically issues "special fraud alerts" which address specific areas
of concern. The federal government, through the Office of Inspector General,
recently released a model compliance plan for home health agencies. The model
plan identifies a number of risk areas and requires the home health agency to
exercise oversight over parties with which it does business. Federal "Stark"
legislation prohibits, with limited exceptions, the referral of patients for
certain services, including home health care services, physical therapy and
occupational therapy, by a physician to entities in which they have an ownership
or financial interest. Violation of these laws can result in loss of licensure,
civil and criminal penalties, and exclusion of health care providers or
suppliers from participating in the Medicare and Medicaid programs.
Additionally, the Balanced Budget Act of 1997 (the "Budget Act"), signed into
law on August 5, 1997, contains a number of anti-fraud provisions designed to
further fight abuse and enhance program integrity. Furthermore, some states
restrict certain business or fee relationships between physicians and other
providers of health care services. The Company believes that its operations are
in substantial compliance with the laws applicable to Medicare and Medicaid
providers, including anti-fraud and abuse provisions; however, there can be no
assurance that the administrative or judicial interpretation of such laws or the
regulations promulgated thereunder will not in the future have a material
adverse impact on the Company's operations or that the Company will not be
subject to an investigation which would require a significant investment of time
and manpower by the Company. Assisted living facilities may be eligible to
participate as Medicaid providers and receive reimbursement through Medicaid
waiver programs and managed care plans. The Company has elected to become a
Medicaid provider in several states with respect to its assisted living
facilities. Such entities are subject to all of the requirements applicable to
Medicaid providers, including the anti-fraud and abuse legislation. Although the
Company believes that it complies with federal and state anti-remuneration
statutes at all times, there can be no assurance that such laws will be
interpreted in a manner consistent with the practices of the Company.
The Americans with Disabilities Act of 1990 requires all places of public
accommodation to meet certain federal requirements related to access and use by
disabled persons. A number of additional federal, state and local laws exist
which also may require modifications to existing and planned properties to
create access to the properties by disabled persons. While the Company believes
that its properties comply with present
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requirements or are exempt there from, if required changes involve a greater
expenditure than anticipated or must be made more quickly than anticipated,
additional costs will be incurred by the Company. Further legislation may impose
additional burdens or restrictions relating to access by disabled persons. The
costs of complying with any new legislation could be substantial.
The Company is also evaluating the impact of the recent report issued by
the United States General Accounting Office in April, 1999 entitled "Assisted
Living Quality-of-Care and Consumer Protection Issues in Four States" (the "GOA
Report") on its methods of delivery. Generally, the GAO Report found that
assisted living facilities do not routinely provide prospective residents with
key information they need so they can compare what several facilities offer and
determine whether a facility is appropriate for their needs. The GAO Report also
found that some assisted living residents are encountering quality of care and
consumer protection problems. Due to the recent nature of the GAO Report, the
Company cannot predict the impact on its methods of delivery. The Company will
continue to evaluate the issues raised by the GAO Report and will take what
actions, if any, are required to provide adequate quality of care and consumer
protections to its residents.
Health Care Reform. In addition to extensive existing government health
care regulation, there are many initiatives on the federal and state levels for
comprehensive reforms affecting the payment for and availability of health care
services. It is not clear what proposals, if any, will be adopted, or what
effect such proposals would have on the Company's business. Various aspects of
these health care proposals, such as reductions in funding of the Medicare and
Medicaid programs, potential changes in reimbursement regulations by the Health
Care Financing Administration ("HCFA"), enhanced pressure to contain health care
costs by Medicare, Medicaid and other payors and permitting greater state
flexibility in the administration of Medicaid, could adversely affect the
Company's business, results of operations and financial condition. The Company's
skilled nursing facilities that participate in applicable state Medicaid
programs are subject to the risk of changes in Medicaid reimbursement and
payment delays resulting from budgetary shortfalls of state Medicaid programs.
The Company's current concentration of skilled nursing facilities in Missouri
and Pennsylvania exposes it to the risk of changes in Medicaid reimbursement
programs in those states. Medicare and Medicaid certification is a critical
factor contributing to the revenues and profitability of long-term care
facilities. Changes in certification and participation requirements of the
Medicare and Medicaid programs have restricted, and are likely to further
restrict, eligibility for reimbursement under those programs. Failure to obtain
and maintain Medicare and Medicaid certification at the Company's long-term care
facilities could result in a significant loss of revenue. In addition, private
payors, including managed care payors, increasingly are demanding that providers
accept discounted fees or assume all or a portion of the financial risk for
delivery of health care services, including capitated payments where the
provider is responsible, for a fixed fee, for providing all services needed by
certain patients. Capitated payments can result in significant losses when
patients require expensive treatments not adequately covered by the capitated
rate. Efforts to impose reduced payments, greater discounts and more stringent
cost controls by government and other payors are expected to continue. The
Company cannot predict what reform proposals or reimbursement limitations will
be adopted in the future or the effect any such changes will have on its
operations. There can be no assurance that currently proposed legislation,
future health care legislation, reforms or changes in the administration or
interpretation of governmental health care programs or regulations will not have
a material adverse effect on the Company's business, results of operations and
financial condition. Concern about the potential effect of various proposed
health care reforms has contributed to volatility of prices of securities of
health care companies and could similarly affect the price of the Common Stock
in the future.
Geographic Concentration of Business. Currently, a substantial portion of
the Company's facilities, including facilities under construction for
independent Operators/Lessees, are located in Pennsylvania and Missouri.
Operating revenues attributable to the Company's business in those two states
accounted for approximately 95% , 94% and 92% of the Company's total operating
revenues for the years ended June 30, 1997, 1998, and 1999, respectively. Until
the Company's operations become more geographically diverse, the Company will be
more susceptible to downturns in local and regional economies and changes in
state or local regulation because such conditions and events could affect a
relatively high percentage of the total number of facilities currently in
operation and under development. As a result of such factors, there can be no
assurance
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that such geographic concentration will not have a material adverse effect on
the Company's business, results of operations or financial condition.
Liability and Insurance. Providing health care services involves an
inherent risk of liability. Participants in the senior living and health care
industry are subject to lawsuits alleging negligence or related legal theories,
many of which may involve large claims and significant legal costs. The Company
currently maintains liability insurance intended to cover medical malpractice,
wrongful death and other claims which it believes is adequate and in keeping
with industry practice. However, claims in excess of the Company's insurance
coverage or claims not covered by the Company's insurance (e.g., claims for
punitive damages) may arise. A successful claim against the Company not covered
by or in excess of the Company's insurance coverage could have a material
adverse effect on the Company's business, results of operations and financial
condition. Claims against the Company, regardless of their merit or eventual
outcome, may also have a material adverse effect upon the Company's reputation
and its ability to attract residents or expand its business. The Company's
insurance policies generally must be renewed annually, and there can be no
assurance that the Company will be able to obtain liability insurance coverage
in the future on acceptable terms, if at all. See "Business -- Liability and
Insurance."
Competition. The senior living and health care industry is highly
competitive and the Company believes that competition in its current and
targeted markets will continue to increase. The Company faces current and
prospective competition for residents and patients and for employees from
numerous local, regional and national providers of facility-based assisted
living and long-term care, as well as rehabilitation therapy and home-based
health care providers. Many of the Company's current and potential competitors
are significantly larger and have greater financial and marketing resources than
the Company. There are currently few regulatory and other barriers to entry into
the assisted living industry. If the development of new assisted living
facilities surpasses the demand for such facilities in particular markets, such
markets could become saturated. Competition could limit the Company's ability to
attract residents and patients and expand its business and could have a material
adverse effect on the Company's business, results of operations and financial
condition.
Environmental Risks. Under various federal, state and local environmental
laws, ordinances and regulations, a current or previous owner or operator of
real property may be held liable for the cost of removal or remediation of
certain hazardous or toxic substances that may be located on, in or under the
property. These laws and regulations may impose liability regardless of whether
the owner or operator was responsible for, or knew of, the presence of the
hazardous or toxic substances. The liability of the owner or operator and the
cost of any required remediation or removal of hazardous or toxic substances
could be substantial and is generally not limited. The presence of hazardous or
toxic substances in or under such properties could also subject the Company to
lawsuits by or liability to adjacent property owners, residents of the
facilities or employees who are injured by contamination. The presence of
hazardous or toxic substances at any property held or operated by the Company in
the future could have a material adverse effect on the Company's business,
results of operations and financial condition. In addition, if contamination is
found, it could adversely affect the Company's ability to continue to operate,
to lease or to sell the contaminated property or to use that property as
collateral for future loans.
Change of Control. The acquisition by one or more related persons of 50%
or more of the Common Stock of the Company constitutes a default under certain
leases pertaining to the facilities leased or managed by the Company and may
result in the termination of such leases or the exercise of other remedies
thereunder by the lessor. See "Certain Relationships and Related Transactions",
which is incorporated by reference from the Company's Proxy Statement for its
1999 Annual Meeting of Stockholders. Other financing arrangements of the Company
contain similar change of control provisions which may result in the termination
of such arrangements or the exercise of other remedies thereunder upon a change
of control of the Company (as defined in such arrangements).
Dependence on Key Personnel. The Company's success to date has been
significantly dependent on the contributions of Brad E. Hollinger, the Company's
Chairman of the Board, President and Chief Executive Officer and one of its
founders, and the loss of his services could have a material adverse effect on
the Company's business, results of operations and financial condition. The
Company's success also depends to a
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significant extent upon a number of other key employees of the Company. The
Company is party to employment agreements with Mr. Hollinger and several other
key employees. The loss of the services of one or more other key employees also
could have a material adverse effect on the Company. In addition, the Company
believes that its future success will depend in part upon its ability to attract
and retain additional highly-skilled professional, managerial, sales and
marketing personnel. Competition for such personnel is intense. There can be no
assurance that the Company will be successful in attracting and retaining the
personnel that it requires for its business and planned growth.
Labor Costs. The Company competes with various health care providers and
other employers for limited qualified and skilled personnel in the markets that
it serves. The Company expects that its labor costs will increase over time. The
current economic condition, with its resulting low unemployment rates, has also
created a tremendous challenge for the Company. Finding, training and retaining
good personnel is a major objective of the Company. Currently, none of the
Company's employees is represented by a labor union. If employees of the Company
were to unionize, the Company could incur labor costs higher than those of
competitors with non-union employees. The Company's business, results of
operations and financial condition could be adversely affected if the Company is
unable to control its labor costs.
Potential Volatility of Stock Price. The stock market has experienced
extreme price and volume fluctuations which have particularly affected the
market price for many health care companies and which have often been unrelated
to the operating performance of these companies. The trading price of the Common
Stock could also be subject to significant fluctuations in response to
variations in periodic operating results, changes in management, future
announcements concerning the Company, legislative or regulatory changes, general
trends in the industry and other events or factors. See
"Business -- Competition" and "Business -- Government Regulation."
Anti-Takeover Provisions. Certain provisions of the Company's Certificate
of Incorporation and Bylaws and Delaware law could have the effect of making it
more difficult for a third party to acquire, or of discouraging a third party
from attempting to acquire, control of the Company. Such provisions could limit
the price that certain investors might be willing to pay in the future for
shares of the Company's Common Stock. Certain of such provisions allow the
Company to issue preferred stock with rights senior to those of the Common Stock
and impose various procedural and other requirements which could make it more
difficult for stockholders to effect certain corporate actions. Furthermore, the
Company has entered into certain leases, and may enter into additional financing
arrangements in the future, which provide that the Company will be in default
under such leases in the event of a change of control of the Company. See
"Change of Control."
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EXECUTIVE OFFICERS
The following table sets forth certain information regarding the executive
officers of the Company as of September 22, 1999:
<TABLE>
<CAPTION>
NAME AGE POSITION
- ---- --- --------
<S> <C> <C>
Brad E. Hollinger.................. 45 Chairman of the Board, President and Chief
Executive Officer and a Director
Clint T. Fegan..................... 41 Chief Financial Officer
Stephen G. Marcus.................. 46 Chief Operating Officer
Gary W. Anderson................... 49 Executive Vice President -- Operations
Robin L. Barber.................... 36 Senior Vice President and Counsel, Assistant
Secretary
Robert J. Sutton................... 50 Vice President -- Corporate Services, Secretary
Diane M. Borger.................... 43 Vice President, Treasurer
</TABLE>
Brad E. Hollinger has served as a director and as Chairman of the Board,
President and Chief Executive Officer of the Company since its founding in April
1995. Previously he served as Executive Vice President of the Contract Service
Group of Continental Medical Systems ("CMS"), a national provider of medical
rehabilitation services and contract therapy services from 1992 to 1995. During
his eight years with CMS, Mr. Hollinger also served as Senior Vice
President/Development from 1987 to 1990, leading the development and financing
of eighteen medical rehabilitation hospitals in seven states. From 1985 to 1987,
Mr. Hollinger was Vice President of Development of Rehab Hospital Service
Corporation.
Mr. Hollinger, without admitting or denying the allegations, settled a
proposed civil action brought by the Securities and Exchange Commission (the
"Commission") contending that he violated certain federal securities laws in
connection with trading in the common stock of Continental Medical Systems, Inc.
prior to its merger with Horizon Healthcare, Inc. in 1995. The Commission
approved the settlement on May 12, 1998, which consisted of the entry of an
order enjoining him from future violations of such securities laws and the
payment of $21,625, representing profits allegedly realized by him and a family
member, plus interest, and a civil money penalty in an amount equal to such
payment, plus interest.
Clint T. Fegan has served as Chief Financial Officer of the Company since
February 1999. Mr. Fegan served as Vice President-Corporate Controller for the
Company from July 1998 until February 1999 and as Corporate Controller from July
1997 until June 1998. From 1994 to 1997, he served as Corporate Controller of
Wilmac Corporation, a privately owned nursing home and assisted living company.
From 1987 to 1994, Mr. Fegan was a senior manager in the KPMG Peat Marwick LLP
health care audit practice.
Stephen G. Marcus has served as the Chief Operating Officer of the Company
since January 1998. Prior to joining the Company, he served as President of
SelectRehab, a subsidiary of Horizon/CMS Healthcare corporation, from July 1994
to November 1997 and in various capacities during seven years with CMS,
including Senior Vice President -- Unit Management Group from January 1993
through July 1994, as Senior Vice President Development from July 1991 through
December 1992 and as Vice President -- Development from August 1987 through July
1991. From April 1986 through July 1987, Mr. Marcus was Regional Vice
President -- Operations for the Southeastern Regional Office of Rehab Hospital
Services Corporation ("RHSC") and, from January 1985 through March 1986,
Executive Director/Chief Executive Officer of Garden State Rehabilitation
Hospital, an RHSC facility.
Gary W. Anderson has served as the Executive Vice President -- Operations
for the Company since July 1999. Prior to joining the Company, Mr. Anderson
served as Senior Vice President of Operations for Alterra Healthcare Corporation
from April 1995 until July 1999, where he was responsible for over 150
freestanding assisted living and Alzheimer's-focused facilities. From 1992 to
1995, he served as General Manager for Marriott Senior Living Services, a senior
care company and division of Marriott International, Inc. Mr. Anderson has more
than 25 years of experience in the senior care industry, including post graduate
studies, governmental regulation and industry executive positions.
27
<PAGE> 28
Robin L. Barber has served the Company as Senior Vice President and Counsel
since February 1999, as Vice President -- Legal Services from September 1997 to
January 1999, as Director -- Legal Services from February 1996 to August 1997,
and as legal consultant from October 1995 to January 1996. Prior to joining the
Company, she was in private practice with the law firm of Eckert Seamans Cherin
& Mellot LLP from June 1993 until August 1995. Ms. Barber is the sister-in-law
of Brad E. Hollinger.
Robert J. Sutton has served as Vice President -- Corporate Services and
Secretary of the Company since its founding in April 1995. From 1993 to 1995, he
was Vice President, Finance and Strategy, of CMS. Mr. Sutton served in a variety
of managerial positions at Marriott Corporation from 1987 to 1993, including
Vice President of Finance and Strategic Planning for Marriott Management
Services and Director of Finance of the Courtyard Hotel Division.
Diane M. Borger has served as Vice President -- Treasurer of the Company
since May 1998. Ms. Borger was Director of Accounting for the Company from
November 1995 until May 1998. Prior to joining the Company, she served in
various capacities during four years with Continental Medical Systems, Inc.,
including Accounting Manager -- Rehab Hospital Group from July 1993 to November
1995, as Manager of Corporate Financial Planning from March 1992 to July 1993,
and as Corporate Financial Analyst from July 1991 to March 1992. From August
1987 to July 1991 she was employed by KPMG Peat Marwick LLP and served in both
the audit practice and the healthcare consulting services practice.
ITEM 2--PROPERTIES
The Company's corporate office is located in Mechanicsburg, Pennsylvania.
In addition to its corporate office, as of June 30, 1999, the Company operated a
total of 52 assisted living facilities, 13 skilled nursing facilities and four
independent living facilities in Pennsylvania, Missouri, Arkansas, North
Carolina, Virginia, Ohio, West Virginia, Tennessee, and Florida, as well as a
home health care agency in Missouri and ten rehabilitation therapy operations
located in Pennsylvania and Arkansas. The buildings range in size from 27,000
square feet to 68,000 square feet and are adaptable to construction on sites
ranging from two to five acres. The Company owns seven, leases 34 and manages 28
senior living and health care facilities in these states. A more detailed
outline of information with regard to the various properties that the Company
owns, manages and leases can be found at "Operating Facilities" in Part I.
ITEM 3--LEGAL PROCEEDINGS
The Company is involved in various legal proceedings arising in the
ordinary course of business. However, the Company is not involved in any legal
proceedings that it believes would have a materially adverse effect on its
business, financial condition or results of operations. In addition, lawsuits
may be brought against the Company, including those involving environmental and
safety and health matters. While the amounts claimed may be substantial, the
ultimate liability cannot now be determined because of the considerable
uncertainties that exist. Therefore, it is possible that the Company's course of
business and its liquidity within a particular period may be materially affected
by unforeseen circumstances. Based on facts currently available, management
believes that the disposition of these matters will not have a material adverse
effect on the financial position of the Company.
ITEM 4--SUBMISSION OF MATTERS TO VOTE OF SECURITY HOLDERS
None.
28
<PAGE> 29
PART II
ITEM 5-- MARKET FOR THE COMPANY'S COMMON EQUITY AND RELATED
STOCKHOLDER'S MATTERS
PRICE RANGE AND HOLDERS OF COMMON STOCK
The Common Stock of the Company has been listed on the American Stock
Exchange and traded under the symbol "BAL" since February 12, 1998. The
following table sets forth for the Fiscal periods indicated the high and low
sales prices of the Common Stock as reported on the American Stock Exchange. No
cash dividends were paid on the Common Stock during such periods.
<TABLE>
<CAPTION>
HIGH LOW
---- ---
<S> <C> <C>
Fiscal year ended June 30, 1999:
1st Quarter............................................... $ 7 3/4 $4 3/8
2nd Quarter............................................... 8 1/4 4 3/4
3rd Quarter............................................... 8 1/2 2
4th Quarter............................................... 2 3/4 1 7/8
Fiscal year ended June 30, 1998:
3rd Quarter (from February 12, 1998)...................... 10 5/8 6 3/4
4th Quarter............................................... 10 6 3/4
</TABLE>
On September 22, 1999, the last reported sales price for the Common Stock
as reported on the American Stock Exchange was $1.25 per share. The number of
holders of record of the Common Stock on September 22, 1999 was approximately
100 (approximately 2,209 beneficial owners).
DIVIDENDS
The Company has not paid or declared any dividends on its capital stock
since its inception. The Company intends to retain earnings for support of its
operations and future development of its business and will not distribute them
to stockholders as dividends. The declaration and payment by the Company of any
future dividends and the amount thereof will depend upon the Company's results
of operations, financial condition, cash requirements, future prospects,
limitations imposed by credit agreements or senior securities and other factors
deemed relevant by the Board of Directors. See "Management's Discussion and
Analysis of Financial Condition an Results of Operations Liquidity and Capital
Resources."
PRIVATELY PLACED SECURITIES
The Company issued warrants to purchase shares of Common Stock, as follows,
in transactions intended to be exempt from the registration requirements of the
Securities Act of 1993, as amended (the "Securities Act"), by virtue of Section
4(2) thereof. The warrants were issued in consideration for certain services and
financing arrangements with the Company.
<TABLE>
<CAPTION>
WARRANT NUMBER OF EXERCISE
DATE OF ISSUANCE HOLDER WARRANTS PRICE TERM EXERCISABLE
- ---------------- ------------ --------- -------- ------- ------------------------
<S> <C> <C> <C> <C> <C>
August 17, 1998 Hakman & Co 3,000 $5.56 3 years 1 yr. from date of grant
September 1, 1998 Dale Cordial 23,750 $4.00 5 years Vested Immediately
September 15, 1998 Hakman & Co 3,000 $4.94 3 years 1 yr. from date of grant
November 3, 1998 Hakman & Co 3,500 $7.19 3 years 1 yr. from date of grant
December 23, 1998 Hakman & Co 500 $6.81 3 years 1 yr. from date of grant
</TABLE>
29
<PAGE> 30
ITEM 6--SELECTED FINANCIAL DATA
<TABLE>
<CAPTION>
YEARS ENDED JUNE 30,
----------------------------------------
1999 1998 1997 1996
-------- ------- ------- ------
(IN THOUSANDS, EXCEPT PER SHARE DATA)
<S> <C> <C> <C> <C>
Revenues............................................ $ 78,446 $88,888 $49,480 $ 811
Operating Income (Loss)............................. $(24,023) $ 2,480 $(3,787) $ (814)
Net Income (Loss)................................... $(23,637) $ 3,575 $(4,492) $ (909)
Net Income (Loss) Per Diluted Share................. $ (1.41) $ 0.28 $ (0.66) $ (.34)
Weighted Average Shares -- Diluted.................. 16,713 12,928 6,763 2,696
Cash & Cash Equivalents............................. $ 8,160 $15,481 $ 7,908 $ 567
Total Assets........................................ $ 71,055 $85,972 $33,017 $7,292
Long-term Obligations............................... $ 16,535 $ 8,847 $12,117 $5,121
Redeemable Preferred Stock.......................... $ -- $ -- $13,249 $ --
Stockholders' Equity (Deficit)...................... $ 38,358 $61,859 $(1,444) $1,124
</TABLE>
ITEM 7-- MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS
The following discussion and analysis addresses the Company's results of
operations on a historical basis for the years ended June 30, 1999, 1998 and
1997, and liquidity and capital resources of the Company. This information
should be read in conjunction with the Company's consolidated financial
statements, and related notes thereto, contained elsewhere in this report. This
report contains, in addition to historical information, forward looking
statements that involve risks and uncertainties. The Company's actual results
could differ materially. Factors that could cause or contribute to such
differences include, but are not limited to, those disclosed in the "Risk
Factors," section in Part I of this report.
OVERVIEW
The Company was formed in April 1995 to develop senior care continuums
which meet the needs of upper middle, middle and moderate income populations in
non-urban, secondary markets. The Company utilizes assisted living facilities in
selected markets as the primary entry point and service platform and has
developed the balanced care continuums consisting of various health care and
hospitality services, including, where appropriate, rehabilitation therapies,
physical, occupational and speech therapy, home health care services on an
intermittent basis, dementia and Alzheimer's services and skilled care delivered
in a skilled nursing setting.
On February 18, 1998, the Company completed its initial public offering for
7,000,000 shares of its common stock, par value $.001 per share ("Common Stock")
at a price of $6.50 per share (the "Offering"). Concurrent with the Offering,
the 5,009,750 shares of Series B Preferred Stock and 1,150,958 shares of Series
A Preferred Stock were converted into 4,620,532 shares of Common Stock
(reflective of the three-for-four reverse split of common stock effective
October 14, 1997). In connection with the Offering, the Company granted the
underwriters an option to purchase 1,050,000 additional shares of Common Stock
at $6.50 per share. The closing for this option was on March 17, 1998. The
Offering, including the exercise of the underwriters' option, generated proceeds
to the Company of approximately $46,357,000, net of costs and underwriting
discounts and commissions. The proceeds were used to repay indebtedness of
approximately $29,675,000 incurred to fund the purchase of four acquisitions
(seven facilities) completed from October 1997 through January 1998, and to pay
off indebtedness of $5,019,000 related to the Company's Wisconsin assisted
living facilities in anticipation of their sale. The balance of the Offering was
used for general corporate purposes.
30
<PAGE> 31
The Company has grown primarily through acquisitions and by designing,
developing, operating and managing its Outlook Pointe(R) signature series
assisted living facilities. The following table summarizes the Company's
operating facilities at June 30, 1999 and 1998:
<TABLE>
<CAPTION>
JUNE 30,
-------------------------------------------------------------------
1999 1998
-------------------------------- --------------------------------
OWNED LEASED MANAGED TOTAL OWNED LEASED MANAGED TOTAL
----- ------ ------- ----- ----- ------ ------- -----
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Developed Assisted Living Facilities....... -- 6 28 34 -- 1 11 12
Acquired Assisted Living Facilities........ 5 13 -- 18 13 12 -- 25
Skilled Nursing Facilities................. 2 11 -- 13 2 11 -- 13
Independent Living Facilities.............. -- 4 -- 4 -- 4 -- 4
-- -- -- -- -- -- -- --
7 34 28 69 15 28 11 54
== == == == == == == ==
</TABLE>
As of June 30, 1999, the Company has operations in Pennsylvania, Missouri,
Arkansas, Ohio, Virginia, North Carolina, Tennessee, West Virginia and Florida.
These operating facilities have a capacity for 3,266 assisted living residents,
1,294 skilled nursing patients and 117 independent living residents. The Company
also operates a home health care agency in Missouri and rehabilitation therapy
operations in Pennsylvania and Arkansas. In December 1998, the Company sold its
seven owned assisted living facilities in Wisconsin, which had been carried as
an asset held for sale since June 30, 1997.
In addition to the 34 Outlook Pointe(R) signature series assisted living
facilities opened as of June 30, 1999, the Company has signed agreements to
develop and manage an additional 18 assisted living facilities currently under
construction, which are scheduled to open at various dates through April 2000.
In addition to increasing the depth of the Company's operations in Pennsylvania,
Missouri, Arkansas, Ohio, Virginia, North Carolina, Tennessee, West Virginia and
Florida, the construction will add operations in Indiana and Maryland.
The Company generates revenue from four primary sources: patient services,
resident services, development fees and management fees. Patient services
revenues include charges for room and board, rehabilitation therapies, pharmacy,
medical supplies, subacute care, homehealth, and other programs provided to
patients in skilled nursing facilities as well as rehabilitation and homehealth
services provided to assisted living facility residents. Resident services
include all revenues earned from services provided to assisted living facility
residents except revenues for therapies and home health care services provided
by the Company's licensed agencies which are included in patient services
revenues. Development fees and management fees are earned for developing and
managing assisted living facilities for real estate investment trusts ("REIT")
and other owners or lessees. As the Company implements its business plan,
management believes that the mix of the Company's revenues will continue to
change and that revenues from assisted living resident services will increase as
a percentage of total revenues.
The Company classifies its operating expenses into the following
categories: (i) facility operating expenses which include labor, food,
marketing, rehabilitation therapy costs and other direct facility expenses; (ii)
development, general and administrative expenses, which primarily include
corporate office expenses, regional office expenses, development expenses and
other overhead costs; (iii) provisions for losses, which include losses relating
to the curtailment of development activities which were previously capitalized,
losses relating to working capital advances made under shortfall funding
agreements, and losses from severance agreements; (iv) bad debt expense for the
skilled nursing, assisted living and therapy services; (v) lease expense which
includes rent for the facilities operated by the Company as well as corporate
office and other rent; and (vi) depreciation and amortization. In anticipation
of its planned growth, the Company made significant investments in its
infrastructure during Fiscal 1997 and 1998. These investments included
attracting management and regional personnel and installing information systems
to support and manage growth.
STRATEGIC CHANGES AND CHARGES TO OPERATIONS
As discussed in prior reports, the Company's development activities are
significantly affected by volatility in the capital markets and specific
transaction terms which affect the Company's ability to utilize non-binding
31
<PAGE> 32
financing commitments from Real Estate Investment Trusts ("REITs") and other
lenders. More specifically, the availability of REIT financing has become
substantially limited for new assisted living construction. Furthermore, the
ability of the Company to negotiate acceptable transaction terms and to
currently recognize income on development fees has become increasingly difficult
due to accounting pronouncements and guidance issued by the Emerging Issues Task
Force ("EITF") and the Securities and Exchange Commission staff. Finally, the
Company's leverage (i.e. debt and other financial commitments in relation to
equity) has increased due to its extensive use of operating leases to finance
the construction of its Outlook Pointe(R) assisted living facilities.
As a direct result of the foregoing, the Company has been unable to obtain
financing on acceptable terms to continue development of its Outlook Pointe(R)
signature series assisted living facilities. In recognition of these events and
circumstances, in Fiscal 1999, the Company (i) concluded that development fees
on new projects would not qualify for income recognition under contract terms
considered acceptable by management; (ii) decided to emphasize the focus of
management's efforts on the operations of existing facilities and/or facilities
which are under construction; (iii) decided to substantially reduce its
development activities with respect to new sites and projects; and (iv) recorded
a provision for losses on development activities of $13,050,000. This provision
is based on management's evaluation of capitalized costs, including land option
payments and includes substantially all of the previously capitalized costs
relating to the precontract phase of development activities. Management has
taken these steps to focus on building market share in existing markets, to
channel its financial and human resources into meeting facility occupancy goals,
and to build brand recognition throughout the Balanced Care continuum of
services. The Company had 18 assisted living facilities under construction at
June 30, 1999, all with financing agreements. If and when, capital becomes
available to the Company on acceptable terms, the Company expects to implement a
program of limited development consisting of approximately four to five projects
per quarter that meet the Company's development standards.
Due to the downscaling of development activity of the Company's Outlook
Pointe(R) facilities, management adopted a corporate restructuring plan in
Fiscal 1999 affecting certain departments and staff positions. This
restructuring plan resulted in non-recurring charges of approximately
$1,600,000, representing the estimated costs of employee terminations and
related costs to exit these activities. The Company expects these actions to
reduce development, general and administrative expenses by approximately
$2,000,000 annually. The cost savings will be partially offset by incremental
increases in development general and administrative expenses related to the
Company's increased investment in marketing and regional operating positions.
In addition to the charge of $13,050,000 related to the reduction of
development activities, certain of the Outlook Pointe(R) signature series
assisted living facilities had experienced slower than budgeted census ramp ups
and, as a result, incurred greater than budgeted negative cash flows from start
up operations. During Fiscal 1999, the Company incurred losses related to
obligations under the shortfall funding agreements (discussed in more detail
under "Business-Development" in Part I of this report) in the amount of
$4,660,000 to fund the additional working capital needs of these managed
facilities. This amount has been charged to operations as a provision for losses
under the shortfall funding agreements and recorded as an allowance against
receivables on advances to Operator/Lessees.
Of the 52 Outlook Pointe(R) facilities open (34) or under construction (18)
and managed by the Company at June 30, 1999, the Company estimates it may be
required to make future working capital shortfall contributions in connection
with 28 managed projects. The Company estimates that it may be required to make
additional funding advances of $3,000,000 through June 30, 2000. The additional
working capital needs relate primarily to projects that closed on construction
financing on or before March 31, 1998.
CENSUS TRENDS
Operationally, the Company has begun to see the results of the Company's
emphasis on operations and marketing implemented in February 1999. By the end of
the Fiscal year, the Company improved its average census absorption rate at the
Outlook Pointe(R) signature series assisted living communities from 6.28
residents per building for the September 30, 1998 quarter to 11.4 residents per
building for the last three months. The
32
<PAGE> 33
Company attributes this improvement to the Company's increased investment in
marketing, a new professionally trained and managed sales team, and a focused
community outreach initiative over the past 9 months. We believe the positive
effects of the marketing and sales training program and the refined positioning
of the product in the marketplace will continue to increase the Company's
average quarterly census absorption rate.
SEGMENT REPORTING
In June 1997, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 131, Disclosures about Segments of an
Enterprise and Related Information. SFAS No. 131 establishes standards for the
way public business enterprises are to report information about operating
segments in annual and interim financial statements issued to shareholders. It
also establishes standards for related disclosures about products and services,
geographic areas and major customers.
In Fiscal 1999, the Company had three primary reportable segments: (i)
Resident Services which includes all assisted living and independent living
services, and the management of assisted living facilities, (ii) Patient
Services which includes skilled nursing services, home health services, and
medical rehabilitation services, and (iii) Development. No other individual
business segment exceeds the 10% quantitative thresholds of SFAS No. 131.
See Note 20 to the Consolidated Financial Statements for financial data for
each of the Company's operating segments.
RESULTS OF OPERATIONS
The following table sets forth, for the periods indicated, certain data as
a percentage of total revenue:
<TABLE>
<CAPTION>
1999 1998 1997
----- ----- -----
<S> <C> <C> <C>
STATEMENT OF OPERATIONS DATA:
Total revenue............................................... 100.0% 100.0% 100.0%
Operating expenses:
Facility operating expenses............................... 70.7 70.0 80.6
Development, general and administrative expenses.......... 16.3 13.4 11.4
Provision for losses on development activities............ 16.6 -- --
Provision for losses under shortfall funding agreements... 6.0 -- --
Provision for losses under severance agreements........... 2.0 -- --
Bad debt expense.......................................... 2.6 0.8 0.1
Lease expense............................................. 13.7 10.6 11.0
Depreciation and amortization............................. 2.7 2.4 1.4
Write-down of long-lived assets........................... -- -- 3.2
----- ----- -----
Income (loss) from operations............................... (30.6) 2.8 (7.7)
Other income (expense):
Interest and other income................................. 1.0 0.8 0.5
Interest expense.......................................... (0.8) (2.0) (1.8)
Gain (loss) on sale of assets............................. (0.4) 3.2 --
----- ----- -----
Income (loss) before income taxes........................... (30.8) 4.8 (9.0)
Provision for income taxes.................................. (0.7) 0.8 0.1
----- ----- -----
Net income (loss)........................................... (30.1) 4.0 (9.1)
===== ===== =====
</TABLE>
YEAR ENDED JUNE 30, 1999 COMPARED TO THE YEAR ENDED JUNE 30, 1998
Total Revenue. Total revenue for Fiscal 1999 decreased by $10,442,000 to
$78,446,000 compared to $88,888,000 for Fiscal 1998. This decrease was the
result of: (i) decrease in patient service revenues of $10,195,000, which was
primarily the result of PPS and a lower census at the Company's skilled nursing
33
<PAGE> 34
facilities, offset by a $1,393,000 increase due to a skilled nursing facility
acquisition on January 1, 1998; and (ii) decreased development fees of
$5,486,000 related to the Company's decision to reduce development activities.
These decreases were partially offset by additional resident service revenues of
$4,509,000, primarily from facilities acquired during, or subsequent to, Fiscal
1998. Patient services comprised 61% and 65% of total revenues for Fiscal 1999
and for Fiscal 1998, respectively. The decrease in this percentage of total
revenues was due to the Company's implementation of its business plan, which
focuses on assisted living development and operations, and the decrease due to
PPS.
Operating Expenses. Total operating expenses increased by $16,061,000 to
$102,469,000 for Fiscal 1999 from $86,408,000 for Fiscal 1998. This increase was
primarily attributable to: (i) the provision for losses on termination of
development activities of $13,050,000; (ii) increased expenses of $6,224,000 at
facilities acquired during or after the year ended June 30, 1998; (iii) the
provision for losses under shortfall funding agreements of $4,660,000; (iv) the
$1,600,000 provision for severance losses; and (v) a $904,000 increase in
development, general and administrative expenses. These increases were partially
offset by the decreased operating expenses of $10,531,000 at the Company's
skilled nursing facilities as a result of cost reduction efforts primarily in
the area of therapy delivery.
Facility operating expenses for Fiscal 1999 decreased by $6,724,000 to
$55,474,000 from $62,198,000 for Fiscal 1998. The decrease is the result of a
cost reduction program and a patient acuity management system put in place at
the Company's skilled nursing facilities, which resulted in a reduction in costs
of approximately $11,089,000, primarily in the area of therapy delivery. These
cost savings were offset by increased costs of $4,674,000 at new assisted living
facilities which were acquired during, or after, the December 1997 quarter. As a
percentage of total revenue, facility operating expenses were 70.7% for Fiscal
1999, and 70.0% for Fiscal 1998.
Development, general and administrative expenses increased by $904,000 to
$12,781,000 for Fiscal 1999 from $11,877,000 for Fiscal 1998. As a percentage of
total revenue, these expenses increased to 16.3% for Fiscal 1999 from 13.4% for
Fiscal 1998. The increase was attributable to the growth in the number of
facilities owned, leased or managed.
Information concerning the provision for losses on termination of
development activities of $13,050,000, the provision for losses under shortfall
funding agreements of $4,660,000 and the provision for severance losses of
$1,600,000 are discussed above under "Strategic Changes" and "Charges to
Operations".
Bad debt expense increased by $1,322,000 to $2,044,000 in Fiscal 1999 from
$722,000 in Fiscal 1998. The additional expense primarily relates to the therapy
receivables, at the Company's skilled nursing facilities and rehabilitation
services agencies.
Lease expense increased by $1,273,000 to $10,715,000 for Fiscal 1999 from
$9,442,000 for Fiscal 1998. This increase was primarily the result of rents at
acquired facilities and as a result of the sale/leaseback of two owned assisted
living facilities, as well as rental increases under lease agreements at
existing facilities. As a percentage of total revenue, these expenses totaled
13.7% for Fiscal 1999 and 10.6% for Fiscal 1998.
Depreciation and amortization decreased by $24,000 to $2,145,000 for Fiscal
1999 from $2,169,000 for Fiscal 1998. The decrease resulted from the sale of the
Wisconsin facilities and the sale/leaseback of two facilities.
Other Income (Expense). Interest and other income for Fiscal 1999
increased by $65,000 to $780,000 from $715,000 in the Fiscal 1998. The increase
is primarily attributable to the higher level of invested funds from the
proceeds of the Offering in February 1998. Interest expense for Fiscal 1999
decreased by $1,151,000 to $647,000 from $1,798,000 for Fiscal 1998. This was
primarily due to the repayment of $29,675,000 in bridge financing borrowed for
the purchase of six assisted living facilities and one nursing home between
October 1997 and January 1998, and the repayment of $5,019,000 in debt on the
Company's Wisconsin assisted living facilities in June 1998. Both loans were
repaid from proceeds of the Offering.
In Fiscal 1999, the Company sold all the fixed assets including land and
buildings of two of its facilities: a skilled nursing facility in Bloomsburg,
Pennsylvania and an assisted living facility located in Saxonburg,
34
<PAGE> 35
Pennsylvania for net proceeds of approximately $8,901,000 under a sale/leaseback
transaction. Also in Fiscal 1999, the Company completed the sale of the assets
of its Wisconsin assisted living facilities for net proceeds of approximately
$2,726,000. The Wisconsin facilities had been classified as an asset held for
sale since June 30, 1997. The sale of the above assets resulted in a loss of
$302,000. The gain on sale of assets in Fiscal 1998 was the result of the
company's sale of principal assets and operations of a pharmacy in October 1997
for approximately $4,700,000, net of transactions costs. This resulted in a
non-recurring gain of $2,858,000.
Provision for Income Taxes. The provision for income taxes includes an
income tax benefit of $555,000 for Fiscal 1999. The Company established a
valuation allowance of approximately $8,933,000 for Fiscal 1999. For Fiscal
1998, income tax expense of $680,000 is based on the company's estimated
effective tax rate of 16%. The effective rate is lower than the statutory rate
due to the reversal of a valuation allowance on deferred tax asset from net
operating losses.
Net Income (Loss). The Company's net loss of $23,637,000 for Fiscal 1999
from a net income of $3,575,000 for Fiscal 1998, is a decrease of $27,212,000.
This decrease in net income resulted primarily from: (i) the provisions for
losses on termination of development activities, under shortfall funding
arrangements and severance of $19,310,000, (ii) reduced profitability from
development activities of $6,569,000, (iii) decreased gain on sale of assets of
$3,160,000, and (iv) reduced profitability in the Company's skilled nursing
facilities of approximately $1,570,000, primarily due to the implementation of
PPS and a lower census. These amounts were partially offset by (i) the
contribution of $1,994,000 from the assisted living facilities and (ii) reduced
income taxes of $1,235,000.
YEAR ENDED JUNE 30, 1998 COMPARED TO THE YEAR ENDED JUNE 30, 1997
Total Revenue. Total revenue for Fiscal 1998 increased by $39,408,000 to
$88,888,000 compared to $49,480,000 for Fiscal 1997. This increase was the
result of: (i) patient and resident service revenues of $28,039,000 primarily
from facilities acquired or opened, during or subsequent to the 1997 Fiscal
year; and (ii) increased development and management fee revenues of $10,759,000
due to the Company's expanded development and management efforts.
Patient services comprised 65% and 84% of total revenues for Fiscal 1998
and Fiscal 1997, respectively. The decrease in the percentage of total revenues
was due to the Company's focus on assisted living operations and development.
The high percentage of patient services revenues to total revenues in relation
to the number of skilled nursing facilities to total facilities is due to the
significantly higher rate and cost structures of the skilled nursing facilities.
Operating Expenses. Total operating expenses increased by $33,141,000 to
$86,408,000 for Fiscal 1998 from $53,267,000 for Fiscal 1997. The increase in
total operating expenses in 1998 is attributable primarily to: (i) increases in
facility operating expenses as a result of new facilities which were developed
and acquired; and (ii) increases in development, general and administrative
expenditures related to building the Company's infrastructure to support and
manage its development and growth.
Facility operating expenses for Fiscal 1998 increased by $22,325,000 to
$62,198,000 from $39,873,000 for Fiscal 1997. The increase in 1998 is the result
of new facilities which were developed or acquired, during or after the 1997
Fiscal year. As a percentage of total revenue, facility operating expenses were
70.0% for 1998 and 80.6% for 1997. The percentage decreased due to the change in
the revenue mix including the increase in development and management fees.
Development, general and administrative expenses increased by $6,224,000 to
$11,877,000 for Fiscal 1998 from $5,653,000 for Fiscal 1997. As a percentage of
total revenue, these expenses increased to 13.4% for 1998 from 11.4% for 1997.
Of the $6,224,000 increase in 1998, approximately $3,629,000 resulted from labor
costs relating to the addition of new corporate and regional office staff to
plan and manage the Company's actual and anticipated development and growth. The
remaining $2,595,000 was attributable to other marketing, consulting,
development, travel and other general expenses related to the Company's growth.
Bad debt expense increased by $682,000 to $722,000 for Fiscal 1998 from
$40,000 for Fiscal 1997. This increase was attributable to additional reserves
at the Company's skilled nursing facilities.
35
<PAGE> 36
Lease expense increased to $9,442,000 for Fiscal 1998 from $5,417,000 for
Fiscal 1997, an increase of $4,025,000. This increase is the result of new
facilities which were developed or acquired, during or after the 1997 Fiscal
year. As a percentage of total revenue, these expenses totaled 10.6% for 1998
and 10.9% for 1997.
Depreciation and amortization increased by $1,476,000 to $2,169,000 for
Fiscal 1998 from $693,000 for Fiscal 1997. This increase resulted from the
additional depreciation and amortization on assets acquired and goodwill
recorded as a result of acquisitions.
In June 1997, management determined that the Wisconsin market did not
provide adequate opportunity to achieve the operational efficiencies necessary
to operate profitably. At June 30, 1997, the Company committed to a plan for the
disposal of its Wisconsin assisted living facilities. A non-recurring non-cash
charge of $1,591,000 was recorded in Fiscal 1997 to write these assets down to
their estimated fair value.
Other Income (Expense). Interest and other income for Fiscal 1998
increased by $450,000 to $715,000 from $265,000 in Fiscal 1997. The increase is
attributable to the higher level of invested funds due to receipt of proceeds
from the sale of shares of Series B Convertible Preferred Stock in Fiscal 1997
and the Offering in Fiscal 1998. Interest expense for Fiscal 1998 increased by
$881,000 to $1,798,00 from $917,000 in Fiscal 1997. This was primarily due to
the interest on the $29,675,000 of bridge financing borrowed for the purchase of
six assisted living facilities and one skilled nursing facility from October
1997 through January 1998. The acquisition bridge financing was repaid on
February 26, 1998 with proceeds of the Offering. The gain on sale of assets in
Fiscal 1998 was the result of the Company's sale of the principal assets and the
operation of a pharmacy in October 1997 for approximately $4,700,000, net of
transaction costs. This resulted in a non-recurring gain of $2,858,000.
Provision for Income Taxes. Income tax expense of $680,000 for 1998 is
based on the Company's estimated effective tax rate of 16% for the 1998 Fiscal
year. The effective rate is lower than the statutory rate due to the reversal of
a valuation allowance on deferred tax assets from net operating losses. Income
tax expense of $53,000 for Fiscal 1997 resulted from taxable income reported on
individual state corporate tax returns in states that do not permit consolidated
filings.
Net Income (Loss). The Company's net income increased to $3,575,000 for
Fiscal 1998 from a net loss of $(4,492,000) for Fiscal 1997, an increase of
$8,067,000. This increase in net income resulted primarily from: (i) the pretax
contribution of $6,530,000 from increased development activities; (ii) the
pharmacy gain of $2,858,000 ; (iii) the pretax contribution of the 11 assisted
living and three skilled nursing facilities acquired in Pennsylvania from May
1996 through January 1998 of $782,000; and (iv) the writedown of the Wisconsin
facilities in the 1997 Fiscal year of $1,591,000. These amounts were partially
offset by (i) start-up operating losses of $1,376,000 from the Company's Outlook
Pointe facilities prior to the sale of the leasehold interests to an
operator/lessee on January 1, 1998; (ii) reduced profitability at the Company's
Missouri skilled nursing facilities of $1,098,000; (iii) increased losses at the
Wisconsin assisted living facilities held for sale of $318,000; and (iv)
increase income tax expense of $627,000.
Medicare Reimbursement Changes. The Balanced Budget Act of 1997 (the
"Budget Act") enacted sweeping changes in reimbursement methodology for skilled
nursing facilities. Beginning July 1, 1998, skilled nursing providers with year
ends of June 30, were reimbursed under a fixed payment methodology based upon
the patient's level of care as opposed to a cost-based methodology. The new
methodology assigns patients into Resource Utilization Groupings ("RUG") that
have corresponding fixed per diem rates. The new methodology has a three (3)
year phase-in-program whereby providers will receive a blending of historical
facility-specific cost and national average rates. The facility-specific costs
are based on 1995 audited cost reports. The national average rates are the
Health Care Financing Administration's ("HCFA's") compilation of all skilled
nursing cost reports with adjustments made to reduce or eliminate certain data.
The Company's skilled nursing facilities began utilizing this new rate
methodology on July 1, 1998. To maximize operating results under the new
regulations the Company embarked upon a program to reduce costs and manage
acuity levels. These steps included: (i) a re-negotiation of therapy service
contracts; (ii) a reduction of nursing costs through managing hours worked to
patient acuity; (iii) evaluation of the need for high-cost programs; and (iv)
consolidating and eliminating certain non-patient related services. The
financial
36
<PAGE> 37
impact of these operational changes and the new Medicare reimbursement rates are
reflected in the Fiscal 1999 operating results.
LIQUIDITY AND CAPITAL RESOURCES
As the Company changed its focus to operations from development, the
Company's capital requirements and sources also changed. Historically the
Company primarily sought development and acquisition capital, using development
fees to support operating losses and corporate overhead. With the increased
emphasis on operations the Company entered into financing transactions to access
liquidity to provide the funds to support the operating team's efforts.
In March 1999, the Company received approximately $9 million in cash
through the sale/leaseback of two of its owned facilities located in Bloomsburg
and Saxonburg, Pennsylvania with an independent third party (the "Sale/Leaseback
Transaction") under a fifteen-year lease agreement at an annual lease rate of
10.25%.
In April 1999, the Company entered into a $15 million revolving Line of
Credit. The Line of Credit is secured by the real estate owned by five of the
Company's subsidiaries (BCC at Darlington, Inc., Balanced Care at Eyers Grove,
Inc., Balanced Care at Butler, Inc., Balanced Care at Sarver, Inc. and Balanced
Care at North Ridge, Inc. (collectively, the "Real Estate Borrowers")) and the
eligible accounts receivable of the Company's 10 Missouri skilled nursing
facilities. The Line of Credit is for a term of three years, and outstanding
borrowings will bear interest at a rate per annum of prime plus 2.75%. In July
1999, the terms of the Line of Credit Agreement were amended. The first
amendment modified certain definitions and provisions and the borrowing base
calculation. The second amendment increased the Line of Credit to $20 million
and added to the lender's secured interest the real estate of two of the
Company's subsidiaries: BCC at Republic Park Care Center, Inc. and BCC at Nevada
Park Care Center, Inc. (together, the "Skilled Nursing Facility Borrowers").
The primary component of the borrowing base for the amended and restated
Line of Credit that the Company is utilizing consists of 85% of the product of
8.0 to 8.5 times EBITDA of the Real Estate Borrowers plus 85% of the product of
6 times EBITDA of the Skilled Nursing Facility Borrowers. Including the
amendments to the Line of Credit Agreement, the borrowing base available
(calculated as of June 30, 1999) was approximately $14 million. At June 30,
1999, $7.4 million was borrowed under the Line of Credit.
In a simultaneous transaction with the Second Amendment to the Line of
Credit, the Company repaid the outstanding debt of $3.1 million for the real
estate of two of its nursing home subsidiaries located in Republic and Nevada,
Missouri. As a result of this transaction, the Company expects to report a loss
on the early extinguishment of debt of approximately $740,000 in the first
quarter of Fiscal 2000.
The Company has opened 34 of its Outlook Pointe(R) signature series
assisted living facilities as of June 30, 1999. As previously discussed, the
Company has stopped seeking additional sites for Outlook Pointe(R) facilities.
The Company has adequate financing to complete construction on the 18 facilities
under construction at June 30, 1999. These facilities are expected to open on
various dates through April 2000. The Company has terminated, or allowed the
expiration of, significantly all of its land options on previously secured
sites. The Company's costs associated with these cancelled land options are
reflected in the provision for estimated losses from development activities. The
Company had previously disclosed its expectations to develop more than 40
facilities during Fiscal 1999. As a result of the Company's revised development
strategy, and the ongoing difficulty in obtaining development capital on
acceptable terms, the Company closed on construction financing for six
development projects during Fiscal 1999. If, and when, capital becomes available
to the Company on acceptable terms, the Company will implement a program of
limited development consisting of approximately four to five projects per
quarter that meet the Company's development standards.
The Company's development projects have generally involved entering into
development agreements with third party owners, which are typically REITs (each,
an "Owner"). A third party Operator/Lessee leases the assisted living facility
from the Owner when construction has been completed and provides funding for the
working capital during the initial occupancy period. The Company manages the
assisted living facility pursuant to a management agreement for a term of two to
nine years in return for a management fee
37
<PAGE> 38
approximating 6% of the net revenue of the facility. The foregoing off-balance
sheet financing structure is referred to as the "Black-Box Structure".
For development projects utilizing the Black-Box Structure, the Company has
the option to purchase the equity or assets of the Operator/Lessee at a purchase
price based on a formula set forth in an Option Agreement and a Shortfall
Funding Agreement, respectively. As consideration for the option, which is
exercisable by the Company at any time during the term of the Option Agreement,
the Company pays option payments to the Operator/Lessee. Without the Owner's
prior consent, the Operator/lessee may not sell its equity or assets to any
third party other than the Company. The Company has closed 51 development
projects for which the Company holds the foregoing type of option. Between March
and June 1999, the Company exercised its option to purchase the
Operator/Lessee's equity interests in five projects financed under the Black Box
Structure for a total purchase price of approximately $2.9 million. In
conjunction with the purchase transactions, the Company increased the lease base
of the five facilities by $3.8 million. These projects are located in
Harrisburg, Altoona and Reading, Pennsylvania and in Sherwood and Mountain Home,
Arkansas. The Company estimates it will require approximately $40 -- 45 million
to buy the equity of the 47 Outlook Pointe facilities that remain under the
Black Box Structure over the next three years. The Company has obtained
commitments from certain REITs that currently own developed properties under the
Black Box Structure to finance the Company's capital requirements to exercise
its purchase options under the aforementioned option agreements. Generally, this
take-out financing will be structured as an increase to the existing facility
lease base at a blended annual lease rate. This financing structure will provide
approximately $30 million of the estimated $40 -- 45 million capital
requirement. The balance will be funded with cash raised from financing
transactions discussed above, possible asset divestitures and cash to be
provided from operations. The Company plans to exercise its options to purchase
the equity interests on approximately 16 of its managed operations during Fiscal
2000.
As reported in the section titled "Charges to Operations," the Company has
incurred a cumulative charge of $4.7 million representing advances made for the
operations of facilities financed under the Black Box Structure under existing
Shortfall Funding Agreements. The Company estimates additional shortfall funding
requirements through June 30, 2000 to be approximately $3 million as the result
of additional black box working capital financing.
The Company currently is using more than $1 million each month to support
corporate overhead and fund facility operating shortfalls. This amount is
generally decreasing each month as facilities become more profitable as a result
of increased census and cost reduction measures. The Company's other significant
cash need is the $10-$15 million required to make option payments and buy back
black box operations over the next two to three years. The Company will endeavor
to make all option payments to preserve its purchase option, but may delay the
purchase of black box operations, depending on capital availability. By
continuing to make option payments the Company can preserve its right to acquire
profitable assisted living facilities it currently manages. However, the
profitable results will not be consolidated in the Company's financial
statements until the purchase option is exercised. The Company would continue to
receive management fees under the scenario.
At August 31, 1999, the Company had a borrowing base under the Line of
Credit of approximately $14 million and had borrowed $12.7 million. Between
existing cash balances, remaining borrowing base, anticipated formula increases
to the borrowing base of $3-$4 million and refinancing or selling non-core
assets of $3.0 million, the Company expects to have adequate sources of
liquidity to finance operations through Fiscal 2000.
The Company believes that in order to satisfy its current and future
capital needs, it will be necessary to: (i) increase the borrowing base
availability on the Line of Credit through improved performance of The Real
Estate Borrowers and negotiation of an increased EBITDA multiple in the
borrowing base calculation for the Skilled Nursing Facility Borrowers; (ii)
obtain additional equity to meet working capital needs; and (iii) divest certain
non-core assets. The Company believes with its current financing arrangements in
place or currently under negotiation that it will generate the cash needed to
(i) maintain existing operations; (ii) make the required purchase option
payments under these commitments and (iii) acquire all Black Box Operations
38
<PAGE> 39
upon breakeven. Notwithstanding the foregoing, there can be no assurance that
any additional financing needed to fund the Company's liquidity and growth will
be available.
Most of the facilities operated by the Company are leased under long-term
operating leases. Facility obligations for the next 12 months are approximately
$13,355,000. The lease documents contain financial covenants and other
restrictions which: (i) require the Company to meet certain financial tests and
maintain certain escrow funds, (ii) limit, among other things, the ability of
the Company and certain of its subsidiaries to borrow additional funds, dispose
of assets or engage in mergers or other business combinations, and (iii)
prohibit the Company from operating competing facilities within a designated
radius of existing facilities. Management believes the Company is in compliance
with these lease covenants.
The Company's lease arrangements are generally for initial terms of 9 to 15
years with aggregate renewal terms ranging from 15 to 25 years and provide for
contractually fixed rent plus additional rent, subject to certain limits. The
additional rent is capped at 2% to 3% of the prior year's total rent and is
based on either the annual increase in gross revenues of the facility or the
increase in the consumer price index. The Company's lease arrangements generally
contain an option to purchase the facility at its fair market value at the end
of the initial lease term and each renewal term.
In September 1998, the Company entered into management agreements, option
agreements and other transaction documents with six Operator/Lessees that are
owned by Financial Care Investors, LLC, a Delaware limited liability Company
("FCI"). FCI is owned by Brad E. Hollinger, Chairman of the Board, President and
Chief Executive Officer of the Company. FCI and its six wholly owned
Operator/Lessees also entered into lease agreements with a REIT. The terms of
the agreements among the parties are similar to the terms of the agreements the
Company has entered into with independent third party Operator/Lessees. In
October 1999, Mr. Hollinger expects to redeem his investment interest in FCI for
nominal consideration.
OPERATING ACTIVITIES
Cash used by operations increased by $4,319,000 to $10,411,000 for Fiscal
1999 from cash used by operations of $6,092,000 for Fiscal 1998. The increase in
the cash used was due to increased operating losses and an increase in
development contracts in process offset by a decrease in receivables and an
increase in accounts payable, accrued payroll and accrued expenses.
INVESTING AND FINANCING ACTIVITIES
Cash used for investing activities decreased by $23,065,000 to $4,530,000
for Fiscal 1999 from $27,595,000 for Fiscal 1998. The decrease related
predominantly to acquisitions transacted. Cash provided by financing activities
decreased by $33,640,000 to $7,620,000 for Fiscal 1999 from $41,260,000 for
Fiscal 1998. The decrease was a result of the Offering in Fiscal 1998 offset by
the issuance of long term debt in Fiscal 1999. During Fiscal 1999, the Company
used the cash remaining from the Offering for general corporate purposes.
YEAR 2000 READINESS DISCLOSURE
Computer software and/or hardware that was designed to define the year with
a two digit date field rather than a four digit field may fail or miscalculate
data in the year 2000, causing disruption to the operations or business
activities of the Company.
State of Readiness. The Company uses high quality hardware and operating
systems from current and proven technologies to ensure reliability and optimum
system performance. In order to evaluate these systems and other electronic
systems not related to information technology ("Non-IT Systems"), the Company
formed an oversight committee comprised of information systems, operations,
legal and accounting professionals.
Phases. The committee has performed an inventory and risk assessment of
the Company's internal operations systems, as well as an inventory of third
party relationships and their impact on the Company. In response to requests,
the committee has already received certification of year 2000 readiness from key
hardware and software providers, including suppliers of critical data processing
and financial systems. Internal
39
<PAGE> 40
testing of critical information systems will continue throughout 1999. No
material deficiencies have been identified to date.
Notwithstanding vendor certification of compliance, the Company has tested,
and continues to test key hardware and software systems. For non-critical
systems, and those that cannot be readily tested, the Company will rely on
vendor certification.
Material Third Parties. Based on the committee's review, the Company has
determined that third party relationships provide the highest risk related to
year 2000 issues. The third party relationships deemed most critical are the
Company's banking relationships, its relationships with third party
intermediaries for skilled nursing facility reimbursement under Medicare and
Medicaid programs, and suppliers of basic utilities and food service to the
Company's operating communities. The Company's third party reimbursement
intermediaries and the Health Care Financing Administration have been proactive
in testing for year 2000 compliance. Some intermediaries have required the
submission of test billings that demonstrate year 2000 compatibility with their
payment software. Where required, the Company completed these tests by December
31, 1998. Since April 1999, the Company has used Y2K compliant formats for
Medicare claims processing. The risk of local infrastructure failure is
mitigated by the Company's contingency planning addressed below. The committee
is continuing to evaluate the year 2000 compliance of the Company's financial
institutions to gain assurance regarding their year 2000 readiness.
Costs. Based upon the Company's progress to date in addressing year 2000
issues, management does not expect these issues to have a material impact on
financial position, results of operations or cash flows in future periods,
including the cost of remediation. Costs incurred to date are internal staff
costs of salary, benefits and nominal administrative expenses associated with
the activities of the oversight committee. The Company expects future costs to
be of a similar nature.
Risks and Contingency Plans. Based on its survey and testing, the Company
believes the greatest risks to its ongoing operations are isolated local
failures of utilities and food supplies. Accordingly, the Company has
established contingency plans for its facilities that include the accumulation
of two to three weeks of food and water and provision of back-up power sources.
ITEM 7A--QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The Company did not have any investment securities subject to market risk
at June 30, 1999.
ITEM 8--FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTAL SCHEDULES
Consolidated Balance Sheets as of June 30, 1999 and June 30, 1998
Consolidated Statements of Operations for the Years Ended June 30, 1999,
1998 and 1997
Consolidated Statements of Changes in Stockholders' Equity for the Years
Ended June 30, 1999, 1998 and 1997
Consolidated Statements of Cash Flows for the Years Ended June 30, 1999,
1998 and 1997
Notes to Consolidated Financial Statements
Independent Auditors' Report
Schedule II -- Valuation and Qualifying Accounts for the Years Ended
June 30, 1999, 1998 and 1997
40
<PAGE> 41
BALANCED CARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS EXCEPT SHARE DATA)
<TABLE>
<CAPTION>
JUNE 30, JUNE 30,
1999 1998
-------- --------
<S> <C> <C>
ASSETS
Current assets:
Cash and cash equivalents................................. $ 8,160 $15,481
Receivables (net of allowance for doubtful receivables)
(Note 4)............................................... 11,912 19,630
Development contracts in process (Note 3)................. 2,559 2,534
Prepaid expenses and other current assets................. 973 1,203
Assets held for sale...................................... -- 2,800
-------- -------
Total current assets.............................. 23,604 41,648
Restricted investments...................................... 2,714 1,596
Property and equipment, net (Note 7)........................ 24,075 27,862
Goodwill, net (Note 2)...................................... 15,293 13,466
Purchase option deposits (Note 17).......................... 2,974 322
Other assets................................................ 2,395 1,078
-------- -------
Total assets...................................... $ 71,055 $85,972
======== =======
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Current portion of long-term debt (Note 8)................ $ 450 $ 177
Accounts payable.......................................... 10,016 9,132
Accrued payroll........................................... 1,339 2,243
Accrued expenses.......................................... 4,357 3,714
-------- -------
Total current liabilities......................... 16,162 15,266
Deferred income taxes (Note 13)............................. -- 638
Long-term debt, net of current portion (Note 8)............. 11,773 3,376
Straight-line lease liability............................... 3,537 3,053
Deferred revenue and other liabilities...................... 1,225 1,780
-------- -------
Total liabilities................................. 32,697 24,113
-------- -------
Commitments and contingencies (Notes 2, 3, 10, 11, 14 and
17)
Stockholders' equity (Notes 9 and 15):
Preferred stock, $.001 par value; 5,000,000 authorized;
none outstanding....................................... -- --
Preferred stock, Series A; authorized -- 1,150,958 shares;
none outstanding....................................... -- --
Common stock, $.001 par value; authorized -- 50,000,000
shares; issued and outstanding -- 16,722,847 shares in
1999 and 16,695,343 shares in 1998..................... 17 17
Additional paid-in capital................................ 63,814 63,678
Accumulated deficit....................................... (25,473) (1,836)
-------- -------
Total stockholders' equity........................ 38,358 61,859
-------- -------
Total liabilities and stockholders equity......... $ 71,055 $85,972
======== =======
</TABLE>
See accompanying notes to consolidated financial statements.
41
<PAGE> 42
BALANCED CARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS EXCEPT SHARE DATA)
<TABLE>
<CAPTION>
YEARS ENDED JUNE 30,
----------------------------
1999 1998 1997
-------- ------ ------
<S> <C> <C> <C>
Revenues:
Patient services.......................................... $ 47,999 58,194 41,616
Resident services......................................... 22,748 18,239 6,778
Development fees.......................................... 6,288 11,774 1,015
Management fees........................................... 1,117 392 --
Other revenues............................................ 294 289 71
-------- ------ ------
Total revenues.................................... 78,446 88,888 49,480
-------- ------ ------
Operating expenses:
Facility operating expenses:
Salaries, wages and benefits........................... 32,994 30,756 19,186
Other operating expenses............................... 22,480 31,442 20,687
Development, general and administrative expenses.......... 12,781 11,877 5,653
Provision for losses on development activities (Note
10).................................................... 13,050 -- --
Provision for losses under shortfall funding agreements
(Note 11).............................................. 4,660 -- --
Provision for losses under severance agreements (Note
12).................................................... 1,600 -- --
Bad debt expense.......................................... 2,044 722 40
Lease expense (including related parties of $435 in 1999,
$5,042 in 1998 and $4,030 in 1997)..................... 10,715 9,442 5,417
Depreciation and amortization............................. 2,145 2,169 693
Write-down of long-lived assets (Notes 5 and 6)........... -- -- 1,591
-------- ------ ------
Total operating expenses.......................... 102,469 86,408 53,267
-------- ------ ------
Income (loss) from operations.......................... (24,023) 2,480 (3,787)
Other income (expense):
Interest and other income................................. 780 715 265
Interest expense.......................................... (647) (1,798) (917)
Gain (loss) on sale of assets (Notes 5 and 6)............. (302) 2,858 --
-------- ------ ------
Income (loss) before income taxes...................... (24,192) 4,255 (4,439)
Provision for income taxes (benefit) (Note 13).............. (555) 680 53
-------- ------ ------
Net income (loss)...................................... $(23,637) 3,575 (4,492)
======== ====== ======
Basic earnings (loss) per share........................... $ (1.41) 0.31 (0.66)
======== ====== ======
Diluted earnings (loss) per share......................... $ (1.41) 0.28 (0.66)
======== ====== ======
Weighted average shares -- basic.......................... 16,713 11,616 6,763
======== ====== ======
Weighted average shares -- diluted........................ 16,713 12,928 6,763
======== ====== ======
</TABLE>
See accompanying notes to consolidated financial statements.
42
<PAGE> 43
BALANCED CARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(IN THOUSANDS EXCEPT SHARE DATA)
<TABLE>
<CAPTION>
PREFERRED A STOCK COMMON STOCK
--------------------------------- ------------------ ADDITIONAL
ISSUED SUBSCRIPTION ISSUED PAID-IN ACCUMULATED
SHARES PAR VALUE RIGHTS SHARES PAR VALUE CAPITAL DEFICIT TOTAL
------ --------- ------------ ------ --------- ---------- ----------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Balance at June 30, 1996.... 1,000 $1 $ 451 2,583 $ 3 $ 1,588 $ (919) $ 1,124
Stock dividend.............. 151 -- -- -- -- -- -- --
Accretion of redemption
value attributable to
redeemable preferred
stock..................... -- -- -- -- -- (1,267) -- (1,267)
Issuance of common stock.... -- -- -- 1,442 2 2,172 -- 2,174
Issuance of preferred
stock..................... -- -- (451) -- -- 451 -- --
Issuance of common stock
purchase warrants......... -- -- -- -- -- 1,017 -- 1,017
Net loss.................... -- -- -- -- -- -- (4,492) (4,492)
------ -- ----- ------ --- ------- -------- --------
Balance at June 30, 1997.... 1,151 1 -- 4,025 5 3,961 (5,411) (1,444)
Issuance of common stock.... -- -- -- 8,050 8 46,349 -- 46,357
Conversion of series A
preferred stock........... (1,151) (1) -- 863 1 -- -- --
Accretion of redemption
value attributable to
redeemable preferred
stock..................... -- -- -- -- -- (1,253) -- (1,253)
Conversion of series B
preferred stock........... -- -- -- 3,757 3 14,498 -- 14,501
Issuance of common stock
purchase warrants......... -- -- -- -- -- 123 -- 123
Net income.................. -- -- -- -- -- -- 3,575 3,575
------ -- ----- ------ --- ------- -------- --------
Balance at June 30, 1998.... -- -- -- 16,695 17 63,678 (1,836) 61,859
Issuance of common stock
purchase warrants......... -- -- -- -- -- 45 -- 45
Options exercised........... -- -- -- 28 -- 91 -- 91
Net loss.................... -- -- -- -- -- -- (23,637) (23,637)
------ -- ----- ------ --- ------- -------- --------
Balance at June 30, 1999.... -- $-- $ -- 16,723 $17 $63,814 $(25,473) $ 38,358
====== == ===== ====== === ======= ======== ========
</TABLE>
See accompanying notes to consolidated financial statements.
43
<PAGE> 44
BALANCED CARE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF CASH FLOWS
(IN THOUSANDS EXCEPT SHARE DATA)
<TABLE>
<CAPTION>
JUNE 30, JUNE 30, JUNE 30,
1999 1998 1997
-------- -------- --------
<S> <C> <C> <C>
Cash Flows from Operating Activities:
Net income (loss)........................................... $(23,637) 3,575 (4,492)
Adjustments to reconcile net income (loss) to net cash used
for operating activities:
Depreciation and amortization............................. 2,145 2,169 693
Deferred income taxes..................................... (638) 638 --
Loss (gain) on sale of assets............................. 302 (2,858) --
Non-cash lease expense.................................... -- -- 1,454
Write-down of long-lived assets........................... -- -- 1,591
Provision for losses on development activities............ 13,050 -- --
Provision for losses under shortfall funding agreements... 4,660 -- --
Provision for losses under severance agreements........... 1,600 -- --
Changes in operating assets and liabilities, excluding
effects of acquisitions:
Increase in receivables, net............................ (40) (11,175) (4,235)
Increase in development contracts in process, net....... (8,605) (2,242) (292)
Decrease (increase) in prepaid expenses and other
current assets........................................ 341 (516) (674)
Increase in accounts payable, accrued payroll and
accrued expenses...................................... 411 4,317 5,340
-------- ------- ------
Net cash used for operating activities................ (10,411) (6,092) (615)
-------- ------- ------
Cash Flows from Investing Activities:
Proceeds from sale of assets.............................. 11,627 7,364 --
Purchases of property and equipment....................... (4,055) (4,111) (1,822)
(Increase) decrease in restricted investments............. (147) 229 (1,546)
Increase in purchase option deposits and other assets..... (5,229) (464) (1,544)
Business acquisitions (Note 2)............................ (6,726) (30,613) (2,287)
-------- ------- ------
Net cash used for investing activities................ (4,530) (27,595) (7,199)
-------- ------- ------
Cash Flows from Financing Activities:
Proceeds from issuance of long-term debt.................. 13,156 159 385
Payments on long-term debt................................ (5,208) (5,133) (142)
Proceeds from issuance of common stock.................... 91 46,357 110
Proceeds from issuance of Series A preferred stock........ -- -- 451
Proceeds from issuance of Series B preferred stock........ -- -- 11,982
Issuance of notes payable................................. -- 29,675 1,476
Payments on notes payable................................. -- (29,675) (1,476)
Increase (decrease) in straight-line lease liability...... (206) (80) 1,679
Increase (decrease) in other liabilities.................. (213) (43) 690
-------- ------- ------
Net cash provided by financing activities............. 7,620 41,260 15,155
-------- ------- ------
Decrease in cash and cash equivalents................. (7,321) 7,573 7,341
Cash and cash equivalents at beginning of year.............. 15,481 7,908 567
-------- ------- ------
Cash and cash equivalents at end of year.................... $ 8,160 15,481 7,908
======== ======= ======
Supplemental Cash Flow Information:
Cash paid for interest.................................... $ 951 1,843 927
======== ======= ======
Cash paid for income taxes................................ $ 86 66 35
======== ======= ======
Supplemental Non-cash Investing and Financing Activities:
Assets and lease obligations capitalized.................. $ 722 253 75
======== ======= ======
Fair value of stock purchase warrants granted............. $ 45 123 1,017
======== ======= ======
Accretion of redemption value of redeemable preferred
stock................................................... $ -- 1,253 1,267
======== ======= ======
Acquisitions:
Fair value of assets acquired........................... (8,345) (32,328) (9,988)
Liabilities assumed..................................... 1,619 1,715 5,636
Fair value of stock issued.............................. -- -- 2,065
-------- ------- ------
Consideration paid for acquisitions..................... $ (6,726) (30,613) (2,287)
======== ======= ======
</TABLE>
See accompanying notes to consolidated financial statements.
44
<PAGE> 45
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
(A) ORGANIZATION AND BACKGROUND
Balanced Care Corporation ("BCC" or the "Company") was incorporated in
April 1995 and is engaged in the acquisition, development and operation of
assisted living facilities and of other operations which facilitate
implementation of the Company's balanced care continuum strategy, such as
medical rehabilitation, home health care and skilled nursing. As of June 30,
1999, the Company owned, leased or managed 56 assisted and independent living
communities and 13 skilled nursing facilities and had 18 assisted living
communities under development contracts (see Note 3). The Company also operated
a home health agency and rehabilitation agencies. The Company's operations are
located in Pennsylvania, Missouri, Arkansas, Virginia, Ohio, North Carolina,
Tennessee, West Virginia and Florida.
On February 18, 1998, the Company closed its initial public offering for
7,000,000 shares of its common stock, par value $.001 per share ("Common Stock")
at a price of $6.50 per share (the "Offering"). Concurrent with the Offering,
5,009,750 shares of Series B Preferred Stock and 1,150,958 shares of Series A
Preferred Stock were converted into 4,620,532 shares of Common Stock (reflective
of the three-for-four-reverse split of Common Stock effective October 14, 1997).
In connection with the Offering, the Company granted the underwriters an
option to purchase 1,050,000 additional shares of Common Stock at $6.50 per
share. The closing for this option was on March 17, 1998. After the consummation
of the Offering, the conversion of the preferred stock and the exercise of the
underwriters' option, the Company had 16,695,343 shares of Common Stock
outstanding.
(B) BASIS OF PRESENTATION
The accompanying consolidated financial statements include the accounts of
the Company and its wholly-owned subsidiaries from their respective acquisition
dates. All significant inter-company accounts and transactions have been
eliminated in the consolidated financial statements.
(C) CASH AND CASH EQUIVALENTS
Cash equivalents consist of highly liquid instruments with original
maturities of three months or less. The Company maintains its cash and cash
equivalents at financial institutions which management believes are of high
credit quality.
(D) FAIR VALUE OF FINANCIAL INSTRUMENTS
Cash and cash equivalents, receivables, restricted investments and mortgage
notes payable are reflected in the accompanying balance sheet at amounts
considered by management to approximate fair value. Management generally
estimates fair value of its long-term fixed rate notes payable using discounted
cash flow analysis based upon the current borrowing rate for debt with similar
maturities.
(E) RESTRICTED INVESTMENTS
Restricted investments consist of certificates of deposit that have been
pledged as collateral for certain of the Company's lease commitments. The
amounts are equivalent to three months' lease payments and are generally
restricted through the initial lease term.
(F) PROPERTY AND EQUIPMENT
Property and equipment are stated at cost less accumulated depreciation or,
where appropriate, the present value of the related capital lease obligations
less accumulated amortization. Depreciation and amortization are computed using
the straight-line method over the estimated useful lives of the assets (see
45
<PAGE> 46
note 7). Expenditures for maintenance and repairs necessary to maintain property
and equipment in efficient operating condition are charged to operations. Cost
of additions and betterments are capitalized.
(G) GOODWILL
Goodwill resulting from business acquisitions accounted for as purchases is
being amortized on a straight-line basis over lives ranging from 15 to 40 years.
Goodwill is reviewed for impairment whenever events or circumstances provide
evidence which suggests that the carrying amount of goodwill may not be
recoverable. The Company evaluates the recoverability of goodwill by determining
whether the amortization of the goodwill balance can be recovered through
projected undiscounted cash flows. At June 30, 1999 and 1998, accumulated
amortization of goodwill was $766,000 and $334,000, respectively.
(H) IMPAIRMENT OF LONG-LIVED ASSETS AND LONG-LIVED ASSETS TO BE DISPOSED OF
The Company reviews its long-lived assets and certain identifiable
intangible assets for impairment whenever events or changes in circumstances
indicate that the carrying amount of an asset may not be recoverable.
Recoverability of assets to be held and used is measured by a comparison of
the carrying amount of an asset to undiscounted future net cash flow expected to
be generated by the asset. This comparison is performed on a facility by
facility basis. If such assets are considered to be impaired, the impairment to
be recognized is measured as the amount by which the carrying amount of the
assets exceeds the fair value of the assets. Assets to be disposed of are
reported at the lower of the carrying amount or fair value less costs to sell.
(I) DEFERRED COSTS
Financing and leasing costs have been deferred and are being amortized on a
straight-line basis over the term of the related debt or lease. Accumulated
amortization of deferred financing and leasing costs was $323,000 and $84,000 at
June 30, 1999 and 1998 respectively.
(J) REVENUE RECOGNITION
Patient service revenues are recorded based on standard charges applicable
to all patients, and include charges for room and board, rehabilitation
therapies, pharmacy, medical supplies, sub-acute care and other programs
provided to patients in skilled nursing facilities. Patient service revenues are
adjusted for differences between such standard rates and estimated amounts
reimbursable by third-party payors when applicable. Estimated settlements under
third-party payor retrospective rate setting programs (primarily Medicare) are
accrued in the period the related services are rendered. Settlements receivable
and related revenues under such programs are based on annual cost reports
prepared in accordance with Federal and state regulations, which reports are
subject to audit and retroactive adjustment in future periods. In the opinion of
management, adequate provision has been made for such adjustments and final
settlements will not have a material effect on financial position or results of
operations.
The Company derives a significant portion of its revenues from federal and
state reimbursement programs. All of the skilled nursing facilities operated by
the Company are certified to receive benefits under Medicare and Medicaid. The
reimbursement methodology for a variety of health care providers has changed
significantly as a result of provisions contained in the Balanced Budget Act of
1997 ("Budget Act"), which provisions materially impacted the Company's
operations and financial condition. The Budget Act provides for a prospective
payment system ("PPS") for skilled nursing services (rather than the
retrospective cost-based methodology in place prior to July 1, 1998). During the
transition period, the payment rate is based on a percentage blend of a
facility-specific rate and a federal per diem rate. Once the PPS is fully
implemented, skilled nursing facilities will be paid a federal per diem rate for
covered services, which include routine and ancillary services and most
capital-related costs. In conjunction with PPS, consolidated billing for
Medicare Part A Services is required for skilled nursing facilities. Under
consolidated billing for Medicare Part A Services, facilities must bill Medicare
for all of the services residents receive, including all therapy services. The
Company's skilled nursing facilities began utilizing this new rate methodology
on July 1, 1998.
46
<PAGE> 47
Resident service revenues are recognized when services are rendered and
consist of resident fees and other ancillary services provided to residents of
the Company's assisted living facilities.
(K) DEVELOPMENT FEE INCOME RECOGNITION AND RELATED COSTS
Development fees are received from facility owners under fixed-price
development contracts, which are recognized on the percentage-of-completion
method measured by the cost-to-cost method. Such contracts are for managing,
supervising and coordinating the activities of other contractors on behalf of
the owners of the assisted living facilities, and revenue is recognized only to
the extent of the fee revenue. On projects where BCC is the lessee, development
fees in excess of related development costs are recorded as deferred revenues
and recognized over the lease term (see Note 3).
Contract costs include direct development salaries, wages and benefits and
related direct costs of development activities, including such costs incurred
prior to execution of the development agreement (precontract costs). Precontract
costs are recorded as development in process until the contract is executed,
whereupon such costs are charged to operations and related development fee
revenues are recognized as described above. Precontract costs are reviewed by
management to assess recoverability based on the progress of each development
project and are charged to operations when a project is abandoned. Changes in
project performance, conditions and estimated profitability may result in
revisions to cost estimates, related revenue recognition and provisions for
estimated losses on uncompleted contracts. Such changes in estimates are
reported in the period in which the revisions are determined.
Reimbursable costs due from facility owners under development contracts in
process represent costs incurred on behalf of the owners of the assisted living
facilities during the construction period, which are reimbursed on a monthly
basis. Accounts payable include $5,864,000 at June 30, 1999 and $5,435,000 at
June 30, 1998 related to such costs.
(L) INCOME TAXES
The Company follows the asset and liability method of accounting for income
taxes. Under this method, deferred tax assets and liabilities are recognized for
the future tax consequences attributable to differences between financial
statement carrying amounts of existing assets and liabilities and their
respective tax bases.
(M) STRAIGHT-LINE LEASE LIABILITY
Straight-line lease liabilities represent lease deposit funding received
from REITs relating to lease transactions. The Company pays rent on these funds
and amortizes the related straight-line lease liability over the initial lease
term as a reduction of rent expense.
(N) CLASSIFICATION OF EXPENSES
All expenses associated with development, corporate or support functions
are classified as development, general and administrative.
(O) USE OF ESTIMATES
The preparation of the consolidated financial statements in conformity with
generally accepted accounting principles requires management to make estimates
and assumptions. These assumptions 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 these estimates.
(P) PRO FORMA EARNINGS (LOSS) PER SHARE ("EPS")
Pro forma earnings (loss) per share is computed using the weighted average
number of common shares and common equivalent shares outstanding (using the
treasury stock method) assuming the pro forma conversion of preferred shares
into common. For the years ended June 30, 1999 and 1997, common equivalent
47
<PAGE> 48
shares from stock options and warrants are excluded from the computation, as
their effect is antidilutive. In the computation of earnings (loss) per share,
accretion of the redemption value attributable to redeemable preferred stock is
not included as an increase to net loss.
A reconciliation of the weighted average shares used in the computation of
pro forma earnings per share follows (in thousands):
<TABLE>
<CAPTION>
YEAR ENDED JUNE 30,
-------------------------
1999 1998 1997
------ ------ -----
<S> <C> <C> <C>
Weighted average common shares outstanding................ 16,713 6,996 3,758
Pro forma conversion of preferred shares.................. -- 4,620 3,005
------ ------ -----
Shares used for pro forma basic EPS....................... 16,713 11,616 6,763
Stock options and warrants converted using the Treasury
stock method............................................ -- 1,312 --
------ ------ -----
Shares used for pro forma diluted EPS..................... 16,713 12,928 6,763
====== ====== =====
</TABLE>
(Q) RECLASSIFICATIONS
Certain amounts for 1997 and 1998 have been reclassified to conform to the
presentation for 1999.
2. BUSINESS ACQUISITIONS
Acquisitions and the manner of payment are summarized as follows:
<TABLE>
<CAPTION>
TRANSACTION LEASED CASH COMMON STOCK LIABILITIES TOTAL GOODWILL
MONTH DESCRIPTION OR OWNED BUSINESS LOCATION PAID ISSUED(1) INCURRED COST RECORDED
- ----- ---------------------- -------- -------- -------- ------- ------------ ----------- ------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
YEAR ENDED JUNE 30, 1999:
September 1998 Additional transaction Leased ALF VA $ 45 $ -- $ -- $ 45 $ 45
costs -- Potomac Point
January 1999 Contingent payment -- Owned ALF PA 2,222 -- -- 2,222 2,222
Butler(3)
March 1999 Equity interest of Leased ALF PA 865 -- -- 865 --
Extended Care Ops. at
Harrisburg, LLC(4)
April 1999 Stock of TC Realty of Leased ALF AR 386 -- -- 386 --
Sherwood, Inc.(4)
April 1999 Stock of TC Realty of Leased ALF AR 451 -- -- 451 --
Mt. Home, Inc.(4)
May 1999 Stock of TC Realty of Leased ALF PA 627 -- -- 627 --
Reading, Inc.(4)
May 1999 Stock of TC Realty of Leased ALF PA 558 -- -- 558 --
Altoona, Inc.(4)
Various Cash payments of -- -- -- 1,572 -- (1,572) -- --
acquisition
liabilities accrued in
1998
------- ------ ------- ------- -------
$ 6,726 $ -- $(1,572) $ 5,154 $ 2,267
======= ====== ======= ======= =======
YEAR ENDED JUNE 30, 1998:
August 1997 Leasehold interest of Leased ALF MO $ -- $ -- $ -- $ -- $ --
Clark
October 1997 Assets of Feltrop Owned ALF PA 5,875 -- -- 5,875 1,597
October 1997 Assets of Butler(3) Owned ALF PA 9,997 -- 372 10,369 4,046
December 1997 Assets of Northridge Owned ALF NC 8,600 -- -- 8,600 3,349
January 1998 Assets of Gethsemane Owned ALF/ PA 5,600 -- 1,200 6,800 1,824
SNF
February 1998 Contingent Payment -- Leased ALF/ PA 500 -- -- 500 500
Keystone(2) SNF
June 1998 Leasehold interest of Leased ALF VA 41 -- -- 41 41
Potomac Point
------- ------ ------- ------- -------
$30,613 $ -- $ 1,572 $32,185 $11,357
======= ====== ======= ======= =======
</TABLE>
48
<PAGE> 49
<TABLE>
<CAPTION>
TRANSACTION LEASED CASH COMMON STOCK LIABILITIES TOTAL GOODWILL
MONTH DESCRIPTION OR OWNED BUSINESS LOCATION PAID ISSUED(1) INCURRED COST RECORDED
- ----- ---------------------- -------- -------- -------- ------- ------------ ----------- ------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
YEAR ENDED JUNE 30, 1997:
August 1996 Operations/assets of Owned/ SNF MO $ 487 $1,600 $ 6,604 $ 8,691 $ 1,851
Foster Health Care Leased
January 1997 Operations of Leased ALF/ PA 1,800 250 -- 2,050 1,800
Keystone (2) SNF
May 1997 Leasehold interest of Leased ALF MO -- -- -- -- --
Clark
------- ------ ------- ------- -------
$ 2,287 $1,850 $ 6,604 $10,741 $ 3,651
======= ====== ======= ======= =======
</TABLE>
- ---------------
(1) Represents 1,200,000 shares of common stock for Foster and 187,500 shares of
common stock for Keystone.
(2) Purchase of the operations of Keystone included the rights to seven early
stage development projects. Additional cash payments of $500,000 were paid
in Fiscal 1998 when the first five projects were financed and recorded as
additional goodwill.
(3) The agreement to purchase the assets of Butler Senior Care provided for an
additional payment if an addition (opened in January 1998) attained
occupancy of 90% based upon a multiple of net operating income, and a final
payment, based upon a multiple of Butler's annualized net operating income
for the six months ending December 31, 1998.
(4) Represents the acquisition under a purchase option agreement in which the
Company had the right to acquire the stock of the Operator/Lessee of managed
facilities.
All acquisitions were accounted for under the purchase method. The
acquisitions that took place from October 1997 through January 1998 were
financed with $29,675,000 in bridge financing from a REIT that was repaid with
proceeds of the offering.
In Fiscal 1999, the Company exercised its purchase options and acquired the
equity interests of certain Operator/Lessees, representing primarily the
leasehold interests of the special purpose entities formed to lease and operate
assisted living facilities located in Harrisburg, Sherwood, Mountain Home,
Reading and Altoona. These facilities were developed and previously managed by
the Company. The total cost of $2,887,000 (including prior purchase option
deposits of $538,000) has been allocated to the assets acquired and liabilities
assumed of the acquired entities, based on estimated fair values, as follows:
<TABLE>
<S> <C>
Current assets (less cash acquired of $441)................. $ 780
Property and equipment...................................... 61
Leasehold interests and other intangibles................... 2,583
Other assets................................................ 1,082
Current liabilities......................................... (765)
Long term liabilities....................................... (854)
------
$2,887
======
</TABLE>
The following unaudited summary, prepared on a pro forma basis, combines
the results of operations of the acquired businesses with those of the Company
as if the acquisitions had been consummated as of the beginning of the
respective periods and after including the impact of certain adjustments such
as: amortization
49
<PAGE> 50
of goodwill, depreciation on assets acquired, interest on acquisition financing
and lease payments on the leased facility (in thousands except for EPS):
<TABLE>
<CAPTION>
YEAR ENDED JUNE 30,
-------------------
1999 1998
-------- -------
<S> <C> <C>
Revenue................................................. $ 82,596 $95,979
Expenses................................................ 107,519 94,282
-------- -------
Net income (loss)....................................... $(24,923) $ 1,697
======== =======
Pro forma diluted EPS................................... $ (1.49) $ 0.13
======== =======
</TABLE>
The unaudited pro forma results are not necessarily indicative of what
actually might have occurred if the acquisitions had been completed as of July
1, 1998 and 1997, respectively. In addition, they are not intended to be a
projection of future results of operations.
3. DEVELOPMENT ACTIVITIES
The Company is a operator, developer and manager of assisted living
facilities. The Company's development projects have generally involved entering
into development agreements with third party owners, which are typically real
estate investment trusts ("REITs") (each, an "Owner"), and the Company receives
development fees for the design and development services provided to the owners.
An independent third party company (the "Operator/Lessee") leases the assisted
living facility from the Owner when construction has been completed and provides
funding for the working capital during the initial occupancy period. The Company
manages the assisted living facility pursuant to a management agreement for a
term of two to nine years in return for a management fee approximating 6% of the
net revenue of the facility. These fees are subordinate to any rent payments
made by the operator/lessee to the facility owner. The Company has the option
(but not the obligation) to purchase the stock or assets of the operator/lessee
pursuant to a related option agreement (see Note 17).
The Company incurs substantial development costs prior to executing the
development agreement (precontract costs). Such costs relate to market analysis
and evaluation, site selection and land control, obtaining architectural and
engineering reports, preparing development plans and obtaining zoning and other
governmental approvals and permits relating to the building, sewer, water,
roads, utilities, etc. Development contracts in process at June 30, 1999 and
1998 are summarized as follows:
<TABLE>
<CAPTION>
1999 1998
------- -------
<S> <C> <C>
Precontract costs........................................ $ 8,084 $ 499
Costs and estimated earnings of development contracts
in process............................................. 10,761 11,470
Less billings to-date.................................... (7,706) (9,435)
------- -------
3,055 2,035
------- -------
Less allowance for loss on termination of development
projects (Note 10)..................................... (8,580) --
------- -------
$ 2,559 $ 2,534
======= =======
</TABLE>
With respect to 11 facilities that have been developed and then leased by
the Company, development fees of $973,000 were deferred and amortized over the
initial term of the lease as a reduction of rent expense. In Fiscal 1998, the
Company sold certain assets and its leasehold rights related to these 11
facilities to newly formed special purpose entities for $2,645,000 and entered
into management agreements with such entities. The Company has options to
reacquire the leasehold interests in those facilities. The gain on such sale of
$922,000 has also been deferred and is being amortized to operations over five
years, the term of the management agreement. In Fiscal 1999, the Company
exercised their option to acquire leasehold interest of certain facilities and
deferred gains of $436,000 have been applied to reduce the carrying value of
such
50
<PAGE> 51
interests (see Note 2). At June 30, 1999, and 1998, unamortized development fees
and gains were $1,040,000 and $1,702,000, respectively.
The estimated total costs of the development contracts in process at June
30, 1999, primarily representing costs reimbursable from facility owners, were
$110,000,000, of which $67,800,000 had been incurred through that date.
4. RECEIVABLES AND CONCENTRATION OF BUSINESS AND CREDIT RISK
Receivables consist of the following at June 30, 1999 and 1998:
<TABLE>
<CAPTION>
1999 1998
------- -------
<S> <C> <C>
Accounts receivable -- patients and residents............ $ 8,480 $ 9,015
------- -------
Contracts receivable:
Development fees.................................... 1,200 2,198
Reimbursable costs due from facility owners......... 3,085 6,181
------- -------
4,285 8,379
------- -------
Advances to Operator/Lessees............................. 7,949 3,152
------- -------
Total receivables.............................. 20,714 20,546
------- -------
Less: allowance for doubtful receivables................. (2,352) (916)
allowance for losses on development activities and
shortfall funding agreements (Notes 10 and 11)... (6,450) --
------- -------
Net receivables................................ $11,912 $19,630
======= =======
</TABLE>
The Company receives payment for a significant portion of services rendered
to patients from the Federal government under Medicare and from the states in
which its facilities and/or services are located under Medicaid. For Fiscal
1999, the Company derived approximately 26% of its gross patient revenues from
Medicare and approximately 48% of its gross patient revenues from Medicaid. For
the years ended June 30, 1998 and 1997, the Company derived approximately 43%
and 38% of its gross patient revenues from Medicare, respectively, and
approximately 37% and 38% of its gross patient revenues from Medicaid,
respectively. A substantial portion of the Company's facilities are located in
Pennsylvania and Missouri. Operating revenues attributable to the Company's
business in those states accounted for approximately 92% and 94% of the
Company's total operating revenues for the years ended June 30, 1999 and 1998,
respectively. Until the Company's operations become more geographically diverse,
the Company will be more susceptible to downturns in local and regional
economies and changes in state or local regulation because such conditions and
events could affect a relatively high percentage of the total number of
facilities currently in operation and under development. As a result of such
factors, there can be no assurance that such geographic concentration will not
have a material adverse effect on the Company's business, results of operations
or financial condition.
5. ASSETS HELD FOR SALE/DIVESTITURES
In December 1998, the Company completed the sale of the assets of its
Wisconsin assisted living facilities for net proceeds of approximately
$2,726,000. The Wisconsin facilities had been classified as an asset held for
sale at June 30, 1998. The sale resulted in a loss of $200,000 in Fiscal 1999.
In October 1997, the Company completed the sales of its pharmacy operations
for net proceeds of approximately $4,700,000. The pharmacy was classified as an
asset held for sale at June 30, 1997. The sale resulted in a gain of $2,858,000
in Fiscal 1998.
51
<PAGE> 52
6. SALE/LEASE-BACK
In March 1999, the Company completed the sale and subsequent leaseback of
two of its facilities in Bloomsburg and Saxonburg, Pennsylvania. The net
proceeds from the sale of the two facilities was $8,901,000. The leases have an
initial term of 15 years with three renewal terms: two of five years and one for
four years 11 months. The annual lease rate is 10.25%. The sale resulted in a
loss of $102,000 in Fiscal 1999.
7. PROPERTY AND EQUIPMENT
Property and equipment are comprised of the following as of June 30
(dollars in thousands).
<TABLE>
<CAPTION>
ESTIMATED
USEFUL LIFE 1999 1998
----------- ------ -------
<S> <C> <C> <C>
Land and land improvements............................ 2 - 15 yrs 1,566 $ 2,680
Buildings and improvements............................ 2 - 40 yrs 13,871 19,887
Fixed and moveable equipment.......................... 3 - 20 yrs 9,267 7,307
Leasehold interests................................... 20 yrs 2,149
------ -------
26,853 29,874
Less: accumulated depreciation........................ (2,778) (2,012)
------ -------
24,075 $27,862
====== =======
</TABLE>
Depreciation expense was $1,571,000 in 1999, $1,689,000 in 1998 and
$477,000 in 1997. At June 30, 1999 and 1998, property and equipment include
approximately $1,090,000 and $368,000 of assets that have been capitalized under
capital leases. Amortization of the leased assets is included in depreciation
and amortization expense.
8. LONG-TERM DEBT
Long-term debt consisted of the following as of June 30 (dollars in
thousands):
<TABLE>
<CAPTION>
1999 1998
------- ------
<S> <C> <C>
Mortgage payable, interest at 10.7%; principal and
interest due monthly through August 2006 based on
30-year amortization; unpaid principal and interest due
August 2006............................................. $ 3,086 $3,103
Revolving line of credit, interest at the prevailing prime
rate plus 2.75%; interest due monthly through July
2002.................................................... 7,421 --
Other (including capital lease obligations)............... 1,716 450
------- ------
12,223 3,553
Less: current portion..................................... 450 177
------- ------
$11,773 $3,376
======= ======
</TABLE>
The mortgage payable was incurred for the acquisition of two Missouri
nursing homes. The mortgage note is collateralized by the facilities' property
and equipment. The Company issued a warrant to purchase approximately 460,000
shares of common stock exercisable at $.001 per share in connection with this
financing. The value of the warrant of approximately $613,676 ($1.33 per share)
has been recorded as deferred financing cost and a corresponding non-cash
increase in additional paid-in capital.
In April 1999, the Company entered into a $15 million revolving Line of
Credit. The Line of Credit is secured by the real estate owned by five of the
Company's subsidiaries (collectively, the "Real Estate Borrowers") and the
eligible accounts receivable of the Company's 10 Missouri skilled nursing
facilities. The Line of Credit is for a term of three years, and outstanding
borrowings will bear interest at a rate per annum of prime plus 2.75% (see Note
19).
52
<PAGE> 53
At June 30, 1999, the aggregate maturities of long-term debt for the next
five Fiscal years ending June 30 are as follows (dollars in thousands):
<TABLE>
<S> <C>
2000....................................................... $ 450
2001....................................................... 448
2002....................................................... 7,865
2003....................................................... 281
2004....................................................... 207
Thereafter................................................. 2,972
-------
$12,223
=======
</TABLE>
9. STOCKHOLDERS' EQUITY
The Company has outstanding warrants to purchase common shares as follows:
<TABLE>
<CAPTION>
NUMBER OF WEIGHTED-AVERAGE
SHARES EXERCISE PRICE
--------- ----------------
<S> <C> <C>
Balance at June 30, 1996......................... 45,928 0.01
Granted.......................................... 891,939 0.65
Exercised........................................ -- --
--------- -----
Balance at June 30, 1997......................... 937,867 0.62
Granted.......................................... 47,750 8.58
Exercised........................................ -- --
--------- -----
Balance at June 30, 1998......................... 985,617 1.00
Granted.......................................... 33,750 4.59
--------- -----
Balance at June 30, 1999......................... 1,019,367 $1.12
========= =====
</TABLE>
10. PROVISION FOR LOSSES ON DEVELOPMENT ACTIVITIES
The Company's development activities are significantly affected by
volatility in the capital markets and specific transaction terms which affect
the Company's ability to utilize non-binding financing commitments from real
estate investment trusts ("REITS") and other lenders. More specifically, there
was a significant reduction in the amount of REIT financing available for new
assisted living construction in Fiscal 1999. Furthermore, the ability of the
Company to negotiate acceptable transaction terms and to currently recognize
income on development fees became increasingly difficult due to accounting
pronouncements and guidance issued by the Emerging Issues Task Force ("EITF")
and the Securities and Exchange Commission staff. Finally, the Company's
leverage (i.e. debt and other financial commitments in relation to equity)
increased, in Fiscal 1999 due to the extensive use of operating leases to
finance the construction of its Outlook Pointe(R) signature series assisted
living facilities.
As a result of the foregoing, in Fiscal 1999 the Company was not able to
obtain financing on acceptable terms to continue development of its Outlook
Pointe(R) signature series assisted living facilities. In recognition of the
aforementioned events and circumstances beginning in the second Fiscal quarter,
the Company: (i) concluded that development fees on new projects scheduled to
close did not qualify for income recognition under contract terms considered
acceptable by management; (ii) decided to emphasize the focus of management's
efforts on the operations of existing facilities and facilities under
construction; (iii) decided to substantially reduce its development activities
with respect to new sites and projects; and (iv) recorded a provision for losses
on development activities of $13,050,000. This provision is based on
management's evaluation of assets related to various projects that are not now
consistent with the Company's future plans. Such provision includes $3,170,000
primarily related to development fees on abandoned projects and $9,880,000
primarily related to termination of development projects in the precontract
phase.
53
<PAGE> 54
11. PROVISION FOR LOSSES UNDER SHORTFALL FUNDING AGREEMENTS
As previously discussed, the Company manages certain assisted living
facilities owned by REITs and leased to special purpose entities (the
"Operator/Lessees"), which are owned by independent third parties. In connection
with these transactions, the Company has entered into shortfall funding
agreements, whereby the Company has agreed to make loans to the Operator/Lessees
if the funds provided by the equity and working capital loans of the
Operator/Lessees are depleted by negative cash flows from start-up operations of
the facilities.
During the year ended June 30, 1999, the Company recorded losses of
$4,660,000 related to its obligations under the shortfall funding agreements to
fund the additional working capital needs of these managed facilities. This
amount has been charged to operations as a provision for losses under the
shortfall funding agreements and recorded as an allowance against the Company's
receivables on advances to the Operator/Lessees. The Company records its losses
on shortfall funding agreements using the "modified equity accounting" approach.
Under this approach, the operating losses of the Operator/Lessees are allocated
first to the capital of the investors, and the losses in excess of such capital
are allocated to the Company to the extent of the Company's commitment under the
shortfall funding agreement.
12. PROVISION FOR SEVERANCE COSTS
In connection with the downscaling of development activities related to the
Company's Outlook Pointe(R) signature series assisted living facilities
discussed above, management adopted a corporate personnel reduction plan
affecting certain departments and staff positions. This plan was enacted in
February 1999 and resulted in a charge for severance costs of approximately
$600,000, representing the estimated costs of employee terminations and related
costs. In the fourth quarter, certain additional executive and staff positions
were eliminated, which resulted in an increase in such provision of $1,000,000.
13. INCOME TAXES
The provision for income taxes for the years ended June 30, 1999, 1998 and
1997 consists of the following (dollars in thousands):
<TABLE>
<CAPTION>
1999 1998 1997
----- ---- ----
<S> <C> <C> <C>
Current
Federal................................................... -- -- --
State..................................................... $ 83 $ 42 $53
----- ---- ---
Total Current............................................... $ 83 $ 42 $53
----- ---- ---
Deferred
Federal................................................... $(557) $557 --
State..................................................... $ (81) $ 81 --
----- ---- ---
Total Deferred.............................................. $(638) $638 --
----- ---- ---
Total Income Tax Expense.................................... $(555) $680 $53
===== ==== ===
</TABLE>
54
<PAGE> 55
A reconciliation of income tax expense at the federal statutory rate of 34%
to the Company's effective tax rate is as follows:
<TABLE>
<CAPTION>
1999 1998 1997
----- ----- -----
<S> <C> <C> <C>
Income taxes computed at statutory rate..................... (34.0)% 34.0% (34.0)%
State income taxes, net of federal benefit.................. -- 1.9 (6.0)
Basis difference on assets sold............................. -- 14.0 --
Other....................................................... (5.2) 15.3 1.3
Valuation allowance adjustment.............................. 36.9 (49.2) 39.9
----- ----- -----
Effective tax rate.......................................... (2.3)% 16.0% 1.2%
===== ===== =====
</TABLE>
Temporary differences giving rise to significant deferred tax assets and
liabilities at June 30, 1999 and 1998 are as follows (dollars in thousands):
<TABLE>
<CAPTION>
1999 1998
------- -------
<S> <C> <C>
Excess tax over book basis of fixed assets............... $ 995 $ (125)
Development fee income................................... 2 2,439
Lease proceeds........................................... (236) (414)
Accrued expenses......................................... (1,554) (351)
Net operating loss carryover............................. (6,888) (1,037)
Other.................................................... (1,252) 126
------- -------
Net deferred tax liability (asset)..................... (8,933) 638
Valuation allowance...................................... 8,933 --
------- -------
Deferred income tax liability............................ $ -- $ 638
======= =======
</TABLE>
The Company has net operating loss carryforwards at June 30, 1999 available
to offset future federal and state taxable income, if any, of approximately
$17,150,000, expiring from 2003 through 2014. The net operating losses are
subject to limits on their future utilization under federal and state tax laws.
A valuation allowance is provided when it is more likely than not that some
portion or all of the deferred tax assets will not be realized. The Company is
in a cumulative pretax loss position since inception. Recognition of deferred
tax assets will require generation of future taxable income. There can be no
assurance that the Company will generate any earnings or any specific level of
earnings in future years. Therefore, the Company established a valuation
allowance on deferred tax assets of approximately $8,933,000 as of June 30,
1999. The change in the valuation allowance for deferred tax assets was an
increase of $8,933,000 in Fiscal 1999 and a decrease of $2,092,000 in Fiscal
1998.
14. RETIREMENT PLAN
On January 1, 1998 the Company formed a 401(k) savings plan which covers
substantially all employees with one year and more than 1,000 hours of service.
The plan allows employees to make tax deferred contributions to the plan. The
Company makes matching contribution based on the amount of employee
contributions; but in an amount that does not exceed 2% of wages. Matching
contributions totaled $166,000 and $64,000 for the years ended June 30, 1999 and
1998, respectively.
15. STOCK OPTIONS
The 1996 Stock Option Plan combines the features of an incentive and
non-qualified stock option plan, a stock appreciation rights ("SAR") plan and a
stock award plan (including restricted stock). The 1996 Plan is a long-term
incentive compensation plan and is designed to provide a competitive and
balanced incentive and reward program for participants.
The Company has authorized 3,025,000 shares of common stock to be reserved
for grants under the 1996 Plan. Options generally vest over a four-year period
in cumulative increments of 25% each year beginning one
55
<PAGE> 56
year after the date of the grant. In Fiscal year 1999, the expiration period was
increased from not later than five years to not later than 10 years from the
date of grant. The options are granted at an exercise price at least equal to
the fair market value of the common stock on the date of the grant.
At June 30, 1999, the range of exercise prices, weighted average remaining
contractual life of outstanding options and shares exercisable were as follows:
<TABLE>
<CAPTION>
OUTSTANDING WEIGHTED-AVERAGE SHARES
EXERCISE PRICE OPTIONS CONTRACTUAL LIFE EXERCISABLE
- -------------- ----------- ---------------- -----------
<S> <C> <C> <C>
$2.00 - 2.99.. 1,273,051 6.876 yrs 398,196
$3.00 - 4.99.. 37,500 8.01 yrs 37,500
$5.00 - 5.99.. 825,800 7.25 yrs 107,004
$6.00 - 6.99.. 453,897 3.34 yrs 184,550
$7.00 - 8.88.. 133,500 6.29 yrs 34,627
--------- -------
2,723,748 761,877
========= =======
</TABLE>
<TABLE>
<CAPTION>
STOCK OPTION TRANSACTIONS ARE NUMBER OF WEIGHTED-AVERAGE
SUMMARIZED AS FOLLOWS: SHARES EXERCISE PRICE
- ----------------------------- --------- ----------------
<S> <C> <C>
Balance at June 30, 1996......................... 340,125 2.00
Granted........................................ 673,300 5.16
Exercised...................................... (11,250) (2.00)
Forfeited...................................... (15,000) (2.84)
--------- ------
Balance at June 30, 1997......................... 987,175 4.15
Granted........................................ 473,554 6.50
Exercised...................................... -- --
Forfeited...................................... (57,581) (6.15)
--------- ------
Balance at June 30, 1998......................... 1,403,148 $ 4.85
Granted........................................ 1,560,500 3.75
Exercised...................................... (27,503) (3.32)
Forfeited...................................... (212,397) (5.59)
--------- ------
Balance at June 30, 1999......................... 2,723,748 $ 4.20
========= ======
</TABLE>
The Company applies APB Opinion No. 25 and related interpretations in
accounting for its 1996 Plan and, accordingly, no compensation cost has been
recognized for its stock options in the financial statements. Had the Company
determined compensation cost based on the fair value at the grant date for its
stock options as allowed under SFAS No. 123, Accounting for Stock Based
Compensation, the Company's net income (loss) and per share amounts would have
changed to the pro forma amounts indicated below.
<TABLE>
<CAPTION>
1999 1998 1997
-------- ----- ------
<S> <C> <C> <C>
Net Income (Loss)
As reported............................................. $(23,637) 3,575 (4,492)
Pro forma............................................... (24,931) 3,204 (4,511)
Pro forma basic EPS
As reported............................................. (1.41) 0.31 (0.66)
Pro forma............................................... (1.49) 0.28 (0.67)
Pro forma Diluted EPS
As reported............................................. (1.41) 0.28 (0.66)
Pro forma............................................... $ (1.49) 0.25 (0.67)
</TABLE>
56
<PAGE> 57
The fair value of employee options for purposes of the above pro forma
disclosure was estimated on the date of grant using the Black-Scholes Multiple
Pricing Model. Assumptions used for options issued during the year ended June
30, 1999, and all prior options were as follows:
<TABLE>
<CAPTION>
1999 1998 1997
----------------- ----------------- -----------------
<S> <C> <C> <C>
Risk-free interest rate.......... 5.5% to 6.0% 5.5% to 6.0% 5.5% to 6.0%
Expected life.................... 1 year after vest 1 year after vest 1 year after vest
Expected volatility.............. .65 .42 .30
Expected dividends............... -- -- --
</TABLE>
These assumptions produced weighted average fair values per option of a
range of $0.88 to $3.20 for options issued in Fiscal 1999 and a range of $0.85
to $3.97 for options issued in 1998 and $0.41 for options issued in Fiscal 1997.
All options issued during these periods were granted at an exercise price at, or
in excess of, the fair market value on the grant date.
16. RELATED PARTY TRANSACTIONS
The Company had the following related party transactions:
- In September 1998, the Company entered into management agreements, option
agreements and other transaction documents with six Operator/Lessees that
are owned by Financial Care Investors, LLC, a Delaware limited liability
Company ("FCI"). FCI is owned by Brad E. Hollinger, Chairman of the
Board, President and Chief Executive Officer of the Company. FCI and its
six wholly owned Operator/ Lessees also entered into lease agreements
with a REIT. The terms of the agreements among the parties are similar to
the terms of the agreements the Company has entered into with independent
third party Operator/Lessees.
- Rental payments made to companies owned by a stockholder/director for the
lease of two facilities and other items. Management fees paid to a
company owned by the same stockholder/director for managing ten skilled
nursing facilities owned or leased by the Company. On July 1, 1997, the
Company purchased the assets and operations of this management company
for approximately $120,000.
- Respiratory therapy supplies and management fees paid to a company owned
by a stockholder/director.
- Legal services provided by a relative of a stockholder/officer and
consulting services provided by two stockholders/directors.
- Rental payments to a company owned by two minority stockholders for the
lease of seven skilled nursing facilities.
- Fees paid to an investment banking firm for finding acquisition targets
and for raising private equity. A minority stockholder of the Company is
an officer of this firm.
A summary of those transactions for the periods ended June 30 follows
(dollars in thousands):
<TABLE>
<CAPTION>
1999 1998 1997
---- ---- ------
<S> <C> <C> <C>
Rentals..................................................... $435 $415 $ 175
Management fees............................................. -- 15 1,076
Respiratory therapy......................................... -- 152 731
Legal & consulting services................................. 101 227 134
Skilled nursing facility rentals............................ -- 4,627 3,877
Finder's fees............................................... -- -- 250
</TABLE>
Accounts payable include approximately $0, $4,000 and $648,000 related to
these services at June 30, 1999, 1998 and 1997, respectively.
57
<PAGE> 58
17. COMMITMENTS AND CONTINGENCIES
LEASES
The Company leases 19 assisted living facilities, 11 skilled nursing
facilities and four independent living facilities, as well as certain equipment
and office space under noncancellable operating and capital leases that expire
at various times through 2014. Rental expense on such operating leases for the
years ended June 30, 1999, 1998 and 1997 was $10,715,000, $9,442,000 and
$5,417,000.
Future annual minimum lease payments for the next five years and thereafter
under noncancellable operating leases with initial terms of one year or more in
effect at June 30, 1999, are as follows (dollars in thousands):
<TABLE>
<CAPTION>
OPERATING
FISCAL YEAR LEASES
- ----------- ---------
<S> <C>
2000........................................................ $ 13,355
2001........................................................ 13,132
2002........................................................ 13,083
2003........................................................ 13,072
2004........................................................ 13,067
Thereafter.................................................. 59,804
--------
Total Minimum Lease Payments................................ $125,513
========
</TABLE>
The operating lease agreements require the payment of additional rent
commencing in the second lease year utilizing various contingent factors to
calculate the increase. In addition, most of the facility leases have renewal
options for periods ranging from 5 years to 24 years after the initial lease
period. Contingent lease payments made during the year ended June 30, 1999, 1998
and 1997 were $236,000, $104,000 and none, respectively.
MANAGEMENT AGREEMENTS
As discussed in note 3, the Company manages certain assisted living
facilities owned by REITs and leased to special purpose entities owned by
independent third parties. The Company has the option (but not the obligation)
to purchase the stock or assets of the operator/lessee pursuant to an option
agreement at an exercise price based on formulas set forth in the agreements.
Certain option agreements require the Company to make periodic payments to
maintain its option. At June 30, 1999, the Company had purchase option deposits
of $4,274,000, which expire at various dates during Fiscal 2000, less an
allowance of $1,300,000. Pursuant to shortfall funding agreements, the Company
has agreed to make loans to the operator/lessees if the equity and working
capital loans of the operator/lessee are depleted by negative cash flows from
start up operations of the facilities. The Company incurred a charge of
$4,660,000 in Fiscal 1999 in connection with shortfall funding agreements. No
charges were incurred in prior years (See Note 11).
LITIGATION
The Company is a party to various claims, legal actions and complaints
arising in the ordinary course of business. In the opinion of management, all
such matters are without merit or are of such a kind, or involve such amounts,
that their unfavorable disposition would not have a material effect on the
financial position, results of operations or the liquidity of the Company.
18. NEW ACCOUNTING PRONOUNCEMENTS
SOP 98-5
In April 1998, the American Institute of Certified Public Accountants
issued Statement of Position 98-5, "Reporting the Costs of Start-Up Activities"
(SOP 98-5). SOP 98-5 provides guidance as to the definition of
58
<PAGE> 59
costs of start-up activities, including organization costs, and provides that
these costs should be expensed as incurred.
SOP 98-5 is effective for Fiscal years beginning after December 15, 1998:
however, earlier application is encouraged for financial statements which have
not been issued. The Company wrote off all costs of start-up activities in
Fiscal 1998 of approximately $250,000.
19. SUBSEQUENT EVENTS
In July 1999, the Line of Credit Agreement was amended. These amendments
modify certain definitions and the borrowing base calculation to increase the
Line of Credit to $20 million and to add to the lender's secured interest the
real estate of two of the Company's subsidiaries located in Missouri. The
primary components of the borrowing base consists of 85% of the product of 8.0
to 8.5 times EBITDA of the Real Estate Borrowers plus 85% of the product of 6
times EBITDA of the Skilled Nursing Facility Borrowers. Including the amendments
to the Line of Credit Agreement, the borrowing base available (calculated as of
June 30, 1999) was approximately $14 million. In a related transaction, the
Company repaid the outstanding mortgage debt of $3.1 million. As a result, the
Company expects to report a loss on the early extinguishment of debt of
approximately $740,000 in the first quarter of Fiscal 2000.
20. SEGMENT REPORTING
In June 1997, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 131, Disclosures about Segments of an
Enterprise and Related Information. SFAS No. 131 establishes standards for the
way public business enterprises are to report information about operating
segments in annual and interim financial statements issued to shareholders. It
also establishes standards for related disclosures about products and services,
geographic areas and major customers.
In Fiscal 1999, the Company had three primary reportable segments: (i)
Resident Services which includes all assisted living and independent living
services, and the management of assisted living facilities, (ii) Patient
Services which includes skilled nursing services, home health services, and
medical rehabilitation services, and (iii) Development, General and
Administrative. No other individual business segment exceeds the 10%
quantitative thresholds of SFAS No. 131.
Balanced Care Corporation management evaluates the performance of its
operating segments on the basis of income from continuing operations before
non-recurring items (representing provisions for losses on development
activities and severance agreements and gains and losses on sales of assets),
lease expense, interest (net), taxes, depreciation and amortization.
<TABLE>
<CAPTION>
YEAR ENDED JUNE 30, 1999
------------------------------------------------------
DEVELOPMENT,
RESIDENT PATIENT GENERAL AND
SERVICES SERVICES ADMINISTRATIVE CONSOLIDATED
-------- -------- -------------- ------------
<S> <C> <C> <C> <C>
Revenues...................................... $24,159 $47,999 $ 6,288 $78,446
Operating expenses............................ 15,128 42,390 -- 57,518
General and administrative expenses........... -- -- 12,781 12,781
Provision for losses under shortfall funding
agreements.................................. 4,660 -- -- 4,660
------- ------- ------- -------
Income (loss) from continuing operations
before non-recurring items, lease expense,
interest (net), taxes, depreciation and
amortization................................ $ 4,371 $ 5,609 $(6,493) $ 3,487
======= ======= ======= =======
Total Assets.................................. $41,104 $11,764 $18,187 $71,055
======= ======= ======= =======
</TABLE>
59
<PAGE> 60
<TABLE>
<CAPTION>
YEAR ENDED JUNE 30, 1998
------------------------------------------------------
DEVELOPMENT,
RESIDENT PATIENT GENERAL AND
SERVICES SERVICES ADMINISTRATIVE CONSOLIDATED
-------- -------- -------------- ------------
<S> <C> <C> <C> <C>
Revenues...................................... $18,920 $58,194 $11,774 $88,888
Operating expenses............................ 11,819 51,101 -- 62,920
General and administrative expenses........... -- -- 11,877 11,877
Provisions for losses under shortfall funding
agreements.................................. -- -- -- --
------- ------- ------- -------
Income from continuing operations before non-
recurring items, lease expense, interest
(net), taxes, depreciation and
amortization................................ $ 7,101 $ 7093 $ (103) $14,091
======= ======= ======= =======
Total Assets.................................. $36,130 $15,897 $33,945 $85,972
======= ======= ======= =======
</TABLE>
There are no material inter-segment revenues or receivables. The Company
does not evaluate its operations on a geographic basis.
21. QUARTERLY FINANCIAL INFORMATION
<TABLE>
<CAPTION>
FIRST SECOND THIRD FOURTH FULL
QUARTER QUARTER QUARTER QUARTER YEAR
----------- ----------- ----------- ------------ ------------
(UNAUDITED, IN THOUSANDS EXCEPT FOR DILUTED EARNINGS (LOSS) PER SHARE)
<S> <C> <C> <C> <C> <C>
YEAR ENDED JUNE 30, 1999:
Total revenue.......................... $23,871 $18,682 $16,737 $ 19,156 $ 78,446
======= ======= ======= ======== ========
Total operating expenses............... $20,797 $24,932 $21,277 $ 35,463 $102,469
======= ======= ======= ======== ========
Net income (loss)...................... $ 1,940 $(5,163) $(2,769) $(17,645) $(23,637)
======= ======= ======= ======== ========
Pro forma diluted earnings (loss) per
share................................ $ 0.11 $ (0.31) $ (0.17) $ (1.06) $ (1.41)
======= ======= ======= ======== ========
YEAR ENDED JUNE 30, 1998:
Total revenue.......................... $19,138 $21,255 $24,538 $ 23,957 $ 88,888
======= ======= ======= ======== ========
Total operating expenses............... $19,664 $22,681 $22,427 $ 21,636 $ 86,408
======= ======= ======= ======== ========
Net income (loss)...................... $ (657) $ 849 $ 1,347 $ 2,036 $ 3,575
======= ======= ======= ======== ========
Pro forma diluted earnings (loss) per
share................................ $ (0.08) $ 0.09 $ 0.10 $ 0.11 $ 0.28
======= ======= ======= ======== ========
</TABLE>
60
<PAGE> 61
INDEPENDENT AUDITORS' REPORT
THE BOARD OF DIRECTORS AND STOCKHOLDERS
BALANCED CARE CORPORATION:
We have audited the consolidated financial statements of Balanced Care
Corporation and subsidiaries as listed in the accompanying index. In connection
with our audits of the consolidated financial statements, we also have audited
the financial statement schedule listed in the accompanying index. These
consolidated financial statements and the financial statement schedule are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these consolidated financial statements and financial statement
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 financial position of Balanced
Care Corporation and subsidiaries as of June 30, 1999 and 1998, and the results
of their operations and their cash flows for each of the years in the three year
period ended June 30, 1999, in conformity with generally accepted accounting
principles. Also, in our opinion, the related financial statement schedule, when
considered in relation to the basic consolidated financial statements taken as a
whole, presents fairly, in all material respects, the information set forth
therein.
KPMG LLP
Baltimore, Maryland
August 20, 1999
61
<PAGE> 62
BALANCED CARE CORPORATION AND SUBSIDIARIES
SCHEDULE II -- VALUATION AND QUALIFYING ACCOUNTS
FOR THE YEARS ENDED JUNE 30, 1999, 1998 AND 1997
(DOLLARS IN THOUSANDS)
<TABLE>
<CAPTION>
COLUMN A COLUMN B COLUMN C COLUMN D COLUMN E
-------- ---------- ------------------------ ---------- ---------
ADDITIONS
------------------------
BALANCE AT CHARGED TO CHARGED TO BALANCE
BEGINNING OPERATING OTHER AT END
DESCRIPTION OF PERIOD ACCOUNTS ACCOUNTS DEDUCTIONS OF PERIOD
- ----------- ---------- ---------- ---------- ---------- ---------
<S> <C> <C> <C> <C> <C>
Allowance for Doubtful Accounts
Year ended June 30, 1999.......... $916 $ 2,044 $ -- $ (608)(2) $ 2,352
==== ======= ==== ======= =======
Year ended June 30, 1998.......... $330 $ 722 $ -- $ (136)(2) $ 916
==== ======= ==== ======= =======
Year ended June 30, 1997.......... $ -- $ 40 $326(1) $ (36)(2) $ 330
==== ======= ==== ======= =======
Allowance for Loss on Development
Activities(3)
Year ended June 30, 1999.......... $ -- $13,050 $ -- $(1,380)(2) $11,670
==== ======= ==== ======= =======
Year ended June 30, 1998.......... $ -- $ -- $ -- $ -- $ --
==== ======= ==== ======= =======
Year ended June 30, 1997.......... $ -- $ -- $ -- $ -- $ --
==== ======= ==== ======= =======
Allowance for Losses Under Shortfall
Funding Agreements
Year ended June 30, 1999.......... $ -- $ 4,660 $ -- $ -- $ 4,660
==== ======= ==== ======= =======
Year ended June 30, 1998.......... $ -- $ -- $ -- $ -- $ --
==== ======= ==== ======= =======
Year ended June 30, 1997.......... $ -- $ -- $ -- $ -- $ --
==== ======= ==== ======= =======
</TABLE>
- ---------------
(1) Net additions as a result of acquisitions
(2) Amount represents bad debt write-offs
(3) Consists of allowance for losses on development contracts in process,
contracts receivable and purchase option deposits
62
<PAGE> 63
ITEM 9-- CHANGES AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL
DISCLOSURE
None.
PART III
ITEM 10--DIRECTORS AND EXECUTIVE OFFICERS OF THE COMPANY
The information required by this Item (other than the information regarding
executive officers set forth at the end of Item 1 of Part I of this Form 10-K)
will be contained in the Company's definitive Proxy Statement for its 1999
Annual Meeting of Stockholders under the captions "Board of Directors and
Election of Directors" and "Security Ownership -- Section 16(a) Beneficial
Ownership Reporting Compliance," and is incorporated herein by reference.
ITEM 11--EXECUTIVE COMPENSATION
The information required by this Item will be contained in the Company's
definitive Proxy Statement for its 1999 Annual Meeting of Stockholders under the
captions "Board of Directors and Election of Directors" and "Executive
Compensation," and is incorporated herein by reference.
ITEM 12-- SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The information required by this Item will be contained in the Company's
definitive Proxy Statement for its 1999 Annual Meeting of Stockholders under the
caption "Security Ownership," and is incorporated herein by reference.
ITEM 13--CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
The information required by this Item will be contained in the Company's
definitive Proxy Statement for its 1999 Annual Meeting of Stockholders under the
caption "Certain Transactions and Relationships with the Company; Legal
Proceedings," and is incorporated herein by reference.
PART IV
ITEM 14--EXHIBITS, FINANCIAL STATEMENT SCHEDULE AND REPORTS ON FORM 8-K
(a)(1) Financial Statements:
(a)(2) Financial Statement Schedule:
See (d) below.
(a)(3) Exhibits:
The following exhibits are filed herewith or are incorporated by
reference herein:
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
2.1 Asset Purchase Agreement among BCC of Wisconsin, Inc., the
Company and Urquhart Company dated as of September 30, 1998
(incorporated by reference to Exhibit 2.1 to the Quarterly
Report on Form 10-Q for the quarter ended December 31, 1998
(No. 001-13845))*
3.1 Amended and Restated Certificate of Incorporation of
Balanced Care Corporation (incorporated by reference to
Exhibit 3.1 to the Registration Statement on Form S-1 (No.
333-37833))
</TABLE>
63
<PAGE> 64
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
3.2 Bylaws of Balanced Care Corporation, as amended
(incorporated by reference to Exhibit 3.2 to the
Registration Statement on Form S-1 (No. 333-37833))
4.1 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.9 to the
Registration Statement on Form S-1 (No. 333-37833))
4.2 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.10 to the
Registration Statement on Form S-1 (No. 333-37833))
4.3 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.11 to the
Registration Statement on Form S-1 (No. 333-37833))
10.1 Loan and Security Agreement among Balanced Care Corporation
and certain of its wholly-owned subsidiaries and HCFP
Funding, Inc. dated April 22, 1999 (previously filed)
10.2 Revolving Credit Note from Balanced Care Corporation and
certain of its wholly-owned subsidiaries in favor of HCFP
Funding, Inc. dated April 22, 1999 (previously filed)
10.3 Environmental Indemnity Agreement by Balanced Care
Corporation and certain of its wholly-owned subsidiaries in
favor of HCFP Funding, Inc. dated April 22, 1999 (previously
filed)
10.4 Deed of Trust, Assignment of Rents and Leases and Security
Agreement from Balanced Care at North Ridge, Inc. in favor
of HCFP Funding, Inc. dated April 22, 1999 (previously
filed)
10.5 Form of Open-End Mortgage, Assignment of Rents, Leases and
Security Agreement in favor of HCFP Funding, Inc. dated
April 22, 1999 (previously filed)
10.6 Schedule to Form of Open-End Mortgage, Assignment of Rents,
Leases and Security Agreement in favor of HCFP Funding, Inc.
dated April 22, 1999 (previously filed)
10.7 Accounts Receivable Intercreditor Agreement between HCFP
Funding, Inc. and Meditrust Mortgage Investments, Inc. dated
April 22, 1999 (previously filed)
10.8 Amendment No. 1 to Loan and Security Agreement among
Balanced Care Corporation and certain of its wholly-owned
subsidiaries and HCFP Funding, Inc. dated July 1, 1999
(previously filed)
10.9 Amendment No. 2 to Loan and Security Agreement among
Balanced Care Corporation and certain of its wholly-owned
subsidiaries and HCFP Funding, Inc. dated July 29, 1999
(previously filed)
10.10 Balanced Care Corporation 1996 Stock Incentive Plan as
Amended and Restated, effective as of August 18, 1998
(incorporated by reference to Annex A to the Proxy Statement
on Schedule 14A dated October 6, 1998 (No. 001-13845))
10.11 Employment Agreement, dated as of August 1, 1996, by and
between Balanced Care Corporation and Brad E. Hollinger
(incorporated by reference to Exhibit 10.37 to the
Registration Statement on Form S-1 (No. 333-37833))**
10.12 Employment Agreement, dated as of September 20, 1995, by and
between Balanced Care Corporation and Robert J. Sutton
(incorporated by reference to Exhibit 10.39 to the
Registration Statement on Form S-1 (No. 333-37833))**
10.13 Separation Agreement, dated as of August 23, 1999, by and
between Balanced Care Corporation and Brian L. Barth
(previously filed)**
10.14 Form of HCRI Lease Agreement (incorporated by reference to
Exhibit 10.1 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.15 Schedule to Form of HCRI Lease Agreement (incorporated by
reference to Exhibit 10.2 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.16 Form of HCRI Construction Disbursing Agreement (incorporated
by reference to Exhibit 10.3 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
</TABLE>
64
<PAGE> 65
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
10.17 Schedule to Form of HCRI Construction Disbursing Agreement
(incorporated by reference to Exhibit 10.4 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.18 Form of HCRI Option Agreement (incorporated by reference to
Exhibit 10.5 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.19 Schedule to Form of HCRI Option Agreement (incorporated by
reference to Exhibit 10.6 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.20 Form of HCRI Shortfall Funding Agreement (incorporated by
reference to Exhibit 10.7 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.21 Schedule to Form of HCRI Shortfall Funding Agreement
(incorporated by reference to Exhibit 10.8 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.22 Form of HCRI Working Capital Assurance Agreement
(incorporated by reference to Exhibit 10.9 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.23 Schedule to Form of HCRI Working Capital Assurance Agreement
(incorporated by reference to Exhibit 10.10 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.24 Form of HCRI Management Agreement (incorporated by reference
to Exhibit 10.11 to the Quarterly Report on Form 10-Q for
the quarter ended September 30, 1998 (No. 001-13845))
10.25 Schedule to Form of HCRI Management Agreement (incorporated
by reference to Exhibit 10.12 to the Quarterly Report on
Form 10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.26 Form of HCRI Guaranty (incorporated by reference to Exhibit
10.13 to the Quarterly Report on Form 10-Q for the quarter
ended September 30, 1998 (No. 001-13845))
10.27 Schedule to Form of HCRI Guaranty (incorporated by reference
to Exhibit 10.14 to the Quarterly Report on Form 10-Q for
the quarter ended September 30, 1998 (No. 001-13845))
10.28 Form of HCRI Loan Agreement (incorporated by reference to
Exhibit 10.15 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.29 Schedule to Form of HCRI Loan Agreement (incorporated by
reference to Exhibit 10.16 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.30 Lease Agreement between Pennsylvania BCC Properties, Inc.
and Balanced Care at Saxonburg, Inc. (incorporated by
reference to Exhibit 10.1 of the Company's Current Report on
Form 8-K dated March 18, 1999 No. 001-13845)
10.31 Lease Agreement between Pennsylvania BCC Properties, Inc.
and Balanced Care at Bloomsburg II, Inc. (incorporated by
reference to Exhibit 10.2 of the Company's Current Report on
Form 8-K dated March 18, 1999 File No. 001-13845)
10.32 Employment Agreement, dated as of November 24, 1997, by and
between Balanced Care Corporation and Stephen G. Marcus
(incorporated by reference to Exhibit 10.43 to the
Registration Statement on Form S-1 (No. 333-37833))**
10.33 Consulting Agreement between Pier C. Borra and Balanced Care
Corporation dated March 22, 1999, effective December 8, 1998
(incorporated by reference to Exhibit 10.1 to the Quarterly
Report on Form 10-Q for the quarter ended March 31, 1999
(No. 001-13845))
10.34 Employment Agreement between Clint T. Fegan and Balanced
Care Corporation dated February 11, 1999 (incorporated by
reference to Exhibit 10.2 to the Quarterly Report on Form
10-Q for the quarter ended March 31, 1999 (No. 001-13845))**
</TABLE>
65
<PAGE> 66
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
10.35 Separation Agreement, dated as of July 13, 1999, by and
between Balanced Care Corporation and Paul A. Kruis
(previously filed)**
10.36 Change in Control Agreement between Balanced Care
Corporation and Gary W. Anderson dated July 29, 1999
(previously filed)**
10.37 First Amended and Restated Change in Control Agreement dated
May 26, 1999 between Balanced Care Corporation and Mark S.
Moore (previously filed)**
10.38 Form of Change in Control Agreement (incorporated by
reference to Exhibit 99.1 of the Company's Current Report on
Form 8-K dated March 29, 1999 (No. 001-13845))**
10.39 Schedule to Form of Change in Control Agreement
(incorporated by reference to Exhibit 99.2 of the Company's
Current Report on Form 8-K dated March 29, 1999 (No.
001-13845))**
21.1 Schedule of Subsidiaries of Balanced Care Corporation
(previously filed)
23.1 Independent Auditors' Consent -- KPMG LLP (filed herewith)
27.1 Financial Data Schedule (previously filed)
</TABLE>
- ---------------
* Certain exhibits and schedules to the Exhibits attached hereto have been
omitted in accordance with Item 601(b)(2) of Regulation S-K. A copy of any
omitted exhibit of schedule will be furnished to the Commission upon request.
** Management contract or compensatory plan or arrangement required to be filed
as an exhibit to this Annual Report on Form 10-K.
(b) Reports on Form 8-K: No Current Reports on Form 8-K were filed for the
quarter ended June 30, 1999.
(c) Exhibits:
See (a)(3) above.
(d) Financial Statement Schedule:
Schedule II -- Valuation and Qualifying Accounts.
All other schedules for which provision is made in the applicable
accounting regulations of the United States Securities and Exchange Commission
have been omitted because such schedules are not required under the related
instructions or are inapplicable or because the information required is included
in the consolidated financial statements or notes thereto.
66
<PAGE> 67
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the United States
Securities Exchange Act of 1934, the Registrant has duly caused this Annual
Report to be signed on its behalf by the undersigned, thereunto duly authorized.
BALANCED CARE CORPORATION
By: /s/ BRAD E. HOLLINGER
------------------------------------
Brad E. Hollinger
Chairman of the Board, President and
Chief Executive Officer
Date: September 28, 1999
Pursuant to the requirements of the United States Securities Exchange Act
of 1934, this report has been signed below by the following on behalf of the
Registrant and in the capacities and on the dates indicated.
<TABLE>
<CAPTION>
SIGNATURE TITLE DATE
--------- ----- ----
<S> <C> <C>
/s/ BRAD E. HOLLINGER Chairman of the Board, President September 28, 1999
- ---------------------------------- and Chief Executive Officer and a
Brad E. Hollinger Director (Principal Executive
Officer)
/s/ CLINT T. FEGAN Chief Financial Officer (Principal September 28, 1999
- ---------------------------------- Financial Officer)
Clint T. Fegan
/s/ DIANE M. BORGER Vice President, Treasurer September 28, 1999
- ---------------------------------- (Principal Accounting Officer)
Diane M. Borger
/s/ BILL R. FOSTER Director September 28, 1999
- ----------------------------------
Bill R. Foster
/s/ DAVID L. GOLDSMITH Director September 28, 1999
- ----------------------------------
David L. Goldsmith
/s/ EDWARD R. STOLMAN Director September 28, 1999
- ----------------------------------
Edward R. Stolman
/s/ GEORGE H. STRONG Director September 28, 1999
- ----------------------------------
George H. Strong
/s/ RAYMOND E. SCHULTZ Director September 28, 1999
- ----------------------------------
Raymond E. Schultz
/s/ PIER C. BORRA Director September 28, 1999
- ----------------------------------
Pier C. Borra
</TABLE>
67
<PAGE> 68
EXHIBIT INDEX
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
2.1 Asset Purchase Agreement among BCC of Wisconsin, Inc., the
Company and Urquhart Company dated as of September 30, 1998
(incorporated by reference to Exhibit 2.1 to the Quarterly
Report on Form 10-Q for the quarter ended December 31, 1998
(No. 001-13845))*
3.1 Amended and Restated Certificate of Incorporation of
Balanced Care Corporation (incorporated by reference to
Exhibit 3.1 to the Registration Statement on Form S-1 (No.
333-37833))
3.2 Bylaws of Balanced Care Corporation, as amended
(incorporated by reference to Exhibit 3.2 to the
Registration Statement on Form S-1 (No. 333-37833))
4.1 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.9 to the
Registration Statement on Form S-1 (No. 333-37833))
4.2 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.10 to the
Registration Statement on Form S-1 (No. 333-37833))
4.3 Form of Capital Stock Purchase Warrant, together with
schedule (incorporated by reference to Exhibit 4.11 to the
Registration Statement on Form S-1 (No. 333-37833))
10.1 Loan and Security Agreement among Balanced Care Corporation
and certain of its wholly-owned subsidiaries and HCFP
Funding, Inc. dated April 22, 1999 (previously filed)
10.2 Revolving Credit Note from Balanced Care Corporation and
certain of its wholly-owned subsidiaries in favor of HCFP
Funding, Inc. dated April 22, 1999 (previously filed)
10.3 Environmental Indemnity Agreement by Balanced Care
Corporation and certain of its wholly-owned subsidiaries in
favor of HCFP Funding, Inc. dated April 22, 1999 (previously
filed)
10.4 Deed of Trust, Assignment of Rents and Leases and Security
Agreement from Balanced Care at North Ridge, Inc. in favor
of HCFP Funding, Inc. dated April 22, 1999 (previously
filed)
10.5 Form of Open-End Mortgage, Assignment of Rents, Leases and
Security Agreement in favor of HCFP Funding, Inc. dated
April 22, 1999 (previously filed)
10.6 Schedule to Form of Open-End Mortgage, Assignment of Rents,
Leases and Security Agreement in favor of HCFP Funding, Inc.
dated April 22, 1999 (previously filed)
10.7 Accounts Receivable Intercreditor Agreement between HCFP
Funding, Inc. and Meditrust Mortgage Investments, Inc. dated
April 22, 1999 (previously filed)
10.8 Amendment No. 1 to Loan and Security Agreement among
Balanced Care Corporation and certain of its wholly-owned
subsidiaries and HCFP Funding, Inc. dated July 1, 1999
(previously filed)
10.9 Amendment No. 2 to Loan and Security Agreement among
Balanced Care Corporation and certain of its wholly-owned
subsidiaries and HCFP Funding, Inc. dated July 29, 1999
(previously filed)
10.10 Balanced Care Corporation 1996 Stock Incentive Plan as
Amended and Restated, effective as of August 18, 1998
(incorporated by reference to Annex A to the Proxy Statement
on Schedule 14A dated October 6, 1998 (No. 001-13845))
10.11 Employment Agreement, dated as of August 1, 1996, by and
between Balanced Care Corporation and Brad E. Hollinger
(incorporated by reference to Exhibit 10.37 to the
Registration Statement on Form S-1 (No. 333-37833))**
10.12 Employment Agreement, dated as of September 20, 1995, by and
between Balanced Care Corporation and Robert J. Sutton
(incorporated by reference to Exhibit 10.39 to the
Registration Statement on Form S-1 (No. 333-37833))**
10.13 Separation Agreement, dated as of August 23, 1999, by and
between Balanced Care Corporation and Brian L. Barth
(previously filed)**
</TABLE>
68
<PAGE> 69
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
10.14 Form of HCRI Lease Agreement (incorporated by reference to
Exhibit 10.1 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.15 Schedule to Form of HCRI Lease Agreement (incorporated by
reference to Exhibit 10.2 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.16 Form of HCRI Construction Disbursing Agreement (incorporated
by reference to Exhibit 10.3 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.17 Schedule to Form of HCRI Construction Disbursing Agreement
(incorporated by reference to Exhibit 10.4 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.18 Form of HCRI Option Agreement (incorporated by reference to
Exhibit 10.5 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.19 Schedule to Form of HCRI Option Agreement (incorporated by
reference to Exhibit 10.6 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.20 Form of HCRI Shortfall Funding Agreement (incorporated by
reference to Exhibit 10.7 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.21 Schedule to Form of HCRI Shortfall Funding Agreement
(incorporated by reference to Exhibit 10.8 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.22 Form of HCRI Working Capital Assurance Agreement
(incorporated by reference to Exhibit 10.9 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.23 Schedule to Form of HCRI Working Capital Assurance Agreement
(incorporated by reference to Exhibit 10.10 to the Quarterly
Report on Form 10-Q for the quarter ended September 30, 1998
(No. 001-13845))
10.24 Form of HCRI Management Agreement (incorporated by reference
to Exhibit 10.11 to the Quarterly Report on Form 10-Q for
the quarter ended September 30, 1998 (No. 001-13845))
10.25 Schedule to Form of HCRI Management Agreement (incorporated
by reference to Exhibit 10.12 to the Quarterly Report on
Form 10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.26 Form of HCRI Guaranty (incorporated by reference to Exhibit
10.13 to the Quarterly Report on Form 10-Q for the quarter
ended September 30, 1998 (No. 001-13845))
10.27 Schedule to Form of HCRI Guaranty (incorporated by reference
to Exhibit 10.14 to the Quarterly Report on Form 10-Q for
the quarter ended September 30, 1998 (No. 001-13845))
10.28 Form of HCRI Loan Agreement (incorporated by reference to
Exhibit 10.15 to the Quarterly Report on Form 10-Q for the
quarter ended September 30, 1998 (No. 001-13845))
10.29 Schedule to Form of HCRI Loan Agreement (incorporated by
reference to Exhibit 10.16 to the Quarterly Report on Form
10-Q for the quarter ended September 30, 1998 (No.
001-13845))
10.30 Lease Agreement between Pennsylvania BCC Properties, Inc.
and Balanced Care at Saxonburg, Inc. (incorporated by
reference to Exhibit 10.1 of the Company's Current Report on
Form 8-K dated March 18, 1999 No. 001-13845)
10.31 Lease Agreement between Pennsylvania BCC Properties, Inc.
and Balanced Care at Bloomsburg II, Inc. (incorporated by
reference to Exhibit 10.2 of the Company's Current Report on
Form 8-K dated March 18, 1999 File No. 001-13845)
10.32 Employment Agreement, dated as of November 24, 1997, by and
between Balanced Care Corporation and Stephen G. Marcus
(incorporated by reference to Exhibit 10.43 to the
Registration Statement on Form S-1 (No. 333-37833))**
</TABLE>
69
<PAGE> 70
<TABLE>
<CAPTION>
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
<C> <S>
10.33 Consulting Agreement between Pier C. Borra and Balanced Care
Corporation dated March 22, 1999, effective December 8, 1998
(incorporated by reference to Exhibit 10.1 to the Quarterly
Report on Form 10-Q for the quarter ended March 31, 1999
(No. 001-13845))
10.34 Employment Agreement between Clint T. Fegan and Balanced
Care Corporation dated February 11, 1999 (incorporated by
reference to Exhibit 10.2 to the Quarterly Report on Form
10-Q for the quarter ended March 31, 1999 (No. 001-13845))**
10.35 Separation Agreement, dated as of July 13, 1999, by and
between Balanced Care Corporation and Paul A. Kruis
(previously filed)**
10.36 Change in Control Agreement between Balanced Care
Corporation and Gary W. Anderson dated July 29, 1999
(previously filed)**
10.37 First Amended and Restated Change in Control Agreement dated
May 26, 1999 between Balanced Care Corporation and Mark S.
Moore (previously filed)**
10.38 Form of Change in Control Agreement (incorporated by
reference to Exhibit 99.1 of the Company's Current Report on
Form 8-K dated March 29, 1999 (No. 001-13845))**
10.39 Schedule to Form of Change in Control Agreement
(incorporated by reference to Exhibit 99.2 of the Company's
Current Report on Form 8-K dated March 29, 1999 (No.
001-13845))**
21.1 Schedule of Subsidiaries of Balanced Care Corporation
(previously filed)
23.1 Independent Auditors' Consent -- KPMG LLP (filed herewith)
27.1 Financial Data Schedule (previously filed)
</TABLE>
- ---------------
* Certain exhibits and schedules to the Exhibits attached hereto have been
omitted in accordance with Item 601(b)(2) of Regulation S-K. A copy of any
omitted exhibit of schedule will be furnished to the Commission upon request.
** Management contract or compensatory plan or arrangement required to be filed
as an exhibit to this Annual Report on Form 10-K.
70
<PAGE> 1
Exhibit 23.1
INDEPENDENT AUDITORS' CONSENT
The Board of Directors
Balanced Care Corporation:
We consent to incorporation by reference in the registration statements (Nos.
333-68977 and 333-52291) on Form S-8 of Balanced Care Corporation of our report
dated August 20, 1999, relating to the consolidated balance sheets of Balanced
Care Corporation and subsidiaries as of June 30, 1999 and 1998 and the related
consolidated statements of operations, stockholders' equity, and cash flows
for each of the years in the three-year period ended June 30, 1999, and all
related schedules, which report appears in the June 30, 1999 annual report on
Form 10-K/A of Balanced Care Corporation.
KPMG LLP
Baltimore, Maryland
October 1, 1999
